zest nov 2010

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Celebrationof thanks

Recipe maven Bev Barrett’s hosting tips

50+ Living

A day of learning McLeod County Expo was a mixed bag of information

2 ZEST / November 2010

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ZEST

ZEST / November 2010 3

Happy ThanksgivingThanksgiving is inseparable from

the images attached to it. Frompumpkin pie and pigskin to paradesand poultry, Thanksgiving is rootedin traditions. The day has its originsin harvest celebrations and expres-sions of gratitude for a good bounty.

Nowadays that bounty bows ourdining tables as we sit down forThanksgiving dinner. All this talk offeasting put a question into my head.How large is the harvest for all of theholiday’s staple dishes? For theanswer I turned to the U.S. CensusBureau:

250 million – The preliminaryestimate of turkeys raised in theUnited States in 2009. Minnesotatops the country in turkey productionwith 45.5 million.

709 million pounds – The fore-

cast for U.S. cranberry production in2009. Wisconsin is expected to leadall states with 400 million pounds.

1.8 billion pounds – The totalweight of sweet potatoes produced bymajor sweet potato states in 2008.

1.1 billion pounds – Total produc-tion of pumpkins in the major pump-kin-producing states in 2008. Illinoisled the country with 496 millionpounds.

284 million pounds – Thenation’s forecasted tart cherry produc-tion for 2009. Of this total, the major-ity (220 million) is produced inMichigan.

Well, if that doesn’t whet yourappetite, then maybe the stories inthis issue of Zest will.

This month we pick the brain ofLitchfield’s Bev Barrett. A maven inthe realm of recipes and entertaining,

she shares her tips for preparing andhosting a stress-free Thanksgivingdinner.

Also, learn about what went onduring the annual McLeod CountySenior Expo in Hutchinson. The 2010event was one of the biggest ever.

Keep sending your ideas andrecipes. Any story ideas or comments,should be sent to me [email protected] or [email protected] or bysending a letter to HutchinsonLeader c/o Katie Winter,36 Washington Ave. W.,Hutchinson, MN 55350,or LitchfieldIndependent Review c/oKatie Winter, 217 N.Sibley, Litchfield, MN55355.

Katie Winter

Contents

5 Calendar: Holiday events

6 COVER STORY: Celebrate with thanks

10 Medicare Answers: Transport not always covered

11 Money: Holiday shopping savings tips

12 FEATURE STORY: A day of learning

16 Comfort Foods: Enjoying fall’s bounties

17 Travel: Explore Wisconsin’s scenic bicycle trails

21 Wellness: Joint pain is a big concern

22 News: Dassel’s Augustana Lakeside growing

23 News: Hutchinson building senior campus

November2010

Vol. 1 No. 9zestforlife.mn

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12

6


Opinion

PUBLISHED BY

Litchfield Independent ReviewPO Box 921

Litchfield, MN 55355(320) 693-3266

Hutchinson Leader36 Washington Ave. W.Hutchinson, MN 55350

(320) 587-5000

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Crow River Press170 Shady Ridge Road NW

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New building, better nursing careBy Doug Hanneman

The announcement that federal loans have beenapproved to build a new skilled nursing facility inHutchinson to replace Burns Manor is sweet news to any-one who cares about the future of long-term care.

The U.S. Department of Agriculture’s RuralDevelopment office, prodded by Minnesota CongressmanCollin Peterson, has authorized loans to cover the majori-ty of the new facility’s $23.4 million cost.

Nine long years have passed since the idea of replacingBurns Manor was first publicly discussed. We commendthose associated with this project over the years — espe-cially Hutchinson Area Health Care CEOs Phil Graves,Mary Ellen Wells and Dr. Steve Mulder, and board presi-dents Bob Peterson, Wayne Fortun and Mike Mueller —who worked to get this project off the ground.

Many obstacles were faced along the way, including twoattempts to purchase property that didn’t pan out, andunexpected news from other providers of care to older peo-ple that they, too, were building assisted-living facilities inthe Hutchinson-Silver-Lake-Glencoe market. In all, four

such facilities have sprung up since 2005.What makes Hutchinson Area Health Care’s plan

unique is that its skilled nursing facility will be part ofwhat eventually will be an entire continuum of care. Weespecially like the idea that the new facility will be organ-ized into “households” and its model of care will be cen-tered around individual choices.

The time is right for a new skilled nursing facility.Interest rates are favorable and construction costs are rel-atively low.

Back in 2001, the task force examining what to do withBurns Manor wondered if Hutchinson’s residents mightresist building a new nursing home. That question hasalready been answered by the number of people who havepledged, to date, $2 million toward the project. Morepledges might have been anticipated, but $2 million isnothing to sneeze at.

The new facility should be open by the end of 2011. Wesuspect Burns Manor residents and employees will be allsmiles when they move into their new home.

It can’t happen too soon.


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Calendar

NOVEMBERNov. 4: Hutchinson

Ambassadors HolidaySampler Showcase,Hutchinson Event Center.

Nov. 4-6, 11-13:Hutchinson TheatreCompany presents “Overthe Field and Through theWoods,” at the PeaceCenter, Hutchinson.

DECEMBERDec. 4: Forest City

Pioneer Christmas, activi-ties include horse-drawnsleigh rides, a visit withSanta, Christmas carolingand old-fashioned orna-ment making.

Dec. 4: MinnesotaBoyChoir Holiday Concert,7 p.m., Hutchinson HighSchool Auditorium. Enjoy

an evening of beautiful hol-iday, sacred and secularmusic.

Dec. 5: Crow RiverSingers Winter Concert2010, 2-3 p.m. The CrowRiver Singers communitychoir will perform theirWinter Holiday Concertsunder the direction ofBrian Brosz.

Dec. 6-11: Holly DaysCelebration, Glencoe. Thecelebration starts with theannual medallion hunt.Activities includeChristmas at the Libraryand a Christmas Jubileeparty with Santa & hisreindeer. The Holly DaysParade, which is one of thelargest lighted Christmasparades in the region, willbe held Saturday evening,Dec. 11.

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Cover Story

Every November millions of families sit down to Thanksgiving dinner.This year, keep the celebrations simple byplanning ahead and sticking to traditional recipes.

Celebrate with thanksGratitude is key to hosting a holiday dinner


Cover Story

The above Thanksgiving prayer is one of Bev Barrett’sfavorite and is often used by her family members toexpress their gratefulness for life’s blessings.

By Katie Winter

Does the thought ofhostingThanksgiving dinner

fill you with trepidation orexcitement?

Are you thankful for thechance to spend time withfamily or does terror gripyou at the thought of thaw-ing the turkey?

Whichever way youremotions swing, playinghost can be simplified withsome advance preparation,easy recipes and a littlehelp from your friends.

Bev Barrett has beenserving up recipes andentertaining tips for thepast 10 years through her“Baking with Bev” columnin the LitchfieldIndependent Review. Shesaid putting on a memo-rable Thanksgiving gather-ing is about more than hotfood and place settings.Instead a focus on guestsand gratefulness will makethe day special.

“I still think it’s a veryimportant time to take toreflect,” Barrett said. “Nomatter what you have Idon’t think it’s that hard tosay something you’rethankful for. I think to setsome time to say whatyou’re thankful for is veryappropriate. It’s neat thatwe still take the time to dothat.”

One of the tried and trueways to include your guestsin the festivities is to havethem bring a dish to share.Desserts, relishes andbreads all are popular mealstaples guests can whip upand contribute to the party.Barrett said this approachnot only lightens the loadfor the host, but adds a lit-tle family personality aswell.

“In our family we taketurns hosting the day,”Barrett said. “The host pro-vides the meat, potatoes,

stuffing and gravy. Othersare assigned to bring therolls, relishes, salads anddesserts.”

Barrett is partial to serv-ing up one of her home-made relish trays.

“We have traditionalthings that we bring andmine is often the relishesor dessert,” Barrett said.“To make a really prettyrelish tray really adds tothe meal. Rather thangoing to the store, it doesn’ttake that much to cut (thevegetables) and make themlook nice. I like to cut themreally pretty in radish rosesor carrot curls.”

Keeping customsBesides making the occa-

sion a family affair, certainrecipes and dishes also giveThanksgiving that tradi-tional flare.

“We usually have the tra-ditional (dishes) like thepumpkin and cranberry,”Barrett said. “You kind offeel like you’re missing themeal if you’re missing oneof those.”

And what about thesteaming bowls of fluffymashed potatoes? Surelythose are not to be left out.

“We have a potato recipethat is ‘make aheadmashed potatoes,’” Barrettsaid. “It is delicious andcan be made the dayahead. You peel them andmash them and add sourcream. You put it in thecrockpot. It’s a really easyway to make potatoes forthat big of a bunch.”

Unearthing and rediscov-ering favorite holidayrecipes is an ideal place tostart when meal planning.Asking family members tosend the recipes they like,does not hurt either. Also,the big day is not the timeto experiment with newrecipes or use your guestsas guinea pigs, Barrettadvises.

“Don’t make complicatedrecipes. New recipes havetheir place, but if you aren’tsure how to make it, save itfor another time,” she said.

The turkeyIn the Barrett family, as

in millions across the coun-try, the turkey is the cen-terpiece of the meal. Thebird also can be a source ofworry for many. Fromchoosing the right size tofeed all of the guests to

debating whether the stuff-ing is cooked inside or out-side the turkey.

The U.S. Department ofAgriculture recommendsallowing at least one poundof turkey per person andfor more even cooking andfor optimum safety, cookingthe stuffing outside thebird in a casserole.

For those insistent onstuffing the bird, followthese food safety tips:

• Chill all of the wet

ingredients (butter/mar-garine, cooked celery andonions, broth, etc.).

• Mix wet and dry ingre-dients just before filling theturkey cavities.

• Fill the cavities loosely. • Cook the turkey imme-

diately. Use a food ther-mometer to make sure thecenter of the stuffing reach-es a minimum internaltemperature of 165 °F.

Over the years, Barretthas picked up a few poultrypointers of her own.

“Follow the directions,”she said. “The big thing isto make sure it’s thawedout and ready to go, andthawed out at a safe tem-perature so people don’t getsick.”

And what wouldThanksgiving be withoutall of the leftovers spillingout of the refrigerator?They are almost as iconicas football and parades forthe holiday.

“Have enough food so youdon’t run out,” Barrett said.“It’s a good time forplanned leftovers as thereare lots of recipes you canmake with leftovers.”

Eating with your eyesOnce the meal planning

is out of the way, it’s timeto turn your attention todécor and entertainment.Don’t forget that commonculinary expression: “Youeat with your eyes first.”

Putting up holiday-spe-cific decorations is one wayto add festiveness to yourevent.

Try arranging a cornu-copia, fall flowers, leaves,gourds or pumpkins asThanksgiving approaches.

Door wreaths inThanksgiving colors ofbrown, red and pine greencan be made using treebranches, gourds, nuts andribbons.

A mum placed by yourfront door is also a warminvitation to arrivingguests

Serving the meal buffetstyle adds ease and practi-cality for guests too,Barrett said.

The entertainmentSo when the meal is fin-

ished and the guests aresuitably stuffed. What to donext? Why not work offsome of those holiday calo-ries by exercising some cre-ative muscle? A practice inthe Barrett family is toundertake a Christmascraft project.

“In our family sometimeswe do a craft project,”Barrett said. “We’ve donesome really kind of funprojects. Sometimes they’rea favor for Christmas orsomething you could use asa Christmas gift.”

Other suggestionsinclude:

• Setting up a table forgames and card playing.Charades, Pictionary andTrivial Pursuit are classics.

• Having guests vote ona selection of family moviesto watch after the meal.

• Supplying index cardsand pens for guests to jotdown what they’re thankfulfor or a fond memory of afriend or family member inthe room. Place the cardson the table after dinner toview and discuss.

• Bring out photo albumsto share memories.


Cover Story

PHOTO COURTESY OF BEV BARRETT

Bev Barrett writes the “Baking with Bev” column inthe Litchfield Independent Review. In year numberten, the column serves up recipes and entertainingtips.


Cover Story

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Bev’s favorite fall recipesBlessing Mix

Measure 2 cups each of:• Bugle brand corn snacks – represents a cornucopia• Pretzels – represent hands folded in prayer• Candy corn – during the winter pilgrims were only

allowed five kernels of corn per day as it was scarce• Dried or candied fruits – Thanksgiving is the celebra-

tion of the harvest• Peanuts or sunflower seeds – seeds represent the

potential of a bounteous harvest for the next season ifthey are planted and well tended.

Quick Cranberry Punch• 1 can (6 oz.) frozen pink lemonade concentrate,

thawed• 4 cups cranberry juice cocktail, chilled• 2 cans (12 oz. each) ginger ale, chilledMake lemonade in large pitcher as directed on package.

Stir in cranberry juice cocktail and enough ice to chill.Just before serving, stir in ginger ale.

Makes 12-6 oz. servings.

Pumpkin Pie Special• 1 frozen pie crust• 15 oz. unsweetened pumpkin• 1 can sweetened condensed milk• 1 egg• 1 1/4 tsp. cinnamon• 1/2 tsp. each ground ginger, nutmeg and salt• 1/2 cup brown sugar• 2 tbsp flour• 2 tbsp margarine• 1 cup walnutsHeat oven to 425 F degrees. Combine pumpkin, sweet-

ened milk, egg, 3/4 tsp. cinnamon, ginger, nutmeg andsalt. Mix well. Pour into crust and bake 15 minutes.Remove from oven and reduce heat to 350 F. Combinesugar, flour and remaining 1/2 tsp. cinnamon, cut in mar-garine until crumbly. Stir in walnuts. Sprinkle the walnutmixture over pie and bake 40 minutes or until knifeinserted comes out clean. Servings 6.


Medicare Answers

Dear Marci,

I get dialysis regularly, but it’shard for me to get to the dialysiscenter. I use a local ambulancecompany to get me to and from thefacility. Does Medicare cover thistransportation?

— Stella

Dear Stella,Medicare coverage of ambulance

transportation is usually limited if it’snot an emergency situation.

Medicare may cover nonemergencyambulance trips if:

• They’re medically necessary.• You’re taken to or from certain

places.• The ambulance company meets

Medicare requirements.In this instance, transportation is

medically necessary if:• You’re confined to a bed, or• If you aren’t bed-confined, you

need vital medical services during thetrip that you can only get in anambulance; and the reason for thetrip is to get a service or return froma service you need that Medicare cov-ers.

Medicare only covers transporta-tion to and from certain places inyour service area that can give youthe care you need. Your service areais the geographical region around afacility that serves most of the peoplein your town. You can call 800-MEDICARE to get a list of facilitiesin your service area.

A trip from your home to a dialysisfacility might be covered.

If you need regular ambulance tripsto and from a dialysis facility, yourdoctor should send the ambulancecompany a written order ahead oftime saying your health requiresambulance transportation.

When Medicare covers non-emer-gency ambulance trips, it’s coveredunder Part B. As for most Part B-cov-ered services, Medicare pays 80 per-cent of the cost. You or your supple-mental insurance must pay theremaining 20 percent. Medicare sup-pliers must accept Medicare’s

approved amount for the service aspayment in full.

Medicare never pays for ambulettetrips. An ambulette is a wheelchair-accessible van that provides non-emergency transportation for peoplewith disabilities.

Dear Marci,

I took an ambulance to the hos-pital because I was having chestpains. It turned out that it washeartburn and not a heart attack.My private plan says it won’tcover the ambulance because itwasn’t medically necessary. Whatcan I do?

— Marc

Dear Marc,Original Medicare and Medicare

private health plans, also known asMedicare Advantage plans, mustcover emergency services even if yourcondition didn’t turn out to be anemergency. You can appeal if yourplan refuses to pay for your ambu-lance ride.

You can also go to any hospital oruse any ambulance company in anemergency situation, whether or not

they’re in your plan’s network.Medicare Part B covers emergency

ambulance transportation from yourhome (or another place where theneed arose) to a hospital. Medicarealso will cover ambulance rides to andfrom other locations.

If your plan won’t pay for yourambulance ride, you can appeal. Youmust get a written denial from yourplan before you can appeal. You thenhave 60 days from the date on thedenial notice to appeal.

In your appeal, you should includea letter explaining that you thoughtyou were having a heart attack andthat the ambulance service was med-ically necessary. If possible, youshould also include a letter of supportfrom your doctor. This is the first stepin the appeals process. It’s calledrequesting a reconsideration.

After you request a reconsideration,the plan has 60 days to respond. Ifthe plan doesn’t respond, or the plandoesn’t agree to cover the service, youcan continue your appeal to the nextlevel. There are several more levels ofappeal after a reconsideration thatyou can use.

Medicare coverage of ambulance transportation can be limited.

Transport costs not always covered

Money

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The Federal Trade Commissioncompares a poorly planned holidayshopping session to going to the gro-cery store when hungry. Shoppers

will only end up spending more thanthey wanted, and will likely end upwith lots of stuff they don’t even needor want. That said, the following tipscan serve consumers this holiday sea-son:

• Follow Santa’s lead. Santa alwaysmakes a list and then, to be safe,checks it twice. Holiday shoppersshould follow this lead and maketheir own holiday shopping list.Making a list allows shoppers to moreclosely examine who is on the list andsave time agonizing over what to buywhile strolling the mall and windowshopping.

• Homework helps. What’s on“sale” at one retailer might be theeveryday price at another. Some saleadvertisements also draw shoppersinto the store, only to be out of stockwhen shoppers arrive.

Another detail to look for is

whether sales are final. Often, thisisn’t the case around the holidays, butsome retailers only give store creditas opposed to refunds for items pur-chased. Full refunds typically benefitshoppers more than store credit, soshoppers should look for retailers whooffer refunds on returned items.

• Consider additional costs.Whether shopping in-store or online,there are always additional costsassociated with holiday shopping. In-store shopping includes fuel andparking costs, while online shoppingoften comes with shipping charges.

• Price-matching pays off. Lots ofretailers offer price-matching optionsto holiday shoppers. This can save along drive to an out-of-town retailerwho’s offering the same item as theretailer a mile away for a lesser price.Before making that long drive, callthe local retailer and inquire aboutprice-matching.

Holiday shopping savings tips

Shop with a plan and a list thisholiday season.



Feature Story

STAFF PHOTOS BY KATIE WINTER

The McLeod County Senior Expo has been held for nearly two decades and aims to educate and entertainthe area’s aging population.

A day of learningMcLeod County Senior Expo is informative and

fun for attendees and businesses


Feature Story

By Katie Winter

The Hutchinson EventCenter was filledwith an assortment of

eager, smiling facing onSept. 28 for the annualMcLeod County SeniorExpo.

“We hope the seniors notonly are enlightened andentertained but also walkaway with knowledge andeducation,” said McLeodCounty Senior Expo com-mittee member JulieReginek.

During the event, whichlasted from 8 a.m. to 2:30p.m., attendees were enter-tained by keynote speakerDoug Ohman, informedthrough a series of work-shops, and offered the serv-ices and products of manyarea businesses and organi-zations.

“We have some great top-ics that really focus on justabout any age group,”Reginek said. “That’s whatwe try to do. We try tothink about how will it per-tain to a whole gamut ofpeople.”

The 2010 expo was pre-sented under the theme“Navigating Life’s Journey”and Ohman used it toshape his talk on navigat-ing the state parks ofMinnesota. During his 45minutes on stage, Ohmanhad the audience enrap-tured by stories of darkcaves, albino deer andMinnesota bison all accom-panied by his own rich pho-tographs.

“What a privilege wehave in Minnesota to havethese parks,” Ohman toldthe gathered. “Explorethem. Drive slow, roll thewindow down on a beauti-ful fall day and get out toour state parks.”

Afterward, many peoplewere still buzzing about thespeech and lining up to

purchase a copy ofOhman’s latest book.

“This state park (talk)has given me more incen-tive to go to a state park,”attendee Donald Rudy ofGlencoe said.

Rudy is a familiar face atthe expo. For many years,he led workshops onprostate cancer and enjoy-ing life after retirement. Hesaid the event alwaysserves up a good time.

“They usually have avery good speaker,” he said.“I’ve appreciated all thespeakers. And they’ve hadgood entertainment in theafternoons.”

Rudy’s friend Gerald

Close, Glencoe, was equallyimpressed by the expo.

“I come to try to learnsomething,” Close said.“The vendors have thingsthat pertain to senior inter-ests.”

While the afternoon wasinformative, for many expo-goers the promise of foodand friends was irresistible.

“We come to eat,” RuthKimball said. “It’s an out-ing for us.”

HistoryThe McLeod County

Senior Expo began 17 yearsago at Hutchinson’s PeaceLutheran Church with agrant from Prince of Peace

Retirement Living for theparish nurse program, saidShirley Wurdell, one of theexpo’s founders.

“I had to go out and talkto all the congregationswithin the county,” Wurdellrecalled. “So I decided thatit was just easier to havethem come to me. So that’swhen (the expo) started.”

Since those first days,the expo has outgrown thechurch space and movedinto the event center. The2010 expo had 37 vendorsand 180 attendees.

“There’s a lot more vari-ety in vendors,” Wurdellsaid. “The focus is more onactive people than it might

Cheri Knudson, a registered nurse and certified diabetes educator, conducted ablood glucose test on Ruth Kimball at the McLeod County Senior Expo.

have been when we firststarted because there aremore active seniors thanever before. The first yearwe had 50 (people). Thenext year we had 100.”

Reginek noticed thechanges as well.

“I see a lot of new facesthis year,” she said. “Thebaby boomer population isgrowing. We feel it is ourduty to provide opportuni-ties like this for seniors sothey can live healthy. Theycan live longer. Here areresources we can providethem to learn new things orknow what’s out there tohelp them remain inde-pendent.”

Many health organiza-tions were on hand to pro-mote that active andhealthy lifestyle. CheriKnudson, a registerednurse and certified diabeteseducator at GlencoeRegional Health Serviceswas administering bloodglucose checks at the event.She said raising awarenessof diabetes is her goal.

“With the older popula-tion, they know diabetescan happen at anytime,”Knudson said. “As you geta little older, people are justmore aware of their health.If they have an issue withtheir blood sugar, I tellthem to get in to their doc-tors to find out if there is aproblem.”

The expo concluded inthe afternoon with a per-formance by The AmazingHoopsters, a local hulahoop talent family. It was afitting end to day of smiles,socializing, and sharing

“I enjoy this very much,”attendee Berne Teleckysaid. “You learn a lot andall my friends are here.”


Feature Story

Many expo attendees lined up to purchase copies of Doug Ohman’s books. At theexpo, Ohman gave the keynote speech about Minnesota’s state parks.

The 2010 McLeod County Senior Expo was one of the largest ever with 37 ven-dors and 180 attendees.


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Comfort Foods

Lemon SaladFrom Frances Schultze, Hutchinson

Ingredients:• 1 can fruit cocktail, undrained• 1 can chunk pineapple, undrained• 1 pkg. instant lemon pudding• 1 t. lemon juice• 1 c. small marshmallowsInstructions:Mix all together and put in the refrigerator.

Pumpkin DipBy Bev Barrett, Litchfield

Ingredients:• 1 cup soft cream cheese• 1 cup whipped topping, thawed• 1 cup powdered sugar• 1 cup pumpkin pie mixInstructions:Mix together and refrigerate until ready to serve. Tastes

great with ginger snap cookies.

Old-fashioned Vegetable SoupFrom Helen Bressler, Belle Plaine

Ingredients:• 1 large soup bone with meat• 1 to 2 Tbsp. shortening• 4 cups water• 1 medium onion, chopped• 1 cup sliced carrots (2 or 3 medium)• 1 cup cut-up celery and leaves (2 long stalks)• 1 can (1 lb.) tomatoes• 3 sprigs parsley, cut fine• 1 Tbsp. salt• 1/2 bay leaf, crumbled and 3 peppercorns (tie these in

a cheesecloth bag – this is also known as bouquet garni)• 1/4 tsp. marjoram• 1/4 tsp. thymeInstructions:Cut meat off bone into small chunks. Brown in hot

shortening in large kettle. Add water and bone and sim-mer covered 1-1/2 to 2 hours. Remove bone and skim fatfrom top of soup, or better yet, refrigerate until next day,then remove fat. Add vegetables, bouquet garni, marjoramand thyme; cook an additional 20 to 30 minutes, until veg-etables are tender. Remove bouquet garni before serving.6-8 servings

Turkey Breast with Honey-Mustard GlazeBy The National Turkey Federation

Ingredients:• 1 4-6 pound turkey breast, fresh or thawed• 1/2 tsp. kosher salt• 1/4 tsp. freshly ground black pepper• 1/4 Cup honey• 2 Tbsp. Dijon-style mustardInstructions:

1. Preheat oven to 325 degree F. 2. Season interior and exterior of turkey breast with salt

and pepper.3. In a 13 x 9 x 2-inch roasting pan, place turkey

breast on a V-shaped rack. Roast, uncovered, in preheatedoven for 1-1/4 to 2 hours or until meat thermometer regis-ters 165 to 170 degrees F in the deepest part of breast.

4. Meanwhile, in a small bowl, combine honey andmustard. Brush glaze over breast during final 20 minutesof cooking.

5. Remove from oven and allow turkey breast to standfor 10 minutes before carving.

Enjoying fall’s bounties


Travel

(NAPS) — If you’re spinning your wheels about whereto go on vacation this fall or are already thinking aboutnext spring, consider a cycling vacation in Wisconsin, oneof the nation’s most bicycle-friendly states.

The League of American Bicyclists recently votedWisconsin the second-best biking state in the nation andthe state is continuing to build momentum as a topcycling destination. Natural beauty, rolling hills, a pictur-esque landscape and a bike-friendly attitude makeWisconsin one of the best places for bicycling.

The state has a long history of welcoming cyclists and itwas one of the first states to convert railways to multiusepaths (that is, rails to trails). The Elroy-Sparta Trail, forexample, is one of the most popular in the state with itsunique, three-quarters-mile-long train tunnel carved inthe hillside.

Wisconsin’s cycling reputation is so strong that itssouthwest corridor was included in Chicago’s recent bidfor the 2016 Summer Olympics. It’s also a favorite amongbicycle manufacturers. Prominent bicycling companiessuch as Trek, Pacific Cycle and Saris love the combinationof the state’s urban and country landscape and call thestate home.

Bicyclists interested in learning more about Wisconsin’scycling landscape can order their own free “WisconsinBiking Guide” at www.TravelWisconsin.com.

Here are some of the state’s best trails and routes: • Elroy-Sparta National Trail• Cycle Southwest Wisconsin• Ozaukee Interurban Trail• Gandy Dancer Trail • CAMBA Mountain Bike Trails On-road touring opportunities can be found throughout

Wisconsin, including several with historical themes, suchas the Lead Mining Heritage Tour in Grant County; theFrank Lloyd Wright Tour in Iowa and Sauk counties; theGreat River Road–South tour, which runs through LaCrosse, Vernon and Crawford counties; and the CheeseCountry Trail, which runs through Mineral Point,Darlington, Belmont and Monroe.

The state also offers plenty of expert-level mountainbike terrain, including many trails in the Cable area,which hosts one of the nation’s largest off-road events, theChequamegon Fat Tire Festival.

In north-central Wisconsin, the Boulder Junction AreaTrail System offers mountain bikers a 10-mile loop onlocal ski and snowmobile trails, as well as a paved trailrunning south to Trout Lake.

Other top mountain bike trails include the Perrot StatePark Trails in western Wisconsin, the John Muir Trail inthe Kettle Moraine State Park—Southern Unit and theGovernor Dodge State Park Trail in southwestern

Explore Wisconsin’smany scenic bicycle trails

Wisconsin is a top cycling destination that offersmany trails and routes.


Puzzles

KING CROSSWORDACROSS1 Friend4 Vacationing7 Fried-eggs side order11 Newscaster Sevareid13 Winter ailment14 54-Down, to a biologist15 Bullets, etc.16 Pitch17 Abound18 Church council20 Phil Mickelson's game22 High tennis shot24 Cheered (for)28 Remote, unfamiliar territory32 Fret33 Taj Mahal city34 Joan of -36 Color quality37 Sportscaster Musburger39 Judge41 Spoof

43 Thither44 For fear that46 Lecherous looker50 Quaker pronoun53 Exist55 Tittle56 Pig's sound57 Schlep58 Nip and -59 Duel tool60 "Family Guy" daughter61 Popular article

DOWN 1 Carrots' mates2 Soldiers3 Depict4 Frequently5 Banner6 Uproar7 Running fast8 "Hail!" in old Rome9 Take to court10 "Let me think, ...."12 1967 Paul Newman movie

19 Buck's mate21 Depressed23 Bikini half25 Jog26 Sea eagle27 Color worker28 Apprehends29 Fairy tale baddie30 Small songbird31 Historic time35 Weep38 Calendar abbr.40 Greet the villain42 Song of praise45 Authentic47 Lummox48 Engrave49 Gather leaves50 Pirouette pivot51 With it52 Inseparable54 Early bird?

All answers on page 20


Puzzles

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All answers on page 20


Puzzle Answers

N02451 Z

A car dealer for the times in Hutchinson

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Every Wednesday is Senior Citizen’s Day:

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Wellness

Dear MayoClinic:

How do I knowif joint pain inmy fingers isarthritis or if it’ssomething else?Will cortisoneinjections helpjoint pain andswelling in myfingers? If not,what are myoptions?

Answer:It sounds like

you may be deal-ing with rheuma-toid arthritis. Painin the finger jointsis a classic initialsymptom of thisdisease. If it is,

rheumatoid arthritis, you have many effective treatmentchoices, including cortisone injections.

There is no single test or symptom that confirmsrheumatoid arthritis. Your doctor diagnoses this diseasebased largely on your medical history and a clinical exam.Joint pain and stiffness often start in the hands and toes,affecting both sides of the body. The pain and stiffnessmay slowly increase over a few weeks. Or, in some cases,symptoms can come on quickly, seemingly overnight. Asthe disease progresses, it can affect the shoulders, elbows,knees, hips, jaw and neck. Other symptoms can include:

• Red, puffy hands• Fatigue• Joint tenderness• Fever• Weight lossTo help confirm the diagnosis, your doctor might order

blood tests that measure the body’s inflammatory process.These results provide important clues because rheumatoidarthritis is the result of an immune system gone awry. It’snot caused by aging or wear-and-tear on the joints.

In rheumatoid arthritis, the immune system targets thelining of the joints, synovium, which allows for smoothmovement of the joints. The synovium becomes inflamedand swells, creating pain with movement. This inflamma-tion makes the immune system work even harder, result-ing in more swelling and inflammation. Without treat-ment to interrupt this cycle, rheumatoid arthritis eventu-ally causes joint damage and deformity and limits thepatient’s ability to use to the affected joints.

There is no cure for rheumatoid arthritis, but most peo-

ple are able to manage the disease and lead active lives.An initial treatment plan might include cortisone injec-tions and long-term use of what’s called a disease-modify-ing antirheumatic drug. Other medications may be consid-ered, too:

• Cortisone: Oral cortisone quickly and efficientlyreduces the amount of inflammation in the joints and maybe given for a short time. Cortisone may also be injectedinto the joints, even finger joints.

• Disease-modifying antirheumatic drugs: This categoryis the mainstay of rheumatoid arthritis treatment. Overthe longer term, DMARDs slow progression of rheumatoidarthritis and save the joints and other tissues from per-manent damage.

Work closely with a rheumatologist to determine thetreatment approach that works best for you. There aremany choices and combinations to help provide immediatesymptom relief and manage the disease long term.

– Nisha Manek, M.D., Rhematology, Mayo Clinic,Rochester, Minn.

Joint pain is a big concern

Pain in the finger joints is a classicsymptom of rheumatoid arthritis.

N021

97 Z

Scott NokesReg. Paralegal

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As a longtime volunteerand recent patient atDassel’s AugustanaLakeside Health CareCenter, Tudy Pankake isexcited that AugustanaLakeside expanded its tran-sitional care unit, creatingan independent wing forshort-term stays andadding more space for ther-apy.

“I feel very fortunate tohave a facility like this inDassel,” Pankake said.

The expanded wing willoffer a separate entranceand space, including pri-vate rooms with televisionsand phones and a speciallounge/coffee shop with acomputer center for fami-lies and individuals need-ing transitional care.

In addition, there is 40percent more space dedicat-ed to therapy, creating“more effective and efficientspace for therapists andpatients,” said AugustanaLakeside Health CareAdministrator Bill Ward.

Pankake was alreadyfamiliar with Lakeside as avolunteer at the center,helping with pizza partiesin the activity room.

“Tudy is like family tous,” said Director ofNursing Juli Miller.

Pankake battled kneeproblems for many years.As her knee worsened, sheopted for surgery, laterrecovering at the LakesideHealth Care Center’s tran-sitional care unit.

“They were very helpfulabout getting me up,dressed, into a wheelchairand into the therapy roomto work with me,” she said.

During her therapyPankake began bicycling,walking up and down stairsand exercising — whichhad seemed almostunachievable when shefirst emerged from surgery.

Transitional care patientssuch as Pankake will findan enhanced experience inthe new unit with upgradedrooms, bigger baths and a

new shower area to givepeople the option of choos-ing a shower or bath. Wardfeels the expansion willmake a big difference to thequality of patients’ experi-ence.

“The original model of anursing home is rooted inthe 1960s and ‘70s whenpeople stayed in the hospi-tal for months,” Ward said.“We’ve become a totally dif-ferent thing nowadays.”

Miller agrees. “A few years back, some-

one was in the hospital fora week to 10 days if theygot a knee replacement,”she said. “Now they have toleave much sooner becauseof Medicare guidelines.”

Yet most individuals findthey are not ready to go

home and need some sort oftransitional care.Augustana LakesideHealth Care Center fillsthat role in Dassel and sur-rounding communities.

During its most recentfiscal year, Lakeside HealthCare Center had 101admissions, of which 62went home or to a lessercare setting like assistedliving. This numberincludes people who havehad surgery, strokes, infec-tions requiring intravenoustherapy and other issueswhich can be extremelydebilitating, especially forolder adults.

Construction began inAugust and is scheduled forcompletion by the end ofthe year.

Center eases the road to recovery

Tudy Pankake has a chat with a member of the staff


News

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By Doug HannemanPending no further

delays, Burns ManorNursing Home’s 120 resi-dents and the staff mem-bers who serve them willmove into a new, state-of-the-art facility within 15months.

The nursing home’sowner, Hutchinson AreaHealth Care, has securedtwo federal loans to beginwork on the $23.4 millionfacility.

The 120-bed facility, com-bined with 16 assisted-liv-ing units, is the first phasein what eventually will be asenior care campus featur-ing a continuum of carethat includes a holistic,homelike approach toskilled nursing.

“It’s going to be a funda-mental change in how weapproach skilled nursingcare,” said Dr. SteveMulder, Hutchinson AreaHealth Care’s presidentand CEO. “Historically, ourfocus has been on the needsand convenience of thecaregivers, which is themedical model. This will befocused on the needs andthe conveniences of the res-idents. It will be structuredaround what they wanttheir home to be.”

The two-story facility willbe built on 14 acres of a 64-acre site that HutchinsonArea Health Care pur-chased two years ago onthe northwest corner ofAirport Road and JeffersonStreet. The facility willhave 106 private rooms and14 double-occupancy units.

The loans — a $13.3 mil-lion direct loan and a $5million guaranteed loan —

are coming from the U.S.Department of AgricultureRural Development'sCommunity FacilitiesProgram, which helpsfinance essential communi-ty facilities for public use inrural areas.

The project will be ownedby Hutchinson Senior CareServices, a wholly ownedsubsidiary of HutchinsonArea Health Care. It willbe operated by Twin Cities-based Presbyterian Homes,which manages more than35 other communities forolder adults in Minnesota,Iowa and Wisconsin.

The new facility will beunique in that it is beingbuilt exclusively for theLiberty model of care, aresident-centered modeldesigned by PresbyterianHomes.

The Liberty model of carecreates small “households,”served by existing staff andenabling residents to haveincreased autonomy overhow they lead their lives.

The model caters to indi-vidual choices. Residentswill be encouraged todesign “My Best Day,” theway they want to live it,giving information andpreferences to staff aboutsleep choices, meal choices

and care routines.To help pay for the new

facility, the cost of stayingat the new facility will behigher than Burns Manor’scurrent rate. Room rateswill be higher, and theLegislature has authorizeda charge of $14 more perday. And because mostrooms will be private,

unlike at Burns Manors,there will be an additionalcost for that as well. A pri-vate room at Burns Manornow costs $20 extra a day.

The project has been inthe planning stages formore than nine years, andwas most recently delayedfor more than a year byfinancing issues.

Hutchinson building senior campus

A new continuum of care senior campus will open in Hutchinson in 2011.Thefacility will have 106 private rooms and 14 double-occupancy units.

News

ZEST / April 2010 23N02070 Z

Hearing less of life?We can help.

HutchinsonCenter for

Hearing

100 Washington Ave. E.,Hutchinson

320-234-6825

LitchfieldCenter for

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24 ZEST / April 2010

zest nov 2010

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