Dr. Joyce: Almost a Million Twitter Followers and 71 Years Young

Winnie Sun ,

Opinions expressed by Forbes Contributors are their own.

An interview with

Dr. Joyce Knudsen

Dr. Joyce Knudsen, PhD, is an internationally published author of ten books, a successful entrepreneur, the CEO of The ImageMaker, Inc. Communications Group, and a a social media maven with a massive social network that is closing in on one million people.

She is also the youngest 71-year old I know.

Afflicted in childhood with a vision impediment that prohibits her from driving, Knudsen overcame the limitations put upon her and launched a company that helps others overcome theirs. She helps clients understand and improve the image they project through their appearance, communication style, and behavior. On a deeper level, she helps clients address the self-esteem issues that hold them back: “I think of failure, according to other people’s standards, as a starting point for my path toward even bigger success,” she said, and she coaches her clients to do the same.

Knudsen launched her home-based image consulting business in 1985. She obtained her doctorate at age 54 and started building her social media empire in 2009. These days, she works around-the-clock to keep up with her international clientele and substantial social network. Between Skype calls and social engagements, Knudsen squeezes in time to work on her eleventh book, entitled “Refusing to Quit: True Stories of Women Over 60.” She seems perfectly suited as one of its subjects.

Knudsen strives to make a difference in at least one person’s life every day. She once helped a six-month coma survivor regain her confidence after a traumatic accident, and that client now owns her own business. She also helped another client achieve her goal of becoming the President of the American Veterinarian Association. “If I don’t [help someone] by the time I’m falling asleep…I reach out on social media. I love the interaction,” she said.

The positivity Knudsen espouses is an inspiration to older women who are fast approaching traditional retirement age and will continue to work, either by necessity or by choice. According to a 2014 Transamerica Retirement Survey, more than half (52%) of working women plan to continue working after they retire. Three out of five women over the age of 65 cannot afford to cover their basic needs, which forces them to stay in or return to the workforce indefinitely.

Why are older women so strapped for cash? It seems to come down to one simple fact: women live longer but earn just 78% of what men earn, according to a 2014 report from the White House Council of Economic Advisers. The lingering effects of a recession combined with threats of Social Security benefits cuts make retirement planning difficult, but the truth is, the advantages of working past 60 may exceed the supposed downsides.

Financially, working past the traditional retirement age makes sense. The longer you can hold on to your employer-paid contributions to your 401(k), the better. Continuing to work past 60 means you’re living off a paycheck instead of drawing from your savings, allowing you to continue feeding your retirement funds. Healthinsurance provided through work can be cheaper than Medicare and provide you with more comprehensive coverage.

But even more than that, science shows that working longer keeps you younger. Ceasing work can be detrimental to your health. Retirement often means participating less in both mental and physical activities, which means both the mind and body begin to deteriorate.

Retirement can also lead to a drop in self-esteem since so many people tie self-worth to their jobs. Combine that with fewer personal interactions with other people on a day-to-day basis, and you have a recipe for loneliness and depression.

Dr. Joyce certainly is not the type of person who lets age limit her goals or allows modern culture to dictate what older generations are capable of doing. She firmly believes that age does not determine a person’s worth in the job market, and workforce studies back her conviction. According to CareerBuilder.com, 54 percent of employers hired workers ages 60+ in 2014, up from 48 percent in 2013. A 2015 AARP study makes the case that mature workers ages 50+ are highly valuable within many organizations — particularly in industries such as healthcare or energy that require highly skilled workers or those with unique skill sets. These older workers scored high marks for listening, writing and communication skills, leadership qualities, and a high level of employee engagement.

To women who may feel inferior because they must work well into their 60s and 70s out of financial necessity, Knudsen would encourage them to look at what might appear to be failure as an opportunity instead. “You can’t think [working past traditional retirement age] is a bad thing, but a step towards success,” she said. “You have to push yourself to keep going, be persistent, and believe in yourself.”

It should come as no surprise that Knudsen doesn’t ever want to stop working. She dismisses the idea of retirement completely. “No, it’s a silly question,” she says. “I have so much fun, and I hope I live long enough to do it all. I’m going to be 100. I want to be one of those centenarians.”

Knudsen’s story is evidence that a thriving work life past 60 is not only possible, but also rewarding. She is one of five entrepreneurs profiled in my free eBook The Modern Entrepreneur, Secrets to Building a Thriving Business from Home,” which I wrote in collaboration with personal finance community MoneyTips.com. The study found that 97% of successful entrepreneurs who work from home truly enjoy it, making it an attractive option for workers over 60 who still want or need to work.

Winnie Sun is the Managing Director and Founding Partner of Sun Group Wealth Partners, a trusted financial consulting firm providing financial planning services to small business owners, senior executives, celebrities, tech elite, and established families throughout the West Coast. She has appeared on CNBC Closing Bell, Fox Business News, Huff Post LIVE, and is host of the The Renegade Millionaire show, and founder of the TheMillennialStudy.com. Follow her isms on Twitter@sungroupwp.

Winnie Sun is a registered representative with, and securities offered through LPL Financial, member FINRA/SIPC. Investment advice offered through Sun Group Wealth Partners, a registered investment advisor and a separate entity from LPL Financial.

IONS on Aging Consciously

Want to practice conscious aging?

The Institute of Noetic Sciences, a member of the Conscious Aging Alliance, has identified nine practices to help people engage in life fully:

1. Reflect on your worldview, beliefs, stereotypes, and assumptions. How might they be limiting you or holding you back?

2. Reframe Your Inner Talk. Take note of your critical self-talk… reframe these internal messages as more positive and self-compassionate.

3. Shift Your Perspective away from the popular media and the weapons of “mass distraction” that shape the dominant culture’s view of aging. Find opportunities to pause and ask yourself where you find joy, goodness, and connections.

4. Practice Mindful Attention. Bring your attention toward greater self-awareness. What do you need to surrender or leave behind? How can you conserve your energy for what has heart and meaning? What still needs healing or forgiveness?

5. Set Intentions. Ask yourself, “What matters most? What values do I want to adhere to?”

6. Build New Habits. Challenge your brain with new learnings, explore new activities…or do something new every day.

7. Find Guidance. Connecting with others offers a way of living into new patterns and behaviors.

8. Move from I to We. Altruism and compassion born of shared destiny, rather than duty or obligation, can emerge and add joy and purpose to your actions.

9. Death Makes Life Possible. As people grow older, as they come to face their own mortality, they can bring greater awareness to the transformative process that allows a deeper experience of their life journey.

Live it forward

I agree, growing older shouldn’t mean an end to our growth. As philosopher Søren Kierkegaard noted, “Life can only be understood backward, but it must be lived forward.” Sounds like a fine future to look forward to!

From Ambition to Meaning

From Dr. Wayne Dyer

Left Quote Marks

The direction we take in life is far more significant than the placeego parks us in, in the present moment.

If we persistently listen to the demands of ego, we move away from our Source of being. The ego insists on pursuing more: more stuff, accomplishments, status, triumphs, and money. More is the mantra of the ego, fueling endless striving with a false promise of eventually arriving. However, every assured arrival point is seductively transformed to a desire to strive for even more, unless we choose to make a shift in the direction our life is taking.

The shift begins in the process of halting the momentum and self-importance of the ego, but then we must proceed with the work of derailing and rerouting it in the opposite direction. This doesn’t mean we lose our drive; rather, it signifies that our drive is realigned with a life based on experiencing Meaning and feeling purposeful.

Ambition is now fueled by our Source of being, and it’s vibrating at a higher frequency than the false self fueled by ego. Returning to our natural Source puts us on track to a way of life that supports the potential wholeness that we are.

Here’s what happens when we make the U-turn From Ambition To Meaning:

1. We shift to personal empowerment. Our ego self has always focused on external power. As we move toward Spirit, though, we replace ego’s need to influence external situations or other people with a preference for personal empowerment. We stop fighting ego’s endless battles and instead shift to Meaning. We do this through conscious compassionate curiosity, and caring first and foremost for our inner self. Noninterference becomes a higher priority than being right or dominating others.

2. We see ourselves connected to everyone. Ego feels separate and distinct from others, a being unto itself. As we move back to Spirit, we recognize our connectedness. The essence of living a life on purpose is to think like God thinks, and the creative Source of all life is just that—responsible for all life. We all share the same Source and have the same destiny. Seeing ourselves as a part of everyone eliminates the need to compete with anyone.

3. We are motivated by ethics, serenity, and quality of life. Ego is motivated by external achievement, performance, and acquisitions. As we move back to Spirit, we shift our focus to internal pursuits. Our preparation for living a life of purpose involves a major shift in attitude in the direction of feeling peaceful, being honest, and assisting others.

4. We shift to the possibility, even the expectation, of miracles being a part of life. As we move toward originating Spirit, ego’s investment in a scientific cause-and-effect interpretation of life is diluted. We acknowledge the presence of the mysterious and unfathomable, and we relinquish skepticism by relying less on our senses and much more on our intuitive knowing.

5. We pursue a meditation practice. Ego eschews the practice of meditation and often labels it as a waste of time—or even worse, lunacy. Shifting to our Source of being leads us to seek silence to consciously contact God as a natural component of a meaningful life.

6. We begin to recognize ourselves in nature’s beauty and intricacy. Ego’s interest in contemplating the beauty of nature is minimal. When we journey back in the direction of Spirit, our interest in the miracles that appear in the natural world is endless. Out of this grows our preference to live in harmony with this universe, rather than to exert influence and power over it.

7. We are less judgmental, and we easily understand and forgive. Ego is rather adamant about the importance of seeking revenge. Shifting to Source causes us to enjoy opportunities to practice forgiveness. Pursuing and achieving vengeance, retaliation, and reprisal prevent us from feeling purposeful and living a life of Meaning. We become truly sensitive to the edict that we don’t define others by our judgments; we are simply defining ourselves as people who need to judge.

Right Quote Marks

Aging is a Triumph, Not a Tragedy

So spake the great geriatrician, psychiatrist and elder advocate, Robert N. Butler, who died in December 2010. According to his biographer, W. Andrew Achenbaum, he helped

“…to transform the study of aging from a marginal specialty into an intellectually vibrant field of inquiry.”
Personally, I doubt I would have become an elder advocate myself without having had Butler’s books to teach me.

Robert N. Butler cover artRobert N. Butler, M.D. is the title of this just-published biography of the great man who won a Pulitzer Prize for his 1975 book, Why Survive? Being Old in America and before that, in 1968, coined the term “ageism” as an analog to racism and sexism.

”Butler well understood that ignorance, prejudice, and stereotypes clouded the vision of vital, productive, fruitful aging that he wished to promulgate,” writes Achenbaum.

“In late life,” he continues, “Butler concluded that ageism was even more pernicious than he initially had realized…Butler now called ageism a disease, a morbid fear of decline and death that crippled individuals.”
Robert Butler may not have crushed ageism during his long career but his other achievements transformed attitudes and beliefs about old age that continue to help elders’ well being now and will continue to do so into the future.

Butler was appointed by President Gerald Ford to be the first director of the National Institute on Aging. Later he established the first U.S. department of geriatrics at Mount Sinai Medical Center in New York City.

In 1990, he founded the International Longevity Center (ILC-USA) to pursue the study of health and productivity of old people. Among the organization’s projects was the Age Boom Academy created in 2000 to

”…deepen the understanding on the part of 150 journalists of how the perils and promises of societal aging affected their respective news beats. Ideas germinated in the academy often found mass circulation,” explains Achenbaum.
In 2009, I was privileged to be one of the dozen journalists that year at the week-long Age Boom Academy – all expenses, as every year, paid in full. Dr. Butler brought together the crème de la crème of age researchers and experts from every sub-field imaginable and by the end, it was like being granted a masters degree in aging. Here is one of my stories about the Age Boom Academy.

[DISCLOSURE: Achenbaum quotes from my 2008 interview interview with Dr. Butler which you can read here.]

Achenbaum, who is professor of social work and history in the Graduate School of Social Work at the University of Houston, does a fine job of recounting Butler’s achievements that benefit elders – the remarkably large number of reasons the book is subtitled, Visionary of Healthy Aging.

But it is the many quotations from Achenbaum’s previously unpublished conversations with Butler along with the book’s epilogue – Butler’s unfinished “life review” in his own words – that most captured my attention.

Some thoughts from Butler you too may find provocative:

“Why do we have so much trouble enjoying the moment? This was not as true when we were children.”
“When a young person writes a novel he writes an autobiography; when an old person writes an autobiography, he writes a novel.”
“There is a dark side to the lives of those of wealth and privilege; they do not need to carry out the most elemental aspects of existence, the preparing of their own food and taking care of their own personal needs. In a perverse sense, elementality is a luxury of poverty.”
“Old age is no longer equivalent to disease, infirmity, frailty, decrepitude and slowing down. The brain is proving to be subject to repair and growth and this plasticity promises greater cognitive health.”
“The challenge is how to better understand, shape and value this new old age. Older persons themselves should define this portion of their lives, and not passively allow the culture to do so.

“They are the pioneers who have interest in the redefined old age and do not accept aging and disability as inevitable, unpreventable and untreatable. Society and culture, of course, have catching up to do.”

A Doctor Speaks Out About Ageism In Medicine

By Judith Graham MAY 30, 2019

(KHN Illustration/Getty Images Plus)

NAVIGATING AGING

Navigating Aging focuses on medical issues and advice associated with aging and end-of-life care, helping America’s 45 million seniors and their families navigate the health care system.

To contact Judith Graham with a question or comment, click here.

Join the Navigating Aging Facebook Group.SEE ALL COLUMNS

Society gives short shrift to older age. This distinct phase of life doesn’t get the same attention that’s devoted to childhood. And the special characteristics of people in their 60s, 70s, 80s and beyond are poorly understood.

Medicine reflects this narrow-mindedness. In medical school, physicians learn that people in the prime of life are “normal” and scant time is spent studying aging. In practice, doctors too often fail to appreciate older adults’ unique needs or to tailor treatments appropriately.

Imagine a better way. Older adults would be seen as “different than,” not “less than.” The phases of later life would be mapped and expertise in aging would be valued, not discounted.

With the growth of the elder population, it’s time for this to happen, argues Dr. Louise Aronson, a geriatrician and professor of medicine at the University of California-San Francisco, in her new book, “Elderhood.”

It’s an in-depth, unusually frank exploration of biases that distort society’s view of old age and that shape dysfunctional health policies and medical practices.

In an interview, edited for clarity and length, Aronson elaborated on these themes

Q: How do you define ”elderhood”?

Elderhood is the third major phase of life, which follows childhood and adulthood and lasts for 20 to 40 years, depending on how long we live.

Medicine pretends that this part of life isn’t really different from young adulthood or middle age. But it is. And that needs a lot more recognition than it currently gets.

Q: Does elderhood have distinct stages? 

It’s not like the stages of child development — being a baby, a toddler, school-age, a teenager — which occur in a predictable sequence at about the same age for almost everybody.

People age differently — in different ways and at different rates. Sometimes people skip stages. Or they move from an earlier stage to a later stage but then move back again.

Let’s say someone in their 70s with cancer gets really aggressive treatment for a year. Before, this person was vital and robust. Now, he’s gaunt and frail. But say the treatment works and this man starts eating healthily, exercising and getting lots of help from a supportive social network. In another year, he may feel and look much better, as if time had rolled backwards.

Q: What might the stages of elderhood look like for a healthy older person?

In their 60s and 70s, people’s joints may start to give them trouble. Their skin changes. Their hearing and eyesight deteriorate. They begin to lose muscle mass. Your brain still works, but your processing speed is slower.

In your 80s and above, you start to develop more stiffness. You’re more likely to fall or have trouble with continence or sleeping or cognition — the so-called geriatric syndromes. You begin to change how you do what you do to compensate.

Because bodies alter with aging, your response to treatment changes. Take a common disease like diabetes. The risks of tight blood sugar control become higher and the benefits become lower as people move into this “old old” stage. But many doctors aren’t aware of the evidence or don’t follow it.

Q: You’ve launched an elderhood clinic at UCSF. What do you do there?

I see anyone over age 60 in every stage of health. Last week, my youngest patient was 62 and my oldest was 102.

I’ve been focusing on what I call the five P’s. First, the whole person — not the disease — is my foremost concern.

Prevention comes next. Evidence shows that you can increase the strength and decrease the frailty of people through age 100. The more unfit you are, the greater the benefits from even a small amount of exercise. And yet, doctors don’t routinely prescribe exercise. I do that.

It’s really clear that purpose, the third P, makes a huge difference in health and wellness. So, I ask people, “What are your goals and values? What makes you happy? What is it you are doing that you like best or you wish you were doing that you’re not doing anymore?” And then I try to help them make that happen.

Many people haven’t established priorities, the fourth P. Recently, I saw a man in his 70s who’s had HIV/AIDS for a long time and who assumed he would die decades ago. He had never planned for growing older or done advance care planning. It terrified him. But now he’s thinking about what it means to be an old man and what his priorities are, something he’s finally willing to let me help him with.

Perspective is the fifth P. When I work on this with people, I ask, “Let’s figure out a way for you to keep doing the things that are important to you. Do you need new skills? Do you need to change your environment? Do you need to do a bit of both?”

Perspective is about how people see themselves in older age. Are you willing to adapt and compensate for some of the ways you’ve changed? This isn’t easy by any means, but I think most people can get there if we give them the right support.

Dr. Louise Aronson(ANNA KUPERBERG PHOTOGRAPHY)

Q: You’re very forthright in the book about ageism in medicine. How common is that?

Do you know the famous anecdote about the 97-year-old man with the painful left knee? He goes to a doctor who takes a history and does an exam. There’s no sign of trauma, and the doctor says, “Hey, the knee is 97 years old. What do you expect?” And the patient says, “But my right knee is 97 and it doesn’t hurt a bit.”

That’s ageism: dismissing an older person’s concerns simply because the person is old. It happens all the time.

On the research side, traditionally, older adults have been excluded from clinical trials, although that’s changing. In medical education, only a tiny part of the curriculum is devoted to older adults, although in hospitals and outpatient clinics they account for a very significant share of patients.

The consequence is that most physicians have little or no specific training in the anatomy, physiology, pharmacology and special conditions and circumstances of old age — though we know that old people are the ones most likely to be harmed by hospital care and medications.

Q: What does ageism look like on the ground?

Recently, a distressed geriatrician colleague told me a story about grand rounds at a major medical center where the case of a very complex older patient brought in from a nursing home was presented. [Grand rounds are meetings where doctors discuss interesting or difficult cases.]

When it was time for comments, one of the leaders of the medical service stood up and said, “I have a solution to this case. We just need to have nursing homes be 100 miles away from our hospitals.” And the crowd laughed.

Basically, he was saying: We don’t want to see old people; they’re a waste of our time and money. If someone had said this about women or people of color or LGBTQ people, there would have been outrage. In this case, there was none. It makes you want to cry.

Q: What can people do if they encounter this from a doctor?

If you put someone on the defensive, you won’t get anywhere.

You have to say in the gentlest, friendliest way possible, “I picked you for my physician because I know you’re a wonderful doctor. But I have to admit, I’m pretty disappointed by what you just said, because it felt to me that you were discounting me. I’d really like a different approach.”

Doctors are human beings, and we live in a super ageist society. They may have unconscious biases, but they may not be malicious. So, give them some time to think about what you said. If after some time they don’t respond, you should definitely change doctors.

Q: Do you see signs of positive change?

Absolutely. There’s a much larger social conversation around aging than there was five years ago. And that is making its way to the health system.

Surgeons are thinking more and more about evaluating and preparing older adults before surgery and the different kind of care they need after. Anesthesiologists are thinking more about delirium, which has short-term and long-term impact on older adults’ brains. And neurologists are thinking more about the experience of illness as well as the pathophysiology and imaging of it.

Then you have the age-friendly health system movement, which is unquestionably a step in the right direction. And a whole host of startups that could make various types of care more convenient and that could, if they succeed, end up benefiting older people.

Judith Graham: @judith_graham