Advantage

ADVANTAGE ISSUE #34 WINTER 2025

Healthy Living Over 55

In this issue 1

Cover Story: Living Longer & Thriving: Tips for Blue Zone living

4 Active Mother-Daughter Duo Gets Matching Hip Replacements 6 Prevention is at the Heart of Coronary Artery Disease Care 8 Stay Active and Healthy: The Top 8 Fitness Apps for Older Adults 10 Living Proof: Healthy Living Profile—Jackie Andrews 12 Ask the Doctor: Stop Stroke Before it Starts 14 Prime Time: Keep Scam Artists at Bay with Common Sense 16 Upcoming Wellness Classes & Support Groups COVER STORY

Discover the secrets of longevity and well-being from Blue Zone communities, where healthy living and strong connections lead to a longer, fulfilling life.

Living Longer & Thriving!

Tips for Blue Zone living WRITTEN BY LAURA ROE STEVENS

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id you know that there are locations on earth where people thrive well into their 100th birthday? In these Blue Zones, seniors retain mental clarity, exhibit physical balance and strength, continue to work (and work out), pursue creative passions, and live with less depression, inflammation or disease. While the locations vary, common traits of Blue Zone seniors include eating fresh fruits

and vegetables, exercising daily, expressing gratitude, showing a zest for life, being active in their communities, and prioritizing family and faith.

You’re likely wondering what (and where) Blue Zones are. The term Blue Zones was coined by Dan Buettner, a National Geographic journalist, during an exploratory project he led in 2004. After an expedition to Okinawa, Japan, in 2000 to investigate longevity there, he set out

Strong social connections and a sense of purpose make Blue Zone communities a blueprint for a happy, healthy life at any age.

to discover other regions of the world with extraordinary longevity and vitality.

He identified these five top communities: Okinawa, Japan; Ikaria, Greece; Sardinia, Italy; Nicoya, Costa Rica; and Loma Linda, California. (Yes, there is one ultra healthy community in the United States, and it is east of Los Angeles!)

The Blue Zone Recipe for a Long, Healthy Life While each Blue Zone community differs in culture, traditions and religion, Buettner and his team identified consistent themes within diet, attitudes, behaviors and beliefs that together create a recipe to live a vital, healthy and long life.

“Blue Zone data shows how important diet is. When we eat more fresh fruits and vegetables and reduce excess sugars, fast foods and processed foods, we

experience an incredible health boost,” says Dani Rodriguez-Brindicci, MS, RDN, director of clinical nutrition for Torrance Memorial Medical Center. “When shifting to a Mediterranean diet (cooking with olive oil and eating whole grains, fish, fresh veggies and fruit), you’ll have more energy, less hypertension and a reduced risk for developing heart disease, diabetes, cancers and dementia.”

Here are some Blue Zone healthy habits to consider for your life: >> Plant-filled Diet: Eat a variety of fruits and vegetables daily, as they provide antioxidants and flavonoids to boost immunity and cellular health. Limit refined sugars, red meat, fried foods and processed snacks or sodas. If you drink alcohol, drink in moderation and opt for red wine. >> 80% Rule: “Hara hachi bu”—the 2,500-year-old Confucian mantra that originated in Okinawa—is said before meals to remind people to stop eating when 80% full, allowing time to digest and to thwart overeating. >> Daily Exercise: Exercise improves heart health, balance, strength and mental acumen. Blue Zone seniors tend to walk daily (many up hills), garden and participate in group activities.

The key: Find something you love and do it often. If outdoors, all the better. >> Family and Faith: A family-andfaith-first mindset extends your life.

2 ADVANTAGE / Torrance Memorial, a Cedars-Sinai Affiliate

Blue Zone data shows how important diet is.

When we eat more fresh fruits and vegetables and reduce excess sugars, fast foods and processed foods, we experience an incredible health boost.

It does not matter what type of faith.

Participating in a spiritual and supportive community with family boosts well-being and feelings of happiness, contentment and hope. >> Community Engagement: Whether you volunteer with a church group or help a neighbor in need, community engagement plays a role in longevity. >> Friends: Cultivate a circle of friends to rely on, support and laugh with. If lonely, consider volunteering or joining a group exercise class (Torrance Memorial has plenty, see page 16). >> Living with purpose: Creative pursuits and passions lead to a zest for living.

You are never too old to explore interests or learn something new. >> Reduce stress: Stress spikes inflammation-linked cortisol flowing within the body. Find ways to relax: Take a nap; pause and pray; meditate; turn off the news and read a good book; have tea with an uplifting friend; listen to music; garden; snuggle with a pet; paint or sew (or another creative hobby); take a walk.

These activities, in addition to dietary shifts, can add years to your life and life to your years. This new year, consider making healthy changes and live as if you are in a Blue Zone. You'll begin to feel more positive, youthful, hopeful and centered. •

Mediterranean Diet Magic Torrance Memorial registered dietitian Noel Le helps people make healthy dietary shifts. One 67-year-old client she recently advised lost 27 pounds in eight months—while lowering cholesterol levels and high blood pressure. What did the client do? He adopted Mediterranean diet shifts toward more plant-based meals, less sugar and processed foods, and began daily exercise.

“Just shifting away from sugary tea was essential for him. He thought honey was OK, but he was drinking many cups of tea with lots of honey a day.

That single change made a big difference in his recent diagnosis of diabetes,” says Noel.

Check out some Mediterranean meal recipes at TorranceMemorial.org/ healthy-living/blog.

Issue #34 Winter 2025 3

HEALTHY LIVING

Nancy Keating (left) and her mom, Harriett Elmajian, both underwent hip replacement surgery within two months of each other last fall.

Active Mother-Daughter Duo Gets Matching Hip Replacements After meeting John Andrawis, MD, during an emergency department visit, Harriet Elmajian and her daughter, Nancy Keating, are both back on their feet after remarkable recoveries.

WRITTEN BY LISA BUFFINGTON

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hen Harriet Elmajian, 88, was treated at the Torrance Memorial Medical Center emergency department in August 2024 after experiencing a fall at her daughter’s home, her diagnosis wasn’t what she hoped for.

“I was preparing to move, and my house was being painted, so I was staying with my daughter,” says Harriet. “When I was sorting through some of my things, I suddenly felt dizzy and tipped over.”

The first unwelcome piece of news came when an MRI revealed that Harriet had broken her hip.

Then she was diagnosed with a urinary tract infection (UTI), which may have been responsible for

4 ADVANTAGE / Torrance Memorial, a Cedars-Sinai Affiliate

the bout of dizziness that caused her to collapse.

However, shortly after learning she needed a hip replacement, Harriet and her daughter, Nancy Keating, age 63—who was with her at the hospital—had some unexpected good luck.

“Nancy and I called my son, who is a doctor in Louisiana, and told him what happened,” says Harriet. “I needed a hip doctor, so my son did some research. He told me Torrance Memorial Physician Network orthopedic surgeon Dr. John Andrawis was one of the top hip replacement specialists in the area. Dr. Andrawis was the one we wanted, and he ended up being my surgeon.”

Harriet had surgery the next day. She spent five

John Andrawis, MD

days in the hospital recovering from her surgery and UTI and spent one night in rehab before being discharged to her home.

“I had help for a week after I came home and felt tired, but I was able to move around normally soon after my surgery,” says Harriet. “After three weeks I was playing bridge, and after three months I was back to my normal activities.”

A Piece of Good Fortune Despite the stressful circumstances surrounding her mother’s emergency hip surgery, Nancy also found herself thankful she had met Dr. Andrawis—an orthopedic surgeon who is a fellow of the American Association of Hip and Knee Surgeons.

An avid skier, runner and pickleball player, Nancy had been dealing with nagging hip discomfort for some time.

“Every now and then, I’d notice little signs something wasn’t right,” she says. “I’d feel my hip catch, but the discomfort would go away.”

Nancy didn’t think much of it until one day in June 2023—after doing her normal workout and playing pickleball—she couldn’t walk. When rest and at-home care didn’t help, she went to the doctor and learned that she had bone-on-bone arthritis.

Two cortisone shots got Nancy through the ski season, but the second shot failed to provide the pain relief she needed. By the time her mom was hospitalized in August 2024, Nancy she was ready for a hip replacement of her own.

“I scheduled an office visit with Dr. Andrawis a few weeks after my mom’s surgery and had my hip replacement in October 2024,” says Nancy of her outpatient hip replacement, which enabled her to return home the same day. That evening, she was up and walking around—using a walker and even going up the stairs.

Within six days, she switched to a cane.

“Three weeks after surgery, I’m back to walking, driving and grocery shopping,” she says. “I’m also committed to my physical therapy and hope to recover in time for ski season.”

Personalized, Innovative Approaches Deliver Outstanding Results There’s no doubt that despite their different injuries and circumstances, Harriet and Nancy both made remarkable recoveries after their hip replacements. The

key, according to Dr. Andrawis, is a personalized approach backed by an experienced team and the most advanced techniques and technology.

“A skilled orthopedic surgeon can perform a hip replacement using any approach, but there are different advantages and disadvantages to each,” says Dr. Andrawis. “I used a minimally invasive, muscle-sparing technique called the direct anterior approach for Nancy and Harriet, which may help patients recover faster and more easily—but it isn’t the right choice for everyone.”

He says that at Torrance Memorial, he and his patients have access to some of the most advanced hip replacement technology.

“We use robotic-assisted and computer-aided technology to ensure we are approaching the hip, sizing the implant and placing the joint in the most precise way,” says Dr. Andrawis, who used computer-assisted navigation for Nancy's and Harriet’s procedures. “We even have 3D printing capabilities, so we can customize implants to fit people with complex anatomy—including those with abnormalities, severe trauma or a history of previous hip surgery.”

To improve the patient experience and enhance safety, Dr. Andrawis says, his team uses specialized anesthesia that reduces post-operative pain, decreases blood loss, reduces the risk of blood clots and promotes faster mobilization. He also offers joint components that reduce the risk of fracture and, if needed, can improve flexibility and range of motion for athletes.

Two Remarkable Recoveries Today Harriet is settled in her new apartment, where she enjoys spending time with friends. Nancy is patiently progressing through her recovery with her sights set on ski season. And although they are at different ages and stages of life, this active mother-daughter duo is enjoying life with their new hips.

“My mom did great and recovered well—it was remarkable for her age,” says Nancy. “We’re both very happy with the care we received from Dr. Andrawis, and we definitely ended up with the right doctor.” •

John Andrawis, MD, practices at Torrance Memorial Physician Network Orthopedics at 23550 Hawthorne Blvd., Suite 120, Torrance.

He can be reached at 310-517-1216.

Issue #34 Winter 2025 5

HEALTHY LIVING

Prevention is at the Heart of Coronary Artery Disease Care New medications and treatment advances are helping patients manage heart disease risk factors and effectively prevent cardiac complications.

WRITTEN BY LISA BUFFINGTON

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uring the past few decades, new medications and minimally invasive treatment options have given doctors more tools to combat coronary artery disease (CAD).

These advances—combined with public health education initiatives focused on prevention and early detection—have caused heart disease death rates to fall for men, women, and most racial and ethnic groups in the United States.

However, heart disease continues to be the No. 1 killer of men and women in the U.S.—a ranking the disease has held since 1950. Although these advances have certainly been game-changing for people with CAD, Victoria Shin, MD, an interventional cardiologist

6 ADVANTAGE / Torrance Memorial, a Cedars-Sinai Affiliate

at Torrance Memorial Medical Center, says heart disease prevention may actually be the best medicine: “Eighty percent of cardiovascular disease can be prevented—and it all comes down to understanding your risk factors and taking steps to manage them."

New Medications Reduce CAD Risk One of the mainstays of CAD prevention is lipidlowering therapy, which includes a class of medications called statins that reduce cholesterol levels.

Most patients with high cholesterol should be on a statin, and most of them can tolerate it without issues. A small subset of patients can be intolerant to statins due to debilitating muscle aches. These

Prioritizing heart health with expert care and prevention strategies can help you live a stronger, healthier life.

patients who cannot take statins now have access to alternative cholesterol-lowering drugs, including ezetimibe, bempedoic acid and injectable medications in the PCSK9 inhibitor class (e.g., evolocumab), which are administered once every two weeks.

“Decades of research show that statins are safe and they save lives,” says Dr. Shin. “However, for patients who can’t take statins, there are now alternatives—although they are more expensive and may not be covered by insurance.”

Researchers have found that colchicine—an older medication initially used to treat gout—has anti-inflammatory benefits that reduce the risk of cardiovascular events in those with underlying CAD. Recent studies have also shown that certain diabetes medications, including GLP-1 agonists and SGLT2 inhibitors, help reduce cardiovascular risk as well.

“GLP-1 agonists and SGLT2 inhibitors can be helpful for people who are at increased risk of cardiac disease due to a combination of diabetes, obesity, high blood pressure and high cholesterol,” Dr. Shin says.

Minimally Invasive Therapies Promote Faster Recovery When medication isn’t enough to manage CAD, less-invasive treatment options can reduce the need for open-heart surgery. “New devices and techniques are allowing us to treat more people with angioplasty and stenting, a less-invasive procedure than coronary artery bypass graft surgery,” says Dr. Shin. “We offer laser therapy to remove plaque from arteries and use drug-coated balloons that deliver medication directly to the artery wall to prevent renarrowing.”

People with valve disease also have access to new, catheter-based valve procedures that are performed through a small incision—without needing to open the chest. Minimally invasive procedures include transcatheter aortic valve replacement (TAVR) to treat a narrowed aortic valve; MitraClip and TriClip procedures to treat leaky mitral and tricuspid valves; and Watchman procedures to prevent blood clots from forming in the left atrial appendage and causing a stroke in people with atrial fibrillation (A-Fib) who are unable to take blood thinners.

Same Disease, Different Experiences Although the risk factors for CAD indeed are the same, men and women may experience and discuss symptoms differently. “Women are more likely to describe nonspecific symptoms like tiredness or indigestion,” says Dr. Shin. “Also, different communication styles may lead men to convey

symptoms more directly, while women may be indirect.”

But one thing is true for both sexes: It’s easier to prevent CAD than to treat it — especially after it causes a life-threatening cardiac event.

“Getting screened and managing your risk factors are the keys to prevention, and it’s not one-size-fits-all,” says Dr. Shin. “Your situation isn’t exactly the same as anyone else’s, so we will personalize your care to meet your needs.” •

What Lipoprotein(a) Means for Your Heart Disease Risk Research has shown that high levels of lipoprotein(a), or Lp(a), may increase your risk for heart disease. Lp(a) is a variant of low-density lipoprotein (LDL), commonly referred to as “bad cholesterol.”

“Lp(a) is considered to be a bad actor because it is ‘stickier’ than the other particles and thereby more likely to cause plaque buildup and blockages in your arteries,” said Dr. Shin.

“However, unlike LDL cholesterol, elevated Lp(a) is genetic— not responsive to current medications or dietary changes.”

Normal Lp(a) levels are below 30 mg/dL. A level of 31–50 mg/dL indicates a high risk for cardiac disease, and above 50 mg/dL suggests a very high risk. Dr. Shin says she usually tests her patients’ Lp(a) level at least once to help guide their treatment. If the number is high, this can be a useful tool for convincing people to take serious action to improve their cardiac health.

“If I have a patient with an elevated LDL and/or Lp(a), I’m going to recommend very aggressive management of risk factors. I sometimes even recommend a Coronary Calcium Score test to risk-stratify even further. It is not always necessary if the blood tests already tell us what we need to know about a patient’s risk, but sometimes patients need more convincing to be compliant with medications and lifestyle modifications.

Depending on what we find, we can intervene early—which could save a life.”

Issue #34 Winter 2025 7

HEALTHY LIVING

These tech tools can support your journey to better health and fitness—and many are tailored specifically for older adults!

Stay Active and Healthy: The Top 8 Fitness Apps for Older Adults

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taying fit and active is one of the best ways to maintain your health, energy and independence as you age. Thanks to technology, it’s easier than ever to keep moving—even from the comfort of your home. Fitness apps designed for older adults offer a range of exercises and programs tailored to your needs, whether you’re looking to improve flexibility, build strength or stay steady on your

8 ADVANTAGE / Torrance Memorial, a Cedars-Sinai Affiliate

feet. Here are eight top-rated fitness apps to help you live your healthiest life.

Getting started with any of these apps is as simple as downloading them to your smartphone or tablet. Most offer free options or affordable memberships, and many include exercises that can be done at home. Staying active doesn’t have to be complicated—with the right app, it can be both enjoyable and empowering.

1. SilverSneakers GO This app is perfect for seniors who are part of the SilverSneakers program. It offers guided workouts, flexibility routines and tracking tools to help you stay on top of your fitness goals. You can even customize programs to suit your fitness level and preferences.

5. MyFitnessPal For those focused on nutrition as well as fitness, MyFitnessPal combines calorie tracking with exercise logging. It helps you monitor your diet and exercise routines in one place, promoting a well-rounded approach to wellness.

Need to See a Doctor?

Call Our Physician Referral Coordinator to Schedule An Appointment.

310-891-6717 Rex Chang, MD

2. FitOn FitOn provides free, on-demand fitness classes including yoga, stretching and low-impact workouts ideal for older adults. The app offers motivational reminders and progress tracking to keep you inspired.

6. Pacer Pedometer This simple app tracks your steps and activity levels without complicated setups. It’s great for those who prefer a no-fuss way to stay active and monitor their daily movement.

3. Map My Walk Walking is one of the simplest and most effective exercises. Map My Walk tracks your steps, distance and pace, helping you stay motivated and set new walking goals. It’s user-friendly and works well for outdoor or indoor walks.

7. Better5 Designed for those over age 50, Better5 offers low-impact workouts focused on balance, strength and flexibility. Classes are short, beginner-friendly and don’t require special equipment.

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

Sushan Joshi, MD

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

Soohan Mansuri, MD

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

Leah Shapiro, MD

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

Krixie Silangcruz, MD

Internal Medicine 824 E. Carson St., Suite 101 Carson 310-233-3203

Ronald Siregar, MD

4. Tai Chi for Beginners Tai chi is an excellent way to improve balance, flexibility and mental clarity. This app offers easy-to-follow videos and stepby-step guidance, making it accessible for beginners or those looking for a calming way to stay active.

8. Headspace While not strictly a fitness app, Headspace can help with mental wellness by offering guided meditations and breathing exercises. Pairing mindfulness with physical activity is a great way to support overall health.

Family Medicine 824 E. Carson St., Suite 101 Carson 310-233-3203

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 #34 Winter 2025 9

HEALTHY LIVING

Wayne said the day he met Jackie, he thought: “I don’t think I’ll ever meet anyone I’ll like more than her.”

Living Proof: Jackie Andrews WRITTEN BY LAURA ROE STEVENS

T The Esplanados, back row, from left: Carol Steinkamp, Dave Layton, Janelle Rich, Steven Rich, Bill Steinkamp, Greg Farrell, Nancy Farrell, Nanci Lewis, Diane Sivas Front row: Kate Campbell, Jackie Andrews, Natalie Massey, Barbara Joseph

10 ADVANTAGE / Torrance Memorial, a Cedars-Sinai Affiliate

o know Jackie Andrews is to love her. The vivacious and healthy 85-yearold is especially beloved within her Redondo Beach Riviera neighborhood, where she has lived for more than 65 years with her husband, Wayne, and their family. In fact, most mornings exercisers on The Esplanade either know Jackie or have been greeted warmly by her.

“I met Jackie on The Esplanade during my Wednesday morning beach walks. She had always smiled and said hello to me, so one day I wrote her a note and we have since become friends,” says Jill Biggins Gerbracht, a marketing communications consultant at

Married for 70 years, longtime Redondo Beach octogenarian residents Wayne and Jackie Andrews lead busy and active lifestyles.

Torrance Memorial Medical Center. “She’s always surrounded by a group of people and is engaged in conversation with friends and strangers.”

When I met Jackie, she came out of her Hollywood Riviera home, hugged me and walked back in, going up and down the stairs easily and with great balance and posture. She was wearing stylish exercise shoes with her casual workout clothes and explained she had tennis that day.

Fit and clear-minded, Jackie appeared much younger than her age as she laughed and told me how she aims to walk 1.5 hours a day on The Esplanade.

She also likes to meet with friends in town or browse in stores.

“I love people. I smile at everyone, even the grumpy ones,” she said with a laugh. “I don’t give up on them, as everyone needs a little smile in their lives.”

Jackie’s positivity may be a key to her thriving longevity, as having an optimistic outlook and continuing to make friends contribute to healthy living. In fact, it was Jackie’s friendliness that sparked the creation of her walking group of 14 people, self-named the Esplanados.

“It all started when I became friends with a woman I used to call the ‘dog treat lady’ who I kept asking, ‘How are you?’”

Jackie explained. “We met more women

[in town and on The Esplanade]. We now walk three times a week together and do potluck dinners every four weeks.”

LOVE & CREATIVITY MATTERS When Jackie isn’t walking with the Esplanados or playing tennis, she walks with Wayne, a fit 88-year-old. The two have been married for 70 years and survived the loss of two children. They continue to enjoy time with their son Chris and daughter Cari, and three grandsons.

Like his wife, Wayne has great balance, a good sense of humor and walks five times a week, though he doesn’t play tennis. The retired TRW engineer still “tinkers” and is a well-known woodworker and artist.

Wayne’s intricate carvings of Native American faces, golfers and Civil War scenes are remarkable in their realistic detail. His hand-carved rocking chairs have an Arts and Crafts aesthetic that is astounding and elegant.

After giving me a tour of some of his art and furniture, Jackie told me her husband, a former golfer, created a new golf club that allows for different heads and lengths.

“He’s amazing,” she said.

To that, he laughed and replied that one of the reasons for their long and happy marriage is that Jackie usually knows where he is—in his shop tinkering. Plus,

he added, “she puts up with me.”

On a more serious note, Wayne said that the day he met Jackie, he thought: “I don’t think I’ll ever meet anyone I’ll like more than her.” And with that sentiment, many others agree. •

Health is Wealth Jackie, who spent time in Japan working as a planner for Mattel, became inspired by the Japanese morning ritual of hot water to aid in digestion. She is a believer in small meal portions and does not drink coffee, tea or alcohol, and has never smoked.

Here is a glimpse of her and Wayne’s daily nutritional routine.

Breakfast: Hot water, followed by a piece of fruit, such as cantaloupe, and a bowl of dry granola. Jackie mixes different types of granolas together but doesn’t like milk. Wayne has one cup of coffee a day.

Lunch: A slice of turkey and a piece of cheese. Wayne put his on a tortilla.

Dinner: Chicken with a salad and fresh steamed veggies. Jackie makes a roast every other week.

Cheat meal: A Costco hot dog.

Issue #34 Winter 2025 11

ASK THE DOCTOR

Stop Stroke Before It Starts: Preventive Care Made Simple WRITTEN BY MELISSA BEAN STERZICK

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he American Stroke Association and America Heart Association recently announced that up to 80% of the 610,000 first-time strokes that occur every year could be prevented through early screening and lifestyle changes. Shlee S. Song, MD, a board-certified vascular neurologist and medical director of the Cedars-Sinai Comprehensive Stroke Center, says the "2024 Guideline for the Primary Prevention of Stroke" article in the Stroke journal highlights the choices people can make, in addition to seeing a primary care team, to prevent stroke.

12 ADVANTAGE / Torrance Memorial, a Cedars-Sinai Affiliate

Staying active and healthy is the best way to prevent stroke and boost wellness. Routine medical checkups are also key.

Can stroke be prevented?

The simplest answer is “yes, it can be.”

Of course, it depends on the circumstances and factors such as genetics, and accidents and trauma are out of our control. But for most individuals, there are modifiable behaviors and lifestyle changes that can reduce the risk. What’s in our control is the American Heart Association’s "Life’s Essential 8": eat better, be more active, quit tobacco, get healthy sleep, manage weight, control cholesterol, manage blood sugar and manage blood pressure.

What are the major risk factors for stroke?

The key risk factors include high blood pressure, elevated cholesterol, high blood sugar and obesity. When it comes to healthy weight, it’s more than just circumference—it is the distribution of weight. Extra pounds around the middle indicate higher risk of stroke. In addition, women’s stroke risk can change as they age. They need to have conversations with their OB-GYN regarding blood pressure and perimenopause, or early menopause, and the link to cardiovascular disease.

How can routine medical checkups and treatment reduce the risk of stroke?

Your care team—physician, physician assistant and nurse practitioner—will monitor existing and new health issues. When you go to your appointments, take any data you’ve collected at home, such as blood pressure or blood sugar trends, and tell them about any symptoms. Your team will keep track of patient history and bloodwork. They will check sugar trends and changes in blood pressure or cholesterol, and make recommendations for exercise and lifestyle changes. If you set goals for your health at your annual checkup, it’s a good idea to ask for a sixmonth follow-up visit for maintenance.

Which lifestyle choices can help prevent stroke?

Diet has an enormous impact on blood pressure, blood sugar, cholesterol and weight—four significant components of stroke risk. Your primary care team can give you guidance on eating habits, but the starter points are less red meat and processed foods, more fiber, and less sugar and simple carbohydrates.

Exercise also has a huge impact on these risk factors, so aim for at least 150 minutes a week of moderate-intensity aerobic activity such as brisk walking, water aerobics, gardening, tennis or biking; or at least 75 minutes a week of vigorous-intensity aerobic activity such as running, hiking uphill, swimming laps or jumping rope. Add muscle-strengthening activity on at least two days per week–resistance bands or weights.

We tend to forget the importance of social interaction on our health, especially after retirement. We really need to make an effort to stay connected with friends and have appointments that call us out of a sedentary lifestyle. That type of connection is essential.

What’s a simple step-by-step plan for individuals to protect themselves from stroke?

The key is tailoring a plan that is doable. It’s not about intensity; it’s about consistency. Start with small steps. See your primary care doctor at least once a year to talk about lifestyle changes possible for you. Small adjustments to diet and exercise can be made with the help of a personal trainer and nutritionist.

Or begin on your own by adding a short daily walk and avoiding junk food. Build from there. And remember the social aspect: join a club, attend community events, and schedule visits or phone calls with friends and family. •

Torrance Memorial Medical Center is a certified DNV-GL Healthcare Comprehensive Stroke Center, reflecting the highest level of competence for treatment of serious stroke events based on standards set forth by the Brain Attack Coalition and the American Stroke Association. This affirms that the medical center addresses the full spectrum of stroke care—diagnosis, treatment, rehabilitation and education— and establishes clear metrics to evaluate outcomes. Comprehensive stroke centers are typically the largest and best-equipped hospitals, and a given geographical area that can treat any kind of stroke or stroke complication. In a growing number of states, stroke center certification determines to which facility a patient should be taken for the most appropriate, reimbursable care.

Issue #34 Winter 2025 13

PRIME TIME

Keep Scam Artists at Bay with Common Sense Technology can bring scams into our homes, but it also gives us tools to fight them.

WRITTEN BY JOHN FERRARI

H

urry ... this offer won’t last long!

Act now, or you’ll miss out!

We’ve all seen these high-pressure sales tactics on TV and in junk mail. Most of us tune them out—anything that seems too good to be true probably is, right?

But it’s more frightening when the “hurry up” message is followed by: “You owe the government thousands of dollars.” Or maybe “... because your grandchild is in trouble.” Or “Your friend needs your help.”

Almost certainly, these messages—on your phone, in your email or on your social media feed—aren’t what they seem. They are scams, and if you’re not careful you could lose thousands of dollars or even your identity.

According to the Federal Trade Commission’s report Protecting Older Consumers, 2023–2024, older adults reported losing more than $1.9 billion to fraud in 2023.

But because only a fraction of fraud is reported, the actual number may be as high as $61.5 billion.

Older adults reported losing more money ($538 million) to investment scams than to any other type of fraud, followed by business imposters ($311 million) and romance scams ($277 million). Although

they reported losing more money to fraud using bank transfers and cryptocurrency than other forms of payment, gift cards were the most frequently used forms of payment for many common scams.

Scammers target older adults for three reasons. First, they assume mature adults have more assets—savings, investments and property—that they can steal. Second, older adults may not be as familiar or comfortable using internet-enabled technology. Third, older adults may be more trusting or vulnerable to making hurried decisions, especially when presented with an urgent call to action, like a relative in trouble or a serious computer problem.

What scammers don’t seem to realize is that as older adults, we also have experience with hard-sell pitches. We’ve seen this before. Common sense is the best tool we have to keep from becoming victims.

The top tactic in the scammer’s toolkit is

14 ADVANTAGE / Torrance Memorial, a Cedars-Sinai Affiliate

Stay one step ahead of scam artists by applying practical tips and common sense thinking to protect yourself from scams and fraud.

urgency—creating the sense that the potential victim has to act now without taking time to think. Don’t fall for it; no emergency is so urgent that you can’t take time to think it through.

If you get an email, a text or a post on your social media, sit back and think. If it seems suspicious or too good to be true, there’s a good chance it’s a scam. If you get a phone call, tell the caller you’ll call back. If they tell you that you can’t and that you have to do what they’re asking immediately, you know that’s a scam.

Here are some easy steps to take to minimize exposure to criminal schemes.

On the computer: Fraudsters have gotten very good at mimicking legitimate

email from the government, banks and other institutions. They can even mimic a government or business website.

Don’t call phone numbers or click links in the email. Instead, look up the institution’s website and customer service phone number using a search engine such as Google, Bing or DuckDuckGo, or keep your own list of verified contact information for institutions you deal with regularly, like your bank and credit card companies.

Don’t click on email attachments. If the email is a scam, that’s a good way to download a virus or other malware onto your computer. Verify the attachment’s authenticity with a phone call first.

On the phone: Always check your phone’s caller ID before answering, and don’t answer unknown numbers. If it’s something important, they’ll leave a message. If a caller asks you for personal information or for payment, hang up. That’s a red flag for a potential scam call.

Remember: the government will never call and ask you for personal information or payment over the phone. If you want to verify that you don’t have an issue with the institution the caller says they represent, look up the customer service phone number using a search engine and call that number. Don’t call a number you’re given over the phone or left in a voicemail.

Finally, no legitimate business or government agency will ever ask you to pay for anything using gift cards or cryptocurrency such as bitcoin. That’s a scam!

If you think you may be the victim of a scam, help yourself and your peers by reporting it! You can report fraud, scams and bad business practices to the Federal Trade Commission online at reportfraud. ftc.gov.

For online fraud, the FBI also maintains the Internet Crime Complaint Center (IC3) online at ic3.gov. The IC3 offers more information and resources for senior citizens at ic3.gov/crimeinfo/elderfraud. •

Common Scam Scenarios & Solutions The Scam:

Government imposter

Type:

Phone or email scam

The Signs:

A phone call or email saying you owe the IRS or a business money, and you must pay immediately to avoid further fines, fees or a shutoff of some service or benefits.

The Solution:

Don’t rely on your own ability to sniff out a fake call or email; it’s the fraudster’s job to convince you it’s authentic. Instead, contact the institution using information you know is legitimate to verify the situation. Chances are you’re not the only one the fraudster is trying to fool.

The Scam:

Tech support panic

Type:

Online scam

The Signs:

A pop-up on your screen saying your computer has an urgent issue that must be resolved immediately, and you need to call or download/install a program to fix it.

These pop-ups often claim to come from Microsoft, but such firms do not monitor individual computers and they certainly will not ask you to call.

The Solution:

If one of these pop-ups appears, close it immediately.

When you start using a new computer, install an antivirus program to protect your computer and your peace of mind. If you’re not comfortable adding the program, have a trusted tech-savvy friend, relative or computer service technician do it for you. Pro tip: Current versions of Microsoft Windows include Microsoft Defender, a basic, built-in antivirus protection app.

The Scam:

Fraud refund fraud

Type:

Phone or email scam

The Signs:

This scam is particularly sneaky. You’ve been the victim of a scam, and you get a call or email purporting to be from an agency that can help you recoup the money you’ve lost—but they need your personal or financial information, or an up-front fee.

The Solution:

Online criminals often buy, sell and trade information about victims, so this scam may be run by the same criminals who defrauded you in the first place, or there may be a new group of thieves targeting you. Report scams and business fraud to the Federal Trade Commission at reportfraud.ftc.gov and the FBI’s Internet Crime Complaint Center at ic3.gov, and verify any communications by contacting the agencies yourself.

Issue #34 Winter 2025 15

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 on our ADVANTAGE program, call 310-517-4666 or visit TorranceMemorial.org/classes.

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

Brain Games & More (in-person only) February 11–March 11 Tuesday, 1:30 to 3 p.m.

Challenge yourself to increases your mental fitness in an interactive setting. $60; ADVANTAGE members $55

Chair Yoga for Osteoporosis with Debi January 8–February 26 March 12–April 30 Wednesday, 11 a.m. to noon

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

Chair Yoga for Strength & Balance with Sharmone January 6–February 24 January 9–February 27 March 10–April 28 March 13–May 1

Integrated Yoga with Robin January 8–February 26 March 12–April 30 Wednesday, 7 to 8 p.m.

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

Line Dancing Beyond “Country” with Sharon January 8–February 26 March 12–April 30 Wednesday, 4:30 to 5:30 p.m.

Mat/Floor Pilates with Karen

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

(in-person only)

Line Dancing: The Next Step with Sharon (in-person only)

All-levels class for those with moderate fitness level; strengthens core muscles to improve balance. Bring a mat.

January 8–February 26 March 12–April 30 Wednesday, 3:15 to 4:15 p.m.

Muscle Strengthening: Beginning & Intermediate with Randy

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

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)

January 7–February 25 March 11–April 29 Tuesday, 4 to 4:50 p.m.

(Zoom only) January 7–February 25 January 10–February 28 March 11–April 29; March 14–May 2

Tuesday or Friday, 11 to 11:50 a.m.

Strengthen your upper and lower body using flexible exercise bands.

Qi Gong with Gayla (Zoom only)

Jan 6-Feb 24; Jan 10-Feb 28 Monday or Friday, 11 to 11:50 a.m.

January 9–February 27 March 13–May 1 Thursday, 9 to 10:15 a.m.

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

Bring a yoga mat.

Powerful but gentle movement and meditation to rejuvenate, strengthen and relax.

16 ADVANTAGE / Torrance Memorial, a Cedars-Sinai Affiliate

SUPPORT GROUPS

Yoga Basics with Laura (Zoom only) January 6–February 24 March 10–April 28 Monday, 4 to 5 p.m.

Stretching for Better Balance: Beginning & Intermediate with Randy

Gentle yoga poses on the floor and standing, breath work and meditation.

(Zoom only)

Yoga for Osteoporosis with Debi

January 7–February 25 January 10–February 28 March 11–April 29; March 14–May 2 Tuesday or Friday, 10 to 10:45 a.m.

January 7–February 25 March 11–April 29 Tuesday, 11 a.m. to 12:15 p.m.

Increase flexibility and mobility to help prevent injuries.

Beginning Tai Chi with Richard

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

(Zoom only)

Yoga for Wellness with Debi

January 7–February 25 March 11–April 29 Tuesday, 2 to 3 p.m.

January 8–February 26 March 12–April 30 Wednesday, 9:30 to 10:45 a.m.

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

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

Intermediate Tai Chi with Richard (Zoom only) January 8–February 26 March 12–April 30 Wednesday, 2 to 3 p.m.

Learn how to complete the form.

Advanced Tai Chi with Richard (Zoom only) January 8–February 26 March 12–April 30 Wednesday, 3:15 to 4:15 p.m.

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

Miracle of Living Join us at 6:30 p.m. in person or via Zoom for Torrance Memorial Medical Center’s popular health lecture series.

Hoffman Health Conference Center, 3315 Medical Center Drive, Torrance. Visit TorranceMemorial.org/mol for details.

January 15 Weight Management

Past lectures have included 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 on demand at TorranceMemorial.org/mol.

Issue #34 Winter 2025 17

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 on our ADVANTAGE program, call 310-517-4666 or visit TorranceMemorial.org/classes.

ALL CLASSES AT THIS LOCATION ARE INPERSON ONLY

Menopause 101 March 13 Thursday, 6 to 7:30 p.m.

Learn techniques to navigate and manage menopause with confidence. Led by Ann Boss, RN, Menopause Society Certified Practitioner. $25; $20 ADVANTAGE members

Align the Spine with Joy January 6–February 24 March 10–April 28 Monday, 9 to 10 a.m.

Exercise to the Oldies with Pam January 7–February 25 March 11–April 29 Tuesday, 9:15 to 10:15 a.m.

Promote endurance and flexibility with standing and floor exercises. Bring a mat and light hand weights.

Essentrics Full–Body Stretch with Ai Jan 8-Feb 26; Jan 11-Mar 1 Wednesday, 11 to 11:50 a.m.

Saturday, 11:15 a.m. -12:05 p.m.

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

Bring a yoga mat.

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

Muscle Strengthening: Beginning & Intermediate with Randy

Bones for Life with Joy

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

January 6–February 24 March 10–April 28 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.

January 6–February 24 March 10–April 28 Monday, 11:30 a.m. to 12:15 p.m.

Muscle Strengthening: Intermediate & Advanced with Randy January 9–February 27; March 13–May 1 Thursday, 11:30 a.m. to 12:15 p.m.

Chair Exercise: Beginning & Intermediate with Pam

Resistance band and hand weight exercises for flexibility and strength; a fullbody workout.

January 7–February 25 March 11–April 29 Tuesday, 8–9 a.m.

Stretch & Sound Bath Meditation with Ai

Improve strength and balance using a chair. Bring an exercise band and light hand weights (optional).

Jan 8-Feb 26; Jan 11-Mar 1 Wednesday, 9:30 to 10:20 a.m.

Saturday, 12:30 to 1:20 p.m.

18 ADVANTAGE / Torrance Memorial, a Cedars-Sinai Affiliate

Through gentle stretch and breath work, you will be introduced to different sounds and vibrations from various sound bath instruments. Bring a yoga mat, blanket and pillow.

Stretching For Better Balance with Randy January 6–February 24 January 9–February 27 March 10–April 28 March 13–May 1

Monday or Thursday, 10:30 to 11:15 a.m.

Fun chair workout increases flexibility to prevent injuries.

Yoga for Stress Reduction with Debi January 11–March 1 March 15–May 3 Saturday, 9:30 to 10:45 a.m.

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

Use QR code for more information and a complete list of classes.

SUPPORT GROUPS

Advantage Support Groups

Financial Health Checkup

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 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. Every second Thursday, 5 to 6 p.m. via Zoom. Call 310-517-4711 for information.

Caregivers Support Group Are you providing care for someone else? Our support group offers valuable information and nurturing support for caregivers of all types. Join us to connect with others who understand your experiences and gain insights from those in similar situations.To receive the Caregiver Packet, email torrancememorialhealtheducation@ tmmc.com. For meeting dates and times, call 310-517-4711.

Depression and Bipolar Support Alliance This peer-based support group is for those dealing with mood disorders (dbsasouthbay.org). Group meets at Torrance Memorial on the second and fourth Saturdays of the month, 10 a.m. to noon, and the first and third Thursdays of the month via Zoom, 6:30 to 8:30 p.m.

Contact Scott Wood at 310-497-8801 or woodscott516@yahoo.com, 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 310517-4711.

Ostomy Support Group

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.

January 11

Individual Taxation: Wrapping up 2024 and Planning for 2025

This support group provides 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, October 17, 3 to 4:30 p.m. Call 310-517-4711 with questions.

Learn any law changes impacting your 2024 tax return and planning tips for 2025 and beyond.

Stroke Support Group

Hear from two estate planning attorneys about the basic elements of an estate plan, what is needed to plan for possible incapacity and how conservatorships work.

Building a community of support for stroke survivors and their caregivers. Meets every second Tuesday, 10 to 11 a.m., at the Hoffman Health Conference Center, Room 4. For questions call 310-517-4735, ext.

20640 for Maria or ext. 20822 for Tami.

WE CAN: Women Empowered Cancer Support Group For nearly 20 years, this group of women has journeyed through their experiences of cancer and beyond. This group empowers women to face their diagnosis, recurrence or experience as a cancer survivor with resilience and support. Meets second and fourth Tuesdays, Hoffman Health Conference Center (Zoom option available), 10 to 11:30 a.m. Register with Anne Milliken by calling 310-517-1115 or email anne.milliken@tmmc.com.

March 8

Estate Planning and Conservatorship Basics

RSVP to Kristin Kamienski at 310-517-4728 or foundation@ tmmc.com. You may also visit TorranceMemorial.org/events/ financial_health_seminars.aspx for online registration and up-todate information on topics and schedules.

Issue #34 Winter 2025 19

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.

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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.

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

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

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©2025 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.