TEXAS JOINT INSTITUTE Expert Orthopedic Surgeons Close to Home More Inside MATT DAMON A JOURNEY OF PASSION, CHALLENGES, AND COMMITMENT IS IT REALLY LOVE? OR ARE YOU BEING CATFISHED? SEPTEMBER/OCTOBER
COLLIN
COUNTY
2023
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
COLLIN COUNTY • 1 Eminent Medical Center is the premier treatment destination in the Dallas/Fort Worth area with three operating suites and five private patient rooms. www.eminentmedicalcenter.com • (469) 910-8800 1351 W. President George Bush Highway, Richardson, Texas 75080 IN-NETWORK
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are an
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PROVIDING SPECIALTY
medicine,
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CARE We provide surgical services for pain management, orthopedic & sports
gynecology, spine surgery and general surgery.
TOP DOCS 2023 Livingwell PROVIDERS HEALTHCARE AND OTHER TOP DOCS 2022 Livingwell PROVIDERS HEALTHCARE AND OTHER
2 • SEPTEMBER/OCTOBER 2023 PREMIER SURGEON FOR HIP AND KNEE REPLACEMENT VOTED TOP DOC IN DALLAS COUNTY AND COLLIN COUNTY. DR. TOULSON IS PROUD TO SERVE LOCAL RESIDENTS AND SURROUNDING COMMUNITIES. TO LEARN MORE, VISIT txjointinstitute.com 4201 Medical Center Drive, Ste. 100, McKinney, Texas 75069 Please call (972) 566-5255 to make an appointment. TOP DOCS 2023 Livingwell PROVIDERS HEALTHCARE AND OTHER Dr. Charles Toulson specializes in: Robotic Joint Replacement
Hip Replacement
Knee Replacement
Knee Replacement
Hip and Knee Revisions
Total
Total
Partial
Total
Expert Orthopedic Surgeons Close
COLLIN COUNTY • 3
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
to Home DALLAS | FRISCO | PLANO | MCKINNEY | SHERMAN At Texas Joint Institute, our growing team of highly skilled orthopedic surgeons and medical professionals are at the forefront of bone and joint health. From joint replacements and minimally invasive treatment options to complex joint reconstruction and treatment of bone and soft tissue sarcomas, our team offers a wide range of services to help you get back to your daily activities you enjoy. TXJOINTINSTITUTE.COM Dallas, Frisco & Plano: 972-566-5255 | McKinney & Sherman: 469-796-4295 TOP DOCS 2023 Livingwell PROVIDERS HEALTHCARE AND OTHER
EMPOWERING LIVES, ONE ARTICLE AT A TIME
Welcome to another enriching edition of LIVING WELL Magazine! Our mission, as always, is to offer content that empowers, inspires, and guides you on a journey towards better health, wellness, and a life filled with purpose and motivation.
In this issue, we bring you an insightful feature on the Texas Joint Institute, with locations in McKinney, Frisco, Dallas, and Plano. This premier destination for top-tier orthopedic surgeons in Sherman boasts a team of highly skilled and accomplished orthopedic specialists, dedicated to diagnosing and treating a wide array of musculoskeletal conditions. From minor fractures to complex reconstructive procedures, the Texas Joint Institute is committed to providing comprehensive and individualized care, enabling patients to lead lives free from pain and with unrestricted mobility.
Also in this edition, we shine a spotlight on actor Matt Damon, an Oscar-winning screenwriter and actor whose journey to the top is a masterclass in grit, determination, and a no-nonsense dedication to his craft. From his humble beginnings in Cambridge, Massachusetts, to becoming one of Hollywood’s most valued players, Damon’s story is one of resilience, passion, and an unwavering commitment to making a difference—both on and off the screen.
Additionally, we delve into the world of online dating, a phenomenon that continues to grow in popularity across all age groups. With the rise of online relationships comes a host of challenges, from navigating the digital landscape to uncovering deceptions on dating profiles. We explore the dynamics of this modern-day matchmaking, offering insights and advice for those seeking meaningful connections in the digital age.
At LIVING WELL Magazine, we believe that knowledge is power, and we are committed to providing you with the information and inspiration you need to lead a healthier, happier, and more fulfilling life. Thank you for allowing us to be a part of your journey towards living well.
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4 • SEPTEMBER/OCTOBER 2023 FROM THE PUBLISHER
A Health & Lifestyle Magazine for THRIVING ADULTS
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Living Well Living
SEPTEMBER/OCTOBER 2023
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COLLIN COUNTY • 5 14 Experiencing Neck or Back Pain? 21 Breast Cancer Risks, Symptoms, and Early Detection 29 Walking Together to End Alzheimer’s 35 Noise Exposure: A Word of Caution 36 Difficult Decisions with Hospice 40 Light Adjustable Lens for Post Cataract Vision 47 Follow Your Instinct 50 Empathy Is Hardwired, but Few Maximize It 55 Wellness Challenge 62 Communication That Works CONTENTS FOLLOW US ON SOCIAL MEDIA @ LivingWellmag @ LivingWellmags @ LivingWellmags @ LivingWellmagaz TEXAS JOINT INSTITUTE ExpertOrthopedicSurgeonsClosetoHome More Inside MATT DAMON JOURNEY OF PASSION, CHALLENGES, AND COMMITMENT IS IT REALLY LOVE? OR ARE YOU BEING CATFISHED? Visit LivingWellMag.com for a free digital subscription. 8 FEATURES AND MUCH MORE... 8 Texas Joint Institute Expert Orthopedic Surgeons Close to Home 24 Matt Damon A Journey of Passion, Challenges, and Commitment 58 Is it Really Love? Or Are You Being Catfished? 24 58
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.
6 • SEPTEMBER/OCTOBER 2023 4201 Medical Center Drive, Ste. 100, McKinney, TX 75069 4001 W. 15th St., Ste. 180, Plano, TX 75093 (800) 247-BACK (2225) txjointinstitute.com
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.
Bunion and Hammer Toe Correction MIS—Minimally Invasive Surgery
Heel Pain (Plantar Fasciitis) Stem Cell Therapy
Neuropathy
Ingrown Toenails Tarsal Tunnel Syndrome
Foot Care
Feet Trauma Wound 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
COLLIN COUNTY • 7 Let your feet guide your way to Comfort
Foot and Ankle Surgery
Diabetic
Flat
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IRVING CLINIC 6161 N. State Hwy. 161, Ste. 320 Irving, TX 75038 DESOTO
833-FOOT-DFW www.dfwfootdoc.net
CLINIC 714 N. Hampton Rd. De Soto, TX 75115
Joshua Worley, DPM Reza Mobarak, DPM, FACFAS, FAPWCA, FAPWHc Mitch Williams, DPM Mark Mashni, DPM, AACFAS Voted best in D Magazine, Living Well Magazine, and Best Docs Network SPECIALIZING IN Southwest Foot & Ankle Center is proud to provide Stem Cell Therapy. TOP DOCS 2023 Livingwell PROVIDERS HEALTHCARE AND OTHER NORTH TEXAS #1 FOOT AND ANKLE SURGEONS IN DFW #1 WOUND CARE CENTER IN DFW! dfwfootdocswfacenterthedfwfootdoc
TEXAS JOINT INSTITUTE
Expert Orthopedic Surgeons Close to Home
Texas Joint Institute is a leading orthopedic practice located in Dallas, Frisco, Plano, McKinney, and Sherman specializing in joint replacement and complex joint reconstruction surgeries. Our practice comprises a team of highly skilled and experienced board-certified orthopedic surgeons who are dedicated to providing exceptional care to patients in the North Texas region.
At Texas Joint Institute, we understand the importance of maintaining optimal joint health and mobility. Our team of orthopedic surgeons offer a comprehensive range of services, including diagnosing and treating joint conditions such as osteoarthritis, prolonged joint pain, and joint trauma. We specialize in joint replacement surgeries, including total knee replacement, total hip replacement, and muscle-sparing joint replacements, using the latest techniques and technology to ensure the best possible outcomes for our patients.
SOME OF THE SERVICES WE PROVIDE INCLUDE:
JOINT REPLACEMENT
• Anterior hip replacement
• Unicompartmental (partial) knee replacement
• Total hip and knee replacement
• Total hip and knee revision replacement
• Shoulder and elbow replacement
• Shoulder and elbow revision replacement
CARE
• All trauma injuries and fracture care
• Unknown bone tumor benign and malignant
• Unknown soft tissue tumors benign and malignant
• Rotational flaps for soft tissue coverage
MANAGEMENT
• Management of recurrent hip dislocation
• Management of periprosthetic fractures of hip and knee
• Management of periprosthetic fractures of shoulder, elbow, hip, and knee
• Management of painful joint replacements
• Metastatic bone tumor management
• Osteomyelitis and infection management
*This is not an exhaustive list of the services we provide.
COLLIN COUNTY • 9
TEXAS JOINT INSTITUTE
MEET OUR HIP AND KNEE PAIN SPECIALISTS:
Cyrus Abbaschian, MD
Orthopaedic Surgeon Board Certified Dallas office
Donald W. Hohman, Jr., MD
Orthopaedic Surgeon Board Certified Dallas & Frisco offices
Stephen Appleton, MD
Orthopaedic Surgeon Board Certified Dallas & Frisco offices
Duncan L. McKellar, Jr., MD
Orthopaedic Surgeon Board Certified McKinney & Sherman offices
Florian Dibra, MD
Orthopaedic Surgeon Frisco & McKinney offices
Brian Nwannunu, MD
Orthopaedic Surgeon McKinney & Sherman offices
10 • SEPTEMBER/OCTOBER 2023
COLLIN COUNTY • 11 OUR LOCATIONS DALLAS 7777 Forest Lane Suite C-106 Dallas, TX 75230 FRISCO 5575 Frisco Square Blvd. Suite 530 Frisco, TX 75034 McKINNEY 4201 Medical Center Drive Suite 100 McKinney, TX 75069 PLANO 4001 West 15th Street Suite 180 Plano, TX 75093 SHERMAN 204 Medical Drive Suite 110 Sherman, TX 75092 (972) 566-5255 www.txjointinstitute.com When joint pain interferes with your daily life it may be time to see a specialist. Kwame A. Ennin, MD Orthopaedic Surgeon Board Certified McKinney & Plano offices Samuel K. Stephenson, MD Orthopaedic Surgeon Dallas & Plano offices Alexander S. Greenstein, MD Orthopaedic Surgeon Dallas & Plano offices Charles E. Toulson, MD Orthopaedic Surgeon Board Certified McKinney & Sherman offices
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.
12 • SEPTEMBER/OCTOBER 2023
TWO LOCATIONS FLOWER MOUND Texas Health Resources • River Walk Marquis 2560 Central Park Ave., Suite 395 Flower Mound, TX 75028 • 972-591-6468 Legacy Drive N. Dallas Tollway Warren Parkway Gaylord Pkwy. Baylor Scott & White Medical Center Long Prairie Rd. Central Park Ave. Texas Health Presbyterian Hospital-Flower Mound CrossTimbersRd. FRISCO Baylor Frisco, Professional Building #1 5575 Warren Parkway, Suite 115 Frisco, TX 75034 • 972-591-6468 Don’t let your orthopedic pain slow you down.
Justin M. Kane, MD, FAAOS ~ Foot and Ankle Orthopedic Surgeon
• Minimally invasive bunion and foot/ ankle surgeries
• 4-D DynaBunion and Lapiplasty bunion correction
• Total ankle replacement (TAR)
• Hammer toes
• Arthritis and deformity correction
• Lateral ankle instability
• PARS Achilles repair
• Foot and ankle cartilage injuries
• Limb salvage surgery
Vikas V. Patel, MD ~ Upper Extremity Orthopedic Surgeon
• All fractures
• Shoulder arthroscopy
• Rotator cuff repair
• Sports related injuries
• Carpel tunnel syndrome
• Trigger finger
• Wrist and hand surgery
• Shoulder and elbow replacement
• Complex revision procedures of the upper extremity
Leroy Butler, DO, FAAOS ~ Foot and Ankle Orthopedic Surgeon
• Minimally invasive bunion and foot/ankle surgeries
• 4-D DynaBunion and Lapiplasty bunion correction
• Total ankle replacement (TAR)
• Arthritis and deformity correction
• Lateral ankle instability
• PARS Achilles repair
• Foot and ankle cartilage injuries
• Trauma
Christopher Kowalski, MD ~ Orthopedic Spine Surgeon
• Minimally invasive spine surgery
• Complex revision spine surgery
• Spinal deformity correction surgery
• Cervical disc replacement
• Anterior/posterior cervical fusion
• Posterior cervical foraminotomies
• Lumbar microdiscectomy
• Lumbar laminectomy
• Lumbar fusion
• Anterior lumbar fusion
• Lateral lumbar fusion
COLLIN COUNTY • 13 972-591-6468 (OINT) • www.oint.org
We can help you enjoy your life again!
@OINTortho ALL INSURANCES ACCEPTED.
TOP DOCS 2023 Livingwell PROVIDERS HEALTHCARE AND OTHER
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!”
COLLIN COUNTY • 15
LivingWellMagazine readers
TOP DOCS 2022 Livingwell PROVIDERS HEALTHCARE AND OTHER TOP DOCS 2023 Livingwell PROVIDERS HEALTHCARE AND OTHER 2004 Ventura Drive, Suite 200, Plano, Texas 75093 (972) 499-5457 • scheduling@advancedspinecenters.com advancedspinecenters.com
Voted Top Doc for Orthopedic Spine Surgeon by
2018, 2019, 2020, 2021, 2022, 2023
16 • SEPTEMBER/OCTOBER 2023 It’s your move. Speak with a surgeon to see if Mako Technology is right for you. Find a surgeon today! Call 1 888 STRYKER (1 888 787 9537) or visit dfwmako.com. All surgery carries risk. See your orthopaedic surgeon to discuss your potential benefits and risks. Not all patients will have the same post-operative recovery and activity level. Individual results vary. MKOSYM-PM-14_22150 Take control of your joint pain Mako Robotic-Arm Assisted Technology, the latest in total hip, partial knee and total knee replacement, is now available in your area.
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.
5575 Frisco Square Blvd., Ste. 260 Frisco, Texas 75034 4201 Medical Center Drive, Ste. 100 McKinney, Texas 75069 txjointinstitute.com (972)566-5255
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
COLLIN COUNTY • 19
TEXAS ONCOLOGY .COM When you’re diagnosed with breast cancer, you need comprehensive care from renowned physicians, advanced treatment options, leading edge technology, and clinical trials. But you also need to keep being Mom. To be front row at every soccer game and gymnastics meet. To be home for family game night. With more than 210 locations across the state, Texas Oncology provides expert care and keeps you close to family and friends. Because you shouldn’t have to choose. 903.868.4700 EXPERT BREAST CANCER CARE RIGHT WHERE YOU LIVE.
Breast Cancer RISKS,
SYMPTOMS, AND NEW REVELATIONS ON EARLY DETECTION
By KIMBERLY BLAKER
Twelve percent of women today will develop invasive breast cancer, and more than 40,000 will die from it this year alone, reports BreastCancer.org. That’s why a refresher course on early detection and staying up-to-date on the latest studies is essential and the reason for October’s Breast Cancer Awareness Month.
RISK FACTORS
There are several risk factors for breast cancer, as identified by the American Cancer Society (ACS). Some of these are unchangeable but should be taken into account in developing a screening plan. Other risk factors are lifestyle-related. Therefore women, especially those already at higher risk, should consider those factors she can control.
Still, the simple presence of risk factors doesn’t mean you’ll go on to develop breast cancer. Likewise, a lack of risk factors doesn’t mean you won’t develop the disease. For this reason, all women should be aware of the risks and symptoms and what screening does and doesn’t do.
Some factors that are unchangeable and increase risk are female gender, aging, genetics, and race and ethnicity (white women are at slightly higher risk) according to the ACS. A greater number of menstrual cycles, previous chest radiation, and exposure to the drug diethylstilbestrol (DES) also puts women at a slightly higher risk.
Other risk factors can often be controlled. Pregnancy and childbirth are some of these factors. According to the National Cancer Institute (NCI), having more than one child provides increased protection with each successive birth.
Continued on page 22
Women who breastfeed also reduce their risk of breast cancer, the NCI explains. The longer the total length of time spent breastfeeding during the child-rearing years, the greater the protection.
Oral contraceptives, according to the ACS, slightly increase risk. Though once a woman is off contraceptives for 10 years, that risk is no longer present.
Hormone therapy for menopausal women can also increase risk. The ACS says estrogen alone is not a concern. For certain women, it can even slightly reduce the risk. But estrogen combined with progestin can increase risk.
Another risk factor is alcohol. Having one daily drink increases the risk only slightly, while the greater the consumption, the higher the risk. More than 5 drinks daily increase the risk for other cancers as well.
After menopause, being overweight or obese increases risk, says the ACS. But as the organization explains, the risk of breast cancer related to weight is complex. Those who were overweight as a child may not be affected. The distribution of excess body fat may also play a role. Waist area fat, in particular, might be more significant in increasing risk than fat in other parts of the body such as hips and thighs.
Exercise, however, has been shown to decrease risk, according to a study by the Women’s Health Initiative. It found just 1.25 to 2.5 hours of brisk walking each week can reduce risk by 18%.
Several factors that previously have been claimed to increase risk factors are now disproven or deemed highly improbable, according to ACS and Memorial Sloan Kettering. These include antiperspirants, bras, abortion or miscarriage, dense breasts, fibrocystic disease, and breast implants.
Factors that remain unclear because studies have produced conflicting results include diet and vitamins, environmental chemicals, tobacco smoke, and night work. These factors require further research to determine if there’s any relationship.
SYMPTOMS
There are several signs to watch for that might be indicative of breast cancer. Though most of these symptoms could be caused by something else such as caffeine, menstrual periods, infection, or other illness or factors. If you notice any of these symptoms, see your health care provider to rule out breast cancer. Symptoms to watch for, say ACS and other breast cancer organizations, include:
• A new lump or breast change that feels different from the rest of your breast
• A new lump or breast change that feels different from your other breast
• You feel something different that you haven’t felt previously
• Nipple discharge that occurs without squeezing the nipple
• Nipple discharge that occurs in only one breast
• Bloody or clear discharge, rather than milky
• Thickening, a lump or hard knot inside the breast or in the underarm area
• Breast swelling, warmth, or redness
• Change in breast shape or size
• Breast skin dimpling or puckering
• A sore or rash on the nipple, particularly scaly or itchy
• Your nipple or other parts of your breast pulling inward
• Sudden nipple discharge
• Pain in one spot that doesn’t go away
Continued from page 21
“ ”
THERE CAN BE LIFE AFTER BREAST CANCER. THE PREREQUISITE IS EARLY DETECTION.
—ANN JILLIAN
EARLY DETECTION AND SCREENINGS
Screenings are an essential means for detecting breast cancer, hopefully in its early stages.
Until more recently, women were encouraged to do a monthly self-examination. But a major study reported in The Journal of the National Cancer Institute in 2002, concluded self-examination has played no role in improving cancer detection. It also found the extensive teaching of self-examination leads to an increased rate of benign breast biopsies.
Clinical breast exams, however, are still recommended. For women with average risk factors, these should be done every one to three years starting at age 20. Then at age 40, clinical exams should be done annually. Women with higher risk factors should have exams more often and consult with their doctor for the recommended frequency.
Mammography, believed to be one of the most crucial tools in early detection for decades, first started in the 1960s. Early trials found mammography reduced breast cancer death rates by 25%. But Peggy Orenstein points out in her 2013 New York Times article, “The FeelGood War on Breast Cancer,” such statistics have overstated mammography’s role in the reduction of breast cancer death rates. This is because the increased use of mammograms occurred along with much-improved treatments. Medica experts now believe treatments likely played a more significant role in reducing deaths.
For this reason, mammograms have come under fire in recent years as more studies have revealed the debatable usefulness of this screening technique, at least for younger women. That’s because breast cancer and detection are more complex than once understood to be.
It’s now known there are at least four types and subtypes of breast cancer. Mammography often doesn’t detect the more lethal types until they’re in the later stages. Add to this, mammograms result in significant overdiagnosis leading to unnecessary treatment. This comes with its own risks.
Doctor Deanna Attai, president of the American Society of Breast Surgeons, explains, “Ductal carcinoma in-situ [DCIS] is also referred to as noninvasive, or Stage 0 breast cancer. It is primarily diagnosed by screening mammograms, as it often does not form a palpable lump. DCIS accounts for approximately 20% of mammographically detected breast cancers. As screening mammography has become more prevalent, the rate of DCIS detection has increased.”
Some medical experts say DCIS is really not a form of cancer at all. Referring to it as such results in overly aggressive treatment. The likelihood of low-grade DCIS developing into invasive breast cancer
is only 16%, says Dr. Attai. While high-grade DCIS has a 60% chance over 10 years. The problem is there’s currently no way to determine which cases of DCIS will ultimately develop into breast cancer. This creates a significant dilemma.
Still, what is known is among women in the United States, breast cancer is the second leading cause of cancer deaths. Various studies indeed reveal mammography screening seems to have very limited usefulness among women under 40. Still, it’s moderately effective for detection in women ages 40-49 and is most useful for those in the 5069 age group.
The results of recent studies have, therefore, revealed several needs. First, more research is needed to better answer questions about the approach to both detection and treatment. Additionally, better screening techniques should be developed for detecting the more deadly forms of breast cancer.
Currently, there’s much debate among medical and cancer organizations regarding the recommended frequency of mammography, particularly among women ages 40 and up. These various organizations point to different studies coming to different conclusions about mammography’s safety and effectiveness.
The latest cancer screening guideline by the ACS (2015) recommends women with average risk should begin regular mammography screenings at age 45. Then they should be annually screened until they reach 54. After that, they should transition to every two years, as long as they’re in good health with a life expectancy of at least 10 years.
The American College of Physicians (ACP) has done a rigorous analysis of numerous studies and the guidelines of several organizations. The ACP says the methodology used by several organizations in determining guidelines isn’t sound. The organizations that scored highest for the use of sound methods include the ACS, World Health Organization, The Canadian Task Force on Preventive Health Care, and the U.S. Preventive Services Task Force.
Based on the ACP’s findings, it recommends, “In average-risk women aged 40 to 49 years, clinicians should discuss whether to screen for breast cancer with mammography before age 50 years.” Physicians should discuss with women the potential harms and benefitsn. The potential harms, argues the ACP, outweigh the benefits for most women in the 40 to 49 year age range.
Finally, there’s no one-size-fits-all plan that works best. So, mammography screening for breast cancer should be based on informed decisions and individualized plans. It should take into account a woman’s age, risk factors, and both the advantages and disadvantages of mammography for each woman’s unique circumstances.
COLLIN COUNTY • 23
24 • SEPTEMBER/OCTOBER 2023
MATT DAMON
A JOURNEY OF PASSION, CHALLENGES, AND COMMITMENT
BY SONDRA BARR
Matt Damon isn’t just an Oscar-winning screenwriter and actor with a career that’s been killing it for over 30 years—his ride to the top is a masterclass in grit, fire, and a no-nonsense dedication to what he does. From his start in Cambridge, Massachusetts, to becoming one of Hollywood’s MVPs, Damon’s journey is all about hanging tough and giving it everything he’s got.
He’s hit bumps in the road, fully leaned into his love for acting, and along the way, turned into a champion for global water access, a rock-solid family guy, and a fan-favorite actor who’s brought to life some of the most unforgettable characters in the biggest films of our time.
The Journey Begins
Growing up in Cambridge, Massachusetts, Matt Damon’s passion for acting was evident from a young age. According to an interview with Elizabeth Day from the Guardian, his mother, Nancy Carlsson-Paige, a university professor specializing in early education, always knew he was going to be an actor because of his love of costume and role-playing, and his ability to entertain himself for long stretches of time. He would play dress-up with his older brother, Kyle, and even broke his ankle at the age of 3 trying to mimic a superhero.
“When I was 3, I climbed to the top of the jungle gym in my Shazam cape, and I shouted ‘Shazam!’ And I tried to fly, and I fell,” he told Day of how he broke his ankle.
Chris Heath, in an article for GQ, recounts the emotional beginning of Damon’s career when he and Affleck watched Robin Williams and Stellan Skarsgård perform their script on the first day of filming Good Will Hunting. Damon reflected on that moment with a mixture of joy, disbelief, relief, and gratitude. It marked the start of everything for the duo, who had spent years honing the script and even turned down huge amounts of money to ensure they could star in the film.
A Career of Notable Performances
Damon’s choice of roles has always been guided by the quality of the director. As he mentioned in the same Guardian interview, “That’s all that matters in film. The rest of it is utter bullshit. A mediocre director will ruin a great piece of material.” He has worked with some of the best in the business, including Anthony Minghella in The Talented Mr. Ripley, Robert De Niro in The Good Shepherd, Martin Scorsese in The Departed, and Steven Soderbergh in Behind the Candelabra. Matt Damon has spent a good chunk of his Hollywood life playing the kind of guys you’d want to grab a beer with. These are solid, downto-earth, scrappy characters that he makes look easy-peasy and real in a bunch of hit movies. From the tough-as-nails rugby captain in Invictus to the cool-as-a-cucumber dad in Contagion, and the no-nonsense car guy in Ford v Ferrari. Even in the glitzy Ocean’s movies, Damon’s Linus is just a guy trying to get a thumbs-up from Clooney and Pitt’s cool cats, making him way more relatable than them.
His parents divorced, and he and his brother lived with their mother. However, the defining moment of his early career was his collaboration with childhood friend, Ben Affleck. The two met when they were 8 and attended the same high school. Despite attending different colleges, they worked together on the script for Good Will Hunting, which drew on their experiences growing up in Cambridge. The film became a critical and commercial success, and Damon and Affleck won the Academy Award for Best Original Screenplay. The film also earned Damon his first Oscar nomination for acting.
A mediocre director will ruin a great piece of material. “
COLLIN COUNTY • 25
26 • SEPTEMBER/OCTOBER 2023
Oppenheimer Universal Pictures
True Grit Paramount Pictures
Good Will Hunting Miramax Films
Jason Bourne Universal Pictures
The Martian Twentieth Century Fox
Behind the Candelabra HBO Films
Recently, he chatted with Patrick Ryan from USA Today about his part in Christopher Nolan’s Oppenheimer, where he plays General Leslie Groves, the Army bigwig who ran the show on the atomic bomb in WWII.
Despite planning a break from acting, Damon’s always got time for Nolan and excellent scripts. He shared that his prep involved a lot of reading, but added, “I wouldn’t have had to do any research if I didn’t want to because the script was so good,” he told the outlet Digital Spy. “When reading American Prometheus [the book Oppenheimer is based on], I read the script and I was like, ‘This is amazing’, and then I read the book and went, ‘Wow, I have a whole other level of appreciation for this adaptation’.”
Family Life and Health
Despite his fame and busy schedule, Damon remains a devoted family man. He met his wife, Luciana, in 2003 while filming in Miami, and the couple has four daughters: Alexia, Isabella, Gia, and Stella. Damon is a self-confessed family man and has a rule that they will never be apart for more than two weeks while he’s filming. His approachability on-screen combined with his sense of nuance and depth in performances has made him an everyman hero and box-office attraction.
Staying healthy as he ages is important to Damon, not just for his roles but for his family. Although he doesn’t have a publicly shared fitness routine, his various film roles over the years have required him to be in top physical condition. For example, his role as Jason Bourne in the Bourne series required intense physical training.
Philanthropy and Advocacy
Damon is not just an Academy Award-winning actor; he is also deeply committed to philanthropy. One of his most notable efforts is co-founding water.org, an organization dedicated to improving global access to water.
His journey into this cause started somewhat unexpectedly through a friendship with U2 frontman and philanthropist, Bono. Despite initial reservations due to his wife’s pregnancy, Bono convinced Damon to visit Africa and engage with his charity work.
This trip was not Damon’s first exposure to global poverty. Before his acting career took off, he traveled with his mother to developing countries, witnessing firsthand the struggles of communities living in the global water crisis. While filming in Sub-Saharan Africa, he spent time with families in a Zambian village who lacked access to water and sanitation. This experience ignited a commitment to help solve the global water crisis, leading him to establish the H20 Africa Foundation in 2006.
However, Damon soon realized that addressing the world’s water and sanitation crisis required more expertise. Fortunately, a chance meeting with Gary White, a water and sanitation expert from Kansas City, at the 2008 Clinton Global Initiative meeting in New York, led to a powerful collaboration. Recognizing the potential global impact of their combined efforts, Damon and White merged their organizations to create water.org in 2009.
Staying Grounded
Despite his fame, Damon has remained grounded and avoids social media. “I just never saw the point,” he said in the GQ interview. “And I feel better and better about that decision as time goes on.” He values his friendship with Affleck deeply, noting that it transcends the cartoonish ‘best-Hollywood-buddy’ depiction often portrayed in the media.
Matt Damon’s journey is nothing short of a real-life masterclass in hustling, staying grounded, and making a difference. Breaking into Hollywood? A struggle. Handling the chaos of sudden fame? A whirlwind. But despite all that, Damon’s choices—from the roles he takes on, to his hands-on humanitarian work, and rock-solid commitment to his family—show a guy who’s stayed true to himself and is hellbent on doing some good in the world.
COLLIN COUNTY • 27
Damon with Gary White, the co-founder of water.org
Compassion
ELDER LAW FOR SENIOR ADULTS & THEIR FAMILIES
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WALKING TOGETHER TO END ALZHEIMER’S
Courtesy LEU & PEIRCE, PLLC
Leu & Peirce has many reasons to support efforts to end Alzheimer’s disease. As Elder Law attorneys, we witness daily the devastating effects of Alzheimer’s and other types of dementia on our clients and their families. Alzheimer’s is a progressive, fatal disease that destroys a person’s memory and brain functioning over time. It is the most common form of dementia, accounting for 60% to 80% of dementia cases. More than six million Americans are living with Alzheimer’s, which kills more people each year than breast cancer and prostate cancer combined. In 2022, Alzheimer’s disease will cost the United States $345 billion, with this number projected to rise to nearly $1 trillion by 2050.
Thanks to the Alzheimer’s Association, individuals living with Alzheimer’s, their caregivers, and loved ones are not fighting this disease alone. Formed in 1980, the Alzheimer’s Association is the leading voluntary health organization for Alzheimer’s care, support, and research. Through fundraising, the Alzheimer’s Association provides care and support for individuals living with Alzheimer’s and other dementias on a national and local level, funds critical research for treatment and prevention, and serves as the leading voice for Alzheimer’s disease advocacy. None of that would be possible without large-scale fundraising and community support. The Walk to End Alzheimer’s has evolved into the world’s largest event to raise awareness and funds for Alzheimer’s care, research, and support. Held in over 600 communities nationwide, this one-day event calls upon walkers of all ages to come out and support those touched by Alzheimer’s.
Leu & Peirce works closely with the Alzheimer’s Association’s Dallas and Northeast Texas Chapter and encourages the community to join us at the Walk to End Alzheimer’s on October 21 at the Stage at Grandscape in The Colony (outside Nebraska Furniture Mart). In fact, the entire Leu & Peirce team, and their families, the “Wonder Walkers,” will be there showing their support for the more than 400,000 people in Texas living with Alzheimer’s. There will also be a Walk to End Alzheimer’s in Dallas on November 4 at Dallas City Hall
Plaza. Participation in the Walk to End Alzheimer’s is simple. Sign up individually or as a team at www.alz.org/greaterdallas.
Leu & Peirce believes wholeheartedly in the mission to end Alzheimer’s through research, care, and support for those affected by the disease. As Elder Law attorneys, we strive to alleviate the anxiety of our clients by providing a comprehensive roadmap for planning for a future with dementia. After a diagnosis of dementia, you may ask: “Who will take care of me when I need help? How will I pay for the care I need? Who can I trust to protect me?” Attorneys who devote their practice to Elder Law can help you understand your options and guide you through these important decisions. With special sensitivity to the legal issues surrounding the healthcare of older adults, Elder Law attorneys empower seniors through the long-term care planning process by ensuring proper estate planning documents are in place and assisting with planning for the cost of long-term care.
It is estimated that every 65 seconds, someone in the United States develops Alzheimer’s disease. Although Elder Law attorneys strive to protect the future of those who suffer from Alzheimer’s and other types of dementia, these legal safety nets are only temporary solutions until a cure can be found. It takes action and resources to make a difference, and everyone can help lead the way. Educate your family, friends, and colleagues that all of us are at risk of being touched by Alzheimer’s and encourage them to join the fight to find a cure.
Currently, one in three seniors dies with Alzheimer’s or another dementia, and Alzheimer’s is the only leading cause of death that cannot be prevented, cured, or even slowed. A permanent solution can only come from a cure, and a cure can only come with your help. Bring your family and friends with you to support the Walk to End Alzheimer’s at the Stage at Grandscape in The Colony on October 21 or in Dallas on November 4, and join a community of others walking together to end Alzheimer’s.
Lori Leu, Erin Peirce, and Lauren Olson are Elder Law attorneys with Leu & Peirce, PLLC located in Plano, Texas. They can be reached at 972-996-2540..
COLLIN COUNTY • 29
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
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Montgomery Heart and Wellness
Cardiologist
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Excel Cardiac Care
Tim Isaac
Premier Cardiovascular Care
Marc Shalek
Legacy Heart
Chiropractor
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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
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Victor Beshay
DFW Center for Fertility
James Douglas IVF Plano
Dara Havermann
Dallas IVF
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
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Robert Hagood
North Central Surgical Center
Brian Long
Nicholson Clinic
Sandra Moore
Texas Health Center for Diagnostics & Surgery
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Alison Barron
Texas Oncology
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Margarita Johnston
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Mitchell Moskowitz
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Gerardo Trillo
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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
Interventional Radiologist
Matthew Anderson
MTVIR
Dev Batra
Dallas Vein Institute
David Kim
Texas Radiology Associates
Adrian Moger
Texas Radiology Associates
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
Caetano Coimbra
Dallas Brain, Spine, and Skull
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Peter Derman
Texas Back Institute
Rob Dickerman
North Texas Brain and Spine Institute
30 • SEPTEMBER/OCTOBER 2023
Thomas Kosztowski
Texas Back Institute
Jefferson Miley
Jefferson T. Miley, MD
Blake Staub
Texas Back Institute
OB/GYN
Jennifer Allen
Frisco OB/GYN
Tracy Elliot
Health Central Women’s Care
Blake Frieden
Dr. Frieden Obstetrics and Gynecology
Michelle Heintges
Advanced Women’s Healthcare
Mary Whitaker
Axmann Whitaker Gyn. Assoc.
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
Theodore Belanger
Texas Back Institute
Leroy Butler OINT
Andrew Chambers
Texas Bone & Joint
Stephen Courtney
Advanced Spine Centers
Uche Davidson
Texas Back Institute
Florian Dibra
Texas Joint Institute
Richard Evanson
Plano Orthopedic & Sports Medicine Center
Justin Kane
Orthopedic Institute of North Texas
Isador Lieberman
Texas Back Institute
Diane Litke
L&W Orthopaedic Associates
Bilal Mahmood
Baylor Scott & Whtite
Brian Nwannunu
Texas Joint Institute
Vikas Patel
Orthopedic Institute of North Texas
Alexander Satin
Texas Back Institute
James Stanley
North Texas Orthopaedic & Spine
Charles Toulson
Texas Joint Institute
Pain Management
Brent Belvin
American Pain & Wellness
Sheena Bhuva
Texas Back Institute
Don Enty
American Pain & Wellness
Chun Lin
Texas Back Institute
Gregory Powell
American Pain & Wellness
Steven Remer
American Pain & Wellness
Kamlesh Sisodya
American Pain & Wellness
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Jonathan Pajouh
Neighborhood Medical Center
Amit Patel ROOT Periodontal & Implant Center
Pediatric Dentist
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Frisco Kids Dentistry
Aleco Tujios
Woodhill Dental Specialties
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Halley Hogan
Cook Childrens
Julio Len
McArthur Pediatrics
George Nail
Centennial Pediatrics
Christopher Straughn
Forest Lane Pediatrics
Jason Terk
Cook Childrens
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
Physical Therapist
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Edge Physical Therapy
Hayden Taylor
Greater Physical Therapy
Laura Yeatts
Results Physiotherapy
Psychiatrist
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Carewright Clinical Services
Stephen Vobach
Vobach and Brennan Medical Group
Pulmonologist
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Southwest Pulmonary Assoc.
Taylor Long
Southwest Pulmonary Assoc.
Anthony Nebor
FiveStar Pulmonary Associates
Rheumatologist
Margarita Fallena
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Jyuin Fan
Dallas Rheumatology
Swathi Gonnalagadda
Texas Rheumatology
Megha Patel-Banker
Arthritis & Rheumatology Institute
Spine Surgeon
Francisco Batlle
WellSpine
Ted Belanger
Texas Back Institute
Sheena Bhuva
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
Isador Lieberman
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Blake Staub
Texas Back Institute
Vudhi Slabisak
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Jack Zigler
Texas Back Institute
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Dr. Zeeshan Danawala
Michael Gross
Urology Clinics of NT
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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
COLLIN COUNTY • 31 TopDocsList.com To learn more about these professionals and their specialty, you can visit their websites or set up a consultation visit. The physicians’ information presented at TopDocsList.com is not a referral service. You should seek the advice of a medical professional for you own situation. While we strive to maintain a high degree of accuracy in the information provided, we make no claim, promise, or guarantee about the accuracy of the information provided to 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:
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502 N. Valley Pkwy., #2 Lewisville, TX 75067
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714 N. Hampton Rd. De Soto, TX 75115
32 • SEPTEMBER/OCTOBER 2023
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Noise Exposure: A Word of Caution
Courtesy CASSANDRA WILSON, AU.D., CCC-A, FAAA
The most common type of permanent hearing loss is sensorineural hearing loss (SNHL) which happens when there is damage to your inner ear. Your ear is made up of three parts— the outer ear, the middle ear, and the inner ear. With SNHL, it can become difficult to hear soft sounds. Even louder noises may be distorted or muffled. Most of the time, medicine or surgery cannot fix SNHL. However, hearing aids may help you hear. An audiologist can help if you have this type of hearing loss.
I frequently tell my patients that the three most common causes of SNHL are noise exposure, the aging process, and family history. I usually follow that comment up with, “You can’t control family history or aging, but you can control noise exposure.”
Loud noises can cause physical damage to the delicate hair cells in the inner ear. Sound signals are communicated to the brain by these hair cells. Loud noises can cause them to overstimulate and finally die, which results in irreversible hearing loss.
Loud noises and long-term exposure to sound pressure levels above 85 decibels can lead to irreversible damage to your hearing. A lawnmower, power tools, firearms, or noisy truck traffic are two examples of this intensity of noise. Fortunately, there are steps you can take to safeguard your ears and preserve your auditory health. Try following these strategies:
Hold Yourself Accountable: You are in the best position to make sure that you and your family engage in habits that support healthy hearing. Practicing safe listening habits is crucial. This includes lowering the volume on personal audio device and taking breaks during noisy activities.
Evaluate Your Surroundings: If you are three feet away from someone and cannot hear what they are saying, the noise level in your environment may be harmful to your hearing.
Avoiding the Noise: This is the simplest strategy to prevent hearing loss brought on by noise. Reduce the volume on your stereo or ear buds, and whenever you can, move away from loud noise sources to lessen the overall intensity of the noise.
Remember Protection: Protect yourself by muzzling excessive noise if you can’t avoid it. There are various kinds of earplugs that can lessen the volume of sound that reaches your eardrum (many of them are custom-made, which increases their comfort and ensures optimal placement and use). When working close to power tools, firearms, large machinery, concerts, etc., protection should always be used.
So, how loud and how long? A single, brief exposure to loud noises, such a firecracker or a single gunshot close to your ear, can cause irreversible hearing loss. But with enough exposure over time, hearing impairment can also develop gradually at much lower noise levels. You should keep your exposure to these moderately loud noise levels to a minimum in order to safeguard your hearing.
At 91 decibels, your ears can tolerate up to two hours of exposure (loud movies in theater). At 100 decibels, damage can occur with 15 minutes of exposure (tractor, cement mixer, and snowmobile). At 112 decibels, damage can occur with only one minute of exposure (chainsaw, jackhammer, loud rock concert. At 140 decibels, immediate nerve damage can occur. Firearms, firecrackers and jet engines taking off are all louder than 140 decibels.
So, be smart now and protect your ears from loud noise. Educate yourself and others about the dangers of exposure to loud noise. Encourage your relatives and friends to safeguard their hearing as well! Preventing hearing loss from loud noises is a proactive effort that requires awareness and action. Your auditory health can be maintained for many years to come if you have a fundamental awareness of the factors that contribute to hearing loss.
Regular hearing checkups can detect any early signs of hearing loss, allowing for timely intervention. It’s advisable to get your hearing tested by a qualified audiologist, especially if you have a history of noise exposure. Keep in mind that your ears are priceless, and because of this, you should take the precautions that are required to keep them safe so you can enjoy a lifetime of sound that is full of depth and vibrance.
COLLIN COUNTY • 35
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,
We are considering starting our mother on hospice services sometime soon, as her physician thinks that it might be time to keep her at home and prevent any further hospitalizations. She has been frail for some time now and he feels she may need this extra layer of support and care. How do we know when the time is right? Also, are there any supports our family can receive if we need to go out of town to see our grown children while she is on hospice service?
-Difficult decisions
Dear Difficult decisions,
It is often a difficult decision to put a loved one on hospice service, even when we know that may be the best way to provide the appropriate level of care. Skilled hospice care can provide comprehensive, holistic care to both the patient and family when someone is facing a terminal illness or condition. Starting hospice at the right time is important to ensure that the care team has a chance to get
to know the patient and family and establish the best plan of care possible. The “right time” to transition someone to hospice is different for every family, but two important considerations are whether further aggressive treatment is desired, and if the patient would want to return to the hospital. If the answer to both questions is no, then this is often the right time to choose hospice care. In terms of travel, one of the best benefits of hospice for families is a service called respite care. This is one of the levels of care we can provide. This allows a patient to stay in an inpatient setting, such as a nursing facility, for up to five consecutive days for caregiver relief. This means that the family can travel, see other loved ones, or even just have a muchneeded respite from caregiving, knowing that their loved one is safe and being checked on daily by hospice staff. Hospice really can help families take care of loved ones as they navigate the challenges of end-of-life care.
~Olivia
VNA Hospice & Supportive Palliative Care
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
36 • SEPTEMBER/OCTOBER 2023
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Some people may think pain management is all about medicating pain. This is far from our goal at American Pain and Wellness. Dr. Steven Remer and his team of expert physicians provide innovative treatments that target the underlying causes of back, neck, muscle, joint, and nerve pain. We appreciate and partner with individuals wanting to actively participate in their treatment process while minimizing usage of opiate medications. Our objective is to get you back to a better quality of life.
American Pain and Wellness offers comprehensive approach to pain management which is customized to each patient. The approach ensures the delivery of covered services which are clinically and therapeutically directed and medically necessary. Receiving treatment in our in–suite procedure rooms, patients can save 50–70% because the physicians can perform services at a fraction of hospital costs. Treatment plans may also include physical rehabilitation, and massage therapy, which are offered onsite for our patients’ convenience.
Our goal at American Pain and Wellness is to provide you with the tools necessary to get you back on track to optimal health, function, and a better quality of life. “Life is better when you’re at your best.”
1101 Raintree Cir., Ste. 240 Allen, TX 75013
Dr. Remer: (469) 326–5100
Dr. Belvin: (469) 326–5100
7920 Preston Rd., Ste. 400 Plano, TX 75093
Dr. Remer: (469) 326–5100
COLLIN COUNTY • 39
painandwellness.com
Gregory D. Powell, MD
Kamlesh J. Sisodya, MD
Don A. Enty, MD
Brent B. Belvin, MD
Steven L. Remer, MD
FRISCO
COLLEYVILLE
ALLEN
PLANO
TOP DOCS 2023 Livingwell PROVIDERS HEALTHCARE AND OTHER
How A Breakthrough Light Adjustable Lens Can Improve Your PostCataract Vision
Courtesy KEY-WHITMAN EYE CENTER
The Light Adjustable Lens by RXSight has a unique ability to allow post-operative cataract patients to test-drive and customize their vision to their individual lifestyles. You can find this revolutionary new option at the offices and surgery center of Key-Whitman Eye Center.
“I’m excited about the Light Adjustable Lens because it gives our cataract patients the power to choose their own final vision,” says Key-Whitman’s Chief Surgeon Dr. Jeffrey Whitman. That’s why he recommended it to his wife, Bonnie, when her cataracts were becoming an issue.
Bonnie knew it was time to take care of her cataracts when she started having trouble seeing to drive at night. Previously, she had enjoyed many years of great vision without glasses or contacts after she had Radial Keratotomy (RK) surgery in the 1990s. The RK treated her distance vision, but like LASIK, does not prevent the need for reading glasses later in life. Nor can it overcome the problem of cataracts. Bonnie missed having great vision without the need for glasses, so she chose the new Light Adjustable Lens for her cataract surgery.
What Should Cataract Patients Know About the Light Adjustable Lens Experience?
Patients will not notice any difference in the procedure. As in any cataract surgery, once the cataract is removed, it is replaced with an intraocular lens implant (IOL). In Bonnie’s case, Dr. Whitman inserted the Light Adjustable Lens during her cataract procedure.
Dr. Whitman likes to refer to the Light Adjustable Lens as the “Magic Lens” because the focusing power of the lens can be modified using a painless beam of specialized ultraviolet (UV) light. That’s where the post-cataract surgery experience is different for Light Adjustable Lens patients. Like Bonnie, these patients need to wear UV protection when outside until final adjustments are made. When Bonnie’s vision was completely stable and she was fully healed after surgery, Key-Whitman was able to fine-tune changes to her lenses. Once she was happy with her vision, her final adjustment was performed with the UV light—no need for more surgery. As a result, she can see without correction for all distances.
How Do You Know It Is Time For Cataract Surgery?
When you are young, the focusing lens inside the eye is flexible and
clear. It could automatically adjust to see things at every distance, much like the lens on a camera. In your mid-40s, you begin to lose your ability to focus up-close and, eventually, it progresses until it becomes a cataract. That clear and flexible lens is now dense and cloudy. As it advances, the cataract gets thicker and turns from clear to yellow, then all the way to brown. That’s why people with cataracts can no longer see true colors. Also, bright lights can cause blinding glare when you have cataracts, which makes it hard for people to see well enough to drive, especially at night.
While most cataracts develop gradually and over time, certain medications, diabetes, or trauma to the eye can cause earlier onset of cataracts. If you notice that even with glasses that you can no longer see well enough to do the things you love to do, it’s time to see your eye doctor.
How To Choose Your Cataract Surgeon?
When selecting a surgeon to perform your cataract surgery, it is important to choose a board-certified eye surgeon, who is both highly experienced and can offer you a full range of lens options to enhance your vision.
The doctors at Key-Whitman offer you the best of both. They use only the most advanced equipment and techniques approved by the FDA, so you can feel confident about your procedure, no matter which option you choose. This is one reason Key-Whitman can offer advanced options like Light Adjustable Lenses, as well as other high-tech lenses to decrease your dependency on glasses or contacts. In fact, Key-Whitman is one of the few centers in Texas to offer this exciting technology.
In addition, Key-Whitman participates in many research clinical studies with the FDA. Leading providers of new technologies specifically request Key-Whitman because of their expertise and experience. This allows the practice to offer the latest options to patients.
Join the thousands of patients, who have chosen Key-Whitman to improve their vision. Patient surveys show that the doctors and staff at Key-Whitman are caring and responsive to questions. If you are noticing changes in your vision, don’t let cataracts stop you from enjoying your daily activities.
Call Key-Whitman to treat your cataracts and take care of all your eye health needs.
40 • SEPTEMBER/OCTOBER 2023
BonnieandDr.Whitman
• Management of Glaucoma & Corneal Disease • Eyelid Surgery & Botox® • Laser Vision Correction Give us a call today 972-769-2020 or Toll-Free 800-442-5330 www.keywhitman.com Follow us on (username: keywhitman) Everything We Do is Focused on You
Seven locations to serve you Dallas, Plano, Mesquite, West McKinney, North Arlington, Rockwall and South Arlington. • Comprehensive Adult Eye Care • Cataract Surgery • Symfony®,Crystalens®, Tecnis® PanOptix & the Toric IOL TOP DOCS 2023 Livingwell PROVIDERS HEALTHCARE AND OTHER
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
TOP LAWYERS 2023 Livingwell
3300 Oak Lawn, Ste. 700, Dallas, TX 75219 (972) 943-8500 | www.DeandraGrantLaw.com
THE LAWYER LAWYERS CALL
of the Texas DWI Manual
Experienced DWI Defense
JD, GC, MS
BAD KNEES? GREAT DOCTOR.
Jay S. Bender, M.D.
When it comes to caring for your joints, our board-certified, fellowship-trained specialist 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.
44 • SEPTEMBER/OCTOBER 2023
Get more from your total joint care specialist. ORTHOPEDIC SURGERY SPECIALISTS 940-252-0127 THPG.org/OrthopedicSurgerySpecialists Providers employed by Texas Health Physicians Group are not employees or agents of Texas Health Resources hospitals.© 2023 Texas Health Resources
ontics Orthodontics for Children and Adults Nothing ExpressesBeauty and Confidence Like The Perfect Smile. C L A R I T y- I A=>VANCE=> advanced ceramic brackets Trusting an orthodontist with the future of your smile is a big decision. Our office is dedicated to delivering the highest level of orthodontic experience possible and to helping you unlock the smile you have always hoped for. That's why our office proudly offers trusted orthodontic products from 3M. Created with your comfort and treatment goals in mind, 3M products offer aesthetic excellence with trusted performance. Ask us how our team can help you unlock the power of an amazing smile. Call today to schedule your complimentary consultation. Most insurance plans accepted. We have two locations to better serve you: PLANO LOCATION FRISCO LOCATION Village at Commonsgate Preston Stonebrook Center 6317 Preston Rd., Suite 600 7151 Preston Rd., Suite 401 D Plano, TX 75024 Frisco, TX 75035 (972) 867-3177 (972) 712-3300 www.ozierorthodontics.com Named one of D Magazine's Best Orthodontists 2007, 2011, and 2013-2023.
46 • SEPTEMBER/OCTOBER 2023 Plano’s only family owned and operated full service funeral home Rick and Melanie Allen Owners/Funeral Directors Meaningful Appropriate Affordable 2112 W. Spring Creek Pkwy. | Plano, TX 75023 | 972.596.8200 www.affoplano.com
FOLLOW YOUR instinct
By RICK ALLEN
Awoman called me just the other day and I recognized her by name but was not able to immediately recall the details of our previous meeting. After a few seconds of conversation, I remembered everything we had previously discussed and the entire scenario became clear to me. The person on the other end of the line had come by our office a couple of weeks before and was asking about pricing and other general information related to pre-need planning for her parents. She told me at the time she was going to visit with a few other funeral homes just to get an idea of the differences in cost and things of that sort. What she conveyed to me in our telephone conversation prompted me to choose the subject for this article.
I was not surprised to hear the details of what she had learned, but knew it would be important for her to find the things out that she wanted to know herself. She began telling me what a wide range of cost there was between various funeral homes for the same type services. She also told me of situations where she saw a price advertised in the newspaper and because it appeared to be such a value she followed up on it only to learn that the price advertised wasn’t really the true cost after all the added extras. There was even one funeral home that told her she would have to pay a considerable amount more if she wanted to create a pre-need contract and pre-pay for services in advance of need. Having been in this industry for over 35 years, none of what she told me was shocking or much of a surprise to me—I deal with these issues on a daily basis. However, to the average person, who only deals with funeral planning maybe once or twice in a lifetime, she was appalled— as well she should have been. While it is true that funeral planning is a very detail oriented process and there are many choices to be made and items to be addressed, the consumer should not feel overwhelmed
or confused and certainly should not feel taken advantage of. As we talked further, I tried to gently explain to her that if you look at the range of costs she was quoted, there are two clear reasons why you have the low end and the high end of the spectrum. If you have ever heard the phrase, “You get what you pay for,” that describes the lowcost advertisers of cheap services. You can bet there is a short-cut in service, professionalism, genuine care or concern in the way the process is handled. On the other end of the spectrum, the reason for the most costly providers for the same services can be attributed to nothing more than greed. Some funeral homes actually take pride in saying they are the most expensive. Sadly, those who are the most expensive typically exhibit the least care and professionalism.
So, that brings us to the topic and title of this article: “Follow Your Instinct.” The caller told me that of all the people she talked with, she felt the most comfortable with us. She told me how much she appreciated the time she was given and how we answered all of her questions in a fashion she understood and that made sense to her. She also told me we were not the cheapest, but we were far from the most expensive. She even said that she felt we would be her ultimate choice, but she felt obligated to shop around. I encourage people to call more than one funeral home, but with something as important as planning a final tribute to someone who was so very important to you, choosing a provider solely on who is the cheapest is like treading on thin ice.
Whether you are in need of immediate care when a death has occurred or are wisely planning in advance, I encourage you to talk with more than one provider and ultimately go with who makes you feel the most comfortable. Cost obviously needs to be considered, but it absolutely should not be the only consideration.
COLLIN COUNTY • 47
Pooyan Rohani, M.D., M.Engr.
MOHS MICROGRAPHIC & RECONSTRUCTIVE SURGEON
Mohs surgery offers the highest cure rates for skin cancer.
Dr. Pooyan Rohani is a fellowship-trained Mohs micrographic and reconstructive surgeon and board-certified dermatologist specializing in the surgical and non-surgical management of skin cancers in addition to other dermatologic conditions.
As a Mohs surgeon and former engineer, Dr. Rohani relies on his extensive medical training in addition to a unique background in engineering to deliver outstanding results. These skills are particularly important when he performs complex removal and reconstruction surgery on cancerous growth affecting cosmetically sensitive areas on the head and neck where precise planning and meticulous operation are critical to excellent functional and aesthetic outcomes.
“I am deeply familiar with the angst that a new diagnosis of skin cancer may cause. If I have the privilege of taking care of your medical needs, I will draw upon years of training and experience to compassionately provide high-quality, individualized care to achieve the best outcome possible for you.”
~Dr. Pooyan Rohani
COLLIN COUNTY • 49
(972)316-4555 • www.mcguinessdermatology.com 6000 W. Springcreek Pkwy., Ste. 200, Plano, Texas 75024
CONSIDER ALL THE THINGS YOU HAVE IN COMMON WITH THOSE WHO ARE DIFFERENT TO IMPROVE YOUR ABILITY TO EMPATHIZE WITH THEM.
50
EMPATHY IS hardwired, BUT FEW maximize IT
7 Ways to Develop Empathy to Its Full Potential
By KIMBERLY BLAKER
Empathy is the ability to put yourself in another’s shoes. It’s similar to sympathy but with an important difference. To sympathize is to care about and understand the suffering experienced by another. When you sympathize with someone, you feel sorry for them. Sympathy gives you the ability to say the right thing to comfort another.
But empathy goes a step further. It’s the ability to actually experience or relive the feelings of another. When you empathize, rather than focusing on your own feelings about the other person’s situation, you’re able to focus on the emotions of that person. When you empathize, the other person can tell you’re really listening to them. Furthermore, empathy increases your ability and likelihood to help the person with whom you empathize.
According to neuroscientists, the vast majority of us are born with the brain wiring necessary to empathize. Psychopaths make up about 1% of the population and are the exception, according to a 2013 study by neuroscientists at the University of Chicago and the University of New Mexico. Still, among the 99% of us who are born with this capacity, most don’t fully develop or use it to its potential.
BENEFITS OF EMPATHY
Empathy is beneficial in several ways, according to Katherin Sears, Ph.D., in “Why Empathy Benefits Everyone.” It provides us the ability to act kindly toward others, forgive family and friends, and bond with others over their ups and downs. Without the ability to empathize, it would be difficult, if not impossible, to form and maintain friendships. In fact, we’d have difficulty getting along with others at school or work and in society.
Satya Nadella, the CEO of Microsoft, in an interview with CBS Good Morning, revealed another vital benefit of empathy. Without it, she says, “there is no way we could innovate.” This makes a lot of sense. Although some people would still have the desire to innovate for personal gain, innovation would be far more limited. People would lack the motivation to innovate to help others unless it offered a reward for themselves. The field of medicine is a perfect example. Many strides have been made in medicine over the decades, much of which has resulted from human empathy.
HOW TO IMPROVE EMPATHY
Experts believe, based on a large body of evidence, that empathy can be shaped. Not only can kids learn to empathize better, but so can adults. By practicing the following, you can foster your ability to empathize.
Active listening.
This is a crucial component of empathy. Practice really listening to each other and trying to understand the other’s perspective. Active listening includes paying close attention to body language and facial expressions, so you can better understand the other person. It also requires refraining from interrupting.
Give back.
Think about the experiences, feelings, and needs of those who are less fortunate. Consider various forms of adversity, such as kids with a terminal illness, the homeless, poor families, and those in nursing homes. Then make a plan to help out in some way.
Commonalities.
Despite the ability to empathize, studies have found people are often less empathetic toward those of other races or who are stereotyped in some way. Consider all the things you have in common with those who are different to improve your ability to empathize with them.
Lose yourself in fiction.
It’s a great way to experience and understand another, even though the characters are fictitious. This will improve your ability to empathize in real-life situations.
Practice reading faces.
People often don’t share what they’re feeling or experiencing. Yet, it’s often written all over their faces. Pay attention to people’s expressions, and try to understand what they’re feeling.
Look for opportunities to care.
Every day there are people all around us in need. So, practice empathy regularly. If you know someone who’s ill, quickly put yourself in their shoes. Then offer to help by bringing them a prepared meal or running to the store to pick up a few things they need.
Share in excitement and joy.
Empathy isn’t only about understanding people’s downs. It’s also the ability to share in their happiness. Regardless of how busy you are, when someone is excited about something, take a moment to really share in their enthusiasm.
COLLIN COUNTY • 51
Dr. Jason Tinley, MD is a minimally invasive, board certified, orthopedic spine surgeon. He specializes in spine surgery, including spinal stenosis, cervical radiculopathy and myelopathy, minimally invasive cervical and lumbar spine surgery, cervical artificial disc replacement, and microdiscectomy.
Dr. Jason C. Tinley is committed to excellence by pledging to provide the highest quality spine care possible. Along with the treatment of immediate or chronic problems, he strives to integrate the doctrine of prevention in all treatment plans with the goal of alleviating possible future difficulties.
Dr. Tinley has become a leader in instruction and research in disc replacement and has a passion for optimizing spine surgery outcomes through development and utilization of new techniques, research and materials.
“Dr Tinley is a leader in the field of spinal surgery. His technique is excellent, but he does not rush to pursue surgery. Very good at explaining your condition and allowing you to decide a course of treatment.”
—RANDALL W.
“My experience with DFW Center for Spinal Disorders was excellent. Dr. Tinley and his staff are attentive and compassionate. My surgery went better than I could have ever expected, and I am now pain free!”
—BARBARA K.
Jason C. Tinley
Board Certified Orthopedic Spine Surgeon
Dr.
(817)916-4685 • www.dfwspinecenter.com DFW DISORDERS Center for SPINAL
Andrew Chambers, M.D. Orthopedic Surgeon
Dr. Chambers is an orthopaedic surgeon at Texas Bone & JointArlington who specializes in joint replacement surgery. He received extensive training in joint replacement surgery during his fellowship at Harvard Medical School / Massachusetts General Hospital, which was voted as the top hospital in the United States. Dr. Chambers has implemented the techniques learned at Harvard Medical School into his own practice and offers minimally invasive total hip / knee replacement, partial knee replacement, revision surgery for malfunctioning, loose, and infected joint replacements, arthroscopic surgery of the hip and knee, and revision of failed and recalled metal-on-metal total hip replacement implants. Dr. Chambers focuses special attention on surgical techniques for rapid recovery after total joint replacement which allow his patients a more predictable and earlier return to home and an active lifestyle.
Dr. Chambers is pleased to offer the MAKOplasty Robotic-Arm Assisted partial/total knee and hip replacement. The MAKOplasty procedure is changing the way joint replacement surgeries are performed by providing each patient with a personalized surgical experience based on their specific diagnosis and unique anatomy using a CT-based 3D modeling. The robotic arm technology allows for extremely precise placement of hip/knee components with potentially less soft tissue injury than traditional joint replacement.
Dr. Chambers is a Texas native and grew up in Houston, Texas. He attended medical school at The University of Texas Medical Branch in Galveston, and completed residency at John Peter Smith Hospital in Fort Worth, Texas. He then completed a fellowship in joint replacement surgery at Harvard Medical School. In his free time, Dr. Chambers enjoys traveling with his wife, Christine, and spending time with friends and family. He is an avid sailor and enjoys participating in sailing races on the local lakes in the Dallas/ Fort Worth area.
TEXAS BONE & JOINT – ARLINGTON
3201 Matlock Road, Suite 260 Arlington, Texas 76015
877-314-8990
tbjortho.com
COLLIN COUNTY • 53
David Shau, MD/MBA
Texas Hip and Knee Center Fellowship Co-Director and Faculty at the Anne Burnett Marion School of Medicine at Texas Christian University
Dr. David Shau is a native Texan, born in Fort Worth, TX. He graduated high school in Flower Mound, TX, and attended the University of Texas at Austin, where he studied biomedical engineering. Dr. Shau then ventured out-of-state to work at leading academic orthopedic surgery centers, including Vanderbilt University, Emory University, and University of California, San Francisco, before being recruited to return home to practice at the premier DFW joint replacement group, the Texas Hip and Knee Center (THK).
Dr. Shau has quickly built his practice through connecting with his community, committing to quality service, and delivering excellent patient care. He utilizes a variety of techniques and approaches for hip and knee care, including direct anterior hip replacements, and offers technology-assisted surgeries, such as Mako Technology for partial and total joint replacements. He also specializes in revision joint surgeries and enjoys complex, challenging cases. As a result of dedicating himself to his craft, his partners at THK promoted him to Fellowship Co-Director early in his practice. Dr. Shau also serves as a Physician Development Coach and is an Assistant Professor at the Burnett School of Medicine at TCU, where he enjoys his roles as a teacher, mentor, and coach.
In his free time, he enjoys food, sports, music, and spending time with his wife and daughter. For more information on Dr. Shau’s care philosophy and the techniques/approaches offered for hip and knee care, please visit DavidShauMD.com.
54 • SEPTEMBER/OCTOBER 2023
Dr. Shau has three office locations: 10900 Founders Way, Ste. 201, Fort Worth, TX 76244 6301 Harris Parkway, Ste. 300, Fort Worth, TX 76132 5450 Clearfork Main, Ste. 100, Fort Worth, TX 76109 Please call 817-433-8301 for an appointment.
Wellness Challenge
Block your phone and computer and go for a 20 minute walk
Believe in yourself, nothing is impossible
Eat a meal without a screen
Check on your friends and family
Write in a journal for 10 minutes
Get some rest
Stretch for 15 minutes
Read a new book
Watch a movie
Try a new recipe
Work on your hobby or test out a new one
Diane S. Litke, MD Diplomate American Board of Orthopaedic Surgery
Dr. Litke is a passionate artist, both in her spare time and as an orthopaedic surgeon. At L&W Orthopaedics, she approaches every orthopaedic problem with an eye toward restoration of function and mobility. With a deep knowledge of the inner workings of the body’s most active and important joints, Dr. Litke is able to repair most hip, knee, and shoulder problems, giving her patients the freedom to move again. Assisting her skilled hands, she uses the latest state-of-the-art robotic equipment for accuracy and precision, delivering a powerful combination of experience and technology to all of her patients.
Dr. Litke earned her medical degree at the University of North Carolina Chapel Hill. She went on to complete her orthopaedic residency at the University of South Carolina in Columbia South Carolina. She is certi ed by the American Board of Orthopaedic Surgery, and is a Fellow of American Academy of Orthopaedic Surgery and a Fellow of the American Associaion of Hip and Knee Surgeons. Dr. Litke is the medical director of the Orthopedic Department for Methodist Health System and is a liated with the Methodist Richardson Medical Center, where she is the director of the joint program. When she’s not working, Dr. Litke enjoys photography and cycling.
Please call 972.498.4791 to schedule an appointment.
Orthopaedic Surgeons located in Richardson, TX
www.LWOrthopaedics.com
(972)498-4791
Dr. Diane S. Litke, MD
L&W Orthopaedic Associates
2821 E. President George Bush Highway Suite 201 Richardson, TX 75082
TOP DOCS 2023 Livingwell PROVIDERS HEALTHCARE AND OTHER
Is it Really Love? Or Are You Being Catfished?
By KIMBERLY BLAKER
The number of couples who meet online, in all age groups, continues to grow. A whopping 39% of heterosexual couples and 65% of same-sex couples who met in 2017 met online. This was reported in a new study, “Disintermediating your friends,” by Michael Rosenfeld, Department of Sociology at Stanford University.
According to the Pew Research Center, eighty-five percent of those who’ve tried online dating are under the age of 55. Two age categories, however, have seen the most growth. The 18-24-year-old group tripled to 27% in 2015 over two years. Also, the 55-64-year-old group that’s tried online dating doubled to 12%. Men make up more than half of those in online dating sites and apps.
Online dating has led to numerous committed relationships and marriages. But as too many can attest, it’s not all fun—and there are plenty of games. In fact, according to studies, more than half of users lie on their online dating profiles. It’s often somewhat innocent
(though frustrating to those who uncover the deceptions) in regards to their age, weight, or height.
But catfishers (scammers who lure people into a sham relationship) are a whole different breed. They lie about nearly everything, including posting stolen photos to beguile and seduce victims. In 2016 alone, the FBI’s Internet Crime Complaint Center received 15,000 complaints under the category of romance scams and confidence fraud. Most, however, likely don’t get reported.
We’ve all heard a well-publicized story of someone losing tens or hundreds of thousands of dollars to an online catfisher. But the truth is, it’s far more common than most people realize.
Financial gain, however, is just one of the motives of catfishers. While many are out to scam people of their hard-earned cash, others have different sinister intentions. Some are seeking sexually explicit videos or photos for either personal use or posting online. Some
58 • SEPTEMBER/OCTOBER 2023
catfishers find it an effective method for identity theft. Tragically, pedophiles also catfish to groom and lure children. Even adults are sometimes catfished to cause physical harm. Some do it for revenge, to catch an untrustworthy spouse, or to live an alternate reality. In the end, regardless of the catfishers’ motives, victims often experience emotional trauma, as well.
Here are some particularly eye-opening facts:
• Women make up 64% of catfishers.
• Fifty-one percent of online daters are married (though most lie and say they’re not).
• At least 10% of dating profiles are catfishers.
How do catfishers choose their targets?
One thing about catfishers is they’re pretty slick when it comes to choosing their victims. Senior citizens are frequent targets. But catfishers scam people of all ages. In fact, the Federal Trade Commission found that of all fraud victims surveyed in 2016, 21% fall between the ages of 30-39. Those in their 40s and 50s are a close runner-up.
Catfishers also look for those who are desperate for love, gullible, or sympathetic. It’s easy to woo, guilt, or manipulate such people in a variety of ways and feed right into the catfisher’s hand.
How to protect yourself from the get-go
Catfishing has been around since long before the internet. But the worldwide web provides catfishers an endless supply of prey while making it easier to conceal their identity. So, whether you’re in an online dating site or app and even on social media, keep your fisheye peeled and follow these precautions.
First, know the red flags to look for before you begin communicating with someone you don’t know. Some catfishers provide detailed, elaborate (but deceptive) profiles. Often, though, their profiles are incomplete and vague. By providing such limited detail (other than, perhaps, a very attractive photograph), they can capture the interest of more potential victims. It also gives them the advantage to make things up as they go that best fits their victim’s wants, needs, and desires.
Photos are another big clue. If they have no picture, this can be a red flag. Also, does their only photo look extremely dated? You know, the ones with that orangish hue that date back to the ‘70s. Or does the picture look like it came straight from GQ or Glamour? Of course, many are smarter than that. Even when the photos look kosher, they might be stolen from someone else’s social media profile. So always do a reverse image search. Just right-click on the picture and select ‘save image as.’ Then go to Google images. Drag and drop the photo into the search bar. If Google shows identical results for the picture, do some investigative work.
Also, watch for broken English in their messages. If you notice odd language such as ‘I will like to get to know you,’ be wary. It might indicate they’re from a foreign country commonly known for catfishers. On the same token, some scammers use broken English intentionally. They do this to weed out those who are intelligent enough to quickly catch on to them. Catfishers want to invest their time in those who seem to be gullible. Another reason they may intentionally use broken English is to create the illusion they lack sophistication. This gives
them the advantage that you won’t suspect they’re crafty enough to be a catfisher.
On the other hand, beware that many, and perhaps most catfishers, don’t show broken English. Plenty of catfishers are American, or English is their native language. Good English doesn’t necessarily deem them legitimate.
When you begin communicating with someone online, ask for their full name, and beware if they won’t tell you. Then do an online search for their social media profiles, job information, places they’ve lived, and anything else you can learn. If you can’t find the person online or something doesn’t seem right, cut your ties.
If someone you haven’t met starts getting romantic quickly or comes out with the “L” word before you’ve ever met, be suspicious. It’s true, some legitimate relationships have started out this way, but it isn’t the norm. It’s relatively common, though, with catfishers who quickly lure you into a phony whirlwind romance. They often move quickly and begin talking about a relationship, being in love, or a future together before you’ve met.
Most important, regardless of how perfect or real someone seems, don’t allow yourself to get emotionally involved before you’ve met in person. In fact, once you’ve done the investigative work above, try to meet for coffee as soon as possible. That way, you don’t waste time or risk becoming emotionally entangled with a fraud. Some people have found themselves reeled into years-long sham relationships without ever having met their predator. They only learn after wasting years of their life and sometimes all of their savings.
More ways to recognize a catfisher
Be wary if:
• they’re often difficult or impossible to catch on the phone.
• they’re unwilling to video chat.
• they always have an excuse for why they can’t meet you in person. They may claim to be out-of-state or the country. Also, they often claim, repeatedly, to be dealing with a major crisis or setback. This is to gain your sympathy, so you’ll accept it without question.
• they won’t provide their exact address, especially even after professing their love, an extended courtship, or asking to borrow money. (It should be noted for women’s safety, however, never give your address to someone you haven’t met and gotten to know well in person.)
• they try to manipulate you by shaming you, playing on your sympathy, or being overly charming, complimentary, or empathetic.
What
to do if you’ve been catfished or suspect it
If you suspect you’re communicating with a catfisher but are uncertain, gather everything you know about the person, print their profile, communications, and photos. Then share it with trusted family and friends for objective opinions.
Also, report catfishers to the dating or social media website where you met. Then file a report with the FBI at https://www.ic3.gov/default.aspx.
COLLIN COUNTY • 59
COLLIN COUNTY • 61
COMMUNICATION That Works
By GEORGIA SMITH-LYLE, MA, LPC-S
Have you stopped to consider how important the gift of communication is in our world? Think about it! The idea, that without it, we would live in constant chaos. Think of all the reasons we need to communicate. Think of all the instruments of technology that run smoothly because of the ability to connect through communication. Think of all the people we correspond with and how important it is to express ourselves clearly.
Counseling many couples, I have found one of the most common problems in many relationships is ineffective communication.
Communicating your thoughts clearly and concisely is a skill that is learned. Some people are a natural with this skill, while others require more practice and good examples to demonstrate how to communicate clearly and concisely. This is why it is important for parents to demonstrate good communication with each other and with their children in the home. Great communication involves the important skill of “listening.” If you are not being heard or if you do not listen and perceive what the other person is conveying, then partial communication and misunderstanding is likely to occur.
One of the most frustrating factors in any relationship is the feeling of “never being heard or understood.” Listening takes effort and practice, but it is one of the most wonderful ways to convey to someone “you care,” “you are trying to understand,” and “they are important.” Have you ever asked yourself why it is easier to talk and convey your thoughts to an almost perfect stranger than someone you know well? Interesting thought! This is because there is no close emotional history or bond where pre-conceived ideas, past experiences, blame and/or defensiveness has had a chance to develop. So, how do we effectively communicate?
To Effectively Communicate:
1. Make eye contact while listening. Keep your thoughts on what is being said, guarding against thinking about something else, or being too quick to respond. Meaning, instead of thinking about what you are going to say next, listen to what the other person is saying while they are talking.
2. Do not interrupt. Let the person finish what they are trying to say.
3. Guard against defensiveness, blame, and justification attitudes.
4. Remember we are all individuals and have a right to our perspectives. Not everyone is going to believe or think exactly the way we do and we must give others the freedom to think and believe what they want.
5. State as clearly as possible the topic or issue you want to convey.
6. The person listening should restate what has been said to them, making certain they perceived correctly what was being said. This is where many mis-perceptions take place. Sometimes we do not understand exactly what the person is stating so restating helps clear any mis-perceptions.
7. After what you have conveyed has been restated by the person you are communicating with, clarify anything needing clarification.
8. Continue the stating, restating, and clarifying until the issue has been fully discussed.
The Never-Ever Rules:
1. Do not talk about important issues or ones where a decision must be made when:
a. you are angry
b. are extremely tired
c. when either party is under the influence of drugs or alcohol
The Always Rules:
1. Give each other a “time-out” if you see the communication is getting to a heightened emotional level of anger or yelling.
2. This “time-out” may be for a few hours or a day or two, but always come back to the issue so that a resolution can be made. Do not avoid and withdraw completely from what obviously needs to be discussed.
Sometimes communication can be very uncomfortable, but it is vital for any and all relationships. We are not mind readers, and expressing ourselves is a gift that only enhances deeper relationships!
Please pass this along to friends and loved ones you think might enjoy and benefit from this reading. My hope is that you will enhance every relationship around you including the workplace, at home, with your children, and friends as you become great listeners and communicators. I am in private practice as a Licensed Professional Counselor in the state of Texas providing counseling for children, adolescents, adults, and marriage and family. You can visit me at my website visit www.counselingbygeorgia.com. Or I can be contacted at (469) 8550256 or via email at gpsmith7@aol.com.
Georgia Smith-Lyle is a Mental Health Counselor in Dallas and surrounding areas. Her main office is in McKinney, and her ranch office is in Petty, Texas, where she utilizes Equine Assisted Psychotherapy with her horses. She is also an author and is passionate about writing. She and her husband, Jeff, have begun a retreat venue which will host all different occasions (whiteroseranch.com). To reach Georgia, email her at gpsmith7@aol.com, or call 469-855-0256.
COLLIN COUNTY • 63
GEORGIA SMITH-LYLE
The Future of Surgery is Here
Nicholas E. Martin, MD, MBA is an orthopedic surgeon with the Orthopedic Surgery and Sports Medicine Institute (OSMI). Dr. Martin joined OSMI after being a staff orthopedic surgeon in the Department of Orthopedics, Cleveland Clinic, Cleveland Ohio where he completed his Fellowship in Adult Hip and Knee Reconstruction. Dr. Martin grew up locally in Arlington, TX, completed his undergraduate degree at Texas Tech University, and then graduated with honors from the University of Texas Southwestern Medical School in Dallas.
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64 • SEPTEMBER/OCTOBER 2023
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