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MODULE 1: GI
-- The Long and Short of It
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Phillip P. Toskes, MD
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Dr. Toskes is
Professor and Chairman of the Department of Medicine at the University
of Florida College of Medicine. He previously served as the Director
of the Division of Gastroenterology, Hepatology and Nutrition and
Associate Chairman for Clinical Affairs for the Department of Medicine.
Dr. Toskes also serves on the Shands Hospital Board of Directors,
as well as numerous Shands Hospital committees, and on the Executive
Committee and Executive Fiscal Affairs Committee for the College
of Medicine, University of Florida. Dr. Toskes was the first chairman
of the Digestive Health Initiative and founding member of the American
Digestive Health Foundation, as well as the Federated Societies
for Gastroenterology and Hepatology.
Dr. Toskes earned
an AB, with honors, from the Johns Hopkins University in 1961, followed
by his MD, with honors, from the University of Maryland School of
Medicine in 1965.
Dr. Toskes is
an international authority on pancreatic and malabsorptive disorders
and has received numerous awards, both nationally and internationally,
for his contributions to gastroenterology and health care reform.
He is extensively published, currently authors chapters in a number
of medical texts, and sits on the Editorial Board of several prestigious
journals. He presently serves on the International Liaison Committee,
is Chairman of the Geriatrics Task Force, and recent Past-President
of the American Gastroenterological Association, serves on the Committee
on Financing Departments of Internal Medicine for the Association
of Professors of Medicine (APM). He has chaired the Gastroenterology
Subspecialty Board Examination Committee and served as a Director
for the American Board of Internal Medicine for eight years, with
two as a member of the Executive Committee. He served as President
of the Southern Society for Clinical Investigation, the American
Pancreatic Association and the Florida Gastroenterological Society.
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Richard
H.Davis, Jr., PA-C 
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Mr. Davis is Senior
Physician Assistant in the Department of Medicine's Division of
Gastroenterology, Hepatology and Nutrition, at the University of
Florida. He is licensed by the Florida State Department of Health
and certified by the National Commission on Certification of Physician
Assistants.
In 1976 Mr. Davis
earned his AB from St. Louis University and his Bachelor of Science
in Medicine from the University of Florida in 1982. He attended
graduate school in physiology at Kent State University in 1976-1977
and at the University of Virginia, 1986-1987. He is a Fellow with
the American Academy of Physician Assistants and the Florida Academy
of Physician Assistants.
In addition, Mr.
Davis chairs the Clinical and Scientific Affairs Council of the
American Academy of Physician Assistants and sits on the editorial
board of the Journal of the American Academy of Physician Assistants.
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G.
Nicholas Verne, MD

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Dr. Verne is presently
Assistant Professor of Medicine and Director of the Gastrointestinal
Physiology Laboratory at the University of Florida. He also serves
on the Internal Medicine Housestaff Selection Committee and the
Housestaff Evaluation Committee.
Dr. Verne graduated
Summa Cum Laude with a BS in Biology from LeMoyne College in 1985
and was awarded his MD from the SUNY Health Science Center in 1989.
He was a Resident in Internal Medicine at Albany Medical College,
1989-1992, and Gastroenterology Fellow at the University of Florida,
1992-1994. He is certified by the National Board of Medical Examiners
and is a Diplomate in both Gastroenterology and Internal Medicine
with the American Board of Internal Medicine.
Dr. Verne is a
member of the American Gastroenterological Association, the American
Pain Society, and the American Motility Society and is Journal Reviewer
for American Journal of Gastroenterology, Digestive Diseases
and Sciences, and Gastroenterology.
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MODULE 2: Getting
Around--Assistive Technology
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William
C. Mann, PhD
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Dr. Mann is Professor
and Chairman, Department of Occupational Therapy, College of Health
Professions, at the University of Florida and Director of the PhD
Program in Rehabilitation Science. He also serves as the Director
of the Center for Assistive Technology, Principal Investigator for
the Rehabilitation Engineering Research Center on Aging and is Adjunct
Faculty for the School of Nursing and Department of Rehabilitation
Medicine.
Dr. Mann was awarded
a BS from Rutgers University in 1969 and an MS in Occupational Therapy
in 1972 from Virginia Commonwealth University, earning his PhD in
Higher Education in 1977 from the University at Buffalo.
Dr. Mann is a
member of the National Association of Rehabilitation Nurses, International
Federation on Aging, American Occupational Therapy Association,
World Federation of Occupational Therapists, RESNA - Society for
Advancement of Rehabilitation and Assistive Technology, Gerontological
Society of America, Human Factors Society, American Geriatrics Society
and the American Society on Aging.
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George
Marion Hope, MD
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Dr. Hope is Associate
Research Scientist with the College of Medicine's Department of
Ophthalmology at the University of Florida, Associate Director of
the Center for Vision Science, Director of Networking and Computing
Resources with the Department of Ophthalmology, and Director of
Low Vision Service, Eye Clinic, as well as Investigator in the Visual
Sciences Laboratory. Dr. Mann also participates in the Residency
Training Program and the Ophthalmic Technician Training Program
at the University of Florida.
Dr. Mann earned
his BA in Mathematics in 1965 from Mercer University, his MA in
Education in 1967 from the University of Florida, and was awarded
his PhD in Neuroscience from the University of Florida in 1971.
He did postdoctoral resident training at Washington University,
1970-1972.
Dr. Mann is a
member of Sigma Xi National Research Society of North America, the
Association for Research in Vision and Ophthalmology, and the American
Association for the Advancement of Science. He is also an associate
member of the Center for Neurobiological Sciences at the University
of Florida.
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George
J. Caranasos, MD

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Dr. Caranasos
is presently Director of the Geriatric Education Center and Ruth
S. Jewett Professor of Medicine in Geriatrics, University of Florida
College of Medicine, Gainesville, FL. In addition, he served until
recently as Chief of the Internal Medicine Division, College of
Medicine for 23 years.
Dr. Caranasos
earned his MD at the Johns Hopkins University School of Medicine,
Baltimore, MD; completed his internship and served as Assistant
Resident on the Osler Medical Services, Johns Hopkins Hospital;
and was Research Associate at the Johns Hopkins University for Medical
Research and Training. He served as Chief Resident, Department of
Medicine, Shands Teaching Hospital, University of Florida and Gainesville
Veterans Affairs Hospital, Gainesville, FL, and was a Fellow, Psychosomatic
Medicine, Department of Psychiatry, University of Florida. Dr. Caranasos
is a Diplomate with the American Board of Internal Medicine and
holds a Certificate of Added Qualifications in Geriatric Medicine.
He is a Fellow
of the American College of Physicians, member of the Society of
General Internal Medicine, the Southern Medical Association, the
Florida Medical Association, the Johns Hopkins Medical and Surgical
Association, the American Geriatrics Society, the Gerontological
Society of America, and the National Council on Aging and is on
the Board of Directors of the Florida Council on Aging.
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MODULE 3: Drugs
and the Elderly
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Paul
L. Doering, MS
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Mr. Doering currently
holds the position of Distinguished Service Professor of Pharmacy
Practice and Co-Director of the Drug Information and Pharmacy Resource
Center, College of Pharmacy, University of Florida. He is licensed
as a Registered Pharmacist in the states of Florida and North Carolina
and as a Consultant Pharmacist in the state of Florida.
Mr. Doering received
his BS in Pharmacy from the University of Florida in 1972, his certificate
for Residency in Clinical Pharmacy from Shands Teaching Hospital
in 1974 and his MS in Clinical Pharmacy in 1975.
Mr. Doering is
a member of the American Association of Colleges of Pharmacy, the
American Pharmaceutical Association, the American Society of Hospital
Pharmacists, the Florida Pharmacy Association, the Florida Society
of Hospital Pharmacists, the Alachua County Association of Pharmacists,
the North Central Florida Society of Hospital Pharmacists, past
member of the Board of Directors of Corner Drugstore, Inc., member
of the Athletic Drug Testing Committee for the University of Florida
Athletic Association, member of the Formulary Committee for the
Florida Department of Health/Department of Children and Families,
and Consultant for the State of Florida's Department of Professional
Regulation.
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Parker
Small, MD 
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Dr. Small is Professor
in the Department of Pathology, Immunology and Laboratory Medicine
and Professor, Department of Pediatrics, University of Florida,
as well as Director of the University of Florida Center for Cooperative
Learning for Health and Science Education. He also serves on the
Evaluation/Instruction and Curriculum Committees for the College
of Medicine, University of Florida. In addition, Dr. Small has served
as a consultant to numerous notable organizations, such as the National
Institutes of Health, the World Health Organization and the National
Academy of Sciences. Dr. Small has conducted extensive research
in the area of influenza and vaccination and is widely published.
Dr. Small earned
a BS Extra Ordinem from Tufts University and his MD from the University
of Cincinnati College of Medicine in 1957.
Dr. Small is a
member of the Federation of American Scientists, the American Association
of Immunologists, the American Association for Advancement of Science,
the Alachua County Medical Society, the American Medical Association,
the National Association of Biology Teachers, the National Science
Teachers Association, and Physicians for Social Responsibility.
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George
J. Caranasos, MD
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Dr. Caranasos
is presently Director of the Geriatric Education Center and Ruth
S. Jewett Professor of Medicine in Geriatrics, University of Florida
College of Medicine, Gainesville, FL. In addition, he served until
recently as Chief of the Internal Medicine Division, College of
Medicine for 23 years.
Dr. Caranasos
earned his MD at the Johns Hopkins University School of Medicine,
Baltimore, MD; completed his internship and served as Assistant
Resident on the Osler Medical Services, Johns Hopkins Hospital;
and was Research Associate at the Johns Hopkins University for Medical
Research and Training. He served as Chief Resident, Department of
Medicine, Shands Teaching Hospital, University of Florida and Gainesville
Veterans Affairs Hospital, Gainesville, FL, and was a Fellow, Psychosomatic
Medicine, Department of Psychiatry, University of Florida. Dr. Caranasos
is a Diplomate with the American Board of Internal Medicine and
holds a Certificate of Added Qualifications in Geriatric Medicine.
He is a Fellow
of the American College of Physicians, member of the Society of
General Internal Medicine, the Southern Medical Association, the
Florida Medical Association, the Johns Hopkins Medical and Surgical
Association, the American Geriatrics Society, the Gerontological
Society of America, and the National Council on Aging and is on
the Board of Directors of the Florida Council on Aging.
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MODULE 4: The
Neurology Connection
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Melvin Greer, MD
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Dr. Greer serves
as the Bob Paul Family Professor of Neurology, an endowed professorship
and as Professor of Neurology, Professor of Psychiatry and Professor
of Pediatrics at the University of Florida, as well as past Chairman
of the Department of Neurology, University of Florida. He currently
serves as Faculty for Special Courses for the American Academy of
Neurology, is an Assistant Examiner for the American Board of Psychiatry
and Neurology, and is on the Editorial and Publication Committee
of the American Academy of Neurology. He is certified by the American
Board of Pediatrics, the American Board of Psychiatry and Neurology,
and the American Board of Psychiatry and Neurology, with special
competence in child Neurology
Dr. Greer graduated
Magna Cum Laude (with honors) with a BA from the College of Arts
and Pure Science, New York University, in 1950 and received his
MD in 1954 from New York University. He served his internship and
residency from 1954 to 1956 at Bellevue Hospital in NY and was a
Fellow in Neurology at the New York Neurological Institute of the
Columbia Presbyterian Medical Center.
Dr. Greer is a
Special Consultant to the Director of the National Institutes of
Health and to the AMA Residency Review Committee, a Consultant with
the Florida Division of Corrections, AMA committee on Veterans Administration,
and the National Vaccine Advisory Commission of the American Academy
of Neurology. He is a Fellow with the American Academy of Neurology
and the American Academy of Pediatrics. He is a member of the American
Epilepsy Society, the American Federation of Clinical Research,
the American Neurological Association, the Association for Research
in Nervous and Mental Diseases, the Child Neurology Society, the
Florida Pediatric Society, the Florida Medical Association, the
Florida Society of Neurology and Society for Pediatric Research,
the Southern Society for Pediatric Research and the Society for
Experimental Neuropathy.
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Steven
E. Nadeau, MD
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Dr. Nadeau presently
serves as the Staff Neurologist with the Geriatric Research, Education
and Clinical Center (GRECC), Department of Veterans Affairs Medical
Center, and Professor of Neurology, University of Florida College
of Medicine, Gainesville, Florida. In addition, he is a Consultant
for the State of Florida Agency for Health Care Administration,
Stroke Medical/Surgical Guideline Committee. Dr. Nadeau also is
a member of the Faculty Council, University of Florida College of
Medicine; Clerkship director, Department of Neurology, University
of Florida College of Medicine; Third Year Curriculum Committee,
University of Florida College of Medicine; Quality Control Committee,
Gainesville VA Medical Center; and the University of Florida Brain
Institute Internal Faculty Advisory Board.
In 1970 Dr. Nadeau
earned his Bachelor of Science degree in both Chemical Physics and
Political Science from the Massachusetts Institute of Technology
(MIT). In 1971 he graduated from Temple University Graduate School
of Education, then completed pre-med curriculum at the University
of Florida in 1972. He earned an MD, with honors, from the University
of Florida College of Medicine in 1977, then served his Internship
and Residency in Neurology before being appointed Chief Resident
in Neurology in 1980. In 1981-82 Dr. Nadeau was a Research Fellow
in Behavioral Neurology at the Shands Teaching Hospital Department
of Neurology, Gainesville, FL.
Dr. Nadeau is
a member of the American Academy of Neurology, the Alachua County
Medical Society, the Florida medical Association, the Behavioral
Neurology Society, the Center for Neuropsychological Studies, the
International Neuropsychological Society and the American Association
for the Advancement of Science.
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William
J. Triggs, MD

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Dr. Triggs is
Associate Professor of Neurology, Associate Professor of Psychiatry,
Co-Director of the Neuromuscular Physiology Laboratory, and Co-Director
of the Neuromuscular Clinic and EMG Laboratory. He is certified
by the National Board of Medical Examiners, the American Board of
Psychiatry and Neurology, the American Board of Electrodiagnostic
Medicine, the American Society of Neurorehabilitation and the Florida
Division of Workers' Compensation. He holds licenses in the states
of Florida, Massachusetts and Texas.
Dr. Triggs received
his BS from the University of Florida in 1983 and his MD from the
University of Florida College of Medicine in 1986. He served his
internship at Shands Hospital at the University of Florida from
1986-1987. He served his residency in Neurology (1987-1989) and
was Chief Resident in Neurology (1989-1990) at the University of
Texas Health Science Center. He was a Fellow in Clinical Electromyography
at Massachusetts General Hospital, Harvard University from 1990-1991
and Fellow in Neurorehabilitation and Neurophysiology at the Spaulding
Rehabilitation Hospital, Harvard University, 1991-1992.
Dr. Triggs is
a member of the American Medical Association, the American Academy
of Neurology, the American Association of Electrodiagnostic Medicine,
the Texas Medical Foundation, the Massachusetts Medical Society,
the American Academy of Clinical Neurophysiology, the Society for
Neuroscience, and the American Society of Neurorehabilitation.
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MODULE 5: Losing It -- Physical Deficits
of Aging
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N. Lawrence Edwards, MD
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Dr. Edwards is
Professor of Medicine in the Department of Medicine's Division of
Clinical Immunology and Clinical Chief of the Division of Rheumatology
and Clinical Immunology at the University of Florida. He serves
as Chief of the Rheumatology Section at the Veterans Administration
Medical Center in Gainesville, FL. He also is a member of the Clinical
Research Center (CRC) Advisory Committee and the University of Florida,
as well as the Pharmacy and Therapeutics Committee and the Medical
Service Executive Committee at the VA Medical Center.
Dr. Edwards received
his BS in 1969 from the University of Notre Dame and his MD from
the University of Miami School of Medicine in 1973. He then served
his internship at Creighton University Affiliated Hospitals and
was Research Fellow in Rackham Arthritis Research Unit and Clinical
Research Center at the University of Michigan Medical Center from
1976-1979.
Dr. Edwards is
a member of the American Rheumatism Association, the American Federation
for Clinical Research, the Central Society for Clinical Research,
the Heberden Society, the British Society for Rheumatology, the
Society of Irish and American Rheumatologists, the National Society
of Clinical Rheumatologists, and Fellow of the American College
of Physicians.
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George
J. Caranasos, MD
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Dr. Caranasos
is presently Director of the Geriatric Education Center and Ruth
S. Jewett Professor of Medicine in Geriatrics, University of Florida
College of Medicine, Gainesville, FL. In addition, he served until
recently as Chief of the Internal Medicine Division, College of
Medicine for 23 years.
Dr. Caranasos
earned his MD at the Johns Hopkins University School of Medicine,
Baltimore, MD; completed his internship and served as Assistant
Resident on the Osler Medical Services, Johns Hopkins Hospital;
and was Research Associate at the Johns Hopkins University for Medical
Research and Training. He served as Chief Resident, Department of
Medicine, Shands Teaching Hospital, University of Florida and Gainesville
Veterans Affairs Hospital, Gainesville, FL, and was a Fellow, Psychosomatic
Medicine, Department of Psychiatry, University of Florida. Dr. Caranasos
is a Diplomate with the American Board of Internal Medicine and
holds a Certificate of Added Qualifications in Geriatric Medicine.
He is a Fellow
of the American College of Physicians, and member of the Society
of General Internal Medicine, the Southern Medical Association,
the Florida Medical Association, the Johns Hopkins Medical and Surgical
Association, the American Geriatrics Society, the Gerontological
Society of America, and the National Council on Aging and is on
the Board of Directors of the Florida Council on Aging.
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Laurence Kennedy, MD
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Dr. Kennedy is
Interim Chief and Associate Professor, Endocrine Division, College
of Medicine, and Director of Internal Medicine with the Diabetes
Center of Excellence, University of Florida, Gainesville, FL. Prior
to joining UF, he served as Clinical Associate Professor in the
Department of Medicine at the University of North Carolina, Chapel
Hill, NC.
Dr. Kennedy received
his MD at the Queen's University in Belfast, Ireland. He also has
conducted research studies in the areas of endocrinology and diabetes,
as well as clinical trials of various treatments and medications,
and has authored numerous publications on this research.
He is a member
of the Medical and Scientific Section of the British Diabetic Association,
the Irish Endocrine Society, the European Association for the Study
of Diabetes, the Endocrine Society, the Society for Endocrinology,
the American Diabetes Association, and elected member of the Association
of Physicians of Great Britain and Ireland.
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MODULE 6:
Moderated Patient Roundtable --
Care Expectations of Older Adults from Health Professionals
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Moderator
R.
Paul Duncan, PhD
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Dr. Duncan currently
serves as the Louis C. and Jane Gapenski Professor of Health Services
Administration and Professor of Sociology with the University of
Florida, and as Director of the PhD Program in Health Services Research,
Department of Health Services Administration at the University of
Florida. Dr. Duncan also serves on the University of Florida Geriatric
Education Center Coordinating Committee, as well as the Selection
Committee, Dissertation Award, Academy for Health Services Research
and Health Policy, 2001. Dr. Duncan also does extensive consulting
work with numerous healthcare organizations and serves actively
as an article reviewer and research proposal reviewer.
Dr. Duncan earned
his BA (with Honors) from Queen's University in 1971, his MS in
1973 from Purdue University and his PhD in 1974 from Purdue University,
all in Sociology.
Dr. Duncan is
a member of the Academy for Health Services Research and Health
Policy, the Association of University Programs in Health Administration,
American Public Health Association, American and International Associates
for Dental Research, Behavioral Science and Health Services Research,
Florida Public Health Association, Florida Rural Health Association,
and the National Rural Health Association.
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Roundtable
Participants
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Mrs. D is an 81-year
old bi-racial woman who has been widowed for approximately 30 years,
has not remarried and has no children. Her husband, who was white,
was a diplomat and they lived in many countries, including France,
Mexico, Martinique, Haiti and Costa Rica.
Mrs. D is quite accomplished
herself. She holds a BS in Nursing, as well as a Master's Degree
in Latin American History. She taught Anatomy, Physiology and Comparative
Anatomy at university. She also served with the College of Medicine
as part of the original faculty research team that set up the unit
for autistic children at a large, well-known research and teaching
hospital.
Five years ago, Mrs. D adopted
a mentally-challenged black child with serious emotional problems
and, with others, plans to lobby for better care and education of
children in her adopted daughter's condition. This has been a mentally
and physically challenging, but rewarding, experience for her.
With good budgeting, she is
financially secure and has private health insurance with which she
is pleased. Mrs. D is medically treated for coronary artery disease
and myelo displasia. Daily, she takes a multiple vitamin supplement,
Vitamin E, Vitamins B6 and B12 and Folic Acid,
plus daily dosages of Procardia, for her heart, and Hydroxyurea
for her bone marrow anemia. She also has a weekly injection to promote
production of red blood cells and requires occasional blood transfusions.
Mrs. D is a member of a local
church and attends a weekly prayer meeting at another church. Her
faith is very important to her. She belongs to several different
women's clubs and is actively involved in volunteer and charitable
work. Although she no longer drives as a result of a physical ailment,
she travels by train or bus to several states to visit family. She
is very active both physically and mentally and although for medical
reasons she can no longer exercise at a gym, she walks for exercise.
She has a wonderful sense of humor and love of life.
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Mr. K is a 67 year-old
black man who grew up in Philadelphia, lived for 36 years in New
Jersey, and settled in Florida in 1989. Mr. K has been married to
his second wife for 9 years -- his first marriage of 34 years ended
in divorce. Mr. K has 2 children by his first wife, 8 grandchildren,
and 5 stepdaughters from his second wife.
Mr. K graduated from high school
and had 1 1/2 years of technical school. Following high school he
went directly into the Air Force where he was a radio operator --
he traveled extensively with the Air Force Air Show. After the service,
Mr. K worked with the Post Office as a finance clerk and retired
after 36 years. About 6 months after retiring, Mr. K found he was
somewhat bored and took a job managing a 7-Eleven and waiting tables.
Seven years ago he joined a large well-known research and teaching
hospital as a security officer. He very much enjoys his job.
Mr. K has private health insurance
and prescription coverage, plus Medicare and has been pleased with
the service he has received from both. In addition to his and his
wife's social security, Mr. K has a comfortable pension from the
Post Office. He considers himself to be financially secure and would
not be financially burdened were he to decide to stop working. However,
he feels he will continue to work and be active until he simply
cannot any more.
Mr. K has been unusually healthy
all of his life with the exception of a Myocardial Infarction suffered
in 1989. He returned to work shortly after the heart attack and
has had no further problems with his heart. Other than having his
appendix removed when he was young and a bout with bladder stones,
Mr. K's only significant health issue besides the MI was hyperthyroidism
which was successfully treated with radiation. He has well-controlled
high blood pressure and very slight arthritis in his hands. Mr.
K only mentioned his high blood pressure when questioned about it.
Mr. K smokes about a pack of cigarettes a day and is a moderate
drinker.
Mr. K takes daily dosages of
Lopressor, Zestril, Synthroid and Lipitor. In addition he takes
a multiple vitamin plus extra dosages of Vitamin E, Vitamin C, Vitamin
B12 and Folic Acid.
Mr. K's hobbies include reading,
book collecting and jazz. He attends church regularly and performs
with two church choirs. He is also actively involved in his neighborhood
improvement association. Mr. K is very gregarious and outgoing and
has a great sense of humor.
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Mrs. DD, an 82-year
old Caucasian woman, was widowed by her second husband about two
years ago after 32 years of what she calls, "the marriage of her
life." She and her first husband divorced after their two children
were grown and out of college, and she met her second husband a
short time after her divorce. One of the defining events in Mrs.
DD's life was the loss of her son to melanoma after his graduation
from college. The melanoma went undiagnosed while he was in India
with the Peace Corps, and when he returned, it was too late. After
almost 30 years, she still weeps at the loss.
Mrs. DD has a BA and MA in
English and was Dean of Women at the Women's College of Tulane University
for 15 years, where she also taught English. Mrs. DD had lived in
New Orleans her first 50 years. During her married years in New
Orleans, she was very active in volunteer work. After her second
marriage and move north, she became active in local garden clubs
and with "Friends of the Library," which she has been involved with
in every community she has lived in since. She was also active in
church until her husband's death. However, her Christian Scientist
upbringing left her somewhat scarred since both of her parents died
at early ages from conditions that could have been either prevented
or resolved with prompt and proper medical attention. She is no
longer active in church.
Mrs. DD's beloved second husband
suffered a serious stroke three years before his death and Mrs.
DD served as his caretaker. After his death, she moved out-of-state
and now lives with her daughter and son-in-law, who are building
a "Granny" house for her on their property. She's very much looking
forward to her own place.
Mr. DD planned well for Mrs.
DD's future and she is financially secure. She has private insurance
in addition to Medicare and is pleased with the service she receives.
From a health standpoint, Mrs. DD has been very fortunate. Other
than a bout with tuberculosis when she was 20, a case of Shingles
long ago, and two cataract surgeries in the last two years, she
has been unusually healthy. She experiences only slight, intermittent
arthritis in her knees after long hours on her feet. She watches
her diet pretty closely to keep her weight at a manageable level,
and walks regularly for 30 minutes each day.
Daily she takes a multivitamin,
Vitamin C, Vitamin E, lysine, calcium, Vitamin B complex, 1/4 aspirin
and Actonel for normal age-related osteoporosis. Mrs. DD is both
physically and mentally active and looks and acts 15 years younger
than she is. She drives daily -- two mornings a week she volunteers
at Hospice, two mornings a week at the local hospital, and most
afternoons she tutors children from low income families at the Boys'/Girls'
Club. She also produces a newsletter for the hospital auxiliary.
She enjoys travel and toured Tuscany with a group of friends. In
addition, Mrs. DD starred, on a volunteer basis, in a videotape
produced this year by the GEC. She has a dry wit and vivaciousness
that makes her a pleasure to be around.
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Bill is 70 years old,
white, and has been married for 46 years. He and his wife have three
grown children, five granddaughters and one great granddaughter.
They have lived most of their adult life in the same home in the
same small, rural town in North Central Florida. Bill's wife is
a retired hospital unit clerk.
Bill did not complete high
school and at a fairly young age started work running very large
industrial cranes and, later, supervising some projects. He retired
on disability after over 40 years. Throughout his career, Bill was
unknowingly exposed to asbestos dust created from the huge crane
brake bands. He and his family are part of the asbestos class-action
suit. He also served in the Marine Corps during the Korean War and
was with the reserves for 16 years.
Bill and his wife attend church
regularly and are active in the senior meetings there. Their faith
is very important to him, and Bill feels strongly that if it weren't
for his wife and their faith, he "wouldn't be around today." He
has had very serious health problems in his lifetime and has worked
hard to overcome them.
In 1977 Bill lost most of his
left lung to lung cancer. By that time he was smoking two packs
of cigarettes a day and had developed a heavy drinking problem.
When his cancer was diagnosed, he immediately stopped smoking and
drinking and has done neither since. In 1989 he developed an aortic
aneurysm in the heart which was repaired with synthetic artery.
At the same time his surgical team performed a kidney bypass on
him. He has since developed an abdominal aortic aneurysm for which
he has a CT scan each year. In 1998, Bill was diagnosed with prostrate
cancer -- his surgery and treatment for that have been successful.
Bill added as an afterthought
that he also has some arthritis and has had basal cell cancers removed
from his neck and nose. Although he gets an influenza shot each
year, when he does get the flu, it hits him hard and takes many
months for him to recover. Bill also suffers from occasional depression.
Bill feels they are somewhat
financially secure -- he receives social security, has a union pension,
and his wife's pension. Bill has no private insurance, only Medicare,
but he has been extremely pleased with the service and assistance
from Medicare.
Each day, Bill takes two Advil
for his arthritis, one Lipitor, 1/2 Lopressor, one aspirin, and
an occasional Valium; he does not take vitamins or supplements.
He has oxygen available to him at home for use when his breathing
becomes labored.
For recreation, Bill's passion
is bass fishing and he spends as much time as he can in his bass
boat. Although he has no regular exercise routine, he feel he gets
plenty of exercise taking care of their 15 acres himself. His other
enjoyment, he said, is spending time with his wife. Bill has a good
attitude and is thankful that in spite of his many serious health
crises, he is still strong and able to enjoy his life so fully.
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Mr. and Mrs. G have
been married for 59 years -- both are white; he is 81 and she is
79. They have a son, a daughter and two grandchildren. Their son
and daughter-in-law live in Sarasota, FL and their daughter and
her family live in the Orlando area. Both Mr. and Mrs. G are Florida
natives -- Mr. G's family traces its Gainesville roots back to 1840.
They have lived in the same house since 1963.
Mr. G. earned a BS and MS in
Agriculture. After teaching school and working as a county agricultural
extension agent for a period of time, he volunteered for the US
Navy during WWII (even though he was exempt) and served two years
as a message decoder. He then went to work as an extension agent
for the railroad and retired after 30 years. At one point in his
career with the railroad, he worked for seven years in Jacksonville,
FL, commuting home to his family only on weekends. Mr. G was an
active member with Kiwanis, serving in all offices throughout his
30 years of perfect attendance.
As well as being a devoted
wife and mother, Mrs. G worked as a secretary/bookkeeper over the
years, retiring as a personnel assistant after 19 years from Santa
Fe Community College -- a total of 29 years with the State of Florida.
Faith is very important to both Mr. and Mrs. G -- they attend church
every Sunday and Bible study on Wednesday morning. Mr. G was an
Elder in the Presbyterian Church for many years. Mrs. G has a morning
devotional every day. After Bible study on Wednesday mornings, Mr.
and Mrs. G visit his niece who has been a resident in a nursing
home in a nearby town since a serious stroke several years ago.
Mr. and Mrs. G are both very
physically and mentally active. In addition to their church activities,
they go to the fitness center three days a week, leaving home at
5:45 a.m. and returning at 7:00. Mr. G. also plays golf every month
and takes care of their exceptionally well manicured yard. Twice
a year, they even wax their cars themselves. Both Mr. and Mrs. G
drive, however since he always drives when they travel together,
he does quite a bit more driving than Mrs. G.
Mr. and Mrs. G consider themselves
very financially secure. In addition to Mr. G's social security
and railroad pension, they have Mrs. G's state pension. They also
saved and invested well. They have private insurance through the
railroad with a very low co-payment for both health care and prescriptions,
and they have had no problems at all with their provider.
Mr. G has suffered from very
high, chronic high blood pressure since his 30's; Mrs. G. has only
mild age-related high blood pressure. Each of them has slight arthritis,
but this was mentioned only as an afterthought. Both have cataracts
-- Mr. G. has recently had his second cataract surgery and, except
for some retinal swelling, the surgery went well. Mrs. G. has had
cataract surgery on both eyes. They are both pleased with the results
of their surgeries. Mrs.
G has GERD, but it is well-controlled with medication, and late-onset,
non-insulin dependent Diabetes. Neither Mr. nor Mrs. G drink alcohol
or smoke.
Of concern to both of them
is Mr. G's recently enlarged prostrate and rising PSA despite antibiotic
treatment. He will have a prostrate biopsy done next week.
Mr. G's medications include
daily dosages of Procardia, Prinzide (Prinivil and hydraclorazine),
Cardura, Proscar and Zocor. Mrs. G takes Prinivil, Premarin, Niaspan
and Pepcid. Daily they each take a multiple vitamin, Vitamin E,
Vitamin C, Calcium, and a baby aspirin. They eat a lot of fruits
and vegetables.
Mr. and Mrs. G are a quiet
couple with sweet, gentle, serene demeanors. They always have a
positive attitude and outlook, even in the face of Mr. G's upcoming
prostate biopsy.
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