Older patients present unique challenges for doctors

Geriatric patients can face a host of ailments, but specialists offer support to those patients and their families.



Loosely defined as those over age 65, geriatric patients can face a host of ailments, but specialists offer support to those patients and their families.

Dr. John Carment, a member of the geriatrics department at OU Physicians, says geriatricians treat all common diseases affecting older adults, but the focus tends to be on non-drug treatment whenever possible.

Managing multiple chronic conditions

Unlike younger patients, he says geriatric patients might have competing and concurrent medical problems. “A chronic condition, like diabetes mellitus, can be treated according to standard professional guidelines (in a young, healthy person),” Carment says. “The same treatment may not be feasible — and could be potentially harmful — when applied to a frail 88-year-old with eight active medical problems.”

Carment says geriatric patients tend to have complex needs, such as cognitive impairment, declining function or multiple conditions, which makes it difficult for them to live independently and care for themselves.

A geriatrician is trained to identify so-called “geriatric syndromes,” which include frailty, recurrent falls, dizziness, unintentional weight loss, sensory impairment, cognitive impairment and urinary incontinence, among other issues.

“Knowledge of medications, drug-to-drug interactions and side effects that limit use of many medicines in older persons are also areas of expertise,” Carment adds.

OU Physicians neurologist Dr. Syed Hussain treats patients suffering from Parkinson’s disease, tremors and other neurodegenerative disorders.

He says there are some challenges with treating older patients, and it is most successful through a multidisciplinary approach with the help of a caregiver as well as family support, nurses, a therapist, social worker and the neurologist.

The essential role of the caregiver 

Both doctors tend to work more with the families and caregivers of older patients compared to those of younger patients. Caregivers provide invaluable support to the patient, Carment says.

“This may be as simple as providing transportation to the grocery store or as involved as managing daily medications and assisting with self-care like bathing and dressing,” he says. “Caregivers are often the best advocate for older vulnerable adults and often serve as their ‘navigator’ through the complicated health care system.”

Caregivers also provide crucial emotional support for older adults, he says. “Most caregivers are friends or family to the patient and are not compensated for the time committed to caregiving,” he adds.

Hussain says caregivers play a critical role in the treatment of any geriatric patient — whether it is giving medications at the right time or identifying problems that might require medical attention.

Pelvic floor disorders: an awkward but necessary conversation

Problems emptying the bladder or urinary or fecal incontinence are other issues facing older patients. Such issues are known as pelvic floor disorders, says Dr. Jameca Price, a physician in the obstetrics and gynecology department of OU Physicians.

For people who are nervous about having a conversation about pelvic floor disorders, which can affect men and women, Price offers some tips. She says starting a conversation in which the person noticing the change mentions the frequency of bathroom visits is an option. Opening a conversation around activity level and whether or not there has been leaking is another way to broach the subject, she says

Finally, asking whether there is leakage when laughing, coughing or lifting heavy objects is another way to go about the topic.

“If your loved one thinks she may have a (pelvic floor disorder), offer to schedule an appointment for her with a primary care doctor, gynecologist or a urogynecologist for an evaluation,” Price adds.

Price says she provides a variety of treatment options for patients depending the severity of the condition, their general health and their wishes. “Often I recommend a combination of therapies,” she adds.

It can be difficult to talk about such problems, even to health care providers, Price notes.

“However, providers — and especially urogynecologists — are used to talking about these problems. And, to get proper treatment for pelvic floor disorders, you need to talk about them,” she says. 

 

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September 2018

The Green Country Watercolor Society welcomes all to its opening reception 6-8 p.m. Friday, Sept. 7, featuring beautiful works from local artists. The Green Country Watercolor Society was...

Cost: free and open to the public

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McKeon Center for Creativity
910 S. Boston Ave.
TCC Metro Campus
Tulsa, OK  74119
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Sponsor: McKeon Center for Creativity
Telephone: 918-595-7339
Contact Name: Cindy Barton
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Cost: 10

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Check Website for Locations
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Sponsor: The Womble Company

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Cost: Free with purchase

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600 Riverwalk Terrace
Jenks, OK  74037
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Telephone: 918-528-7717
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Cost: Free

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LIFE Senior Services
5950 E. 31st St.
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Sponsor: LIFE Senior Services
Telephone: (918) 664-9000
Contact Name: Emily Fox

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River West Festival Park
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Tulsa, OK  74107
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Sponsor: Tulsa Riverparks Authority
Telephone: 918-596-2008
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Cost: free

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20 South Lewis Avenue
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Telephone: (918) 565-9404
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Orth Contemporary is pleased to present a solo exhibition of new Silver Deposit paintings by Jimi Gleason on view at the gallery from September 7ththrough October 19th.    ...

Cost: free

Where:
Orth Contemporary
20 South Lewis Avenue
Tulsa, OK  74104
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Telephone: (918) 565-9404
Contact Name: Katie
Website »

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Cost: $29.95 per adult | $19.95 per child

Where:
The Melting Pot of Tulsa
300 Riverwalk Terrace #190
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Telephone: 918-299-8000
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Cost: Free - $20.00

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Tulsa Air and Space Museum & Planetarium
3624 North 74th East Ave.
Tulsa, OK  74115
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Sponsor: Tulsa Air and Space Museum & Planetarium
Telephone: 918-834-9900
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Cost: free and open to the public

Where:
McKeon Center for Creativity
910 S. Boston Ave.
TCC Metro Campus
Tulsa, OK  74119
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Sponsor: McKeon Center for Creativity
Telephone: 918-595-7339
Contact Name: Cindy Barton
Website »

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Think you can't do something, like sculpt, build a robot, or make a stamp? Think again! Come enjoy our 45-minute workshops held every Monday at noon at the McKeon Center for Creativity....

Cost: free and open to the public

Where:
McKeon Center for Creativity
910 S. Boston Ave.
TCC Metro Campus
Tulsa, OK  74119
View map »


Sponsor: McKeon Center for Creativity
Telephone: 918-595-7339
Contact Name: McKeon Center for Creativity
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Cost: Free

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LIFE Senior Services
5950 E. 31st St.
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Sponsor: LIFE Senior Services
Telephone: (918) 664-9000
Contact Name: Emily Fox

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Amanda McCavour’s ethereal environments explore themes of strength and vulnerability. Through the use of embroidery, McCavour’s delicate creations will highlight the process of building...

Cost: Free

Where:
108 Contemporary
108 E M.B. Brady St.
Tulsa, OK  74103
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Telephone: 191-889-56302

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Teachers and administrators can ring in the school year with a sweet deal.   Every Sunday thru Thursday in September, a school ID will get teachers and administrators a half-priced Four...

Cost: 1/2 priced Four-Course Classic

Where:
The Melting Pot of Tulsa
300 Riverwalk Terrace #190
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Telephone: 918-299-8000
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Orth Contemporary is pleased to present a solo exhibition of new Silver Deposit paintings by Jimi Gleason on view at the gallery from September 7ththrough October 19th.    ...

Cost: free

Where:
Orth Contemporary
20 South Lewis Avenue
Tulsa, OK  74104
View map »


Telephone: (918) 565-9404
Contact Name: Katie
Website »

More information

Orth Contemporary is pleased to present a solo exhibition of new Silver Deposit paintings by Jimi Gleason on view at the gallery from September 7ththrough October 19th.    ...

Cost: free

Where:
Orth Contemporary
20 South Lewis Avenue
Tulsa, OK  74104
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Telephone: (918) 565-9404
Contact Name: Katie
Website »

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Cost: Free

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Tulsa Performing Arts Center
110 E 2nd Street
Tulsa, OK  74103
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Cost: free and open to the public

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910 S. Boston Ave.
TCC Metro Campus
Tulsa, OK  74119
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Sponsor: McKeon Center for Creativity
Telephone: 918-595-7339
Contact Name: Cindy Barton
Website »

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Telephone: (918) 664-9000
Contact Name: Emily Fox

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Cost: Free

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LIFE PACE Center
902 E. Pine Street
Tulsa, OK
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Sponsor: LIFE Senior Services
Telephone: (918) 664-9000
Contact Name: Emily Fox

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Driving with Dementia is a three-part series designed by the MIT AgeLab and the Hartford to help caregivers for people with dementia prolong independence while encouraging safe driving.  ...

Cost: Free

Where:
Creek County Library
156 N. Poplar St.
Sapulpa, OK
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Sponsor: LIFE Senior Services
Telephone: (918) 664-9000
Contact Name: Emily Fox

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Cost: Free

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108 Contemporary
108 E M.B. Brady St.
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Telephone: 191-889-56302

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Teachers and administrators can ring in the school year with a sweet deal.   Every Sunday thru Thursday in September, a school ID will get teachers and administrators a half-priced Four...

Cost: 1/2 priced Four-Course Classic

Where:
The Melting Pot of Tulsa
300 Riverwalk Terrace #190
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Telephone: 918-299-8000
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Orth Contemporary is pleased to present a solo exhibition of new Silver Deposit paintings by Jimi Gleason on view at the gallery from September 7ththrough October 19th.    ...

Cost: free

Where:
Orth Contemporary
20 South Lewis Avenue
Tulsa, OK  74104
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Telephone: (918) 565-9404
Contact Name: Katie
Website »

More information

Orth Contemporary is pleased to present a solo exhibition of new Silver Deposit paintings by Jimi Gleason on view at the gallery from September 7ththrough October 19th.    ...

Cost: free

Where:
Orth Contemporary
20 South Lewis Avenue
Tulsa, OK  74104
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Telephone: (918) 565-9404
Contact Name: Katie
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More information

Show More...
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The Green Country Watercolor Society welcomes all to its opening reception 6-8 p.m. Friday, Sept. 7, featuring beautiful works from local artists. The Green Country Watercolor Society was...

Cost: free and open to the public

Where:
McKeon Center for Creativity
910 S. Boston Ave.
TCC Metro Campus
Tulsa, OK  74119
View map »


Sponsor: McKeon Center for Creativity
Telephone: 918-595-7339
Contact Name: Cindy Barton
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Tulsa Adventist Academy (TAA) has joined the Tulsa Regional Chamber of Commerce and is holding a ribbon-cutting ceremony on Wednesday, September 29, 2018 at 10:00 a.m. at the school’s main...

Cost: Free

Where:
Tulsa Adventist Academy
900 S. New Haven
Tulsa, OK  74112
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Sponsor: Tulsa Adventist Academy
Telephone: 918-834-1107
Contact Name: Caroline Fisher
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Looking for a way to exercise your mind and body while having fun?  Laughter Yoga may be just what you're looking for.  This popular new class is low-impact and requires no special...

Cost: Free

Where:
LIFE Senior Services
5950 E. 31st St.
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Sponsor: LIFE Senior Services
Telephone: (918) 664-9000
Contact Name: Emily Fox

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Amanda McCavour’s ethereal environments explore themes of strength and vulnerability. Through the use of embroidery, McCavour’s delicate creations will highlight the process of building...

Cost: Free

Where:
108 Contemporary
108 E M.B. Brady St.
Tulsa, OK  74103
View map »


Telephone: 191-889-56302

More information

Teachers and administrators can ring in the school year with a sweet deal.   Every Sunday thru Thursday in September, a school ID will get teachers and administrators a half-priced Four...

Cost: 1/2 priced Four-Course Classic

Where:
The Melting Pot of Tulsa
300 Riverwalk Terrace #190
Jenks, OK  74037
View map »


Telephone: 918-299-8000
Website »

More information

Orth Contemporary is pleased to present a solo exhibition of new Silver Deposit paintings by Jimi Gleason on view at the gallery from September 7ththrough October 19th.    ...

Cost: free

Where:
Orth Contemporary
20 South Lewis Avenue
Tulsa, OK  74104
View map »


Telephone: (918) 565-9404
Contact Name: Katie
Website »

More information

Orth Contemporary is pleased to present a solo exhibition of new Silver Deposit paintings by Jimi Gleason on view at the gallery from September 7ththrough October 19th.    ...

Cost: free

Where:
Orth Contemporary
20 South Lewis Avenue
Tulsa, OK  74104
View map »


Telephone: (918) 565-9404
Contact Name: Katie
Website »

More information

Show More...
Show Less...

The Green Country Watercolor Society welcomes all to its opening reception 6-8 p.m. Friday, Sept. 7, featuring beautiful works from local artists. The Green Country Watercolor Society was...

Cost: free and open to the public

Where:
McKeon Center for Creativity
910 S. Boston Ave.
TCC Metro Campus
Tulsa, OK  74119
View map »


Sponsor: McKeon Center for Creativity
Telephone: 918-595-7339
Contact Name: Cindy Barton
Website »

More information

Mothers of Preschoolers (and preschool means prior to school, ages 6 weeks to 5 years old). MOPS warmly welcomes any mom that has at least one child age 6 weeks to 5 years old. By joining MOPS, you...

Cost: Free

Where:
Eastwood Baptist Church
948 S 91st E Ave
Tulsa, OK  74112
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Sponsor: Eastwood Baptist Church
Telephone: 918-836-8686
Contact Name: Shirley Pittenger
Website »

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This six-week cooking demonstration series will help you learn to shop smarter and use nutrition information to make healthier choices and make delicious and affordable meals. Each Cooking Matters...

Cost: Free

Where:
Friendship Church
1709 N. Madison Ave,
Tulsa, OK
View map »


Sponsor: LIFE Senior Services
Telephone: (918) 664-9000
Contact Name: Emily Fox

More information

Looking for a way to exercise your mind and body while having fun?  Laughter Yoga may be just what you're looking for.  This popular new class is low-impact and requires no special...

Cost: Free

Where:
LIFE Senior Services
5950 E. 31st St.
Tulsa, OK
View map »


Sponsor: LIFE Senior Services
Telephone: (918) 664-9000
Contact Name: Emily Fox

More information

Amanda McCavour’s ethereal environments explore themes of strength and vulnerability. Through the use of embroidery, McCavour’s delicate creations will highlight the process of building...

Cost: Free

Where:
108 Contemporary
108 E M.B. Brady St.
Tulsa, OK  74103
View map »


Telephone: 191-889-56302

More information

Orth Contemporary is pleased to present a solo exhibition of new Silver Deposit paintings by Jimi Gleason on view at the gallery from September 7ththrough October 19th.    ...

Cost: free

Where:
Orth Contemporary
20 South Lewis Avenue
Tulsa, OK  74104
View map »


Telephone: (918) 565-9404
Contact Name: Katie
Website »

More information

Orth Contemporary is pleased to present a solo exhibition of new Silver Deposit paintings by Jimi Gleason on view at the gallery from September 7ththrough October 19th.    ...

Cost: free

Where:
Orth Contemporary
20 South Lewis Avenue
Tulsa, OK  74104
View map »


Telephone: (918) 565-9404
Contact Name: Katie
Website »

More information

Teachers and administrators can ring in the school year with a sweet deal.   Every Sunday thru Thursday in September, a school ID will get teachers and administrators a half-priced Four...

Cost: 1/2 priced Four-Course Classic

Where:
The Melting Pot of Tulsa
300 Riverwalk Terrace #190
Jenks, OK  74037
View map »


Telephone: 918-299-8000
Website »

More information

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Cost: Free

Where:
Soul City Gastropub
1611 E. 11th St.
Tulsa, OK
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Website »

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Meet best-selling authors, sample local delicacies and support TCCL’s literacy program  You are invited to spend an evening with three best-selling and award-winning authors, enjoy...

Cost: $50.00

Where:
Hardesty Regional Library
8316 E. 93rd St.
Tulsa, OK
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Sponsor: Tulsa Library Trust
Telephone: 918-549-7494
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THIRD THURSDAYS IN THE RAINBOW ROOM is proud to present the fabulous Kara Staiger in her highly acclaimed SummerStage cabaret production of ONWARD! Joining Kara will be Tulsa's favorite...

Cost: $15 Bistro / $10 General Admission

Where:
Lynn Riggs Black Box Theatre - OkEq
621 East 4th St.
Tulsa, OK  74120
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Sponsor: Oklahomans for Equality - OkEq
Telephone: 918-637-25866
Contact Name: Pat Hobbs
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The Green Country Watercolor Society welcomes all to its opening reception 6-8 p.m. Friday, Sept. 7, featuring beautiful works from local artists. The Green Country Watercolor Society was...

Cost: free and open to the public

Where:
McKeon Center for Creativity
910 S. Boston Ave.
TCC Metro Campus
Tulsa, OK  74119
View map »


Sponsor: McKeon Center for Creativity
Telephone: 918-595-7339
Contact Name: Cindy Barton
Website »

More information

Looking for a way to exercise your mind and body while having fun?  Laughter Yoga may be just what you're looking for.  This popular new class is low-impact and requires no special...

Cost: Free

Where:
LIFE Senior Services
5950 E. 31st St.
Tulsa, OK
View map »


Sponsor: LIFE Senior Services
Telephone: (918) 664-9000
Contact Name: Emily Fox

More information

Signified by the balance between day & night, the Autumn Equinox serves as an opportunity to retreat from the harried pace of life, reflect upon that which is coming to an...

Cost: $375

Where:
The Ofi House
34477 S 502 Rd.
Park Hill, OK  74451
View map »


Sponsor: YogaQuest
Telephone: (918) 622-5454
Contact Name: Dee Anne Day
Website »

More information

Teachers and administrators can ring in the school year with a sweet deal.   Every Sunday thru Thursday in September, a school ID will get teachers and administrators a half-priced Four...

Cost: 1/2 priced Four-Course Classic

Where:
The Melting Pot of Tulsa
300 Riverwalk Terrace #190
Jenks, OK  74037
View map »


Telephone: 918-299-8000
Website »

More information

Orth Contemporary is pleased to present a solo exhibition of new Silver Deposit paintings by Jimi Gleason on view at the gallery from September 7ththrough October 19th.    ...

Cost: free

Where:
Orth Contemporary
20 South Lewis Avenue
Tulsa, OK  74104
View map »


Telephone: (918) 565-9404
Contact Name: Katie
Website »

More information

Orth Contemporary is pleased to present a solo exhibition of new Silver Deposit paintings by Jimi Gleason on view at the gallery from September 7ththrough October 19th.    ...

Cost: free

Where:
Orth Contemporary
20 South Lewis Avenue
Tulsa, OK  74104
View map »


Telephone: (918) 565-9404
Contact Name: Katie
Website »

More information

Women Artists of the West (WAOW) presents the 48th Annual Juried Exhibition, "Tallgrass Rendezvous", for the first time in OK!  WAOW is the oldest juried women artists organization...

Cost: Free Reception

Where:
Price Tower Art Center
510 S. Dewey Ave
Bartlesville, OK  74003
View map »


Sponsor: Women Artists of the West
Telephone: 918-494-5994
Contact Name: Helen F. Howerton, Publicity Chair
Website »

More information

Join the Tulsa chapter of the American Cancer Society as “Hope Takes Flight” at the 2018 Cattle Baron’s Ball. This year’s event promises to soar with an aviation themed...

Cost: $200/ticket

Where:
Christiansen Aviation, Jones Riverside Airport
8605 S Elwood Ave
Tulsa, OK  74132
View map »


Sponsor: American Cancer Society Tulsa chapter
Contact Name: Erin Cole
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Cost: Walk: $10; Run: $20

Where:
OneOK Field
201 N Elgin Ave.
Tulsa, OK, OK  74120
View map »


Sponsor: St. Jude Children's Research Hospital
Telephone: 405-541-9252
Contact Name: Ricky Cabello
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More information

The Green Country Watercolor Society welcomes all to its opening reception 6-8 p.m. Friday, Sept. 7, featuring beautiful works from local artists. The Green Country Watercolor Society was...

Cost: free and open to the public

Where:
McKeon Center for Creativity
910 S. Boston Ave.
TCC Metro Campus
Tulsa, OK  74119
View map »


Sponsor: McKeon Center for Creativity
Telephone: 918-595-7339
Contact Name: Cindy Barton
Website »

More information

Tulsa's River Parks Authority is pleased to announce the return of Monarchs on the Mountain, a festival celebrating the vital role Eastern Oklahoma plays in the Monarch Butterfly migration will...

Cost: Free

Where:
Turkey Mountain Urban Wilderness Area
6850 S. Elwood Ave
Tulsa, OK  74132
View map »


Sponsor: Tulsa Riverparks Authority
Telephone: 918-596-2008
Contact Name: Ryan Howell

More information

Artist T. C. Cannon was both a Vietnam War veteran and a member of the Kiowa Black Leggings Warrior Society. At this special event, join us in honoring both T.C. Cannon and the many veterans and...

Cost: Free with admission

Where:
Gilcrease Museum
1400 N Gilcrease Museum Rd
Tulsa, OK  74127
View map »

More information

Looking for a way to exercise your mind and body while having fun?  Laughter Yoga may be just what you're looking for.  This popular new class is low-impact and requires no special...

Cost: Free

Where:
LIFE Senior Services
5950 E. 31st St.
Tulsa, OK
View map »


Sponsor: LIFE Senior Services
Telephone: (918) 664-9000
Contact Name: Emily Fox

More information

Signified by the balance between day & night, the Autumn Equinox serves as an opportunity to retreat from the harried pace of life, reflect upon that which is coming to an...

Cost: $375

Where:
The Ofi House
34477 S 502 Rd.
Park Hill, OK  74451
View map »


Sponsor: YogaQuest
Telephone: (918) 622-5454
Contact Name: Dee Anne Day
Website »

More information

Orth Contemporary is pleased to present a solo exhibition of new Silver Deposit paintings by Jimi Gleason on view at the gallery from September 7ththrough October 19th.    ...

Cost: free

Where:
Orth Contemporary
20 South Lewis Avenue
Tulsa, OK  74104
View map »


Telephone: (918) 565-9404
Contact Name: Katie
Website »

More information

Orth Contemporary is pleased to present a solo exhibition of new Silver Deposit paintings by Jimi Gleason on view at the gallery from September 7ththrough October 19th.    ...

Cost: free

Where:
Orth Contemporary
20 South Lewis Avenue
Tulsa, OK  74104
View map »


Telephone: (918) 565-9404
Contact Name: Katie
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Join us to celebrate 15 years of the Oklahoma Aquarium and the opening of our newest exhibit, the Polynesian Reef on September 22, 2018!  The new exhibit will showcase over 70 species of South...

Cost: 15.95

Where:
Oklahoma Aquarium
300 S Aquarium Drive
Jenks, OK  74037
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Sponsor: Oklahoma Aquarium
Telephone: 918-528-1577
Contact Name: Laura Long
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Teachers and administrators can ring in the school year with a sweet deal.   Every Sunday thru Thursday in September, a school ID will get teachers and administrators a half-priced Four...

Cost: 1/2 priced Four-Course Classic

Where:
The Melting Pot of Tulsa
300 Riverwalk Terrace #190
Jenks, OK  74037
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Telephone: 918-299-8000
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The Oklahoma Aquarium will celebrate the grand opening of the newest exhibit, The Polynesian Reef, with Luau open to the public. The Polynesian Reef Exhibit will be the second largest exhibit at...

Cost: free

Where:
Oklahoma Aquarium
300 Aquarium Dr
Jenks, OK  74037
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Batman is coming to Broken Arrow! September 22 is the 4th annual Batman Day. Come in costume and meet some of your favorite characters. There will be a great charity auction full of wonderful items...

Cost: $10

Where:
The Salvation Army Boys & Girls Club of Broken Arr
1400 W Washington
Broken Arrow, OK  74011
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Sponsor: The Salvation Army Boys & Girls Club of Broken Arrow
Telephone: 918-258-7545
Contact Name: Wendi Bowman
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The Oklahoma Swing Syndicate (TOSS) hosts a Swing dance and lessons  The Oklahoma Swing Syndicate (TOSS) is the only UNESCO recognized dance organization in Oklahoma.  We are a 501c3...

Cost: $7

Where:
Community Center - South Minister Presby Church
3500 So Peoria
1/2 west of Peoria, on 35pl behind the church
Tulsa, OK  74102
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Sponsor: The Ok Swing Syndicate
Telephone: 918-450-691
Contact Name: Rita Robbins
Website »

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TULtalk


Fall Arts Guide: September-December 2018

Bright lights. Big city. Tulsa has a plethora of performances this season. Mark your calendars for some new entertainment and returning favorites.

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Episode 3: Chef Kirk Swaby from Gathering Place

In anticipation of the Sept. 8 opening of the historic park, Anna interviews Kirk Swaby about his work as the Gathering Place's Culinary Executive Chef.

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Wizard World and the strange power of celebrity

Kato Kaelin, who has his own complicated relationship with fame, comes to Tulsa to serve as the emcee for a pop culture convention.

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Video: Aerial tour of Gathering Place

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Q&A with Don Tomkalski

Longtime sports information director at the University of Tulsa

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