June 2018
In this issue

Here is expert advice for managing acute and chronic lower back pain.
Many keyless cars, trucks, and SUVs - ones that can be switched with an electronic fob - have a hidden hazard when parked in a garage.
How much protein do you need?
Contrary to a common misconception, continuing improvement is not required for Medicare to continue paying for physical, occupational, or speech therapy.  
Learn what steps can be helpful if you or a loved one is addicted to oxycodone (OxyContin®), hydrocodone (Vicodin®) or another opioid. (The article recommends just one peer support program, but worthy alternatives exist.)  
A Reuters news report summarizes new recommendations regarding prostate cancer screening. More details are available here

Enjoy the Great Outdoors
Prevent mosquito bites
There are many ways to keep mosquitoes from biting and reduce their population in your yard. You may also want -
Play it safe in the sun
Reduce your risk of developing cataracts and other eye conditions by wearing well-made - but not necessarily expensive - sunglasses and a wide-brimmed hat.
Protect your skin and save money with one of the five highly rated sunscreens shown in the video accompanying a Consumer Reports article.
If you do get burned, you will welcome these tips for soothing a sunburn.
Advance Health Care Directives for Dementia
Advance health care directives (AHCDs) allow us to guide the choices a trusted friend or family member would make for us if we are ever incapacitated. However, standard AHCDs do not address some of the most vexing challenges created by the last stages of Alzheimer's disease and other dementias. Families often face difficult choices made more stressful by uncertainty about their loved ones' wishes.
If someone you care about has begun to have memory problems, this booklet may help you begin a discussion about his or her wishes regarding care and quality of life as his or her dementia increases.

A nonprofit organization in New York has developed a new directive expressly for people with dementia. Individuals in the early stages of dementia and those at increased risk of developing dementia can express how they would like their nutrition and comfort care to be managed. An accompanying press release provides a little more information. (The MOLST form referred to in these documents is similar to California's POLST.)

No matter what advance directive you use, experts urge you to discuss your wishes with the individual who will make decisions for you, your loved ones, and your doctor. You can find general information and standard advance directive forms by exploring our new guide to AHCDs

Genetic Testing
If you want to learn about your ancestry or disease risks with a genetic test, a new guide from the National Library of Medicine will be helpful. In addition, you may want to consider a variety of privacy issues before proceeding.
Quite a few companies offer direct-to-consumer genetic testing. Their analyses vary, so be sure to choose a company that does a good job of providing the kind of information that you most want to know. If you are primarily interested in exploring your ancestry, you might like to attend a Santa Clara City Library presentation comparing the genealogical information provided by different tests (Wednesday, 6/13 or Monday, 6/18).
Rx Drugs & Your Safety
How many different prescription medications are in your pill dispenser? Do any of your loved ones take lots of drugs?  
The risk of a serious drug interaction increases with more medications; taking five or more begins to raise significant concerns. If you or a loved one takes a variety of drugs, you can take steps to lower the odds of having an unfortunate interaction.
Certain medications, even some commonly prescribed for older adults, are particularly risky for seniors. If you are older or if you care for an older adult, check these lists to learn which drugs should be avoided or used with special caution.  
Precision Medicine & "All of Us"
Our medical care would be more effective if doctors understood how an individual's health is affected by his or her environment, lifestyle, medical history, and genes. Clarifying these interrelationships is the goal of precision medicine, an emerging approach to disease prevention and treatment.
To advance precision medicine's development, the National Institutes of Health (NIH) has launched a new program titled "All of Us." The NIH hopes to enroll one million volunteers willing to share their personal health information with researchers on an on-going basis. If you are interested in participating, this news release has information about the program's goals and the data that will be collected.
However, before enrolling you may want to learn about some concerns regarding the program. This article critiques NIH's promotion of it, and concludes with links to articles addressing additional concerns.

All events are open to the public. Some require pre-registration.
.....* Fee for participation
.....^ Scroll down the linked page

Valid at qualified farmers' markets & roadside stands through Nov. 2018
San Jose - various dates 
Mountain View - drop-in class on Thursdays
Los Gatos - Thursdays
Mountain View - 2-session class with multiple start dates
Mountain View - multiple dates 
Mountain View - Sat., 6/2
Mountain View - 8-session class begins Mon., 6/4
Palo Alto - Tues., 6/5
Los Gatos - 4-session class begins Wed., 6/6
Sunnyvale - Thurs., 6/7
Campbell - Mon., 6/11
Morgan Hill - Tues., 6/12 & Mon., 7/9
Palo Alto - Tues., 6/12
Palo Alto - Tues., 6/12
San Jose - Tues., 6/12
Weight-loss surgery
San Jose - Thurs., 6/14
San Jose - Fri., 6/15
Los Gatos - Sat., 6/16
Palo Alto - Sat., 6/16
Campbell - Wed., 6/20
Los Gatos - Thurs., 6/21
San Jose - Sat., 6/23  
Mountain View - Mon., 6/25

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