Collin County Living Well Magazine January-February 2020

COLLIN COUNTY

of Muscle

Healthy Changes Start at Flower Mound

Weight Loss Center at Texas Health Flower Mound

Texas Health Flower Mound Weight Loss Center o ers comprehensive weight loss programs complete with diagnostic, surgical and non-surgical options designed to promote a full and healthy life.

Our bariatric team consists of board certified bariatric surgeons, experienced bariatric practitioners, nurses, dietitians and coordinators.

A dedicated weight loss specialist will be with you each step of your experience - from your initial appointment, through diagnosis, treatment, after care and follow-up maintenance appointments.

For more information or to schedule a consultation, please call 469-322-7073 or visit the Center’s website at TexasHealthFlowerMound.com/weight-loss-center

IDECADE OF CHANGE

t’s 2020. Let that sink in. To put it into perspective, 36 years ago our cover celebrity, Arnold Schwarzenegger, took on the breakout movie role of cyborg assassin, Terminator, who was sent back in time from 2029 to 1984. Time certainly does fly, but it’s been quite a ride for Schwarzenegger.

The bodybuilder once known as The Austrian Oak is the proverbial American success story. Born into an Austrian family that valued austerity and hard work, Schwarzenegger was taught that being the best was defined by winning and winning came from work. Built like an iron-muscled war machine, he took American bodybuilding by storm and parlayed his success on that stage to a career as a blockbuster action star.

Never satisfied with standing still, Schwarzenegger went on command California’s highest office as governor, thereby transcending his status as a sports and movie icon to become one of the most famous people of the last four decades, a startling achievement in both scope and magnitude. Now, he’s set to head into a fresh decade where anything is possible, at least as far as Schwarzenegger is concerned. Check out the profile on this ageless celebrity in this issue to find out why he continues to seek greatness and is looking forward to what’s next for 2020 and beyond.

On the subject of the New Year, it’s time to take inventory, set goals, and take charge of your life. Of course, making resolutions is easier said than actually following through with them. In this issue, writer Kimberly Blaker offers some solid advice on how to avoid disappointment by setting yourself up to avoid failure and guarantee progress. By adjusting your mindset to enable success, you’ll stay strong when faced with thoughts of throwing in the towel. Check out her insightful suggestions.

Inside this issue, Blaker also tackles the fraught subject of anxiety. She provides insight on the symptoms of this common medical condition and offers tips on how to reduce anxiety and alleviate symptoms so that you can lead a happier, more fruitful life. Check out this and all the other educational articles in this issue. As always, thank you to the knowledgeable professionals lending their expertise to our readers. Here’s hoping they can help you tackle the new decade with success.

Cheers,

Sam & Spring Houston

PRESIDENT & CEO

Sam Houston

VICE PRESIDENT & CFO

Spring Houston

FEATURE WRITER, COPY EDITOR & SOCIAL MEDIA DIRECTOR

Sondra Barr

ART DIRECTOR, LAYOUT, PRODUCTION & WEBSITE DESIGN

Lewis Schucart

ADMINISTRATION & ACCOUNTS MANAGEMENT

Jennifer Beavers

ADVERTISING/SALES

Texas | Denton County, Dallas County, Collin County

Texas & Oklahoma | Texoma

WRITE TO US. Tell us who you would like to see featured on the cover, or what subjects you would like covered in upcoming editions of LIVING WELL Magazine at spring@livingwellmag.com

SUBSCRIPTIONS/CUSTOMER INQUIRIES

Houstons of Dallas Publishing, Inc. 102 E. Broadway, #901 Prosper, TX 75078 www.LivingWellmag.com

Phone: 214-507-1000 Fax: 855-248-2132

LIVING WELL Magazine is a source for quality educational articles on living a healthy, vibrant life. Our focus is on connecting our readers with the latest information on a host of topics relevant to their evolving life. From cutting edge medical news and procedures to top-tier financial, legal and lifestyle information. Connecting readers to leading medical and business professionals in their community in Texas and Oklahoma.

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COLLIN COUNTY

Dear Olivia,

We are considering putting my aunt on hospice for a longterm illness that is worsening. Our biggest reservation is that we have heard that once someone goes on hospice, the regular medications are stopped, and morphine is started. She’s been on some of these medications for years and they really seem to help her. If we choose hospice, do we have to stop all regular medications?

~Questions about medications

Dear Questions about medications,

There is a common misconception about hospice that when someone elects hospice, they have to give up all of their other medications and start “comfort” medications right away, such as morphine. At VNA, we try to dispel this myth, as it is our goal to treat the whole patient and not only the terminal illness. We aim to do whatever is necessary to enhance someone’s quality of life. Many of our patients continue maintenance medications, such as blood pressure medications, diabetes drugs, sleep aides, and antibiotics. We will not discontinue medications unless it has been determined by the physician that there is potential harm or they are no longer beneficial. Decisions are made collaboratively between the patient, family and the doctor. Every hospice treatment plan is as unique as the patient.

~Olivia

OLIVIA ROGERS

Olivia is a leading voice in health care and senior services and the Chief Nursing Officer of VNA Texas.

Dear Olivia,

I’ve heard a lot about “group homes.” What are these homes and are they safe? We are starting to look for a place for my mother-in-law. She has become weaker and we are not sure how much longer we can take care of her on our own. We want to make sure we choose a place that is safe and provides adequate care.

~How do you know?

Dear How do you know,

That is a great question as group homes, or residential care facilities (RCFs) as they are known in the health care community, are springing up everywhere. This concept is not new, but it has become more popular in the last several years as the cost of other forms of long-term care increases. RCFs are actual homes in neighborhoods that are run as a business, often operated by a nurse or physician. They are regulated by the State of Texas if there are more than three residents living in the home and are licensed by the state licensing body known as HCSSA. This licensure and oversight ensure these homes are providing quality care and have the necessary fire and safety measures. This should give residents and their families peace of mind as these facilities are surveyed at least every three years. For help in determining what facility is right for your loved one, contact one of our medical social workers at VNA. We are here to help!

VNA Hospice Care

VNA Hospice Care focuses on living life to its fullest and treating you with the dignity and respect you deserve. As a nonprofit, our bottom line is patient support and comprehensive care provided by our highly qualified staff.

VNA Care Choices

Following the diagnosis of a life-limiting illness, patients and their loved ones have many questions about the best course of action. VNA Care Choices provides supportive care services in the home while continuing treatment with your current physician.

To schedule your free in-home informational visit please call (214) 689-2989 or email gethelp@vnatexas.org For volunteer opportunities please call (214) 689-2271 or email volunteer@vnatexas.org

~Olivia

DALLAS’

PREMIER SURGEON FOR HIP AND KNEE REPLACEMENT

Voted

Total

Total

Partial

Arnold Schwarzenegger

By Sondra Barr

The king of muscle heads into the future with ambitious plans.

He is the undisputed king of muscle who became the king of hustle. Driven by a seemingly insatiable furnace of ambition, Arnold Schwarzenegger speeds along from one project to another like a locomotive on steroids (pun intended).

At 72 years of age, Arnold is still working out, still appearing in films (like 2019’s Terminator: Dark Fate) and still inspiring future athletes, politicians, actors, and activists across the globe with half a dozen new initiatives.

A former tank driver for the Austrian military, Schwarzenegger’s new aspiration was to become a human tank. Built like an iron-muscled war machine, with an equally unbreakable spirit, he won 13 bodybuilding competitions. This was in an era before fitness had become fully immersed in popular culture, before Crossfit or Planet Fitness or 6-Minute Abs. He was the primary figure that ushered fitness into the cultural Zeitgeist, leading to a multi-billion dollar global industry.

In the beginning, friends and mentors worried that no one would ever be able to pronounce his name or look past his thick Austrian accent. Now, Schwarzenegger has been a household name for over 40 years. His accent is beloved, and he is a quadruple threat (and counting), having become a superstar in at least four arenas of public life, while continuing to build fame and credibility in other sectors.

He is globally famous for bodybuilding, Hollywood blockbuster films, entrepreneurship, philanthropy, activism, writing best-selling books on bodybuilding (and his autobiography, Total Recall, named for one of his famous sci-fi thrillers). Not to mention, he served as California’s 38th governor. He even playfully embraced the moniker of “The Governator” to the delight of some, and to the chagrin of more serious-minded public servants. In short, Schwarzenegger transcended being a mere sports icon to become one of the most famous people of this century and last.

He credits his resolve to a drive to keep moving forward at any cost. Schwarzenegger says he is never satisfied with standing still. “When people tell me I can’t do something, because no one has ever done it, I love that, because it means I get to be the first to do it,” he said in his autobiography Total Recall

Schwarzenegger has long served as a champion for youth and those with special needs. His biography details his years of support for the Special Olympics and the continual dedication of time raising awareness and funds about the importance of after-school youth programs. As the founder and honorary chair of After-School All Stars, he helped raise over $12 million for after-school programs for underprivileged youth across America, reports Haute Living Magazine

As he explained to Men’s Health magazine, he wanted to “Democratize fitness.” In 1990, he became the chair of the President’s Council on Physical Fitness, and he continues with his health and wellness crusade both by mentoring youngsters on healthy activities and by way of his supplements company called Ladder.

Since exiting elective office in 2011, Schwarzenegger has still committed great energy to politics and social issues like climate change. He started the “R20 Regions of Climate Action” group to bring together global resources and thought leaders to help stave off global warming from human pollution.

He also took up the cause of ending gerrymandering, which is a fancy term for redistricting voting areas to benefit a particular political party. In an interview with The Atlantic, he passionately described gerrymandering as “The evil of all evils,” because it leads to incumbents getting reelected again and again, and isn’t a fair representation of the political views in a given region.

According to Variety, his films have grossed over $5 billion, internationally. After a long and storied career of success in film and athletics, with all his 13 championships, he wanted to inspire others to be great just as his heroes like Eugene Sandow had inspired greatness in him.

He succeeded in making California even more ambitiously eco-friendly, in part through his Hydrogen Highway and Million Solar Roofs Plan. In December of 2019, he congratulated California for reaching its milestone onemillionth solar roof, according to The Sacramento Bee.

Schwarzenegger appeared at the CAA talent agency in 2017, with Mayor Eric Garcetti, to discuss changing the conversation around climate change. As reported by Variety, he strategized, “If you talk about climate change, it doesn’t really mean much to most people in the world, and when you talk about icebergs melting, they don’t care.” He went on to explain that climate talk needs to focus on the impacts on people living today, not what may happen decades from now.

Back in his bodybuilding heyday, he was known as The Austrian Oak. A man with such a sculpted physique he looked as powerful as anyone ever had, with a million-dollar smile, and a devilish sense of humor. He won the world over with his playful arrogance that was forgiven because his multiple championships earned him the right to be confident.

In Total Recall, Arnold describes his strict and austere upbringing in the Austrian countryside. As someone who grew up with a strict, military father who made him do push-ups to earn his breakfast, Schwarzenegger was born ready to push further than most people in order to achieve his goals. He was taught that being the best was defined by winning Continued, next page

From previous page

and winning came from work, while recreation and leisure were for losers.

Yet, Schwarzenegger’s life has not been without controversy and criticism. Of course, he is the type of personality that can turn even his worst failure into an inspirational and teachable moment, for those who are charmed by his personality and confidence.

Although he has openly admitted to using performance-enhancing drugs during competition, steroid use was legal when he competed. Still, purists consider steroids a blemish on his career. However, when one considers that Arnold’s generation of competitors took about onetenth the steroid use as today’s competitors, he feels his physique was all the more impressive.

Leading up to his run for governor of California, Schwarzenegger was accused of inappropriate touching, during a mild scandal that became known as “Gropergate.” He apologized and pressed forward, perhaps benefitting from the lack of social media in 2003,

therefore bypassing the scrutiny of the #MeToo movement. Further embarrassment shook the Schwarzenegger family and brand when Schwarzenegger’s marriage later crumbled in the heat of the public spotlight, after rumors of infidelity with his housekeeper proved true.

His marriage into the Shriver family put him into the Kennedy clan, which some saw as an indication of personal political aspirations. Of course, history proved that to be true, but he maintained in a People Magazine interview, that his love for Shriver was very real, and he regrets his infidelity. “If I could, in

reality, be Terminator, of course I would go back in time and would say, ‘Arnold … no,’” he told the magazine. “You know, it’s always easy to be smart in hindsight.”

Putting aside his past, Schwarzenegger continues to stay busy with his ambitious plans for the future, including new measures of corrective action for his physical well being. How does he train today? As he has relayed in many interviews, he’s modulated his workouts to include lower weights with higher reps, to be gentler on his aging body. After suffering a heart attack and undergoing knee and hip surgeries, he skips the high-impact powerlifting movements like deadlifts and squats in favor of machines with adjustable settings. “A guy like myself who had surgeries—they can always find an exercise around the injury that I could do. So I cannot do dumbbell lateral raises anymore, but I can go and find the machine that does exactly the same thing and I have no pain,” he explained during an interview with Men’s Health

AT LEFT: Arnold joins forces again with Linda Hamilton in the sixth film of the Terminator franchise, Terminator: Dark Fate [2019].

Arnold Schwarzenegger photo

Arnold won the Mr. Universe title at age 20 and went on to win the Mr. Olympia contest an impressive seven times.

Whereas Schwarzenegger used to eat everything under the sun, he has since adopted a stricter diet, telling Men’s Health that, “I always was called the garbage disposal because I was never sick and tired of anything.” Today, his diet leans heavily, though not entirely, vegan. And while he takes his own brand of supplements, Schwarzenegger gives the caveat that, “They only supplement what you get in your diet. So the key is to rely on good food. Natural food. Lot of vegetables, fruits and good proteins.”

When training for a new movie project, he cuts all sugars and white bread. Now largely plant-based, Schwarzenegger sometimes refers to himself as “nearly vegan.” He often drinks cherry juice and almond milk for protein and bone soreness. He was recently featured in the 2019 vegan documentary called The Game Changers, where he discussed his shift in diet.

Above all, Schwarzenegger is a family

man. A proud father to five adult children, he looks back on fatherhood with great nostalgia in Total Recall, calling it his way of “Giving back, by making a better world than you inherited by being a good parent.” Nowadays, his children have started marrying.

Schwarzenegger recently told ABC late-night host Jimmy Kimmel that he gets along really well with Chris Pratt, who married his daughter, Kathryn, in June of 2019.

“I get along with him really well,” he told Kimmel.

“Of course, the first thing when we met, he says, ‘Can we have a workout together? I need to have the inside scoop to pumping iron,’” Schwarzenegger explained.

Beyond a mutual love for working out, he was simply happy that another of his children had found love. “I’m really happy that he is such a great guy,”

Schwarzenegger said. “A really kind man and kind to my daughter, which is the most important thing for me.”

Whether striving for the 22-inch biceps or challenging the sitting governor of the nation’s most populous state, Schwarzenegger has always aimed big and achieved bigger. He is the embodiment of living larger-than-life, both literally and figuratively. He is the proverbial hard-working immigrant, whose motivation of a better life never allowed him to rest on his laurels.

It has been said that any great leader or public figure will polarize and alienate at least part of their fan base, and with Schwarzenegger it has been no exception. He seeks greatness, and manages to sidestep the naysayers on his way to the top of the mountain. As he famously explained in Pumping Iron, “When you’re at the top, you’re still hungry, but the food is always there.”

A photograph of the cast from The Expendables 3 with Sylvester Stallone, Mel Gibson, Jason Statham, Harrison Ford, Ronda Rousey, Kelsey Grammer, Wesley Snipes and Antonio Banderas [2014]

Har borChase of P lano UPCOMI NG SP ECIAL EVENTS

Join us for an exciting series of fun and educational events!

Thursday Jan 9

4pm to 6pm

Thursday Jan 23

4pm to 6pm

Thursday Feb 13

4pm to 6pm

HarborChase Plates - A Cooking Demonstration & Take-Home Meal Kit

Our talented Chef will demonstrate how to prepare our signature “Chicken Corn Chowder,” then send you on your way with every thing you need to recreate it at home.

Spa Day at HarborChase!

Join us as our Salon & Spa team pampers you with facials, massages , spa cuisine, reflexology and other invigorating spa ser vices.

Sweethear t Ball - A Valentine’s Day Celebration

Enjoy an elegant evening featuring appetizers, red and pink desser ts, a chocolate fountain, live jazz music and a Champagne toast. Singles and couples welcome!

Tuesday Feb 25 4pm Mardi Paws Parade & Costume Contest

Dress up your four-legged f riend in a costume for our Pet Parade and win a prize! Enjoy New Orleans-style appetizers and Hurricane Cocktails as your pet enjoys special dog treats.

Dr. Jeff Angobaldo, M.D.

Dr. Jeff Angobaldo is a board-certified plastic surgeon licensed in the State of Texas and has been practicing here for 11 years. His office is near the Shops at Legacy in Plano. Dr. Angobaldo is very well regarded by his patients and colleagues and is known for going out of his way to ensure patient satisfaction. Dr. Jeff Angobaldo or, as his patients call him, “Dr. Plano” specializes in mommy makeovers and all surgeries of the breast including reduction, lift, and augmentation.

Creating the best version of each patient is the goal for Dr. Angobaldo and his staff. To help the patient achieve his/her goal. Surgery is an option for many moms and for those that have had massive weight loss. There are other aesthetic procedures that Dr. Angobaldo offers that can be employed to help retain a youthful appearance such as Botox and other injectables, lasers, microneedling, PRP and more. Dr. Angobaldo and his staff are great about suggesting what patients need and helps each one through the process to achieve individualized and personal goals. For one person it may be a body transformation and for another, it may just be Botox. Each patient gets the same attention and compassion as Dr. Angobaldo’s ambition is to help every patient he can, from reconstructive to cosmetic needs, as every patient is important.

If you have any questions about Dr. Angobaldo, his staff or facility, he invites you to call and make an appointment. You can also review his before and afters on the website and on various social media outlets such as Instagram and follow the staff’s day to day on SnapChat. You can easily communicate with the staff via social media. When you are ready go in for a consult and see what everyone has been talking about. . . Dr. Plano is a great Plastic Surgeon and his staff will treat you like family.

Dr. Angobaldo graduated from the University of Michigan in 1996. He graduated with distinction from the University of Michigan Medical School in 2002 and completed a residency in Plastic Surgery in 2008 at Wake Forest University. Willing to lend his expertise, Dr. Angobaldo was featured on Good Morning Texas and is a national spokesman for the SlimLipo / SmartLipo laser liposuction technology. Additionally, he is a Top Contributor for Realself.com, and answers readers’ more popular questions about cosmetic procedures such as liposuction, tummy tucks, rhinoplasty, and breast augmentation.

Key-Whitman Eye Center

SPECIALTY: LASIK, Cataract Surger y, Symfony, Cr ystalens, and Comprehensive Adult Eye Care

Thousands of Nor th Texans choose Key-Whitman Eye Center because they want better vision, and Key-Whitman is one of the few eye centers that offers the full range of vision improvement options. This highly experienced team of doctors offers patients comprehensive eye care with the convenience of locations across Dallas-For t Wor th Chief surgeon and President Dr. Jeffrey Whitman is the past president of the American College of Eye Surgeons and is recognized in D Magazine as one of the Best Doctors in Dallas for 18 consecutive years. He is one of the first surgeons in Texas to be trained in LASIK eye surger y for nearsightedness, farsightedness, and astigmatism. Today, Key-Whitman is known for all-laser, blade-free LASIK to give patients greater predictability and accuracy than ever before From comprehensive eye exams, management of glaucoma and corneal disease to reconstructive and cosmetic eyelid surger y, Key-Whitman continues to provide its patients with personalized, high-tech solutions for better vision.

From left to right: Todd Agnew, O.D., A nit a Jacob, O.D., Kim Warren, M.D., Ron Barke, M.D., Mar t in Faber, O.D., A manda Hoelsc her, O.D.,

M.D., Ed ward Hurs t, M.D., Tara Hardin, O.D., A my Hong, M.D.

NEW YEAR’S CHECKLIST

By Leu & Peirce, PLLC

Throughout history, the New Year has always been representative of a new beginning. Every January 1st presents us all with the opportunity to take an inventory of last year’s resolutions and recommit ourselves to a new set of goals. After spending time reflecting and reminiscing with family, many will add “getting affairs in order” to their list of aspirations for 2020. Many people think only of a Will when contemplating the legal documents necessary to protect their future. However, there are more documents and considerations in developing a well-rounded estate plan. Every estate plan ought to include the following documents:

✔ Durable Power of Attorney

✔ Medical Power of Attorney

✔ Directive to Physicians and Family or Surrogates (Living Will)

✔ Authorization to Release Medical Information (HIPAA Authorization)

✔ Declaration of Guardian

✔ Will

✔ Long-term Care Insurance

your affairs now, as well as when you cannot handle them on your own. If you do not trust the person you have named to act for you right now, be careful about naming that person to act for you when you are incapacitated. Often people appoint spouses, adult children, or other family members as agents to keep affairs private and to avoid hurting feelings. However, appointing a family member may not always be the best option. In all cases, signing estate planning documents should be done only after deep reflection as to the abilities and trustworthiness of each candidate.

facilities. There exists a long-standing myth that Medicare will cover all our healthcare needs, including the cost of long-term care. The reality is that Medicare provides support only in limited situations. Notably, Medicare does not pay for assisted living, memory care, or long-term custodial care in skilled nursing facilities.

Although often overlooked, a Durable Power of Attorney and a Medical Power of Attorney are critical parts of long-term care planning, since they designate the person or persons who will be acting for you in the event you are unable to handle your own financial and health care decisions. Without these documents, no one, not even your spouse, is legally authorized to handle your finances or make medical decisions for you.

Your estate planning documents are extremely powerful and should be executed after great contemplation. The people you appoint to act on your behalf as your agents should be those you trust fully to handle

In addition to the essential legal documents listed above, another planning area that warrants early and informed consideration is preparing for the cost of funding long-term care. Long-term care differs from other types of healthcare, in that the goal of long-term care is not to cure an illness, but to provide an individual with support so they can maintain an optimal level of functioning. Some people want to stay in their homes as long as possible and bring in outside help to make that possible. Others want the freedom from home maintenance that a senior residence community offers. There are a wide range of living arrangements for seniors, from retirement communities to assisted living facilities to skilled nursing

Some people are fortunate to have the ability to private pay for long-term care, which ranges from $3,000 to $16,000/month in the Dallas-Fort Worth area. Others have long-term care insurance (an insurance policy designed to cover long-term healthcare expenses that are not covered by health insurance or Medicare). However, long-term care insurance may not be available if you have certain existing health problems, and the costs and premiums can rise as you age. Therefore, it is important to investigate the availability of long-term care insurance as early as possible. If you cannot qualify for longterm care insurance, there are financial options that may fit your circumstances and provide similar coverage. Professionals who work primarily with seniors, such as Elder Law attorneys, can often provide connections to a community of support agencies and other professionals who may be of assistance to you as you explore your options.

This year, resolve to take the time to craft a thoughtful, and thorough, estate plan. Educate yourself on your options, and seek qualified professional advice on legal documents, healthcare, insurance, and financial planning. A little planning now goes a long way towards ensuring that you and your loved ones are protected, no matter what the future holds.

Lori Leu, Erin Peirce, Lauren Olson, Laura Chavero, and Zachary Stubblefield are Elder Law attorneys with Leu & Peirce, PLLC located in Plano, Texas. They can be reached at 972-996-2540.

LIVE YOUR BEST LIFE IN 2020

Courtesy Preston Place

How about some resolutions that are easy to keep – and even fun?

We all make New Year’s resolutions each year, with high hopes and the best intentions. Yet, we tend to abandon them before the end of January. In fact, a 2018 study conducted by Strava, a social network for athletes, pinpointed January 12th as a date most often reported as the day resolutions fail. The reason? We set unrealistic expectations for ourselves.

When it comes to goal-setting, your best chance for success is choosing attainable goals. You also want to choose very specific goals, and put them in writing. Map them out in a day planner or a mobile app - whichever you prefer. When they’re in print or on your screen, they become real.

It’s also a good idea to divide your goals into smaller steps. Rather than saying, “I want to lose weight” or “I want to read more,” try breaking your resolutions into bite-size weekly and monthly goals. For example, “I want to lose 5 pounds this month,” or “I want to read three books per month, instead of two.”

At independent living communities like Preston Place in Plano, it’s easy to maintain your resolutions all year. Here are a few ways you can enhance your everyday routine and enrich your life, right here in the Plano area.

Finish your college degree, earn a master’s or take a college class

With so many wonderful colleges and universities in our area, it’s never too late to earn a bachelor’s degree, a master’s degree, or take a course in a subject you’ve always wanted to study. At Preston Place, our residents have Dallas Baptist University just 10 minutes away, as well as Collin College, and many more continuing education opportunities right in the Plano area. Many courses and degrees are offered online as well, so you can learn at home.

Step outside your comfort zone

Try out for a local theater production, or use your stage management skills to put on a Broadway-inspired production right in your own neighborhood. Take a mixology class, go hiking somewhere new, or even go skydiving. It’s amazing what you can do when you resolve to step outside your comfort zone.

Join the Plano Senior Advisory Board

Did you know? Our local Senior Advisory Board meets six times a year to hear the concerns and ideas of our citi -

zens. Get involved, let your voice be heard, and help improve our city, together with your neighbors. Learn more at plano.gov.

Volunteer your time and talents

Tutor elementary school children, support your local food pantries, clean up city spaces, or get involved with any organization or cause that means something to you. Resolve to dedicate time each week, month, or quarter to volunteer, and get your friends involved, too.

Travel someplace new

If you’re a cruise person, find a destination you’ve never been to before – and be sure to add on as many excursions as you can. If you prefer air travel, try a new airline that flies somewhere you’ve always wanted to see. If you usually prefer to have every day of your trip planned out, resolve to take at least a day or two to “wing it” and go exploring without a plan. You never know what you may experience, or who you may meet.

Most of all, resolve to live your best life in 2020

One of the best resolutions you can make for yourself is to enjoy life more. For each of us, that can mean something different. Maybe it means retiring from household chores once and for all. Maybe it means making more time for friends, or trying new activities and returning to favorites. Maybe it means throwing out the rulebook and seeing where the wind takes you.

What will you resolve to do this year?

Happy New Year from your friends at Preston Place.

Dr. J. Richard Evanson is a board- cer tified, fellowship trained or thopedic surgeon specializing in hip preser vation as well as reconstruc tion of the hip and k nee. He is cer tified in total k nee and total hip replacements with the MAKO™ Robot, and focuses on a variety of surgical techniques including: hip and k nee ar thoscopy, minimally invasive techniques, spor t injuries, and joint replacement of the hip and k nee. He has a clinical interest and background work ing with spor ts related injuries, femoral acetabular impingement (FAI), hip dysplasia, avascular necrosis (AVN), and ar thritis of the hip and k nee. Dr. Evanson is a former Army surgeon and team physician for the Army Airborne R angers. Dr. Evanson offers minimally invasive hip joint replacement using the direc t anterior approach with the MAKO™ Robot, helping his patients recover faster while minimizing pain. He also specializes in hip ar throscopy, pelvic osteotomies and other hip joint preser vation surgeries to help his patients maintain their normal joints and ac tive lifestyles Dr Evanson is cer tified in total k nee and total hip replacements with the MAKO™ Robot.

Specializing in hip preservation as well as reconstruction of the hip and knee.

DEADLINE: FRIDAY, FEBRUARY 28,

KEEP WARM OR GET OUT EITHER WAY, DART’S YOUR TICKET

When winter winds blow, DART can help stave off the cold by taking you to an array of cozy destinations. On the other hand, we’re lucky to get some winter days that are crisp but not cold, when a comfy sweater and the great outdoors beckon. DART’s got you covered there, too.

Come in from the cold …

Grab a cup A hot drink at Rosalind Coffee will warm you. A short walk from Downtown Garland Station and nestled on the town square, it’s cozy and inviting, and uses some of the most expertly roasted beans around. Grab a window table and take in the quaint scene, where shopping and dining options abound. Or hit Downtown Plano Station and head to 1418 Coffeehouse, a quintessentially indie spot with comfy couches, locally sourced coffee and a wide selection of tea, all in cool early 20th-century digs.

Cozy up to a fire A roaring fire staves off the chill and DART delivers you to “hot” spots where you can take your food and drink hearthside. The Rustic boasts several fire pits in its large yard, and live Texas music on its stage. The popular favorite is next to Uptown/Cityplace Station. Monica’s Tex-Mex Cantina near Cedars Station not only has a hot menu and awesome cocktails, it also offers both a super-cool indoor fire pit with mid-century swank to spare, as well as a rustic version outside.

Turn up the heat. The spicy kind, that is. Zest Fest aims for a weekend of forehead sweat, with the spiciest food from around the country in one place. If you like it hot, you’ll find yourself right at home, with thousands of options to sample. Add cooking demos, live music and contests, and you’ve got the ingredients you need to crank up the heat. The zest happens Jan. 24-26 at the Irving Convention Center, a short walk from Irving Convention Center Station.

Take in a show. An evening – or matinee – at the theater can take you to another time and place, and DART serves three of the area’s best venues. Near Addison Transit Center, revisit the timeless Harvey at WaterTower Theatre from

Feb. 6th - 23rd. For more nostalgic fun, check out The Drowsy Chaperone from Jan. 30th - Feb. 23rd. The parody of 1920s musicals plays at The Firehouse Theatre, right across the street from Farmers Branch Station. Keep the retro theme going when Frank, Dean and Sammy hit the Granville Arts Center, directly next to Downtown Garland Station. The Rat Pack Lounge runs from Jan. 16th - Feb. 2nd. Or be regaled with anecdotes of old-school Hollywood when actress Renée Taylor brings My Life on a Diet to Richardson’s Eisemann Center, just across the plaza from Galatyn Park Station. The one-woman show is full of juicy reminiscences of her life in the movies, rubbing elbows with the likes of Joan Crawford and Marilyn Monroe. It runs Feb. 14th -16th.

… or embrace the cool.

Take a wild excursion One of the milder days in February would be the perfect time to head to the Dallas Zoo. Especially since every day of the month is a Penguin Day – meaning it’s only $6 admission to check out the exotic animals, creepy reptiles and beautiful grounds that make the zoo such a gem. Dallas Zoo Station puts you at the front gate.

Snow tube like a Northerner No matter the actual forecast, Frost Fest brings cold weather fun to Irving. Real (well, sort of) fluffy snow, a tubing hill and other wintry stuff will be at Cimarron Park from 10 a.m. to 1 p.m. Feb. 1st. Enjoy train rides, a photo station and more at this free annual event. Bus Route 401 departs from North Lake College Station and takes you straight to this picture-postcard winter festival.

Go on the hunt Discover the art, culture and history that make the Downtown Plano Arts District such a cool, DARTable destinations – by participating in a scavenger hunt. Let’s Roam is an app-driven activity that’s great for groups, and lets you select your own time. It’s perfect for a sunny winter day, and afterwards, all the shops and restaurants clustered near Downtown Plano Station await you and your crew. Check out letsroam.com for details.

Go small or go home Nothing beats a day spent exploring a neighborhood and browsing independent, locally owned shops and restaurants. On the first Saturday of each month, the merchants of Historic Downtown Carrollton go all out for Shop Small Saturday. The shops are all open, the atmosphere’s chill, and – hey – if you actually catch a chill, just go inside one of the district’s eclectic boutiques or eateries. The neighborhood lies just south of Downtown Carrollton Station.

Gabriel Rodriguez, M.D.

Anesthesiologist

Interventional Pain Relief Physician

Dr. Gabriel Rodriguez is a board-certi ed anesthesiologist and fellowship-trained interventional pain physician at The Pain Relief Center and is dedicated to the eradication of pain. The Pain Relief Center is a state-of-the-art facility providing custom pain relief treatments and same-day procedures to give each patient the ultimate experience.

Dr. Rodriguez received his medical degree from the University of Texas Health Science Center in Houston, Texas. Following this, he completed his anesthesia residency at the prestigious Mayo Clinic in Jack- sonville, FL (ranked among the very best pain management programs in the country by U.S.News & World Report) and continued his training in the pain relief fellowship. He is now a Diplomat of the Ameri- can Board of Pain Medicine, as well as a Diplomat of the American Board of Anesthesiology.

Dr. Rodriguez approaches pain management from an individualized perspective and diligently prepares a comprehensive pain treatment plan tailored to each patient’s speci c needs. Dr. Rodriguez understands that not all pain is the same and o ers a complete assessment of your pain as well as frequent reassessments to ensure your pain is well controlled. Most procedures are minimally invasive and provide considerable relief. Dr. Rodriguez believes that no one should live with pain and be limited from having the life they once knew.

THE FUTURE OF 3D PRINTING WILL INVOLVE SPINE SURGERY

Courtesy Texas Back Institute

There is an interesting intersection at work between the disciplines of mechanical engineering and orthopedic surgery. Spine surgeon Dr. Michael Hisey of Texas Back Institute is a perfect representation of this given his undergraduate degree in mechanical engineering and medical specialization in orthopedic surgery. His fascination with engineering continues to this day with the use of 3D printing for medical devices and its impact on improving patient outcomes.

3D Printing & Spine Surgery in Today’s Operating Room

“While it might surprise some, 3D printing has been used in spine surgery for many years,” Hisey said. “The first use of this process was in ‘rapid prototyping.’ Surgeons would build a plastic prototype of the implant to ensure the design would fit and work with the other parts of the spine.” Now, the market for 3D printing is growing rapidly and the doctors of Texas Back Institute are at the forefront.

Dr. Hisey notes that the 3D printing process can now use metal, rather than plastic. When it became possible to print a metal such as titanium, printers could build implants with geometries that weren’t even possible before with either molds or machining. This allowed implants to be made with porosity (i.e. with holes in their surface) that could never be created by standard manufacturing. This porosity allows for better tissue integration and speeds up the recovery time for the patient.

Another advantage of 3D printing in spine surgery is its capability to reproduce a model of the bones and joints of the spine using extremely accurate measurements from CT scans. A recreation of the patient’s spine allows the surgeon to better plan the operation and accurately predict factors such as the size of the screws and what size implants will be needed to stabilize the bone.

“This allows us to observe the spine in three dimensions, hold it in our hands, and to get an accurate look at the patient’s spinal anatomy,” Hisey said. “This technology allows for more efficiency in ordering implants for a patient, thereby reducing the cost of the procedure to patients and their insurers.”

What is in Store for Biomedical 3D Printing?

Once technology begins to take hold in an industry, it typically expands exponentially, and 3D printing is no exception. “We’re getting to the point where we can build implants with flexibility characteristics that better match the body’s structure,” Hisey said. “This allows the implant to work better with the patient’s bones and avoid collapsing existing bone.

“I can also see the possibility of 3D printing a flexible disc in the near future that would be used for replacement of damaged or diseased discs.”

According to Dr. Hisey, “We ain’t seen nothin’ yet!”

“In the next 20 years, I would expect that we would have a 3D printer that lives in the hospital,” he said. “This would allow us to plan the surgery the day before and then have the implant made as we are preparing the patient for surgery. It comes out of the printer sterilized and ready to be used for the patient. And for trauma surgery, a patient needing an implant could be treated in minutes.

“In addition, we would also have the ability to reproduce surgical equipment or be able to reproduce broken instruments in minutes. This reduces the number of instruments that are stored, saving money for the patient, hospital and insurance carrier.”

Improving Outcomes and Reducing Cost Through 3D Technology

As medical 3D printing continues to evolve, Dr. Hisey believes we will continue to see improved patient outcomes which is a top focus for Texas Back Institute. “Accuracy continues to improve,” Hisey said. “Imaging has never been better and with the increase in computational power, it will only continue to increase. 3D printing will ultimately allow us to customize implants and better match a patient’s anatomy which we expect will lead to quicker recovery, more accurate correction of deformities and better relief of symptoms. The combination of engineering, technology and medicine should produce better results than were previously possible. This is truly an exciting time for surgeons and patients.”

NEW YEAR RESOLUTIONS: WHY THEY FAIL AND HOW YOU CAN SUCCEED

By Kimberly Blaker

“The new year stands before us, like a chapter in a book, waiting to be written. We can help write that story by setting goals.” -- Melody Beattie

The New Year is a great time to take inventory, set goals, and take charge of your life. But if you’re like most, making resolutions is much easier than keeping them. Rather than focus on the idea of a new beginning, which can lead to disappointment at the first slip, keep in mind that selfimprovement is an ongoing endeavor. Setbacks are not failure; they bring

wisdom and insight for future success.

Before making a split decision on this year’s resolutions, make a list of goals and changes you’d like to make. Then review your list, and cross off any you don’t feel genuinely devoted to.

Setbacks are not failure; they bring wisdom and insight for future success

Maybe you want to resolve to spend more time with your family, quit smoking, or lose weight. You’re more likely to succeed if you feel a strong personal commitment rather than ‘I should.’

One reason people don’t keep resolutions they make is the resolutions are often made to silence the pestering of a loved one. If you decide to quit smoking to get your husband off your back, you’re less likely to succeed. If you choose to quit smoking to feel healthier and be able to enjoy physical activity without being winded, you’re more likely to experience success.

Choose one or perhaps two of the resolutions on your list that you feel most committed to. Then choose one or two you feel confident you can do with ease. These last couple can be used as positive reinforcement for the more challenging first choices.

Next, make a clear plan for adhering to your resolutions. Put each resolution in writing and write down the steps to achieve them. Let’s say your resolution requires a routine or schedule such as an exercise routine, a new diet, or steps toward completing your education. Create a goal chart, a detailed plan, and a checklist to track your progress.

Also, post notes in strategic places such as the refrigerator, bathroom mirror, or steering wheel as reminders of your resolutions with tips on how to overcome temptation. Make sure your family understands the importance of your resolutions.

Family support and their positive reinforcement can be most helpful. If your resolution is something your family has been nagging you about, ask for their encouragement. But explain that pressure and pestering, particularly during setbacks, could undermine your resolve. Determine how each family member can help you to achieve

Adjust your environment to enable success

your goal perhaps by taking on additional household chores or through affirmations of your continued success.

Adjust your environment to enable success. If eating healthier is your goal, don’t fill the cupboards with junk food for other family members. Find healthy snacks they’re willing to substitute. If you’re trying to quit smoking, avoid

people, places, and things that remind or tempt you, at least until you have it well under control. Don’t go it alone. If you have a friend with a similar resolution, make a pact. Work together to create a plan, and then make a point to check in with each other regularly for encouragement, praise, and support. If you resolve to get more exercise, do it together. Having a commitment and someone to accompany you will go a long way in helping you succeed.

Finally, reward yourself, not just once you’ve achieved your goal, but periodically for your success so far. Small, periodic rewards can be motivation enough to keep you strong when you’re ready to throw in the towel.

Remember, whatever New Year resolutions you choose, success awaits you if you resolve never to give up trying. Kimberly Blaker is a

TREATING PAIN FOR BETTER DAYS

Introducing the OsteoCool™ RF Ablation System for the treatment of pain caused by metastatic malignant bone tumors. If cancer has metastasized to bones such as your spine, hip, femur, or pelvis, talk with your oncologist about treatment options, such as OsteoCool™ RF Ablation to treat your pain.

To the right is a list of Physicians actively offering the OsteoCool™ RF Ablation System in your local area.

WHAT ARE THE RISKS?

Remember to always talk to your doctor about the benefits, potential complications, and risks for any procedure. Damage to surrounding tissue may occur from this procedure. Additionally, if you have a tumor in the cervical spine (neck) or have a heart pacemaker or other electronic implant, this procedure may not be right for you.

For more information, please visit Medtronic.com.

Allen, TX

Leonard Kibuule, MD (817) 442-9300

Adrian Moger, MD (972) 599-9328

Frisco, TX

Paul Salinas, MD (972) 377-9200

McKinney, TX

Irfan Ali, MD (817) 488-0410

Eric Benson, MD (972) 599-9328

Edward Pong, MD (972) 599-9328

Plano, TX

Theodore Belanger, MD (972) 608-5020

Scott Kutz, MD (972) 608-5020

Nupe Singhal, MD (972) 519-1524

Richardson, TX

Randall Graham, MD (972) 283-4966

Jorge Roman, MD (972) 599-9328

Crys Sory, MD (972) 566-7866

REHABILITATION

Stonemere Rehabilitation Center’s Accelerated Recovery program specializes in providing the latest in technology, equipment, techniques for those requiring short-term rehabilitation after recent hospitalization.

24-hour

Skilled and Rehabilitative services

Stonemere offers 24-hour Skilled and Rehabilitative services for medically complex patients to include those needing high level acuity skilled nursing care.

• Skilled care physicians and staff

• Certified high level wound care

• Tracheostomy care

• IV therapies (antibiotics, Lasix) PICC line placement

Luxury Amenities such as private rooms, WiFi, and full private baths.

Comfortable living rooms.

5 Star Dining, specialized menu tailored for patient’s nutritional needs by a licensed nutritionist. Therapy

• Physical therapy

• Occupation therapy

• Speech therapy

• erapist is LOUD certified

Stonemere has individually tailored therapy programs for strokes, orthopedics, elective procedures, generalized weakness and debility.

Rahul Banerjee, MD

Orthopaedic Surgeon

Comprehensive Orthopaedic Care with expertise in:

• Fracture Repair

• Joint Replacement

• Anterior Total Hip Replacement

• Fracture Nonunions/Malunions

• Limb Lengthening

• Periprosthetic Fractures

• Pelvic Fractures

• Upper Extremity Injuries

Dr. Rahul Banerjee is a board-certified, fellowship trained orthopaedic surgeon who specializes in comprehensive fracture management, joint replacement (including direct anterior hip replacement), and management of complex orthopaedic problems.

Dr. Banerjee graduated with honors from Brown University and completed medical school at the University of Chicago Pritzker School of Medicine where he was inducted into the Alpha Omega Alpha honors society.

Dr. Banerjee served in the United States Air Force and attained the rank of Major. Dr. Banerjee was assigned to treating injured patients and training orthopaedic residents at the William Beaumont Army Medical Center in El Paso, TX. During his service, he was deployed to the War in Iraq in support of Operation Iraqi Freedom and treated many injured soldiers and civilians.

Dr. Banerjee is the recipient of numerous awards and honors including the Air Force Commendation Medal, the Army Commendation Medal, the Howard Rosen Teaching Award from AO North America. He is an active member of the American Academy of Orthopaedic Surgeons, the Orthopaedic Trauma Association, and the American Orthopaedic Foot and Ankle Society. Dr. Banerjee has authored over 25 peer-reviewed publications and numerous textbook chapters on the treatment of orthopaedic problems.

Dr. Banerjee serves as the Director of Orthopaedic Trauma at Medical City Plano. In 2019, Dr. Banerjee joined Texas Bone and Joint and continues to practice in Plano.

Sta ed by 2 Licensed, Doctors of Audiology

Hearing Aid Fittings, Maintenance and Repairs

Wireless/Connectivity Hearing Solutions

• Invisible Fittings/Open Fittings

Evaluation Period On All Hearing Aids

Hearing Evaluations For All Ages

Battery Purchase Programs

Custom Ear Protection

Assistive Devices

30 Years of Experience

“Hearing Services of Mckinney is my #1 place to go for my hearing loss needs. Caring and dedicated professionals with many years of experience working daily to meet your needs” . – Terry G. Box, Retired Collin County Sheri

TREATING HEARING LOSS: WHO YOU SHOULD SEE AND WHAT STEPS YOU SHOULD TAKE.

By Elizabeth Brassine, Au.D.

Hearing is one of the body’s most remarkable senses. It integrates with our brain to help us connect with the world around us. Made up of a complex system of delicate and synchronous parts, it’s easy to take this vital sense for granted. If any of these components aren’t working properly, the result could be hearing loss. For 48 million Americans––or nearly one in five, ages 12 and older––this is precisely the case.

If you think you or someone you know has hearing loss, you’re probably wondering what the next step should be. That’s easy; see a hearing professional. It’s important to see someone who specializes in hearing issues such as a Doctor of Audiology. Schedule a comprehensive evaluation to begin treatment and rehabilitation as soon as possible.

Don’t do it alone

While hearing loss typically can’t be reversed, most cases can be managed with the help of an Audiologist and hearing aids.

See a professional

Just as every person is unique, every hearing loss and need is unique too. To ensure you get a solution that’s custom-fit to your precise needs and lifestyle, it’s always recommended that you consult with an audiologist. These trained experts have the experience, education and technology needed to diagnose and measure your degree of hearing loss, then recommend and administer a solution personalized for you, including ongoing support and care.

Get the right solution

Today the best solution for sensorineural hearing loss is hearing aids. Like all high-tech devices, hearing aids have improved significantly over the

past several years in terms of performance and appearance. From “invisible” solutions that fit deep inside your ear and are virtually undetectable but still deliver exceptional sound quality, to wireless options that stream audio from your phone and TV, today’s hearing aids sound better, fit more comfortably and perform more reliably than ever before.

How a hearing aid works (the basics)

A microphone picks up sound and converts it into an electrical/digital signal. An amplifier then increases the strength of the signal, which in our more sophisticated devices is manipulated by advanced signal processing. This allows the signal to be “shaped” to someone’s hearing loss. The receiver or speaker converts it back into sound and sends it into the ear canal, to eventually reach the inner ear. That signal goes up the auditory pathway to the brain which “hears” and understands the sound as speech. There is a difference between basic amplification products and hearing aids. Hearing aids and personal sound amplifier products (PSAPs) both improve the ability to hear sound. PSAPs are typically stripped of sound enhancement features. In many ways, these devices are a throwback to the old analog hearing aids that basically just made all sounds louder. However, hearing aids are designed to improve your hearing in more difficult listening situations with advanced technology features like feedback elimination, noise reduction technology and often better ability to hear on the phone.

Two are better than one

Nearly 95% of people with sensorineural hearing loss can be helped with hearing aids. But wearing two hearing aids delivers these additional benefits:

• Better understanding of speech

• Better understanding in background noise

• Better and smoother sound quality

• Better sound identification and localization

• Better tinnitus masking

Treatment makes a difference

Research by the National Council on Aging (NCOA) concluded that hearing loss treatment is shown to improve: physical health, communication in relationships, warmth in family relationships, ease in communication, emotional stability, sense of control over life events, and earning power.

The right fit

Today’s best hearing aids are precision instruments, utilizing advanced technology that can and should be customized to fit your specific hearing loss and unique lifestyle needs. Determining which hearing aids are right for you depends on a variety of important and unique factors including: the nature and severity of your hearing loss, your eyesight and dexterity, the size and shape of your outer ear, the types of activities you enjoy (listening needs assessment) and cosmetic concerns. That’s why getting fit with the advice and consultation of an experienced Audiologist can’t be overemphasized.

Get the most out of your investment

The Better Hearing Institute reiterates this in their report: “The hearing aid fitting process requires complete in-person hearing assessment in a sound booth; the training and skills of a credentialed hearing professional in order to prescriptively fit the hearing aids using sophisticated computer programs; and appropriate in-person follow-up and counseling. This is not possible when consumers purchase one-size fits-all hearing aids over the internet or elsewhere.”

Elizabeth Brassine is a Doctor of Audiology and owner of Hearing Services of McKinney.

DISTRESSING ANXIETY SYMPTOMS— SOME YOU MIGHT NEVER EXPECT

By Kimberly Blaker

Imagine, out of the blue, you feel your brain spin 180 degrees at lightning speed as if fueled by an electrical current. This bizarre feeling isn’t lightheadedness, dizziness, or anything you’ve ever experienced. You panic and wonder, ‘Am I going crazy?’ Or worse, ‘Am I going to die?’ You try to brush it off when suddenly, it happens again.

According to the National Institute of Mental Health, nearly one in five Americans will experience an anxiety disorder in a given year. What’s more, there are over 100 possible symptoms, many of which you’d never expect to be caused by anxiety. For that reason, when they occur, they often exacerbate anxiety because of the worry caused by the symptoms.

UNUSUAL SYMPTOMS OF ANXIETY

The following are some of the more bizarre symptoms of anxiety, though most are not uncommon. If you experience symptoms that persist, seek medical attention to rule out a medical cause since all the symptoms of anxiety can also be associated with various medical conditions.

• Indigestion Anxiety can cause temporary or even chronic indigestion. Burping, passing gas, diarrhea, and heartburn can all be symptoms.

• Phantom ringing Tinnitus, which is a ringing in the ears, can be a sign of stress or anxiety and can be experienced in several ways. According to anxietycentre. com, you may hear buzzing, ringing, humming, whizzing, chirping, roaring, swooshing, or any number of other sounds.

• Burning sensation This unusual anxiety symptom can be felt on your skin, lips, tongue, and even in your eyes. It can feel like a sunburn despite no sunburn being present, a prickling sensation, or even shooting sparks.

hyperventilation is a common response leading your body to feel it isn’t getting enough oxygen. As a result, you might experience frequent yawning.

• Phantom smell Phantosmia, an olfactory hallucination, sometimes occurs with anxiety. It can cause you to smell something that isn’t there, or rather, a neutral smell becomes unpleasant.

• Brain shivers or zaps Most often, this bizarre sensation is caused by antidepressants or withdrawal from them. However, sometimes it’s associated with anxiety. Brain shivers can range from mild to severe and feel different from person-to-person, though they usually last only a brief time. Brain shivers or zaps, explains anxietycentre.com, can feel like an electrical jolt or a shaking, vibration, or tremor in the brain,

• Phantom vibrations If you’ve ever felt your phone vibrate, only to discover it didn’t, attachment anxiety may be the cause. This is a genuine phenomenon, according to a study reported by the University of Michigan in 2016.

• Tremors Anxiety can cause numerous types of tremors. In addition to shaking or trembling, other typical forms, according to calmclinic. com, include arm or leg spasms, cramping, or longer or slower shaking than usual.

• Derealization This experience feels like not being in reality. Anxietybc.com says it can be experienced in several ways. You may feel disconnected from the world and people around you, sort of like being in a dream state. You may have a distorted perception of space, time, and the size of things. Everything might feel foggy or fuzzy or that you’re very ill or going crazy.

YOU MAY FEEL DISCONNECTED FROM THE WORLD AND PEOPLE AROUND YOU, SORT OF LIKE BEING IN A DREAM STATE.

• Heart irregularities Skipped heartbeats, palpitations, or a racing heart can all be symptoms of anxiety. What’s so troublesome is that it can be difficult to tell the difference between heart irregularities caused by anxiety versus a heart attack. When in doubt, seek medical treatment right away.

• Physical numbness or tingling These feelings can occur in your hands, feet, arms, legs, or face. It may also feel like physical weakness.

• Excessive yawning During anxiety attacks,

• Globus hystericus With this anxiety symptom, it feels like a lump in your throat, or you might have difficulty swallowing. Some people also feel a tightness in their throat.

• Eye problems Blurred vision, dilated pupils, watery eyes, and shapes that float in front of the eyes can all be a result of anxiety.

• Skin rashes Stress can cause hives, itching, and rashes. If you already have rosacea or psoriasis, anxiety and stress can exaggerate it.

• Shooting pains You may experience these in several areas of your body, including your face, abdomen, arms, and chest during episodes of anxiety.

• Freezing hands and feet Stress and anxiety can decrease circulation. As a result, your hands and feet may feel icy.

HOW TO ALLEVIATE ANXIETY

Depending on whether you have an actual anxiety disorder or the severity of the symptoms, antianxiety or antidepressant medication may be the solution. But there are other things you can do as well to reduce anxiety and alleviate symptoms.

During periods of high stress, get plenty of rest. This will help keep anxiety under control and result in fewer or less severe symptoms.

Also, practice slow breathing. Alice Boyes Ph.D., in her article, “Breathing Techniques for Anxiety,” says the key is to focus only on breathing out. While concentrating on slowly, steadily, and gently breathing out, allow the tension to flow out of your body and relaxation to flow in.

Mindfulness meditation is another useful technique for reducing anxiety according to a growing body of research. You can start by meditating for just a few minutes each day and gradually increase it to more extended periods. For complete instructions, visit www.mindful.org/mindfulness-how-to-do-it/

Get some exercise. It doesn’t have to be a lengthy, hardcore workout. Even a 10-minute brisk walk can provide several hours of anxiety relief, according to psychologists, says the Anxiety and Depression Association of America.

Finally, if your doctor has told you your symptoms are anxiety-related, remind yourself of this when symptoms strike. Try not to worry about the symptoms, which only serves to exacerbate anxiety and cause the symptoms to persist.

Kimberly Blaker is a freelance lifestyle writer. She also writes content, blog posts, and more for businesses in a variety of industries and is an expert in on-page SEO. Find her at www.kimberlyblaker.com

JUST DO SOMETHING

Avery large sports apparel company coined the phrase “Just Do It” a while back and although simple, the depth of the message is phenomenal. People have found inspiration in that simple message and have overcome obstacles and hurdles in their everyday lives and have accomplished great things from starting their own companies to losing weight and improving their overall health. If you have a “thinker” style of communicating, like I do, you probably struggle with simple things. When asked what time it is, you answer with detailed instructions on clock building. My wife is constantly reminding me to just get to the point. So, the concept of simple things not only works well, it is often preferred by many.

In decision making regarding funeral services, this is where many people, at least nowadays, are getting derailed. The sheer complexity of the task can be more than what most people think they can handle. Especially, when this overwhelming task is a need resulting from the loss of someone you love. This is where funeral directors come into play. It was once estimated that the number of decisions and details needing to be addressed in funeral planning are similar to those a bride and groom make when planning their wedding. The huge difference is a wedding coordinator has several months in which to pull the numerous details together. The funeral director must make this happen in a matter of a few days. Because of this, many people are choosing to go a simpler route in honoring the life of their loved one. Some people are even going to the extreme of doing nothing more than the very minimum that is required and forego all else. The purpose of this discussion is not to cast judgment on the choices people make, but rather to encourage people to “just do something.”

In a previous article regarding the practice of viewing the body of a loved one, the comparison was made between people who do not view and those whose loved one is declared dead, but a body never found. Closure is often so difficult when the opportunity to say good-bye is diminished or eliminated altogether. This can hold true for the lack of some sort of tribute as well. Denial that a death has occurred is one of the phases of grief. There are other phases of grief as well, and unless a person can face and deal with each phase, it is difficult, if not impossible, to ever reach the final phase of grieving: acceptance and reconciliation. It can appear that attempting to ignore a death by refusing to conform to any of the customs surrounding funerals, one can just skip the process of grief and go on with their normal life as if nothing has

By Rick Allen

happened. In our crowded schedules and busy lifestyles, not stopping to grieve and say good-bye may seem like the most sensible thing to do. This will appear true until at some point down the road anger, guilt and the other phases of grief arrive and the person who has experienced the loss wonders why they just can’t seem to get on with their life.

As difficult as it may seem at the time, it is absolutely necessary for the family of a person who has died to seek the advice of a funeral director and work together to create some-

thing that is meaningful, appropriate and affordable that will enable family and friends to come together, share their grief and say good-bye. It does not have to be elaborate nor even traditional for that matter. It just needs to be something. A great example of this concept is the experience of a family we recently served. The person who died was cremated and a funeral service was going to be held in another state at a later time. However, many friends here needed to have something, especially since they could not travel to the site of the funeral. So, an evening of remembrance was scheduled at the funeral home. This event resembled a reception with mementos, photos and refreshments out for those attending. Although it was very evident that a death had occurred, the atmosphere was light and every person who came was grateful the spouse had considered them in planning the event.

While it appears to be easier to do as little as is required, or even nothing at all, consider the potential good that can come from just doing something.

Rick Allen has been the owner of Allen Family Funeral Options for over 35 years and may be reached at 972-596-8200, or you may visit their website at www.AFFOplano.com.

Reza Mobarak, DPM, FACFAS, FAPWCA

Board Certified in Foot & Ankle Surgery and in Wound Care

Fellow, American College of Foot and Ankle Surgeons

Fellow, American Professional Wound Care Association

PLANO CLINIC: 5804 Coit Rd., Ste. 100 Plano, TX 75023

972.805.9985

LEWISVILLE CLINIC: 502 N. Valley Pkwy., #2 Lewisville, TX 75067

972.318.2738

IRVING CLINIC: 6161 N. State Hwy. 161 Ste. 320 Irving, TX 75038 972.318.2655

The foot is a crucial part of the human body and comes with numerous complications that often need to be treated by qualified professionals. Our staff is filled with responsible specialists experienced in treating a variety of conditions.

SPECIALIZES IN:

Foot and Ankle • Wound Care • *Neuropathy

OFFERING:

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Medical & Surgical Treatments Offered:

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• Ingrown Toenails

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• Drop Foot

• Custom Orthotics & Braces

Easy Tomato Gazpacho

Ingredients

• 1 onion, finely chopped

• 1 cucumber, finely chopped

• 1 green bell pepper, finely chopped

• 1 yellow bell pepper, finely chopped

• 1 red bell pepper, finely chopped

• 3 stalks celery, finely chopped 2 (14.5 ounce) cans whole peeled tomatoes

• 1/2 cup tomato juice

• 2 tablespoons white vinegar

• 1 tablespoon olive oil

• 1 teaspoon crushed garlic

• salt and ground black pepper to taste

Directions

Combine all ingredients in a large bowl. Blend with an immersion blender until mostly smooth.

Season with salt and black pepper. Chill in refrigerator to blend flavors, at least 2 hours.

Top with diced cucumber and tomatoes.

Ginger Basil Salmon

Ingredients

• 2 lb. side of Alaska salmon (wild caught)

• Sea salt, to taste

For the marinade:

• 3 Tbsp rice vinegar

• Juice of half a lemon

• 1 Tbsp honey

• 1 Tbsp reduced sodium soy sauce

• 1 Tbsp fresh ginger, grated

• 2 tsp. Sriracha

• 3 cloves garlic, minced

• 2 Tbsp fresh basil, chopped

Directions

Preheat oven to 375 degrees

Line a baking sheet with foil and place salmon in the middle of the foil. Season with salt and set aside.

In a small bowl, whisk together rice vinegar, lemon juice, honey, soy sauce, ginger, Sriracha, garlic and basil. Pour marinade over salmon until it is evenly coated and wrap tightly with the foil.

Bake salmon for 15 to 20 minutes then open up the foil and let it cook under the broiler for an additional 5 minutes.

Serve immediately and enjoy!

James P. Ralston, M.D., F.A.A.D. Dermatologist

Dr. Ralston is Board Certified in Dermatology. He is an award-winning dermatologist with numerous accolades. Most recently he was honored in 2019 as Best Dermatologist, Best Place for Botox, and Best Laser Hair Removal by McKinney / Allen Living Magazine. In 2018 he won Best Physician - Dermatologist for the eighth year in a row by McKinney Magazine/Online's Best of McKinney.

Dr. Ralston practices cosmetic, surgical and medical dermatology and provides the latest treatment options for a wide range of pediatric, adolescent and adult dermatological concerns such as skin cancer, eczema, acne and acne scars, wrinkles, age spots, rashes and psoriasis. He utilizes treatments, such as PDT, which combines laser or other light with topical medicine to treat skin cancer, acne, aging, and other conditions. He provides the latest in body contouring and other cosmetic treatments and techniques. Additionally, he is a national key opinion leader for multiple lasers. His professional interests include utilizing technology to enhance the art and science of medicine for optimal skin health through preventative and quality care.

Dr. Ralston received his medical degree from The University of Texas Medical School at Houston, and completed his dermatology residency at the State University of New York (SUNY) in Buffalo, New York where he was Chief Resident. He also fulfilled a fellowship in cutaneous oncology and photodynamic therapy (PDT) at the prestigious Roswell Park Cancer Institute in Buffalo, New York. There he explored leading edge technology to develop less invasive methods to treat skin cancer and pre-cancers in order to refine his skills as a surgeon further, Dr. Ralston participated as a fellow in Mohs micrographic surgery. Dr. Ralston has contributed textbook chapters and articles to the medical literature and was awarded Best Clinical Science Report from Roswell Park Cancer Institute.

Dr. Ralston was raised in The Woodlands, Texas, and now lives in McKinney with his wife and three children. He enjoys snow skiing, computers, music, reading, theatre, and spending time with his family.

5801 Virginia Parkway, Suite 102 McKinney, Texas 75071 972.548.0333 dermatologymckinney.com

Diane S. Litke, MD

Diplomate American Board of Orthopaedic Surgery

Dr. Litke is a passionate artist, both in her spare time and as an orthopaedic surgeon. At L&W Orthopaedics, she approaches every orthopaedic problem with an eye toward restoration of function and mobility. With a deep knowledge of the inner workings of the body’s most active and important joints, Dr. Litke is able to repair most hip, knee, and shoulder problems, giving her patients the freedom to move again. Assisting her skilled hands, she uses the latest state-of-the-art robotic equipment for accuracy and precision, delivering a powerful combination of experience and technology to all of her patients.

Dr. Litke earned her medical degree at the University of North Carolina Chapel Hill. She went on to complete her orthopaedic residency at the University of South Carolina in Columbia South Carolina. She is certified by the American Board of Orthopaedic Surgery, and is a Fellow of American Academy of Orthopaedic Surgery and a Fellow of the American Association of Hip and Knee Surgeons. Dr. Litke is affiliated with the Methodist Richardson Medical Center, where she is the director of the joint program. When she’s not working, Dr. Litke enjoys photography and ceramics.

Please call 972.498.4791 to schedule an appointment.

www.LWOrthopaedics.com

Dr. Diane S. Litke, MD

BELLY FAT

By Julie Alvira, MD, MBA

Each day millions of people are becoming aware of the risks of excess fat in the abdominal area also known as “belly fat.”

It is not the idea of not fitting into your favorite jeans anymore, right now it is about your health. According to a recent study published in the Journal of American Medical Association (2015), abdominal fat is tending to be very common among adults. For this reason obesity is a major issue in the United States. When a person exercises too little and doesn’t balance the amount of calories going in and burning off, excess body fat can accumulate in the abdominal area. This aspect, plus the fact that with aging comes muscle mass loss, means one thing––you need to take charge of your health. You can do it!

The science behind it

There are two types of belly fat: subcutaneous and visceral. While the subcutaneous fat refers to the one between the skin and the wall of the abdomen, the visceral is deeper and surrounds abdominal organs. According to Harvard University, the type of fat related to health risks is visceral. Abdominal fat is supposed to break down into fatty acids that travel directly into the

liver and muscle. Fatty acids stimulate certain reactions in the liver that result in health risks which UT Southwestern Medical Center (2015) describe as: inflammation of joints and tissues, altered cholesterol levels, heart disease, some types of cancers, diabetes type 2, liver problems, metabolic syndrome, and overall mortality.

Interesting points: not all fat is completely dangerous, it all depends where it’s deposited in the body. Belly fat is metabolically active and produces factors and hormones that increase risks for the illnesses mentioned above. Even skinny people can have hidden, unhealthy belly fat.

Take note: waist measurements with the use of a tape measure of more than 35 inches for women and more than 40 inches in men need to be evaluated.

Why it develops?

• Lack of physical activity

• High caloric inadequate food choices

• Excess of saturated fats

• Larger portion sizes while eating

• Busy schedules with not enough time to cook

• Incorporating too many processed foods into eating plans

Women and men

Usually both men and women undergo a decrease in hormone levels and muscle mass as they advance in age. The difference relies in the following:

As women age, there is a decrease of estrogen that influences the accumulation of fat in various areas in the body especially in the abdominal area. Such accumulation in the abdomen can increase a woman’s risk for heart disease. According to a study published in the Journal of the National Cancer Institute, pre-menopausal women with enlarged waists pose a risk for breast cancer. Also, fatty acids released from belly fat are associated with an increase in LDL cholesterol (commonly known as the “bad”), which is a risk factor for heart disease. Let’s remember that cardiovascular disease is the number one killer of American women.

When men age there is a decrease in muscle mass but also the accumulation of fat in several areas. Linked to this is the famous beer belly. In this situation the liver burns alcohol instead of fat. Let us not forget that alcohol can increase your appetite. A person ends up drinking lots of empty calories (sometimes in one sitting) and consum-

ing the usual “fat munchies” that goes with it such as pizza and fried foods. Different from women, men have less subcutaneous fat all over the body but they tend to store more in the belly area. In addition, studies suggest that a large belly in men had been linked to erectile dysfunction in older men (over age 60 and still under research).

What can be done?

• Start a healthy lifestyle by modifying eating habits

• Decrease or avoid foods high in simple sugars or saturated fat

• Increase physical activity

• Start in a support group for a more active lifestyle

A big number of studies agree that by

increasing physical activity and cutting certain fats and foods can reduce total body fat, including belly fat.

As Plato once said, “Lack of activity destroys the good condition of every human being, while movement and physical exercise save it and preserve it.”

Julie Alvira, M.D., MBA Healthcare Management is the founder of Coach Dr. Julie, LLC - Physician Life Coaching Services as well as a certified life coach. She’s master certified in health and wellness. You can find her on Facebook as Coach Dr. Julie for via email at julie@coachdrjulie.com. www.coachdrjulie.com

Custom Framed Mirrors

“You may find that your 2nd or 3rd opinion should have been your first.”

DENNIS BIRENBAUM, MD EUGENE J. WYSZYNSKI, DO

Dr. Birenbaum founded the Arlington Cancer Treatment Center in 1981. He founded the Texas Hematology Center, PA in 1997. He is the founder, Medical Director, and CEO of Patients Comprehensive Cancer Center (2001) & McKinney Regional Cancer Center (2007). Dr. Birenbaum trained at The University of Texas M.D. Anderson Cancer Institute for 5 years, 3 years as a Hematology/Oncology fellow and 2 years as facility professor. His private practice in Hematology/ Oncology has been in the Dallas/Fort Worth area since 1979.

AREAS OF CLINICAL INTEREST:

• Gastrointestinal Tumors

• Melanoma, Sarcoma

• Breast Cancer

• Lymphoma

CREDENTIALED AT SEVERAL LOCAL HOSPITALS:

• Centennial Medical Center

• Medical Center of McKinney

• Methodist Richardson Medical Center

• Dallas Medical Center

• Specialty Hospital

• Kindred Hospital

PERSONAL INTERESTS:

• Born and raised in Dallas, TX

• Attended SMU (Southern Methodist University)

• Father of 2 sons

• Owns six dogs

• Loves traveling and golf

• Avid collector of arts and antiques

Dennis Birenbaum, MD and Dr. Wyszynski, MD, DO are M.D. Anderson trained hematologists/oncologists.

Dr. Wyszynski, MD, DO also trained at Fox Chase Cancer Center in Philadelphia, PA. They may be reached at the following location:

Dr. Wyszynski joins the Texas Hematology and Oncology Centers after many years of successful private medical practice in the Dallas/Fort Worth area. Dr. Wyszynski completed his internship and residency at John F. Kennedy Memorial Hospital in Stanford, New Jersey. He followed these with a number of Fellowships including one in Hematology/Oncology at the prestigious M.D. Anderson Cancer Center in Houston, TX, and two years at Fox Chase Cancer Center in Philadelphia, PA. Dr. Wysznski is well known for his quality of care and the personal interest he takes in his patients. He is very active in many professional societies and investigative trials.

BOARD CERTIFICATIONS:

• American Osteopathic Board of Internal Medicine: Hematology/ Oncology-Certified: 8/24/2007

• American Osteopathic Board of Internal Medicine

PROFESSIONAL SOCIETIES:

• American Osteopathic Association

• ASCO

• Texas Medical Association

• Dallas County Medical Association

CLINICAL CANCER INVESTIGATIVE TRIALS:

• Central Pennsylvania Oncology Group Protocal

• Eastern Cooperative Group

• Southwest Oncology Group

PERSONAL INTERESTS:

• Married and father of 2 children

• Enjoys traveling and spending time with family

• Active in many hobbies