Providence CEO on partnership with Homage that serves community

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SHIBA honors 33 volunteers in Snohomish County

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How caregivers can � nd help from resources, services

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Eating more red foods like beets can help reduce heart disease risk

Page 3

New blood pressure guidelines explained by WSU med school associate dean

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Build your brain health with these everyday mind games

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VOL. 45 NO. 1 | FEBRUARY 2018

ColumnsHistory . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

Savvy Senior . . . . . . . . . . . . . . . . . . . . . . . . 6

Volunteers . . . . . . . . . . . . . . . . . . . . . . . . . 6

Travel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

Washington Watch . . . . . . . . . . . . . . . . . . 11

Learn about programs and services available to seniors by visiting www.homage.org.

Senior Services to launch new brand

Page 2

A house filled with pets — and love

Page 7

Tips for boosting your recall ability

Page 10

Program stimulates seniors with memory issues

Page 12

Walker, 90, keeps on truckin’

Page 13

ColumnsSavvy Senior . . . . . . . . . . 3History . . . . . . . . . . . . . . 4 Washington Watch . . . . . 6Travel . . . . . . . . . . . . . . . 8Volunteers . . . . . . . . . . . . 9Tech Talk . . . . . . . . . . . . 11

Learn about programs and services available to seniors by visiting www .sssc .org .

April 2017Vol. 44, No. 3

Published by The Daily Herald and Senior Services of Snohomish County

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Meals on Wheels’ future uncertain under president’s proposed budgetPam Timm is standing at his front door with a cart of brown grocery bags.“She’s my favorite lady,” Mike Kerasotes, 67, said.

Timm, 66, delivers meals to him each week. She has been a volunteer with Meals on Wheels for six months. During that time, Kerasotes has battled cancer.“When you get $80 in food stamps, it doesn’t go very far. Without you, I wouldn’t have made it through radia-tion,” he said to Timm.Last year, Meals on Wheels volunteers

and staff served more than 1,000 peo-ple throughout the county — a total of 152,000 meals. Senior Services of Snohomish County has managed the local chapter of Meals on Wheels for 42 years. Each of the meals is approved by a nutritionist. Most are low sodium and have helped diabetics keep their blood sugar under control, said Martha Peppones, director of the nutrition program. Since the program started, there has been a growing demand. Staff were able to bring the waiting list down from about 300 to 60 people last year.

“That’s 60 too many,” Peppones said. “Those are people who still need meals.”The program may be facing substan-tial financial cuts if President Donald Trump’s proposed budget for 2018 is approved. Nearly half of the program’s funding comes from the federal gov-ernment through the Older Americans Act and Community Development Block Grants. The grants are slated to be removed under the budget plan.That would affect 150 meal recipients in Snohomish County, Peppones said.“Fortunately, it’s only a proposal,” she

By Caitlin TompkinsHerald Writer

CONTINUED ON PAGE 15Adaptation helps couple battle early-onset Alzheimer’s

Music therapy enables stroke patients to regain some language through songBy Rashod OllisonThe Virginian-Pilot

NORFOLK, Virginia — When the Johnny Cash melody frustrates James Rodriguez, he chuckles, shakes his head and says, “I don’t know.”Tracy Bowdish gen-tly pushes him, taking his hand into hers as she leans closer and sings in bell-clear perfect pitch lyr-ics from “I Walk the Line.” The goal is to get Rodri-guez to find the words, still a difficult task since his stroke in summer 2011. But his progress has been “remarkable,” says San-dra, Rodriguez’s wife of 47

years, who sits within arm’s reach of him, nodding.They’re all in a small room inside Fort Norfolk Medical Center — Rodri-guez in his wheelchair and Bowdish on a low stool sandwiched between an imposing keyboard and a computer desk. Bowdish is a music therapist with Sen-tara’s Music and Medicine Center. In a promotional clip for the program, she mentions that her blind-ness helps her to engage patients, to “see who they are beyond the stroke.”

As Bowdish holds Rodri-guez’s hand, singing lyrics

Music wellness facilitator Noah Plotkin leads a drumming and singing session with Michael Folio as Cheryl Levin-Folio looks on.

(Mark Ukena, Chicago Tribune)

By Karen BerkowitzChicago Tribune

HIGHLAND PARK, Illinois — Cheryl Levin-Folio can’t anticipate every new milestone of memory loss as she and her husband, Michael Folio, navigate his Alzheimer’s disease.Sometimes quick thinking comes in handy, as it did when Michael forgot one day to take off his clothes before stepping into the shower. Rather than correct her husband, Cheryl joined him in the shower with her clothes on

for a laugh.“I think the next time we should take our clothes off,” she gently told him.“I made light of it,” she said. “I never correct him. That’s not fair to Michael.”In the five years since Michael Folio was diagnosed with early onset Alzheimer’s at age 56, the Highland Park couple has adapted their daily routine many times over.

They’d been together for years, but married less than four months, when

CONTINUED ON PAGE 16

Meals on Wheels volunteer Pam Timm places food in the refrigerator and freezer for Lorna Jenkinson at Broadway Plaza.

(Dan Bates / The Herald)

CONTINUED ON PAGE 16

Music therapist Tracy J. Bowdish plays the guitar and leads James “Jim Bob” Rodriquez in singing songs during their session at Sentara Neurology Specialists in Norfolk, Virginia. Rodriquez suffered a stroke in 2011 and Bowdish is helping him regain some speech through music. (Bill Tiernan / The Virginian-Pilot)

Formerly Senior Focus

www.homage.org

Providence patients connect with Homage for vital services

Donna Hartley had done her homework.

She had pulled several items from her kitchen cabinet so she could review the ingredients with a nutritionist.

“Sodium is a big no-no for me,” she said with a smile.

� e visit from the nutrition-ist was part of a pilot program between Homage Senior Services and Providence Hospital. � e program aims to lower hospital readmission rates for patients with congestive heart failure and chronic obstructive pulmonary disease (COPD) by eliminating barriers that can prevent people from following diet restrictions, taking medications or making it to doctor’s appointments.

Hartley, 67, is one of the � rst participants in the program. She has both heart failure and COPD.

Using a $45,000 grant from the Providence Foundation,

the hospital connects patients with Homage; the nonpro� t then links those patients with services, including transporta-tion, nutrition and mental health counseling.

“We’ll be able to see those social needs and address those quickly because that’s what we do,” said Ramonda Sosa, the social ser-vices director at Homage. “� is goes well with medical providers addressing medical needs.”

Sosa said a visit to one patient’s home revealed that the man had no refrigerator; Homage was able to provide a small refrigerator within a few days. Another patient had no prescription drug cover-age; Homage worked to � nd her coverage so she could have access to her medications — and low-ered her risk of readmission.

Lowering the readmission rate also bene� ts the wider commu-nity, said Tina Nolen. Nolen and Katherine McFarland oversee the program for Providence.

“It will allow more open beds and decrease wait times for peo-ple coming in,” she said.

Discharge planners at Provi-dence refer patients who are potential candidates for the pro-gram to Nolen and McFarland. � ey review the patient’s � le and � rst look to see if insurance could pay for any of the services before they use the grant money.

Aside from having either COPD or congestive heart fail-ure, there are no restrictions on who can qualify for the program. McFarland said that many of the patients are either too young or are just over the federal poverty level to qualify for some services.

“It’s really been nice to be able to just have a little bit broader ability to provide help,” she said. “We � nd that people who are just over the (federal poverty) limit are the ones in the most need a lot of the time.”

By Jocelyn Robinson

CONTINUED ON PAGE 9

Spokane couple have been living in RV for 7 years

If it may sound far-fetched to sell your home and most of your possessions to live year-round in an RV; one Spokane couple did just that seven years ago. And they’ve never looked back.

Beginning 2010, Don Gumen-berg, 75, and his wife Dee, 77, hit the road in an RV that they consid-ered as their new year-round home.

After living in their South Hill home for more than 30 years, they sold the house in 2009. Each fall, they drive to Mesa, Arizona, to live in a retiree RV park. By April, they return near Spokane, driving their Itasca Ellipse back to property on the Pend Oreille River outside of Newport. � ey also � nd time to drive their RV to places they want to visit, such as national parks and landmarks.

“We have not missed our house,” said Don Gumenberg. “We got rid of the house. It’s just restrictive, and you always have to take care of it.

“It’s amazing how many people

we’ve met who have sold their homes, live in RVs and just go from one place to the other. � ere is a lot of history around the United States, so we’ve tried to see it.”

Before leaping into a vagabond lifestyle, they let their adult children decide what furniture or things they

By Treva LindThe Spokesman-Review

Don and Dee Gumenberg, who lived more than 30 years on the South Hill, now call their RV home. They winter in Arizona and return to property they own near Newport each spring. (Courtesy photo)

CONTINUED ON PAGE 9

Client Donna Hartley and Homage Senior Services’ Amy Husted are part of a grant to connect patients with services to help them avoid readmittance to the hospital. (Andy Bronson / The Herald)

2 February 2018 Homage

Comment: Providence partners with Homage to help those in need

At Providence Regional Medical Center, Everett (PRMCE), our mis-sion, as people of Providence, is to reveal God’s love f1or all, especially the poor and vulnerable, through our compassionate service. Our commitment to this mission is rooted in an amazing legacy that began in the Northwest in 1856 and came to Everett in 1905.

Sister Emilie Gamelin worked with the Ladies of Charity, an orga-nization that helped the poor and needy, including orphaned and run away children, mentally ill, disabled, homeless and immigrants. In 1851, on her deathbed, Mother Game-lin urged her sisters to be mindful of the virtues she had embraced throughout her life: “humility, simplicity and charity. Above all charity”.

In our current state of health care, we are challenged with barriers asso-ciated with many overlapping social determinants of health that include factors such as socioeconomic status, education, physical environment, employment, social support network and access to healthcare. At PRMCE,

we factor these social determinants of health in our strategic plans as we develop and pilot potential projects with the understanding that sustain-ability is the key to meeting the needs of our patients.

Among the social determinants of health we have the opportunity to impact from a healthcare perspec-tive are increased social support networks. We have engaged with Homage Senior Services to pro-vide social services to our patients, as they are the largest and most comprehensive nonprofit service provider for older adults, people with disabilities and their families in Snohomish County. Homage has partnered with us to create a process in which they would be able to provide nutrition (Meals on Wheels/senior dining); hous-ing support (Minor Home Repair program); transportation (DART/TAP); and social services to include family caregiver support, depression screening, multicultural services and health insurance counseling. A critical piece of this process is engagement with our Managed Care Organizations (MCO) for financial reimbursement of these services in order to attain the sustainability

required for this to be successful.Our initial engagement with

Homage was focused on supporting our Snohomish County patients at PRMCE. During this engagement, we introduced this opportunity to the North Sound Accountable Communities of Health (NS-ACH), through the 1115 Medicaid Waiver to provide support to not only Snohomish County, but also any opportunities to explore for Island, San Juan, Whatcom and Skagit counties as the North Sound ACH participants develop proj-ects to support the North Sound community.

Due to the kind donation of the Providence Foundation, on Dec. 4, 2017, PRMCE began a pilot program with Homage with a goal of support-ing our patients with Heart Failure (HF) and Chronic Obstructive Pul-monary Disease (COPD) to show the value of incorporating these services when there are gaps in services through the patient’s insurance cov-erage that would put them at risk for non-covered services.

In line with Emilie Gamelin’s virtues she had embraced, we have come together to provide charity to those in need in our community.

By Kim WilliamsCEO, Providence Health Services

On Feb. 2, Snohomish County Statewide Health Insurance Benefit Advisors (SHIBA), sponsored by Hom-age Senior Services, honored their 33 active volunteers for a terrific year helping Medicare clients in Snohom-ish County.

In 2017, SHIBA volunteers dedicated 4,405 hours to helping more than 6,067 clients with Medicare cover-age questions and issues. Counseling was done through in-person appoint-ments or over the phone, and with the assistance given, clients saved more than $1.2 million in Medicare costs and $22,769 in fraud dollars.

Open enrollment for Medicare is an extremely busy time for SHIBA volunteers, as they help thousands of clients at various locations (usually senior centers) throughout Snohom-ish County beginning in October and ending in December, when open enrollment closes.

SHIBA helps low-income clients receive extra help with their Medi-care costs through programs called Medicare Savings Program and Low Income Subsidy. These programs make a difference by paying the Medicare Part B premium cost and by reducing the prescription drug costs for low-income clients.

If you have Medicare needs, ques-tions or issues, we encourage you to call your local SHIBA office at 425-290-1276. SHIBA is part of the Office of the Insurance Commissioner and vol-unteers are highly trained. It is a free, unbiased and confidential service.

SHIBA is always looking for new volunteers. If you are interested in helping Medicare clients learn their options for covering their healthcare and prescription needs, please call Rochelle Salsman, SHIBA volunteer coordinator at 425-514-3183. You can also contact Michelle Frye, Homage volunteer manager, at 425-740-3787.

SHIBA honors 33 volunteers in Snohomish CountyBy Rochelle SalsmanSHIBA Volunteer Coordinator

We all find ourselves lending a hand to our loved ones from time to time. Many of us though will find ourselves doing even more when our loved ones are in need — man-aging their household, planning groceries and meals, helping with medications, bathing, toileting, and providing consistent care.

We call this being a caregiver. Chances are you or someone you

know is a caregiver to a spouse, par-ent or sibling.

Taking care of someone can be a rewarding experience, but it can also be overwhelming and stressful. If your loved one has trouble walking, their risk for falling can increase over time. If you are caring for someone with dementia, you might encounter difficult behaviors or unsafe situ-ations as their disease progresses. And, while it can be tough to talk about, many people experience incontinence issues that require assistance and specialty products.

The good news is there are many

resources for caregivers, from support groups and training oppor-tunities, to helpful equipment and more formal programs.

The Department of Social and Health Services and your local Area Agency on Aging or Community Living Connections Offices have programs that include a variety of services and supports for caregivers.

Call 1-855-567-0252 to be put in touch with your local office, or visit www.waclc.org under the Connect section to find the nearest office.

— Colleen Keltz, state Department of Social and Health Services

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Published monthly with a readership of 100,000+, the Homage Senior Services educates and enter-tains readers (seniors, family caregivers, service providers and other interested persons) with news and information that reflects the diverse interests and needs of the senior community. Signed articles are the opinon of the writer and not the opinion of Homage Senior Services.

Distribution: Over 12,000 papers are mailed to households and senior-friendly business-es;1,900 papers are distributed at drop-off locations including senior centers, retirement communities, libraries, etc.

Also distributed monthly in The Daily Herald. Contact Josh O’Connor at 425.339.3007 or at joconnor@soundpublishing.com.

Advertising: The existence of advertising (including political advertisements) in this publication is not meant as an endorsement of the individual, product or service by anyone except the advertiser.

For more information, contact Jacqueray Smith, Multimedia Consultant, at 425.339.3023 or at jsmith@soundpublishing.com

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We are hiring drivers for our DART program, funded byCommunity Transit. Full-time and Part-time opportunitiesare available to provide safe and reliable transportation forfrail, elderly, disabled and/or vulnerable adults. CommercialLicensed (A,B,C) drivers with Passenger Endorsements areencouraged to apply, but if you don’t have these credentials,don’t worry. WE will PAY YOU to TRAIN while you learn theskills required for this type of license. Earn up to $1,500HIRING BONUS and enjoy competitive wages and greatbenefi ts. Pay is union scale, starts at $15.60 per hour andincreases to $17.64 per hour at six months.

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Homage February 2018 3

Eating more red foods can reduce heart disease risk

February marks a month of festivi-ties and celebration, with holidays like Mardi Gras, Valentine’s Day, Presidents Day and Black History Month all taking place. It also hap-pens to be National Heart Month — a time to remind us all to focus on living a heart-healthy lifestyle.

While it’s far too easy to be enticed with chocolates or cake, cardiovas-cular (“heart”) disease remains the leading cause of death in the United States. Currently, 92 million Ameri-cans are living with some form of cardiovascular disease, and 2,200 Americans die of heart disease every day. That’s one death every 40 seconds.

Cardiovascular disease, which includes any disease of the ves-sels and heart that block the flow of blood to the body’s cells, tissues and organs, can ultimately lead to stroke or heart attack.

It has probably touched most of our lives in some form or another.

Fortunately, with increased aware-ness and education, we can change these outcomes — and that doesn’t mean compromising celebra-tions! Even modest adjustments in diet and lifestyle can significantly improve heart health and lower the risk for cardiovascular disease.

Healthy lifestyle changes include following a healthy eating plan, maintaining a healthy weight, man-aging stress and exercising regularly.

According to the 2015 Dietary Guidelines for Americans, a health-ful diet is one that is varied in nutrient-rich food sources including fruits and vegetables, whole grains, low-fat dairy products and lean proteins. A healthy eating plan limits saturated and trans fats, sodium

and added sugars. The major source of saturated and trans fats are red meats, deep fried fast foods, bakery products, packaged snack foods and margarines.

And while red meats should be moderated in the diet, the Physi-cians Committee for Responsible Medicine recommends eating red for American Heart Month (and beyond). In other words, there are a variety of red-colored foods that have shown health benefits and may be influential in the prevention or delay of heart disease.

The following can be incorpo-rated into a healthy eating plan and lifestyle:

Beets contain the nutrient betaine, which in conjunction with vitamins B6 and B12 and folic acid, help reduce homocysteine levels. Homo-cysteine is an amino acid that can accumulate in the body and lead to atherosclerosis (hardening of arter-ies). Betaine provides protection against the development of arterial plaques.

Kidney beans are high in min-erals, protein and fiber without containing the saturated fat that is found in many animal-sourced proteins. One cup of cooked kidney beans contains 13 grams of fiber and 15 grams of protein while only hav-ing 1 gram of fat. Kidney beans also provide both soluble and insoluble fiber, which can help lower choles-terol and regulate blood sugars.

Red lentils are another versatile and nutritional source of plant-based protein. One cup of cooked red lentils contains 18 grams of protein. Compared to other types of dried beans, lentils are relatively quick and easy to prepare Addi-tionally, lentils are a good source of insoluble and soluble fiber and their consumption is associated with a decreased risk of heart disease.

Red potatoes: The potassium (over 40 percent of the recom-mended dietary intake) found in one large red potato helps regulate the heartbeat. However, individuals

with a chronic condition such as kid-ney disease should seek the advice of their healthcare provider before attempting to significantly increase their potassium intake.

Strawberries: Ounce for ounce, strawberries actually contain more vitamin C than oranges. Vitamin C is an important nutrient that plays a role in the growth, maintenance and repair of the body’s blood vessels. Additionally, vitamin C is a powerful antioxidant that protects the body against cellular damage from free radicals.

Tart cherries have high levels of vitamin A and C and may help reduce the kind of inflammation associated with heart disease and diabetes.

Remember that a healthy diet, in combination with regular exercise, is one of our best lines of defense against cardiovascular disease. Eat-ing a variety of nutrient dense foods, such as the aforementioned, can drastically reduce the risk of vascu-lar and cardiac damage, stroke and

heart attack. For more information on heart health, visit the American Heart Association at www.heart.org, and seek the advice of your medi-cal provider and registered dietitian before making significant lifestyle changes.

Beet salad

3 medium beets, raw1½ tablespoons lemon juice1 tablespoon cider vinegar1 tablespoon apple juice concentrate (or similar)1 teaspoon stone-ground mustard½ teaspoon thyme (fresh or dried)Salt and pepper to taste

Preheat oven to 400 degrees. Wash and peel beets. Cut each beet in half, and each half into four wedges. To prevent staining your counter top, place a dark-colored towel or paper towels under your cutting board. Roast beets in oven for 35-40 min-utes. Or beets can be steamed over boiling water until tender when pierced with a fork, 15 to 20 minutes.

Mix lemon juice, vinegar, apple juice concentrate, mustard and thyme in a serving bowl. Add beets and toss to mix. Serve hot or cold.

Stored in a covered container in the refrigerator, leftover hot or cold beet salad will keep for up to three days. Note: The pigment that gives beets their rich crimson color and makes this salad so gorgeous is also a powerful cancer-fighting agent in the anthocyanin family. Beets can be served with dark, leafy greens or by themselves.

Makes about 3 servings. Nutrition information per serving: 36 calo-ries, 0.2 g fat, 0 g saturated fat, 0 mg cholesterol, 1 g protein, 8.4 g carbo-hydrate, 7 g sugar, 1.1 g fiber, 61 mg sodium, 15 mg calcium, 0.6 mg iron, 4 mg vitamin C, 21 mcg beta-caro-tene, 0.1 mg vitamin E.

— Adapted from Physicians Committee for Responsible Medicine

By Leah HammonRegistered Dietitian, Homage Senior Services

And no, we’re not talking about red meat

Perhaps no names are more asso-ciated with the early logging industry on Camano Island than Esary and Garrison. From Camano City to Madrona to Utsalady, the families, related through marriage, changed the island’s landscape and helped spawn a logging boom. The Esary family, in particular, became leading entrepreneurs in the Puget Sound region after the Civil War.

The brothers, David, Tom, Andy and particularly James, were early adventurers in the area coming a generation after initial “boomers” in the 1850s rushed to exploit the vast resources of the untamed North-west. David and Tom, born in the mid-1850s, were a generation older than their brothers, with James being the youngest male in the family. Yet, it would be James who became the force behind extensive shipping and logging operations that brought the family influence and wealth.

Their extended family had a large presence in Virginia’s Russell and Washington counties under the surname Necessary, including their father William Jennings Necessary and mother Nancy. The change in the family name is a source of speculation among family genealo-gists today. Descendant Warren Dale Essary cites family lore that Wil-liam’s grandfather got into some sort of trouble in Pennsylvania, moved to Virginia and changed his name. Following the Civil War, he believes about a third of the family again began using the last name of Essary

— or Esary, which clearly happened with William Necessary’s family.

Russell County, Virginia, is ridge and valley country sandwiched in between the Blue Ridge and Appalachian mountains in the far western toe of Virginia that slides between Tennessee and Kentucky. Its mountainous location gave the county relative isolation from the Piedmont and Tidewater regions of eastern Virginia, politically as well as physically.

In 1881, Tom and his wife, Sal-lie, migrated to San Francisco and two years later boarded the steamer Dakota for their move to Seattle along with their mother, at least two sisters and brothers Andy, 18, and James, 8.

James’ older brothers labored in the logging industry, working the greater Seattle area between Union and Green lakes and later the Queen Anne’s Hill and Fremont districts of the city.

Tom and Sallie homesteaded in

Kitsap County for a time along with brother Andy, but moved to the Bay View and Bow areas of Skagit County in 1888, where brother David would also make his home. The brothers continued logging operations in Skagit County and Camano Island and built a mill in La Conner. How-ever, Tom’s interests appeared more toward farming, where he would become one of the most active agri-culturalists of Skagit County.

While his older brothers followed logging and agriculturalist pursuits, James Esary grew to manhood in the growing urban center of Seattle, where, as a young man in the mid-1890s, he found local fame for his bicycling prowess. His numerous racing successes earned him the nickname of “Cyclone.” In 1897 he worked as a “bicycle agent.” An 1898 commercial venture, taking him to the goldfields of the Yukon, got him into Seattle papers with a first-hand account of the dispute over Canadian custom duties levied on merchants, like James, catering to the gold seekers.

In 1900 Andy Esary paid a visit

home to Virginia and his sister Talitha, who had married Joseph Garrison. One of their sons was a restless 17-year-old named Porter. The lanky youth stood over six feet tall and weighed only 102 pounds, and doctors warned him to find a healthier climate if he wished to reach old age. As Uncle Andy described Camano as the “pretti-est island in all Puget Sound,” Porter listened, enthralled. “You think you got trees here,” Andy teased, his face beaming. “These are match sticks alongside some of the firs on Camano.”

Porter’s pleas to return with his uncle to this forested Eden were dis-missed because of the expense and his frail physical condition. How-ever, Porter’s entreaty that he’d do anything — even cook— caught his uncle’s ear since the company was advertising in Seattle at that time for a “good woman cook” for their Camano City camp. Advanced the money by Uncle Andy, Porter got to go west and would later bring much of his family out as well.

When Porter and Andy arrived at Camano City, James Esary was there to greet them — the “operator of the show,” Porter remembered. James had moved beyond selling bicycles to a position of business leadership around the Sound. He married May Rose Kuntz that summer. In 1903, May was appointed the first post-mistress for Camano City.

Over the next 20 years, James’ logging, shipping and ferry services (with Capt. H. B. Lovejoy) operated under various corporate entities such as Esary Bros., Camano Land and Lumber Company, Camano Commercial Company, Island Transportation Company and syn-onymously the Island Navigation Company.

The brothers did have their set-backs, both financial and personal. In 1900 their mill at La Conner burned at a substantial loss. Three years later Andy Esary died after

This photo taken in 1905 of a baseball team on Camano Island shows Tom Esary on the far left (in suit) and his nephew Porter Garrison just to his left and behind (wearing a white shirt and hat). (Stanwood Area Historical Society)

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being thrown from a recently built rail-car system used for haul-ing logs to Camano City. One of the logs on which he sat rolled at a curve, sending 41-year-old Andy flying. The log then dropped on him, crushing his skull. A year later papers talked about the “hoodoo” which still hung over the Camano Island camp. In 1907 fires swept Camano, threat-ening to burn every stick of timber on the island. The Esarys lost three-fourths of their railroad and 2 million board-feet of cedar at a value of $50,000. A year later, James Esary sold the Camano Land and Lumber Company to Frank Van Cleve and Sons.

Long after his cycling days, James still had a need for speed. Arrested for speed-ing in December 1910, the “shipping mag-nate” called the charge “outrageous” and threatened to never drive a car in Seattle again as long as the speed limit was only

12 miles per hour. By 1915 the Island Navi-gation Company was known as one of “the busiest steam naviga-tion companies on the

Sound.”James Esary retired

from the Island

Transportation Com-pany in 1924. As united as they were in

life, the brothers were not in death. Andy’s body was taken to his wife’s Ohio hometown for burial. David and Tom and much of their immediate families are buried at the Bay View cemetery in Skagit County near where they had lived for over 50 years. James died at his home on Camano Island in 1947. There is no gravesite listed for James, and his wife, May, was later cre-mated, leaving her also without a marker — which may have been her husband’s wish as well.

The brothers from the hills of Virginia had done as many did after the Civil War — followed a western migration seeking bet-ter opportunities in the emerging West. The U.S. Census Bureau officially closed the American frontier in 1890. The brothers of

boom got in just under the wire.

Sources: Seattle Daily Times, 1900, 1905, 1937, 1947, 1967; Seat-tle Post-Intelligencer, 1895, 1896, 1898, 1900; Morning Olympian, 1907; Seattle Star, 1904, 1910; Bellingham Herald, 1932, 1939; Camano Islander, 1956; Dale Essary, Rootsweb.ancestry.com; Cratis Williams, “The Appa-lachian Experience,” Roostweb.ancestry.com; Brian McKnight, Contested Border-land: The Civil War in Appalachian Kentucky and Virginia; Lumber World magazine, 1908; townofcoupeville.org; Art Kimball and John Dean Camano Island: Life and Times in Island Paradise; Seattle city directories 1891-1916; Cama Beach Archives; Federal census records and family data, Ancestry.com.-

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In this photo, taken between 1905 and 1908, an Esary company logging crew relaxes near the shoreline where Cama Beach State Park is today. (Stanwood Area Historical Society)

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6 February 2018 Homage

This month’s RSVP volunteer opportunities

Sponsored by Catholic Community Services, RSVP is America’s largest volunteer network for persons over 55 and the only program where the collective contribution of the senior volunteer is recorded. RSVP exists to help volunteers 55 and older � nd ful� llment in their volunteer work. Volunteer opportunities exist all over Snohomish County.

Student mentors/coaches: Many times people tell me “I can’t help in school, I was never a teacher.” Being a former teacher is NOT a requirement to help students. What is required is a belief you can be of assistance and a dedication to the job. Students look

forward to sessions with volunteers. If you want to help students and be needed at the same time, this is for you. Opportunities are available in the classroom and after school.

Food banks: Now that the holidays have passed, there is a ten-dency to forget about people who don’t get enough to eat. “Food assis-tance has gone from an emergency to a chronic need,” said Shannon Traeger of Feeding America, an umbrella group for more than 200 food banks throughout the U.S. “People are chronically depending on food pantries to feed themselves and their family.” In Snohomish County, more than 85,000 people are food-insecure. Being food inse-cure means not knowing where

your next meal is coming from. We work with food banks in these cities; Arlington, Everett (two locations), Granite Falls, Lake Stevens, Lyn-nwood, Marysville (2 locations), Mill Creek, Monroe, Mountlake Terrace, Snohomish and Stanwood/Camano. Will you help?

Volunteer transportation: � is is a volunteer job I describe as “noble.” One of the de� nitions for that word is having or showing � ne personal qualities or high moral principles and ideals. Because the clients using this service often have no other way of getting around, when you drive someone, you demonstrate those � ne personal qualities. Drive when and where you want. Clients enter and exit the vehicle on their own. Mileage

reimbursement is possible.Volunteer chore: If your parents,

grandparents or close family friend needed some help around the house, you’d want them to get that help, wouldn’t you? � is is what Volunteer Chore is all about — helping elderly or disabled people stay in their homes with a little help from their friends. Time commitment is agreed upon between you and the client. Can be anywhere from two hours a month to four hours a week — you decide. Some clients have yards that need tending too.

If you have any questions about RSVP, volunteering or any of the agencies you see listed here, please contact RSVP at 425-374-6374 or email me at johnm@ccsww.org.

By John McAlpineRSVP Program Recruiter

Savvy Senior: Three ways to cut hearing aid costs

Dear Savvy Senior,I’ve heard that hearing aids will

soon be available over-the-counter and will be much cheaper than they currently are. What can you tell me about this? My husband desperately needs hearing aids but we simply can’t a� ord them.

Searching SpouseDear Searching,Unfortunately, for many years the

high cost of hearing aids has kept mil-lions of Americans with hearing loss from getting hearing aids because they can’t a� ord them.

Hearing aids — typically sold through audiologists’ o� ces — are expensive, usually ranging between $1,000 and $4,000 per ear, and are not typically covered by private insurance or traditional Medicare.

But there’s good news on the hori-zon. Last summer President Donald Trump signed the Over-the-Counter Hearing Aid Act of 2017 into law. � is will allow people with mild to

moderate hearing loss to buy hearing aids without consulting an audiolo-gist, and the devices could sell for between $250 and $300 at drugstores and other retailers.

� e only problem is that it will be a couple more years before these over-the-counter hearing aids are available to consumers. So in the meantime, here are some tips that can help you � nd some a� ordable options.

Check your insurance: While most private health insurance companies do not cover hearing aids, there are some that do. For example, Aetna members can purchase aids at a dis-count through certain suppliers, and United Healthcare o� ers hearing aids to their bene� ciaries through Health-Innovations for $799 to $999 each.

You should also know that some federal workers, as well as residents of Arkansas, Connecticut, New Hamp-shire, and Rhode Island can get their hearing aids covered by health insur-ance, as can eligible veterans through the Department of Veterans A� airs.

Or, if your husband is a Medicare

recipient, about half of all Medicare Advantage plans o� er at least partial coverage or discounts on hearing exams and devices. So, be sure you check your husband’s insurance coverage to see if it o� ers any type of hearing aid bene� t.

Shop around: To help you save money, consider shopping at Costco, which o� ers no-cost screenings at certain locations, as well as very competitive prices. Hearing aids there range between $500 and $1,500 each. You can also shop online at websites like EmbraceHearing.com and Audicus.com, which can save you up to $2,000 per pair. � en visit a local specialist to make any necessary adjustments.

Another option worth a look is over-the-counter personal sound ampli� cation products, or PSAPs. Unlike hearing aids, the Food and Drug Administration does not regu-late PSAPs. And PSAP manufacturers are not allowed to call these prod-ucts hearing aids or claim that they help hearing. But these devices are

very e� ective for people with mild to moderate hearing impairment, and typically cost between $350 and $450 each. To � nd a variety of PSAPs, see assistive listening sites like Har-ris Communications (HarrisComm.com, or call 866-476-9579).

Look for assistance: If your income is low, there are a number of national, state and indepen-dent groups that can help you pay for hearing aids or o� er discounts. To � nd them, visit the American Speech-Language-Hearing Associa-tion website at ASHA.org/public/coverage/audfundingresources.

Or, call the National Institute on Deafness and Other Communication Disorders at 800-241-1044, and ask them to mail you their list of � nancial resources for hearing aids.

Send your senior questions to: Savvy Senior, P.O. Box 5443, Norman, OK 73070, or visit SavvySenior.org. Jim Miller is a contributor to the NBC Today show and author of “� e Savvy Senior” book.

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If your last blood pressure check at the doctor’s office didn’t raise concerns, new medical guidelines could change that in 2018.

The mark now con-sidered to be high blood pressure is 130/80, compared with the previous 140/90, under new guidelines released in November by the American Heart Association and the American College of Cardiology.

The shift likely will catch tens of mil-lions of Americans by surprise because they previously got a pass from doctors, according to internal medicine physician Dr. Dawn DeWitt in Spokane. Many of the newly diagnosed likely won’t go on medica-tion but rather will be advised to make lifestyle changes, she said, such as lose weight, stop smoking, and exercise regularly.

“The logic behind the new guidelines is that the sooner high blood pressure is diag-nosed and treated, the greater the chance of preventing problems,” said DeWitt, associ-ate dean of clinical education at Washing-ton State University’s Elson S. Floyd College of Medicine.

“They released these new guidelines say-ing to some degree, all these heart attacks and strokes are, quote, pre-ventable. It’s saying if we treat hypertension better, we can prevent or delay many of these events, a lot of which are either severely debilitating or life-end-ing, so it’s not a small thing.”

The move also acknowledges that heart disease, strokes, and related conditions are generally a long-term process.

“It’s not like your arteries are perfect one week and the next week, boom, you’ve got a heart attack,” she said. “It takes time. Other than smoking, obesity and hyper-tension are the two biggest entwined fac-tors for the general population.”

About 85 mil-lion adults, or one in three, in the U.S. have high blood pressure, accord-ing to a project of the AHA and American Medical Association called Target BP. The 2015-launched ini-tiative offers support while urging medical

services and patients to prioritize blood pres-sure control.

The AHA defines high blood pressure, also known as hyper-tension, as being when the force of the blood flowing through your blood vessels is con-sistently too high. The body’s tissues and organs need the oxygenated blood that the circulatory system carries.

When the heart beats, it creates pres-sure that pushes blood through a network of tube-shaped blood vessels, including arteries, veins and cap-illaries. This pressure — blood pressure — is the result of two forces. The first is systolic pressure occurring as blood pumps out of the heart and into the arteries. The second is diastolic pressure, cre-ated as the heart rests between heart beats, the AHA says.

These two forces are represented by the numbers in a blood pressure reading.

Obesity is a sig-nificant factor toward heart disease, and since the 1970s, rates within the U.S. popula-tion in overweight and obese categories have increased significantly, according to DeWitt. Generally, blood pressure increases as people gain weight.

“There’s a general consensus that heart disease and strokes are basically the No. 1 killer of Americans, and that’s gotten worse with the obesity epidemic.”

The new blood pres-sure guidelines have

both financial and psy-chological impacts, she said. The cost could be in lifestyle changes — paying to go to the doctor more, exercise classes, lifestyle coach-ing, gym memberships. Psychologically, some people who have never had a disease before suddenly are labeled as having hypertension, she said.

“The implications of making that announce-ment are that overnight millions and millions more Americans would be classified as having hypertension,” DeWitt said. And it could be considered a preex-isting condition, “so in all the uncertainly with Republican health reform, if we went back to a situation where people could be denied health insur-ance coverage for a preexisting condition, to have people labeled with hypertension when they weren’t pre-viously labeled, that’s a big crunch.”

Medical research and history since the 1960s regarding what constitutes high blood pressure is compli-cated, added DeWitt, although medical experts generally agree about its link to heart disease.

“It’s a fascinating story because the evidence about blood pressure over the years has been up and down, shall we say, no pun intended,” DeWitt said. “For few years, doctors sort of thought well anything that wasn’t really high, so 160 over 90, wasn’t too bad.”

In the 1960s, doctors had only about two

drugs available to treat high blood pressure, she said. Then studies in the 1980s and ‘90s brought intriguing evi-dence from some trials trial that lower blood pressure was good, but still, guidelines tended to go back and forth between 140/90 and 130/80.

Meanwhile, the number of medica-tions available to treat hypertension increased, creating a more complicated landscape today, added DeWitt.

“Over half of adults require three or more medications to control blood pressure to 140 over 90,” she said. “At that point, 50 to 60 per-cent of Americans are rated as uncontrolled by their chart.”

Additionally, researchers also consider there’s a significant amount of “white coat hyper-tension,” DeWitt said, meaning when patients come into the doctor’s office, they’ve experienced more stress about getting to the appointment on time, parking, doing paperwork and figur-ing out insurance, “so they get into doctor’s office and their blood pressure is higher.”

“It became pretty clear that ambula-tory blood pressure monitoring, where somebody wears a monitor for 24 hours is more accurate in terms of predicting downstream compli-cations of high blood pressure.”

“We also decided home blood pres-sure monitoring was

probably better than office blood pressure monitoring, but blood pressure cuffs aren’t cheap. For lay peo-ple to use them, you generally need auto-mated ones that aren’t always accurate, so there are all kinds of factors. Are we mea-suring blood pressure correctly or are people walking around with lower blood pressure than we get in the office?”

Other contribut-ing factors toward heart disease for some Americans are

cholesterol and dia-betes. Salt intake is somewhat controver-sial within the topic, she said. But for some people, reducing salt can make a difference in blood pressure.

“Smoking goes with-out saying,” she said. “The next implications on the good side is that most people classified with hypertension, they have the option for treatment with lifestyle changes, lose a few pounds, increase exercise, decrease salt and junk food, stop smoking.”

Homage February 2018 7

WSU med school dean explains new blood pressure guidelinesBy Treva LindThe Spokesman-Review More information

The American Heart Association offers blood pressure information at its website, www.heart.org. It’s also involved in an initiative called Target BP, www.targetbp.org. AHA offers some of the following guidelines.Your blood pressure is recorded as two numbers:Systolic blood pressure (the upper num-ber) — indicates how much pressure your blood is exerting against your artery walls when the heart beats.Diastolic blood pressure (the lower num-ber) — indicates how much pressure your blood is exerting against your artery walls while the heart is resting between beats.Normal blood pressure is within the optimal range of less than 120/80. Elevated blood pressure is when readings are consistently ranging from 120-129 systolic and less than 80 diastolic.Hypertension Stage 1 is when blood pres-sure is consistently ranging from 130-139 systolic or 80-89 diastolic. At this stage, doc-tors are likely to prescribe lifestyle changes and may consider adding blood pressure medication based on your risk of cardiovas-cular disease.Hypertension Stage 2 is when blood pressure is consistently ranging at levels of 140/90 or higher. At this stage, doctors are likely to prescribe a combination of medica-tions and lifestyle changes.

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8 February 2018 Homage

Gourmet getaway to Mexico’s new Grand Velas Los Cabos

The art of wellness and the wonderment of art are integrated into the architecture and aspira-tions, cuisine and culture at the Grand Velas Los Cabos, an award-winning beachfront resort located on Mexico’s Baja Peninsula. It is an all-inclusive gourmet getaway for mind, body and spirit with all elements designed to coddle and comfort.

The pampering commences the very moment guests arrive: Etched into a storybook sculpture by renowned Mexican artist Sergio Bustamante is “Ague empieza la magia.” The magic begins here.

And does it ever.Guests are ushered into an open-

air lobby that frames the Sea of Cortes 300 feet below, past another Bustamante piece, this one a whim-sical chair that looks straight out of “Alice’s Adventures in Wonderland.” Once settled onto a comfy chaise on the terrace, guests are offered a cooling scented cloth, refreshing drink and mini massage. Check-in and an overview of the resort are accompanied by views of shim-mering infinity pools, one sliding seductively into another down toward a sandy beach lapped by aquamarine water.

The resort itself is a study of architectural design playing har-moniously within a dynamic topography of beach, boulders and blue sea. The hotel gently curves in a half moon so that each of its 304 gloriously large suites face the ocean full on. Every suite has a private terrace, created by divider walls whose shape mimics that of a ship’s sail — the word for “vela” in English. It is a come-hither idyll meant for sunrise breakfasts and lingering nightcaps.

Six of the rooms are Wellness Suites and have a split-level design with bed on one level and, on the other, fitness bike and juice bar

offering a fresh selection of goal-oriented beverages — energy, digestive, anti-flu, antioxidant — whipped up daily by the spa con-cierge. The color palette is tranquil neutrals given soft pops of color from pillows and paintings. The bathroom is a lavish retreat with walk-in shower, jetted tub with TV and aromatherapy and spa ameni-ties. A private plunge pool suggests moonlit dips.

Five uniquely designed and themed gourmet restaurants offer a new and inspired dining experi-ence each evening. Cocina de Autor is a flavor explosion of small bites beautifully plated. Fine French cuisine is the specialty of Piaf, the resort’s adults-only restaurant that celebrates French cabaret singer Edith Piaf. Lucca is all about Italian and Mediterranean cuisine. Frida recalls 1940s Mexico glam through its art deco motifs and serves authentic gourmet Mexican dishes. Steak and seafood are the headlin-ers at Velas 10.

Several other restaurants are open all day: Azul serves international cuisine and local favorites; Cabrilla boasts a ceviche bar; and Amat Café

pairs coffee and pastries. Water-ing holes are showy and inviting, from Miramar with its bonfires to Koi with its dance floor. No matter where you sip and sup, indoor and open-air seating abounds; stunning views mesmerize.

Integral to the resort’s restorative sensibility is its massive SE Spa by Grand Velas, a luxury, 2-level sanc-tuary encompassing 16 treatment rooms and hydrotherapy facility. Remedies include massages, facials and a full menu of therapies, many designed around the Blue Agave plant native to Mexico. Potions and lotions feature organic ingredi-ents, treatments are innovative and rejuvenating, and aromatherapy techniques help release inner light and boost the immune system.

A special treat is the seven-step water journey, included with any treatment of 50 minutes or more. Slip into a eucalyptus-scented steam room with chromotherapy, polar pool, aromatherapy sensory shower, sauna, Jacuzzi and multi-sensory pool. At the central pool guests may avail themselves of hydro elements like massaging fau-cets for neck and back and bubble

beds — carved-stone reclining chaises with jets.

Guiding guests along on the journey is a spa valet who helps personalize the experience to each individual. At journey’s end there are heated loungers with warm neck pillows, cool scented towels and cucumbers for the eyes. Mmm. It is an extravagantly indulgent way to extend your time at and enjoy-ment of the spa.

Every component at Grand Velas Los Cabos is designed to spoil and enchant. Best of all, this beachfront beauty is a mere 35 minutes from the Los Cabos International Airport, so you can leave frigid temps in the morning and be wriggling your toes in warm sand later that day.

Here are some ways to wellness at Grand Velas Los Cabos:■ Belly up to the juice bar in your Wellness Suite and pour yourself a delicious concoction blended to increase your energy level or ward off the flu.■ Attend a Spa Atelier class and make a scrub designed specifically for your body type. The spa offers a series of purposefully designed educational workshops — skincare, nutrition, aromatherapy, water and tea rituals — inspired by local Mexican culture and based on the principles of ancient Ayurvedic medicine.■ Embark on a food adventure of gastronomic proportions at Cocina de Autor, featuring a tasting menu that changes with the cre-ative whims of 2-star Michelin chef Sidney Schutte. Multi small-bite courses paired perfectly with a vari-ety of wines are presented with an artistic aplomb that rivals the sub-lime exquisiteness of the cuisine.■ Stroll the grounds, inside and out, as the sun fades into the sea and enjoy the art and architectural beauty of the resort illuminated in the evening. Final stop? The marble bar at Koi, a sumptuous, shimmery space with a wall of windows over-looking the water.

By Kathy WittTribune News Service

Located between Cabo San Lucas and San Jose del Cabo, Grand Velas Los Cabos features 304 ocean view suites, all over 1,180 sq. ft. and with private terraces. (Grand Velas Los Cabos)

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Homage February 2018 9

Program gives patients someone in their corner

The patient is then referred to Amy Husted, an Aging and Disability Resource Network spe-cialist for Homage. Husted visits them in the hospital and explains the program to them; if they agree to participate, Husted then visits the patients at their home.

“I assess what their needs are to continue getting the right care,” Husted said. “Then we connect them to services or resources or

just be a friendly face. It’s always nice to have someone in your corner.”

Hartley had been in the hospital three times in December when she was referred to Husted.

Hartley and her husband lived in Washington for more than 20 years before moving to Nevada to be closer to their grandchildren. But that state’s dry air and higher elevation made it harder for her to breathe, so the couple moved to Snohomish County in November.

“To start all over again is some-thing that takes a lot of work,” Hartley said. “We just try and do it one step at a time, but it’s really hard.”

Being in a new place also made it harder for her to know where to look for help. Transportation to and from doctor’s appointments was a major barrier for Hartley. Husted was able to connect her with Community Transit’s dial-a-ride bus program, provided forthe transit agency by Homage Senior

Services, as well as the Transpor-tation Assistance Program (TAP) and even some taxi services.

“It was hard to catch the bus,” Hartley said. “We didn’t know there was transportation available for people like me.”

Officials at Providence and Homage said the relationship between the organizations has been great.

“We’re so intertwined, we won-der why we didn’t do this sooner,” Sosa said.

CONTINUED FROM PAGE 1

Couple enjoys ‘the freedom to wander’

wanted. They sold or donated to the Arc of Spokane much of the rest.

They have two daughters and a son, seven grandchildren and three great-grandchildren — all of whom live in Spokane. The Gumenbergs do fly into Spokane to spend Christ-mas with family or for other special occasions.

The Gumenbergs are among nearly 9 million RV-owning “house-holds” in the U.S., according to the Recreation Vehicle Industry Associa-tion. The group’s data doesn’t break down how many of those RV owners live full-time in their motor homes.

The average age of RV owners has dropped from 48 in 2011 to 45 last year, according to RVIA’s RV Con-sumer Demographic Profile.

The Gumenbergs’ current 40-foot Itasca Ellipse, which they bought in 2011, is actually their fifth motor home. They started out in 1991 with a 27-footer, used for vacations, and moved up to a 35-foot model before settling on the current model.

“When we leave Spokane in the fall, we try to take a different route to Arizona,” said Don Gumenberg, who retired from working for a pharma-ceutical wholesale supplier. “This

time we came down the Oregon coast and into Northern California.

“We live full-time in our RV. It gives us the freedom to wander around and do the things we want to do without the worry of caring for a home and all the maintenance and upkeep.”

From their river property, they can drive into Spokane for appoint-ments, Don Gumenberg added.

“We have all our medical and den-tal care done while we’re here (in Spokane),” he said. “We come home for tune-ups for the RV, but mostly for tune-ups for the eyes, ears, teeth, and doctors appointments for us.”

He said it’s worked smoothly to live a vagabond lifestyle thanks to a little help from wi-fi and family sup-port. They use a daughter’s address for what little mail they receive, and she sends the collection to them every couple of weeks.

They’ve set up automated bill-pay-ing and manage their money online.

Their children and grandchildren spend many weekends with them during summers near their river property. They check the map for different routes when they want to travel.

The Itasca Ellipse, a Winnebago product, has three big slide-outs, kitchen, dishwasher, fireplace,

washer and dryer, room for a king-sized bed, and storage in an underneath “basement.”

“We call it cramalot,” Don Gumen-berg said.

He acknowledges that part of the lifestyle is making sure you can fuel up. “It’s pretty simple, just travel-ing from gas station to gas station to make sure you can get down here. They only get about 7½ miles to the gallon, and it’s a 100-gallon gas tank.”

Others might think the roughly 300 square feet of living space in their RV somewhat confining, but not the Gumenbergs. Most of the time, they sit outside or go to activities.

“We play golf three times a week, shuffle board and adventure out to different places. We go to shows, and enjoy friends in the park just chat-ting, or sometimes we eat together.”

With a Winnebago group, they followed an RV caravan of about 25 coaches along the Mississippi River. The Gumenbergs also have gone to all the national parks and Mexico.

“About January or February of every year, we book a cruise, and we’ve gone to Hawaii and Panama,” Gumenberg said. “This year, it will be the Caribbean.”

CONTINUED FROM PAGE 1To find out your full retirement

age, visit www.socialsecurity.gov/planners/retire/ageincrease.html.

If you’ve contributed enough to the Social Security system through payroll taxes, you can claim your retirement benefits at 65 — or 62, 63, or 64, for that matter — but your monthly payments will be permanently reduced. For help deciding which age is right for you to start receiving Social Security retirement benefits, read, “When to Start Receiving Retirement Ben-efits” at www.socialsecurity.gov/pubs/EN-05-10147.pdf.

To apply for benefits, go to www.socialsecurity.gov/applyforbenefits.

Age 65 is when most Ameri-can workers first become eligible for Medicare health insurance coverage.

To see if you’ve earned enough credits through work to qualify for Medicare at age 65, view your Social Security Statement online using your personal my Social Security account. Create or log on to your account at www.socialse-curity.gov/myaccount.

— Kirk Larson, Social SecurityWashington public affairs

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10 February 2018 Homage

Play mind games with yourself to stay mentally sharp

It is hard to admit to yourself that as you pass middle age, your brain power may start to decline. This isn’t dementia; it’s a normal part of life. In fact, there’s even a name for the condition: ARCD, or ‘Age Related Cognitive Decline.’

A slew of commercials and adver-tisements have recently begun to offer products that promise to improve memory or increase brain power. Fitness experts claim that brain decline can be delayed or pre-vented by physical activity, and there exists a plethora of studies showing this to be true.

However, little recognition is given to what may be the actual cause of ARCD: putting your life on automatic pilot. This happens when certain habits become so ingrained that you don’t have to think about them. You

can carry out actions without ever having to pass them through your brain. You drive to work or home, or take public transportation automati-cally, without having to think about it. You eat the same easy-to-prepare breakfasts or dinners without going outside your realm of regular food to prepare something different.

As actions become more and more automatic, the brain retreats and becomes less involved in your daily thinking process. To keep your mind sharp, you will need to break free of the tether of living on automatic pilot. Here’s a test: without looking down, think about what socks you are wear-ing. Can you remember which pair of pants or jeans you put on when you got dressed, without looking to see? If you can’t remember, or if you have to concentrate to think about it for a bit, you may have started to put dressing for the day on automatic pilot.

Remember, the mind is like a

muscle. With use, it gets stronger.Look for areas of your life in which

you can increase the participation of your mind. A good example is dinner time. If you’ve become accustomed to dinners that consist of either pre-pared food, or the easy cooking of a burger or other piece of meat along with the opening of a can of vegeta-bles, or even if someone else prepares dinner food for you, take the initiative to push that comfort zone.

Look online or in a newspaper for a recipe that sounds appetizing. Pur-chase the ingredients, an action that requires thought. Put the recipe near your stove and begin following its instructions, which will require sev-eral different categories of thought. If you live alone and the recipe serves four people, either do the math to divide it in half, or prepare it as is and freeze the leftovers to eat later.

Closets are another place where the automatic pilot syndrome often

sets in. If you can reach for a certain shirt or a pair of shoes without think-ing about it, rearrange everything. Sort things differently. Put jackets where shirts now hang. Whatever way you may store your shoes, switch them up. Don’t store them by color or dressiness. Store them without a system so that you have to at all of them and search for the shoes you want.

In fact, if you’ve gone on automatic pilot where clothing is concerned, you are probably hanging on to things you haven’t worn in years and will never wear again. Donate or give these items away, which will also require your brain to think about which items need to be gone.

Above all, enhance your brain power by analyzing where you have allowed areas of your life to go on automatic pilot, and let your brain start taking control instead.

— Tribune News Service

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We’re in this together.

Only a few years after Everett became the Snohomish County seat, The Daily Herald published its � rst edition on Jan. 5, 1901. Ever since, the community and the newspaper together have celebrated success-es, survived hard times, and developed a distinct local character.

We live in a place shaped by enterprise: From agriculture, lumber, and mills to aerospace, tourism, and higher education. Former farm � elds are now suburbs, and tribal reservations today boast casinos and retail malls.

Still, many things remain constant: A diversifying economy has not changed our love for the natural world. A booming population has not lessened our desire to know our neighbors. And prosperity, if anything, has deepened our concern for those who are in need.

Commerce and change are important parts of The Daily Herald’s story, too. As the county grew, the newspaper’s advertising pages boosted commerce in many local cities and towns. Leaders from the newspa-per have always been leaders in the business community. And its news pages connected readers to the important events of the day.Like any successful business, The Daily Herald is always changing, looking for ef� ciencies and innovations. And it no longer is limited to ink on paper — it offers an extensive combination of online options for delivering news to its customers and connecting them with advertisers.

What remains constant is The Daily Herald’s commitment to serving Snohomish County with reliable news and information. In 1901, a newspaper editorial proclaimed:

“The Herald will not be controlled by any in� uence not in harmony with the views here set forth. It will not be dictat-ed to by any political faction, by any corporation, by any individual or combination of individuals …

“There is in this community no one so poor or insigni� cant that The Herald will not defend him if he be wronged, no one so high and powerful that the Herald will not fearlessly attack him if he seek to do injustice.”

Those strong words remain relevant. Herald journalists strive to be watchdogs on the public’s behalf, keeping track of government, hold-ing institutions accountable, and documenting events and issues that affect our lives. It commits more reporters to this challenge than any media outlet in Snohomish County.

Yet, news organizations everywhere are facing economic pressure, that’s no secret. The number of U.S. newspaper jobs declined by more than half between 2001 and 2016.

This is why The Daily Herald appreciates its loyal customers and is thankful for the investments they make with us — for advertising, for home delivery, and for online subscriptions. We intend to continue repaying you with journalism that matters.

Snohomish County and The Daily Herald … We’re in this together.

Journalism MattersWe’re in this together.

QUESTIONS? WE HAVE ANSWERS!425.339.3200

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Josh O’ConnorPublisherJosh O’ConnorPublisher

Neal PattisonExecutive EditorNeal PattisonExecutive Editor

There are three major areas of health care which Medicare does not cover. One of them is dental. As a result, many older adults do not regularly visit a dentist.

A survey taken by the Health Policy Institute of the American Den-tal Association (ADA), indicated that the major reason given by respon-dents for not visiting a dentist in the past year is cost. The second major reason is the lack of original teeth. The lat-ter also implies a cost issue, as both dentures and implants are very expensive.

The same source notes that “the vast majority of Americans over 50 would like to see dental benefits included in Medicare” and another national survey cited an 86-per-cent positive response supporting the addition of dental care to those services covered by Medicare.

Another ADA survey showed that “96 percent of health care executives believe that the embed-ding of dental benefits in medical plans” will happen soon.

On a positive note, several bills have been introduced into Con-gress to spur coverage of dental care, but in this day of tight budgets, passage represents a

real challenge.New HHS head:

Upon the resignation of Secretary of Health and Human Services Tom Price, President Don-ald Trump nominated Alex Azar II to the post, a move that has sparked controversy.

The prime doubt about Azar is that he is an executive of a major pharmaceutical com-pany, Eli Lilly, at a time when the issue of drug costs is subject to a great deal of scrutiny.

In commenting on Azar’s nomination, Sen. Patty Murray, D-Wash., noted that his back-ground alarms her because he “might not stand up to the phar-maceutical industry” or fight against the con-tinual “increase in drug

prices.” She contin-ued, “I believe families in Washington state deserve a health sec-retary who will finally put patients ahead of politics.”

However, in his state-ment to the Senate Finance Committee which was reviewing his nomination, Azar affirmed that “drug prices are too high,” that health care should be “more affordable, more available, and more tailored” to indi-vidual needs, and that Medicare should take the lead in changing the focus of the pres-ent health care system “from paying for proce-dures and sickness to paying for health and

Homage February 2018 11

Washington Watch: Dental coverage gaining supportBy Cheryl M. Keyser

CONTINUED ON PAGE 12

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outcomes.”During the hearing,

Azar was challenged by Sen. Claire McCaskill, D-Mo., on the issue of allowing Medicare to negotiate prices directly with drug manufac-turers, a scenario not currently accepted by Medicare (although the Veterans Administration is permitted to do so).

Azar maintained that

even with direct nego-tiations there would be no savings.

The burden of caregiving: There are various estimates as to how many people are involved in caregiving in this country. Con-sidering the number of people who have some type of major illness, it is difficult to provide exact figures.

Just to take one example, it is estimated

that there are around 5 million Alzheimer’s patients, and, based on a conservative num-ber with three people providing care for each patient, that comes to 15 million caregivers.

As of 2013, family caregivers provided an estimated $470 billion in uncompensated long-term care. Not only has this figure increased over the past four years, but so has the number of patients who will require care. Every day, 10,000 baby boomers hit the 65-year mark, of whom 90 percent have one or more chronic conditions. The fastest-growing segment of this population are those 85 and older who have multiple health problems.

Finally, bipartisan leg-islation has been passed and is due to be signed into law by the president to establish a national strategy to support fam-ily caregivers.

The law, known as RAISE, for Recog-nize, Assist, Include, Support, and Engage Family Caregivers Act, directs the Secretary of the Department of the Health and Human Services to develop pro-cedures to assist family caregivers.

As Sen. Susan Collins, R-Maine, head of the Senate Special Commit-tee on Aging, noted in applauding the passage of this legislation, “with the rapid growth of our aging population, it’s reasonable to say that many of us will end up either being a caregiver or needing one.”

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Join us for our 7th Annual Fundraising Dinner Show, “Dancing in the Streets!”

Thanks to the Snohomish County Music Project, you’ll revel in a Motown extravaganza performed by a forty-

member pop orchestra and four talented vocalists. Dinner, dancing and donating to help a great cause!

12 February 2018 Homage

CONTINUED FROM PAGE 11

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