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The world seems designed against the elderly
Aside from being old, Don Norman is a leading authority on the design of emotional pleasing and useable technology. He is the author of Design of Everyday ThingsandEmotional Design, a former vice president at Apple, and professor and director of the Design Lab at the University of California, San Diego.
“More people than ever are living long, healthy lives. According to the U.S. Department of Health and Human Services, the average life expectancy is 78.6 years for men and 81.1 for women. More relevant, however, is that as people grow older, their total life expectancy increases. So for those who are now 65, the average life expectancy is 83 for men and over 85 for women. And because I’m 83, I’m expected to live past 90 (but I’m aiming a lot higher than that). And these are averages, which means that perhaps half of us will live even longer.
Those of us who are still active and healthy at advanced ages–I qualify–discover that we aren’t quite as capable as our younger selves. That doesn’t mean that we aren’t healthy and workable–I still have a very active job and travel on business around the world, but I have to admit that I’m getting slower and weaker, with diminished eyesight, hearing, taste, touch, and, well, almost everything physical. The number of active, healthy oldsters is large–and increasing. We are not a niche market. And businesses should take note: We are good customers often with more free time and discretionary income than younger people.
Posted in Aging Sites, Science and Technology, Transportation
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The disappearing taxes – so much for transparency
WPeter Kuper illustrates “Spy vs. Spy” for Mad every month and is co-editor of the political zine World War 3 Illustrated. More of his work can be seen at peterkuper.com. Thanks to Pam P for sending this along.

How Jung’s collective unconscious inspired Alcoholics Anonymous
By Charles Fox who is a professor of psychology at Worcester State University in Massachusetts.
“From Alcoholics Anonymous (AA) is an international mutual-aid fellowship with more than 2 million members worldwide. It strives to help members ‘stay sober and other alcoholics achieve sobriety’. Despite the fact that studies of its efficacy have been inconsistent, AA has had a significant and long-term effect on the culture of the United States and one of its founders was among Time magazine’s most important people of the 20th century.
One little-known aspect of the history of this enormously popular therapy, and a testament to the interdisciplinary nature of health and wellness, is the influence of the Swiss psychiatrist Carl Gustav Jung.
AA was founded in 1935 by William Wilson (Bill W) and Robert Smith (Dr Bob) in Akron, Ohio. Years later, Wilson wrote to Jung acknowledging his ‘critical role in the founding of our Fellowship’. Jung’s unusual influence came largely through his unsuccessful treatment of Rowland Hazard, an investment banker and former state senator from Rhode Island who, in the late 1920s, found himself slipping ever deeper into uncontrollable drinking. In Wilson’s words, Hazard had ‘exhausted other means of recovery from his alcoholism’ when he consulted Jung.
First Hill May Newsletter – May meeting of FHIA at Skyline
Posted in In the Neighborhood
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Reframing dememtia – community dialogue
Note : This presentation will be at Skyline instead of Harborview – in the MBR.
Posted in Dementia
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Should we get the MMR vaccine?
Most people will not require MMR vaccination, they include the following:
- People born before 1957 are considered to have natural immunity. They almost certainly had measles, mumps and rubella as children. No need for vaccination or titers.
2) People born during or after 1957 are
considered immune if they have evidence of full MMR vaccination or lab evidence
of immunity (measles IgG).
3) Children are considered immune if they are
current with the routine MMR schedule (first dose at 12 months, second dose at
4–6 years).
4) Adults at high risk are considered immune if they have documented evidence of 2 doses of MMR vaccine. High-risk groups include:
A) Students in post–high school educational institutions
B) Healthcare personnel
C) International travelers
All other adults are considered immune if they have documented evidence of 1 dose of MMR vaccine.
** People who do need MMR vaccination include:
– Children who are not current with routine MMR vaccination
– Adults who do not meet the criteria above
– Traveling out of United States
-Source: Kristine Moore, MN, RN, Immunization Team Co-Chair at Kaiser Permanente
Note: If someone really thinks they did not have measles or did not receive the measles vaccine, they can be (re) vaccinated. There is virtually no risk in re-vaccination.
Posted in Health
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The Moment of Life – new book by Melinda Gates
The world’s largest non-profit organization is right here in Seattle. The values of Melinda Gates have been formative in the mission of this philanthropy. This PBS interview highlights her efforts and candor in advocating for equality between men and women, in creating equality in her own marriage and in not fearing to disagree in important areas with her own Catholic faith. Frank Condon also noticed this interview in the Guardian.
Posted in Advocacy, Education, Health, Philanthropy, Religion
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Dying Is No Reason to Stop Fighting

This article is an opinion op-ed from the NYT. Thanks to Pam P for sending it in.
“Ady Barkan rolled into Washington this week in a motorized wheelchair, unable to talk or to chew food or to lift his arm to scratch an itch, but determined to deliver the message that health care is a human right. Just 35 years old, he is dying of amyotrophic lateral sclerosis, also known as A.L.S. or Lou Gehrig’s disease. He has become a hero to many because of the way he is living his final years and months and days. His body is giving up; he will not.
The House speaker, Nancy Pelosi, and Senators Elizabeth Warren and Bernie Sanders sought out Mr. Barkan, who came from his home inCalifornia to testify in favor of universal Medicare eligibility.
A tour guide on a Segway saw Mr. Barkan outside the Capitol and briefly abandoned her tour to roll over and meet him. She seemed a little awe-struck. “Thank you for fighting,” she said.
Posted in end of life, Health, Politics
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Training caregivers for people with dementia
The article below is from Kaiser Permanente Research Institute which discusses an innovative research program designed to support caregivers – a badly needed initiative especially for caregivers of those afflicted with dementia.
An older man teared up as he told Linda Teri, PhD, how much better his wife was recently feeling—and acting:
“I get to see her smile again, and that’s what made me fall in love with her in the first place!”
Only weeks earlier, the couple had been locked in bitter conflict. With Alzheimer’s, the woman had been sad, anxious, angry, and agitated. Her husband, feeling overwhelmed, doubted he could continue caring for her. He’d reluctantly planned to move her out of their house and into an assisted living facility.
What changed?
The man took the STAR-C caregiver training developed by Dr. Linda Teri and Sue McCurry, PhD. They’re both Kaiser Permanente Washington Health Research Institute (KPWHRI) affiliate investigators. And they’re both based at the University of Washington (UW) School of Nursing, where Dr. McCurry is a research professor and vice chair of research and Dr. Teri is a professor who directs the Northwest Roybal Center for Translational Research in Aging.
The training’s name, Staff Training in Assisted-living Residences (STAR)-Caregivers (C), tells its history: initially developed for, and validated in, assisted-living staff—and then adapted for family members, usually spouses or adult children, caring for people with dementia.
Posted in Dementia
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Having fun at COSTCO

Thanks to Al MacR for this one
Apparently these trees on 8th Ave aren’t protected!

Thanks for the photo from Mike C
Posted in environment, In the Neighborhood
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Sources for Seniors in the community
| AARP in Seattle: Everything from sharing practical resources like job, health, and financial workshops to holding fun activities and events. Age-Friendly Seattle: The City of Seattle is committed to making our communities a great place to grow up and grow old. AgeWise King County: Articles and a wide variety of resources, information and topics of interest to older adults, family caregivers and professionals in the field of aging. ElderFriends: A volunteer-based program that provides companionship, outreach, and advocacy services to isolated older adults throughout Seattle and King County. Lifelong Recreation (50+): Programs offered by Seattle Parks & Recreation, which focus on physical activity, social engagement, education, arts, creativity, and healthy lifestyles. Designed to serve adults of all abilities. * Memory Loss Programs & Services at Greenwood Senior Center: GSC’s nationally recognized memory loss programs include support for early-stage memory loss, and cultural and social events specifically tailored for the needs of those with memory loss. Click here for a complete brochure of their Spring 2019 offerings. Retirement Connection Puget Sound: Designed for Boomers, Seniors, Caregivers & Providers to search more than 150+ topics of information and connect you with a quick and complete reference of providers and services. Seattle/King County Area Agency on Aging: Plans, coordinates, and advocates for a service delivery system for older adults, family caregivers and people with disabilities in King County. Senior Care Coalition: A networking organization for businesses providing services to seniors in Greater Seattle. 3rd Act Magazine: Articles about navigating life as you age and getting the most from every day. The site also has a Calendar of local events and activities. Washington Association of Area Agencies on Aging: A membership organization made up of 13 Area Agencies on Aging (AAA) in Washington State with a strong agenda of information, advocacy and education. * Washington State Department of Social and Health Services: More than 800,000 Washington State citizens provide care to an adult who needs help with care. This page shares variety of ways to find some information, resources, and people that can help. Washington State Long-Term Care Ombudsman Program: Advocates for residents of nursing homes, adult family homes, and assisted living facilities. |
Posted in Aging Sites
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Shoulder Taps
Thanks to Margarete B who found this one. The spontaneous “shoulder taps” that happen can be wonderful, but sometimes silence is best. I remember seeing a very obese lady in my office one time. Her problem was totally unrelated to her weight and we dealt with it successfully. On the way out she said she’d like to thank me for something. I said, what’s that? She responded, thank you for not telling me I’m fat. I already know that. It’s so nice you could just treat me as a normal person. Whether with religious overtones or not, I think lots of very appropriate and welcome “shoulder taps” occur here at Skyline. What do you think?
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Seinfeld – Kramer’s deliberation on when to “pull the plug”
Ed note: One day in my office a Microsoft programmer told me, “Hey, if anything happens just pull the plug.” Then he smiled and went on, “But quickly plug me back in, because I’m likely to reboot.” I hope you enjoy the video “The Comeback” below in which Kramer demonstrates how not to go about choosing a Durable Power of Attorney for Health Care. By the way, it’s your most important Advance Directive. Contact Jeannie Fessenden or me if you need any help with your Advance Directives or POLST form.
Posted in Advance Directives, end of life, Humor, Satire
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Ageism: A ‘Prevalent and Insidious’ Health Threat
Ed note: This article probably deserves some discussion. Have you experienced ageism? Are we too sensitive about our age? Are the concerns about ageism at times over the top, being too politically correct? Does our tendency to joke about our own foibles contribute to others diminishing us? The other day at COSTO a door checker asked me if I needed help with my cart. After saying “no thanks” I began to wonder about just how old and frail did I look? I’ve frequently heard the phrase when an older person resists change, “Well, how old is too old?” That type of put-down bothers me a bit. What’s your take on subtle or not-so-subtle ageism?
From the NYT: “It happened about a year ago. I stepped off the subway and spotted an ad on the station wall for a food delivery service. It read: “When you want a whole cake to yourself because you’re turning 30, which is basically 50, which is basically dead.”
After a bunch of us squawked about the ad on social media, the company apologized for what it called attempted humor and what I’d call ageism.
Maybe you recall another media campaign last fall intended to encourage young people’s participation in the midterm elections. In pursuit of this laudable goal, marketers invoked every negative stereotype of old people — selfish, addled, unconcerned about the future — to scare their juniors into voting.
Adweek called it “comically savage.” I’d drop the “comically.”
And such jabs constitute mere microaggressions compared to the forms ageism often takes: pervasive employment discrimination, biased health care, media caricatures or invisibility. When internalized by older adults themselves, ageist views can lead to poorer mental and physical health.
“It’s an incredibly prevalent and insidious problem,” said Alana Officer, who leads the World Health Organization’s global campaign against ageism, which it defines as “stereotyping, prejudice and discrimination” based on age. “It affects not only individuals, but how we think about policies.”
As a first step in the campaign, announced in 2016, W.H.O. has invested half a million dollars in research. Four teams around the world are collecting and assessing the available evidence on ageism — its causes and health consequences, how to combat it, and how best to measure it.
Their work will appear in a United Nations report to be published within a year, and will culminate in international mobilization, organizers hope.
One of the research groups, at Cornell University, has already completed its task, and is about to publish its study in the American Journal of Public Health. It brings surprisingly good news.
The team spent a year and a half sifting through dozens of articles, from the 1970s through last year, evaluating anti-ageism programs. Such efforts popped up around the country in the years after psychiatrist and gerontologist Dr. Robert Butler coined the term ageism in 1969.But are they doing any good?” asked Karl Pillemer, a gerontologist and senior author of the study. “Do interventions that purport to change people’s attitudes about ageism actually work?”
The researchers analyzed 64 studies, most conducted in the United States, involving 6,124 participants, from preschoolers to young adults. The investigators classified about a third of the programs studied as intergenerational, meaning they created contacts between young and old that, in theory, could lessen prejudice.
Another third or so were educational, teaching facts about aging as a way to challenge stereotypes and myths. The remainder combined both approaches.
These were small, inexpensive, local efforts, pointed out the study’s lead author, David Burnes, now a gerontologist at the University of Toronto. They included:
- A program in which undergraduate psychology students corresponded with older adults by email, developing deepening relationships over six weeks.
- A gardening project that brought fourth-graders to a Tennessee senior center twice weekly for a month.
- A four-session program in an Australian high school, incorporating discussions, games and role-playing about aging and adult development.
Almost universally, after such interventions, participants showed significantly less ageism on attitude tests and greater knowledge of aging than comparison groups that hadn’t taken part. The combined educational and intergenerational approach proved the most effective.
“The message is loud and clear,” Dr. Pillemer said. “Ageist attitudes don’t seem as baked in as we think. They may be relatively malleable.”
That matters, because ageism is hardly benign. “These stereotypes can have direct impact on older people’s health and function,” said Becca Levy, a social psychologist at the Yale School of Public Health, and the leader of the W.H.O.-sponsored review of studies on health consequences.
The research her group is reviewing will include her own important work on ageism, conducted over 20 years. Dr. Levy has shown that older people who see aging in positive terms are much more likely to recover from disability than those who believe negative age stereotypes.
From the team at NYT Parenting (launching soon!): Get the latest news and guidance for parents. We’ll celebrate the little parenting moments that mean a lot—and share stories that matter to families.SIGN UP
They’re also more likely to practice preventive health measures such as eating well and exercising. They experience less depression and anxiety. They live longer.
Recently, Dr. Levy and her colleagues have been looking into ageism and cognition.
“With negative stereotypes, older people have a higher risk of dementia,” she said. “They have greater accumulations of plaques and tangles in the brain, the biomarkers of Alzheimer’s disease, and a reduced size of the hippocampus,” the part of the brain associated with memory.
So this is no joke. Yet “there’s a lot of social acceptance of ageism,” Dr. Levy noted, pointing to television, social media and everyday interactions. Although studies have found that children as young as three or four already hold ageist ideas, now “we have research showing that we can overcome it.”
Key questions remain unanswered. The studies the Cornell group analyzed followed participants for an average of 15 weeks, so we don’t know how long the positive effects of such interventions last. There’s scant data, too, on how to shift older people’s own internalized ageism.
Nor do we know whether and how positive attitudes translate to action. Will less ageist citizens support stronger enforcement of laws against workplace age discrimination? Or defend Medicare and Social Security from heedless budget cutters?
But seeing how even short-lived interventions can move the attitudinal needle, I’m encouraged to continue my personal anti-ageism campaign. (Author and activist Ashton Applewhite has established a helpful online clearinghouse called Old School.)
It’s not always easy to find the balance between shrugging off offensive messages and counterproductive scolding, but individuals can speak up about ageist generalizations.
We can argue the merits of one or another politician without rejecting candidates simply because they’re too old (or too young). We can distribute atta-girls and atta-boys to those unafraid to show their true faces and hair color (while acknowledging that, yes, the labor market sometimes dictates otherwise).
We can gently protest when even beloved friends and family succumb to stereotypical thinking.
A few months back, during the relaxation phase of my morning exercise class, the instructor asked us — against a background of dreamy music — to visualize floating down the Seine on a romantic evening. Picture the moon, she intoned. Imagine that you’re 30.
Well. She meant it jokingly, but every student in the class was at least a couple of decades past that (as was she), yet remained capable of enjoying moonlight in Paris.
A discussion ensued. Point made. Point taken.”
Posted in Aging Sites, Essays
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Take one and call your broker in the morning

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The viaduct removal from a friend’s condo

Posted in In the Neighborhood, Traffic, Transportation
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The secret to San Francisco’s famous sourdough: bug poop

Thanks to Pam P for sending this in
By Charlotte Druckman and Kevin Gray in Popular Science
It’s easy to get a rise out of a local TV news crew. Especially in a slo-mo state capital like California’s. So it was on September 6, 2007, when KCRA’s LiveCopter 3 hovered over a Sacramento parking lot, at 8:23 a.m., beaming images of a slow-moving red van, tailed by a black-and-white police cruiser. As soon as the van pulled over, a man in a white baker’s cap popped out. Instead of making a run for it, which is how you expect these things to play out, he labored up to a reporter’s microphone, arms weighed down by bread dough. “It’s about 40 pounds,” he said. A crowd of bystanders cheered.
The Boudin Bakery in San Francisco, the city’s oldest and one of the best-known purveyors of its famous sourdough bread, was delivering a key piece of its history to its newest outpost. Since 1849, the bakery has relied on a bacteria-and-yeast-rich “starter”—a small amount of dough that bakers regularly “feed” by adding flour and water—to breed the living organisms that make the bread rise and give sourdough its tang. Properly cared for, a starter can birth billions of chewy loaves across decades and even centuries.
The predominant bacteria in sourdough is called Lactobacillus sanfranciscensis. It’s a species that produces lactic and acetic acids, which give sourdough its distinctive and nominal flavor. For decades, foodies believed, as did Boudin’s bakers and others, that the city’s fog and temperate climate helped foster these microorganisms. As it turns out, they may come from insects.
In July 2017, baker Ian Lowe responded to a bit of news that revealed an unusual connection between bugs and bread, and that had attracted his community of sourdough devotees: “It’s time bug shit got its due,” he told his more than 28,000 Instagram followers.
Population growth through time
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