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Health Beat: Why Emotional Well-Being Matters as Much as Physical Health

By Mark McNease
I confess: anxiety has been getting the best of me lately. While I prefer feeling busy, associating it with fulfilmment, I also have a bad habit of taking on too much. Part masochishm, part outrunning the passage of time, as if I have to get everything done today or I’ve failed in some way to meet my goals. And while I’m very good at taking naps on a daily basis, I’m not good at preventing the stress and anxiety in the first place. So let’s take a look at some causes and ways to address that knotted-up feeling pleading for our attention.
We’re very good at tracking the physical, espeically with watches, phones, alerts, step counters, calorie counters, and more alerts to remind us we must try harder. We know our blood pressure numbers. We discuss cholesterol. We schedule scans. We swallow vitamins medications, if we wakt them, with the consistency of a drill sargeant. But emotional health? That often gets the “I’m fine” treatment, as if fine were a medical diagnosis.
The truth is, emotional well-being matters just as much as physical health, and in many cases it quietly determines how well the rest of the body functions. You can’t separate the two. The body keeps score, even when the mind insists everything is under control.
Stress, especially the long-term kind, doesn’t simply pass through us. It settles in. It affects sleep (something I know too well). It tightens muscles. It disrupts digestion. It elevates blood pressure. Chronic stress raises cortisol levels, and over time that constant state of alert can wear down the immune system and strain the heart. We may call it “just life,” but the nervous system calls it an onslaught.
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Health Beat: Sleep Changes with Age, and What Can Help

By Mark McNease
Another night, another wake up at 3:00 am. It doesn’t matter that we’re in California and it’s three hours ealier – the routine is the same. Having talked about this to many people my age, it seems like it’s just part of the changing sleep patterns that come with getting older. I’ve gotten use to it, but on those rare occasions when I wake up at 5:00 am, or even 4:30, it feels like I’ve slept late.
If you’ve experienced this same phenomenon you’re not imagining things, and you’re definitely not alone. As we get older, sleep often changes in frustrating ways. Falling asleep takes longer for many people, although that’s never a problem for me. I often drift off halfway through a TV show at 8:30 p.m., maybe 9:00 p.m., and consider it a win if I get six hours of sleep. Then I wake up at 3 a.m. for no clear reason and lie there thinking about an acceptable time to get out of bed. Being in bed awake in the middle of the night doesn’t work for me: I explain it as feeling the way I imagine a turtle on its back feels. I just want to get up. Nothing is quite as disturbing to my fragile peace of mind as imagining terrible things in the dark while I’m stranded on my back.

One of the most important things to understand is that sleep changes with age are normal, but chronic exhaustion, if that’s a result, is not something we have to accept. Our bodies produce less melatonin as we age, and our internal clocks tend to shift earlier. That means lighter sleep, more awakenings, and earlier mornings. Add in medications, aches and pains, hot flashes, anxiety, or sleep apnea, and it’s no wonder rest can feel elusive. (I’ve been using a CPAP machine for seven years, and it’s not weight-related, which many people assume.)
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Health Beat: Redefining “Healthy” As We Age (Part 2)

Redefining health beyond weight, youth, and perfection
For most of our lives, “healthy” has been was defined for us by doctors, magazines, TV ads, and sometimes well-meaning relatives. It usually came packaged as a comment on our weight (up or down), the desire for a wrinkle-free face and body, or a public-facing appearance that looked young enough to pass inspection. As we age, that definition starts to crack.
Health at this stage of life is more about how we function, how we feel, and how we adapt. It’s being able to move through our day without pain, or a minimal amount of it. It’s having the energy to do the things that matter to us, whether that’s traveling, gardening, dancing, working, or simply enjoying time with people we want to be around.
It’s also about mental and emotional health, which doesn’t get nearly enough attention. Managing stress, sleeping decently, feeling connected, and having something that gives us a sense of purpose all matter just as much as blood pressure numbers.
Another big shift? Letting go of the idea that health is “all or nothing.” We can be managing a chronic condition and still be healthy. We can take medication daily (I do) and still be thriving. We can need naps – in my case nearly every afternoon – mobility aids, or extra recovery time and still be living well. Aging bodies change. That’s not failure, it’s biology.
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Health Beat: Redefining “Healthy” As We Age (Part 1)

By Mark McNease
Week 2 — What Healthy Really Means as We Age
Retiring old attitudes and assumptions
“Healthy” has had a changing set of assumptions to it for a long time, but some of them persist regardless of what we learn about our bodies and minds: to be healthy is to be thin (that one’s never changed – see all the ads for GLP-1 drugs now), agile, sharp. Eating less of one thing, more of another. And for those of us over 60, we’ve had to endure the whole ‘aging gracefully’ requirement, as if getting older in whatever state we find ourselves is somehow distatesful. For me, there are a lot of things I want to be at this age. Kind, compassionate, energetic, creative, involved, but graceful is not on the list.
Health Is Not a Look
Health is not a number on a scale. It’s not how young you appear. And it’s definitely not perfection dressed up as “wellness.”
A lot of LGBTQ+ folks grew up learning how to monitor ourselves, our bodies, our behavior, our visibility, just to stay safe. Many of us still do, feeling out situations to determine how much of ourselves to reveal. Do we say “husband” and “wife,” or do we say “partner,” depending on any potential hostility we perceive? It’s not surprising that many of us internalized some harsh rules about what we were supposed to be, how we’re expected to present, and what version of healthy we fit.
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Health Beat: Aging Without Apology

By Mark McNease
New year, same old ageism. We’re surrounded by messages telling us that getting older is something to fight, hide, or delay. At the very least, we’re told to ‘age gracefully,’ because it’s required of us if we’re to be seen in public. We must be demure, soft-spoken, quiet. Loud, outspoken and old just won’t do.
Not here, and not by me. Aging is not a personal failure. It’s not something we did wrong. It’s a sign we’re still here, whether anyone wants to acknowledge us or not.
Health in later life isn’t about chasing youth or punishing your body into compliance. It’s about function, comfort, connection, and quality of life. It’s about knowing your body well enough to listen to it, and trusting ourselves to respond with care rather than criticism.
This column – this year – will be focused on our everyday realities: energy that comes and goes, sleep that changes, bodies that behave differently than they used to. We’ll talk honestly about what’s normal, what’s worth paying attention to, and what simply comes with time.
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Harvesting Goodness – Community Supported Agriculture (CSA) and Its Benefits

By Mark McNease
We joined a CSA (Community Supported Agriculture) co-op several years ago and the annual cycle of picking up our share every two weeks is beginning again. We belong to the Tinicum (PA) CSA, and their large barn with adjacent farmland is just across a bridge from Frenchtown, NJ, to their location. We head over the bridge twice a month on Saturday, sometimes walking, sometimes driving, and fill up our bags with more vegetables than two people can possibly eat. We get the large share (they offer large and small), and each of us ends up with two full cloth bags to bring home. What they offer depends on the time of year and the various growing seasons, and we always end up with enough to give some to friends and neighbors.
We also have our own raised-bed vegetable garden in the back yard, but it’s tiny compared to what we get at the CSA. So what, exactly, is a CSA?
Community Supported Agriculture (CSA) Co-ops Connect Farmers and Consumers DirectlyThere’s been a growing movement towards sustainable, locally sourced, and transparent food systems. One of the most effective and community-driven approaches to this is through CSA co-ops. These between farmers and consumers foster trust, promote ecological farming practices, and strengthen local economies. The bins are full, the vegetables and rinsed, and you can see some things grown right there in their fields.
Tinicum CSA also has flowers and various vegetables (such as okra) we’re able to cut and harvest ourselves as we walk along the rows with pairs of scissors.
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Health Beat: Bridges, Dentures and Implants (Oh, My)

By Mark McNease
As anyone knows who has not simply let their teeth fall out, effectively gumming their way through life, dental work is incredibly expensive.
In some ways I consider myself fortunate to only have about 8 ‘real teeth’ left. You can’t need expensive dental work on teeth you don’t have! The rest—those spaces where my natural choppers used to be—are filled in by very reasonable facsimiles with the cumulative price of a small automobile.
My lower front teeth were replaced about 15 years ago with a permanent bridge. The dentist, now long-retired, did a good enough job. They’re still there, still permanent, and will most likely last until they escort my body to the crematorium. The problem has been the top teeth. They, too, were initially replaced with a permanent bridge, but it had been anchored to a couple teeth I had left, and it was a mistake. The bridge came loose about 10 years ago, and I got a partial denture instead. By then I was I my 50s, married, and determined not to spend another small fortune to replace something I could just take out at night for a much better price.

As anyone knows who has not simply let their teeth fall out, effectively gumming their way through life, dental work is incredibly expensive. I’d paid approximately $10,000 for each of those bridges. Out of pocket. That is not a typo! So when I had to get a replacement for the top one that had proven not to be so permanent, I refused to shell out another ten grand. The partial option was only $2,000, so that’s what I went with. I quickly learned that Polident is my friend, and I found other ways to spend the difference.
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Health Beat: Bifocals Versus Progressive Lenses – Understanding Your Options for Vision Correction

Health Beat is a feature at LGBTSr highlighting health and wellness.
I recently had a regular eye exam. I knew my vision was getting slightly blurrier. It was impossible not to notice, since I spend a good three hours or more at my desk every day, between writing fiction, maintaining websites, and all the other things I’m doing in front of a computer screen. However, I’m also aware of being on a semi-fixed income: Social Security is about 80 percent of my income, with the rest coming from book royalties and writing workshops.
The question for me this time was: bifocals (the kind with a line across the lens), or another pair of progressives. The price difference is significant. My eye insurance covers some of it, and I knew bifocals were the more affordable option. So that’s what I got!
I don’t know yet if I regret not getting progressive lenses. Having spent $200 out of pocket for the bifocals, I’m determined to get used to them, but the difference is pronounced. Here are some things to think about.
What Are Bifocals?
Bifocal lenses have been a staple in vision correction for years. They feature two distinct optical zones: the upper portion for distance vision and the lower part for reading. This clear division is usually marked by a visible line separating the two segments, which is why bifocals are often referred to as “line bifocals.” Mine are for reading only, so the upper portion is set for reading a computer screen at somewhat of a distance, and the lower portion is for reading close-up text, such as a smart phone or book
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Health Beat: Simple Strategies for a Healthier Digital Life

By Mark McNease
We just got back from another wonderful cruise. It once again gave me time to reflect, and to decide which things I wanted weeded from my life (I call it ‘deadheading,’ a gardening term) and which things I wanted to keep – in a healthier way.
Cutting back on what passes for news these days is a big one: it’s a constant bombardment of clickbait, panic or, depending on your political persuasion, triumphalist delusion. So I’ve turned that volume way down and limited my information sources.
Another thing I’ve been doing long before the last election was to limit my phone time, which today has almost nothing to do with using my smartphone as a telephone. It’s all about those apps (‘bout those app, ‘bout those apps). Chirping and pinging and vibrating. Tracking my calories and my steps and my sleep apnea and my weight loss and, of course, doom scrolling to see how much closer we are to the end of the world as we know it.
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Dave Hughes at Retire Fabulously: The Truth About Medicare (Dis)Advantage Plans

Reprinted with permission from RetireFabulously.com
I turned 65 in early 2022, and I’ve been enjoying the benefits of traditional Medicare ever since. It’s one of retirement’s greatest benefits. It has lowered my healthcare costs and made obtaining care easier. It’s the system I wish I had throughout my working career.
In the year preceding my 65th birthday, I received a deluge of advertisements touting the benefits of various Medicare Advantage plans and urging me to sign up.
Prior to that, I had no clue how Medicare Advantage plans worked and no idea what I’d choose. So, I did a lot of research. A lot. After all, those Medicare Advantage plans seemed to be offering more coverage (including prescription drugs, dental, vision, and hearing) – all for little or no premium! Why wouldn’t I choose that? It seemed too good to be true!
Of course, like all things that seem too good to be true, it is. I’ll show you why in this article.
It also occurred to me that if Medicare Advantage is such a superior product, why are these companies marketing it to me so aggressively? If it’s that great, I shouldn’t need to be convinced.
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Health Beat: Coping With Stress In a Stressful World

By Mark McNease.
Narration by Wondervox.
Another year comes slowly to a close as the holidays kick in and that mixture of pleasure and stress takes over. It’s a reminder that stress is part of living, and how we handle it can make the difference between looking back at another good year, or dreading what the next one will bring. We often anticipate bad things happening, whether they do or not, and it increases this stress exponentially. Even without the added pressure, daily living is often stressful with its demands on our time, activities, and attention. Doctor’s appointment? Stressful. Sink stopped up? Stressful. Cat to the vet? Stressful. Holidays? Prolonged stress, no matter how much we may enjoy them.
Here are some thoughts on stress and how to cope with it in our lives.
Handling Stress: Strategies for a Balanced Life
Stress is a common part of life, affecting nearly everyone at some point, and many of us in a more or less chronic way. Whether it’s due to work pressures, personal relationships, or unforeseen circumstances, managing stress is essential for maintaining mental and physical well-being. But take heart! There are a number of effective strategies for coping with and alleviating stress, allowing us to navigate life’s challenges with greater ease and resilience—and maybe even sleeping all night! (This is a problem for me and millions of others, and it can be exacerbate by the aging process: we tend to sleep less as we get older.)

Understanding the Causes of Stress
Before delving into coping mechanisms, it’s important to understand the sources of stress. Common triggers include high-pressure jobs, family responsibilities, health issues, financial worries, and major life changes. Identifying these stressors is the first step in managing stress effectively. For some people, keeping a stress journal can prove beneficial; by detailing when stressors occur and how they affect you, you can develop a clearer picture of patterns and triggers in your life. I don’t personally keep this kind of record, but I do journal on a regular basis. It’s as much a diary as a journal for me, and it’s augmented by thematic journaling (SEE HERE FOR MORE ON THAT).
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Health Beat: Macular Degeneration – What It Is and How to Treat It

Health Beat is a feature at LGBTSr highlighting health and wellness
More than one person in my life has macular degeneration, and my late mother suffered from it years ago when its treatment was less sophisticated and effective. Today it can be slowed and, depending on its progression, treated well enough to prevent serious vision loss. So what is macular degeneration? What causes it, and what can we do about it?
Understanding Macular Degeneration and Its Treatments
Macular degeneration, often referred to as age-related macular degeneration (AMD), is a common eye condition that affects millions of individuals globally, particularly those over the age of 50. It’s a progressive disease that attacks the macula, the central part of the retina responsible for sharp, detailed vision. As a result, AMD can severely impair your ability to perform everyday tasks such as reading, driving, and recognizing faces. Despite its prevalence, many people remain unaware of the condition and the various treatments available to manage its progression.

Types of Macular Degeneration
Macular degeneration is categorized into two main types: dry (atrophic) and wet (neovascular) AMD.
Dry AMD: This form is more common, accounting for approximately 85-90% of cases. It occurs when the macula thins over time, leading to gradual vision loss. The hallmark of dry AMD is the presence of drusen, yellow deposits beneath the retina.
Wet AMD: Though less common, wet AMD is more severe and can lead to rapid vision loss. It occurs when abnormal blood vessels grow under the retina and macula, causing bleeding, leaking, and scarring. Wet AMD can develop suddenly and requires prompt medical attention.