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n Caregivers

Caregivers4You 541-621-8915 www.caregivers4you.net

n Dementia Care Education

Home Instead Senior Care 541-734-2700 81 Freeman Court Central Point, OR 97502

Please See Advertisement Page 42

Power of the Heart 541-601-5341 www.poweroftheheart.com

Please See Advertisement This Page

n Dentist

Premier Care Dental Medford Office 541-200-6747 4411 Brownridge Terrace Medford, OR 97504

Ashland Office 541-708-0600 590 Washington Avenue Ashland, OR 97520

Grants Pass Office 541-507-5330 824 NE “A” Street Grants Pass, OR 97526

Klamath Falls Office 541-363-5419 2571 Campus Drive Klamath Falls, OR 97601


Are you or a loved one experiencing memory loss?

We are here to help!Contact us today for a

complimentary consultation.

541-601-5341 [email protected]

A SENIORINFORMATIONPUBLICATION

541-779-4839

The

OF JACKSON AND JOSEPHINE COUNTY

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If at first you don’t succeed, try, try again. Then quit. There’s no use being a damn fool about it.

W.C. Fields


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n Dentist Cont.

Siskiyou Community 541-592-4111 Health Center Dental 25647 Redwood Hwy Cave Junction , OR 97523 1701 NW Hawthorne Ave 541-479-6393 Grants Pass, OR 97526

Please See Advertisements Page 68n Denturist

Rogue River Denture Service 541-476-0254 1850 Williams Hwy Grants Pass, OR 97527


Valley Denture Care 541-899-9516 535 North 5th Street Jacksonville, OR 97530

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Rogue River Denture ServiceFast Friendly Service

Partials • Flippers • Dentures • RelinesRepairs • Dentures for [email protected]

541-476-02541850 Williams Hwy, Grants Pass

“If you want to make a permanent change, stop focusing on the size of your problems and start focusing on the size of you!”

T. Harv Eker


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n Diabetes - Counseling & Education

Diabetes - Couseling & Education 541-864-9611 Living Well with Diabetes Senior & Disability Services RVCOGwww.SoHealthyOregon.org A 6 week workshop series developed by Stanford University to help people with Diabetes find new ways to reach personal goals toward a better quality of life.

n Diabetic Supplies

Black Oak Health Mart Pharmacy 541-773-5356 2924 Siskiyou Blvd 1-800-423-6674 Medford, OR 97504

Please See Advertisement Back Cover

Black Oak Home Medical 541-690-1130 4800 Crater Lake Avenue 1-866-951-6524 Medford, OR 97504

Please See Advertisement Page 55 & Back Cover

Shady Cove Health Mart Pharmacy 541-878-3151 21195 Highway 62 Shady Cove, OR 97539


n Dispensaries - See Marijuana

n Health & Fitness Club

Waterford Health & Fitness Club 541-773-7718 760 Spring Street Medford, OR 97504


n Health Transformation

Rosa Transformational Health 541-816-4336 843 East Main St, Ste 400 Medford, OR 97504


n Hearing Aids

SoundScape Hearing Aid 541-414-8488 229 N Bartlett St Medford, OR 97504 www.SoundScapeHearing.com


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541- 414 - 8488

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We help you hearthe ones you love

Featuring TheRechargeable Signia Pure Charge&Go Nx

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“I’ve missed more than 9000 shots in my career. I’ve lost almost 300 games. 26 times I’ve been trusted to take the game winning shot and missed. I’ve failed over and over and over again in my life. And that is why I succeed.”

–Michael Jordan


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Good nutrition is beneficial at any age,increasing mental functioning, building ourimmunity, boosting energy levels, and evenleading to faster recuperation times and bettermanagement of chronic health conditions. Andnow, proper nutrition for seniors is even moreimportant than ever, with the latest findings thatpoor nutritional decisions can eventually lead tocognitive decline and dementia.

Specific research points to vitamins C (foundin citrus fruits, tomatoes, spinach, red peppers)and E (found in nut and vegetable oils, wholegrain products, spinach), antioxidants that arebeing shown to be especially effective inprotecting against Alzheimer’s disease.

Bear in mind that nutrients are mostbeneficial when consumed through actual foodsrather than supplements; however, this maysometimes be challenging for older adults as aresult of decreased caloric needs. A health careprofessional should be consulted before takingvitamin supplements.

Along with antioxidants, maintaining a low-cholesterol/low fat diet can help to prevent theonset of Alzheimer’s disease. Diets high in fat arebelieved to impair learning and memoryperformance, and elevated blood cholesterol cantriple a person’s chance of developing thedisease. High cholesterol foods, like meat anddairy products, butter and cooking oils and friedfoods, should be minimized to no more than 300mg of cholesterol per day, as recommended bythe American Heart Association.

Initial studies have also revealed a connectionbetween omega-3 fatty acids and a reducedchance of developing Alzheimer’s disease.Omega-3 fatty acids, found in fish, have anti-inflammatory properties, which are thought to

boost memory and learning performance. Fishhigh in omega-3 fatty acids include lake trout,mackerel, herring, sardines, salmon, and albacoretuna.

The real challenge may lie in encouraging anolder person to eat if suffering from a poorappetite. Often, medications or treatableconditions like heartburn, constipation or nauseacan lead to problems with appetite. Meal timesfor an older adult can also feel lonely and isolatedif a life partner has recently passed away. Sometips to help a senior who’s struggling atmealtimes include:

• Ask the person why he or she does not wantto eat (not feeling hungry, the food is cold,it doesn’t taste good, etc.)

• Provide smaller, more frequent mealsinstead of three larger meals

• Serve beverages after each meal so thesenior doesn’t feel full before finishing themeal

• Restore joy to mealtimes with colorfulfoods and a variety of textures

• Make the meal setting more attractive withfood garnishes, placemats, flowers andperhaps soft music in the background

• Try finger foods that are easy to handle oruse adaptive tools like silverware withspecially designed handles for those whohave trouble using standard utensils

Ensuring that a senior loved one is eatingenough nutritious foods and drinking sufficientfluids can be a challenge, but it is important toalways treat the senior as an adult, and never as achild. It can also be helpful to hire a home careagency to provide assistance with groceryshopping, planning and preparing meals, andoffering companionship during mealtimes.

For more information call (541) 857-9195.

Latest Research Shows Good Nutrition forSeniors May Prevent Cognitive Decline

Submitted by All Care In-Home Care Solutions

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When Elaine finally settles in bed at night, shecan still hear the words of the home careprofessional. “Your mother is doing well overall —it’s you who we are most concerned about.” Thefatigue. The high blood pressure. The depression.The dwindling savings. For some 44 millionAmericans, being a family caregiver often comeswith a price: discounting one’s own health, financesand personal needs.

Rewards and Challenges of FamilyCaregiving Offering support to a loved one whoneeds help is replete with positive and rewardingexperiences such as stronger communication,relationship connections and personal satisfaction inmaking a tangible difference in a loved one’s life. Yetas enriching as caring for another can be, at timesfamily caregivers can feel overwhelmed andexhausted. If care needs increase or the length of theillness stretches into several months or years,informal caregivers are vulnerable to common stress-related conditions including headaches and sleepdeprivation.

Economic Impact of Family CaregivingUnpaid caregiving for a family member or otherloved one creates a ripple effect on personalfinances. Caregivers of older adults and adults withdisabilities often face significant financial strainfrom out-of-pocket costs and long-term effects onsavings and retirement accounts.

The money stress often stems from the difficultyof caregivers balancing work and caregiving roles.Some 60 percent of caregivers said they have had atleast one change to their employment because ofcaregiving, such as reducing their work hours, takinga leave of absence, using up vacation and personaldays, and taking a less-demanding job.

Out-of-pocket spending on goods and serviceson behalf of the care recipient adds up, too, includingmeals, transportation, medical/pharmaceuticalcopays, clothing, medical supplies, legal fees andhome modifications. Overall, financial strain onfamily caregivers leaves the caregivers at risk forreduced wages and retirement and Social Securitybenefits, and inconsistent savings for their ownfuture.

Emotional Impact of Family Caregiving TheU.S. Department of Health & Human Services tracksthe health and wellness of Americans and notes anumber of signs and symptoms of emotional stress offamily caregivers, including:

• Feeling alone, isolated or deserted by others.• Feeling overwhelmed.• Feeling worried or sad.• Feeling tired.• Losing interest in once-enjoyable activities.• Flaring with irritation or anger.Over time, caregiver stress can significantly

compromise one’s health. Among family caregivers,anxiety and depression are more likely to affectwomen than men, and left unchecked can weaken theimmune system and lead to other health problemssuch as obesity, diabetes, heart disease and stroke.Taking steps to counter the financial and emotionalstrain of caregiving helps both the caregiver andloved one enjoy better health and time together.

Support Resources for Family CaregiversCaring for a loved one at home is never meant to bean isolated experience. Every caregiver can benefitfrom accepting help from other family members andcommunity resources. The extra support may begetting assistance with meals and housekeeping,seeking regular respite care, or planning ahead forpossible crisis care.

Community Resources include the followingsupport resources for caregivers:

• Home care services for personal care, mealpreparation, housekeeping, companionship,etc.

• Home healthcare services for skilled nursingcare, physical therapy, etc.

• Adult day programs.• Financial counseling and tax credits for

caregiving.• Caregiver support groups.• Veterans assistance.

For more information call 541.414.0800 or visitwww.rahsouthernoregon.net

Rewards and Challenges of Family Caregiving

By Brooke Fredericks, Right at Home


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While you may not be able to always stop asenior from falling, you can take some steps tohelp reduce the risk. There are many reasons forfalls in the elderly, so make sure to look at thewhole picture. Use these precautions take care ofyour loved one and their home to prevent falls:

1.Begin with the bathroom. Wet surfaces (on thefloor or counters) can be very dangerous.Seniors lack the balance and reaction timeneeded to avoid a fall. While it may seem easyto step out of a shower, an unsteady seniormay slip and come crashing to the floor. Tohelp, provide non-slip mats in the bathtub andshower. Install grab bars in strategic pointsaround the bathroom. Towel bars are notsufficient because they will collapse undersomeone’s full body weight. Grab bars can beattached inside the shower stall or just abovethe bathtub to help a senior with lowering orstanding up.

2.Provide a shower seat. Seniors can be farmore secure when they are seated whenshowering.

3.Replace the shower head with a hand-heldnozzle. Seniors can become more confidentwith showering with a nozzle. The nozzle canbe easily turned away in the case of suddenwater temperature changes. In addition, it canresult in a much more thorough cleaning.Long-hoses are now available, which are fareasier to use for someone seated in the shower.

4.Tuck away extension cords. Are there anypower cords stretched across a senior’s floor?Tape them down or slide them underneath orbehind furniture.

5.Remove excess furniture. A more mobilesenior may be able to sidestep a footstool or acoffee table but not all seniors can do this.Remove unneeded furniture to give the seniormore room to maneuver and help to create asafer living environment. Also, a deep plusharmchair may look comfortable but the seniormay become trapped if he or she lacks thebody strength necessary to push up and out ofthe chair.

6.Get a cane or a walker. A doctor can bestadvise if the senior will need a mobility aid.This could be a wheelchair, a walker, a cane,or a motorized scooter. Reducing oreliminating the walker stigma that often existsmay be a little more difficult to do. However,seniors may find that using a walker increasestheir own freedom, independence, and qualityof life. Be aware that an occupational therapistneeds to train the person to use these properly.For increased convenience, choose awheelchair, walker, or scooter that cancollapse and fit easily in a car’s trunk or backseat.

7.Evaluate a senior’s footwear. Shoes need to fitwell and have non-slip soles. Shoes withVelcro straps can be easier to tighten or loosen.They also remove any risk of tripping overlong laces. Do not choose senior’s shoes basedon how easily they can be put on and taken off.

8.Keep a senior active. Whether through regularwalking or light exercising and stretching, anactive senior can remain more stable than asedentary senior. Exercising can help preventfalls by keeping stabilizing muscles strong.

For more information call 541-236-4247.

Ways to Reduce Fall Risk andHelp Prevent Falls

Submitted by Southern Oregon In-Home Care


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There are many advantages of agency homecare over private duty home care. Below is uniqueinsight into the world of caregiving andconsideration before choosing the path that is bestfor you and your loved ones.Agency Based Home Care Advantages:● Caregiver background checks, reference

checks and drug screening.● Liability insurance for accidents and wrong

doing, workers compensation insurance forcaregiver injuries,● Back-up caregivers allow for continuity of

care, no breaks in service, and havingfamily/friend to manage● Access to RN’s, Case Managers, &

schedulers,● Continuing education and training of your

Caregivers on newest industry techniques,● Industry and Department of Human

Services oversight on best practices,● Quality assurance programs to ensure

standard of care,●Access to long-term care insurance for those

with policy in place,●Access & assistance with obtaining Veterans

Aid & Attendance pension for home care,● Peace of mindAgency Home Care Disadvantage:● Higher Average Cost: $24/hourPrivate Home Care Advantage:● Lower Average Cost: $18/hour

Q: Are “Home Health” and “In Home Care”the same thing?

A: Home Health is a medical service forpeople who are home bound which includesskilled nursing, at- home physical therapy, painand prescription management, and wound care.Home Care is classified as non-medical assistancewith daily activities including personal care, mealpreparation, light housekeeping, ambulatory

assistance, running errands, medicationadministration, and nurse

Misconceptions about the “In Home CareIndustry delegated care. Although agencies canmanage medications and some minor wound care,they are limited in their medical services.Q: Will my Medicare or Health Insurance payfor my services?

A: No, both are medical insurances. The entirehome care industry is non-medical. The onlyinsurance that ensures a benefit for home care isLong Term Care insurance. For people whoqualify for Medicaid, there are benefits availablethrough the state for agency or private duty care.Q: What questions should you ask an agencywhen deciding on care?

Q1: Do you pay your caregivers as employeesor as contract employees? A: It is a State law thatall agencies must employ their caregivers asemployees. If a company does not, they areinvolved in an unscrupulous business.

Q2: Will I have the same caregiver everyshift? A: That depends on the amount of careneeded. You may have more than one caregiver,but that should happen only if the case is largeenough. Any case that is 5 or fewer days per weekand less than 8 hours and one shift per day, shouldbe scheduled with one caregiver. Caregiveravailability is a rising challenge so you may needa second caregiver, but you should see the samecaregiver(s) on a week to week basis. Constantshifting of staff is an indication of a poorlymanaged schedule.

Q3: If I am unsatisfied with my caregiver whatcan I do? A: You should have the ultimate choicein your caregiver. It is wise to try and work outissues, as caregivers want to please you and arewilling to adapt, but if you don’t have a choice,look elsewhere.


Agency Home Care Advantages &Common Questions

Submitted by Visiting Angels Southern Oregon


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Providing responsive all-access in-home care to stay safe and

comfortable in your own home.

• Nursing Services• Personal Care• Alzheimer’s and Dementia

Care• Medication Supervision• Expert Care Management• Respite Care for Family

Caregivers

• Light Housekeeping• End of Life Comfort Care• Escort to Appointments

and Social Events• In-home Safety

Assessments• Shopping and Errand

Running

• Nutritional, Diet Meal Preparation

• 24/7 Availability• Personality and Skill

Matching• Individual and Service

Plans

541-236-4247 www.SOIHC.com


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• Hourly Care• Live-in Care• Companionship• Errands & Shopping• Personal Care

• Meal Preparation• Light Housekeeping• Bathing• Dressing

• Monitor Medications• Respite Care for Family• Care After Surgery• 1 to 24 Hour Service

We Bill Long Term Care Insurance

(541) 479-0993831 N.E. 7th #102

Grants Pass, OR 97526

www.OregonAdvantageHomeCare.com

State Licensed, Bonded-Insured

Locally Owned & Operated Since 1998

for the Very Best in In-Home Supportive Services

We will be there so you & your loved ones canHave Peace of Mind

541-499-6205

www.peaceofmindihc.com

“A local company who believes in a Hands-On

approach in caring for the Elderly of our community”

Here are just some of the services we offer…

Bathing, Dressing Medication Administration Reminders, Transportation,

Shopping, Errands, Light Housekeeping & Laundry

ApprovedMedicaid

Companionship

after hours 541-973-8825


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n Home Care Agencies

Advantage Home Care 541-479-0993 831 NE Seventh Street #102 Grants Pass, OR 97526


All Care In-Home Care Solutions 541-857-9195 2574 West Main St Medford, OR 97501


Care Team 541-816-4400 1242 North Riverside Avenue Medford, OR 97501


Goodnow Care LLC 541-415-2794 Home Instead Senior Care 541-734-2700 81 Freeman Court Central Point, OR 97502


Home care has many benefits compared to thetwo most common approaches to senior care –residential facilities and family caregiving. Whilecaring for a loved one can be rewarding, it is oftenextremely challenging for the untrained familycaregiver. There may be several reputable nursingand assisted living facilities in your communitybut given the ratio of staff to residents, each seniorgenerally has access to 1/10th of a caregivercompared to the one-to-one care offered by acaregiver at home.

Peace of mind: You won’t have to worryabout your loved one being alone and falling orgetting injured while performing daily activitiessuch as showering and using the stove. Instead,you will be able to rest easy knowing they arebeing well cared for.

Companionship: Seniors who live alone oftenfeel loneliness which can lead to a decline inhealth. A caregiver provides your loved one witha familiar face, friendly conversation, and ameaningful human connection, all of which canhave a big impact on overall health and well-being.

Independence: Did you know, more seniorsfear moving into a nursing home and losing theirindependence than they fear death itself? nearly90% of seniors want to age in their own home. Formany Americans, our homes are our castles, andthis does not change. The home setting is the leastrestrictive environment for older adults to remainengaged with their typical daily activities in thecommunity and with family and friends aroundthem. With a range of home care services, yourloved ones have the control and the ability to leada meaningful and independent life well into oldage. In Home care services can range frommedication reminders and assistance withactivities to daily chores, meal prep and groceryshopping.


How does in-home carebenefits your loved one?

WHAT ARE THE BENEFITSOF HOME CARE?

By Ranna KrawczykSunshine In Home Care

VisitingAngels.com/Medford

541-773-5002

• All Hours, All Days

• Personal Care & Bathing

• Medication Administration

• Nursing Tasks

• Meal Preparation

• Light Housekeeping

• Appointments, Errands & Shopping

• Joyful Companionship

• Respite for Family

Free, No Obligation In-Home Assessment

We recruit and develop the highest quality team that demonstrates integrity, employ innovation to deliver quality care, and appreciate the contributions of our

clients, employees and business relationships.


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n Home Care Agencies Cont.

Peace of Mind In Home Care, LLC 541-499-6205 www.peaceofmindihc.com


Right at Home 541-414-0800 749 Golf View Drive Suite B Medford, OR 97504

Please See Advertisement Page 1 & Page 41

Southern Oregon In-Home 541-236-4247 980 SW Sixth Street Ste 10 Grants Pass, OR 97526


Sunshine In Home Care 541-659-0862 777 NE Seventh Street, Suite 208 541-441-2567 Medford, OR 97526


Visiting Angels 541-773-5002Living Assistance Services 4021 Crater Lake Ave, Suite 102 Medford, OR 97504


To care for those who once cared for us is one of the highest honors!

Our trustworthy caregivers are closely supervised and receive on-going training and education.

• Personal Care Services• Transportation• Housekeeping• Respite Care• CompanionshipWe bill long term care insurance,

White City & Roseburg VA

777 NE 7th Street, Suite 208Grants Pass, Or 97526

541-659-0862 Ranna

541-441-2567 Chrystal

Care that comes from the heart.

• Home Helper Care• Personal Care• Specialty Care

CARETEAM crew pictured with “our Shirley”

541.816.4400


541-779-4839

The


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Recently when I announced that I would beworking for a brand-new senior care agency inSouthern Oregon, the person that I was sharingthis with quickly and abruptly deflated myenthusiasm by saying “another SENIOR CAREagency, don’t we have enough here already?”

This comment aroused in me a series ofthought-provoking questions that familymembers must, at one time or another whenselecting the “perfect” agency to care for theirloved ones, encounter.

According to The Oregon Care PlanningCouncil and the list generated from SouthernOregon Retirement Connection, SouthernOregon, (Ashland, Central Point, Grants Pass,Klamath Falls and Medford) haveapproximately 21 home care agencies. Is that alot?

Well no, it is not. The latest US Census fromOregon states that Jackson, Josephine andKlamath Counties have an average estimated22.5% adults over 65. A little less than thequarter of the population of each of thosecounties. That, my friend, is a lot.

Questions: With so many agencies to choose from, how

do you know what is the best for your family andhow do you find them?

A statement in The Oregon Care PlanningCouncil suggested searching in the local yellowpages. A couple of things came to mind when Iread that:

1. Very few people use the yellow pagesanymore. Google seems to be the vehicle bywhich information is garnered.

2. Many agencies don’t always list in theyellow pages. This means you are limiting youroptions in finding the best available agency to fityour needs.

So, back to the question: How do you knowwhich is the best agency for you? Here are a fewideas to start with- Word of mouth. This reallydoes work. Ask around and find out what hasbeen the best for friends or family. What type ofservice did they provide? Was it companionshipand light housekeeping, or medicationmanagement and assistance with bathing andpersonal care? Are there dementia issuesinvolved?

Are they a licensed and bonded company?Please be aware that Oregon requires HomeCare Agencies to obtain licensing with the statehealth department and may be under the samestringent rules that Home Health agencies mustadhere to. Home Care agencies are required tocomplete extensive criminal background checksand training to potential caregivers, use of careplans, periodic inspections by the state healthdepartment.

Additionally, If your loved one is leaving ahospital or rehab center, the discharge planners,may suggest agencies that they trust and have ahistory with that they know will follow throughwith the best possible care for your familymember.

Okay, so now you have it: Word of mouth,referral from a medical professional or researchthe options from a trusted source.


Selecting the Best Home CareAgency for your Family.

Submitted by CARETEAM


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Being mindful while we care for others hasbenefits for both the caregiver and the carereceiver. Many thoughtful people explored whatit means to create a culture of mindfulcaregiving in anticipation of the opening ofSouthern Oregon Friends of Hospice’s newresidential hospice, Celia’s House in HolmesPark. In 2018, before opening in May, thevalues, aspirations and actions for mindfulcaregiving were created. These values,aspirations and actions formed the basis oftraining for the volunteers and staff at Celia’sHouse in Holmes Park with the goal of creatinga calm, healing and supportive atmosphere.

"To have the humility to listen deeply andnot assume that I know" is one aspiration of themindful caregiver. Generous listening is reallyfundamental to mindful care. It requires slowingdown and paying attention to the words and thebody language of another. Feeling heard helpsthe care receiver feel valued and loved.

Mindfulness takes regular practice.Knowing one’s own mind requires that we slowdown, breathe and pay attention to our feelingsand thoughts. At Celia’s House, each new set ofvolunteers sits in silence for 3 to 5 minutes andthen shares what is on their mind or how they arefeeling. This is the practice of knowing one’sown mind. It creates the opportunity to set asideone’s personal stresses to focus on thecaregiving at hand, keeping kindness at thecenter of everything.

Four key values of Celia’s House arecompassionate caring, respectful honoring,mindful presence and inclusiveness. Fromthese values, seven fundamental aspirations ofmindful caregiving evolve including “to havean open mind and an open heart;” “to find the

inner stillness, no matter the circumstance;” and“to have the courage to enter each moment.”

To simplify the topic of mindful caregivingfurther, basic actions form a practical guide formindful caregiving. First pause and observe. AtCelia’s House we like to say “don’t dosomething, just stand there.” Ask “what mattersmost now?” Listen quietly and deeply for thewords and the body language. Validate andclarify each person's answers and then followthrough with respectful action and kind caring.

Each person who finds themselves in thiscaregiving role can certainly practice thesehabits of mindful caregiving. “To act mindfullyrecognizing my own emotions and limits” isanother important aspiration. Some caregiversfind themselves in overwhelming situations andend up getting sick or hurt themselves. Caringfor the caregiver is an important part of mindfulcare. Recognizing one’s own abilities, strengthand emotional limits, with the ability to ask forhelp is crucial for the health of both thecaregiver and the care receiver.

“Mindfulness shows us what is happening inour bodies, our emotions, our minds, and in theworld. Through mindfulness, we avoid harmingourselves and others.” Thich Nhat Hanh

“Mindfulness means paying attention in aparticular way: on purpose, in the presentmoment, and nonjudgmentally.” Jon Kabat-Zinn

The words of Thich Nhat Hanh and JonKabat-Zinn illuminate why both the care giverand receiver are protected by the practice ofbeing a mindful caregiving.


Being a Mindful CaregiverSubmitted by Celia’s House & Southern Oregon Friends of Hospice

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n Home Health Care Supplies







n Hospice

Asante Hospice 541-552-9900

Celia’s House In Holmes Park 541-500-8911 217 South Modoc Avenue Medford, OR 97504


n Hospitals

Asante Ashland Community Hospital 541-201-4000 280 Maple Street Ashland, OR 97520

Asante Rogue Regional Medical Center 541-789-7000 2825 East Barnett Road Medford, OR 97504

Asante Three Rivers 541-472-7000Community Hospital 500 SW Ramsey Avenue

Grants Pass, OR 97527

A Final Home for All Who Need OneCelia’s House in Holmes Park opened in 2018 to offer compassionate end-of-life care to individuals on hospice who are unable to die at home. Surrounded by 20 acres of parkland in east Medford, the historic house is Southern Oregon’s first licensed non-profit 12-bed residence dedicated solely to hospice care. The culture of mindful care-giving keeps kindness at the center of everything we do.

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217 S. Modoc Avenue, Medford, Oregon 97504

To learn more call 541-500-8911, e-mail [email protected]

or go to www.sofriendsofhospice.org


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n Imaging - Diagnostic

Mid Rogue Imaging Center 541-472-5154 1619 NW Hawthorne Ave, Suite 102 Grants Pass, OR 97526


n Incontinence







n Longterm Healthcare / Rehabilitation

Highland House Nursing & 541-474-1901Rehabilitation Center 2201 NW Highland Grants Pass, OR 97526

Oregon Long-Term Care Ombudsman 1-800-522-2602Please See Advertisement This Page

Regency Care of Rogue Valley 541-479-2606 1710 NE Fairview Avenue Grants Pass, OR 97526


Royale Gardens 541-476-8891 2075 NW Highland Ave Grants Pass, OR 97526

• In-Patient and Out-Patient Therapies• Hospice & Respite

1710 N.E. Fairview Avenue • Grants Pass, Oregon

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Silver PagesP.O. Box 3451

Ashland, OR 97520email: [email protected]

779-4839 • Fax: 482-2559 If Not Returned We Assume it’s O.K.

(541) 479-2606

“Bring independence to living and quality to life”

• Medicare/Medicaid Certified• Subacute Unit• Long-Term Care

Prayer can freshen you up every evening and send you out renewed

each morning. It releases and keeps power flowing freely and seems able even to normalize the aging process.


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Stay Active & Have Fun!Widely Used for Aches and Pain*

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n Marijuana

House of Leaves 541-488-6776 488 N Main St Ashland, OR 97520

259 East Barnett Road, Ste 1 541-816-4204 Medford, OR 97501


n Medicaid Counseling

Aging and Disability Resource 541-618-7572 Connection (ADRC) 2860 State St. 541-776-6222 Medford, OR 97504 2101 Hawthorne Ave 541-474-3110 Grants Pass, OR 97526

Financial Aid Center for Long 541-479-2415 Term Care 119 NW “E” Street Grants Pass, OR 97526 Qualify for medicaid and save assets.


541-779-4839

The


SILVER PAGES

Now, I say to you today my friends, even though we

face the difficulties of today and tomorrow, I still have a dream.

It is a dream deeply rooted in the American dream. I have a dream

that one day this nation will rise up and live out the true meaning of its

creed: - ‘We hold these truths to

be self-evident, that all men are created equal.

Martin Luther King Jr (1929 - 1968)

Massie Ferry used to cross the Rogue River at the town of Agness where Indian Mary Park in

today.


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Mercy Flights was the first civil AirAmbulance Service in the entire Country! TodayMercy Flights employs more than 140 people inour community, with 25 Ambulances, respondingto over 26,000 calls last year. Mercy Flights hastwo types of Air Ambulances, three Twin-EngineKing Air C-90s and a Bell 407GX Helicopter.All aircraft are equipped for critical care, withstate-of-the-art medical equipment and highlytrained crews.

As many people have learned, emergencymedical transport is very expensive. Groundambulance fees start at more than $1,144, fixed-wing $13,442, and helicopter $20,745 plusmileage. But at Mercy Flights, membership willprotect your family from the high cost of theselifesaving services.

Our membership program is designed to fillthe gap left by inadequate or nonexistentinsurance coverage, with out-of-pocket costseliminated or drastically reduced. When youhave a membership, Mercy Flights will bill your

insurance and will accept what your insurancepays as payment in full. For example, if thecharge is $3,000 and your insurance pays $2,000,Mercy Flights will write off the balance. If MercyFlights receives no insurance payment, you willonly be responsible for 50% of the bill.

Currently 18,000 households have discoveredthe value of these memberships. Annual rates forindividuals are $75 and $85 for families, withdiscounts for seniors and groups. Aand if you donot use our services, your annual membershipfees can be a tax deductible donation. MercyFlights operates solely on its membership, userfees and donations. If you’d like to learn moreabout membership, including the Angel Programwhere you can give the gift of membership tosomeone you care about, call Mercy Flights orvisit mercyflights.com. Mercy Flights – We’rehere for you, because of you!

Mercy Flights, Inc.2020 Milligan Way, Medford, OR 97504541-858-2646 – www.mercyflights.com

FOR EMERGENCIES – CALL 9-1-1

Mercy FlightsServing our Community since 1949!

MercyFlights_2 Column new 1/21/19 2:10 PM Page 1

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Let’s talk about INSOMNIABoy, what a subject- who hasn’t struggled

with insomnia in their life?Answer: We all have! A little problem for

most and a BIG problem for so many.Here’s the situation:-We have a sleep cycle.-We have a wake cycle.When one is turned on-the other is turned

off- Insomnia can be a problem with either partof this cycle: too much wake or too little sleepdrive.Insomnia And The Brain:

Some people are biologically prone toinsomnia and seem to struggle with sleep formany years without any identifiable cause-evenwhen they follow healthy sleep advice.SLEEP ADVICE:Bedroom Setting:

A. Should be very dark and especially all theway till time to get up-watch for earlysunrises in the summer. I wear an eyemask every night.

B. Should be very quiet-watch out for streetnoises, doors closing, dogs and cats,neighbors and other occupants in thehome moving about. I personally wearhigh quality ear plugs every night.

C. ”Blue Light”. This refers to cell phones,computers, TVs and even LED lighting.End your bluelight exposure an hourbefore bedtime.

D.Cool and circulation: Should be 65degrees or lower with a light aircirculation. I’m talking ”year-round.” Mywife and I set our thermostat on A/Cthroughout the winter as well as thesummer and with fan action-“on” not“auto”

-Working at home in the evenings can makeit hard to unwind and make you feel preoccupiedwhen it comes time to sleep.

-Naps in the afternoon may be helpful forsome and throw the next person into a night ofinsomnia.

-“Catching up on sleep” Sleeping “In” canupset the sleep/wake circadian rhythm cycle.Resulting in an “insomnia night”Insomnia and Food/Drink:

-Alcohol: A sedative in the beginning, onlyto disrupt the sleep later in the night.

-Caffeine: Four or more cups per day mayresult in insomnia and it takes eight hours toclear out of your system.

-Nicotine: a stimulant that results ininsomnia when consumed too near bedtime.

-Heavy meals and spicy meals: When nearthe bedtime-one can most likely expect sleepdisruption plus some regurgitation,sour–stomach feeling.Insomnia and Anxiety:

“The Dynamic Duo”, one begets the other.Who hasn’t experienced this double trouble?You feel anxious and lose sleep and then becomemore anxious because you lost sleep, then,because you lost sleep you increase your level ofanxiety-the classic, “Catch 22”. When thishappens for many nights,(or many months) youmight start feeling anxiety, dread or panic atJUST the prospect of not sleeping. This is howanxiety and insomnia can feed each other tobecome a cycle that should be interruptedthrough Treatment.

For more information call 541-474-1100.Mention this Silver Pages Article and

receive a 10% discount where applicable.(excludes insurance)

Insomnia & Sleep AdviceSubmitted by Angel Lift Dental Center

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“A Medical Problem with a Dental Solution”

781 N.E. 7th St., Ste. B • 541-474-1100

As a member of the American Academy of Dental Sleep Medicine this o�ce is committed to providing state of the art

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Your dentist, as part of a

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to eliminate sleepless nights

and tired days.

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Mention this Silver Pages ad and receive

10% DISCOUNTwhere applicable. Excludes insurance.

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n Medical Equipment & Supplies

AngelLift Dental Sleep Center 541-474-1100 781 NE 7th Street Grants Pass, OR 97526

Please See Advertiesment Page 54 & Inside Back Cover


Please See Advertiesment This Page & Back Cover


Please See Advertiesment This Page & Back Cover

Northwest Medical 541-973-2616 935 Town Centre Drive, Suite102/B Medford, OR 97504



n Medical Transportation

In Case of Emergency Dial 9-1-1

Mercy Flights, Inc Dispatch: 1-800-78MERCY 2020 Milligan Way Membership Info: 1-800-903-9000 Medford, OR 97504 Emergency and Non-Emergency Transportation


n Medical Transportation - Office Visits

Town & Country Taxi 541-476-7773Please See Advertisement This Page

(541) 476-777324 Hour Service Airport Shuttle Courier

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541-779-4839 • Fax: 541-482-2559 If Not Returned We Assume it’s O.K.

Nothing can stop the man with the right

mental attitude from achieving his goal;

nothing on earth can help the man with

the wrong mental attitude.

Thomas Jefferson


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Medicare Health Insurance DecisionsMedicare can be confusing, and when you

turn 65, most people are inundated withsolicitations and information from variouscompanies. Many people will put off making aMedicare health insurance decision because itseems quite complicated. That’s why it’simportant to have a specialist in the Medicareinsurance field that can help explain whatMedicare is, what it does, what it doesn’t do, andwhat your options are to fill in any coveragegaps.

Why Use an Agent?An agent can help remove the mystery in

Medicare and answer your questions so that youcan make a decision about your coverage basedon your lifestyle, your needs, and of course, yourbudget. It’s important to point out that workingwith an agent doesn’t cost you anything. Whenyou work with an independent agency, agentsare unbiased, meaning that the agent will have arange of programs to offer you based onappropriateness. Better yet, once you’ve decidedon the best plan for you, agents will completethe enrollment for you and can correspond withthe insurance company, taking a big headacheoff of your plate.

In fact, just some of the functions that anagent can serve include: explaining availableplans in your service area, verifying youreligibility, assisting you with enrollment,checking on the status of your application,explaining the benefits of your chosen plan,fielding your questions, calling your insurancecompany, assisting you with billing matters,

explaining enrollment periods and rules, andtelling you about upcoming rate increases whilehelping you to avoid them.

Agents are licensed, bound by rules ofconduct, earn a host of continuing educationcredits, and attend yearly seminars for handfulsof local companies selling Medicare plans inyour local area. They educate themselvesannually by taking detailed courses aboutMedicare and its changes from year to year, plusagents have an ear out in the community aboutthe customer service experience their clients arehaving with each insurance company.

Medicare Health Insurance OptionsWhile it may seem like there are lots of

different Medicare health insurance plans andchoices, an agent can help you understand thatfundamentally, there are really only a couple ofdecisions to make. Most importantly though,talk to your agent about what coverage gapsexist when someone is on Medicare, and knowthat having only Medicare will most likely notmeet all of your health insurance needs, inaddition to exposing you to financial risk—simply because Medicare is not 100% coverage.

Medicare recipients have worked hardduring their many careers, contributing toMedicare on each pay stub in order to receivethe benefits of Medicare at age 65. Allowing anagent to explain the benefits Americans work sohard for, at no cost to you, is what allowsMedicare recipients to make informed decisionsand be protected by appropriate insurance.


Turning 65: Exploring your Health InsuranceOptions with a Professional

By: Ron Morris & Lindsay Gerken, Agents, Reinholdt & O’Harra Insurance, Ashland


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n Medicare Insurance

allcare health 541-734-5520 1701 NE Seventh Street 1-888-460-0185 Grants Pass, OR 97526


American Senior Benefits 541-500-1050 945 Town Center Drive Ste B Medford, OR 97504


Reinholdt & O’Harra - Ron Morris 541-482-1921 1756 Ashland Street Ashland, OR 97520


n Nutritional Supplements


Please See Ad Back Cover

Healthway Nutrition Center 541-772-8659 845 Medford Center Medford, OR 97504



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1756 Ashland Street, Ashland, OR 541-482-1921www.reinholdtins.com

Medicare SpecialistsRon Morris & Lindsay Gerken

[email protected] [email protected] locally owned and operated for 77 years

Around here, a real person answers the phone.

We’re healthcare for locals by locals.

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At AllCare Advantage, we believe there’s something special about Southern Oregon and the way we do things around here. Because around here, we look out for each other. And around here isn’t just where AllCare Advantage is from, it’s home to the only folks we cover. To fi nd out more about us, give us a call and talk one-on-one to a real person. Because that’s just how we do things around here.

AllCare Health Plan, Inc., an Oregon Benefi t Company. AllCare Advantage is a HMO plan with a Medicare contract. Enrollment in AllCare Advantage depends on contract renewal. Call toll free: (888) 460-0185; TTY/TDD: (800) 735-2900. Calls are answered seven (7) days a week, 8 a.m. to 8 p.m. Pacifi c Time. O� ce hours are Monday–Friday, 8 a.m. to 5 p.m. Pacifi c Time. Plans are limited to residents of Josephine and Jackson Counties, as well as Glendale and Azalea in Douglas County. Y0048_2019Printad7_M

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Carol was visiting a friend when she decidedto share her grandson’s picture. As she looked atthe familiar picture of the mischievous four yearold climbing a fence, she noticed somethingpeculiar. Her grandson’s face was blurry and thestraight wood fence background appeared wavy.

Carol was diagnosed with Age-RelatedMacular Degeneration (AMD) and quicklylearned that she was not alone. AMD is the mostcommon cause of significant vision loss forpeople over 65 affecting more than 11 millionAmericans. Fortunately for Candice, a course oftreatment improved her vision and will mostlikely prevent future vision loss. We are luckythat with the help of advancements in the last tenyears, we have slowed the progression of AMD,a devastating disease for many patients. Twopreventable risk factors for developing thedisease are smoking and high blood pressure.Smokers have at least twice the rate ofdeveloping AMD.

Carol discovered that she could play asignificant role in her own treatment by taking asupplementation of vitamins and minerals. Thespecific daily amounts used to treat AMD are500 mg of vitamin C, 400 IU of vitamin E, 80mg of zinc, 2 mg of copper, 10 of lutein, and2mg of zeaxanthin. Copper was added to theformulations only to prevent copper deficiencyanemia from high levels of zinc intake.

She also complemented the vitamins byeating a diet rich in fruits, vegetables, andomega-3 fatty acids. These foods should be highin antioxidants such as cartenoids and beta-carotene, lutein, and zeaxanthin. Antioxidants

are substances that offer protection from free-radicals which are cell waste products that causecell damage. For most people liquid or capsulesof cod liver oil is a simple addition of omega-3antioxidant to their diet. Other sources ofomega-3 are wild fish, walnuts, and flax seeds.

Here are some examples of foods that arehigh in vitamins, zinc, and good eye healthychoices:

• Vitamin C: Oranges, grapefruit, melon,broccoli

• Vitamin E: Whole grains, olive oil,almonds, avocados, blueberries, spinachand beans

• Zinc: Oysters, meat, flounder, sole,sardines, cashews, walnuts, pumpkin seeds,beans, dairy products, and sesame seeds.

• Caretenoids: Grapes, oranges, apples,apricots, peaches, nectarines, cantaloupe,kale, collard greens, spinach, broccoli,carrots.

Simple changes can be helpful. For example,at breakfast, add blueberries to cereal, andspinach or kale to omelets. At lunch and dinner,always use whole grain breads and topsandwiches with sprouts and greens. Lightlycook vegetables, ensuring they retain theirvitamins. When dining out, ask for grilled meatsand lightly cooked vegetables. Consider tryingthe vegetarian options, a great source of eye-healthy vitamins.

Simple additions to a healthy diet will dowonders in prevention, treatment, and youroverall well-being.


Healthy Diet for Healthy EyesBy Eugene Chang MD, Oregon Retina Center

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Floaters, or small specks that float acrossyour vision, are a common complaint in middleaged and elderly people. These specks occur inthe vitreous humor, the clear, jelly-likesubstance in the main chamber of your eyelocated between your lens and your retina. Whenyou’re young, the vitreous is clear. As you age,the vitreous degenerates. Collagen fiberscollapse and bind together to form clumps.These clumps are what cast shadows on theretina and are the floaters you see. As thevitreous continues to collapse, it can lead to aposterior vitreous detachment or PVD. A PVD isoften associated with new floaters and flashes oflight around the periphery of your vision. Thiscan sometimes cause tears in the retina so youshould have a dilated eye exam with a retinaspecialist if you are experiencing thesesymptoms. Once your eye doctor has ruled out aretina tear, the annoying floaters can byaddressed.

Historically, the only remedy for floaterswas a vitrectomy, or removal of the vitreous inthe operating room. Side effects of thisprocedure were having to undergo anesthesia,worsening of cataracts, risk of bleeding andinfection, and rarely loss of vison. For thesereasons, most patients were advised to just “livewith” the floaters. However, floaters can bequite bothersome to some patients.

A new procedure allows a laser to treat thesefloaters in the office. The Ellex Ultra Q ReflexYAG laser was used in the first randomizedcontrolled clinical trial of YAG-vitreolysis forvitreous floaters. The study, published in JAMAOphthalmology, a major peer reviewed journal,demonstrated that treatment reduced both thesubjective symptoms and objective findings of

vitreous opacities. 53% of patients in the lasertreatment group reported significantly orcompletely improved symptoms vs 0% ofindividuals in the untreated group (P < .001). Noclinically relevant adverse events wereidentified.

YAG-Vitreolysis involves the application ofnanosecond pulses of laser light to vaporize thevitreous opacities and to sever the vitreousstrands. The floater’s collagen and hyaluroninmolecules are converted into a gas. The endresult is that the floater is removed or reduced toa size that no longer impedes vision. YAG-Vitreolysis is performed in the office so you donot have to go to the hospital. Only a mild,topical anesthetic is required. A contact lens willbe placed on your eye to better focus the laserdirectly onto the floaters. During the treatment,you will likely observe bright lights and smalldark shadows as the floaters are being vaporizedinto small gas bubbles. These gas bubblesquickly dissolve. Each treatment sessiontypically takes 15-30 minutes. More than onetreatment may be necessary to obtainsatisfactory results. Following treatment, youmay observe small black floaters at the bottomof your vision from the gas bubbles producedduring the Vitreolysis. These dissolve quickly.Rare side effects include cataract and an increasein the intraocular pressure.

If floaters are bothering you and impactingthe quality of your vision, limiting your abilityto function, schedule an appointment for anevaluation to see if YAG-Vitreolysis could helpyou.

For more information call 541-842-2020 orvisit www.retinacarecenter.org.

FLOATERSBy Adam AufderHeide, MD, PhD, Retina Care Center


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MEDFORD • GRANTS PASS • ROSEBURG • WWW.OREGONRETINA.COM • (541) 770-2020

Bringing Experience & Innovation to Eye Care

State of the Art Technology

Advanced Specialized Therapies

Macular Degeneration

Diabetes Eye Care

Expert Eye Care With Compassion

Retina Research Institute


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n Ophthalmology

Oregon Retina Specialist 541-770-2020 1518 Barnett Road Medford, OR 97504

1867 Williams Highway, Ste 107 541-244-2200 Grants Pass, OR 97527

Please See Advertisement Page 60 & Inside Front Cover

Retina & Vitreous Center 541-488-3192 246 Catalina Drive Ashland, OR 97520

1019 NE Seventh Street 541-956-6471 Grants Pass, OR 97526


Retina Care Center 541-842-2020 748 State Street 1-800-770-1092 Medford, OR 97504

1236 NE Seventh Street 541-842-2020 Grants Pass, OR 97526 1-800-770-1092

Please See Advertisement Page 1 & Page 60

n Optometry

Lassman’s Fine Eyewear 541-774-3937 530 Crater Lake Ave Medford, OR 97504


541-488-3192retinaandvitreous.com

ASHLAND • MEDFORD • GRANTS PASS

The Largest and Most Experienced Retina Care Center in Southern Oregon• Three Offices for Your Convenience• State of the Art Diagnosis, Treatments & Technology• Compassionate Patient Care & Advocacy• Continually Updated Technologies• Surgical & Therapy Innovators• Clinical Trials in Macular Degeneration & Diabetic Retinopathy

Christine Gonzales, MD William Rodden, MD John Hyatt, MD


Email, Fax or Call by ASAP Make Changes

Satisfied Silver Pages

P.O. Box 3451Ashland, OR 97520

email: [email protected] • Fax: 482-2559 If Not Returned We Assume it’s O.K.

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Silhouette • OVVAMaui Jim’s and more....

541-774-3937530 Crater Lake Ave. Medford, OR

www.lassmans.com

We Accept All Doctors Prescriptions & Most Insurance


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Age-related macular degeneration (AMD) isthe leading cause of blindness in the U.S. forpatients over the age of 50. AMD affects thecentral retina (the macula) and can lead todifficulty focusing, blurry vision, or distortion.Most of the time, the disease manifests as the dryform of disease before signs of wet AMD develop.

In dry AMD, slowly progressive atrophy of thepigmented cell layer deep to the retina (the RPElayer) occurs. This RPE reduces the harmfuleffects of light, removes free radicals and otherharmful byproducts of retinal metabolism, andserves other important functions. As the RPE cellslose functionality, the photoreceptors (rods andcones) also degenerate, resulting in vision loss.

In wet AMD, accounting for 10% of cases,abnormal blood vessels develop under the retinaand cause fluid exudation and hemorrhage whichultimately leads to scarring and significant loss ofvision if left untreated. Dry Macular Degeneration

Although there is no proven treatment for thedry form of the disease, antioxidant vitamins havebeen shown to slow the progression of atrophy. Inthe Age Related Eye Disease Study (AREDS), alarge multicenter trial sponsored by the NationalEye Institute (NEI), Vitamins C, E, beta carotene,Zinc and copper were shown to lower the risk ofprogression by 25%. A second study, the AREDS2was conducted with a vitamin combination thatused a lower dose of zinc and replaced the betacarotene with Lutein and Zeaxanthin, because betacarotene can increase the risk of lung cancer inpatients with a history of smoking. The AREDS2formulation was effective in lowering the risk ofprogression.

Newer treatments are being studied for dryAMD including drugs that suppress inflammationknown to contribute to the disease and surgicalimplantation of stem cells or RPE cells.

Wet Macular DegenerationCurrent treatment for wet AMD involves

injections of medications into the eye that blocksspecific growth factors which contribute to theabnormal vessels growth and leakage. Thesetreatments do not cure the disease and they need tobe repeated on a regular basis to suppress diseaseactivity. While these treatments have provided aneffective means to preserve vision in manypatients, newer treatments are being studiedincluding treatments that block different molecularmediators of disease, treatments that last longer orhave higher affinities for the growth factors thatwe are trying to suppress, sustained releasedevices and gene therapy. These investigations arestill fairly early in the phases of development, andit may be many years before these newertreatments are available if they prove to beefficacious.Patient Recommendations

Dietary modifications in addition to oralantioxidants can lower risk of disease progression,therefore, patients with AMD are encouraged toeat leafy green vegetables and fruits. Alpha-3Omega fatty acids found in food sources such asfish, flax seeds, and walnuts are also beneficial.Smoking cessation is recommended as smoking isa significant risk factor for progression toadvanced AMD.

It’s important to remember that vision lossfrom macular degeneration is often preventable.Any person who experiences visual loss shouldseek immediate medical attention. Early treatmentfor wet AMD is extremely important and can makea difference in maintaining driving and/or readingvision.

For more information call 541-488-3192 orvisit www.retinaandvitreous.com.

Age-Related MacularDegeneration

Christine R. Gonzales, M.D., Retina and Vitreous Center/ Macular Research Institue


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n Ostomy Supplies


Please See Advertisement This Page & Back Cover





n Pharmacy

Black Oak Health Mart Pharmacy 541-773-5356 2924 Siskiyou Blvd Compounding: 541-494-2610 Medford, OR 97504 Specializing in compounding for your individual needs.

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Cascade Pharmacy 541-826-4414 7591 Crater Lake Hwy White City, OR 97503

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n Pharmacy

Medicap Pharmacy 541-535-5843 205 North Pacific Hwy Talent, OR 97540




Siskiyou Community Health Center 541-472-4777 1701 Hawthorne Ave Grants Pass, OR 97526


Siskiyou Community Health Center 541-592-4111 25647 Redwood Hwy Cave Junction, OR 97523


of Experience

East Meets West

FAST, FRIENDLY SERVICE • DRIVE-UP WINDOW • FREE LOCAL DELIVERY • EXPERT ADVICE

Pharmacist Rick Chester is also a licensed

naturopathic physician and acupuncturist.

541-535-5843

Talent, OR 97540

A Locally Owned Pharmacy for all of your Conventional and Alternative Medicine Solutions.

within 15 minutes

• Custom compounded medications prepared for you and your pets

• Expert advice and referrals for both conventional and alternative healing resources

Mon - Fri: 9am - 6pmSat: 9am - 1:30pmTalent.Medicap.com

Integrated Wholistic and Natural

Products to Promote

Health and Wellness

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Oregon TriviaKlamath Forest National Refuge contain the largest concentration

of bald eagles in the U.S.


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Do you think of your pharmacist as the busyperson behind a window or counter? Someonewho simply prepares and dispenses medications?We’ve long been more than just drug experts. Butover the past 20 or 25 years, our role hascontinued to expand. Building a relationship withpatients to enhance their health has become avital part of our profession.1

Getting to know you. You, too, are likely tobenefit from working closely with a pharmacistwho knows you well. That’s someone who knowsyour health concerns, recalls your medicationhistory, and can help you stay on track. Apharmacist who knows you well will also beacquainted with your medical history. And all ofthis can only help when it comes to advising youabout:

• Potential drug, supplement, or foodinteractions

• Possible allergies or side effects• What to avoid while taking a medication or if

you miss a dose• When to call the doctor Who benefits? These

are examples of people who may benefit themost:

• Those with chronic or complex conditionswho are likely to take more than onemedication.

• Older individuals, who often value apersonal touch tailored to their unique needs.

• Patients recently discharged from thehospital who may need extra help managingtheir prescriptions and care.

• Parents who are busy and need speedyservice and accessibility.2

Let’s work together. Building a trusting,long-term relationship with a pharmacist is noless important than it is with your doctor. Sharedknowledge may not only make you less anxious,but also really pay off in terms of healthoutcomes. For one thing, you’re more likely toreap the benefits of your medicine while havingfewer problems.3

Why is that so? Research shows that if youtrust your pharmacist, you’re more likely to takeyour medicines the right way and to staywatchful for side effects.4 Here are a few otherreasons to value this relationship. You are morelikely to:

• Feel comfortable asking questions.• Request information about adverse effects

and drug interactions.• Understand instructions.• Share information, which can help the

pharmacist better guide you indecisionmaking.

• Follow up if you have a problem.1,3

A ready resource. With longer hours and noappointment needed, community pharmacists aremore accessible than many health careprofessionals. That makes it easier to get answerswhen you need them. We’re also often involvedin a wide range of other public health services.This includes health screenings, immunizations,paincontrol, research, and lifestyle management.5

Why not take advantage of all we have tooffer? I, for one, am ready and willing to be anally in your quest for better health. Come talk tome, and let’s have a conversation.


Sources1. AlGhurair S et al. Patient Pref Adherence.2012;6:663–676. Availableat:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3461603/ Accessed9-3-18.2. HealthMart: Get Customers to Switch to Your Pharmacy. Available at:https://join.healthmart.com/pharmacy-marketing-and-promotions/getcustomers-switch-pharmacy/ Accessed 9-3-18.3. ShareCare: Why is building a relationship with a pharmacist soimportant?Available at:https://www.sharecare.com/health/health-care-basics/pharmacistrelationship Accessed 9-3-18.4. Albrecht, S. (2011, May 18). The Pharmacist’s Role in MedicationAdherence.Availableat:https://www.uspharmacist.com/article/the-pharmacists-role-inmedication-adherence Accessed 9-3-18.5. APHA: The Role of the Pharmacist in Public Health. Available at:https://www.apha.org/policies-and-advocacy/public-health-policystatements/policy-database/2014/07/07/13/05/the-role-of-the-pharmacist-inpublic-health Accessed 9-3-18.

Build a Relationship with Your Pharmacist:You May Become a Healthier Person

Submitted by Black Oak Pharmacy

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Strong bones are the foundation ofmovement and quality of life. As we age bonesoften begin to weaken and increased fracturerisk becomes a very real concern. Much researchhas investigated the mechanisms behind bonehealth and many drugs have been developed,some better than others. What does naturalmedicine have to offer here? Let’s exploresupplement and lifestyle tips that are oftenemployed.

Calcium and vitamin D have a long standingreputation for supporting healthy bones. Whenlooking at modern calcium supplementation, ourprimary concern is ease of digestion andappropriate dosage. How well a given individualdigests calcium can vary, so using easy to digestforms of calcium and considering digestive aidssuch as HCL is recommended. Favored forms ofcalcium include everything from calcium citrateto microcrystalline hydroxyapatite to wholefoodsourced calcium. While past recommendationshave favored high milligrams (1200mg+),current approaches suggest moderate calciumsupplementation (500-1000mg), complementedwith supporting ingredients for safety andeffectiveness. Analyzing your dietary calciumintake can be very helpful in determining theappropriate amount of calcium to supplementwith, for you as an individual.

Modern research on supplements for bonehealth points towards comprehensive solutions,going well beyond calcium. Many othernutrients are required for bones to functionoptimally, including magnesium, zinc, boron,silica, vitamin K and more. These nutrients worktogether to support the numerous processes thatkeep bones healthy and help our body safelymanage calcium. For example, vitamin D helpscalcium absorption from our digestive tract toour blood stream. From there, vitamin Kactivates special proteins in our blood that helpto shuttle calcium to our bones, keeping excess

calcium out of our cardiovascular system. Thisis a peek into the true power of supplementationand balanced nutrition, where the careful concertof nutrients work together to support optimalbone health.

The latest addition for bone health protocolsis collagen, which makes up nearly 30% of ourbones. Collagen is a special type of proteinfound not only in our bones, but also connectivetissue like skin and joints. It’s beneficial to themicroarchitecture of our bones (read strength),their flexibility and also mineralization. Dietaryexperts point out that our diets once had higheramounts of collagen, but modern diets typicallyhave little to none. Acknowledging collagen’simportance to bone health, many expertsrecommend re-introducing collagen rich foodsto your diet. In addition to foods, supplementalcollagen or bone broth products have becomequite popular. For vegetarians, supplements thatsupport your body’s production of collagen likeactivated silica, the amino acid glycine andvitamin C are top choices in this category.

No healthy discussion on bones would becomplete without acknowledging theimportance of exercise. This is especially truewith weight bearing exercise when appropriate,as it’s particularly supportive of bone strength.In addition to standard exercises, practicing TaiChi or similar activities can help overall qualityof life and improve balance. While our mainfocus is supporting strong bones, improvingbalance is another way to reduce fracture risk.When exercising always remember to do sosafely and coordinating with a professional isencouraged.

There’s so much that can be investigated tosupport your bones! Talk to you doctor aboutwhich approach may be best for you and keepyour foundation strong!


Natural Support for Bone HealthBy Tyler Giles of HealthWay Nutrition Center


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Do you have painful, arthritic joints in yourfeet? Do you suffer with foot pain that limitsyour ability to stay active or even bear weight?These are common conditions in the agingpopulation. Often patient’s are seen becausethey’re foot pain prohibits them from engagingin activities that require them to be on their feet.The common complaint is, “I want to be active,but my feet hurt too bad.” There are optionsavailable now, via advancements in medicaltechnology, which allow us to more effectivelytreat many of these ailments. The first modalityadvancement is with a device that has been usedfor centuries to address said symptoms, footorthotics. With today’s technology, we are ableto design and fabricate 3-D printed devices thatare not simply the static, hard plastic shells ofold, but light and somewhat flexible devices thathelp to both cushion and functionally supportyour foot during weight-bearing activities.These devices have proven to be very effectivein helping to mobilize people that haveotherwise been unsuccessful in findingsomething to relieve the pain in their feet. Wehave been working with a company out ofBelgium since 2016 to improve upon theefficacy of this new innovation.

The second modality in treatment of thearthritic foot and ankle is the utilization of

Platelet-rich Plasma (PRP). Although this is notnew technology, the ability to provide thetreatment has been improved by technology.Arthritic joints are one of the newer conditionsthat PRP can now readily treat. PRP involvesdrawing a small vial of the patient’s blood,utilizing a proprietary based centrifuge to spindown the blood and separate the amino acids,proteins and other healing components from theplasma. This is then loaded into a syringe forinjection into damaged ligaments, tendons andeven joints to promote cellular healing of thesestructures. Often, this is performed withultrasound guidance. Typically a procedure likethis can be performed in an office setting,requiring 15-20 minutes of your time. Althougheveryone may not be a candidate for thisprocedure, a clinical evaluation of the foot withlimited diagnostics such as on site x-ray wouldhelp determine these parameters.

Currently there is no cure for arthritis or theexquisite wear and tear that we expose our feetand lower extremities to throughout our lives.There are, however, effective options, topotentially help eradicate much of the pain andother symptoms associated with theseconditions, to allocate a higher quality of life.


Arthritic Joints in your FeetSubmitted by Active Foot & Ankle Center


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PODIATRIC PHYSICIANAND SURGEONNew Patients Welcome

Urgent Patients Promptly SeenENDOSCOPIC FOOT SURGERYENDOSCOPIC HEEL SURGERY

ADVANCED DIAGNOSTICS

Patrick T. CodeD.P.M., F.A.C.F.A.S.

BOARD CERTIFIED

Specializing in diseases, injuries and surgery of the

foot using the most modern innovations in treatment.

Serving the Valley for Over 20 Years

Certi�ed by the American Board of Foot & Ankle Surgery

Fellow of theAmerican College of Foot & Ankle Surgery

On Medical Sta� at

Asante Rogue Regional Medical CenterAsante Ashland Community HospitalSurgery Center of Southern Oregon

Latest Technology for Fungal Toenail Infections

Safe Painless TreatmentNo Recovery Time, Just Walk In & Walk Out

Takes Less Than 10 Minutes

541-773-3338 2655 Siskiyou Blvd, Medfordwww.roguevalleyfootandankle.com


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This institution is an equal opportunity provider and employer.

MEDICAL | DENTAL | PHARMACY | WALK-IN CLINIC | HEALTHY FAMILIES

1701 NW Hawthorne Avenue • Grants Pass25647 Redwood Highway • Cave Junction 1380 Biddle Road, Suite D • Medfordwww.siskiyouhealthcenter.com

(541) 472-4777

Keeping People Active

Specializing in:• The diabetic foot• Arthritic foot and ankle conditions• Foot deformities• Foot and ankle trauma

490 Murphy Rd, Medford 541-779-5227 activefoot.org

Heather A. Holdermann, DPM

James S. Holdermann, DPM

W. David Goforth, DPM


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n Physicians

Active Foot & Ankle Center 541-779-5227 490 Murphy Road Medford, OR 97504


Medford Women’s Clinic 541-864-8900 3170 State Street Medford, OR 97504 Rogue Community Health 541-773-3863 19 Myrtle Street Medford, OR 97504 99 Central Avenue, Ashland 541-482-9741 8385 Division Road,White City 541-826-5853 722 Laurel Avenue, Butte Falls 541-842-7799

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Rogue Valley Foot and 541-773-3338Ankle Clinic, P.C. 2655 Siskiyou Blvd Medford, OR 97504


Siskiyou Community Health Center 541-472-4777 1701 Hawthorne Ave Grants Pass, OR 97526


Siskiyou Community Health Center 541-592-4111 25647 Redwood Hwy Cave Junction, OR 97523


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200 Hawthorne Avenue SE · Suite F-650 · Salem, OR 973014938 Crater Lake Avenue · Medford, OR 97504


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Medical has seemingly become a necessityof absolute. We want to have care, we need tohave care, most of us would prefer-to-havepreventative care, rather than find after monthsof pain, discomfort, and “learning to live with it”that we actually have a serious diagnosis. Withthis in mind, I’d like to share my recentexperience with you.

Recently, I decided to get a check up on theitems that were just annoyances gone on toolong. I was pleased to present my insurance card,pay my copay and schedule the follow up visitfor labs. On my lab day, I showed up fasting,paid my copay and scheduled my follow upappointment for results. By the time my followup for results had come, I felt that I had receivedgreat care by the provider, the front desk teamwas welcoming, and I was “pleased as punch” toturn it all into insurance. Whew! What a sigh ofrelief! Health care, without breaking the bank.

I want to be clear, I had at least five visitswith the provider. Once I had results of the labs,we looked at supplements, meds, etcetera fromthe pharmacy and had more scheduled visits onthe calendar. I felt that I was sleeping better,concentrating better, overall- feeling more wellthan I had before. Then, the crash.

I received my bill in the mail. I had billsfrom everywhere I had been. I felt “GPStracked” for all my medical appointments, pick-ups at the pharmacy, the GPS had even followedmy blood to the lab! Now all hands in the cookiejar! Here this wonderful insurance, of which thepremium had been paid for a year and the copaypaid at each visit, was telling each aspect of thehealthcare wheel that I had not met my

deductible, so they would pay nothing. To makematters worse, upon review of my bills, theprovider had billed me for the exact service thatthe lab had provided. Interestingly, thelaboratory was less expensive with their servicethan my provider.

Now if you are familiar with this scenario,you’re probably thinking, “Yep! That’s the wayit is.” I hear many people say that health-coverage has gone to catastrophic insurance.They are now finding ways for themselves andtheir family to find alternative, cost effective,great care that has nothing to do with aninsurance card. Some of the crowd aresuccessful in their findings. Many are strugglingsomewhere in the mess, like myself. Some arejust not getting healthcare because of it.

I would always encourage you to gethealthcare. Be sure you and your loved ones areon the road to health or staying healthy. Checkyour options, be sure to ask questions,information will help you to make the bestdecision for yourself.

In my quest for healthcare as an affordableoption, I found Mid Rogue Imaging Center.They are a nonprofit organization who give backto the community the very service that theyprovide. Most patients save approximately 70%when going to this center, whether it is forMRI’s, CT’s, Ultrasounds, sleep studies, EKG’sor X-rays. They have professional, friendly staffwho believe in being part of a solution for theirpatients. I have trusted them with my child’scare and would recommend them to you.


Is Healthcare AffordableSubmitted by Sherry Detwiler, Mid Rogue Imaging Center


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I love it when people approach me withquestions about the aging process, especiallyquestions about memory loss and confusion.For this article, I’ve chosen 5 questions I getasked most frequently.

1. What is the difference between dementiaand Alzheimer’s disease?

Dementia is defined as “memory loss andconfusion significant enough to interfere withone’s daily activities.” It is an “umbrella term”,meaning that there are many causes, possibly asmany as 700 or more. Two categories ofdementia causes are “irreversible causes” and“reversible causes”. Alzheimer’s disease makesup 23 types of irreversible dementia.

2. The follow up question I am often asked isif there is any benefit from going through adiagnostic process if there is no “cure”?

I usually answer with a resounding yes! It isenlightening to know what the cause or causes ofone’s confusion and memory loss is (are);reversible causes such as depression, infection,thyroid imbalance, dehydration and many otherscan be treated, with amazing improvement incognition. And even if the cause is irreversible,understanding which areas of cognition are stillstrong helps us know how to plan accordingly.The only time I hesitate to go beyond basic labsand evaluation with the individual’s primarycare physician is when the person wouldn’tunderstand why they are being tested, and itwould just feel humiliating and demeaning.

3. What is the difference between brainchanges due to normal aging and brainchanges related to Alzheimer’s disease oranother form of dementia?

The key to this answer is in the definition ofdementia… “significant enough to interfere withone’s daily activities”. The best guide to thissubject is called “Know the 10 Signs: EarlyDetection Matters”, by the Alzheimer’sAssociation, found at alz.org.

4. If I have dementia can it get better? No. And yes. If your dementia symptoms

are caused by a progressive illness such asAlzheimer’s disease, Frontal Temporal Disease(FTD), Lewy Body dementia, or otherirreversible causes of dementia, the underlyingillness is not going to improve. That said,people find significant symptom relief in avariety of ways. See question #5.

5. What are some things I can do to make mylife with dementia more tolerable?

There are several approaches that can beexplored. Some medications help slow down theprogression. Managing pain and illness makes adifference in mental abilities and overallwellbeing. People who join our support groupsor engage in hobbies report that they feel lesslike a “patient” and more valuable as a person.People who use a reliable routine to managetheir daily commitments experience less stress, astronger sense of control and increasedindependence. Several people I know havefound diets that help them minimize theirsymptoms. Finally, almost everyone I talk withreports that counting their blessings or lookingat the half full part of the glass makes the biggestdifference in their quality of life.

For more information call (541) 601-5341 or visit www.poweroftheheart.com.

5 Questions Frequently Asked by PeopleExperiencing Dementia and Their Families

By Marya Kain, MS, CMC, Power of the Heart: Dementia Care Education and Behavior Coaching

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Every second of every day an older adult falls.Last year, more than one in four older adultsreported falling and more than 28,000 older adultsdied as a result of falls—that’s 74 older adults everyday. It is estimated that every 20 min an older adultdies from a fall in the United States. There aresimple steps you can take to prevent falls anddecrease fall risks. Throughout the home

• Remove throw rugs so you do not trip on them. • Replace or remove carpet that is torn or has

turned-up edges. Avoid thick carpet. Shoes maycatch on these and cause you to stumble or fall.

• Move furniture or other things that may blockpathways.

• Be sure you have good lighting throughout yourhome.

• Use night lights or leave some lights on in thehouse to help you see at night or when youcome home in the evening.

• Use switches that glow in the dark, so they canbe seen more easily.

• Keep electrical cords and small things out ofyour path.

• Use your cane or walker rather than usingfurniture to give you support when walking.

Stairs• Mount sturdy handrails to help with going up

and down stairs. They should extend beyond thetop and bottom stair.

• Improve the visibility on your stairs. Have goodlighting on the stairs. Non-skid surfaces can beapplied to wood stairs to prevent sliding.

• Paint a bright colored line on the edge of eachstep so they are more easily seen, especially ifyou have poor vision.

In the bathroom • Place non-skid decals or a mat in the tub or

shower. • Install grab bars around the toilet and in the

shower or bathtub. Towel bars are to holdtowels, and they will break if you use them asgrab bars.

• Use a tub seat and an elevated toilet seat.

• Leave the bathroom door unlocked so it can beopened if you do fall.

In the bedroom • Avoid wearing long nightgowns or robes. These

can cause you to trip. • Avoid wearing loose shoes that cause you to

scuff or shuffle your feet as you walk. Wearshoes or slippers that fit well and stay securelyon your feet.

In the kitchen • Have commonly used items at counter level or

within easy reach. • Do not climb or reach to high shelves. • If you use a step stool, use a stable step stool

with a handrail. Other tips

• Be careful that you do not trip over your pet. Beaware of where your pet is when you aremoving around.

• Use caution when sitting down. Before sittingdown on a chair, make sure the backs of yourlegs are touching the seat of the chair behindyou.

• Keep a telephone close by or consider carryinga portable phone.

• Take your time. Get in the habit of moving atspeeds that are safe for your energy level andability. Do not rush to answer the phone or door.

• Ask for help when getting up from bed, a chairor the toilet if you feel at all shaky, weak, dizzyor lightheaded.

• Exercise regularly. Exercise improves yourbalance and coordination. Consider joiningclasses for balance.

• Have your vision checked at least once a yearby an eye doctor.For more information contact Siskiyou

Community Health Center at (541) 472-4777 andschedule an appointment with your health careprovider. Have your health care provider orpharmacist evaluate all of your current medicationsincluding those that are prescribed and those that areover the counter. Some medication combinationswill create dizziness and set you up for falls.

Decreasing Fall Risk by Kim Waller, PA-C, CCD, CDE, NCMP, Siskiyou Community Health Center


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Inflammation? What is it? Inflammation is your immune system

reacting, like when you have gotten a bee stingand you swell up around it, or you sprain yourankle and it swells for a few days. Inflammationcauses the swelling, which brings cells andsubstances to heal what is hurt. This is a good thing. So how can things gowrong?

Your immune system works very hard. It isconstantly looking for and neutralizing foreignsubstances so they don’t harm your body. That isgood. However, there can be too much of a goodthing.

We live in a very toxic world. Every day,toxic chemicals get into our bodies through air,water, food, even common household andpersonal care products. Much of our foodcontains pesticides, herbicides, dyes,preservatives, additives, artificial colorings,flavorings and sweeteners. Our bodies react tothese toxins by producing inflammation.

Even “natural” foods we have trusted causeproblems. For example, the wheat we eat in theU.S. has been so modified that it containsproteins that our immune systems see as ‘foreign’and therefore treat as enemy. Also, it isestimated that 90% of the non-organic wheat inthe U.S. is heavily sprayed with glyphosate, achemical so toxic and dangerous that it has beenbanned in Europe. Many of us have gotten sooverloaded with so many toxins we are in a stateof chronic inflammation.

Imagine those cells and fluids that cause avisible swelling in your sprained ankle, and thenimagine them circulating all over your body.

Inflammation is also caused by stress, highblood sugar, poor sleep, chronic infection, oreating foods to which we have become sensitive.

What can be affected? Almost anything.Generalized inflammation can cause

symptoms like fatigue, pain or achiness, foggybrain, weight gain, belly bloating, headaches, orworsening of arthritis pain. Artery damage thatleads to heart attacks and stroke are caused notonly by lipids but also by inflammation.

Autoimmune disorders happen wheninflammation causes an attack of a specific tissueor organ system. Epidemic in this country, thereare over 140 autoimmune disorders recognized,including Hashimotos Thyroiditis, RheumatoidArthritis, Lupus, Fibromyalgia, various skinconditions, gut conditions, and asthma. Sixty-percent of people who suffer one autoimmunesyndrome may later develop another.What to do?

Inflammation can be measured using bloodtests, like CRP, or C-Reactive Protein. There areseveral other tests that are more specific forcertain health issues. And, how we feelsometimes is even more telling than tests.

We can usually make a big impact oninflammation if we know what is causing it.Sometimes we can see big changes byeliminating certain commonly inflammatoryfoods, like sugar, wheat, or dairy, or by doing afull elimination protocol to methodically testseveral foods at a time. Blood testing is alsoavailable and might be helpful.

Work with a doctor who specializes infunctional medicine to heal your gut, removetoxins, and identify other causes of inflammation.You can make changes to reduce your sugar load,clean up your diet and minimize your exposure totoxins. And, some herbs and nutrients can help alot to lower your body’s inflammatory response.

I have worked with hundreds of people in thisvalley who have reduced their inflammation andnow feel so much better. I know you can do it!!


Pay Attention to Inflammation! It Could Save Your Life!!

Dr. Laura Robin, Founder and Medical Director, Rosa Transformational Health

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The shape of your jawbone and gums willnaturally change over time, this means yourdentures will not fit as well as when they werefirst made. A reline can adapt the fitting surfaceof your dentures to accommodate the changingshape of your mouth, so your dentures will fitwell and will feel more comfortable.

To accommodate the changes in your gumstructure as your dentures become unsuitable forchewing as they loosen and slide around, a hardor soft reline may be necessary. Relines are anideal way to repair the fit of your dentureswithout having to do a complete new fittingfrom scratch.

Relines usually can be done in the same dayat your local denturist office. Although, somesoft relines are a two day process.

The difference between a hard reline and asoft reline. A hard reline is done with the sameacrylic material your dentures were first madewith. If you find that your dentures are not ascomfortable as you would like and you aregetting sore spots, then a soft reline may be whatyou need. A soft reline is done with a somewhatpliable material and will last about a year to ayear and a half before needing replaced. Thesoft material is generally more comfortable thanthe hard acrylic the dentures were first madewith. So, for the sensitive denture wears a softreline may be best for you.

If your dentures have not been serviced in along time and you are experiencing severalproblems. You may be thinking its time for areline or even a new denture but, your gums arered and swollen. The denturist may suggest atemporary reline or tissue conditioner whileyour gums are healing. If you had a reline or anew denture made with your gums in poorcondition, that would simply lead to moreproblems once your denture was relined or youhad a new denture made. So, this type of relinewould be best for you while your gums healedby keeping them tight and comfortable.

For a longer lasting soft reline there is amaterial called Novus soft denture liner, thatstays pliable longer than other soft liners. Novussoft denture liner provides retention withcomfort for a more natural bond between yourgums and dentures. Novus soft liner is based onPolyphosophazene (PNF) technology. The intialpurpose of PNF was for military and aerospaceprograms. The special material that wasdeveloped for these programs maintained itsproperty values while being exposed to variouselements without loss of integrity. Today PNFcreates an ideal foundation for soft dentureliners.

Call your local denturist office to see whichreline is best for you. For more information call541-476-0254

HARD VS SOFT RELINESSubmitted by Rogue River Denture


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An old road sign in South Africa reads,“Danger ahead, fasten seatbelts and removedentures.” Expectations of dentures were so lowat the time it was assumed that they couldn’t evensurvive a bumpy road without falling out. Thesign has now become a popular site to have yourpicture taken as people reflect on the humor of itall. The good news is with the advancement inmaterials, technique, and implants there is noreason to suffer with missing teeth or poor fittingdentures. Dental implants have become the newstandard of care for replacing missing or diseasedteeth. Our teeth not only shape our appearancebut fulfill our most basic human need to chewand process food. Whether you are sufferingfrom a single missing tooth or loss of them all,dental implants might be the solution for you. What is an implant?

Implants are permanent anchors that act asartificial replacements of the tooth root. A newsynthetic tooth is then placed on the implantallowing for a restoration that feels, looks, andfunctions naturally. What are some advantages of implants?

Improved chewing- Missing teeth or loosedentures make eating a challenge. Implants arepermanently attached allowing for comfortablechewing. Eat all of your favorite foods again anddo it with confidence.

Improved speech- Our teeth play a vital rolein speaking. Dentures are made to cover the roofof your mouth often changing speech patterns.Poor fitting dentures slide around making yourspeech sound slurred. Implants can replace teethso they are secured and natural feeling in themouth.

Improved appearance- Dental implantslook and feel like natural teeth and are made to

blend in and match the teeth around them. Durability- The implant is made of titanium

and other durable components. Not only is itstrong but it will never get a cavity.

Predictability- Dental implants have beenplaced for over 30 years and are now safer andmore predictable than ever before with successrates over 95%.

Protection of neighboring teeth- Alternativetooth replacement options, like a bridge, requiresdrilling on adjacent teeth. Removable partialdentures similarly anchor onto nearby teethwhich can cause long term stress on theremaining teeth. An implant is an individual tooththat leaves all other teeth intact thus improvinglong term oral health.

Convenience- Removing dentures daily forcleaning can be burdensome and embarrassing.No need to mess with sticky denture glue or takeyour teeth out again. How do I know if I am a candidate for animplant?

All implants start with a consultation. Duringyour first appointment your dentist will assessboth your physical and oral health. A 3D x-raywill be taken to determine both quantity andquality of the remaining bone. Implants will thenbe planned digitally, finding a solution specificfor your needs. This process ensures that theimplants are customized to your mouth; allowingthem to be placed both safely and predictably.

For more information call 541-200-6747 orvisit www.premiercaredental.com.

Citations: Setzer, F. C., & Kim, S. (2014). Comparison oflong-term survival of implants and endodontically treated teeth.Journal of dental research, 93(1), 19-26.

http://www.webmd.com/oral-health/guide/dental-implantshttps://www.aaid-implant.org/dental-implants/implants-vs-

dentures-and-bridges/

Dental implants as a solution formissing teeth or loose-fitting dentures

By Trevor Peterson DMD, Premier Care Dental


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Have you considered purchasing cheapglasses online? Or maybe you've been temptedto buy cheap sunglasses at a mall kiosk...orcheap reading glasses at a discount store?

As much as we all want to avoid spendinghard-earned money unwisely, deals that seemtoo good to be true when buying glasses are nodifferent than deals that sound too good to betrue when buying anything else — you may savemoney up front, but the product often doesn'tlive up to your expectations.

Cheap Glasses: Buyer BewareBeing a wise eyewear consumer requires a

little due diligence to understand factors thataffect the quality and value of eyeglasses andsunglasses

1. Know what's being cut to offer lowerprices.

Online retailers that sell cheap eyeglassesand sunglasses often say they can offer lowprices because they don't have the sameexpenses associated with a "brick-and-mortar"store, such as the high rent paid in retailshopping areas.

But what they often don't tell you is theirlower prices come with a hidden cost — you nolonger get the personalized attention and fittingexpertise of a qualified optician. That's a hugepart of the value equation.

Instead, you're on your own to select a frameand lenses for your cheap glasses and hope forthe best.

2. Beware of claims of "same top quality."Sellers of cheap eyeglasses and cheap

sunglasses are quick to claim they are providing

glasses of the "same top quality" as eyewear youpurchase from your local eye care professional.But how do they determine that?

The fact is, there are significant differencesin the scratch resistance of different lenses andlens coatings, different levels of opticalperformance among different lens materials andbrands, and different levels of comfort anddurability among different frames — evenamong frames with the same brand name.

3. Cheap reading glasses can cause eyestrain— or worse.

Cheap reading glasses sold in discount storescan help you see more clearly up close if you'reover age 40 and experiencing the normal age-related loss of focusing called presbyopia.

But it's easy to choose the wrong power, andthe optical quality of cheap reading glassestypically is not as good as a customized pair ofglasses for computer use and reading.Also, cheap reading glasses often provide noprotection from high-energy blue light emittedfrom computer screens and other digital devices

4. Cheap eyeglasses and sunglasses can robyou of the opportunity to see and look yourbest — and fully protect your eyes for alifetime of good vision.

Though you may see acceptably well withcheap glasses, are you really seeing your bestand doing everything you can to protect youreyesight?

A knowledgeable optician can educate youabout the latest advances in eyeglass lenstechnology.


Reasons To Avoid Cheap GlassesSubmitted by Lassman’s Fine Eyewear


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CBD, which stands for the phytocannabinoidcannabidiol (not cannabinoids), has exploded on thecannabis scene in a way that no other naturalcompound has. Although it has received a hugeamount of media attention over the past few years,there are so many questions about it. Here iseverything you need to know about CBD and more.

CBDA, cannabidiolic acid, is the second mostcommon phytocannabinoid produced in the cannabisdrug-variety plant — the most common being THC— and the most common phytocannabinoid in thefiber variety plant (hemp). CBDA, found in the rawcannabis flower, is converted to CBD when heated.CBD-rich plants were quite rare in the United Statesuntil around 2009, when reports of CBD’stherapeutic value started to appear in the media.Cannabis growers began testing their plants for CBDand made efforts to stabilize CBD-rich varieties. Wenow have a number of CBD-rich chemovars such asCharlotte’s Web, AC/DC, Cannatonic, Harlequin,Sour Tsunami, Blue Jay Way, and many others. CBD Absorption and Metabolism

The bioavailability of CBD after inhalation isabout 31%. CBD is absorbed poorly and erraticallywhen ingested. Sublingual absorption rates are lowbut less variable than oral ingestion. CBD ismetabolized in the liver where it is converted to 7-hydroxy-CBD by enzymes in the P450 system. Mostof this breakdown product is excreted in feces, witha small amount excreted in urine. Medicinal Properties of CBD

As you can see, CBD has “multiple targets ofaction,” meaning that it works at many differentplaces, giving it numerous medicinal properties,which include:

Potent anti-inflammatoryAntioxidantNeuroprotectantAnticonvulsantAnalgesic (pain reliever)Anxiolytic (anti-anxiety)AntidepressantAntipsychoticAntispasmodicAnti-cancer agent

CBD modulates the intoxicating effects of THCand reduces the adverse effects that some peopleexperience with THC, namely rapid heartbeat,anxiety, and short-term memory loss. At the sametime, when CBD is taken with THC to treat pain, thecombination reduced pain more significantly thanTHC alone. In low doses, CBD is described asalerting, in high doses (>300 mg) it can be sedating.Amazingly, CBD has very little side effects even athigh doses. How Should Patients Choose CBD Products?

Be aware that there are a small number of hempproducts on the market that are labeled “hemp” tocomply with governmental regulations that requirethese products to have less than 0.3% THC, but theyare robust with cannabinoids and terpenoids. Otherproducts are devoid of all cannabinoids includingCBD, despite the manufacturers’ claims. In 2015 and2016, the FDA purchased a number of CBD productsonline and tested them for the presence of CBD andother cannabinoids, finding that the amount of CBDclaimed on the labels was markedly inaccurate —some products did not contain any CBD. In statesthat have medical cannabis laws, it’s best to obtainproducts from licensed suppliers who share their testresults, which should validate the product’s robustcannabinoid and terpenoid profiles. If you areobtaining hemp through online outlets, thoroughresearch is required as there are many bogus claimsbeing made.

CBD is truly an amazing compound. There arevery few medicines that have such a long list ofbeneficial properties with little to no side effect andare completely natural. Many patients using CBD asmedicine experience life-changing relief ofsymptoms and are able to discontinue ineffective andtoxic medications. Unfortunately, CBD is stillclassified as a Schedule I federally illegal substancethat is still prohibited from being thoroughlyresearched. We must be free to study this plant’smedicinal benefits to fully understand its impact onhuman health.

For more information call Medford 541-816-4204 orAshland 541-488-6776.

Know your Medicine: CBDSubmitted by House of Leaves


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Independence is a natural human desire. Wewant to be able to work, travel, and just live ourlives without our health problems stopping us.Everyone should be able to travel and movefreely between their destinations independently!An injury or health problem doesn’t have torestrict your mobility.

If you have a disability, have been injured orhave any other health issue which affects yourmobility, there are trained mobility experts whounderstand your frustration and can assist you.You don’t need to lose your mobility orcompromise your vehicle accessibility.

There are businesses that specialize inmobility vehicles and equipment. They sell newand used wheelchair vans, but can also adaptyour current vehicle with mobility andaccessibility equipment, depending on thevehicle. Some available products include:wheelchair & scooter lifts, hand controls forvehicles, and many other custom modifications.These adaptations can provide those withmobility limitations the freedom andindependence that everyone wants.

So, what should you be looking for? Find acompany that carries a full line of mobilityequipment designed to suit your needs. Thereare a lot of options when it comes to mobilityequipment, and not all products are suitable foreveryone. It’s important to find a company thatcan help you in the decision process and take the

stress out of the finding the right equipment foryour specific needs. Mobility specialists arespecifically trained to work with you and helpyou find and understand all of the options thatwill work for your individual needs.

You should also look for a company thatprovides no charge, no obligation quotes fordriving and transportation equipment. Thiscompany should freely share the informationwith all necessary parties, like your insurancecompany.

The mobility company you choose shouldalso be a member of the National MobilityEquipment Dealers Association (NMEDA). TheNMEDA advocates and supports excellence inproviding safe reliable vehicles andmodifications to enhance accessibility forpeople with special needs. They should be anaccredited dealer in NMEDA’s QualityAssurance Program (QAP) as well, which is anationally recognized accreditation program forthe adaptive mobility equipment industry.

Quality, compassion, and knowledge shouldbe at the heart of the mobility business youchoose. As an industry, the goal has always beento provide independence to individuals with adisability through adaptive mobility equipment.You should be able to count on your mobilityexperts to help you live your life without limits.


Independence through Mobility Equipment

Submitted by R&J Mobility


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You have worked your entire life to get tothis moment, there are four areas everyoneshould look at when they retire.

First area is Protecting Your Health,making sure that your doctors, hospital stays,surgery's, prescriptions, and critical illness arecovered. Most people will qualify for Medicare,but Medicare won't pay for everything, oneterrible event can wipe out everything you haveworked your entire life for. As we age our healthdoesn't typically get better, so having goodhealth coverage is important. There are manyoptions available to you to ensure that you areprotected.

The second area of concern is PlanningYour Estate. Making sure your final expensesare covered, your spouse is supported when youpass, debt is paid off, gifting to family, friends,or charities. When we pass away, there will bean income loss to the surviving spouse alongwith expenses to cover your burial or cremation.There can be unpaid debt that can put thesurviving spouse at risk financially. Through lifeinsurance you can ensure that your death doesn'timpact your spouse or family negativelyfinancially.

The third area is Long Term Care. Typicallytwo to three people out of five will require someform of care in their lifetime, this care can beprovided at a facility or what more and morepeople are wanting at home. Long term care isone of the biggest reasons retires lose everythingthey have worked their entire life for. Too oftenone of the spouses receives care and passes awayleaving the surviving spouse with no savingsand loss of income. This can be a tragedy to thesurviving spouse. There are many different waysto obtain insurance that can pay some or all of

your long term care when needed. Keep in mindthese costs can exceed $7,500 monthly. Havingthe freedom of choice when you or your spouseneeds care is important. In many cases whenfriends or family tries to care for their loved onesthey end up either hurting themselves or thepatient they are caring for.

Last area is your Finances. You haveworked hard your entire life for what you have,whether you have a dollar or millions of dollarsin the bank or retirement account, you haveworked hard for that money. When we retire weshould be as interested in protecting our moniesas we are growing it. Putting a portion of yourmonies into an annuity can be a good solutionfor many retires. If you have IRA's or 401K'sthese monies can be transferred into an annuitywith no tax issues. As your retirement accountshave grown on a tax deferred basis so does anannuity. An annuity can be used as savingsvehicle or it can be used as an income for life. Inmost cases after the first year you can take up to10% of your annuity out a year without anypenalties. In most cases an annuity will avoidprobate, upon the annuitants death whoever islisted as the beneficiary or beneficiaries hasimmediate access to the monies without penalty.

There is a lot to think about when you areplanning your retirement. Getting consultationfrom a licensed professional to give you ideas onhow to protect you during your retirement is agood idea. This consultation shouldn't be aboutjust trying to sell you insurance but moreimportantly giving you good information so thatyou make educated decisions that are in yours,your spouses, and family best interest.


Four Areas of Concern when Retiring

by Don Crofton, Licensed Insurance Agent at American Senior Benefits

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Many people assume that hearing loss is anatural part of aging. Therefore it is often assumedthat at least a mild or moderate hearingimpairment can be ignored; many think it'scertainly no big deal.

Yet a study released in January of 2018 carriedout by a team at the French National Institute forHealth and Medical Research (INSERM), led byProf. Hélène Amieva, found:… [A]n increasedrisk of disability and dementia in those withhearing loss, and, in men only, an increased risk ofdepression. These associations were not found inthe participants using hearing aids.

Leading Dr Clare Walton, Research Managerat Alzheimer’s Society, to conclude: “Thisstudyadds to a growing body of researchsuggesting that hearing loss is a risk factor fordementia.”(https://www.alzheimers.org.uk/news/2018-05-02/study-confirms-link-between-hearing-loss-anddementia-older-adults)

The vast majority of scientists in the fieldagree that a lack of social interaction caused byhearing impairment contributes to cognitivedecline. (http://www.hopkinsmedicine.org/news/media/releases/hearing_loss_and_dementia_linked_in_study).

The link between hearing loss and dementia isnot yet clearly understood, but one thing is clear;an untreated hearing impairment worsens theeffects of cognitive decline. And even thosealready diagnosed with dementia function betterwhen their hearing impairment is treated. In fact,some symptoms which may be attributed todementia may merely be the effects ofmiscommunication and confusion caused by anuntreated hearing impairment.

It's also important to note that cognitivedecline is not just dementia. The ability to processand understand speech, the ability to focus on theperson you're trying to hear and ignorebackground noise – the biggest complaint most

people with hearing impairment have – these arebrain processes and are affected by cognitivedecline.

Earlier research, such as the 1999 report bythe National Council on Aging (NCOA) entitledThe Consequences of Untreated Hearing Loss inOlder Persons, found that adults with untreatedhearing impairment were more likely toexperience the following: embarrassment, fatigue,irritability, tension and stress, anger, avoidance ofsocial activities, withdrawal from socialsituations, depression, negativism, danger topersonal safety, rejection by others, reducedgeneral health, loneliness, social isolation, lessalertness to the environment, impaired memory,less adaptability to learning new tasks, paranoia,reduced coping skills, and reduced overallpsychological health.

This study shows that even those things whichmay be attributed to the “natural process of aging”suchas “reduced general health”, “fatigue” and“impaired memory” will more likely and moresignificantly impact those with untreated hearingimpairment.

The psychological and emotional effects ofuntreated hearing impairment can be devastatingto a person’s quality of life. It can rob us of thevery thing many of us value the most, ourrelationships. So, if you or someone you know hasa hearing impairment, the sooner that impairmentis treated the greater the benefit and the easier theadjustment will be. Take action beforepsychological and emotional damage has beendone, before relationships have been damaged,before the brain’s ability to understand sound in anormal way has been irrevocably damaged.

Hearing care is healthcare - In order tomaintain our optimal health it is vital that weremain physically active as well as mentally andsocially active. In order to stay active it isimportant that we hear as well as possible.


Is it Okay to Ignore Hearing Impairment?By Nathan Willard, Hearing Aid Specialist, SoundScape Hearing Aids


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Wheat threshing during a special event at Hanley Farm.


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May 14, 1914 Viking Theatre, opening night. The Theatre was on First and Main in Ashland where

the Chase Bank is today.

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