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ENH NEWSLETTER-AUGUST 2014Because children are particularlyvulnerable to infection, most vaccines are given during the first fiveto six years of life. Other immunizations are recommended duringadolescent or adult years and, forcertain vaccines, booster immunization are recommended throughout life. Vaccines against certaindiseases that may be encounteredwhen traveling outside of the U.S.are recommended for travelers tospecific regions of the world.Ellen Brownson, Lake SunapeeRegion VNA and HospiceNews You Can UseMEDICARE COVERAGE FORSECOND OPINIONSAs a Medicare beneficiary, youcan get another opinion on a medical recommendation or diagnosisfrom a different doctor. OriginalMedicare will pay for you to see adoctor and get a second opinion ifa doctor has recommended thatyou have surgery or a major diagnostic or therapeutic procedure.Original Medicare will pay for athird opinion if the first and second opinions are different. Thesecond and third opinions will becovered even if the surgery or other procedure is determined not tobe covered.If you are in a Medicare Advantage plan, your plan must cover the same services as OriginalMedicare does, but may have different rules you have to follow.For example, the plan may onlycover second and third opinions ifyou see doctors that are in networkor if you have a referral from yourPrimary Care doctor. Call yourplan to find out the rules for getting second opinions.Click here to learn more aboutMedicare coverage of secondopinions on Medicare Interactive.DISCHARGE PLANNINGMedicare beneficiaries often needcare in a skilled nursing facilityafter an inpatient hospitalization.For these patients, hospitals areresponsible for identifying skillednursing facilities within the geographic region that can meet theirmedical needs.Until such a placement is found,the beneficiary will not be responsible for her hospital stay. However, once a placement is found, ifthe patient no longer needs a hospital level of care, she will becomefinancially responsible for hercontinuing hospital stay.Unfortunately, patients, families,and friends are often not happywith the hospital identified skillednursing facility placement. So besure to let Discharge Plannersknow where you would like to doyour rehabilitation as soon as youare able.NEW WEBSITE FOR “AGING INPLACE”The Community Innovations forAging in Place (CIAIP) initiativewas funded by the ACL Administration on Aging from 2009 to2012. It provided 14 grantee organizations around the country anopportunity to test strategies tofacilitate aging in place for olderadults in their communities.4 Help Spreadthe Word!If you like thisnewsletter, pleaseshare it with yourfamily, neighbors,friends and colleagues.Forward it on!The new CIAIP website containsvaluable information that will beof interest to funders and community-based organizations planningto develop initiatives to ensurethat older adults in their communities have access to the programsand services they need to successfully age in place.Share with Your Grandkids:7 SKILLS YOURGRANDPARENTS HAD THATYOU DON'TThe older generation may watch inwonder when pre-teens downloadapps, install wireless printers, andedit videos on iMovie with a fewclicks of the mouse. But there areloads of skills our parents andgrandparents had decades ago thatthe younger generations don't. Weasked our Facebook fans aboutthis, and received a massive response. "My grandmother was apro at sitting and sipping a cup ofcoffee and looking out the windowat the garden without any distractions or boredom. A skill I could

ENH NEWSLETTER-AUGUST 2014really use," said Sharon HodorGreenthal. "Great at money management. She saved up 300 for adown payment on a two-familyhouse during the Depression. Thenstarted a successful business withmy mom," said Cheryl De Primio."Nannie could clean her entirehouse and look lovely by 9 a.m.,"said Denice Loritsch.What women! So what other skillsdid they have? Here are sevenyour grandparents probably mastered that you haven't.Cooking from scratch: Mostlikely, your grandmother couldwhip up almost anything withoutbenefit of a recipe card. They justknew when to add a pinch of thisand a pinch of that to make a dishtaste absolutely perfect. “Mygrandmother could empty thefridge of leftovers and it wouldtaste great! There's nothing shecould not cook well!” said AliciaFloyd-Grimes.Sewing (and crocheting andquilting and darning): Thesedays, if someone gets a hole intheir socks or jeans, they generallybuy a new pair. Your grandparents, on the other hand, darned oldsocks and everything else. Sure, afew folks still sew. But due tobudget cuts and weak demand,many school systems have dropped sewing classes from the curriculum, meaning fewer youngpeople have the opportunity tolearn. Yet many of our readers cited sewing as a lost art they'd liketo see revitalized.Canning: Although rising foodprices and the popularity of gardening have led more people to5 WE WANT YOU TO KNOW . . . .EngAGING NH promotes citizen leadership and the active involvement of New Hampshire’s older adults in the development ofcommunities and public policies that support all individuals as weage. We are a COMPLETELY VOLUNTEER organization with nopaid staff, and a limited budget.We actively partner and work with other NH advocates.Formal Partnerships NH Voices for Health Care NH State Independent Living Council State Committee on Aging-Vaughan Awards Disabilities Rights Center NH Cares UNH Center for Aging and Community Living Oral Health Care Expansion, Children’s Alliance of NH Self Advocacy Leadership Team (SALT)Active Collaborations & Groups: Older American's Action Partnership Elder Rights Coalition Aging and Mental Health Granite State Future Department of Health & Human ServicesOther Groups we work with: AARP NH Business and Industry Institute NH State Committee on Aging NAMI NH Alliance for Retired Americans DD Council UNH Institute on Disabilities NASW-NH Area Committees on Aging NH Association of Senior Centers NH Statewide Independent Living Council NH Business & Industry Association ServiceLink 2014 EngAGING NH, All Rights Reservedwww.engagingnh.orgEngAGING NH Newsletter articles may be copied for personal use, butproper notice of copyright and credit to EngAGING NH must appear on allcopies made. This permission does not apply to reproduction for advertising, promotion, sale or other commercial purposes.

ENH NEWSLETTER-AUGUST 2014take up canning, it's still not a skillmost younger people have honed.But you can bet your grandparentssure did. For those of you who areinterested, there apparently aretwo types of safe canning processes: boiling water canning andpressure canning. Find out moreby going here.Ironing (really well): Althoughmany of your grandmothers probably ironed just about everything - underwear, pillowcases, handkerchiefs -- you'd be hard-pressedto find a 20-something who did so.In a world of polyester clothing, inwhich dryers boast wrinkle-freesettings and stores sell de-wrinklesprayers, ironing has becomenothing but a, er, wrinkle in time.Meeting people without benefitof the Internet: Your grandparents weren't able to ask someoneout via text message or to invitefolks to a party via Evite. Theyhad to actually talk to people.They got to know others over abackyard fence or at church or byjoining a social club. In a digitalage, people tend to talk at eachother instead of with each other. Inorder to encourage real exchanges,many psychologists recommendbanning phones and computersfrom "sacred spaces" such as thedinner table.Haggling: Sure, a few of you havehaggled over prices in a car lot.But we bet your grandparentswere even better at the art of negotiation. You wouldn't argue withthe manager at McDonald's overthe price of a Happy Meal. But inthe days of ubiquitous mom-and-ENH welcomes all pointsof view and invites yoursubmissions.To send articles or to addyour name to our newsletter mailing list, contact:engagingnh@gmail.compop stores and tradespeople, folksdid a lot of bargaining.Writing beautiful letters: Yes,many of us still write letters -- onpaper. But we probably write thema lot less often than we used to.Your grandparents, on the otherhand, didn't have the luxury ofemail and so were forced to physically write down their thoughtsand feelings -- maybe even with afountain pen -- every time theywanted to communicate withsomeone far from home.Shelley Emling, Huffington PostYET ANOTHER SCAM 1Q. I received a letter claiming thatI won 2 free round trip ticketswithin US, two night at Marriottfree!, "Note: You must respond nolater than ." and to call (855)723-2978 for details. signed byLisa Jackson, Guest ServicesManager and heading reads Fly aUS Airlines. One of the sites saidthe No. is spoofed. Another sitesaid the No. is available.Call for Details, Taxes & registration fees and/or processing feesare the responsibility of the recipient.”Bottom has code 2PC0530H.Is this legit?6 A. It’s an Absolute Gimmick!I received the same letter, with adifferent code. I thought I wouldcall for my pure amusement.While I usually throw garbage likethis right where it belongs, it camein an envelope that looked muchlike what the bank sends whenthey send you your pin number.The letter asks you to respondwithin a certain date & states that“previous attempts to reach youwere unsuccessful”. They pressureyou into thinking this is your “final notification”.They are “Travel Services ofAmerica” He said there was “noobligation” many times, whichlead me to believe there would besome kind of sales pitch. He continued on saying that the companyonly wants “Good word of mouthadvertising. It is a1st come 1stserve opportunity.” (Another wayto pressure you to jump on this“opportunity”.) To qualify, youneeded to be married, or cohabitating, have a combined income of 50,000 & be a US citizen. You would then be “qualified” for 2 round-trip airline tickets & with a 2 night stay in a Marriot Hotel. They retail the cost @nearly 14,000. You would be responsible for airline taxes.He then went on to ask when Iwanted to pick up my tickets. Thenearest location is in Perrysberg,Ohio at a Holiday Inn. (Why aHoliday Inn & not a Marriott Hotel?) They had weekend days × to choose from. It seemsthese meetings would take about2hrs. He tried to schedule me forone of these sessions, but I refused

ENH NEWSLETTER-AUGUST 2014& took a number instead, sayingthat I needed to discuss this overwith my “boyfriend”.That is a clue that this is a scam.The ".be" tells you that this emailcame from the Bahamas.FYI once Travel Services ofAmerica gets your phone number,be prepared . . . they will call youNON-STOP! Do not call thesepeople!!!! Nothing is free, especially if it sounds too good to betrue. If you think something is offabout a company, listen to yourgut. Look into them. Do some research. And never give them anyof your personal information.We can assure you, EZ Pass is notoutsourced to the Bahamas, orelsewhere. And, EZ Pass does notuse email like this to communicatewith their customers.Editor’s Note: An easy way tocheck out these types of scams it toGoogle the phone number provided on your caller ID or in themailing. This will allow you to seethe origin of the call and otherpeople’s experience with the message source.SCAM 2You receive an email with the subject “In arrears for driving on tollroad”. You open it and find the EZPass logo and the following message:Dear customer,You have not paid for driving on atoll road. This invoice is sent repeatedly, please service your debtin the shortest possible time.The invoice can be downloadedhere.But wait . . .Look at the message source (theaddress of who sent you thisemail; it is EZPass Service Center(manager@kameliomasie.be)Do not click on any link in theemail. If your email account allows you to block the sender ormark it as spam, do so. Then delete this bogus email and forgetabout it.Health & WellnessMIND-BODY MEDICINE ISFUNDAMENTALPhysicians need to help peoplebecome more sensitive to the connection between our thinking andour physical functioning.When asked what role mind-bodymedicine plays in maintaining ourmental and physical well-being,the response from Dr. James Gordon is unequivocal: “Fundamental!”“I think [mind-body medicine] isstill regarded as a complementarytherapy,” he said during a recentvisit to San Francisco, “but whatI’m saying is that it’s fundamental.It’s not complementary at all.”Gordon, the founder and directorof The Center for Mind-BodyMedicine (CMBM) in Washington, D.C. and former chair of theWhite House Commission onComplementary and AlternativeMedicine Policy, has been repeating this mantra for years, most re-7 cently in a New York Times“Sunday Dialogue” in which heextols the virtue of what he calls“self-care,” including nutrition,exercise and various mind-bodytechniques like biofeedback, guided imagery and meditation.“We spend about twice as much asmany other industrialized nationson health care, often with inferioroutcomes,” he wrote. “Threequarters of that spending is onchronic conditions, including heartdisease, diabetes, cancer, arthritis,depression and chronic pain – exactly the ones for which self-careis best suited.”Although these statistics may bereason enough for a revised strategy going forward, Gordon wasquick to point out the many barriers that remain.“I think the biggest obstacle is ourpersistent fear of looking at andunderstanding ourselves,” he said.“We don’t want to look inside because we might see things thatmay trouble us.” But he alsopointed out the resistance thatcomes from a medical model that,as he puts it, “believes in, as muchas any religious belief does, itsown objectivity.”“Part of the role of any physicianRaise Your Voice!Please let us knowwhat’s on yourmind and what’simportant to you.engagingnh@gmail.com

ENH NEWSLETTER-AUGUST 2014should be to help people develop[their] capacity to becomemoreHow to Contact YourState Committee on Aging RepresentativesCountyNameEmailBelknapPat Consentinosel.consentino@tiltonnh.orgRich Crockerrichcrocker@metrocast.netCarrollKate Caublekemc226@aol.comCheshireBob Ritchiefictionfitz@gmail.comCoosMark M. E. Frankmaxfra@aol.comUnfortunately these two obstacles tend to feed on oneanother, with patients all tooeager to hand over the reinsof their own health to someone else.GraftonChuck Engborgeengborg@roadrunner.com“I think most people don’tunderstand they have the capacity to make a difference,”said Gordon. “They think,‘Who am I? This is a medicalissue. I can’t do anythinghere. This is not part of myjob description.’”Rockingham Sheila Kingbbwic@metrocast.netStraffordCandace Cole-McCreasnowyowl@metrocast.netSullivanLarry Flintwrecman@myfairpoint.netaware, become more relaxed,become more present, becomemore sensitive to all the connections that are there everymoment between our thinkingand feeling and our physicalfunctioning.”Hillsborough Sherri HardenMerrimackJoan Schulzejoanschulze@myfairpoint.netHerb Johnsonclairhonda@msn.comState Reps & SenatorsCheshireRep. Susan EmersonDistrict 12Senator Peggy Gilmour peggy.gilmour@leg.state.nh.usOne aspect of self-care thatmight be more readily acceptedthan others as “part of our job description” – something that manyconsider to be innate and that canhave an immediate and lasting impact on our health – is our capacity to be spiritual or “manifest thespirit,” as Gordon puts it.“To me spirituality is the qualitythat we bring to everything that wedo in our lives,” he said. “It has todo with the way we are with eachother, the way we treat each other.”Encouraging people to be kinder,more compassionate, more forgiv-ing and more loving is just part ofthe work Gordon does at CMBM,an organization that teaches healthprofessionals around the worldhow to utilize mind-body techniques to help those living intraumatized communities in placeslike Gaza, Israel, Kosovo and Haiti. “We’re teaching thousands toheal millions,” the tag line readson their website.This is also a theme highlighted inhis latest book, “Unstuck: YourGuide to the Seven Stage JourneyOut of Depression,” in whichGordon stresses the importancebeing “called” – not forced – to up8 hardensherri@gmail.comsemerson435@aol.comthe spirituality ante as a means ofmaintaining our health.“People have to come to this ontheir own,” he said. “Preaching isnot going to make any difference.Even though in ‘Unstuck’ I’m focusing on depression, the principleis the same everywhere.”One thing those who do “come tothis on their own” are likely todiscover – something that goeswell beyond the more obviousconnection between better thinking and better bodies – is a deeperunderstanding of whatever divineinfluence inspires such upliftedand uplifting qualities of thought

ENH NEWSLETTER-AUGUST 2014as kindness and compassion. ForMary Baker Eddy, an early pioneer in the field of mind-bodymedicine, this included the realization that in order to achieve lasting health, “the first and fundamental rule of Science must beunderstood and adhered to; namely, the oft-repeated declaration inScripture that God is good; hence,good is omnipotent and omnipresent.”So where are such provocativepursuits leading us? According toGordon, to the very heart of ourbeing.“We're tapping into the basic vocabulary and grammar of how themind works and how the humanbeing functions, and we've got tounderstand this,” he said. “Thishas to be central to what we teachchildren, what we teach healthprofessionals, how we help peopleto live their lives. This is a way ofliving, a way of being, that’s ourbirthright.”Eric Nelson’s columns on the linkbetween consciousness and healthappear regularly in a number oflocal and national online publications. He also serves as the mediaand legislative spokesperson forChristian Science in NorthernCaliforniaTOMATOES HELP BLOODVESSEL FUNCTIONINGLycopene is the most potentknown dietary antioxidant, andmany researchers believe it is nocoincidence that lycopene-richtomatoes are a staple of the Mediterranean diet, which has beenlinked to a longer lifespan and re-Looking for a back issue of anENH newsletter?Check our website:www.engagingnh.orgduced risk of heart attack, stroke,Alzheimer’s disease and sometypes of cancer. A report out inJune adds to the evidence of lycopene’s health benefits, showingthat taking a lycopene supplementcan improve blood vessel functionin people with heart disease. Researchers at Cambridge Universityrandomized 36 healthy volunteersand 36 people with cardiovasculardisease to receive either a lycopene supplement or placebo for 8weeks. Before taking lycopene,the blood vessels of CVD patientsdidn’t expand as effectively asthose of healthy volunteers due todifferences in the performance ofendothelial cells—the cells thatline and support the blood vessels.While lycopene didn’t have anymarked effects on the volunteers,CVD patients’ blood vesselschanged and began to performsimilarly to their healthy counterparts. This study also emphasizesthe importance of factors otherthan cholesterol on cardiovasculardisease risk. The patients in thisstudy we considered “optimallytreated”—they were all takingstatins, and their LDL (“bad”)cholesterol levels were actuallylower than those of the healthyvolunteers at the start of the study.Yet their blood vessels still behaved abnormally. These resultsfurther emphasize the importance9 of diet, and not just drug interventions, to good health.PLoS ONE, 2014; 9(6): e99070.RED WINE IMPROVESMEMORYThe antioxidant resveratrol is mostoften associated with red wine,although it is also found in peanuts, chocolate, and other fruits inaddition to grapes. It has beenlinked to better heart health, antiaging effects and even (in limitedlaboratory studies) cancer-fightingproperties. A study published thismonth in the Journal of Neuroscience has released the first evidence that resveratrol improvesmemory and brain function in elderly people. The improvement inmemory occurred in parallel withan improve

OLLI at Granite State College - Come for the classes, stay for the friendships. As one of four public institutions within the University System of New Hampshire, Granite State College services a statewide stu-dent population with affordable tuition, 100% online degree pro-grams, and 11 sites throughout New Hampshire. For more infor-