Expanding Vaccinations Initiative Will Save State Money

Published in Pawtucket Times on January 5, 2004

During last year’s legislative session, the Ocean State Adult Immunization Coalition (OSAIC) approached the Rhode Island General Assembly for funding to promote the group’s efforts to get the word out about the importance of Rhode Island seniors getting influenza and pneumococcal vaccinations.

OSAIC’s message was quite simple – “Avoid a Hospital Stay: Get Your Flu Shot Now!”

The Providence-based nonprofit, a coalition of 40 agencies including hospitals, nursing facilities, vaccine manufacturers, medical societies, managed care groups, the R.I. Department of Health, the R.I. Health Care Association, and Blue Cross Blue Shield of R.I., call vaccinations a cost-effective way to prevent these unnecessary hospitalizations and deaths.

According OSAIC, pneumonia and influenza deaths together are considered the  sixth-leading cause of death in the nation. Since 1999, when this initiative began, there have been more than 300 deaths and 6,800 hospitalizations that were attributed to influenza and pneumococcal diseases in the Ocean State.

OSAIC stated that the cost of a flu shot is $ 15 and a pneumonia shot is $ 30.

On the other hand, the average length of stay for an older person with influenza is five days, costing $ 12,000. Treatment in a hospital for pneumonia lasts six days and costs $ 12,000l

At the conclusion of last year’s General Assembly session, lawmakers allocated $ 50,000 to OSAIC to push its many immunization initiatives. Charles Harris, owner of Harris Health Centers and an OSAIC executive board member, noted last year’s funding enabled his group to work closely with providers to create a system to identify vaccine recipients.

“We also were able to assist the state’s Health Department to expand the statewide vaccine record system,” he said.

OSAIC also worked with managed care providers to assist them in informing their beneficiaries through newsletters and reminders about the many benefits of flue and pneumonia vaccinates,” Harris added.

Furthermore, Harris said OSAIC reached out to the state’s media outlets to educate Ocean State seniors as to the importance of vaccine shots and the locations where they could get those shots. Meanwhile, an outreach program, utilizing both providers and pharmacists, also encouraged older Rhode Islanders to get their shots.

To get the  facts out, OSAIC senior volunteers even managed the nonprofit’s group’s flue hot line.

“Last year’s funding appropriation has even allowed us to begin our work this spring to urge seniors to get their pneumonia vaccines,” Harris noted.

“It also enabled OSAIC to bring its message into the state’s nursing facilities. Most nursing facility residents or staff who requested a shot got one, even with the flue vaccine shortage,” he said.

OSAIC is now posed to ratchet up its efforts to protect more of the state’s seniors. Look for the nonprofit group to push for making vaccinations a standard of care, Harris told All About Seniors.

“Rhode Island’s age 65 and over uninsured should receive these inoculations either free or at a nominal cost,” Harris said.

Senate Finance Committee Chair Stephen D. Alves, and Rep. Stephen M. Constantino (D-Providence), who serves as vice chair of the House Finance Committee, were key in getting OSAIC’s $ 50,000 funding allocation last year.

When the 2004 legislative session kicks off this columnist hopes that Sen. Alves and Rep. Costantino will again bring their passion for this preventative care issue to their respective committees and to the House and Senate floors during budget debates.

Even with a huge budget deficient looming, Gov. Don Carcieri and state lawmakers must see that preventative medicine is a worthy cost containment approach for reining in skyrocketing health care costs. Even with state dollars allocated up front, the savings will be ultimately realized down the road.

If Gov. Carcieri and state lawmakers choose to act “penny-wise” but pound-foolish” Rhode Islanders taxpayers will ultimately become the losers in the upcoming legislative session.

An Aging Baby Boomer’s Reflections on Losing a Parent

Published on December 29, 2003, Pawtucket Times

              Last week, Frank M. Weiss, my 89-year-old father, died. While he had been ailing and was well along in years, it was quite a shock to receive the phone call from my sister Mickie that he had died.

               The death of a parent can be considered a major milestone in an aging baby boomer’s life.  In her 264-page book published by Cambridge University Press. Debra Umberson, author of “Death of a Parent: Transition to a New Adult Identity,” says “the death of a parent launches a period of self-realization and the transformations of the adult identity.”

              Umberson, a professor and chair of sociology at the University of Texas at Austin, states a parent’s death is “the turning point in one’s emotional and social lives of adults and can bring changes in how a person views themselves and their relationship with the outside world.”

             A parent’s death creates an “opening that pushes them into the final transition into adulthood, Umberson says.

           Dad’s death did create for me an opportunity for reflection on his life.

            My dad loved his wife, Sally, very much.  Married for more than 62 years, she was the most important person in his life.

            His four children were also very important to him, too.

           Over the years, I remember Dad always telling me on our weekly phone calls how proud he was of Mickie, Nancy, Jim and me.  He also loved his five grandchildren, Leslie, Jennifer, Kim, Stephanie and Jamie, and his three great-grandchildren, Jacquelyn, Allison and Haleigh.

           Dad warmly accepted Justin, Deb and Patty, his children’s son and daughters-in-laws into the Weiss family.

           As a youngster, I remember Dad working hard to support the family.  Although he worked long hours, he would always find time to go to a ball game or just spend time with his kids.

           Fast forward to the adult years.  When my siblings became adults, he would continue to be our biggest fan.

          Even during the ups and downs in our personal and professional careers, Dad was alway there giving us advice, encouragement, support and oftentimes, financial backing.

          Coming from a Jewish heritage, we always joked about how appropriate it was for Dad to be in the “Schmata” business, otherwise known as the clothing business.  He worked for more than 30 years at Colbert Volks, a well-known woman’s clothing store in Dallas, Texas.  He could see a style or trend before it happened, aways predicting what new coat styles would sell in a particular season.

         How ironic, I thought when Mickie informed me that he suddenly died at Colbert Volks, shopping for a present to give to my mother.

          Dad was like the Energizer rabbit – he kept working, working and working. No retirement for this man.  Two years after his bypass surgery, my 70-year old Dad wanted to chart a new course in his career.  he began a second job and worked at C”est Simone, a national manufacturer of women’s appear, until the mid-70s.

         I will always remember:

         Stories of Dad’s childhood. He was a great football player and a Gold Gloves boxer, I was told.

          Shooting hoops in the backyard for ice cream.  He always lost– we always won, getting that double-dipped chocolate ice cream as a prize.

          At restaurants, I remember Dad drinking cup after cup of black coffee, with the decaf coffee never being quite hot enough for  his tastes.

         Dad would touch people in simple ways. He had a roll of Susan B. Anthony dollars, giving out the coins to anyone who crossed his path. “Don’t spend them ,” they’re lucky coins,” he would say.

        My dad was very honest.  Once a coat manufacturer sent him a box containing money hoping to entice  him to purchase  coats from the company. Dad never accepted that money.

         He was a practical joker. I remember being told a story about the day he sat as a very young child, at a street curb and put his leg in front of a truck, daring the vehicle to go.  This particular time the joke was on him – the truck moved, his leg didn’t, and bones in one leg were broken.

       As a teenager, Dad would tip over outhouses throughout his neighborhood.  He would  assure me that nobody was in them.

         Years later, at this sister-in-law’s house in Pikesville, Maryland, Dad walked over to her neighbor’s house and gave his advice on how to plant a tree.  Heeding his advice, the neighbor dug the hole deeper, deeper, and deeper, until the ball of the tree was five feet from the top of the hole. Later a local landscaper would come by and inform the tree planter that the hole was too deep.

        Throughout his long life, Dad cared about people.

       During his Army days, as an officer of the day, he ordered a cook to put cold cuts out for a group of soldiers who came by to eat after being out in the rain all day.  The watery beef stew was not good enough for these guys, he would later tell me.  While his superiors called him on the carpet for that act of kindness, he stood up to the military bureaucracy, demanding them to be accountable to their troops.

        By tapping his business colleagues, Dad would successfully raise money for the AMC Cancer Society to help those battling that dreaded disease.

        Later, he would be recognized by the organization for his fund-raising efforts. For those who know me, perhaps that is where I get my skills in fundraising.

         In thinking back, I thought dad seemed to know that death was near.  A week before he died, in my last phone conversation with him, I sensed he knew he was ready to go.

        Dad had made peace with is life experiences, the good and the bad, telling me that “he had lived a good, prosperous life, had a beautiful wife and was very proud of each child and their accomplishments in their lives.”

        Due to my mother’s Alzheimer’s and his failing health, years ago he was forced to sell and move away from the house he had lived in for more than 50 years, the family  homestead and a place with  happy memories from him.

       In his final days, Dad  was in constant pain and had great difficulty walking. Dad went the way most of us would want to go on December 18, 2003 –very fast and in no pain.

       Over the coming weeks, I am sure that I will continue to process my Dad’s sudden death, a major  milestone in my life.

       I am reminded of this phrase from the movie “Summer of 42”: “Life is made up of small comings and goings – and for everything we take with us – we leave a part of ourselves behind.”

       So true. While Dad’s love may well propel me into adulthood. I can assure you that my memories of him won’t be left behind.

        Herb Weiss is a Pawtucket-based freelance writer covering aging, health care and medical issues.  He can be reached at hweissri@aol.com.

University Study Seeks to Unlock Secrets of Alzheimer’s

Published in Pawtucket Times on December 8, 2003

 Planning bingo, finding that right word for the crossword puzzle you are working on, reading The Times or the latest bestselling book and even dancing might just be the right mental stimulation to help slow down the ravaging advances of Alzheimer’s.

Boston University researcher Nancy Emerson Lombardo, Ph.D., is seeking Rhode Island and Southern Massachusetts research participants to determine if the theory “use it or lose it” is fact or fiction.

“The brain never stops growing, especially in an enriched learning environment,” said Lombardo, who said science has shown the brain can actually replace neurons and grow connections between them.

Lombardo’s current research study is looking to prove that the brain’s ability to adapt, through cognitive training therapies can help persons who are already have Alzheimer’s disease slow down and even regain some of the cognitive losses they are experiencing.

Lombardo said that even with a diagnosis of Alzheimer’s disease, over the last decade researchers have found you can still exercise your brain, reap the benefits of improved short-term memory and experience a better quality of live.

These studies suggest keeping the mind active can help explain how some people can delay the onset of memory loss and Alzheimer’s disease symptoms for years.

In one study, research B.P. Sobel found that playing bingo improved short-term memory, Lombardo noted.  In another study, H. Wang reported in the American Journal of Epidemiology that staying active in social and leisure activities is associated with a decreased risk of memory loss, she said.

An Albert Einstein College of Medicine study even reported in a recent issue of the New England Journal of  Medicine that “reading, playing board games, playing musical instruments and dancing were associated with a reduced risk of [memory loss].”

Lombardo, serving as principal investigator at the Boston University Alzheimer’s Disease Center, told All About Seniors about the BEST (Brain Enhancement Strengthening Treatment) study.  This study is currently examining whether fun, combined with a challenging set of cognitive exercises, can be performed in a home setting to sharpen up the cognitive abilities of a person diagnosed with early Alzheimer’s.

The BEST study, based on the work of Lynn Lazarnus Seper, Ed.D. – who serves as the co-principal investigator with Lombardo – is working with early-stage Alzheimer’s participant and their care partners over a six-month period.

Serper used many of these same techniques in her successful self-recovery from a major debilitating stroke. She has also experienced successful results in her clinical practice with persons with Alzheimer’s, as well as those with stroke and other brain injuries.

Lombardo’s study is currently seeking early-stage Alzheimer’s participants in Rhode Island and Southern Massachusetts, ages 58 to 85, who will meet over 26 weeks in their own homes with cognitive educator Ann Lewis.  Lewis has received rigorous training from Serper and other researchers on the BEST team.

Eligible participants, who must have at least a two-year college degree, must have a diagnosis of probably Alzheimer’s disease.  Additionally, they  must be taking one of the three medications – Aricept, Exelon or Reminyl.

Finally, they must reside within a 40-minute drive of Newton, or Billerica, Mass. Or Newport, Rhode Island.

Study participants will work on mental exercises aimed at their prior and current interests/hobbies as well as current local and world news.

The format turns theses everyday activities into brain therapy. The cognitive educators will also assist participants in developing strategies for social and conversational situations.