Collin County Living Well Magazine November-December 2023

Stephen P. Courtney, MD

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

THE ROAD TO EXCELLENCE, WELL-BEING, AND THE POWER OF LIVING WELL

Welcome to this month’s issue. From Sharon Stone’s inspiring journey to the waters where she fids peace, to the stories of the elderly as they navigate the ebb and flw of the aging process with zest, our features dive deep into the multifaceted tapestry of human experiences. We seek to share tales of those who choose resilience, transformation, and well-being, even in the face of adversity.

On our cover, we bring you the remarkable story of Dr. Stephen P. Courtney. From his humble beginnings, spending his summers immersed in the demanding environment of a rural north Louisiana hospital, to becoming a board-certifid, fellowship-trained orthopedic spine surgeon with a distinguished reputation, Dr. Courtney’s journey is a testament to dedication, perseverance, and putting patients fist.

His career in medicine began from the ground up, where he glimpsed the tenacity and commitment required in the fild. Ths early exposure molded his foundational ethos: that the patient is paramount. The myriad awards and accolades he received during his academic journey only scratch the surface of his accomplishments. Beyond the clinical achievements, including the development of nine spinal product lines and numerous patents, lies a man dedicated to improving the quality of life for his patients at the Advanced Spine Center. His ethos is felt deeply by his patients, who often express unwavering trust in his abilities.

However, Dr. Courtney’s pursuit of excellence isn’t confied to the operating room. His passion for fitness and well-being fids him on the trail of triathlons, pushing his limits and setting new personal records. His commitment to health and wellness extends beyond himself, as he encourages others to embrace activity and well-being at every stage of life.

As you turn the pages of this issue, we invite you to immerse yourself in these tales of determination and strength. Be it through Sharon Stone’s revelations, the insights of our elder generation, or the multifaceted journey of Dr. Courtney, the underlying message remains the same: Living well is a journey, not a destination. It’s about embracing each day with purpose, passion, and an unwavering commitment to the self and others.

We hope that their stories inspire you to seek and celebrate your own version of living well.

Happy reading!

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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.

2023 All advertisements in this Magazine are placed by third parties. We do not control or endorse either the advertisements or their content. Further, we

SPRING AND SAM HOUSTON SAM AND SPRING HOUSTON

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.

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

Stephen P. Courtney, MD

For board-certifid, fellowship trained orthopedic spine surgeon

Dr. Stephen P. Courtney, patients come fist. It’s an ethos that developed early on in his life and one that has helped guide him in his journey to earn a distinguished reputation among his professional colleagues, medical peers and, most importantly, his patients.

Dr. Courtney began his medicine career from the ground up. While a teenager, he spent summers working in a rural north Louisiana hospital. As an orderly, he was an integral part of the hospital environment. While not a glorifid job, cleaning bed pans, changing bed sheets, cleaning patient rooms, helping medical practitioners, and assisting patients, offered him an invaluable glimpse into the hard work and dedication necessary to succeed in the medical fild. The job also served as the catalyst for his decision to pursue medical school.

Inspired by the patients he’s cared for there, Dr. Courtney made education a priority. He was salutatorian of his high school class and went on to graduate summa cum laude from Northeast Louisiana University. While at Louisiana State University Medical School, he utilized his summer to perform spine biomechanical tests on human spine cadavers utilizing pedicle screws. Considered cutting edge biomechanics and technology at that time, most spine surgeons didn’t even know they existed yet. However, Dr. Courtney performed one of the fist biomechanical tests on those implants. It was a feat that earned him the Howmedica Biomechanic Award and the Louisiana Orthopedic Association Award. He also placed fourth in the World Congress for Student Research Competition.

Dr. Courtney’s residency at Texas A&M University Medical Center and further specialty training through a fellowship at Florida Neck & Back Institute in Gainesville, Florida, additionally cemented his strong medical foundation. From there, he continued to gain more knowledge and insight on how to help his patients with useful tools, while recognizing there was room for much improvement in the tools at hand.

Ths realization inspired Dr. Courtney to design, develop, biomechanically test, complete FDA testing and oversee quality control and validation on a host of tools he created. To date, Dr. Courtney has developed nine spinal product lines and obtained nine patents and 14 trademarks on spine related products.

When he’s not traveling the country training other physicians on how to utilize his products, Dr. Courtney dedicates himself to the patients of his own medical practice, Advanced Spine Center.

Led by Dr. Courtney, the skilled team at Advanced Spine Center cares for patients with neck and back pain using a wide array of the most state-of-the-art tools and techniques—from conservative physical therapy and injection therapy—to advanced pain manage-

BOARD-CERTIFIED,

ORTHOPEDIC SPINE SURGEON PRACTICING FOR 27 YEARS.

ment, as well as surgical intervention. We employ the latest in minimally invasive spine surgeries, in addition to cutting-edge replacement technology. Incorporating both high tech and high touch, we get our valued patients back to their lives so they can enjoy all the activities they love.

The medical fild is not the only arena in which Dr. Courtney excels. He approaches fitness with the same dedication and vigor he applies to medicine. In 2005, Dr. Courtney was in the top 10 of his age group in mountain biking in Texas. He also completed one of the largest cycling events in the country multiple times: the “Hotter’N Hell” race. Always up for a new challenge, from there, he began training to compete in triathlons.

Dr. Courtney trains for triathlons with the same focus he uses as a surgeon. Waking up at 4 a.m. six days per week to work out in his home gym, he never waivers from the goal at hand—exceeding his personal best. After successfully completing multiple triathlons, Dr. Courtney shows no signs of slowing down. He continues to train and looks forward to competing in many more triathlons.

“I think if you can survive a triathlon you are absolutely living well,” he says.

Paying attention to fitness is something he encourages his patients to consider, too. “People don’t have to be a tri-athlete to be healthy. I like to tell people you need to start small. Do something to be active. It can even be yard work—that’s a great workout too. As you get older especially, you need to be in tune with your body, monitor your calorie intake and be active. I encourage people to change slowly, start small, and fid out what you like to do,” he says.

Sharing his wellness journey is part of the straight-forward, honest approach that puts his patients at ease and creates a trusting bond, an important element for the highly technical operations Dr. Courtney performs to help restore patients’ quality of life. As he learned early on, the single most important person in the treatment process is the patient and well-informed patients are more successful in following through on their rehabilitation and have better outcomes.

It’s a sentiment that his patients echo. “You don’t want to trust (your back) to just somebody that has his name on a door. You have to go to people that you trust. I talked to people and everybody trusted Dr. Stephen Courtney and I do too and I’d highly recommend him,” says Judy Jones, a lumbar fusion patient of Dr. Courtney’s.

“Above all, I believe in treating each and every patient I have with honesty, dignity, and respect. My patients come away from our shared interactions feeling confidet, assured that they are truly in the best hands,” says Dr. Courtney, who always brings his A-game.

Incorporating both high tech and high touch, we get our valued patients back to their lives so they can enjoy all the activities they love.

SEE WHAT DR. COURTNEY’S PATIENTS HAVE TO SAY.

Natasha Hernandez

SURGERY: L5/S1 360° LUMBAR FUSION

“After having back surgery twice and being frustrated with the lack of care from my previous doctor, I made an appointment to see Dr. Courtney. He is one of the most humble, funny, laid back and coolest surgeons I’ve met. He makes you feel like family. His office staff is amazing. His clinic Eminent Medical Center, where he performs the procedures, is also a 5-star facility. Every staff member I have encountered there has been so caring and professional. I am so glad I decided to change doctors and meet Dr. Courtney. I can see his attention to detail and his caring personality every time I see him. Before my injections he took some time to chat and made me feel at ease since it’s always nerve wrecking to have any spinal procedure. I will be having surgery soon and even though I am nervous and scared I know I am in good hands, and I know Dr. Courtney and all his staff will take great care of me. Thanks, Dr. Courtney and thanks to all his staff.”

Irene Shelby

SURGERY: LEFT L5/S1 MICRODISCECTOMY

“My husband and I have been coming to Dr. Courtney for years. We trust him for all of our back issues here recently. I had a spinal condition and had no doubt that Dr. Courtney would be able to take care of this and make me fully normal again. He and his staff were amazing! From the moment I decided to move forward with the surgery option to the very last post-op appointment, Dr. Courtney and his staff have been nothing but pleasant, courteous, professional and extremely friendly and helpful. I encourage anyone who has any type of back pain to come to Dr. Courtney’s office He is the BEST!”

Deanna Noyes

SURGERY: C4/C5, C5/C6, C6/C7 ACF (ANTERIOR CERVICAL FUSION)

“Great medicine coupled with great care. Dr. Courtney takes the time to listen to your medical needs. He put me at ease regarding my condition.”

Holly Coffman

SURGERY: L5/S1 360° LUMBAR FUSION

“After struggling for 11 years with severe back pain, I found Dr. Courtney through a mutual friend. After the first visit, Dr. Courtney said he could fix my problem back pain and let me tell you HE DID! This 360° fusion has saved my life. Thank you, Doctor Courtney.”

Lori Juarez

SURGERY: L4/5, L5/S1 360° LUMBAR FUSION

“After years of learning to “live with the pain” I made an appointment with Dr. Courtney, expecting a drawn out wait time. I was shocked at the quick, friendly and professional attention I received from Dr. Courtney and his staff. After 5 years of life altering pain, I am able to keep up with twin toddlers and a 3-yearold grandbaby without a problem. From office to operating room, Dr. Courtney and his staff are the best at what they do.”

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.

OVERCOMING AQUAPHOBIA

Adults Learning to Swim

Learning to swim is often seen as a rite of passage in childhood, but what about adults who never had the opportunity or developed a fear of water? The fear of water, known as aquaphobia, can be daunting to overcome, but it’s never too late to learn.

Swimming is a life skill and for a good reason. It’s more than just splashing around. Knowing how to swim can be a matter of life or death. However, a Gallup survey published two years ago revealed that across the world, fiy percent of adults report feeling afraid in water that is over their heads, and that’s just in pools. One in three adults in the United States is terrifid of even submerging their heads in water.

American Red Cross launched a campaign to cut drowning in half in fiy cities. They released a survey that found that while 80 percent of adults claim they could swim, 44 percent of them also admit they would fail a basic test. That’s almost half the adult population!

So why is it that the vast majority of adult nonswimmers have the impression that they are the only ones? The primary reason for this is that they are largely unaware of the fact that millions of other adults are in on their “little secret.” They are certain that they will never be able to learn how to swim because of the humiliation they feel, the terrifying and/or unpleasant experiences they have had with water, and the poor training techniques they have been exposed to.

Hollis Parker, age 90, enjoying a swim at his granddaughter’s in Allen, TX.

mental and emotional obstacles that keep people from learning to swim. Many adults have given up hope of ever learning to swim after numerous failed attempts at swimming instruction. They typically do not want to try again.

Meanwhile, many of these same people are seeing their children and grandchildren learn to swim and watching them swim like fish. In the meantime, they avoid joining them, not only because they are afraid of the water itself, but also because they are afraid of being “found out” and publicly embarrassed by their lack of competence. In other words, they are embarrassed by their inability to swim. The result is that they have little choice but to observe what appears to be the rest of the world having a good time, sometimes even in the pools that they themselves own. They are missing out on the enjoyment, the companionship, and what is likely one of the very best ways to work out in the area.

When appropriate educational methods and conditions are in place, all of this is entirely unnecessary. Even though there are many wonderful swim programs available, which do teach individuals how to swim, these programs frequently lack an awareness of the challenges that adults experience that most children do not. Even while there is a lot of attention paid to the physical concerns and “learning strokes,” the actual hurdles for adults tend to be psychological barriers. These are especially the kinds of barriers that are specificto people who have had a lot of years of poor experiences with traditional swim lessons and other similar activities.

WHAT’S NEEDED IS A FOOLPROOF SYSTEM:

• Find a supportive environment. Call and speak to the manager of your local swim school and inquire about adult only classes with swim instructors who specialize in water-related anxieties. The instructors are trained to handle fear and can provide reassurance.

• For shy and embarrassed swimmers, sign up for an early or late evening class when the swim school isn’t as busy or take a private class by yourself. Visit the school before your class so you can get comfortable in the environment prior to getting into the pool. You can also take a trusted friend or family member along.

• Take it slow. Don’t rush the process or be hard on yourself by pushing too hard. Small steps. Get comfortable in the water fist until you become more confidet.

• Use a fltation aid such as a life jacket, pool noodle, or kickboard to provide an added sense of security while you learn to swim.

“We’re asking every family to make sure that both adults and children can swim and that parents make water safety a priority this summer,” said Connie Harvey, director Centennial Initiatives at American Red Cross. Non-swimmers of any age, fiding yourself in water over your head can be fatal. Ths is preventable.

True Compassion

A HOLIDAY Heart-to-Heart

By LEU & PEIRCE ELDER LAW ATTORNEYS

During the holiday season, we are reminded that the giftswe cherish the most do not come wrapped in a box. Rather, it is the time we spend with loved ones that makes the greatest present of all. As you celebrate the holidays with family and friends, we encourage you to sit down with the seniors in your life to discuss their plans for the future. There is more to planning for the future than just signing documents as part of an estate plan. Discussing Elder Law issues with your loved ones will give them options so they can have control over decisions about their own care, thus giving them peace of mind. After all, Elder Law is fist and foremost about empowering seniors. Elder Law is not a type of law, but a relatively new way to bring

• LIVING ARRANGEMENTS—No one knows exactly what the future holds, but the key to feeling secure is to keep all of your options open. There are a wide range of living arrangements for seniors, from retirement communities to assisted living facilities to memory care to skilled nursing facilities. Some people want to stay in their own 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. Elder Law services can help you weigh all the options and make sure you have the right plans in place for the future.

• FINANCIAL WELLBEING—Money matters can be especially complex for seniors. It is important to plan carefully and preserve your assets for when you need them most. Will your Social Security, pension, or other retirement fund be enough to pay your monthly expenses? Will you be eligible for public benefits such as Medicaid or Veterans benefits? Do you have long-term care insurance? Have you designated individuals to act on your behalf in fiancial and legal matters through a proper Durable Power of Attorney so your fiances can be protected if you cannot act for yourself? Elder Law encompasses all of these decisions within the context of planning for long-term care.

several areas of law together to benefit a particular group of people— older adults. Elder Law services enable you to make your own choices and decisions about managing life as you age. Everyone wants to have some control over the future, and Elder Law helps people do just that. The main areas of Elder Law include planning for your living arrangements, fiancial wellbeing, healthcare options, and the ultimate disposition of assets. Helping seniors learn about these Elder Law issues may be the most valuable gift ou give this year.

Starting the conversation about aging and planning for care can be overwhelming. Consider opening the discussion with these important topics:

• HEALTHCARE OPTIONS—Healthcare in the United States has become one of the most confusing and uncertain issues we face. If you have private insurance that covers medical expenses or long-term care, you need to be sure that changing laws and regulations will not affect your coverage. If you rely on Medicare and a Medicare Supplement or, alternatively, a Medicare Advantage Plan to pay your healthcare costs, do you know what your benefits those plans will cover when you need them? Elder Law includes these issues, and can help you outline your wishes for health decisions through a Medical Power of Attorney and Advance Directives.

• DISPOSITION OF ASSETS—Elder Law includes estate planning issues such as wills, trusts, special needs trusts, and property transfers. As time passes and circumstances change, it is often necessary to make changes to your plans to control the disposition of your assets during your lifetime and after you pass. Further, depending upon the government benefits for which you may be eligible, changes may be needed to ensure your long-term desires are met. Elder Law considers the importance of planning to preserve assets and maintain eligibility for public benefits.

As this holiday season approaches, consider having a heart-to-heart with your loved ones about these important Elder Law issues. The peace of mind for your family will be the gift hat keeps giving for years to come.

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

RAMI BASATNEH, DPM Podiatrist,Foot& AnkleSurgeon

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.

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Difficulty Hearing in the Presence of Noise

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

Hearing loss is a pervasive, often underestimated health issue in the United States, affecting millions across all age demographics. Despite its prevalence, hearing loss frequently goes unnoticed, resulting in a signifiant lack of awareness and understanding of its impact on individuals and society.

The Prevalence of Hearing Loss

Hearing loss is more common than most people realize. According to the National Institute on Deafness and Other Communication Disorders (NIDCD), approximately 15% of American adults—37.5 million people aged 18 and over—report experiencing trouble with hearing.

Causes of Hearing Loss

Hearing loss can result from various factors, both genetic and environmental. Here are some primary causes:

• Aging: Presbycusis, or age-related hearing loss, is the most common form. It occurs gradually as individuals age and often reduces the ability to hear high-pitched sounds.

• Noise Exposure: Prolonged exposure to loud noises—from music, machinery, fiearms, or everyday city noise—can permanently damage the delicate hair cells in the inner ear, resulting in noise-induced hearing loss.

• Genetics: Some forms of hearing loss are hereditary and can be passed down through families, with genetic factors signifiantly influencing susceptibility.

• Medical Conditions: Certain conditions, such as diabetes, cardiovascular disease, and infections like meningitis, can also contribute to hearing loss.

• Medications: Ototoxic drugs can harm the auditory system, potentially causing hearing loss or tinnitus (ringing in the ears).

Consequences of Hearing Loss

Difficulty understanding speech in noisy environments is the most commonly reported problem among individuals with hearing impairment. Clinical studies show that even mild hearing loss can hinder one’s ability to communicate against background noise.

How Do We Define Noise?

In simple terms, noise is any unwanted signal that interferes with what the hearing instrument user wants to hear at a given moment. Ths concept is known as the Signal-to-Noise Ratio (SNR). When background noise is present, the speech signal (what we want to hear) is relatively low compared to the noise level. People with hearing loss require a more favorable SNR (louder speech than noise) to comprehend speech compared to those with normal hearing.

Reducing Background Noise

How do hearing instruments improve the SNR? The optimal way to minimize background noise is to prevent it from entering the hearing system. Ths can be achieved with advanced directional microphone technology, which assumes that the primary signal for the listener is speech, positioning the desired signal at the forefront. To enhance the SNR, the signals from the front (speech) are amplifid, while signals from other directions (background noise) are suppressed. Ths approach facilitates better speech understanding with reduced background noise interference.

Can everyone benefit from directional microphone technology in hearing instruments? Yes, but the question remains: which technology is most appropriate? The answer largely depends on lifestyle. The more active a person is, and the more diverse their listening environments, the harder the hearing instrument must work for them, thereby necessitating more advanced directional technology. Your audiologist can help you make an informed decision about the technology based on your hearing loss and lifestyle requirements.

FROM THE Rising Rubble

SHARON STONE’S QUEST FOR AUTHENTICITY, WELLNESS, AND CONTENTMENT.

BY SONDRA BARR

“

I

lost everything.

I LOST ALL MY MONEY. I LOST CUSTODY OF MY CHILD. I LOST MY CAREER. I LOST ALL THOSE THINGS THAT YOU FEEL ARE YOUR REAL IDENTITY AND YOUR LIFE.

In the chaotic world of Hollywood, where stars often fliker and fade, Sharon Stone, 65, exemplifiesan unusual durability, showcasing a narrative that triumphs over adversities. Beneath the deceptive allure of fame, she’s emerged not as a victim but as a symbol of perseverance.

At the peak of her career, prior to a cascade of devastating health issues, Stone enraptured global audiences with her sensual and commanding performance in “Basic Instinct,” and later garnered critical acclaim for her role in “Casino.” Her trajectory was steeped in a kind of success story that many only dreamed of—she was an undisputed movie star, embodying both charisma and mystique, offering the world a seductive yet empowered picture of femininity.

Yet, beneath this glamorous exterior, a storm was brewing. In 2001, a ruptured vertebral artery bled into her brain for days, leaving her with a 1% chance of survival, throwing her life into disarray. It wasn’t mere chance that allowed Stone to identify the onslaught of her stroke; it was a piercing headache and numbness in her leg, which became an omen of the cerebral hemorrhage that could have ended her life. Stone’s awareness of her own physicality in that dire moment paved the way for the medical intervention that ultimately saved her.

“The pain was still so wildly intense that I was put on a 24/7 drip of Dilaudid, which is a kind of synthetic heroin. I was in and out of consciousness,” she writes in her memoir. “… We were now on day five of my brain bleed and I had been coming and going. I had been ‘sleeping’  more than waking. I had not eaten since the initial incident…After a couple more days, I was unable to get up, stand up, or think clearly and function. I had lost 18 percent of my body mass…The general consensus was that I should go on home and stop faking it.”

Sharon Stone further shared with The New Yorker: “I didn’t know until I got home and read People magazine that I had to wait 30 days to see if I was even going to live. Nobody was communicating with me. Even 20 years ago, women’s rights were so much less than they are now, and nobody was listening to me, which is why I still scream to be heard. I still fiht with doctors because I panic when people don’t listen to me.”

The cataclysmic ripple effect of the event reverberated far beyond the physical realm for Stone, laying waste to not just her health, but dismantling her once-sturdy life in shattering ways. Prior to the debilitating event, Stone was basking in both professional and personal luminescence. An Oscar nod for Casino had already etched her name into the annals of Hollywood’s recognized talents, and on the home front, she and then-husband, newspaper editor Phil Bronstein, had recently welcomed their adopted son Roan into their lives.

However, the stroke heralded a cruel and unforgiving storm that leftno aspect of her life untouched—career, fiances, and even motherhood were unceremoniously wrested from her. Her marriage crumbled in its wake, ending in divorce from Bronstein in 2004, and the once-buzzing phone, linking her to Hollywood’s bustling opportunities, fell eerily silent.

“I lost everything,” she openly confidd to journalist Nigel Smith, her words bearing the weight of every stripped-away piece of her past self. “I lost all my money. I lost custody of my child. I lost my career. I lost all those things that you feel are your real identity and your life.” Stone’s narrative unearths more than mere personal pain and loss; it stands as a haunting epitaph to the often underestimated fragility of what we perceive to be steadfast and enduring in our lives.

The pain WAS STILL SO WILDLY INTENSE THAT I WAS PUT ON A 24/7 DRIP OF DILAUDID, WHICH IS A KIND OF SYNTHETIC HEROIN. I WAS IN AND OUT OF CONSCIOUSNESS. “

When Stone speaks about the demise of her once-thriving career in Hollywood, the lost custody of her child, and her fiancial ruin, there is an evident tranquility in her acceptance of that period as a mere chapter, not the entire narrative of her life. Sharon’s unapologetic embrace of her life’s calamities and her aptitude to turn them into opportunities for transformation makes her more relatable, and in many ways, inspirational.

Stone’s journey through trauma, recovery, and self-discovery took a turn when she chose to no longer be governed by fear, fihting for over a decade for custody of her son Roan.

“I fought for my son, put him ahead of getting anything at all back in my life. I did that for 13 years; I played a very long, very difficult game of custody chess in an effort to get him everything I could for his health and well-being,” she pens in her memoir. Her endeavors demonstrate not just a commitment to family above all, but an unwavering dedication to the well-being and future of her children.

Subsequently, Stone expanded her family, adopting biological brothers Laird and Quinn.

It was her 2021 memoir, “The Beauty of Living Twice,” that delved into Stone’s deeply human and relatable story. In it, she addresses her Hollywood career’s collapse, lost custody, and fiancial ruin with a tranquil acceptance, viewing it as a chapter, not the entirety, of her life. Her unreserved acceptance of life’s adversities and her ability to convert them into transformative opportunities lend relatability and inspiration.

Stone’s wisdom extends to wellness and contentment, both physically and mentally. Post-turmoil, she found peace in the arts, painting, and pickleball, not merely as hobbies but as mediums of recovery and expressions of joy.

In April 2023, Stone unveiled her fist-ever art exhibit, Shedding, an intimate exploration of her multifaceted self through abstract and landscape paintings. Art, it seems, has been an ever-present force in Stone’s life. She studied in the discipline at Edinboro University of Pennsylvania before her studies were cut short by the advent of her modeling and acting careers. “All of those paintings I sold to other students to eat and live,” Stone recalls in a chat with Maxim. “And then, you know, this acting thing—that took up quite a bit of my time, and I didn’t paint anymore.”

The return to painting occurred when the world locked down, a friend’s giftof a paint by numbers kit reigniting a subdued flame. Stone, thereafter, invested in brushes, paint, canvases, and boards, progressively crafting over a dozen paintings before allowing herself the luxury of prepared canvases.

Giving back through her work with the Barrow Neurological Foundation and ensuring others battling neurological conditions have a fihting chance is also important to Stone. Her lived experiences, once shrouded in layers of Hollywood glamor and superficality, now serve as the foundation of her advocacy, focusing on education and research to light the path for others navigating similar dark tunnels.

In a universe that often reduces individuals to their pain, Stone redefies what it means to be a survivor, to reclaim, rediscover, and revel in one’s identity beyond trauma. Stone encapsulates a wellness that is not solely built upon the absence of disease but the continuous and intentional act of crafting one’s wellness every day. Today, Stone is not just a movie star – she is a beacon of relentless authenticity, a testament to harnessing one’s past to forge a future with unwavering determination, a journey where living well means valuing oneself.

Sharon found peace in painting

Photo: @sharonstone

Casino

Photo: Universal Studios

Total Recall

Photo: Carolco Pictures

Basic Instinct

Photo: Sony Pictures

Basic Instinct 2

Photo: Metro-Goldwyn-Mayer

The Quick and the Dead

Photo: Sony Pictures

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!”

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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.

Get more from your total joint care specialists.

Armed with decades of experience in breakthrough orthopedic techniques, our practice has been serving North Texans for more than 50 years. From hips to knees to shoulders, our fellowship-trained specialists can diagnose your pain and develop a care plan that’s right for you. Whether you require joint replacement or non-surgical care such as oral medication, injections or physical therapy, our goal is to get you back to doing what you love.

Vivek Chadayammuri, M.D.; Richard Reitman, M.D.; Roger Emerson, M.D.

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,

I have so many questions about hospice care, and I have heard different things from the medical community and family members. Can you help clarify a few things?

~Wanting to Learn More

Dear Wanting to Learn More, You are not alone! Navigating health care can be confusing when it comes to talking about end-of-life care, which is hard to discuss for anyone facing these difficult decisions. I hope the below questions can help!

1. Is hospice a place? No, hospice is a type of health care provided primarily in the home. Many people associate hospice with inpatient facilities, but most hospice care (more than 90 percent) is actually provided in the patient’s own home, or wherever they call home (nursing facility, assisted living facility, memory care, etc).

2. Is hospice care expensive? The services are meant to be accessible and affordable for patients. Hospice is covered by Medicare, Medicaid, and most private insurance plans. The Visiting Nurse Association (VNA) also provides charitable care for those with no means to pay.

3. Do most hospice patients have cancer? Hospice is not just for cancer patients. Though many associate it with cancer, hospice can be used for any terminal diagnosis. These included Alzheimer’s, other forms of dementia, heart disease, lung disease, liver disease, and many other diagnoses. The doctor certifies that a patient meets the criteria for hospice care, and then care can begin.

4. Does hospice stop all of my medications once I sign up for hospice care? No, hospice works with your doctor and the hospice doctor to establish a plan of care to meet the goals of the patient and family. Also, hospice care is about more than medical needs. Hospice aims to treat the whole person by providing emotional, social, and spiritual support.

5. What about personal needs for those who cannot care for themselves with activities of daily living? Hospice support includes a home health aide who can assist in personal care such as bathing, dressing and light meal preparation. They are part of the interdisciplinary team, along with volunteers. Hospice organizations have many trained volunteers who visit patients, provide respite for caregivers, help with errands, and offer companionship.

~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

Avoiding and Manipulating a Dowager’s Hump

Dowager’s hump, neck hump, text hump, hunchback, or round back area all names for the same condition. There are a few different labels for the excessive bend in your spine. There are a number of difference causes of dowager’s humps, the most prevalent of which are postural, congenital, and Scheuermann’s.

The term “dowager’s hump” refers to the slightly rounded hump that can sometimes be seen at the base of an elderly woman’s neck, however the condition can occur in people of either sex.

What is a dowager’s hump?

Considered a spinal condition, the chronic forward-leaning posture that is all too frequent in our world of computer screens and other devices is the cause of this ailment, is named “kyphosis” in the medical community. If you have a propensity of slouching all the time, it’s possible that your top vertebrae will develop an unnatural bend over time. Your spine has natural curves to it, which helps you stand straight and supports your posture, but kyphosis can affect your posture and make standing a challenge.

In addition to having a hump in your upper back, you may also experience:

• Rounded shoulders.

• Tight hamstrings.

• Pain or stiffness in your back and shoulder blades.

• Extreme fatigue.

• Headaches or migraines

Oftentimes, a dowager’s hump is frequently confused with the condition known as a bufflo hump, which has a similar look. The development of a bufflo hump is frequently seen in patients who suffer from Cushing’s disease where an excessive amount of cortisol is produced, resulting in an increase in the formation of fat. Ths excess fat often deposits behind the neck forming what is often referred to as the bufflo hump. Both conditions can occur together or independently.

What causes it?

Poor posture is the leading contributor to the development of a dowager’s hump. Because of this, a dowager’s hump most commonly appears between the ages of 40 and 60. Ths forward-leaning and humped posture is frequently the result of tight muscles in the chest and neck, as well as weak muscles in the upper back and neck. Other possible causes include:

• Osteoporosis. A compression fracture causes an increased forward curve. Ths causes your upper back to curve more, which forces you to lift our neck into more extension to be able to see forward. It’s those two factors that cause the bump in the upper back. Women are more likely to develop a Dowager’s hump, as hormone changes during menopause can increase their risk of osteoporosis.Degenerative changes in your spine. Ths is a slow, progressive loss of the normal structure and function of your spine. Degenerative changes range from mild to severe and most often occur as a result of the normal aging process. Arthritis, tumors and infections can also cause these changes.

The hump at the base of your neck may be caused by osteoporosis or poor posture.

• Underlying bony or ligamentous pathologies. Spinal infections, fractures, tumors, calcifiations of spinal ligaments and other bony or ligamentous pathologies can also change the shape of your spine.

• Excess weight. It’s not the fat that is choosing to go to the back of your neck, but as you put on weight on your body, it can also get worse in this area.

• Congenital problem. Less frequently, the spine doesn’t form properly before birth.

• Scheuermann’s kyphosis. Ths shows up in teenagers, when their spine develops into a wedge shape instead of a rectangle.

How do I get rid of a dowager’s hump?

You may often improve or reverse a dowager’s hump by manipulating it with exercises that strengthen the muscles in your upper back and neck. Your age and the severity of the condition will determine whether or not this is possible. Building up the strength in these muscles can assist you in pulling your shoulders and head up.

Try doing the following exercises:

• Chin tucks. To do a chin tuck, pull your chin straight back. Ths is good for the disks in your neck and strengthens your neck muscles. Do three sets of 10 daily.

• Scapular squeezes. For these, squeeze your shoulder blades together, which helps improve your upper back muscles. Do three sets of 10 daily.

• Release your suboccipital muscles, the muscles located at the base of your neck which are responsible for pulling your head into an incorrect forward posture. Lay on our back and place a tennis ball to where it’s pressing on this area. Gently rock your head from side-to-side in order to feel a release in the muscles. Do this a couple of minutes each day.

• Doorway pectoral stretches. Stand in an open doorway, raising your arms like a goalpost with your palms forward. Place your palms on the door frame and step forward with one foot to feel the stretch across your chest. Hold for 20 to 30 seconds. Do two to three times daily.

Your primary care physician may recommend physical therapy, which can teach you how to perform these exercises in the correct manner. You won’t have to spend a lot of time performing these exercises,

but if you do them frequently, you’ll notice a reduction in discomfort, an increase in energy, and an overall improvement in your quality of life. The most signifiant advantage, though, is that it encourages a more upright posture, which in turn helps lessen or eliminate the appearance of the hump. However, a dowager’s hump is not something that can be eliminated quickly. It can even take a few months for everything to get back to normal after such a long period of time.

How do I prevent a dowager’s hump?

The most effective method for avoiding the problem is to keep up a healthy posture. How is your posture while reading this article? It is recommended that you hold your cell phone at eye level so that you do not have to crane your neck in order to see the display. Repeat the process when at your computer in the same way. If you have a habit of constantly bending forward, you are putting unnecessary strain on your back and neck, which can lead to pain. Because of the increased strain placed on the muscles and the increased pressure placed on the discs, this forward curve raises the likelihood of experiencing disk problems as well as neck tiredness. Ths occurs as a result of the fact that the neck, rather of balancing with gravity, needs to fiht against it in order to support the weight of the head. Our bodies aren’t made for that kind of curve. It can cause neck, upper back and lower back pain and even reduced lung capacity.

Hyperkyphosis is when the curve of your spine is extreme, is associated with impaired lung function, reduced functional capacity and increased higher risk for death.

You should also make an effort to stop the progression of osteoporosis in order to reduce the risk of your spine having compression fractures. These fractures can cause the upper back to arch forward more dramatically.

Symptoms of dowager’s hump might vary from person to person, but depending on the degree to which nerves are involved, radicular pain, tingling, and/or numbness that can be felt throughout the body. The severity of symptoms, such as troubles with the bowel or bladder, problems with balance and coordination, and impaired lung function, can increase if the condition is either allowed to go untreated or is not addressed aggressively.

If you suspect you may have a dowager’s hump, the fist step of treating a neck hump is to determine the cause. Talk to your primary care physician to rule out any underlying issues.

Oculoplastic Surgery

Courtesy KEY-WHITMAN EYE CENTER

The fist signs of aging usually take place around the eyes. With injectables such as Botox and dermal fillers, subtle changes can be corrected quickly. A patient may be considering the long-term benefits of oculoplastic surgery for concerns related to loose, sagging skin. We perform oculoplastic procedures for functional or cosmetic improvement at the Key-Whitman Cosmetic Center.

The term oculoplastic surgery describes the different procedures involving the eyelids and area around the eyes, the orbit of the eye, or the tear ducts. Eyelid surgery is popular and conducted more than 100,000 times a year. Ths surgery can not only rejuvenate a patient’s appearance but also improve their vision.

At Key-Whitman Cosmetic Center, Dr. Leslie Pfeiffer consults with her patients to discuss their goals and the way in which a particular oculoplastic procedure can enhance the structure of the eyelid.  She has confidece in adopting a customized strategy to fit every patient’s individual needs while adhering to high quality, evidence-based standards of medical and surgical care.

Patients may be a good candidate for the oculoplastic surgery if they are in good general health and would like to enhance the looks of their eyes. During your consultation, Dr. Pfeiffer performs an intensive examination to verify that your objectives can be achieved with eyelid surgery.

Types of Oculoplastic Surgeries:

BLEPHAROPLASTY: Upper and lower  blepharoplasty procedures  are some of the most common oculoplastic procedures performed today. Upper blepharoplasty may be done for functional or cosmetic reasons. Ths procedure removes the extra or loose skin of the upper eyelid to restore the crease of the natural lid. Upper blepharoplasty may also be performed to remove tissue that has dropped into the fild of vision. Lower blepharoplasty repositions fat and skin in a manner that decreases or eliminates the appearance of under-eye puffiness and dark circles.

PTOSIS REPAIR: Ptosis repair  is performed to correct a droopy eyelid. Ths surgery is different than upper blepharoplasty because it shortens or otherwise repairs a stretched or elongated levator muscle, the muscle of eyelid opening.

ECTROPION REPAIR: Ectropion is an eyelid condition that affects the lower eyelid, making it roll outward away from the eye. The affected eyelid might also sag, exposing the eye and resulting in dryness. Untreated ectropion can cause chronic redness, pain, irritation, and tearing. Prolonged exposure may also wear down the corneal surface.

ENTROPION REPAIR: Entropion is an eyelid condition that affects the upper or lower eyelid, making it roll inward. Ths condition may be related to the eyelid’s natural aging or breakdown in the strength of certain eyelid muscles. When the eyelid turns inward, the eyelashes rub the surface of the eye, causing redness, discomfort, and sensitivity to wind and light. Untreated entropion could trigger excessive tearing or mucous discharge. The cornea might also be scratched and scarred over time.

EYELID GROWTHS AND SKIN CANCERS: The fragility of the skin around the eyes makes this area particularly susceptible to sun damage. Exposure to UV light through sunshine and tanning beds can degrade the looks of the eyelids and might also cause skin cancer. Growths on the eyelid, especially those that bleed or become inflamed, should be evaluated immediately. Skin cancer may be identifid by taking a biopsy of tissue from the growth. Then, the lesion can then be removed using a precise surgical technique that attempts to restore as much as possible of the eyelids’ natural contours. In some instances, growth or skin cancer removal is followed by reconstruction of the eyelid.

TEARING DISORDERS: Tears are important for the eye’s function and health. The lacrimal gland and meibomian glands are involved in producing the necessary layers of fluid to keep a healthy tear film. Patients may experience tearing due to a variety of conditions, including blockage of the natural ear drain, eye irritation or dryness, or eyelid ectropion. An oculoplastic surgeon can investigate these causes, and some may require surgery to correct.

Benefits of Going to an Oculoplastic Surgeon

An oculoplastic surgeon, such as Dr. Pfeiffer, has obtained extensive training after completing medical school. Ths includes a residency in ophthalmology and a fellowship in oculoplastic surgery. The clinical training that an oculoplastic surgeon undergoes leads to a thorough understanding of the intricate details of the eyelids, eye structure, and the area of the face that surrounds the eyes. The amount of training an oculoplastic surgeon undergoes enables Dr. Pfeiffer to perform delicate procedures with a great deal of precision.

Patients undergoing an oculoplastic procedure with Dr. Pfeiffer, an experienced oculoplastic surgeon, personally appreciate the natural-looking results achieved with their eyelid procedure. In general, the eyes look more open, more vibrant, and all-around more youthful after surgery.

If you’re interested in oculoplastic surgery, consider visiting with Dr. Leslie Pfeiffer. She sees patients in Key Whitman’s Frisco, Dallas, North Arlington, and Rockwall locations.

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.

Deandra M. Grant

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.

Co-Author

“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

of the Texas DWI Manual

JD, GC, MS

TOP MYTHS OF FUNERAL SERVICE 5

By RICK ALLEN

For many years, the funeral industry has been veiled in a cloak of mystery and even fear about the entire process. People have had fears about the funeral industry for a couple of primary reasons. First, the experience itself is something most people will only be responsible for dealing with once or possibly twice in their lifetime, so there is no familiarity of the process. All of us are a little leery about the unknown, so just not knowing what to expect causes anxiety. Second, the public perception about funerals is that they are extremely expensive. Ths can be true, depending on the choices a family makes regarding the type of funeral service, merchandise selected and whether or not cemetery property has been secured in the past or if that too is a required expense at the time. So, let’s explore the top five myths about funerals and see if we can clear up some of the confusion or misinformation that exists on the subject.

EMBALMING IS REQUIRED

Every state has their own rule regarding embalming. In Texas, as in most states, the requirement for embalming is leftup to the funeral home. Typically, if a body is going to be viewed or present at a public service or visitation, embalming will be required by the funeral home. Ths is necessary for public health purposes and a body that has been properly embalmed and prepared for viewing presents a better memory picture for those seeking closure in dealing with their grief. If cremation is your choice, and no one will need to see the deceased once they have been brought into the care of the funeral home, embalming is not necessary.

CREMATION IS CHEAPER THAN BURIAL

In a nutshell, yes. Ths is true because you eliminate the need for cemetery property in most cases. However, if you have a traditional funeral service followed by cremation the cost will be the same. The difference, or savings, lies in the fact that the need for cemetery property is eliminated. Most funeral homes offer a ceremonial (or rental) casket for those who desire a traditional funeral but also want cremation. The absolute cheapest way to dispose of a deceased individual’s body is by direct cremation. With this option, there is no viewing and no service at all. Additionally, only a minimal container (usually constructed of cardboard) is all that is required to hold the body.

ONLY ONE PERSON CAN BE BURIED IN A SINGLE GRAVE SPACE

Most cemeteries are now offering what is referred to as a second rite of interment. For a fee, usually a percentage of the cost of the grave space, a second interment can be made. If a burial has been made in the past, the second interment may be limited to only cremains. If it is designated prior to the fist burial being made, up to two persons can be buried in a single space. Some cemeteries have special sections set out for this and the grave liner is already in place prior to either burial being made. These types of spaces are called lawn crypts.

YOU MUST HAVE A VAULT IF YOU CHOOSE TO BURY

Ths requirement may or may not exist. The cemetery can decide if they require any type of outer burial container. If the cemetery requires such, its primary function is to keep the grave level by providing a foundation for which the dirt replaced in the grave after burial rests on. Typically, these are simply a concrete box and do not provide a dry resting place for the casket. If that is important to you, a protective vault should be chosen and this will meet any minimum requirement of the cemetery.

FUNERALS MUST BE PAID FOR IN FULL UP FRONT

Most funeral homes want to know how you plan to pay and yes, some will require you to pay in full prior to the funeral service. If you plan to use proceeds from a life insurance policy to pay for a funeral, most funeral homes will accept an assignment of proceeds as a form of payment. Most funeral homes also accept credit cards as well. Very seldom will you fid a funeral home that offers installment payment options, unless you are pre-planning in advance of an actual need.

Hopefully, this has helped to clear up some of the questions you may have had about funerals. In the event you would like more information about any of the above mentioned topics, or have additional questions, please feel free to call us.

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

Deandra M. Grant

Leaders in DWI Defense NATIONALLY RECOGNIZED DWI LAW FIRM

Have you been arrested? Whether you have been charged with DWI in Texas or another criminal offense, we advise you to secure the immediate representation of our experienced DWI lawyers. Your charges can have life-altering consequences. It is of the utmost importance that following an arrest, you hire our Dallas criminal defense lawyer. We will stop at nothing in order to protect your rights, freedom, and future. At Hamilton Grant PC, you will receive the individualized support and tenacious advocacy that you require in order to combat your criminal charges.

Because we care deeply about helping as many people as we can, our Texas DWI & criminal attorneys also represent clients in Collin County and throughout northern Texas.

Hamilton Grant’s North, East and South Texas offices are led by Attorney Deandra Grant*, JD, GC, MS, one of the most awarded and respected DWI authorities in the country. She is co-author of The Texas DWI Manual, certified in the science and testing of DWI enforcement, and respected by her peers as being a leader in her field.