Your Retirement Checklist for Your 70s and Beyond

Take a look at this check-list, you might need to reevaluate. Includes a link to long term care.

Ischemic bowel disease

Just one more thing for older people to know about--I'd never heard of this condition, but apparently it does affect older people, one article I read said over 60, another over 70.
Ischemia, the noun for ischemic, means a low oxygen state due to inadequate blood flow. Bowel refers to the small and large intestine.

Ischemic bowel disease results from inadequate flow of oxygenated blood to the intestines. The extent of ischemic bowel disease can range from mild to severe based on the amount of damage from lack of oxygenated blood. This is a potentially serious condition and requires care from your doctor.

I received word that a friend was in the hospital, and when I called, I found out she has been in for two weeks, first in ICU, then step down, and she may be transferred to yet another hospital. She became ill at home with vomiting and diarrhea, called a friend to come, but had passed out by the time the friend got there. Another 2 hours delay and she would have been dead.

Read the article. Be informed.

Your Health -

Inspiring

Although I won't be doing this, it's a good idea! So go after your dream.



HT My thoughts Exactly

Public pension crisis has some bracing for worst

"A recent study of some 126 state-sponsored pension plans by the Center for Retirement Research revealed that assuming investment returns of 6%, the plans will run out of money by 2023 or 2025, depending on their framework.

Assuming an even more generous 8% investment return, the plans will run out of money in 2033 or 2041."

Should you take out your public pension funds and reinvest on your own?
Investment News
"The Ohio House of Representatives is weighing a slate of changes to the state's five public pension plans, including tying the cost-of-living-adjustment to the Consumer Price Index and capping it at 3%, instead of an automatic 3% increase.

Another part of the law would raise contributions by police officers and firefighters to 12%, from 10%, and raise the age at which employees could take their full pension to 52, from 48."

Although I retired at 60, it looks like today you should plan to work to 65 or 70, unless you've put aside other funds, as we had done. I don't regret a minute that I've had those 10 good years of activities and travel I enjoy--on the other hand, retirement is much more expensive than I imagined. I'm thankful I was able to sock away 15% in tax deferred plans, and for many years learned not to use my income which would have resulted in a more materialistic lifestyle.

Reed Krakoff set to hit fashion big-time after Michelle Obama carries $1,000 tote (and despite the price it's already sold out)

If a story looks really ridiculous, I run it through Snopes. I know. I know. Conservatives don't like this fact checking website because they say it's just a mom and pop outfit, but hey, I was a librarian for 25 years, and when I was checking facts, most of the time it was just me, by myself. Anyway, when I saw the story about Michelle Obama and the $1,000 handbag with a photo, I thought it was fake or photoshopped. First of all, it's an ugly, ugly bag,and second,it's teal and her shoes are blue. And this woman is giving "sacrifice" a bad name when she tells us to eat our carrots and she goes out for ribs. Could she really follow up that story with something this tacky? Don't know. I've always said her husband wasn't one of us, but I had hopes for her (by not one of us, I don't mean I'm a birther, because if his mother is an American, that's good enough for me).

Reed Krakoff set to hit fashion big-time after Michelle Obama carries $1,000 tote (and despite the price it's already sold out) | Mail Online

If you think this isn't a retirement story, look in your closet at all the funny looking bags you have. Or in the mirror--ha, ha.

In this case, sweating is a good sign

Recent work led by University of Iowa neuroscientist Natalie Denburg, Ph.D., suggests that for a significant number of older adults, measurable neuropsychological deficits do seem to lead to poor decision-making and an increased vulnerability to fraud. The findings also suggest that these individuals may experience disproportionate aging of a brain region critical for decision-making.

"Our research suggests that elders who fall prey to fraudulent advertising are not simply gullible, depressed, lonely or less intelligent. Rather, it is truly more of a medical or neurological problem," said Denburg, who is an assistant professor of neurology in the UI Roy J. and Lucille A. Carver College of Medicine. "Our work sheds new light on this problem and perhaps may lead to a way to identify people at risk of being deceived."

What I found interesting was that they can measure poor decision making and sweating--apparently, it's good to sweat the small stuff! "Good decision-makers display different anticipatory responses (amount of sweating) prior to a good or a bad choice, which appears to help them discriminate between the two options. In contrast, the older adults with poor decision-making abilities did not sweat more or less when deciding between a good or bad choice."

Link

Financial Health of the Cognitively Impaired May Be Forgotten

"The capacity to effectively manage one's finances is among the first things to go in individuals with emerging cognitive impairment, the authors note in their report. Patients with MCI may start by having trouble balancing their checkbook and paying bills; then, often within a year, they'll have trouble with more basic financial skills, such as counting coins and paying in cash.

"When a patient is diagnosed with MCI or mild dementia, the patient and family should be told that the patient's ability to manage their finances is going to decline probably relatively rapidly over the next couple of years," Dr. Widera said."

Financial Health of the Cognitively Impaired May Be Forgotten: Report

Save your brain--exercise!

"Exercise training increases size of hippocampus and improves memory, "
PNAS 2011 108 (7) 3017-3022; published ahead of print January 31, 2011

In the Proceedings of the National Academy of Sciences study, "scientists started with 120 elderly volunteers who were relatively inactive but did not have dementia. Half were randomly assigned to begin walking 40 minutes a day, three days a week for a year while the remainder only stretched and performed toning exercises for the same time period. After 12 months, the group that walked showed an average 2% growth in the hippocampus compared with when they began, while the control groups suffered a more than 1% shrinkage in the same region compared with when the study started.

“If you estimate the change at an individual level,” says study co-author Arthur Kramer of the University of Illinois, “a yearlong exercise program can turn back the clock about two years with respect to the volume of the hippocampus.” "

Read more: http://healthland.time.com/2011/01/31/want-to-improve-your-memory-take-a-walk/#ixzz1Euftky36

Boomers Find 401(k) Plans Come Up Short

You have to read to the midsection or botton to see why: many boomers started too late with too little. Vanguard now recommends 15% be set aside for retirement. Also, I'm not sure who came up with that idea that retirement life requires less than your working life. It's very expensive to do the things you waited all your life to do--or in my case, didn't know you wanted to do until you got there. And no, you can't retire early if you are paying off your kids college loans, got a divorce in mid-life, still have a mortgage, or you want to go out to eat a lot and travel more. Increase your savings, decrease your want list.

Boomers Find 401(k) Plans Come Up Short - WSJ.com

Healthy Lifestyles Related to Subsequent Prevalence of Age-Related Macular Degeneration

Another reason to exercise, not smoke, and eat all the colors, just like mother said. Age related macular degeneration might be reduced as much as 3-fold.

Archives of Ophthalmology -- Abstract: Healthy Lifestyles Related to Subsequent Prevalence of Age-Related Macular Degeneration, December 13, 2010, Mares et al. 0 (2010): archophthalmol.2010.314v1

Walking reduces Alzheimer's progression, 1.5-tesla MRI shows

"With the help of 1.5-tesla MRI, researchers at the University of Pittsburgh have found that walking 5 miles per week helps reduce the progression of mild cognitive impairment and Alzheimer's disease in adults already afflicted with the condition, according to a study presented today at the RSNA annual meeting.

The findings expand upon results of a previous study released last month, which found that walking at least 6 miles per week helped to preserve brain size and prevent the onset of dementia in healthy adults."

Read more here. Lethean Cottage: Walking reduces Alzheimer's progression, 1.5-tesla MRI shows

Blood test could diagnose Alzheimer’s disease, UT Southwestern researchers find | Science Blog

"A set of proteins found in blood serum shows promise as a sensitive and accurate way to diagnose Alzheimer’s disease, researchers at UT Southwestern Medical Center have found as part of a statewide study.

An analysis of the proteins, plus a clinical exam, proved 94 percent accurate in detecting suspected Alzheimer’s and 84 percent accurate in ruling it out in people without the disease, the researchers said."

Blood test could diagnose Alzheimer’s disease, UT Southwestern researchers find | Science Blog

A new category

One of my regular reads is JAMA (Journal of the American Medical Association), and today I discovered I'm in a new health category:

"community dwelling ambulatory older adult without a prior heart failure diagnosis."

I'm so pleased.

J&J Hip Replacement Lawsuits Given to One Judge - Bloomberg

Hip replacements are no fun. First there's the pain you tolerate for years until it's intolerable; then the decision; then the surgery; and finally the rehab, and the thought, "Why didn't I do this sooner?" Imagine having one recalled!

"All pretrial proceedings in federal lawsuits against Johnson & Johnson over recalled devices used in hip-replacement surgery will be overseen by a federal judge in Ohio, a judicial panel decided.

U.S. District Judge David A. Katz in federal court in Toledo will supervise evidence-gathering efforts in cases over the ASR XL Acetabular System, which J&J’s DePuy Orthopaedics unit recalled on Aug. 26 after the implants stopped functioning properly."

J&J Hip Replacement Lawsuits Given to One Judge - Bloomberg

No, I haven't had one, but I know many who have.

Health law cut some retirement costs, but retirees will still need big savings

Even though the new health reform law will reduce some health costs in retirement for many people, retirees will still need a significant amount of savings to cover their out-of-pocket health expenses when they retire, according to a report released by the nonpartisan Employee Benefit Research Institute (EBRI). Women in particular will need more savings than men because they tend to live longer.

For instance, EBRI finds that men retiring in this year (2010) at age 65 will need anywhere from $65,000–$109,000 in savings to cover health insurance premiums and out-of-pocket expenses in retirement if they want a 50–50 chance of being able to have enough money; to improve the odds to 90 percent, they’ll need between $124,000–$211,000.

Women retiring this year at 65 will need even more: between $88,000–$146,000 in savings if they are comfortable with a 50 percent chance of having enough money, and $143,000–$242,000 if they want a 90 percent chance.

These estimates are for Medicare beneficiaries age 65 and older: Anyone retiring early, before age 65, would need even more.

The new EBRI analysis details how much savings an individual or couple will need to cover Medicare and out-of-pocket health care expenses in retirement, updating earlier EBRI simulation results from 2008. Some prior estimates have been significantly revised downward as a result of changes to Medicare Part D (prescription drug) cost sharing that will be phased in by 2020 due to the recently enacted health reform law, the Patient Protection and Affordable Care Act (PPACA).

SOURCE: “Funding Savings Needed for Health Expenses for Persons Eligible for Medicare,” www.ebri.org.

Quality of death

The United Kingdom ranks number one in quality of death. Apparently, it's a few bricks short of a load in health care, but excels in death care. The Economist Intelligence Unit was commissioned by the Lien Foundation of Singapore, a philanthropic organization, to devise a ”Quality of Death” Index to rank countries according to their provision of end-of-life care. What makes up a "good death?" "The UK has led the way in terms of its hospice care network and statutory involvement in end-of-life care, and ranks top of 40 countries measured in the Index (see Figure 1). This is despite having a far-from-perfect healthcare system (indeed, it ranks 27th on the Basic End-of Life Healthcare Environment sub-category, which accounts for 20% of the overall score). But the UK is top in the Quality of End-of-Life Care sub-category, which includes indicators such as public awareness, training availability, access to pain killers and doctor- patient transparency (and accounts for 40% of the overall score)." The link is for the summary, but there is a white paper available.

EIU.com

Clean restrooms

If it's one thing we retired people appreciate, it's clean restrooms, right? Something in our anatomy means we need the facilities more often, and being retired, we travel more than before, so we're often gazing at something growing, or going.


The loveliest public facility on an interstate just has to be Salt Kettle in Illinois, between Danville and Champaign-Urbana. It's a place you can look forward to--worth crossing your leg for 'til you get there. The photo (taken from Google) doesn't show the setting. It probably wouldn't get a Golden Plunger award, however, the setting is worth not getting back in the car so quickly and taking off. There are a lovely pond, wonderful trees, and many birds and wildlife.

The modern version of an old song

An e-mail said Julie Andrews performed this for AARP, "My Favourite Things" from the legendary movie "The Sound Of Music." Here are the actual lyrics she used:

Maalox and nose drops and needles for knitting,
Walkers and handrails and new dental fittings,
Bundles of magazines tied up in string,
These are a few of my favourite things.

Cadillac's and cataracts, and hearing aids and glasses,
Polident and Fixodent and false teeth in glasses,
Pacemakers, golf carts and porches with swings,
These are a few of my favourite things..

When the pipes leak, When the bones creak,
When the knees go bad,
I simply remember my favourite things,
And then I don't feel so bad.

Hot tea and crumpets and corn pads for bunions,
No spicy hot food or food cooked with onions,
Bathrobes and heating pads and hot meals they bring,
These are a few of my favourite things.

Back pains, confused brains, and no need for sinnin',
Thin bones and fractures and hair that is thinnin',
And we won't mention our short, shrunken frames,
When we remember our favourite things.

When the joints ache, When the hips break,
When the eyes grow dim,
Then I remember the great life I've had,
And then I don't feel so bad.

B vitamins slow brain shrinkage

Just in time. Not a minute too soon.

"Results from the double-blind controlled trial, published in the journal Public Library of Science One, revealed the annual rate of brain atrophy in subjects who took B vitamins was almost 30 per cent less than those on a placebo. Researchers involved in the 24-month trial believe the findings may be the first step in finding a way to delay the onset of Alzheimer’s."

B vitamins slow brain shrinkage - Pharmacy News

"Homocysteine-Lowering by B Vitamins Slows the Rate of Accelerated Brain Atrophy in Mild Cognitive Impairment: A Randomized Controlled Trial," A David Smith, Stephen M Smith, Celeste A de Jager, Philippa Whitbread, Carole Johnston, Grzegorz Agacinski, Abderrahim Oulhaj, Kevin M Bradley, Robin Jacoby, Helga Refsum

PLoS ONE: Research Article, published 08 Sep 2010, 10.1371/journal.pone.0012244

Easy to follow check list for estate planning and paper trail

This March 24 article in the NYT is a good reminder. It covers wills and trusts; beneficiaries; health care proxies and guardianship; titling of assets; non-marriage relationships; and perhaps most important, finding the documents when you're gone.

Paper Trail