mature arkansas

MATURE ARKANSAS febrUArY16, 2012 1

Maturearkansas

ALSO iNThiS iSSUE

february 16, 2012

Ken Grunewald’s rich retirementPAgE 8

Invest at Your Comfort LevelPAgE 12

Time to Prune; Fertilize BulbsPAgE 12

Diabetes and Your FeetPAgE 15

2 febrUArY 16, 2012 MATURE ARKANSAS

Key provisions in healthcare reform are “of vital impor-tance to the health and well-being of people 65 and older,”

according to six national aging advocacy groups. The six groups made their feelings known in a friend of the

court brief, filed recently with the U.S. Supreme Court with reference to two cases that challenge the constitutionality of the healthcare reform law: National Federation of Independent Business et al v Kathleen Sebelius et al and the State of Florida et al v Department of Health and Human Services et al.

Petitioners in both cases contend that all the PPACA—Patient Protection and Affordable Care Act-- should be declared unconstitutional if the indi-vidual mandate (called the minimum coverage provision) to purchase health insurance is invalidated by the Court.

The aging advocacy groups disagree, saying the Court’s decision on the constitution-

ality of the individual mandate should not be linked to posi-tive changes the PPACA already made in Medicare. These changes have been in effect during the two years following passage of the PPACA. The aging groups want the new Medicare benefits to continue, regardless of the Supreme Court’s eventual ruling.

AARP Arkansas State Director Maria Reynolds-Diaz says the changes in Medicare have helped older Arkansans. “The Affordable Care Act includes key protections and provisions that are important to our members and all 50-plus Americans,” she

MATURE ARKANSAS is published each week by Arkansas Times Limited Partnership, 201 east Markham Street, 200 Heritage Center West, P.O. box 34010, Little rock, Arkansas 72203, phone (501) 375-2985. reproduction or use in whole or in part of the contents without the written consent of the publishers is prohibited. Manuscripts and artwork will not be returned or acknowledged unless sufficient return postage and a self-addressed stamped envelope are included. All materials are handled with due care, however, the publisher assumes no responsi-bility for care and safe return of unsolicited materials. All letters sent to Mature Arkansas will be treated as intended for publication and are subject to Mature Arkansas’ unrestricted right to edit or to comment editorially. All content © 2012 Mature Arkansas

MATURE ARKANSASPublisher Alan Leveritteditor Anne WassonArt director Mike SpainAssistAnt to the editor Paige ParhamPhotogrAPher Brian Chilsondirector of sAles Katherine DanielsAccount executive Erin hollandProduction MAnAger Weldon WilsonProduction AssistAnt Tracy Whitaker

Ad coordinAtors Roland gladdenKelly Schlachter

grAPhic Artists Bryan MoatsKatie Cook

controller Weldon Wilsonoffice MAnAger Angie Fambroughit director Robert Curfmanbilling And collections Linda PhillipscirculAtion director Anitra hickman

gUEST EDiTORiAL

The changes in

Medicare have helped

older Arkansans.

By A.h. WASSON

Not Enough Drops in the BucketBy Phyllis Watkins

Finally! Our government has recognized what those of us who are caregivers already know. Alzheimer’s disease is a disease to

be reckoned with. Already affecting over five million Americans, Alzheimer’s is expected to soon reach epidemic proportions. Currently, one in eight people over 65 has Alzheimer’s disease (AD). Nearly half of those over 85 have AD. Younger people also have AD--approximately 4% of those with the disease are under 65. By 2050, 11 to 16 million people are expected to have AD and the projected cost of their care is $1.1 trillion.

I applaud the Obama Administration’s recent increase in AD research spending. However, the redirected $50 million from the National Institutes of Health is still just a drop in the bucket. If President Obama’s request for another $80 million for the FY 2013

budget is approved---that would add another drop to the bucket. Adding another $130 million to the current $450 million for AD research is good, but it’s not nearly enough.

We still don’t know the defini-tive cause of AD; we do not have effective treatments; we are nowhere near a cure. Research is the key to understanding this disease. Due, in part, to under-funded research, AD is the only major disease that does not have a declining death rate. It is the sixth leading cause of death.

In January 2011, President Obama signed the National Alzheimer’s Project Act into law. It establishes the Advisory Council on Alzheimer’s Research, Care and Services. The law is important because it shows the Obama Administration is addressing what could be the most important health issue facing our country today.

This January, the Department of Health and Human Services released a draft of the Council’s “Framework of the National Plan to Address Alzheimer’s Disease.” The Plan has five goals. The first one, “Prevent and Effectively Treat Alzheimer’s Disease by 2025,” is somewhat lofty, given the time frame. There will have to be more that $450 million aimed at AD research to fulfill that goal.

I am especially heartened that the plan’s other goals address caregiver and family issues such as quality of care, family support, education and public awareness. President Obama’s funding increase also includes $26 million to help meet these five goals.

Recognition by Washington that AD is not going away without a serious fight; increased funding for AD research; and funding to address caregiver needs represent just the first steps. I am opti-mistic that we are on the road toward making a difference.

Mrs. Watkins is executive director of Alzheimer’s Arkansas Programs and Services, serving Alzheimer’s patients and their families throughout central Arkansas.

groups Ask Supreme Court to Exempt MedicareHealthcare reform improves Medicare

Like us on Facebook!facebook.com/maturearkansas

We still don’t know

the definitive cause of AD;

we do not have effective

treatments; we are nowhere neara cure.


told Mature Arkansas. “It cracks down on Medicare fraud, waste and abuse; helps those in Medicare with high drug costs by closing the prescription drug “doughnut hole;” expands the number of people eligible for free preventive and wellness benefits; and gives people new options to plan for their long-term care needs.”

Reynolds-Diaz also says healthcare reform prevents “…exclusions based on pre-existing conditions and restricts the use of age rating to charge exorbitant premiums to older Americans.”

The amicus brief contends that, “a careful review” of the policies Congress enacted shows that the provision affecting Medicare

beneficiaries can be kept in place without any reliance on the indi-vidual mandate provision.

“The health and quality of life of many older Americans are already improving because of the health reform law,” says National Senior Citizens Law Center Executive Director Paul Nathanson. “We don’t believe Congress intended to let the elderly poor languish in nursing homes or be subject to abuse if the individual mandate was found unworkable.”

The brief also highlights the parts of the PPACA that benefit people 65+. The brief says these provisions should not be affected if the Court decides to invalidate the individual mandate provision. They include:

• Reduced cost-sharing for Medicare beneficiaries for prescription drugs by substan-tially reducing the coverage gap

(doughnut hole)• Elimination of cost-sharing

for annual wellness visits and other screening services

• Medicare Advantage plans are prevented from charging higher cost-sharing for chemotherapy and dialysis than permitted under traditional Medicare

• Decreased unnecessary insti-tutionalization of Medicaid benefi-ciaries

• Improved coordination of care for people receiving both Medicare and Medicaid (dual eligibles)

• Improved quality and safety in nursing homes and prevention of abuse and neglect of elderly and people with disabilities in nursing and other residential facilities.

The brief contends the only provisions that should be affected by the constitutionality of the individual mandate provision are the pre-existing condition, the community rating and guaranteed issue provisions. They want the rest of the PPACA to remain intact.

The Supreme Court has sched-uled arguments in the case for March. The decision may come as early as May or June. However, a spokesman for the National Senior Citizens Law Center speculated that the Court may defer a deci-sion about the individual mandate because no one has been harmed by it yet. The individual mandate does not go into effect until 2014.

Reynolds-Diaz says that while the courts sort out the legality of the law, “AARP will continue to provide information about how people age 50 to 64 are routinely denied affordable health insur-ance because of their age and pre-existing conditions. We will also carry on with our efforts to help older Americans understand how the law will impact them and their families.”

Joining in the amicus brief are: AARP, Center for Medicare Advocacy, Inc., Medicare Rights Center, National Committee to Preserve Social Security and Medicare, National Council on Aging, and National Senior Citizens Law Center.

By A.h. WASSON

The Court may defer

a decision about the

individual mandate because

no one has been harmed by it yet.

Don’t miss presentationsby nationally known experts

Chris Olsen & Kelly D. Norris

Feb. 24-26StatehouseConventionCenter, LR

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CALENDAR PiCKS

Knives and Quiltsand Wines...Oh My!By Paige Parham

feb. 16 – Chamber m u s i C s o C i e t y o f L i t t L e r o C k : hye - J i n k i m , s t. mark’s episCopaL C h u r C h pa r i s h h a L L, L itt le rock , 7:30 - 9:30 PM. features works by Clara & robert Schumann. Tickets: $25. for more information, call 664-5823, e-mail [email protected] or visit www.chamber-musiclr.com

feb. 16 – afriCan ameriCan musiC Listening session: motown hits, sue Cowan wiLLiams L i b r a r y, 1 8 0 0 S . Chester Street, Little rock, 6:00 PM. enjoy M o t o w n h i t s w i t h other Motown fans. for more information, call 376-4282.

feb. 16 – CeLebrate b L a C k h i s t o r y with the argenta branCh Library, 506 Main Street, North Little rock, 6:00 PM. Hear richard Lindsey, one of the North Little rock six, tell his story of the courageous attempt to integrate North Little rock high school in 1957. free; for more information, call 687-1061.

feb.17 - nLr friends of animaLs ChiLi supper at the park hiLL Christian ChurCh on JfK blvd., 5:00 - 8:00 PM. Menu: Chili (beans, no beans, veggie), Cole slaw, nachos, crackers, punch, coffee, and home-made desserts. Adults: $5; kids 12 and under, $4. for details call 501-607-4887.

f e b. 1 7 - a r g e n ta’s 3 r d f r i d ay artwaLk, 5:00 - 8:00 pm. “Art Inside Unexpected Places” can be found inside the first Presbyterian Church, 4th and Maple

Street, North Little rock. for details or to display your artwork, call 993-1234 or visit www.ArgentaArtWalk.com

feb. 17 thru 19 - arkansas rV show, statehouse ConVention Center, Little rock. The state’s largest rV Show will feature 100,000 sq. ft. of rV exhibits. Over 125 recreational vehicles on display--motor homes, travel trailers, fifth wheels and camping trailers plus exhibits featuring resorts, campgrounds and rV acces-sories. fri & Sat, 10:00 AM - 8:00 PM; Sun, 10:00 AM - 6:00 PM. Admission $5 for adults, kids 12 and under are free. for more information, visit www.dgattractions.com or call 765-1423.

feb. 18 – free heaLth sCreenings by baptist heaLth, mCCain maLL, 3929 McCain blvd., North Little rock, from 9:00

AM - Noon. free screenings include: Prostate, cholesterol, blood sugar, carbon monoxide, bMI, blood pressure, and flu Shots (limited supply.)

feb. 18 – nourish: an ayurVediC experienCe, eLeVate Community Center, 323 S. Cross Street, Suite D, Little rock, 11:00 AM – 1:00 PM. Included in this peaceful mini retreat: 30 min. of healing ayurvedic massage, 60 min. of restorative yoga and breath work, 30 min. of deeply relaxing guided imagery/meditation, 1 plate of deli-cious and nourishing living food, 1 bath bomb and ayurvedic gift basket. Cost: $108. email [email protected] or call 888-749-6949 for reservations.

feb. 18 – bLaCk history artifaCts, dee brown Library, 6325 baseline road,

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feb.18 – 19 - arkansas Custom knife show, robinson Center, Little Rock. Sat. 10:00 AM – 5:00 PM & Sun. 10:00 AM – 3:00 PM. Admission: $5; for more information, visit www.arkansasknifemakers.com

☛


Grandkids Eat FREE

Little rock. Learn about important events and African American people that have changed our world from Archie Moore. Call 568-7494 for more information.

feb. 20 – indoor exerCise at the wiLLiams Library, 1800 S. Chester St., Little rock. Work out indoors using DVDs and online tutorials. This group meets every Mon., Wed., & fri at 5:30 PM. for more information, call 376-4282.

feb. 21 – sit n’ stitCh at the main Library, 5th floor in the Lee room, 100 rock Street, Little rock, 12:00 PM. Calling all crafters! Whether you knit, crochet, spin, embroider, or

cross stitch, you’re welcome to join the fun at this social crafting circle. bring your project and a lunch – drinks and cookies are provided. Call 918-3000 for more information.

feb. 22 - a waLk through history - brown bag LunCh LeCture, Old State House Museum, Little rock, noon- 1:00 PM. Gain a deeper understanding and appreciation of the Little rock Nine’s struggle to integrate Central High School in 1957. Photographs and letters will provide context to this historic time. free and you are encouraged to bring a sack lunch; beverages provided. More information, visit www.oldstatehouse.com or call 324-9685.

These local restaurants offer kids-eat-free options, for children under 12, with purchase of an adult entrée (unless otherwise specified.)

DAiLy

CiCi’s piZZa Ages 3 and under eat free at buffet; Hot Springs 3321 Central Ave.; Jacksonville 120 John Harden Dr.; North Little rock 2815 Lakewood Village Dr.denny’s restaurant 4:00-10:00 PM ages 10 and under; benton 16732 Interstate 30; Little rock 4300 S. University; Little rock 310 S. Shackelford rd. goLden CorraL Ages 3 and under eat free at buffet. Discounted prices for kids on Tuesdays; North Little rock 5001 Warden roadLarry’s piZZa Ages 4 and under daily and from 4:00-8:00 PM on Wednesdays only, with purchase of one adult meal--up to two kids get a small one topping pizza, drink, and $1 in tokens; Cabot 2798 S. Second St.; bryant 4500 Hwy. 5 North; Little rock 12th & Center St.; Little rock 12911 Cantrell rd.san franCisCo bread Company Daily and Mondays, one free kid’s meal with the purchase of adult meal, after 5:00 PM; Hot Springs 261 Cornerstone blvd.Zaxby’s 5:00 PM-close, dine-in only; Jacksonville 209 Marshall rd.; Maumelle 104 Carnahan Dr.; Sherwood 208 brookswood rd.

ThURSDAy

Captain d’s benton 1419 Military rd; Hot Springs 1906 Central St; Jacksonville 1109 West Main St; Little rock 6301 Col. Glenn rd; North Little rock 5320 JfK blvd. mexiCo ChiQuito One free kid's meal per adult entree for kids 12 and under (Dine-in only) Jacksonville 1524 W. Main St; Little rock 13924 Cantrell; 102 S. rodney Parham; 4511 Camp robinson; and 11406 W. Markhammoe’s southwest griLL 4:00 PM-close. One free kids meal with paid adult meal; bryant 7409 Alcoa rd; Little rock 12312 Chenal Pkwy; North Little rock 4834 North Hills blvd.

SATURDAy

boston’s gourmet piZZa restaurant Little rock 3201 bankhead Dr.—Sat. & Sun.Luby’s Cafeteria Little rock 12501 West Markham

SUNDAy Corky’s 4:00 PM-close, Little rock 12005 Westhaven Dr. eL porton North Little rock 5021 Warden rd.

feb. 17 – pinnaCLe pieCemakers QuiLting CirCLe, rooseVeLt thompson Library, 38 rahling Circle, Little rock, 10:00 AM. This quilting circle meets every friday, except the fifth fridays. All skill levels are welcome. Call 821-3060 for more information.

feb. 22: monthLy wine dinner at starVing artist Cafe, 411Main Street, North Little Rock, 7:00 PM. Enjoy a three-course dinner with three wines; $50 per person all inclusive. RSVP required. Call 372-7976 or visit www.StarvingArtistCafe.net


it’s funny how things get connected. On a recent

Saturday morning, I went to the Main Library and wound up talking with a Syrian friend of mine. I asked her if she cooked Syrian dishes very often. She said she made hummus, but when she was hungry for chicken shawarma she went to Ali Baba.

Ali Baba? My ears perked up. The Pavlov effect clicked in. And, rather than barking, I decided to have lunch there that day. I’m the most suggest-ible person I know, and I’m OK with that.

Ali Baba is on South University, across from the University of Arkansas at Little Rock (UALR), in what people of a certain age will remember as the location of the former Discount Records. Remember records? They were the round, black plastic vinyl things we used to buy, take home, put on turn-tables, turn up the volume and then revel in the cool sounds that came out of the crappy speakers. I miss those days… but I digress.

Ali Baba is two-thirds grocery and one-third restau-rant. The day my friend and I went, we both ordered sandwiches. I had a chicken shawarma, and she had the falafel. I also ordered some hummus and baba ghanoush, just to see how they prepared them. You get your drinks out of a big cooler at the back of the grocery. They have a selec-tion of American and Middle Eastern beverages to choose from.

Be prepared for a reason-able wait after you order at Ali Baba. In about 10 minutes, both of our sandwiches came

out wrapped in foil and resembling small diri-gibles. Seriously, I think two people could easily split one sandwich. I unwound the foil, smelled good things, took a large-ish bite, and it was DELICIOUS. I was impressed. The

meat is marinated in a variety of spices. It then roasts as it rotates on a rotisserie just like a gyros cooker. Along with the chicken, the sandwich had some yoghurt sauce, tomato and onion, and it was good, I mean, really good.

I sampled my friend’s falafel sandwich, and it was very tasty, too. I’ve had falafel before where the garbanzo bean mixture was flattened, fried in a patty, and then placed in the sandwich. But the falafel at Ali Baba is more of a loose mixture with lots of cumin and other spices. All that rolled into a big pita with tomato, yoghurt and onion. Delicious.

The hummus and baba ghanoush at Ali Baba were prepared a little differently than I’m accustomed to, but I liked both. One thing that sets them apart from the norm around here was the addition of some

pickled turnips (a beautifully unnatural, pinkish-red color) and some mild dill pickles on the side, plus green relish on top. Give them a try, and see what you think.

Prices at Ali Baba are pretty reasonable. I ordered more than I would normally simply to try several things. Our total tab plus drinks was $18.74. Not bad.

If you like to cook, the grocery is a great place to buy stuff like good olive oil, tahini, garbanzo beans and lots of other fairly bizarre (to me) stuff that I have yet to try.

Ali Baba Grocery and Restaurant, 3400 South University Ave., Little Rock, phone 501-379-8011.

Mr. Wood, a writer and designer in Little Rock, is often hungry.

Ali Baba's Superb Sandwiches

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Ali Baba is in the old Discount Records building, across from UALR.

Baba Ghanoush comes with pickled turnips.

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Q. My daughter encouraged me to complete an advanced directive. What is it and how will I use it? A. An Advanced Directive is written instructions provided by individuals to define what actions are to be taken for their health, in the event that they are not able to make decisions due to illness or incapacity. It can also appoint a person to make such decisions for them. Several free forms are available online, search Advanced Directive, Living Will or do not resuscitate order to find one you like. Give a copy of the signed document to family members and your doctors.

Q. My husband was very ill but the hospital refused to admit him. He didn’t get better and later the same evening we went to another hospital where he was admitted. This doesn’t seem right. A. If a hospital denies admission, it must give you a form called a Hospital Issued Notice of Non-coverage (HINN). The HINN states the reason for denying admission or why they believe Medicare will not pay. It also includes your right to appeal or question the decision.

If you receive a HINN, request an immediate (expedited) review of the decision from the Arkansas Foundation for Medical Care (AFMC). AFMC is an independent, nonprofit of group of doctors and other profes-sionals who are not affiliated with the hospital. AFMC contracts with the government to ensure Medicare beneficiaries receive quality care. You can request review of the hospital’s decision from the AFMC either in writing or over the phone. AFMC’s toll free phone number is 888-354-9100. The number is also listed on the HINN.

Submit questions to Medicare Man via email [email protected] or call toll free 800-224-6330.

BE A PART OF ThE NExT

Maturearkansas

MATURE ARKANSAS DECEMBER 22, 2011 1

MATURE

ARKANSAS

ALSO IN

THIS ISSUE

Cheering Up the

Smallest Patients

PAGE 13

Cheering Up the

Smallest Patients

PAGE 13PAGE 13

DECEMBER 22, 2011

MAYOR PAT HAYS ENJOYSHIS JOBENJOYS MAKING THINGS

HAPPEN FOR THE REGION

Page 8

Diabetes Linked to

Dementia, Depression

PAGE 4

The Gift

of Giving

PAGE 6

If you are interested in learning more about Mature Arkansas and how you could promote your busi-ness or services, please contact us at [email protected] or call Katherine Daniels at 501-375-2985.

ManMedicare

Q. How much of a difference will it make if I defer retirement benefits until age 70?A. It can be significant. Let’s say your full retirement age is 66 and your monthly benefit at 66 is $1,000. If you defer benefits until 70, your monthly amount increases to $1,320, or 32% more. That’s almost an extra $4,000 each year, for the rest of your life. This increase is from delayed retirement credits you get for postponing benefits past your full retirement age.

You can estimate future benefits at different ages using Social Security’s easy-to-use retirement estimator. Go to www.socialsecurity.gov/estimator It uses your personal employment history to estimate your retirement benefit.

When you’re ready to apply for benefits, you can also apply online ( www.socialsecurity.gov/applyonline) if you are at least 61 and 9 months old and live in the U.S. Have this information ready before you start the online application process:• Date and place of your birth and Social Security number• Your bank’s routing number and your account number, for direct deposit

of your monthly benefits• The amount of money you earned last year and this year; name and

address of your employer (s) for this year and last• Beginning and ending dates of any active US military service you had

before 1968• Name, SS #, date of birth of your current and any former spouse (s);

date and place of marriage (s); dates of divorce or death• Copy of your Social Security Statement.

—Social Security Administration

SOCIAL SECURITY CHECKUP

Advance Directives

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Grunewald enjoys preserving old things, including his wife’s 1968 MGB.

ON THE COVER Ken Grunewald, with rescue dogs Annie (left) and Pandora (right), is passionate about animals.


The son of an U.S. Air Force pilot, Grunewald and his family moved frequently from air base to air base, exploring and adapting to new faces and spaces. He spent his impressionable teen years in Europe. Exposure to different cultures in France and Germany changed his outlook on people, places and especially “things” forever. Why, he wondered, was life so different in the U.S.? Why, he questioned, do Americans go about tearing things down while older cultures focus on preserving the past? These queries became the basis for his lifelong quest.

“When you retire,” explains Grunewald from the book-filled den in his Pleasant Valley home, “then you can pay atten-tion to what really matters, to your own personal interests … like old friends, and pets, and cars, and sailboats … and more travel.” Over the past four years, he has completely restored his wife Marlena’s 1968 MGB, “with a lot of help and advice from the British Sports Car Club and McLeod’s British Motoring Cars of Arkansas, in

Morgan,” he adds. “I just like to fix old things,”

Grunewald reiterates, as he points out various pieces of antique furniture he has given new life. “While stationed in Little Rock in the 70s,” he says, “I bought a White Flyer Sailboat and raced with the Grand Maumelle Sailing Club.” Shortly after his retirement,

Marlena checked to see if the old boat was still there. It was, but it was wrecked; it didn’t even float anymore, she says. She gave it to him for his birthday that year and he is in the process of restoring it now.

Travel is Grunewald’s passion--not just the short trips he takes to bicycle and hike in the Ozarks and Ouachita mountains--but extensive international travel. “I want to set foot on all seven continents, now all I’m lacking is Antarctica,” he exclaims. Stories of his “bucket list” travels are informative and entertaining. Grunewald says he is interested in the cultures he knows nothing about and fascinated by those in which things are vanishing. “On these trips, I tend to go the oppo-site way from everybody else; if they’re turning to the left, I want to go right. I’m looking for the people and places that won’t be around much longer,” he says.

His first post-retirement adventure was to North Africa. From Casablanca, Morocco, he travelled alone with a Sunni

Arab guide to Fez, a walled, Ninth Century city that had no cars. He trekked the coun-tryside until he met and mingled with the vanishing people of a Berber tribe.

The next year’s destination was South America, where in Peru he travelled the jungles, floated the rivers and eventually hiked to meet and experience the culture of indigenous Amazonians in their villages.

In Australia, his goal was to meet a group of aborigines he had once seen in a movie. He was pleased to encounter a kindred soul, a German scientist, who wanted to share the journey. With an aboriginal guide, they not only met the natives, but found ancient rock art that their guide could interpret as stories.

A month-long trip to Asia found him taking the Trans-Siberian and Trans-Mongolian railroads from St. Petersburg, Russia, to Beijing, China. “The land mass

was incredible, travelling from one end of Asia to the other,” he says. He found the Russians to be extremely friendly and says they liked Americans.” En route, he met vanishing nomads in Mongolia and slept in “gers” in the Gobi Desert. “This was an iconic trip for me!” he exclaims. As for

Little Rock-Loving Nomad

By Kaye RisseRphotography bybrian chilsonKen Grunewald

What does a former military

brat do for retirement? He

keeps moving! But ask

retiree Ken Grunewald, who

retains his excitement about

new discoveries and an active

appreciation of antiquity.

As for the Antarctica:“No definite plans as yet,

but it will happen.”


the Antarctica: “No definite plans as yet, but it will happen.”

The message he extracts from his travels is not new to Grunewald. “Coming from a nomadic military family, I already knew the world does not revolve around the United States. As an American, I’ve found we are liked by most people, but we are definitely not the center of the world, much less the universe!”

Grunewald credits a visionary professor at

Penn State University, where he majored in geography, with “sensitizing me to the world. He used words that are commonplace today, but unheard of outside classrooms back then …words like urban sprawl, and he predicted the

next war would be fought over a shortage of water, which is coming to pass. He talked about preservation and other topics which provided some answers for my teenage question: “Why doesn’t America look like Europe?”

After graduating from Penn State in 1967, Grunewald intended to follow in his father’s footsteps. “We were in the middle of the Vietnam War,” he says, “and I was commis-sioned into the Air Force as a 22-year-old lieu-

tenant. I took the Air Force test to become a pilot but failed the eye test. I knew my eyes were questionable, but I really wanted to fly.” Grunewald wanted to fly so badly that he later took private flight lessons. He became a

commercial flight instructor, using his skills both in California, and Louisiana, until he stopped, he says, “the day I went up with a student who wasn’t paying attention.”

Lieutenant Grunewald’s first mili-tary assignment was at Little Rock Air Force Base as an Intelligence ICBM launch officer. When he transferred to the Strategic Air Command base in Omaha, he helped plan nuclear targeting for U.S. missiles. He explains, “This means we were selecting the sites to bomb wherever and whenever the necessity arose.” A later assignment took him to an air base near Denver, followed by a tour of duty in Vietnam, about which he wryly comments, “I realized within the first two weeks that we had no business there!” Following the Vietnam stint and a further assign-ment in Korea, he returned to the U.S., and from various air bases, continued to plot the destruction of enemy cities and structures. After 22 years, he retired from the Air Force in 1989.

Grunewald met his wife Marlena while stationed in Denver. “Actually, our cars met before we did,” he says. “She was a nurse at local hospitals and lived across the hall from my apartment. We both drove MGBs that frequently ended up parked side by side. One day we parked at the same time, found mutual interests besides our cars and began dating. When I got orders to leave for Vietnam, we decided to meet and marry in Hawaii, during my first rest-and-recuperation break. We did

that and it has lasted 42 terrific years. We have a wonderful son Nick and his wife Wendi.” Marlena adds, “We’re enjoying our first grand-baby, born Thanksgiving Day.”

Not ready for retirement, it didn’t take

As an American, I’ve found we are liked by most people,but we are definitely not the center of the world, much less the universe!

LEFT Grunewald bought his first banjo in Hong Kong in the 1970s but didn’t start taking blue grass lessons until he retired.

RIGHT Hats make good souvenirs from Ken Grunewald’s international travels. He wears a Russian military officer’s hat and displays a Moroccan fez (left) and Australian leather bush hat.


Grunewald long to find the perfect second career. He joined the Arkansas Historic Preservation Program, first as deputy director, and later as director. “I’d spent the first half of my life thinking about blowing things up. Now here was the chance to put things back together,” Grunewald explains.

“It was a dream job; I was surrounded by talented people,” he recalls. “We traveled all over, meeting others involved in archeology and the preservation of architecture and building sites. I got to learn about people from all over the U.S., about their various cultures and issues.” He enjoyed his second career for 18 years, retiring in 2007.

Grunewald says the core of his existence is his love, care and protec-tion of animals of all kinds. Marlena shares in this commitment and they have been active contributors to many animal groups, shelters and related charities over the past 22 years they’ve lived in Little Rock. “We’ve fostered so many cats and dogs; we would feel empty without animals in the house,” they both say as they introduce their three dogs. A framed print of Little Rock’s “Over-the-Jumps” carousel honors the couple’s 10-year effort to help restore the unique Little Rock landmark.

Little Rock also benefits from having a couple who fervently state about their adopted city: “We absolutely love this city and all it offers. It’s our diamond in the rough!”

eat local

support your community

(501) 664-2624 Statewide toll-Free:

1-800-342-5541625 North University avenue

little rock, arkansasoffices conveniently located in little rock, russellville, Fort Smith, Mountain Home, Fayetteville, Hot Springs,

North little rock, Jonesboro, and el dorado

Snell Prosthetic & Orthotic Laboratory

The Latest In Technology. The Best In Care. www.snellpando.com

PROSTHETICS / ORTHOTICS PEDORTHICS / POST-MASTECTOMY

Growing Relationships Whether our patients are playing with

their grandchildren, running a 10K, volunteering at the local soup kitchen, or beautifying their corner of the world, we want them to always be able to perform at their best. That's why Snell Laboratory makes the commitment to build strong relationships with those we serve so that we can determine which of our lightweight materials, hi-tech components, or state of the art techniques will work best when fabricating their orthoses or prostheses.

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Maturearkansas

ALSO iNThiS iSSUE Try Social

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DECEMBER 29, 2011

Maturearkansas

If you have inspirational or informative ideas benefiting active retirees, we welcome your input. Please [email protected] or call 501-375-2985 for editor Anne Wasson.

CeLebrates your achievements and inspirational stories

adVoCates for you and your concerns—social, financial, political

entertains by featuring the best in events, dining, culture, volunteering, so you can live life to the fullest

eduCates with health and consumer news to stay healthy, independent, and ready to embrace new beginnings and opportunities

As an American, I’ve found we are liked by most people,but we are definitely not the center of the world, much less the universe!


if you’ve spent any time studying invest-ment vehicles, you’ve encountered classic

risk and reward situations. The equity markets (or stock markets) are a good example. Equity markets, especially when viewed with a short-term lens, present vari-ables that make them risky. They’re also potentially more rewarding, posting high short-term gains.

But do high investment rewards have to go hand-in-hand with high risk?

A good way to approach your investment strategy, whatever your tolerance for risk, is to use the Rule of 100. The Rule starts with 100, subtracts your age and the result is the percentage of your portfolio that can be invested in higher-risk vehicles while allowing for time to recover if the invest-ment suffers a reversal. If you’re 65, your Rule of 100 number would be 35. That means you should invest no more than 35% of your portfolio in higher-risk vehicles such

as stocks, bonds, mutual funds, etc. In this example, if you put 100% of your portfolio in the stock market, and the market declines 40%, you stand to lose a significant portion of your nest egg. It would take a 66.6% return on investment to regain that orig-inal principal! There aren’t many vehicles offering that kind of return, especially considering the relatively short time you would have at age 65 to get the principal back.

Spreading your portfolio over several investments is the best approach, one that yields consistent results. Your diversification should contain:

• “Safe” instruments, like checking, savings, certifi-cates of deposit and fixed annuities

• “Hybrid” instruments like fixed index annuities

• “At-risk” instruments like stocks, bonds and mutual funds.

• The percentage of each instrument should vary according to your timeline as illustrated in the Rule of 100. By making

sure you adjust your portfolio’s content as time goes by, you can greatly reduce your exposure to risk. Having an investment advisor in your corner makes a huge difference, and gives you several advantages on your investment journey.

In his book, Profit Without Panic, Jonathan Myers writes, “The inherent risk of an investment at any given time is stable or assessable, while perception of risk can fluc-tuate according to whim, bias

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come from great planning.

February and early March, before bud break, is the ideal time to prune fruit

trees, shrubs and vines, says Dr. Obadiah Njue, University of Arkansas at Pine Bluff Cooperative Extension Program horticulture specialist.

Pruning modifies the growth and struc-ture of a plant. The reasons to prune include:

• to develop a strong tree or plant struc-ture

• provide balanced growth and produc-tivity

• provide good quality light penetration• maintain a healthy plant• control plant size• train young plants.Properly pruned and trained trees, shrubs

and vines produce high quality fruit, and the plants live longer. Pruning to promote a strong plant structure starts from planting and should be done each year, Njue advises. Pruning controls the balance between plant

size, yields and fruit quality. Pruning opens the plant’s canopy to

maximize light penetration essential for flower bud development and fruit set for the following year. It also improves the quality of the current year’s fruits.

Removing damaged wood and dead or dying branches injured by disease, insects, storms or mechanical injuries maintains a healthy plant and makes controlling diseases and insects easier.

“Training and shaping branches is easier when a plant is young rather than pruning larger branches later on,” says Njue.

Late winter or early spring pruning has advantages over early winter pruning. Wounds heal quickly when growth starts. Undesirable branches and wood to be pruned can be seen more easily without leaves on the plant or tree. The bark is less likely to

invest at your Comfort LevelGood planning trumps risk

MONEy n By gARy gARRiSON

gARDENiNg n By CAROL SANDERS

Time to Prune


CeLebrates your achievements and inspirational stories

adVoCates for you and your concerns—social, financial, political

entertains by featuring the best in events, dining, culture, volunteering, so you can live life to the fullest

eduCates with health and consumer news to stay healthy, independent, and ready to embrace new beginnings and opportunities

If you would like your event, classes or volunteer opportunities included in our Calendar, email [email protected]

or call Paige Parham at 501-375-2985.


CALENDAR PICKSBy Paige Parham

NOW THROUGH DECEMBER 31 (CLOSED DEC. 23-26)-ALL ABOARD: LIONELS AT

LAMAN! The Arkansas Chapter of the Lionel Collectors Club of America presents a hands-on

model train display that is fun for all ages. In Laman Library Exhibit Hall, Main Library’s 2nd

floor, 2801 Orange Street, North Little Rock, 9:00 AM – 9:00 PM.; 9:00 AM – 5:00 PM. Fri. and

Sat.; 1:00 – 5:00 PM. Sun. Contact Debra Wood at 501-771-1995, extension 105. Free Admission.

➧

DECEMBER 22 – A SPECIAL CHRISTMAS SHOW

FEATURING KEN GOODMAN AND THE ENTIRE

FAMILY, 7:30 PM, The Vienna Theatre, 424 Central

Avenue, Hot Springs, 501-463-2799 for reservations.

The Goodman family will sweep you away with their

musical stylings of your holiday favorites like “The

Christmas Song,” “White Christmas,” “Have a Holly,

Jolly Christmas,” and more. Don’t miss the holiday

game with prizes.

D E C. 26- M O N DAY N I G H T J A Z Z AT T H E

AFTERTHOUGHT, 8:00 PM, 2721 Kavanaugh Blvd.,

Little Rock, $5; includes Steve Struthers on guitar,

Brian Wolverton on bass and Dave Rogers on drums.

DEC. 26-BEGINNER KUNDALINI YOGA, 5:30 - 6:30

PM, Elevate Arkansas, 323 S. Cross Street, Little Rock.

Join Caren Shantz in an introduction to one of the

oldest and most powerful forms of yoga and one of

the oldest spiritual practices on the planet. In Kundalini

Yoga, taught by a master of kundalini Yogi Bhajan, you

will learn powerful movement, breathing and more in

this simple introductory course. $5 for members, $7

non-members; yogi tea and cookies after the lesson. A

portion of the proceeds are donated to Ark. Coalition

Against Domestic Violence. Call 888-749-6949 or visit

www.elevatearkansas.org

DECEMBER 24-HIKE THE WEST SUMMIT TRAIL, 10:00 AM to noon, West

Summit Trailhead, Pinnacle Mountain State Park, Little Rock. Release some

holiday stress and enjoy an interpreter-guided hike up the west side of Pinnacle

Mountain. This will be a moderately strenuous hike; sturdy shoes and water are

required. Dress appropriately for colder weather and wind. Admission is free;

call 501-868-5806 or visit www.arkansasstateparks.com/PinnacleMountain for

more information.

➧

DECEMBER 25A CHOICE OF

CHRISTMAS DAY

FEASTS

BRUNCH AT THE PEABODY HOTEL,

10:30 AM – 2:30 PM, The Peabody Hotel,

3 Statehouse Plaza, Little Rock. Christmas

Day Brunch in Capriccio Grill Italian

Steakhouse includes a wide selection of

dishes from prime rib of beef to honey-

glazed ham and roasted pork loin.

Breakfast items, seafood and desserts

also available. Brunch is $39.95 for adults;

$14.95 for children ages 6 to 11; children

5 and under eat free. Complimentary

valet parking will be provided. Call

501-399-8062 for reservations or visit

www.peabodylittlerock.com

CHRISTMAS DAY FEAST AT THE

ARLINGTON HOTEL, 11:00 AM – 3:00

PM, The Venetian Dining Room at the

Arlington Hotel in Hot Springs, includes a

festive buffet of gourmet and traditional

favorites, set amidst beautiful holiday

decorations. Cost is $33 for adults; $15

for ages 6-12; children 5 and under eat

free. 501-609-2575 for reservations.

Maturearkansas


MATURE

ARKANSAS

ALSO IN

THIS ISSUE

Choosing a

Desktop or Laptop

PAGE 14

SENIOR PETS

ENHANCE SENIORS’ HEALTHPage 8

A NovelIdeaPAGE 11

DECEMBER 8, 2011

LITTLE ROCK CITY

DIRECTOR JOAN ADCOCK

WITH RAIN, ANIMAL

VILLAGE DOG OF THE YEAR.

PHOTO BY BRIAN CHILSON

A Gift Only You

Can Give

PAGE 7

and external influence.” Put simply, the investment itself carries a risk that’s easy to define and based on specific and universal measurements. Your tolerance for that risk isn’t. A personalized risk assessment helps you iden-tify your comfort level with risk. Everyone has a different level of risk tolerance.

Your financial planner should be able to offer you a questionnaire to help deter-mine your risk tolerance. This information, combined with the Rule of 100, will help put a sharper focus on your invest-ment strategy.

Great rewards don’t always come from great risks; they often come from great plan-ning.

Mr. Garrison is president of Asset Protection Wealth Management and specializes in assisting retirees.

Q: gary, is a variable annuity a good product to include in my portfolio?A: There are only a select few variable annuities that I would incorporate into a portfolio. Most of them have high fees and early withdrawal penalties. find a variable annuity that only charges about $25 per month, has no early with-drawal charges, is 100% liquid at all times. There are variable annuities that also have hundreds of invest-ment choices. And of course, the tax deferral of a variable annuity can be a huge benefit the higher your tax bracket.

Send your financial questions, to be answered in this column, to Gary Garrison at [email protected]

tear when cuts are made. If you prune too early, plants can be damaged by low winter tempera-tures.

Different fruit trees, shrubs and vines require different pruning tech-niques. For help on specific pruning methods for your plants and trees, shrubs and vines, contact your county Extension agent. Or, attend Dr. Njue’s pruning workshop on March 10, 9:30 AM, at the UAPB Extension Complex, on the corner of L.A. “Prexy” Davis Drive and Oliver Road, Pine Bluff. Call 870-575-8152 for details

Ms. Sanders is a writer with the UAPB School of Agriculture.

Daffodils and other spring bulbs are up and growing

and february is a good time to fertilize them. When you see flower buds showing, put a complete fertilizer around them, according to University of Arkansas Cooperative extension Service. fertilizing them now allows time for the fertilizer to work itself into the soil; the plants to take it up and be ready when the flowers are finished blooming. remember, all spring bulbs need at least six weeks of growth following bloom. Never cut them back until a full six weeks after last bloom.

FERTILIzE bULbS

shop localsupport our community


A Facebook friend posted this week about ageism and interviewing on the job front.

This friend is in her 50s and well versed in all things media, having had a long career as a reporter. She is active online and in her commu-nity. She consults and freelances and often is “job hunting.” She isn’t afraid to jump right into new things, especially if it means keeping up with trends in technology and in the virtual workplace.

The article she posted, from Monster.com, a popular job site for companies looking for new hires and for those seeking placement, addresses interviewing specifically.

“Surprisingly, long-term experience with

one company may be an albatross when you’re searching for a new job,” writes author Linda Wiener. “While dependability and loyalty are still valued, in today’s marketplace, the average stay at a job is less than three years.”

It seems to me that at least making some sense of what’s happening in the world of technology would be helpful for job seekers, regardless of age.

If you’ve been in a job for a long while, or are retired and shifting gears a bit; working to ease financial stress, or just feel like it’s time for a change, don’t expect all that experience to “speak volumes.” It may truly say a lot about your loyalty and your work ethic, but today you

have to be willing to employ those traits with a good grasp of technology. And, have a positive attitude about it.

Technology is not going anywhere but up. Naysay all you want, but when it comes to the job hunt, you need to be able to work with some of technology’s tools.

The best place to start? Understand what these terms mean and learn how to use them all:

• SearCh engIne/BrowSer - means Google, Yahoo, Bing

• KeYworD SearCh – is a type of Internet search that looks for matching documents that contain one or more words specified by the user.

Across1 La ___

(Argentine city)6 Irksome10 Blacken14 Museum piece15 Name of

counties in threestates, allcrossed by I-90

16 Loosen (up)18 Amicable20 Abridge21 Windhoek-to-

Pretoria dir.22 “Beloved,” in

operas23 Begin

energetically24 Player of Mark

Antony in 1953’s“Julius Caesar”

27 Sing30 Epithet for

France’s LouisVI, with “the”

31 Singer Alan orAnita

32 Weather line34 Abbr. in

classifieds

35 AndriesPretorius, e.g.,who gave hisname to anational capital

39 What each ofthe 10abbreviations inthis puzzle’sanswer standsfor

43 Bloom support44 Jimmy45 Electorate46 Gas brand north

of the border48 Pet rat in a 1972

#1 song49 Medium bra

specification50 Old name of the

San JoseSharks’ arena

55 Kind of push-up56 Muckraker

Jacob58 Clinton’s veep

and his father61 Gain knowledge62 Skateboarding

ramp

65 AmericanShakers founder

66 Language that’swritten from rightto left

67 Popular Italianscooter

68 Not natural69 Map

magnification70 Kindle file

Down1 Like many a

sniper2 Runners3 Veld flower4 Uncle José, e.g.5 Hybrid, in a way6 Inspect7 Wrongdoing8 Less than 1%9 “Assuredly”10 Author Beverly11 “Broom-___”12 Much-advertised

sleep aid13 Fixed up17 Where Harrah’s

started19 Sushi bar sauce23 The L.A. Sparks

play in it25 Not all there26 Frankfurt an der

___27 They’re flicked28 Exam for future

attys.29 Have ___ to pick30 It’ll pass33 “Pow!”34 Subject of the

2005 book“Conspiracy ofFools”

35 Drill part36 Year in the reign

of the emperorAugustus

37 Napkin shade,maybe

38 Party in a legalproceeding:Abbr.

40 Part of St. Paul’s41 No longer

bothered bysomething

42 Baron ___Richthofen

46 Like some runs

47 Small areameas.

48 City oncedivided by theGreen Line

50 Mixer choice51 Seemingly

ceaselessly52 With cruelty53 Gay ___54 Plumbing, e.g.

57 Golf’sBallesteros

58 Lhasa ___59 Quick weight

loss method, forshort

60 Commandeliciting barking

62 On the ___ vive63 Mantelpiece

pieces64 Johnny ___

Puzzle by Gareth Bain

For answers, call 1-900-285-5656, $1.49 a minute; or, with a creditcard, 1-800-814-5554.Annual subscriptions are available for the best of Sundaycrosswords from the last 50 years: 1-888-7-ACROSS.AT&T users: Text NYTX to 386 to download puzzles, or visitnytimes.com/mobilexword for more information.Online subscriptions: Today’s puzzle and more than 2,000 pastpuzzles, nytimes.com/crosswords ($39.95 a year).Share tips: nytimes.com/wordplay. Crosswords for young solvers: nytimes.com/learning/xwords.

ANSWER TO PREVIOUS PUZZLE

1 2 3 4 5 6 7 8 9 10 11 12 13

14 15 16 17

18 19 20

21 22 23

24 25 26

27 28 29 30 31

32 33 34 35 36 37 38

39 40 41 42

43 44 45

46 47 48 49

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55 56 57 58 59 60

61 62 63 64

65 66 67

68 69 70

A P S E O R I O N D A B SN A P A C A M P Y O R A LS W A T C H T E A M N O R I

M A O A R P T M A NP A T C H O N T H E B A C K

B E L K I T P E S K YU S O C G O O S I SG O T O T H E M A T C H F O R

L U C G N U Y U R IO P E D S N F C L E GB A T C H O U T O F H E L LO R C A P T A I V SI T E S A L L E Y C A T C HS I T E L E O N E D O U RT I C S S Y N C S E P E E

The New York Times Syndication Sales Corporation500 Seventh Avenue, New York, N.Y. 10018

For Information Call: 1-800-972-3550For Release Thursday, February 16, 2012

Edited by Will Shortz No. 0112

• weB-BaSeD (Webmail) emaIL ServICeS (Gmail, AOL). Know how to send and receive regular emails from these web browser-based email services. Also look at how the calendars, documents, settings and other features work, as most businesses are moving to this kind of email service. If you learn one, you can quickly adapt to any of them. Many features are similar.

• SoCIaL meDIa – means Facebook, Twitter, Urbanspoon. Regardless if you participate, at least “read up” on the industry. Chances are, any place you choose to inter-view will have some sort of presence online in order to communicate with customers and clients.

''While age is a qualification for some occupations (e.g., pilots, fire-fighters, bus drivers, etc.), chances are you’ll have to redefine your skills and experience to better market them to prospective employers to win in an interview,” Wiener writes.

“Lastly, heading into your inter-view with confidence can set the tone for the conversation and how the interviewer perceives you. Be ready with examples that demonstrate the potential employer’s desired skills, and check how you present yourself from head to toe.”

Ms. Ferguson is social media director for the Arkansas Times.

Across1 Company whose

jobs are oftenchanging?

10 Working group

15 Got to thebottom of

16 It takes a bow ata musicalperformance

17 1958 BuddyHolly hit

18 “Guaranteedrelief every time”sloganeer

19 Historic leader?

20 “Dove ___”(Mozart aria)

21 Thing

22 Poeticcontraction

23 Kind of strip

25 Workers’ org.founded bySamuelGompers

26 Farriers’ tools29 Letters signifying

quality brandy30 Grant-giving org.31 Musical with the

song “Written inthe Stars”

33 Said “There,there” to, say

36 It makes theStatue of Libertygreen

39 Guarantee40 Very excited42 The so-called

Island of theGods

43 Head for the hills44 One can be tall46 Jerry or Jerry

Lee50 Seine sight51 Rappers’ covers53 Sign54 Lane on

Broadway

56 Attack

58 Telephone trio

59 Against a thing,at law

60 2010 Ke$hachart-topper witha creativelyspelled five-wordtitle

62 Clichéd

63 Series ofNintendo games

64 Certain 49-Down

65 Watersheds

Down1 18-footer, maybe2 Measured two-

dimensionally3 Chickens for

dinner4 “Marvy!”5 Surrealist

Tanguy6 Simon of Duran

Duran7 Russian

ballerina Galina8 Gets into Monk

music9 Eponym of a

frozen food10 It may be picked

up in the woods11 Do a driver’s no-

no12 Axis, e.g.13 Condition known

medically as pesplanus

14 1967 hit with thelyric “You knowyou’re a cutelittleheartbreaker”

21 Wife, in Juárez24 Sister of Helios27 Sibling, at times?28 Sound really

good32 007 player34 Put to sleep35 Auto racer

Luyendyk36 “Refudiate,” e.g.

37 Mythical runner38 1990s series

initially set in theyear 2193

41 Place for a plug42 Mild Irish oath45 Nike competitor47 Move to and fro48 Belong49 Women’s wear

51 Women

52 2005 horrorsequel

55 Prefix with port

57 Fund-raisingsuffix

60 Iraq war subject,briefly

61 Volga tributary

Puzzle by David Steinberg

For answers, call 1-900-285-5656, $1.49 a minute; or, with a creditcard, 1-800-814-5554.Annual subscriptions are available for the best of Sundaycrosswords from the last 50 years: 1-888-7-ACROSS.AT&T users: Text NYTX to 386 to download puzzles, or visitnytimes.com/mobilexword for more information.Online subscriptions: Today’s puzzle and more than 2,000 pastpuzzles, nytimes.com/crosswords ($39.95 a year).Share tips: nytimes.com/wordplay. Crosswords for young solvers: nytimes.com/learning/xwords.

ANSWER TO PREVIOUS PUZZLE

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15 16

17 18

19 20 21

22 23 24 25

26 27 28 29 30

31 32 33 34 35

36 37 38 39

40 41 42

43 44 45 46 47 48 49

50 51 52 53

54 55 56 57 58

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62 63

64 65

M D I T E L A T T I CA U N T B E E G O O D A L LL E S I O N S E U R A S I AA L T O N S O N G I V SC L O S E E N T H R O N E SH E N T R E S A N G L OI D E S O O F M I S S Y

A L L F O R O N EN O R A D R E A T I T O

D O U A I S A A B N W AE N T H R A L L S T V S E TB O G M I L S B I T E SU N R A T E D I N A D A Z EG O O D O N E G A L I L E E

W O O D S N H L L S D

The New York Times Syndication Sales Corporation500 Seventh Avenue, New York, N.Y. 10018

For Information Call: 1-800-972-3550For Release Friday, February 10, 2012

Edited by Will Shortz No. 0210

Position yourself for EmploymentEmployers want tech-savvy applicants

ThE AgE OF TEChNOLOgy n By KELLy FERgUSON


FOOT WORK n By ALExANDRA BUK, DPM

Diabetes is a serious disease that develops from the lack of insulin

production in the body or due to the inability of insulin to perform normally. Insulin helps process food and turns it into energy.

Diabetes is a chronic disease affecting 24 million Americans; nearly six million don’t know they have it. Fully 25% of diabetics will develop foot problems, arising from a combination of poor circu-lation and neuropathy.

PERiPhERAL vASCULAR DiSEASEDiabetes often leads to peripheral vascular disease that inhibits blood circula-tion. Poor circulation contributes to diabetic foot problems by reducing oxygen and nutrition supplied to the skin, causing poor healing of injuries. Poor circulation can also lead to dry and swollen feet. If untreated, it can lead to ulcers, infection and amputation.

DiABETiC NEUROPAThyDiabetic neuropathy is the impairment or damage of nerve function due to the increased blood sugar of diabetes. Signs of neuropathy include muscle weakness and pain, tingling, loss of feeling, decreased pain sensation, and burning or numbness in hands and feet. Many of these symptoms are worse at night.

Diabetic neuropathy can cause severe complications including disability and ampu-tation of limbs. Because neuropathy masks pain, you may not notice a cut, blister or even a bone fracture. This may lead to serious infec-tion, ulceration or foot deformity.

To prevent diabetic neuropathy, maintain good blood sugar control. This can be achieved through proper use of medication, diet and exercise.

If you already have diabetic neuropathy, check your feet daily. Look at the tops and bottoms of your feet, heels and between the toes. Check for cracks or breaks in the skin and color changes. Use a mirror or ask some-body to check for you. Feel for changes in skin temperature: cold could mean circulation is being cut off; hot could mean infection or injury. Immediately report any changes to your doctor.

PREvENTiNg ChARCOT FOOTCharcot foot is a sudden softening of the bones in the foot, occurring in people who have diabetic neuropathy. The bones are weak-ened enough to fracture. Continuing to walk will eventually change the foot’s shape as the arch collapses and the foot takes on a “rocker bottom” shape, making it difficult to walk. Neuropathy prevents the pain of an injury from being noticed and the patient continues to walk, making the injury worse.

Charcot foot is serious and can lead to severe deformity, disability and even amputa-tion. The symptoms of Charcot foot can appear after a sudden trauma or even a mild repeti-tive trauma, such as a long walk. The symp-toms are similar to those of infection: warmth, redness, swelling and pain. Seek immediate care if symptoms appear.

Treatment for Charcot foot consists primarily of complete, non-weight-bearing immobilization. Feet and ankles are so fragile during the early stages of Charcot and must be protected so soft bones can repair themselves. Shoes with special inserts may be needed after the bones have healed to enable the patient to return to daily activity. Bracing is required for severe deformity. Activities may need to be modified to avoid repetitive trauma. In some cases, a surgical procedure may be necessary.

PREvENTiNg FOOT ULCERSFoot ulcers can be another serious compli-cation of diabetes. An ulcer can start as a small, insignificant blister or small cut. A

lack of prompt treatment can turn ulcers into chronic, non-healing ulcers, or lead to gangrene and amputation.

Blood flow is a large part of injury recovery. Because diabetics can have reduced blood supply to the feet, it leads to slow healing and an increased risk of infection.

Preventing diabetic foot ulcers is easier than treating them. Lifestyle changes such as controlling your diabetes, exercising, avoiding smoking and maintaining a healthy body weight are extremely important for diabetics. Many ulcers can be prevented by making sure any cut, sore, bruise or blister is noticed early and treated quickly.

Dr. Buk practices at the Arkansas Foot and Ankle Clinic in Little Rock

DIAbETIC FOOT CARE• Wash your feet in warm water, dry well between the toes, moisturize and apply sunscreen

when needed.• Keep your toenails trimmed by clipping straight across or smooth with an emery board. If

your nails are thick or yellowed, have a podiatrist trim them.• Never walk barefoot, even indoors.• Do not use hot water bottles or heating pads.• Do not use over-the-counter products to remove calluses because the chemicals can

damage your skin.• Wear diabetic socks specially formulated for sensitive skin.• Be sure shoes are well-fitted from the start. Consider Medicare’s Therapeutic Shoe

Program. Your podiatrist can fit the shoes professionally in the office.• Make sure a medical professional examines your feet at least once a year.

Diabetes and your Feet25% of diabetics have foot problems

Take care of your feet to stay active.


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