Advantage

ADVANTAGE ISSUE #29 FALL 2023

Healthy Living Over 55

In this issue 1

Cover Story: Medicare Open Enrollment for 2024

4

Healthy Living: Love the Bones You’re With

6 9 Top Tech Gadgets for Older Adults

8 Seasonal Vaccines: Protect Your Heatlh with Flu, COVID-19 and RSV Shots

10 Grand Bargain: Strong Grandparent-Grandchild Bonds

12 Upcoming Classes, Events and Support Groups

COVER STORY

Medicare Open Enrollment for 2024 is Here!

Original Medicare, Advantage HMO or PPO—you have options.

WRITTEN BY JOHN FERRARI

Careful review of your Medicare plan now can save you time, money and frustration in the year ahead.

S

ometimes change is a good thing. On the other hand, sometimes it’s nice when things stay the same. This year’s Medicare Open Enrollment Period brings a little change—but not a lot.

“And that’s a good thing,” says licensed health insurance agent Vince Kelly.

The changes Medicare beneficiaries will see in 2024 are designed to improve their benefits. Before the New

Year though, they have the opportunity to adjust their plans and coverage during open enrollment, which—as always—runs from October 15 to December 7.

During this period beneficiaries can join, switch or drop a Medicare health plan or Medicare Advantage plan. Beneficiaries can change from Original Medicare (Parts A and B) to a Medicare Advantage plan (Part C), or switch from Medicare Advantage back to Original

COVER STORY

Medicare. Beneficiaries can also join, switch or drop Medicare drug coverage plans (Part D). All changes take effect on January 1.

Once the new year arrives, the most notable change to Medicare will be the elimination of the 5% prescription drug copay under Medicare Part D prescription coverage during the so-called “catastrophic stage.” When a Medicare beneficiary’s prescription medications have cost the insurance plan $8,000 for the year, they enter the catastrophic stage of coverage. From that point, the beneficiary must pay 5% of the prescription costs for the remainder of the year. Beginning in 2024, however, that copay will disappear. (Beginning in 2025, there will be a $2,000 cap on individual out-of-pocket prescription drug expenses too.)

Also in the new year, eligibility for Part D’s Low-Income Subsidy (LIS) program will

increase. Beneficiaries earning up to 150% of the federal poverty level (around $21,870 a year for an individual) will be able to receive assistance from the LIS program.

With few Medicare changes to consider, this open enrollment period may be a good time to weigh the costs and benefits of Original Medicare and Medicare Advantage HMOs or Medicare Advantage PPOs. “Medicare Advantage PPO plans are a little complicated,” Kelly says. “When you enroll in an Advantage PPO plan, a private company takes over your Medicare coverage and gets paid monthly by the government to handle payment of medical claims.”

In contrast, under Original Medicare providers submit claims to Medicare and are paid by the government. Original Medicare beneficiaries pay 20% of their medical expenses, and many purchase Medigap

2 ADVANTAGE / Torrance Memorial, a Cedars-Sinai Affiliate

You don’t need to change your Medicare plan every year, but it’s a good idea to review it every few years or when your medical or financial circumstances change.

supplement insurance plans to help pay the out-of-pocket expenses.

“Original Medicare plus a Medigap supplement insurance plan is the most common way to ensure comprehensive coverage using Medicare,” Kelly says.

There is a limitation. Original Medicare requires beneficiaries to use Medicarecontracted health care providers (admittedly, that includes the vast majority of providers in the United States). Beneficiaries who enroll in a Medicare Advantage plan can opt to choose an HMO plan or a PPO plan instead. PPOs afford greater flexibility in which providers they can use.

“You have to be careful though,” Kelly cautions. “If you choose a PPO that doesn’t include your doctor as an in-network provider, you can still visit your doctor but it will be more expensive. Advantage PPOs may look good on paper, but the costs can start adding up. For example, most Medicare Advantage HMO plans pay for hospitalization from day one. Advantage PPO plans can cost $295 a day for the first five days of a hospital stay. The costs of Medigap supplement plan premiums are more predictable than the costs of Medicare Advantage PPO plans.”

Another advantage of Medicare Advantage HMO plans, Kelly says, is beneficiaries can change their primary care physician (PCP) and medical group at any time during the year, not just during the open enrollment period. “People

don’t realize how much of a difference switching their PCP or medical group can have—you have access to a new group of doctors and other providers.”

Kelly also notes the number and variety of coverage and supplement plans offered by insurance companies continue to grow—a trend he predicts will continue. “They’re really more confusing than helpful,” he says. “There are plans for women and plans for people with chronic medical illnesses. They don’t offer more than what’s in more standard plans.”

His best advice: You don’t need to change your Medicare plan every year.

If you’re satisfied with your current plan and your health hasn’t changed, you may want to spend your autumn days enjoying the crisp weather rather than examining your Medicare options. That chore, he says, is something most people only need to do every few years.

“There are lots of choices and different factors to consider from your individual medical needs to financial considerations. That’s really when health insurance agents can be useful guides.”

If you are already enrolled in Medicare, you should receive the 2024 “Medicare and You” handbook in late September or early October. It’s also available online at medicare.gov/ medicare-and-you. Additionally, in late September you should receive a separate notice detailing any changes to your plan for the upcoming year. •

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 expert Doris Herzog at 310-517-4666; or attend Torrance Memorial IPA’s complimentary Medicare 101 lectures. Visit TorranceMemorialIPA.org/medicare101.

Need to See a Doctor?

Call Our Physician Referral Coordinator to Schedule An Appointment.

310-891-6717 Cho Rok Kim, MD

Internal Medicine 3333 Skypark Dr., Suite 100 Torrance 310-784-6300

Sara Kanamori, DO

Internal Medicine 3400 Lomita Blvd., Suite 104 Torrance 310-784-8000

Catherine Lawson, MD

Internal Medicine 2841 Lomita Blvd., Suite 135 Torrance 310-784-6954

Yusha Siddiqui, MD

Internal Medicine 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

Mona Madani, MD

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

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 #29 Fall 2023 3

HEALTHY LIVING

Love the Bones You’re With Protect your bones with a healthy diet, regular exercise and supplements.

WRITTEN BY MELISSA BEAN STERZICK

A

good diet, regular exercise and supplements combine to help older adults maintain the health of their bones. As we age, bones gradually weaken and become more susceptible to fractures and osteoporosis. Recovering from broken bones becomes more challenging and can lead to a loss of independence and mobility.

Fortunately, actions that support healthy bones are easy to incorporate into your daily routine, including a walk around the block, eating a salad with lunch and taking your vitamins. Physical therapist Aaron Bright, pharmacist Mei Tsai and dietitian Rebecca Tran all serve the South Bay community through their affiliation with Torrance Memorial. Here they share their expertise in strengthening and protecting bone health.

Dietitian Rebecca Tran What should older adults eat to strengthen and protect their bones?

Good sources of calcium include dairy products, almonds, broccoli, kale, cooked spinach, canned salmon with bones, sardines, tofu prepared with calcium sulfate,

and fortified orange juice. The Recommended Dietary Allowance for adults ages 19 to 50 and men ages 51 to 70 is a daily calcium intake of 1,000 mg. For women ages 51 and older and men ages 71 and older, the recommended daily intake is 1,200 mg.

Consider your vitamin D intake, as it aids calcium absorption. Vitamin D sources include oily fish like salmon, trout, whitefish and tuna, as well as mushrooms, eggs and fortified foods such as milk, cereals and orange juice. Sunlight is a primary source of vitamin D. Describe a daily meal plan to help keep bones strong.

A simple three-meal-per-day plan focusing on a calcium intake of 1,000 mg: Breakfast: 1 cup nonfat yogurt, granola, ½ cup fresh fruit, ¼ cup almonds (~400 mg calcium) Lunch: 3 ounces canned salmon (with soft bones), 2 slices calcium-fortified bread, ½ cup mixed vegetables, leafy green salad (~500 mg calcium) Dinner: 3 ounces seasoned chicken breast, ½ cup cooked broccoli, 1 medium baked sweet potato (~100 mg calcium) Are there any foods older adults should avoid to protect their bones?

Be cautious about sodium intake.

Excessive salt consumption can lead to calcium loss and ultimately bone loss.

Limit processed foods, canned items and adding salt to meals. The Dietary Guidelines for Americans recommends a daily sodium intake of less than 2,300 mg.

4 ADVANTAGE / Torrance Memorial, a Cedars-Sinai Affiliate

Physical Therapist Aaron Bright What exercise helps strengthen and protect bones?

Exercise for older adults should include balance, posture, cardio, strengthening and bone-loading. Those 65 years or older should consult their primary care doctor to assess their bone density. I also recommend people with osteoporosis or osteopenia see a physical therapist or specialist in osteoporosis to develop an individual exercise program.

First, working on balance is a must.

Falls are one of the leading causes of bone breaks. You should perform balance exercises daily next to a counter or wall for support, as needed. This can include balancing on one leg for several seconds at a time or balancing on two legs with your heel touching the toes of your other foot, making a straight line with your feet.

Exercise to help promote better posture is also crucial. Keeping the back straight can help reduce compression on the spine.

Strengthening exercises should be

performed two to three times a week with two to three sets of approximately 10 to 15 repetitions. This should focus on major muscle groups, including your core, upper body and lower body.

Cardiovascular exercises should be performed most days of the week for at least 30 minutes a day. This can be broken up into smaller time frames throughout the day if needed. Walking is a great way to start exercise.

Lastly, bone-loading exercises can help improve your bone strength, if your bone density scores indicate it’s safe. Try heel drops: Holding on to the counter, lift your heels as high as you can and quickly drop your heels down. This type of exercise can be performed a couple of times a week.

Are there any activities older adults should avoid to protect their bones?

For those who have osteoporosis, it is highly recommended they avoid excessive bending and twisting at their spine.

Hinge at your hips and knees, keeping your back straight, if you need to lower into a squat to pick up your grandchild or the newspaper, for example.

It is also important to declutter your house and make the walkways clear to reduce the likelihood of falls.

How do people who have been inactive or who have suffered injuries regain bone strength and return to exercise?

Injuries make exercising more difficult but not impossible. I would recommend starting with light walking and going to a gym, performing machine exercises to reduce the risk of injury. Torrance Memorial also offers a wide array of exercise classes including Yoga for Osteoporosis. This may be a great opportunity for adults with or without injuries. For a full listing of classes offered, please see page 12.

Pharmacist Mei Tsai What vitamins can help strengthen and protect bones?

Adequate calcium and vitamin D are a universal recommendation for bone health, regardless of age. Calcium is the major component (99%) of our bones and provides the structure and density to prevent fractures. Vitamin D assists our body in calcium absorption. Your doctor may also recommend magnesium and vitamin K in certain circumstances to support bone strength.

Why is it important for some older adults to take supplements for bone health?

While both calcium and vitamin D are available in foods, most people do not eat enough in their diet to reach the daily requirement to keep bones healthy. The Institute of Medicine recommends women over 50 and men over 71 intake 1,200mg of elemental calcium daily. Adults over 70 should intake 800 units of vitamin D daily.

What vitamins/supplements help keep bones strong?

Calcium supplements most commonly come in the form of calcium carbonate or calcium citrate. Calcium carbonate is absorbed better when taken with food, while calcium citrate is best taken on an empty stomach. Calcium supplements conveniently come in the form of tablets, chewables and liquid.

Vitamin D3, or cholecalciferol, is the preferred vitamin D. It may be helpful for your physician to check vitamin D blood levels to determine if your levels are low and how much supplemental vitamin D you should take.

The supplement most often recommended for older adults is a combination of calcium carbonate 500 mg and vitamin D3, 400 units twice daily. Speak with your primary care doctor when starting supplements to ensure the correct dose for you. •

Issue #29 Fall 2023 5

HEALTHY LIVING

9 Top Tech Gadgets for Older Adults The rapid advancement of new technology provides some game-changing tools to enhance life for older adults. Read on for some fun, new, affordable high-tech devices, apps and gadgets offering breakthrough solutions for everyday problems.

Apple Watch The Fall Detection feature on the Apple Watch can detect a hard fall while you’re wearing the watch. If you fall, it taps you on the wrist, sounds an alarm and displays an alert. If it detects you are not moving for at least a minute, it will automatically make a call and has the option to send a message to your emergency contacts.

Ring Video Doorbell This security device is a great way to stay safe and secure at home. In addition to the ability to see and chat via microphone with someone at the door without having to get up, it enables those with hearing issues to see when anyone is at the door.

GPS SmartSole This handy GPS tracking device is sealed and hidden inside a shoe insole and is great for seniors or those living with dementia or Alzheimer’s. The ergonomic insoles use GPS and cellular connectivity like the smartphone to send location updates and alerts to the caregiver’s online account or Smart Locator app. Caregivers will receive text and email messages including links to the last known location of the person.

6 ADVANTAGE / Torrance Memorial, a Cedars-Sinai Affiliate

Apple AirPods In addition to being a great listening device, Apple AirPods employ a wireless capability known as Live Listen to amplify sound and serve as a low-grade hearing aid. With Live Listen, your iPhone, iPad or iPod Touch can act like a microphone that sends sound to your AirPods. Live Listen effectively gives you super hearing by allowing you to place your iPhone close to a person or speaker you’re having trouble hearing.

GrandPad The GrandPad is an easy-to-use tablet designed for those who are not techsavvy. Its simple-to-use, hassle-free apps allow you to listen to music, play games and browse safely on the internet.

The large buttons and intuitive interface make the GrandPad a simple tablet for older adults, with video chatting capabilities available as well.

Tile Sticker Tile Sticker is a small, water-resistant sticker about the size of three stacked quarters to help track the whereabouts of anything. It helps prevent losing everyday items like remote controls, keys, wallets and other easily misplaced household items. You can set it and forget it. Just use the company’s app on your phone when you need to find your things.

DO YOU HAVE MEDICARE?

Reminder Rosie Reminder Rosie provides a simple, 100% hands-free solution to help you remember your medication, appointments, bill payment due dates and tasks—without touching any buttons! The familiarlooking LED clock records personalized voice reminders in your voice and is easy to use and set up.

Photostick and Photostick Mobile These days we all have hundreds if not thousands of photos on our computers and phones. This little gadget can not only find them but can also download and store them in one place. It will help locate and organize photos from birthdays and holidays. It is a great tool to find and secure photos for insurance purposes and to organize belongings to bequeath to the next generation. The Photostick will back up all the images from your device and keep them safe.

Aura Mason WiFi Digital Picture Frame This stylish, freestanding digital photo frame offers the best balance of features and ease of use, so even less tech-savvy folks can get the hang of it. You can upload unlimited photos to the frame using its dedicated app, link the frame to a Google Photos or Apple iCloud account, and send photos to the frame’s unique email address. You can easily sync and display entire albums to capture and share all your favorite memories! •

ARE YOU TURNING 65 ON A RETIREE PLAN?

Learn about your options including Medicare HMO & PPO, Supplements (Medi-gap) and Part D Prescription Plans.

No Reservations Required Call 310-257-7239 or visit TorranceMemorialIPA.org/Medicare101

for dates and times

Issue #29 Fall 2023 7

ASK THE DOCTOR

Seasonal Vaccines Protect your health with flu, COVID-19 and RSV shots.

WRITTEN BY MELISSA BEAN STERZICK

I

t’s that time again—time to talk to your doctor or pharmacist about getting important seasonal vaccines. The arrival of fall signals an increase in the transmission of the common cold, flu, COVID-19 and respiratory syncytial virus, or RSV, that lasts through winter. Effective and easily acquired vaccinations make flu season much safer for seniors. Flu and COVID-19 vaccines are updated regularly, and the newly developed RSV vaccine has been approved by the Food and Drug Administration.

Adults older than age 65, especially those with underlying and chronic health conditions, are at serious risk for complications from these viruses. According to the Centers for Disease Control and Prevention (CDC), it is estimated between 70% and 90% of seasonal flu-related deaths have occurred in people 65 years and older, and 50% to 70% of seasonal flu-related hospitalizations come from this same age group.

Shintau Lin, MD, a Torrance Memorial Physician Network primary care provider, recommends getting these vaccines before the viruses begin to spread.

With flu season approaching, it is recommended to get your flu shot early—in September or October.

A new RSV vaccine will also be available this fall and will help protect against respiratory infection.

Shintau Lin, MD, practices at Torrance Memorial Physician Network, 2110 E. El Segundo Blvd., Suite 200, El Segundo.

She can be reached at 310-517-7030.

8 ADVANTAGE / Torrance Memorial, a Cedars-Sinai Affiliate

Torrance Memorial IPA Health News Fall 2023

A Publication of Torrance Memorial IPA

Join us for these in-person Medicare Events*

Torrance Memorial IPA’s Medicare 101 a Do you have Medicare?

Are you turning 65 or on a retiree plan?

Attend Torrance Memorial IPA’s no-cost, no-obligation Medicare 101 Educational Program to learn about Medicare and the different types of insurance plans available to you including: Medicare HMO & PPO, supplements (or Medigap) and Part D prescription plans. Moderated

by Norman Panitch, MD, chair of the Torrance Memorial IPA Physician Council.

Dates: October 25th, November 15th Time: 6:30 – 8:00 pm No registration required.

For more information, visit: TorranceMemorialIPA.org/Medicare101 or call 310-257-7239.

Annual Medicare Open Enrollment Is Here!

October 15 through December 7

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nless you qualify for a Special Enrollment Period to make a change, this is typically the only time most people can make changes to their Medicare coverage, including: joining or changing Medicare Advantage HMO plans, or for people on Original Medicare who may want to change their Part D prescription drug plan, or for people with a Medicare Advantage HMO who may want to revert back to Original Medicare.

Even if you’re satisfied with your Medicare plan, we recommend that you take a few moments to give your current Medicare Advantage Plan a checkup to ensure that your plan meets your needs and note what changes are being made for 2024 especially those related to prescription medications.

As a member of Torrance Memorial IPA, you can choose from seven Medicare

Advantage Plans including Aetna, Anthem Blue Cross, Blue Shield of CA, Wellcare by Health Net, Humana, SCAN and AARP Medicare Complete (insured through United Healthcare).

If you have questions about different Medicare Advantage plans, we’re here to help. See the box at right for information on our events this fall.

REMINDER! If you do nothing during the Open Enrollment period, your current Medicare Advantage Plan will remain the same, and any benefit changes will become effective January 1, 2024.

Not 65 Yet? Even if you’re not 65 yet and are covered under your employer group plan, we encourage you to attend our Medicare events. Sooner or later, you’ll be 65 and need to consider the options available to you under Medicare.

Visit TorranceMemorialIPA.org *Licensed sales representatives will be present with information and applications at our 2024 Medicare Advantage events. The Centers for Medicare & Medicaid Services (CMS) has neither reviewed nor endorsed this information. For a listing of our contracted health plans, visit torrancememorialipa.org.

2024 MEDICARE ADVANTAGE BENEFITS FAIR Saturday, October 28, 2023 9:30 - 11:00am Representatives from seven Medicare Advantage Plans contracted with TMIPA, will go over 2024 plan benefits.

No Reservations Required Ken Miller Recreation Center, 3341 Torrance Blvd., Torrance, 90503 – Adjacent to the Torrance Cultural Arts Center Free ample parking Light refreshments will be provided.

TorranceMemorialIPA.org 310-257-7239 2024 MEDICARE ADVANTAGE BENEFITS WORKSHOP Saturday, November 4, 2023 10:00 am - Noon A licensed, Independent Insurance agent will compare the similarities and differences between seven Medicare Advantage plans contracted with Torrance Memorial IPA (TMIPA), while you follow along on a special worksheet.

Reservations Required!

RSVP Today @ 310-257-7239 TorranceMemorialIPA.org Torrance Memorial Hoffman Health Conference Center 3315 Medical Center Dr., Torrance, CA 90505 Light Refreshments will be provided.

Free Parking in the West Tower Parking Structure.

“If we experience another Covid surge, we’ll revert to a virtual Zoom event” applicable to both events.

Member Resources

Your Integrated Care Team

your individual needs using the appropriate staff to help you

Member Services:

Your personal Torrance Help is always just one call away!

Torrance Memorial IPA Member Services Memorial IPA Integrated representatives are dedicated to helping members with customer service needs. You’ll Care Team will help get personal attention, whether you need help finding a doctor, paying a bill, or verifying you with:

Torrance Memorial IPA’s Integrated Care Team includes nurses, social workers and who help ourworkers members their medical conditions, ▪ coordinators Comprised of nurses, social and understand staff workthat witharetheir health plan benefits and identify community resources to help here to support you no matter what your themhealthcare manage and needimprove might betheir health.

They coordinate care with the member’s doctors while focusing on their complex ▪ Ensures you receive the right kind of care based on health challenges – so they stay healthy and independent as long as possible.

eligibility/co-payment. Having a single point • Do you see more than one doctor? of contact makes navigating the health care ▪ Nurse case managers work with you on your • Do you take more than three different medications and aren’t sure you are system and getting to the right care faster and Understanding your health issues medical care needs taking them correctly? simpler than ever.

▪ Social workers help direct you to community • Could you use assistance from community resources to better navigate your resources and support healthcare benefits?

When you call Member Services at the Locating community services andbelow programs Coordinators follow to confirm your • Do▪you need support atup home? number our representatives can assist you may be eligible for and assist you with appointments and the delivery of your Flu vaccines are designed to you with the following health plans: the application process medical supplies protect against three or four flu If you answered yes to any of these questions, please call us. Our Integrated Questions to ask yourself: viruses that experts predict will Care Team can these when concerns and much more.

Aetna ▪ Focused on assist makingyou yourwith life easier be the most common during Anthem Blue Cross ▪ Do you see more than one doctor? managing your healthcare needs Working with your health plan to make sure the upcoming 2023-2024 flu Case Management Blue Shield of California ▪ Do you take more than three different medications ▪ Facilitates coordination between you, your you receive all of your available benefits season.

Flu season usually 310-257-7282 | TTY:primary 711 care physician and Cigna and aren’t sure you are taking them correctly? caregiver, family, peaks in January or February, Monday–Friday, 8:30you’re a.m. toat5the p.m.

Wellcare by Health Net specialists whether hospital, a skilled ▪ Could you use assistance from community but it can occur as late as May. TorranceMemorialIPA.org/your-care/case-management Humana nursing facility or at home to ensure you feel resources to better navigate your Scheduling appointments with your doctor or Early immunization is the SCAN your best healthcare benefits? other providers most effective, and now is the United Healthcare Case manager RN ▪ Do you need help with transportation to your time to get your vaccine. Call medical appointments?

Patient advocate/ Clinical your primary care physician Torrance Memorial IPA Member Services Health coach coordinator Understanding signs and symptoms related ▪ Do you need support at home? to receive your flu shot. You 310-257-7250, Option #1 | TTY: 711 to your health conditions and actions you can also getplease a flu shot at some Monday–Friday 8:30 a.m.Ifto 5 p.m. you answered yes to any of these questions, can take to stay healthy local pharmacies, TorranceMemorialIPA.org call us. Our Integrated Care Team can assist you with and Torrance these concerns and much more. Memorial IPA will reimburse you.

Mail a copy of your receipt to: Reviewing and explaining your medications I can make my own decisions. Why do I need an Integrated Care Team?

Torrance Memorial IPA The Integrated Care Team will not Attn: makeMember decisionsServices We Want To Hear From You! 23326 for you. They will work with you to provide Hawthorne important Blvd., # 200, Please share your feedback at Population Social Torrance, CAthe 90505 information and guidance so that you can make TorranceMemorialIPA.org/contact-us health worker To learn more about the Case Management best decision. specialist team and how we can help, visit: NOTE: If you’re homebound, Gerontologist

Complex case manager RN

Protect yourself and those around you from the flu.

Like us on Facebook Our goal is to help you be independent, so you can TorranceMemorialIPA.org/your-care/case-management you may be eligible to receive facebook.com/TorranceMemorial make your own healthcare decisions.

Questions about Your Referral Authorization?

Some services require prior authorization. The Torrance Memorial IPA Utilization Management Department, in working with your provider, applies the industry standard guidelines and clinical criteria to make decisions to authorize care in accordance with your health benefits.

Questions? Call Member Services: 310-257-7250 | TTY: 711 Monday–Friday, 8:30 a.m. to 5 p.m.

When To Contact Your Health Plan • You would like to switch to Torrance Memorial IPA • Your address changes • Your phone number changes • You change your primary care physician

Subscription?

For a change of address, or to unsubscribe, call 310-257-7239.

your flu shot at home. Call Torrance Memorial Home Health & Hospice at 310-784-3739 for more information.

When should older adults schedule their flu shots?

The best way to protect against the flu and its potentially serious complications is to get your flu shot each year.

The ideal time to get the flu shot is September or October (before the flu begins to spread), or as soon as possible after this time.

What should we understand about the high-dose flu shot?

The high-dose flu vaccine has four times the amount of antigen as a regular flu shot and is recommended for people 65 years and older because it is associated with a stronger immune response. Studies demonstrate the high-dose vaccine provides greater protection against the flu compared to the standard-dose vaccine.

The RSV vaccine is new. How does it protect the health of older adults?

Respiratory syncytial virus (RSV) can cause lower respiratory tract illness in seniors. The RSV vaccine protects people from severe illness due to RSV. According to the CDC, adults with the highest risk for severe RSV illness include older adults, adults with chronic heart or lung disease, adults with weakened immune systems, and adults living in nursing homes or longterm care facilities. The vaccine protects seniors from severe RSV illness during a time of year when multiple respiratory infections are circulating. Seniors should schedule the new RSV vaccine as soon as possible.

How should older adults plan for COVID-19 vaccinations?

An updated COVID-19 vaccine is expected this fall. COVID-19 vaccinations are important because, as with other viruses, seniors are more susceptible to serious complications from COVID-19.

Some seniors have ongoing health concerns and are considered to be immunocompromised, meaning their immune systems are weak. You may have a weak immune system if you have cancer, diabetes or heart conditions, for example, and will have more trouble fighting COVID-19.

The COVID-19 vaccine improves the chances an individual will avoid the worst outcomes of the virus such as severe illness, hospitalization and death.

Studies have also shown the vaccine can reduce the risk of long COVID and the severity of symptoms if a COVID-19 infection does occur. You can ask your doctor for recommendations and stay up to date with vaccines per CDC guidelines to schedule this vaccination.

Why are these vaccines important?

Seniors need to stay up to date on vaccines because they are more vulnerable to serious diseases and infections.

Top 1% Hospital in the World TORRANCE MEMORIAL HAS BEEN RECOGNIZED BY NEWSWEEK as part of its list of World’s Best Hospitals 2023. This year, Torrance Memorial ranks as the 40th best hospital in the nation and 10th best in California along with placing in the top elite 150-250 hospitals in the world. Learn more at TMFirst.org

Ranked #10 in California - Newsweek

Ranked #40 in the Nation - Newsweek

Ranked #223rd in the World - Newsweek

What are other ways we can protect ourselves during flu season?

In addition to getting the flu shot, seniors should take the same everyday preventive actions recommended by the CDC, including covering coughs, washing hands often, avoiding face-touching, staying out of crowded places and avoiding people who are sick. Good rest is also important. The better rested and healthier you are, the more likely your immune system can fight off infections and protect you from more severe cases of influenza. • Issue #29 Fall 2023 9

PRIME TIME

Grand Bargain Studies show a strong grandparent-grandchild bond boosts the health and well-being of both.

Torrance Memorial CEO Craig Leach and his wife, Judy, with their seven grandkids (from left to right): Mackenzie, Sophia, Ashlyn, Tyler, Ryder, Emmy and Brynnlee

WRITTEN BY DIANE KRIEGER | PHOTOGRAPHED BY DEIDRE DAVIDSON

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ecause seniors are living far longer than in previous generations, it’s possible for rich, sustained grandparent-grandchild relationships to take root and flourish. Craig Leach knows this, which is part of the reason he’s retiring now. After a 40-year career at Torrance Memorial, the exiting CEO plans to spend a lot more time with his seven (soon to be nine) grandchildren.

“I would love to pick them up at school or take them to the beach while they’re still young enough to like having me around,” says the 68-year-old South Bay native.

Evidence is mounting about the powerful benefits on both sides of the intergenerational bond. For grandparents, staying connected helps improve

10 ADVANTAGE / Torrance Memorial, a Cedars-Sinai Affiliate

physical and mental health. Those who have positive regular involvement with their grandkids report less depression and have a lower risk of Alzheimer’s disease or dementia.

Grandparents benefit physically from taking the grandkids to the playground, attending their sporting events and recitals, or just going on outings together.

All of these activities involve some movement and social interaction, which is always good for seniors.

The desire to be present as a child grows incentivizes grandparents to protect their own health. It also motivates grandparents to keep thinking and learning.

From a desire to stay on top of issues their grandchildren care about, seniors get exposed to new and different ideas they might not otherwise encounter.

The benefits to grandchildren are no less powerful. Research shows kids with deep ties to involved, caring grandparents have higher self-esteem, greater emotional stability, better social skills and stronger academic performance, according to Susan Bosak, author of How to Build the Grandma Connection.

Children whose grandparents play an important role in their lives also gain a tangible link to family history that helps cement their sense of identity. Beloved recipes, photo albums, stories and traditions get passed down through the generations in this way.

Grandparents benefit physically from taking the grandkids to the playground, attending their sporting events and recitals, or just going on outings together. All of these activities involve some movement and social interaction, which is always good for seniors.”

A good example is the Leach family’s annual scavenger hunt. “Every Christmas since our kids were little, Craig would write a poem. Each stanza is a clue. And that has continued to the grandchildren.

It’s pretty cute to watch,” says Judy Leach, a retired nurse and Craig’s wife.

Grandparents can teach kids about love. Researchers in England found a close grandparent-grandchild relationship correlated with fewer emotional and behavioral problems in preteens and teens. It also significantly reduced conflict with peers and dampened the impact of distressing experiences like divorce and bullying.

Benefits extend to parents as well. Leaving a child with a trusted family member can take some of the stress off child-rearing. Unlike nannies or day care centers, grandparents typically adore their grandkids unconditionally.

Grandparents can lavish their time and undivided attention on grandkids—something tired, harried parents can’t always do. As kids get older, grandparents can be a reliable source of wisdom in navigating the bumps of life. When confusing emotions erupt, the last person teenagers may want to consult is a

parent. But kids in strong grandparent-grandchild relationships have a built-in safe confidant.

And while parents are the ultimate gatekeepers, in times of family turmoil—such as a divorce or a parent’s remarriage—grandparents can provide comfort and much-needed stability to a confused child.

Even if grandparents live far away from their grandkids, the relationship can thrive. Allan Zullo, a grandfather who co-wrote A Boomer’s Guide to Grandparenting, encourages long-distance grandparents to share their hobbies and come up with fun collaborations with their grandkids.

Use the internet or cell phones to play games and chat regularly. Send texts, emails and photos. To reinforce and intensify the long-distance relationship, he recommends inviting the grandkids to stay over school breaks or part of the summer, which carries the added benefit of providing welcome downtime to their weary parents. •

Craig Leach, the retiring CEO of Torrance Memorial, began his long and impactful career at the hospital in 1984 as director of finance. He served as chief financial officer and chief operating officer before his 2006 promotion to president and chief executive. Leach leaves behind a record of stunning expansion and surging excellence: a five-fold increase in hospital staff, the doubling of hospital-owned land, two new patient towers on the main campus and many community-based ambulatory care centers sprinkled across the South Bay; $350 million in philanthropy; and a trailblazing partnership with Cedars-Sinai health system. Leach will retire on October 31. He will be succeeded by Keith Hobbs, currently president of Torrance Memorial.

Leach and his wife, Judy, will celebrate their 45th anniversary in November. They have three sons and seven grandchildren—with two more on the way—who all live in the South Bay.

Issue #29 Fall 2023 11

Upcoming Classes, Events & Support Groups Advantage Calendar Fall 2023 In–person classes are back. All classes are hybrid unless noted. Call 310-517-4711 to register for all paid classes. Pricing is $80, $72 for ADVANTAGE members, for each 8-week series, and $40 or $36 for each 4-week series.

Class Schedule for 3105 Lomita Blvd., Torrance Essentrics Full–Body Stretch with Ai (in-person only) October 9–30 November 13–December 4 Monday, 11 a.m. to noon This gentle, full-body stretch will activate all your muscles, free your joints and increase mobility. Essentrics draws on the flowing movements of tai chi, creating health and balance. Perfect for injury recovery and prevention, pain and stress relief. Please bring a yoga mat.

Chair Yoga for Strength and Balance with Sharmone October 9–30 October 12–November 2 November 13–December 4 November 16–December 14 Monday or Thursday, 2 to 3 p.m.

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

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

Yoga Basics with Laura (Zoom only) October 9–30 November 13–December 4 Monday, 4 to 5 p.m.

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

Stretching for Better Balance with Randy (Zoom only) October 10–31 October 13–November 3 November 14–December 5 November 17–December 15 Tuesday or Friday, 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.

Yoga for Osteoporosis with Debi October 10–31 November 14–December 5 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.

Beginning & Intermediate Muscle Strengthening with Randy (Zoom only) October 10–31 October 13–November 3 November 14–December 5 November 17–December 15 Tuesday or Friday, 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 (Zoom only) October 10–31 November 14–December 5 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.

Special Forms Tai Chi* with Richard (Zoom only) October 10–31 November 14–December 5 Tuesday, 3:15 to 4:15 p.m.

Perfection of slow set and additional forms like fast set, implements, etc. *Instructor permission required. Must know complete yang form.

Mat/Floor Pilates with Karen (in-person only) October 10–31 November 14–December 5 Tuesday, 4 to 4:50 p.m.

An all-levels class that focuses on strengthening core muscles to help improve balance and provide support for the spine. Participants should have a moderate fitness and flexibility level.

Please bring a mat to class.

TranscenDance™ with Didi (in-person only) October 10–31 November 14–December 5 Tuesday, 6:30 to 7:30 p.m.

TranscenDance™ takes the mindfulness of yoga off the mat and infuses it with free-form joyful movement. This class helps shake off stress, release tension, rejuvenate the body and center the mind.

All fitness and mobility levels are welcome (can also be done in a chair or bed). Bring a yoga mat. Lightweight scarf is optional.

Yoga for Wellness with Debbie October 11–November 1 November 15–December 6 Wednesday, 9:30 to 10:45 a.m.

This class focuses on correct posture alignment, increasing strength, flexibility and range of motion, creating healthy breathing habits and restoring vital energy to the body, mind and spirit.

Chair Yoga for Osteoporosis with Debi October 11–November 1 November 15–December 6 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.

Intermediate Tai Chi with Richard (Zoom only) October 11–November 1 November 15–December 6 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 (Zoom only) October 11–November 1 November 15–December 6 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.

Line Dancing Beyond “Country” with Sharon October 11–November 1 November 15–December 6 Wednesday, 4:30 to 5:30 p.m.

Jump in on the fun! Learn countrywestern favorites and other rhythmic moves (cha-cha, mambo, tango, samba) all done in line dance style. Whirl and twirl to a variety of music genres while you master the art of line dancing. Don’t wait—now is the time to learn the dances everyone is doing at weddings and parties!

No partner needed.

Integrated Yoga with Robin October 11–November 1 November 15–December 6 Wednesday, 7 to 8 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.

Qi Gong with Gayla (Zoom only) October 12–November 2 November 16–December 14 Thursday, 9 to 10:15 a.m.

A powerful but gentle practice of movement and meditation, this rejuvenates the body by reducing stress and strengthening the immune function (as your body connects to the qi energy life force). It helps the body detoxify and release stored negative emotions, leaving you feeling stronger physically, emotionally and spiritually. You can also participate seated.

Don’t see what you’re looking for?

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

Issue #29 Fall 2023 13

Class Schedule for Malaga Cove – 2550 Via Tejon, Palos Verdes Estates.

All classes are in-person only.

Align the Spine with Joy October 9–30 November 13–December 4 Monday, 9 to 10 a.m.

This class uses Feldenkrais Method lessons, without pain or strain, to restore or avoid deterioration of your posture. An aligned spine improves balance and reclaims more fluid mobility for your daily activities.

Stretching for Better Balance with Randy October 9–30 October 12–November 2 November 13–December 4 November 16–December 14 Monday or Thursday, 10:30 to 11:15 a.m.

See description on page 12.

Beginning & Intermediate Muscle Strengthening with Randy October 9–30 October 12–November 2 November 13–December 4 November 16–December 14 Monday or Thursday, 11:30 a.m. to 12:15 p.m. See description on page 12.

Qi Gong with Gayla October 10–31 November 14–December 5 Tuesday, 9 to 10:15 a.m.

See description on page 13.

Chair Exercise: Beginning & Intermediate with Pam November 14–December 5 November 15–December 6 Tuesday, 2 to 3 p.m. or Wednesday, 11 a.m. to noon

Using a chair as a support prop, we will perform exercises to improve strength and endurance without using a mat or going to the floor. Wear comfortable clothes and supportive shoes and bring an exercise band.

Stretch and Sound Bath Meditation with Ai October 11–November 1 November 15–December 6 Wednesday, 9:30 to 10:20 a.m.

Beginning with gentle stretching and breath work, you will be introduced to different sounds and vibrations from various sound bath instruments. Benefits include reduced stress and anxiety, increased energy, better focus, better sleep and spiritual connection. Bring a yoga mat; a blanket, pillow or eye mask are optional.

Be Kind to Your Joints with Pam November 14–December 5 November 15–December 6 Tuesday, 3:30 to 4:30 p.m.

Wednesday, 12:30 to 1:30 p.m.

A slow and gentle class using long stretches to promote joint movement.

Wear comfortable clothes to move in.

Bring a towel and mat.

Yoga for Stress Reduction with Debi October 14–November 4 November 18–December 16 Saturday, 9:30 to 10:45 a.m.

The class focus is on gentle yoga poses on the floor, seated and standing, breath work and meditation. Yoga increases flexibility, strengthens the body, improves balance, stability, joint health and respiration, and relieves stress by encouraging a calmer mind.

Don’t see what you’re looking for?

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

14 ADVANTAGE / Torrance Memorial, a Cedars-Sinai Affiliate

Menopause 101 October 12–November 2 ($40, $36 for Advantage members) Thursdays, 5:30 to 6:30 p.m.

2550 Via Tejon, Palos Verdes Estates Let’s talk about the big “M.” It’s a natural transition every woman experiences, but the symptoms can be frustrating and challenging to manage. With the guidance of Ann Boss, a NAMS Certified Menopause Practitioner, you’ll learn all about menopause and how to improve your quality of life during this transformative time. To register and for questions, call 310-517-4711.

Caring for Someone with Alzheimers/Dementia October 23–November 20 ($72, $65 for Advantage members) Mondays, 6:15 to 7:45 p.m.

3105 Lomita Blvd., Torrance Discover helpful strategies and resources with Sharmone. To register and for questions, call 310-517-4711.

Advantage Online Support Groups, Fall 2023 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.

Bereavement Support Group Meet in a caring and safe environment with other people experiencing grief or loss. Groups consist of eight to 10 members and meet once weekly for six to eight weeks, for 90 minutes. Contact Olivia Licea, MSW, at 310-703-3352 to participate or for more information.

Between Starving and Stuffed Mindful eating for a healthy weight. Meets every second and third Thursday, 6 to 7:30 p.m. via Zoom. Call Community Health Education at 310-517-4711 for more information.

Caregivers Support Group Information and nurturing support for people providing care for another. All types of caregivers are welcome. The group meets every Tuesday from 12:30 to 2 p.m. via Zoom. Call 310-517-4701 to register.

Depression and Bipolar Support Alliance A peer-based support group for those dealing with mood disorders. We’ve been there; we can help. Meetings in person and on Zoom. No reservations, no fee. Contact Scott Wood at 310-4978801 or woodscott516@yahoo.com; or contact Peggy at 310-548-3457. Visit dbsasouthbay.org for more information.

Meditation Circle Weekly group for practicing meditation, a skill to quiet the mind and help relieve stress. Meets every Tuesday and Thursday, 4 to 5 p.m. via Zoom. Contact 310-517-4711 for more information.

Men’s Cancer Support Group This support group is a gathering of men living with or recovering from any type of cancer. It is a safe environment to ask questions and share concerns. Meets first and third Monday, 10 to 11 a.m. via Zoom.

Contact Rev. Jan Arthur Lee at 310-8916694 or jan.lee@tmmc.com for more information.

We Fight Cancer One Breakthrough At a Time

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.

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.

Contact Anne Milliken at 310-517-1115 or anne.milliken@tmmc.com to register.

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 #29 Fall 2023 15

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.

L.A. County Paramedic Base Station – Torrance Memorial’s 24hour 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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©2023 Torrance Memorial Medical Center. All rights reserved. Reproduction or use in whole or in part without written permission is prohibited.

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.