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Ageless AUTUMN 2013

UNITED IN

SERVICE

A Community-focused Family

BEAUTIFUL FACES

Sponsored By

In Partnership With

SPICE IT UP WITH CHAI ADVER T I S ING SUPPLEMEN T


2 | Ageless | The Bulletin


Ageless

Autumn 2013

Ageless Features Home on the Range ................................................... 5 Diann and Mike Duggan, with a passion for ranching, continue to grow their family-friendly farm in Terrebonne.

Brothers United in Services ......................................14 Redmond brothers Alan, Todd and Craig Unger impact their community through politics, religion and public safety.

The Rest of Your Life ................................................23 Getting quality sleep is essential to health. Experts weigh in on the risks of not getting enough sleep and ways to improve sleep.

By Day and Night ......................................................27 With a long-rooted desire to care for animals, Leslie Day continues to care for rescued chimpanzees at her Central Oregon sanctuary.

A magazine featuring health, entertainment, lifestyles and advice for the active, 50-plus Central Oregonian. Ageless is a product of The Bulletin’s Special Projects Division,

Information & Advice Contributors ................................................................................. 4

1777 SW Chandler Ave., Bend, OR 97702, and printed by Northwest Web Press, www.northwestwebpress.com. Ageless is produced in partnership with the Central Oregon Council on Aging.

SAGE: For Active Seniors ............................................................. 8

All content is the property of The Bulletin/Western Communications, Inc. and may not be reproduced without written permission.

Beautiful Faces of Central Oregon ............................................ 11

Ageless Staff Members

Fragrant, Exotic Chai ................................................................. 17

Legal Advice: End-of-Life Needs ............................................... 33

Martha Tiller, Special Projects Manager Ben Montgomery, Special Projects Editor Stacie Oberson, Special Projects Coordinator Nicole Werner, Special Projects Image and New Media Kari Mauser, Special Projects Editorial Assistant Clint Nye, Graphic Designer Jay Brandt, Advertising Director Steve Hawes, Advertising Sales Manager

COCOA News

Story ideas may be submitted for consideration to Ben Montgomery, editor. Contact him at 541-383-0379 or via e-mail at bmontgomery@bendbulletin.com. For advertising, call 541-382-1811.

Chai Recipes............................................................................... 18 Medicare Advice: Updates Expected for 2014 ........................... 20 Is Your Hair Aging You? ............................................................. 30

Resources Made Easy ................................................................ 35

Published Saturday, September 21, 2013

Events Calendar ......................................................................... 36

To subscribe or learn more about all our publications, please call 541-385-5800 or visit us at www.bendbulletin.com. Cover photo of Mike and Diann Duggan by Kari Mauser.

Ageless Achievement ................................................................. 38

Ageless | Autumn 2013 | 3


Ageless CONTRIBUTORS An avid crocheter and origamist, JOHN CAL worked as a baker, head chef, ukuleleist and Sno-Cat driver before settling into writing. He enjoys filling his time with yoga, postcard writing and collecting bowties. John also collects candy from around the world — he has a 100-plus specimen collection (and counting) — and lives in Sisters with his dog, Hank. In a world full of unique people, ideas and practices, KARI MAUSER has a desire to uncover and share the inspiring stories that surround us. The Bulletin’s Special Projects Editorial Assistant, Kari and her husband are rediscovering the magic of the world through the eyes of their two little boys.

Former Bulletin business reporter turned international teacher, JEFF MCDONALD, returned to Bend following a three-year sojourn in the Middle East. When he’s not traversing the globe, he enjoys the seasons, the laid-back culture, and the people of Oregon.

Enthusiastic and outgoing, BRIDGET MCGINN enjoys meeting new people and sharing their stories. She spends her days working as a marketing and advertising professional, making photos or documentary films and spending time with her family. She may also be seen being dragged along the end of the leash of her adopted beagle.

GREGG MORRIS is a local freelance writer and musician. You can find him around town finishing articles at the local tea shop, performing with his band Organic Music Farm or homeschooling his daughter. Supposed free time is spent in the woods with his wife and daughter or skillfully executing his duties as a member of the Deschutes County Search and Rescue team. Photographer and storyteller HANNAH O’LEARY is Oregon grown. A recent Oregon State alum, she is enjoying beginning her next chapter. She can be found running with her favorite four-legged friends Bill, Ella, Cael and Bailey or savoring a strong cup of coffee.

KATHY OXBORROW is a writer and consultant who helps her clients tell their stories in a compelling way. Her avid curiosity and inquisitive mind bring a fresh perspective when conducting research or interviewing people. Kathy grew up on a Nevada cattle ranch and, after stints in San Francisco and Portland, returned to her rural roots. She enjoys riding her horse, Sara.

4 | Ageless | The Bulletin


BOUNDLESS

HOME on the Range at

by Gregg Morris, for The Bulletin Special Projects Photos by Kari Mauser & Nicole Werner

Through the evolution of DD Ranch, Mike and Diann Duggan have created a regional gem. Nearly every traditional ranch and farm comes with its own piece of history or story to tell. Family ranches get passed down from generation to generation, while first-time farmers work hard to make a living off their land. Terrebonne’s DD Ranch is one such example, boasting a story of a couple with ranching in their blood and a desire to provide “healthy stock to feed healthy families.” But the story entails so much more.

In addition to being a working ranch and farm, DD Ranch also provides education and event entertainment, as well as an element of transparency, to the community. Each day, owners Mike and Diann Duggan open their ranch up to school groups, customers and the general public to give them an idea of life on a ranch. “We want the children to see where their food comes from,” Diann said. “It doesn’t come from Safeway. It comes from the farmers who plant the

Ageless | Autumn 2013 | 5


crops and raise the animals.” Mike and Diann met as children in Sams Valley, Oregon. Diann’s g r a nd mot her a nd M i ke’s g re atgrandmother were good friends, so it seemed inevitable the two would become part of each other’s lives. The couple married in 1962. After living in Sams Valley, then in Portland, the Duggans settled in Central Oregon in 1974. Nearly 10 years later, Mike first got his boots dirty on the 200-acre parcel known today as DD Ranch. It was during that time that Mike met and began working alongside Jay Moberly, who bought the Terrebonne cattle ranch in 1963. In 1985, Mike and Diann purchased the property from Moberly and renamed it DD Ranch after Mike’s great-grandfather, who homesteaded Central Oregon in the 1860s. Under the Duggan’s tutelage, DD Ranch mainly operated like your typical Central Oregon cattle ranch, but a trip to a Canby, Oregon ranch in 1999 led Mike and Diann to rethink the future of their own ranch. “ I w a s i mpre s s e d w it h t h ei r Longhorn Steer,” Mike said. “I’d never seen someone take an animal and put it in a pen for viewing and educational pur poses. They also had a creek running through the property with trout and stairs for people to walk down and see.” These observations motivated them to create the path that led them toward what DD Ranch is today. “Because cattle and hay weren’t bringing in enough to support the land and other costs, we knew we had to diversify,” Mike said. “This seemed like the perfect way.” In addition to raising cattle, today’s DD Ranch makes a name for itself with a pumpkin patch, fresh hops, “upick” corn, “u-dig” potatoes, gourds, squash, zucchini, onions, rhubarb and garlic. Keeping the cattle company are pigs, chickens, roosters, turkeys, sheep, bunnies, ponies and — at least during the autumn season — children. During autumn at DD Ranch, the pumpkin patch draws visitors from all over Oregon. While people may come for the jack-o’-lantern supplies, they 6 | Ageless | The Bulletin

State Park. “ Ve r y fe w f a r m e r s h ave t h e personality for this,” said Mike. “Many farmers are private and wish to be left alone. Most of our friends look at us and shake their heads.” While Mike and Diann r un the ranch, their son, Scott, manages the beef sales. They also have two fulltime employees, four part-time helpers and up to 12 seasonal workers. It sounds like a lot of work — it is, the Duggans say — but it’s rewarding for the couple. “This is a dream,” Diann said. “It’s what I always wanted to do.” The Duggans have three children and five grandchildren who all live in Oregon. While they did not grow up on a farm, both extended families were into farming and ranching. When speaking about the future of DD Ranch, the Duggans stay positive in their desire to continue its success. “We want this to be sustainable and continue on,” said Mike. “We want it to last forever.” The Duggans also want the ranch to continually contribute to the education of people about healthful food. “Our country needs to get back to the beginning,” Diann said. “...back to the basics. We need to focus on organic food.” DD Ranch is located three miles east of Terrebonne on NE Smith Rock Way. For more information about the ranch and its events, visit www.ddranch.net online, or call 541-548-1432.

stay for everything the ranch has to offer. Children busy themselves with the petting zoo, hay or pony rides, the Cowboy Corner play area, and by picking vegetables. “Every year is a growth year in some area,” Mike said. “We add something new or add to something each year.” M e a nw h i le, t h e a d u lt s e nj oy the hospitality barn — set up to sell w reaths and other f lowered

decorations — and the Country Café, which ser ves burgers, sides and drinks every Friday t h r o u g h S u n d ay during October. All this happens within view of the picturesque cliffs of Smith Rock

From left to right: Mike Duggan, grandaughter Anya, son Scott, Diann Duggan (with Bo), grandaughter Kelly, grandson Jacob, Patches and Stich


DD Ranch PROGRAMS & EVENTS Farm Festival

The Duggans run several events throughout the year at DD Ranch. The start to the harvest season begins Saturday, Sept. 28 with the Farm Festival. The festival will feature live music and all the activities the ranch has to offer. Proceeds from the day’s events will benefit The Opportunity Foundation of Central Oregon. The cost to attend is $30 per car for an all-day access pass.

Community Participation

DD Ranch is a mainstay at many of Bend’s most popular community events including Northwest Crossing’s Saturday Farmers Market and Hullabaloo, and The Deschutes County Fair Family Fun Zone. They also bring their pony rides and petting zoo to Sunriver on Memorial Day and Fourth of July.

School Tours

Another popular program the ranch offers is the School Tour. Kids get the chance to see how the ranch works, plant some vegetables, and come back and pick the vegetables when they are grown. Contact DD Ranch for more information.

Ageless | Autumn 2013 | 7


Ageless COMMUNITY

SAGE

for Active Seniors

8 | Ageless | The Bulletin


SAGE unveils opportunities for seniors to come together for gatherings, crafting and social activities in Sisters. by Jeff McDonald, for The Bulletin Special Projects

Seniors have long clamored for more group activities in the Sisters region, which happens to be the largest area in Central Oregon without a senior center. That is exactly why a group calling it self SAGE — shor t for Senior Activities, Gatherings and Experiences — was formed. “The group aims to create senior programing that is currently lacking i n t he s ma l l, We s t er n-t heme d community,” said Kelly Sheets, adult programing manager for the Sisters Park and Recreation District (SPRD). Despite a growing population of seniors, efforts to build a senior center in the past have stalled, leaving a dearth of adult programing activities in the area. “My role is to be a sounding board,” Sheets said. “We want to create a central location for active seniors to come together.” The demand for senior services is expected to grow throughout Deschutes County. Seniors aged 65 and older comprise 14 percent of the county’s total population, according to the 2010 U.S. Census. By 2020, that number is expected to reach 20 percent. Earlier this month, the group began meeting each Wednesday afternoon from 1 to 4 p.m. at the SPRD building in a former preschool near Sisters High School. “A group of committee members already have been brainstorming ideas for the social group, ranging from walking, quilting, bridge clubs, cooking classes, writing groups and whatever other interests new members may have,” Sheets said.

“Think couches, comfortable chairs and a lending library as a launch point for seniors looking for healthy outlets. “SAGE will provide a jumping-off point for whatever it is seniors want to do,” she said. “We want to build momentum to create a gathering place for seniors in Sisters.” The momentum is part of what inspired Sue Stafford, 69, a SAGE committee member who teaches a 10-week writing class called “Writing

to have opportunities to interact with one another. “I could see the need for the ability for people to socialize because people just get isolated in their homes,” she said. The plan is to build the club around the interests of people who attend the weekly meetings, according to Stafford. That could mean creating walking clubs or bridge clubs, or it could mean

“We want to create a central location for active seniors to come together.” Your Life” through SPRD. The class gives many older adults a structured opportunity to write the story of their lives. Stafford said teaching the class has raised her level of awareness for the need for more senior programing. Her experience working at Hospice of Redmond for five years providing end-of-life care gave her added perspective on the need for seniors

giving adult males a chance to show off their cars. “We heard a group of (senior) men talking about their cars,” she said. “I told them, if they would bring their cars and park them in front of the building, that could get more people inside.” The committee members are also addressing the need for transportation to groups as well.

“The SAGE group plans to create a ride-share program where seniors who are able to drive can pick up those who are not able,” said Stafford. “The group has no shortage of ideas for activities, gatherings and experiences, including trips to Bend, golf trips and astronomy courses atop Hoodoo,” said Diane Goble, 72, a writer who has focused on health and wellness issues since she moved to Sisters four years ago. According to Goble, other ideas include courses on how to use a smartphone or computer, how to plant a vegetable garden and bird watching. The list of interests is virtually infinite. “That could include the city’s ample supply of craftsmen or anyone who likes to work with tools,” Goble said. Goble has an interest in programs for active seniors aged 50 and older who are looking for more physical activities as well. Financial constraints are being addressed as well. “Classes are being designed with older adults and seniors on limitedor fixed-incomes in mind,” Sheets said. “We don’t want inability to pay to keep anyone from participating and enjoying these amenities. We will be seeking donors to create an assistance fund for seniors on limited incomes. We want seniors to be able to participate in the free- and paidactivities available.” SAG E me e t i ng s a re held Wednesdays from 1 to 4 p.m. in room 4 of the building west of Sisters High School at 1750 W. McKinney Butte. Participation for activities in the room is free, although donations are accepted. Contact Kelly Sheets at 541-5492091 for more information. Ageless | Autumn 2013 | 9


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Beautiful Faces OF CENTRAL OREGON

FIRST PLACE (Amateur): Olive Pat Nixon, 105 years old, taken by Kristin MacEwan

Central Oregon Council on Aging’s annual photo contest celebrates our most beautiful faces. Central Oregon Council on Aging (COCOA) recognized the submission of phenomenal photos submitted for its 50+ Beautiful Faces of Central Oregon Seniors photo contest. COCOA received more than 200 entries this year. According to Pamela Norr, COCOA Executive Officer, judges found it difficult to narrow the field, and it was harder to select winners this year than ever before. “I said it’s because our seniors become more beautiful each and every year,” said Norr. Four independent judges ranked the photos by content, clarity, subject matter, representation of seniors in

Central Oregon and general feel of the photo. Sometimes, they just liked the photo so much they picked it because of the subject. “One of our honorable mentions was a bit blurry, but the photo is so special,” said Norr. A ll na mes of subject s a nd photographers were masked during judging. Sponsored by PacificSource Health Plans, the photo contest awards cash prizes to the first-, second- and thirdplace winners in both amateur and professional categories. Honorable mention winners are recognized as well.

SECOND PLACE (Amateur): Jane Schroeder, 89, and Duke the Horse, taken by Vicki Schmall Ageless | Autumn 2013 | 11


THIRD PLACE (Amateur): Maureen Stretch, 65, taken by Millie Nolan

FIRST PLACE (Professional): At the Sisters Outdoor Quilt Show, taken by Gary Miller, Sisters Country Photography

SECOND PLACE (Professional): Alice Slater, 85, Nancy Slater Baca, 60, and Millie Nolan, 65, taken by Erin Berg, Bend

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HONORABLE MENTION: Veteran Earl Jackson, 92, at Pilot Butte Burger 4th of July event, submitted by Meshem Jackson and taken by Rachel Jackson

HONORABLE MENTION: Dave Lubke, 65 with grandson, Liam, taken by Susan Lubke

THIRD PLACE (Professional): Becky Bruno, 58, and her horse, taken by Holland Wicks

HONORABLE MENTION: Moms and daughters (left to right) Laurakay Louke, 56, Mary Alice Willson, 82 Jean Taylor, 81, and Patty Rood, 56, submitted by Laurakay Louke

COCOA STAFF AWARD: Sandra Kouba, 80, taken by Marlee Norr (daughter of Pamela Norr, Staff) Ageless | Autumn 2013 | 13


Brothers United in

SERVICE Public Safety, politics and religion have kept Redmond’s Unger family together with purpose.

14 | Ageless | The Bulletin

Photos by Nicole Werner, The Bulletin


Deschutes County Commissioner Paul Unger, Father Todd Unger and Craig Unger stand before their childhood portraits.

“By example, we saw our parents, as well as their friends, who were leaders in the community. They were part of the fabric of the community.” by Kathy Oxborrow, for The Bulletin Special Projects Department Politics and religion were always topics of discussion in the Unger household when Robert and Pauline Unger, devout Catholics, were raising their five children at their Redmond home. Robert, a physician, and Pauline, a registered nurse, were both active in the Redmond community serving on boards and volunteering their time. So it’s not surprising that all of their children chose a life of public service either in the field of health, government or religion. I n order of bi r t h, t hei r k id s include Alan, the Deschutes County Commissioner; Paul, the attorney and Washington D.C. consultant who was legal counsel to U.S. Senator Gordon Smith; Anne, the dental hygienist;

Todd, the Catholic priest; and Craig, the retired Redmond police officer. Alan, Todd and Craig continue to reside in Redmond. The siblings even chose spouses who shared their proclivity toward service. Anne, who married Bryan Johnston, a former Oregon legislator, mediator and law professor, lives in Salem. Alan’s wife, Bev, works as a lab technician at St. Charles Health System in Redmond. “By example, we saw our parents, as well as their friends, who were leaders in the community,” Alan said. “They were part of the fabric of the community. We saw that was what you did.” Robert was a Democrat and Pauline a Republican. Even that tradition of “mixed” political allegiances has endured in the family. Alan is a Democrat, Paul a Republican, Anne

a Democrat, and Craig a Republican. Father Todd is non-partisan. When John F. Kennedy, a Catholic, was running for president in 1960, Alan said his mom made sure that his dad voted in the primary for the Democrat Kennedy. Pauline’s Catholic faith won over her political affiliation. When asked if all the siblings were still practicing Catholics, the answer was a resounding yes. Further queried about whether the emphatic answer had anything to do with Father Todd sitting next to them, Alan replied, “It’s a motivating factor to go to church every Sunday.” Rober t and Pauline have been gone for several years, but the Unger homestead in Redmond is still a place for family gatherings. The home is f illed w ith mementoes collected over the 62 years the Unger family inhabited it. Above the mantel are

photos of the five children as youths. Alan, Todd and Craig still meet there for Sunday dinner. Bev and Craig are the chefs for these family meals. “Craig likes to cook the things we liked to eat when we were kids,” said Alan. To d d s a id he c o nt r i but e s by bringing food notably from his favorite purveyor, Tate and Tate Catering. “... Or I’ll br ing something my parishioners have brought me,” said Todd. When their dad was suffer ing from dementia, all the siblings took turns caring for him, but most of the responsibility fell to the three who lived in Redmond. “We arranged so that one of us — six out of seven nights — was here with him,” said Todd. “We got him dinner, got him to bed, and were here overnight.” Ageless | Autumn 2013 | 15


Following their dad’s death, they were only seeing each other in church on Sunday, and that prompted them to begin the Sunday night dinners at the family compound. The extended family still meets at the home for Christmas celebrations. “I’ve never had a Christmas dinner at any other table in my 54 years of living,” said Craig. Since retiring from the Redmond Police Depar tment, Craig has remained true to the family tradition of community ser vice. He ser ves on the boards of Housing Works, Deschutes County Fair Association, Red mond F i re a nd Res c ue, a nd the Redmond Community Concert Association. He’s also Redmond’s of f ic ia l S a nt a Clau s du r i ng t he Christmas holidays. Todd said his choice of community service was a little different, although there are two other relatives who were Catholic priests. “ I w a s n’t i n t h e m e d i c a l o r 16 | Ageless | The Bulletin

government field,” he said. “I was in the spiritual/counseling field.” Before becoming the pastor at St. Thomas Church in 2009, he served in Pendleton, John Day, Madras and The Dalles. “I’ve been trying to do this for 27 years,” said Todd, referring to his appointment in Redmond. “It took me a while to get back.” Alan stays busy as one of the Deschutes County’s three full-time commissioners. Prior to his election to the county commission, he was a Redmond city councilor, and then he was elected mayor of Redmond. His first government position was on the Redmond Planning Commission. Wit h g reat in f luence by t heir parents, the Unger siblings settled into a life of service to their community. “Redmond is home,” said Alan. “We enjoy being here. We enjoy supporting the community, and it’s just fun. It gives you a reward to be engaged and involved.”


Ageless THE SPICE OF LIFE

FRAGRANT

EXOTIC

CHAI

Sweet and spicy, this warming beverage takes us to lands far away with exotic flavor. By John Cal for The Bulletin’s Special Projects | Photos by Kari Mauser

Americans often forget that many of us were once British. Our lives were not always about apple pie and cowboys. We once had a queen. We once played cricket, and we once drove carriages on the wrong side of the street. Then one fateful day in Boston in 1773, we just couldn’t take it anymore. We had had enough of cucumber sandwiches and crumpets, and in a moment of protest rebelled against all that is British by throwing 342 chests of tea into Boston Harbor. We’ve done pretty well for ourselves since then. We traded in royalty for a president, cricket for baseball, and while the UK has the Aston Martin, we have Ford, the guy who practically invented the modern automobile. We are starting to realize, though, that we did make one rebellious mistake all those years ago: the tea. But being the proud country men and women we are, we couldn’t just go back to Britain to quell our thirst. Instead, we’re starting to get our tea fix a little more circuitously from another “used to be British” country — one that had not discarded their steeped deliciousness so foolishly: India. “It’s no longer a trend,” said Bapi Champati, owner of MyChai, located in Bend. “Everybody loves chai. It’s in every coffee shop.” Champati moved to the U.S. from India in 1988 where he grew up drinking chai daily. He started experimenting with different chai blends in 2005. His company started with a single house blend of spices but now implements 15 different kinds of chai to appeal to all palates. “There’s a chai for everyone,” said Champati. “You can mix the spices as strong or as sweet as you want to suit your own palate.” Chai, when translated, just means tea. What many of us think of when we think of the chai we order in coffee shops would be more specifically called Masala Chai in India. Ageless | Autumn 2013 | 17


It’s a happy drink that makes you feel good, and there’s nothing wrong with that. That’s probably its greatest health benefit of all. While often ordered as a sweet treat here in the U.S., in India, it’s a regularly consumed beverage, taken in several times a day — similar to the way we may treat coffee, except with less sugar. Although, the conglomeration of ingredients is rarely thought of as health food, the many components that can go into a cup of chai can prove to be beneficial. Let’s start with the tea. In a study by the Mayo clinic, certain kinds of tea were found to have high levels of catechins, a specific kind antioxidant called a polyphenol, which is a kind of molecule which inhibits the decay or oxidation of other molecules. Basically, the more foods we intake that contain high levels of antioxidants, the slower our bodies age. And while tea does have caffeine, a known diuretic, research by Carrie Ruxton at Kings College in London found that even with caffeine’s dehydrating properties, the benefit net gain of fluid was still higher when drinking a cup of tea or coffee. This means that while a cup of water will always be your best bet for hydrating, tea is by no means

Vanilla & Orange Spiced Chai (Serves 4)

Ingredients:

4 cup water 8 cloves 4 cinnamon sticks 8 cardamom pods, cracked (or 1 1/2 teaspoons, ground) 1 vanilla pod, split and scraped (or 1 tablespoon vanilla extract) 6 teaspoons black tea (Earl Grey, for example) 2 oranges, zested 2 cup milk 1/4 cup honey (more or less to taste) 18 | Ageless | The Bulletin

Directions:

1. In a medium saucepan, over high heat, combine water, cloves, cinnamon sticks, cardamom pods and vanilla pod. Bring to a boil, then remove from heat and allow to steep for 10 minutes. 2. After mixture has steeped, return to stove on medium high heat. Add tea, zest, milk and honey to taste. Heat to just before simmering and allow to steep for an additional five to 7 minutes depending on how strong you like your tea. 3. Strain mixture. Pour into mugs and serve.

dehydrating. With the added benefits of polyphenols, tea is actually a smart beverage choice. When mixing in both the health and flavor factors when adding traditional chai spices, the possibility for added health is exponential. “What people don’t realize is that there are so many different kinds of chai. Every state in India has variations, and each house has its own recipe,” said Dipesh Sapkota of Katmandu, Nepal, and tea tender at Townshend’s Tea House in downtown Bend. “In Nothern India, it’s a colder environment,” Sapkota said. “There are lots of spices like cardamom. But as you go south, you might find they use different spices like ginger.” Though not many studies have been done in Western laboratories, Eastern medicine has long used spices for their medicinal properties. Cardamom and nutmeg, for instance, are thought to relieve heartburn and nausea, while cinnamon and cloves have been long used to fight colds. Vanilla and star anise aid in d iges t ion, a nd g i nger, wh ich

Sapkota deems as his favorite chai flavoring, has extremely high levels of of Vitamin C. Due to its antioxidant content, ginger has been used for everything from poor circulation to fighting heart disease, cancer, and even Alzheimer’s. “But we don’t think like that in Nepal,” said Sapkota. “Westerners like studies that tell them to eat more garlic or leafy greens or whole foods, but we already eat like that. We don’t think of food as health food. We just eat food, and it happens to be good for you. We wouldn’t eat something just because it’s healthy. It has to taste good.” “So many people like and order chai,” said Anna Witham, owner of Lone Pine Coffee Roasters. “There’s a huge age range — kids, business men. It’s a flavor that lots of people like. People that love coffee order it, people that don’t love coffee ... it’s a great alternative to coffee for people to participate in coffee culture. “It’s a happy drink that makes you feel good, and there’s nothing wrong with that. That’s probably its greatest health benefit of all.”


Traditional Chai (Serves 4) Ingredients:

2 cups water 1 whole star anise 2 cinnamon sticks two-inch ginger root cut into 1/4-inch coins 4 cardamom pods, cracked (or 3/4 teaspoon ground) 1/4 cup loose black tea 2 cups whole milk 1/4 cup sugar

Directions:

1. In a medium sauce pan, combine water, star anise, cinnamon, ginger, cardamom, and tea, and over medium high heat, bring to a low boil and steeping for 4-6 minutes depending on desired strength. 2. Strain tea and spices from mixture, and return steeped liquid back to the sauce pan. Add milk and sugar, and return to heat until mixture reaches desired temperature. 3. Pour into mugs and serve.

Ageless | Autumn 2013 | 19


Ageless MEDICARE ADVICE

Updates to Medicare Expected for 2014 NOW’S THE TIME TO REVIEW YOUR MEDICARE ADVANTAGE AND PRESCRIPTION DRUG COVERAGE GOING INTO EFFECT AT THE START OF THE NEW YEAR. by Lisa D. Emerson, Statewide SHIBA Program Coordinator, Oregon Insurance Division Medicare Advantage (MA) and Prescription Drug Coverage (Part D) annual enrollment is from Tuesday, Oct. 15 to Saturday, Dec. 7 this year. Don’t miss your opportunity to compare and switch plans. It’s worth it to take the time to review and compare. The cost, coverage and participation of MA and Part D plans change on an annual basis. If you have one of these plans, you may receive an Annual Notice of Change letter in early October detailing any changes to your plan. Oregon Medicare beneficiaries will receive a “2014 Medicare and You” publication in the mail and should take time to review it. This publication is also available on line at www.Medicare.gov. A notable change of 2014 open enrollment is that Medicare Part D’s coverage of brand-name drugs will increase again. People with Medicare will receive approximately 55 percent off the cost of brand name drugs and coverage for 28 percent of the cost of generic drugs “in the donut hole.” The donut hole is scheduled to be closed

by the year 2020. For more information on the gradual closing of the donut hole, refer to Medicare publication 11493 available online at http://www. medicare.gov/Pubs/pdf/11493.pdf. Many people with Medicare in Central Oregon may have questions about the Health Insurance Exchange, also known in Oregon as Cover Oregon and referred to nationally as the Health Insurance Marketplace. Here are some frequently asked questions about the health insurance exchanges with official answers from the Federal Department of Health and Human Services:

How will the health insurance marketplace that starts in 2014 affect my Medicare coverage? The Health Insurance Marketplace is designed to help people who don’t have any health insurance. If you have health insurance through Medicare, The Marketplace won’t have any effect on your Medicare coverage. Your Medicare benefits aren’t

changing. No matter how you get Medicare, whether through Original Medicare or a Medicare Advantage Plan, you’ll still have the same benefits and security you have now, and you won’t have to make any changes. The Market place prov ides new health insurance options for many Americans. If you have family and friends who don’t have health insurance, tell them to visit HealthC are.gov or, in Oregon, CoverOregon.com to learn more about their options.

Do I need to do anything with marketplace plans during Medicare open enrollment (October 15 through December 7, 2013)? Medicare’s Open Enrollment isn’t part of the new Health Insurance Market20 | Ageless | The Bulletin

place. It’s against the law for someone who knows that you have Medicare to sell you a Marketplace plan. Medicare Open Enrollment (October 15 until December 7, 2013) is the time when all people with Medicare are encouraged to review their current health and prescription drug coverage, including any changes in costs, coverage and benefits that will take effect next year. If you want to change your coverage for next year, this is the time to do it. If you’re satisfied that your current coverage will continue to meet your needs for next year, you don’t need to do anything. For more information on Medicare Open Enrollment, visit Medicare.gov or call 800-MEDICARE. NOTE: The Health Insurance Marketplace Open Enrollment period from October 1, 2013 until March 31, 2014 overlaps with the Medicare


Open Enrollment period. Therefore, people with Medicare who are looking to make Medicare coverage changes should make sure that they are reviewing Medicare plans and not Marketplace options.

What should I do if I’m contacted about signing up for a health plan? The Medicare open enrollment period is a time when there’s a higher risk for fraudulent activities. It’s against the law for someone who knows that you have Medicare to sell you a Marketplace plan. Do not share your Medicare number or other personal information with anyone who knocks on your door or contacts you uninvited to sell you a health plan. Senior Medicare Patrol programs are teaching people with Medicare how to detect and report fraud and protect themselves from fraudulent activity and identity theft.

To learn more about health care fraud and ways to protect against it, v isit StopMedicareFraud.gov or the Senior Medicare Patrol (SMP) program. In Central Oregon, the SMP program is sponsored by the Central Oregon Council on Aging Senior Health Insurance Benefits Assistance (SHIBA) program. For more information about SMP and how you can volunteer, visit SMPresource.org. (The Health Insurance Marketplace FAQ information was provided by the United States Department of Health and Human Services.) Get one-on-one help comparing plans from your local Senior Health Insurance Benefits Assistance (SHIBA) program. SHIBA is part of the Oregon Insurance Division and is sponsored locally in Central Oregon by the Area Agency on Aging, Central Oregon Council on Aging (COCOA). To schedule an appointment with a trained volunteer counselor, contact COCOA’s SHIBA program at 541-678-5483.

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OTHER WAYS TO GET HELP: • Visit www.medicare.gov/finda-plan to compare your current coverage with all of the options that are available in your area, and enroll in a new plan if you decide to make a change. • Call 1-800-MEDICARE (1-800633-4227) 24-hours a day/7 days a week to find out more about your coverage options. TTY users should call 877-486-2048.

• View the 2014 Oregon Guide to Medigap, Medicare Advantage and Prescription Drug Plans on the state SHIBA website at www. oregonshiba.org. This guide is produced annually by SHIBA staff of the Oregon Insurance Division and is a trusted and valuable resource.

• If you have limited income and resources, you may be able to get Extra Help paying your p r e s c r i p t i o n d r u g c ove r a g e cost s. For more infor mation, v isit w w w.SocialSecur it y.gov or call Social Security at 800772-1213. TTY users should call 800-325-0778.

Lisa Emerson is the statewide program

• Call the SHIBA state central office at 800-722-4134, 8 a.m. to 5 p.m., Monday through Friday for help with any of your Medicare questions.

coordinator of the Oregon Senior Health

• Rev iew the “Medicare & You” 2014 handbook. It is mailed to people w it h Med ic a re i n September.

in management, human resources and

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Insurance Benefits Assistance (SHIBA) Program and State Health Insurance Assistance Program (SHIP) Director. Lisa has more than 20 years work experience insurance claims. She can be reached by email at lisa.emerson@state.or.us or by phone at 503-947-7087.


Ageless TO YOUR HEALTH

THE REST OF YOUR LIFE Getting the proper amount and quality of sleep is fundamental in maintaining good health. by Kari Mauser, The Bulletin Special Sections

Most people experience midafternoon drowsiness, a period in the day when motivation evades us and sleep entices us. Blinks are too long, our head is heavy, muscles weak, and we find it hard to concentrate. According to David Dedrick, MD, sleep specialist at St. Charles Medical Center, that sleepiness is normal. However,

it should be fairly easy to fight it off with something as simple as a walk around the block. “If the lull of sleep is irresistible, and you can’t maintain alertness, then something is wrong,” said Dedrick. “If you can’t make it 16 hours with sustained alertness, it’s likely something is amiss.” Even sedentar y activities should be enough to keep you awake rather than prompting you to doze off during the day.

“Imagine being in a boring, old staff meeting,” Dedrick said. “One g uy is f idget y, restless, ner vou s, look ing around, playing with a pen. Another guy is dozing off, head nodding. That guy is sleep deprived. “Human inclination in a bor ing situation is to f ind s o me plac e el s e t o b e o r something else to do, not to go to sleep.” This is not to say, though,

that people don’t tend to be more sleepy as they get older. According to Dedrick, however, quality of sleep can decrease as we age due to a degradation of fundamental health issues and the medications we end up taking. “Medications with sedating potential lead to dozing off dur ing the day in front of the TV just because of being sedentar y,” he said. “Now, you’ve had this power nap Ageless | Autumn 2013 | 23


before you are ready to enter a full sleep zone, so you are not going to get into as deep of a sleep as you need to, and you aren’t going to get enough sleep either.” Studies do suggest that we need a bit less sleep as we age — getting by on six and a half hours is not u ncom mon i n later adu lt ho o d. According to Dedrick, this is likely because we have less neurological activity going on when we’re older. “Small children need so much sleep because there is so much wiring and processing going on,” he said. “When we are seniors, that simply isn’t happening anymore.” One of the most common issues Dedrick sees in senior adults is even when they fall asleep easily, they wake up in the night and cannot get back to sleep. Oftentimes, this can be linked to nodding off before bedtime, but it can also be associated with medical problems such as arthritis. A painful hip or other physical ailment can interfere with sleep. T. Chris Kelley, DO, diplomat of American Board of Sleep Medicine at Bend Memorial Clinic, acknowledges that medical conditions and the a ss o ciated med ic at ion s have significant impact on sleep as we age. Beginning around age 65, our sleep becomes more fragmented, and as a result, we never really feel rested according to Kelley. “A s we age, sleep apnea and insomnia are huge problems, and t hey a re of ten overlo oked a nd underappreciated,” Kelley said. “As a society, we just accept that we are going to be tired, and that is really not good.” Ignoring sleep problems leads to other issues, including hypertension, increased risk of stroke, and even our ability to manage diabetes. “We have dietar y indiscretions, eating to fill something out of stress, and in those situations we don’t tend to make good food choices,” Kelley said. And while bad food choices make it difficult to control diabetes, they also lead to a higher risk of obesity. 24 | Ageless | The Bulletin


“You need a steady sleep pattern where you go to bed at relatively the same time each night, and you need an environment that is conducive to sleep. No television or loud radio, no eating or working in bed. The bedroom should be reserved for sleep.” Regular daily activities are also affected when sleep deprivation sets in. “It affects your concentration significantly and lessons your state of coordination,” said Kelley. “You might think there is a step where there’s not, or you might not see ice on the ground, and these things lead to falls.” Even more dangerous can be driving a vehicle. “Sleep deprivation is akin to intoxication,” Kelley said. While the physical risks are tangible, the psychological risks of not getting enough sleep are also dangerous. Prolonged sleep deprivation can lead to depression and anxiety disorders, which are often exasperated by isolation, a factor many

seniors have to contend with, according to Dedrick. “We need more stimulation in the day,” Dedrick said. “Get a hobby. Find something you like to do, and that will lead you to friends, to other people who are doing it, and that is so good for you.” Another thing to consider is what is referred to as “sleep hygiene,” the sleep environment you set up for yourself and what kind of sleep routine you keep. “You need a steady sleep pattern where you go to bed at relatively the same time each night, and you need an environment that is conducive to sleep,” Kelley said. “No television or loud radio, no eating or working in bed. The bedroom should be reserved for sleep.”

If everything seems in line for a good night’s sleep, and sleep continues to elude you, both Dedrick and Kelley recommend reaching out for help, beginning with a visit to your primary care doctor. Yo u r d o c t o r w i l l g i v e y o u a comprehensive medical exam to see what physical complications may be at play and will also look at your medications and your sleep schedule. Once your situation is assessed, you may be referred to a sleep specialist who can help you get things back on track. “Sleep is like the alignment of the stars,” Dedrick said. “Everything has to be just right.”

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BY DAY AND NIGHT

by Hannah O’Leary, for The Bulletin Special Projects Photos by Nicole Werner

With a natural affinity for animals, Leslie Day provides a sanctuary for rescued chimpanzees. Ageless | Autumn 2013 | 27


U

p before the sun — more impor tantly, up before the chimps — Lesley Day, founder of Chimps Inc., can be found prepping for the day. A dab of this and a dollop of that, Day meticulously prepares Friday’s breakfast, a rice pudding mixture for the eight chimps at the nationally renowned sanctuary near Tumalo. In this quiet morning hour, Day gets back to the basics of what keeps her going. One by one she greets Topo, Pattie, Herbie, Emma, CJ, Jackson, Thiele and Maggie. She coaxes Pattie to take her vitamins, much as a parent would persuade a child to eat her vegetables. Day greets the staff as they begin to trickle in, starting another satisfying day at the sanctuary. Herbie blows them a kiss, his way of saying “Good mor ning.” The chimps are ready for breakfast. They feast on warm pudding and fresh fruit. The staff begins to shuffle the chimps to different areas of the sanctuary. They are ready for another day car ing for them, from cage cleanings, enrichment, lunch, snacks

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and dinner to social media updates and reports. Each day is a full day. Fortunately, for a go-getter like Day, motivation has never been a problem. While her role at the sanctuary has grown and changed over the years, it is her closeness, intimacy and passion for her mission — the chimps — that allow Chimps Inc. to thrive nearly 20 years later. Chimps Inc. is a sanctuar y specif ically desig ned to prov ide lifetime care to captive chimpanzees. Nothing states Chimps Inc.’s purpose more concisely than the mission that Day not only created, but also embodies. “We are dedicated to overcoming exploitation and cruelty that they and other captive wild animals can face through advocacy, education and conservation,” it states. “Growing up, I remember having a respect and love for animals,” Day said. “I had always loved primates from afar.” As a spectator at Marine World in the ‘80s, she met the chimpanzee trainers. “I wanted a pet chimpanzee,” she

said. “I didn’t know how wrong that was at the time.” The Marine World trainers put her in touch with a breeder in upstate New York.After corresponding back and forth, Day decided to visit the breeder’s facility. The moment Day stepped into the dingy, dirty trailer is an ex per ience she w ill never forget. Several chimpanzees were living in filthy, run-down, inhumane conditions. “They didn’t have outdoor facilities. It was absolutely horrible,” Day said. “Topo, reached out, grabbed my finger, and it was over. As soon as I looked into his eyes, I knew I just knew I had to get him out of there.” “I didn’t know what I was doing. Chimpanzees are not pet s, w ild a n i ma l s don’t ma ke pet s,” Day added. “I studied, read, asked other sanctuaries what needed to be done and followed their example.” For the next two years, Day set the early foundation for what would become the Chimps Inc. we know today. She purchased used caging, converted her garage into an indoor facilit y, and created an outdoor

enclosure in the backyard. “I flew by the seat of my pants, which I tend to do a lot,” said Day. “Topo’s reaction made it all worth it. It was amazing. He just couldn’t believe it. “Topo was so excited. He ran around the enclosure jumping up and down. Topo thanks us every day. Every day it is rewarding.” Day began her lifetime commitment to Chimps Inc. in 1995. Topo paved the way for future rescues. Seven months later, Marine World closed its chimpanzee department. This is how Pattie, followed much later by Keely and Maggie, came to call Chimps Inc. home. Her sincere passion for her mission keeps Day, and Chimps Inc., moving forward. “Luckily, I have a lot of energy,” she said. “[Day] is a very focused person on her mission for the sanctuary,” said Marla O’Donnell, the sanctuary ma nager. “A s t he fou nder a nd president, it would be easy for her to constantly be tied up in paperwork. She is very hands on and finds the


time to help with everything from feeding to cleaning cages.” Throughout the years, Chimps Inc. has grown from its modest beginnings to include two indoor playhouses, aerial tunnels and three outdoor enclosures, the largest of which spans over an acre. The house Day lived in back in ‘95 now houses interns and visitors who are working with Chimps Inc. In order to provide well-balanced meals, a 450-square-foot greenhouse and three-tiered organic gardens were installed. “If I was to do it all over again, I might have planned the buildings a bit better, or made the cages easier to clean,” Day said. “I didn’t envision this when we rescued Topo, and I wouldn’t trade it.” Day’s sincere focus on the care and well-being of the chimps when making changes to the sanctuary shouldn’t come as a surprise. “She has a lot of wisdom and intuition while working with the chimps,” said Shayla Scott, a caregiver at Chimps Inc. “It is always something that I admire and hope to gain while

working with her. When a chimp is sick, Day nearly always knows what to do.” In addition to the physical improvements around Chimps Inc., the organization has joined the Global Federation of Animal Sanctuaries, t he Nor t h A mer ic a n S a nc t ua r y Primate Alliance, and are sanctioned by the United States Department of Agriculture. Dr. Jane Goodall, world-renowned pr imatolog ist whose research redefined the relationship between humans and animals, serves on their board of directors. “She is an inspiration to anyone who meets her,” Day said. “She shows us that we can all make change, no matter how little it is, we can change the world a bit at a time.” According to Day, chimps can live up to 60 years when in captivity. “When you’re starting out, you don’t stop to think that most of the chimps in the sanctuary will outlive us,” she said. “For the future, it would be nice to know that the chimps will be taken care of.” This thought gives her pause as

she considers the long-term future of Chimps Inc. — a future that she hopes will outlive her own lifetime contribution. “I’d like to have a successor in place and a large endowment,” Day said. “The chimps could either live out their days at our sanctuary or be moved to another sanctuary.” This is how Day spends much of her time these days — finding funding for the organization’s beloved chimps. She says it cost s around $1, 300 per month to feed and house each chimpanzee. To pay for these expenses, Chimps Inc. hosts a variety of fundraisers throughout the year as well as develops various partnerships with donors. And while Day feels their mission is sound, the lack of visibility proves difficult in her fundraising efforts. “It is hard to f ind suppor ters, because in general sanctuaries aren’t open to the public,” she said. “Donors can’t see where they’re giving their money and the impacts that it is having.” By hosting open house functions,

Day strives to make the work of Chimps Inc. relatable. While small in scale, Chimps Inc. plays a significant role within a small group of true sanctuaries in North America. With the National Institute of Health releasing many of their chimps from research, the burden of care will likely fall to sanctuaries like this one. But despite the seemingly endless efforts put toward both caring for the chimps and raising funds for care, Day says she’s rewarded daily from those most touched by the work. “Ever y day that I am with the chimps, they say thank you, and that makes it all worth it,” said Day.

“She shows us that we can all make change, no matter how little it is, we can change the world a bit at a time.”

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Ageless BEAUTY

Hair and

AGING

Call it our mane, our crown, or flowing locks, hair can best be cared for with a positive attitude. by Bridget McGinn, for The Bulletin Special Projects Retirement and a resolve to travel around the world led to another major life transition for Wendy Birnbaum. She decided to stop coloring her hair. “I figured that backpacking around South America for four months, it was not going to be easy to color my hair every three weeks,” said Birnbaum. As she and her husband sold their home, closed their business and planned their volunteer projects in Peru, Brinbaum also went to her hairdresser and asked for a very short cut. After a brief growing out period, she had a beautiful head of silver-gray hair. “It was very freeing to let go of caring if my roots were covered,” said Birnbaum. “It was a new chapter in my life, and it was one less thing to worry about.” Among the changes that can happen to hair as people age, graying is perhaps the most common and visible. Often beginning in a person’s 30s, graying is the result of hair follicles producing less of the pigment melanin, which provides color to the hair. New hair that grows in then appears white, silver or gray. How individuals respond to this inevitable part of aging can vary. Some, like Birnbaum, may decide to embrace the gray, and others choose to erase the gray by coloring their hair. Danielle O’Hare, a stylist at Studio Hair in Bend, says that while graying hair is the No. 1 issue that older clients approach her with, the majority decide to cover the gray with color. “My clients tell me that when they color their gray hair, they feel like they appear younger,” said O’Hare. “And they seem to feel better about themselves.”

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Darlene Miller can relate to that. When she found her first gray hairs, she plucked them out individually. She soon realized that was a losing battle and decided to color her hair. “I just feel like it makes me look a little younger, and we all want that,” said Miller. Miller’s daughter, Lana Wittmer, is a licensed cosmetologist and has been coloring her mom’s hair for her for decades. “There are a lot of things that can happen to the body as people age,” said Wittmer. “Given that, I think that hair is actually a simple thing to touch up versus something like plastic surgery.” While women tend to be more concerned with covering up all of their gray hair, men have a different approach that seems to be more accepting of the aging process, according to O’Hare. If they do decide to cover their gray, which is relatively rare, the process is a bit different for men compared to women. “The coloring products designed for men don’t completely cover the gray, they are semi-permanent and blend rather than cover,” said O’Hare. “Men generally don’t want people to know that they dye their hair, so they don’t want to be obvious.” Color ing his gray ing h a i r w a s n e ve r a n option that Dan Jordan

considered. “I probably started to turn gray about 10 years ago,” said Jordan. “I guess I didn’t pay much attention to it. I never had a problem with it. I’m not overly concerned about my hair.” As his hair gradually grayed, Jordan noticed that people would comment on it, and the implication was often that he was getting older. In response, he created his own descriptive term for the color change in his hair. “I don’t have gray h a i r,” s a i d Jordan. “I have pearl gray hair. I think that

has more depth to it.” Wittmer and O’Hare both say that besides graying, another common issue that their older clients ask them about is thinning hair. As people age, the growth rate of hair slows, and hair strands become finer. Some hair follicles cease production of new hairs. For men, thinning hair can begin to appear by the age of 30, and many men are bald or nearly bald by the age of 60. Hormonal changes during menopause can result in changes to hair growth patterns for women, and they may experience thinning hair and a more-visible scalp. “There is not a lot that can be done about thinning hair,” said O’Hare. “But we can talk about the best way to style your hair to help it seem thicker and fuller.” Jordan said that when he noticed his hair thinning a bit on top and along his forehead line, he changed his style. At the suggestion of his wife, he began parting his hair on the side instead of combing it straight back as he had done for years — a change he feels comfortable with. “I think it looks a little more sophisticated now,” said Jordan. O’Hare advises that wearing hair longer tends to make hair look thinner, while a shorter cut might give hair more volume.

“Shorter hair tends to have more body,” said Wittmer. “Adding layers can help with fullness if that is a concern.” Regardless of the style, taking good care of the hair that you have is key. Keep hair moisturized and avoid damaging hair by overuse of blow-dryers, curling irons or other sources of heat. Use a soft hairbrush and a gentle shampoo, and condition regularly. Protect your hair from the elements, and wear a hat while outside in cold or windy weather, and wear a swim cap when in the pool. Extending the time between coloring can help reduce the damage to hair as well. Perhaps the biggest thing that can impact the health of hair is nutrition. “ It’s a bor i ng mes s age t hat no one wants to hear,” said Lori Br izee, registered dietitian and owner of Central Oregon Nutrition Consultants. “Everyone wants the magic pill, but basically a healthy, balanced diet is what you need to have healthy hair.” In her practice, Brizee has seen firsthand the connection between nutrition and healthy — or unhealthy — hair. Working with malnourished children allowed her to see how their hair gradually began to look better and become less brittle with less breakage and more fullness after eating properly balanced and regular meals.

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“ We k now from studies that malnutr ition can make a huge difference in people’s hair,” said Brizee. “You need a balance of nutrients for healthy hair.” By the same token, taking extra nutrients is not going to improve the health of hair. “For example, some people say that taking high doses of vitamin and/or mineral supplements or eating larger amounts of specific foods will make skin and hair better,” said Brizee. “But it is really all about balance. If you are not already deficient in those nutrients taking more of them isn’t going to help your hair.” For healthy hair — and a healthy body — Br izee recommends eating from all of the food groups, especially fruits and vegetables. “Diets high in fruits and vegetables are healthier,” said Brizee. “Focus on leafy green vegetables like spinach, kale and broccoli. They are high in lots of essential nutrients.”

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Protein from vegetable or animal sources, whole grains, and dairy products for calcium are also good parts of a balanced diet that can help keep bodies and hair healthy, according to Brizee. “You have got to meet basic nutritional needs for healthy hair growth,” said Brizee. “If you aren’t meeting these needs, all the hair products and dressing available aren’t going to give you beautiful hair.” No matter what choices people make about how to address the issues they face with their hair as they age, a healthy outlook is also important. “It’s all about personal choice,” said Birnbaum. “My hair says, ‘this is who I am.’ When I decided to let my hair go gray, it was about letting go and stepping into a new adventure.”


Ageless LEGAL ADVICE

PLANNING FOR A LOVE ONE’S

End-of-Life Needs Make this difficult time more peaceful and less chaotic for everyone involved. by Melissa P. Lande, Attorney People often contact me because they have a family member or dear friend who is near the end of his or her life. One of the first decisions that family members or other trusted individuals need to decide — along with the dying person, if that person is still able — is where the dying person should spend the end of his or her life. Is it appropriate to have him or her stay at home or the home of a loved one, or should that person be in a hospital or hospice facility? Hav ing someone you love pass away is never easy, but with discussion and planning ahead of time, it can be less chaotic and more peaceful. I have described below some of the steps that you should take to assist the person you love.

Decision Making Documents You should make sure that the dying person has executed a Durable Power of Attorney, Advance Directive and Medical Author ization. The Durable Power of Attorney will allow their agent to handle that person’s financial affairs when they are living but no longer able to handle their own finances. The Oregon Advance Directive allows the health care representative to make medical and end-of-life decisions for the dying person when they are no longer able to make them for themselves. The Medical Authorization allows the appointed

person’s children. These are often unintended distributions which add to the stress of losing a loved one.

Physician Orders for LifeSustaining Treatment (POLST)

representative to speak with his or her doctors and review medical records. T h e s e d o c u me nt s a l low t h e dying person to select the person that they feel will make the best decisions for them. They can select the same person or different people for financial and medical decision making. Many people do not have close family relationships, so they may choose to nominate a trusted friend or a distant relative. Also some people have a stronger relationship with one child or a stepchild, and they may choose to nominate that person to avoid having family members argue about who should be making decisions.

Distribution of Assets If the person has assets to be distributed, they should also execute a Will or a Trust to designate to whom their assets should be distributed. In addition, he or she should review any accounts that they co-own with another person to determine if they want that person to receive those assets at death. The party should also check his or her beneficiary designations to make sure that they have the correct beneficiaries named. There are often situations where a life insurance policy designates the ex-spouse as the primary beneficiary, and that asset would transfer to the ex-spouse at death rather than to the current spouse or the deceased

The dying person should ask their physician to complete a Physician Orders for Life-Sustaining Treatment (POLST). This will allow them to spell out the desires about resuscitation and other life-sustaining treatment. The POLST form is bright pink and should be placed on the refrigerator or another obvious spot so that it is seen in an emergency situation. There is a POLST registry that the dying person can choose to be part of, where the completed form can be registered, and emergency staff will access the information quickly in a crisis. A POLST can eliminate an unwanted trip to the emergency room.

In-Home and Out-of-Home Care Options E x plore a l l t he c a re opt ion s available for the dying person. One option may be to private pay at a nursing home or other facility. If the person has long term care insurance, determine which services are covered by the policy. In addition, the Oregon Department of Human Ser vices offers many programs that make it possible for a loved one to stay in their home at the end of life even if that person does not Ageless | Autumn 2013 | 33


“Above all, be aware that your role is to be an advocate for the dying person whether it is to carry out his or her end-of-life wishes or to support them through the difficult process.”

Melissa P. Lande is a partner at Bryant, Lovlien and Jarvis in Bend. She focuses her practice on assisting her clients with estate planning, elder law, wills, trusts, probate, asset protection, guardianships and conservatorships. Melissa is a graduate of New York University and Washington and Lee University School of Law in Virginia. She is a member of the Oregon State Bar Estate Planning and Elder Law Sections. She and her husband, Mark, have a son, Griffin, and a daughter, Lila. Contact Melissa at 541 382-4331 or lande@bljlawyers.com.

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have significant financial resources. Oregon Project Independence allows a low-income person who is 60 or older and who has been diagnosed with Alzheimer’s Disease or a related illness to remain in the home if he or she otherwise qualify for assistance. For those with minimal resources and income, Oregon’s Medicaid program pays for long-term care in the home.

Hospice Make contact with your local hospice. Whether you have inhome assistance or are at a hospice facility, it is important to have the assistance of people who are trained to deal with end-of-life care

and support for the person who is at the end of their life and those who are going through this difficult time with them.

Planning for the End of Life Spend time speaking with the dying person about their wishes and desires. Find out if they want a funeral, memorial service or a celebration of life, and honor that person’s wishes. Determine who should be notified and how to notify them. Also, it is important to have their passwords, keys, combinations and information regarding safety deposit boxes and safes. Find out where the person keeps their important

papers, and then check to see if they are in that place. There a re ma ny end- of-l i fe planning guides which have helpful information to assist in discussion and planning. Finally, do not be afraid to ask for assistance if you are becoming over whelmed w it h all t hat is required of you during this time. Above all, be aware that your role is to be an advocate for the dying person, whether it is to carry out his or her end-of-life wishes or to support them through the difficult process. However, this can be easier to accomplish if you know and understand that person’s wishes.


COCOA NEWS CENTRAL OREGON COUNCIL ON AGING:

Resources Made Easy My name is Matthew Romero, and I am Central Oregon’s Aging Disability Resource Connection Specialist. That’s a fancy title, indeed. I am the person who can help seniors, adults with disabilities and their family members find what they need. So what exactly do I do? As the Aging and Disability Resource Connection (ADRC) Specialist for Central Oregon, which spans from the Califor nia to Washington borders, my job is to be a onestop shop for many of your questions. Are you looking for health care information? I can do that. How about in home care referrals? I can do that, too. Or what if you lost your cane or need a handyman to come out and fix something? I’m on it. Information about Medicare? You bet. Resources for family members and caregivers? Absolutely. With access to trusted resources that have been thoroughly screened, I can assure that the resources we provide are legitimate. I may not be able to solve all your problems, but I will certainly try. I also do more than just answer phones and point you in the right direction. As a trained options counselor, I am available to meet one on one to discuss your needs in depth, give proper resources, and

establish tangible goals to help find a solution for your needs. Soon, I will be trained to help determine eligibility for Medicaid, so when you go to apply with your local DHS, all your ducks will be in a row, saving you time and headache. I would love to tell you that every resource you find can be trusted implicitly, but that wouldn’t be the truth. One of our jobs at the Council On Aging (COCOA) and the ADRC is to help you access trusted information and resources quickly. We constantly update providers and vet new ones. We do so by maintaining a database with all the necessar y resources for Central Oregon and beyond. This is why we matter — because seniors and adults with disabilities matter to us. About Me: I am new to Central Oregon having come from Southern California. I am an avid outdoorsman who has hiked the 2,700-mile Pacific Crest Trail, done long adventures in New Zealand, and even lived for seven months in Antarctica. As you can see, I am not your typical Californian and have already been joking that Central Oregon should have been my home all along. When I’m not outside exploring, you

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can find me involved in service to the community. I spent the last five years directing a nonprofit in San Diego that dealt directly with homelessness and ways to help transition people who were ready to take the next steps in positive living. You could find me helping with various civic groups — volunteering to help maintain our local trails or leading a snorkeling trip with kids to teach them about ecology and preservation. Wherever I am, I strive to be an asset to that community, and that’s why I am in Central Oregon. People often ask me, “Why aren’t you doing something outside with everything you’ve done? You could be a mountain guide or a ranger perhaps.” My reason is personal. My own family dealt with a complicated matter involving elder abuse that resulted in the loss of an estate and the shattering of a family. Navigating that painful process took years to resolve, and we are still dealing with the repercussions to this day. This is why I choose to help. My passion is to help seniors and their caregivers access quality information quickly and easily, and to help with the little things, too. ADRC and COCOA aim to do that as well.

Matthew Romero, COCOA Aging and Disability Resource Connection Specialist can be reached at 541-678-5483 or (855) ORE-ADRC (6732372). You can find more information about Aging and Disability Resource Connection online at www.ADRCofOregon.org and online at: www.councilonaging.org.

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Ageless | Autumn 2013 | 35


Ageless EVENTS & ENTERTAINMENT CALENDAR SATURDAY, SEPT. 21

FRIDAY, SEPT. 27

THURSDAY, OCT. 3

50 PLUS OR MINUS CAR SHOW: Featuring awards, raffle, live music, food, beverages and more; proceeds benefit the Crooked River Ranch Senior Center; free admission, $10 per vehicle; 10 a.m.-3 p.m.; Crooked River Ranch Senior Center, 6710 S.W. Ranch House Road; 541-504-0755 or www. crookedriverranch.com.

RED DOG CLASSIC : A shotgun-style golf tournament; includes cart, breakfast, barbecue lunch, auction and raffles; proceeds benefit BrightSide Animal Center; $100, registration requested; 9 a.m.; Eagle Crest Resort, 1522 Cline Falls Road, Redmond; 541-923-0882 or www.brightsideanimals.org/ events/red-dog-golf-tournament/.

HIGH DESERT CHAMBER MUSIC SERIES: The Los Angeles based group, Thies Consort, performs a special program featuring the chamber sonatas of Sergei Prokofiev; $35, $10 students and children 18 and younger; 7:30 p.m., doors open at 6:30 p.m.; Tower Theatre, 835 N.W. Wall St., Bend; 541-317-0700 or www.highdesertchambermusic.com.

BEND OKTOBERFEST: Event includes oompah music, family area, games and a wiener dog race; free admission; noon-10 p.m., all ages until 6 p.m.; downtown Bend; 541788-3628 or www.bendoktoberfest.org.

GIRLS NIGHT OUT: A pampering evening for women with salon treatments, food and beverages, raffle and silent auction; proceeds benefit Healthy Beginnings; $45 in advance, $50 at the door; 7-10 p.m.; Sunriver Homeowners Aquatic & Recreation Center, 57250 Overlook Road; 541-3836357 or www.myhb.org.

FRIDAY, OCT. 4

MONTYPYTHON’S“SPAMALOT”:TheTony-winning musical is performed by Stage Right Productions; $24-$29 plus fees; 8 p.m., doors open at 7 p.m.; Tower Theatre, 835 N.W. Wall St., Bend; 541-317-0700 or www.towertheatre.org.

TUESDAY, SEPT. 24 DESCHUTES BREWERY CO-OP, FROM PITCHFORK TO PUB: Featuring small plates paired with fresh hop and fruit beers; first 100 people; donations benefit local nonprofit organizations through Rally Cause; free; donation accepted; 5:30-7:30 p.m.; Deschutes Brewery & Public House, 1044 N.W. Bond St., Bend; 541-382-9242 or www.deschutesbrewery.com.

WEDNESDAY, SEPT. 25 AUTHOR PRESENTATION: Featuring a reading of “Via Lactea,” a verse novel by Ellen Waterston and preview of a mock-up of the art book with prints by Ron Schultz; appetizers and wine; free; 6:30-8:30 p.m.; Atelier 6000, 389 S.W. Scalehouse Court, Suite 120, Bend; 541-330-8759. “POMPEII FROM THE BRITISH MUSEUM”: A view of the exhibit “Life and Death in Pompeii and Herculaneum”; $15; 7:30 p.m.; Regal Old Mill Stadium 16 & IMAX, 680 S.W. Powerhouse Drive, Bend; 541-382-6347.

THURSDAY, SEPT. 26 BENDFILM KICK-OFF PARTY & 10TH YEAR BREW PREVIEW: Featuring the tasting and naming of a BendFilm 10th Year Belgian IRA created by Deschutes Brewery to honor the festival, live music; receive two beer tickets, appetizers and the first available copies of the BendFilm Guide; proceeds benefit BendFilm; $20 in advance, $25 at the door; 6-9 p.m.; Deschutes Brewery & Public House, 1044 N.W. Bond St., Bend; 541-388-3378 or www.bendfilm.org. 36 | Ageless | The Bulletin

SATURDAY, SEPT. 28 PROJECT CONNECT 2013: One day, one stop for over 50 services including medical care, urgent dental care (extractions), legal aid, birth certificate/identification services, housing and more for those striving on low income or struggling to make ends meet; 9 a.m.-4 p.m.; Deschutes County Fair & Expo Center, 3800 S.W. Airport Way, Redmond; 541-385-8977 or www.volunteerconnectnow.org. LAST SATURDAY: Event includes art exhibit openings, live music, food and drinks and a patio and fire pit; free; 610 p.m.; The Old Ironworks Arts District, 50 Scott St., Bend; www.j.mp/lastsat. STEVE EARLE AND THE DUKES: The country singersongwriter performs with his band, with The Mastersons; $45.40-$62 plus fees, add $5 day of show; 8 p.m.; Tower Theatre, 835 N.W. Wall St., Bend; 541-317-0700 or www. towertheatre.org.

SUNDAY, SEPT. 29 CENTRAL OREGON WINE STOMP 5K/10K: A fun run/walk through the vineyard followed by music, food and wine; sign up at Volcano Vineyards or Fleet Feet Sports; proceeds benefit The Fred Hutchinson Cancer Research Center; $20 before Sept. 20, $30 late registration, $12 T-shirts; 11 a.m.; Faith, Hope and Charity Vineyards, 70455 N.W. Lower Bridge Way, Terrebonne; cowinestomp@gmail.com. “BLACK & WHITE”: Arts Central’s fundraiser features food, wine, silent and live auctions; $90 per person or $900 for table of ten, registration requested; 4-8 p.m.; Bend Golf and Country Club, 61045 Country Club Drive; 541-633-7242, debbie@artscentraloregon.org or www.artscentraloregon. org/blackandwhite.php.

FIRST FRIDAY GALLERY WALK: Event includes art exhibit openings, artist talks, live music, wine and food in downtown Bend and the Old Mill District; free; 5-9 p.m.; throughout Bend. STEVEMARTIN&THESTEEPCANYONRANGERS: The actor and the North Carolina bluegrass band plays, and features Edie Brickell; $44-$85 plus fees; 6 p.m., doors open at 5 p.m.; Les Schwab Amphitheater, 344 S.W. Shevlin Hixon Drive, Bend; 541-322-9383.

SATURDAY, OCT. 5 VFW BREAKFAST: A community breakfast; $8.50; 8-10 a.m.; VFW Hall, 1503 N.E. Fourth St., Bend; 541-389-0775. “THE METROPOLITAN OPERA, EUGENE ONEGIN”: Starring Anna Netrebko and Mariusz Kwiecien as the lovestruck Tatiana and the imperious Onegin in Tchaikovsky’s fateful romance; opera performance transmitted live in high definition; $24, $22 seniors, $18 children; 9:55 a.m.; Regal Old Mill Stadium 16 & IMAX, 680 S.W. Powerhouse Drive, Bend; 541-382-6347. SWINGING WITH THE STARS: Local celebrities dance with professional dancers in a competition modeled on “Dancing with the Stars”; registration requested; proceeds benefit Central Oregon Sparrow Clubs; $15-$60; 6 p.m.; Bend High School, 230 N.E. Sixth St.; 541-647-4907 or www. swingingwiththestars.org.

THURSDAY, OCT. 10 BENDFILM FESTIVAL: (Thursday through Sunday) The 10th year of independent film screenings; venues include Regal Old Mill Stadium 16, Tower Theater, Tin Pan Theater, Oxford Hotel, Greenwood Playhouse and McMenamins Old St. Francis School; see festival guide for full schedule at each venue; $12, $150 full film pass, $250 full festival pass; 5 p.m.; Bend location; 541-388-3378 or www.bendfilm.org.

TUESDAY, OCT. 15 RAMBLIN’ JACK ELLIOTT: The New York folk musician performs, with Nell Robinson; $25-$38 in advance, $30-$43


SATURDAY, NOV. 2

SUNDAY, NOV. 17

VFW AUXILIARY ANNUAL CABBAGE ROLL DINNER: A community dinner; $9; 5 p.m.; VFW Hall, 1503 N.E. Fourth St., Bend; 541-389-0775.

ART PARTY: View and purchase art from a variety of artists; a portion of proceeds benefits St. Charles Foundation’s Sara’s Project, a breast cancer prevention and awareness organization; free admission; 10 a.m.-6 p.m.; HarknessWilliams home, 1 Beech Lane, Sunriver; 541-788-2486 or sunriversister@yahoo.com.

PACIFIC MAMBO ORCHESTRA WITH TITO PUENTE, JR.: The 19-piece big band performs Latin music; $30-$45 plus fees; 7:30 p.m., doors open at 6:30 p.m.; Tower Theatre, 835 N.W. Wall St., Bend; 541-317-0700 or www.towertheatre.org.

SATURDAY, OCT. 26

SATURDAY, NOV. 9

“THE METROPOLITAN OPERA, THE NOSE”: Starring Paulo Szot as a bureaucrat, who has satirical misadventures in search of his missing nose; opera performance transmitted live in high definition; $24, $22 seniors, $18 children; 9:55 a.m.; Regal Old Mill Stadium 16 & IMAX, 680 S.W. Powerhouse Drive, Bend; 541-382-6347.

“THE METROPOLITAN OPERA, TOSCA”: Starring Patricia Racette in the title role of jealous diva opposite Roberto Alagna as her lover, Cavaradossi; opera performance transmitted live in high definition; $24, $22 seniors, $18 children; 9:55 a.m.; Regal Old Mill Stadium 16 & IMAX, 680 S.W. Powerhouse Drive, Bend; 541-382-6347.

TROMBONE SHORTY & ORLEANS AVENUE: $38$60 plus fees; 7 p.m., doors open at 6 p.m.; Tower Theatre, 835 N.W. Wall St., Bend; 541-317-0700 or www.towertheatre.org.

at the door, plus fees; 7 p.m., doors open at 6 p.m.; Tower Theatre, 835 N.W. Wall St., Bend; 541-317-0700 or www. randompresents.com.

FRIDAY, OCT. 25

TUESDAY, OCT. 29 THE MANHATTAN TRANSFER: The pop group performs; $45-$65 plus Fees; 7:30 p.m., doors open at 6:30 p.m.; Tower Theatre, 835 N.W. Wall St., Bend; 541-317-0700 or www.towertheatre.org.

MONDAY, NOV. 11 VETERAN’S DAY PARADE:Downtown Bend, and also in Redmond. Bend parade starts at 11am. Contact 541.923.5191 for more information about the Redmond parade.

TUESDAY, NOV. 19

THURSDAY, NOV. 21 “GETTING THE BEST POSSIBLE CARE”: A presentation on what end-of-life care could look like if we overcome our cultural aversion to talking about dying; by Ira Byock a doctor, author and director of palliative medicine at Dartmouth Hitchcock Medical Center and professor at Dartmouth College; $25 plus fees; 6:30 p.m.; Tower Theatre, 835 N.W. Wall St., Bend; 541-317-0700 or www.towertheatre.org.

Ageless | Autumn 2013 | 37


Ageless ACHIEVEMENT Central Oregon Council On Aging Receives an Aging Achievement Award from the National Association of Area Agencies on Aging Central Oregon Council On Aging (COCOA) recently announced that Ageless, the publication you’re currently reading, was honored with an Aging Achievement Award by the National Association of Area Agencies on Aging (n4a). Ageless was among 57 local aging programs to receive honors at the n4a Annual Conference and Tradeshow held in July at Louisville, Kentucky. The 2013 n4a Aging Achievement Awards recognize Area Agencies on Aging (AAAs) and Title VI Native A m e r i c a n a g i n g p r o g r a m s fo r successful, cost-effective initiatives that support older adults, people with disabilities and their family caregivers. The honored prog rams ser ve as models for other agencies seeking new and effective approaches to address the needs of older residents and their families in local communities. Honor ing trad itional a nd new strategies in a range of categories, the 2013 n4a Aging Achievement Awards recognize advocacy, care transitions, caregiving, community planning and livable communities, economic and secur it y/f inancial assistance, elder abuse and financial exploitation prevention, ethnic and cultural diversity, health and long-term services and supports integration, healthy aging and nutrition, home and communit y-based care, information and referral technology, tran s por t ation/mobilit y option s, volunteerism/civic engagement and to name a few. “The financial climate and rapid aging of America necessitate creative and effective strategies to support the health and independence of older adults and people with disabilities now and in the future,” said n4a CEO Sandy Markwood. “This awards program 38 | Ageless | The Bulletin

enables us to identify, honor and promote innovative and successful programs and practices that are doing just that.” Ageless is produced as a result of a partnership between Central Oregon Council On Aging and The Bulletin, with sponsors including Bend Memorial Clinic (BMC) and Elevation Capital Strategists. The publication speaks to aging positively and actively and focuses on health, lifestyle, entertainment and advice for the “experienced” Central Oregonian. Ageless publishes six times per year.

The National Association of Area Agencies on Ag ing (n4a) is t he leading voice on aging issues for Area Agencies on Aging (AAA) across the country, and is a proponent in our nation’s capital for Title VI Native American aging programs. n4a’s primary mission is to build the capacity of its members to help older individuals and people with disabilities live with dignity in their homes and communities with the ability to make their own choices for as long as possible. For more information about n4a, v isit t hem online at www.n4a.org and on Facebook at www.facebook.com/n4aACTION.


Ageless | Autumn 2013 | 39


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Ageless  

A magazine for the active, 50-plus Central Oregonian.

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