Senior Protection

The FAST Way to Search for Signs of Stroke

2009-03-14T17:25:00.000-07:00

by Dr. Don Rose, Writer, Life Alert

What is the best way to detect stroke symptoms? Act “FAST.”

The “FAST” way to remember the warning signs of stroke is an acronym method based around the four letters in that word. It is shown below. The statements in quotes are what to ask the person who may be having a stroke:

F is for FACE: “Smile”. If one side of the face droops: may be stroke.
A is for ARM: “Raise both arms”. If one arm drifts downward: may be stroke.
S is for SPEECH: “Repeat the following sentence” (have the person repeat a simple sentence). If the speech is slurred or strange: may be stroke.
T is for TIME: If any of the above signs are present, don’t waste any time; immediately call 911 or take the person to the nearest stroke center or hospital.

(Source: “Stroke Awareness,” article from National Stroke Association, www.stroke.org)

For Life Alert members with stroke symptoms, there is another way to get the time-critical assistance that is needed: press the button on the Life Alert medical alert pendant. This will summon immediate help, 24/7. Using Life Alert is best if a phone cannot be reached or if driving the person to a hospital or stroke center is not possible. If a stroke victim is alone, Life Alert’s medical alert system may in fact be the only way to get help.

STAYING YOUNG INTO OLD AGE

2009-03-07T17:11:00.000-08:00

by Dr. Don Rose, Writer, Life Alert

This title may sound like a contradiction, but the happy surprise is that it isn’t. You can indeed get older (as measured by your chronological age – number of years on Earth) yet still remain young (as measured by your biological and mental age).

Being “young” is a two-part state: mental and physical. If you keep a youthful outlook and attitude (mental youth), while maintaining a healthy body (physical youth -- eating right and exercising to maintain or improve your internal biological processes), then you can actually stay in a state that most would consider young. Some people have even made their bodies younger by changing habits and attitudes that were, well, old and obsolete for them. After all, if folk-rock-poet-icon Bob Dylan can sing “I was so much older then, I’m younger than that now,” who am I to argue?

Perhaps some of you readers are still not convinced. Okay, here are some tests to try.

Ask someone how old you look and/or act. If the answer is less than your actual number of years on this planet, this is evidence for your success at maintaining youth. The more people you ask, the more evidence you can accumulate.

Now, look inward at your mental state. Try to be honest. Do you still get excited about the little things in life? Are you hopeful about the future? Do you do impetuous things at times? Do you think of yourself as young (your mental portrait of yourself)? If you have some yes answers here, then you have evidence for mental youthfulness as well.

Let’s be clear. I am not saying that getting older (i.e., accumulating more years on this planet) is a bad thing, or that we should act in ways that perhaps were dumb and we wound up regretting back during younger years. With advancing age comes wisdom (hopefully). As more birthday milestones pass, you will know more and more facts and rules and other useful knowledge that makes things work and makes your life work. You will also know more about what doesn’t work - a big timesaver. All these points, plus lower auto insurance rates, are among the many benefits of getting on in years.

But the main point here is that, while we all must get older in terms of years (we have no control over that, as long as we’re alive), the state of “being old” (i.e., mental-attitude aging) is a choice. Plus, with proper physical care and the increasingly rapid pace of medical breakthroughs, biological aging may soon be a choice as well! In short, it has never been a more exciting time to rack up your chronological mileage.

Finally, a four word finale for folks who find they simply can't stand reaching each new birthday, each new New Year, each new decade milestone: think of the alternative!

You’re welcome. Now shut up and be happy. (If you just laughed, you’re still young.)

One afterthought. Some futurists have predicted that in the near future, perhaps a decade or two from now, our knowledge of bodily aging will increase so much we’ll be on the verge of “curing” it -- that is, stopping or even reversing the processes that cause our bodies to decay, die or decrease in function. While this prospect is exciting, one fact of life can still cause major problems or death, even if dying by old age is cured: accidents.

Fortunately, people can protect themselves against accidents and other emergencies. One way is to buy health insurance and other kinds of insurance to make sure an accident doesn’t wipe us out financially. Another equally important strategy, to insure against bodily harm due to emergencies, is to sign up for a medical alert system with Life Alert. Danger doesn’t discriminate; it can happen to anyone, regardless of (chronological) age. Since we all may be living well into the 100+ range during the next few decades, perhaps even 200+ years, there is a lot of living to lose by letting an emergency happen to us without proper protection. Think of a medical alert system with Life Alert as an extra bit of insurance, to make sure you get all the speedy care and attention you might ever need.

THE TEN COMMANDMENTS OF CREDIT CARDS: #10

2009-02-26T08:15:00.000-08:00

Rule 10. Give yourself credit.

Not in the literal sense, but rather, take a moment to savor how good it feels each time you pay off another credit card. Congratulate yourself for a job well done. Then, after a bountiful bout of back-patting, get right back to paying off the rest of your cards. Before you know it, you’ll be debt free, or close to it. And you will feel… in-credit-able!

All these credit card tips were brought to you by Life Alert.

THE TEN COMMANDMENTS OF CREDIT CARDS: #9

2009-02-19T13:59:00.000-08:00

Rule 9. If your credit card company’s interest rate (APR) is too high, ask for a lower rate.

Another example of “If you ask, ye shall receive.” It cannot hurt to ask for a lower rate, which will mean less interest being charged to your account, which means you will be able to pay off that card faster. If you make payments on time, month after month, you become more reliable in the credit card company’s eyes, and hence it’s more likely you’ll be eligible for a lower APR. Many credit card companies automatically offer you a lower rate when you qualify, but if that call doesn’t come, take the initiative and ask for a lower rate yourself. If the first customer rep you ask says no, remember to ask for a supervisor!

THE TEN COMMANDMENTS OF CREDIT CARDS: #8

2009-02-15T16:12:00.000-08:00

Rule 8. If you pay late and get a late fee, ask customer service for a courtesy fee waiver.

If you ask, ye shall receive. Most know this saying, yet many don’t apply it in the real world. It does work, in the majority of cases. Most card companies are willing to help you. They can often credit back a late fee (especially if you have not been late before, or if it’s been a long time since you were late), or they can reduce the late fee (e.g., cut it in half). The longer you have been with your credit card company, the more leverage you have in asking for some relief. Also, if a late payment was not your fault (e.g., lost mail, a late statement, website issues, etc.), tell the supervisor this; it is easier for the supervisor to justify a waiver or reduction if something outside your control caused you to be late.

THE TEN COMMANDMENTS OF CREDIT CARDS: #7

2009-02-10T16:06:00.001-08:00

by Don Rose, Writer, Life Alert

Rule 7. If you are not having success with a customer service rep, ask for a supervisor.

Seven of the most useful words in the English language are: “May I talk to a supervisor, please?” If a regular customer rep can’t accommodate you, a supervisor often can. This applies to asking for a credit card fee waiver or any other issue related to that company.

THE TEN COMMANDMENTS OF CREDIT CARDS: #6

2009-02-06T16:04:00.000-08:00

Rule 6. Consider cultivating a cash-only credo (cutting out credit).

The only way to reduce your credit card balances is to pay them off faster than you spend on them. Stopping spending on credit cards is the quickest path to a debt-free state. If you cut credit card usage to zero (or use them only for emergencies), you will not only reduce your outstanding credit card debt faster, but you can plan better and calculate when those balances will go to zero. Steady reduction in your balances month after month also looks good to credit reporting agencies. If you insist on using the cards, consider an alternate strategy: paying off whatever you spend each month plus the minimum payment due.

THE TEN COMMANDMENTS OF CREDIT CARDS: #5

2009-02-02T15:52:00.000-08:00

by Don Rose, Writer for Life Alert

Rule 5. Reduce credit card balances, but don’t get rid of zero-balance cards.

It is good to get your card balances down to zero as fast as possible, but resist the urge to get rid of cards once they have no balance. In addition to being a good backup or safety hedge in case of emergencies, your credit score is helped by having cards with small or zero balances. This is because FICO scores take into account the ratio of your total outstanding credit balance (across all cards) to the total amount of all your cards’ credit limits. The smaller this ratio, the better your score. The more zero-balance cards you have, the lower this ratio will be, which is desirable. Having zero-balance cards also shows you can manage credit, unlike folks who have most or all of their cards maxed out.

THE TEN COMMANDMENTS OF CREDIT CARDS: #4

2009-01-15T17:15:00.000-08:00

by Don Rose, Writer, Life Alert

Rule 4. Pay more than the minimum payment each month.

There are at least two good reasons for doing this. First, you will pay down the debt faster the more you pay each month, meaning you will ultimately pay less in total interest. Second, it looks better to the credit card company (and the credit reporting agencies) if you pay more than the minimum. Paying just the minimum sends the signal that you are barely scraping by, and hence not as good a credit risk, which can in some cases result in the card company raising your annual interest rate or lowering your credit limit (or both).

THE TEN COMMANDMENTS OF CREDIT CARDS: #3

2009-01-05T17:10:00.000-08:00

by Don Rose, Writer, Life Alert

Rule 3. Pay bills on time to avoid fees, credit report damage, and other penalties.

Typical late fees range from $29 to $39, and if you are over 30 days late many credit card companies will report you to one or more of the big three credit reporting agencies. Another negative of being late: the credit card company can impose other restrictions, like raising your annual APR (interest rate) as a penalty for lateness. Strive to pay your minimum payment (preferably more) at least a week before the due date; this will cause less stress, thanks to the one week time cushion for your payment to reach its destination.

THE TEN COMMANDMENTS OF CREDIT CARDS: #2

2008-12-31T16:27:00.000-08:00

by Don Rose, Writer, Life Alert

Rule 2. Pay down high-interest credit card balances first.

In other words, address what is causing the biggest dent in your wallet first. Then, once that card balance is zero, pay down the card with the next highest interest rate, and so on. To help you remember this rule, here is another way to look at it (which rhymes): Pay off the cards with low interest rates last, since they do not damage your wallet as fast.

THE TEN COMMANDMENTS OF CREDIT CARDS: #1

2008-12-30T12:51:00.000-08:00

by Don Rose, Writer, Life Alert

A CREDIBLE CREDIT CREDO TO LIVE BY

During the process of creating “credit card commandments” (see the next few posts to come), I came up with a credit credo: “Once you get it, don’t regret it.”

This motto actually has multiple meanings.

First, obtaining credit cards to help pay bills over time is fine, but you need a plan to manage the resulting debt, especially when the degree of credit card usage rises during tough times. Learn the most important rules for handling credit cards, and you won’t regret getting those cards in the first place.

The second meaning is this: once you buy something using a credit card, don’t regret having bought it by paying much more for that item over time. This can occur if you only pay the minimum payment each month. Doing so adds a great deal to the final cost, thanks to accumulating interest charges on the amount you spent.

#1

Let’s assume you have two or more credit cards, you have bought some items with them, and now you have a good deal of debt to deal with. To help you manage this debt, and avoid regretting getting the cards and the creature comforts you charged, consider the following ten tenets of dealing with credit cards. (Extra credit if you already know them.)

1. Pay down credit card balances with your extra cash, rather than investing that cash.

When you pay down the balance of a card that charges 18 percent interest per year, it is like getting a guaranteed 18 percent annual return on the money you used to pay it down. It’s not easy to find investments that guarantee an 18 percent gain, so rule number one almost always applies. The general rule is this: if a credit card interest rate is more than the rate of return of an investment you are considering, pay down that card; if less, invest.

MEDICARE PART D: OPEN ENROLLMENT ENDS DEC. 31

2008-12-30T12:38:00.000-08:00

Seniors, take note! If you don’t already know, the open enrollment period for Medicare Part D is ending this Wednesday. A CVS ad stated this fact. It also says: “CVS/pharmacy and the National Council on Aging urge you to review your Medicare Part D Plan choices for 2009,” adding that “We accept all Medicare Part D Plans.” Selecting the right plan for you is important (CVS claims that “choosing the right plan can save up to $250,” according to one study they cite), so do your homework and act fast. Tomorrow is only a day away!

by Dr. Don Rose, Writer, Life Alert

HOME INTRUSION PROTECTION: Woman Uses Life Alert System To Inform Police Of Robbery

2008-08-29T19:30:00.000-07:00

We at Life Alert often receive news coverage when we save someone's life or help prevent major harm from occurring. Sometimes we come to the aid of someone who is high profile (as in a recent incident where we sent help when ex-NYC Mayor Ed Koch accidentally pressed his Life Alert button).

Of course, in most cases the person is not famous. And we do get many reports involving Life Alert sending help not for a medical emergency, but for home intrusion. Such was the case two days ago, when one of our members used our system to stop an intruder who broke into her home. A West Palm Beach news outlet (WPBF) wrote a story about the incident, entitled “Woman Uses Life Alert System To Inform Police Of Robbery” -- and here is the link to that story: http://www.wpbf.com/news/17319503/detail.html.

Fruit Juice Helps our Hearts; Fights Arterial Plaque Even Better Than Fruit Itself

2008-08-21T18:03:00.000-07:00

by Dr. Don Rose

Based on an article by Jon Barron on his Health Blog

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Have a hankering to hear how to help your heart stay healthy? How about some fruit juice! We always knew it tasted great, but now comes new proof it is good for us, too. Of course, for optimum heart health, fruit juice plus fitness activities plus a fine diet will help even more, but the research study discussed below shows that we now have even more reason to drink grape juice and apple juice instead of sodas. In short, this is grape news for everyone, from California to Apple-ate-ya. Okay, enough puns, just read the story below for all the juicy details. --Don Rose

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Introduction

Researchers from Universite Montpellier in France recently discovered that grapes and apples may prevent plaque from coating arterial walls when consumed with fatty, high-cholesterol foods. The researchers also found that apple and grape juices have a more powerful anti-plaque effect than the fruits themselves.

Research Study

The study followed several groups of hamsters -- one fed a normal diet, while the others enjoyed high-fat diets plus either fruit, water, or juice. The amount of fruit consumed by the little rodents was the human equivalent of three apples or bunches of grapes a day; the amount of juice was the equivalent of about four glasses. The hamsters in the purple grape juice group fared the best, with the lowest level of atherosclerosis, followed by those eating purple grapes. The apple-juice and apple-eating hamsters scored third and fourth, respectively. All the fruit- and juice-eating hamsters had lower cholesterol, less oxidative stress, and less fat accumulation in their aortas than the hamsters who consumed no fruit or juice.

The researchers assume that the cardiac benefits of fruit probably derive from phenolic compounds -- powerful antioxidants found in grapes and apples. Although grapes and apples contain the same amount of phenols in fruit form, grape juice has two-and-a-half times the amount that apple juice does. Earlier studies have found significant differences in phenol content from one fruit juice to another, with blueberry juice the leader of the pack, and apple, grape, pomegranate juices containing far more than the ever-popular orange, pineapple, and grapefruit juices.

According to the Universite Montpellier research team, the findings suggest that the amount of phenols contained in a food have a direct effect on its antioxidant properties. The results, they write, "provide encouragement that fruit and fruit juices may have a significant clinical and public health relevance."

Fruit vs. Fruit Juices

But that's only part of the story. A primary reason juices outperform fresh fruits in delivering antioxidants has to do with the way juice concentrates the nutrients. You get more bioactive punch for the mouthful from juice because you don't have to eat all that fiber. Also, the body can utilize the nutrients more readily since it doesn't have to separate nutrients from the fiber, minimizing the amount of energy consumed in digestion and freeing up that energy for healing. Thirdly, not all phenols are the same. Some, like EGCG in green tea, resveratrol in grapes, and curcumin in the spice turmeric, stand out. And then, of course, in addition to phenols, fruit juices contain other antioxidants such as Vitamin C, as well as minerals, living enzymes, and an assortment of phytochemicals.

Fresh Juice vs. Commercial Bottled Juice

Before you decide to implement the good news by washing down your beefsteak and fries with a glass of Welch's, here's something to consider. There's a world of difference between commercial bottled juice and freshly made juice. Within minutes of juicing, many of the nutrients and enzymes start to break down, rendering the benefits far less potent. By the time bottled juice gets to your mouth, particularly if it's been processed, it's a shadow of its original self. Also, while fruit juices provide many benefits, they contain a lot of sugar, so many people recommend emphasizing vegetable juices instead. In fact, a good juicer is probably the single best investment you can make in your health.

Juicing

If you don't already own a juicer, look for a machine that's great at extraction, but also easy to use and clean. Some powerful juicers are so difficult to clean that they may end up going unused. Note that you can spend stratospheric amounts on a juicer such as a Norwalk, or pick a perfectly acceptable L'equip for about $130. The Jack LaLanne Power Juicer is another choice (you may have seen its ubiquitous infomercials on TV).

In terms of extraction, some people like the twin magnetic gear system used in juicers like the Green Star. But the Green Star has a big footprint on the counter and takes a bit of effort to clean -- although it's not as difficult as the Norwalk. Some say it is best for fasts, or when juicing heavily for several days in a row -- just clean it at the end of each day. If you're doing a lot of juicing during any given day, the Green Star is the way to go.

If you're new to juicing, consider the L'equip Mini Model 110.5 pulp ejector juicer. It may not have the best extraction method, but it does a decent job. Also, relative to most high-end juicers, it's quick to use and clean. With this Model, it's not that hard to make a quick glass of fresh squeezed juice -- the main thing many folks want from a juicer.

Closing Thoughts

Juicing is a great way to improve one’s health, but it is not recommended to make your juice and then eat junk food to round out your meals like the hamsters did. Although juice may moderate some of the harmful effects of high-fat, high-glycemic diets, it provides far more benefit when used as part of a healthy diet routine. In fact, there are many advocates of juice fasting because it gives the body a chance to detoxify and rebuild.

Also, while the information above shows that a good way to keep “heart healthy” is to drink more fruit juices, one never knows when one’s heart might malfunction, for any number of reasons. It can happen to anyone, at any age, even if you’ve lowered your risk for heart problems via good diet and exercise. If you sense the onset of a heart attack or irregular rhythms, call 911. If you are not near a phone, cannot get to a phone or cannot punch in the numbers, you can still get immediate help if you are a member of Life Alert; simply press your Life Alert help button to get in touch with live dispatchers within seconds, 24/7. They can send medical assistance to you, which will arrive in a matter of minutes. Life Alert members who are not home can also use a special one-button 911 cell phone (an optional Life Alert feature). If you don’t currently have Life Alert, see below for links to information on this valuable service.

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The article above is covered by a Creative Commons License. The information provided is, to the best of our knowledge, reliable and accurate. However, while Life Alert always strives to provide true, precise and consistent information, we cannot guarantee 100 percent accuracy. Readers are encouraged to review the original article, and use any resource links provided to gather more information before drawing conclusions and making decisions.

Dr. Don Rose writes books, papers and articles on computers, the Internet, AI, science and technology, and issues related to seniors.

For more information about Life Alert and its many services for seniors and younger adults nationwide, please visit the following websites:
http://www.lifealert.com
http://www.seniorprotection.com
http://www.911seniors.com

POSITSCIENCE.COM: FITNESS PROGRAMS TO ATTAIN BRAIN GAIN; THINK FASTER, FOCUS BETTER

2008-07-28T18:52:00.000-07:00

Here is a website you should know about, since it appears to be an excellent spot for a mental pitstop, a place to attain brain gain with little pain: www.positscience.com. The PositScience slogan is, "Your brain will thank you." We like it. One program grad quoted on their site says that the PositScience program "expanded [his] brain power" and "sharpened [him] as an individual." High praise, indeed.

The first item featured on the PositScience site's Products list is the Brain Fitness Program Classic (TM), "Posit Science’s original program for the auditory system of the brain," which is now available for both the PC and the Mac OS X operating system. This program "features six computer-based exercises" that are "designed to speed up auditory processing, improve working memory, and encourage the brain to produce more of the chemicals that help it remember."

What results can one expect by using this Brain Fitness Program? The site cites "clinical trials that demonstrate it speeds up auditory processing by 131%, improves memory by an average of 10 years, and more." Sounds quite impressive. More information at http://www.positscience.com/products/brain_fitness_program.

Another product featured on the website is InSight, "Posit Science’s program for the visual system of the brain." More information at http://www.positscience.com/products/cortex.

Programs such as those offered by PositScience are becoming increasingly important for seniors as average lifespans continue to increase every year. The media often touts the crucial role of physical exercise, and while it is certainly important, mental exercise is just as vital for maintaining a healthy life.

Just as mental fitness, via systems like those offered by PositScience, enables seniors to maintain an independent lifestyle well into their advanced years, protection systems like Life Alert also enable independence to be maintained. With a fit body, sharp mind and protection against emergencies, today's seniors can increasingly put off or even eliminate the need to move to retirement homes, and instead choose to keep living with independence in their own homes.

FREE ASTHMA SCREENINGS IN MAY (YOU MAY WANT TO GO!)

2008-05-02T12:12:00.000-07:00

Do you have signs of asthma? Have you been told you have it? Then you may want to take advantage of free screenings taking place during the month of May 2008. To read more about the free asthma screenings, click here.

TAKE IT TO HEART: WOMEN SHOULD WORRY ABOUT HEART DISEASE; 1 IN 3 AMERICAN WOMEN DIES OF HEART DISEASE

2008-04-29T16:45:00.000-07:00

Women's heart health may not get as much media attention as breast cancer and other diseases, but the truth is that women need to take heart health to heart. The government website Womenshealth.gov (the "Federal Government Source for Women's Health Information") points out several facts related to women and their hearts. For example:

One in three American women dies of heart disease. In 2003, almost twice as many women died of cardiovascular disease (both heart disease and stroke) than from all cancers combined. The older a woman gets, the more likely she is to get heart disease. But women of all ages should be concerned about heart disease. All women should take steps to prevent heart disease.

Both men and women have heart attacks, but more women who have heart attacks die from them. Treatments can limit heart damage but they must be given as soon as possible after a heart attack starts. Ideally, treatment should start within one hour of the first symptoms.

For more information about women and heart health, gets the FAQs at:
http://womenshealth.gov/faq/heartdis.htm

D is for Defense: Deterring MS and Cancer via Vitamin D

2007-01-16T19:09:00.000-08:00

Based on the BromsaMS Wikidot web article “Vitamin D And Multiple Sclerosis” and the Nutrition Journal web article “Nutrition and cancer: A review of the evidence for an anti-cancer diet” by Michael S Donaldson

Edited (with Introduction) by Dr. Don Rose

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Various studies indicate that higher levels of Vitamin D in the body are associated with reduced risk or recurrence of MS (Multiple Sclerosis) and cancer. While more study is needed to establish whether increasing Vitamin D levels with supplements will reduce the risk of disease, it appears that, in general, supplements can provide a very low cost and safe form of “insurance” for your health. In other words, there doesn’t seem to be much downside to taking supplements like Vitamin D, yet a very large potential upside. (Of course, always consult your doctor before taking any supplements.) Read below for more details. --D.R.

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Introduction

Vitamin D is produced primarily from the exposure of the skin to sunshine. Even casual exposure of the face, hands, and arms in the summer generates a large amount of vitamin D. In fact, simulated sunshine, equivalent to standing on a sunny beach until a slight pinkness of the skin was detected, was equivalent to a 20,000 IU oral dose of vitamin D2 [1]. (Note that the RDA is 400 IU for most adults.) It has been estimated that 1,000 IU per day is the minimal amount needed to maintain adequate levels of vitamin D in the absence of sunshine [1], and that up to 4,000 IU per day can be safely used with additional benefit [2].

Vitamin D and MS

Good news about Vitamin D: researchers at the Harvard School of Public Health have found that the risk of MS is lowest among people whose Vitamin D levels are high. While other research has suggested this link, the Harvard study is the first to indicate that increasing Vitamin D levels could help prevent MS, a chronic degenerative neurological disease that affects some 350,000 people in the United States and two million worldwide.

Working with researchers from the U.S. Army and Navy, the Harvard team analyzed stored serum samples from more than seven million individuals for levels of 25-hydroxyvitamin D [25(OH)D]. They found that the risk of MS among whites whose Vitamin D levels were highest was 62 percent lower than among those whose levels were lowest. No significant associations were found among blacks and Hispanics, perhaps because there were fewer of their serum samples available or because these groups tend to have low Vitamin D levels. More study is needed to establish whether increasing Vitamin D levels with supplements will reduce the risk of MS. The study was published in the December 20, 2006 issue of the Journal of the American Medical Association.

Vitamin D and Cancer

The concentration of the active hormonal form of vitamin D is tightly regulated in the blood by the kidneys. This active hormonal form of vitamin D has the potent anti-cancer properties. It has been discovered that various types of normal and cancerous tissues, including prostate cells [3], colon tissue [4], breast, ovarian and cervical tissue [5], pancreatic tissue [6] and a lung cancer cell line [7] all have the ability to convert the major circulating form of vitamin D, 25(OH)D, into the active hormonal form, 1,25(OH)2D. So, there is a local mechanism in many tissues of the body for converting the form of vitamin D in the body that is elevated by sunshine exposure into a hormone that has anticancer activity.

Indeed, 25(OH)D has been shown to inhibit growth of colonic epithelial cells [8], primary prostatic epithelial cells [9], and pancreatic cells [6]. So, the laboratory work is confirming what had been seen some time ago in ecological studies of populations and sunshine exposure.

The mortality rates for colon, breast, and ovary cancer in the USA show a marked north-south gradient [10]. In ecological studies of populations and sunlight exposure, sunlight has been found to have a protective effect for prostate cancer [11], ovarian cancer [12], and breast cancer [13]. Recently Grant found that sunlight was also protective for bladder, endometrial, renal cancer, multiple myeloma, and Non-Hodgkins lymphoma in Europe [14] and bladder, esophageal, kidney, lung, pancreatic, rectal, stomach, and corpus uteri cancer in the USA [15]. Several prospective studies of vitamin D and cancer have also shown a protective effect from vitamin D. It could be that sunshine and vitamin D are protective factors for cancers of many organs that can convert 25(OH)D into 1,25(OH)D2.

References

1. Holick MF: Vitamin D: importance in the prevention of cancers, type 1 diabetes, heart disease, and osteoporosis.Am J Clin Nutr 2004, 79:362-371. [PubMed Abstract]

2. Vieth R, Kimball S, Hu A, Walfish PG: Randomized comparison of the effects of the vitamin D3 adequate intake versus 100 mcg (4000 IU) per day on biochemical responses and the wellbeing of patients.Nutr J 2004, 3:8. [PubMed Abstract][PubMed Central Full Text]

3. Schwartz GG, Whitlatch LW, Chen TC, Lokeshwar BL, Holick MF: Human prostate cells synthesize 1,25-dihydroxyvitamin D3 from 25-hydroxyvitamin D3.Cancer Epidemiol Biomarkers Prev 1998, 7:391-395. [PubMed Abstract]

4. Tangpricha V, Flanagan JN, Whitlatch LW, Tseng CC, Chen TC, Holt PR, Lipkin MS, Holick MF: 25-hydroxyvitamin D-1alpha-hydroxylase in normal and malignant colon tissue.Lancet 2001, 357:1673-1674. [PubMed Abstract]

5. Friedrich M, Rafi L, Mitschele T, Tilgen W, Schmidt W, Reichrath J: Analysis of the vitamin D system in cervical carcinomas, breast cancer and ovarian cancer.Recent Results Cancer Res 2003, 164:239-246. [PubMed Abstract]

6. Schwartz GG, Eads D, Rao A, Cramer SD, Willingham MC, Chen TC, Jamieson DP, Wang L, Burnstein KL, Holick MF, Koumenis C: Pancreatic cancer cells express 25-hydroxyvitamin D-1alpha-hydroxylase and their proliferation is inhibited by the prohormone 25-hydroxyvitamin D3.Carcinogenesis 2004, 25:1015-1026. [PubMed Abstract] Epub 2004 Jan 1023.

7. Mawer EB, Hayes ME, Heys SE, Davies M, White A, Stewart MF, Smith GN: Constitutive synthesis of 1,25-dihydroxyvitamin D3 by a human small cell lung cancer cell line.J Clin Endocrinol Metab 1994, 79:554-560. [PubMed Abstract]

8. Holt PR, Arber N, Halmos B, Forde K, Kissileff H, McGlynn KA, Moss SF, Kurihara N, Fan K, Yang K, Lipkin M: Colonic epithelial cell proliferation decreases with increasing levels of serum 25-hydroxy vitamin D.Cancer Epidemiol Biomarkers Prev 2002, 11:113-119. [PubMed Abstract]

9. Barreto AM, Schwartz GG, Woodruff R, Cramer SD: 25-Hydroxyvitamin D3, the prohormone of 1,25-dihydroxyvitamin D3, inhibits the proliferation of primary prostatic epithelial cells.Cancer Epidemiol Biomarkers Prev 2000, 9:265-270. [PubMed Abstract]

10. Sunlight, Nutrition And Health Research Center[http://www.sunarc.org]

11. Hanchette CL, Schwartz GG: Geographic patterns of prostate cancer mortality. Evidence for a protective effect of ultraviolet radiation.Cancer 1992, 70:2861-2869. [PubMed Abstract]

12. Lefkowitz ES, Garland CF: Sunlight, vitamin D, and ovarian cancer mortality rates in US women.Int J Epidemiol 1994, 23:1133-1136. [PubMed Abstract]

13. Gorham ED, Garland FC, Garland CF: Sunlight and breast cancer incidence in the USSR.Int J Epidemiol 1990, 19:820-824. [PubMed Abstract]

14. Grant WB: Ecologic studies of solar UV-B radiation and cancer mortality rates.Recent Results Cancer Res 2003, 164:371-377. [PubMed Abstract]

15. Grant WB: An estimate of premature cancer mortality in the U.S. due to inadequate doses of solar ultraviolet-B radiation.Cancer 2002, 94:1867-1875. [PubMed Abstract]

--

The BromsaMS Wikidot article cited above is covered by a Creative Commons Attribution-ShareAlike License. The referenced Nutrition Journal article is governed by an Open Access license.

Dr. Don Rose writes books, papers and articles on many topics, including computers, the Internet, artificial intelligence, science and technology, and issues related to seniors.

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Six Ways to Exorcise Exercise Excuses

2007-01-12T15:49:00.000-08:00

Press Release -- Courtesy of PRWEB.com

Introduction by Dr. Don Rose

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Life Alert is known nationwide for providing personal protection in case of falls, home intrusion, medical emergencies or other dangerous scenarios, sending help fast in order to prevent injury or even death. But, as Exercise Physiologist and Fitness Consultant Joey Atlas points out, fitness and weight loss excuses can (eventually) kill you as well. One can conclude from Atlas’s views that we need to provide our bodies with a kind of “fitness protection” by exercising regularly and maintaining optimal weight. While fear of fitness and weight loss failure are major contributors to obesity around the world, Atlas provides a message of hope, encouraging the use of simple home workouts that can help fight fat and improve poor fitness levels. –D.R.

--

Ponte Vedra Beach, FL (PRWEB) November 7, 2006 — According to official figures from a 2006 report compiled by The Trust for America’s Health, the adult obesity rate rose from 15 percent in 1980 to 32 percent in 2004. Combine that with the number of Americans who are overweight but not obese, and the figure stands at 64 percent. And the childhood obesity rate more than tripled between 1980 and 2004, from 5 percent to 17 percent.

“I don’t have enough time for exercise.” “I’m too out of shape to workout.” “I don’t know what to do.” “I’m too afraid to ask the fitness instructors.” “The gym is too crowded.” “The health club members are rude.” “I don’t have the willpower.” These are some of the top excuses revealed by a 2004 survey conducted by the American Council on Exercise of San Diego.

“For the general population, excuses are just excuses. They are not valid reasons for poor levels of fitness and health. That being said, I can understand why so many people use these excuses. They just don’t know any better,” said Exercise Physiologist and Fitness Consultant Joey Atlas. “There is so much fitness and weight loss information out there. It’s hard for people to make sense out of it and see how or if it applies to them,” according to Atlas.

Atlas offers these six tips to put an end to your fitness excuses:

1) Develop this mindset: Fitness is not a leisure pursuit. It’s an obligation and a means for you to protect the gift of life you have been given.
2) Create a simple home gym with a little bit of space and a floor mat for core exercises.
3) Learn compound leg exercises, such as the touch-down, that do not require fitness equipment.
4) Perform daily flexibility and stretching exercises for increasing energy and injury prevention.
5) Use the floor mat for abdominal exercises and thigh exercises that provide a smart foundation for a more advanced fitness program.
6) Incorporate butt exercises and stomach exercises that do not require weights or exercise machines.

“There is so much that can be done with little or no fitness equipment. There is no need to be a member of a health club to be in great shape and healthy,” says Atlas. “I have some of my best workouts on the local playground. A ten-minute ab workout, a quick leg exercise series, a simple core workout and eight minutes of stretching for flexibility will give you a good sweat in less than thirty minutes.”

Atlas offers five free exercises, with photos and instructions via his main website, www.JoeyAtlas.com.

—

Joey Atlas, M.S. - Exercise Physiology, is a fitness consumer advocate, professional trainer and fitness writer. He has been in the fitness industry since the late 80’s. Atlas is a contributing writer for OnFitness Magazine. Joey Atlas Fitness Resources provides fitness consulting services and products to individuals, families and companies all over the world.

Dr. Don Rose writes books, papers and articles on many topics, including computers, the Internet, artificial intelligence, science and technology, and issues related to seniors.

High-Yield Living™ Launches Site for Baby Boomers and Offers 10 Tips for Getting What You Want in 2007

2007-01-11T17:22:00.000-08:00

Press Release from Linda Franklin of High-Yield Living (Courtesy of PRWEB.com)

Introduction by Dr. Don Rose

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A new company called High Yield Living (HYL) aims to show boomers how to successfully deal with “reverse puberty” – the term HYL uses to describe emotions and physical changes boomers go through that often mirror or reverse the feelings and changes experienced during regular (teenage) puberty. One of HYL’s goals is to change how we age in health, beauty, relationships, finance and spirituality. –D.R.

--

(PRWEB) November 14, 2006 -- Linda Franklin, a passionate advocate for the baby boomer generation, has launched High Yield Living LLC, a website www.highyieldliving.com and a blog www.boomersmakingadifference.com. High-Yield Living™ (HYL) offers boomers cutting edge strategies for successfully managing their aging process. HYL’s research has identified that the key categories that boomers find most challenging as they age are health, beauty, relationships, finance and spirituality. "Age is inevitable; how we age isn’t," says Linda, who firmly believes that aging is a kind of reverse puberty. "There is the old paradigm that says ‘we’re getting old and there’s not much we can do about it.’ I subscribe to the new aging paradigm that says ‘there is plenty we can do about it’".

Linda has a natural talent for thinking outside the box. She was the first Canadian woman to own her seat on the New York Stock Exchange. She then became managing partner in charge of arbitrage trading for a leading Wall Street investment firm. Now, in "Act Two," Linda has developed winning strategies for boomers who feel "we’re just not that old."

Here are High-Yield Living’s 10 Tips Baby Boomers Need to Know for the New Year.

1. Me, For Better Or Worse
My body is changing like it or not. How I take care of myself now will shape my life for years to come.

2. It’s Never Too Late to Dream
I will always have a dream. My dreams are the voice of my soul.

3. Playtime
I always have energy for things that makes me happy. Playtime is something I do just for me.

4. Letting Go
Sometimes a relationship just runs its course. It’s okay to let go.

5. Changing Priorities
My wants are changing. I accept the change and move forward. If not now, when?

6. Getting off the Fence
Over thinking doesn’t help me. Action does! Today I move forward.

7. Intimacy
It’s easier to be intimate with other people when I take the time to become intimate with myself.

8. Reaching Out
I will do what I can to help other people. Giving back is a gift.

9. Changing Others
I’ve learned I can’t change other people and have stopped trying.

10. Clutter
I release what no longer serves me. Cleaning up makes room for something new and exciting.

High-Yield Living™ is about changing the aging paradigm and these tips are a great way for boomers to start off 2007 with passion and excitement.

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Dr. Don Rose writes books, papers and articles on many topics, including computers, the Internet, artificial intelligence, science and technology, and issues related to seniors.

Reach Out and Hug Someone... Virtually

2006-12-14T15:10:00.000-08:00

Based on a posting by Roba at the website "And Far Away"

Edited by Don Rose

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Here is an invention designed to provide"The Hug" you cannot give because you are too far away.

Robotics researchers have designed a soft, huggable pillow that uses sensing and wireless phone technology to provide a physical touch, and thus better social and emotional support, for distant family members. The device, which is about the size of a throw pillow but as firm as a seat cushion, is shaped like a person about to give a hug, with two arms reaching up and out from a small torso. The outside is covered in velour, "making it soft and plush and something you would want to hold up against your body."

Another example of technology bringing us closer together. To paraphrase an old phone commercial, now you can "Reach out and hug someone."

I believe The Hug device could prove useful for enhancing the feeling of closeness between family members -- in particular, between mature adults living alone and their children. For the kids, it's the next best thing to being there (with grandma or grandpa). I also believe The Hug and products like it are just initial examples of an inevitable wave of products geared toward making older folks feel more companionship and love while living alone at home.

For more on The Hug, read the article here.

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The article above and the content it is based on are covered by a Creative Commons License.

Dr. Don Rose writes books, papers and articles on many topics, including computers, the Internet, artificial intelligence, science and technology, and issues related to seniors.

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Free Medicine Foundation Helps Patients Taking Costly Cholesterol Drugs Receive Prescription Assistance, But Exercise Caution

2006-12-07T14:58:00.000-08:00

Free prescription drugs for people with high cholesterol and a history of heart problems are available to households with incomes as high as $80,000, according to an organization called the Free Medicine Foundation (FreeMedicine.com). They say that most brand-name prescription drugs are accessible through free or low-cost assistance programs. However, you should note that the FMF does charge a "one-time refundable $5 processing fee for each medication requested." Below, we present a press release from the FMF, then a word of caution from the Answers4Families.org site.

Doniphan, MO (PRWEB) December 6, 2006 – People with high cholesterol or a history of heart problems, concerned over how to pay for their prescription medication, now have a resource to help them: Free Medicine Foundation. Although free medicine assistance has been around for more than 50 years, most people have never heard about and do not know how to apply for free medicine. Free Medicine Foundation's mission is to inform the media and the public of assistance that may be available to thousands of Americans who don't even realize they qualify for such help.

People with bad cholesterol, or LDL, know that it can be inherited from their family members with a history of heart problems or it can be a result of their body chemistry. It can also be the result of a diet high in saturated fats, lack of exercise or diabetes. Changing one's diet and losing weight help in reducing high cholesterol levels, but many people also need to take medicine to keep their bad cholesterol levels down. That's where Free Medicine Foundation can help.

Many lipid-lowering treatments are available for free or low-cost. The following medicines may be available through a free or low-cost plan located through Free Medicine Foundation: Lipitor, Zocor, Vytorin, Lescol, Altocor, Mevacor, Simvastatin, Aspirin and Pravastatin, Atorvastatin, Atromid-S, Clofibrate, Ezetimibe, Fluvastatin, Gemfibrozil, Lescol XL, Lopid, Lopid Tablets, Lovastatin, Pravigard Pac, Zetia and hundreds more. Patients can apply for as many medicines as they need; there is no limit. Keep in mind that prescription assistance is available for most all medications.

Free Medicine Foundation works tirelessly to match patients with hundreds of free or low-cost available programs by scouring available medicine assistance plans to find plans that match applicant needs. "Since our inception, we have helped countless families across the nation completely eliminate or substantially reduce their prescription drug bills," says Cindy Randolph, spokesperson for the Free Medicine Foundation organization. "Although we cannot guarantee your approval, if you believe you may qualify to participate, we will be diligent in our efforts to assist you. Past results have proven our program successful."

This program is for those who are falling through the cracks financially, and make just enough money so they don't qualify for Medicaid, but not enough to afford a prescription coverage plan or to buy their own medications. Keep in mind these programs are not just for poor people. For people who find it a hardship to buy their medicines, should apply for prescription assistance.

Drug sponsors recognize that sometimes exceptions need to be made based on a patient's individual circumstances. Individuals who do not meet these criteria may still qualify if both they and their physicians attest that the patients have special circumstances of financial and medical hardship, and their incomes are below an established limit. With each medication, the income criteria varies from below the poverty level up to $39,200 for individuals, $52,800 for couples, and as high as $80,000 for a family of four.

Upon approval, brand-name free medicines typically arrive in two to three weeks, sent directly to the patient's home, or a coupon is given to take to a local pharmacy or sent to the doctor's office, typically in a 90-day supply. These programs can provide an ongoing lifetime supply of free medication. If the patient is not approved, and receives no medicine assistance, Free Medicine Foundation refunds the full processing fee per no risk money back guarantee. The patient has everything to gain and nothing to lose.

3.4 million seniors will enter the uninsured "donut hole" and start paying the next $2,850 out of their own pockets. Free Medicine Foundation can help cut this cost by over 90%. Pet medicines are also available through low-cost assistance programs.

Caregivers, churches and social organizations are encouraged to utilize Free Medicine Foundation's services. Volunteers are needed to help spread the word to those who cannot afford the high costs of prescription medication. Send Free Medicine Foundation an e-mail or call 1-573-996-3333 to request a free supply of brochure-enrollment forms that are designed to provide the patient/applicant with information and an application for the program. Patients can apply directly online or print the application in English or Spanish. Free Medicine Foundation requires a one-time refundable $5 processing fee for each medication requested.

For patients who require ongoing cholesterol lipid-lowering treatments, Free Medicine Foundation can be a lifesaver. To learn more, apply or request a free brochure visit: http://www.freemedicine.com/ or call 1-573-996-3333.

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Caution on “Free” Drug Programs

The website Answers4Families.org says the following, related to the Free Medicine Foundation:

"An organization called the Free Medicine Foundation www.freemedicinefoundation.com has been recently marketing their services. The Better Business Bureau indicates the Free Medicine Foundation has an unsatisfactory standing with their organization. The BBB points out that this organization is not registered as a “foundation” and they don’t actually provide their services for “free.” The application process for the Free Medicine Foundation requires that the individual pay them $5 per medication, in order for them to
check on whether you qualify for one of the pharmaceutical companies’ patient assistance programs.

There are other organizations that advertise similar services, stating they will attempt to connect individuals with these free or low cost patient assistance programs for a fee. The fee is usually $5-10 per medication, without a guarantee that they will be successful. Consumers should exercise caution when considering using such a service.

NOTE: Information about these patient assistance programs is available for free through the Partnership for Prescription Assistance www.pparx.org or 1-888-477-2669. They are a reputable organization that does provide this information and referral service for consumers for free (“free” in this context actually meaning no cost to the individual). "

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Anti-Aging Advice to Keep Skin Looking Nice

2006-11-28T18:18:00.000-08:00

Based on “Skin Aging-Are You Speeding Up The Process?” posted by Constance Wherrity at piercemattie.com

Edited (with Introduction) by Dr. Don Rose

--

Skin is the body’s largest organ, so it’s important to know how to take care of it. Especially crucial is the facial area; we all want it to look its best, since the face is usually the first thing people see about us, and something we have to experience with every gaze into a mirror. This article presents some tips to help slow down the inevitable process of aging skin, which will hopefully give our face something to smile about. --D.R.

--

It's no secret that our society is obsessed with looking young. As baby boomers turn 60, statistics show the U.S. market for anti-aging products and services is "growing at an average growth rate (AAGR) of 9.5%” and “will reach nearly $72 billion by 2009"*. While science has made advancements in both topical and minimally invasive cosmetic procedures, certain lifestyle factors -- such as smoking, sleep loss and sun exposure -- can unknowingly sabotage your personal aesthetic goals.

Although natural aging is a given, inherited via our genes, we do have control over extrinsic aging. The process of premature aging is caused by poor lifestyle habits that actually accelerate skin aging, including wrinkles, rough texture and uneven pigmentation. According to leading dermatologist Jeannette Graf, current research reveals that the following dynamics accelerate the skin's aging process:

• Sun exposure - No surprise here: the sun does not do a complexion good. From basic dryness to a high risk of melanoma and other skin cancers, UV rays cause daily damage to skin. "Wearing a high SPF sunscreen every day is the one product I recommend to all of my patients," says Graf.

• Smoking - Another culprit that robs skin of its health. Smoking not only directly damages the fibers that provide elasticity and support, causing skin to prematurely wrinkle and droop, but it also decreases the flow of both blood and vital nutrients to the skin's surface, leaving it dry and crinkled looking.

• Diet - What you put into your body is just as important as what you put on, says Graf. A high-fiber diet rich in antioxidant fruits and vegetables will result in a healthier and more radiant complexion. Bottom line: limit alcohol and cola consumption, which depletes the body of its nutrients, and add more wholesome foods, such as lean proteins, fruits, green leafy vegetables and plenty of fresh water.

• Sleep loss - While sleep deprivation is known to cause weight gain and loss of mental concentration, it also affects skin health by robbing it of its precious rejuvenation time. During slumber, your skin, as well as your body, undergoes a period of revitalization. Loss of sleep interrupts this phase, imparting telltale signs such as dark under-eye circles and dry, flaky complexion.

Aging is inevitable, but you can certainly make small efforts to ensure that you don't help speed it along. By getting a good night's sleep, eating a healthful diet and using sun protection each day, you'll be sure to keep both your skin and the rest of your body looking young and vibrant.

* Julia Dvorko, BCC Research 2005

# # #

The article above and the content it is based on are covered by a Creative Commons License.

Jeannette Graf, M.D., F.A.A.D., is a board-certified clinical and research dermatologist specializing in the research of ingredients that inhibit the signs of aging.

Dr. Don Rose writes books, papers and articles on many topics, including computers, the Internet, artificial intelligence, science and technology, and issues related to seniors.

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RealAge Test Makes You Realize What's Really Important Re: Aging

2006-11-27T17:54:00.000-08:00

or, Subject In Mirror May Be Younger Than They Appear

by Dr. Don Rose

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The website http://www.realage.com/ offers a free test. They say that "Your RealAge is the biological age of your body based on over 100 factors – many that you control." I have heard this before, so it seems worth a try. The test's goal is to answer this question: are you biologically younger, older, or the same as your birthday age? Here is what they say you’ll get: (1) A personalized plan to feel younger, and (2) A list of what’s making you younger or older.

I like what this test is all about, for several reasons. First, it gets you in the mindset of "I am not a number" -- that age, as defined as "years since birth," is ultimately not important. Fitness level (mental and physical) is. If nothing else, finding out that you are really years younger (in biological terms) than your chronological age should give your happiness quotient a boost. And, coincidentally, that act of feeling happier happens to help your health, too. It's win-win.

Of course, if the test shows you are biologically older than your chronological age, well... you may feel a bit down for a bit, but let that kick you in the pants to do something about it. (The RealAge site, and some of the other articles on this blog, will hopefully help you in that regard.)

I also like the RealAge site's sidebar section -- their "DID YOU KNOW..." tips. One example: "Laughing often can make your RealAge 8 years younger." Which makes me wonder: if health insurers wanted a wonderful win-win -- healthier customers, and hence lower costs over time -- wouldn't more of them proactively pay for preventive procedures? Can't creative companies cover the cost of comedy clubs? Or Comedy Central on cable?

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Dr. Don Rose writes books, papers and articles on many topics, including computers, the Internet, artificial intelligence, science and technology, and issues related to seniors.

Good Mood Food: Feeling Finer From Fats

2006-11-27T12:51:00.000-08:00

Based on the posting “Mood and Food: The Oil Connection” by Christine Cox, at nutritionadvocate.com

Edited (with Introduction) by Dr. Don Rose

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Fit fats? From fish? Fatty food’s fabulous? Find facts! Findings about foods filled with fatty acids have been published often in recent years – for example, in reference to the consumption of fish. Read below for info on how intake of omega-3’s (found in certain fish and in other sources) can mitigate depression, as well as other examples of how fats can improve our state of mental wellbeing. --D.R.

--

Introduction

It's no news that the kind of fat you eat affects your heart, but did you know that it also affects your head? Mind you, I’m talking about the mind. Studies seem to point to this conclusion, as anxiety, depression, memory and even schizophrenia appear to be influenced by the amounts and types of fat you choose or avoid.

Fats and Mental Health

While low-fat diets appear to be good for our physical health, several studies indicate that cutting down the fat too much may be bad for our mental health.

British researchers found that young adult test subjects had substantially less anxiety and hostility on a diet getting a whopping 41% of its calories from the greasy stuff than they did on a moderate-fat diet of 25% calories from fats.

Researchers in Louisiana fed rats diets high in protein, carbohydrates or fat, and watched their responses to anxiety-provoking situations. Like their human counterparts, the rodents on the high-fat chow had less anxiety when coping with new, slightly threatening situations.

Cholesterol and Depression

Another piece of the puzzle is the common finding that very low cholesterol levels, which are partly linked to low dietary fat intake, are associated with depression. This doesn't indicate, however, that those enviable low levels are the cause of the low mood. Researchers suggest it's possible that the low levels could be the result of the depression, through mechanisms not yet understood. Nevertheless, this cholesterol-and-depression link, together with the studies cited above, certainly seems provocative, and worthy of further inquiry.

Does this mean that when we get especially stressed we should drench our baked potatoes with butter and reach for more cheesecake? Not really. Many studies indicate that, when it comes to affecting mood and mind, it's not necessarily the amount of fat in the diet that counts, but rather the type of fat.

Omega-3: A Mega Good Fatty Acid

A certain type of fatty acid, called omega-3, is found in fish as well as in plant sources such as walnuts, flax seed and purslane. It is also widely available in supplements. The good news: it appears to have a remarkable capacity to help us fight both anxiety and depression. Since omega-3 makes up a large part of the fat in the brain, perhaps it isn't surprising that diets rich in this type of fat can influence the way we feel on a Monday morning.

Recently, a broad-based study by the National Institute on Alcohol Abuse and Alcoholism looked at the relationship of eating patterns around the world to clinical depression. They found this causal link: the more fish eaten (and hence the more omega-3 consumed), the less the amount of depression. And a 1998 British study found that those people having the severest depressions were those who consumed the lowest amounts of omega-3 fatty acids.

Even schizophrenia seems to respond to an increased intake of omega-3, according to two British studies. Symptoms of this severe disease decreased significantly with the addition of this fatty acid.

Conclusion

While these studies are certainly suggestive, it isn't clear that we should start piling oily foods on our plate. First, a high fat diet is correlated with increased heart disease and cancer. Second, studies indicate that even if we add omega-3s to our diet, they won't do much good if we're also eating a lot of fats of other types, such as animal fats and even vegetable oils.

The wisest course may be to follow a generally low-fat diet, but to add small amounts of oils rich in omega-3, such as canola or olive oils, to our salads and stir-fries.

References

Belzung C et al. Alpha-linolenic acid deficiency modifies distractibility but not anxiety and locomotion in rats during aging. J Nutrition September 1998.

Edwards R et al. Omega-3 polyunsaturated fatty acid levels in the diet and in red blood cell membranes of depressed patients. J Affect Disord March 1998.

Edwards R, Peet M, Shay J, Horrobin D. Omega-3 polyunsaturated fatty acid levels in the diet and in red blood cell membranes of depressed patients. J of Affect Disord March 1998.

Laugharne JD, Mellor JE, Peet M. Fatty Acids and schizophrenia. Lipids March 1996.

Peet M, Laugharne JD, Mellor J, Ramchand CN. Essential fatty acid deficiency in erythrocyte membranes from chronic schizophrenic patients, and the clinical effects of dietary supplementation. Prostaglandins Leukot Essent Fatty Acids August 1996.

Prasad A et al. Short-term consumption of a diet rich in fat decreases anxiety response in adult male rats. Physiol Behav September 1996.

Prasad A, Prasad C. Short-term consumption of a diet rich in fat decreases anxiety response in adult male rats. Physiol Behav Sep 1996.

Wells AS, Read NW, Laugharne JD, Ahluwalia NS. Alterations in mood after changing to a low-fat diet. Brit J of Nutr Jan 1998.

Wells et al. Alterations in mood after changing to a low-fat diet. Br J Nutr January 1998.

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The article above and the content it is based on are covered by a Creative Commons License.

Dr. Don Rose writes books, papers and articles on many topics, including computers, the Internet, artificial intelligence, science and technology, and issues related to seniors.

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Full Body CT Scans: Info to Know Before You Go (Part 1)

2006-11-24T17:46:00.000-08:00

Based on the article “Guidelines for Full Body CT Scans?” on the BioEthics Web Log, at blog.bioethics.net

Edited (with Introduction) by Dr. Don Rose

--

You may have seen the ads in newspapers, offering to scan your body (for a fee) in order to learn what things may be wrong with you, before these things cause major problems. In theory, it sounds great, but this article raises some questions and concerns one should think about before deciding on a specific type of scan: the full body CT (Computed Tomography) scan. –D.R.

--

With the convenience and popularity of full body CT scans increasing as a simple solution to detect the ever growing number of maladies cropping up in aging bodies, Menlo Park's Almanac reports that some doctors are warning of the risks inherent to the technology. Advertisements for body scans espouse the procedure’s ability to identify heart disease, lung disease and cancer and other ailments, but do not mention the plausible health side effects of the scan itself. In addition, the FDA provides no regulatory standards for the scanning industry.

When considering the potential dangers of false positives (indicating that you have a problem when in fact you don’t) and radiation exposure, one should think hard and evaluate all options before jumping right into a full body scan. For health care professionals, it may not always be the wisest move to steer people showing no symptoms or signs of problems toward a treatment that could damage an otherwise healthy body. (Remember the famous phrase that medical practitioners have long been taught: “First, do no harm.”)

Should there be professional standards or guidelines stating when it is or is not appropriate for someone to receive a body scan? Or should this aspect of medicine remain “Caveat Emptor” (buyer beware) – with the hope that "informed consent" will wash away any problems?

The answers are not easy, but Part 2 of this article provides additional information regarding full body scans that sheds more light on these issues.

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This work (Full Body CT Scans… Part 1) and the work it is based on are licensed under a Creative Commons License.

Dr. Don Rose writes books, papers and articles on many topics, including computers, the Internet, artificial intelligence, science and technology, and issues related to seniors.

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Full Body CT Scans: Info to Know Before You Go (Part 2)

2006-11-24T17:24:00.000-08:00

Below is the second half of our article on Full Body CT (Computed Tomography) Scans. Providers of CT (and similar) body scans point out that serious problems often have no symptoms, especially in their early stages. On the other hand, some sources (see below) say that healthy folks without symptoms should not be advised to undergo such scans. Hence, it is not a simple choice; doing due diligence and gathering data from multiple sources is recommended before making a final decision. –D.R.

--

Dozens of clinics nationwide are touting a new service for health-conscious people: full-body CT scans -- high-tech computerized X-rays that promise early warnings for cancer, cardiac disease, and other abnormalities. But the practice is controversial because the long-term benefits and risks have not been researched. The Food and Drug Administration (FDA) has approved the CT X-ray system only as a diagnostic tool to be used when symptoms exist, or when there is reason for further testing. But no studies have been done to support using CT scans for screening people without symptoms, or when there is no suspicion or indication of a problem or disease.

Thomas B. Shope, Ph.D., a radiation physicist in the FDA's Center for Devices and Radiological Health, says the agency's concern is that "some of the kinds of things screening CT may find are not necessarily of any health significance." In addition, because no screening test is 100 percent accurate, the FDA is concerned that many people will get false-positive results, leading them to seek additional, possibly risky tests or surgical procedures. While there is a small danger of this when symptoms exist, its occurrence is far more probable when they do not.

Furthermore, the use of any X-ray imaging procedure is always accompanied by a concern about the possible effects of radiation exposure. "The effective dose from a CT procedure can be hundreds of times larger than the effective dose from a conventional radiographic procedure," says Shope.

During a CT scan, an X-ray tube housed inside a doughnut-shaped machine rotates around and transmits radiation through a person's body at various angles. Detectors inside the machine measure the radiation transmitted through the body and these data are converted into electrical signals. A computer gathers these signals and produces three-dimensional images that are displayed on a monitor. A technologist or radiologist can change the contrast or brightness of the displayed image, or use other image processing or display techniques to emphasize areas or tissues of interest.

Using CT systems for diagnosis in medicine has been accepted as a valuable medical practice based on a wealth of experience. Physicians may use it for any condition or disease, as long as they deem the use legitimate within the doctor-patient relationship. Therefore, although the device was approved as a diagnostic tool for specific purposes, the FDA has limited authority to control how it is actually used. The agency continues to approve CT systems and their enhancements on the basis that they are to be used in the diagnoses of symptomatic people.

The American College of Radiology "does not believe there is sufficient scientific evidence to justify recommending total body computed tomographic (CT) screening for patients with no symptoms or a family history suggesting disease." The organization says there is no evidence that the procedure is either cost-effective, or effective in prolonging life. Robert Smith, director of cancer screening at the American Cancer Society, says his organization also "discourages full-body scanning" for the same reasons.

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Dr. Don Rose writes books, papers and articles on many topics, including computers, the Internet, artificial intelligence, science and technology, and issues related to seniors.

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Microwaving Veggies Not so Negative for Nutrients

2006-11-24T17:10:00.000-08:00

Based on the article “Does Microwaving Veggies Kill Nutrients?” on SportsGeezer.com

Edited (with Introduction) by Dr. Don Rose

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Many people believe that microwaving tends to be bad for certain foods, such as vegetables, because it may kill vital nutrients in the food. However, this article cites sources that seem to reverse some of these negative beliefs – and point to a different cooking culprit. --D.R.

--

Anahad O'Connor, writing in his "The Claim" column, takes on the widely-held conviction that cooking vegetables in the microwave destroys valuable nutrients. The truth, O'Connor tells us, is that microwaving destroys far fewer nutrients than other means of cooking, largely because microwaving uses less of two things that destroy nutrients during cooking: heat and water.

O'Connor directs our attention to studies at Cornell University, which looked at the effects of cooking on water-soluble vitamins in vegetables. That research found that spinach retained nearly all its folate when cooked in a microwave, but lost about 77 percent when cooked on a stove. It also found that bacon cooked by microwave has significantly lower levels of cancer-causing nitrosamines than conventionally cooked bacon.

O'Connor also points to a study published in The Journal of the Science of Food and Agriculture in 2003 that found that broccoli cooked by microwave — and immersed in water — loses about 74 percent to 97 percent of its antioxidants. However, when steamed or cooked without water, the broccoli retained most of its nutrients.

The moral of the story: cooking in water seems to be more of a negative than cooking in a microwave, at least as far as preserving nutrients in vegetables is concerned.

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This article and the content it is based on are covered by a Creative Commons License.

Dr. Don Rose writes books, papers and articles on many topics, including computers, the Internet, AI, science and technology, and issues related to seniors.

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Top Ten Tips for a Tip Top Torso

2006-11-22T23:14:00.000-08:00

by Dr. Don Rose

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Which do you want: a tip top torso, or a wide wobbly waist? Do you want to look like a Greek god in sandals, or get a big gut with large love-handles?

It gets harder to avoid the latter as we age; that’s why bloated bellies tend to be seen more often on older folks – like Boomers and seniors -- than on the younger set. But it doesn’t have to be that way. Anyone at any age can have a great looking bod, and not fear their rear, if one follows some exercise and eating rules of thumb. The rules presented below offer ideas on how to get fit and fight fat – something especially useful around holiday time, when calories tend to tempt us time and time again. The modern middle-aged male’s midsection is often more massive than it should be, which can mean many medical maladies if not modified. The good news: most midsections can be trimmed and tightened with time, through tenacity and tried-and-true techniques.

1. Moving Morning: move your workouts to the A.M. if possible -- the earlier the better. Early exercise increases the metabolism, which stays high for several hours afterwards. Benefits of getting your body moving early: more calories burned during the rest of the day and your appetite tends to decrease for a few hours after a workout.

2. Big Breakfast: eat more in the morning (and at lunch) than in the evening. Not only will this get your metabolism going, but you also have all day to burn off “early calories.” Think of your ideal daily calorie intake as an inverted triangle -- more in the morn, tapering off till twilight.

3. Welcome Water: try to drink at least 8 glasses (cups) a day, if possible. Besides the many benefits from the water itself, drinking water before a meal makes you feel fuller and hence you are less likely to overeat. Everyone’s needs are different, of course, but the common maxim says to drink 8 cups a day for optimal health. (Note: urine color indicates whether you need more or less H20; a deeper darker color means you probably need more water.) Tip: try drinking 1 or 2 cups upon waking, before you do anything else; my friend said her friend lost several pounds via this tip alone.

4. Healthy Half: some folks have lost pounds by eating and drinking whatever items they want, but half the usual amount. By doing this, you’re not denying yourself any particular food or beverage – but half the portion means half the calories, which helps you lose weight. For example, one might eat a sandwich with only one side of the bun. (This not only halves the bun calories, but less bread means less carbs -- so it’s a double salvo in your weight loss war.) You also stretch your food budget twice as far.

5. Ditch Dessert: a variant on the previous rule, where you eat whatever you want, with one restriction. In Rule 4, the single restriction was halving portion size; in this rule, it is eliminating any item that is sweet (that is, items with sugar, since sugar is dense with calories). Combining Rules 4 and 5 can be especially effective.

6. Best Buddies: it’s often helpful to have a buddy (or significant other) following the same or similar rules and routines as you -- for support, and to compare notes. Your buddy may discover a useful technique, trick or tip you didn’t think of (or vice versa).

7. More Meals: eat more often, but less per meal. This keeps the metabolism constantly in high gear to burn off calories. Try to keep the smallest meals (i.e., snacks) healthy, too. Using this rule along with Rule 4 can be a sensible combination. For example, instead of 3 or 4 “normal portion” meals per day (breakfast, lunch, dinner and an occasional late supper/snack), try eating 6 to 8 small meals, each at half a “normal portion” or less. This keeps you feeling full and your metabolism high all day. If possible, reduce portion size as the day goes on (see Rule 2).

8. Food Focus: paying attention to what you eat can pay big dividends. First, you’ll enjoy your meal more, since your increased attention will lead you to savor the eating process. Second, the seconds will seem like minutes the more you focus on what you are eating; it will seem like you are eating for a longer time. Third, you will end your eating earlier, because you’ll be aware of the onset of “feeling full” faster – which means less calories taken in, and the gift of extra time to do other things. It’s win win win. Combining this rule with Rule 4 can be effective; the more you truly focus, the more your “half portion” will seem as filling as your former “full portion.”

9. Ending Eating: evening calories are less likely to get burned off that day, and eating right before bed can lead to heartburn or restless sleep, so try to consume less at night (as touched on in Rule 2). Ideally, stop consuming calories at a set time each night. For example, no food after 8pm. Make a rule and stick to it – whatever works for you. The goal: put as many hours as you can between “last bite” and “good night.”

10. Sound Sleep: sleep is when muscles repair, and in general the body uses this time to heal itself. Make sure you get enough hours of shuteye each evening (most people need around 8 hours per night). They don’t call it “beauty sleep” for nothing!

Refer back to these rules when you need to remind yourself of some good habits to follow. These rules are by no means exhaustive, but I hope they provide a general roadmap that will take you closer to your final destination: a fine, fit physique.

If you find it hard to remember all of the information presented above, here is a closing two-line poem that may help, summarizing the rules in ultra-brief form:

Work out mornings, more food early. Focus, buddy; half, no sweet.
8 cups water, 8 small servings. 8 o’clock stop, 8 hours sleep.

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Dr. Don Rose writes books, papers and articles on many topics, including computers, the Internet, artificial intelligence, science and technology, and issues related to seniors.

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Bad Breath and Gingivitis

2006-11-20T19:53:00.000-08:00

Article by David Snape at articlecodex.com

Introduction by Dr. Don Rose

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People of all ages may suffer from bad breath, which is caused by bacteria in the mouth. Gingivitis is a common gum problem, also a result of the action of bacteria. David Snape’s article below discusses these two related problems and ways to deal with them. –D.R.

--

Does this sound familiar to you? My dentist and hygienist mentioned that I had irritated gums as they cleaned my teeth. This is a symptom of gingivitis.

Gingivitis can be a stepping stone to major problems in the mouth and gum line. It can lead to periodontal disease, which is a much more serious problem with the potential for actual bone loss.

Halitosis (bad breath) could be related to a gingivitis infection as both are caused by bacteria. Red, swollen and/or bleeding gums characterize gingivitis. These symptoms are most evident upon flossing and sometimes from brushing.

Bacteria cause gingivitis. And bacteria are considered to be responsible for bad breath.

Sometimes, I could even see the bloodstains that the hygienist quietly wiped away with a towel. It was embarrassing enough to know that I wasn't controlling my gingivitis problem, but to know that she was actually trying not to make a big deal out of it was troubling.

I knew my dentist was concerned because she gave me a bottle of alcohol based mouthwash to try and mentioned that she wanted to see how I looked next time. I don't like using it; there is too much alcohol and the taste is not very pleasant. Alcohol may also dry the mucous membranes in the mouth.

The Problem

Bacteria can stick to your teeth and secrete acid onto them contributing to cavity formation. They can also infect the gums, particularly around the gum line, causing gingivitis. This can manifest initially as bleeding and irritated gums.

Having a lot of uncontrolled bacteria multiplying in the mouth may also lead to bad breath, but there is a natural and normal amount of bacteria in the mouth, and you will never completely get rid of them all, nor would you want to.

Theory has it that it is actually the anaerobic bacteria that live in the tongue and throat that produce sulfur that in turn produce hard to get rid of bad breath. These anaerobes create VSCs or volatile sulfur compounds. One type is the familiar rotten egg smell. There are other odors coming from VSCs as well. These sulfur-producing bacteria may feed on certain foods, like coffee, alcohol and meats.

A gingivitis problem can offer a way for bacteria to easily enter your blood stream and that can lead to additional problems. Systemic infections could come from this. Gingivitis can be something that makes your gums bleed easily in a mild case or it can be the root of deep gum recession, leading to bone loss in the worse case scenarios (periodontal disease).

Loss of gum line can be discouraging. A friend of mind once described the process as "getting long in the tooth". Sometimes, people experience this problem by brushing too hard. TIP: Using a soft bristled toothbrush with the type of motion that your hygienist recommends may help prevent eroded gum lines.

Treatment and Prevention

Had you ever heard of under-the-gum cleanings? This could be part of the protocol your dentist might invoke, should you develop periodontal disease. If you know people that have had an under-the-gum cleaning, they may tell you that it is not very pleasant.

Your dentist can deal with this problem in a variety of ways. However, prevention probably is the best option. Include good flossing and brushing habits - see your dentist for details. And you could add a non-alcohol based mouthwash alternative to your regimen.

I'm currently using a special toothbrush that uses vibration to clean the teeth. This device does a better job than a regular toothbrush in keeping my teeth clean. It does take a little while to get used to because of the vibration. It makes many, many vibrations per second. This helps to give it such wonderful cleaning abilities.

Don't feel sad if you have excellent oral health habits but you still have bad breath. This is common and many people experience this same situation. Oral health products that don't contain sodium lauryl sulfates or artificial flavors that can still kill the bacteria that cause bad breath without using harsh alcohol or tough chemicals may be helpful.

I am not a dentist. This article is for information purposes only. This article is not meant for diagnosis, treatment or prevention nor is it meant to give advice. If you have or suspect you have gingivitis, periodontal disease or any other dental problems, visit your dentist for a consultation.

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David Snape is a health, fitness and well-being enthusiast. He maintains a site: http://tobeinformed.com/ on the same theme. david@tobeinformed.com

This work is licensed under a Creative Commons Attribution-NoDerivs 2.5 License.

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Dr. Don Rose writes books, papers and articles on many topics, including computers, the Internet, artificial intelligence, science and technology, and issues related to seniors.

Diet and Recipe Book Focuses on Anti-Inflammation to Help Save and Enhance Lives

2006-11-20T16:01:00.000-08:00

Based on the article “Available Now, First Diet and Recipe Book to Focus on Anti-Inflammation -- Naturopath's Delicious Recipes Will Help Save Lives” at thebizofknowledge.com

Edited (with Introduction) by Dr. Don Rose

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A big buzzword in the medical/nutrition/healing communities today is inflammation. Recently, the connection between inflammation and disease has become established. Chronic inflammation within our bodies erodes our wellness, paves the path for ill health and speeds up aging. Hidden food allergies can overstimulate the immune system, causing inflammation; any inflammation in the body interferes with and slows down metabolism and our natural healing response. Unfortunately, imbalances in our standard diet cause most Americans to suffer from fairly high levels of inflammation. Older Americans are especially at risk; the effects of inflammation can manifest in seniors as heart disease, arthritis and other problems.

The good news is that disease caused by inflammation can often be controlled or prevented through proper nutrition. “The Anti-Inflammation Diet and Recipe Book” gives readers specifics on how to eat and cook in order to prevent and counter inflammation, promoting simpler and easier digestion, and offering less insult to the body by reducing intake of toxins and other difficult to digest foods. –D.R.

--

Medical research shows that chronic inflammation in our bodies erodes wellness, makes us age faster, and leads to degenerative diseases. Hidden food allergies can over-stimulate the immune system, causing inflammation, which in turn slows down metabolism and our natural healing response. Unfortunately, due to imbalances in the standard American diet, most Americans suffer from fairly high levels of inflammation. As a result, many people develop chronic diseases that could be controlled or prevented through proper nutrition. According to the Centers for Disease Control and Prevention (CDC), seven out of ten deaths are caused by chronic diseases such as cancer, diabetes, and heart disease, all of which have a direct connection to inflammation and nutrition.

What can be done to ensure optimal health and healing? "The Anti-Inflammation Diet and Recipe Book," written by leading naturopathic doctor Jessica K. Black, N.D., helps readers reclaim health by guiding them to practices that facilitate cellular regeneration rather than cellular degeneration and disease. Dr. Black educates readers on making diet choices that promote easier digestion, reduce the intake of toxins, and allow greater absorption of nutrients. The result is improved cellular function and metabolism, and possibly greater vitality and beauty -- not to mention a longer life.

Appropriate for men and women of all ages (even children), Dr. Black's book offers specifics on what to eat and how to cook in order to counter and even prevent inflammation. While providing delicious food choices, the diet eliminates allergens and reduces the intake of pesticides, hormones and antibiotic residues. It encourages whole foods; reduces processed foods, sugars, and other potential toxins such as hydrogenated oils; and encourages ample intake of vegetables and fruits for essential nutrients. Changing one's diet, preparing healthy meals, and enjoying nutritious foods were never so easy.

"The Anti-Inflammation Diet and Recipe Book," in bookstores nationwide, will help people learn to eat and cook healthily. The first half explains the benefits of healthy eating, and provides information about the scientific background of anti-inflammation diets. The second half contains 125 easy-to-prepare recipes, a week's sample menus for summer and winter, nutritional analysis for all recipes and a food substitution chart, so that readers can modify their favorite recipes and make them healthier.

Book Title: “The Anti-Inflammation Diet and Recipe Book: Protect Yourself and Your Family from Heart Disease, Arthritis, Diabetes, Allergies -- and More.”
Author: Jessica K. Black.
Category: Health & Fitness / Diets.
ISBN 0-89793-485-7 / Paperback $14.95.
About the Author: Jessica K. Black, N.D. co-founded and runs a primary care center called A Family Healing Center in McMinnville, Oregon with her husband, Jason Black, N.D. She specializes in women's medicine including menopause, as well as allergies, asthma, pediatrics, nutrition, detoxification, and herbal medicine.

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The article on this website and the content it is based on are covered by a Creative Commons License. Please go to the Creative Commons License site for more information on the CC license that applies to this work.

Dr. Don Rose writes books, papers and articles on computers, the Internet, AI, science and technology, and issues related to seniors.

Gilligan's Island Professor Promotes Pipe-Protecting FreezeAlarm

2006-11-17T17:47:00.000-08:00

Based on the article “Gilligan's Island Professor Promotes FreezeAlarm” on entrepreneurevolution.com

Edited (with Introduction) by Dr. Don Rose

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It’s a safe bet that many (if not most) Boomers and seniors know the name Russell Johnson. He is the actor who played The Professor on the 60’s sitcom Gilligan’s Island (who could fashion a radio out of coconuts but couldn’t fix the boat). Now Mr. Johnson is helping to promote FreezeAlarm -- a system that, like Life Alert, has been around for two decades and provides protection 24/7 for your home. However, whereas Life Alert protects and saves lives, FreezeAlarm literally protects a part of your home: your pipes. Read below for more details. –Don Rose

Russell Johnson, better known as "The Professor" from the hit television show Gilligan's Island, is lending his talents to a national radio campaign promoting the 20th Anniversary of the FreezeAlarm, manufactured by Control Products.

The FreezeAlarm, which comes in Basic, Intermediate and Deluxe models, is a product that protects unoccupied homes and vacation property from damage caused by frozen, burst pipes. If the temperature gets too low or the power goes out, the FreezeAlarm automatically calls up to three phone numbers of the owner's choosing, warning them before the pipes freeze and burst. The popularity of the FreezeAlarm is due in part to its ease of installation. It simply plugs into a standard telephone line.

The Deluxe FreezeAlarm can also monitor rising temperatures -- in a home, cabin, refrigerator, walk-in cooler/freezer, computer room or greenhouse. The Pre-Heat/Cool Feature allows a user to turn the heat or air conditioning up (or down) with a phone call.

"The Professor knows a little bit about being away from home for a long time, so who better to promote the FreezeAlarm, a product that protects your home while you're away?" said Chuck Guerin, National Sales Manager. In the radio ads, Johnson incorporates some of the familiar lines from the Gilligan's Island show to help promote FreezeAlarms, such as: "Pick one up today… before the weather starts getting rough.” The ads featuring Johnson as the Professor began running the week of November 13, 2006, in over twenty markets nationwide.

Since 1986, Control Products and its Protected Home division has manufactured products to protect a home or vacation property from damage caused by frozen pipes, leaky plumbing fixtures, and overflowing sumps through affordable, easy to use products that automatically call up to three phone numbers to alert of problems in the home. The products are available at local hardware stores or heating contractors nationwide.

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The article on this blog and the content it is based on are covered by a Creative Commons License. Please go to the Creative Commons License site for more information on the CC license that applies to this work.

Dr. Don Rose writes books, papers and articles on computers, the Internet, AI, science and technology, and issues related to seniors.

Osteoarthritis: Signs, Symptoms, Supplements and Suggestions

2006-11-16T18:50:00.000-08:00

Based on excerpts from the Wikipedia page “Osteoarthritis”

Edited (with Introduction) by Dr. Don Rose

--

Other articles have discussed the benefits of a Mediterranean diet for those with a specific variant of arthritis (rheumatoid arthritis (RA), a painful disease of the joints). The article below discusses the most common form of the disease, osteoarthritis (OA) -- which, like RA, afflicts many seniors. The article also lists some supplements that may, in some cases, be helpful in preventing or mitigating OA, and provides suggestions for beneficial lifestyle changes. --D.R.

--

Introduction

Osteoarthritis (OA), also known as degenerative arthritis or degenerative joint disease -- and sometimes referred to as "arthrosis" or "osteoarthrosis" or even "wear and tear” -- is a condition in which low-grade inflammation results in pain in the joints, caused by wearing of the cartilage that covers and acts as a cushion inside joints. As the bone surfaces become less protected by cartilage, the patient experiences pain upon weight bearing, including walking and standing. Due to decreased movement because of the pain, regional muscles may atrophy, and ligaments may become more lax.

OA is the most common form of arthritis. The word is derived from the Greek word "osteo", meaning "of the bone", "arthro", meaning "joint", and "itis", meaning inflammation, although many sufferers have little or no inflammation. OA affects nearly 21 million people in the United States, accounting for 25% of visits to primary care physicians, and half of all NSAID (Non-Steroidal Anti-Inflammatory Drugs) prescriptions. It is estimated that 80% of the population will have radiographic evidence of OA by age 65, although only 60% of those will be symptomatic (Green 2001).

There is no cure for OA, as it is impossible for the cartilage to grow back. However, if OA is caused by cartilage damage -- for example, as a result of an injury -- Autologous Chondrocyte Implantation may be a possible treatment.

Signs and symptoms

The main symptom of OA is chronic pain, causing loss of mobility and often stiffness. "Pain" is generally described as a sharp ache, or a burning sensation in the associated muscles and tendons. OA can cause a crackling noise (called "crepitus") when the affected joint is moved or touched, and patients may experience muscle spasm and contractions in the tendons. Occasionally, the joints may also be filled with fluid. Humid weather increases the pain in many patients.

OA commonly affects the hands, feet, spine, and the large weight-bearing joints, such as the hips and knees, although in theory, any joint in the body can be affected. As OA progresses, the affected joints appear larger, are stiff and painful, and usually feel worse the more they are used throughout the day, thus distinguishing it from rheumatoid arthritis.

In smaller joints, such as at the fingers, hard bony enlargements may form, and though they are not necessarily painful, they do limit the movement of the fingers significantly. OA at the toes leads to the formation of bunions, rendering them red or swollen.

Causes

OA often affects multiple members of the same family, suggesting that there is hereditary susceptibility to this condition. A number of studies have shown that there is a greater prevalence of the disease between siblings and especially monozygotic twins, indicating a hereditary basis. Up to 60% of OA cases are thought to result from genetic factors. Researchers are also investigating the possibility of allergies, infections, or fungi as a cause.

Types

OA may be divided into two types:

Primary osteoarthritis

This type of OA is caused by aging. As a person ages, the water content of the cartilage decreases, and the protein composition in it degenerates, thus degenerating the cartilage through repetitive use or misuse. Inflammation can also occur, and stimulate new bone outgrowths, called "spurs" (osteophyte), to form around the joints. Sufferers find their every movement so painful and debilitating that it can also affect them emotionally and psychologically.

Secondary osteoarthritis

This type of OA is caused by other conditions or diseases, such as:

Congenital disorders. For example:
--Congenital hip luxation.
--Abnormally-formed joints (e.g. hip dysplasia). People with such joints are more vulnerable to OA, as added stress is specifically placed on the joints whenever they move.
Cracking joints. Some say evidence is weak that this has a connection to OA.
Diabetes.
Inflammatory diseases and all chronic forms of arthritis (e.g. gout and rheumatoid arthritis). In gout, uric acid crystals cause the cartilage to degenerate at a faster pace.
Injury to joints, as a result of an accident.
Hormonal disorders.
Ligamentous deterioration or instability.
Obesity. Obesity puts added weight on the joints, especially the knees.
Osteopetrosis (High bone density).
Sports injuries, from exercise, athletic activity or work. For example, certain sports, such as weightlifting, running, or even football, put undue pressure on the knee joints. Injuries resulting in broken ligaments can lead to instability of the joint, and over time, wear of the cartilage and eventually osteoarthritis.
Surgery to the joint structures.

Diagnosis

Diagnosis is normally done through x-rays. This is possible because loss of cartilage, subchondral ("below cartilage") sclerosis, subchondral cysts, the narrowing of the joint space between adjacent bones, and bone spur formation (osteophytes) show up clearly in x-rays. Plain films, however, often do not correlate with the findings of a physical examination in the early stages of the disease.

With or without other techniques -- such as MRI (magnetic resonance imaging), arthrocentesis and arthroscopy -- a careful study of the duration, location, and character of the joint symptoms, and the appearance of the joints themselves, will help the doctor to determine whether his patient suffers from OA.

OA and Supplements

Supplements which may be useful for treating OA include:

--Antioxidants, including Vitamins C and E in both foods and supplements, provide pain relief from OA. (McAlindon TE, et al, 1996).

--Chondroitin sulphate improves symptoms of OA, and delays its progression (Poolsup N et al, 2005).

--Collagen hydrolysate (a gelatin product) may also prove beneficial in the relief of OA symptoms, as substantiated in a German study by Beuker F. et. al. and Seeligmuller et. al. In their 6-month placebo-controlled study of 100 elderly patients, the verum group showed significant improvement in joint mobility.

--Ginger (rhizome) extract - has improved knee symptoms moderately (Altman RD, 1991).

--Glucosamine: A molecule derived from glucosamine is used by the body to make some of the components of cartilage and synovial fluid. Supplemental glucosamine may improve symptoms of OA and delay its progression (Poolsup N et al, 2005). However, a recent large study suggests that glucosamine is not effective in treating OA of the knee (McAlindon et al 2004).

--Methylsulfonylmethane (MSM): A small study by Kim et al. suggested that MSM significantly reduced pain and improved physical functioning in OA patients without major adverse events (Kim et al). The authors cautioned that although this short pilot study did not address the long-term safety and usefulness of MSM, they suggest that physicians should consider its use for certain osteoarthritis patients.

--S-adenosyl methionine: small scale studies have shown it to be as effective as NSAIDs in reducing pain, although it takes about four weeks for the effect to take place.

--Selenium deficiency has been correlated with a higher risk and severity of OA, therefore selenium supplementation may reduce this risk.

--Vitamins B9 (folate) and B12 (cobalamin) taken in large doses significantly reduced OA hand pain, presumably by reducing systemic inflammation (Flynn MA 1994).

--Vitamin D deficiency has been reported in patients with OA; supplementation with Vitamin D3 is recommended for pain relief (Arabelovic, 2005).

Lifestyle changes

Other nutritional changes shown to aid in the treatment of OA include elevated saturated fat intake (Wilhelmi G, 1993) and elevated body fat (Christensen R, 2005). Reducing sugar, processed foods, and fatty foods (despite the apparent contradiction) have helped many. According to Dr. John McDoughall, a low-fat vegetarian diet can reduce arthritis symptoms. A macrobiotic diet has been known to reduce symptoms as well.

Lifestyle change may be needed for effective symptomatic relief, especially for knee OA (De Filippis L, 2004). No matter what the severity, or where the OA lies, conservative measures such as weight control, appropriate rest and exercise, and the use of mechanical support devices are usually beneficial to sufferers. In the case of OA of the knees, knee braces, a cane, or a walker can be a helpful aid for walking and support. Regular exercise, if possible, in the form of walking or swimming, is encouraged.

Applying local heat before exercise, and cold packs after, can help relieve pain and inflammation, as do relaxation techniques.

References

Altman RD, Marcussen KC. Arthritis Rheum. 2001 Nov; 44(11):2531-8.

Arabelovic S, McAlindon TE. Curr Rheumatol Rep. 2005 Mar; 7(1):29-35.

Christensen R. Osteoarthritis Cartilage. 2005 Jan; 13(1):20-7.

Curtis CL et al. Proc Nutr Soc. 2002 Aug; 61(3):381-9.

De Filippis L et al. Reumatismo. 2004 Jul-Sep; 56(3):169-84.

Flynn MA, Irvin W, Krause G. J Am Coll Nutr. 1994 Aug; 13(4):351-6.

Green GA. Understanding NSAIDS: from aspirin to COX-2. Clin Cornerstone 2001; 3:50-59. PMID 11464731.

McAlindon T, Formica M, LaValley M, Lehmer M, Kabbara K. Effectiveness of glucosamine for symptoms of knee osteoarthritis: Results from an internet-based randomized double-blind controlled trial. Am J Med 2004; 117:643-9. PMID 15501201.

McAlindon TE, Jacques P, Zhang Y, et al. Do antioxidant micronutrients protect against the development and progression of knee osteoarthritis? Arthritis Rheum 1996; 39:648-656.

Mooney V. Spinal arthritis complete treatment guide. Spine-health.com, May 25, 2005.

Wilhemi G. Z Rheumatol. 1993 May-Jun; 52(3):174-9.

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Dr. Don Rose writes books, papers and articles on computers, the Internet, AI, science and technology, and issues related to seniors.

Seniors, Sex and Staying Safe

2006-11-15T15:54:00.000-08:00

Based on the article “Seniors Having Sex” on progressiveu.org

Edited (with Introduction) by Dr. Don Rose

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Yes, it is true -- seniors have sex too. Not surprising, since older Americans today are living longer and keeping in better shape than ever before. Not to mention the availability of better and safer, um, “tools of the trade.” Like Viagra, Levitra, Cialis, and vitamin supplements that can at times achieve the same goal: improvement in sexual function. However, there is a potential danger for seniors: lack of knowledge, especially if they have been “out of the game” or “off the bike” for a while. This article discusses these issues. –D.R.

--

Introduction

No, the title does not refer to seniors in high school, nor seniors in college. This is about, yes, sex for grandma and grandpa. Most people don’t want to think about their parents making whoopie, let alone gramps and grannie, but the fact is older folks are having more sex than ever before -- since there are more of them, and more of them are staying healthy into their later years.

Senior sex: courting danger?

While most people associate sexual risk with youth, sex for seniors can be more dangerous than sex among younger age groups. Many seniors haven’t been exposed to sex education, including STDs, HIV and AIDS -- issues that have impacted so many younger Americans. The young are used to dealing with these matters, whereas some seniors may be in the dark about sexual dilemmas of the day – especially those newly single, coming off a divorce or death of a spouse after years of marriage. Reports have stated that 20% of new HIV cases are seniors -- a surprisingly high figure, one which suggests a lack of knowledge.

One problem is that some seniors just think of condoms as a device to prevent pregnancy. Since most male seniors aren’t worried about impregnating female seniors, they may feel condoms are unnecessary. They may not care or even know about other things condoms can protect them from. Another problem: seniors often find talking about sex to be rude or improper, even if they are sexually active. It is a topic that many feel belongs behind closed doors.

Conclusion

If we want to keep grandma and grandpa alive and kicking for a long time, they need to be exposed to updated sexual information. Sex in the golden years is happening whether we want to believe it or not. They have Viagra and other drugs that can help out. Their doctors need to talk to them about sexual diseases and protection.

Maybe we’ve reached an ironic time in history where kids need to sit their parents down to have a sex talk. A little weird, perhaps, but it can save a life.

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This article and the content it is based on are covered by a Creative Commons License. Please go to the Creative Commons License site for more information on the CC license that applies to this work.

Dr. Don Rose writes books, papers and articles on computers, the Internet, AI, science and technology, and issues related to seniors.

More online tests for cancer or other diseases?

2006-11-14T17:14:00.000-08:00

Does anyone out there have experience with any online tests for diseases that affect seniors?

If so, please let us know. I, as well as readers of this Senior Protection Blog, would like to know.

The previous post mentioned a free online test for Prostate Cancer risk, but we'd love to post other tests as well. For men or women, and especially those related to seniors.

Kathy

Website Helps Men Evaluate Risk of Prostate Cancer

2006-11-14T16:59:00.000-08:00

Edited (with Introduction) by Dr. Don Rose

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This article discusses prostate cancer, some state-of-the-art treatment options, and a website that features a risk test for this type of cancer. The free test promotes prostate cancer screenings and early detection, which maximizes a man’s chance for survival and helps reduce the chances that drastic treatment will be needed. Hence, this test is something that men over 50, especially senior citizens, should look into. –D.R.

--

Background

In 2006, more than 234,000 American men will be diagnosed with prostate cancer, and more than 27,000 men will die from the disease, according to the American Cancer Society. While it is estimated that 1 man in 6 will suffer from prostate cancer in his lifetime, only 1 man in 34 will die from it. The earlier the disease is diagnosed and treated, the more likely it is for patients to survive and remain disease-free.

Online prostate cancer risk test

A new website published by Little Company of Mary Hospital and Health Care Centers in the Southwest Chicago area (http://www.PursuingPainFreeCancer.org) encourages men to learn more about prostate cancer, and to take a free confidential online test to evaluate their prostate cancer risk. The website’s test evaluates a man’s risk based on certain genetic and lifestyle factors that scientists believe affect one’s prostate cancer risk.

Knowledge and survival

Knowing one’s risk can significantly increase a man’s chance for surviving prostate cancer. According to Dr. Paul Y. Song, a prostate cancer specialist at Little Company of Mary, “Knowing your risk and early detection provide the best tools to fight prostate cancer. If the disease is diagnosed early, a patient has an excellent prognosis, many treatment options, and typically suffers from fewer side effects.” When the disease is still confined to the prostate, the five-year relative survival rate is nearly 100 percent.

Treatment options

“Men whose cancer is diagnosed early may be candidates for any of the accepted prostate cancer treatments,” Dr. Song said. Some of the treatment options include radiation therapy and surgery. The doctor notes that “during the last 20 years, major clinical evidence has shown that both surgery and radiation therapy offer an equal chance for cure in the treatment of prostate cancer.”

Little Company of Mary Hospital is the only hospital in the entire greater Chicago area to offer both High Dose Rate brachytherapy for prostate cancer treatment and the da Vinci robotic prostatectomy.

High dose rate (HDR) brachytherapy provides the most precise delivery of radiation possible in the treatment of prostate cancer. Unlike permanent seed implants, patients have temporary placement of radioactive catheters which can be custom tailored to deliver precision internal radiation and better avoid the urethra, rectum, and nerves to reduce overall toxicity without being radioactive and exposing family members to radiation. It is a one-day procedure where patients can go back to work the next day. According to Dr. Song, “HDR brachytherapy takes the prostate implant procedure to a whole new level, and is more precise and less toxic than conventional seed implants.”

The da Vinci robotic surgical system is a state-of-the-art minimally-invasive technology which allows surgeons to perform complex surgeries through tiny openings. Patients who undergo daVinci prostatectomies typically enjoy fewer overall side effects, shorter hospital stays, and earlier resumption of normal activities.

Conclusion

At its earliest stages, prostate cancer does not present with any symptoms. Therefore, knowing one’s risk and early detection for prostate cancer are a man’s best defenses. “Once cancer cells are found outside the prostate, a man has much fewer treatment options and less potential for cure,” Dr. Song explained. Little Company of Mary’s online prostate cancer risk test at http://www.PursuingPainFreeCancer.org “is a great tool to become more knowledgeable about prostate cancer.”

Resources

For more information, see the above website, or contact Kelly Cusack at 708.229.5049.

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Dr. Don Rose writes books, papers and articles on computers, the Internet, AI, science and technology, and issues related to seniors.

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Study: Mediterranean Diet Reduces Risk of Alzheimer's Disease

2006-11-13T18:45:00.000-08:00

Based on the article “Mediterranean diet reduces risk of Alzheimer's disease, study concludes” on wikinews.org

Edited (with Introduction) by Dr. Don Rose

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Given the positive results discussed in our article on how a Mediterranean diet benefits rheumatoid arthritis sufferers, it was not surprising to learn that this same diet also reduces risk for another disease. The article below discusses the benefits related to Alzheimer's disease -- an affliction that can manifest in any adult, but is especially prevalent among senior citizens. –D.R.

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Overview

U.S. scientists analyzed the health and eating patterns of 2,258 study participants and found a link between a Mediterranean diet (MD) and a decreased risk of Alzheimer's disease, the most common cause of dementia.

Details

Participants were scored on their use of fruits, vegetables, legumes, cereals and fish (which were considered beneficial in this study), as well as dairy products and meat (which were considered detrimental to the subjects’ health). Moderate fat and alcohol intake was also considered part of a typical MD. Potential statistical confounders ("hidden" variables that might affect or distort results) -- such as age, sex, ethnicity, education, Apo E genotype, caloric intake and body mass index -- were taken into account.

Conclusion

"This large study in a leading journal adds to the growing weight of evidence that diet and lifestyle are very important risk factors for Alzheimer's disease" was the reaction of Professor Clive Ballard of the Alzheimer's Society.

Sources

Rob Stein, "Mediterranean diet could limit Alzheimer's". The Washington Post, October 14, 2006.

"Med diet 'reduces dementia risk'". BBC News Online, April 17, 2006.

Scarmeas N, Stern Y, Tang MX, Mayeux R, Luchsinger JA. Mediterranean diet and risk for Alzheimer's disease. Ann Neurol, 2006; 59 (6): 912-21. PubMed.

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The article on this website and the content it is based on are covered by a Creative Commons License. Please go to the Creative Commons License site for more information on the CC license that applies to this work.

Dr. Don Rose writes books, papers and articles on computers, the Internet, AI, science and technology, and issues related to seniors.

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Study Shows Mediterranean Diet Helps Patients with Rheumatoid Arthritis

2006-11-13T17:16:00.000-08:00

Based on the abstract for “An experimental study of a Mediterranean diet intervention for patients with rheumatoid arthritis” by L. Skoldstam, L. Hagfors and G. Johansson

Edited (with Introduction) by Dr. Don Rose

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Much has been written about the benefits of a Mediterranean diet, which features greater consumption of fish, olive oil, and cooked vegetables. This study discusses such benefits as they relate to rheumatoid arthritis, a painful disease of the joints that many seniors suffer from. –D.R.

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OBJECTIVE

The objective of this study was to investigate the effectiveness of a Mediterranean diet (MD) -- with its greater consumption of fish, olive oil, and cooked vegetables -- as compared to an “ordinary” Western diet for suppression of disease activity in patients with rheumatoid arthritis (RA).

METHODS

Patients with well controlled although active RA of at least two years' duration, who were receiving stable pharmacological treatment, were invited to participate. All patients were randomly allocated to the MD or the control diet (CD). To achieve good compliance with prescribed diets, all patients were (for the first three weeks) served the MD or the CD, respectively, for lunch and dinner at the outpatient clinic's canteen.

Clinical examinations were performed at baseline (the beginning of the study), and again in the 3rd, 6th, and 12th week. A composite disease activity index (DAS28), a physical function index (Health Assessment Questionnaire (HAQ)), a health survey of quality of life (Short Form-36 (SF-36)), and the daily consumption of non-steroidal anti-inflammatory drugs were used as primary variables to judge the MD’s effectiveness.

RESULTS

From baseline to the end of the study, the patients in the MD group (n=26) showed a decrease in DAS28 of 0.56 (p<0.001), in HAQ of 0.15 (p=0.020), and in two dimensions of the SF-36 Health Survey: an increase in "vitality" of 11.3 (p=0.018) and a decrease in "compared with one year earlier" of 0.6 (p=0.016). For the control patients (n=25), no significant change was seen at the end of the study. This difference between the two treatment groups was notable only in the second half of the trial.

CONCLUSION

The results indicate that patients with RA, by adjusting to a Mediterranean diet (MD), did obtain a reduction in inflammatory activity, an increase in physical function, and improved vitality.

DISCUSSION AND LESSONS LEARNED

According to the full paper that describes this research, “[case]-control studies indicate that lifelong consumption of fish, olive oil, and cooked vegetables may have independent protective effects on the development or severity of rheumatoid arthritis (RA).”

Other studies, from selected geographical regions, support these hypotheses. In the Faroe Islands, where the typical diet is high in fish and whale meat, RA reportedly was mild. In northwestern Greece, where people consume high amounts of olive oil, the number of RA occurrences has reportedly been relatively low.

Other lessons learned regarding diet and RA:

· Supplementation of an “ordinary” Western diet with fish oils has been shown to “induce a weak anti-inflammatory effect”. In RA sufferers, “this effect was not detectable until after six weeks.”

· “Besides investigating the effects of specific nutrients and food items, attention should also be drawn to the diet as a whole. Ever since the Seven Countries Study, the MD -- particularly the Cretan MD -- has been regarded as a healthy and disease-preventing diet. The traditional Cretan MD is characterized by a high consumption of fruit, vegetables, cereals, and legumes. Compared with common Western diets, the MD contains less red meat and more fish. The Cretan MD typically uses olive oil as the primary source of fat, and also includes a moderate intake of wine.”

· “The fish consumed in Greece contain fewer n-3 fatty acids than deep ocean fish. This may explain why Linos and coworkers in their Greek case-control study found no significant evidence that fish consumption was an independent predictor of risk for RA. Instead, the two independent predictive factors turned out to be consumption of olive oil and cooked vegetables.”

· “Olive oil is rich in oleic acid (18:1n-9), which can be metabolized to eicosatrienoic acid (20:3n-9) -- with anti-inflammatory effects similar to those of n-3 PUFA from fish oils. Olive oil also has antioxidative properties. Greeks mainly consume the unrefined and unbleached virgin oil, which is rich in natural antioxidants including tocopherols.”

· “The other independent predictor of risk was consumption of cooked vegetables. Vegetables are particularly rich in a variety of natural antioxidants, which contribute to better control of inflammation. Antioxidants limit pathological aspects of the cytokine mediated response to inflammation. They also inhibit direct damage to tissues from all kinds of oxidative molecules that are released.”

· Other beneficial results noticed during this study: a fall in body weight and in serum cholesterol within the MD group.

While the results of this study are promising, the authors state that a “complete therapeutic evaluation will require larger numbers of patients to be followed up for a longer time, another budget, and collaboration with other [centers].”

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Dr. Don Rose writes books, papers and articles on computers, the Internet, AI, science and technology, and issues related to seniors.

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AARP Survey: Public Strongly Opposes Social Security Private Accounts

2006-11-11T18:58:00.000-08:00

Based on the article “New AARP Survey Shows Public Strongly Opposes Social Security Private Accounts” on MonteBubbles.net (website edited by William Hoehne and Joyce Chow)

Edited (with Introduction) by Dr. Don Rose

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A recent survey by AARP, the organization devoted to seniors over 50, indicates that a majority of boomer voters and politicians alike seem to dislike using Social Security taxes to fund private accounts. More details on the survey results below. –D.R.

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A recent AARP survey finds that “boomer-plus” voters (age 42 and older) are strongly opposed to using Social Security taxes to fund private accounts. Of those polled, 72 percent said they oppose private accounts. Just 16 percent of those polled said they support such accounts.

An analysis of candidate responses to the 2006 AARP Voters' Guides in 45 competitive Senate and House races reflects that candidates are hearing the public's rejection of private accounts. AARP's 2006 Voters' Guides asked candidates whether they "support or oppose using Social Security taxes to fund private accounts." Out of 20 Senate candidates in some of the closest races in which Guides were available, 14 (70 percent) checked the box in opposition; only one (5 percent) expressed support, while 5 (25 percent) did not give an answer. Similarly, in 35 competitive House races, 60 percent of the candidates checked the box in opposition; only 3 percent expressed support, while 37 percent did not respond.

The guides also asked candidates whether they will "support or oppose a balanced Social Security plan to continue the program's guaranteed benefits for future generations." Of the 20 Senate candidates, 15 (75 percent) checked the box in support, one (5 percent) opposed and 20 percent did not respond. For the House races, 63 percent of the candidates supported a balanced plan, only 1 percent opposed, and the remaining candidates did not respond.

"It is clear from the responses to our Voters' Guides that an overwhelming majority of candidates oppose private accounts and support a balanced Social Security plan to continue this critical program for future generations," said AARP Director of Government Relations David Sloane. "These candidates have committed to strengthening and preserving Social Security, and voters will expect that they follow through on their promises."

The Election Watch survey was commissioned as a national telephone survey of 1,503 individuals age 42 and older. AARP wanted to take the pulse of the public's opinion on issues that members have indicated they want to hear about in the public discourse. AARP is a nonprofit, nonpartisan membership organization that helps people 50+ have independence, choice and control in ways that are beneficial and affordable to them and society as a whole.

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The article on this website and the content it is based on are covered by a Creative Commons License. Please go to the Creative Commons License site for more information on the CC license that applies to this work.

Dr. Don Rose writes books, papers and articles on computers, the Internet, AI, science and technology, and issues related to seniors.

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NCOA's BenefitsCheckUp Site Speeds Filing for Medicare Extra Help and Other Benefits

2006-11-07T22:04:00.000-08:00

Based on the posting “NCOA's BenefitsCheckUp Now Allows Automatic Filing for Medicare Extra Help and Other Needed Benefits”, at brainbasedbusiness.com

Edited (with Introduction) by Dr. Don Rose

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If you are a senior citizen, and you think you may be eligible for Medicare’s Extra Help benefit, this article is for you. Or perhaps you know someone who may qualify for Extra Help, or other benefits, but is unaware of them. Whatever the case may be, this article is for you, as it discusses how the BenefitsCheckUp website is assisting older Americans with automatic filing for benefits they are entitled to. More specifically, www.benefitscheckup.org could be especially helpful to the more than 630,000 who were "deemed eligible" in the first Medicare Part D enrollment period, but have lost their eligibility for the low income subsidy and must now apply for it. --D.R.
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Introduction

The National Council on Aging (NCOA) has added a new feature to its Web-based BenefitsCheckUp service that could assist several million people who are eligible for (but have not enrolled in) the Extra Help benefit, available through Medicare's Prescription Drug Coverage (also known as Part D). The new service, available at http://www.benefitscheckup.org/, could be especially helpful to the more than 630,000 people who were "deemed eligible" for Extra Help in 2006, but who have recently lost their automatic eligibility for this assistance and must now apply for it.

Speeding up Extra Help

"If someone with Medicare has limited income and resources, there's no reason not to apply for the Extra Help," said James Firman, NCOA president and CEO. "And now, anyone anytime can use the Web to speed up this process and find out if they can also get extra income or other help with paying for their medicines or health care expenses."

How to get Extra Help, and how much it helps

People must apply to the Social Security Administration (SSA) first to find out if they qualify for Extra Help. If someone qualifies, they can save on average $3,700 a year since Medicare's Extra Help will pay their cost sharing, and they will have no gap in coverage (the donut hole). This year’s deadline for enrollment in a Medicare Part D plan is December 31, 2006.

People with Medicare, family members or caregivers can now use NCOA's BenefitsCheckUp site (at BenefitsCheckUp.org) to submit their applications for Extra Help electronically, and receive immediate confirmation that SSA received the application.

The extra benefits of BenefitsCheckUp

In addition, without filling out any other questionnaire, the “BenefitsCheckUpRx - Extra Help with Prescription Costs” feature will tell users if they qualify for other federal or state benefits programs. These include programs that can save them money on health care (Medicare Savings Programs and Medicaid), provide extra income (Supplemental Security Income), find other prescription savings (State Pharmacy Assistance Programs) or help in paying for food (Food Stamps).

Fast, free feature fits technology to need

"We added this new feature to BenefitsCheckUp because we received lots of requests from individuals and feedback from organizations involved in finding and helping people with Medicare that some other tool was needed," said Stuart Spector, senior vice president of the NCOA's Benefits Access Group. "The new BenefitsCheckUp Extra Help feature is free, it's fast and it is confidential."

Conclusion

NCOA, which led far-reaching outreach and enrollment efforts during the initial Part D enrollment period, continues its work in helping to find and enroll those who may be eligible for Medicare Extra Help. The Council is doing this through its ongoing support of local Access to Benefits Coalitions in 44 areas, and the second phase of its My Medicare Matters campaign.

Seniors nationwide should take advantage of NCOA’s efforts, since the only thing you have to lose is the size of your Medicare bill.

About the National Council on Aging

Founded in 1950, the National Council on Aging is a charitable organization dedicated to improving the health and independence of older persons and to increasing their continuing contributions to communities, society, and future generations. For more information on NCOA, visit the National Council on Aging website (www.ncoa.org).

About BenefitsCheckUp

Since 2001, 1.8 million people have used BenefitsCheckUp and 400,000 have found benefits programs that help them pay for prescription drugs, health care, rent, utilities, and other needs. For more information about how to become a BenefitsCheckUp Organizational Edition user, please send email to support@benefitscheckup.org.

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The article on this site and the content it is based on are covered by a Creative Commons License. Please go to the Creative Commons License site for information on the license that applies to this work.

Dr. Don Rose writes books, papers and articles on computers, the Internet, AI, science and technology, and issues related to seniors.

A Medicare Prescription Drug Primer, Part 1: Coverage Basics

2006-11-07T15:57:00.000-08:00

Based on the “Medicare.gov - MPDPF: Supporting Information” and “Prescription Drug Coverage: Basic Information” webpages on the Medicare website

Edited (with Introduction) by Dr. Don Rose

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Now that the 2007 active enrollment period for the Medicare Prescription Drug Benefit is here (the active period runs November 15 to December 31, 2006), we thought an overview article covering the basic concepts involved in choosing a plan would be useful. Such a primer follows below. We urge all seniors to gather information that can assist in their decision making, whether they are contemplating a plan change or deciding on a plan for the first time.(Below is part 1 of our two part article.) --D.R.

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What is Medicare Prescription Drug Coverage?

Medicare prescription drug coverage is insurance that covers both brand-name and generic prescription drugs at participating pharmacies in your area. Medicare prescription drug coverage provides protection for people who have very high drug costs. This coverage may help lower prescription drug costs and help protect against higher costs in the future. It can give you greater access to drugs that you can use to prevent complications of diseases and stay well.

Medicare offers prescription drug coverage for everyone with Medicare. This coverage is called “Part D.” If you join a Medicare drug plan, you pay a monthly premium.

Part D is optional. If you decide not to enroll in a Medicare drug plan when you are first eligible, you may have to pay a penalty if you choose to join later.

There are two ways to get Medicare prescription drug coverage:

1. Join a Medicare Prescription Drug Plan that adds coverage to
· the Original Medicare Plan,
· some Medicare Private Fee-for Service Plans,
· some Medicare Cost Plans, and
· Medicare Medical Savings Account Plans.

2. Join a Medicare Health Plan (like an HMO or PPO) that includes prescription drug coverage that is a part of the plan. You get all of your Medicare health care including prescription drug coverage through these plans.

Read Quick Facts about Medicare's New Coverage for Prescription Drugs

Who can get Medicare prescription drug coverage?

Everyone with Medicare is eligible for this coverage, regardless of income and resources, health status, or current prescription expenses.

How does Medicare prescription drug coverage work?

Your decision about Medicare prescription drug coverage depends on the kind of health care coverage you have now. There are different ways to get Medicare prescription drug coverage. You can join a Medicare prescription drug plan, or you can join a Medicare Advantage Plan or other Medicare Health Plan that offers drug coverage. Whichever plan you choose, Medicare drug coverage will help you by covering brand-name and generic drugs at pharmacies that are convenient for you.Like other insurance, if you join, generally you will pay a monthly premium, which varies by plan, and a yearly deductible (between $0-$265 in 2007). You will also pay a part of the cost of your prescriptions, including a copayment or coinsurance. Costs will vary depending on which drug plan you choose. Some plans may offer more coverage and additional drugs for a higher monthly premium.

If you have limited income and resources, and you qualify for extra help, you may not have to pay a premium or deductible. You can apply or get more information about the extra help by calling Social Security at 1-800-772-1213 (TTY 1-800-325-0778) or visiting http://www.socialsecurity.gov/prescriptionhelp/.

What are Medicare Prescription Drug Plans?

Medicare Prescription Drug Plans are offered by insurance companies and other private companies approved by Medicare. They add coverage to:

· The Original Medicare Plan,
· Some Medicare Cost Plans,
· Some Medicare Private Fee-for-Service Plans, and
· Medicare Medical Savings Account Plans.

With a Medicare Prescription Drug Plan:

· Generally, you pay less for your prescriptions
· You will get a plan member card after you enroll. You use this card when you get your prescriptions filled
· You will pay the copayment, coinsurance, and/or deductible, if any.

If you have limited income and resources, you may get extra help to pay for your Medicare drug plan costs.

What are Medicare Health Plans that cover drugs?

Medicare Health Plans (like HMOs and PPOs) often cover prescription drugs. Medicare Health Plans include:

· Medicare Advantage Plans
· Other Medicare Health Plans.

Medicare Advantage Plans (like HMOs and PPOs) that include prescription drug coverage as part of the plan are health plan options that are approved by Medicare but run by private companies. They are part of the Medicare Program. If you join a Medicare Advantage Plan you are still in Medicare. With Medicare Advantage Plans:

· You generally get all your Medicare-covered health care through that plan
· You may get extra benefits, such as coverage for vision, hearing, dental, and/or health and wellness programs
· You usually will have to pay some other costs (such as copayments or coinsurance) for the services you get. Out-of-pocket costs in these plans are generally lower than in the Original Medicare Plan, but vary by the services you use
· You may have to see doctors that belong to the plan or go to certain hospitals to get covered services
· You don’t need to buy a Medigap policy.

Medicare Advantage Plans

These include:

· Health Maintenance Organizations (HMO)
· Preferred Provider Organizations (PPO)
· Private Fee-For-Service (PFFS) Plans
· Medicare Medical Savings Account (MSA) Plans
· Medicare Special Needs Plans (SNP).

Other Medicare Health Plans

There are some types of Medicare Health Plans that include prescription drug coverage as part of the plan, and aren’t part of Medicare Advantage, yet are still part of the Medicare Program. With these plans, you generally get all your Medicare-covered health care through that plan.

Other Medicare Health Plans include:

· Medicare Cost Plans
· Demonstrations/Pilot Programs
· PACE (Programs of All-inclusive Care for the Elderly).

Why should I get Medicare prescription drug coverage?

Medicare prescription drug coverage provides greater peace of mind by protecting you from unexpected drug expenses. Even if you don't use a lot of prescription drugs now, you should still consider joining. As we age, most people need prescription drugs to stay healthy. For most people, joining now means protection from unexpected prescription drug bills in the future.

Resources

For more information, please read The Facts About Medicare Prescription Drug Plans.

Also, you can read other fact sheets about Medicare Prescription Drug coverage as it relates to the following topics:
- People with Limited Income
- Residents of Nursing Homes / Long-term Care Facilities
- People who get help from state pharmacy programs
- People with Medigap (Medicare Supplement Insurance) Policies
- People who get Supplemental Security Income benefits or an MSP program
- Bridging the Coverage Gap.

For more details about Medicare benefits, contact:
Toll-free ................1-800-MEDICARE (1-800-633-4227);
TTY users should call 1-877-486-2048.
Online......................http://www.medicare.gov/

Seniors can also read the Medicare & You 2007 handbook that was mailed to many homes in October.

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A Medicare Prescription Drug Primer, Part 2: Coverage Costs and Enrollment

2006-11-07T01:15:00.000-08:00

(Below is part 2 of our two part article.) --Dr. Don Rose

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How much will the plans cost?

Your costs will vary depending on which drugs you use, whether you get extra help paying your Part D costs, and which Medicare drug plan you choose. Most drug plans charge a monthly premium that varies by plan. You pay this in addition to the Part B premium.

Some drug plans charge no premium. If you have limited income and resources, you may get extra help to pay for your Medicare drug plan costs. Depending on what you can afford, you may be able to pick a plan with or without a monthly premium, deductible or coverage gap.

What if I have limited income and resources?

There is extra help for people with limited income and resources. Almost 1 in 3 people with Medicare will qualify for extra help. Medicare will pay for almost all of their prescription drug costs. You can apply or get more information about the extra help by calling Social Security at 1-800-772-1213 (TTY 1-800-325-0778) or visiting http://www.socialsecurity.gov/prescriptionhelp/.

When can I get Medicare prescription drug coverage?

This year, you may sign up from November 15, 2006 to December 31, 2006. Your coverage will start January 1, 2007. Enrolling by December 8, 2006 can help ensure that you will be able to use your coverage as soon as you need it after it starts.

If you don't sign up when you are first eligible, you may pay a penalty.

After December 31, 2006, your next opportunity to enroll will be from November 15, 2007 to December 31, 2007. Note: there may be exceptions to this; call the Medicare 800 number to get more information (see Resources section below).

How do I enroll?

You can enroll in three ways:

· Sign up online at the Medicare website’s Enrollment Center (use this tool to join the Medicare drug plan you've selected)
· Call the plan directly
· Call 1-800-MEDICARE (1-800-633-4227) and Medicare will help you enroll
(TTY users should call 1-877-486-2048).

Read New Medicare Prescription Drug Coverage - Who Can Help Me Apply and Enroll?

Can I change plans after I enroll?

Yes. You can change plans under certain circumstances:

· You can switch plans from November 15 to December 31 each year

· In special circumstances, Medicare may give you an opportunity to switch to another plan. For example, if you permanently move out of your plan’s service area; if you get help from your state Medicaid program paying Medicare premiums and/or cost sharing; if you qualify for extra help paying for prescription drugs; if the plan stops offering prescription drug coverage; or if you enter, live in, or leave a nursing home.

Read Quick Facts about Medicare's New Coverage for Prescription Drugs.

Resources

For more information, please read The Facts About Medicare Prescription Drug Plans.

Also, you can read other fact sheets about Medicare Prescription Drug coverage as it relates to the following topics:
- People with Limited Income
- Residents of Nursing Homes / Long-term Care Facilities
- People who get help from state pharmacy programs
- People with Medigap (Medicare Supplement Insurance) Policies
- People who get Supplemental Security Income benefits or an MSP program
- Bridging the Coverage Gap.

For more details about Medicare benefits, contact:
Toll-free ................1-800-MEDICARE (1-800-633-4227);
TTY users should call 1-877-486-2048.
Online.....................http://www.medicare.gov/

Seniors can also read the Medicare & You 2007 handbook that was mailed to many homes in October.

# # #

This article is based on the “Medicare.gov - MPDPF: Supporting Information” webpage, and the “Prescription Drug Coverage: Basic Information” webpage; both are part of the Medicare website.

Dr. Don Rose writes books, papers and articles on computers, the Internet, AI, science and technology, and issues related to seniors.

Where to start when caring for your parents

2006-01-18T17:15:00.000-08:00

We always think of our parents as smart, strong and independent people. We are not prepared to fac a complex issue with caring for them when they become old. It happens gradually, or sometimes at once - but we are always caught on a spot.

How should we care for them? There is no fit-it-all answer. What may work for one family, may not work for yours. What worked yesterday, may drastically change today. The only way to handle this is planning.

Existing rules will no longer apply, and the past lifestyles will not come back. What we can count on is the ongoing changes. Assisting elderly family members requires constant management of our attitutes and decisions.

You need to be extremely organized and keep everything in writing. Keep bills, receipts, contracts notes and other elder-care information in a safe but easily accessible place. Gather resources and information on eldercare services.

Most aging people would choose to stay in their own homes. There is a growing number of options that allow them to do so. Research all possibility, and get the credentials of the people and organizations that offer those services.

Bob's grandmother-in-law

2006-01-10T15:27:00.000-08:00

I too was in a situation where I was overwhelmed. My grandmother-in-law has been the pillar of the family up until last year. She went from working a full-time job to needing help getting in and out of the car. She can’t leave the house alone.

My wife and I visit at least once a week and last time we were there, we noticed a bruise on her head. We asked her what happened. She said she hit her head on a cabinet door she had left open. We both knew better. It turns out that she fell and had to crawl to the phone to call her neighbor. She told her neighbor not to tell anyone, but her neighbor decided to tell us anyway. My grandmother in-law is a very strong lady and sharp as a tack, but her health seems to be getting worse.

When we ask her about her health, she just says “I’m okay.” She doesn’t want us to worry about her, so I suggested Life Alert. As anticipated, she said “I don’t need that.” I knew she would say that so I was prepared. I told her that she was right and that she does not need it, but we do. Knowing that we would worry less if she had it, she agreed. She still won’t let us clean her house or take care of her in any way, but she wears the emergency button at all times and I have her neighbor looking in to make sure she doesn’t take it off.

Bob

At Home With Life Alert

2005-12-19T17:02:00.000-08:00

Another great article - written by Virginia Marin.

"Would you like to live protected at home rather than in a retirement center for a few more years? Do you have health problems which prohibit your living alone? This article is about a life-saving advancement which may help to keep "Seniors on the Move" and at home.

The voice on the television says, "Help, I've fallen and I can't get up!" No doubt you have heard it, but what does it mean? It means that there IS a way that seniors who live alone can now live at home for a while longer, rather than selling their home and going into one of the many retirement centers dotted across the land.

According to the American Health Care Association, the average age for a person entering a retirement center in the United States is 79 years. If there were a way to extend the time spent in one's own home, wouldn't that be better, financially and emotionally? But, what about accidents? For seniors who live alone and could not reach the telephone in an emergency, who would help them? Now, there is a system to meet the need- Life Alert . No, this is not an advertisement. It is an information alert to seniors, family, and caregivers that Life Alert is one system, among a few others, which can help families.

As the years pass, our health risks increase exponentially. We find ourselves more susceptible to injuries, falls, and fractures, especially those falls related to osteoporosis. There are also life-threatening police, fire, and medical emergencies--for example, every minute in the United States, someone experiences a stroke, with the risk doubling for every ten years over age 55. The American Heart Association tells us that four out of five people who die of coronary disease are 65 years of age or older. And fire? Most deaths from fire occur during sleeping hours between 11PM and 7AM.

But now there is Life Alert to help seniors. Life Alert is a small pendant worn on the person. It is activated by pressing a button which instantly activates a control unit located in one's home. The unit immediately notifies the Life Alert Monitoring Center, beginning a two-way voice exchange between the wearer and an operator. Should there be no response from the wearer, Life Alert immediately notifies the proper authorities, and help is on the way! The pendant also functions on a local 911 basis. The cost is nominal.

High-Tech For Seniors

2005-12-16T16:02:00.000-08:00

Today I came across an extremely interesting article on different things how technology can help seniors to improve their lives called "High-tech for seniors way beyond The Clapper and Life Alert. It is written by Randolph Schmid, The Associated Press. Here are some abstracts from it:

WASHINGTON — One day, people with Alzheimer's disease could have telephones that show them a picture of the caller and remind them who it is and when they last talked.

They might walk across a floor with sensors that check their gait and sound an alarm if they fall. Others might relax on a bed that monitors their pulse and breathing.

New technologies for seniors, supplementing conveniences like The Clapper and emergency warnings like Life Alert, are on display this week at the White House Conference on Aging.
The goal is to provide technologies that "help seniors and their families live happy and healthy in their own home," said Eric Dishman, chairman of the Center for Aging Services Technologies, or CAST, and general manager and global director of Intel Health Researh and Innovation Group...

There are four main focus areas for the new innovations, Dishman said: disease prevention, early detection, caregiver support and maintaining independence.
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Then he lists interesting gadgets that already exist like
- Intel's phone which provides you a photo of the caller and tells you who they are and when they last talked to you (for those who have problems with their memory)
- Accenture medicine cabinet that can help traking what medicine should be taken. A voice can remind it's time to take a pill and warns if the wrong bottle is chosen.
- Floor sensors that can track the movement of a senior and beds that sense breating rate and pulse and call caregiver for help when there are suddent changes.
- A watch and computer system that tracks the movement of people in their homes. If they fail to go to their pills it can broadcast to a computer to provide reminders.

Well, I am sure that all these things are very expensive at this time and may not be fully developed yet. So let's stick to the proven services in case we "fallen and can't get up".

Kathy

Worries about my Elderly Mom

2005-12-15T16:25:00.000-08:00

You know, the story about Ingrid can not leave me. I have an elderly Mom who lives alone. It’s not easy going to sleep at night thinking about my mother being alone. It’s even harder concentrating when I’m at work. I call her everyday at least 2 to 3 times. She doesn’t always answer the phone, and I feel like dropping everything and running over there to check on her. It is not an easy situation since I have a household of my own to take care of. I would move her in with me, but she will not even think about leaving her home. She would feel like she was being babysat. She would just about kill me if I mentioned the N word. (Nursing home) She worked hard all her life to pay for her home and she’s not leaving and that’s that.

I managed to make her home as safe as possible by putting in night lights so she can see where she’s going in the middle of the night when she gets up to use the restroom. I have cleared a path, tied up cords, and installed grab bars in her shower. I feel a little better, but there is always that thought in my mind: Is she okay? This is my life right now and it seems like it is only getting worse. I think I should consider getting her Life Alert one of these days.

How to recognize a stroke

2005-12-08T13:24:00.000-08:00

It is been some time since I wrote last time. A friend died unexpectedly. I still can not recover from this. I must tell you what happened - it may save lives of many people.

During a BBQ my friend stumbled and took a little fall - she assured everyone that she was fine (they offered to call paramedics) and just tripped over a brick because of her new shoes. They got her cleaned up and got her a new plate of food - while she appeared a bit shaken up, Ingrid went about enjoying herself the rest of the evening. Ingrid's husband called later telling everyone that his wife had been taken to the hospital (at 6:00pm, Ingrid passed away.)

She had suffered a stroke at the BBQ - had they known how to identify the signs of a stroke perhaps Ingrid would be with us today.

A neurologist says that if he can get to a stroke victim within 3 hours he can totally reverse the effects of a stroke...totally.. He said the trick was getting a stroke recognized, diagnosed and getting to the patient within 3 hours which is tough. Sometimes symptoms of a stroke are difficult to identify. Unfortunately, the lack of awareness spells disaster. The stroke victim may suffer brain damage when people nearby fail to recognize thesymptoms of a stroke.

Now doctors say a bystander can recognize a stroke by asking threesimple questions:
1. *Ask the individual to SMILE.
2. *Ask him or her to RAISE BOTH ARMS.
3. *Ask the person to SPEAK A SIMPLE SENTENCE (Coherently) (i.e. . . It is sunny out today)

If he or she has trouble with any of these tasks, call 9-1-1 immediately and describe the symptoms to the dispatcher. After discovering that a group of non-medical volunteers could identify facial weakness, arm weakness and speech problems, researchers urged the general public to learn the three questions. They presented their conclusions at the American Stroke Association's annual meeting last February. Widespread use of this test could result in prompt diagnosis and treatment of the stroke and prevent brain damage.

Yes, it is very important to get help fast. This is why the service like Life Alert is getting used by so many people. If you pushed the life alert button and can not speak - they recognize the possibility of a stroke and send paramedics right away.