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New Issue 1: 2020

Chapters 50+Wellness Guide

Yes, it’s time


for that test
Schedule a colonoscopy
to ensure good colon health

Low impact,
high success
Focus on the right kinds
of exercise after age 50

Foods you should


be eating more of
as an older adult
Low impact, high success
Focus on the right kinds of exercise after age 50
By Erik J. Martin

Want to enjoy a longer lifespan and continue partak-


ing in most of the activities you love, with less pain,
fatigue and frustration? There is no magic pill, opera-
tion or trendy diet that’s going to make it happen.
Instead, this promise and possibility lie within you and
the extent to which you’re willing to keep your body
moving as the years advance, which is why fitness and
common-sense approach—and a thumbs up from muscle and joint injuries or bone fractures.
exercise take on added importance as you age.
your physician—can prevent harm and lead to better “Try to use lighter weights with more reps, and opt
In other words, prepare to “use it or lose it,” say the
results. for low- to moderate-intensity exercises,” says Higgins.
experts.
“It’s important to check with your doctor before Before initiating any fitness routine, engage in best
“As the body ages, it undergoes changes in composi-
starting a new exercise routine to make sure your practices, too.
tion, including a profound change in muscle loss—
heart, lungs and other systems are medically fit for the “Take the time to warm up and stretch before exer-
especially in inactive people. In fact, over age 40, our
activity. And it’s wise to consider activities that involve cising. Focus on form and technique over speed or
bodies can begin to lose up to 8 percent of muscle
less impact or risk of injury as we age,” explains John- weight. Start slow and low, gradually progress, and
mass every decade,” says Brian Cole, MD, a Chicago-
Paul Rue, MD, orthopedic surgeon and sports medi- don’t overdo it—listen to your body,” Rue suggests.
based orthopedic sports medicine surgeon and team
cine specialist at Mercy Medical Center in Baltimore. Higgins says it’s also crucial to invest in the right
physician for the Chicago White Sox and Chicago Bulls.
Melissa Morris, an exercise physiologist and nutri- equipment—including appropriate and comfortable
“Other challenges for aging adults are reduced strength
tionist in Tampa, says a good rule of thumb is to follow shoes. Pick the best environment, too—whether it’s the
and endurance, slower recovery and increased sore-
the Department of Health and Human Services’ 2018 local gym or a YMCA class. Also, consider enlisting a
ness. Plus, the ability to digest protein and absorb
Physical Activity Guidelines, which calls for 150 min- coach or trainer or at least an exercise buddy who can
amino acids—key ingredients in building and maintain-
utes of aerobic or cardiovascular activities weekly and motivate you to stay on schedule, exercise safely and
ing muscle mass—is blunted in older adults.”
at least two muscle-strengthening sessions a week. give your muscles 48 hours to recover.
The good news is that proper fitness can improve
“The 150 minutes can be broken up into 30 minutes “Say you cycle on Mondays, Wednesdays and
these and other side effects of aging.
over five days, or whatever is appropriate,” notes Fridays. If so, spend Tuesdays and Thursdays working
“People over 50 need to promote vascular health,
Morris. on something else, like resistance training,” adds
maintain weight and avoid cardiovascular risk factors,”
Rue agrees. Higgins. He also recommends adding in some balance
suggests John Higgins, MD, a sports cardiologist at the
“Aim for 30 minutes of exercise where you sweat, and flexibility training too, “which has been shown to
University of Texas Health Science Center at Houston.
five times a week,” says Rue. “I’m a big fan of walking boost stability and reduce falls.”
“And it’s never too late to start to exercise.”
and cycling. The former is easy, doesn’t require any Lastly, don’t overlook other ways to ensure a health-
Judy Gaman, CEO of Executive Medicine of Texas
additional equipment, and can be a form of social ier lifestyle.
and co-host of the Stay Young America! podcast, says
activity. And cycling is easier on your body than running “Diet always goes hand in hand with physical activi-
stepping up your exercise efforts pays off.
but still provides a great cardio workout.” ty, so make sure you consume plenty of protein and
“Multiple studies show that exercise improves mem-
Water aerobics is a great activity for adults in their fiber,” Morris says. “Also, take appropriate vitamin and
ory function and mood while decreasing pain. This
70s and 80s, especially for those with aching joints, mineral supplements, stay hydrated, shoot for eight
makes engaging in fitness activities especially impor-
Rue adds. hours of sleep a night and lower your stress levels
tant to people over age 50,” says Gaman.
Higgins advises eschewing high-intensity workouts through mediation and relaxation.”
Older Americans are sometimes fearful of causing
that may involve squatting, lunging and jumping as well
injury by “overdoing” it or exercising incorrectly. But a CTW Features
as heavy weight-resistant exercises that can result in

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2 New CHapters Issue: 1 - Cadillac News www.cadillacnews.com | Wednesday, April 22, 2020
How to Choose an

Audiologist
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Wednesday, April 22, 2020 | www.cadillacnews.com Cadillac News - New CHapters Issue: 1 3
How to Choose an
Ear, Nose and Throat Specialist
It is important to pick a specialist who can do an outstanding job with the
diagnosis and treatments that are related to these specific areas of your body.
When you have a problem with your ear, nose or equipment requires special training or accredita- and family members are always good sources of
throat, it can range from annoying to downright tion, make sure that the specialist has received the information and can provide in-depth recommenda-
scary. proper training in the procedures. tions on who to use and who to stay away from.
Not only are all these areas of the body complex, You’ll want a doctor who offers a wide range of The nice aspect of speaking directly with people
connected and interrelated, but they can also make services, too. For example, some doctors also offer who you know and trust is that there is an under-
a big impact on how you live – controlling everything plastic surgery services that can make you look standing that the information you are receiving is
from your sense of smell and hearing, to your ability your best. With treatments like Botox, Juvederm, not biased. Whether it be dealing with a sinus prob-
to breathe clearly and feel balanced when walking. Restylane and other dermal fillers, you can look lem or a loss of hearing, finding the right specialist
That’s why it’s important to pick an ear, nose and younger and eliminate unsightly blemishes. is as easy as giving your best friend a call to see
throat specialist who can do an outstanding job Other services to consider include eye lifts and who they have used in the past for their ailments.
with the diagnosis and treatment of any ailments rhinoplasty to subtly refine the look of your face, the And, because you will usually see a general practi-
that are related to these specific areas of your body. ability to remove lesions from your skin, and high- tioner before being referred to a specialist, ask your
If you require surgery, it’s critical that you do tech laser treatments that can reduce spider veins doctor who they recommend and why. See what
research and due diligence to ensure that you use and rosacea. your doctor thinks makes for a good specialist,
the right doctor for your situation. You should find a As you can see, a good, wide-ranging practice can because their inside knowledge of the medical
specialist that you are comfortable with as well as do a lot more than fix your sinuses. industry could provide some valuable insight.
being able to do the job right. More than anything, you want to find a doctor that As surgery can impact the ears and the nose, you
Make sure the doctor you choose has plenty of has a high degree of experience with the problems want to make sure that the proper precautions are
years experience with diagnosing and remedying that you are facing. This is the best way to ensure taken to ensure you’re getting the very best care.
issues related to the ear, nose, and throat. that you are getting the high-quality healthcare that Take your time when looking for an ear, nose, and
It is also important that whatever doctor you you need in order to live a healthier, happier life. throat specialist, and you’ll be able to find the relief
choose uses the latest in technological advances to When searching for the right ear, nose, and throat that you need and a doctor you can trust.
get the job done right the first time. If the new specialist or surgeon, remember that your friends

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Nose/Nasal/siNus disorders throat disorders head aNd Neck disorders Facial Plastic surgery/skiN
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sinusitis • Snoring, sleep apnea surgery • Neck masses or without reconstruction: basal,
• Chronic nasal obstruction: including expansion pharyngoplasty • Thyroglossal duct cyst squamous cell, melanoma
septoplasty, functional rhinoplasty, • Airlift procedure for hyoid suspension • Lymph node excision • Reconstruction following MOHS
turbinate surgery • Minimally invasive snoring treatment • Tracheostomy procedures
• Balloon sinuplasty and FESS including Pillar implants and radio • Mid face and nasal fracture
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4 New CHapters Issue: 1 - Cadillac News www.cadillacnews.com | Wednesday, April 22, 2020
5 Things You Need
to Know about Memory Care
Submitted By Samaritas Senior Living Cadillac family members. Don’t be afraid to share your ideas or resources with our
staff, or lean on them for support.
1. It’s more than just assisted living.
At Samaritas Senior Living, memory care is more than just a room. Memory 4. Memory care centers improve the quality of life.
Care is a program, a way of life. We train our staff to care for residents with Communities with memory care programs have reported a higher quality
Dementia or Alzheimer’s and to help them with daily living tasks. We of life in a numerous areas, including reduced medication and medication
implement certain activities geared specifically to residents with memory side effects; fewer falls, injuries, and hospital visits; increased nutrition
loss. The purpose of the activities are to enhance their physical, social, and wellness; and greater independence and social interaction.
emotional, spiritual and intellectual aspects of life
5. Research is very important when choosing memory care.
2. Just because it’s ‘secured’ doesn’t mean it’s lonely. While choosing a memory care center is more than likely better than not,
A high need for security is essential in our memory care program. it’s important to do your research to make sure you are choosing the right
Residents suffering with memory loss need the extra protection because fit for the individual. Before you make your final decision, consider your
they are at risk for escaping. But just because the doors are locked, loved one’s individual needs, as well as features and treatments available
doesn’t mean it’s lonely. Activity programs keep resident busy and at the community, their policies, their security and safety, what on-site
entertained while staying socially and intellectually stimulated. You also staffing is available and whether you and your loved one have an overall
can find comfortable living spaces and home-like touches within the positive impression of the place.
locked doors.
Samaritas Senior Living of Cadillac provides physical, emotional and spiritual
3. Loved ones will be at peace. support for residents requiring continuous nursing care. Samaritas also offers
Memory care eliminates worry and anxiety for family members who may retirement living for seniors in four other communities throughout Michigan.
have taken care of the resident on top of their own daily tasks. A peace of Whether you want independent living, assisted living, skilled nursing, memory
mind occurs knowing your loved one is in a safe place. Our professional support or rehabilitation therapy, you’ll find a home that feels right. Contact us
staff is not only there for the resident, but also to act as support to the at (833) 505-CARE to schedule a tour, learn about promotions and more.

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ain
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ndep
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Wednesday, April 22, 2020 | www.cadillacnews.com Cadillac News - New CHapters Issue: 1 5
Two Common Disoders
you shouldn’t have to deal with on your own
Submitted By and oral medications. Cadillac Urology offers an • Frequent need to urinate both day and night
Cadillac Urology effective long-term option called the Medtronic • Weak or slow urinary stream
InterStimTM system, which has been proven to
Two common disorders that strike both men and restore bladder function and improve quality of life • A sense that you cannot completely empty your
women are treatable and not a normal part of the for up to five years. We hope the knowledge that bladder
aging process: Incontinence and BPH (Benign long-term relief is possible will help encourage • Difficulty or delay in starting urination
Prostatic Hyperplasia) are treated at Cadillac those dealing bothersome OAB symptoms to seek
• Urgent feeling of needing to urinate
Urology. help.
Imagine fewer trips to the bathroom, fewer acci- What is BPH? Benign Prostatic Hyperplasia, or • A urinary stream that stops and starts
dents and resuming the relationships and activi- BPH, is a condition in which the prostate enlarges If you suffer from the above symptoms, you are
ties you love. Bladder control problems, including as men get older. BPH is a very common condition not alone. BPH is the leading reason men visit an
overactive bladder (OAB) and non-obstructive uri- that affects over 40 million Americans and over urologist.
nary retention, are treatable conditions that dis- 500 million aging men worldwide. Over 40% of Combining over 40 years of skill and knowledge,
rupt the lives of tens of millions of people. They’re men in there 50s and over 70% of men in there Dr. Brian Drabik and Dr. Lynne McCormick are both
not a normal part of aging. And you shouldn’t have 60s have BPH. While BPH is a benign condition board certified and fellows of the American College
to deal with them on your own. and unrelated to prostate cancer, it can greatly of Osteopathic Surgeons. Cadillac Urology services
Many struggle to find long-term relief or don’t affect a man’s quality of life. all of Northern Michigan for all your urological needs.
recognize that there are effective options for over- As the prostate enlarges, it presses on and
active bladder (OAB) beyond behavior modification blocks the urethra, causing bothersome urinary See our ad on page 16
symptoms such as:

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6 New CHapters Issue: 1 - Cadillac News www.cadillacnews.com | Wednesday, April 22, 2020
Go Out On Your Own Terms
– Declare Your Wishes in an Advance Directive
Submitted By Put your preferences in writing! Dr. Paletta recalls a interventions you do and don’t want. Patient advocates
Hospice of Michigan family struggling with the son’s insistence that his cannot override your advance directive, but your
father would want every life-saving measure. His sister wording should not leave your desires open for
If you found yourself suddenly facing end-of-life, do maintained dad told her he “didn’t want to be like a interpretation.
your loved ones know how you want to live out your vegetable” and would not want such intervention. Equally important to addressing medical treatment
final days, especially if you cannot communicate your “Both were right and sincere,” says Dr. Paletta, “but is documenting the ambiance you want at end-of-life.
wishes? since dad didn’t have an advance directive, it’s like the “It’s not for us to decide what makes someone else
Death, especially our own, is not a topic most of us conversation never took place.” comfortable, or what a ‘good death’ entails for
are comfortable talking about. But discussing and Select a patient advocate you trust to carry out your another,” says Dr. Paletta. “We might think quiet and
documenting who you want making medical decisions wishes, whether or not your advocate personally candlelight, but not everyone wants that. Someone
on your behalf if you’re unable, the medical treatment agrees with them. Most families have an dominant may want blaring rock or want to wear a specific blue
you do and don’t want and what personal, spiritual member who often takes charge,” says Dr. Paletta. dress. We have a right to decide how we want to die
and emotional support you prefer will help ensure your “That person may not be the best choice, substituting and have someone carry that out.”
end-of-life experience is controlled, dignified and their feelings in making decisions, deciding ‘mom Creating an advance directive does not have to be
peaceful. didn’t want a feeding tube but we’re going to do it an expensive effort involving a lawyer. Hospice of
So where to begin? Michael Paletta, MD, FAAHPM, anyway.’” Michigan directs patients and families to Have You
senior vice president, chief medical officer for Hospice Any relative, close friend or acquaintance can be Had the Talk (http://haveyouhadthetalk.com/) for
of Michigan offers this advice: selected to make medical decisions on your behalf. resources and tools to help facilitate conversations
It’s never too early to put a medical emergency plan Under Michigan law, however, only patient advocates and create a binding advance directive.
in place. Whether you’re a young couple starting out or designated in writing are recognized. “It’s a great, easy-to-use guide,” says Dr. Paletta. “I
facing retirement, it’s never too late to discuss your Draft an advance directive that is specific and used it with my own mom.”
end-of-life wishes with your loved ones, clarifying your comprehensive. Avoid vague language like not wanting
preferences if faced with catastrophic illness. “heroic measures.” Be clear about which medical

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FRONT (L-R): Kathy Reid, Dr. Mark Zook, April Sibinovski 2ND ROW (L-R): Kathy Sandage,
Cynthia Wood, Kristie Hart 3RD ROW (L-R): Wilbur Gasper, Margo Jacobs, Kristi Keeder, Betsey
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Wednesday, April 22, 2020 | www.cadillacnews.com Cadillac News - New CHapters Issue: 1 7
Because everyone deserves NEW HOMES - ARRIVING SOON
help in a time like this
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seniors. Check in on each other by phone, video chat and send
cards or letters. Make sure to get plenty of fresh air and exercise,
read, play games, take up a new hobby and keep your mind busy.
And if the time comes that your loved one needs a little more
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5858 S. 47 Road • Cadillac, MI 49601
231-876-0611 • CurryHouseCadillaC.Com

8 New CHapters Issue: 1 - Cadillac News www.cadillacnews.com | Wednesday, April 22, 2020
8 over 50
Eight foods you should be eating more of as an older adult
By Erik J. Martin

If you’re over age 50, you know by now that you


can’t eat whatever you want without some conse-
quences. But just because experts increasingly
recommend curbing junk foods and high-calorie
indulgences as you get older doesn’t mean that you
have to sacrifice flavor, fun or food variety. It’s pos-
sible to change your diet for the better without
punishing your taste buds or going hungry after
meals.
Case in point: Consider these eight healthy and
appetizing edibles that can easily be added to your
diet.

Leafy green vegetables


Amanda Kostro Miller, RD, LDN, a Chicago-based
registered dietician, says veggies like kale, spin-
plant-based protein and heart-healthy fiber. As we ciency, munching on pistachios for eye- and brain-
ach, fennel, collard greens, cabbage, watercress
get older, it’s important to keep up our intake of protecting lutein and zeaxanthin, and choosing
and endive are superfoods that can make a big
both,” explains Jen Hernandez, RDN, CSR, LDN, a walnuts for their omega-3 fatty acid benefits.
difference.
registered dietitian in Kailua, Hawaii. “Chickpeas
“Increasing your fiber intake from these vegeta-
can be a great substitute for chicken or eggs. Try Salmon
bles can help with bowel movement regularity and Fishing for more nutritional fare? Opt for salmon,
swapping your mayo for some hummus to add fiber,
making stools easier to pass. Green leafies can which delivers protein, omega-3 fatty acids, sele-
protein, and a boost in flavor.”
also help with calorie control for weight loss or nium, vitamins D and B, and more, suggests Rima
weight management. They’re relatively low in calo- Nuts Kleiner MS, RD, a Greensboro, North Carolina-
ries, so you can eat a lot of them without exceeding Another protein-rich and tasty choice—particu- based registered/licensed dietitian and nutrition-
daily calorie recommendations,” she says. larly as a snack—are nuts, although they need to be ist.
The best way to up your quotient of leafy greens eaten in moderation for the best effect. “Salmon has been shown to boost brain, heart,
is by using them in different salads, “but try to keep “Eating nuts is associated with less risk of heart immune, skin and eye health. And, when eaten at
dressing, cheese, meat and nuts to a minimum.” disease and type 2 diabetes. Every kind of nut has least two to three times weekly, it can help lower
a different array of health-boosting nutrients and chronic inflammation in the body and reduce the
Beans and legumes phytonutrients,” says Jill Weisenberger, RDN, A risk of chronic disease.”
Peas, lentils, chickpeas, black beans, navy
Yorktown, Virginia-located author and nutritionist. Kleiner advises making grilled salmon entrees
beans, kidney beans and their ilk can provide your
She recommends eating a handful of almonds a and salads, salmon tacos, salmon burgers and
body with plenty of protein—which is especially
day to boost your vitamin E levels, consuming a salmon salad sandwiches.
important if you’re a vegetarian.
single Brazil nut daily to prevent selenium defi- continued on page 10
“Legumes and beans are an excellent source of

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Wednesday, April 22, 2020 | www.cadillacnews.com Cadillac News - New CHapters Issue: 1 9
continued form page 9 honey—better for you than pre-flavored yogurt that
can have lots of added sugar. Yogurt can also be
added to smoothies and used as a dip.”

Berries
Few foods pack as much flavor and nutrition into
each bite as berries, which are another must during
and between meals, per Rebecca Shenkman, MPH,
RDN, LDN, director of Villanova Fitzpatrick College of
Nursing’s MacDonald Center for Obesity Prevention
and Education in Villanova, Pennsylvania.
“Blueberries, blackberries, raspberries, and straw-
berries are versatile, delicious, and loaded with vita-
min C, potassium, fiber, and water for rehydration.
Plus, their phytochemicals provide antioxidant protec-
tion,” says Shenkman, who adds that a 2013 Harvard
study found that women who ate more than three
popular: Simply enjoy a warm bowl of oatmeal at break- servings of blueberries and strawberries weekly had a
Oats fast, “but add fresh blueberries, too,” he says. 32 percent lower risk of a heart attack. Her berry bing-
From oatmeal to granola to oat milk, this whole grain ing mode of choice is to drop some atop a favorite
is the main ingredient in many good-for-you foods and Yogurt breakfast cereal or dessert.
plentiful in properties designed to benefit the body. Rich in protein, which helps maintain lean muscle Not to be overlooked, flaxseed is another superfood
“Oats offer a great source of important vitamins, mass, and probiotics, which improves gut health, garnering greater attention lately.
minerals, fiber, and antioxidants. The main fiber in oats yogurt is an easy-to-eat treat that can serve as a good “Flaxseed is a great source of heart-healthy omega-3
can help promote fullness, support digestion, and substitute for dessert. fatty acids and antioxidants that may reduce your risk
maintain healthy blood sugar and cholesterol levels,” “I recommend choosing plain nonfat Greek yogurt, of cancer,” notes Hernandez, who recommends flax-
Steve Hertzler, Ph.D., RD, a nutrition scientist in which tends to have far more protein and a firmer con- seed meal or ground flaxseed for easier digestion.
Columbus, Ohio with Abbott, a global health care com- sistency; that makes it a good replacement for sour “Add flaxseed to your oatmeal and smoothies or use it
pany. cream,” Miller says. “With plain yogurt, you can add in baking as an egg substitute.”
Family Health Care
Hertzler’s favorite oat approach is probably the most your own flavorings like fruit, walnuts, granola or CTW Features

CADILLAC

Family Health Care


Meet Your Cadillac Medical Providers CADILLAC

Meet Your Cadillac Medical Providers


Family Health Care’s medical providers are ready to help each patient create a treatment plan specially
designed for them. From newborn to elderly, our focus is to ensure each patient is receiving the attention
they need to liveHealth
Family theirCare’s
healthiest life.providers are ready to help each patient create a treatment plan specially
medical
designed for them. From newborn to elderly, our focus is to ensure each patient is receiving the attention
Cadillac Cadillac/McBain
they need to live their healthiest life.
Cadillac
Cadillac Cadillac/McBain 520 Cobb Street
Cadillac, MI 49601
Cadillac
(231)
520 Cobb775-6521
Street
Gus Dolorfino, MD Pamela Mir, MD Rob Shook, NP-C Soomin Han, PA-C Robert Stankewitz, MD Jon Borton, PA-C Amanda Barton, FNP
Cadillac, MI 49601
Pediatrics Pediatrics/Internal Family Medicine Family Medicine Internal Medicine Family Medicine Family Medicine (231) 775-6521
McBain
Medicine Pediatrics Pediatrics Pediatrics
Gus Dolorfino, MD Pamela Mir, MD Rob Shook, NP-C Soomin Han, PA-C Robert Stankewitz, MD Jon Borton, PA-C Amanda Barton, FNP 117 N. Roland
Pediatrics Pediatrics/Internal Family Medicine Family Medicine Internal Medicine Family Medicine Family Medicine McBain
Medicine Pediatrics Pediatrics Pediatrics McBain, MI 49657
117 N. Roland
(231) 825-2643
McBain, MI 49657
(231) 825-2643
10 New CHapters Issue: 1 - Cadillac News www.cadillacnews.com | Wednesday, April 22, 2020
Caring &
Peace of Mind Committed
Submitted By her current ice cream partner, Gladys
Enjoy knowing our dedicated Autumnwood of McBain Uitvlugt, for about half those years.
Other volunteers include clergy, the
healthcare professionals are Caring and committed. Two words Charming Chimers, Kitty on the Keys,
that describe the staff and volunteers of and several local Amish youth groups.
here to care for you like family. Autumnwood of McBain, a Medicare and The newest volunteer duo is one
Medicaid-certified skilled nursing facility. Rhoades has been searching out for
For all, the caring comes naturally; borne some time through Therapy Dog
from a passion to serve others. For International– Theresa Towner and her
many, that passion has translated to therapy dog, Callie. “The residents love
years of service and the determination them,” said Rhoades. “They are particu-
★★★★★ to advance in their profession. Their car-
ing and commitment has help build a
larly beneficial for those who don’t or
can’t participate in group activities.”
5 Star facility recognized for its outstanding Rhoades is always looking for more
Quality Rated quality of care. volunteers. “New and different pro-
by the Centers Quality of life for residents is the focus grams entice the residents to join in and
for Medicare for Director of Nursing, Kristie Hanna, it is fulfilling for volunteers, too,” she
RN. She herself has dedicated 16 years said.
and Medicaid to Autumnwood and its residents. “This The dedicated staff and volunteers of
Services is home for both residents and employ- Autumnwood of McBain measure their
ees,” explains Hannah. “It is extremely work by the quality of life of the resi-
important for us to maintain our family- dents. “We concentrate on how we can
oriented atmosphere.” make it better from the first day they are
Autumnwood has 27 employees with here. How can we assure the best qual-
Our licensed therapists work with over 10 years of service. Of those, six ity of care?” Hannah explains, “We look
you to restore your independence have over 20 years and two with over 30 at what we are doing to make a positive
through: years. Very impressive statistics for an
industry with notoriously high turnover
difference in our residents’ lives – medi-
cally and socially.”
• Physical, occupational and rates. “It is in their heart to serve. They This drive to do the best is rewarded
speech therapies do it because they genuinely care for our with high marks from respected accredi-
residents,” said Hanna. tation organizations. Autumnwood is a
• Physician-directed care plans She is proud of her nursing staff – 5-star rated community by the Centers
• Family/caregiver training three of which started at Autumnwood
as Certified Nurse Assistants and went
for Medicare and Medicaid Services
(CMS). CMS conducts periodic health
for your transition home on to earn their Registered Nurse inspections, analyzes staffing, and con-
degrees. The longevity of staff instills a siders quality of resident care measures.
sense of familiarity for the residents. Autumnwood recently received
“They are called to this service – making Providigm’s Advanced Quality Assurance
a positive difference in the residents’ and Performance Improvement
lives,” extols Kristie. Accreditation – an achievement earned
That longevity and commitment to by less than 2% of the country’s skilled
Autumnwood’s residents extends to the nursing facilities. The advanced accredi-
invaluable team of volunteers. Stacy tation confirms that Autumnwood is con-
Rhoades, Certified Therapeutic tinually assessing things that impact
Recreation Specialist, is Autumnwood’s residents’ quality of life.
Life Enrichment Coordinator. She is Hanna practices the philosophy of
responsible for keeping residents being proactive versus reactive and fos-
220 S. Hughston Street | McBain, MI 49657 engaged and entertained – quality of life ters this in her team. “We ask ourselves,
phone 231.825.2990 | fax 231.825.2679 always the central theme. “Our volun- ‘What are we doing to make a positive
www.cienahealthcare.com teers bring in additional activities and difference in our residents’ lives?’”.
provide a great opportunity for our resi- Hanna implements performance
For more information, A dents to socialize,” said Rhoades. improvement projects to stay ahead of
please call our 24/7 One such pair of volunteers is fondly curve. One recent project focused on
admission direct line: known as the Ice Cream Ladies. Harriett significantly reducing the number of hos-
Borgman has been dishing out ice cream pital readmissions from either home or
231.667.0650 Community to residents weekly for over 20 years; facility. “It’s working!” exclaims Hanna.

Wednesday, April 22, 2020 | www.cadillacnews.com Cadillac News - New CHapters Issue: 1 11
Yes, it’s time for that test
Schedule a colonoscopy to prevent cancer and ensure good colon health
By Erik J. Martin Division of Digestive Diseases at the University of
Cincinnati’s College of Medicine, says the colo-
Nobody likes to talk about it. Many noscopy procedure, which involves rectally insert-
postpone or avoid it entirely. And ing a flexible tube with a camera, usually takes
chances are you probably clench up about 30 to 60 minutes.
just thinking about it and what’s “While performing a colonoscopy, the physician
involved. is looking for anything abnormal in the colon. This
But the truth is, it’s a relatively pain- can include small outgrowths, called polyps, colon
less and standard procedure that can cancer and aberrant vessels,” says Brook.
save your life. You may feel gas or bloating during or after the
Yes, we’re talking about a colonos- procedure, as gas is inserted into the colon to
copy. And if you’re over age 50, it’s a inflate it, but this will pass.
conversation you should be having You’ll likely be permitted to return to your nor-
with your doctor, as it’s recommended mal diet and medications hours after the test if
at this age every few years. the doctor permits you. The results of the test are
“Colorectal cancer is the third most typically available a few weeks later, often to be
commonly diagnosed cancer in the discussed with your doctor during a follow-up
United States. But it can be prevented visit.
and cured if detected early,” says Alia “Before committing to a colonoscopy, ask your
Hasham, MD, clinical assistant profes- doctor if it’s the right test for you,” Hasham sug-
sor of gastroenterology at Montefiore gests. “There are other screening options avail-
Health System and Albert Einstein College of Wisconsin Carbone Cancer Center in Madison, able, especially if you have certain medical condi-
Medicine in New York City. “A colonoscopy is the Wisconsin. “In fact, the American Cancer Society tions that might make the procedure unsafe.”
best way to screen for colorectal cancer because now recommends getting your first colonoscopy Your fight to protect your large intestine doesn’t
it has the benefit of directly examining the large at age 45.” end after the colonoscopy. Your doctor may rec-
intestine, also called the colon.” Most say the most uncomfortable part of the ommend that you repeat the procedure every 10
Bryan Curtin, MD, director of neurogastroenter- process occurs the day before the procedure. years (or perhaps every three to five years if pol-
ology and motility for Mercy Medical Center in “You have to undergo a bowel prep at home, yps or problems were identified). And there’s
Baltimore, says everyone—regardless of race, which typically involves eating a clear liquid diet plenty you can do on your own to improve colon
gender or background—is at risk for colon cancer. the day before and drinking strong laxatives to health, too.
“It’s an insidious disease where symptoms do clean out your stool,” Curtin notes. “Maintain a healthy body weight, increase your
not show up until the cancer is typically wide- The colonoscopy itself occurs at a hospital or physical activity, try to maintain a regular exercise
spread, so it’s essential to get screened to protect medical clinic the next morning. routine, increase your intake of dietary fiber,
yourself,” explains Curtin. “When you arrive, you’re given anesthesia for reduce intake of red and processed meats, stop
The benefit of having a colonoscopy in your comfort, which often involves a combination of smoking and moderate your intake of alcoholic
50s, before symptoms develop, is that “removal Versed, Propofol and Fentanyl,” adds Curtin. beverages. Also, speak to family members to
of a polyp or small cancer is a lot easier on the “Count on taking the whole day off, as effects learn if anyone has had colon polyps or colorectal
patient than removal and treatment of a large from the anesthesia can linger for up to 24 cancer, as this may increase your risk,” recom-
tumor, and the cure rates are higher,” says Noelle hours.” mends Hasham.
LoConte, MD, an oncologist at the University of Loren Brook, MD, assistant professor in the CTW Features

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12 New CHapters Issue: 1 - Cadillac News www.cadillacnews.com | Wednesday, April 22, 2020
Why routine checkups are
vital to overall health
Regular visits with a medical professional are an important part of a healthy
lifestyle. Too often people visit the doctor only when they are ill, as they may not
realize just how essential well visits and physical exams are.
Routine checkups are the smartest way for people in all age groups to stay on
top of their health, but they can be especially valuable for those age 50 and
older. Regular checkups enable
physicians to check current
health against past visits, ensur-
ing that any anomalies can be
investigated and treated effi-
ciently and promptly. This can

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117 W. MAIN ST., MANTON • (231) 824-6465 health care providers. Those
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Emergency After Hours Service • Free Deliveries • Gifts/Cards who are in generally good health
MIKE MOFFIT, PHARMACIST may only require one medical
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OPEN MON.-FRI. 9 AM-5 PM, SAT. 9 AM-1 PM checkup a year. At this point vital
signs will be checked, medica-
tions reviewed and lifestyle top-
ics discussed. Doctors may even
recommend or discuss tests.
Patients also can bring up any issues they may be experiencing, however insig-
nificant they may seem. Anything from sleep disturbances to memory loss to
unexplained fatigue or pain can be addressed. Sometimes getting everything
out in the open and being reassured that there’s nothing to worry about can be
• Friendly, helpful service helpful.
• Hometown caring • A name you can trust General care and geriatric doctors also are adept at asking questions to get a
• No answering service, we answer our own phones. sense of how patients are faring in the world. This may include topics that seem-
• Arrangements custom built to your needs. ingly have no relevance to health but can be quite important. A provider may ask
• In-house luncheon facility about topics such as bathing or dressing. Questions about social interaction or
typical routines can paint a better picture of both physical and mental health.
The recommended frequency of doctor visits may change as health issues
arise or if follow-up is needed after a treatment plan or injury, according to the
caregiver company Home Care Assistance. Some seniors may have to visit a
provider once a week or once a month. Doctors, nurses and therapists will
design a regimen based on a patient’s current health needs.
The following are some compelling reasons to be diligent with provider visits.

McBain Auto Service, Inc. • Frequently health issues can be silent and not noticed early on by a patient,
according to Mercy Medical Center in Baltimore.
• Patients will be less likely to forget about important screenings, like mam-
Servicing cars & light trucks mography, prostate tests, cholesterol tests, and more.
• Coolant Checks • Alignments • Vaccines can be administered, as even adults need certain immunizations
• Oil Changes • Vehicle Inspections to stay healthy.
• Transmission Services • Brake Inspections • Patients can discuss potential lifestyle changes, like going on a diet or tak-
• Computerized Diagnostics • Engine Work
ing up a new fitness regimen.

231-825-2729 It is essential to follow through with health care provider visits, even if they
seem redundant. Physicians may detect issues that warrant close observation.
9438 S. Morey Road (M-66), McBain We Service ALL Your Patients are urged to have an open dialogue with their doctors so they under-
Hours: Mon.-Fri. 8-5:30 Automotive Needs! stand the reason behind health care visits and expectations in the future.
Call for your appointment today

Wednesday, April 22, 2020 | www.cadillacnews.com Cadillac News - New CHapters Issue: 1 13
Sunnyside Assisted Living’s Personal Assistance Fun by Numbers - Sudoku
Programs are tailored to enhance the quality
of life & physical well-being of our residents. Here’s How It Works:
Sudoku puzzles are
formatted as a 9x9 grid,
We Offer: broken down into nine 3x3
boxes. To solve a sudoku,
• Assistance with the numbers 1 through 9
personal care must fill each row, column
• Medication assistance and box. Each number can
appear only once in each
• Professionally row, column and box. You
trained staff can figure out the order
in which the numbers
• Onsite 24 hours will appear by using the
• Wireless Call System numeric clues already
provided in the boxes. The
• Variety of life enrichment more numbers you name,
Ruth Heykoop (L) & Helen Rees (R) activities and events the easier it gets to solve
with Director Jackie Kibbe • Independent care plans the puzzle!

Call today for a tour or more information


231-775-7750
An Assisted Living Community
108 Wildwood Drive (just off Sunnyside Drive)
A program of Baruch Senior Ministries, a non-profit organization

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14 New CHapters Issue: 1 - Cadillac News www.cadillacnews.com | Wednesday, April 22, 2020
Crossword
CLUES ACROSS 59. Covered thinly with gold
1. Bond villain Mikkelsen 60. Principle underlying the
5. A team’s best pitcher universe
8. French river 61. A parent’s sisters
12. Mountain nymph (Greek) 62. Professional engineering
14. City of Angels airport group
15. Military force 63. Coniferous tree
16. Scrawny 64. Impudence
18. Value
19. One billionth of a second CLUES DOWN
(abbr.) 1. Female parents
20. Highly seasoned sausage 2. Region
21. Trouble 3. Transaction
22. Prong 4. Heroic tale
23. Showing varying colors 5. Of algae
26. Cloaked 6. Luminous intensity unit
30. Renters sign one 7. Uncovers
31. Acquires 8. French commune name
32. Type of language (abbr.) 9. Poisonous gas
33. Partner to pains 10. Pearl Jam’s bassist
34. Third portion of the small 11. Horse groom in India
intestine 13. Destroyed
39. Excessively theatrical actor 17. A way to alter
42. Infraction 24. Promotional materials
44. Classical music for the stage 25. American state
37. Utilize 47. Unnatural
46. Slogged 26. Extinct flightless bird of New
38. Type of student 48. Illuminated
47. One who terminates Zealand
40. Deficiency of moisture 49. There are three famous ones
49. Breakfast is an important one 27. “Modern Family” network
41. Areas of the eye 52. Large, fast Australian birds
50. Moved earth 28. Last or greatest in an indefi-
42. Select 53. “Dracula” heroine Harker
51. Medical procedures nitely large series
43. Sheets of floating ice 54. Subsititutes (abbr.)
56. Genus of clams 29. Exercise system __-bo
44. Priests who act as mediums 55. Tax
57. Not well 35. Type of bulb
45. Roof of the mouth
58. Comparative figure of speech 36. Opposite of beginning

Word Search - ARTHRITIS


GOUT C-REACTIVE PROTEIN
SPINE RANGE OF MOTION
BURSA CORTICOSTEROIDS
JOINTS ACETAMINOPHEN
MOTION ARTHROCENTESIS
NERVES INFLAMMATION
MOBILITY RHEUMATOID
ARTHRITIS SACROILIAC
EXERCISE
INJECTION
ANTIBODIES
AQUATHERAPY
AUTOIMMUNE
CARTILAGE
CHONDROITIN
DEGENERATIVE
Wednesday, April 22, 2020 | www.cadillacnews.com Cadillac News - New CHapters Issue: 1 15
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New CHapters Issue: 1 - Cadillac News www.cadillacnews.com | Wednesday, April 22, 2020

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