Collin County Living Well Magazine January-February 2024

STAND OUT WITH THE EMINENT CHOICE IN HEALTHCARE

Pain Management • Sports Medicine • General Surgery • Spine Surgery

Orthopedic Surgery • Neurosurgery • Minimally Invasive Spine Surgery

Total Joint Surgery • Foot & Ankle Surgery • Hand Surgery

Gynecological Surgery • Plastic Surgery

ROBOTIC TECHNOLOGY

Expert Orthopedic Surgeons Close

Left to right

Duncan L. McKellar, Jr., MD

Brian Nwannunu, MD

Florian F. Dibra, MD

Charles E. Toulson, MD

Cyrus Abbaschian, MD

Donald W. Hohman, MD

J. Stephen Appleton, MD

Alexander S. Greenstein, MD

Kwame A. Ennin, MD

Samuel K. Stephenson, MD

A NEW STANDARD IN PATIENT CARE

Welcome to the latest edition of LIVING WELL Magazine, where our pursuit of health extends beyond the physical, where we explore health not just in body, but in every part of everyday life.

In this issue’s cover story, we’re honored to present Charles Toulson, MD, MBA—a name synonymous with orthopedic excellence. Dr. Toulson’s journey from an early realization of his medical aptitude to becoming a pioneer in orthopedic surgery is not just a career path, but a life’s mission. With a focus on alleviating chronic pain and enhancing quality of life, his work in adult hip and knee reconstruction, revisions, and robotic-assisted joint replacements sets a new standard in patient care.

Switching gears, we step into the world of cinema with our celebrity spotlight on Ryan Gosling. From his early days on the Mickey Mouse Club to his transformative role as Ken in the hit Barbie movie, Gosling’s career is a remarkable narrative of evolution and reinvention. We explore the depths of his multifaceted talent and how his personal journey of discovery has made him one of Hollywood’s most enduring stars.

We also share a poignant piece that touches the hearts of pet lovers. A Giftof Love for Your Pet delves into the benefits of spaying and neutering, not just for our beloved companions but also for the broader community. Ths article is a beautiful reminder of the responsibility and love we owe to our furry family members.

Lastly, in Unusual Symptoms of Anxiety, we shine a light on the often-overlooked signs of anxiety disorders. With expert insights and practical tips, this article encourages us to listen to our bodies and minds, seeking harmony and health.

We hope this edition inspires you to live well in every aspect of your life, reminding you that wellness is a comprehensive journey. Each story, each individual, each discovery is a step towards a fuller understanding of what it means to truly thrive.

Thank you for joining us on this journey. Here’s to living well, in knowledge, in health, and in spirit.

Happy reading!

Living Well Living

JANUARY/FEBRUARY

PRESIDENT & CEO SAM HOUSTON

VICE PRESIDENT & CFO SPRING HOUSTON

EDITOR, FEATURE WRITER & SOCIAL MEDIA SONDRA BARR

ART DIRECTOR VANESSA FRYER

ACCOUNTS MANAGER JENNIFER BEAVERS

WEBSITE LYDIA ROGERS

ADVERTISING & SALES

TEXAS: Denton County, Dallas County, Collin County

TEXAS & OKLAHOMA: Texoma Area

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 info@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.

All advertisements in this Magazine are placed by third parties. We do not control or endorse either the advertisements or their content.

SPRING AND SAM HOUSTON

SAM AND SPRING HOUSTON

Kwame A. Ennin, MD

Orthopaedic Surgeon

Kwame Ennin, MD, is a fellowship-trained board-certified orthopedic surgeon at Texas Joint Institute in McKinney and Plano, Texas who is an expert in hip and knee replacement procedures, adult reconstructive surgery, and nonoperative osteoarthritis care.

Dr. Ennin earned his undergraduate degree in biochemistry from the State University of New York in Stony Brook. He then went on to receive his medical education at the University of Cincinnati College of Medicine, before completing his general internship and orthopedic surgery residency at The University of Texas Southwestern Medical Center in Dallas. He is fellowship-trained in adult reconstructive surgery from William Beaumont Hospital in Michigan.

Dr. Ennin has a keen desire to educate. He is a presenter and educator to his colleagues regarding direct anterior total hip arthroplasty, total knee arthroplasty, revision total knee arthroplasty, partial knee replacement, and robotic surgery. He is committed to ensuring that the best understandings and techniques are available to all surgeons in the orthopedic community. Dr. Ennin is passionate about research. He has, throughout his career, been involved in and published numerous peer-reviewed studies.

Dr. Ennin has been a leader in the North Texas orthopedic community since 2015. He delivers personalized, patient-centered, evidence-based care for his patients. He is committed to taking care of his patient’s joints for their lifetime.

Dr. Ennin specializes in:

• Hip Replacement Surgery

• Joint Replacement

• Knee Replacement Surgery

• Orthopedic Surgery

• Osteoarthritis

Southwest Foot & Ankle Center is a respected group of board certified foot and ankle surgeons. They are fellow trained surgeons, and board certified in wound care and reconstructive surgery. All physicians have also completed an intense residency and fellowship in the area of limb salvage, and foot and ankle surgery. The team at Southwest Foot & Ankle Center strive to make each patient’s experience personable. Our outcomes are of perfection and meticulous in surgery. As a result, patients from all over the country seek to be treated by DFW Wound Care Center.

Foot and Ankle Surgery Bunion and Hammer Toe Correction MIS—Minimally Invasive Surgery

Heel Pain (Plantar Fasciitis) Stem Cell Therapy

Neuropathy

Ingrown Toenails Tarsal Tunnel Syndrome

Foot Care

Care

Custom Orthotics & Braces

Laser Therapy for Pain, Swelling, Arthritis, and Wounds PLANO CLINIC

Coit Rd., Ste. 100 Plano, TX 75023

LEWISVILLE CLINIC 502 N. Valley Pkwy., #2 Lewisville, TX 750067

SURGICALexcellence

RENOWNED ORTHOPEDIC SURGEON CHARLES TOULSON, MD, MBA

Charles Toulson, MD, MBA, is an orthopedic surgeon who is committed to excellence. From a young age, he realized that with his aptitude for medicine, he could help people living with chronic pain and dedicated his life to become a pioneer in the fild of orthopedic surgery.

Board-certifid and fellowship-trained, Dr. Toulson’s specialties and interests include adult hip and knee reconstruction, adult hip and knee revisions, and state-of-the-art robotic-assisted joint replacement. He’s regarded by his patients and peers as one of the leading orthopedic surgeons in the country.

EXCEPTIONAL EDUCATION AND TRAINING

Dr. Toulson’s impeccable educational pedigree includes a medical degree from the University of North Carolina at Chapel Hill, extensive training from Johns Hopkins Hospital, and sub-specialty training at the Hospital for Special Surgery (HSS) in New York, the number-one ranked orthopedic hospital in the country.

Affiliated with several institutions in North Texas including Medical City McKinney, Medical City Frisco and Plano, Eminent Medical Center, Baylor Scott & White Surgical Hospital at Sherman, and Texas Health Presbyterian Hospital of Allen, his esteemed reputation is one that has been hard-earned and reflcts his unwavering dedication to his craft

Not only has Dr. Toulson performed more robotic-assisted joint replacement procedures than any other surgeon in the Dallas-Fort Worth Metroplex, he has the distinction of paving the path for two major hospitals in North Texas to achieve the elite status of being accredited as Joint Replacement Centers of Excellence.

ORTHOPEDIC EXCELLENCE

Dr. Toulson has greatly impacted orthopedic services across North Texas when he founded Alpha Orthopedics & Sports Medicine. Now, he’s excited to have joined Texas Joint Institute this past February 2023. Texas Joint Institute is a comprehensive orthopedic practice with locations in Dallas, Frisco, Plano, McKinney and Sherman, Texas.

When Texas Joint Institute began, it brought together two leading orthopedic surgeons to address the bone and joint needs of patients across the DFW Metroplex. Dr. Cyrus Abbaschian and Dr. Donald W. Hohman brought their immense surgical talent to the officeat Medical City Dallas and Plano to handle complex joint reconstruction, diagnose and treat bone and softtissue sarcomas, and handle an entire spectrum of surgical and non-surgical orthopedic services. Well known for their ability to handle even the most difficult cases, the doctors continue to deliver excellent care to patients around Dallas-Fort Worth and beyond.

A PIONEER IN MINIMALLY INVASIVE SURGERY TECHNIQUES

Known for pioneering minimally invasive surgery techniques for hip and knee replacements, including the anterior supine hip replacement surgery, Dr. Toulson’s anterior approach allows patients to immediately bend their hip freely and bear full weight after their surgery. Ths surgical technique allows him to replace a hip joint without detaching muscle from the pelvis or femur during surgery and typically results in rapid recovery times for patients. Patients are able to walk comfortably without a cane or walker in just one to two days following surgery, according to Dr. Toulson.

Dr. Toulson was the fist surgeon in the area to perform a direct anterior hip replacement with robotic assistance. Dr. Toulson also completed the fist-ever, total knee replacement for both of a patient’s knees bilaterally (simultaneously) using Robotic-Assisted Technology.

The robot assists Dr. Toulson by improving precision during the surgery. “What’s critical is the robot will not permit me to deviate outside of the plan that we have instituted in the very beginning of surgery,” details Dr. Toulson. “As the surgeon, I’m still doing the surgery, the robot is just allowing me to do it in a more precise manner.”

“Ths 3D technology allows me to see the orientation, alignment, rotation, and actual size of the implant that we will be using. So, I can actually see with 3D technology what the implant looks like and I can make adjustments in surgery to balance the ligaments inside of the knee,” Dr. Toulson continues.

SUCCESSFUL OUTCOMES

“When patients come to see me with arthritis, we often try non-operative means of treatment before we talk about surgery,” says Dr. Toulson. Once non-operative options for hip or knee arthritis are exhausted, Dr. Toulson sits down with patients and details the benefits and the risks of a total joint replacement.

One of Dr. Toulson’s recent patients was suffering with severe arthritis in her knees. “I was having severe pain in my knees, I had difficulty going up and down stairs, steps, even the curb. It hurt so bad to walk, even short distances,” she says. The results of her bilateral (both) knee replacement procedure have been life changing. “ The surgery went wonderfully. I haven’t had any problems and every day it gets better and better. I can walk up the steps now getting into my home,” she says.

Highlights of success stories and the joy his patients express at the outcome of their hip or knee replacement surgeries—and how it’s changed their lives—are documented on his website, drcharlestoulson. com, with videos and moving testimonials.

AWARDS AND ACCOLADES

It’s no surprise that Dr. Toulson has been named numerous times among the Best Doctors in Dallas for orthopedic surgery by D Magazine, Best Orthopedic Surgeons in Collin County by D Magazine, Best Orthopedic Surgeon by Living Magazine, and Best Orthopedic Surgeon by Living Well Magazine.

A PERSONAL GLIMPSE OF DR. TOULSON OUTSIDE OF HIS PRACTICE

Dr. Toulson is among those individuals who is genuine in his compassion and kindness. He greets every patient with a warm smile and considers each one of them part of the family.

Dr. Toulson recently achieved his Master’s of Business from Baylor University. He and his lovely wife Deryn live in Frisco with their three children, Cameryn, Brooklyn, and Blaze. Deryn is an accomplished entrepreneur and holds a bachelor’s degree in nursing. She is also former cheerleader for the New Orleans Saints and the Dallas Cowboys cheerleaders.

4201 Medical Center Drive, Ste. 100 McKinney, Texas 75069 (972) 566-5255

204 Medical Drive, Ste. 110 Sherman, Texas 75092 (469) 796-4295

Dr. Toulson is among those individuals who is genuine in his compassion and kindness.

He greets every patient with a warm smile and considers each one of them part of the family.

At Orthopedic Institute of North Texas, your medical issues and concerns are our top priority. We demonstrate this by answering all questions, providing availability 24/7 during diagnosis, treatment and recovery, speaking in terms you can understand and discussing every step of your medical care to ensure you feel comfortable and confident that we will deliver the best surgical expertise with the best outcome. Now, two locations to better serve you.

Meet Our Doctors

Vikas Patel, MD

Surgery of the Upper Extremity

Christopher Kowalski, MD

Surgery of the Spine

Justin Kane, MD

Surgery of the Foot and Ankle

Leroy Butler, DO

Surgery of the Foot and Ankle

Introducing Michael McHugh, MD

Surgery of the Hip and Knee

At the Orthopedic Institute of North Texas, our only goal is your return to normal activity. We provide surgical and non-surgical solutions designed to resolve your pain.

We are available 24/7

During diagnosis, treatment and recovery, any questions or concerns you have will be answered. We speak in terms you can understand, and discuss every step of your care to ensure you feel comfortable and confident with the recommended treatment plan.

Our promise to you

Using advanced, proven medical techniques, we will return you to the freedom of mobility you enjoyed before.

» Staffed by 2 Licensed, Doctors of Audiology

» Hearing Aid Fittings, Maintenance and Repairs

» Invisible Fittings/Open Fittings

» Evaluation Period On All Hearing Aids

» Hearing Evaluations For All Ages

» Wireless/Connectivity Hearing Solutions

» Battery Purchase Programs

» Custom Ear Protection

» Assistive Devices

How Your Heart Health Affects Your Hearing

By CASSANDRA WILSON, AU.D., CCC-A, FAAA

Do you remember the song called “Dem Bones” from childhood? The one that goes, “ The Ear Bone’s Connected to the…?” We often think of the ear as being unrelated to the rest of the body. However, the Better Hearing Institute says that your heart and hearing may have more in common than you realize. They raised awareness of the link between hearing loss and cardiovascular disease. Additionally, a study from Harvard University, which cross-referenced health data, also identifid a strong link between heart disease and hearing loss. It discovered that hearing loss was 54% higher in people with cardiovascular disease. Studies show that a healthy cardiovascular system positively affects hearing. The many intricate components that make up our hearing are sensitive to variations in blood flw. Tiny hair cells in the cochlea, an organ in our inner ear, convert noise-induced vibrations into electrical signals. These signals are then sent to our brains to be processed by auditory organs. Poor circulation can starve these tiny hair cells and nerves of oxygen, permanently damaging them and leading to hearing loss. Our hearing systems depend on blood and oxygen flwing through a healthy heart.

Heart-Healthy Reasons to Get a Hearing Test

• Over six decades of research point to a heart-hearing health link. A comparative review of more than 60 years of research found a correlation between cardiovascular and hearing health.

• The ear may be a window to the heart. Some experts fid the evidence so compelling that they suggest the ear may be a window to the heart. They encourage collaboration between hearing care providers and cardiologists.

• A study revealed that smokers and passive smokers are more likely to suffer from hearing loss. Another study found that regular fish consumption and higher intake of omega-3 are associated with a lower risk of hearing loss in women. These same lifestyle behaviors that affect hearing also impact the heart. Increased physical activity is associated with a lower risk of hearing loss in women.

• Individuals with diabetes face an increased risk of both cardiovascular disease and hearing loss. The elevated

blood sugar levels associated with diabetes can damage blood vessels, affecting both the cardiovascular system and the delicate vasculature of the inner ear. Diabetesrelated inflammation may also contribute to hearing impairment.

• If you have hypertension, it’s important to know that high blood pressure, a leading cause of cardiovascular disease, is closely tied to hearing loss. The elevated pressure within blood vessels can damage the delicate structures of the inner ear and disrupt its intricate blood supply. Controlling hypertension through lifestyle modifiations and medication may reduce the risk of cardiovascular events and help preserve hearing health.

• Early detection means early intervention. Given the shared risk factors, individuals with cardiovascular disease risk factors should undergo regular hearing screenings, and vice versa. Early detection of either condition allows for timely intervention, potentially mitigating the impact on both cardiovascular health and hearing function.

• Addressing hearing loss improves quality of life. Eight out of 10 hearing aid users say they’re satisfid with the changes in their lives due to their hearing aids. Many report improvements in overall life, interpersonal relationships, and experience reduced anger and frustration, along with enhanced emotional stability.

• Today’s hearing aids are better than ever and virtually invisible. State-of-the-art, sleek, and virtually invisible, today’s hearing aids combine technology and style with durability and ease-of-use. They’re a high-tech tool to help people stay socially, physically, and cognitively active. The options are so varied that there’s an attractive solution for just about anyone.

Beyond the biological connection, hearing loss and cardiovascular disease share several risk factors. Recognizing and addressing these common elements can be crucial in preventing both conditions and managing their impact on your overall health. Take care of your ears, your heart, and your future.

TOP

NEW YEAR’S CHECKLIST

By LEU, PEIRCE & OLSON, 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. Due to the lingering effects of the Covid-19 pandemic, many will add “getting affirs in order” to their list of aspirations for 2024. 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:

q Durable Power of Attorney

q Medical Power of Attorney

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

q Authorization to Release Medical Information (HIPAA Authorization)

q Declaration of Guardian

q Will

q Long-term Care Insurance

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 fiancial and health care decisions. Without these documents, no one, not even your spouse, is legally authorized to handle your fiances 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 your affirs 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 affirs 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 reflction as to the abilities and trustworthiness of each candidate.

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 is a wide range of living arrangements for seniors, from retirement communities to assisted living facilities to skilled nursing 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.

Some people are fortunate to have the ability to private pay for long-term care, which ranges from $4,000–$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 long-term care insurance, there are fiancial 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.

Ths year, resolve to take the time to crafta thoughtful, and thorough, estate plan. Educate yourself on your options, and seek qualifid professional advice on legal documents, healthcare, insurance, and fiancial 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, and James Sifford are Elder Law attorneys with Leu, Peirce & Olson, PLLC located in Plano, Texas. They can be reached at 972-996-2540.

VUDHI SLABISAK, MD OrthopaedicSpineSurgeon

BRUCE MARKMAN, MD OrthopaedicSurgeon&Sports MedicineSpecialist

JAMES STANLEY, MD OrthopaedicSpineSurgeon

STEVE HONG, MD Interventional Pain ManagementSpecialist

RAHUL BANERJEE, MD OrthopaedicSurgeon

GEOFFREY G. GLADDEN, MD OrthopaedicSurgeon

AMIR MALIK, MD Neurosurgeon

KHAWAJA IKRAM, DO OrthopaedicSurgeon

CHARLES MARDER, DPM Podiatrist,Foot&AnkleSurgeon

KELLVAN CHENG, DPM Podiatrist,Foot&AnkleSurgeon

AMIR AHMED, MD Gastroenterologist

BRIANA HODGSON, PA-C OrthopaedicSurgery PhysicianAssistant

Should I Be Screened for Lung Cancer?

Courtesy TEXAS ONCOLOGY

Although  lung cancer  is often preventable, this cancer type has the highest rate of cancer-related deaths nationwide. In fact, it claims almost as many lives annually as colon, breast, and prostate cancers combined. In 2023, an estimated 14,510 Texans are expected to be diagnosed with lung cancer, with 80 to 90% of all lung cancer deaths attributed to smoking.

Like with all cancer types, knowing your risk of developing lung cancer is crucial in early detection. Understanding what preventable measures you should take, such as lung cancer screenings, can reduce your risk and protect your body against lung cancer.

The Importance of Getting Screened

Men and women who smoke are approximately 25 times more likely to develop lung cancer. Lung cancer screenings (LCS) are key for early detection and lowering the risk of mortality, especially in those who smoke. People ages 50 to 80 who have smoked, on average, one pack of cigarettes daily for 20 or more years and who currently smoke or have quit within the past 15 years are at a higher risk of lung cancer and qualify for screening with annual low-dose non-contrast computed tomography (CT) of the chest.

A  recent study  found despite 70% of at-risk women being diligent in getting their annual mammogram, the screening rate for lung cancer among eligible women was low by comparison. Researchers discovered a 20% reduction in lung cancer deaths among at-risk women who received a low-dose screening CT of the chest.

By encouraging women to become educated on their risk factors, as well as consider getting an annual LCS in addition to their  mammogram, the hope is to  reduce deaths from both common types of cancer.

If I Do Not Smoke, Am I Still at Risk?

If you are a non-smoker, there are still other genetic and environmental factors that may play a role in your risk of lung cancer.

• Age: Most people diagnosed with lung cancer are 65 or older.

• Family and/or Personal History: People with a parent or sibling who had lung cancer may have a higherthan-average risk, even if they do not smoke. People who have already had one episode of lung cancer are at an increased risk of developing a second lung cancer.

• Carcinogen Exposure: People who live or work in certain conditions with exposure to radioactive gas, asbestos, arsenic, radon, diesel exhaust, air pollution, and other substances have an increased risk of developing lung cancer.

Preventive Measures to Lower Your Risk of Lung Cancer

Do not smoke or quit as soon as possible. Smoking is the number one risk factor for lung cancer. Other steps you can take to lower your risk of lung cancer include:

• Take precautions at work: Exposure to certain types of fumes, dust, and chemicals can cause lung cancer. Make sure to wear appropriate safety gear.

• Test your home for radon: Radon, a radioactive gas, can increase your risk of lung cancer with long-term exposure. Most of Texas has low levels; however, some homes that are built on soil with natural occurring deposits like uranium can have high levels of radon that may seep into the home. To test your home, you can buy a radon detection kit or seek an EPA-suggested professional.

• Avoid secondhand smoke: More than 7,300 people in the U.S. die annually from lung cancer as a result of exposure to secondhand smoke.

Men and women are encouraged to consult with their physician to learn about the impact of lung cancer, including what they can do to lower their risk and protect their body, as well as consider getting screened.

Stephen P. Courtney, MD

Fellowship-Trained Orthopedic Spine Surgeon

Over 26 Years of Experience

Dr. Courtney is a board-certified orthopedic spine surgeon located in Plano, Texas. A Louisiana native, he attended Louisiana State University for medical school, and completed residency at Texas A&M followed by a fellowship at the Florida Neck and Back Institute.

SPECIALTIES:

• Back Pain

• Neck Pain

• Spine Pain

• Disc Replacement

• Microdiscectomy

• Spinal Fusion

• Minimally Invasive Surgery

• Steroid Injections

• Physical Therapy

“I believe in treating each of my patients with honesty, dignity, and respect. My patients come away from our shared interactions feeling confident, assured that they are truly in the best hands. Throughout my career, I have remained laser-focused on providing world-class care and innovation to the patients I treat on a daily basis. I look forward to getting to know you!”

Radiant Imaging is a locally owned and operated diagnostic imaging center that offers their patients full-body scans with optimum patient comfort. Our team aims to make the diagnostic process as comfortable and safe as possible because we recognize the tension and anxiety that are frequently associated with it.

Radiant Imaging’s cutting-edge technology provides our patients the most reliable results possible. Our imaging center offers:

• Arthrograms

• Bone Density Scans (DEXA)

• Computed Tomography (CT) Scans

• PET/CT Combined Imaging

• Digital X-Rays

• Magnetic Resonance Imaging (MRI)

• Myelograms

HOLLYWOOD’S

RENAISSANCE MAN AND DEVOTED FAMILY GUY

BY SONDRA BARR

YAN

YAN

Ryan Gosling’s life is a captivating story, one that could easily be the plot of a movie you can’t stop watching. Starting out as a young, hopeful artist in the world of Disney to becoming a Hollywood heartthrob, his journey has been nothing short of cinematic. His latest role transforming into Ken for the Barbie movie, has not only gone viral but also positioned him as a potential Oscar nominee. Ths unexpected and bold role choice highlights his ability to reinvent himself and take risks. Yet, while it’s been quite the ride for Gosling, surprisingly, his story isn’t just about climbing the ladder of fame; it’s a journey filled with genuine passion, a quest for artistic expression, and those precious, down-to-earth times he cherishes with his loved ones.

Gosling’s entry into the world of showbiz was not a tale of instant stardom. At the age of 12, after a series of auditions, Gosling found himself amidst the talented ensemble of Disney’s The All-New Mickey Mouse Club, joining the ranks of future stars like Justin Timberlake, Christina Aguilera, and Britney Spears. However, unlike his prodigiously talented peers, Gosling’s presence in the show was more understated. He told GQ magazine’s Zach Baron, “Everybody was at, like, prodigy level. I certainly wasn’t a child prodigy. I didn’t know why I was there. And I think that was the consensus.”

His experience in the show was less about shining in the limelight and more about figuing out his place in the world of entertainment. Gosling has often recounted how he often felt out of place, sometimes being dressed up as a hamster or relegated to the background. Yet, he recognized the value in these experiences, noting, “It was all a great experience in a way because it helped me figue out what I wasn’t going to be good at. Which is important to learn too.”

The ascent to stardom can be signifiantly attributed to his role in The Notebook. It was a pivotal moment in his career, marking his transition from a relatively unknown actor to a leading man in Hollywood. The path to landing this role was as unique as Gosling’s talent. During the audition process in 2002, director Nick Cassavetes made a remark that would become a definig moment for Gosling. Cassavetes said to him, “The fact that you have no natural leading man qualities is why I want you to be my leading man.” Ths unconventional perspective on Gosling’s appeal was a gamble that paid off imensely.

Casting Gosling in The Notebook was also influenced by a somewhat surprising reason. According to Nicholas Sparks, the author of the novel on which the film is based, Gosling was chosen for the role partly because nobody else was particularly keen on it. Sparks humorously noted that Gosling’s selection might have been because he “looks a bit nuts.”

Gosling’s performance won the hearts of audiences worldwide but also elevated his career. Prior to this, he was recognized for roles like the young Hercules, but The Notebook changed his public image dramatically, catapulting him to the status of a heartthrob and a respected actor in romantic dramas. Ths role laid the foundation for a career characterized by versatility and depth, allowing Gosling to showcase his ability to embody complex and emotionally rich characters.

His journey in the arts extends beyond Gosling’s accolades as an actor; he has also made signifiant strides in the world of music. His involvement in the indie rock band Dead Man’s Bones showcased a different side of his creative persona. The band, known for its hauntingly beautiful and evocative melodies, allowed Gosling to explore a musical landscape.

It was his part in Damien Chazelle’s La La Land that brought Gosling’s musical talent to a wider audience. Ths modern musical is both a grand musical spectacle and an intimate love story. Gosling’s character, Sebastian, a passionate jazz pianist, intertwines his life with Mia (played by Emma Stone), an aspiring actress. Their love story unfolds in a series of beautifully crafted musical and dance sequences that capture the essence of classic Hollywood musicals.

Drawn to the project by Chazelle’s “infectious love of movies” and the communal experience of film-watching, for Gosling, it was not only a foray into screen musicals but also an intensive dive into both music and dance. He took jazz piano lessons to

The Notebook

Photo courtesy New Line Cinema

Crazy Stupid Love

Photo courtesy Warner Bros. Gangster Squad

Photo courtesy Sony Pictures

authentically portray his character’s skills (it’s actually him playing the piano in the film) and engaged in rigorous dance rehearsals with Stone.

Gosling went on to showcase his range with a variety of roles. In 2017, he appeared in Song to Song and Blade Runner 2049, delving into both romantic drama and science fition. Then, in 2018, he portrayed Neil Armstrong in the biographical drama First Man, before appearing in The Gray Man

The decision to take on the role of Ken in the Barbie movie has been perhaps the most intriguing shiftin Gosling’s career trajectory. He’s said he was drawn to the role of Ken due to its resonance with his experiences as a father. He mentioned how his daughters play with Barbies and Ken, and seeing the doll, once face down in the mud next to a squished lemon, sparked his interest in bringing Ken’s story to life.

“There’s something about this Ken that really, I think, relates to that version of myself. Just, like, the guy that was putting on Hammer pants and dancing at the mall and smelling like Drakkar Noir and Aqua Neting bangs. I owe that kid a lot. I feel like I was very quick to distance myself from him when I started making more serious films. But the reality is that, like, he’s the reason I have everything I have,” Gosling told GQ.

Following his unique take on Ken, Gosling is set to continue his trend of diverse roles with The Fall Guy, scheduled for release this year. Directed by David Leitch, this action-comedy film, inspired by the 1980s TV series, will see Gosling portraying Colt Seavers, an experienced stuntman. The film delves into an intriguing scenario where Colt investigates the disappearance of a movie star from a film directed by his ex-girlfriend. Ths role represents another facet of Gosling’s versatile career, seamlessly moving from a whimsical character like Ken to the more action-oriented character of Colt Seavers.

Gosling’s dynamic acting career is balanced with his family life. Residing in a quiet Californian town, he brings his family to his film locations, aiming to work on just one movie per year. At home, Gosling and Eva Mendes, whom he met on Th Place Beyond the Pines, embrace a hands-on approach to parenting their daughters, Esmeralda and Amada, without a nanny. Ths harmonious blend of a professional life and a deeply fulfilling personal life reflcts Gosling’s commitment to living well, cherishing the simple, loving moments with his family.

There’s something about this Ken that really, I think, relates to that version of myself. Just, like, the guy that was putting on Hammer pants and dancing at the mall and smelling like Drakkar Noir and Aqua Net-ing bangs. I owe that kid a lot.

Barbie

Photo courtesy Warner Bros.

Blue Valentine

Photo courtesy Silverwood Films

Brian Nwannunu, MD, MS

Brian Nwannunu, MD, MS, is an orthopedic surgeon specializing in hip and knee replacement. He care for patients at Texas Joint Institute in McKinney, Texas.

Dr. Nwannunu, a native of Dallas, graduated Valedictorian from the High School for Health Professions at Townview Magnet Center in DISD. He then earned his bachelor’s degree in Biology at Morehouse College in Atlanta, Georgia, where he was part of the Morehouse College Honors Program. Upon graduation, he completed his master’s degree in Physiology at Georgetown University in Washington, D.C., with a concentration on complementary and alternative medicine. Dr. Nwannunu then graduated with his medical degree from Howard University College of Medicine in Washington, D.C., where he was inducted into the Alpha Omega Alpha Honor Medical Society.

Dr. Nwannunu completed his residency in orthopedic surgery at the John Peter Smith Health Network in Fort Worth, Texas, before pursuing additional training with a fellowship in adult reconstruction at Baylor College of Medicine in Houston, Texas. In addition to his clinical training, Dr. Nwannunu enjoys mission work abroad, providing medical care and health education to populations in need.

He is a member of the American Medical Association, National Medical Association, American Academy of Orthopaedic Surgeons and the American Association of Hip and Knee Surgeons.

When not working, Dr. Nwannunu enjoys basketball, weight training, outdoor activities, attending art and music festivals, traveling, world news, and reading.

TopDocsList.com

Adult In-Home Care Agency

Spectrum Health Solutions

Visiting Nurse Association of Texas

Alzheimer’s Care/Memory Care

Hidden Springs of McKinney

Prestonwood Court

The Iris Memory Care

Audiologist

Teresa Harris

North Dallas Ear, Nose and Throat

Cassandra Wilson

Hearing Services of McKinney

Bariatric Surgeon

John Alexander

Alexander Center for Obesity Surgery

Brian Long

Nicholson Clinic

Nick Nicholson

Nicholson Clinic

Thomas Roshek

Nicholson Clinic

Cardiac Surgeon

Brian Lima

Advanced Cardiothoracic Surgeons

Baxter Montgomery

Montgomery Heart and Wellness

Cardiologist

Irfan Hameed

Excel Cardiac Care

Tim Isaac

Premier Cardiovascular Care

Marc Shalek

Legacy Heart

Chiropractor

Cyrus Laali

Epic Chiropractic

Nicole Jackson

Grounded Wellness

Eric Peay

Corehealth Wellness

Cosmetic and Facial Plastic Surgeons

Jeff Angobaldo

Renaissance Plastic Surgery and Med Spa

Richard Ha

Dallas Plastic Surgery Institute

Gregory Roberts

Robert’s Cosmetic surgery

Dentist

David Bohannan

Bohannan Dentistry

Daniel Kou

Core Dentistry

Jason Roe

ProDental Dallas

Jenny Tai

Murphy Dental & Implant Center

Dermatologist

Carla Gustovich

Magnolia Dermatology

Rachel Quinby-Graves

Magnolia Dermatology

James Ralston

Dermatology Center of McKinney

Jerald Sklar

Dallas Associated Dermatologists

Daniel Smith

Dallas Diagnostics

Hospital for Surgeries

Baylor Heart Plano

Eminent Medical Center

Medical City McKinney

Medical City Plano

Presbyterian Hospital Plano

Endodontist

Hank Garrett

Hank Garrett, DDS

ENT – Ears, Nose, & Throat Specialist

Kenny Carter

Collin County Ear, Nose and Throat

Morris Gottlieb

North Dallas Earn Nose and Throat

Timothy Ragsdale

Texas ENT Specialists

Andrew Senchak

Texas Ear and Vestibular Institute

Family Physician

Guy Culpepper

Bent Tree Family Physicians

William Dodge

Questcare Medical Clinic

Martin Mcelya

Neighborhood Medical Center

Todd Wien

Village Health Partners

Lauren Woolbert

Village Health Partners

Gastroenterologist

Vijay Bapat

Baylor Scott & White

Steve Gadol

Methodist Health System

Rema Lamba

Texas Digestive Disease Consultants

Marley Lites

Digestive Health Associates of Texas

Sony Mathews

Texas Digestive Disease Consultants

General Surgeon

Robert Hagood

North Central Surgical Center

Brian Long

Nicholson Clinic

Sandra Moore

Texas Health Center for Diagnostics & Surgery

Nick Nicholson

Nicholson Clinic

Thomas Roshek

Nicholson Clinic

Hematologist/Oncologist –Cancer Care Specialist

Chad Amosson

Genesis Care

Alison Barron

Texas Oncology

Sharon Gregorcyk

Texas Oncology

Margarita Johnston

Texas Oncology

Mitchell Moskowitz

Texas Oncology

Gerardo Trillo

Texas Oncology

Internal Medicine Doctor

Bijas Benjamin Inspire Health

V. John Gonino

Gonino Center for Healing

Julie Kennedy

Baylor Scott and White

Susan McKinney

HealthCore Physicians Group

Gary Tigges

Plano Internal Medicine

Hospice Care Providers

Cantex–Hollymead

Cantex–San Remo

Visiting Nurse Association of Texas

Lasik Surgeon

Dain Brooks

Brooks Eye Care

Harvey Carter Carter Eye Center

Wallace Ryne

Clear View Lasik Center

Jeffrey Whitman

Key-Whitman Eye Center

Mohs Surgeon

Pooyan Rohani

McGuiness Dermatology

Neurologist

Ahmed Ata

Neurocare of TX

Charise Barta

Texas Neurology Consultants

Rajat Gupta

Headache and Pain Center

Jennifer Takesaka

Neurology Consultants of Dallas

Neurosurgeon

Fransico Batlle

WellSpine

Joseph Beshay

Dallas Brain, Spine, and Skull

Base Surgery

Akwasi Boah

Texas Back Institute

Caetano Coimbra

Dallas Brain, Spine, and Skull Base Surgery

Rob Dickerman

North Texas Brain and Spine Institute

Shashank Gandhi

Texas Back Institute

Thomas Kosztowski

Texas Back Institute

Jefferson Miley

Jefferson T. Miley, MD

Blake Staub

Texas Back Institute

Opthalmologist

Norman Slusher

Slusher Eye Center

Kim Warren

Key-Whitman Eye Center

Jeffrey Whitman

Key-Whitman Eye Center

Optometrist

Carey Brooks

Eye Source

Amanda Hoelscher

Key-Whitman Eye Center

Jeffrey Hollingsworth

Hollingsworth Family Eye

Clint Meyer

Dallas Eyeworks

Oral Surgeon

James Bates

Texas Oral and Maxillo Facial

Surgery

Pedro Franco

DFWOMS

John Wallace

Dallas Oral Surgery

Orthodontist

George Dula

Dula Orthodontics

Jeffrey Johnson

Woodhill Dental Specialties

Mark Ozier

Ozier Orthodontics

Ericka Sample

Ericka Sample Orthodontics

Orthopedic Surgeon

Rahul Banerjee

North Texas Orthopaedic & Spine

Leroy Butler

OINT

Andrew Chambers

Texas Bone & Joint

Stephen Courtney

Advanced Spine Centers

Florian Dibra

Texas Joint Institute

Richard Evanson

Plano Orthopedic & Sports

Medicine Center

Justin Kane

Orthopedic Institute of North Texas

Diane Litke

L&W Orthopaedic Associates

Bilal Mahmood

Baylor Scott & Whtite

Brian Nwannunu

Texas Joint Institute

Vikas Patel

Orthopedic Institute of North Texas

James Stanley

North Texas Orthopaedic & Spine

Charles Toulson

Texas Joint Institute

Pain Management

Brent Belvin

American Pain & Wellness

Don Enty

American Pain & Wellness

Gregory Powell

American Pain & Wellness

Steven Remer

American Pain & Wellness

Kamlesh Sisodya

American Pain & Wellness

Periodontist

Jonathan Pajouh

Neighborhood Medical Center

Amit Patel

ROOT Periodontal & Implant Center

Pediatric Dentist

Paul Rubin

Frisco Kids Dentistry

Aleco Tujios

Woodhill Dental Specialties

Pediatrician

Halley Hogan

Cook Childrens

Julio Len

McArthur Pediatrics

George Nail

Centennial Pediatrics

Christopher Straughn

Forest Lane Pediatrics

Jason Terk

Cook Childrens

Physical Medicine & Rehabilitation

Sheena Bhuva

Texas Back Institute

Craig Lankford

Texas Back Institute

Chun Lin

Texas Back Institute

Nayan Patel

Texas Back Institute

Physical Therapist

Michelle Pietrowski

Edge Physical Therapy

Hayden Taylor

Greater Physical Therapy

Laura Yeatts

Results Physiotherapy

Podiatrists

Justin Kane

Orthopedic Institute of North Texas

Reza Mobarak

SouthWest Foot and Ankle Center

Jonathan Pajouh

Neighborhood Foot and Ankle

Binoy Sheth

Premiere Foot & Ankle

Psychiatrist

Mark Cartwright

Carewright Clinical Services

Stephen Vobach

Vobach and Brennan Medical Group

Pulmonologist

Steven Davidoff

Southwest Pulmonary Assoc.

Taylor Long

Southwest Pulmonary Assoc.

Anthony Nebor

FiveStar Pulmonary Associates

Rheumatologist

Margarita Fallena

Rheumatology Associates

Jyuin Fan

Dallas Rheumatology

Swathi Gonnalagadda

Texas Rheumatology

Megha Patel-Banker

Arthritis & Rheumatology Institute

Spine Surgeon

Rajesh Arakal

Texas Back Institute

Francisco Batlle

WellSpine

Ted Belanger

Texas Back Institute

Sheena Bhuva

Texas Back Institute

Ray Bosita

Texas Back Institute

Scott Blumenthal

Texas Back Institute

Stephen Courtney

Advanced Spine Centers

Peter Derman

Texas Back Institute

Rob Dickerman

North Texas Brain and Spine

Michael Duffy

Texas Back Institute

Richard Guyer

Texas Back Institute

Kevin Ju

Texas Back Institute

Mark Kayanja

Texas Back Institute

Isador Lieberman

Texas Back Institute

A.J. Rush

Texas Back Institute

Alexander Satin

Texas Back Institute

Jessica Shellock

Texas Back Institute

Vudhi Slabisak

North Texas Orthopaedic and Spine

Jack Zigler

Texas Back Institute

Urologist

Zeeshan Danawala

Dr. Zeeshan Danawala

Michael Gross

Urology Clinics of NT

Vascular Surgeon

Dev Batra

Dallas Vein Institute

Tony Das

Connected Cardiovascular Care

Wound Care Specialist

David Godat

Godat Plastic Surgery

Tram Hill

Hill Wound Care

Reza Mobarak

DFW Wound Care

Matthew Pompeo

Promise Wound Care Clinic

FLORIAN DIBRA, MD

Florian Dibra, MD is an Orthopaedic Surgeon who provides extensive knowledge in hip and knee orthopedics. He treats operative and non-operative hip and knee arthritis. He specializes in minimally invasive muscle-sparing total hip and knee replacement, anterior hip replacement, partial knee replacement, robotic joint replacement, and complex revision hip and knee replacement.

Dr. Dibra graduated with honors from Villanova University in Pennsylvania. Soon after, he received his medical degree, with cum laude honors from the esteemed Jefferson Medical College in Philadelphia, Pennsylvania. He completed his orthopedic surgery training at the University of Florida. He continued at the University of Florida Health Hospital to complete his fellowship in Adult Arthroplasty with an emphasis in hip and knee reconstruction. During Dr. Dibra’s surgical training, he accomplished several publications, book chapters, and poster presentations.

Dr. Dibra’s family consists of his wife and two children. In addition to English, he is fluent in Albanian, Italian, and proficient in Spanish.

FCREMATION CREATES SEPARATION

By RICK ALLEN

irst, let me set the record straight by saying that I am not an opponent of cremation. Many people are choosing cremation these days as their choice of fial disposition. In years past, the main driving force behind people choosing cremation was the perception that it was less expensive. The cost factor is correct when you consider that many who choose cremation have no need to purchase cemetery property and it is there where cost can get out of hand in a hurry. However, for those who prefer to have some form of memorial service or even a traditional funeral service prior to cremation, the cost factor becomes less of a comparative point.

The aspect of cremation I want to discuss in this article is how some people use cremation as a means of separating themselves from the difficult emotional stress created when a loved one dies. Instead of viewing cremation simply as a means of disposition, these type people attempt to get rid of the evidence that death has occurred as quickly as possible, and cremation can provide the avenue in which to do so. Once the body of a loved one has been removed from their sight, they try as quickly as possible to resume their normal daily activity and even attempt to make themselves busier than they would be otherwise, just so they don’t have to face the grief that should naturally be present. Ths behavior usually is accompanied by the attitude that funerals are unnecessary and hold no social value. In reality, the person who chooses this path is refusing to acknowledge their own sadness for any number of reasons, all of which seem rational to them at the time. Unfortunately, many of these people get stuck in their grief and never have the opportunity to deal with the emotions that ultimately help them feel better as they work through the process.

Society today tends to feel that if someone is cremated, the expectation for a traditional tribute, including a viewing or visitation and church service, is not part of the process. It is therefore easier for those responsible for arranging the details for a loved one to forego these traditions and eliminate the potential of showing emotion in public or allowing others to offer condolences. For those who choose this, in their own mind, they are by-passing the negative aspects of death and getting on with life in the most efficit way possible. At the time, this all makes perfect sense. However, after a few weeks or even months pass, the pain is still as strong as it was when the death occurred and families wonder why it is so hard. The simple answer is that they never really slowed down long enough to recognize that a loss impacted them so dramatically. It seems as if that person just vanished and they never had the chance to say good-bye. In reality, that is exactly what they allowed to happen. In their effort to insulate themselves from pain and grief, they missed the one time they would get to pay honor and respect to their loved one and to allow themselves and others who were impacted by the death a chance to say good-bye.

If cremation is the choice of a loved one or if you prefer this means of disposition for yourself, please realize others will be impacted by the death. While it is not necessary for many people to view the body in a formal setting to come to grips with the loss, it is essential to have some form of memorial for people to come together and share their grief and to say good-bye in order for them to naturally move through the grieving process and to ultimately heal from the loss they have experienced. Take the time to express your feelings about things such as this with your family. You may be surprised to learn that in your effort to shield your family from unnecessary trouble and expense you are actually robbing them of a much needed experience that will in the end be much more positive than you may have thought.

OLIVIA ROGERS , RN, BSN, CHPN, CHPO, MBA, is a leading voice in health care and senior services and the Vice President, Chief Nursing Officer of VNA Texas.

Dear Olivia,

What is the benefit of choosing hospice care for my loved one? How does someone determine that it is the right time for hospice? We don’t want to give up hope. That is the hard part about making this decision.

~Not Ready to Give Up

Dear Not Ready to Give Up, I understand how difficult and emotional it can be to make decisions about end-of-life care for a loved one. It is completely understandable to feel conflicted and unsure about what the best choice is. You want to ensure your loved one receives the best care possible while keeping hope alive. It is a challenging balancing act.

Fortunately, hospice care is designed to promote quality of life and control any symptoms that may present themselves. It is not the absence of care, but rather, it is intense care provided wherever the patient calls home. It focuses on ensuring the patient and family can enjoy their time together

and have the support system they need to make that possible. Please know that you are not alone in this. Many families face similar struggles, and it’s okay to ask for help.

I recently met a former patient’s daughter at a restaurant where she was our server, and she expressed how grateful she was to have that support at the end of her father’s life journey. She said, “Taking him home from the hospital would not have been possible without hospice. We just did not know what we did not know!” That is what the hospice team can do— help you and your family with questions, fears, and concerns and help to make your goals possible while offering hope and peace that is so needed at that time.

I hope this helps you as you navigate this challenging time. You can find more resources on our website at vnatexas.org. Remember, you are doing your best, and your loved one is lucky to have such a caring and compassionate family.

~Olivia

Focuses on quality of life for the patient and family at a time when comfort, compassion and clinical expertise matter most.

To schedule your free in-home informational visit please call (214) 689-0000 or email gethelp@vnatexas.org For volunteer opportunities please call (214) 689-2271 or email volunteer@vnatexas.org VNA Hospice & Supportive Palliative Care

Unusual Symptoms of anxiety

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. Ths 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 offwhen 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.

Distressing Anxiety Symptoms

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.

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, 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. Ths 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.

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 flat 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, anti-anxiety 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. Ths 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 flw out of your body and relaxation to flw 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 https:// 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.

Before, During, and After Cataract Surgery

Courtesy KEY-WHITMAN EYE CENTER

If cataract surgery has been recommended for your eyes, you are not alone. Truth is, we will all develop cataracts, reducing our quality of vision, as we age. Gratefully, cataract surgery procedures have become more advanced and is safe, painless and effective.

If you are thinking about having cataract surgery, you most likely have a lot of questions regarding when you should have it done, what you can expect, and how to prepare for surgery. Read on to see some helpful tips from Dr. Whitman at Key-Whitman.

What Are The Common Symptoms Of Cataracts?

The complaint we hear most from cataract patients is difficulties with their night vision. They begin to experience a lot of glare, halos and starburst symptoms, especially when driving. We also hear complaints of a haze or fog obstructing their vision and they’ll notice their vision gets blurrier over time.

How Do I Prepare For Cataract Surgery?

Before your procedure, our patients undergo a preoperative exam to gather measurements to determine the level of correction needed and review the types of intraocular lens options available. We will also schedule a visit to listen to your heart and lungs as well as review prior anesthesia and surgeries, medical history and medications to ensure they’re physically healthy enough to have cataract surgery.

Key-Whitman also has counselors who will walk our patients through the process, review insurance coverage and make sure the

lens option the patient selects best meets their goals. If there is an eye drop protocol associate with their surgery, the counselor will also go through the drop sequence involved—antibiotics and non-steroidal anti-inflammatories—well in advance of the procedure.

Be sure to have a friend or family member to accompany you to surgery, as you won’t be allowed to drive yourself home due to the twilight sedation.

How Do I Know It’s Time To Have Cataract Surgery?

When your cataracts have worsened to the point where they prevent you from performing day-to-day tasks and interfere with your quality of life, it is time to consider cataract surgery.

Cataracts worsen gradually, and we start to make a lot of accommodations for our vision as we get older. Essentially, we assume how well we see is normal. But if it gets to the point where you’re afraid to drive at night, can’t see well enough to safely take your medication or do household chores, and feel a loss of independence due to failing vision, cataract surgery can allow you to enjoy life again.

What Misconceptions Do People Have About Cataract Surgery?

In the past, cataract surgery was quite invasive, there were fewer lens options, and healing took much longer. Ths isn’t the case today. The biggest misconceptions people have is that the procedure is painful and complicated. That couldn’t be farther from the truth today.

What Can I Expect Following Cataract Surgery?

Following your surgery, your surgeon will review the procedure with you and answer any questions you may have at that time. Typically, patients leave with a protective eye patch, which will be removed at their follow-up visit the next day. Subsequent follow-up examinations will be scheduled approximately every two weeks until the eye is healed.

Healing post-surgery is also easier for most cataract patients today. “Key-Whitman uses the most advanced technology available, so healing occurs more quickly and with fewer complications. Even better, once the eyes have healed and adjusted, most patients are surprised by the improvement in their vision. They can see clearly again and notice how colors are much more vibrant than before with cataracts. Depending on the type of intraocular lenses patients choose, many become less dependent on glasses,” Dr. Whitman says.

You should also be aware that the surgeon won’t operate on both eyes during the same visit. Surgeries are typically scheduled one to two weeks apart. Ths allows plenty of time for the fist eye to heal and the patient to realize the full extent of correction in that eye.

From left to right are: Leslie Pfei er, M.D.; Anita Jacob, O.D.; Kimberly Warren, M.D.; Sadaf Razi ElHa ar, O.D.,; Faisal Haq, M.D.

Experienced DWI Defense THE LAWYER LAWYERS CALL

Deandra M. Grant

JD, GC, MS

Attorney Deandra M. Grant leads Hamilton Grant’s North, East and Central Texas offices. She is an international speaker on DWI law, science and trial skills. As the author of the annually updated Texas DWI Manual, she is viewed by her peers as being a leader in her field. Deandra understands the science behind alcohol absorption and elimination rates and can use this knowledge to competently defend you.

Deandra formerly was an assistant district attorney. Her tenure as a prosecutor focused on DWI prosecutions which has given her firsthand knowledge on how to counter the prosecutor’s evidence and strategy. Deandra has spent hundreds of hours in training courses and programs related to DWI defense and has completed the certification course to administer standard field sobriety testing (SFST), the same training course taught to police officers nationwide on how to identify drunk drivers during traffic stops. As a certified SFST Instructor, Deandra has taught the course to other attorneys. She’s also completed the coursework on DWI forensic blood and urine testing.

“I have a masters degree in pharmaceutical science and a graduate certificate in forensic toxicology. I am able to take apart evidence in ways a lot of other attorneys are not able to do. The most important part of my job is being the barrier between the government and my client. Standing between them. Making sure their rights are protected.”

–DEANDRA GRANT

Co-Author of the Texas DWI Manual

By KIMBERLY BLAKER

Whether you’re considering welcoming a new furry friend into your home or have a dog or cat already, the decision to spay or neuter can be a difficult choice. You may feel uncomfortable deciding this or worry that it’s unnatural or harmful to your pet. In reality, spaying or neutering your pet is a giftof love, both to your own pet and to other cats or dogs.

What are spaying and neutering?

Spaying is the removal of a female pet’s reproductive organs, and neutering is the removal of a male pet’s testicles to prevent them from reproducing. These surgical procedures have a short recovery time. But they should be done only by a professional, licensed veterinarian under general anesthesia.

How does spaying or neutering help my pet?

Spayed and neutered pets reap many benefits, both physically and behaviorally. These procedures can signifiantly increase pets’ life spans and the quality of their lives. Here’s how

• Reduces cancer risk: Animals can be stricken with cancer, just like humans, which is devastating to their health and very costly to treat (when treatable). Spaying or neutering lowers a pet’s risk of developing breast, uterine, prostate, testicular, and ovarian cancer

• Reduces the chance of uterine infections: These infections are particularly dangerous for pets. But spaying or neutering decreases the risk of contracting one of these infections for both males and females.

• Females won’t go into heat: During the breeding season, female cats as young as four or five months old spend four to five days in heat every three weeks. Female dogs generally go into heat twice a year, lasting two to four weeks each time, depending on their breed. Dogs in heat may yowl or wail. They also urinate more often, and all over, in their search for a mate. Then they feel frustrated when they don’t fid one. Females may even bleed and have a swollen vulva during this period. Also, males are likely to be attracted to females in heat and may show unwanted attention or aggression.

• Males won’t have negative mating behaviors: Unneutered male pets are more likely to be distracted and aggressive. They also feel frustrated at not being able to fid a female to mate with. They’re more likely to try to escape and roam in search of a female in heat. Ths puts them at risk of getting lost, stolen, injured, or killed. Frustrated males may also mark their territory or make inappropriate sexual advances on people or objects they encounter

How does spaying or neutering help the community?

There are currently millions of unwanted, homeless pets living on the streets. Dogs and cats are not wild animals with the ability to survive and thrive in the wilderness (or on city streets). Some of these animals are captured and taken to shelters. Unfortunately, shelters are often overrun because there are so many stray dogs and cats. So when they don’t get adopted, they’re either euthanized or live out tragic lives in small cages with little exercise, affection, and interaction.

Stray animals can also injure people, destroy property, cause car accidents, kill wildlife, and disrupt the ecosystem. They also continue to mate, leading to even more homeless animals. Trying to manage this problem costs local governments large amounts of tax-payer money

SO WHEN THEY DON’T GET ADOPTED, THEY’RE EITHER EUTHANIZED OR LIVE OUT TRAGIC LIVES IN SMALL CAGES WITH LITTLE EXERCISE, AFFECTION, AND INTERACTION.

So spaying or neutering your pet reduces your pet’s potential to produce more unwanted litters that would otherwise increase the homeless animal problem. If you’re holding back on spaying or neutering because you may want to breed your pet to sell its offpring, realize this takes away a shelter pet’s chance of being adopted by a potential pet parent.

What if I can’t afford to spay or neuter my pet?

If you don’t already have a pet, keep in mind that part of deciding to adopt a pet is making sure you’re fiancially able to care for it. Pets require at least food and medical expenses, including regular checkups, vaccinations, and spaying or neutering. So you should be in a fiancial position to manage your pet’s expenses before adopting one.

If you decide to get a pet but choose not to spay or neuter for financial reasons, you risk incurring much higher costs down the road. Ths can result from having an unwanted litter or if your pet develops medical problems or behavioral issues that spaying or neutering would have protected against.

If you already have a pet or you’re considering getting one, many resources are available to help low-income individuals and families get their pets spayed or neutered. Check with your local veterinarian or shelters for affordable services or aid near you. The  ASPCA  and  Humane Society both have resources on where to fid services for lowcost procedures. Just make sure if you do fid an inexpensive option, the procedure is done by a reputable, licensed veterinarian to ensure your pet’s safety and health.

So remember, when you make the decision to spay or neuter your pet, you’re helping both your pet and the entire community of dogs or cats to live happier and healthier lives.

DFW Wound Care Center is a group of wound care specialists in all of the DFW area. They are fellow trained surgeons, and board certified in wound care and reconstructive surgery. All physicians have also completed an intense residency and fellowship in the area of limb salvage, and foot and ankle surgery. When it comes to wound care and limb salvage, DFW Wound Care Center has the knowledge and experience to successfully treat your condition. As a result, patients from all over the country seek to be treated by DFW Wound Care Center.

Whether caused by diabetes, infection or disease, any wound that will not heal can be very serious. If you are experiencing a wound or ulcer that will not properly heal, our wound care center can provide a range of expert treatment options best in each case. We offer non-surgical and surgical treatments for:

Diabetic Wounds & Ulcers

Arterial Ulcers

Infected Wounds

Open Wounds

Pressure Ulcers

Vascular Wounds

Acute Wounds

Non-Healing Wounds

Chronic Wounds

Surgical Wounds

Traumatic Wounds

PLANO CLINIC

5804 Coit Road, Ste. 100 Plano, TX 75023

LEWISVILLE CLINIC

502 N. Valley Pkwy., #2 Lewisville, TX 75067

IRVING CLINIC

6161 N. State Hwy. 161, Ste. 320 Irving, TX 75038

DESOTO CLINIC

714 N. Hampton Rd. De Soto, TX 75115

JOSHUA WORLEY, DPM | REZA MOBARAK, DPM, FACFAS, FAPWCA, FAPWHC | MARK MASHNI, DPM, AACFAS | MITCH WILLIAMS, DPM