Meet Jean
I first met Jean soon after she’d been moved to assisted living, which is how I meet many of my clients. She’d had what I call a “mystery fall” at the supermarket near her apartment in Queens. One moment she was shopping, the next she was staring up into a bright light with an EMT asking if she was okay. She had no memory of what happened.
In the hospital, all the usual tests were done. Nothing alarming showed up, no stroke, no major medical event. Jean was in her mid-90s (“nine-five,” as she liked to say), walked miles regularly, lived alone, and was mentally sharp. Still, because no one could explain the fall, she was sent to rehab rather than home. From there, as often happens, the path led straight to assisted living.
By the time I met her, Jean was in a one-bedroom apartment in an assisted living facility with almost nothing in it. No TV, phone, radio, or books. Just a bed, a nightstand, a small bureau, and a lamp. This was during the early days of the pandemic, and she was quarantined to her room until she received her second vaccine dose. She had two outfits, the clothes she’d fallen in and one donated set from the facility. No family nearby, no visitors, and no stimulation.
The facility called me because Jean needed someone to assist with all the things they don’t do such as shopping, arranging, and transporting to medical appointments, dealing with her second vaccine, sorting out her finances, and getting personal items from her apartment. She had assumed, as many elders do, that the facility would “take over” and manage her money, bills, and practical needs. That is almost never the case. Assisted living provides room, board, very basic personal services and expects family to do the rest. Jean had no one.
I took her to get that second vaccine dose, neither of us realizing she’d gotten very sick after the first one, a detail she only remembered later. That omission led to a serious reaction and another hospital stay. It’s one of the reasons I insist advocates handle discharges and transitions because we make sure vital pieces of medical history travel with the person.
When we went to her Queens apartment for the first time in three months, it was neat and tidy but buried under piles of unpaid bills and past-due notices. No one knew she’d been gone and no one had stepped in. Together, we chose some clothes, a few pieces of furniture, and then I sat down with her to look at her finances. What I saw is tragically common: she had enough money to live in that private assisted living facility for less than a year, and that’s without paying movers or closing out her apartment. No one at the facility had checked whether her funds were sustainable. They were happy to sign a lease and hand her a key.
I became her Power of Attorney so I could help her navigate all of this while she kept full control over her decisions. She was sharp, opinionated, and very capable. We arranged a prepaid funeral so she could choose her final wishes. We applied for community Medicaid and prepared a move to a state-funded facility that offered small studio rooms rather than the crowded, substandard conditions I’ve seen elsewhere.
The Medicaid facility was “better than most,” but still a dramatic shift for a woman who used to walk to the supermarket whenever she pleased and eat what she wanted. Now her life was regulated: assigned meal times, assigned tables, limited food choices, and no ability to keep a fridge in her room. She couldn’t get something as simple as a ham sandwich because the facility was kosher. She was lonely, surrounded by residents with dementia, and grieving the independence she’d lost along with her friends and old routines.
Jean missed simple, familiar things like a properly mixed glass of Citrucel three times a day, a ham and cheese sandwich, cherry pie, a particular kind of toothpaste (“Arm and Hammer wash,” as she called it). I spent an absurd amount of time advocating over how thick her Citrucel should be mixed and whether she could keep it in her room. It took multiple conversations with administrators and nursing staff before we finally got permission for her to store and mix it herself.
These details might sound small, but they’re not. When someone has had almost all of their freedom taken away like where they live, when they eat, what they can eat, where they can go, being able to control a glass of Citrucel or a tube of toothpaste becomes emotionally enormous. I saw over and over how these tiny wins restored some dignity.
As my travel schedule got busier, I brought in my colleague Jackee, a board-certified patient advocate. She and Jean clicked right away. Jackee helped unpack Jean’s things, played Christmas music on a found CD player, listened to stories about church and old friends, walked her to meals, and guided her into social activities when she felt she didn’t “belong.” Over time, Jackee became the person who brought her ham sandwiches, sweets, new slippers, nail polish, and companionship.
Together, Jackee and I dealt with a maze of insurance problems like railroad pension rules that complicated her coverage, supplemental plans that didn’t include drug benefits, and medical bills that would ultimately be written off. We protected Jean from financial chaos as best we could, while making sure she still had some joy such as outings to the diner, haircuts, clothes bought online on the “little phone,” a small cactus for her windowsill, and a steady supply of journals and pens for her daily writing.
Today, Jean is 97. She still writes in her journal every day, keeps a meticulous “Jackee list” of things she wants to discuss, and remains mentally sharp. She is, undeniably, living with far fewer choices than she once had, but she is not invisible. She has advocates who see her, fight for her, and help her preserve as much autonomy and dignity as possible.
What I want you to take from Jean’s story
If you have an older loved one, or you’re planning for your own future, Jean’s journey offers important lessons:
- Don’t assume the facility will “handle everything.”
Assisted living typically covers room, board, basic housekeeping, laundry, and sometimes a clinic visit. Bills, banking, shopping, medical coordination, and personal items are not automatically managed. - Know the true costs and how long the money will last.
Before signing a lease, sit down and calculate: monthly cost, existing assets, and how many months or years are truly affordable, including moving costs, closing an apartment, and small extras that matter to quality of life. - Get legal and financial documents in place early.
Power of Attorney, healthcare proxy, and a prepaid funeral plan can prevent crises later and ensure the older adult’s wishes are followed while they still have a voice. - Be present at hospital discharges and transitions.
Make sure medical records, vaccine reactions, and key history are clearly documented and transferred. Advocates catch details that get missed. - Ask very specific questions about food and daily routines.
Meal times, flexibility, ability to keep snacks or a small fridge, religious dietary rules—all of this profoundly affects day-to-day happiness. - Respect the “small” preferences.
Whether it’s Citrucel thickness, a favorite candy, or a ham sandwich, these things can be lifelines. They’re about identity and control, not just taste. - Consider an independent advocate.
Someone who understands the system and does not work for the facility can make all the difference in how an elder is treated, heard, and cared for.
Above all remember that advanced age does not erase a person’s ability to think, feel, and decide. People like Jean have lived full, independent lives for decades. Our job is not to turn them into obedient patients, it’s to protect their safety while fiercely preserving their dignity and voice.
When Compassion Meets Advocacy: Pete’s Story
Many people start thinking about getting their affairs in order by calling an attorney. It makes sense because Elder Law and Estate Planning Attorneys know the legal documents that protect your assets and your wishes.
But lawyers can’t (and shouldn’t) do it all. They draft the paperwork, but they don’t walk through your life with you. That’s where a Patient Advocate comes in because they connect the dots between life, health, and planning.
Pete’s Call for Help
Pete’s story began with a cry for help. He called Elder Law Attorney Iris Bikel after realizing that the neighbors who had been “helping” him were actually taking advantage of him. They had convinced him to sell his condo and were pushing to gain Power of Attorney over his finances. Fortunately, Pete’s distant cousin referred him to Iris, who immediately brought me in as his Patient Advocate.
When I first met Pete, he was frail, hungry, and utterly defeated. A retired Avon executive who once designed the company’s training manuals, Pete had lived a full, rich life. But after his career ended and his sister passed away, he became isolated and easy prey for those with selfish intentions.
A Turning Point
My first priority was Pete’s health. I took him to the hospital, where doctors discovered he was dehydrated and depressed. When asked if he had ever thought of harming himself, Pete quietly admitted, “Yes, I look out the window and think I should jump.”
That honest moment changed everything.
With the support of his medical team and my advocacy, Pete agreed to inpatient care. Over the next two months, his spirit began to revive. He made friends, rediscovered his confidence, and began to see that life still held meaning. Together, we explored living options and found an Independent Living community that fit his needs, one that offered support without taking away his independence.
Rediscovering Purpose
Pete thrived in his new environment. He joined the residents’ council, took up Tai Chi, and even learned Tai Kwon Do in his eighties! He rediscovered joy, purpose, and community. He began to share stories of his world travels, his deep love of art and music, and even long-hidden truths about himself that he had carried for a lifetime. It was as if he had finally exhaled after holding his breath for years.
Life’s Full Circle
As time went on, Pete’s health declined and his finances grew tight. We worked together to transition him to a Medicaid-supported facility that still respected his dignity and individuality. Even as his world became smaller, he filled it with beauty carefully decorating his new space with art and personal treasures.
When his vascular condition worsened, he made the brave choice to forgo extreme medical interventions. I remained his advocate and his friend until the end, and when my colleague Jackee Namwila stepped in during my absence, she provided the same level of compassion and care. Pete’s final days were spent with dignity, comfort, and peace.
Lessons from Pete
Pete’s story is a powerful reminder of why Patient Advocacy matters, and what can happen when someone has a steady, compassionate guide through the maze of aging and healthcare.
Here are a few takeaways from Pete’s journey:
- Legal planning needs life planning. Attorneys handle the documents, but a Patient Advocate helps you gather the information, make the decisions, and stay engaged in the process.
- Isolation can be dangerous. Even smart, capable people can become vulnerable when they’re alone. Community and oversight can literally save lives.
- Independence doesn’t end with age. With the right support, older adults can maintain autonomy and joy well into their later years.
- Advocacy is about relationships. A good advocate never disappears when the checkbook runs out and they remain a source of strength and friendship.
- A life well-lived deserves dignity until the end. Pete’s story shows that even in the face of decline, choice and respect make all the difference.
Pete’s journey is one I will never forget. It’s why I do what I do, helping people navigate the complex and deeply personal path of aging with grace, empowerment, and humanity.
(From Aging Icon – How You Want to Live: When They Say Nothing Can be Done, That Just Means They Don’t Know What to Do. http://bit.ly/47OKWel
The Three Essentials for Planning Your Future are Finances, Health, and Legal Protection
At Aging Icon, we believe that thriving as you age isn’t about reacting to challenges, it’s about preparing for them. That preparation begins with three essential areas that shape your future quality of life:
1. Finances
The first step is getting clear on what you have. Many people avoid looking closely at their finances, but knowing your real financial picture gives you the foundation for every other decision. It’s not just about what’s in the bank, it’s about understanding your resources, obligations, and options.
2. Health
Take an honest look at your health. Do you have medical conditions now? What’s in your family history that could affect your future? By considering the possibilities and looking down the road, you can anticipate the kind of care you may need, including the possibility of not being able to remain at home. Do you know what you would do then?
3. Legal Protection
Once you know where you stand financially and medically, it’s time to visit your attorney. This is where everything is put into writing, clearly and legally. Wills, trusts, power of attorney, and healthcare directives ensure that your wishes are honored and that your loved ones are protected.
These three steps, finances, health, and legal planning, work together to create peace of mind. I help individuals and families navigate these realities with confidence, dignity, and foresight. Planning ahead means you can focus on living your life fully, with purpose and security.
The Art of Aging with Purpose and What You Can Expect from My Work
Some people build businesses around trends. I build them around gaps, spaces where people are craving connection, confidence, and purpose but don’t yet have a map.
That’s how Aging Icon™ was born.
I’ve always believed that success doesn’t end when the candles on your birthday cake hit double digits in the six, seven or even 8 or 9 range. And I’m not talking about forced optimism or “just think young” clichés.
I’m talking about real-life reinvention, about doing the things you love even when your knees creak, your schedule shifts, and the world around you seems to think you’re winding down.
Nope. Not on my watch.
Through my speaking, my books, and my ongoing advocacy, I’ve carved out a space for those who want to live with more curiosity, creativity, and courage, especially as they age or are given a life changing health diagnosis. I work with people who’ve built successful lives and careers, but who are now navigating questions that rarely get asked out loud:
- Can I still do what I love, even if I don’t move as fast as I used to?
- Is it too late to start something new?
- What happens when the world stops seeing me as “in my prime”?
I ask those questions too. And I answer them by helping others write a different kind of script.
What You’ll Find in My Work
Whether it’s from a stage, in the pages of a book, or through grassroots advocacy, here’s what I bring to the table:
Clarity without clichés.
You won’t find platitudes in my presentations or in my writing. What you will find is humor, honesty, and practical insight. I speak from experience, not theory, and my stories are grounded in what it actually feels like to be shifting, stretching, and evolving at every stage of life.
Permission to be powerful.
Many of us have been conditioned to shrink a little as we age. I challenge that gently but firmly. My work is about reclaiming space, confidence, and agency, not because we need permission, but because we deserve reminders.
Community and connection.
Aging can feel isolating. One of the most consistent pieces of feedback I hear is, “I thought I was the only one feeling this way.” My books, talks, and initiatives create safe, energetic spaces for people to realize they are not alone and that shared experience breeds strength.
A future-facing approach.
Here’s where my business brain kicks in. I don’t just talk about aging as it is now. I look at where society, tech, and work are headed, and I position people to thrive in that landscape. The result? You’re not chasing a moment; you’re already in it.
Not Just Inspiration, Activation.
People often tell me they feel inspired after hearing me speak or reading something I’ve written. But I don’t stop at inspiration. I want you to feel energized to take action, whether that means dusting off an old passion, starting a new chapter, or simply refusing to fade quietly into the background.
Because you, my friend, are far from done.
And if you’re ready to live how you want to live, you’ll find in my work not just a mirror, but a guide. A spark and a well-timed nudge.
You’ve built a life worth living. Let’s make sure you keep living it, with joy, meaning, and just the right amount of rebellion.
You’re Not Too Old To Reinvent, Reignite, and Rise Again
Let’s start with the truth: life has its plot twists.
You can be rolling along living your life, perhaps running your business, engaging in hobbies and varied pursuits, checking off goals and then, boom. A diagnosis. An accident. A shift in energy. A feeling you can’t quite name, but something is off.
Suddenly, the way you’ve always done things no longer works.
And you may be tempted to stop, put things on hold, and perhaps even call it quits.
But here’s what I’m here to tell you, loud and clear: you’re not too old to reinvent, reignite, and rise again.
I’ve seen it time and time again, clients who thought they were “past their prime” tapping into creativity, passion, and purpose they hadn’t felt in years.
So no, you don’t have to abandon your vision. You may just need to change your approach.
Reinvention Isn’t About Starting Over, It’s About Shifting
Reinvention doesn’t mean throwing everything out and beginning from scratch. It’s about examining your current situation, honoring what has changed, and asking: how can I do this differently?
Maybe you used to be on the road 200 days a year, speaking and training. Now, travel exhausts you. But your message? Still resonates. Let’s bring it online. Let’s record your talks. Let’s build a digital presence that brings the same impact without the suitcase.
Or perhaps a diagnosis has changed how much energy you have day to day. That doesn’t mean your life passions have to end. It means you need new rhythms, new support systems, and permission to slow down without stepping out.
Reinvention is a pivot, not a pause.
Reignite What Matters
When you hit a roadblock, it’s natural to feel discouraged. But it’s also an opportunity to ask, What do I really want now? Not what you wanted 10 or 20 years ago. Not what you built your identity around. What do you want today?
The answer to that question might surprise you. I’ve worked with CEOs who rediscovered their love for painting. Lawyers who became writers. Entrepreneurs who scaled back their business and grew their impact.
You’re allowed to change. And you’re allowed to get excited about something new. That spark you feel? That’s your intuition nudging you toward your next chapter.
Rise Again In a Way That Feels Right For You
There’s no one-size-fits-all roadmap for rising. But there is one constant: support.
That’s where I come in.
As an Aging Icon, my mission is to work with people just like you, successful, seasoned, and ready to adjust the sails when the winds shift. I provide strategic guidance and we look at what’s working, what’s no longer sustainable, and what possibilities are waiting just around the corner.
And then? We build a plan, path and a new pace that matches your life now while keeping your dreams alive.
Oh No, You’re Not Done Yet
You may not be 35 anymore. Good. That person didn’t have your wisdom, your perspective, your depth.
You’ve already risen once, maybe many times. Reinventing isn’t admitting defeat, it’s choosing evolution. And that is the truest mark of success: the willingness to keep going, even when the path changes.
So, if you’re feeling like something has shifted, or you’re wondering what’s next, if your body or your life circumstances are demanding a different approach, know this:
You’re not too old.
You’re not done.
And your next act might just be your best one yet.
Let’s Talk
If you’re ready to explore your next chapter without abandoning your past success, let’s connect. I work with clients who are navigating change, redefining what’s possible, and refusing to fade into the background.
You’re not too old to rise again.
You just need someone to help you reimagine how.
Reach out to me and let’s begin.
Passion and Purpose: Finding Joy in Your Career as a Senior Business Owner
As a senior business owner, you’ve spent decades building your expertise, honing your skills, and navigating the complexities of your industry. But what happens when you reach a stage in life where the conventional wisdom suggests it’s time to slow down, step back, or even retire?
For many, this is precisely the time to tap into something deeper—passion and purpose. These are the driving forces that keep you relevant, vital, and excited about the future, even as you navigate your senior years.
I’ve dedicated my career to helping senior business owners not only stay relevant but also thrive by pursuing their passions. I’m a living example of what it means to stay engaged, motivated, and fulfilled, well into what some might consider the “golden years.” Through my experience and the experiences of those I’ve worked with, I’ve discovered that finding joy in your career at this stage of life isn’t just possible—it’s essential.
Here are suggestions that can help you live your passion and purpose throughout your senior years.
Leverage Your Experience to Fuel Your Passion
One of the greatest assets you have as a senior business owner is your experience. Over the years, you’ve seen trends come and go, you’ve weathered economic storms, and you’ve built a wealth of knowledge that younger professionals can only dream of. This experience is a goldmine when it comes to pursuing your passion.
Consider how your past experiences can be applied to something you’re passionate about today. Perhaps there’s an industry you’ve always been interested in but never had the chance to explore. Or maybe there’s a cause close to your heart that could benefit from your expertise. Use your experience as a foundation to build something new and exciting. This not only keeps you engaged but also allows you to contribute in meaningful ways.
Integrate the Important Parts of Your Life
Passion and purpose aren’t just about what you do—they’re about how you live. As a senior business owner, you have the unique opportunity to integrate the important parts of your life into your work. This might mean aligning your business with your values, spending more time on activities that bring you joy, or simply ensuring that your work-life balance reflects what matters most to you.
For instance, if family is a priority, find ways to involve them in your business. If community service is important, consider how your business can give back or how you can mentor the next generation of entrepreneurs. By integrating the essential parts of your life into your career, you’ll find that your work becomes more fulfilling and aligned with your true purpose.
Stay Curious and Keep Learning
Curiosity is the fuel that keeps passion alive. No matter how much experience you have, there’s always something new to learn, and this is especially true in today’s rapidly changing world. Whether it’s mastering a new technology, understanding a different market, or simply exploring a new hobby, staying curious and open to learning is key to staying relevant and engaged.
Don’t be afraid to step out of your comfort zone and try something new. Attend workshops, take courses, or simply dive into a subject you’ve always been interested in. Not only will this keep your mind sharp, but it will also open up new opportunities and avenues for you to apply your skills and passion in ways you may not have imagined.
Build a Network of Like-Minded Individuals
Passion and purpose are contagious. Surrounding yourself with like-minded individuals who share your enthusiasm and drive can be incredibly motivating. As a senior business owner, your network is more important than ever. It’s not just about business connections—it’s about finding a community of people who inspire you, challenge you, and support your journey.
Consider joining groups or organizations that align with your interests, attending industry events, or even starting your own mastermind group. The connections you make can lead to new opportunities, collaborations, and friendships that enrich your life and work.
Embrace Change and Adaptation
The world is constantly changing, and so too are the challenges and opportunities that come with it. As a senior business owner, embracing change and being willing to adapt is crucial for staying passionate and purposeful. This doesn’t mean abandoning what’s worked for you in the past, but rather being open to new ideas, technologies, and ways of doing business.
Consider how your business can evolve to meet the needs of today’s market or how you can pivot to explore new passions that have emerged in your life. Adaptation isn’t about discarding the past—it’s about building on it to create something even better for the future.
Your senior years aren’t a time to wind down—they’re a time to ignite your passion and pursue your purpose with renewed vigor. You’ve spent a lifetime building your career; now it’s time to enjoy it to the fullest.
Ronald Fatoullah and Associates educates the elder care experts.
Caryn attended the Ronald Fatoullah & Associates Update Luncheon last week along with hundreds of elder care experts. There was some good news and some warnings about transferring and protecting assets for long term care planning. The good news is that the Medicaid Epanded Estate Recovery Law was repealed. Assets such as the Life Estate deed, are once again safe if properly divested before applying for Medicaid. This repeal was hard fought for and our thanks to the efforts of the New York State Bar Association and the elder law community.
Other good news they brought was in the area of EPIC coverage. Although EPIC is still not what it was, and there will be a fee and a requirement to pay for Part D Coverage, the plan has been greatly improved from last years plan.
Some of the warnings we recieved included making sure you have a Living Will and meeting with your financial planner to discuss the type of Annuities you have, because you may not be protected from Medicaid recovery if you have a revocable annuity. Also, the method of calculating life estates has been raised and you should talk with your attorney to discuss your options.
Sunrise Senior Living Families Get Information
Judith Grimaldi, Esq ran down the changes in Medicare and Medicaid. Henni Fisher,LCSW, BCD, Alzheimer`s and Aging Resource Center of Brooklyn filled in the blanks and fielded questions. Caryn Isaacs, Patient Advocate discussed how a Patient Advocate can help with decisions when faced with hospitalization, rehabilitation and home care. She introduced special guests Eilish and Ken Natton, who went through the process of getting their home ready for Eilish, who lives with Parkinson’s Disease. Several people from the neighborhood came in to see what Sunrise had to offer. They were treated to live entertainment and wonderful food. The family day health fair which included Sea Crest Health Center and Shore View Center for Rehabilitation and Health Care, Ramps/Lifts for Better Living, Mickey Green, Mutual of Omaha, Visiting Nurses and more was arranged by Anvernette Hanna, Director of Community Relations at Sunrise Senior Living of Sheepshead Bay and Bonnie Nogin, Quality Recreation Solutions.
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