Journey of Hope (Summer 2013)
Welcome to Journey of Hope, a magazine dedicated to our donors and the value that you bring to our mission each day. We offer a heartfelt thank you for your continuing support of the work we do at UT Health Northeast.
Announcing the arrival of our newest Varian TrueBeam! They might look like twins, but we can tell them apart. 06 10 The only news more wonderful than having ONE Varian TrueBeam is having TWO! We’re beaming with pride to announce the arrival of our newest ultramodern tool in the war against cancer. Since September 2011, our patients with cancer have beneﬁtted from what has become the next generation of radiation therapy. And now our newest Varian TrueBeam STX can treat even more complicated cancers, including tumors of the brain and spine, faster and with even more accuracy. 14 WELCOME UT HEALTH NORTHEAST HAPPENINGS RINGING WITH HOPE: STORIES OF CANCER SURVIVORS A BREATHTAKING STUDY ON COPD WALKING, TALKING, AND REACHING FOR THE SKY A FAMILY OF VOLUNTEERS 20 04 05 06 10 14 20 22 22 In the Next Issue Varian Tours of Excellence Reference Site It’s so exact, its precision in targeting tumors is measured at less than a millimeter – the size of a few grains of table salt. Why is that important to our patients? It targets the tumor, not the healthy tissues and organs around it. For more information, contact the Cancer Treatment and Prevention Center at UT Health. Herbert C. Buie has served 25 years on the Development Board (903) 877-7831 | 1 (855) 506-HOPE (toll-free) HIGHWAY 271 AT 155 | UTHEALTH.ORG We accept Medicare, Medicaid, and most commercial insurance. THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER THANK YOU, DONORS generous spirit of the Buie family. Welcome hat an exciting time to be a part of all that is happening at UT Health Science Center, and in 2013, we are poised for an even brighter future! Let me take this opportunity to introduce to you our new name: UT Health Northeast. Through much research, we discovered that our name is too long, so we are making it easier for our patients and our community to identify us. students who will graduate with a Master’s of Science degree in Biotechnology. Conbuilding, which will house new clinic space, classrooms, the new Watson W. Wise Medical Research Library, and an amphitheater for lectures. And, our Cancer Treatment and PrevenKirk A. Calhoun, M.D. President UT Health Northeast Happenings W Treatment and Prevention Center Opening Award from The University of Texas System Board of Regents First UT Health Northeast Renovation of the Building second TruBeam™ Linear Accelerator, which allows us to serve even more patients throughout Northeast Texas. You, our donors, have helped us accomplish these milestones through your generous support. You helped us fund the completion of the Cancer Treatment and Prevention Center in 2011. You have funded scholarships for deserving graduate students. You have supported our world-class biomedical research by funding seed grants for scientists with promising projects. Without you, we Our future is bright for 2013, and we’re just getting started. Thank you for your continuing support of UT Health Northeast! UT Health Northeast annexed by City of Tyler First Employee Giving Campaign in 10 Years UT Health Northeast is awarded East Texas UT Health Northeast 2013 Regional Corporate Citizen of the Year Award formed Mac Grifﬁth VP and Chief elcome to Journey of Hope, a magazine dedicated to our donors and the value that you bring to our mission each day. We offer a heartfelt thank you for your continuing support of the work we do at UT Health Northeast. Journey of Hope, you will see how many different ways your donations have enabled our physicians and staff to make a positive impact on the lives of East Texans. Through support from donors like you, we can offer new programs such as Pediatric Rehabilitation and the establishment of the Cancer Patient Support Services and Benevolence Fund, which is being used to launch a support group for cancer patients, expand education for them, and help with secondary costs of treatment. We can welcome students to our campus through scholarships, and we can conduct clinical and biomedical research that positively impacts the daily lives of our patients, as well as others around the world. We hope these stories will inspire you and show you how valuable you are to our team. Thank you for partnering with us in our efforts to provide comprehensive education, innovative research, and quality patient care throughout East Texas and beyond. W STARS Award Upcoming Events ASTHMA CAMP GOLF TOURNAMENT............................... OCTOBER 28, 2013 SIGNATURE FUNDRAISER............................ MAY 2014 Dr. Edward Sauter Dr. Torry Tucker STORIES OF OUR CANCER SURVIVORS smiles brighten. There’s a certain pride in the steps of the doctors, nurses, staff, and volunteers. It is the ringing of the center’s Volunteer Bell of Hope marking the completion of another patient’s cancer treatment. Alan Haynes, A s the sound of a bell joyfully echoes through the halls of the Cancer Treatment & Prevention Center at UT Health Northeast, patients’ spirits rise and bone pain, swelling in the legs, blood in the urine or After his diagnosis, Alan interviewed three of the top cancer clinics in East Texas and selected UT Health Northeast’s Cancer Treatment & Prevention Center. “I met their team of highly trained specialists and support staff, and I saw that the center’s advanced technology rivaled other national cancer centers. UT Health answered all my questions regarding staff expertise and the technology they would dent in my choice.” “We open all available doors so everyone can be included in the celebration,” said Timothy Ochran, Associate Vice President of Cancer Services. “The bell can be heard throughout the department, and the sound brings thoughts of happiness to our patients, along with the knowledge that there is always hope.” Two patients who have recently completed their journey of hope at the Cancer Treatment & Prevention Center and have participated in the center’s bell ceremony are Becky Johnson, 59, and Alan Haynes, 73. Treatment and Prevention Center, rings the Volunteer Bell of Hope. “ “I met their team of highly trained specialists and support staff, and I saw that the center’s advanced technology rivaled other national cancer centers... I was completely conﬁdent in my choice.” – Alan BECKY — Becky’s treatment program consisted BECKY — With a family history of breast cancer, Becky feared that it was only a matter of time before she, too, would be diagnosed. But when that moment came, she learned that she instead suffered from a blood cancer, chronic lymphocytic leukemia (CLL), generally found in older adults. As her condition quickly advanced to Stage Three, Becky experienced a compromised immune system, enlarged spleen and neck lymph nodes, and constant fatigue. The majority of her treatment took place at the Treatment & Prevention Center at UT Health, which not only provided the chemotherapy that she needed, but a convenient location for her care as well. bone marrow biopsy. When I got the report, I couldn’t believe what it said. There was no indication of lymphoma or CLL. My cancer was wiped out.” of receiving chemotherapy infusions of FCR (Fludarabine, Cyclophosphamide, and Rituxan), the gold standard of chemotherapy, once a month for six months. “It was hard, but compared to what other people can go through, I was pretty lucky,” recalled ALAN — With prostate cancer, malignant (cancer) cells form in the tissues of the prostate. Radiation therapy focused on Alan’s prostate gland using high-intensity beams to destroy the cancer cells was the treatment prescribed. The center’s Varian TrueBeam™ linear accelerator is among the most current radiation technology available today in already taken delivery on the newest version, the TrueBeam™ XTS. The treatment of cancer can be deeply life-changing with a host of emotional and physical challenges that require care that goes beyond just treating ALAN antigen (PSA), Alan was carefully monitored for prostate cancer over a three-year period. A small tumor was discovered. “I considered the multiple options for treatment and decided on radiation ALAN - CANCER SURVIVOR therapy to eliminate the problem.” Prostate cancer is most prevalent among older men. According to The Centers for Disease Control and Prevention, 241,740 new cases of prostate cancer could be diagnosed in a year’s time. Symptoms can include the disease. “The emotional bond between our patients and our staff allows us to build a relationwith them, side-by-side,” said Mr. Ochran. “The entire staff, doctors, nurses, and caregivers, were present for my ringing of the Bell of Hope. I was impressed with their participation in the celebration and their dedication in giving the best patient care possible. I was thankful that I had chosen UT Health Northeast for my treatments.” Having successfully completed their cancer treatments, Becky and Alan have returned to their lives with a passion. BECKY — “I really depended on the medical team at the Cancer Treatment & Prevention Center,” Becky said. “They have become like a part of my family. I could call them anytime, especially when I got really, really sick.” Cancer Treatment and Prevention Center For over 30 years, East Texas cancer patients have found hope and comprehensive care at UT Health Northeast. In the fall of 2011, UT Health opened its new Cancer Treatment & Prevention Center. The dedication of the new center took place on November 15, 2011. “The sky’s the limit on what the future holds with our state-of-theart technology and outstanding, experienced staff. That excitement is amazing care in an equally amazing facility,” said Cody Boyd, Director of Oncology Services. Currently, there are over 30 cancer-related research studies being conducted at UT Health Northeast Center for Clinical Research, on diseases and treatments including prostate cancer, Hodgkin’s and non-Hodgkin’s lymphomas, multiple myeloma, chemotherapy, radiation therapy, and multiple breast cancer studies, including new prevention tumors. For more information on the Center for Clinical Research, call 903.877.7753. ALAN — Alan, too, found that his relationship with the center’s staff helped him through his canFollowing the cer journey. “They are truly committed to compassionate care, and they deliver on their pledge to be a true destination of hope. I left treatment knowing I had received the best care possible, and that I had met a team of people I now proudly call friends.” “Thanks to the center, I’ve ﬁnally got it through my entire being that I can just live life again.” - Becky BECKY — “I am doing my best now. I feel re-energized,” Becky said. “My physical body is not as strong yet, but they said to give myself six months to get over the chemo. Thanks to tire being that I can just live life again.” BECKY — The bell ceremony for Becky came at the end of her sixth months of treatment. “It was a total surprise to me,” Becky reminisced. “One of the nurses said, ‘Wait a moment,’ and then they came ALAN — Always an optimistic and active outdoorsman, Alan follows his ing, as well as daily exercise with his senior walking group, “The Early Morning Risers.” “I am positive that we have solved my prostate cancer problem,” he said. “My 90day PSA was perfect, and I have resumed my quest to enjoy an active life in my later years. I choose to be happy. It seems to work.” Like the ringing of the Volunteer Bell of Hope, the ed crying. I was almost afraid to believe it was over. I’ll never forget the wish I made when I rang the bell, ‘I hope I never have to do it again.’” dedication, care, and compassion of the doctors, nurses, technicians, and staff of the Cancer Treatment & Prevention Center echo through the lives of their patients providing them with hope for the future and helping them to become cancer survivors. The Volunteer Bell of Hope the Cancer Treatment & Prevention Center at UT Health Northeast have rung the Volunteer Bell of Hope. The 16-inch diameter bell was a gift from the center’s volunteers and can be wheeled wherever the patient wishes for his or her bell ceremony, completion and may select a song to be played for the ceremony. The song of choice most often is “Hit the Road, Jack.” The Volunteer Bell of Hope was designed and forged by the C.S. Bell Company in Hillsboro, OH, renowned for their customized bells since 1858. How You Can Help If you would like to support the inspirational work of UT Health Northeast’s Cancer Treatment & Prevention Center with a gift or ment at 903.877.5135. ALAN — Having completed his cancer therapy last October, Alan recalled his bell experience. A Breathtaking Study on COPD “WE’RE DEVELOPING WAYS FOR PEOPLE TO SUCCESSFULLY DO THIS REHABILITATION AT HOME AND CONTINUE IT IN THEIR EVERYDAY LIVES.” Dr. David Coultas J ust picture it. You’re trying blow up a balyour lungs are like that balloon. No matter To overcome these barriers, Dr. Coultas and his team are teaching people how to manage their COPD with a three-pronged program of regular physical activity, education, and counseling. “We’re developing ways for people to successfully do rehabilitation at home and to continue doing it in their everyday lives, after the study ends,” he says. Anne and Sherry are two of the 300 people with COPD who have participated in the study. They have studied and completed workbooks about how to manage COPD, exercised regularly, and answered phone surveys. A health counselor provided advice and support by phone and continues to follow up with them. “It was a like a class, except I did it at home,” Sherry says. Teaching people with COPD the importance of regular physical activity and convincing them to keep it up is important. They need at least 30 min“People with COPD who avoid physical activity lose more lung capacity, making breathing even tivity and their lung capacity dwindles even more. Their shortness of breath gets worse and worse,” Dr. Coultas adds. how hard you inhale, they won’t expand, and you can’t catch your breath. You feel like you’re suffocating, all the time. That’s what life is like for people with chronic obstructive pulmonary disease (COPD), the third leading cause of death in the United States. Anne Simulcik, 74, and Sherry Lambert, 56, know this feeling all too well. Anne was diagnosed with COPD following a serious battle with breast cancer in 1988. She had to use a cane and couldn’t walk short distances without gasping for breath. Walking to her mailbox was an ordeal, and she felt her independence slipping away with every breath. Sherry learned of her COPD during a visit to her cardiologist six years ago. Since then, her condition had worsened so that she needed to be on supplemental oxygen all the time. She also struggled with bouts of depression because of her illness. David Coultas, MD, a lung disease specialist at UT Health Northeast, wants to improve the lives and health of people like Anne and Sherry. In 2009, he the National Institutes of Health (NIH) to determine if showing people with COPD how to do pulmonary rehabilitation in their own home will improve their health and quality of life. Pulmonary rehabilitation – in which COPD patients learn how to manage their own illness and do regular physical activity such as walking – can really help people with COPD. Yet less than 2 percent of them use pulmonary rehabilitation services, because didn’t give up. “Now, I actually walk without my cane and don’t have to stop every few minutes. I can take my dogs for walks and go up a very steep incline to get to our truck. That was my goal, to do that without stopping and gasping,” she says proudly. For her part, Sherry has learned how to keep her lungs as healthy as possible. “I loved the whole experience. These days, my husband and I really enjoy walking together, even though he still gets tired of waiting for me sometimes,” she says, laughing. Despite the severity of her disease, Anne has gained a measure of control over it. “I am more self- for eight to 12 weeks. Many people with COPD are X-Ray of Healthy Lungs 70 years of age or older or live in rural areas tens or hundreds of miles from these services, making it hard for them to participate. X-Ray of Lungs with COPD Anne values the health coaches who counseled her and other participants over the phone. “It’s very encouraging to have someone so knowledgeable talk you through the program. It gives you the will and And both women have only praise for UT Health Northeast’s staff. Sherry says, “It’s one of the best places I’ve been.” Now that they can better manage their COPD, Sherry and Anne share their experiences with others. “I have a friend in Florida with COPD. I’ve explained some of the things I’ve learned, like by Dr. David Coultas way that patients throughout East Texas and beyond manage their COPD and quality of life. “YOUR MENTAL HEALTH IS REALLY IMPORTANT...THIS PROGRAM HELPS ME DEAL WITH EVERYDAY SITUATIONS.” Sherry the need for exercise, and it’s really helped him,” Anne says. Sherry worries about the smokers in her family and the possibility that they will develop COPD. “I would like to think that what I’ve learned could ing, and that means a lot to me,” she adds. In addition to Dr. Coultas, the COPD study team includes researchers from UT Health Northeast, as well as collaborators John Sloan, Ph.D., The University of Texas at Tyler; Karan Singh, Ph.D., the University of North Texas School of Public Health; Sejong Bae, Ph.D., University of Alabama School of Medicine at Birmingham; and health psychologist, Jay Ashmore, Ph.D., Baylor Regional Medical Center at Plano. COPD study TAKING ON COPD While you may recognize the term chronic obstructive pulmonary disease, or COPD, you may not know that it’s the thirdleading cause of death in the United States. It affects 5.5 percent of all Texans, and East Texas has a high concentration of people living with COPD. Smoking is the main cause of COPD, which is characterized by emphysema or bronchitis, and sadly, is incurable. However, some symptoms can be managed thanks to the research and tireless work of expert lung disease specialists across the country, including the team at UT Health Northeast led by Dr. David Coultas, pulmonologist and physician-in-chief. Transportation to and from the medical facilities that offer this therapy can be a barrier for those living in rural areas, particularly older patients. Dr. Coultas’ answer is a three-pronged program that combines education and counseling with selfmanaged physical activity. Of the 4,000 East Texas patients referred to the grant-funded program by their doctors, 300 participants were randomly selected to participate in the program. When it ends in summer 2014, Dr. Coultas hopes local health facilities will continue the program, so that people with COPD will develop a better understanding of their illness and how to better control the quality of their lives. Completing a developed mind on pleasant things. I don’t have the stress and anxiety any longer, and I can breathe easier,” she says. Sherry echoes Anne’s comments. “Your mental health is really important. Sometimes you just don’t HOW YOU CAN HELP To help support continued research into pulmonary diseases such as COPD by Dr. Coultas and Institutional Advancement at 903.877.5135 to discuss becoming a donor or setting up a gift as part of your estate planning. important part of her home treatment program. understand what’s wrong with you, and you can become depressed. This program helps me deal with everyday situations. I still have bad days, but my life is better,” she says. to be able to do. But for 20-month-old Jeremiah, mastering these simple things is nothing less than miraculous. That’s how his family sees it. Jeremiah is a bright-eyed toddler who steals the hearts of everyone he meets, despite the challenges of being developmentally delayed and suffering from weakness and low muscle tone. Fortunately, there’s a place that is helping Jeremiah overcome these challenges – the Pediatric Rehabilitation Outpatient Clinic at UT Health Northeast. “We chose the Pediatric Rehab Clinic because of its reputation in the community. We like the facility, and we like that they’re adding services and improving the clinic all the time,” says Jeremiah’s mother, Torey. When the clinic’s occupational therapist Lynnette Molkentin and physical therapy assistant Mona Crow began working Now, Jeremiah can crawl and is learning how to squat, one step closer to standing up on his own. His family and his therapists have no doubt he will do that one day. Jeremiah is just one of the many children and their families who have found hope and healing at the clinic, which works with children from birth to 21 years of age. “The breadth of experience of our therapists is unique. The team approach is very important to us. Very few clinics have all three disciplines: physical therapy, occupational therapy, and speech and language therapy,” says Director of Rehabilitation Services Caryn Vorsas, a physical therapist. Adds Lynette, “We communicate constantly, and reinforce what each other does.” Besides Caryn, Lynnette, and Mona, the clinic’s highly trained staff includes speech-language pathologist Ruth Fadely and physical therapist Cindy Heimbaugh. Together, they provide comprehensive, personalized care. Clinic therapists treat a wide range of physical conditions and developmental disabilities related to cerebral palsy, spina disorder (ADHD). To accommodate working parents’ busy schedules, the clinic offers extended hours. After a physician determines that a young patient needs therapeutic intervention, the doctor can refer them to the clinic to be tested and evaluated. Based on the results, the therapy team develops an individualized program and a home program, and coordinates these programs with the child’s school therapists. At the clinic, which opened this past August, the focus is always on the child. Each and every day, the team’s primary goal is to ensure fun for its patients the therapists at UT Health Northeast’s supported by a toddler-sized walker. The strong bond of trust between Jeremiah and his therapists is evident. “He loves Lynnette and Mona so much. They’re encouraging, very motivating, and goal oriented,” his mother says. “We feel blessed, and we’re really proud of how far Jeremiah has come.” Listening to 8-year-old Madison chatter away with clinic staff, it’s hard to believe that she once was unable to speak. “Madison couldn’t talk, couldn’t use words. She could only make sounds to express herself,” recalls her mother, Jennifer. Diagnosed at the age of 5 with DiGeorge Syndrome, a condition affecting the heart and the soft palate of the mouth, Madison has undergone four heart surgeries, as well as reconstructive palate surgery during her short life. Because of the severity of her condition, her parents were afraid that she might never be able to speak. But that was before Madison began speech and son used images on an augmented communication skills, functional/vision skills, and the ability to perceive, process, and respond to the environment. therapist, Ruth Madison to improve (Lower) Madison demonstrates the use of an augmented that their patients function at their highest level and become more independent. Much of Jeremiah’s therapy involves play, although he enjoys “working” for a reward of popcorn. To improve the range of motion in his upper body, he reaches for his favorite toys or catches bubbles. To build the strength, balance, and muscles needed SLP A Speech-Language Pathologist provides therapy for patients with a variety of types of speech, language, voice, cognitive/ communicative, and swallowing disorders. bubbles. for walking, Jeremiah rides his faithful toy steed and Jeremiah was not able to hold his head up; nor could he crawl, roll, put his feet on the ﬂoor, or even reach for things. For their part, Lynnette and Mona believe that Jeremiah will eventually be able to walk with assistance. And they want to help him achieve more – to master walking independently. The parents and caregivers of Jeremiah and the other patients are also important members of the clinic team. Caryn puts it this way, “Parents, grandparents, and primary caregivers are the key to real progress.” In Jeremiah’s case, it’s his grandmother, his “Mee-maw,” who brings him to the clinic every Tuesday and Thursday and cheers him on. When one of its patients graduates from their therapy program, the team celebrates it. “Nothing makes us happier than getting a call from a parent talking about how active their child is, or how they can’t get them to stop talking. It means we’ve done our job, and that makes us happy,” Caryn says. the Bible verse, Jeremiah 29:11—“For I know the plans I have for you…plans to give you hope and a future.” Thanks to the expert care and compassion of therapists at UT Health Northeast’s Pediatric Rehabilitation Outpatient Clinic, Jeremiah’s future is bright and full of hope. OT An Occupational Therapist focuses on helping their patients achieve functional outcomes, as well as helping patients achieve the highest level of independence PT that these devices are often the best way to help a child communicate. We will also use adaptive communications, such as pictures and computers,” Ruth explains. After working closely with Ruth for a number of years, Madison no longer depends on the device. And Madison, an outgoing second-grader with a lot to say about everything, is one of the clinic’s most talkative patients. “Now we are working on her articulation, and ensuring that Madison has enough breath support so she can speak without sounding nasal,” Ruth says. Nothing makes Madison prouder than being in a regular school, and her mother believes that speech therapy with Ruth is why Madison is able to be there. “Madison’s relationship with Ruth is very comfortable and safe. That makes her willing to try and move forward, which in turn helps her with school, because she just wants to do what the other kids do,” Jennifer says. Ruth also works with Madison’s school therapist to ensure the best outcome for her young patient. Madison’s current challenge is saying “spaghetti.” At the moment, she prefers using the word “pasta.” A Physical Therapist provides treat- ment for physical disabilities, injuries, and disorders. PT focuses on mobility, whether it’s climbing, crawling, getting in or out of cars or wheelchairs, or walking. When it comes to conquering obstacles, 2-yearold Aiden has overcome more in his young life than most adults do in a lifetime. Aiden has cerebral palsy, a neurological disorder, and autism, a developmental disability affecting verbal and non-verbal communication and social interaction. “When he began therapy, he could barely crawl. Now he’s walking and talking,” says Aidan’s (Left) “Stair Master” Aiden strengthens to improve his steps under the careful guidance of physical therapist Cindy Heimbaugh. Up and down, up and down long, most of the staff gathered to cheer him on. Aiden’s successes are a daily inspiration to the pediatric rehab clinic therapists, who nurture and encourage him. And Aiden is learning that he can reach his potential with the help of these dedicated therapists. mother, Miranda. As part of his therapy, Aiden is learning how to crunch and chew foods like vegetables and pretzels dipped in yogurt, says Ruth, the speech and language therapist. This helps him develop cheek muscles that are used for speaking. “Being able to communicate is key to our everyday lives and the social interaction we have with people as we grow older,” she explains. At a recent physical therapy session, Aidan was unit’s ball pit is a its young patients. (Right) Aiden with therapist Cindy Heimbaugh. Aiden’s successes are a daily inspiration to the pediatric rehab clinic therapists, who nurture and encourage him. And Aiden is learning that he can reach his potential. (Left) Dad Larry and therapist Ruth Thanks to the dedicated work of therapists at the clinic, the father of 5-year-old Jeramiah now understands what his son is saying. “I used to have him repeat something 12 times just so I could get all of it. Now we’re having real conversations. He tells me what he’s thinking and then we take long trips through his imagination,” says Jeramiah’s dad, Larry. When he was a toddler, Jeramiah had severe ear drums and left him unable to hear. Tubes inserted into his ears restored his hearing, but the period of deafness delayed his speech development. Just two months after Jeramiah began twice-aweek speech therapy sessions with Ruth, his speech was more understandable, Larry says. This therapy strengthens Jeremiah’s jaw and facial muscles so he can form words clearly. He is very attached to Ruth. And Larry continues to work with his son at home doing the jaw exercises that Ruth taught him. “He’s my little man, and I’ve got to teach him,” Larry says proudly. “If it takes a village to raise a child, then UT Health Northeast is part of our village,” Larry adds. “We’ll keep doing it, together.” mirror to improve his program. (Right) You can help more children like Jeremiah, Madison, Aidan, and Jeramiah by supporting the work of the Pediatric Rehabilitation Outpatient Clinic 903.877.5135. Donations of new or gently used toys watches himself in a mirror while doing jaw and tongue exercises. Jeramiah loves the sessions and (no plushes or fabrics, please) to the program’s toy lending program are also welcome. a patient or to support a family member, the center’s visitors always found Alice’s smile contagious and her warm personality comforting. Alice’s favorite volunteer memory came one Easter when she donned a bunny costume to deliver baskets to UT Health Northeast’s littlest patients. and watch soap operas. Volunteering gets you out of the house to interact with people, and there’s a place for everyone.” In addition to their thousands of volunteer research at UT Health Northeast. “UT Health Northeast was our second family. There isn’t a day that goes by that we don’t think of them. We knew everybody, and everybody knew us.” One young boy kept following her up and down the The little boy pointed at her back and said, “You don’t have a tail.” Alice was shocked to discover that the bunny costume indeed had no tail, and she immediately went home and sewed one on for the next year. During his years as a volunteer, Hal was a common sight at the main hospital’s front desk and per day pushing wheelchairs and carts and making deliveries to the hospital’s clinics and departments. “I’ve pretty much been a transporter all these years, moving paper and people, and carrying a pager to respond to calls. It is the physical activity that I preferred,” Hal said. As the couple reached their eighties, they here’s an old Chinese proverb that goes “Every smile makes you a day younger.” If this is true, then Harlan (Hal) and Alice Juengling are two UT Health Northeast. At one time or another, Hal and Alice have both been patients, which is how they became volunteers. in 1987. “The staff was so obliging and so friendly and interested,” she recalled. “Hal and I have been volunteers our entire lives. It started when my son’s kindergarten teacher needed help with a school tea, and Hal was the Treasurer for the PTA. We saw a need and decided to help. The same was true for UT Health. We saw a need, and we both decided to volunteer.” Most of Alice’s volunteer time was spent at the Cancer Treatment & Prevention Center. Everyone who came through the doors became one of her “children.” It didn’t matter if they were there as An advocate for volunteerism, Alice still encourages others to participate, “Don’t sit at home reluctantly decided that it was time to retire and moved to Memphis, Tennessee, to spend more time with their family. The Juenglings have four children ranging in age from 45 to 58, eight grandchildren, and three great-grandchildren, with one on the way. Today, Hal and Alice look back fondly on their memories and friends. “UT Health Northeast was our second family. There isn’t a day that goes by that we don’t think of them. We knew everybody, and everybody knew us,” Alice recounted. Debra Davis, UT Health Northeast’s Manager of Volunteer & Senior Services, said, “Hal and Alice were faithful volunteers and their cheerful smiles and spirits were a blessing to our patients and our staff. They will uthct.edu. a part of their estate planning. Hal said, “Personally, I believe in research. I’d say the work this amazing institute does is extremely important.” Alice added, “Research is our salvation. We’re proud to be charter members.” The Juenglings have not only left a legacy of dedication and service to UT Health Northeast, but How You Can Help If you would like to join Hal and Alice in their generosity with a living or a planned donation, please contact 903.877.5135 or visit our website at www.uthct.edu/ia. To become a UT Health Northeast volunteer, her generous spirit with a patient of the Prevention Center. Longtime UT Health Northeast volunteer Harlan (Hal) and long-time UT Health Northeast volunteers, and thousands of hours to improving the lives of patients and staff. T of the “youngest” people to volunteer their time at UT Health Northeast. The smiling faces of this married couple of 58 years have greeted visitors and comforted patients at UT Health Northeast for over two decades. They have shared their time, their caring, and most of all, their positive spirit with our patients, physicians, nurses, and staff. With the exception of an occasional vacation, Hal and Alice volunteered at UT Health twice a week for over two decades, resulting in thousands and thousands of hours of service. This also included working bazaars, making beignets for fundraisers, helping at the Texas Asthma Camp for Kids, Thank You to Our Donors! (January 2012 - May 2013) $100,000 + Amon G. Carter Foundation Anonymous Genecov Foundation Estate of Walden P. “Red” Little Estate of Robert Miller $1,000 + Ables Land O ce Supplies Anonymous Bob Armstrong Kimberly K. Ashley AT & T Margie Bass Mayor Barbara and Mr. Billy Bass Lori Booher Cody Boyd William Michael Bradley Mr. and Mrs. Herbert C. Buie Ms. Audrey Chandler David Conley Dr. and Mrs. James R. Cotton, Jr. Ms. Shannon J. Cox Mrs. Kris Curtis Dr. Kent M. and Debby Davis Father and Mrs. Tommy Davis Mr. and Mrs. Richard C. Davis Dr. and Mrs. David DiPaolo Mrs. Tracy Drake E&C Engineers & Consultants, Inc. ExxonMobil Foundation Mr. and Mrs. Kenneth Findley Maurice Finsterwald Mr. and Mrs. Bob Garrett e Bettye and Murphy George Foundation Mr. and Mrs. Richard H. Gibson Dr. and Mrs. William M. Girard Mr. and Mrs. Jesse A. Gomez Dr. and Mrs. Dudley D. Goulden, III Robert Green Mildred H. Grinstead Mr. and Mrs. Donald Henry Kenneth Hu man Laura and H. T. Hyde William J. Hyman, M.D. Kelli Ivy Tameka Jackson Mr. Kevin W. Kennedy Mr. and Mrs. Marshall Kratz Malcolm Reed Ventures LP Mass Mutual Patti Mataxen Karen Meshell Ms. Anntoinette Moore and Mr. Phil Clymer Dr. and Mrs. Pierre F. Neuenschwander Mr. and Mrs. Tom Noneman Dr. Chiagozie and Okwuchi Nwasuruba Mr. and Mrs. Timothy Ochran Mr. and Mrs. Gene O’Donnell Dr. Michael K. Pangburn and Kerry L. W. Pangburn Paris Legacy Foundation, Inc. Dr. Vijay Rao Lella and Dr. Usha Pendurthi Dr. Julie V. Philley Prudential Foundation Matching Gi s Regions Bank of Tyler Dr. and Mrs. C. David Rowlett Mr. Billy J. Sartor Jr. Julia and Ed Sauter Dr. and Mrs. Mickey Slimp Telios Corporation Texas Bank and Trust Kenneth relkeld - relkeld and Co. Insurance Mr. Harry L. urmon Dr. and Mrs. Ralph J. Turner Tyler Junior College Mr. and Mrs. Fred Walsh Misty Watson WHR Architects, Inc. DelAnne Zeller, RN Meredith Wauqua Mr. and Mrs. David G. Wilson Mr. and Mrs. James C. Wynne III $500 + Crystal Adams David Anderson Mr. and Mrs. M. R. Ballard Monica Benson Anonymous Mr. and Mrs. Louis Bower Mr. and Mrs. Mike Breedlove Mike & Kay Breedlove Mrs. Joyce Buford Valarie Collins Mr. and Mrs. Donovan Davis Jorge de la Cruz Stephanie Fenter Dr. David Finlay and Dr. Leslie A. Couch Douglas and Maxine Flatt Brigadier General and Mrs. Ben Gann Ken and Laura George Dr. and Mrs. David E. Gri th Mike and Nez Gross Mrs. Lori Gunn Heather Hesser Mr. and Mrs. W. P. Holsinger Mr. and Mrs. David Hullum Dr. and Mrs. George A. Hurst Dr. Hongllong Ji Mr. Dexter E. Jones Kris Kavasch and Laura Smith Ms. Gail Lewis St. Louis Baptist Church Drs. Murty and Malini Madiraju Brookside Dental, Ivan McKinney DDS, Andrew Philly DDS Mr. and Mrs. Jim Melton Drs. James Ryan and Mindy Menard Nickey Minyard Ms. Marsha Moler Vernon and Nancyann Moore Morrison Management Specialists Ms. Virginia D. Moxon Mr. and Mrs. John E. Muller John and Ellen Musselman Sharon Nelson Steve Neukom Mr. and Mrs. David Nordyke Mr. and Mrs. Danny Noteware Nouveau Technology Services, L.P. Ms. Donna Patillo Petty’s Lawn Sprinklers Mr. and Mrs. Robert S. Peveto, Jr. Pine Tree Independent School District Mr. and Mrs. James H. Post Mr. and Mrs. W. Connally Powell Lori Robertson Mrs. LaVerne Rodgers Mrs. Jacqueline Samples Mr. and Mrs. omas Seale III Dr. and Mrs. David Shafer Jay and Andrea Shoemaker Donna R. Smith Tony and Nancy Stevens Mr. and Mrs. Tom W. Stewart Jim and Marolyn Stocks Patricia Terrell South Tyler Dematology, P.A. Tracy Underwood e University of Texas Foundation Susan Walker Harry and Gail Wallace Gail Watson Below $500 Ms. Barbara C. Adams Toyua Akers Mr. and Mrs. J. Steve Alexander Vince Alibrando Mr. and Mrs. J.T. Allen Mrs. Peggy Boyland Anderson Mr. and Mrs. David Anderson Ms. Belinda Anderson Dr. and Mrs. Lawrence W. Andrews Mr. and Mrs. Wayne Archer Dr. Naresh Arora Jennifer Arriola Mr. and Mrs. Gerry L. Austin Drs. Peter F. Barnes and Dr. Susan A. Barrows Ms. Sherry K. Barnes Katrina Beasley Ms. Beverly Beezley Deborah L. Bell Mr. and Mrs. John F. Berry Patty Bilhartz M.D. Mr. and Mrs. Joey Blakley Audrey M. Blaylock Dr. Vijay Boggaram and Jayanthi Boggaram Donna Bogue Ola Bolton Richard and Peggy Boone Rohn and Shirley Boone Mr. David W. Booth Brent Bossart Ms. Dorthy Bostic Stephen Boyd Ms. Pamela Braham Mr. Jesse Brice Dr. and Mrs. Ben Bridges Ms. Lynn Briggs Mary Brittain Ms. Pamela L. Brower Mrs. Neta Brown Ms. Sunna Brown Mr. and Mrs. David Buhrkuhl Mrs. Peggy Burch Mr. and Mrs. D. J. Burks Ms. Dixie Burks Mrs. Mae Burrow Corma and Mike Cameron Camp Normal Benevolent Foundation Carrol J. Camp Ms. Joy Cariker Ms. Myrle Cariker Mr. and Mrs. Robert E. Carl Mr. Roy Carnes Barbara Caskey Mrs. Vicki Castleberry Ms. Vanessa Castro Glynn Cato Mr. and Mrs. Clay Cavender Mr. L.D. Gage and Mrs. Emmaline Chamblee Gage Lori P. Chase Tommye Childers Ms. Donna D. Cirasola Victoria Clark Ms. Dana Clark Claudette Clay Teisha Clay Ms. Kim Clements Clothes Circuit Patricia Cochran Mrs. Allen B. Cohen Mr. and Mrs. Elam Coney $50,000 + e R. W. Fair Foundation Mr. Bobby D. Smith $25,000 + A.W. Riter, Jr. Family Foundation Harry L. Willett Foundation $10,000 + Mrs. Ina Brundrett Kirk A. Calhoun, M.D., and Jeanette Deas Calhoun, Ph.D. Mr. & Mrs. Bryan Dunlevy Rosa May Gri n Foundation Steven and Joanne Idell NuTech, Inc. e Louis & Peaches Owen Family Foundation Julia Pereira Saleh Foundation e Lightner Sams Foundation SPEA America, LLC Tyler Steel Company UT Health Northeast Volunteer Council e Watson W. Wise Foundation Mrs. Jean Worden Mrs. Margie Wright $5,000 + Laura and Jud Adams American State Bank Austin Bank Donald and Shirley Chase David and Maryann Coultas Marilyn and John Glass Mr. and Mrs. Michael D. Gollob Good Shepherd Health System, Inc. Mac and Martha Gri th Dr. Jonathan and Verlaine MacClements Mr. and Mrs. John Nelson Drs. Bola F. and Patti Olusola James I. Perkins Family Foundation e Richardson Foundation Suddenlink Texas Chest Foundation Mr. and Mrs. John G. Tindel Estate of Margaret G. Townsend Trinity Mother Frances Hospitals and Clinics Foundation Joseph F. Woelkers and Linda G. Buckner $2,500 + Dr. Tom Belt and Donna Mann-Belt Boone & Boone Construction, Ltd. Brookshire Grocery Co. Daniel and Kaela Deslatte GE Foundation Hal and Alice Juengling Kiwanis Club of Hide-A-Way Lake Dr. Je rey Levin and Mrs. Virginia Harleston Mr. and Mrs. Je ery C. Maeker Mr. Louis Owen and Mrs. Marie Owen Dr. Lewis G. Smith, III, M.D. Southside Bank Linda and Charles omas Ms. Terry Witter Tracy Cook Mr. and Mrs. Billy Cook Mr. and Mrs. Robert T. Cook Ms. Lita Cook Sarah Cooper Paul Covington Ms. Karen G. Cowden Mr. and Mrs. Fred E. Cromley Gwendolyn Cuba Ms. Patricia Cussen Mr. and Mrs. J. Stephen Davis Mary Davis Steven Day William Dedon Moria Dees Ms. Emily Dews Mr. and Mrs. Tom Diamantes Mr. and Mrs. Ken Dietz Mr. and Mrs. Emery Doguet Laura Dove Michael D. Duck James E. Duck Nicole Durham Mr. and Mrs. Jack Dyer Mr. and Mrs. James M. East Mr. & Mrs. Kenneth Ellenberg Ms. Barbara A. Elliott Melissa Ellis Mr. Robert A. Emerick Betty B. Everett Ruth Fadely Mr. & Mrs. Bobby Faulks Ms. Lisa Feldman Jerry Fenton Debbie Fielder General Howard Fish Ms. Barbara Fisher Mary Fitts Julie Fleming Ms. Connie Florence Mrs. Helen Floyd Ms. Jacqueline Ford Mr. and Mrs. Barry Frizzell Dr. and Mrs. Jian Fu Dr. Shiva Keshava B. Gaddam Mr. and Mrs. Stephen H. Ga ney Amador Garcia Lisa Garred Mrs. Tera Garvey Joyce Gebhardt Mr. James W. German, Jr. Mr. Manard N. Gibson Ms. Karen Gilmore Mr. and Mrs. Steven A. Girdner Mr. and Mrs. Robert J. Glendinning, Jr. Mr. and Mrs. Mark Goodwin Purushotham Gorla Ms. Kimberly Gri n Mr. and Mrs. Ernest R. Grona Ms. Joan Hall Mr. and Mrs. Paul Hancock Ms. Sharon L. Harding Mr. and Mrs. Dale Harrelson Mrs. Carlene Harris Mr. and Mrs. Andrew J. Harris Jr. Michelle Harris Jean Harris Kasandra Harris Margarita Hart Benji Hawkins Mr. Robert J. Hawkins Mr. and Mrs. Nealie Hays Marion Henry Mr. and Mrs. Donald Hensley Mr. and Mrs. James J. Herb Christopher D. Herrick Mr. and Mrs. Charles G. Hill Janice Hoe UT Health Northeast Donor Wall Mr. and Mrs. Henry Ho man Kenny Holt Mr. and Mrs. Michael Hooper Misty Houston Mr. and Mrs. William E. Howard Mr. B. J. Howard Susan T. Howard, Ph.D. Fang-Fang Huang Ph.D. Mr. and Mrs. David Huddleston Mr. and Mrs. Ernest E. Hudnall Sharlotte Hyde Elena Iakhiaeva Ms. Ernestine Italiano Ms. Billie Jo Jacks Ms. Karen Jackson Mr. and Mrs. Dana Jacobson Mrs. Dorothy Jarvis Mr. and Mrs. Gregory S. Je ers Mrs. Shirley L. omas Jewell Mr. Jack V. Johnson Ms. Irene Johnson Mrs. Mary A. Jones Mr. and Mrs. H. A. Jones Jr. Mr. and Mrs. Joe Jones Joe D. Jones David Jones Ms. Annette R. Jones Charlesetta Jones Mr. and Mrs. Edgar Jordan Rabbi and Mrs. Neal A. Katz Mr. Owen King Ms. Lorene Kirksey Mrs. Kathleen Koenig Dr. Andrey Komissarov Hema Kothari Dr. and Mrs. Richard S. Kronenberg Mrs. Bobbie Krull Mr. Frederick Sabella and Dr. Anna Kurdowska Mr. and Mrs. C. T. Kutschke Josie LaCrosse Lake Tyler Petroleum Club LLC Ms. Pamela J. Lamb Deborah J. Lambright Dr. and Mrs. Paul Latta Ms. Nelda Lawrence Michael Lay Ms. Brenda Lee Ms. Ronica Le all Sylvia Leibowitz Ms. Lisa LeMole Deirdre Leung Mrs. Gerald R. Lewis Darlene M. Lewis Mr. and Mrs. Walter Lindsay Ms. Christy Long Ms. Reva Love Dr. and Mrs. Larry K. Lowry Carol Maddox Malini Madiraju LaShonda Malrey-Horne Dr. and Mrs. W. T. Belt, Jr. Carrie Marsh Mr. and Mrs. Tony Martin Mr. Tracy Martin Luis Martinez Masonic Lodge Big Sandy #916 AF & AM Mr. and Mrs. James May Mr. and Mrs. James J. Mazzu Mr. and Mrs. Brent McCauley Beverly McClelland Tammye McCollum Amy McCullough Tina McFarland Ms. Terri McLarey Dr. and Mrs. Richard Bard McMullen Mr. and Mrs. Don McPherson C. Wade Meade, Ph.D. Don & Kathy Mecklin Mr. Larry D. Mendez Michaels European Motorworks Mr. Clyde M. Mills Mike H. Mitchell Carolyn Morris Mr. and Mrs. George Mount Mr. and Mrs. L. G. Murdoch Dr. and Mrs. Greg Murphy Tommy Neal Mr. and Mrs. Lon Neighbors Dr. and Mrs. Kenwyn G. Nelson Ms. Terri Newbrough Mr. Willie E. Norris Ms. Dorothy M. O’Brien Mr. and Mrs. Jose Ojeda Ms. Chipenny Olsen Mrs. and Mr. Patricia A. Orr Mr. William S. Pace Jr. Padmaja Paidipally Courtney Palmer Peter Palmisano Xiaoning Pan Dr. Emmanuel V. P. Pandeeti Robert M. Parker Mr. and Mrs. Dan Parsons William H. Pate Ms. Amanda Patterson Kristina Paul Charles R. Peavy Irene Pegues Anonymous Anonymous Roxanna Peterson Carolyn Peterson Mr. and Mrs. Robert Pettit Mr. & Mrs. John Pike Dr. Barbara Pinson and Mr. Guy Pinson Connie Pridgeon Ms. Victoria Prine-Manrique Mr. and Mrs. Clarence Propes Ms. Shanell Pullum Mr. and Mrs. Patrick C. Pyle Anna C. Raborar Mr. Christopher Rankin Mr. and Mrs. Michael Record Mr. and Mrs. Ronald E. Regan Mr. and Mrs. Lee Reid Mr. Stephen Reistetter Mr. and Mrs. Matt Renick Subramaniam Renuka Ph.D. Mr. and Mrs. Ronnie Rice Ms. Julia W. Ringmacher Mr. and Mrs. George Roberts Mr. and Mrs. Randall L. Roberts Ms. Penny Robinson Steve and Debbie Roosth Annie Roten Mr. and Mrs. J. Rothen ue Mr. David Rousseau Ms. Linda Rozell Sue Rozell Monya Rucker Rennie Russo Drs. Buka and Tuya Samten Mr. & Mrs. Terry Sapko Krishna Sarva Ms. Susan Sayre Mr. Edmond Schaded Chris Schaefer Mr. Stephen W. Schneider, Jr. Ms. Rhonda Scoby Ms. Jessica Scurlock Mr. and Mrs. Lorenzo Scurry Dr. and Mrs. Homayoun Shams Ms. Daya Sharpe Mrs. Jo Shaw Dr. and Mrs. Sreerama Shetty Sherry Shipley Ms. Anne Siemiatkoski Demetrice Simon Hitesh Singh M.D. Mr. and Mrs. Bob Skinner Deborah Smith Crystal Smith Ms. Carrie Snow Pam Socia Beverly Spencer Mr. and Mrs. Jacki L. Spriggs Ms. Jewell Stanger Mr. and Mrs. Kenneth Stanley Mrs. Mary Stayton Mr. and Mrs. Robert Sterrett Mr. and Mrs. Michael Stone Mr. and Mrs. Roger Story Mr. James L. Story Ms. Joleta Story Dr. and Mrs. Hua Tang Ms. Mary Ann Tant Mr. Randall W. Tate Terracon Dallas Mr. Earnest Terry Ms. Wanda omas Ms. Cathy omas Marianne ompson Rita orn Ms. Angie S. Tippen Mrs. and Mr. Lewis H. Tolson, Jr. Dr. and Mrs. Robert Tompkins Dr. Akash Tripathi Satsangi Mrs. and Dr. Torry Tucker Jeanette Turner Mr. Scott Turner Ms. Amy R. Tvinnereim Ms. Dixianna Upton Mr. C.E. Van Ness Mr. and Mrs. Seymour Van Os Dr. and Mrs. Rama K. Vankayalapati Dr. Rit Vatsyayan Mrs. Gwendolyn Vaughan Mr. and Mrs. Don W. Veatch Sambasivan Venkatasubramaniam Ph.D. Mr. and Mrs. Michael Victor Tammy Vielmas Mr. and Mrs. Joseph Vorsas Alice Vorsas Mr. and Mrs. Bob Waldrop Donna Walker Yolanda Wallace Mr. Tracy Waller David C. Walton Xisheng Wang Ph.D. Tom Ward Ms. Angela Warren Mr. William N. Warren Jr. Ms. Carma L. Weaver Dorothy Wesley Ms. Susan White Mr. and Mrs. Rex White Mr. Caleb White Mr. and Mrs. W. T. Whitehead Jr. Ms. Starla K. Whitehead Patricia Wiggs Ms. Tammy L. Wilkerson Patricia Newman Willilams Ms. Joyce Williams Ms. Terri Ann Williams Ms. Tinkie Williams Mr. Alvin Williams James M. Wilson Ms. Sheri Wolfe Mr. Jackie Wood Ms. Joanne Woodring Mrs. Layton Wright Zhuang Wu Dr. Pablo L. Xiques Ms. Alice C. Yanity Ms. Maxine S. Yarborough John and Charlotte Yoder Janine Yost TLC Fundraising & Promotions LLC CF & Co., L.L.P. Zion Hill Missionary Baptist Church We would like to say a special word of appreciation to our major donors who have given a cash gift or made a pledge of $5,000 or more in the last few years since our last printed publication. A Special Thank You $250,000 + Mr. and Mrs. Herbert C. Buie Amon G. Carter Foundation Genecov Foundation Estate of Walden P. “Red” Little Estate of Robert Miller NuTech, Inc. A.W. Riter, Jr. Family Foundation Saleh Foundation Volunteer Council Harry L. Willett Foundation Patricia Newman Williams Joseph F. Woelkers and Linda G. Buckner $100,000.00 + Anonymous e R. W. Fair Foundation Texas Chest Foundation $10,000 + Laura and Jud Adams American State Bank Lisa Y. Armitige Boone & Boone Construction, Ltd. Rosser E. Burk Camp Fannin Association Rick and B. J. Carns Marilyn and John Glass Good Shepherd Health System, Inc. Rosa May Gri n Foundation Mac and Martha Gri th Kiwanis Club of Hide-A-Way Lake Mr. and Mrs. John Nelson Drs. Bola F. and Patti Olusola Julia Pereira Southside Bank SPEA America, LLC Suddenlink e Lightner Sams Foundation e Louis & Peaches/Owen Family Foundation Trinity Mother Frances Hospitals and Clinics Foundation Tyler Steel Company e Watson W. Wise Foundation Margie Wright $5,000 + AMGEN Austin Bank Mr. and Mrs. M. R. Ballard Mike & Kay Breedlove Foundation Capital One Bank David and Maryann Coultas ETTL Engineers and Consultants Inc. ExxonMobil Foundation Douglas and Maxine Flatt James Galizia Mr. and Mrs. Bob Garrett GE Foundation $50,000 + Anonymous Carol Robinson Bobby D. Smith $25,000 + Thank you for your ongoing support of UT Health Northeast. Mrs. Ina Brundrett Kirk A. Calhoun, M.D., and Jeanette Deas Calhoun, Ph.D. Donald and Shirley Chase Mr. and Mrs. Michael D. Gollob Al and Pat Harris Steven and Joanne Idell Hal and Alice Juengling Dr. Je rey Levin and Mrs. Virginia Harleston Dr. Jonathan and Verlaine MacClements Robert and Jodie Marshall Mr. and Mrs. Jim Melton Vernon and Nancyann Moore John and Ellen Musselman Dr. Chiagozie and Okwuchi Nwasuruba Paris Legacy Foundation, Inc. James I. Perkins Family Foundation Petty’s Lawn Sprinklers e Richardson Foundation e Rogers Foundation Jim and Marolyn Stocks Kenneth relkeld - relkeld and Co. Insurance Mr. and Mrs. John G. Tindel Estate of Margaret G. Townsend Dr. and Mrs. Ralph J. Turner e University of Texas Foundation WHR Architects, Inc. If you would like to join our list of generous stars with a living or a planned donation, please contact: 903.877.5135 or www.uthct.edu/ia NON PROFIT ORG U.S. POSTAGE PAID TYLER, TEXAS PERMIT NO. 1028