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by Steven L. Phillips, M.D., C.M.D.

Steven L. Phillips, M.D., C.M.D.Planning for the Fall

That's the Fall, as in autumn, not a fall, as in tripping and winding up on the ground.

Each season has its own charms. Fall often has warm days when one can be outside and enjoy the changing colors of the foliage. The nights get progressively longer and colder. Sometimes we are treated to the pleasure of Indian summer, warm weather after the first killing frost, a last hurrah before winter closes in as it closes us in.

What are some things to consider as one plans for Fall and even looks toward Winter? Being armed against the flu is the first thing one should put on the “to do” list. The best time to get the vaccination is during October. This will provide protection for six to nine months, which is important given the fact that influenza (flu) remains in the Washoe Valley until late March and early April of each year.

Another immunization that one may need to update is the pneumonia vaccination. So check with your primary care provider to determine if you need it this year.

With the change in weather and the cooler days, it may be time to get the heater serviced before the first cold spell strikes. Some companies will try and accommodate elders and those who are medically fragile, but services are limited.

The economy is tough right now. Many people have to choose between food and heating their homes. Get out your winter clothes. Then consider dressing in layers. As the day gets warmer, take off a layer to stay cooler. You will still be prepared should the weather change and you need that extra layer back. This is not just for being outdoors, but works well in the home, and may save on heating costs.

Good nutrition is always important. High energy foods can help you maintain your internal temperature and are very important to help fight colds and other infections. During the fall and winter months, soups, stews, casseroles are quite nourishing since the nutrients are kept in the broths of the dishes.

 

It is easy to make extra and either enjoy it for several days in a row or freeze the extra and use it the following week adding to diversity in the diet.

Access to fresh foods especially citrus fruit may remind one of summer and help overcome the blues that often affect people as the days grow shorter and colder.

Exercise is still a vital part of one's routine. We don't get as much precipitation in the Truckee Meadows as residents of other places get, but cold temperatures can keep people inside. Walking through an indoor mall has long been the choice of those who don't want to be outside. Taking a turn or two around a room in your home every hour is another option. If you have the resources, a pedal machine or other exercise equipment may help with this need.

When one is walking outside there are potential obstacles everywhere. Leaves that have fallen may cover an upraised crack in the sidewalk. Rain and ice may make areas slippery. Avoiding puddles and ice on the sidewalk may cause one to slip and fall as well.

If you use a walker or cane, remember to take it with you on your exercise jaunts. If you don't use a cane, get a walking stick, whether it is a collapsible hiking pole, a fancy carved stick, or simply a sturdy stick of the appropriate height, and use it for some extra security on your walks. See if you can find a walking buddy for companionship and safety. If you have a cell phone take it with you.

All of these are common sense ideas that each of you have probably used for years. A little reminder never hurts and may actually encourage each of us to enjoy the seasons that are ahead.

This article was written in collaboration with my wife Joann. Your suggestions regarding this and possible future articles can be sent togcnreno@gmail.com)