HEALTH INFORMATION - Archived

Below, you will find information on the following topics:

HELP AVAILABLE FOR CAREGIVERS

Show 156

Air date: 2/10/02

When a loved one is diagnosed with Alzheimer’s disease, the family is often caught off guard. The disease is confusing and frightening for all those involved, and the patient’s caretakers might not know where to turn. Here, we'll discuss support available for families of those with Alzheimer’s.

 

Question:   When someone is diagnosed with Alzheimer’s Disease, it must be terribly frightening for the individual and his/her family. What steps should you do if you or someone you love has been diagnosed?
 

Answer: It’s often a good idea to give the Alzheimer’s Association a call. We can give you a lot of information in regards to the illness, will talk to you about services that are available, give information on possible medications, and offer support groups and respite.
We offer an Early Stage Support Group. The person with the diagnosis as well as family members are welcomed. This group addresses a number of emotional issues, such as fear, relationship concerns, and self-esteem. It also deals with social issues that come up. For instance, oftentimes friends and neighbors avoid the diagnosed person out of fear/not knowing what to say. This support group will help the person and family deal with these concerns.
 

Question: What other support groups are available, perhaps for the caregiver?
 

Answer: We offer close to 40 support groups for the primary caregiver or spouse of the Alzheimer’s patient. These are open to people at any stage of the disease.
The support groups are facilitated by volunteers who are, or have been, caregivers themselves. They get together to share information, helpful tips they’ve discovered, leads on supportive services, lend support to each other, etc.
 

Question: Another support service for caregivers is respite, correct?
 

Answer: Yes. Once the disease reaches a certain point, caregivers may be reluctant to leave their loved one alone for fear of them wandering away. Respite allows caregivers to run errands and do their day-to-day living.
It can come in two forms. One, we can direct people to Adult Day Care facilities. We find that those with Alzheimer’s enjoy the socialization these offer.
We can also provide leads on in-home care.
 

Question: Even with these supportive services, a diagnosis of Alzheimer’s is scary. Are there any new medical breakthroughs to report?

Answer: Well, there are two medicines available, Aricept and Reminyl, that can help a patient’s “good period” last a longer time, perhaps 1-3 years. However, decline eventually occurs.
There is a lot of promising research, but it’s in the early stages. We might not see results for 10 years. One such project is a vaccine, which is undergoing human trials at present. But progress is being made.
 

---Rimas Jasinevicius

For more information on this topic, call

Alzheimer's Association

1-800-441-3322

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Prescription Drug Savings Plan

Show 157

Air date: 2/17/02

Prescription drug costs are out of sight.  Many older Americans on fixed incomes must choose between food or medicines.  But there's a little-known program that's available to help. 

Question: Let's get right to it.  There's a program that will help folks get needed medication at low or no cost?

Answer: Yes. Pharmaceutical companies give away many of their brand name drugs to people with lower incomes. But each company has its own rules, its own request forms, its own procedures. It becomes a bureaucratic nightmare for consumers.
There’s a company that works with consumers and the pharmaceutical companies to help get these free medicines to people who need them. Their name is Patient Assistance Service.

Answer: What does Patient Assistance Service do for us?

Answer: They will handle all the processing, the paperwork, and get the medications for you.

Question: What's the procedure?

 

Answer: You will fill out an application - - just one pretty simple form. The form will ask you what prescriptions you are taking, so the company can determine whether they can help you. And they’ll ask your income, because the pharmaceutical companies will only provide free drugs to folks with lower incomes - - generally $16,000 for a single person, $25,000 for a couple.

Question: Are all drugs covered?

Answer: No. But most are. More that 1,500 drugs are offered under the program. My mother-in-law uses this program, and all of her medications are included.

Question: Is the doctor involved in this?

Answer: Yes. Once Patient Assistance Service determines you’re eligible, then it will send the appropriate forms to your doctor. The forms will be all filled out, the doctor only has to sign them. You take them to the doctor’s office, get them signed, and return them to Patient Assistance Service. Four to six weeks later, your medications will be sent to the doctor’s office. You pick them up there.

Question: What's the cost?

 

Answer: Minimal. The actual cost varies depending on where you live, because many communities have programs that cover part of the cost. But generally the cost will run about $100. That’s $100 total. The average savings is $400 to $500 per person per month.
 

---Sam Pierce

For more information on this topic, call

Patient Assistance Services

1-877-463-1905

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ARTHRITIS FOUNDATION

Show 162

Air date: 3/24/02

Arthritis. Does that diagnosis mean you must endure a future of chronic pain alone? No, says Mary Kudasick, vice president of education and community service of the Arthritis Foundation. Here, she'll tell us how that organization can offer support. Plus Carol Spiegel, who has lived with arthritis for over 15 years, will describe how the foundation was a lifeline for her when she needed help the most.


Question: What is arthritis and what are some of the symptoms people should watch out for?
 

Answer: There are more than 100 different types of arthritis and related conditions. These conditions cause pain, stiffness, and sometimes swelling in and around joints. The most common form, osteoarthritis, involves the breakdown of cartilage, the cushioning material between our bones. Other forms of arthritis are auto-immune in nature. For example, in rheumatoid arthritis, the body’s immune system literally makes a mistake and causes inflammation in the joint lining. Certain types of arthritis can also affect other parts of the body such as the skin, eyes, and internal organs.
If someone has these sings in and around a joint for more than two weeks, it’s time to see a doctor. A rheumatologist is a specialist in arthritis diagnosis and treatment.

Question: I would imagine that receiving a diagnosis of a chronic condition like arthritis would be overwhelming. What steps do you recommend someone take after diagnosis?
 

Answer: First, make sure that you have seen a doctor and received an accurate and specific diagnosis. As I mentioned before, there are many kinds of arthritis, and each type is treated differently.
Second, find out all the information you can on arthritis. Call the Arthritis Foundation or log onto our website at www.arthritis.org. We can offer information to you from among 80 different free brochures that explain the different kinds of arthritis, medication available, and advice on how to live with chronic pain.
Engage in appropriate exercise to reduce pain and prevent further degeneration of the joints. The Arthritis Foundation offers both water and land-based exercise programs specifically designed for people with arthritis.
Be sure to partner with your physician when it comes to your treatment. Taking an active role in managing your arthritis will help you to improve your quality of life.
 

Question: Carole, when were you diagnosed with arthritis, how did the Arthritis Foundation help you cope with the diagnosis?
 

Answer: I was diagnosed with rheumatoid arthritis in 1986. At first, I was in denial—no one in my family had ever had arthritis. I had no idea how difficult it would be.
I first found the Arthritis Foundation out of desperation. I needed to talk to someone who understood what I was going through. I also wanted to engage in programs, such as the water walking and aerobic classes, which would help keep my quality of life.
Eventually, I started to volunteer at the Foundation, answering phones and being the voice of experience I so desperately needed when I was diagnosed.
I truly believe that I would be in a wheelchair if it wasn’t for the help, support and encouragement of the Foundation.

Question: You mentioned free literature and exercise programs—what other assistance can the Arthritis Foundation offer?

Answer: We offer a Drug Guide with the latest in medications.  We publish an educational magazine for Arthritis Foundation members called “Arthritis Today.” For a $20 membership fee, members will receive this magazine 6 times a year as well as our Chapter newsletter, which highlights local programs, services, and events.
We hold informal Arthritis Information Meetings and arthritis and fibromyalgia support groups. These groups help people with coping skills, behavior patterns (such as losing weight), and partnering with physicians.
We also offer free public forums and lectures, free information and referral services.

For more information on this topic, call

Arthritis Foundation

1-800-245-2275 ext. 114

or

www.arthritis.org

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HOSPICE CARE

Show 172

Air date: 6/30/02

Finding out that a loved one is terminally ill can be devastating. Besides facing your grief and sadness, comforting and caring for your loved one can become all consuming. But help is available. Here, Trudi Mastroberti, a nurse with the Hospice of the Western Reserve, and Maria Francescone, a family member who uses the Hospice, will tell us about the support that is offered.


Question: At what point should a person approach hospice for help?
 

Answer: When the patient is deemed terminally ill by their doctor. Patients are mostly seeking comfort care at home or in a nursing facility.
The patient can still receive progressive therapy if the doctor recommends it, but usually, hospice patients have stopped trying to fight the disease and are looking to retain as high a quality of life as possible.
 

Question: So most people come to hospice when a loved one is on their deathbed?
 

Answer: That is a major misconception. Hopefully, people call hospice immediately when a terminal diagnosis is made when the patient still has a high quality of life. This allows the hospice nurse to get to know the patient and their family. It also lets the ill person and their family feel more comfortable with the staff and more willing to accept support from them.
Some people use hospice for years. For example, those with degenerative nerve diseases (like ALS) can use hospice for 1-2 years and retain a high quality of life and be productive with their families for a good portion of that time.

Question:   What kind of services does hospice offer?
 

Answer:  We offer team-based care that includes a staff of RNs, nursing assistants, social workers, and those who deal with spiritual care. We also work closely with pharmacists and physical therapists.
We have 24-hour on-call services so that patients/families can always access help.
We offer a traveling x-ray and lab where we take the medical equipment to the person’s house.
We offer the in-patient Hospice House.
Offer support to families.

Question: What kinds of support do you offer caregivers?
 

Answer: In general terms, counseling and bereavement. We offer support groups for caretakers and those who are close to the ill individual.
Early contact bereavement—bereavement counseling that occurs while the terminally ill patient is still sick.
Volunteer system for respite so that caregivers can continue with their daily activities such as shopping or attending a wedding.
Home visits by a social worker for emotional support, to monitor medications, and to keep in touch with the doctor.
Offer bereavement counseling for up to one year after the death of a loved one.

Question: Maria, you and your family have been using hospice services to help care for your father. Has the support been helpful?
 

Answer: Yes, hospice has been a relief. I first called them in December for my father, who has leukemia and heart failure. We wanted to make him comfortable at home. Trudi visits twice a week. She helps me deal with the doctors, helps with medicine, getting a hospital bed in our home, whatever we need.
Knowing that we can call hospice anytime takes a great deal of stress off us.
My mother died of cancer and hospice was helpful then as well.

Question: How much do these services cost?

 

Answer: Private insurance and Medicare/Medicaid is accepted. The patient sees a summary of the charges but never a bill.

You don’t need to feel all alone when facing terminal illness—there IS support available. back.
 

---Trudi Mastroberti

For more information on this topic, call

Hospice of the Western Reserve

216-383-2222

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PLASTIC SURGERY

Show 166

Air date: 4/21/02

You diet. You exercise. You take care of yourself. So why is an old person looking back at you in the mirror? You work hard to feel as good as you do, and today Dr. Mark Foglietti will tell us how plastic surgery can help make the person in the mirror reflect how you feel on the inside.
 

Question: Plastic surgery is becoming a more popular choice as we get older.  Why is interest soaring?
 

Answer: People are more health conscious. With improved diet, exercise and medication, people are feeling better than ever. But factors that can cause us to look older—smoking, the sun, genetics—still exist.
Patients start considering their options from their mid-40s on. Many people in the sales force consider plastic surgery to remain competitive with their younger colleagues. A lot of executives consider surgery as well.
Patients are looking for a relaxed, fresh look that isn’t obvious.

Question: What can be done surgically to alter the effects of aging?

 

Answer:

  • Facelift. The skin from the temple down to the Adam’s apple is tightened. The skin is lifted off the muscles, the muscles are tightened, and then the skin is tightened over it.

  • Necklift. Included in the facelift. Gets rid of the “turkey gobbler” neck.

  • Upper and lower eyelid lifts. Eliminates droopy skin and puffy eyelids. May be covered by insurance if puffy eyelids block vision.

Question; Can more than one of these procedures be done at the same time? How long is the recovery period? How long do the results last?
 

Answer: Yes, the procedures can be done at the same time. Recovery takes 7 to 14 days.  Facelift results last about 5-7 years. At that point your looks get back to where you were before the surgery. Many people come back for touchups every 3-4 years.

Question: Are there any options that are not surgical in nature?

 

Answer:

  • Collagen. For fine lines around the lips, forehead and mouth, plus lip enlargement.

  • Botox. Eliminate wrinkles. Injection takes less than two minutes. Results last 2-4 months the first time, 4-6 the second time, and 6-12 the third time.

For more information on this topic, call

Dr. Mark Foglietti

216-292-6800

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OSTEOPOROSIS STUDY

Show 168

Air date: 5/19/02

I bet you didn’t know that May is osteoporosis month. It’s not as exciting as Mother’s Day but it’s important to raise awareness of a disease that affects the health and independence of so many older women. That is why Dr. Wulf Utian, president of Rapid Medical Research, joins us to discuss exciting new advances in the fight against osteoporosis.

Question: …What is osteoporosis? What causes it and who’s at the greatest risk?
 

Answer: Osteoporosis occurs when the skeleton is reduced in density/amount. The bone that is still present is healthy, but because of the reduction is not as strong. This can lead to bones breaking easily.
Older individuals need to pay attention to their bone strength, especially women, because bone loss becomes more rapid after menopause due to loss of estrogen.
Bone loss can make a simple slip on the ice cause a broken hip. Eliminating this kind of accident is important—20 percent of all women who break a hip will die within 12 months, and a large percentage will become disabled and not able to support themselves.
However, to a large extent these results can be avoided by treatment. And treatment can be begun at any age and still be effective.
 

Question: … What can people do to prevent bone loss? And if bone loss has already occurred, what treatment is available.
 

Answer: There are simple, general steps one can do to safeguard against bone loss. These include avoiding smoking, exercising regularly, having a proper amount of calcium and Vitamin D in you diet or through supplements, and using moderation with alcohol and caffeine.
We suggest that women 65 and over have a bone density test to check for bone loss.
If bone loss occurs, it has traditionally been treated with estrogen replacement therapy. However, new treatments are being developed currently.
 

Question: … What are some of these new treatments, and how do they differ from estrogen supplements?
 

Answer: There are two new families of drugs available: bisphosphonates and designer estrogens. Like estrogen, these drugs help to stop further bone loss. There are also nasal sprays and injections of hormones, which also function in the same way.
However, we are currently investigating a whole new group of drugs that not only stop further bone loss but actually build NEW bone—these are called PTHs. PTH drugs are not available to the public yet, but can be accessed through volunteering in research studies.

Question: …How can someone volunteer in a research study?
 

Answer: They can call Rapid Medical Research. There are two types of medical studies occurring—those dealing with prevention and those dealing with treatment. If you call in to volunteer, we would conduct a bone test on you to check if you would qualify for either a prevention or treatment study.
This is for a long-term study, where the bone tests and medication are administered for free.
This is not a clinical practice. You would still be able to retain your own doctor throughout the testing period.

Are you interested in learning more about Dr. Utian’s studies? You can get the most up-to-date medications to help build bones, for free, and free bone density tests, mammograms, blood tests, and you can even get paid. Here’s the number. The call may save your independence, and even your life.


---Wulf Utian, MD, Ph.D.
President, Rapid Medical Research

For more information on this topic, call

Rapid Medical Research

1-888-460-2275

_______________________________

SEXUAL DYSFUNCTION IN SENIORS

Show 175

Air date: 7/21/02

Growing older together with someone you love is something we wish for. But sexual dysfunction could easily put a damper on the romance. Here to tell us about a new study that might make your wishes come true is my friend Dr. Wulf Utian, president of Rapid Medical Research.


Question: What is sexual dysfunction?

 

Answer: Sexual Dysfunction is defined as anything wrong with sexual behavior. It can happen for lots of reasons. The cause could be a lack of desire, arousal, or orgasm.  Or pain or discomfort.

Question: What are the common causes?

 

Answer: As we grow older, we're not as physically fit.  Other influences could be hormone changes, medications (like Prozac), normal Ailments (like arthritis, heart), physical changes, like vaginal thinning, or you could simply be bored with your partner.

 

Question: Do these problems tend to increase as we get older?

Answer: Yes, 60% of the senior population are affected by sexual dysfunction.

Question: Are there ways to deal with these problems?

 

Answer: Yes. Counseling, vaginal cream, Viagra  & hormones can all help.

Question: You're doing two studies that may actually help some of our viewers?


Answer: We're testing 2 groups of drugs:

1. Designer estrogen which has an effect on desire & arousal
2. Testosterone in a skin patch which is the hormone of desire

Question: What benefits would people get who participate?

Answer: Participants would get a medication that may enhance sex desire.  We could determine if the problem is hormonal, or otherwise.  It is a  real education process.  We help identify what component of sex life is the problem. 
Lots of free screening tests: blood tests, liver test, diabetes, hormone levels, mammograms, pap smears are included as well.  And  - participants get paid.

Question: Are these medications safe?

 

Answer: Yes, and we provide continuing monitoring to assure their safety.

Question: Is the process confidential?

Answer: Absolutely

Sexual dysfunction does not have to be a normal part of getting old. If you’re having a problem, give a call to find out if you’re eligible for this program. The number’s coming right up.
You’ll get a safe medication that may solve the problem, lots of free tests, counseling, education, and you’ll be paid! What could be better than that?

 

--- Wulf Utian, MD, Ph. D.

For more information on this topic, call

Rapid Medical Research

1-888-460-2275

___________________________________

THERAPY SERVICES IN A SKILLED NURSING HOME

Show 176

Air date: 7/28/02

If your spouse or parent has a stroke, breaks a hip, or for some other reason needs skilled rehabilitation, where should you get help? And what are your rights?Here to explain how to get the care and services your loved one deserves is Ron Grusy, Regional Director of Rehabilitative Services for Harborside Healthcare.

 

Question: When would or should someone look for a nursing home that specifically deals with therapy services?
 

Answer: There are two main reasons. First, they might need to place themselves or a loved one in short-term recovery after a stroke, orthopedic surgery, or a disease that requires more care than they can receive at home.
Or, the nursing home might be needed on a long-term basis when the level of care for the individual is too high to be done at home.

Question: If therapy plays an important role in making your choice for a nursing home, what should you be looking for?
 

Answer: First, the “feel” of the facility. Is it bright and cheery? Is the staff pleasant and smiling? Do they treat the residents with respect?
Can you tour the rehab facility? Is that encouraged?
Is the staff permanently in the building or do they come from outside sources?
Is the rehabilitation area large enough for several residents to be using it at a time?
Is the equipment in the facility in use or simply sitting there?
What is the experience level of the staff? How long have they been working in therapy?
Every therapist must be licensed by the state of Ohio, and the licenses must be displayed where the public can see them.

Question: What kind of feedback from the rehab therapists should a family expect or demand?
 

Answer: You should be told what kind of therapy your loved one needs and receive reports about their progress, when and if they might be able to return home, etc.
You should be contacted by phone or invited into a meeting where your questions can be answered.
You should be allowed, encouraged, or even invited to see the rehab.
Be assertive. Don’t assume that everything will be right. You DESERVE to be updated and kept well-informed.

Question: Before starting therapy, should a rehab plan be created?

 

Answer: Absolutely. The plan should state problems, goals, how to meet goals. Family should be informed of the plan.

Question: What kind of progress reports should the family get?

Answer: The family should get regular reports. They need communication. Family should ask about progress when they visit, or by phone. Also, the therapist should provide regular care conferences.

Question: the biggest complaint I hear is: my mom's therapy was cut off but she still needs help.  Why would therapy be cut off?

 

Answer: In order for Medicare Part A to pay for therapy, the patient must make progress. Medicare Part A pays 20 days in full, 80 days partial.

Question: What options does a family have to continue therapy when Medicare Part A cuts off?

 

Answer: There are three options

  • 1. Medicare Part B

  • 2. Private Pay - - lots of factors on cost, but generally less than $100/hour

  • 3. Restorative Program at Harborside - - with nursing assistants rather than therapists helping patients get to a point where skilled therapy might again be useful

---Ron Grusy

For more information on this topic, call

Harborside Healthcare

216-831-1125

_________________________________

AMERICAN CANCER SOCIETY

Show 181

Air date: 9/1/02

A diagnosis of cancer is frightening, but you don’t have to go it alone. Many survive the disease each year, and are willing to share their experiences to help others. Nat Cooke, spokesman for the American Cancer Society and founder of a support group for survivors of prostate cancer, is here today to tell us why one of your first phone calls after diagnosis should be a call for support.

Question: When should you contact the American Cancer Society? What kinds of information can they help you with?
 

Answer: The American Cancer Society can help out from the moment you or a loved one is diagnosed with cancer. Actually, the sooner the better.
They will put you in contact with someone who has already gone through what you are facing. They can talk to you about how they chose the treatments they did and why, how it went, side effects, etc.
You can voice your questions and worries to someone who has lived through the disease and survived—and that helps emotionally.
They can also offer you pamphlets and information about various different types of cancer.

Question: So you can be more educated when you go to the doctor?
 

Answer: Yes. Doctors prefer people who ask questions and seek out information. Doctors want to give patients treatment options, and have the patient be well informed to make a choice that will be right for them.

Question: How did you get involved with the American Cancer Society?
 

Answer: I was diagnosed 11 years ago with metastatic prostate cancer. I was lucky enough to have an aggressive surgeon who did the operation—most doctors wouldn’t have with the diagnosis I had.
Since 1997, I’ve been leading a support group for survivors of prostate cancer; held in Parma, Fairview Park, and Beachwood. Survivors come together to make friends and support people who have just received diagnosis. They can admit to each other that they are scared, and reach out in support.
 

Question: Is this group only for survivors or family members as well?
 

Answer: I highly encourage people to bring their significant others and children. Wives probably have just as hard a time dealing with the diagnosis of prostate cancer as men do—and when men are in denial, probably more. They can also benefit from expressing their feelings, talking to other wives, etc.
Wives can also be instrumental in GETTING the men to attend in the first place. For instance, we have been focusing a great deal of our outreach on the African-American community. Black men have a 60% higher incidence of prostate cancer and a 100% higher death rate. They MUST be checked. In doing outreach, we’ve discovered that wives are the people who most often prompt their husbands to see the doctor.

Question: Are there support groups/programs for other specific kinds of cancer?
 

Answer: Yes. There is a program for women fighting breast cancer. Survivors will visit women who are hospitalized and talk with them about their concerns.
There is a similar program for those with throat cancer.
 

Having your questions answered by someone who has gone through something similar can be such a relief—and that’s what the American Cancer Society is offering. If you have any questions, or would like information or brochures concerning Nat’s prostate cancer support group, give the American Cancer Society a call. The number’s next. My thanks to Nat Cooke.

--- Nat Cooke

For more information on this topic, call

American Cancer Society

216-241-1177

________________________________

NEW MEDICARE NUTRITION BENEFITS

Show 182

Air date: 9/7/02

Would you change what you eat if you knew it would reduce or eliminate your medications? I’ll bet you would. Proper diet can dramatically improve the lives of people with kidney disease and diabetes. But most folks don’t know how to make the diet changes they need. Well, we’re gonna change that right now. Under a new Medicare rule, you can get nutritional education for free. Here to feed us the information is Karin Palmer, with the Cleveland Dietetic Association.

 

Question: What is the new entitlement that is available to those with Medicare?
 

Answer: As of the first of the year, those with Medicare Part B are now allowed Medical Nutrition Therapy for individuals who have diabetes or certain kinds of kidney diseases (those not needing dialysis).
Medical Nutrition Therapy will help those with diabetes/kidney disease choose the types of food that will control or treat their illnesses.

Question: Why the change?
 

Answer: Medicare has recognized that money can be saved by this counseling. Eating the correct foods will lead to less complications with these illnesses.

Question: What is Medicare Part B? How can you tell if you have it?
 

Answer: Look on your card—it will state what parts of Medicare you have. Medicare Part B is for outpatient benefits.

Question: If you go to a dietitian for nutrition therapy, what sort of information will you be taught?
 

Answer: Those suffering from kidney disease will be taught to watch their intake of sodium, potassium and protein.  Diet can help prevent kidney damage from worsening to the point of needing dialysis.
Patients with diabetes will be taught to read labels and count their carbohydrates.  Most individuals who can keep their glucose level in the normal range through proper diet will suffer less medical consequences of diabetes. These can include heart disease, blindness, peripheral nerve damage, foot problems, and problems with circulation and their kidneys.

Question: What is nutritional therapy?  What happens when you go to a dietician?

Answer: You make an appointment and go to registered dietician.  The dietician assess your lifestyle and  food tastes. Together you develop a meal plan to control the illness.
The dietician helps teach you portion control and how to read labels and can help teach self monitoring (like test blood sugars).
As a result, you can help control Diabetes, Kidney Disease

Question: How often can you see a dietician?

 

Answer: Under Medicare part B, 3 Hours in the 1st year, unless a doctor orders more.

Question: How do you find a dietician?

Answer: Call the American Dietetic Association, they’ll give a list by zip code.  Ask if they’re a Medicare provider.

Watching your diet can do more than make you look good. It can help you avoid serious health problems. And now you can get help, free. Thanks to Karin Palmer for alerting us to this new rule. If you’d like to find a registered dietician near you, call the American Dietetic Association, the number’s next.  

Karin Palmer, RD, LD
Cleveland Dietetic Association

For more information on this topic, call

American Dietetic Association

1-800-366-1655

_________________________________

THE AMERICAN HEART ASSOCIATION

Show 186

Air date: 10/12/02

Heart Disease is the nation’s number one killer among men and women, and stroke is third. Cardiovascular disease kills twice as many folks as cancer and AIDS combined! The American Heart Association says this should not and cannot continue. Here to explain is John Warfel, past president of the Cleveland’s American Heart Association Group, and Jim Gosline, past president of The Mended Hearts Support Group.


Question: John, cardiovascular disease is a very prevalent health risk, is it not? What is the American Heart Association’s goal when it comes to heart health?
 

Answer: Cardiovascular diseases kill twice as many people as cancer and AIDS combined—it is the leading cause of death among American men and women. Over 40% of the people who experience a coronary attack in a given year will die of it.  85% of people who die of coronary heart disease are age 65 and older.  Stroke is the third leading cause of death and the leading cause of serious disability.
The American Heart Association is a large, nonprofit organization whose long-term goal is to reduce incidence of cardiac arrest, heart disease and stroke by 25% by the year 2010.

Question: That’s sounds like a terrific goal—how does the AHA feel they can meet the goal?
 

Answer: First by education (getting people to reduce smoking and other high risk causes of heart disease). The American Heart Association has lots of information available in pamphlet form (if you give them a call), or on their website.
Donations go toward heart disease research. Almost every dollar raised in the Northeast Ohio chapter comes back to this area by funding research grants in one of the local hospitals.
Another way to reach out goal is by the recent push to supply public areas with automated external defibrillators. These machines, costing about $3,200 each, can be life-saving if someone has cardiac arrest.  . Normally, there are  10 minutes to save a person in cardiac arrest - - no time for EMS. Defibrillators save lives.  The machines have a button that, when pushed, plays an audiotape that can instruct a layperson on how to shock someone who has cardiac arrest.  We want them widely distributed.

Question: Now, if you are already diagnosed with heart disease, I know there are support groups that can help you deal with the disease. Jim, I know you have been involved with one of those groups. Can you tell us what they offer.


Answer: Sure. I got involved with the Mended Hearts Support group in the early 1980s after my first open heart surgery. The group, which just celebrated its 20th anniversary in Greater Cleveland, currently consists of 380 people who have survived open heart surgery.
The group’s members visit 11 hospitals in the Greater Cleveland area to reach out, support and visit heart patients. We look on ourselves as “walking advertisements” to these patients. If we can survive, so can they.  We can sometimes relate to patients better than doctors, and the medical community has been great in recognizing this and supporting our group.
 

Question: What kinds of questions do you get asked?

Answer:  Will I be able to work? Will I be able to play golf?

Question: Folks must be pretty scared?

Answer: Yes, we try to help relax them.

Question: Could you use more members?

 

Answer: Yes! Now we have 80. In order to be a member, you must have had some heart event.

Question: Do you train people for visits?

 

Answer: Yes.


Question:   You can get involved even if you don’t have heart disease, right?

Answer: Yes, there are over 20,000 volunteers nationwide with the American Heart Association.

Question: The American Heart Association has the latest information on heart disease, treatment and prevention.  How can we get it?

 

Answer: Call for pamphlets, or go on website.

Take this message to heart. Learn more about heart disease and get involved. And join the Mended Hearts Group. Give the American Heart Association a call. My heartfelt thanks to John Warfel and Jim Gosline.

 

---John Warfel, Jim Gosline
American Heart Association

For more information on this topic, call

American Heart Association

1-800-242-8721

www.americanheart.org

______________________________

WHOLE BODY SCANS

Show #198

Air date: 1/12/03

Remember Star Trek. Dr. McKoy takes out a high tech instrument, runs it over a patient’s body, and immediately can find any medical problem. Well, some people say that’s no longer just science fiction. Here to tell us about the new whole body health scan is Dr. Harris Freed, Medical Director of Regional Health Care.


Question: We’ve heard a lot about whole body scans. Why would someone choose to have one? What does the procedure entail?
 

Answer: Many people do not like to go to the doctor, yet worry about their health. Since 80% of diagnoses occur in radiology, one can have a CT scan to see if anything is wrong.
You do not need a doctor’s permission to have a scan done—it’s the patient’s decision.
The procedure is simple—there is nothing to drink, nothing injected, you don’t even need to disrobe. It consists of a 1.5-minute scan through a donut-shaped apparatus.
After 15 minutes, the doctor will review any findings with you, answer any questions, help you with any follow-up appointments that might be necessary. You even get a CD-ROM of all your images for your records along with a dictated report.
The total time should be about ½ hour if your results are normal, a bit longer if you have questions.

Question:   What does the body scan look for?
 

Answer: Four major areas, with the first and most common problem area being the heart. We look for coronary artery calcifications that might be a sign of heart disease, much of which is non-symptomatic.
The second major area is the lungs—looking for emphysema and pulmonary nodules (possible sign of early long disease).
The abdomen: liver, spleen, pancreas, kidneys and intestines.
The pelvis: intestines, spleen, uterus and ovaries/prostate.
 

Question: If you have a scan done, do you still have to see your doctor?
 

Answer: Definitely. For example, the scan does not replace mammography, or a colonoscopy. Or, it might see the complications of ovarian cancer, but not the early stages.
Also, the scans are mostly for people 45 and older, or someone who has heart or lung disease risk factors.

Question: You've been doing this here for about a year.  Have you saved anyone's life?

Answer:  Yes. Our scans have led to 2 bypass surgeries on people with no symptoms, and several stents.

Question: Can there be false positives?
 

Answer: Let’s take an example. If there is calcification on the lungs, the scan will turn it up. However, the significance of the calcifications is not determined by the scan. Your follow-up appointment might show that there is nothing wrong at the time. But finding the calcifications might lead you to work on minimizing possible risk factors, such as quitting smoking.

Question: Are there any side effects? Critics say that the scan exposes the patient to a large amount of radiation.
 

Answer: There has never been a proven case of any complication from the uses of diagnostic radiology.

Question: What is the cost and how is the procedure paid for?

Answer: About $850.  Currently, these screenings are private pay, although some insurance companies will pay if there are significant findings in the scan and you give them the report. Also, follow-up appointments based on findings are often paid for.
Mammography and pap smears were not covered by insurance at first until they were shown to prevent the progression of cancer. Several studies occurring right now will hopefully lead to these scans being covered by insurance.

A clean bill of health is the only bill you actually enjoy receiving. The whole body scan is an interesting new way to check your medical condition. It’s not just science fiction. If you have any questions, the number to call will be beamed up, next.

For more information on this topic, call

Regional Health Scan

1-888-96HEART

_____________________________________

PRESCRIPTION WIZARD

Show #201

Air date: 2/2/03

I’m tired of having to say this. The cost of prescription drugs keeps going up, up and away. If the price of your medication is getting out of reach, we’ve got a new prescription for you! Today Barbara Comiskey from the Cuyahoga County Department of Senior and Adult Services will explain a new screening tool that will give you the latest information on discount and assistance programs for prescription medications.


Question: We’ve talked about Benefits Checkup on Golden Opportunities before, but can you give our viewers a brief description of what this service is and does?
 

Answer: It’s an internet based screening tool/program that helps seniors find out what state, federal and county (Cuyahoga) benefits they are eligible to receive.
The site has been up since June of 2002. You can access it from the website www.benefitscheckup.org.

Question:   There’s been an exciting new addition to the site, correct?
 

Answer: Yes. Now there is what we call Rx Screening, a program that screens to see if the senior is eligible for one of 240 public and private programs that will assist them in getting prescription drugs.
The program will screen the individual for eligibility in 115 patient assistance plans from privately owned drug manufacturers, 3 private prescription drug card programs, and state and federal prescription drug assistance programs.  It can help cut cost for 800 medications.
 

Question: How much savings can we expect?

Answer: Minimum 20%. In some cases, 100%.

Question: Do we have to be dirt poor to qualify?

Answer: No. If your income is less than $28,000 (single), or $38,000 (married), you'll probably qualify.  Even if you have a higher income, you could still benefit - - try it.

Question: How does it work? What kind of information do you have to put in on the internet? Is it confidential?
 

Answer: Yes, it is confidential and free, just like the rest of Benefits Checkup. You answer a few questions specific to the prescription (get the name of the drug off the label), plus your income and assets.
The program will let you know what you are eligible for and give you information on how to get in touch with those programs. In some cases you can even download the application.
The Rx Screening process takes 5 to 7 minutes to complete by itself. If you fill out the Benefits Checkup program in its entirety, that takes 15 minutes or so to complete.
 

Question: What if you don't have computer access?

Answer: Call. They’ll do it for you.

Don’t wait for our elected officials to provide prescription drug coverage. This new program is free, it takes just a few minutes, and it can tell you whether there’s a way to cut your medicine costs under existing programs. As soon as the show is over check this out. It could possibly save you a lot of money.

---Barbara Comiskey.

For more information on this topic, call

Benefits Checkup Rx Screening

216-420-6840
www.benefitscheckup.org

___________________________________________

COALITION FOR AFFORDABLE PRESCRIPTION DRUGS

Show #202

Air date: 2/9/03

Medicines and medical technologies have greatly improved. But our health care system is ailing, and seniors are feeling the pain. Here to tell us about an organization that’s working to find a cure and is ready to offer a prescription for prescription drug costs is Cindy Maxey. She’s the Field Organizer for the Universal Health Care Action Network of Ohio, called You-Can Ohio.


Question: What is UHCAN Ohio and what is its mission?
 

Answer: The Universal Health Care Action Network of Ohio is a statewide organization working for high quality, affordable healthcare for all Ohioans through education, public policy, and grassroots campaigning.

Question:   Why is an organization like UHCAN needed?
 

Answer: There are thousands of Ohioans without sufficient healthcare. In fact, 170,000 people in Cuyahoga County alone are without coverage, and about the same number in Cuyahoga have inadequate healthcare.

Question: What are the issues concerning healthcare that are of most importance to seniors?
 

Answer: Long term care coverage and lack of prescription drug coverage.
Inadequate prescription drug coverage is a huge problem, since properly taking such drugs can extend and improve your quality of life.  As it stands, people stretch prescriptions, have to decide between filling their prescriptions and other needs, etc.

Question: UHCAN Ohio is involved with an attempt to make prescription drugs more affordable. Can you tell us about this initiative?
 

Answer: We are interested in passing the Ohio Prescription Drug Fair Pricing Act. This act would have the state of Ohio purchase prescription drugs in bulk from pharmaceutical companies, therefore allowing the state to pass that discount along to the consumers. This act would give a 40-60% savings to Ohioans (not just seniors). Consumers would still purchase their drugs through the pharmacy.
This would be of no cost to the state. Several states are further along in the process.
The state legislators have refused to hold hearings on this measure. A petition was started (143,000 signatures collected), and now the legislature has 4 months to act upon this (bring it to a vote).
If they do not act upon it, we will have to collect another 100,000 signatures to put the issue on the ballot next fall.

Question: Why is the legislature reluctant to vote on this issue?
 

Answer: Pharmaceutical companies give large campaign donations.

Question: What can our viewers do to get involved?
 

Answer: Contact your state legislators or the Governor and ask them to approve the Ohio Prescription Drug Fair Pricing Act.
 

State Legislators:
1-800-282-0253

Governor:

614-466-3555.


Contact UHCAN. You can be put on our mailing list and our email alert list. You can get information on rallies, letter writing and phone call campaigns, and petitions.

The Prescription Drug Fair Pricing Act. It should provide large discounts. It won’t cost the state a penny. And our legislators won’t pass it! You can let your voices be heard, and UHCAN is trying to help. If you’d like more information about the Universal Health Care Action Network of Ohio, call the number that’s coming up next.

For more information on this topic, call

Universal Health Care Action Network of Ohio

1-800-634-4442 ext. 19
www.uhcanohio.org

____________________________________

LIGHTHOUSE UNIT FOR PATIENTS WITH DEMENTIA

Show #214

Air date: 5/11/03

People with Alzheimer’s disease and dementia require special care and attention. Unfortunately, many folks with these illnesses wind up in nursing homes which are ill-equipped to handle their needs. The good news is that there are facilities available in Northeast Ohio designed to specifically provide for the unique requirements of dementia patients. Here to explain is Baljeet Khosa-Seibert, Clinical Service Manager for Harborside Healthcare.

Question: Why is a special dementia unit needed? What are the benefits?

Answer: People with dementia (primarily Alzheimer’s) have special needs, including an organized daily structure (to prevent confusion), security needs, and staffing needs. A specialized area, such as the Lighthouse Unit at Harborside, can fill these needs.

Question:   What do you mean by a daily structure? Can you give us some examples?

Answer: Sure. The Alzheimer’s unit has a greater amount of programming than the regular nursing home. Programming helps the patients socialize, and keeps them less confused and at a functional level.
Programming includes reading the morning news, coffee time, crafts, music time, lunch, card games, ball games…basically programming from morning to evening.
 

Question: You also mentioned security needs. I’d imagine that would be an important feature for dementia patients.

Answer: Yes. The Lighthouse Unit is a secured, coded unit. Not only does this security keep residents from wandering off, but a secure environment can also become familiar to the patient, and make them feel more comfortable.
Within the secured area we have an outdoor courtyard for residents to go outside during nice weather.
Safety and security can even extend to smaller items. For example, as Alzheimer’s gets into its advanced spaces, the patient might not recognize their own reflection in a mirror. We recommend no mirrors to keep the residents feeling secure.

Also, with loss of short term memory, patients may remember themselves as younger. So we encourage decorating with younger pictures.
 

Question: How is the staffing different in a dementia unit?
 

Answer: At Harborside, all staff members in the Lighthouse Unit are specially trained in care for Alzheimer’s patients and behavior management.  We do our best to keep the same people on staff, giving our patients continuity of care.  There is also a higher staffing ratio of staff to patients—more one-on-one interaction is available in the dementia unit, especially during meal time, and to create morning to evening programming.
 

Question: Do you charge more to stay in the Alzheimer's unit?

Answer: No

Question: Do all nursing homes have a special Alzheimer's unit?

Answer: No. Requires more training, staffing. So you must ask!

A specialized nursing unit, like Harborside’s Lighthouse, can provide a beacon for the care and attention our loved ones with Alzheimer’s deserve. If you’re interested in learning more, give Harborside Healthcare a call. They’ll send you a free brochure.

For more information on this topic, call

Harborside Healthcare

216-831-1125

___________________________________

OSTEOPOROSIS STUDIES

Show #216

Air date: 5/18/03

Osteoporosis is a nasty disease that can cost you your independence, and even your life. If you are at risk, or if you already have osteoporosis, we have good news. Our guest, Dr. Wolf Utian, will explain how you can get the newest and best tests, medications, and supervision, all for free! Dr. Utian is President of Rapid Medical Research.

Question: May is Osteoporosis month.  What is osteoporosis? What causes it and who’s at the greatest risk?


Answer: Osteoporosis occurs when the skeleton is reduced in density/amount. The bone that is still present is healthy, but because of the reduction is not as strong. This can lead to bones breaking easily.
Risk factors include a family history of the disease, lactose intolerance (less calcium intake), body weight and height (if under 140 pounds and/or under 5’ 4”), taking certain medications (like cortisone), and (for women) menopause status.
Although osteoporosis is often viewed as a women’s disease, it DOES occur in men, especially older men.
Bone loss can make a simple slip on the ice cause a broken hip. Eliminating this kind of accident is important—20 percent of all women who break a hip will die within 12 months, and a large percentage will become disabled and not able to support themselves.
 

Question: What is available in the way of prevention and treatment?
 

Answer: There are simple, general steps one can do to safeguard against bone loss. These include avoiding smoking, exercising regularly, having a proper amount of calcium and Vitamin D in you diet or through supplements, and using moderation with alcohol and caffeine.
We suggest that women 60 and over and those with significant risk factors have a bone density test to check for bone loss.
There are a number of excellent drugs that can not only help prevent osteoporosis, but also help treat it once the disease has become established. These include drugs that can help to stop further bone loss (estrogen supplements, designer estrogens, bisphosphonates) and those that can actually build new bone (PTH drugs).
More advanced drugs are currently being investigated in research studies.
 

Question: And you have some information on how our viewers can actually become involved in these studies.
 

Answer: Yes. Rapid Medical Research is currently involved in a number of studies for both persons with significant risk factors for osteoporosis and people who have the established disease.
If you call our office, we will take your medical history and see if you might be eligible to participate in one of the ongoing studies. Currently, we are studying known medications to see which are more effective (Evista vs. Phosphamax), we are investigating new, more advanced drugs in the Evista family, and, for those who already have osteoporosis, we are conducting tests on the PTH drugs.
If you qualify for the trials, you will receive comprehensive testing (bone density tests, blood tests, etc.), often beyond what Medicare and managed care will pay. You will also receive free medication and a small cash stipend for your time.
 

Question: Can you keep your own doctor if you get involved? Is it safe?
 

Answer: This is not a medical practice. You would still be able to retain your own doctor throughout the testing period—we insist upon it. Your doctors will be notified of your participation in the study.
There is continual monitoring of patients throughout the study.

 

You can get the most up-to-date treatments to help build your bones. And you get medications, tests, and close monitoring, all for free. You even get paid! If you’re interested in learning more about Dr. Utian’s studies, here’s the number.

For more information on this topic, call

Rapid Medical Research

1-888-460-2275

__________________________________________

EXERCISES FOR SENIORS

Show #219

Air date: 6/22/03

You’ve faced a lot of challenges during your life. Making a successful career, raising a family. But as we age, physical challenges become more common. Here to help us turn the tables on aging through activity is Sara Peckham. Sara is Director of Wellness and Resident Life at Judson Retirement Community.

 

Question: What are some of the physical challenges that may affect exercising as we age?

 

Answer:

  • Decreases in: vision, hearing, balance, muscle mass, strength, endurance, aerobic capacity, bone density, body’s blood sugar tolerance

  • Increases in: cholesterol, blood pressure, body fat

  • Chronic conditions: arthritis, diabetes, hypertension, heart disease, Osteoporosis, etc.

Question: What are some of the benefits of physical sctivity?

 

Answer:

  • Strengthens heart & lungs to improve circulation

  • Helps control blood pressure (hypertension)

  • Can help reduce blood fat and cholesterol

  • May boost the body’s immune system

  • Helps maintain balance, coordination and agility

  • Keeps muscles strong, supple & joints mobile

  • Strengthens the bones

  • Helps to cope better with daily stress

  • Relax more and sleep more soundly

  • Have more energy, stamina/ZIP!

Question: How should we get started on an exercise program?

 

Answer:

  • Make sure you have physician approval

  • Research program opportunities: YMCA, Hospital based, Arthritis Foundation, and Judson!

  • Visit facility/observe class/instructor qualifications.

Question: What's the "FIT" principle?

Answer:

  • Frequency - 3x/week.

  • Intensity - Feel challenged.

  • Duration - 30 - 45 minutes.

There’s no doubt about it. Exercise is good for you. If you want to get fit, like Sara, and me, give Judson Retirement Community a call. They offer a wide variety of classes and exercise opportunities. My thanks to Sara Peckham.