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Advantage Fall 2026

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ADVANTAGE Healthy Living Over 55

ISSUE #41 • FALL 2026

2 Cover Story: Medicare Open Enrollment Offers Choices

4 Providing Help for Dementia Caregivers

6 Living Proof: Healthy Living Profile, Annette Warren

6 Ask the Doctor: Healthy Body, Healthier Breasts

8 TMIPA: Annual Medicare Open Enrollment is Here!

COVER STORY

Medicare Annual Enrollment is Here! See page 2

#1 Ranked Hospital in the South Bay

10 Prime Time: Beyond Counting Steps

12 Upcoming Classes, Events and Support Groups


COVER STORY

Preparing for Medicare’s Annual Enrollment Period Review these items before choosing Medicare coverage for 2027 WRITTEN BY ERIK MILANEZ

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very fall, Medicare beneficiaries have the opportunity to review their health and prescription drug coverage during Medicare’s Annual Enrollment Period (AEP), October 15 through December 7. Changes you make during this time generally become effective January 1, 2027. Although many people keep the same Medicare coverage from year to year, health plan benefits, provider networks, prescription drug coverage and premiums can change. This year, reviewing your Medicare coverage may be more important than usual, as some beneficiaries could see changes to their health plan options, provider participation or prescription drug coverage for 2027. Whether you’re newly eligible for Medicare or have been enrolled for years, taking a few minutes to review your coverage each fall can help ensure it continues to meet your healthcare and financial needs. The good news is that a little preparation now can help you avoid surprises later. Here are five important things to review before making your Medicare coverage decision for 2027: 1. Review Your Annual Notice of Change (ANOC) In late September, if you’re enrolled in a Medicare Advantage plan or a standalone Medicare Part D prescription drug plan, you’ll receive one of the most important Medicare documents of the year: your Annual Notice of Change. The ANOC outlines any changes taking effect on January 1. Even small changes can affect your health care costs, coverage and access to care. Before deciding to keep your current coverage, review changes to your: • Monthly premium • Copays and deductibles

2 ADVANTAGE / Torrance Memorial, a Cedars-Sinai Affiliate

• • •

Medical and prescription drug benefits Provider and pharmacy networks Dental, vision and other supplemental benefits

2. Understand What’s New for 2027 Each year, Medicare updates certain costs and benefits, and health plans may also make changes for the upcoming year. For 2027, pay close attention to: • Medicare Part B premiums and deductibles • Prescription drug coverage updates • Changes to Medicare Advantage benefits • Health plan availability in your area Some Medicare Advantage and prescription drug plans may also be discontinued or consolidated, making it especially important to understand your options before selecting coverage for 2027. Another important Medicare development is the Medicare GLP-1 Bridge Program, which became available on July 1 (see sidebar for details). 3. Confirm Your Physicians, Medical Group and Hospital One of the most important parts of reviewing your Medicare coverage is making sure it continues to provide access to the health care providers you know and trust.


For those enrolled in a Medicare Advantage HMO, it’s a good time to check your insurance ID card and confirm it lists your correct primary care physician and affiliated medical group, such as Torrance Memorial IPA. For those with Original Medicare and a Medicare Supplement plan and paying a higher monthly premium, it may also be worth considering whether a $0 monthly premium Medicare Advantage HMO plan could be an option. If your primary care physician and specialists are affiliated with a medical group such as Torrance Memorial IPA, you may be able to choose a Medicare Advantage HMO that includes the physicians and medical group you already know and trust. Taking a few minutes to review this information and understand your options can help maintain continuity of care and ensure your Medicare coverage continues to fit your needs. 4. Review Your Prescription Drug Coverage Prescription drug coverage can change every year, even if your medications have not. A few minutes spent reviewing your prescription drug coverage today may help prevent unexpected costs at the pharmacy next year. Review your plan to make sure: • Your medications are still covered. • Your preferred pharmacy remains in-network. • Your prescription drug costs have not changed significantly. • Any new coverage requirements will not affect your medications. 5. Is Your Current Medicare Plan Still the Best Fit? Many Medicare plans renew each year automatically. However, automatic renewal does not necessarily mean your current coverage is still the best choice. Your health care needs may have changed since you first enrolled. Perhaps you’ve started seeing new specialists, added prescription medications, moved or your financial priorities have changed. If you’re enrolled in a Medicare Advantage plan, the Annual Enrollment Period is your opportunity to review your medical and prescription drug coverage to determine whether your current plan continues to be the best fit. If you have Original Medicare with a Medicare Supplement (Medigap) plan, it is also a good opportunity to periodically review your Medicare Supplement coverage and premium. California’s Medicare Supplement Birthday Rule may provide eligible beneficiaries with the opportunity to change to another Medicare Supplement plan with equal or lesser benefits. If you also have a standalone Medicare Part D prescription drug plan, take a few minutes to review your ANOC for any changes to premiums, prescription drug coverage or pharmacy networks for the coming year.

It is also important to remember that certain life events, such as losing employer coverage, moving to a new service area, becoming eligible for Medi-Cal, or moving into or out of a skilled nursing facility, may qualify you for a Special Enrollment Period, allowing you to make Medicare coverage changes outside the Annual Enrollment Period. Need Help Reviewing Your Medicare Coverage? Whether you’re enrolling in Medicare for the first time or reviewing your current coverage for 2027, the Torrance Memorial IPA Senior Benefits Resource Center and licensed independent Medicare insurance agents Erik Milanez and Vince Kelly are available to answer your questions and help you better understand your Medicare options. You can also visit medicare.gov or attend one of our complimentary Medicare 101 educational seminars by visiting TorranceMemorialIPA.org/medicare101. • For more information call Torrance Memorial IPA at 310-517-7239, or licensed independent agents Erik Milanez at 310-715-2300 or Vince Kelly at 310-625-1837.

Medicare GLP-1 Bridge Program From July 1, 2026, through December 31, 2027, eligible Medicare beneficiaries can access certain GLP-1 weight loss medications—including Wegovy, Zepbound KwikPen and Foundayo—for a flat $50 monthly copayment. To qualify, you’ll need Part D coverage, a physician-submitted prior authorization, participation in a lifestyle program and one of these: BMI of 35+; BMI of 30+ with heart failure, uncontrolled high blood pressure or chronic kidney disease; or BMI of 27+ with prediabetes, prior heart attack or stroke or peripheral artery disease. The $50 copay doesn’t count toward your deductible or out-of-pocket max. Ask your physician if you may qualify. If you are taking—or considering taking—a GLP-1 medication for weight management, talk with your physician to determine whether a GLP-1 medication is appropriate for you and whether you may be eligible for the Medicare GLP-1 Bridge Program. As part of your Annual Enrollment Period review, you can also consider how the program may fit into your overall Medicare coverage.

Issue #41 Fall 2026 3


CLINICAL FEATURE

Finding support and connection can help dementia caregivers navigate the challenges of caring for a loved one.

Helping Dementia Caregivers Navigate the Journey Torrance Memorial prioritizes support through workshops and meetings. WRITTEN BY LAURA ROE STEVENS

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ore than 13% of adults in Los Angeles County live with Alzheimer’s disease or other forms of dementia. That equates to nearly 200,000 residents 65 and older, with potentially more not yet diagnosed. These numbers are the highest for any county in the nation, and researchers estimate numbers to rise 135% by 2040—creating intense strain on caregivers. Torrance Memorial understands the challenges faced by the growing number of caregivers in the South Bay and is helping support them through education, resources and

4 ADVANTAGE / Torrance Memorial, a Cedars-Sinai Affiliate

opportunities to connect with others facing similar experiences. “Here in the South Bay, we have thousands of family caregivers who struggle to find and pay for quality care and often stop working to take care of their loved ones privately for a long time,” says David McKinnie, a Torrance Memorial Foundation board member and advocate for caregiver support. When David’s wife, Kak, was diagnosed with Alzheimer’s, they experienced many trials as they navigated her changing needs and her required care.


“It’s a challenge. The period after receiving a diagnosis and before requiring hospice can be 10 years or so. It’s during this time that caregivers can burn out. They often struggle financially, physically and emotionally.”

“Support is critical during this challenging time. Kak and I have lived in Palos Verdes for more than 40 years and raised four children. I took care of my wife for years and hired home caregivers to assist as well. She now lives in a community home where they keep her engaged, busy, safe and clean,” he explains. Caregiver support groups have been a great way for him to garner advice and support and to find ways to take care of himself in the process. “It’s a challenge. The period after receiving a diagnosis and before requiring hospice can be 10 years or so. It’s during this time that caregivers can burn out. They often struggle financially, physically and emotionally.” Fortunately, navigating life after a loved one’s diagnosis of dementia has just become a little easier. Torrance Memorial Medical Center recently hosted its first Dementia Caregiver Workshop in July, with another to be held on October 30. The goal of these workshops—led by medical teams, physical and occupational therapists, and a social worker—is to provide free practical tools, valuable resources and guidance for caregivers. “We are proud to support caregivers who are dedicated to loved ones with dementia and other memory-related conditions. Through these workshops, our neurologists, nurses, therapists and social workers provide practical education on topics ranging from understanding dementia and managing challenging behaviors to home safety, mobility, available resources and caregiver self-care,”

says Stephanie Nigg, senior director of operations and organizational development at Torrance Memorial. Recognizing the growing need in the South Bay, Torrance Memorial hopes its workshop and support group programs will help caregivers build connections, access valuable resources and feel supported throughout their caregiving journey. •

Caregiver Resources at Torrance Memorial: • The next Dementia Caregiver Workshop is October 30, 8:30 a.m. to 12:30 p.m. To register, go to TorranceMemorial.org/classes, or call 310-517-4711. • Torrance Memorial’s Caregiver Support Group meets via Zoom on the second Wednesday of the month. The next meeting is Wednesday, October 14, noon to 12:50 p.m. To receive the caregiver packet, email torrancememorialhealtheducation@ tmmc.com. For meeting dates and times, call 310-517-4711.

Need to See a Doctor? Call Our Physician Referral Coordinator to Schedule An Appointment.

310-891-6717 Sonia Dhairyawan-Carvalho, MD Family Medicine 855 Manhattan Beach Blvd., Suite 102, Manhattan Beach 310-939-7858

Ngoc Duong, DO

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

Nafiseh Khodaparast, DO

Family Medicine

824 E. Carson St., 3333 Skypark Dr., Suite 101, Carson Suite 100, Torrance 310-233-3203 310-784-6300

Iman Richie, MD

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

Gabriela Sibrian, MD

Family Medicine 3640 Lomita Blvd.., Suite 200 Torrance 310-944-9344

Brian Stone, MD

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

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 #41 Fall 2026 5


LIVING PROOF

Annette Warren: 104 Years Young and Still Singing Strong WRITTEN BY LAURA ROE STEVENS

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laying an instrument and singing regularly are not just fun ways to enjoy life. They also hold keys to living a longer and more vibrant one. Multiple studies show that playing an instrument is a full-body workout for the brain, engaging most neurological regions simultaneously—specifically the visual, auditory and motor cortices. Unlike simply listening to music, playing an instrument requires precise fine motor skills, linguistic processing and creative expression, which sparks widespread structural and functional changes in the brain. In fact, a 2025 Exeter University study found that musicians have sustained working memory and a lower risk for dementia. When I met Annette Warren at her 104th birthday bash at muun chi, a Redondo Beach nutritional store, it was obvious that her life as a pianist and singer had been great for her brain. Annette delighted the audience with animated stories from her youth and time working with jazz and Hollywood stars. She was a nightclub, TV and recording star and an uncredited “ghost singer” for Ava Gardner, Lucille Ball and others, dubbing singing segments in films. Annette bantered easily with friend and muun chi owner Manette McDermott. She clearly recalled precise dates, names, events and songs she sang or played. In fact, Annette still performs today with her son Gary Smith on his YouTube channel. She even performed at her 103rd birthday party held at the Catalina Jazz Club in 2025. “Today I feel as if I’m as young as all of you!” Annette told the crowd gathered to

celebrate her birthday. “But you know what? I could be 304 and it wouldn’t make a difference; I’d still feel young!” It’s hard to believe that Annette is 104. Perhaps a lifetime of singing has something to do with her youthful stamina, as singing tones the vagus nerve. This nerve runs down the sides of the neck and has hairlike threads that touch every organ of our body. When stressed, the nerve sends an alarm signal that spikes cortisol—which, at chronic levels, is linked to the development of diabetes, heart disease, hypertension, stroke, dementia and more. Singing also calms the vagus nerve and releases feel-good hormones serotonin, oxytocin and dopamine. These hormones improve mood, reduce anxiety and lessen physical pain while also fostering trust and social connection. According to a 2025 study by Kyoto University with adults 73 and older, only four months of instrumental practice prevented brain tissue shrinkage and protected against verbal working memory decline. Learning to play an instrument, taking singing lessons or joining a choir is great for your brain and body, as those activities lower stress, strengthen neuroplasticity and memory, and provide a social outlet. What do you have to lose? You don’t need to be a professional musician, and it’s not too late to reap the benefits, no matter your age! Try to incorporate music into your life and sing your way into vibrant golden years like Annette Warren. •

6 ADVANTAGE / Torrance Memorial, a Cedars-Sinai Affiliate

Annette was married for 54 years to jazz pianist and composer Paul Smith, known for working with Ella Fitzgerald and Steve Allen. The two raised three children in Rancho Palos Verdes, including Lauri Johnson, Paul Smith Jr. and Gary Smith, whom she lives with in San Pedro.

Annette’s Tips for Joy & Vitality: • Sing, dance, play an instrument or enjoy music! • Don’t always follow the rules, but always follow your heart. • Trust your instinct. • Apply vitamin C directly to your face. • Believe in yourself and tell your children they are remarkable. Annette’s Routine: Arise: 10:30 a.m. Brunch: 11:30 a.m. (eggs, toast, fruit) Activities: 1 to 3:30 p.m., time with friends, make music, pool workout with her son Snacks: blueberries, muun chi products including mango chia pudding, lemon turmeric pudding and CoCoFir Dinner: 4:30 p.m. (chicken, veggies, low salt/low sugar) Bedtime: 8 to 9 p.m.


ASK THE DOCTOR

Healthy Body, Healthier Breasts Regular exercise and annual screenings reduce the risk of breast cancer. WRITTEN BY MELISSA BEAN

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ur overall well-being, including maintaining a healthy weight and getting regular activity, has an important impact on breast health. Though age, genetics and even unpredictable factors influence the likelihood of developing breast cancer, there are simple, concrete steps that can reduce risk. Torrance Memorial Physician Network oncologist David Chan, MD, is a specialist in breast cancer and author of Breast Cancer: Real Questions/Real Answers, A Guide for Patients and Families. Dr. Chan weighs in on the importance of regular screening and advances in treatments. What are signs and symptoms of breast cancer that should not be ignored? Most breast cancer patients don’t have early symptoms, which is why regular screening mammograms are important. A breast lump, discomfort, or nipple retraction or discharge needs evaluation. Optimally, the evaluation is a diagnostic, four-view mammogram with magnification combined with a targeted ultrasound. A biopsy is needed to confirm diagnosis and can be performed using either ultrasound, mammogram or MRI guidance. We have an outstanding group of pathologists at Torrance Memorial who provide a biopsy result within two days. Why does the risk of breast cancer increase with age? The risk and rate of breast cancer increase with age because of the accumulation of mutations during cell division that occur over time. Risk factors can also include obesity and inactivity. But someone could have no risk factors and still get cancer. What are common risk factors? The wealthiest countries, including the United States, have the highest incidence of breast cancer due to early puberty and women delaying having children into their mid to late 30s. At highest risk are those who have no children or who had children later in life. Contrary to popular belief, family history doesn’t play a part for most women. Around 5% to 10% of breast cancers are due to an identifiable gene like BRCA1, BRCA2 or PALB2. Of women diagnosed today, only about 15% to 20% will have a first-degree relative with breast cancer.

What are recent advances in treatment options? Breast cancer treatment is highly individualized depending on biomarker testing of estrogen receptors, progesterone receptors, proliferative rate and initial stage determined by tumor size and lymph node status. We don’t always start with surgery. We have seen great advances in treating triple-negative and HER2-positive breast cancer by adding immunotherapy to the treatment. We’ve also seen major improvements in treating estrogen-driven breast cancer. In higher-risk patients, adding a newer medication—known as a CDK4/6 inhibitor—to standard hormone therapy has significantly improved outcomes. How can older adults support their overall breast health? Aging doesn’t just increase the risk of breast cancer. There is also increased risk for prostate cancer, colon cancer, pancreatic cancer and liver cancer. Becoming leaner and more muscular clearly reduces the risk of those cancers. It’s estimated that 30% to 50% of breast cancers have obesity and inactivity as a contributing factor. Without regular exercise, loss of muscle due to aging causes changes in body composition that affect our metabolism, result in more inflammation and impair immune function. What are current screening recommendations for adults over 65? In the U.S., almost all organizations—including Torrance Memorial—now recommend yearly screening mammograms starting at age 40 and continuing indefinitely, which results in the highest survival rates from breast cancer, as well as a far lower need for mastectomy or chemotherapy as part of the treatment. Do we ever stop screening for breast cancer based on age? I think the better way to think of it is overall health. We routinely treat patients into their late 80s. I recently had a 92-year-old woman come in for a new patient consultation, who apologized for being late as she was coming straight from the golf course. If someone is well enough to undergo surgery for breast cancer, then they should be screened. • David Chan, MD, practices at Torrance Memorial’s Hunt Cancer Center, located at 3285 Skypark Drive in Torrance. He can be reached at 310-750-3300.

Issue #41 Fall 2026 7


Torrance Memorial IPA Health News Annual Medicare Open Enrollment Is Here! October 15 through December 7

Torrance Memorial IPA’s Medicare 101 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 and PPO, supplements (or Medigap) and Part D prescription plans. Dates: October 28 / November 18 Time: 6:30 to 8 p.m. For more information, visit TorranceMemorialIPA.org/ Medicare101 or call 310-257-7239

Zoom Only No registration required. For additional Medicare related meetings, visit TorranceMemorial.org/meetings.

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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 2027 especially those related to prescription medications. As a member of Torrance Memorial IPA, you can choose from several 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 info on our fall events, at right. 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, 2027. 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

8 ADVANTAGE / Torrance Memorial, a Cedars-Sinai Affiliate

Join us for these in-person Medicare Events 2027 MEDICARE ADVANTAGE BENEFITS FAIR Saturday, October 24 10 to 11:30 a.m. Representatives from our Medicare Advantage Plans contracted with TMIPA, will go over 2027 plan benefits. No Reservations Required Torrance Memorial Hoffman Health Conference Center 3315 Medical Center Dr., Torrance, CA 90505 TorranceMemorialIPA.org Free ample parking. Light refreshments will be provided. 310-257-7239. TorranceMemorialIPA.org 2027 MEDICARE ADVANTAGE BENEFITS WORKSHOP Saturday, November 7 10 a.m. to noon A licensed independent insurance agent will compare the similarities and differences between our Medicare Advantage plans contracted with Torrance Memorial IPA (TMIPA), while you follow along on a worksheet. Reservations Required! RSVP at TMIPA.org/MAWorkshop Torrance Memorial Hoffman Health Conference Center 3315 Medical Center Dr., Torrance, CA 90505 TorranceMemorialIPA.org Light refreshments will be provided. Free parking in the West Tower parking structure.


Season 2027

Torrance Memorial IPA Member Services

Have MEDICARE Questions?

Help is always just one call away! Torrance Memorial IPA Member Services representatives are dedicated to helping members with customer service needs. You’ll get personal attention— whether you need help finding a doctor, paying a bill or verifying eligibility/ co-payment. Having a single point of contact makes navigating the health care system and getting to the right care faster and simpler than ever. When you call Member Services at the number below, our representatives can assist you with the following health plans:

Learn about the different Medicare plans from licensed agents who partner with Torrance Memorial IPA at no cost to you.

• Aetna • Anthem Blue Cross • Blue Shield of California • Cigna

These agents are dedicated to providing objective Medicare information and recommendations to help you make the right choice. They can discuss topics that include:

• Wellcare by Health Net • Humana • SCAN • United Healthcare

310-257-7250, option #1 | TTY: 711 Monday–Friday, 8:30 a.m. to 5 p.m. | TorranceMemorialIPA.org

We can assist you through our Senior Health Insurance Resource Center.

Information about Medicare and Covered California Medicare Advantage, Part D drug and Med Supp Plans

Member Resources Torrance Memorial IPA’s integrated care team includes nurses, social workers and coordinators who help our members understand their medical conditions, work with their health plan benefits, and identify community resources to help them manage and improve their health. They coordinate care with the member’s doctors while focusing on each person’s complex health challenges so they stay healthy and independent as long as possible. • Do you see more than one doctor? • Do you take more than three different medications and aren’t sure you are taking them correctly? • Could you use assistance from community resources to better navigate your health care benefits? • Do you need support at home? If you answered yes to any of these questions, please call us. Our integrated care team can assist you with these concerns and much more. Case Management 310-257-7282 | TTY: 711 Monday–Friday, 8:30 a.m. to 5 p.m. TorranceMemorialIPA.org/your-care/case-management

Ensuring that your plan covers your medications at the lowest cost Assistance with applying for Social Security and Low-Income Subsidy Call today to speak with a licensed local agent! 800-858-7618 | TTY 711 Monday–Friday, 8:30 a.m. to 5 p.m. medicareinfocenter.org

We Want To Hear From You! Please share your feedback at TorranceMemorialIPA.org/contact-us For a change of address or to unsubscribe, call 310-257-7239. Like us on Facebook facebook.com/TorranceMemorial Issue #41 Fall 2026 9


PRIME TIME

Beyond Counting Steps

For older adults, wearable technology can offer helpful insights while supporting an active lifestyle.

Personal health-monitoring devices can spot heart rhythm problems, track sleep and encourage healthier habits. WRITTEN BY PK DANIEL

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trial fibrillation (A-fib) is a major cause of ischemic stroke, and the risk of developing A-fib increases with age. But a tool that can help identify A-fib is already sitting on the wrist of nearly 40% of U.S. adults, including nearly one-quarter of those 65 and older, according to a 2026 Pew Research Center survey. Matthew Ostrom, MD, a Torrance Memorial Medical Center electrophysiologist—a cardiologist who specializes in the heart’s electrical system and heart-rhythm disorders—was an early adopter of smartwatches and other personal health-monitoring devices. “One of the best things someone 55 and over can do is turn on the A-fib detection algorithm on their smartwatch,” he says. Apple Watch’s A-fib and ECG (electrocardiogram) features became available to U.S. consumers in 2018. The ECG app allows the wearer to take a 30-second,

10 ADVANTAGE / Torrance Memorial, a Cedars-Sinai Affiliate

single-lead ECG by placing a finger on the Digital Crown. The watch can then classify the recording as, among other results, sinus (normal) rhythm or A-fib. Other devices use similar algorithms to detect possible A-fib, which Dr. Ostrom regards as the most useful wearable feature. “They’re great, especially in patients who are asymptomatic,” he says. Almost one-third of U.S. adults use a personal health-monitoring device (Fitbit-type bands, Oura and other smart rings, WHOOP bands, KardiaMobile, etc.) to track health and fitness, and more than 80% said they would be willing to share the data with their physician, according to a study published in the JAMA Network Open in 2023. These devices offer different health metrics. Unlike KardiaMobile, which records an ECG when activated by the user, Apple Watch also monitors heart rate and


“One of the best things someone 55 and over can do is turn on the A-fib detection algorithm on their smartwatch.” — Matthew Ostrom, MD

rhythm in the background. The Oura Ring tracks sleep, HRV and estimated VO2 max but does not provide an ECG for A-fib detection. Dr. Ostrom says his view of wearables has evolved considerably. Initially skeptical that the devices would simply generate more data for physicians to review during already-limited office visits, he has since come to appreciate their “diagnostic yield and power. This wonderful medical device, which you paid hundreds of dollars for, is already on your wrist,” he says. Wearables can be especially valuable when an arrhythmia is intermittent and conventional monitoring fails to capture it. A two- or four-week cardiac monitor may come back negative, while a smartwatch is typically worn daily and can capture an abnormal rhythm when symptoms occur. Besides helping diagnose A-fib, smartwatch ECG recordings can help physicians identify premature ventricular contractions (PVCs), supraventricular tachycardia and other arrhythmias. Dr. Ostrom has even seen wearables capture ventricular tachycardia, a potentially serious arrhythmia. False positives remain a drawback. Ostrom sees patients whose watches report heart rates in the 40s or 50s because PVCs—extra beats that may not register properly—produce artificially low readings. Such results can lead worried patients to seek unnecessary emergency care. “It’s a slippery slope,” Dr. Ostrom says. “None of these watches is perfect.” Still, he considers devices such as the Apple Watch reasonably accurate when used properly. WHOOP is popular among professional, collegiate and endurance athletes. With no screen or notifications, it is designed to be worn around the clock—translating sleep, HRV and resting heart rate into a daily recovery score that can help guide training intensity. While WHOOP and similar devices provide real data, Dr. Ostrom cautions that the amount of information may be more than the average person needs. Some

Smartwatches with heartrhythm monitoring can help detect potential signs of atrial fibrillation (A-fib) and other irregularities.

users, he says, can become overly focused on sleep scores, HRV and other measurements that vary considerably from person to person. If the information encourages healthier habits, such as getting more sleep or drinking less alcohol, that’s a good thing, he says. But he has also seen people become so fixated on their numbers, they essentially lose sleep over their poor sleep score. “Most people probably don’t need to know their sleep score,” he says. “They don’t need to know their HRV, their VO2 max, those kinds of things.” While Dr. Ostrom considers blood oxygen monitoring less useful for most people, he finds sleep apnea monitoring more useful because of its relationship to A-fib. “If the Apple Watch is telling them they may have sleep apnea, it’s another helpful nudge to evaluate that,” he says. Other features can be particularly helpful for older adults, including medication reminders and exercise goals. • Matthew Ostom, MD, practices at COR Healthcare Medical Associates at 2841 Lomita Blvd., Suite 100, in Torrance. He can be reached at 310-257-0508. Issue #41 Fall 2026 11


Wellness Classes

3105 Lomita Blvd., Torrance To register, call 310-517-4711. 8-week class: $80 (ADVANTAGE members $72) 4-week class: $40 (ADVANTAGE members $36) For more information, call 310-517-4666 or visit TorranceMemorial.org/classes.

Line Dancing Beyond “Country” with Sharon

ALL CLASSES ARE HYBRID (IN-PERSON OR ZOOM) UNLESS OTHERWISE NOTED

November 18–December 9 January 6–February 24 Wednesday, 4:30 to 5:30 p.m.

Caregiver Training and Education Class with Sharmon

Learn Country Western favorites, cha-cha, mambo, tango, and samba in line dancing style. No partner needed.

(In-person only) October 6–November 10 Tuesday, 6:15 to 7:45 p.m.

For family members and caregivers, professionals from various fields share about caregiving preparation, in-home support, medication management, challenging behaviors and levels of care in the community. A certificate of completion is awarded. $65; ADVANTAGE members $60.

Bones for Life with Joy (In-person only) November 16–December 7 January 4–February 22 Monday, 12:30 to 1:30 p.m.

These Feldenkrais exercises help support bones through gentle, weight-bearing exercises that require no strain or pain. Improve posture and bone health.

Chair Yoga for Bone Health with Debi November 18–December 9 January 6–February 24 Wednesday, 11:15 a.m. to 12:15 p.m.

Designed for those with osteopenia or osteoporosis; strengthen muscles and bones, improve posture and balance, fall prevention and breath work. All levels welcome.

Chair Yoga for Strength and Balance with Sharmone (In-person only) November 16–December 7 January 4–February 22 November 19–December 17 January 7–February 25 Monday or Thursday, 2 to 3 p.m.

Use a chair in seated and standing poses to improve strength and balance.

Essentrics Full–Body Stretch with Ai (In-person only) November 16–December 7 January 4–February 22 November 20–December 18 January 8–February 26 Monday or Friday, 11 to 11:50 a.m.

A gentle, full-body stretch to activate muscles, free joints and increase mobility. Bring a yoga mat.

Line Dancing: The Next Step with Sharon (In-person only) November 18–December 9 January 6–February 24 Wednesday, 3:15 to 4:15 p.m.

Learn cutting-edge high beginner and improver line dances, plus more complex line dance steps. Previous line dancing experience required.

Mat/Floor Pilates with Karen (In-person only) January 5–February 23 Tuesday, 4 to 4:50 p.m.

All-levels class strengthens core muscles to improve balance. Moderate fitness level needed. Bring a mat.

Muscle Strengthening: Beginning & Intermediate with Randy (Zoom only)

November 18–December 9 January 6–February 24 Wednesday, 7 to 8 p.m.

November 17–December 8 January 5–February 23 November 20–December 18 January 8–February 26 Tuesday or Friday, 11 to 11:50 a.m.

Breath work, postures and meditation, such as yoga nidra.

Strengthen your upper and lower body using flexible exercise bands.

Integrated Yoga with Robin

12 ADVANTAGE / Torrance Memorial, a Cedars-Sinai Affiliate


Stretching for Better Balance with Randy

Advanced Tai Chi with Richard

(Zoom only)

November 18–December 9 January 6–February 24 Wednesday, 3:15 to 4:15 p.m.

November 17–December 8 January 5–February 23 November 20–December 18 January 8–February 26 Tuesday or Friday, 10 to 10:45 a.m.

(Zoom only)

Go deeper into refining movement, leading to improved health and mental focus.

Increase flexibility and mobility to help prevent injuries.

Yoga Therapy for Osteoporosis with Debi

Tai Chi Gong with Gayla

November 17–December 8 January 5–February 23 Tuesday, 11 a.m. to 12:15 p.m.

(Zoom only) November 19–December 17 January 7–February 25 Thursday, 9 to 10:15 a.m.

Blends gentle Tai Chi and Qi Gong movements. Simple, low-impact flow guides Qi, or life force energy, throughout the body. Mindful breathing and imagery support relaxation, balance and well-being.

Beginning Tai Chi with Richard (Zoom only) November 17–December 8 January 5–February 23 Tuesday, 2 to 3 p.m.

An introduction to the form of this Chinese exercise that inspires well-being.

Intermediate Tai Chi with Richard (Zoom only)

Poses and breath work stimulate bone growth and increase strength, range of motion in joints, posture and balance. Floor, chair and standing poses. Bring a mat.

Yoga for Wellness with Debi November 18–December 9 January 6–February 24 Wednesday, 9:30 to 10:45 a.m.

Correct posture alignment and increase strength, flexibility and range of motion.

Presented by Torrance Memorial Hospice

Join us as we honor and remember loved ones who have passed away. Through music, memories, and a special video tribute, we celebrate the lives that remain in our hearts.

Sunday, November 15, 2026 2:00 - 4:00pm Torrance Memorial Hoffman Health Conference Center

3315 Medical Center Drive Torrance, CA 90505

Questions: 310-517-4694 FREE AND OPEN TO THE COMMUNITY

November 18–December 9 January 6–February 24 Wednesday, 2 to 3 p.m.

Learn how to complete the form.

Issue #41 Fall 2026 13


Wellness Classes

Malaga Cove - 2550 Via Tejon, Palos Verdes Estates To register, call 310-517-4711. All clases are in-person only. 8-week class: $80 (ADVANTAGE members $72) 4-week class: $40 (ADVANTAGE members $36) For more information, call 310-517-4666 or visit TorranceMemorial.org/classes.

ALL CLASSES AT THIS LOCATION ARE IN-PERSON ONLY

Essentrics® Full–Body Stretch with Ai

Stretch & Sound Bath Meditation with Ai

Align the Spine with Joy

November 18–December 9 January 6–February 24 Wednesday, 11 to 11:50 a.m.

November 18–December 9 January 6–February 24

November 16–December 7 January 4–February 22 Monday, 9 to 10 a.m.

These Feldenkrais Method lessons help restore or avoid deterioration of your posture without pain or strain. Bring an exercise mat, hand and bath towel.

Bones for Life with Joy November 16–December 7 January 4–February 22 Monday, 3:30 to 4:30 p.m.

These Feldenkrais exercises help support bones through gentle, weight-bearing exercises that require no strain or pain. Improve posture and bone health.

Exercise to the Oldies with Pam November 17–December 8 January 5–February 23 Tuesday, 9:30 to 10:30 a.m.

Promote endurance and flexibility with standing and floor exercises. Bring a mat, light hand weights and a “can-do” attitude!

Essentrics® Strength: Full Body Stretch November 15–December 6 January 3–February 21 Sunday, 9 to 9:50 a.m.

Combines strengthening and stretching to develop a toned, pain-free body. Includes floor exercise. Bring yoga mat.

A gentle, full-body stretch to activate muscles, free joints and increase mobility. Bring a yoga mat.

YoQi® Qigong Flow & Sound Bath November 15–December 6 January 3–February 21 Sunday, 10:30 to 11:40 a.m.

Gentle, slow movements, breath work, self-massage and sound bath meditation. All levels. Bring yoga mat. Blanket/pillow and eye pillow optional.

Muscle Strengthening: Beginning & Intermediate with Randy November 16–December 7 January 4–February 22 Monday, 11:30 a.m. to 12:15 p.m.

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

Muscle Strengthening: Intermediate with Randy November 19–December 17 January 7–February 25 Thursday, 11:30 a.m. to 12:15 p.m.

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

14 ADVANTAGE / Torrance Memorial, a Cedars-Sinai Affiliate

Wednesday, 9:30 to 10:20 a.m. Gentle stretch and breath work, sounds and vibrations from various sound bath instruments. Bring a yoga mat, blanket and pillow.

Stretching For Better Balance with Randy November 16–December 7 January 4–February 22 November 19–December 17 January 7–February 25 Monday or Thursday, 10:30 to 11:15 a.m.

Fun workout in a chair increases flexibility to prevent injuries.

Yoga for Stress Reduction with Debi November 21–December 19 January 9–February 27 Saturday, 9:30 to 10:45 a.m.

Gentle yoga poses on the floor, seated and standing to increase flexibility, strengthen the body and improve balance. Breath work and meditation reduce stress.

Don’t see what you’re looking for? Check TorranceMemorial.org/classes for more information or call 310-517-4666.


Advantage Support Groups 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. To participate or for more information, contact Olivia Licea at 310-703-3352.

Cancer & Nutrition via Zoom Whether you are currently going through cancer treatment, have had cancer in the past or are simply looking for general nutrition guidelines to help prevent the development of cancer, this class is for you! We focus on the role good nutrition plays in cancer prevention, treatment and survivorship. Next meeting is Thursday, October 8, 5 to 6 p.m. Call 310-517-4711 for information.

Caregivers Support Group (via Zoom) Information and nurturing support for people providing care for one another. Meets the second Wednesday of the month, noon to 12:50 p.m. Email torrancememorialhealtheducation@tmmc.com to receive the caregiver packet. To register, visit TorranceMemorial.org/classes or call 310-517-4711.

SUPPORT GROUPS

Miracle of Living Join us at 6:30 p.m. in person or via Zoom for Torrance Memorial ’s popular health lecture series. Hoffman Health Conference Center, 3315 Medical Center Drive, Torrance. Go to TorranceMemorial. org/mol for details. October 21 Cancer – The Enemy From Within November18 Gerd – Gut Health Matters, Take Care of Yours Past lectures include cancer prevention; 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. Videos are available at TorranceMemorial.org/mol.

Depression and Bipolar Support Alliance (via Zoom and in-person) This peer-based support group is for those dealing with mood disorders. Group meets at Torrance Memorial on the second and fourth Saturdays, 10 a.m. to noon, and via Zoom the first and third Thursdays, 6:30 to 8:30 p.m. Contact Scott Wood at woodscott516@yahoo.com or 310-497-8801, or Peggy at 310-548-3457.

Diabetes Support Group Join us to share with others who understand what it is like to live with diabetes. Meets on fourth Fridays, 1 to 2:30 p.m., at the Lundquist Lurie Cardiovascular Center, 2841 Lomita Blvd., Suite 335. Registration is not required. For questions, call 310-517-4711.

Ostomy Support Group Providing a welcoming and safe space to connect with one another and learn how to live an active, happy and healthy life with an ostomy bag. Next meeting is Thursday, November 19, 3 to 4:30 p.m., at the Torrance Memorial West Tower, Room C. Call 310-517-4711 with questions.

Stroke Support Group Building a community of support for stroke survivors and their caregivers. Meets every second Friday, 10 to 11 a.m., at the Hoffman Health Conference Center, Room 3. For questions call 310-517-4735, ext. 20640 for Maria or ext. 20822 for Tami.

Financial Health Checkup Join Torrance Memorial’s Professional Advisory Council for its series on a variety of financial topics to help you take care of your financial health. Seminars are strictly educational and will be held on select Saturdays, 9 to 11 a.m., in the Torrance Memorial Hoffman Health Conference Center, 3315 Medical Center Drive, Torrance. October 10 Individual Taxation Overview individual taxation planning for 2026, including 2026 tax return filing updates and planning for 2026 and beyond.

RSVP to Stephanie Mancia at 310-517-4728 or foundation@tmmc.com. You may also visit TorrranceMemorial.org/events/financial_health_ seminars.aspx for online registration and up-to-date information on topics and schedules. Issue #41 Fall 2026 15


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

3330 Lomita Boulevard, Torrance, CA 90505-5073

WHEN YOU NEED EXPERT CARE, TORRANCE MEMORIAL IS HERE FOR YOU. Torrance Memorial Medical Center 310-325-9110 TorranceMemorial.org ADVANTAGE Program Information 310-517-4666 Monday through Friday, 9 a.m. to 4:15 p.m. 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. Torrance Memorial Physician Network 310-891-6717 TMPhysicianNetwork.org Monday through Friday, 7:30 a.m. to 4 p.m.

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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.

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

Published by Vincent Rios Creative, Inc. VincentRiosCreative.com ©2026 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.


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