Boomers d n o y Westchester County
e B &
March 2013
Tips for Healthy Aging p4
Look out, Florida, You’re not the only game in town for seniors! p8 Falls DO NOT Have to be a Normal Part of Aging p9 Astorino presents Proclamation of Achievement to Drum Hill Resident Celebrating 104th Birthday p11
Red Flag Alerts—How to Recognize when Aging Parents Need Home Care p13 Burke helps produce U.S. Table Tennis Hall of Famer p15
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March, 2013
Boomers & Beyond - Westchester
SPECIALIZING IN CARDIOLOGY, INTERNAL MEDICINE AND GASTROENTEROLOGY
HONORED ON
‘Best Doctors’ LISTS YEAR AFTER YEAR
ROBERT BELKIN, MD CRAIG HJEMDAHL-MONSEN, MD GABRIELLE BOLTON, MD KUMAR KALAPATAPU, MD SRIRAMA KALAPATAPU, MD MARK BORKIN, MD SUSAN CAMPANILE, MD RICHARD KAY, MD LEO CARDILLO, MD ANDREW KUPERSMITH, MD MAXWELL CHAIT, MD STEVEN LANDAU, MD ALBERT DELUCA, MD YAT WA (BETTY) LI, MD JEFFREY DONIS, MD SANJAY NAIK, MD JOYDEEP GHOSH, MD DIMPLE PATEL, MD LAWRENCE GLASSBERG, MD RONALD PRESTON, MD EDUARDO GRANATO, MD ANTHONY PUCILLO, MD
MONICA REYNOLDS, MD JAE RO, MD WARREN ROSENBLUM, MD INDERPAL SINGH, MD SUSAN SOEIRO, MD DAVID E. SOLARZ, MD CARMINE SORBERA, MD STEVEN L. VALENSTEIN, MD MELVIN WEISS, MD RONALD WEISSMAN, MD PRESTON WINTERS, MD
Visit us at one of our locations: 19 Bradhurst Avenue Suite 700 Hawthorne, NY 10532 (914)593-7800
15 North Broadway 2nd Floor White Plains, NY 10601 (914) 428-6000
5 Coates Drive Suite 2 Goshen, NY 10924 (845)294-1234
30 Greenridge Avenue Suite 207 White Plains, NY 10605 (914)328-8555
180 East Hartsdale Avenue 3 Michael Frey Drive Suite 1E Eastchester, NY 10709 Hartsdale, NY 10530 (914)337-3500 (914)725-2010
688 White Plains Road Suite 210 Scarsdale, NY 10583 (914)723-3322
ATTORNEYS AT LAW Many Years of Experience Protecting the Legal Interests of the Elderly & Special Needs Populations Advising Families about: • • • • • • • •
Medicare/Medicaid Home Care Long term Care Special Needs Trusts Wills/Trusts Health Care Proxies Powers of Attorney Guardianships
See more information on page 14
Client Testimonials I reached out to you during the most stressful time of life for both my loved ones and myself - horror had occurred to my dear loving mother. My mom had fractured her hip and due to her frail health and advanced age required risky hip replacement surgery. Many issues legal and otherwise arose which I could not personally resolve. You not only resolved each and every one, but you continue to do so now, over 4 years later. You always display extreme sincerity, compassion and friendship, using your vast experience and confidence in your ability, to continually bring satisfaction, positive results and a tremendous sense of relief and comfort to my loved ones and myself. You have gone out of your way to visit Mom on multiple occasions in her Nursing house and we love you for it. As an attorney, friend, and a great man, I could not possibly hope to know anyone more phenomenal. The three greatest men I have ever known are my dear departed father, my dear departed father-in-law and Ely Rosenzveig. – Jeff D.
2 Gannett Drive, Suite #108 White Plains, New York 10604 Email: Info@Ejrosenlaw.com
Tel: (914) 816-2900 www.ejrosenlaw.com
I hired Ely to assist with my parents estate planning and it was a wise decision. He is a true expert in navigating through complex elder care law and procedures. His guidance was invaluable and his communication excellent. I would strongly recommend his services. – Tom C. Attorney advertising • Prior results do not guarantee a similar outcome
ELDER LAW • TRUSTS & ESTATES • EMPLOYMENT LAW • MEDIATION • PROFESSIONAL DISCIPLINARY ACTION REPRESENTATION
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March, 2013
Boomers & Beyond - Westchester
As they grow older, seniors experience an increasing number of major life changes, including retirement, the loss of loved ones, and physical changes. But you can handle it – no matter if you are in your 60s, 70s or 80s. And how we handle these changes, as well as regular day-to-day stresses, is the key to aging well. Remember, maintain your sense of purpose and zest for life. People who are socially and emotionally isolated live a shorter life of poorer quality than people who are active in their community do. With these tips for healthy aging, you can maintain your health, and live with meaning and joy throughout your senior years. Challenge Yourself Mentally: Exercise your brain by going back to school, participate in elder hostel programs, or take a course. Read, use the Internet, play board games and solve crossword puzzles. Keep Emotionally Fit: Stay involved with friends, neighbors and your community. Stay connected through volunteer work in your community or at your church or temple. Offer to help out at a local school or hospital. Stay Physically Fit: Do what you enjoy doing, always consulting with your physician before beginning a new exercise program. Walk, swim, take aqua aerobics classes, bicycle, and lift weights.
Control Incontinence: Take measures to help control incontinence: drink plenty of fluids, use the bathroom before leaving the house or going to bed, lose weight, exercise, avoid caffeine, spicy foods and alcohol.
Drive Safely: As we age, our reflexes get slower. If some driving situations are hard, such as at night, at rush hour, or on highways, avoid these types of conditions. Like all good drivers, don’t drive under stress or when you’re tired. Keep distractions, such as the radio, to a minimum. You may want to check out the American Association of Retired Persons Driver Safety Program.
on-line food delivery, or hiring a home health aide to assist you.
Eat Wisely: Older people are at an increased risk of health problems from poor nutrition. Learn about nutrition and low-fat, low-cholesterol foods. If you are having difficulty preparing meals or shopping for food, consider a meal delivery program, shopping service,
healthy aging
Manage Your Money Wisely: Consider using the services of a professional financial planner whom you trust, if managing money is not your forte.
Make and Keep Appointments with Your Doctor: Get checkups appropriate for your age group. Particularly if you have multiple chronic medical conditions, it’s important to have a primary care physician who can coordinate your care. Keep up with immunizations, such as flu shots.
Beverly & Alfred J. Green Pavilion
Keep Your Home Environment Safe: Tack down loose electrical cords or throw rugs. Be sure your home is adequately lit. Check to see if smoke detectors are in working condition.
Licensed Living Assisted Facility by NYS Department of Health Not-for-Profit
Registered Nurse on site & 24 hour Licensed Nursing Coverage Qualifies for Long Term Care Insurance Reimbursement Griffin Program (Specifically designed for residents with reduced executive function)
Spacious 1 & 2 Bedroom Furnished Apartments Studios,
Three delicious meals served daily in our elegant Dining Room
Daily Housekeeping & Linen Service Extensive Cultural Activities & Social Scheduled transportation to appointments
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At Audio Help Hearing Centers our mission is to educate our patients and community about hearing loss and the importance of early detection and treatment. As health care providers we understand how exhausting
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March, 2013
Boomers & Beyond - Westchester
Advertiser’s Index
From the General Manager
A Healthier You.......................................................................9
According to the United Nations, there are 316,600 centenarians living worldwide.
Advanced Audiology................................................................20 A&J Home Care, Inc.............................................................17 Audio Help Hearing Centers...................................................5
And what is a centenarian? It’s a person who lives to or beyond 100 years. One-hundred years, wow! Imagine that. Here, in Westchester County, we have one extraordinary centenarian.
Bethel.....................................................................................8 ColumbiaDoctors....................................................................2
Her name is Jessie Mary Ward. She is – get this – 105 years young. Ward, a native of England, is a resident at Drum Hill Senior Living in Peekskill.
Drum Hill Senior Living Community...................................11 Hebrew Hospital Home of Westchester..............................19 Integrated Medicine of Mount Kisco......................................7 Neighbors Home Care Services.............................................13 Premiere Audiology................................................................13 Ely J. Rosenzveig & Associates, PC...................................3,14 Sprain Brook Audiology........................................................15 United Hebrew......................................................................12 Victoria Home.......................................................................17
Ward came to the U.S. on July 18, 1922 from Birmingham, England when she was 13. She came to Putnam County via Long Island and has plenty more life in her. In this edition of Boomers & Beyond, we proudly feature Ward. And it might not be the last you hear from her. There is also something called a supercentenarian – a person who has lived to the age of 110 or more, something only achieved by about one in 1,000 centenarians. Here’s to Jessie Mary joining that club! Enjoy the issue.
Jim Stankiewicz, General Manager
Willow Towers.........................................................................4
Westchester County
Boomers d & Beyon
845-534-7500 • (fax) 845-534-0055 Info@HealthcareNewspaper.com PUBLISHER Joseph P. Belsito (Joe@healthcarenewspaper.com) ••• GENERAL MANAGER James Stankiewicz (Jim@healthcarenewspaper.com) ••• MANAGING EDITOR Cathryn Burak (Cathy@healthcarenewspaper.com) ••• MARKETING EXECUTIVE Anthony Mairo (Anthony@healthcarenewspaper.com) ••• CIRCULATION Michelle Belsito (Michelle@healthcarenewspaper.com) ••• SENIOR CORRESPONDENTS Brendan Coyne John Jordan
Corporate Information Healthcare News - Westchester, New York edition - Vol. 6 No. 3 - is published monthly, 12 times a year by Belsito Communications, Inc., 1 Ardmore Street, New Windsor, NY 12553. Postage Paid at New Windsor, NY and additional mailing offices. Postmaster: Send address changes to Healthcare Newspaper, 1 Ardmore Street, New Windsor, NY, 12553. No financial responsibility is assumed by this newspaper to publish a display, classified, or legal ad or for typographical errors except of reprinting that part of the ad which was omitted or in error. Omissions or errors must be brought to the attention of the newspaper during the same month of publication.
Next Month in Boomers & Beyond… Rehabilitation Medicine The road to recovery Top Lawyers discuss Estate Planning
Boomers & Beyond - Westchester March, 2013
“Participants are empowered to manage their health and to maintain a more active lifestyle. Seniors in the program develop a plan and set weekly, incremental goals, which helps them realize success,� said Woods. Group members also help each other. Miss Holloman was assigned
PAGE 7
a “partner� who she keeps in touch with and together they make sure they keep up the routines they established while in the program. “It would be terrible to stop doing what we learned in the workshop. This way we keep each other motivated.� The Living Well program is a series of six workshops. The program
currently in place at Phelps Memorial Hospital is in partnership with Westchester Community College, which coordinates “Livable Communities� programs for the northern region of Westchester County. To learn more about the benefits of the “Living Well Program, call Ellen Woods at 914-366-3937.
, .UTRITIONAL 3UPPORT
Delores Holloman of Ossining, 77, was having trouble with her back. So when she read about the “Living Well Livable Communities Program� for seniors, recently launched at Phelps Memorial Hospital Center in Sleepy Hollow, she knew right away that she wanted to sign up. “It was reassuring to know that I was not alone in experiencing these back problems. There’s a sense of fear that comes with aging, so sharing my concerns with others was very helpful,� said Miss Holloman. The ‘others’ that Delores is referring to were the 11 participants in a six-week program to help seniors manage their chronic health problems. The theory behind the program, developed by Stanford University School of Medicine, is that by encouraging seniors to take on more responsibility for managing their health, they can improve the quality of their lives and lower their healthcare costs. The program is funded by New York State’s Office for the Aging through the Westchester County Department of Senior Programs and Services (DSPS).
The workshops are given by specially trained volunteers who are learning to deal with their own long-term health problems. The trainers provide seniors with strategies to modify their behavior through physical activity and exercise, make changes in their diets and learn techniques to handle pain, frustration and fatigue. Trainer Erin Maher stated, “A large portion of the program focuses on goal setting and problem solving, which are necessary skills for everyone, regardless of age or health status. I truly learned a lot from hearing the participants' stories and felt very connected to the group.� The seniors also learn how to use medications correctly and improve communications with their families and healthcare providers. “The program helps seniors put life back into their lives,� said Ellen Woods, Program Manager of the Vitality Initiative at Phelps, which promotes health, wellness and aging-in-place for adults and seniors in the community. “The techniques they learn, the knowledge they gain and the support they receive from the group helps them take more control over their circumstances.�
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PAGE 8
March, 2013
Boomers & Beyond - Westchester
Look out, Florida, You’re not the only game in town for seniors! Hey! Where are you going? Didn’t you hear? It’s a new day for seniors in Westchester County. Unpack those bags and cancel the moving van. You can retire in Westchester County after all! The Pines at Narragansett, a 50-unit residence with cheerful, cozy and unique apartments located in residential Ossining, has NEW, no frills monthly rents starting at just $1000! Avoid costly buy-ins, reverse mortgage arrangements and high finance calculations. Living at The Pines is easy, relaxing and an amazing opportunity. As part of an established, picturesque neighborhood with sidewalks, beautiful homes and landscaped properties, The Pines offers the very best in location and price. The “no-frills” rent actually includes:
So how about that for affordable, retirement living in the very community where your families and friends still live? No need to swelter in southern heat or start all over again in an unfamiliar place. Walk to the Veteran’s Memorial Park with your grandchildren, grab a train into New York City, be a part of the Book Club or relax in the privacy of your apartment. Call us today for a tour and see how The Pines combined old charm and affordability to become the jewel of senior living in the heart of Westchester County! Call 914.941.7300 x375.
• Heat, air conditioning, water and electricity • Complimentary laundry facilities • Fully equipped kitchenette with refrigerator, microwave, countertop grill and toaster • Parking • Secure, keyed entry • Maintenance Services • Service Coordinator available to coordinate services for personal needs Meals (breakfast and lunch) are available for purchase, by the day or month.
At The Heart of Senior Living Home Care Adult Day Health Care Enhanced, Independent Senior Living Assisted Senior Living Skilled Nursing & Rehabilitation Centers Respite & Hospice Care
914.739.6700 bethelwell.org
provided
Ms. Joan Hamilton (left) stops by for a chat and a cup of coffee with her friend, Ms. Tillie Weinbaum in her first-floor apartment at The Pines. Ms. Hamilton, a life-long resident of Ossining, moved into The Pines ten years ago and was one of its first residents. Ms. Weinbaum had been living in Florida before coming to The Pines so she could be closer to her family. Residents at The Pines enjoy the opportunity to socialize with each other when not relaxing in the privacy of their apartments or spending time with their families and friends from the community.
Ossining / Croton-on-Hudson
info@bethelwell.org
Celebrating 100 Years of Service to the Community
Boomers & Beyond - Westchester March, 2013
Falls do NOT Have to be a Normal Part of Aging! According to the New York State Department of Health, falls are the leading cause of injury among New Yorkers over age 65. Each day 140 older New Yorkers are hospitalized, two older New Yorkers die, and 223 older New Yorkers are seen in emergency departments because of a fall. Statistics also show that a majority of falls occur in the home. You do not have to become one of these statistics! The reality is that falls do not have to be a normal part of aging. Falls can be prevented and older adults can live active and productive lives without fear and isolation. Many aging adults report trouble with mobility, a decline in balance, and/or have experienced a recent fall. For many the belief is: “The more I move, the more likely I am to fall.” As a result these individuals begin to limit their activities and become more sedentary in an effort to stay safe. They stop leaving their homes, and their interaction with the outside world dwindles. This inactivity, history of falls, and fear can actually increase the risk for falls, as well as:
• Have your eyes checked-changes in vision can cause blurriness or double vision. See your eye doctor annually or sooner if you notice changes in your vision. These normal age related changes can delay reactions that normally help us to maintain balance and prevent falls. Taking multiple medications at the same time and chronic conditions like Parkinson’s, vertigo, diabetic neuropathies also have been associated with an increased fall risk.
Falls can ultimately lead to a host of life-altering injuries that can forever change the course of an older adult’s quality of life. Along with its life altering effect on mobility and independence, falls also bear financial and emotional repercussions. The aging process also introduces additional fall risks for the older adult such as changes in: Vision Hearing Sensation Mood Balance Strength Flexibility Cognition
So What Can You Do To Reduce Your Risk For Falls? • Exercise regularly--by introducing a personalized exercise program that focuses on an individual’s balance, walking, coordination, endurance, flexibility, and strength deficits the likelihood for falls can be reduced.
• Improve your home safety-reduce tripping hazards by removing or securing area rugs. Consider adding grab bars in the bathroom, railings on both sides of stairways, and make sure there is adequate lighting throughout your home including entry ways.
Understanding what puts you at risk for falls is the key to knowing how to reduce your personal risk. This can be accomplished through a balance and home safety evaluation performed by a physical therapist. The physical therapist can determine your specific physical and environmental fall risk level, provide a personal balance home exercise program, instruct in the use of appropriate assistive devices, and provide home modification recommendations for fall reduction in your home. The take home message is simple: by introducing positive health behaviors and learning how to reduce the risk for falls you can achieve an improved sense of well-being, and live happier more satisfying life. Don’t wait for a fall to change your life. Be proactive and make fall prevention a priority now! As they say, prevention is the best medicine!
Written by Stacey Rittenberg, PT, MPT, NCS, co-owner of A Healthier You, LLP. For questions or to learn about A Healthier You’s Fall Prevention Program contact Stacey at Stacey@AHY4life.com or visit www.AHY4life.com.
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• Hasten muscle atrophy • Reduce flexibility • Decrease cardiovascular endurance • Contribute to feelings of depression and isolation
• Have your doctor or pharmacist review your medications—both prescription and over-the counter—taking multiple medications can cause side effects or potentially dangerous interactions like drowsiness, dizziness or a sudden change in blood pressure.
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March, 2013
Support for cancer patients and their families come in many forms – from enterprising physicians to nurturing nurses – it’s all about caring on many different levels. With that in mind, Gilda’s Club Westchester, a leader in support for cancer patients and their families, will bring its services to upper Westchester and Putnam residents through a partnership with the Cheryl R. Lindenbaum Cancer Center at Hudson Valley Hospital Center. “Gilda’s Club has a reputation for providing quality services to cancer patients and their families,’’ said John C. Federspiel, President of Hudson Valley Hospital Center. “Their focus on offering a warm and caring environment is in keeping with Hudson Valley Hospital Center’s core belief that a patient is always a person first. We are proud to be chosen by Gilda’s Club as the location for their move into upper Westchester and Putnam. It will greatly benefit our patients and add to the comprehensive services provided at our Cheryl R. Lindenbaum Cancer Center.’’ Gilda’s Club Westchester, located on Maple Avenue in White Plains since 2001, provides networking and support groups, workshops, education and social activities in a warm, inviting place where cancer patients can come together to share their experiences. The White Plains clubhouse serves all of Westchester and Rockland Counties as well as Connecticut’s lower Fairfield County. Gilda’s Club Westchester Chief Executive
Boomers & Beyond - Westchester
Officer Melissa Lang said they had been looking for opportunities to make access easier for residents in upper Westchester and surrounding areas and that Hudson Valley Hospital Center was a perfect fit. “Gilda’s Club Westchester is thrilled to be partnering with Hudson Valley Hospital Center and their distinguished team of clinical professionals at their Comprehensive Cancer Center,’’ said Lang. “Their extraordinary program and philosophy that quality service includes providing emotional and social support for patients and their families in one location is consistent with our belief that psychosocial services are an essential complement to medical care.” Starting in February, Gilda’s Club Westchester at HVHC will offer a support group for people newly diagnosed with cancer. The group called “Living with Cancer,’’ will meet on the first and third Thursdays of the month from 6-7:30 p.m. at the Cheryl R. Lindenbaum Cancer Center at 1978 Crompond Road, Cortlandt Manor. This will be followed in March by the start of a second support group for the children of those diagnosed with cancer. “Kid 2 Kid” will offer children ages 5 to 12 a safe, supportive environment to discuss how cancer has affected their lives. The group will meet every third Thursday of the month from 6-7:30 p.m. at HVHC’s Cancer Center. For more information on these programs, call Miranda Dold, LCSW at 914-644-8844.
Anne Campbell Maxwell, administrative director of oncology services at the Cheryl R. Lindenbaum Cancer Center, said that excellent cancer care means treating the patient as a whole person, providing emotional and social support in addition to medical treatment. “As a comprehensive cancer center, we strive to offer all services in one location,’’ said Campbell-Maxwell. “This includes social and emotional support, which is integral to the patients’ health and recovery. Gilda’s Club Westchester provides the quality support services that mesh perfectly with our philosophy. This will be a tremendous asset for our patients, the entire community and our clinical team.’’ The first Gilda’s Club opened in 1995 in New York City in fulfillment of Actress/Comedien Gilda Radner’s dream to have an informal, welcoming place, like a clubhouse, where people living with cancer, their families and friends, might come together to laugh and cry, exchange information and experiences, find support and pass it on to others. Other clubhouses soon opened around the country, creating 22 clubhouses nationwide. In July 2009, Gilda’s Club and the Wellness Community joined forces to become the Cancer Support Community. Today, through a network of over 50 local affiliates, more than 100 satellite locations and on-line resources, they bring the highest quality emotional and social support to millions of people touched by cancer.
Boomers & Beyond - Westchester March, 2013
On January 29th 2013 County Executive Rob Astorino visited Drum Hill Senior Living Community in Peekskill to present a Proclamation of Achievement to Ms. Jessie M. Ward a long time Resident of Drum Hill. Ms. Ward celebrated her 104th birthday in October. Jessie Mary Ward came to The United States at the age of 13, from her native England; she lived in Putnam Valley before coming to Peekskill. Mr. Astorino Proclaimed January 29th 2013 to be “Jessie Mary Ward Day”. Joining in the celebration were family and friends to help celebrate this wonderful achievement.
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Jessie Mary Ward arrived to Drum Hill Senior Living in May of 2005, but her story begins long before she began living at the renowned facility in Peekskill. Ward is 105 years old. Talk about a milestone. She has lived some life and here’s to many more years. Ward came to the U.S. on July 18, 1922 from Birmingham, England when she was 13. She arrived to this country with her mother, Mary Louise Ward, and her brothers, George Frank, Joseph Sidney, and her sister, Kathleen. Their father, Frank, came to America year’s before in order to find employment and a place for the family to live. Jessie’s younger brother John was the only sibling born in the U.S. and is almost 90years-old. He lives in the U.S.
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She, her sister and mother lived most of their early life on Long Island. After Jessie and her sister Kathleen retired from the American Can Company, they built a house at Roaring Brook Lake in Putnam County, where they lived for many years. Jessie was very active at Grace United Methodist Church in Putnam Valley – often volunteering many hours back to her community. She was an avid Bowler well into her 90s. Jessie Ward now enjoys her time at Drum Hill, which combines the privacy of spacious individual apartments with security and dependable services at an outstanding value. Of course, Drum Hill is happy to have Jessie, and we look forward to many more years with her in our family.
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March, 2013
Boomers & Beyond - Westchester
Sound Shore earns Joint Commission Dual Certification
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Peggy Coll, NP Joint Solutions Program Coordinator, Steven B. Zelicof, MD, PhD, Chief of Orthopedics and Medical Director of SSMC’s Joint Solutions Program, John R. Spicer, President and CEO and Pam Dupuis, Sr. VP of Patient Services
Sound Shore Medical Center (SSMC) is pleased to announce that its new program for individuals choosing hip and knee replacement surgery has earned the Gold Seal of Approval® from The Joint Commission as a certified center of excellence. This achievement makes SSMC one of only 307 hospitals nationally to merit certification in both hip and knee joint replacements. More importantly, Sound Shore Medical Center is one of only 12 in New York State and the first and only hospital in Westchester County to earn this dual distinction. Certification by The Joint Commission demonstrates Sound Shore Medical Center’s compliance with national standards for healthcare quality and safety in hip and knee replacements. This was accomplished through a rigorous on-site review regarding standards of care specific to the needs of patients and their families. The Program’s in-house patient satisfaction scores consistently record 95% and above and speak to the patients’ perception of SSMC’s exceptional care. “Seeking Joint Commission certification in hip and knee replacements demonstrates our commitment to the highest level of care for our patients.
And achieving this Gold Standard of Care acknowledges the quality of this vital Program,” said John R. Spicer, President and CEO of Sound Shore Medical Center. Joint Solutions provides patients with a unique hospital experience – one that celebrates wellness and recovery in a dedicated unit. A complete understanding of the joint-replacement process, expert surgeons, the support of a specially-trained staff, working exclusively with joint replacement patients, and a dedicated suite for recovery are at the core of this exceptional Program. The goal of Joint Solutions is to provide each elective-surgery patient an extraordinary experience before, during and after surgery. This approach results in knowledge, care and the tools needed for a seamless transition from hospital to home. The Joint Solutions Program has physician coverage 24/7, a state-of-the-art Patient Monitoring System and hotel-style amenities. It is under the medical direction of Steven Zelicof, MD, PhD, FACS, who is Chief of Orthopedics at SSMC. The Joint Solutions Program is coordinated by Peggy Coll, a Nurse Practitioner with more than 25 years of surgical experience and dedication to patients.
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914-949-3112 Red Flag Alerts How to recognize when aging parents need home care By Chris schwartz
Many of us live far away from our aging parents so it sometimes takes a family get together like Christmas to alert us to their “sudden” need for help with daily activities. That’s what happened with my mother-in-law who lived in Toronto. We spoke on the phone regularly and she seemed to be coping well. But during a Birthday visit we noticed that her apartment had not been cleaned for a while and that there was almost no food in her cupboards. It had gotten to be “too much trouble to cook” so she was surviving on a diet of fast food. It was time to get some in-home help. It’s easy to spot other signs that an individual is having trouble coping. Is there spoiled food in the refrigerator? Is he wearing the same clothes day after day? Is she having trouble remembering to take medications on time? Declining personal hygiene is another red flag. As people grow older, one of their first fears is that they will slip or fall while getting in and out of a bathtub or shower, says Lesma Howard-Zepeda, Director of Neighbors Home Care Services in White Plains. “It’s embarrassing to ask for help so many people cope by bathing less often or by giving themselves sponge baths at the sink.” She said her agency provides Bath-Time Services to address this problem. Home Health Aides can simply help individuals get in and out of the bathtub. They can also assist with bathing and hair washing, provide skin care and help with dressing. “They’ll even prepare a simple breakfast, tidy the bedroom and bathroom and stay for a chat”, said Howard-Zepeda. The challenge is convincing elderly parents that accepting help will actually enable them to stay in their homes longer.
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Why should I spend money hiring attorneys to do asset protection planning for me and my loved ones? Currently, the monthly cost for nursing home care in New York ranges between $10,000-$15,000, and properly certified home health attendants (nurse aides) can cost as much or more for round- the-clock home care. Statistically, it is likely that most people will need either or both of these care options as they grow older. It is critical that you plan appropriately to best minimize the strain that elder care costs may have on your estate, and to help put you in the best position possible to qualify for benefits that are largely covered by the government, under Medicare or Medicaid. Our firm has attorneys with extensive experience in developing tax-effective action plans for our clients that help protect their assets from government imposition. We have also been very successful in negotiating the complex bureaucratic minefield in which Medicaid is now mired. We have achieved remarkable results for our clients on a host of Medicaid related issues, from obtaining Medicaid approvals for coverage of home care and institutional care benefits, to very accommodative resolutions of Medicaid spousal recovery claims, where the office of Medicaid aggressively pursues the non-institutionalized (i.e., or “community”) spouse for Medicaid benefits provided.
Why should I have a lawyer prepare my will? If you die without a Will, the law, not you, determines how your assets are divided and to whom they are given. A poorly drafted Will may result in a sizeable chunk of your assets not ending up where you want them to go. We are an experienced law firm that can expertly craft your will to address your long-term care, tax, estate planning, and asset protection planning issues. It is in your best interest that planning be done properly so as to minimize the tax burden on your estate. Our experience and skill in the fields of Trusts, Wills, and Estates enables our firm to uniquely tailor estate planning to your individual needs. We will review your entire estate and draft a personalized plan that will best direct the disposition of your assets after death, whether through your Will, or by means of testamentary substitutes (trusts, joint-asset ownership with right of survivorship, or by beneficiary designation in life insurance policies, annuities, or individual retirement accounts).
My father is having difficulty caring for himself. I am afraid he will no longer be able to live on his own. I am worried about finding the money to pay for his care, whether he stays at home or moves to an assisted living facility or nursing home. What do I do?
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Boomers & Beyond - Westchester March, 2013
PAGE 15
Burke helps produce U.S. Table Tennis Hall of Famer
Burke Rehabilitation Center in White Plains has helped produce a Hall of Famer. Three-time Paralympic gold medalist Jennifer Johnson has been inducted into the U.S. Table Tennis Hall of Fame. Johnson, a Port Chester resident, did much of her training at Burke Rehabilitation Center in White Plains where she was a member of the Burke Wheelchair Sports Team for many years. Her induction comes after decades of success on the table tennis circuit including:
“I appreciate all the support, friendship, practices, competition and coaching that I received over the years and everyone who has had a hand in my growth as a player and a person will always be a part of my success,” Johnson said.
Along with her sports accolades, she is a past recipient of the prestigious Burke Award, the highest honor bestowed by the facility and its board of the directors. It is given to those who have demonstrated strength in overcoming a disability; whose efforts have contributed to helping people with disability gain independence; those who have made significant contributions to science that led to a better understanding of physical disability; or for those who have made contributions to the development of rehabilitation. Johnson continues to be active at Burke, lending her expertise for the table tennis segment of the annual Burke Wheelchair Games and participating in various Burke events throughout the year. Outside of Burke, Johnson helps run the American Wheelchair Table Tennis Association, having been president since 1988.
photos provided
Burke Rehabilitation Hospital is a private, not-for-profit, acute rehabilitation hospital. Founded in 1915, it is the only hospital in Westchester County dedicated solely to rehabilitation medicine. Burke offers both inpatient and outpatient programs for those who have experienced a disabling illness, traumatic injury or joint replacement surgery. Burke is both an acute rehabilitation hos-
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March,2013 2013 February,
Boomers & Beyond - Westchester
ABC WORLD NEWS TONIGHT – Interview with Mount Kisco Nutritional doctor – Dr. Michael Wald
Physical Clues to Hidden Disease When I received the call from World’s News with Diane Sawyer’s producer John Palacio I was a bit taken back. Mr. Palacio wanted to know the connection between an earlobe crease (ELC) and cardiovascular disease. The crease is literally a line that runs diagonally from the bottom of the ear’s opening to the ear’s lowermost tip. If you have an ELC you have a 68% chance of having some degree of cardiovascular disease; if you are under age 40 your chances are bumped up to an 80% chance! If you’ve got hairy ears and an ELC than your chances might be even higher for having or developing heart disease – no kidding! World News Tonight also wanted to know what other physical signs on the outer surface of the body can predict disease. I began rattling off dozens and Mr. Palacio requested of me to grant an interview on the show. I happily said, “I’ll do it!”. The interview took place at my office at Integrated Medicine of Mount Kisco located at 495 E. Main Street in Mount Kisco over a 4 ½ hour period. It also included my assistant nutritionist Mr. Sunny Seward, and Heather Toranto who co-runs Holistic Medical Spa & Laser, our sister company. Both Sunny and Heather posed as body models as I pointed out various visible signs that could predict one’s predisposition, or presence of, a large number of health problems. We were interviewed by ABC World News Tonight reporter Sharyn Alfonsi, one of Diane Sawyer’s top reporters, who asked thoughtful and pointed questions that allowed me to reveal dozens of practical health clues often missed by the average physician.
Off camera Sharyn said to me, “Dr.Wald you are a real-life Health Detective” to which I replied, “Actually, I’m called the Blood Detective” and we laughed. Below I’ve provided several easily identifiable physical signs that apply to both men and women that could mean disease is present. There are at least 200 different such visual signs that I am aware of and I’m discovering more all the time. Being able to spot them has given me a diagnostic-edge in
clinical practice – and this skill can benefit you too! I do admit that it is sometimes strange walking down the street, or going to a family social event, and seeing signs of disease. Sometimes I can’t help but ask a person with an earlobe crease, “Sir, I hope you don’t mind me asking, but are you aware of having cardiovascular disease in your family”. Most people are momentarily perplexed when I asked such a question, but cannot seem to say, “wow, how did you know that?”.
The combination of paying attention to visual clues as supportive information, along with a careful consultation and laboratory tests, allows for faster and more accurate diagnoses and treatment plans for my patients. It is both gratifying and also sad to me that I sometimes find hidden health problems within moments or days on patients have suffered from for weeks, months or even decades with “hidden health issues”. I’m so glad that World News Tonight
By Dr. Michael Wald with Diane Sawyer will share some of this information with the world! Remember – just because you may have some of these signs does not mean you have a disease – TALK TO YOUR DOCTOR! Dr. Michael Wald is director of nutrition at Integrated Medicine of Mount Kisco. He can be reached by calling 914-242-8844 (Ext. 1). Website: www.intmedny.com & www.Blooddetective.com. Twitter: https://twitter.com/drmichaelwald
Examples of visible signs on the body surface that may indicate disease presence or risk FACE/NECK • 5 o’clock shadow = more testosterone … 70% less risk of heart problems • Lack of 5 o’clock shadow = increased heart disease risk. • Teen acne = lower heart disease risk Adult acne – prostate cancer risk higher • Bulging neck = hypothyroidism • Loss of hair at outer edges of eyebrows = low thyroid EYES • Yellow bumps on eyelids = cardiovascular disease • Bulging eyes = hyperthyroidism • Yellow discoloration of the sclera (whites of the eyes) = liver, gallbladder or blood cell disease EARS • Diagonal earlobe crease = heart disease risk • Dry ear wax = heart disease risk; wet ear wax lower heart disease association NOSE • Green snot = heart disease and asthma risk • Loss of sense of smell – Alzheimers/Parkinson’s risk (or loss of taste)
NAILS • Clubbing = pulmonary disease (or cancer) • White spots = zinc deficiency and infection risk • Spooning nails = iron anemia • Ridges on the nails = protein deficiency, malabsorption syndrome SKIN • Skin tags = heart disease or diabetes • Bumps on the back of the arms = low thyroid, fatty acid deficiency • Yellow skin = eats lots of carrots, too much betacarotene or liver, gallbladder or red blood cell disease when whites of the eyes are yellowed LEGS • Short legs = heart disease risk (and diabetes) • Small calves (less than 13 inches) = heart risk ARMS • Long arms – less than 60 inches arm to arm increased risk of Alzheimer’s Disease MOUTH • Acetone Breath – diabetes • Foul breath – gastorointestinal disease • White tongue – lowered immunity (thrush) • Bad breath – heart disease indicator, tonsillitis or cancer
Boomers & Beyond - Westchester March, 2013
Affordable housing for seniors is hard to come by, especially in Westchester County. Not anymore. The Westchester Center for Independent & Assisted Living has opened in Yonkers as the first facility in Westchester to offer an Medicaid-funded assisted living model of care to seniors, regardless of their income level. As a participant in the New York State licensed Assisted Living Program (ALP), the Westchester Center will be able to provide ALP services for Medicaid benefit recipients. Health-related services such as medication assistance and personal care management will be available to residents, all designed to help them maintain independent lives, but with privacy not typically found in a nursing home setting. Previously, this “entry-level” but upscale, Medicaid-eligible long-term care model was unavailable in Westchester County, where the only option for many individuals seeking some assistance in their daily lives was the more intensive care offered in a nursing home. The property features a number of amenities usually associated with higher-level multifamily dwellings. All residents, regardless of source of income, will have supportive services such as housekeeping and restaurantstyle dining. Other amenities include an in-house movie theater, concierge services, beauty salon, billiard room and scheduled daily entertainment. Private-pay rates for such a facility might run $4,000 to $5,000 a month.
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The 104,000-square-foot facility can accommodate 195 residents. The 12-acre hilltop property formerly belonged to the Jewish Guild for the Blind, which operates nursing and assisted living facilities in New York State. Westchester ALP Property LLP bought the property in 2010 for $14 million and did a gut rehab on the structure to create the Westchester Center for Independent & Assisted Living. The Yonkers Industrial Development Agency provided a variety of financial incentives for the project, including a sales and use tax exemption on construction materials, fixtures and furnishings and a structured property tax agreement. “Building affordable housing requires a strong partnership between private developers and all levels of government, Yonkers Mayor Mike Spano, who is also chairman of the Yonkers Industrial Development Agency, tells MHN, but he adds that the climate is tougher than it used to be for such developments. “Moving forward, finding public funding for affordable senior housing will be increasingly difficult, as government must continue to confront tough fiscal choices.” Added Spano: “Yonkers and the IDA will look to make strategic investments that bring real economic value to our community. One such example is the Westchester Center, a lower-cost housing alternative to nursing homes for Medicaid-eligible seniors that potentially saves taxpayer funds.”
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March, 2013
upcoming
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Nine students from six local colleges took part in a think tank to brainstorm fresh and creative ways to end a persistent problem: the isolation of seniors who live in northeast Westchester County because the area has no public transportation and other options are limited. The students also considered ways to transport homecare and home-health aides from southern Westchester and the Bronx to clients in the northeast region. “The think tank was a terrific way to harness the brain power of some of our smartest young people to help resolve a crucial issue that Westchester confronts,” said County Executive Robert P. Astorino. “Brainstorming encourages out-of-the-box thinking and spontaneity, which can give us a fresh way to look at situations we’ve considered in the past.” A brief summary of the report was presented at the Westchester County Department of Senior Programs and Services’ annual Legislative Breakfast and Speak-Out on Jan. 25 at the County Center in White Plains. DSPS Commissioner Mae Carpenter said that isolation and loneliness for seniors is a serious issue, which should never be minimized. “Isolation can lead to depression and all sorts of other problems,” Carpenter said. “Mobility helps seniors remain the vital parts of the community that they should be. We must have dependable ways for seniors in northeast Westchester to get around.” The entire project took seven weeks. No tax dollars were involved. Among other things, the think tank found that: - A car is essential to live in that large region, especially in the sparsely populated four towns of Bedford, Lewisboro, Pound Ridge and North Salem, which were the focus of the initiative.
Boomers & Beyond - Westchester
Businesses and non-profit organizations can now register for booths to be part of the Business Expo at the 45th annual Salute to Seniors on May 1 at the Westchester County Center in White Plains The Salute takes place from 9 a.m. to 2 p.m., and usually attracts some 2,000 seniors. An even bigger turnout is expected at this year’s Salute, which also includes a health and wellness fair, an arts and crafts fair, live entertainment and special programs. The Expo offers a marketing opportunity for companies and nonprofit groups to target their products and services to Westchester’s vital and growing senior population. Last year there were 82 Business Expo participants, and they included assisted living centers, hospitals, recreational services, insurance firms, financial service companies and social service agencies. The corporate rate for a half booth is $400, a single booth is $750, and a double booth is $1,400. The rate for non-profits is $200 for a half booth, $350 for a single and $650 for a double. To be eligible for these rates, deposits must be received by March 29. After that date, the fee increases $50 for the half and single booths and $100 for the double. Full payment is required by April 6. For more information about the size of the booths, where to send your checks and to download a copy of the application form, visit www.westchestergov.com/seniors or call (914) 747-0519. Sponsors of the Salute to Seniors are the Westchester Public/Private Partnership for Aging Services and three Westchester County departments: Senior Programs and Services, Parks, and Public Works and Transportation.
think tank - Many seniors who live there, however, can no longer drive or do not have a car - As a result, once routine outings have become daily challenges, such as shopping, getting to doctor appointments, to the library to borrow books, to the hair salon for a touch-up or to visit a friend. - Taxis are available, but they can be expensive. In some cases, it can cost as much as $50 for a ride from the nearest train station to a senior’s home. - The county’s ParaTransit program provides transportation for disabled residents, and the recreation departments at the local municipalities provide some rides to their residents. But neither meets the growing demand. Think tank sponsors were the Westchester Public/Private Partnership for Aging Services, DSPS, the Helen Andrus Benedict Foundation and United Way of Westchester and Putnam.
The innovative think tank is a project of the Westchester Alliance of Academic Institutions for Aging Related Studies and Workforce Development. Its 30 members include businesses, not-for-profit organizations, colleges and universities. Catherine Wynkoop, of Pound Ridge, a Westchester Alliance member, community organizer and consultant on aging issues, was the think tank coordinator. She said the project was successful beyond her expectations. “The research the team provided will fuel lots of activity over the next couple of years,” Wynkoop said. The students agreed it was an enjoyable and valuable experience, even if it was daunting at first. The Westchester Alliance’s goals are to interest people about the many well-paying jobs in the so-called “Silver Industries,” and to encourage institutions of higher education to offer more courses to train people to deal with the challenges the growing number of elderly confront. The alliance is a program of the Westchester Public/ Private Partnership for Aging Services, which raises funds to supplement programs of the county’s Department of Senior Programs and Services. DSPS’ Colette Phipps is alliance director. The colleges, names and home towns of the think tank students are: Cornell University: Christina Bryce, Wappinger’s Falls, N.Y. Fordham University Graduate School of Social Services: Carol (Cokey) Concannon, Darien, Conn.; Jean Wynne Fulton, Old Greenwich, Conn. Mercy College: Nikki Bonica, Tarrytown; Sara Rosa, Yonkers; Agnieszka Malinska, Putnam Valley Pace University: Mark Kowtko, New Jersey Sarah Lawrence College Graduate School of Health Advocacy: Kate Zadek, New York City SUNY Purchase: Suelee Cheong, New York City
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March, 2013
Boomers & Beyond - Westchester