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Denton County insiDe tHis edition Vaccines and HealtH screenings 2014 guide to sunscreen WHO IS ALEX TREBEK? Complimentary Issue Summer 2014 A healthy heart is closer than you think. A new Heart Health Center in Denton At Texas Health Presbyterian Hospital Denton, we want you to take your health to heart — literally. That’s why we’re proud to announce our new Heart Health Center, right here in Denton. People who have taken our heart health risk assessment and are at risk for heart disease can come in for a screening where we’ll tailor a care plan for their specific needs. And if care is needed beyond prevention planning, we offer procedures ranging from vascular treatments to open-heart surgery. As an accredited chest pain center, our patients receive advanced cardiovascular care. Find out if you’re at risk for heart disease by taking our risk assessment at TexasHealth.org/Denton-Heart. 1-877-THR-WELL TexasHealth.org/Denton-Heart Doctors on the medical staff practice independently and are not employees or agents of the hospital. © 2014 A healthy heart is closer than you think. A new Heart Health Center in Denton At Texas Health Presbyterian Hospital Denton, we want you to take your health to heart — literally. That’s Now Offering Private why we’re proud to announce our new Heart Health Center, right here in Denton. People who have taken our heart health risk assessment and are at risk for heart disease can come in for a screening where we’ll Medicare & Medicaid Rooms tailor a care plan for their specific needs. And if care is needed beyond prevention planning, we offer procedures ranging from vascular treatments to open-heart surgery. As an accredited chest pain center, our patients receive advanced cardiovascular care. Find out if you’re at risk for heart disease by taking our risk assessment at TexasHealth.org/Denton-Heart. 1-877-THR-WELL TexasHealth.org/Denton-Heart Doctors on the medical staff practice independently and are not employees or agents of the hospital. © 2014 Kerry Mahan, MD COMPLETE CARE FOR ADULTS & SENIORS Experience • Dedication • Compassion Board Certified in Internal Medicine New Patients Welcome Dementia: changes, confusion, lack of hygiene, and strange behaviors. Alzheimer’s dementia is the most common dementia causing 80% of diagnosed dementia cases. The cause of When should you be concerned Alzheimer’s dementia is the breakdown of the neuron that produces the chemical acetylcholine, a neurotransmitter. about your short-term memory? Definitive diagnosis of Alzheimer’s dementia can be made only at autopsy; however, early detection via screening ex- ams followed by thorough medical evaluation is important. Have you misplaced something lately and The purpose of a thorough medical wondered if you should be concerned evaluation for dementia is twofold: about your short-term memory? Every • First, is to appropriately diagnosis Alzheimer’s dementia and 68 seconds someone is diagnosed with initiate treatment with cholinesterase inhibitor medications to the most common form of dementia: Al- preserve the patient’s memory, thinking, language, and judg- zheimer’s dementia. One of four family members is, or will ment. be, acting as caretaker for an Alzheimer’s patient. • Second, is to accurately diagnosis each of the other 50 types Who should be concerned about the state of their short- of dementia and to initiate treatment, especially in the 20% o f term memory? those dementias that are reversible. The answer is a matter of age. Individuals older than 65 years have dementia at a rate of 5 to 8% while individuals The SAGE Self Administered Geocognitive Examination older than 80 years have dementia at a rate of 50%. Demen- is a self screen exam that is available online for individuals tia is the loss of mental functions that include: short-term wanting early detection. This screening tool detects 80% memory, reasoning, language, visual perception, and think- of examiners with mild thinking and memory impairment ing––so severe it impairs an individual’s daily activities while 95% of normal examiners will have normal exams. of life. Patients with dementia exhibit a change in mood, Anyone having a positive screening exam or anyone ex- behavior, and personality. Dementia warning signs include pressing the warning signs of dementia should undergo a repeating stories, repeating asked questions, getting lost, thorough medical evaluation. Typically, the medical evalu- misplacing items, grasping for the right words, personality ation includes a neurological exam, a battery of laboratory tests and sometimes, a CT scan or MRI of the brain. The purpose of these exams is to diagnosis and treat reversible dementia such as subdural hematoma, vitamin B12 and folate deficiency, syphilis, hypothyroidism, hyperparathy- roidism, AIDS, normal pressure hydrocephalus, and hypo- glycemia. Depression is another treatable disease process. www.KerryMahanMD.com Kerry Mahan, MD Dr. Mahan gives her patients regular physical examinations, offers preventive care, diagnoses and Dr. Kerry Mahan is an experienced and Board Certified treats a wide range of illnesses and diseases, ranging from the very common to the very rare, and Internal Medicine specialist and serves as primary care can refer patients to specialists when appropriate. physician for adults. 3304 Colorado Blvd., Suite 101 Denton, TX 76210 To schedule an appointment call (940) 220-5660 Kerry Mahan, MD COMPLETE CARE FOR ADULTS & SENIORS Experience • Dedication • Compassion Board Certified in Internal Medicine New Patients Welcome Depression does not cause dementia but it does appear in jury, lung disease, liver disease, kidney disease, and tumor. the elderly with the presentation of similar symptoms to de- All dementia is not the same; therefore, mentia and is referred to as pseudo dementia. The remain- early diagnosis affords early treatment ing causes of dementia, albeit less treatable, still require a medical diagnosis and disease management. Examples are: and sometimes a cure. Parkinson’s disease, Huntington disease, stroke, head in- In Alzheimer’s dementia, treatment consists of cholines- terase inhibitor medication that maintains mental functions of memory, thinking, and language. For other dementias, treatment is also geared toward treating the underlying Internal Medicine Services Offered: disease. For example, in dementia caused by vitamin B12 deficiency, the treatment is to restore vitamin B12 levels. • Adult Care Dementia patients can experience mood and behavioral • Comprehensive physical or well-woman care changes as a result of altered visual perception, thinking, • Men’s health services including prostate care judgment, and language. Treating patients with medications • Immunizations targeting depression, anxiety, and impulsive behavior, can improve their quality of life. • Cardiovascular and pulmonary conditions If you or a loved one experience the warning signs of • Respiratory disease dementia or have a positive screening exam, seek medical • Digestive disease care from a provider specializing in adult medicine. • Geriatric care of the elderly Internists concentrate solely on the comprehensive care • Physical exams and evaluations of adults. Board certified internal medicine specialists, like • Preventative medicine & health/wellness care Dr. Kerry Mahan, investigate complex, multisystem disease processes and are skilled in patient management. Because • Blood disorders internists are often consulted to solve perplexing medical • Brain disorders problems, they are called “the doctor’s doctor.” And accord- • Kidney disease ing to the American Board of Internal Medicine, an Internal • Treatment of chronic and infectious diseases Medicine Board Certification “enhances the quality of the • Long-term comprehensive care healthcare by identifying those internist...who demonstrate • Weight Management the knowledge, skills, and attitude essential for excellent patient care.” • Treatment of diabetes & high blood pressure • Treatment of thyroid, lung and joint conditions Dr. Kerry Mahan is available to address concerns related to dementia or other comprehensive adult medical issues. www.KerryMahanMD.com Kerry Mahan, MD Dr. Mahan gives her patients regular physical examinations, offers preventive care, diagnoses and Dr. Kerry Mahan is an experienced and Board Certified treats a wide range of illnesses and diseases, ranging from the very common to the very rare, and Internal Medicine specialist and serves as primary care can refer patients to specialists when appropriate. physician for adults. 3304 Colorado Blvd., Suite 101 Denton, TX 76210 To schedule an appointment call (940) 220-5660 Denton County Living Well Magazine • Summer 2014 3 FRoM The PuBLISheR Denton County Founder & Ceo Josh Cates Find ViCe President & CFo Bob Cates Publisher Your Sam & Spring Houston Feature Writer/CoPy editor passion soCial Media direCtor Sondra Barr art direCtor Jeff Rawson layout & ProduCtion Welcome to the summer edition of LIVING WELL Magazine, your home- Lewis Schucart town resource for educational articles written by local leading medical adVertising/sales and business professionals in the area. They provide you with relevant Texas | Denton County, North Dallas, Collin County information on everything from cutting edge medical news and procedures to top- Texas & Oklahoma | Texoma Area tier financial advice to help you thrive past 50 and beyond. Sam & Spring Houston This publication wouldn’t be possible without our knowledgeable group of con- [email protected] tent partners. They are leaders in their fields and their efforts to bring you engaging, [email protected] educational content are not lost on us. With that in mind, we want to thank each of 972-853-7700 them for sharing their knowledge with our readers. Helping baby boomers and their aging parents navigate life is one of our passions and one of the main reasons we started this magazine––we know our valued content providers feel the same way. Write to us. Tell us who you would like to see On the subject of passion, sometimes what you’re meant to do with your life featured on the cover, or what subjects you would like presents itself in the most unexpected of ways. For Alex Trebek, our celebrity pro- covered in upcoming editions of LIVING WELL Magazine file, he was driven early on in life to make it in broadcasting. Little did he know that at [email protected] his career path would lead him to become the host of Jeopardy! In this issue, read subsCriPtions/CustoMer inquiries about how he landed this plum role on a celebrated game show to become one of LIVING WELL Magazine the most recognizable television personalities. 219 Legacy Farm Road You never know how you’re meant to find what your passion is or what you’re Saddlebrooke, MO 65630 meant to do later on in life. So, be inspired, and go try new things. But, before you www.LivingWellmag.com do, pass along this issue to friends and colleagues and encourage them to read the Please visit our website at educational articles inside. www.LivingWellmag.com for advertising and subscription information for additional markets. Until the fall, Sam & Spring Houston 'liKe us' FaCebooK.CoM/liVingWellMag 'FolloW us' @liVingWellMags All advertisements in this Magazine are placed by third parties. We do not control or endorse either the advertisements or their content. Further, we do not manufacture, sell, distribute or pro- vide any of the goods or services advertised herein. We hereby expressly disclaim any liability with respect to the information or goods and services contained herein. We further disclaim any and all warranties or representations, express or implied, with respect to such information, goods or services, including any warranty of merchantability or fitness for a particular purpose (it being under- stood that we do not acknowledge that any such warranty exists). We are not liable or responsible for any loss, injury, damage, or harm that you may suffer as a result of the information contained in any advertisement or goods or services contained herein. “We” refers to the name of this Magazine, and all versions of Living Well Magazine, as well as Senior Magazine, Inc. 4 Denton County Living Well Magazine • Summer 2014 CONTENTS suMMer 2014 on the cover 6 Who is alex trebeK? LEARNING, ACqUIRING KNOWLEDGE in this issue 10 Cardiac Disease 13 Municipal Bonds and Your Portfolio 16 New Heart Screening Could Be Life-Saver 17 Assisted Living or Nursing Care? 21 Vaccines and Health Screenings 22 Importance of Exercise for Seniors 25 Can an Orthopedic Surgeon Help You? 27 What You Cannot see can Hurt You 29 Bunions features 31 Being Treated Like Another Number? 33 Signs of a Heart Attack in Women 34 What is Medicare? 36 How To’s for a Healthier Smile 38 helP For naVigating 40 Basics for Medicare Patients through CanCer 41 Handling the Truth BY TINA WITHROW 42 The Voice of God 44 The 2014 Sunscreen Guide 48 Back to a Healthier Lifestyle 46 hoW rMds aFFeCt Scan this QR code with inVestMent your smartphone app to read more features from aCCounts Living Well Magazine. PORTFOLIO SOLUTIONS Denton County Living Well Magazine • Summer 2014 5 “learning, acquiring knowleDge. You’re neVer too old to do tHat.” WHO is ALEX TREBEK? BY BarrY rogers PEOPLE FOR $400: He is sharp, knowledgeable, iconic and a clue-giver. Who is Alex Trebek? The world obviously knows that Trebek is the longtime host of Jeopardy! He’s become synony- mous with the game show that embodies knowledge over luck. While you may consider Trebek a lucky man, it’s also his drive and talent that’s put him where he is today. Driven early on in life, the young Canadian landed a news and sports broadcasting job, while still in college. His skill and destiny continued to paved the way, as he went on to host Canadian TV programs, including Music Hop, Vacation Time and Reach for the Top. Up next, were American game shows. Trebek has now been in the broadcast and entertainment business for over fifty years, but it is the last thirty that have ultimately defined his career. He set foot on the Jeopardy! stage in 1984. Audiences have tuned- in each week day since, as Trebek oversees the rapid-fire “answer in the form of a question” game show format. The formula seems to be working, as Jeopardy! continues its run, some 6000+ shows and 30 daytime Emmys later. Longer than Trebek’s time behind the podium on Jeopardy!—is his enduring friendship with entertainment legend Ruta Lee. The two of them co-hosted the game show High Rollers in 1974. Since then, they’ve re- mained loyal friends—always there for one another if called upon. In fact, he was quick to say yes when Lee asked him to do this interview. Alex, I’ve heard Ruta Lee say that as a friend, you are very low maintenance. What are you thoughts? I guess she means that I don’t need a lot of reassurances; a lot of coddling. Will you give us commentary on her as a friend? Ruta’s a delight. She has the kind of exuberance, which I don’t always demonstrate. Together, we’re an awesome twosome in social situations. She’s also very loyal, very loving, very caring, very generous—plus she’s a fellow Canadian. Denton County Living Well Magazine • Summer 2014 7 You worked with Ruta on High Rollers in the 70’s. Can you When the show started in 1984, was there any feeling that tell us about the chemistry that you two have on camera? it could be a hit? Well, I came to the United States in 1973 to host a show called I never thought about it. I was just happy to be employed. I Wizard of Odds. That was replaced after one year with High liked the show. As a matter of fact, the same is true for all the Rollers. They hired Ruta to be my co-hostess and to roll the shows I’ve hosted. I was just always trying to do a good job. I dice for the players. She was already a professional within the didn’t worry about whether it’s going to last a year, five years Hollywood community, which I was not. I’d only been here for or ten. a year. She brought that level of expertise, chutzpa, and estab- lishment, if you will, that I did not have. I really felt more Besides intelligence, are there qualities that are common comfortable having her there. amongst Jeopardy! champions? I’m not sure you can generalize about What does it take to be a good game our champions. We have good people show host? who are very exuberant. We also get I think it takes the ability to listen people who appear to be very shy. We and to put yourself in a secondary po- get those who are great conversation- sition. When you’re hosting a game alists, and others who are not good at show, you have to realize that the stars conversation. They are all bright. of the show are the contestants and the material. If you can focus on those two Outside of Jeopardy!, what other elements then you will do well. You passions do you have? have to be on the side of the contes- Well, I like to fix things. I work a lot tants. The audience will pick up on that around the house. very quickly. We’ve also gotten even more in- I have never in all the time that I volved with charity work. I’ve been have been hosting shows allowed the associated with World Vision for 30 producers to announce me as the star years now. A couple of year ago, we of the show. It’s always, “Here is the adopted a village in Zambia and built host of the show, Alex Trebek.” It’s just two or three school buildings, built a a basic guiding principle that I’ve al- medical facility and free homes for ways adhered to. Alex and Ruta Lee on High Rollers staff. Also, we drilled eight wells. The whole village of about 1,700 had the What TV hosts out there do you same dirty water hole where cattle think are doing a good job? were drinking. Now the people have wells functioning through- Well, I don’t watch that many talk shows anymore so I’m not out the village. really a good judge. Bill O’Rielly is very good, although he is There’s another charity I’ve been working with called Won- strongly opinionated. I love late night television. I think Jimmy derWork. They help children with cleft palates, and for chil- Kimmel is excellent. I’d rank him right up there near the top, dren who are blind at birth; they help restore their site. Won- if not the top. derwork also deals with children with clubbed feet and they aid burn victims. How has your hosting style evolved over the years? I’ve slowed my pacing down. When I saw the first Jeopardy! What’s something you’re always striving for, regardless that we did, I seemed to be talking 100 miles an hour. I hope of work or downtime? I’ve calmed down to the point, to where our viewers perceive Learning, acquiring knowledge. You’re never too old to do me as a friend—somebody who’s coming into their homes on that. One of the comments I get from seniors who are big fans a daily basis—a presence they enjoy, because I bring good of Jeopardy! is that they enjoy it because they are constantly entertainment. This comes in the form of a program featuring learning. A lot of young people think that once you get into very bright people, showing off their intelligence. your 50s, 60s and 70s you’ve had it. You’re just coasting now, Also, since I married my wife, Jean, 24 years ago, people and nothing in the area of learning is of interest to you. That’s say that I’ve softened up somewhat and appear more likable. simply untrue. The complaint about me, if you will, is that I’m kind of aloof and cool, as opposed to being warm and endearing. I guess Could you tell us who some of your heroes are? that’s changed for the positive over the last couple of decades. Mark Twain. He had a great outlook on life and he was I don’t know. funny too. That’s very important. Humor is one of the most important qualities that we should strive to possess. Humor Would you describe yourself as someone who’s been hard can disarm an aggressive or dangerous situation. Humor can on himself throughout his career? help you in establishing good relations with people around you. Yeah, I’m pretty self-critical. It’s an icebreaker. That’s why Mark Twain has always appealed 8 Denton County Living Well Magazine • Summer 2014

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initiate treatment with cholinesterase inhibitor medications to preserve the . Wizard of Odds. That was replaced after one year with High. Rollers. Mold, fungus, algae, bacteria, etc. 7. odors from ducts and/or furnace odors. 8.
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