N E W S F R O M THE WOMEN’S HEALTH RESOURCE CENTER Stroke Recovery: DARTMOUTH-HITCHCOCK MEDICAL CENTER FALL 2005 A Father’s Flight And A Daughter’s Return Four years ago lifelong aviator Wayne Edsall, at 71, was enjoying life’s golden years, rebuilding antique airplanes and flying them over the Big Sky country of Montana. In a fleeting moment, a massive stroke suddenly left him unable to read, write, speak, perform normal functions and worst of all, he couldn’t fly. The doctors gave his family a dire prognosis. The family knew that if Wayne Edsall couldn’t fly, he would rather not exist at all. Throwing conventional medical rehabilitation to the wind, Susan Edsall and her sister Sharon decided the best therapy for their Dad was one that would eventually lead him back into the cockpit of his biplane and into the air. Susan Edsall’s new memoir of their journey together, Into The Blue: A Father’s Flight And A Daughter’s Return, chronicles how the Edsall family proved the experts wrong in order to keep Wayne Edsall’s cherished dream alive. Below is an essay written by Susan Edsall for the Women’s Health Resource Center about their journey, along with a list of what caregivers need to know when facing stroke. When Mom called with the news that Dad had suffered a debilitating stroke that left him unable to speak, read, write, or reliably know the names of his children, she ground two things to a screeching halt: my Saturday breakfast of apple pie with the New York Times and my high-flying, exhausting career. Dad’s stroke also stopped cold his singular passion: rebuilding and flying antique airplanes. This was bad enough. But much worse was the response of the medical profession. Rather than encourage us to pursue our dream that Dad would fly again, they tried to get us to modify our hopes to something more reasonable. Although they didn’t know what Dad might eventually be capable of, they put forth a beleaguering vagueness about his hopes for recovery, encouraging us to think of settling for less. On our first day of therapy in the rehab unit, the very first remark my father heard from a therapist was “I hear you used to be a pilot! Well, you’ll never do that again, but we’ll find something else for you to do!” Neither Dad nor I easily took no for an answer and we weren’t about to start now. Instead, on that day I made Dad a promise that I had no idea where I would get the strength or know-how to deliver. I promised him he would fly again. In that moment my father’s bullheadedness and my drive formed a formidable alliance. When we departed the hospital ten days after his stroke, we left with the names of three therapists, none of whom the hospital staff knew anything about, and the promise of one hour of therapy three times a week. When we asked if we could purchase some of the workbooks the speech therapists had used when working with Dad, or if they could give us information about where we could order them, they said there was nothing available for the lay person, that the materials were “strictly for professionals.” At that moment it was clear to my sister Sharon and me that if Dad had any hope of recovery at all, we would have to put our shoulders to the wheel ourselves and cobble together our own program of recovery — Sharon with a high school education and me with a B.A. in English Literature. It would have been laughable had the stakes not been so high. continued on next page Stroke continued I started this project like I started most projects: with a trip to the bookstore. I camped out in the Teacher Resource section and bought every book aimed at teaching children aged 3-5 how to recognize the alphabet, how to read, how to count, how to tell time, how to make change for a dollar, how to do, well, everything. Then I went to the Games section and combed through the books there for logic problems that would challenge Dad to think. I spent 396 dollars. Dad was bad off. He didn’t know “b” was a letter, that it had a sound, or that it belonged in a thing called the alphabet. Flying his 1932 opencockpit bi-plane seemed a long way off. Still, the only way to get somewhere is to start, so that’s what we did. Sharon traveled to Montana from North Carolina two weeks out of every month and I traveled to Montana from Vermont the intervening two weeks and we did “school” with Dad. Every day from 8:00 a.m. until noon and again for two hours in the evening we ran him through his paces starting with alphabet flashcards, then moving on to single syllable words, phrases, sentences, logic, math — the works. By the time we finished we had made over 7,000 flashcards. It was grueling work. Dad’s progress was slow and the daily exercises were a grinding bore for all of us. However, establishing an unwavering routine helped keep us on the rails. lifted off into the sky, over the Rocky Mountains, all on his own. People said it was a miracle. It wasn’t. A miracle is when Saul of Tarsus gets hit by a lightening bolt, falls of his horse and stops being nasty to people, getting a new name in the process. I would have welcomed such a thunderstorm. Dad’s recovery was more like plowing a field with a table fork. It was tedious, grueling, exhausting, and the most meaningful What I Wish I’d Known that Nobody Told Me... (Portions excerpted from the author’s website: www.susanedsall.com) First: Understand What Happened Find out what kind of stroke it was and ask the doctor to indicate where the obstruction occurred and how much of the brain was affected. Find out what this implies about the deficits that the stroke victim will experience. Embolic: The obstacle or clot traveled to the brain from elsewhere. Thrombotic: The clot forms in place. These strokes are often related to diseases we know as “hardening of the arteries” or “clogged arteries. Hemorrhagic: The blood vessels burst because prolonged high blood pressure has weakened the walls of the vessels until they can no longer sustain the pressure of the blood flow. In The Few Days Following A Stroke: Get Organized Buy a spiral notebook to keep track of what you are learning, what the medical professionals are recommending, what questions you have, and lists of frequently called numbers. Find out the meaning and purpose of any tests given to your loved one – whether they are blood tests, CT Scans, Language Tests, Motor Skills Tests, or whatever. Have as a top priority increasing the stroke victim’s sense of control. Ensure that every family member goes to at least one of each kind of therapy session with the patient – speech, recreational, occupational, and physical. Take notes. single exercise we did with him he would have to tell us how it would put him further down the road of his desire to fly. Second, you have to have a plan. This is where we needed the help of professionals and didn’t get it. Sharon and I never thought we were speech therapists. We still don’t. I don’t understand the process of recovery and what happens in the brain. But I can run through flash cards and math exercises and listen while my father reads out loud. Everyday we had a plan that was divided into 30-minute sections. And every day we put his work into a three ring binder so we could all see the progress we were making. Third, you need your family — and I mean that in the broadest sense. You need to gather your tribe — whether that’s family members, neighbors, church friends, retired teachers, or folks at the Senior Center. There is evidence that intense therapy works in helping victims of stroke recover. But the belief is that we can’t afford it because the therapy has to be undertaken by professionals. I would have jumped at the chance to have a professional guide our therapy, but we could do the tedious daily work by ourselves. Family is one of the greatest resources in recovery that is available to us. It’s useless and unnecessary to be confined by tradition and worse to believe people who tell you what can’t be done. If I could turn back time, changing events so that Dad didn’t have the stroke, I would for his sake. But for At one point in our work, I was me, his stroke was an austere second doing logic problems with Dad. chance. It yanked me out of the fast “Dry is to desert as wet is to what, lane of hotels and frequent flyer miles Dad?” He had his forehead resting to the slow lane of my family and on his balled up fist. “I couldn’t do Before You Leave The Hospital: their stories. After Dad got back in the these in high school,” he answered, Ask Questions air and we packed away all the school the beginning of one of his many Find out what formal rehab programs are available. Get a supplies, I started working on my own attempts to weasel out. list of therapists who have expertise in the specific recovdreams. I took flying lessons, got my “Well, I guess you’ll just be pilot’s license and bought my own Continued on back smarter after your stroke than you plane. I chose 14PV for my tail numwere before,” I said, holding firm. ber. Now, every time I call the tower, work of my life. Bushwhacking our way “Dry is to desert as wet is to what?” I in the alphabet peculiar to pilots, I get to through the thickets of fear, grief, and never let Dad off the hook, even though I say “One For Papa Victor.” It reminds me excruciating ignorance, we learned a desperately wanted to. This is probably that while I was leading Dad back to his great deal about recovery from stroke or, why I fell into bed every night and cried dreams, he was leading me back to mine. frankly, recovery from any blow. myself to sleep. It was so hard to be so Join author Susan Edsall as she talks mean to someone so broken — every sinFirst, you must have a dream. What does about the importance of family caregivgle day. your loved one want to get back to? Golf? ing and advocacy, as one copes with a Playing bridge? Going fishing? The church For the first six weeks we were the sherpas serious illness such as stroke, on choir? Dancing? The process of recovery for Dad’s dream to fly, carrying the weight Thursday, Sept 29, from 5:30 – 6:30 at is so tedious, boring, and difficult, that if it of it until he had enough hope to carry it DHMC, Auditorium E. Book signing and isn’t in the service of your loved one’s for himself. It worked. Two months after reception to follow (books will be availdream, it will be too difficult to continue. his stroke, Dad pushed his plane out of his able for purchase). We wrote Dad’s dream down and every hanger, got clearance from the tower, and WOMEN’S HEALTH RESOURCE CENTER PROGRAMS – FALL 2005 NEW! TABLE TALKS WOMEN’S NIGHT OUT Join us for a series of conversations on various topics around the dinner table. We are creating a source of dialogue and information on compelling subjects that are on women’s minds. No experts, no lectures, just a sharing of life experiences and answers to questions brought to the table by those present. You’ll want to be there if the subjects touch you on any level — whether you’re experiencing it first hand, you’ve helped someone else through it, or you’re about to move into it. The first three dinners will be held on the first Thursdays of October, November, and December. Table Talk will start at 7 pm and officially wrap up at 9:30 pm. The location is Lui Lui’s in West Lebanon in their private dining room downstairs. The cost is $35 per night, which includes a salad/pizza bar, soft drinks and/or coffee, and Table Talks facilitation. FREE SUPPORT GROUPS Pre-registration Preferred “TURNING POINTS” BREAST CANCER SUPPORT GROUP 2nd Thursday of each month 6:00 – 7:15 pm Call 650-3513 for more information. Margie Cole, MSW “THE WOMEN’S GROUP” – A SUPPORT GROUP FOR METASTATIC CANCER Think of Table Talks as a lecture series without the lecture. Bring a friend or come alone and meet new friends. This group is offered for woman with any type of metastatic cancer. 3rd Thursday of each month 12 noon to 1:30 pm *Held at DHMC: 8th Floor of NCCC – Rubin #890 Call 650-3513 for more information Margie Cole, MSW and Briane Pinkson, LPN Healing Arts Practitioner, DHMC Thursday, Oct 6: FACING LIFE TRANSITIONS – “You can get there from here…” Thursday, Nov 3: BLENDED FAMILIES – “Step right up…” Thursday, Dec 1: HOLIDAY MADNESS – “Peace be with you…” This group meets once a month for patients, friends, and family to network and gain knowledge about ovarian cancer and complementary therapies. 2nd Wednesday of each month 1:00 – 2:00 pm *Held at Cook Conference Room, NCCC Call Laura Urquhart at 653-3530 Kathy Mackinnon, personal life coach will facilitate conversations about transitional subjects and offer suggestions for resources and follow-up reading. “UPPER VALLEY NIGHTWALKERS” RESTLESS LEG SYNDROME SUPPORT GROUP FREE LECTURE Join author of Into the Blue: A Father’s Flight and a Daughter’s Return, Susan Edsall as she talks about the importance of caregiving and advocacy in coping with serious illnesses such as stroke. “Susan Edsall has accomplished a nearly-impossible feat: writing a beautiful, funny, uplifting book about getting poleaxed by life. Into the Blue is the story of the miraculous way in which a group of quirky, independent individuals faced an unprecedented tragedy, learning to rely on courage, ingenuity, laughter, and the deep sense of connection that made them a family. This book is a wonderful, heartening read, not only for people directly or indirectly affected by serious illness, but for anyone who happens to be mortal.” – Martha Beck, author of Expecting Adam and Finding Your Own North Star Thursday, Sept 29, 5:30 – 6:30 Reception and author book signing to follow * Lecture will be held at DHMC Auditorium E OVARIAN CANCER SUPPORT GROUP If you experience strange, jumping, or painful sensations in your legs or arms when you are trying to rest, and have a great urge to move, come meet other people just like you. Saturday, Oct 29 and Dec 17 10 – 11:30 am *Held at Alice Peck Day Hospital. For more information call Pip Richens at 603-643-2624 or Deb Griffiths at 448-3702 LOOK GOOD, FEEL BETTER PROGRAM Organized by the American Cancer Society, the Look Good Feel Better Program is a non-medical, brand-neutral program founded to help women offset appearance-related changes from cancer treatment. Each two-hour, hands-on workshop includes a 12-step skin care/ make-up application lesson, demonstration of options for dealing with hair loss, and nail care techniques. A take-home cosmetic kit is included, and advice is provided on wigs, scarves, and accessories. First Tuesday of the month at WHRC 10am - 12 noon For more information, call NCCC help line at 800-639-6918 or Doris Watson at 603-448-6417 or www.lookgoodfeelbetter.org Wish I’d Known continued ery your loved one needs. Find out if there are support groups in your area. If you need special equipment, find out who in your community supplies the equipment. Find out what to expect regarding the stroke victim’s re-entry into his familiar environment. To Carry Out A Rehab Program At Home: Develop A Plan Order materials that will guide you in your home therapy: • Wayne State University Press www.wsupress.wayne.edu (1-800-978-7323) • Visiting Nurse Service www.vnsa.com (330-848-6225) • The National Stroke Association www.stroke.org (800-787-6537) Talk with the stroke victim and establish a goal – something they really enjoyed doing pre-stroke that they would like to get back to. The overall rehab program will also include family meals, doing errands in the community, having friends and family over, and getting the stroke victim back to doing chores at home as he did prestroke. Go to your local bookstore’s Games section and the Teacher Resource section. Choose books that have helpful exercises that are at the level your loved one is at in reading, writing, math, telling time, etc. Consider hiring a retired teacher in addition to the speech therapist. Once you know the stroke victim’s goal and the skills necessary to achieve that goal, put together an overall written plan. Then develop a plan for each day that you share with your loved one. Be vigilant about making the lessons relevant to the stroke victim’s life. Develop a way to track progress. Include the stroke victim’s concerns and suggestions about the course of therapy. The Women’s Health Resource Center Located on the mall in Lebanon, New Hampshire. Hours: 9:00 – 5:00 pm Monday – Thursday 9:00 – 6:00 pm Friday To Get Professional Support: Hire the Right Therapist Phone: 603-650-HERS or 603-650-2600 Fax: 603-650-2609 Web: www.dhmc.org/dept/whrc Hire a therapist who has experience in working with the specific deficits that the stroke victim is experiencing. Find out what formal assessments they will do and with what frequency. Expect the therapist to involve you and give you guidance about how to keep making progress. Establish a date to evaluate whether the therapy is achieving the goals you set out. Mailing address: WHRC, One Medical Center Drive, Lebanon, NH 03756 E-mail address: dhmc.womens.health.resource.center @hitchcock.org (no spaces) Editors: Elaine Shamos, Gay Travers Designed by Lufkin Graphic Designs Contributing Author: Susan Edsall Once You Get Home: Return To Normal ASAP Spend time thinking about what interested your loved one pre-stroke and get back to those activities as soon as possible. Re-establish your social life. Get the stroke victim talking by asking them questions that interest them. Plan errands that he can do in the community. To Stay Energized: Take Care of the Care Givers O U R M I S S I O N The Dartmouth-Hitchcock Women’s Health Resource Center seeks to enhance the level of women’s physical and mental health by providing information, advocacy and support. The Center promotes healthy lifestyle choices and preventive care, and encourages women to make informed, efficient health care decisions. Dump any extraneous obligations that don’t reenergize or fulfill you. Don’t tolerate having people in your life who are draining. Think about what it is that gives you pleasure and plan time to do those things. One Medical Center Drive Lebanon, New Hampshire 03756 PRESORTED STD US POSTAGE PAID LEBANON, NH PERMIT NO. 211 WOMEN’S HEALTH RESOURCE CENTER PROGRAMS – FALL 2005 REIKI I TRAINING NEW! BALANCE WORKSHOP FOR MEN AND WOMEN Reiki means universal life force. This ancient healing energy may reduce stress, relieve pain and facilitate healing. This workshop includes an overview of the history of Reiki, instruction in hand positions used for treatment, and a summary of the energy centers in the body. By the end of class each student will have received the Reiki I attunement and become certified as a Reiki I practitioner. Saturday, Sept 24 12 noon – 6:00 pm • $100 Once we reach 40 years old, we very gradually begin to lose our sense of balance. Postpone the effects of aging by taking this fun workshop to learn new movements and exercises that will increase your balance and coordination. Wednesday, Nov 9 5:30 – 7 pm • $30 per person or $40 per couple for the class Beth Baras, National Academy of Sports Medicine Certified Personal Trainer REIKI SHARE Think about when you’re lost… isn’t it easier to find your way when you have a map? As women, we face many transitions in our lives. What we value determines our choices. Identifying these values allow us to use them to our advantage in the decision making process. In this 4-week course, you will identify your core values, reflect on the events that have brought you here, construct a 5-year plan that will help you look to the future, and learn techniques to keep yourself centered and “on your path.” Your own personal life coach will guide you through this fun process of creating a life map to guide you into your future. Choose one of the following Monday sessions: Sept 12 – Oct 3 - or - Nov 7 - 28 7-9 pm • $100 for 4 classes, includes all materials and private consult with instructor Kathy Mackinnon, MEd, Life Coach Open to all Reiki Practitioners. Come gather with other practitioners to share and give Reiki to each other. It’s sure to be a fun afternoon! No charge. Sunday, Oct 9 • 1 – 3 pm REIKI II TRAINING Second degree Reiki is available to Reiki I Practitioners who would like to strengthen the Reiki energy flow of their treatments. The use of ancient Reiki symbols will be taught to aid in emotional issues as well as distance healing. Prerequisite Reiki I. Please bring a lunch! Sunday, Oct 23 10:00 am – 6:00 pm • $150 REIKI III TRAINING For students who would like to enhance their Reiki skills. This class reviews the Reiki symbols in depth and also incorporates the use of essential oils, flower essences and crystals. Participants will also learn how to give a Healing Attunement. Prerequisite: Reiki II. Sundays, Nov 6 and 13 1:00 – 6:00 pm • $300 INDIVIDUAL REIKI SESSIONS WHRC is now offering appointments for individual Reiki sessions. Reiki can be used as a complementary therapy for any medical or psychological illness. Call 650-HERS to set up an appointment. $60 / hour • $30 / half hour All sessions lead by Linda Carley, trained under the Usui System of Natural Healing. Linda has been a Reiki practitioner since 1995 and received her Reiki Master Teacher Degree in 1997. LIFE MAPPING: PLANNING FOR LIFE TRANSITIONS NEW! THE FEAR FACTOR The function of “fear” is to keep you from getting hurt, but in so doing fear also keeps you from becoming your best and truest self. When we become aware of how our fears are running our lives, we have the power to break free of them. This course is an excellent follow-up to the Life Mapping course, but it is not a pre-requisite. If you want to understand the role that fear plays in your life, this is the course for you as we will explore how to: • set intentions and avoid expectations • identify your fear trigger • understand the circle of fear and how it plays out in your life • identify your essential nature • set a course to fulfillment using selfaffirming behaviors. Sundays, Oct 2 and Oct 9 3 – 6 pm • $80 for the course, includes all materials Kathy Mackinnon, MEd, Life Coach BEYOND THE KEGEL - PELVIC FLOOR STRENGTHENING EXERCISES Sign up for this fun and enlightening workshop to learn functional ways to strengthen the pelvic floor. Participants will learn specific exercises which mimic everyday motions, instead of those based on static positions — ensuring a much better effect on day-to-day life! Sunday, Oct 30 3 – 4 pm • $20 for the class Beth Baras, National Academy of Sports Medicine Certified Personal Trainer NEW! BEYOND THE KEGEL PART II This workshop is for those who have already taken the Beyond the Kegel workshop. You will learn more advanced and different pelvic floor strengthening exercises, continuing from where the first workshop left off. Sunday, Oct 30 4 - 5 pm • $20 for the class Beth Baras, National Academy of Sports Medicine Certified Personal Trainer AMERICAN RED CROSS – BABYSITTER’S TRAINING This course is designed around six major themes: safety, basic care, first aid, safe play, professionalism, and leadership. Participants will learn first aid action plans for various kinds of accidents and illnesses children may experience. The 148 page manual comes with the training, full of useful information and quick references. Family interview forms, report records, and resume forms are also included to help you obtain and keep childcare jobs. Each participant leaves with an American Red Cross certificate. For boys and girls, ages 11 and up. Saturday, Oct 8 9:30 am – 1:00 pm • $55 for the course, includes all materials. Bring a lunch Jude Powers, Red Cross Instructor AMERICAN RED CROSS HOME ALONE COURSE This course is designed to teach children ages 8 to 11 how to respond safely to a variety of home alone situations. We will cover: gun safety, internet safety, personal safety, family communications, sibling care, and basic emergency care. Saturday, Oct 8 2 - 4:30 pm • $40 for the course, includes book and all other materials Jude Powers, Red Cross Instructor WOMEN’S HEALTH RESOURCE CENTER PROGRAMS – FALL 2005 IMPORTANT REGISTRATION INFORMATION • 603-650-2600 All classes take place at the WRHC, on the mall in Lebanon, unless otherwise noted. ALL CLASSES MUST BE PAID FOR IN FULL, ONE WEEK BEFORE THE CLASS BEGINS. In case of bad weather, class cancellations will be made on the day of the class: by 2:30 pm for evening classes, and by 8:30 am for daytime classes. We are unable to provide refunds for a program one week prior to the beginning of class. Space is limited, so please register by calling (603) 650-2600. WHRC reserves the right to cancel any program due to insufficient enrollment. Many insurance plans are now offering reimbursement to their subscribers for participation in our health care classes. Call your employer or insurance customer representative to find out if you are eligible. NEW! GENTLE PILATES FOR BEGINNERS Tues. and Thurs., Sept 20 – Oct 27 12:30 – 1:30 pm • $144 for 12 classes Lettie Arnold, Certified Pilates Instructor MINDFULNESS – A STRESS REDUCTION COURSE Modeled on the University of Massachusetts Stress Reduction Program, founded by Jon Kabat-Zinn, PhD, this eight week course will assist you in taking better care of yourself and in getting the most out of living. Some of the conditions that can be helped with meditation include: heart disease, chronic pain, GI distress, high blood pressure, headaches, cancer, sleep disturbances, skin disorders, and stress. Tuesdays, Sept 20 – Nov 15 6:30 - 9 pm Saturday Workshop: Oct 29 9:30 a.m. – 2 pm $295 for the 9 classes (Saturday included) Jude Powers, trained under the direction of Dr. Jon Kabat-Zinn *This class is often reimbursed by health insurance plans. NEW! PRIMORDIAL QIGONG Primordial Qigong is a dynamic blend of movement, standing, mind intent (visualization) and breath techniques. In Pimordial Qigong we use circles, ovals and spirals in different movement patterns around the body to facilitate gathering and storing of qi (energy), as well as to disperse stagnation and blockages which lead to disease. This course is for those looking for a greater sense of aliveness and a deeper understanding of moving energy for healing. No experience is necessary. Wear comfortable clothing. Thursdays, Sept 15 – Nov 17 6:15 – 7:15 • $90 for 10 classes Chas Meyers, Chinese Herbalist, Qigong and T'ai Chi Fundamentals Teacher NEW! FOCUS ON HEALING: A THERAPEUTIC EXERCISE PROGRAM FOR CANCER SURVIVORS The Lebed Method Focus On Healing® is a gentle therapeutic program of exercise and movement to music especially designed for women who are breast cancer survivors or survivors of other cancers. This program combines physical therapy with movement, incorporating music, group reinforcement, and education. The benefits include: increased energy, range of motion, fun and relaxation, stimulation of the lymphatic system, and enhanced sense of well being. Focus on Healing is easy to do for all fitness levels and age groups. Choose one or both of the following Tuesday sessions: Sept 20 – Oct 25 • Nov 1 – Dec 6 5 – 6 pm • $60 for 6-week course (Scholarships are available) Terry Cioffredi, PT, Liz Blum, OT, Jasmin Bihler, PT, Certified Lebed Method Teachers RADICAL MAKEOVERS FROM THE INSIDE OUT Based on the book Get with the Program, this 6-week course is about moving your body and getting in shape gradually and gently. This course will teach you the tools to respond to emotional obstacles that have kept you from achieving your personal fitness and weight goals. You will be instructed in strength training exercises using free weights and bands, and you will design a personal fitness contract for yourself, to help with your success. Thursdays, Oct 13 – Nov 17 7:30 – 8:45 pm • $120 for 6 classes, includes book: Get with the Program Jude Powers, Certified by American Council on Exercise *Check with your health insurance or employer for reimbursement of this course GENTLE YOGA Thursdays, Sept 8 – Oct 27 $88 for 8 classes Carole Petrillo, Registered Yoga Instructor * Held at Ancient Healing Arts Yoga (across from WHRC) on the Lebanon Mall To register, call 603-442-9540 STRENGTH TRAINING FOR OSTEOPOROSIS PREVENTION This course is designed specifically to help prevent bone loss (osteoporosis) that occurs as we age — for women, this begins in their mid-30s. Participants will be led through a series of exercises using light weights for the upper and lower body. These exercises will help you increase bone density and improve balance, flexibility, muscle tone, and strength (not build large muscles). Each participant must bring a letter from their physician clearing their participation in this class. Tuesdays, Sept 20 – Nov 8 9 - 10 am • $96 for 8 classes, includes all materials and use of weights Beth Baras, Certified Personal Trainer *Check with your health insurance or employer for reimbursement of this course HONORING OUR LIVES: A WRITING GROUP FOR WOMEN OVER 50 Women over 50 are fabulous, funny, and full of stories about their complicated and unique lives. This group will provide structured writing opportunities using visual prompts and suggested topics. Your writing can celebrate, mourn, describe, or be an inquiry into your life. Writing can be shared, if desired. No previous writing experience is required. This is not a critique group. Weds, Sept 14 – Oct 26 (no class Oct 12) 5:15 - 7 pm • $90 for 6 classes Susan Kahn, LICSW, EdD.