Advantage

ADVANTAGE ISSUE #25 FALL 2022

Healthy Living Over 55

In this issue 1

Cover Story: Medicare Open Enrollment for 2023

4

Open Enrollment Checklist

6 What You Need to Know About Prostate Cancer

8 Ask the Doctor: A Healthy Brain

9 5 Books on Healthy Aging 10 The Art of Aging Gracefully: 10 Tips to Live Your Best Life

12 Upcoming Classes, Events and Support Groups

COVER STORY

Medicare Open Enrollment for 2023 Reviewing your information can save you money and hassle.

WRITTEN BY JOHN FERRARI

Carefully reviewing your Medicare plan now can save you time, money and frustration in the year ahead.

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n this ever-changing world, it’s nice some traditions remain the same year after year—like Medicare’s annual Open Enrollment Period. Each year, the Open Enrollment Period runs from October 15 to December 7. During this period you can join, switch or drop a Medicare health plan or Medicare Advantage plan. You can change from Original Medicare (Parts A and B) to a Medicare Advantage plan (Part C) or switch from

Medicare Advantage back to Original Medicare. You can also join, switch or drop Medicare drug coverage plans (Part D). Any changes you make take effect January 1.

There is a separate enrollment period just for Medicare Advantage, from January 1 through March 31. During this period, you can switch between Advantage plans or end your Advantage coverage and return to Original Medicare. However, during this period you cannot

COVER STORY

It’s a good idea to review your Medicare options every few years, or when your medical or financial circumstances change.

switch from Original Medicare to a Medicare Advantage plan.

Additionally, some life changes trigger Special Enrollment Periods—for example, when you lose your current coverage or become eligible for Medi-Cal, move to a new coverage area, or move into or out of a skilled nursing facility, long-term care or similar facility.

If you are already enrolled in Medicare, you should receive the 2023 Medicare and You handbook in late September or early October. It’s also available online at medicare.gov/medicare-andyou. Additionally, in late September you should receive a separate notice detailing how your plans will change in the upcoming year.

In December you’ll also receive a letter detailing both your Social Security cost-of-living adjust-

2 ADVANTAGE / Torrance Memorial, a Cedars-Sinai Affiliate

ment and your Medicare Part B premium costs for the upcoming year—and this is where a little knowledge could save you money. The government determines your Part B Income-Related Monthly Adjustment Amount (IRMAA), if any, based on a two-year lookback at your MAGI. The acronyms are explained in the Social Security Administration’s Medicare Costs sheet.

MAGI is your Modified Adjusted Gross Income; that is, it’s the adjusted gross income on your taxes plus a few other sources of nontaxable income, such as income from bond funds. So your MAGI may be higher than your AGI. The two-year lookback means each year the government looks at your income from two years ago to calculate your MAGI, and that’s the number used to determine your Part B premium for the next year.

In 2022, if your 2020 MAGI is $91,000 or less filing separately or $182,000 filing jointly, you pay only the standard Part B premium of $170.10. However, if your MAGI is over that limit, you also pay an IRMAA. The IRMAA can raise your Part B premium significantly. For example, if your 2020 MAGI is between $170,000 and $500,000 filing separately or between $340,000 and $750,000 filing jointly, your total Part B premium is $544.30.

If you experience a qualifying life-changing event and your income decreased in the past two years, you can request an IRMAA reduction. Qualifying life-changing events include marriage and divorce, death of a spouse, work stoppage or reduction, and loss of income-producing property or pension income. The form to request an IRMAA reduction is SSA-44, “Medicare Income-Related Monthly Adjustment Amount – Life-Changing Event.”

“I can only imagine hundreds of thousands of people are still paying IRMAA when they don’t have to,” muses licensed health insurance agent Vince Kelly.

So should you gather your colored pens and highlighters to review your coverage and the changes for the upcoming year?

Not necessarily, Kelly says. “A lot can change in five years, but year to year?

Not so much. You should go over your Medicare options every few years or when your medical or financial circumstances change.”

Open enrollment is a good time to consider switching from a Medicare supplement plan, or Medigap, to an HMO—especially as you age, Kelly says, because Medigap premiums increase each year.

“At age 65,” he explains, “a really good supplement plan may cost $130 per month, but by the time you reach 75, that premium has risen to $250 each month.”

One way to help lower Medicare costs is to consider insurance companies that offer a Medicare Part B premium reduction.

“These are incentives companies offer to entice people to sign up with them,” Kelly says. “A Part B reduction gives consumers, say, a $125 monthly credit toward the $170 monthly cost of Part B. That reduction may be offset by higher deductibles or fees on some items, but they’re often a good deal if the higher deductibles or fees apply only to medications you don’t need or procedures you won’t have.”

And there are a few things you should check every year, like your Medicare Advantage insurance card. “You should ensure your insurance ID card has your name—with no misspellings—and lists both your primary care physician and correct medical group name, for example Torrance Memorial IPA,” Kelly says. “Primary care physicians can move or retire.

If that happens, listing your medical group on your insurance card will make it easier for you to continue receiving care from the same group.” •

Take control of your Medicare Open Enrollment opportunities for next year by paying close attention to your options.

We Fight Cancer One Breakthrough At a Time

THE HUNT CANCER INSTITUTE OFFERS THE LATEST ADVANCEMENTS IN CANCER CARE AND RESEARCH. Torrance Memorial is now part of Cedars-Sinai’s extensive cancer clinical trials program.

Learn more at TorranceMemorial.org/Cancer

Issue #25 Fall 2022

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HEALTHY LIVING

Medicare Fall Open Enrollment is On Its Way Here is a checklist to help you make the best choices.

WRITTEN BY JOHN FERRARI

A quick review comparing your 2022 benefits and the upcoming 2023 benefits is a simple and reassuring step that can save you time and money.

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f you are a current Medicare recipient, you may know that every October you have the option to change your coverage during the Fall Open Enrollment Period (also referred to as the Annual Enrollment Period). This provides you the opportunity to review your current benefits and how they may change in the coming year, according to independent insurance agent Vince Kelly. Here’s a checklist to get you prepared for open enrollment.

Are you ready for open enrollment?

The enrollment period for 2023, as in prior years, runs October 15 to December 7. You can make as many changes as you wish, but your final selections submitted

by December 7 will stand as your new plan and will start on January 1, 2023. If you don’t make any changes, your current plan will simply continue with any new benefit changes for 2023.

From January 1 through March 31, 2023, there is also a Medicare Advantage Open Enrollment Period during which people in a Medicare Advantage Plan may make one change, which in turn will remain for the year. Kelly says this is unless you qualify for a Special Enrollment Period (SEP), in which case you may make a change during certain times of the year.

One popular example of an SEP is moving out of the service area.

4 ADVANTAGE / Torrance Memorial, a Cedars-Sinai Affiliate

Have you reviewed your plan notices?

Pay attention to your mail. Medicare Advantage recipients began receiving their Annual Notification of Change (ANOC) pamphlet from their current insurance company in mid-September. The ANOC shows if the plan you currently have is changing, such as moving a prescription drug to a higher tier (which could make it more expensive) or adding benefits.

It pays to compare. “Most people don’t make any changes,” Kelly says, “and some see the pamphlet and get overwhelmed.”

But all you really need to do is read the chart comparing the 2022 and 2023 columns. Confirm the benefits you currently have will continue next year. If you’re happy with your current doctors, your health plan benefits and your coverage, open the ANOC and check for any changes between your 2022 benefits and the upcoming 2023 benefits.

Does your existing plan meet next year’s needs?

During this enrollment period you may change or join a Medicare Advantage HMO plan. The benefits of these plans are wide and varied. Some of the most important factors are Medicare Advantage plans typically include a Part D prescription drug plan, urgent care visits and low or no copays or deductibles.

If you are not currently in a Medicare Advantage HMO, you can join during the Medicare Annual Enrollment Period.

You also have the option to change your stand-alone Part D prescription drug plan during Medicare Annual Enrollment Period (unless you qualify for an SEP as noted previously).

You may need a supplement plan.

Individuals who decide to pay a premium and join a stand-alone Part D plan will return to their Original Medicare and should consider applying for and purchasing a Medicare Supplement insurance (also known as Medi-Gap). A Medicare Supplement policy helps pay the 20% not covered by Original Medicare.

Is this your first time enrolling?

If you are a first-time Medicare applicant, your Initial Enrollment Period (IEP) is the seven-month period surrounding the month you turn 65—three months before the month in which you turn 65, the month of your birthday and the three months following your 65th birthday. Once you’re eligible to apply, you have the choice of Original Medicare

(the fee-for-service program run by the U.S. government) or a Medicare Advantage plan (a type of private insurance offering an HMO).

Do you need Medicare supplement insurance?

Medicare Part A and Part B are considered Original Medicare and by design cover only basic services. Also, there is a high hospital copayment charge with both. This is why consumers should consider adding a Medicare Supplement insurance plan to help cover costs not covered by Original Medicare.

The best time to get a Medicare Supplement plan is when you are new to Medicare because the premiums based on age and inflation will be the lowest. Also, if you apply when

you are first eligible, an insurance company can’t deny you a policy or place conditions on it. These situations include preexisting conditions (they can’t deny or charge you more), moving or travel. “A supplement will also give you more control and freedom of choice,” adds Kelly. • For more information, go to medicare.gov; call the Torrance Memorial IPA Resource Center at 310-257-7239; call licensed health insurance agent Vince Kelly at 310-625-1837; call Health Insurance Counseling and Advocacy (HICAP) expert Doris Herzog at 310-517-4666; or attend Torrance Memorial IPA’s complimentary Medicare 101 lectures. Visit TorranceMemorialIPA.org/medicare101.

Make sure you understand your options: Medicare Part A (Hospital Insurance) Part A covers inpatient hospital stays, care in a skilled nursing facility, hospice and some in-home health care. For most people, Medicare Part A has a $0 monthly cost because of what they have paid into Social Security taxes.

Medicare Part B (Medical Insurance) Part B covers certain doctor’s services, outpatient care, medical supplies and preventive services. For most services, Part B covers 80% of charges with no out-of-pocket maximum. There is a monthly cost for Part B, which is based on your income.

For some, the state will subsidize, while high-income earners will pay more. Details can be found on the official Medicare website, medicare.gov.

Medicare Part C (Medicare Advantage Plans) Medicare Advantage plans are offered by private insurance companies contracted by Medicare and include HMOs. The plans cover everything Original Medicare Parts A and B do and also offer prescription drug coverage, routine eye care, transportation and often acupuncture and other integrative treatments. Many also offer perks such as gym membership, dental

discounts and allowance for over-the-counter items such as toothpaste, vitamins and skin care products. In addition, they offer several options for you to choose a medical group or an independent practice association (IPA) contracted with them, such as Torrance Memorial IPA, a division of Torrance Memorial. For information about Medicare Advantage Plans, you can attend Torrance Memorial IPA’s virtual Medicare 101 educational events. Visit TorranceMemorialIPA.org/medicare101 to register.

These plans offer optimal coverage for just about anything that might arise in your life. There is great coordination of care within your IPA caregivers, and you can change your plan every year according to your needs.

Medicare Advantage Plans require you to choose an insurance company (such as Aetna, Anthem Blue Cross, Blue Shield of CA, Wellcare by Health Net, Humana, SCAN or AARP/United Healthcare) and a medical group such as nonprofit Torrance Memorial IPA. The insurance companies, in turn, are contracted with the IPAs so you have plenty of choices.

Torrance Memorial IPA contracts with the HMO insurance companies listed above.

Issue #25 Fall 2022

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FEATURE

mended against PSA screening, saying it did more harm than good. As a result, more patients did not seek care until their prostate cancer had spread to other parts of the body.

The USPSTF now recommends men ages 55 to 69 who are of average prostate cancer risk decide whether to have the PSA test in consultation with their physicians. It does not recommend the test for men at average risk who are over 70.

“Current treatment is based on risk stratification,” says Dr. Lesser. “We have various tools including biopsies, PSA trends and genetic testing that can indicate the aggressiveness of the cancer. Based on that, we determine whether the patient is a candidate for treatment or if we can just monitor him.”

Prostate cancer is the most commonly diagnosed cancer in males worldwide. While prostate cancer could occur in any man, certain factors raise your risk for the disease including family history and age.

What You Need to Know about Prostate Cancer WRITTEN BY NANCY SOKOLER STEINER

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lthough it’s not a topic men might choose to discuss, knowledge is power when it comes to prostate cancer. “Prostate cancer is extremely common. About 1 in 8 men will be diagnosed with the disease over their lifetime,” says Timothy Lesser, MD, a urologist affiliated with Torrance Memorial Medical Center. “However, fewer than 3% die from it thanks to better treatments and because most prostate cancers are not aggressive. Most men live with prostate cancer and die of other causes.”

What’s the Deal with PSA Tests?

Dr. Lesser says the public—and even physicians—have received mixed messages about PSA tests, a blood test measuring levels of prostate-specific antigen. High PSA levels may indicate the presence of cancer. Beginning in the 1990s, many men diagnosed with prostate cancer due to high PSA levels received treatment, yet mortality rates did not decrease as expected. Many treatments turned out to be unnecessary.

Then in 2012 the U.S. Preventive Services Task Force (USPSTF) recom-

6 ADVANTAGE / Torrance Memorial, a Cedars-Sinai Affiliate

Prostate Cancer Treatment For men at low risk and some at intermediate risk, active surveillance is a safe treatment, says Dr. Lesser. This involves checking PSA levels and repeating biopsies at specific time intervals.

Other patients at intermediate risk and high risk generally undergo surgery or radiation. Surgery involves removing the prostate gland, a procedure often performed robotically at Torrance Memorial using the da Vinci surgical system.

“Robotic surgery is more precise, so rates of complications are lower than with traditional surgery,” says Dr. Lesser. Men who have their prostates removed will no longer produce semen but can still achieve orgasms. Dr. Lesser says their ability to achieve an erection will depend on their preoperative level of function. Surgery generally involves an overnight stay in the hospital and the use of a catheter for about a week.

“Torrance Memorial has had a robotic surgery program for about 15 years,” notes Dr. Lesser. “We have a well-established program and team.”

Radiation treatment can take several forms, all designed to spare nearby tissue from side effects. Intensity-modulated radiation therapy uses three-dimensional images to achieve precision and vary the intensity of the radiation beams. Stereotactic body radiation therapy delivers powerful and precise doses of radiation in a shorter time frame.

High dose-rate brachytherapy involves delivering a

AQUABLATION:

radiation source to the area via a catheter.

Prior to delivering radiation, physicians may use SpaceOAR (Spacing Organs at Risk), a temporary gel placed between the prostate and rectum. The gel physically separates the prostate from the rectum to minimize unnecessary radiation and reduce side effects.

For patients facing a cancer diagnosis, the Hunt Cancer Institute at Torrance Memorial is a place for hope and healing in the South Bay. An affiliate of Cedars-Sinai, the Hunt Cancer Institute offers comprehensive cancer care from national and regional cancer experts— including preventive screenings, the latest treatment options, access to promising clinical trials and a full range of supportive services available from diagnosis through survivorship.

Timothy Lesser, MD, practices in Torrance at 20911 Earl Street, Suite 140. He can be reached at 310-542-0199.

Risk Factors, Symptoms & Diagnosis Risk factors include age (risk increases after age 50) and family history. African American men tend to have a higher incidence of prostate cancer and experience it at a younger age.

Screening detects most prostate cancers. More advanced prostate cancers may cause symptoms including problems with urination; blood in the urine or semen; difficulty getting an erection; weakness or numbness in the legs or feet; pain in the hips, back, chest or other areas; or loss of bladder or bowel control. These symptoms can have other causes and should be checked.

The combination of PSA and digital rectal examination is the standard screening protocol for prostate cancer. If either of these is abnormal, a prostate biopsy may be performed to see whether cancer cells are present. MRI can help diagnose the cancer, determine its size and show whether it has spread outside the prostate.

“At Torrance Memorial, we have a scan called a PSMA (prostate-specific membrane antigen), a type of PET scan, that is helpful in staging cancer,” says Dr. Lesser.

PSA Revisited and Prostate Cancer Screenings Dr. Lesser believes the benefits of PSA testing outweigh the risks “Urologists are making careful and proper decisions with PSA. We’re appropriately selecting patients who need to be treated. Knowledge is power. So I think it’s proper for patients to advocate having their PSA tested.”

The American Cancer Society recommends men have a chance to make an informed decision with their health care provider about whether to be screened for prostate cancer. For a full list of screening recommendations visit cancer.org and search for prostate cancer screenings.•

A New Treatment for Enlarged Prostates Torrance Memorial Medical Center now offers an innovative new treatment for enlarged prostates. Aquablation uses a high-pressure, robot-guided water jet to remove obstructing prostate tissue. “Aquablation uses no incisions, reduces the risk of side effects, and allows us to treat bigger prostates more safely and efficiently,” says urologic surgeon Garrett Matsunaga, MD, who performed the first procedures at Torrance Memorial in June.

The Aquablation system provides 3D ultrasound imaging, enabling physicians to precisely map the tissue to ablate. During the procedure, real-time imaging and robotic guidance help physicians precisely direct the water beam and avoid damaging surrounding anatomy.

“For men with larger prostates, a transurethral resection of the prostate (TURP)—the traditional treatment for enlarged prostates—is often incompletely effective. These larger prostates may need two surgeries or a more invasive procedure to get relief,” says Dr. Matsunaga. “Now men with very large prostates have a safe, effective, minimally invasive option.”

An enlarged prostate, also referred to as benign prostatic hyperplasia (BPH), can obstruct the urethra, which is the tube that carries urine out of the bladder and penis. It can cause slow or difficult urination and prevent the bladder from emptying fully. A common condition in men 50 and older, BPH often triggers frequent urges to urinate and regularly interrupts sleep. Without treatment, it can sometimes lead to bladder stones, infections and even kidney failure.

Patients who undergo Aquablation generally stay in the hospital overnight. After a four- to six-week recovery, they can expect to stop taking prostate medication and be able to completely empty their bladders and have less urinary frequency and urgency day and night.

“My patient told me it changed his life,” says Dr. Matsunaga. “He is off all prostate medication and only has to get up once during the night to urinate, and sometimes not at all.”

Issue #25 Fall 2022

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ASK THE DOCTOR

A Healthy Brain Lifestyle choices can protect memory, communication and learning abilities.

WRITTEN BY MELISSA BEAN STERZICK

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s people get older, changes occur in all parts of the body including the brain. Certain parts of the brain shrink, and communication between nerve cells may not be as effective. That might sound alarming, but healthy choices and simple activities can protect the brain. Declining mental function is not an inevitable part of aging.

Ben Tseng, MD, a board-certified neurologist with Torrance Memorial’s Lundquist Neurosciences Institute, shares important information about maintaining brain health.

Ben Tseng, MD, practices at Torrance Memorial Physician Network Neurology in Torrance at 23560 Crenshaw Blvd., Suite 101. He can be reached at 310-517-7021.

What are some simple ways to keep your brain healthy?

Dr. Tseng: A cardiovascular-healthy diet and exercise are very clearly beneficial for brain health and cognitive performance.

It’s important to get enough sleep and limit stress. Manage your blood pressure and blood sugar. Keep an active lifestyle, which can range from physical to social activities. Solitary activities such as reading, playing instruments, learning new things and hobbies are very beneficial.

Find things you like to do that also engage the brain. Yoga classes, walking, games and music are just a few ideas, but there are many options. Volunteer work can fill several needs at once—providing social interaction and supporting mental health.

How does age affect brain health?

Common symptoms of normal aging include difficulties in the following three domains: memory retrieval, multitasking skills and the general processing speed of the brain. People notice these difficulties and can lose confidence or motivation to improve, but the brain needs exercise to stay healthy—just like any other muscle.

How can seniors regain mental function if it has diminished?

It’s easy to think a loss of ability or change in performance is permanent, but it isn’t. Seniors may need extra time to complete mental tasks or learn new things, but they do not necessarily lose those abilities. The same activities supporting brain health also help people regain function if it has declined. Regular physical activity, social connection, and doing things requiring concentration as well as memory stimulation and learning will protect and improve brain health. Forming new habits and making changes for your health take effort. Set an easy goal and enlist the help of friends or family members to encourage or participate in reaching it.

8 ADVANTAGE / Torrance Memorial, a Cedars-Sinai Affiliate

How does overall health affect brain health?

Cardiovascular diseases are directly related to strokes, including hypertension, hypercholesterolemia, diabetes, smoking and a family history of vascular disease. Other risk factors that apply to general health also have detrimental impacts on the brain, such as a sedentary lifestyle, poor dietary choices and any deficiency in caregiving or the support system at home.

Also, mental health should not be overlooked—depression, anxiety, insomnia and other untreated psychological conditions are directly related to impaired focus, executive functions and general problem-solving abilities. Limit social media, the amount of news you read/watch and exposure to unnecessary stressors. Most importantly, ask for help before things become too overwhelming.

What cognitive symptoms indicate the need for a doctor’s attention?

Symptoms requiring a doctor’s attention can be acute or slowly progressive. Any acute or sudden change in mental status or neurologic functions should be evaluated right away. If you are experiencing any symptoms of a stroke—sudden numbness or weakness in the face, arm or leg, confusion or trouble speaking or understanding, vision problems or difficulty with balance or walking—call 911 or go to the nearest emergency department.

For slow progressive symptoms, in the case of dementia, family members often report cognitive decline directly impacting a patient’s ability to function, including driving, keeping up with daily routines and appointments, adhering to medication regimens, etc. In terms of memory, family members should be concerned if they notice an increase in repetitive questions or an inability to retrieve information, despite multiple reminders. •

Healthy Aging: A Lifelong Guide to Your Well-Being WRITTEN BY ANDREW WEIL, MD

Acclaimed best-seller Andrew Weil, MD, provides sensible advice to aging adults in this oldie-but-goodie book for seniors. In the 2007 version (recommended), Dr. Weil’s advice combines traditional and nontraditional medical advice to help us age in good health. Highlights include advice on nutrition and eating right, the anti-inflammatory diet, exercising right and a solid background on the aging process in general terms.

Ikigai: The Japanese Secret to a Long and Happy Life WRITTEN BY HÉCTOR GARCÍA AND

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Great Books on Healthy Aging While there are many great resources available to help us age gracefully and in good health (both mentally and physically), we recommend five books about healthy aging to motivate and inspire you.

All of these books are also available in audio format.

Keep Sharp: Build a Better Brain at Any Age WRITTEN BY SANJAY GUPTA, MD

The Gift of Years: Growing Older Gracefully WRITTEN BY JOAN CHITTISTER

Author Joan Chittister, a Benedictine Sister of Erie, Pennsylvania, has written more than 50 books and has received many accolades and awards for her writing. This book is about embracing the aging process and taking it in. It contains 40+ essays on subjects like adjustment, sadness, regret and success. The author also offers advice on allowing yourself to become active in your golden years and using that time to connect with yourself and with others.

The Wonder of Aging: A New Approach to Embracing Life After Fifty WRITTEN BY MICHAEL GURIAN

FRANCESC MIRALLES

This feel-good book poses a simple but radical question: What is your reason for being? Or as the Japanese call it, your ikigai. Weaving in narratives and interviews with Japanese centenarians along with studies, history, quotes and even a brief tai chi lesson, this little book offers big advice on how to live a long, happy and meaningful life.

Throughout life, we look for ways to keep our minds sharp and effortlessly productive. Now, globe-trotting neurosurgeon Sanjay Gupta, MD, offers a book filled with insights from top scientists all over the world, whose cutting-edge research can help you heighten and protect brain function and maintain cognitive health at any age. Dr. Gupta also addresses brain disease, particularly Alzheimer’s, and provides you with a personalized 12-week program featuring practical strategies to strengthen your brain every day.

New York Times best-selling author Michael Gurian takes readers on a journey along newly-defined dimensions for the second half of life. The book divides one’s second act into three stages: The Age of Transformation (from late 40s to around 60), The Age of Distinction (from 60 to 75), and The Age of Completion (the final stage of our journey). It is filled with practical tips, solid science, and stories to inspire and motivate readers. • Issue #25 Fall 2022

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PRIME TIME

The Art of Aging Gracefully

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10 tips to live your best life as you age WRITTEN BY JILL BIGGINS GERBRACHT

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he art of aging gracefully isn’t about trying to look 20 years younger than you are.

It’s about living your best life and having the physical and mental health to enjoy it. Taking proper steps to promote self-care and good health can make all the difference in how we see ourselves as we age.

For most older adults, good health ensures independence, security and productivity. It’s natural to worry about the challenges aging can bring, but if you can maintain a healthy lifestyle, surround yourself with people you love and do things that bring you joy, you can enjoy a fulfilling life well into your sunset years.

Here are some tips to help you age gracefully from the inside out. Enjoy.

“Age isn’t how old you are but how old you feel.”

— Gabriel García Márquez

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Be Kind to Your Skin Your skin is your body’s largest organ. If you treat it with care, it can better protect your body from the elements, regulate body temperature and provide sensation.

To keep it looking and functioning at its best, wear sunscreen, get yearly skin cancer screenings, follow an anti-aging skin care routine and stay hydrated.

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Exercise Regular exercise lowers your risk of diseases such as heart disease and cancer and helps you retain your mobility.

Exercise also lowers stress and improves sleep, skin and bone health, and mood.

It is recommended to incorporate 2½ to 5 hours per week of moderate-intensity exercise, 1¼ to 2½ hours per week of vigorous-intensity aerobic exercise, or a combination of the two for optimum benefit. Older adults should also focus on activities that include balance training and muscle strengthening.

10 ADVANTAGE / Torrance Memorial, a Cedars-Sinai Affiliate

Mind Your Diet Healthy foods are key when it comes to aging gracefully. Fresh fruits and vegetables, lean protein (such as fish and beans), whole grains, low-fat dairy and healthy fats—along with a low-sodium intake—are recommended.

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Focus on Mental Health Happiness is a choice, and keeping your mood elevated will keep your stress level down. Focusing on happiness goes a long way on the path to aging well.

Ways to keep your state of mind positive include spending time with loved ones, accepting your age and stage of life, and doing the things you enjoy.

These three mood boosters are sure to bring you more satisfying days ahead.

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Find New Hobbies Finding new and meaningful hobbies can help you maintain a sense of purpose and keep you engaged throughout your lifetime.

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Lower Your Stress Stress takes a huge toll on your body and can even contribute to premature aging, wrinkles and a higher risk of heart disease.

It is important to find ways to lower your stress level through activities such as relaxation techniques, exercise, sleep and talking things out with a friend.

Drink Plenty of Water Drinking enough water helps keep you regular and improves your energy level and brain function. It’s also known to keep your skin healthier and reduce the signs of aging. Speak to a doctor if you have questions or concerns about your water intake.

ARE YOU TURNING 65 ON A RETIREE PLAN?

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Take Care of Your Mouth Taking care of your teeth and gums will keep you smiling and lower your risk of gum disease, which can lead to other types of disease. It is recommended to brush your teeth twice a day, floss once a day and use a mouth rinse.

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Get Enough Sleep We all know a good night’s sleep does wonders, but it is also important for your physical and mental health. Adults should get a minimum of seven to eight hours of sleep each night. Getting enough sleep has been proven to lower the risk of heart disease and stroke, reduce stress and depression, reduce inflammation and lower the risk of obesity, as well as improve focus and concentration!

DO YOU HAVE MEDICARE?

Learn about your options including Medicare HMO & PPO,

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See Your Doctor Regularly Seeing a doctor regularly is of great benefit, especially as one ages. Your doctor can find problems early or before they start.

They will also suggest how often you should go in for checkups and age-related screening tests. And remember if you are experiencing concerning symptoms, you should see always see a doctor. •

Supplements (Medi-gap) and Part D Prescription Plans.

RSVP today!

Call 310-257-7239 or visit TorranceMemorialIPA.org/Medicare101 for dates and times

Issue #25 Fall 2022

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Upcoming Classes, Events & Support Groups Advantage Calendar Fall 2022 All classes are online and conducted over Zoom. Please call 310-517-4711 to register for all paid classes. Pricing is $40 for each 4 week class.

STRETCHING FOR BETTER BALANCE WITH RANDY October 10 – October 31 October 13 – November 3 November 14 – December 5 November 17 – December 15 Monday or Thursday, 10 to 10:45 a.m.

This fun workout done in a chair is designed to help increase flexibility and mobility to help prevent injuries.

LYMPHATIC FLOW CHAIR YOGA WITH SHARMONE October 10 – October 31 November 14 – December 5 Monday, 2:15 to 3:15 p.m.

A yoga class adapted to a seated chair position with the goal of gently stimulating lymphatic flow, which is especially helpful for those with compromised immune systems. It can reduce swelling and aid the body’s ability to ward off colds and flu.

YOGA BASICS October 10 – October 31 and November 14 – December 5 (Laura) October 13 – November 3 and November 17 – December 15 (Sharmone) Monday with Laura, 4 to 5 p.m.; Thursday with Sharmone, 3:30 to 4:30 p.m.

Harmonize body, mind and spirit through gentle stretching exercises, traditional yoga poses, breathing techniques and guided relaxation.

YOGA FOR OSTEOPOROSIS WITH DEBI October 11 – November 1 November 15 – December 6 Tuesday, 11 a.m. to 12:15 p.m.

Class focus is on poses, breath work and body awareness to stimulate bone growth and range of motion in joints. Floor, chairs and standing poses.

MUSCLE STRENGTHENING WITH RANDY October 10 – October 31 October 13 – November 3 November 14 – December 5 November 17 – December 15 Monday or Thursday, 11 to 11:45 a.m.

Learn correct, safe techniques for strengthening your upper and lower body using a chair and flexible exercise bands.

12 ADVANTAGE / Torrance Memorial, a Cedars-Sinai Affiliate

BEGINNING TAI CHI WITH RICHARD October 11 – November 1 November 15 – December 6 Tuesday, 2 to 3 p.m.

A sophisticated Chinese exercise that inspires physical and mental well-being.

This class is an introduction to the form.

It consists of slow, graceful, circular movements that improve balance and coordination.

INTERMEDIATE TAI CHI WITH RICHARD October 12 – November 2 November 16 – December 7 Wednesday, 2 to 3 p.m.

As students become more familiar with the techniques of balancing and relaxation, they will learn more of the movements to complete the form.

ADVANCED TAI CHI WITH RICHARD October 12 – November 2 November 16 – December 7 Wednesday, 3:15 to 4:15 p.m.

Once the form is learned, students will go deeper into the fine points, refining the movements and their connections that lead to improved health and mental focus.

INTEGRATED YOGA WITH ROBIN October 12 – November 2 November 16 – December 7 Wednesday, 7:15 to 8:15 p.m.

A yoga class integrating pranayama (breath work), asana (postures) and deeply relaxing meditation, such as yoga nidra, which can be the equivalent of four hours of sleep.

CHAIR YOGA FOR OSTEOPOROSIS WITH DEBI October 12 – November 2 November 16 – December 7 Wednesday, 11 a.m. to noon Designed for those with osteopenia or osteoporosis who can’t get up and down from the floor. The focus will be on strengthening your muscles, bones, posture, balance and fall prevention. Breath work for improved immune function and energy production. All levels welcome and modifications will be offered.

LINE DANCING WITH SHARON October 12 – November 2 November 16 – December 7 Wednesday, 4:30 to 5:30 p.m.

Jump on line and join the fun! In this beginner’s line dance class, you will learn

country and western classics such as Electric Slide, Tush Push and CowboyHustle, plus many more. Not only is line dancing great exercise, it is also great for your brain too. No partner needed.

MAT/FLOOR PILATES WITH KAREN October 12 – November 2 November 16 – December 7 Wednesday, 12:30 to 1:20 p.m.

An all-levels class that focuses on strengthening your core muscles to help improve your balance and provide support for your spine. Participants should have a moderate fitness and flexibility level. Mat Pilates or yoga experience recommended.

CHAIR YOGA FOR STRENGTH AND BALANCE WITH SHARMONE October 13 – November 3 November 17 – December 15

Thursday, 2 to 3 p.m.

This class uses a chair in seated and standing poses. Perfect for those with injuries or who need to get stronger overall.

The focus is on strengthening muscles for balance, posture and core.

CARING FOR THE CAREGIVER WITH SHARMONE October 17 – November 14 Monday, 6:15 to 7:45 p.m.

The ongoing stress involved with caring for an ill family member takes its toll on the caregiver. This class is designed to reenergize, relax and give options for selfcare and respite services by identifying and reducing stress, creating a balanced lifestyle and the use of integrative and therapeutic intervention.

(Note: this class is 5 weeks, cost is $60/$55 for Advantage members)

Don’t see what you’re looking for?

Check TorranceMemorial.org/classes for more information or call 310-517-4666.

Issue #25 Fall 2022

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Ranked #11 in California Top 3% in the state Ranked #5 in LA Region

Miracle of Living at the Beach Join us at the Shade Hotel in Manhattan Beach October 11 7 pm Women’s Heart Health and Cardio-Oncology

Virtual Miracle of Living Join us via Zoom for Torrance Memorial Medical Center’s popular health lecture series.

U.S. News & World Report Ranks Torrance Memorial Top 3% Hospital in California Again!

Torrance Memorial Medical Center has once again been recognized as a Best Hospital for 2022-23 for the eleventh straight year by U.S. News & World Report, placing the hospital in the top 3% in the state. Torrance Memorial remained the 11th highest ranking hospital for overall hospital quality in the state of California and held the ranking of 5th in the Los Angeles/Orange region.

Learn more about the Best Hospital Ranking at torrancememorial.org

14U.SADVANTAGE / Torrance Memorial, a Cedars-Sinai Affiliate News ad.indd 1

9/1/22 12:34 PM

November 17 6:30 pm Cancer Screenings Past lectures include sports injury prevention and other orthopedic issues; heart disease, complications with diabetes and stroke, valve disease and peripheral artery disease; and a variety of psychological topics such as depression, anxiety, substance abuse, eating disorders and violence.

Online Support Groups Alcoholics Anonymous Groups meet on Thursdays at 7 p.m. and Saturdays at 7:30 p.m. Contact Jean Carfagno at 310-784-4879 for more information.

Caregivers Support Group Information and nurturing support for people providing care for another.

All types of caregivers are welcome.

Tuesdays, 12:30 to 1:30 p.m. via Zoom.

To register, call 310-517-4701.

Head and Neck Cancer Support Group A group for those diagnosed with head and neck cancer and seeking support for the unique needs of their cancer. Every fourth Tuesday, 6 to 7:30 p.m. via Zoom.

Call 310-517-7077 for more information.

Meditation Weekly group for practicing meditation, a skill to quiet the mind and help relieve stress. Tuesdays and Thursdays, 4 to 5 p.m. via Zoom. Call 310-517-4711 for more information.

Men’s Cancer Support Group This support group for men meets the first and third Wednesday of the month at 10 a.m. via Zoom. Contact Rev. Jan Arthur for more information at 310-891-6694 or Jan.Lee@tmmc.com.

Multiple Myeloma Support Group The Los Angeles Multiple Myeloma Support Group offers patients and their supporters a place to go for shelter and comfort in dealing with myeloma. Meets every third Saturday, 10:30 a.m. to 12:30 p.m. Call 310-516-6828 for more information.

Between Starving and Stuffed Mindful eating for a healthy weight.

Meets every second and third Tuesday and Thursday, 6 to 7:30 p.m. via Zoom.

Call Community Health Education at 310-517-4711 for more information.

Pulmonary Fibrosis Support Group Stay updated on current and future pulmonary fibrosis research and trials. Meets every second Monday, 1:30 to 3:30 p.m. via Zoom. Call JoAnn Bardwill or Jackie Tosolini at 310-487-3186 to RSVP. Women in Treatment This group is for women going through cancer, providing them an opportunity to share their stories, vulnerabilities and insights from diagnosis through treatment in a safe supportive space. Meets every second and fourth Wednesday, 5 to 6 p.m. via Zoom. Contact Brittany at 310517-1230 or Brittany.rudinica@tmmc. com for more information.

WE CAN: Women Empowered Cancer Support Group This group empowers women to face their diagnosis, recurrence or experience as a cancer survivor with resilience and support. Meets every second and fourth Tuesday, 10 to 11:30 a.m. via zoom. Register with Anne Milliken at 310-517-1115 or anne. milliken@tmmc.com.

Need to See a Doctor?

Call Our Physician Referral Coordinator to Schedule An Appointment.

310-891-6717 Mona Madani, MD

Family Medicine 2110 E. El Segundo Bl., Suite 200 El Segundo 310-517-7030

Nima Moghadam, MD

Internal Medicine 3701 Skypark Dr., Suite 100 Torrance 310-378-2234

Jennifer Park, MD

Family Medicine 3701 Skypark Dr., Suite 100 Torrance 310-378-2234

Sadia Khan, MD

Internal Medicine 3333 Skypark Dr., Suite 160 Torrance 310-517-9006

Lorena Layrisse Landaeta, MD

Internal Medicine, Geriatrics 602 Deep Valley Dr., Suite 300 Rolling Hills Estates 310-517-4692

Alya Torna, MD

Family Medicine 29409 S. Western Ave. Rancho Palos Verdes 310-891-6684

Offices located in: Torrance, Carson, Manhattan Beach, Hermosa Beach, Palos Verdes and El Segundo

Appointments scheduled M-F , 8 a.m. to 5 p.m.

TMPhysicianNetwork.org Issue #25 Fall 2022

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3330 Lomita Boulevard, Torrance, CA 90505-5073

NON-PROFIT ORG US POSTAGE PAID TORRANCE, CA PERMIT NO 381

WHEN YOU NEED EXPERT CARE, TORRANCE MEMORIAL IS HERE FOR YOU. Torrance Memorial Medical Center 310-325-9110 TorranceMemorial.org

Emergencies happen. Don’t delay care for heart attacks, strokes, falls or other urgent health situations. Torrance Memorial’s Emergency Department is safe, ready and open. If you think you are having a heart attack or stroke, call 911 or go to the nearest Emergency Department if you are experiencing symptoms.

ADVANTAGE Program Information 310-517-4666 Monday through Friday, 9 a.m. to 4:15 p.m.

Comprehensive Stroke Center – Torrance Memorial emergency care staff are trained to identify the signs of stroke early and deliver early intervention care that limits damaging effects.

Torrance Memorial IPA Learn More: 310-257-7239 TorranceMemorialIPA.org Members: Toll-Free: 866-568-4472 TTY/TDD: 711 Monday through Friday, 8:30 a.m. to 5 p.m.

Emergency Department Approved for Pediatric Patients – Torrance Memorial is a designated Emergency Department Approved for Pediatrics by L.A. County Department of Health Services.

Torrance Memorial Physician Network 310-891-6717 TMPhysicianNetwork.org Monday through Friday, 7:30 a.m. to 4 p.m.

Like us facebook.com/torrancememorial Follow Us Instagram.com/torrancememorial

If you do not wish to receive future issues of this publication, please email publications@tmmc.com with your name and complete address as it appears on the mailing panel.

L.A. County Paramedic Base Station – Torrance Memorial’s 24-hour Emergency Department serves as a paramedic base station.

STEMI (Heart Attack) Receiving Center – Torrance Memorial is a STEMI-receiving hospital, and has the equipment, expertise and facilities to administer percutaneous coronary intervention, a mechanical means of treating heart attack patients.

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This publication is for informational purposes only and should not be relied upon as medical advice. It has not been designed to replace a physician's medical assessment and medical judgment. Always consult first with your physician regarding anything related to your personal health.