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ChristianaCare Hospital, West Grove to Open Mid-August 2025

ChristianaCare is opening its first neighborhood hospital in the company’s 188 year history — ChristianaCare Hospital, West Grove. Set to open in mid-August, this facility offers a new model of emergency and acute care right in the heart of southern Chester County. The exact opening date will be confirmed following final inspection by the Pennsylvania Department of Health, which is scheduled to occur in the first week of August. A Modern Hospital, Right in the Neighborhood Located at 1015 West Baltimore Pike, the 20,000-square-foot hospital will operate 24/7, offering around-the-clock care in a modern, easy-to-access setting. Developed in partnership with Emerus Holdings, Inc., the nation’s leading developer of neighborhood hospitals, this facility brings high-quality acute and emergency care directly into the community. It will be staffed with board-certified emergency physicians, skilled nurses and clinical specialists, all dedicated to delivering patient-first, efficient and compassionate care. “It’s an honor and privilege to expand access to high-quality care for our neighbors in southern Chester County,” said Janice Nevin, M.D., MPH, president and CEO of ChristianaCare. “We will be opening our doors for the families in this community with a steadfast commitment to being their trusted health care partner. We’re grateful for the opportunity to bring love and excellence to those we will serve.” Convenient, Comprehensive Services ChristianaCare Hospital, West Grove is designed to meet a wide range of everyday medical needs. Key features include: A full-service emergency department with 10 treatment rooms. A 10-bed inpatient unit for overnight stays, observation and diagnostics. Advanced imaging and lab services, including ultrasound, CT scan and X-ray. Virtual access to specialists in such areas as cardiology, critical care and infectious disease. The emergency department is equipped to treat conditions such as falls, injuries, heart attacks and strokes. Patients requiring surgery or more complex care will be stabilized and seamlessly transferred to a hospital with more expanded service offerings based on the clinical needs of the patient. “This neighborhood hospital brings the right mix of services to support the health and well-being of our neighbors,” said Pauline Corso, president of ambulatory network continuity and growth at ChristianaCare. “We’re excited to bring care close to home to meet the needs of the community. We’re here to stay and grow alongside this community.” The project has received strong local support and was made possible in part by generous grants from the Commonwealth of Pennsylvania and the Chester County Board of Commissioners — Josh Maxwell, Marian Moskowitz, and Eric Roe — whose leadership helped bring this vision to life. Health Center Expands Access to Primary and Specialty Care As part of its long-term investment in the West Grove Campus, ChristianaCare has also purchased the building at 900 W. Baltimore Pike, across the street from the hospital. This facility currently houses a ChristianaCare primary care practice and imaging services, offering walk-in X-rays and scheduled mammography and ultrasound appointments. This health center will continue to evolve to meet the growing needs of the community. Meeting Regional Needs with a Broader Vision ChristianaCare is expanding its neighborhood hospital model to address care gaps across southeastern Pennsylvania. New hospitals are being planned for Aston and Springfield Townships in Delaware County, with the Aston location already under construction and expected to open in late 2026. In addition, ChristianaCare was the successful bidder for Crozer Health outpatient centers in Glen Mills, Havertown, Broomall and Media, further strengthening its regional footprint and ability to deliver timely, high-quality care. A Legacy of Care in Southeastern Pennsylvania ChristianaCare’s presence in the region is long-standing. The organization currently provides primary care at three Chester County locations — Kennett Square, Jennersville and West Grove — and recently opened a cardiology practice in West Grove. In neighboring Delaware County, the Concord Health Center in Chadds Ford offers a wide range of services, including primary care, women’s health, sports medicine, and behavioral health. Together, these sites serve as the medical home for more than 25,000 residents, underscoring ChristianaCare’s deep commitment to delivering accessible, high-quality care where it’s needed most.

Breaking: Justin Timberlake Reveals He Has Lyme Disease

When a major celebrity opens up about a personal health struggle, public attention often follows. That’s certainly the case after Justin Timberlake recently revealed that he is battling Lyme disease—a condition that affects nearly half a million Americans each year but remains widely misunderstood. Timberlake’s announcement is bringing renewed focus to the causes, risks, and complexities of Lyme disease, including how it spreads, where it’s most prevalent, and what individuals can do to protect themselves. With tick season still active in many regions, this moment offers an opportunity to better inform the public—and we’ve identified a group of leading experts who can help do just that. From microbiologists and epidemiologists to entomologists and disease ecologists, the following researchers bring a wide range of expertise on Lyme disease, tick biology, and environmental risk factors. Whether you're a journalist looking for credible sources, a public health communicator, or simply someone trying to make sense of this rising threat, these experts are available to provide clarity and context in the wake of this headline-making health disclosure. Featured Experts A highly media‑quoted microbiologist specializing in Lyme and other tick‑borne diseases. He runs TickReport, a service that tests ticks and interprets exposure risks. Insights on... How celebrities like Timberlake amplifying Lyme awareness may shift public perception and testing demand. The relevance of tick season timing and geographic risk zones. How tick testing works and what patients should know post‑exposure. Over two decades studying Borrelia burgdorferi and blacklegged ticks, with strong expertise in disease ecology and conservation medicine. Insights on... The biology of transmission and the tick’s life cycle—what leads to infection risk. How habitat and ecological shifts may affect Lyme exposure risks. Wildlife‑human disease interface in increasingly peri‑urban settings. Focuses on landscape ecology and patterns of vector‑borne disease emergence including Lyme disease. Insights on... How environmental changes (e.g. urban sprawl, climate trends) are altering Lyme disease risk maps. Predictive models: where Lyme is emerging next. Implications for public health messaging given high-profile cases like Timberlake’s. Specializes in tick taxonomy and vector species genetics—ideal for deeper background on tick diversity and distribution. Insights on... Which tick species carry Lyme and how misidentification can confuse diagnosis. Emerging tick species or genetic strains and what they mean for prevention. Geographic spread and species shift over time. His research examines geographic patterns of Lyme disease, including why incidence varies regionally in the U.S. Insights on... Why Lyme is more prevalent in certain states—even those outside Timberlake’s or his fans’ travel zones. Human behavioral and habitat factors (e.g. suburban greenspace vs. deep woods). What seasonal changes in tick behavior tell us about infection risk. Story Angles to Explore Celebrity spotlight on Lyme disease: How high‑profile cases can impact media attention, funding, public awareness, and testing demand. Diagnosis and prevention: From exposure to testing (e.g., TickReport), early symptoms, treatment windows, and what experts recommend post‑bite. Ecology and environment: Why Lyme is expanding geographically, and how climate and land‑use change influence risk. Tick evolution and identification: Educating the public on which ticks transmit Lyme, emerging strains, and challenges in correct tick identification. Regional variation in risk: Breakdowns of why some states or regions are Lyme hotspots and how that aligns with the celebrity’s likely exposure zones or fan geography. Looking for more Experts? Visit www.expertfile.com or download ExpertFile for your phone.

Inflation: It’s Not Just for Prices Anymore

Lately, headlines are full of talk about inflation — a response to the economy and the looming tariffs. I’ve experienced many inflationary periods, but it feels different in retirement. When I was earning a paycheque, inflation was just an annoyance, something I needed to pay attention to and maybe buy a cheaper cut of steak. Now, as someone on a “fixed income,” it feels like a real threat. Recently, Ben McCabe, CEO of Bloom Financial, appeared on Breakfast Television and delivered a truth bomb: “We’re approaching a perfect storm. Longer life expectancy, fewer defined benefit pensions, and rising inflation.”  Well, that storm has arrived — and it’s inflating more than just prices. It’s also expanding our waistlines, prescription lists, and emotional baggage. Inflation, at its core, means “the condition of being inflated.” And it turns out that definition applies to more than the grocery bill. So, grab a cup of green tea (or a celery stick if you’re feeling virtuous). Let’s explore the three sneaky forms of inflation threatening your retirement — and what you can do about them. This blog will appeal to individuals who have retired or aspire to retire in the future. Let’s light this candle! 1. Financial Inflation: The Usual Suspect Let’s start with the obvious: inflation means your money won’t stretch as far as it used to. In 2022, Canada’s Consumer Price Index increased by 6.8% — the highest rise in 40 years. Although it slowed down a bit in 2023, essentials such as food, rent, and fuel continue to grow. Your retirement income might be fixed, but prices definitely aren’t. Retirement Risks from Financial Inflation: • Longer lives mean longer bills. A 65-year-old woman today has a 50% chance of living past 90 years old. That’s over 25 years of expenses. • Vanishing pensions. Defined benefit pensions are disappearing faster than good manners on Twitter. • Healthcare creep. Public healthcare doesn’t cover everything, especially if you want care that wasn’t designed in 1978. As Ben McCabe aptly put it:  “We need to stay healthy so our health span matches our lifespan,” huh?— “otherwise, inflation will affect us through the cost of medications, home care, and long-term care facilities.” What You Can Do: • Review your income sources. Prioritize indexed income sources, such as CPP, OAS, and annuities with COLA (Cost of Living Adjustment) riders. • Use home equity sensibly. If you’re house-rich but cash-poor, consider a reverse mortgage or other equity release products. • Adjust your spending habits. Host themed nights, like “Tuna Tuesdays” — a nostalgic, fun, and budget-friendly option. How to Support Others: • Discuss money matters with kindness. Many retirees feel ashamed of their finances. Show compassion, listen more, talk less. • Bring food, not judgment. A regular Saturday brunch with Sadie can make a significant difference, not just financially. • Foster social connections. Financial stress can cause isolation. Encourage hosting potlucks, card nights, or joining a community group. 2. Physical Inflation: The Expanding Middle Retirement brings more free time… and more room. Waistlines, cholesterol, and prescriptions all seem to rise in tandem. Signs you’re experiencing physical inflation: • Pants that used to be snug are now aspirational • Your Fitbit died months ago — and so did your motivation • Your pharmacy knows you by name... and birthday The bad news? Poor physical health is expensive. Chronic illness can deplete savings faster than a grandchild with your credit card. What You Can Do: • Keep moving. Walk, garden, spin — whatever gets you vertical and vibrant. • Lift weights. Muscle mass starts declining at 40. Resistance training isn’t just for 20-somethings. Strong is the new sexy, pass it on! • Meal plan smart. Grocery inflation peaked at 8.9% — eat better, waste less, save more. Consider shopping daily and buying only the amount of food needed for that day. Your health span should align with your lifespan. Stay strong, stay mobile, and yes, stretching counts — but not if you’re reaching for the TV remote. Inflammation — The Silent Saboteur If inflation is bad, inflammation is worse. Chronic inflammation contributes to: • Heart disease and stroke • Type 2 diabetes • Alzheimer’s disease and brain fog • Arthritis, osteoporosis, and varicose veins • Mood disorders such as anxiety and depression • Certain Cancers Even CNN and Al Jazeera recently reported that Donald Trump was diagnosed with chronic venous insufficiency (CVI) — a common, often overlooked condition among those over 55. Small veins, big problem. (Insert your own “tiny vein, tiny…” joke — I’m staying classy.) Inflammation is the unwelcome guest that never departs. If inflammation had a personality, it would be the dinner guest who drinks all your wine, insults your cat, and brings up politics at dessert. Whether it's fueling joint pain, causing swelling in your ankles, or messing with your metabolism, chronic inflammation is one of the biggest saboteurs of aging gracefully. It often hides in plain sight, presenting itself as: • Low-grade fatigue • Weight gain (especially belly fat) • Mood swings or brain fog • Increased pain and stiffness • Slow healing. What You Can Do: • Eat anti-inflammatory foods, such as leafy greens, whole grains, and healthy fats. Cut out the sugar. • Move each day. Yes, again. It’s that important. • Lower stress to improve sleep. Stress and poor sleep fuel inflammation. • Maintain social and emotional bonds. Loneliness and inflammation are frequently connected — break the link. De-Inflation — The Great Slowdown • So, we’ve discussed inflation... but what about its quieter, sneakier cousin: deflation? • No, not the economic kind. We’re talking about the physical “poof” that occurs when we reach our late 70s and 80s — when the padding diminishes, posture declines, and everything else… well, just seems a little less buoyant. • Suddenly, you’re shrinking. Your weight drops — but not in a sexy, "I’ve been intermittent fasting" kind of way. More like "my pants are falling down and my doctor says I’m 2 inches shorter" sort of vibe. Welcome to the gravitational pull of aging. Signs of De-Inflation: • Pants fit strangely, but not in a bragging way • You’re hunched over as if you’re forever bowing to the Queen • Your arms and legs have that crepey, crinkly look — like tissue paper with a gym membership • And let’s not forget the wrinkles on your face — a stunning topographical map of your life Let’s be honest: gravity always wins. Biology always wins. And yes, our skin thins — insert your own joke about being “thin-skinned” here. But we are not entirely powerless. Here’s How to Push Back (Gently — you don’t want to break a hip): • Check your posture monthly. Have a friend take a quick side photo. Are you upright and confident — or resembling a question mark? • Stretch regularly. Yoga, fascia stretching, and massage can help combat the hunch. • Move intentionally. Gentle strength training and balance exercises can maintain muscle and stability. • Moisturize and hydrate. For your skin, your joints, and your soul. • Celebrate your lines. They’re not “flaws” — they’re proof you’ve felt joy, sorrow, surprise, and a few good martinis. They’re not signs of aging; they’re signs you’ve been living. Remember: frowning only causes more wrinkles. So, smile — or better yet, laugh. Loudly. Often. Preferably at inappropriate moments. Oh — and take my advice on this: never (and I mean never) open your eyes during downward-facing dog. Some things just can’t be unseen. 3. Emotional Inflation: When Grudges Accumulate Like Interest Here’s the sneaky one. Emotional inflation appears as: • Bitterness over who got what in Mom’s will • Inflated egos and “right-titis” (a chronic need to be right) • Replaying 1983 arguments in your head like they’re Oscar contenders. • Giving not-so-nice nicknames to your former coworkers (and using them… publicly) • Keeping a mental spreadsheet of injustices — now colour-coded for quick reference (who says seniors are not tech-savvy?) Here’s the thing: emotional inflation isn’t just about what others have done. It’s also about how we interpret our role in those stories. Ready for a bold idea that can free you from decades of emotional baggage? What if we stopped keeping score and instead focused on how we want to show up in our relationships? What if you chose, intentionally, to be a generous sister, a supportive friend, a gracious parent, or a collaborative co-worker — not because they "deserve it," but because that's who you want to be? It’s not easy. It may require deep breathing and the occasional muttering in the car. However, for those willing, this mental reframe can be a total game-changer. What to do: • Let go. You can’t carry joy and a grudge at the same time — and joy is lighter. Lighten the emotional load. You don’t need to wait for someone to say sorry to feel free. • Choose your character. Think of it as casting yourself in the movie of your life. Be the wise one, the peacemaker, the person who breaks the cycle, not the one still angry about a forgotten birthday in 1996. • Write your own story. Present yourself as the person you want to be, even if others haven’t read the same script. You can’t control other people, but you can control how much space they occupy in your mind (especially if they’re not even paying for snacks). • Reframe your perspective. Instead of keeping score, focus on who you want to be: a generous sibling, a gracious friend, or a person at peace. Let go of the scorekeeping. It rarely results in a tie, and even if you win… You still feel empty. • Define your role. Be the big-hearted sibling, the calm presence, the one who lets go, not the person who stores bitterness in Tupperware containers. • Invest in joy. Dance classes, martinis, laughter — choose your remedy. • Talk it out. Therapy is more affordable than wine-fuelled Facebook rants and far more effective. Take the high road. There’s less traffic and better scenery. You can’t always avoid emotional hurt, but you can avoid living in a constant state of emotional inflation. And trust me, nothing deflates retirement faster than a bloated list of resentments. And if you’re feeling weighed down by the bloat of what life has thrown at you, remember: you can’t control inflation, but you can choose your response. Choose grace over grudges. Choose strength over stagnation. Choose the version of yourself that makes you proud. Because guess what? You’re still becoming who you are. Trust me — it’s better than a juice cleanse and more affordable than therapy. Some people age like fine wine; others age like vinegar. Emotional inflation is the burden you carry that doesn't show on the scale, but it weighs everything down. You can’t rewrite someone else’s story, but you can decide how to present yourself in your own. Taking the high road is less crowded and provides better perspectives. Inflation May Be Inevitable — But Misery? That’s Optional. Inflation has seeped into our lives like glitter at a craft table — impossible to contain and popping up in the most unexpected spots. It’s not just your budget that’s swollen (thanks to blueberries and Botox), but also your belly, your prescription drawer, and — if you’re not careful — your resentment list. But here’s the good news:  While you can’t control how high prices go, how slow your metabolism becomes, or how long Uncle Jerry holds a grudge… You can control your response.  So, here’s your call to calm, intentional, fabulous action: 1. Reclaim your power — in your spending, your body, and your mindset. 2. Choose curiosity instead of crankiness. Move more instead of staying still. Salad rather than salt (well… sometimes). 3. Be the kind of person who ages like disco — a little dramatic, slightly sparkly, and always ready to dance. And if you absolutely must inflate something… make it your sense of humour. Because in the grand game of Retirement Inflation Nation, laughter is your best hedge — and it’s fully indexed to joy. Oh — and if you're wondering whether I practice what I preach: I'm a certified fitness instructor and teach 5 jam-packed fitness classes a week at Canada’s largest gym. Movement isn’t just medicine — it’s music, community, and yes, a fabulous way to earn the right to your next martini. So, take it from someone still riding the rhythm of life — gravity is real, but so is joy. And we’re still dancing under the stars. (Here’s proof from the Coldplay concert — yes, I was the one yelling “Fix You” with both hands in the air and not a single regret.) Keep inflating the things that matter: your laugh lines, your playlist, and your purpose. With love, lunges, and a little glitter, Sue Don’t Retire... Rewire!

Beat the heat: Six expert tips to stay active and safe this summer

Exercising should be a priority year-round, but summer heat and humidity can challenge that commitment and make it harder to meet your daily step goal. Daniel White, associate professor of physical therapy at the University of Delaware, offers some practical tips for reporters working on stories about staying active and safe during the hottest months of the year. 1. Time it right Plan to exercise in the early morning or evening hours when temperatures are cooler. Delaware’s scenic beaches and boardwalks can be the perfect spot to catch a summer breeze or stop to enjoy the scenery while getting your steps in. 2. Prioritize hydration In the heat, people perspire more and need to replenish fluids. Always carry a water bottle with you and sip from it regularly. Dehydration can lead to lightheadedness, balance issues, muscle cramps and even heat stroke. And don’t forget sunscreen — SPF is necessary for any outdoor workout year-round. 3. Reduce the intensity It may not feel like as much of a workout, but the fact that you’re out there pounding the pavement is the most important thing. According to the U.S. Department of Health and Human Services’ Physical Activity Guidelines for Americans, movement is beneficial, and the more, the better. Performing any physical activity at half intensity far outweighs not doing it at all. 4. Opt for the indoors Pickleball has become all the rage, so finding an indoor court or other activities you can enjoy in air conditioning is a great alternative. Walking on a treadmill at the gym or getting in laps at the Christiana Mall are good options too during a heatwave. 5. Dive in Swimming and water aerobics are great ways to stay active and keep cool. Facilities like the YMCA have designated lap-swim-only hours or classes. Simply splashing around can be an easy way for those just starting their fitness journey to incorporate more movement into their days. 6. Walk with purpose The bottom line is the more you walk, the healthier you’ll be. Just 3,000 steps a day is a solid start, according to White’s studies, especially for older adults. Reaching 6,000 steps has been shown to protect against arthritis complications. But when it comes to steps, the sky’s the limit. Walking at a moderate pace, where you’ve built up a sweat, will strengthen your muscles and bones and lower your risk of cardiovascular disease and cancer. To arrange an interview with White, reporters can reach him directly by visiting his profile page and clicking on the contact button.

Ringo Starr Just Turned 85

Yes, Ringo Starr just turned 85. Let that sink in. I read this in the Washington Post and felt like a bag of Beatles vinyl had walloped me. How is this possible? How can the mop-top drummer be 85 when I was dancing to “Yellow Submarine” in bell-bottoms with a brush for a microphone? More urgently: how old does this make me?! Ringo isn’t slowing down. He’s still touring with two bands, making music, flashing that cheeky Liverpudlian smile, and preaching peace and love as if he’s got nowhere else to be. No plans to retire. No plans to fade away. Just a rockstar with a great attitude... and maybe a titanium hip (unconfirmed). This made me realize that, as the birthday candles on my cake now need a fire permit, “attitude” plays a huge role in how we age. Based on the feedback I received from my last post, “What’s Your Brand, Boomer?”, it’s clear that many people are genuinely interested in managing their personal brand as they age. This week, I want to go deeper—because whether you’re 45 or 85, you are Old People in Training. That’s right. Every one of us is aging in real-time, and understanding the stages ahead—either for ourselves or our aging loved ones—helps us walk this path with humour, grace, and fewer surprises. So, here they are: The 8 (Unofficial but Uncannily Accurate) Stages of Aging 1. The Stand-Up-and-Forget-Why Stage (Kicks in around mid-to-late 50s) You walk into a room with purpose, then wonder: was I here to fold laundry, pay a bill, or practice my slow blink? Bonus points if you’re already wearing the glasses you’re hunting for. How it helps: Eases forgetfulness. It’s not early dementia; it’s early distraction. Keep a notebook or use Voice Memos. Or do what I do: shrug, laugh, and keep walking until something jogs the memory (usually coffee). 2. The “Senior? Not Unless There’s a Discount” Stage (Hits in your early 60s) You bristle at the word “senior,” unless it saves you $2.50 at the movies or 15% at Shoppers. Suddenly, age becomes a tool, not a label. How it helps: Celebrate the advantages! You’ve earned them. And remember: owning your age is the new anti-aging remedy. Confidence looks good on everyone. Remember, you are still that age, whether you admit it or not. You might as well save some money! 3. The “Yes, I Really Am That Age” Reminder Stage (Kicks in around 65) You find yourself saying your age out loud like it’s a riddle. "I’m 65. Sixty-five! Isn’t that wild?" You’re still trying to catch up with the numbers, or maybe you’re worried you’ll forget your age. How it helps: Accept the number without letting it define you. It’s not a limit — it’s a launchpad. Bonus: Use it as an excuse to do something you’ve always put off. 4. The Replacement Parts Stage (Hits in the early to mid-70s) Welcome to orthopedic roulette: knees, hips, maybe a shoulder. You collect joint replacements like frequent-flyer miles. Fortunately, modern medicine allows for joint replacements to be performed more quickly than ordering takeout. Still waiting for Staples to offer 3D-printed hips. How it helps: Embrace science instead of fighting it. Biology always prevails! Mobility equals independence. And nothing embodies “active aging” like beating your grandkids at pickleball with a shiny new titanium knee. 5. The “I’ve Run Out of F*cks to Give” Stage (Kicked in the late 70s into the early 80’s) You’ve earned the right to speak your mind—and wear socks with sandals. You say what you want, mean what you say, and anyone who doesn’t like it can take a number. Opinions? Too many! Filters? Deleted. Freedom? Glorious. Friends? Running for cover! How it helps: This is peak freedom. Use it wisely. Advocate, participate, mentor, and model what unapologetic living looks like. You’re the elder statesperson now—be bold, not bitter. 6. The Cataract Conspiracy Stage (Kicks in mid-to-late 70s) Lights appear like halos, and reading menus becomes an Olympic event. But don’t worry—cataract surgery is so common it’s practically an oil change. And voilà: brighter colours, more precise lines, less squinting. Spoiler Alert: You will now be able to see how poor your housekeeping skills are! How it helps: Get your eyes checked. Don’t delay. Seeing clearly again can literally brighten your outlook—and maybe even your attitude. 7. The “Say What?” Stage – The Hard-of-Hearing Stage (Late 70’s+) This one sneaks up like a whisper… which is ironic, because you probably won’t hear it. At some point, for most of us, hearing begins to decline like old payphones and eight-track tapes. It might start with missing parts of conversations in noisy restaurants or asking people to repeat themselves (just once… or five times). Eventually, it’s full-blown “Say what?” territory. Many avoid wearing hearing aids because—let’s face it—they feel like a flashing neon sign that says, "I’m old!" But here’s the real issue: pretending to hear is much worse. It can lead to social withdrawal, isolation, and even strained relationships. And we’re not just making this up for dramatic effect—studies at John Hopkins School of Medicine show that untreated hearing loss is linked to a higher risk of dementia, depression, and cognitive decline.   There’s also the loud TV effect—when your neighbours across the street can hear your Netflix queue, it’s time to see an audiologist, not to mention the safety concern: driving with impaired hearing is risky; sirens, honking horns, or even a warning from a passenger might go unnoticed. So, if your “What?” count is rising and your TV volume is climbing towards aircraft-engine decibels, take action. Getting your hearing tested doesn’t mean you’re old—it means you’re informed (and honestly, more enjoyable to be around).  Because nothing celebrates “vibrant aging” more than staying connected to the world—and actually hearing it. Stage 8: The Long Goodbye – When Friends Start to Leave the Stage I’ve heard from seniors about Stage 8… and without exception, they say it’s one of the toughest parts of aging.  This is the stage when the long goodbye starts—quietly at first, then with increasingly frequent moments. Your phone rings less often. The chairs at the coffee group gradually empty. One day, you realize you’re not just losing friends—you’re outliving them. It’s part of the circle of life, for sure—but no Lion King soundtrack can ease the heartbreak. This stage exposes some of our deepest fears: Will I be next? Who will mourn me? Does anyone even know I’m still here? It’s a time of grief, loneliness, and silent despair. And while you can’t fast-forward through it, you don’t have to walk it alone. If you’re an “Old Person in Training” (which, reminder: we all are), listen up. This stage isn’t just something that happens to others—it’s your future self, waving from down the road. Learning about it now prepares you to guide others through it with grace and to soften your own landing when the time arrives. And if someone you love is already there? This is your cue. Show up. Don’t wait to be invited—grief rarely sends formal RSVPs.  Phrases or clichés like “they’re in a better place” won’t suffice here. These are nothing burgers—all bun, no meat—empty calories in a moment that needs nourishment. Show up. Stay steady. Be the evidence that they are still recognized, still cared for, still part of something meaningful.  What they truly need is presence, not presents. Time, not timelines. They need to feel they are not alone. Sit with them. Walk with them. Watch Jeopardy in silence if that’s what the day calls for. But whatever you do, don’t disappear. Because one of the most profound gifts we can give in this stage isn’t a cure—it’s companionship. Science Confirms It: Attitude Is a Lifespan Strategy Tongue-in-cheek aside, these aging observations are backed by science: Positive beliefs about aging can extend life by 7–8.5 years. (Source: PubMed – Levy et al.) Optimism correlates with lower heart disease, stroke, and a 70% greater likelihood of reaching age 85.  (Source: Harvard Health) Positive mindset boosts recovery, brain health, and resilience after illness.  (Source: Harvard Health) So, what can we learn from Ringo? Keep creating – Music, art, businesses, bad poetry. It keeps the brain limber and the soul alight. Stay curious – Sign up for that course. Take the trip. Ask questions. Enrol in the MBA. (Looking at you, 69-year-old rockstars.) Lean into joy – Laugh like nobody’s judging. Dance like your knees aren’t watching. Surround yourself with good vibes – Optimism costs nothing and glows brighter than Botox. Remember, it’s not your age—it’s your outlook. So next time you stand up and forget why you did, just grin and say: ‘I’m aging like a Beatle. Still standing. Still grooving. Still fabulous.” And if you ever need a pep talk, ask yourself:  “What would Ringo do?” Don’t’ Retire Re-wire Sue

Pandemic deepened health gaps for people with disabilities, study finds

A new peer-reviewed study published in the American Journal of Preventive Medicine reveals that U.S. adults with disabilities experienced significant declines in preventive cardiovascular screenings during the COVID-19 pandemic — and continued to face cost-related barriers to care, even after accounting for economic disruptions. Using nationally representative data from more than 150,000 adults between 2019 and 2023, the study highlights how routine care like blood pressure, cholesterol and glucose screenings dropped most sharply for those with cognitive, physical, or multiple disabilities. Adults with disabilities were also more likely to report delaying or missing care due to cost. These findings underscore persistent health inequities and the urgent need for inclusive public health strategies, especially for populations already at greater risk for cardiovascular disease. Why it matters: Cardiovascular disease remains the leading cause of death in the U.S. Adults with disabilities face higher risks and more barriers to care — making consistent preventive screenings essential. This study offers the first detailed, post-pandemic national look at how different disability groups were affected, with implications for future policy and healthcare reform. For more information on the study and to speak to experts, contact mediarelations@udel.edu. 

AU research team awarded $4.4 million American Heart Association grant

A research team at Augusta University, led by Jennifer C. Sullivan, PhD, has secured a $4.4 million grant from the American Heart Association to study the risk factors for cardiovascular and kidney diseases and how they impact women. Sullivan’s research center, “Disruptions in cardiorenal free fatty acid metabolism in Cardiovascular Kidney Metabolic Syndrome,” is part of a larger $15 million project titled “Strategically Focused Research Network on Cardiovascular Kidney Metabolic Syndrome: Heterogeneity in Women.” The overarching AHA project is aimed at learning why women may be more likely to develop cardiovascular and kidney diseases due to certain unique risk factors and life stages. Research teams from Massachusetts General Hospital and The Ohio State University were also chosen. “I think this is a huge step for Augusta University as we continue to distinguish ourselves and the research that we have here focused on the health of women,” said Sullivan, dean of The Graduate School. “This grant is particularly impactful as we look to advance and improve the health of women, not just in Georgia, but for the entire country.” According to the Healthy Georgia Report, produced by AU’s School of Public Health, Georgia has the 23rd highest rate of obesity in the United States. Among the women living in the state, 38.3% of them, as well as 37.5% of people living in rural areas, suffer from obesity. “It’s great that we are able to represent the state of Georgia because our state has such a high prevalence for obesity rates,” said Sullivan, who is the director of AU’s SCORE project “Improving awareness of women with hypertension: ROAR (Rural, Obese, At Risk).” “It’s important for us to understand that different populations have distinct needs. You can’t talk about a one-size-fits-all approach to health. This is really about trying to understand how different groups are impacted.” Each center is comprised of three teams, as well as a training component and an area partner. Together, they will explore obesity’s lifetime impact on CKM syndrome through three projects. CKM syndrome is a clinical term that describes the combined health effects of heart disease, kidney disease, diabetes and obesity, which puts people at high risk for heart attack, stroke and heart failure. According to the American Heart Association’s 2025 Heart Disease and Stroke Statistics, about 1 in 3 U.S. adults has at least three components of CKM syndrome, which include high blood pressure, abnormal cholesterol, high blood glucose (sugar), impaired kidney function and excess body weight. The first project is led by Daria Ilatovskaya, PhD, and Justine Abais-Battad, PhD, and will look at aging and Western diet-induced CKMS mechanisms in obesity. Ilatovskaya is an associate professor and the graduate program director for the Doctor of Philosophy in Physiology program, and Abais-Battad is an assistant professor in the Department of Physiology with the Medical College of Georgia at Augusta University. The second component, led by Jessica Faulkner, PhD, an assistant professor in MCG’s Physiology department, will study obesity-associated mechanisms of CKMS in pregnancy. The third project, led by Stephen Coughlin, PhD, with Marlo Vernon, PhD, is looking at CKMS epidemiology, associations with obesity, CVD/CKD. Coughlin is the program director for the Master of Science in Epidemiology and professor of epidemiology in the School of Public Health’s Department of Biostatistics, Data Science, and Epidemiology, while Vernon is an associate professor with MCG’s Georgia Prevention Institute and SPH’s Department of Community and Behavioral Health Sciences. Additionally, the team will talk to women and health care providers from a variety of backgrounds and experiences to assess current knowledge and interest levels in heart health and use that information to develop programs that may help treat and prevent disease. There is also a training director, Alison Kriegel, PhD, a professor in the Department of Physiology, and a core director, Guido Verbeck, PhD, chair and professor of the Department of Chemistry and Biochemistry in the College of Science and Mathematics. “We have a strong blend of clinical epidemiology and basic science, as well as a training component, which we will fill with post-doctoral fellows,” Sullivan said. “Dr. Ilatovskaya, Dr. Faulkner, Dr. Abais-Battad and Dr. Vernon are all a part of our ROAR grant, and, while this isn’t directly related to that program, it allowed us to demonstrate how we are already well positioned to work together to amplify our ability and increase awareness about the importance of the health of women.” The team has over 50 collaborative papers and has secured more than $13 million in collaborative funding to advance the health of women. They also all have experience training fellows and students to continue to expand their reach. “We already have a lot of the infrastructure in place for this kind of cross-disciplinary project, so we leaned very heavily into our connections and the expertise we have here at Augusta University. It’s set up very similar to our ROAR program, so this is something that was really organic in nature,” Sullivan said. The American Heart Association has invested almost $300 million to establish 18 Strategically Focused Research Networks, each aimed at addressing a key strategic issue identified by the association’s volunteer Board of Directors. Prior networks have been studying a wide variety of important topics including, but not limited to, prevention, hypertension, the health of women, heart failure, obesity, vascular disease, atrial fibrillation, arrhythmias/sudden cardiac death, cardiometabolic health/type 2 diabetes, health technology, cardio-oncology, the biological impact of chronic psychosocial stress and the role of inflammation in cardiovascular health. Each network centers around scientific knowledge and knowledge gaps, prevention, diagnosis and treatment of the key research topic. Three to six research centers make up each network, bringing together investigators with expertise in basic, clinical and population/behavioral health science to find new ways to diagnose, treat and prevent heart disease and stroke. Funding scientific research and discovery through initiatives like these awards is a cornerstone of the century-old American Heart Association’s lifesaving mission. The association has now funded more than $5.9 billion in cardiovascular, cerebrovascular and brain health research since 1949, making it the single largest non-government supporter of heart and brain health research in the United States. New knowledge resulting from this funding continues to save lives and directly impact millions of people in every corner of the U.S. and around the world. Looking to know more about the amazing research happening at Augusta? To connect with Dr. Sullivan, simply click on her icon to arrange an interview today.

Aston University optometrist develops app with the best easy blinking exercises to improve dry eye symptoms

Dry eye disease is a common condition affecting one-third of the adult population and one-in-five children Professor James Wolffsohn researched the most effective blinking exercises to reduce discomfort, involving a close-squeeze-blink cycle He developed the MyDryEye app in collaboration with Alec Kingsnorth and Mark Nattriss to help sufferers An Aston University optometrist, Professor James Wolffsohn, has determined an optimum blinking exercise routine for people suffering with dry eye disease, and has developed a new app, MyDryEye, to help them complete the routine to ease their symptoms. Dry eye disease is a common condition which affects one-third of the adult population and one-in-five children, in which the eyes either do not make enough tears, or produce only poor-quality tears. It causes the eyes to become uncomfortable, with gritty- or itchy-feeling eyes, watery eyes and short-term blurred vision. It is more common in older adults and can be exacerbated by factors including dry air caused by air conditioning, dust, windy conditions, screen use and incomplete blinks, where the eye does not fully close. Professor Wolffsohn is head of Aston University’s School of Optometry and a specialist in dry eye disease. While it has long been known that blinking exercises can ease the symptoms of dry eye disease, the optimum technique, number of repetitions and necessary repeats per day are unclear. Professor Wolffsohn set out to determine the best exercises. His team found that the best technique for a dry eye blinking exercise is a close-squeeze-blink cycle, repeated 15 times, three times per day. Participants found that while they were doing their exercises symptom severity and frequency decreased, and the number of incomplete blinks decreased. Within two weeks of stopping the exercises, their symptoms returned to normal levels, showing the efficacy of the exercises. To carry out the work, Professor Wolffsohn’s team ran two studies. For the first, they recruited 98 participants, who were assessed for dry eye symptoms before and after the two weeks of blinking exercises. Participants were randomly allocated different blinking exercises to determine the most effective. A second study with 28 people measured the efficacy of the blinking exercise. Once the optimum blinking routine had been developed, Professor Wolffsohn worked withAlec Kingsnorth, an engineer and former Aston undergraduate and PhD student, and Mark Nattriss, business manager of his spin-out company, Wolffsohn Research Ltd, to develop the app, MyDryEye, which is freely available on Android and iOS operating systems. The app allows users to monitor their dry eye symptoms, assess their risk factors, add treatment reminders and monitor their compliance, complete the science-based blink exercises and find a specialist near them. Professor Wolffsohn says that the blinking exercises should be carried out as part of a treatment programme which could also include the use of lipid-based artificial tears, omega-3 supplements and warm compresses. Professor Wolffsohn said: “This research confirmed that blink exercises can be a way of overcoming the bad habit of only partially closing our eyes during a blink, that we develop when using digital devices. The research demonstrated that the most effective way to do the exercises is three times a day, 15 repeats of close, squeeze shut and reopen – just three minutes in total out of your busy lifestyle. To make it easier, we have made our MyDryEye app freely available on iOS and Android so you can choose when you want to be reminded to do the exercises and for this to map your progress and how it affects your symptoms.” Read the full paper, ‘Optimisation of Blinking Exercises for Dry Eye Disease’, in Contact Lens and Anterior Eye at https://doi.org/10.1016/j.clae.2025.102453.

How ChristianaCare Built a Blueprint for Better Caregiver Health and Lower Costs

By Donna Antenucci, MHA, BSN, RN, and Emily Sahm, EA We know rising health care costs can feel overwhelming for both employers and employees. As Delaware’s largest private employer — with nearly 23,000 employees, spouses and dependents enrolled in our self-funded health plan — ChristianaCare faces these challenges every day. That’s why we’re committed to finding smart, innovative solutions that improve employee health while keeping costs in check. We don’t stop there — ChristianaCare partners with businesses that have an interest in providing high-quality health care for their employees while keeping costs manageable. Prioritizing preventive care The key to a healthier, more resilient workforce is tackling health issues early in order to prevent the need for costly emergency or “rescue” care. By prioritizing prevention and early intervention, we’ve made progress in improving employee health while controlling costs. In 2023, inpatient facility costs for our employees — which include hospital admissions for surgeries, medical treatments and other care requiring overnight stays — dropped by 9%. Wellness incentives and chronic disease management that shifted care to more cost-effective outpatient settings are driving these results. One of ChristianaCare’s differentiators is CareVio®, our care coordination and chronic disease management platform. CareVio provides personalized support to help employees and their families manage conditions and stay on track with preventive care. CareVio’s diabetes program, for example, has delivered remarkable results. Nearly all participants improved their blood sugar levels in 2023, with average A1c reductions of 1.7 points. Enhancing primary care and wellness programs We’ve also focused on encouraging primary care visits through collaboration between our Population Health and Total Rewards teams. Together, we designed a voluntary wellness incentive program that rewards employees and their families for healthy choices, including support for tobacco-cessation programs to help employees quit smoking and lead healthier lives. In 2023, we expanded our wellness incentive program to include primary care visits for employees and their spouses. Over the next eighteen months, primary care utilization increased over 10%, rising from 66% to 77% as of January 2025. Employees who stay connected to primary care catch health problems early and build stronger relationships with their doctors. We’ve launched programs targeting specific health needs. Our breast cancer screening initiative, focused on women ages 52 to 74, increased participation rates from 63% to 72% in 2023, exceeding our target. Additionally, the CareVio metabolic health program is helping a growing number of participants manage complex conditions with tailored support. Flexibility is essential. That’s why we created the Center for Virtual Health, which provides virtual-first primary care to more than 1,200 employees. This program makes high-quality, preventive care more accessible. Employees can fit care into their schedules while maintaining consistent support for their health. We encourage employees to stay up to date on immunizations by offering frequent vaccination events and tying participation to eligibility for the Caregiver Rewards Program payout. By making it easy and rewarding to stay protected, we’re fostering a safer, healthier workplace for everyone. Collaborative networks and cost management In January 2023, we announced the ChristianaCare Clinical Alliance, a new clinically integrated network in partnership with Highmark. Implemented in our employee health plan in July 2024, the network connects ChristianaCare-employed and community clinicians to provide evidence-based, coordinated care. Focused on improving wellness and managing chronic conditions, the Clinical Alliance is helping caregivers and their families stay healthier while reducing costly emergency visits and hospital stays. Employees who choose Clinical Alliance providers also enjoy lower deductibles for their care. Through all these initiatives, we are making a meaningful difference for our caregivers and our costs. In 2023, thanks to our focus on prevention and smarter care delivery, we kept our overall health care cost growth below the national average. Healthier employees lead to lower expenses and a more engaged, productive workforce. By showing that we value employee health, we’re creating a stronger, more resilient workplace. To learn how ChristianaCare can help you provide better care and control costs for your workforce, contact Donna Antenucci at donna.antenucci@christianacare.org. Donna Antenucci is vice president of population health operations for ChristianaCare. Emily Sahm is vice president of Total Rewards for ChristianaCare.

Why Simultaneous Voting Makes for Good Decisions

How can organizations make robust decisions when time is short, and the stakes are high? It’s a conundrum not unfamiliar to the U.S. Food and Drug Administration. Back in 2021, the FDA found itself under tremendous pressure to decide on the approval of the experimental drug aducanumab, designed to slow the progress of Alzheimer’s disease—a debilitating and incurable condition that ranks among the top 10 causes of death in the United States. Welcomed by the market as a game-changer on its release, aducanumab quickly ran into serious problems. A lack of data on clinical efficacy along with a slew of dangerous side effects meant physicians in their droves were unwilling to prescribe it. Within months of its approval, three FDA advisors resigned in protest, one calling aducanumab, “the worst approval decision that the FDA has made that I can remember.” By the start of 2024, the drug had been pulled by its manufacturers. Of course, with the benefit of hindsight and data from the public’s use of aducanumab, it is easy for us to tell that FDA made the wrong decision then. But is there a better process that would have given FDA the foresight to make the right decision, under limited information? The FDA routinely has to evaluate novel drugs and treatments; medical and pharmaceutical products that can impact the wellbeing of millions of Americans. With stakes this high, the FDA is known to tread carefully: assembling different advisory, review, and funding committees providing diverse knowledge and expertise to assess the evidence and decide whether to approve a new drug, or not. As a federal agency, the FDA is also required to maintain scrupulous records that cover its decisions, and how those decisions are made. The Impact of Voting Mechanisms on Decision Quality Some of this data has been analyzed by Goizueta’s Tian Heong Chan, associate professor of information systems and operation management. Together with Panos Markou of the University of Virginia’s Darden School of Business, Chan scrutinized 17 years’ worth of information, including detailed transcripts from more than 500 FDA advisory committee meetings, to understand the mechanisms and protocols used in FDA decision-making: whether committee members vote to approve products sequentially, with everyone in the room having a say one after another; or if voting happens simultaneously via the push of a button, say, or a show of hands. Chan and Markou also looked at the impact of sequential versus simultaneous voting to see if there were differences in the quality of the decisions each mechanism produced. Their findings are singular. It turns out that when stakeholders vote simultaneously, they make better decisions. Drugs or products approved this way are far less likely to be issued post-market boxed warnings (warnings issued by FDA that call attention to potentially serious health risks associated with the product, that must be displayed on the prescription box itself), and more than two times less likely to be recalled. The FDA changed its voting protocols in 2007, when they switched from sequentially voting around the room, one person after another, to simultaneous voting procedures. And the results are stunning. Tian Heong Chan, Associate Professor of Information Systems & Operation Management “Decisions made by simultaneous voting are more than twice as effective,” says Chan. “After 2007, you see that just 3.4% of all drugs and products approved this way end up being discontinued or recalled. This compares with an 8.6% failure rate for drugs approved by the FDA using more sequential processes—the round robin where individuals had been voting one by one around the room.” Imagine you are told beforehand that you are going to vote on something important by simply raising your hand or pressing a button. In this scenario, you are probably going to want to expend more time and effort in debating all the issues and informing yourself before you decide. Tian Heong Chan “On the other hand, if you know the vote will go around the room, and you will have a chance to hear how others’ speak and explain their decisions, you’re going to be less motivated to exchange and defend your point of view beforehand,” says Chan. In other words, simultaneous decision-making is two times less likely to generate a wrong decision as the sequential approach. Why is this? Chan and Markou believe that these voting mechanisms impact the quality of discussion and debate that undergird decision-making; that the quality of decisions is significantly impacted by how those decisions are made. Quality Discussion Leads to Quality Decisions Parsing the FDA transcripts for content, language, and tonality in both settings, Chan and Markou find evidence to support this. Simultaneous voting or decision-making drives discussions that are characterized by language that is more positive, more authentic, and more even in terms of expressions of authority and hierarchy, says Chan. What’s more, these deliberations and exchanges are deeper and more far-ranging in quality. We find marked differences in the tone of speech and the topics discussed when stakeholders know they will be voting simultaneously. There is less hierarchy in these exchanges, and individuals exhibit greater confidence in sharing their points of view more freely. Tian Heong Chan “We also see more questions being asked, and a broader range of topics and ideas discussed,” says Chan. In this context, decision-makers are also less likely to reach unanimous agreement. Instead, debate is more vigorous and differences of opinion remain more robust. Conversely, sequential voting around the room is typically preceded by shorter discussion in which stakeholders share fewer opinions and ask fewer questions. And this demonstrably impacts the quality of the decisions made, says Chan. Sharing a different perspective to a group requires effort and courage. With sequential voting or decision-making, there seems to be less interest in surfacing diverse perspectives or hidden aspects to complex problems. Tian Heong Chan “So it’s not that individuals are being influenced by what other people say when it comes to voting on the issue—which would be tempting to infer—rather, it’s that sequential voting mechanisms seem to take a bit more effort out of the process.” When decision-makers are told that they will have a chance to vote and to explain their vote, one after another, their incentives to make a prior effort to interrogate each other vigorously, and to work that little bit harder to surface any shortcomings in their own understanding or point of view, or in the data, are relatively weaker, say Chan and Markou. The Takeaway for Organizations Making High-Stakes Decisions Decision-making in different contexts has long been the subject of scholarly scrutiny. Chan and Markou’s research sheds new light on the important role that different mechanisms have in shaping the outcomes of decision-making—and the quality of the decisions that are jointly taken. And this should be on the radar of organizations and institutions charged with making choices that impact swathes of the community, they say. “The FDA has a solid tradition of inviting diversity into its decision-making. But the data shows that harnessing the benefits of diversity is contingent on using the right mechanisms to surface the different expertise you need to be able to see all the dimensions of the issue, and make better informed decisions about it,” says Chan. A good place to start? By a concurrent show of hands. Tian Heong Chan is an associate professor of information systems and operation management. he is available to speak about this topic - click on his con now to arrange an interview today.