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Wednesday, July 17, 2013 – Daily News 3B FEATURES Grandma worries about force-fed child grandma, but my kids were Dear Annie: I am the picky eaters when they were grandmother of nine beautiyoung. My wise pediatrician ful little grandchildren. said, ''Give them a vitamin Two granddaughters live every day and let it go. You with their mother and spend cause more problems by weekends with their father, forcing them to eat. Trust who remarried, and he and me, they won't starve to his wife are currently residdeath. They'll eat when they ing with me. Here's the problem: The Annie's need to.'' And they did. I will do whatever you younger child, who is 5, say, but it's getting more and was petite until recently. Then her mother and step- by Kathy Mitchell more difficult to keep my mother began forcing this and Marcy Sugar mouth shut. — Worried Grandma in Illinois little girl to eat more, or she Dear Worried: Forcing a child is punished. She is a picky eater and has been known to throw fits about to eat until she throws up or gains eating, but no child should be 18 pounds in five months could be forced to eat portions that are so construed as child abuse. We know big. She has gained 18 pounds in her parents think she needs to eat more, but this is completely misthe past five months. I understand the parents' frustra- guided. Not all children eat the tions. But she's a tiny child and same way, nor should they, and should be served smaller portions of force-feeding a 5-year-old is harmfood. I also am a firm believer that ful, both physically and psychologiforce-feeding will lead to an eating cally. Please speak to your son. Ask disorder that could haunt her for the him to talk to the pediatrician about this immediately. rest of her life. Dear Annie: A few years ago, I am very worried about her. I've seen her forced to eat a grilled hot my wife and I retired and moved to dog, which she's not fond of, only a new home. We are friendly, helpto throw it up shortly afterward and ful and generous, especially with then not be allowed to eat anything good food and hospitality. But our else. They say she was ''putting on neighbors have never reciprocated an act'' so Grandma and Grandpa with so much as a cookie, and we would feel sorry for her. But, Annie, have never been invited to their this sudden weight gain cannot be a homes. We all get along well enough, but good thing. She is sick a lot, and I think this is affecting her overall I have asked my wife not to make extra dishes for them any longer. health. I admit I'm an overprotective I'm disappointed with the manners Mailbox of younger folks who don't seem to understand reciprocity. — Southern Golden Oldie Dear Southern: Some people are reluctant to entertain in their homes, but you certainly do not have to keep putting forth the effort if there is no reciprocity of any kind. There's no point in being resentful. You can have a perfectly cordial relationship with these neighbors without baking pies and inviting them for coffee. Dear Annie: This is in response to ''Midwest Cook'' and others who wrote about children who are picky eaters and don't have the manners to say ''no, thank you'' when offered food they don't like. My clever daughter-in-law taught my grandchildren to say, ''Those Brussels sprouts look delicious. I'm sorry I can't eat them, but I'm allergic.'' Of course, a few nights later, when served scalloped potatoes, my grandson said (with a glint in his eye), ''Those look delicious, but I'm allergic to potatoes unless they're French fried.'' — There's Always a Solution Annie's Mailbox is written by Kathy Mitchell and Marcy Sugar, longtime editors of the Ann Landers column. Please email your questions to anniesmailboxcomcast.net, or write to: Annie's Mailbox, c/o Creators Syndicate, 737 3rd Street, Hermosa Beach, CA 90254. What home health services does Medicare cover? If you meet these criteMedicare covers a variety of heath care services ria, Medicare pays 100 percent for covthat you can ered home receive in the health services comfort and prifor as long as vacy of your you're eligible home. These and your doctor include intermitcertifies that tent skilled nursyou need them. ing care, physical For durable therapy, speechmedical equiplanguage patholment (like a ogy services, and walker, wheeloccupational chair, or oxygen therapy. equipment), Such services David you pay 20 perused to be availcent of the able only at a Medicarehospital or doctor's office. But they're approved amount, after just as effective, more you pay the Part B convenient, and usually deductible ($147 in 2013). Skilled nursing serless expensive when you vices are covered when get them in your home. To be eligible for home they're given on a parthealth benefits, you must time or intermittent basis. be under a doctor's care In order for Medicare to and receive your services cover such care, it must be under a plan of care estab- necessary and ordered by lished and reviewed regu- your doctor for your spelarly by a physician. He or cific condition. Medicare she also needs to certify does not cover full-time that you need one or more nursing care. Skilled nursing serhome health services. In addition, you must vices are given by either a be homebound and have a registered nurse or a doctor's certification to licensed practical nurse that effect. (Being home- under an RN's supervibound means leaving your sion. Nurses provide home isn't recommended direct care and teach you because of your condition, and your caregivers about or your condition keeps your care. Examples of you from leaving without skilled nursing care using a wheelchair or include: giving IV drugs, walker, or getting help shots, or tube feedings; changing dressings; and from another person.) Also, you must get teaching about prescripyour services from a home tion drugs or diabetes health agency that's care. Any service that could Medicare-approved. Sayen be done safely by a nonmedical person (or by yourself) without the supervision of a nurse, isn't skilled nursing care. Physical therapy, occupational therapy, and speech-language pathology services have to be specific, safe, and effective treatments for your condition. Before your home health care begins, the home health agency should tell you how much of your bill Medicare will pay. The agency should also tell you if any items or services they give you aren't covered by Medicare, and how much you'll have to pay for them. This should be explained by both talking with you and in writing. The agency should give you a notice called the Home Health Advance Beneficiary Notice before giving you services and supplies that Medicare doesn't cover. What isn't covered? Some examples: • 24-hour-a-day care at home; • Meals delivered to your home; • Homemaker services like shopping, cleaning, and laundry (when this is the only care you need, and when these services aren't related to your plan of care); • Personal care given by home health aides like bathing, dressing, and Simpson welcomes new chief academic officer REDDING — Simpson University welcomes Dr. Gayle Copeland as its new provost and chief academic officer, starting July 15. Dr. Copeland takes the position held most recently by Dr. Stanley Clark, who retired in 2012 after more than 30 years in Christian college academic administration, including seven at Simpson. In her position, Copeland will oversee the university's academic programs, including the School of Traditional Undergraduate Studies, School of Continuing Studies (ASPIRE), School of Education, School of Graduate Professional Studies, and A.W. Tozer Theological Seminary. Copeland earned a B.A. in history from Geneva College, an M.A. in history from the University of Kansas, an M.A. in education from California State University, Fresno, and a Ph.D. in educa- tional policy and leadership from the University of Kansas. Since 2003, she has served as professor and chair of the Education Department at Geneva College. She has taught a variety of courses at CSU Fresno, Baylor University (Texas), University of Kansas, and Alliant International University. Prior to moving into higher education, she served as assistant principal at Central High School in Fresno, among other high school teaching and administrative positions. "We welcome Dr. Copeland as the provost and chief academic officer at Simpson University," said Dr. Robin Dummer, interim president of Simpson University. "We look to her for academic leadership in a time of increasing complexity and change in higher education." Dr. Ann Stamp Miller, formerly chairwoman of the Humanities and Fine Arts Division and interim provost, will be associate provost, serving as dean of the School of Traditional Undergraduate Studies. using the bathroom (when this is the only care you need). If your doctor decides you need home health care, you can choose from among the Medicare-certified agencies in your area. (However, Medicare Advantage plans may require that you get home health services only from agencies they contract with.) One good way to look for a home health agency is by using Medicare's "Home Health Compare" web tool, at medicare.gov/HHCompare. This tool lets you compare home health agencies by the types of services they offer and the quality of care they provide. For more details on Medicare's home health benefit, please read our booklet, "Medicare and Home Health Care." It's online at http://www.medicare.gov/ publications/pubs/pdf/109 69.pdf. David Sayen is Medicare's regional administrator for Arizona, California, Nevada, Hawaii, and the Pacific Territories. You can always get answers to your Medicare questions by calling 1-800-MEDICARE (1-800-633-4227). Strength, power training essential not quite clear the DEAR DOCstair, causing you TOR K: What's to stumble. the difference Power training between strength is proving to be training and power just as important training? Do I as strength trainneed both? ing in maintaining DEAR READor restoring funcER: Before I make the distinction, Dr. K tion. As the name suggests, power let's remember by Anthony L. why strength and Komaroff, M.D. training is aimed at increasing power training are important. Starting at power. Power is a product of about age 30, we start losing muscle mass. That's both strength and speed. called "sarcopenia." By Optimal power reflects the time we're 70, we can how quickly you can exert expect to have lost about force to produce the 25 percent of the muscle desired movement. Faced mass we had at age 30. with a four-lane intersecRight now, there's little to tion, you may have nothing we can do about enough strength to walk across the street. But it's this, except to exercise. Let's start with strength power, not just strength, training (sometimes called that can get you across all resistance training or four lanes of traffic before weight training). Strength- the light changes. Liketraining exercises build wise, power can prevent muscle by harnessing falls by helping you react resistance against an swiftly if you start to lose opposing force. The resis- your balance. As we age, muscle tance can come from your body, or from free power fades even more weights, elasticized bands swiftly than strength does. or specialized machines. So exercises that can proPutting more than the duce gains in power usual amount of load on become especially imporyour muscles makes them tant later in life. Some power moves are stronger. Because the muscles being exercised strength-training exercises are attached to underlying done at a faster speed. bone, these exercises Others rely on the use of a weighted vest. You wear strengthen bones as well. You should do strength the vest while performing training on at least two certain exercises that are non-consecutive days aimed at improving funceach week. I alternate tions such as bending, strength training with aer- reaching, lifting and rising obic training, every other from a seated position. I've put two strengthday. (One day a week I do neither, but I'm not rec- training exercises on my ommending you do like- w e b s i t e , AskDoctorK.com. You wise.) Strength training isn't can add an optional just for those in search of "power move" to reap the buff bodies or bulked-up benefits of both strength muscles. It also boosts the and power training. These strength needed for daily activities can be done at tasks like walking a few home or on the road, and blocks or climbing stairs. they require no special Just about any activity equipment. becomes easier with Dr. Komaroff is a stronger muscles. Particularly after age 60, we are physician and professor Harvard Medical vulnerable to stumbling at School. To send and falling if aging has go to robbed us of strength. As questions, or you climb stairs and your AskDoctorK.com, legs start to tire, for exam- write: Ask Doctor K, 10 ple, with your next step Shattuck St., Second the toes of your foot might Floor, Boston, MA 02115. Oh Snap! The Daily News wants your photos: Cute kids, Adorable pets, Inspirational sights, Any shot you think readers would enjoy You might just see it in the Daily News Send pictures to editor@redbluffdailynews.com or drop off at 545 Diamond Ave. in Red Bluff. Include a caption.