Seattle Times

Bodily invasion of the elderly

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Guest: Why few of us get to die peacefully at home | Opinion | The Seattle Times.

“Mr. Desonier, I think you can stop scheduling an annual colonoscopy from this point forward.  You’ve been very diligent about this aspect of your health care for many years, but at your age, I think this procedure provides inconvenience and discomfort that you can do without.”

My dad was 84-years old when his gastroenterologist made that declaration.  I never thought I’d say this, but that gastroenterologist is my hero.  My father had one suspicious colonoscopy a decade or so earlier, and was advised to undergo that test every year to be certain that no cancer was present.  If you’ve ever undergone this test – and you should have a baseline one after the age of 50 or earlier if you’re symptomatic – you’ll understand when I say that I’d rather have a root canal than have my colon flushed and probed every year.  Here’s TMI for you:  I’m 60 and had my first exam of that sort seven years ago and passed with flying colors.  I’m on the ten-year plan so I have a couple years left before I hop on that table again.  But I digress.

The above article will shock you to your senses as to how incentivized doctors are to keep prescribing outlandish medical procedures on their elderly patients.  Most, but not all, such procedures benefit medical professionals and facilities and provide no benefit to the patients that undergo such procedures.  Here’s a quote from the above article that is sickening in its implications:

English: "$!" in Old Script font. It...
(Photo credit: Wikipedia)

Medicare spends a quarter of its $551 billion annual budget on medical treatment in the last year of life.  A third of Medicare patients undergo surgery or an intensive-care-unit stay in their final year (of life.)

The author’s 80-year old father had a “stroke-blasted” body and underwent the surgical procedure of having a pacemaker installed to correct a slow heartbeat that gave him no health problems.  Medicare paid $12,500 for that procedure.  Her father’s family doctor didn’t approve of the cardiologist’s decision to perform that surgery.  Medicare would have only paid that doctor $54 for a medical consultation with the family to weigh the pros and cons of such a procedure.

What’s the lesson here?  There needs to be a greater focus on slow medicine in the form of palliative care, rather than fast medicine that dictates quick consults and immediate – and oftentimes drastic – medical intervention that robs the elderly patient of living on his own terms, and dying when its the body’s time to do so.

Finding respite in the 21st century

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Dissecting disconnection: Why I’m taking the week off tech.

Monica Guzman, Seattle Times writer and blogger, is going off the technical grid for a week – thus the article attached above wherein she analyzes our habits and impulses when it comes to us feeling the need to be instantaneously on top of matters.  She’s not disconnecting from all technologies – she intends to watch television and might use a real camera – but she’s staying away from “the ones that know me.”

Ah, respite – what a delightful concept.  Lots of us Baby Boomers equate respite to receiving some sort of relief from our caregiving tasks.  For example, we might be taking care of a parent, sibling, partner, or spouse and we look for every opportunity for a reprieve from our caregiving chores – or at least we should be.  Please see my article Caregiver: put on your oxygen mask first.

Darth Gimp Cordless Phone
Cordless Phone (Photo credit: Wikipedia)

Respite, however, also relates to resisting the compulsion to send someone a Happy Birthday greeting by sending an e-mail, or going to the honoree’s Facebook page, or sending a Tweet on the person’s Twitter feed – and instead, deciding to call that person for a conversation that lasts longer than it takes to type a 140 character greeting.  OMG, MIK?  (Oh my god, am I kidding?)

No – I’m serious.  I could make it harder on you – and myself – by suggesting that we send a birthday card that would require us to purchase, write, post, and drop the card through the slot of a postal box.  I think that would be a great idea, mind you, but that’s not what I’m proposing.

Rejoice in the fact that Facebook reminded you of that person’s birthday.  (I know that you received sufficient notice not to miss that person’s birthday because truth be told – that’s how I remember many of my acquaintances’ birthdays each year.)  But please resist the urge to send an instantaneous electronic greeting.  Think of yourself – I know you can – and think of what it feels like to receive fun mail, such as a birthday card, or simply a “there’s no reason for this card” card.  You liked that feeling – didn’t you?  Now I want you to also think about how it feels when someone calls you to personally wish you happiness – just you and the person that called you.  That’s a one-on-one attention connection.

Drop a note, make a call, but leave the 140 characters for some other important message, like:

I had a glazed doughnut and a cup of coffee for breakfast then washed my hair and can’t do a thing with it! Isn’t that just the worst thing ever?

Go ahead and count – there’s 140 characters there.

What steroid are you tempted to use?

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(This is a resubmission of the article I wrote yesterday.  I changed the title.)

In his book Eleven Rings: The Soul of Success author and NBA former coach, Phil Jackson, emphasizes the need for players to have a team mentality instead of a me-mentality.  He took on the challenging task of asking Michael Jordan to reduce the number of successful shots he made in a game.  Keep in mind, Michael Jordan was averaging 32.5 points per game at that point, almost single handedly winning games.  The coach wanted other members of the team to get more involved in the offense, resulting in a team win – not just a MJ win.  Phil Jackson’s explanation to Michael: “You’ve got to share the spotlight with your teammates, because if you don’t, they won’t grow.”

English: Chicago Bulls Michael Jordan and Phil...
Chicago Bulls Michael Jordan and Phil Jackson 1997 (Photo credit: Wikipedia)

At first Michael expressed his lack of confidence in some of his players and his hesitancy to let them have the ball.  Phil Jackson responded, “The important thing is to let everybody touch the ball, so they won’t feel like spectators.  It’s got to be a team effort.”  It wasn’t an easy sell – to be sure – but Michael Jordan went with his coach’s plan.  That seems to have worked for him.

Now switch to a different sport and a different player: Alex Rodriguez, or A-Rod as he is now called  – unless you live in Seattle where their former Mariner shortstop is called “Pay-Rod” because of his greed when leaving the Mariners for the Texas Rangers.

David Brooks, syndicated columnist for the Seattle Times, wrote an exceptional opinion piece: A-Rod: the perils of self-preoccupation.  This columnist knows how to clearly paint a personality picture – or should I say, personality disorder? “One of the mysteries around Rodriguez is why the most talented baseball player on the planet would risk his career to allegedly take performance-enhancing drugs?”  A-Rod’s self-preoccupation prevented him from successfully managing his own talent.  The columnist’s theory about those who are self-preoccupied is explained like this: “Locked in a cycle of insecurity and attempted self-validation, their talents are never enough, and they end up devouring what they have been given.”

Where does that leave the little league baseball player in his or her quest to mimic the bigger-than-life champions (pun-intended) such as Alex Rodriguez?  Emulating A-Rod, or McGwire, or Sosa – or any other player who allegedly cheated to improve his stats – sends the truly talented youth down the wrong path.

Where does that leave you and me?  Each time we take a chance, put ourselves out there and dare to make something of ourselves, we run the risk of failure.  As A-Rod’s former NY Yankee manager, Joe Torre, once wrote, “There’s a certain free-fall you have to go through when you commit yourself without a guarantee that it’s always going to be good…Allow yourself to be embarrassed.  Allow yourself to be vulnerable.”

As a “trying to become a novelist” novice, I’m definitely in a free-fall.  There’s no guarantee that the seven months of writing my novel (so far) will be picked up by an agent or publisher.  It’s highly likely that the 103,000 words I’ve written (so far) will be criticized so horrifically, that no publishing professional will want to be associated with me.

But I’m doing what I love; I’m doing what I know I’m supposed to be doing; so I’m in that free-fall and praying for a soft landing.  I could try to cheat my way to publication – but copying someone else’s work (other than quoting and crediting them) and characterizing it as my own is a steroid that I’m not interested in taking.

I want to be proud of what I’ve accomplished – not ashamed – and I want others to benefit from the honest work that I do.

The desperate evil of impotent men – Leonard Pitts Jr. – MiamiHerald.com

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Leonard Pitts: On machete-wielding terrorists in London: Don’t be complicit – Leonard Pitts Jr. – MiamiHerald.com.

You’ll see that the title of my blog article is different from what is attached.  This blog title reflects what my local Seattle Times newspaper printed as a heading for Leonard Pitts’ article concerning the May 2013 bloody attack on a British soldier.  The Seattle Times title said it all for me.

Now keep in mind, we’re not talking about impotence for which the pharmaceutical industry holds the panacea.  The impotence addressed in this must-read article by Mr. Pitts is that which comes about because of a lack of true power.  Have you ever been bullied?  I have – and it wasn’t until fourteen years ago that I came to the realization that those who bully are those without power; those who feel they must wear trappings that give the illusion of power; such as the trappings of abusive language, character disparagement, and small & large scale violence – destructive acts by anyone’s assessment.

Pulitzer Prize winner, Leonard Pitts, Jr., believes that “terrorism’s threat lies not in its power, but in its effect, its ability to make us appalled, frightened, irrational, and, most of all, convinced that we are next, and nowhere is safe.”  Mr. Pitts provides an example of an acquaintance who, after 9/11, told him she would never enter a skyscraper again – as if each and every tall building in our country would be on the receiving end of an airplane attack.  My god, think of those people who work in these buildings and who, if they maintained the same fear and naive determination as that woman, would throw our economy even further into the toilet because of their refusal to enter their place of employment – a very tall building.

I think the biggest weapon these flaccid terrorists carry in their arsenal is the world’s ability to instantly broadcast – and then repeatedly broadcast – these desperate acts of violence, and our desire to catch such acts on television, You Tube, blog videos and photos – the list of viewing opportunities almost endless.

“We cannot control what such people do.  But we can control our reaction thereto” states Mr. Pitts.  Please readers near and far, let’s not fuel the fire of violence with our cravings to see it played out before us countless times through instant electronic images.  Let us fuel our empathy and strengthen our determination to turn our backs on the sensational by responding in such a way as to not “become the weapon terrorists use against us.”  Let’s not give these weaklings any more power – because as stated in the Miami Herald piece, “the only power they have is the power we give them.”

There’s an App for that!

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A recent article by Jim Fitzgerald of the Associated Press focuses on a few electronic methods that might relieve some of the struggles experienced by caregivers who try to balance their frantic personal lives with the oftentimes emergent needs of their loved ones.  For the purposes of my article, I am only looking at the type of monitoring put in place by a family member to check on an elderly person’s well being; primarily a family member with Alzheimer’s or other dementia.

Beleaguered caregivers getting help from Apps is an eyeopening look at how Smartphone Apps, and other electronic devices, can provide some sort of relief to lessen the caregiver’s load.  Many of those who are long-distance caregivers, such as I was for my father several years ago, might benefit from being able to monitor their family member’s safety and well-being from a distance.

But does such monitoring invade the loved one’s privacy?  Of course it does; but I guess one could say that the benefits outweigh the disadvantages of such monitoring.  Or do they?  What comes to my mind is the elderly person’s gradual loss of independence – an aspect of life that many of us would equate to being a requirement for our own quality of life.  But I digress.

At best, I think electronic monitoring serves as a stop-gap or interim measure of caregiving before hands-on care is put into place.  The Pillbox App keeps a very tentative watch on whether or not a loved one – say a parent – has taken his medication properly.  If the parent does not have compromised executive function, it’s certainly easy to “fake it” so that the daughter can feel as though all is well ten miles away.  In reality, however, medication mismanagement might be taking place, carried out by the parent.

Elderly People - sign on Warwick Road, Olton
(Photo credit: ell brown)

The Alzheimer’s Association Comfort Zone program requires that a loved one wear a GPS device at all times so that family members can monitor their comings and goings throughout the day.  The system is of no benefit if the person doesn’t wear the pager; and if the person has dementia, there’s a strong likelihood of that happening.  I’m being the devil’s advocate here, simply pointing out that the system is only as good as the cooperation required to use it.  HOWEVER, and this is a demonstrative HOWEVER, it appears to be a very worthwhile system that provides numerous benefits.  Other than taking away ones right to privacy, it definitely serves as a safety net for when mom, dad, spouse, or other loved one, are heading into trouble.

I’m skeptical of Comfort Zone but I’m also its fan.  I’ve linked the Comfort Zone website above so that the reader can determine if such a system is worthwhile in his or her situation.  My skepticism comes about because I wish more attention and financing would be spent on a cure for Alzheimer’s and other dementia so that these current monitoring methods become a thing of the past.  A world without Alzheimer’s sounds just as desirous as a world without cancer, or MS, or Lou Gehrig’s disease, to name a few.  More disease control financing = more cures.

One final word: I’ve already experienced two family members with Alzheimer’s and all the caregiving migraine headaches associated with those experiences.  So please know that I’m a proponent of worthwhile practices that ease the caregiver’s burden.  Unfortunately, there is absolutely no fail safe method out there that will give caregivers true peace of mind.  Even placement in a long-term care facility is not a 100% guarantee that mom, dad, sis, or gramps will receive the best care possible.  I’m sorry to burst your bubble – but it’s true.

Death by Escalator

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English: *Photographer: Toytoy Description: Th...
(Not the escalator in question – Photo credit: Wikipedia)

Early Sunday morning, April 7, 2013, a man fell while riding down an escalator to one of the downtown Seattle Metro bus tunnels.  His shirt got tangled in the teeth at the base of the escalator, and unable to free himself from the jaws of death, he died of strangulation.  I don’t know about you, but of all the possible scenarios surrounding my fear of dying, I can’t imagine experiencing that type of violent death.

What rivals the tragedy of this man’s death is the way the local media treated the incident. Local television news outlets of ABC, NBC, CBS; and primary newspapers Seattle Times and Seattle PI; all felt it was very important for us viewers and readers to know that surveillance video showed that the man staggered onto the escalator; and that an opened bottle of brandy was found in his back pocket.  Oh, I see, it’s the man’s fault for being strangled to death by the escalator on which he was riding.  Perhaps, then, a better title for my article should be Suicide by Escalator.

The deceased, Maurecio Bell, forty-two years old, was a father of four, a brother, and a son.  Many family members are mourning this horrific death which was caught on surveillance video – of course – so that all of us newshounds would be able to witness him die right before our eyes.  David Bell, the victim’s father, stated that anyone could have been strangled in that escalator regardless of the circumstances, e.g., someone could have had a stroke or a heart attack and have met the same type of end.  Or, speaking for myself, maybe someone as clumsy as me could have lost his or her balance, fallen, and been strangled in a similar fashion.

Why did the media decide to focus on this man’s possible inebriation?  Like it or not, doing so turns ones attention to that extremely irrelevant element of the tragedy rather than on the real tragedy of the circumstances.

And here’s something else for you to ponder.  For those of you who do not live in my state of Washington, let me tell you something else that was seen on the surveillance video.  A few people walked right past this man and did nothing to assist him.  Eventually a passerby tried to free the man and when unable to do so, he pushed the emergency stop button and then attempted to revive the man with CPR.  By then, of course, it was too late.  Surveillance video showed that immediately upon getting caught up into the teeth of the steps, the victim struggled briefly and within moments, his body went limp.  At least it was an almost instant death, but it was a fearsome and painful one, regardless of how quick.

Isn’t an accidental death, an accident?  Isn’t that the point of this story?  Why should any blame be apportioned to the victim when it has already been determined that it’s a strong possibility that the escalator in question might have some unattended service issues.  But I’m not going to blame the escalator or the maintenance crew for that escalator, and I’m certainly not going to blame the decedent.

Maurecio Bell was a victim who did not deserve to die in this manner and should not have had his character besmirched in the process. First and foremost, Maurecio was a human being; one of Earth’s short-lived inhabitants.

Rest in peace Mr. Bell.  I’m sorry your life ended at such a young age.

The world as we know it – the good, the bad, the ugly.

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In a recent NY Times post, Catherine Rampell writes about how the economy is affecting Baby Boomers; more specifically that it’s not just a matter of postponing retirement, it’s the need to hold down more than one job to meet the daily – and future – essentials of their lives.  Ms. Rampell is quick to point out, however, “(I)n the current listless economy, every generation has a claim to have been most injured.”  Certainly that seems to be the case as I have heard that Generation X and the Millennials have complained that Baby Boomers are to blame for the state of the economy – present and future.

English: Crowd gathering on Wall Street after ...
Crowd gathering on Wall Street after the stock market crash of October 1929. (Photo credit: Wikipedia)

Of this I am certain – each generation before us, and every generation after us, will contribute positively and negatively to the world as we know it.  I have to believe that every generation has pointed their fingers at generations other than theirs, and talked about the good, the bad, and the ugly that permeates their times.  Let’s look at those generations as posted on CNN, American Generations Through the Years: (figures and personalities provided by the Pew Research Center and CNN)

G.I./Greatest Generation: Pre-1928; Kate Hepburn and George H. W. Bush

Silent Generation: 1925 – 1945; Martin Luther King, Jr. and Tina Turner

Baby Boomers: 1946 – 1964; Oprah Winfrey and Michael Jordan

Generation X: 1965-1980; Jay-Z and Tiger Woods

Millennials: Post 1980; Christina Aguilera and Mark Zuckerberg

We’re all struggling in some way, and we’ll continue to struggle as we mimic the overall consensus felt through all generations.  There are carefree times, and then there are all the rest of our days, and we get through them, because we must.  We’re better for it, but it doesn’t feel like that while we’re going through it.  I have to look to Brendan Marrocco, a twenty-six year old Iraq war veteran who lost all his limbs because of a roadside bomb in 2009.  In an Associated Press story, in the Seattle Times, Brendan said he could get by without his legs, but he didn’t like living without arms.  “Not having arms takes so much away from you.  Even your personality  …  You talk with your hands.  You do everything with your hands, and when you don’t have that, you’re kind of lost for a while.”

The end of January 2013, six weeks after getting a double arm transplant, Brendan said the following at a coming-out press conference about how he’s made it thus far:

Just not to give up hope.  You know, life always gets better, and you’re still alive.  And be stubborn.  There’s a lot of people who will say you can’t do something.  Just be stubborn and do it anyway.

Sobering words, and ones that force us to reassess our current situations.  I’m not trying to minimize what you might be going through, nor of what’s going on in my life.  It’s just that I personally can’t help but focus on Brendan’s plight and then consciously turn my eyes away from my me-ness, and towards other-people-ness.  Is Brendan worse off as a Millennial who lost so much but gained a huge dose of intestinal fortitude, defined as strength of character; perseverance?  If it were me, I would be wallowing in a very deep pit of self-pity.  That doesn’t seem to be Brendan’s current location.

The glaring difference between Ann Coulter & John Franklin Stephens.

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An Open Letter to Ann Coulter.

In all of my busyness, I was not aware of this gentleman’s response, contained in the link above, to Ann Coulter’s usage of a word that evolved people no longer use when describing those with Down Syndrome or other learning disabilities.  During the most recent U.S. Presidential Election, I watched the interview in which Ms. Coulter used the R-word.  She made no apologies, and she even scoffed at the idea of having to be politically correct all the time.  I was horrified, but I didn’t do anything about it.

John Franklin Stephens did something about it – and did so quite eloquently.  You are a hero to me Mr. Stephens, and you are a hero to the rest of us who have a heart of compassion towards others.  A great definition of compassion is as follows:

Compassion isn’t a sign of weakness, but of civilization. – Nicholas Kristoff, Seattle Times columnist.

I think that as a society most of us are trying to be more civilized, rather than less.  That doesn’t appear to be the case with Ms. Coulter.

Op-ed: Who are Seattle’s 47 percent? | Opinion | The Seattle Times

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Op-ed: Who are Seattle’s 47 percent? | Opinion | The Seattle Times.

In my opinion, the article linked above paints a clear picture of what the 47 percent might encompass.  As with any situation for which we have little understanding or exposure, it’s healthy to see what the flesh and blood of the situation equates to – put a face on it.

Making a generalization that those who don’t pay federal taxes are taking unfair advantage of government handouts seems so inaccurate – I guess that’s what generalizations are: inaccurate attempts (oversimplifications) to state something about which we have no understanding.   Just about everyone with whom I associate has gone through difficult times – financial and otherwise – at some time in their lives.  Not everyone stays hungry and without the means to get by – as if they would choose to remain that way year after year after year.

The above article introduces us to

  • a 76-year old woman who works but is not able to pay her electricity bill;
  • a well-dressed man with a Master’s degree in engineering who needs help with his rent who was very embarrassed to ask for help; and
  • a woman battling cancer and diabetes at risk of losing a leg.

These individuals are not second-class citizens just because they’re going through a rough patch in life.  I don’t consider myself a bad person because in the mid-1980’s I was laid off from my job as a program director at a cable TV company and had to collect unemployment insurance while looking for  a replacement job.  That time was temporary – as many trying times in life are.

Does this mean that everyone in need of a handout represents the “better angels of our culture?”  No, there will always be those who try to bilk the system – heck, the big bankers and financiers did that very recently – and arguably, still are –  and they certainly weren’t dining at the downtown food kitchen or struggling to pay their utility bills.  We might categorize them as second-class citizens because of their greediness, but I dare say they look vastly different from those portrayed so cavalierly in the political arena during this current election season.

Dragonfly: a well-lived brief lifetime.

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I read in the Seattle Times newspaper recently that a dragonfly, in its nymph stage, lives in the water for up to four years while it is growing & developing.  When it finally emerges from its skin, it only lives a few months.

I know there are other insects who have an even briefer adult life, but this substantial insect caught my attention for one specific reason – although its post-nymph life is brief, it goes for the gusto during its brief time on Planet Earth.

English: Broad-bodied Chaser (a dragonfly) Lib...
(Photo credit: Wikipedia)

It’s believed that dragonflies have existed on Earth for approximately 300 million years – wow! – that’s older than us humans!!!  I guess they’ve had a great deal of time to learn how to make their individual lives count.  As nymphs, growing & developing under water, a special appendage on their head helps them to spear their food – small fish, other insects, yum!  When full grown and ready to emerge, the dragonfly climbs out of the water, sheds its skin, and waits for its wings to dry before getting down to business.

By the time their wings are developed, they are considered full-grown adults and have only a few weeks remaining of their lives.  Their primary goal during this winged stage is mating – so when you see two dragonflies flying through the air attached to one another, it is almost always a male and female mating.  I guess they are able to fly while “distracted” because they can see nearly 360 degrees around themselves at all times – no obstacle will get in the way of these industrious bugs!  And I can’t help but state that they present an entirely new definition of the mile-high club.

But this article isn’t really about dragonflies and their mating-in-flight capabilities.  It’s about how you and I choose to live our lives because in the grand-scheme of things, our life span is just as short as an insect’s, if not – relatively speaking – shorter.

Considering how old the world is, even if we live to be 100, it’s still a drop in the bucket compared to the years that have preceded us, and the infinity that will carry on after us.

I wrote two articles on this Blog site about making the most of our lives – especially as we near retirement.  Retirement Planning – it’s not what you think; and Creating the next chapter of your life explore whether “the rest of our lives” post-retirement will bore us and benefit few; or excite us and benefit many.   This topic interests me greatly because I witnessed first hand what an unplanned retirement can look like.

A few months into my father’s retirement, my mother started to complain about my dad’s inactivity – phew, not fun!  Before long – and in the midst of great boredom on his part – my father got the hint, climbed off his golf cart, and pursued volunteer opportunities with AARP.  You see, he realized within a few months of retirement that he wasn’t satisfied not contributing to the larger community around him.  The long and the short of it is that both my mother and father eventually established a state-wide volunteer program to help the elderly and low-income individuals with their annual tax returns.  My parents recruited other like-minded retirees, put them through training, and by the time of my parents’ real retirement, this tax-aide program had helped more than a million people in the course of 20 years.

But that was them.  That’s what my parents could do and enjoyed doing.  We have to discern what an appealing retirement looks like for us.  I don’t begrudge anyone a relaxing and enjoyable retirement – I’m all for it – but let’s not waste our previous employment skills by putting them on hold as soon as we leave our J-O-B.

My husband surprised me the other day when he stated that he’s already thinking about what he’ll do when he retires – four years hence.  I’m thrilled that he’s already considering his options, and who knows?  Maybe we’ll team up and do something meaningful to both of us, just as my parents did many years ago.

Seattle Times: Seniors for Sale, Part 6

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In yesterday’s post, a Seattle Police Detective defined elder abuse as:

  • sexual abuse
  • physical abuse
  • financial exploitation
  • neglect

In Part 6 of Seniors for Sale: Placement perils and successes, Michael Berens, Seattle Times reporter, delves into the senior housing placement industry, focusing on one placement company that placed a client in a Tacoma-area Adult Family Home (AFH) with a history of safety and health violations – elder abuse –  even a fatal event, but because the placement company had not done its research, it was not aware of the home’s previous infractions and kept placing unknowing vulnerable adults in the home’s care.

Many of these placement service companies operate state-wide and/or nation-wide, and believe that there is no way that they can help as many people as they do if they are required to visit each and every home/assisted living option available to the public that they are trying to assist.  These companies are oftentimes characterized as Bed Brokers – an industry that is growing exponentially without much scrutiny or State controls.

CAVEAT: Just as in every assisted living situation – there are good senior housing options and there are bad senior housing options – so too there exist reputable senior placement companies, and not-so-reputable placement companies.

I personally think that these companies can be helpful to those looking for a senior housing option that suits their, or their loved one’s, needs.  I caution those using these agencies, however, to understand that not every option out there is listed with placement companies.  If a senior housing company does not choose to be listed with a placement service company, that option will not be offered, even if that particular housing option might be the very best choice for some families: cost-wise, location-wise, and even service-wise.

In a news update, Michael Berens’ article, State gets tough on referrals for elder care, we see that attention is now being directed at these placement referral companies in the hopes that those they serve – vulnerable adults in need of some sort of daily care – are protected from those companies who are simply aiming to make a profit at the most vulnerable time in an elder’s life.

As I mentioned in previous articles found in my blog category, Senior Housing, there are numerous resources available for those looking for senior housing for themselves or a family member.  Please go to that category and type in a search term in the space located on the right-hand side of the page to find the topic that interests you most.

Seattle Times: Seniors for Sale, Part 5

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Part 5, of Seniors for Sale: Hiding Harm: the human toll, is one example of the lack of reporting that goes on in some assisted living residential settings – in this case – an Adult Family Home (AFH).

When you watch the video link above, you’ll be shocked at how a particular accident happened – and its after effects on the victim –  and you’ll be horrified at how long it took before it was reported to the police.

Perhaps this statistic will provide a partial explanation:

only 16% of all incidents of elder abuse are reported.

The Seal of Washington, Washington's state seal.
The Seal of Washington, Washington’s state seal. (Photo credit: Wikipedia)

Not only are many caregivers not reporting incidents of abuse that occur; surprisingly, family members fail to get beyond the denial stage when they discover that their loved one just might be in danger in the very location entrusted to his/her care.  They can’t believe that the caregiving solution they found for their loved one has turned out to be disastrous in every way.

The police investigator for this case states the following:

We don’t tolerate domestic violence, but that’s not always the case with elder abuse.

The final episode of Seniors for Sale will be submitted tomorrow, Saturday.

Seattle Times: Seniors for Sale, Part 4

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Seniors for Sale, Part 4: Suspicious Deaths

It doesn’t get much worse than the video attached above.  Two suspicious deaths are the focus of this episode of the Seniors for Sale series.  The two cases discussed in this video occurred at the same Adult Family Home (AFH), Houghton Lakeview, located in a very swank area of Kirkland, Washington.  It goes without saying that this Adult Family Home was shut down.

The Seal of Washington, Washington's state seal.
The Seal of Washington, Washington’s state seal. (Photo credit: Wikipedia)

Family members whose loved ones died at the hands of these caregivers speak out about how the abuse was discovered, and how the State of Washington did, or did not, effectively respond.

One of the family members whose father died at the hands of the caregiver/owner of the Adult Family Home poignantly stated:

It’s unfathomable to realize that we were paying these people to abuse our loved one!

Conviction results (attached) of one of the suspicious deaths was reported by the same Pulitzer Prize winner, Michael Berens, who wrote the series, Seniors for Sale.

Seattle Times: Seniors for Sale, Part 3

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What Needs to be Done?  is the subject matter of Part 3 of  Seniors for Sale.  In this episode, the viewer is encouraged to do research about a facility, Adult Family Home or otherwise, prior to considering a move to that senior housing alternative.  In my article, “Avoiding the pitfalls of selecting Senior Housing,” I provide helpful resources that everyone can use in order to find out:

  • if any complaints have been filed against a particular home;
  • if the State issued any citations, and the nature of those citations;
  • if the Long-Term Care Ombudsman office received particular complaints and the nature of those complaints.
The Seal of Washington, Washington's state seal.
The Seal of Washington, Washington’s state seal. (Photo credit: Wikipedia)

No one has to go into this housing search blind.  Please view the very brief video provided in Part 3 of this Pulitzer Prize winning series by Michael Berens of the Seattle Times, then click on the attached article that I’ve provided for your assistance.  Although the links I provided relate to resources in the State of Washington, similar resources exist nation-wide.  Check with your State Ombudsman office or Department of Health and Social Services for your State’s equivalent.

Seattle Times: Seniors for Sale, Part 2

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I provide Part 2 of Seniors for Sale – Janice and Elaine.

The Great Seal of the State of Washington
The Great Seal of the State of Washington (Photo credit: Wikipedia)

The attached link connects you to Part 2 of 6 of this Pultizer Prize winning series written by Michael Berens of the Seattle Times.  Please don’t give up hope.  Once all 6 of these episodes have been provided – one per day – I will provide you with story outcomes and repercussions in the Adult Family Home industry in Washington State.  Keep in mind – as I indicated in my first submission –  although this horrific situation took place in the State of Washington, this type of abuse goes on in other states, and countries as well – whether in group homes, nursing homes, assisted living facilities or similar senior residential settings.

Are there stellar Adult Family Homes (AFHs) in Washington state?  Absolutely.  But of the 2,900 AFHs in the state, 446 of those were cited for major violations since 2010.  The industry certainly was not regulated well enough to avoid such violations.  That is changing.

Seattle Times: Seniors for Sale, Part 1

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My local newspaper ran an investigative report about the Adult Family Home (AFH) industry in Washington State.  Depending upon where you live, a similar  assisted living home may be called a Group Home.

The Seal of Washington, Washington's state seal.
The Seal of Washington, Washington’s state seal. (Photo credit: Wikipedia)

In Washington State, no more than 6 residents can live in an Adult Family Home.  These “businesses” popped up all over Washington State over the past several years as entrepreneurs realized how much money they could make taking in residents and charging thousands for rent and resident care.  At this writing, there are close to 2,900 AFHs in the state.  Since 2010, 446 of those were cited for violations of health or safety standards.  Caveat: there are many Adult Family Homes that are doing an extraordinary job, but it’s the bad ones that make the Headlines and that’s the way it should be.

June is Elder Abuse Awareness Month.  I thought it appropriate to provide Michael Berens’ series, “Seniors for Sale” in six parts this week, but I provide it with a warning that this Pulitzer Prize winning expose can be very difficult to read, and watch.  Nevertheless, awareness is key, so I hope all will benefit from his extensive work on this piece.  Whether you live in the United States, Singapore, the United Kingdom, or elsewhere globally, abuse occurs world-wide and it’s the vulnerable adults in this world who are its targets.

Seniors for Sale – I provide this link to Part 1 of the series – “Ann.”

Watching each other’s backs.

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I found myself walking with horse blinders on my head at a grocery store the other day.  I was on a mission – picking up a few items and moving on to the next errand on my list.

Huell's image on a milk bottle
Image via Wikipedia

As I passed a woman in a wheelchair, I thought I might have heard her say something but I moved on a couple steps until she repeated herself: “Excuse me, could you help me?”  I then turned around to find that she couldn’t reach the half gallon of milk that she needed because it was on a shelf 8 feet off the ground.  Unless someone helped her she would have to cross milk off her shopping list.  My 6 feet of deaf human self easily grabbed the milk off the shelf.  I only wish I had been tuned in to someone other than ME so I had responded immediately instead of being asked twice.

Was I a BAD person for not responding quicker?  No – but I sure wasn’t watching my neighbor’s back.

Seattle actor, Brian Sutherland was watching his neighbor’s back as told in the Seattle Times article, “A bad guy on the screen becomes a real-life hero.”    This 27-year old man saw a suspected purse snatcher steal a 69-year old woman’s purse and chased him down – managing to retrieve part of her purse’s contents and return them to her.  But that’s not all!  Once he returned the items to the woman he decided to go after the thief!!!  Read the linked article I’ve provided and you’ll think Brian was doing some stunts in a movie in which he might have acted: leaping over fences, darting through alleyways – he was amazing!!!

I’m not saying that the average Joe, or Jill, should attempt what he did but what I am saying is that we should have the same commitment to others as Brian has.  Brian is quoted as saying, “We need to be watching each other’s backs and standing up for each other.  There’s no good reason why somebody who’s lived to 60 or 70 should be jacked on the street in broad daylight.  Our society should just not work that way.”

I agree Brian.  And there’s no good reason why someone in a wheelchair should have to ask for help twice.  I blew it the other day because my selfishness initially made me deaf and blind to a woman who simply needed a half gallon of milk.

I’ll do better next time.

Sufficient caregiver training: vulnerable adults deserve nothing less.

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Local and Federal governments have more red on their accounting ledgers than black.  Citizens balk against any raise in taxes, regardless of how infinitesimal the increase.  The same citizens demand more services from their government.  How does one get what they need without paying for it?

THEY DON’T.

I’m not a politician – and never will be.  I’m not a brilliant person nor do I fully understand all the nuances inherent in government bureaucracies.  About this one thing, however, I am absolutely certain: many valuable services that were initially set in place for those considered vulnerable in our society are still desperately needed for even a modicum of dignity and quality of life.  Did the needs suddenly disappear?  NO.  Did the vulnerable in our society somehow experience a miracle and are now fully capable of managing their lives on their own?  NO.  The needs are still there and the vulnerable in our society are being pushed to the wayside and are slipping through the cracks.  Do I like paying taxes?  NO.  I guess I’m wondering how to generate funds for needed programs without “robbing Peter to pay Paul.”  Taking from one program and sliding it over to a different program robs other needed services.  If ever there was a Catch-22, this is it.

Let’s look at caregiver training.  In Washington State, in the year 1996, caregivers were only required to pass First Aid training, CPR and HIV training, the Fundamentals of Caregiving training (22 hours), and had to successfully pass the State’s criminal background check.

In a Seattle Times article printed January 23, 2000, Push on for more caregiver training, the following statement begins the article:

With a first-aid card and some training about CPR and HIV, you can find yourself a challenging new job caring for the elderly and infirm, bathing them, feeding them, and fielding punches from them.  For this you can make about $7.50 an hour.  At McDonald’s, you can make more slinging burgers and fries.  It’s a wonder anyone cares for the elderly and infirm at all.

The year 2000.  For the third time in four years, the Washington State’s long-term-care ombudsman (who is independent of any government agency) pushed for more training for caregivers.  “The Legislature and the industry both need to step up and say this is an important key profession…People who take care of human beings are important people.”  State bill I-1029 passed which would increase the number of required training hours and implement specialty training for residents with special needs such as dementia, mental health, and developmental disabilities.    Implementation of this Bill’s provisions was delayed and set to go into effect March 1st, 2002.

Fast forward to February 2002.  Let’s look at another Seattle Times article, Caregiver-training issue causes split in state’s long-term-care community.  After the Bill from the year 2000 passed, the Department of Social and Health Services didn’t get the training curriculum revised in time for the March 1st, 2002 implementation so the State Legislature delayed the start-up of the new training requirements to September 1, 2002.  Private providers of long-term care – those not accepting Medicaid – would have to foot the bill to provide employee training, most certainly passing the costs along to their residents.  Long-term care facilities that accept Medicaid payments would rely on the State Medicaid program to provide the mandatory additional training and the State contended that the budget does not exist to provide the mandated training voted into law from initiative I-1029.  Time to go back to the drawing board.

Bear with me.  Fast forward to November 2008.  Let’s look again at another Seattle Times article, Voters back more caregiver training.  In 2008 a revised caregiver training Bill was passed requiring a training increase from 34 to 75 hours for new long-term care workers and required caregivers to undergo a Federal criminal background check.  This bill passed overwhelmingly.  It’s great that the citizens of my fair State decided that anyone taking care of the vulnerable should be held to a high standard.  Oops – in the same voting cycle, initiatives that would have imposed taxes on candy, soda pop, and other piecemeal purchases failed big time.  These miniscule, microscopic taxes would have saved vital services for the vulnerable and would have helped the State pay for the “mandated” new training.  No money – no increased training – no Federal background checks.

One more time.  Fast forward to November 2011.  Washington voters asked to boost caregiver training again, Seattle Times.  The Legislature delayed the implementation of the 2008 Bill because of budget cuts.  And during the voting cycle of 2011, a re-worked caregiver training initiative made it to the ballot once again as Initiative I-1163, right in the middle of an ever-increasing budget crisis, and the Washington State voters overwhelming approved it.  Implementation of the new training and background check requirements are set to start in 2012.  Lawmakers pushed implementation to 2014 but the good news is that the Legislature won’t be able to delay implementation of the new requirements without a two-thirds majority.  As of March 1, 2012 – the Washington State legislature has yet to finalize any enactment of the Bill protecting vulnerable adults; those that the voters of my state approved – and voted for – numerous times since the early 1990’s…stay tuned…

WHAT’S HAPPENING IN YOUR STATE?

HOW IS YOUR STATE PROTECTING YOUR VULNERABLE ADULT POPULATION?

Snail Mail (personal) vs Electronic Mail (impersonal)

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I’m thrilled that instant information rules our day for the most part and I’m SUPER thrilled that we can communicate via Blogging, but I’m also a proponent of posted/written communication.

First of all: Blogging.

I think us Bloggers relish the opportunity to “be published” on the Internet because  not many of us will ever have a byline in a syndicated newspaper, and book-publishing just seems too hard a goal to attain.  With that said, however, I write with this in mind: job counselors often advise employees to dress for the job they want, not for the job they currently hold, so I’m Blogging with a publishing intent that takes me out of my home-office and into the homes of others.  If I can’t get others to read my articles, I may as well be writing in a personal journal.  So blogging is a great venue in which to reach the masses.

But I LOVE the written word.  I own a Kindle, actually, I’m on my second Kindle, and that’s the only way I read books, be they fiction or non-fiction.  I’m such a voracious reader, I’m convinced Kindle was invented just for me.  🙂  So when I say I love the written word, what I’m really saying is that I love letter writing.  I own stationery, n. paper and other materials needed for writing, and I have a large accordion file that holds greeting cards, n. a decorative card sent to convey good wishes. (Definitions from the Concise Oxford English Dictionary, 11th Edition, 2004.)  I love sending cards and I love receiving cards, but mostly I love sending them.

Nicole Brodeur, Seattle Times staff columnist wrote a piece that appeared in our local newspaper on January 13, 2012: For The Love of A Letter. She writes how wonderful it is to receive a piece of mail with our name on it, written in hand, which becomes “a bit of humanity among the bills and slick circulars.”   She correctly states that the written letter is becoming a dying art, so much so that the United States Postal Service faces a very bleak, if not brief, future.  Certainly e-mail is quick and doesn’t require one of those pesky, ever-changing-in-value postal stamps.   Evites are quick and oh so engaging – NOT- as we read respondents’ comments about why they can’t attend.  But Evites are pretty darn impersonal.  Ted Kennedy Watson, owner of two Seattle shops with all things paper, states in Ms. Brodeur’s article that he “gets ‘hundreds’ of emails a day, some invitations to events that, en masse, lose some of their luster.  You start to feel more included than invited.”

En masse communications – you’re simply one of the many e-mail addresses in someone’s global e-mail address book.  I know we’ll always rely on this form of instant communication – I certainly do – but Ms. Brodeur hits it on the nail when she says that she hopes that “we don’t tweet or tap away the value of putting thoughts to paper, of taking the time.”  (Even a “Dear John” written letter is more personal and respectful than a “Dear John” e-mail or text message.)  She talks about letters that she’s saved over the years which instantly brought to mind one of my most valuable letters; one which I keep in my fireproof safe: the last letter my mother ever wrote to me.  My parents still lived in Hawaii when I moved to the Seattle area in June of 1994 and my mother and I spoke on the phone at least two times a week.  But it was her letters that I relished the most.  One of those letters arrived in my mailbox on September 22nd, 1994.  I read it, placed it to the side, and went about the rest of my day.  Two days later my mother died in her sleep quite suddenly and inexplicably.  When I received the news in a phone call from my father that day I frantically looked around for my mom’s letter hoping that I had not tossed it in the recycle bin.  Glory hallelujiah – I had not.  So two days before my mother died, I have her thoughts on paper, in her handwriting, and signed “Love, Mom” at the bottom of the second page.

Somehow I don’t think a saved e-mail could ever render the memories and the sentiments that my mother’s handwritten letter does every time I retrieve it from the safe to read it.

Facebook (I have an account) and Twitter, and other social sites can continue to do what they do, but let’s not dispense with the antiquated and/or archaic practice of putting pen to paper.  Please?