Collin County Living Well Magazine September/October 2024

NATALIE PORTMAN ICONIC ACTRESS IS REDEFINING SUCCESS

EATING CLEAN A SIMPLE PATH TO HEALTHIER EATING

STRESS AND ANXIETY LESSONS FROM OUR GRANDPARENTS

COLLIN

STEPHEN

STAND OUT WITH THE EMINENT CHOICE IN HEALTHCARE

Total

Headache

PREMIER SURGEON FOR HIP AND KNEE REPLACEMENT

Total

Total Knee Replacement

Partial Knee Replacement

Total

5575 Frisco Square Blvd., Ste. 530 Frisco, TX 75034 (972) 566-5255

4201 Medical Center Dr., Ste. 100 McKinney, TX 75069 (469) 796-4295

204 Medical Dr., Ste. 110 Sherman, TX 75092 (469) 796-4295

Please

Expert Orthopedic Surgeons

Left to right

William F. Tucker, MD

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

James Ryan, MD

Living Well Living

INSPIRING JOURNEYS, REAL STORIES

Welcome to the latest issue of LIVING WELL Magazine. We’re excited to share some truly compelling stories with you—stories that highlight perseverance, transformation, and the pursuit of a fulfilling life.

Our cover story this month features Dr. Stephen P. Courtney, a distinguished orthopedic spine surgeon whose commitment to his patients sets him apart in the medical community. Dr. Courtney’s career began humbly, working as an orderly in his teenage years, which sparked his passion for medicine. His academic and professional journey is nothing short of inspiring, having developed innovative spinal care technologies now patented under his name. Dr. Courtney applies a unique blend of hightech and high-touch approaches at Advanced Spine Center, ensuring that every patient receives the personalized care they deserve. Beyond his professional realm, Dr. Courtney is also an avid triathlete, illustrating the deep connection between physical endurance and personal health. Check out his story on page 8.

For a bit of Hollywood insight, check out our feature on Natalie Portman on page 24. Her path from a young actress to an Oscar-winning star, who’s now navigating life post-divorce, is as intriguing as it is inspiring. Portman’s story is a reminder that even in the face of fame and public scrutiny, it’s possible to stay true to yourself and fid new beginnings.

We’re also excited to bring you an article on clean eating—an approach to food that’s all about enjoying real, unprocessed foods that make you feel good. It’s not about cutting things out but rather making simple, mindful choices that support your health in a sustainable way. Check it out on page 30.

In another thought-provoking piece, we explore how our grandparents managed stress and anxiety in a time before smartphones and constant connectivity. Lessons from Our Grandparents is on page 44 and offers practical insights into how we can apply their wisdom to our fast-paced modern lives. It’s a gentle reminder that sometimes, the old ways are worth revisiting, especially when it comes to fiding peace and balance.

As you flp through this issue, we hope you fid these stories as inspiring and thought-provoking as we did while putting them together. There’s something in here for everyone, whether you’re looking for a dose of inspiration, practical tips, or just a good read.

Thank you for being part of our LIVING WELL community. Enjoy the issue!

Stay well. Stay inspired!

PRESIDENT & CEO SAM HOUSTON

VICE PRESIDENT & CFO SPRING HOUSTON

EDITOR, FEATURE WRITER & SOCIAL MEDIA SONDRA BARR

ART DIRECTOR VANESSA FRYER

ACCOUNTS MANAGER JENNIFER BEAVERS

WEBSITE LYDIA ROGERS

ADVERTISING & SALES

TEXAS: Denton County, Dallas County, Collin County

TEXAS & OKLAHOMA: Texoma Area

WRITE TO US:

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

SUBSCRIPTIONS & CUSTOMER INQUIRIES

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

www.LivingWellmag.com

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

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

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

SPRING AND SAM HOUSTON

SAM AND SPRING HOUSTON

Macular Degeneration

Diabetic Eye Disease

Retinal Vein & Artery Occlusions

Flashes & Floaters

Retinal Tears & Detachments

Macular Pucker/Epiretinal

Membrane

Macular Holes

Uveitis

At Texas Macula & Retina, our mission is to provide exceptional eye care with a focus on the diagnosis, treatment, and management of retinal disorders.

Dr. Adams is a board-certified Ophthalmologist and Ophthalmic Surgeon specializing in Vitreoretinal Surgery. His principal areas of interest include age-related macular degeneration, diabetic retinopathy, retinal detachment repair, macular surgery, retinal lasers, and secondary intraocular lens implantation.

Dr. Adams and his team are committed to preserving and improving the vision and overall quality of life for our patients by offering the most advanced and personalized retina care available.

How Diabetes Affects Your Eyes

By MATTHEW K. ADAMS, MD, MBA

Diabetes is a chronic condition that affects millions of people worldwide, and while its impact on blood sugar levels is wellknown, its effects on vision are often overlooked. Understanding how diabetes can affect eye health is crucial for all people who have this condition. It’s important to understand the various ways diabetes can impact your eyes so you can protect your vision.

Understanding Diabetic Eye Disease

Diabetes primarily affects the eyes through a group of conditions collectively known as diabetic eye disease. The most common of these conditions are diabetic retinopathy, diabetic macular edema, and cataracts. Each of these conditions can lead to vision impairment or even blindness if left utreated.

Diabetic Retinopathy

Diabetic retinopathy is the most common cause of vision loss among people with diabetes and is a leading cause of blindness among working-aged adults. Ths condition occurs when high blood sugar levels damage the blood vessels in the retina, the light-sensitive tissue at the back of the eye.

There are two stages of diabetic retinopathy: non-proliferative and proliferative. In the non-proliferative stage, the blood vessels in the retina may swell and leak fluid, causing blurry vision. In the more advanced proliferative stage, new, abnormal blood vessels begin to grow on the surface of the retina. These vessels can bleed into the vitreous (the clear, gel-like substance inside the eye), leading to severe vision loss or even retinal detachment.

Diabetic Macular Edema (DME)

DME is a complication of diabetic retinopathy and occurs when fluid leaks into the macula, the part of the retina responsible for sharp, central vision. Ths leakage causes the macula to swell, leading to blurry or wavy vision. DME is a major cause of vision loss in people with diabetes and can make it difficult to perform tasks that require clear vision, such as reading, driving, or working on a computer.

Cataracts

While cataracts can develop in anyone as they age, people with diabetes are at a signifiantly higher risk of developing them at a younger age. A cataract occurs when the eye’s lens becomes cloudy, leading to vision that is blurry, dim, or tinted. In individuals with diabetes, high blood sugar levels can cause the lens to swell and change its clarity, accelerating the formation of cataracts. Ths can make it challenging to see clearly, especially in low-light conditions (i.e. driving at night).

Protecting Your Vision: What You Can Do

The good news is that by managing your diabetes effectively and getting regular eye exams, you can signifiantly reduce your risk of developing serious eye problems. Here are some steps you can take to protect your vision:

1. CONTROL YOUR BLOOD SUGAR LEVELS

The most important step in preventing diabetic eye disease is to keep your blood sugar levels within your target range. Consistently high blood sugar can damage the blood vessels in your eyes, so it’s crucial to monitor your levels regularly and follow your healthcare provider’s recommendations for managing your diabetes.

2. MONITOR BLOOD PRESSURE AND CHOLESTEROL

High blood pressure and high cholesterol can further increase your risk of developing diabetic eye disease. Managing these conditions through medication, diet, and exercise can help protect your eyes and overall health.

3. GET REGULAR EYE EXAMS

Annual comprehensive eye exams by a retina specialist are essential for detecting diabetic eye disease in its early stages, often before you notice any symptoms. During these exams, your eye doctor will dilate your pupils to get a better view of the retina and check for signs of damage. Early detection can lead to more effective treatment and a better outcome for your vision.

4. ADOPT A HEALTHY LIFESTYLE

Eating a balanced diet, exercising regularly, and maintaining a healthy weight can help you manage your diabetes and reduce the risk of complications, including those that affect your eyes. Incorporating foods rich in antioxidants, such as leafy greens, fruits, and nuts, can also support eye health.

By controlling your blood sugar levels, getting regular eye exams, and adopting a healthy lifestyle, you can reduce your risk of diabetic eye disease and maintain clear vision for years to come. Remember, your eyes are not only the windows to your soul but also to your overall health. Don’t take them for granted.

Stephen P. Courtney, MD

BOARD-CERTIFIED, FELLOWSHIP-TRAINED ORTHOPEDIC SPINE SURGEON PRACTICING FOR OVER 28 YEARS.

For board-certifid, fellowship trained orthopedic spine surgeon

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Natasha Hernandez

SURGERY: L5/S1 360° LUMBAR FUSION

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

Irene Shelby

SURGERY: LEFT L5/S1 MICRODISCECTOMY

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

Deanna Noyes

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

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

Holly Coffman

SURGERY: L5/S1 360° LUMBAR FUSION

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

Lori Juarez

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

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

CrossTimbersRd.

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

Michael McHugh, MD ~ Orthopedic Hip & Knee Surgeon

• Total joint replacement

• Minimally invasive hip and knee surgery

• Robotic hip and knee surgery

• Treatment of hip dysplasia in adolescents and adults

• Complex revision surgeries

• Hip preservation

» Staffed by 2 Licensed, Doctors of Audiology

» Hearing Aid Fittings, Maintenance and Repairs

» Invisible Fittings/Open Fittings

» Evaluation Period On All Hearing Aids

» Hearing Evaluations For All Ages

» Wireless/Connectivity Hearing Solutions

» Battery Purchase Programs

» Custom Ear Protection

»

Devices

Difficulty Hearing in the Presence of Noise

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

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

The Prevalence of Hearing Loss

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

Causes of Hearing Loss

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

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

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

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

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

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

Consequences of Hearing Loss

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

How Do We Define Noise?

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

Reducing Background Noise

How do hearing instruments improve the SNR? The optimal way to minimize background noise is to prevent it from entering the hearing system. Ths can be achieved with advanced directional microphone technology, which assumes that the primary signal for the listener is speech. To enhance the SNR, the signals from the hearing aids use cues (how the person’s body movement, head movement, surrounding conversation activity, and acoustic sound scene analysis) to predict the user’s listening intent. By doing so, the hearing aid is better able to preserve and process the speech cues from the surrounding environmental sounds. Ths approach facilitates better speech understanding with reduced background noise interference. Can everyone benefit from directional microphone technology in hearing instruments? Yes, but the question remains: which technology is most appropriate? The answer largely depends on lifestyle. The more active a person is, and the more diverse their listening environments, the harder the hearing instrument must work for them, thereby necessitating more advanced directional technology. Your audiologist can help you make an informed decision about the technology based on your hearing loss and lifestyle requirements.

FLORIAN DIBRA, MD

Florian F. Dibra, MD is an orthopedic surgeon located in Frisco, Texas who has extensive knowledge in hip and knee orthopedics and treats operative and non-operative hip and knee arthritis. He focuses on minimally invasive muscle-sparing total hip and knee replacement, anterior hip replacement, partial knee replacement, robotic joint replacement and complex hip and knee replacement revisions. Dr. Dibra is specialized in MagicKnee and MagicHip, muscle-sparing techniques with robotic technology.

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.

Finding Purpose in the Midlife Rut

By BOB DICKERMAN

Middle age can be a challenging time in life, often marked by a feeling of being stuck in a rut with no clear direction or purpose. As we reach this stage, the goals and dreams that once fueled our ambition may seem distant or unfulfilled, leaving us to wonder if we’ve lost our way. The sense of disconnection, both from our younger selves and from the life we thought we would be living, can create a profound feeling of emptiness. But it’s important to remember that this stage of life, though difficult, can also be an opportunity for transformation. With the right mindset and approach, you can rediscover your sense of purpose and fid new meaning in your life.

One of the fist steps in overcoming the feeling of being stuck is to acknowledge and accept where you are. It’s easy to fall into the trap of self-criticism, questioning why you haven’t achieved more or why you feel so lost. However, self-compassion is essential in this process. Recognizing that everyone goes through periods of doubt and uncertainty can help you approach this time with a gentler, more understanding mindset. Instead of viewing your current situation as a failure, try to see it as a natural part of life’s journey. Ths shiftin perspective can open the door to new possibilities and growth.

Middle age is often a time of reflction, where we begin to assess the choices we’ve made and the paths we’ve taken. Ths introspec-

tion can be both enlightening and overwhelming, as we confront the reality that life may not have turned out exactly as we had planned. Perhaps you’re grappling with unfulfilled dreams, wondering if it’s too late to pursue them. Or maybe you’ve achieved many of your goals, only to fid that they haven’t brought the satisfaction you expected. These feelings are common, and they don’t mean that you’ve lost your way. Rather, they can serve as a catalyst for change, prompting you to explore new directions and redefie what success and fulfillment mean to you.

One of the challenges of middle age is that it often coincides with signifiant life transitions. Children may be leaving home, careers may be shifting, and relationships may be evolving. These changes can leave you feeling unmoored, unsure of where to direct your energy and focus. It’s important to recognize that these transitions, while diffiult, also present opportunities for renewal. With the responsibilities of early adulthood easing, you may fid that you have more time and freedom to explore new interests and passions. Ths can be a time to reconnect with the things that once brought you joy, or to discover new pursuits that ignite your curiosity.

Reconnecting with your passions can be a powerful way to reignite your sense of purpose. As we age, it’s easy to lose touch with the activities and interests that once excited us. Responsibilities and obligations often take precedence, leaving little room for the things we truly enjoy. But now, as you fid yourself at a crossroads, it’s worth taking the time to rediscover those passions. Whether it’s a hobby you’ve neglected, a creative pursuit you’ve always wanted to try, or a cause you feel strongly about, engaging in activities that resonate with you can provide a renewed sense of meaning and direction.

In addition to exploring your passions, it’s important to consider your values and how they align with the life you’re living. Middle age is a time when many people begin to question the choices they’ve made and whether those choices truly reflct who they are. Ths can be a difficult process, as it may require confronting uncomfortable truths about yourself and your life. However, it’s also an opportunity to make changes that align more closely with your authentic self. Grab a journal and take some time to reflct on what’s truly important to you. What are the values that guide your decisions and actions? How do you want to contribute to the world? By clarifying your values, you can begin to make choices that are more aligned with your true self, leading to a greater sense of fulfillment.

As you navigate this period of self-reflction and exploration, it’s important to stay open to change. Ths can be a time of reinvention, where you have the chance to reshape your life in ways that reflct your evolving identity. Ths might involve making small adjustments, such as adopting new habits or pursuing new interests, or it could mean making more signifiant changes, such as changing careers or reevaluating your relationships. While change can be daunting, it’s

also a powerful tool for growth. Embracing change with an open mind and a willingness to take risks can lead to new opportunities and experiences that bring renewed purpose to your life.

Relationships play a crucial role in our sense of purpose and fulfillment, and middle age is often a time when relationships undergo signifiant changes. Whether it’s a long-term partnership, friendships, or family connections, these relationships can provide support, love, and a sense of belonging. However, it’s also a time when some relationships may begin to feel stagnant or strained. Ths can be particularly true in romantic relationships, where the routine of daily life can sometimes lead to a loss of connection.

If you’re feeling disconnected in your relationships, it’s important to address these feelings openly and honestly. Communication is key to maintaining strong, healthy relationships, and it’s never too late to work on deepening your connections with the people you care about. If we’re blessed to live to be middle aged, we will all be faced with how to deal with these feelings. So, it’s a good time to reach out to friends and walk through it together.

Joining clubs, volunteering, or taking classes are all great ways to connect with others who share your passions. These new connections can bring fresh perspectives and energy into your life, helping you feel more engaged and connected.

Feeling stuck in a rut can take a toll on your health, leading to stress, anxiety, and a lack of motivation. Prioritizing self-care is essential for maintaining your energy and resilience as you navigate this period of your life. Regular exercise, a balanced diet, and sufficit sleep are all crucial components of physical health, while practices like mindfulness, meditation, or therapy can support your mental well-being. Taking time to care for yourself not only improves your overall quality of life but also gives you the strength and clarity to pursue new directions and opportunities.

It’s important to remember that fiding purpose and direction is a journey, not a destination. It’s normal to feel uncertain or lost at times, and it’s okay to take things one step at a time. Rather than focusing on a specificoutcome or goal, try to stay present and engaged in the process of self-discovery. Be patient with yourself as you explore new possibilities and trust that, over time, clarity will come. The path to a fulfilling life is often winding and unpredictable, but it’s one that holds the potential for profound growth and transformation.

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.

Heel Pain (Plantar Fasciitis) Stem Cell Therapy

Toenails

Custom Orthotics & Braces

Laser Therapy for Pain, Swelling, Arthritis, and Wounds

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

Dear Olivia,

I hear a lot about hospice, but I am honestly not sure what one would receive while on hospice, or how it works alongside my other medical care. Can you explain to me the hospice philosophy of care?

~Unsure What Hospice Really Is

Dear Unsure What Hospice Really Is,

At the Visiting Nurse Association (VNA), our hospice mission statement is “To provide quality of life through comprehensive interdisciplinary care that addresses physical, spiritual, emotional, and mental health, while also caring for the families of those facing serious or life limiting illness and loss.” It is the goal of hospice to improve quality of life for those who are facing a terminal condition. The Medicare Hospice Benefit criteria states that a person qualifies for hospice if their doctor believes that they have a prognosis of six months or less if the disease follows the normal course. That means that hospice is not

vnatexas.org

only for those who are imminently dying, but may also be appropriate for those who are nearing the end of disease-specific treatment, may not wish to return to the hospital any longer, or those who are facing a decline in condition. The VNA Hospice Care team will provide care in the home by a skilled nurse, social worker, chaplain, personal care attendant and others, all of whom make visits to wherever the patient calls home to ensure the best quality of life possible and support for caregivers. This includes symptom management, medication management and providing those medications, ensuring a safe place to provide care and training caregivers on how to do so, supply delivery and medical equipment delivery to meet the needs of each individual patient. We can work with your chosen attending physician to ensure good communication and follow through. We are here to serve you and ensure that your wishes and goals of care are met through the delivery of hospice care.

~Olivia

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

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. GLIDDEN, MD OrthopaedicSurgeon

AMIR MALIK, MD Neurosurgeon

KHAWAJA IKRAM, DO OrthopaedicSurgeon

BRIANA HODGSON, PA-C OrthopaedicSurgery PhysicianAssistant

CHARLES MARDER, DPM Podiatrist,Foot&AnkleSurgeon

If you’re suffering from pain or an athletic injury, schedule an appointment with your preferred NTOS location for effective, compassionate treatment.

Natalie PORTMAN

The iconic actress is redefining success.

By SONDRA BARR

“THIS IS GOING TO BE THE REST OF MY LIFE, PUTTING ATTENTION AND TIME AND LOVE INTO THIS.

From the streets of Jerusalem to the glittering stages of Hollywood, Natalie Portman’s journey is anything but conventional. At 11, she was plucked from obscurity while eating pizza, her wide-eyed innocence masking the fiece intelligence that would soon captivate audiences worldwide. By 13, she was walking her fist red carpet, a rite of passage that would mark the beginning of an extraordinary career.

Now, after decades of fame, an Oscar win, and a very public divorce, Portman stands at a crossroads—embracing a new chapter with the same quiet determination that has defied her from the start. But behind the glamour and accolades lies a woman who has consistently chosen depth over superficality, substance over spectacle. Ths is Natalie Portman, unfiltered and unafraid, as she navigates life beyond the silver screen, where the real story begins.

A STAR IS BORN

Born Natalie Hershlag in Jerusalem on June 9, 1981, Portman’s early years were shaped by a deep connection to her heritage and a keen sense of curiosity. Her parents relocated to the United States when she was 3, and Portman soon found herself adapting to life in various cities before the family settled in Long Island, New York. The constant movement fostered a sense of dislocation, a theme Portman would later explore in her work. “I’ve always felt disconnected from the places my family has lived because every generation has been in a different place,” she shared in a recent interview with The Guardian.

At just 11 years old, Portman’s life took a dramatic turn when she was discovered by a Revlon agent at a local pizza parlor. Portman found modeling mundane and instead gravitated toward acting, where she appeared in a number of local productions with the Usdan Theatre Arts Camp. Portman’s movie debut was in Luc Besson’s Léon: The Professional (1994), where she played Mathilda, the clever assassin protégé. The role showcased her innate talent and set her on a path to stardom. Reflcting on her early career, Portman told Vanity Fair, “I was lucky. My parents protected me, and I was lucky not to have any traumatic experiences. I feel a lot of gratitude, and I know how much is chance.”

“I have remarkable parents. I’ve never seen disappointing behavior from them…Neighter of my parents were ever involved fiancially at all in my career –at all. They were just very much parents—protective parents who didn’t want me exploited,” the actress told The Hollywood Reporter in 2016.

THE ASCENT TO FAME

Portman’s transition from child star to serious actress was marked by a series of roles that highlighted her versatility. In the late 1990s, she appeared in a string of films that showcased her range, including Heat (1995), Beautiful Girls (1996), and Mars Attacks! (1996). However, it was her portrayal of Padmé Amidala in the Star Wars prequel trilogy that catapulted her to international fame. The films, while polarizing, cemented Portman’s status as a household name and introduced her to a global audience.

Despite the demands of her burgeoning career, Portman remained committed to her education. In 2003, she graduated from Harvard University with a degree in psychology—an indication of her intellectual curiosity and determination to live a life beyond Hollywood’s confies. Writer and director Greta Gerwig, her co-star in Jackie (2016), said to Vanity Fair, “She reads everything—there is no end to her curiosity. It’s never homework; it’s pleasure.”

AN OSCAR-WINNING PERFORMANCE

Portman’s dedication to her craftreached new heights with her performance in Black Swan (2010). Portraying a ballerina descending into madness, Portman underwent a rigorous physical transformation, losing 20 pounds and enduring intense ballet training. The role earned her an Academy Award for Best Actress, cementing her place among Hollywood’s elite. “It was a beautiful experience, but also incredibly challenging,” Portman reflcted. “I met my husband on it, so I think I was in, like, dreamland.”

Her now former husband, French dancer and choreographer Benjamin Millepied, played a role in Black Swan’s success. The couple married in 2012, and their union was often described as a fairy tale—one that later led them to Paris, where Millepied served as the director of dance at the Paris Opera. Two children, Aleph and Amalia, followed.

LIFE BEHIND THE CAMERA

Portman has never been content to stay in front of the camera. In 2016, she made her directorial debut with A Tale of Love and Darkness, an adaptation of Amos Oz’s memoir. The film was a deeply personal project for Portman, who also wrote the screenplay and starred in the lead role. It was a bold move that highlighted her multifaceted talent and deep connection to her Israeli roots.

Portman’s career has been marked by a series of carefully chosen roles that reflct her intellectual and artistic ambitions. Whether playing a pop star in Vox Lux (2018) or the iconic Jacqueline Kennedy in Jackie (2016), Portman has consistently pushed the boundaries of her craft.“My work demands me to be believable, so the less people know

about me personally, the better,” she once told The Guardian. It’s a philosophy that has allowed her to maintain a level of privacy rare among celebrities of her stature.

A NEW CHAPTER

In recent years, Portman’s life has been marked by signifiant change. In 2023, after 11 years of marriage, she quietly filed for divorce from Millepied, a decision fialized in early 2024. The news was met with surprise by many, but those close to her recognized it as part of her ongoing journey of self-discovery and growth.

Portman has never shied away from speaking her mind, especially on issues close to her heart. Her decision to decline the 2018 Genesis Prize, citing her discomfort with being onstage alongside Israeli Prime Minister Benjamin Netanyahu, made headlines and underscored her complex relationship with her country of birth. “I was choosing not to attend an event where I was supposed to be onstage with Prime Minister Netanyahu, sitting next to him, which felt like an endorsement,” she explained to Vanity Fair. Ths same commitment to her principles is evident in her work with Angel City Football Club, a women’s soccer team she co-founded.

Portman has expressed her long-term commitment to the project. “I know that you can’t just build it and then move on to another project,” she says. “Ths is going to be the rest of my life, putting attention and time and love into this.”

Since its founding in 2020 by Portman, venture capitalist Kara Nortman, and video game entrepreneur Julie Uhrman, Angel City FC has been a trailblazer in women’s sports. The club’s ownership group, composed predominantly of women, includes minority owners who are pioneers in their filds, such as Billie Jean King, Candace Parker, and 13 former players from the U.S. women’s national soccer team, including Julie Foudy and Mia Hamm. Angel City FC made its NWSL debut in the 2022 season and boasts a star-studded roster featuring players like Christen Press, Sydney Leroux, and sisters Alyssa and Gisele Thompson. Last year, the club led the league in attendance, revenue, and season ticket membership, solidifying its place as a powerhouse in women’s sports.

In a groundbreaking achievement for women’s sports, Angel City FC recently fialized a new ownership agreement, making it the highest-valued women’s professional sports team in the world.

LIVING WELL AFTER DIVORCE

Portman’s recent appearance on The Tonight Show highlighted her resilience and sense of humor in the face of personal challenges. When asked about her experience meeting Rihanna at Paris Fashion Week,

LEFT TO RIGHT: Star Wars: The Phantom Menace—Credit: 20th Century Fox; Jackie—Credit: Fox Searchlight Pictures Black Swan—Credit: 20th Century Fox; Goya’s Ghosts—Credit: Sony Pictures

Portman quipped, “I think every woman going through divorce should get to have Rihanna say to her that she’s a bad b---h. It was a formative moment in my life.” The comment, delivered with a smile, was a reminder that Portman remains as grounded and relatable as ever, even after years in the spotlight.

As she moves forward, Portman is focused on living well—both for herself and her children. She has embraced a vegan lifestyle for over a decade, a decision she credits with helping her maintain her health and energy. “It’s such a privilege to age,” she told Elle in February 2024. “You have to appreciate it at every moment.”

Portman’s commitment to self-care extends beyond diet. She prioritizes regular massages and maintains a simple skincare routine. “I’m not very high maintenance,” she admitted. “I only really use face wash and moisturizer.”

FORWARD LOOKING

As she enters this new phase of her life, Portman remains as passionate about her work as ever. She recently starred in May December and received a Golden Globe nomination for her performance. Additionally, in July, Portman’s production company released the highly anticipated adaptation of Laura Lippman’s Lady in the Lake on Apple TV+, a project where she not only stars but also plays a signifiant role behind the scenes. Set in 1960s Baltimore, the show follows Portman’s character, Maddie Schwartz, a Jewish housewife who boldly leaves her family to become an investigative journalist. Maddie soon fids herself reporting on the mysterious death of Cleo Sherwood, a Black activist played by Lupita Nyong’o, whose body is discovered in a city park. The series delves deep into the social and racial complexities of the time, with Portman’s portrayal of Maddie capturing the transformation of a woman determined to seek out the truth in a world that often silences voices like hers.

Working on Lady in the Lake also prompted Portman to reflct on the strides women have made over the past half-century. Maddie’s journey to break into the male-dominated world of journalism—and even her struggle to buy a car without her husband’s signature—highlighted the systemic barriers women faced. “How powerful it is that we’ve made such strides in the 50 years or so since then,” Portman noted. “What could be possible, if that much change is possible again, in the next 50 years—it gives hope.”

Portman also observed changes within her own industry. “When I was starting out, actresses’ careers were over when they were 40. Now, our greatest actresses who are doing the most interesting work, I feel, are in their 60s, 70s, 80s. We’re really seeing interest in a woman’s whole life and whole self. I’m so grateful to the actresses who are paving the way for that, and are refusing to disappear,” she told The Guardian

In a world where fame often comes at the cost of authenticity, Portman stands out as an example of someone who has managed to navigate the treacherous waters of Hollywood without losing sight of who she is. She’s proven that real success is about living authentically and fiding balance along the way.

I WAS LUCKY. MY PARENTS PROTECTED ME, AND I WAS LUCKY NOT TO HAVE ANY TRAUMATIC EXPERIENCES.

I FEEL A LOT OF GRATITUDE, AND I KNOW HOW MUCH IS CHANCE. “

Texas Back Institute (TBI) has served the North Texas area in spine care for over 45 years. An uncompromising desire to put patients first and provide individualized spine care has helped change the treatment options available to patients for neck and back pain.

Today, TBI is a leader in artificial disc replacement, minimally invasive spine surgery, complex revision surgery, and treatment of spinal deformity. TBI has trained hundreds of surgeons, scientists,

TEXAS BACK INSTITUTE

and allied health professionals now practicing worldwide. Its research institute employs state-of-the-art technology and is actively involved in many clinical trials, including artificial disc replacement, minimally invasive technologies, and robotic spine surgery. Texas Back Institute has remained one of the most academic practices in spine care. It is one of the largest multidisciplinary spine centers in the world, providing comprehensive care for neck and back pain. With a fully dedicated staff of board-certified orthopedic spine surgeons, neurosurgeons, physiatrists, and physical therapists, the TBI team works together to support its mission of helping patients get back to life. The 26 physicians at Texas Back Institute are leaders in the surgical and nonsurgical treatment options for back and neck pain, from the most common outpatient procedures to the most complex cases. Thanks to the unmatched expertise of the medical staff, the advanced diagnostic testing, and an unparalleled commitment to patient care, the Texas Back Institute physicians can identify the potential cause of your pain and create a treatment plan specific to your needs.

Texas Back Institute has developed several spine specialty programs. These include the Minimally Invasive Spine Surgery Center, Center for Disc Replacement, Scoliosis and Spine Tumor Center, and Complex Back Surgery Center. These programs give patients access to highlytrained care teams who focus specifically on these areas of spine care, allowing patients in the North Texas area access to treatment options for their individual problems from physicians with extensive experience in these areas.

“At Texas Back Institute, finding the right solution for each patient and offering the least invasive treatment is core to our belief and the foundation for all treatment plans.” Dr. Michael Duffy.

ALLIANCE

3025 N. Tarrant Pkwy., Ste. 220 Fort Worth (Alliance), TX 76177

ARGYLE

310 FM 407E, Ste. 100 Argyle, TX 76226

DALLAS

12222 N. Central Expy. Pavilion II, Ste. 310 Dallas, TX 75243

DENTON

3537 S. Interstate 35, Ste. 308 Denton, TX 76210

FLOWER MOUND

4370 Medical Arts Dr. River Walk Bldg. III, Ste. 230 Flower Mound, TX 75028

FORT WORTH

1650 W. Rosedale St., Ste. 301 Fort Worth, TX 76104

FRISCO

5575 Frisco Square Blvd. Ste. 400 Frisco, TX 75034

LEWISVILLE

500 W. Main St., Ste. 380 Lewisville, TX 75057

MANSFIELD

2925 E. Broad St., Ste. 101 Mansfield, TX 76063

MCKINNEY

4510 Medical Center Dr. Ste. 106 McKinney, TX 75069

CENTRAL PLANO

4001 W. 15th St., Ste. 455 Medical Office Bldg. III Plano, TX 75093

PLANO

6020 W. Parker Rd. Ste. 200 Plano, TX 75093

ROCKWALL

3164 Horizon Rd., Ste. 100 Rockwall, TX 75032

TEXOMA

4616 US-75, Ste. 202 Denison, TX 75020

WICHITA FALLS

501 Midwestern Pkwy. East Wichita Falls, TX 76302

TOP ROW:

Sheena Bhuva, MD; Michael Duffy, MD; Peter Derman, MD; Brian Braaksma, MD; Shashank Gandhi, MD; Stephen Tolhurst, MD; Blake Staub, MD; Alexander Satin, MD; Chun Lin, MD; Kevin Ju, MD; Akwasi Boah, MD; Junyoung “Jon” Ahn, MD

BOTTOM ROW:

Adewale Adeniran, MD; Thomas Kosztowski, MD; Rey Bosita, MD, MBA; Rajesh Arakal, MD; Jessica Shellock, MD; Isador Lieberman, MD, MBA, FRCSC; Richard Guyer, MD; Jack Zigler, MD, FACS; Scott Blumenthal, MD; Theodore Belanger, MD; Nayan Patel, MD; Craig Lankford, MD; Michael Hisey, MD; Uche Davidson, MD

Eating Clean

A Simple Path to Healthier Eating

Maintaining a healthy diet can seem like a daunting task in our fast-paced, multi-tasking world of quick foods and quick fad diets. I invite you to visit the concept of “eating clean.” By just focusing on eating clean, you get a straightforward, accessible approach to ensuring you’re nourishing your body with wholesome, nutrient-rich foods. Unlike restrictive diets that focus on what you can’t eat, eating clean is about embracing real, unprocessed foods and developing a balanced, sustainable way of eating.

What Is Eating Clean?

At its core, eating clean revolves around consuming whole, minimally processed foods that are as close to their natural state as possible. The idea is to avoid foods laden with additives, preservatives, artifical colors, and unhealthy fats. Instead, the focus is on fresh fruits and vegetables, whole grains, lean proteins, and healthy fats.

Clean eating isn’t a fad diet with rigid rules; it’s a flexble lifestyle choice that encourages making mindful food selections. The aim is not just to lose weight but to nourish your body with the nutrients it needs to function optimally. Eating clean is about creating a sustainable and enjoyable way of eating that supports overall health and well-being.

The Simple Basics of Clean Eating

• PRIORITIZE WHOLE FOODS: The foundation of a clean eating diet is whole foods. These are foods that have undergone little to no processing, retaining their natural nutrients. Fresh fruits and vegetables, whole grains like brown rice and quinoa, and unprocessed meats and fish are all examples of whole foods. These foods provide essential vitamins, minerals, and fiber while avoiding unnecessary additives.

• AVOID PROCESSED FOODS: Processed foods are often stripped of their natural nutrients and loaded with unhealthy ingredients like added sugars, unhealthy fats, and sodium. Examples include sugary cereals, packaged snacks, and fast

food. By steering clear of these items, you reduce your intake of empty calories and harmful chemicals, promoting better health.

• CHOOSE HEALTHY FATS: Not all fats are created equal. Clean eating encourages the consumption of healthy fats, such as those found in avocados, nuts, seeds, and olive oil. These fats are essential for heart health, brain function, and hormone production. Avoid trans fats and highly processed oils, which are linked to various health issues.

• LIMIT ADDED SUGARS: Excessive sugar intake is associated with numerous health problems, including obesity, diabetes, and heart disease. Clean eating emphasizes reducing added sugars by choosing natural sweeteners like honey or maple syrup and enjoying the natural sweetness of fruits.

• STAY HYDRATED WITH WATER: Proper hydration is crucial for overall health. Water is the cleanest beverage choice, free from sugars, additives, or artifical ingredients. Drinking plenty of water throughout the day helps maintain energy levels, supports digestion, and aids in the body’s natural detoxifiation processes.

Eating Clean at the Grocery Store

Shopping for clean foods can be simple and straightforward when you know what to look for. Here are some tips to help you make the best choices while at the grocery store:

• SHOP THE PERIMETER: The outer aisles of most grocery stores typically contain fresh produce, meats, dairy, and whole grains. These areas are where you’ll fid the most natural, unprocessed foods. Avoid the inner aisles, which are usually filled with processed snacks, sugary cereals, and canned goods high in sodium.

• READ INGREDIENT LABELS: When buying packaged foods, always check the ingredient list. A shorter ingredient list usually indicates less processing. Avoid products with ingredients that sound like chemicals or that you can’t easily pronounce, as these are likely additives or preservatives.

• CHOOSE WHOLE GRAINS: When selecting grains, opt for whole versions like brown rice, quinoa, oats, and whole-wheat pasta. These are less processed and retain more of their natural nutrients compared to refied grains like white rice and white bread.

• BUY ORGANIC WHEN POSSIBLE: Organic foods are grown without synthetic pesticides or fertilizers, making them a cleaner option. While organic can sometimes be more expensive, prioritizing organic versions of the “Dirty Dozen” (fruits and vegetables most likely to contain pesticide residues) can be a good place to start.

• FOCUS ON FRESH PRODUCE: Fresh fruits and vegetables should make up a signifiant portion of your diet when eating clean. Look for a variety of colors to ensure you’re getting a wide range of nutrients. If fresh produce is too expensive or not available, frozen options are also a good choice, as they are often flash-frozen at their peak ripeness.

Tips for Maintaining a Clean Diet

Adopting a clean eating lifestyle is easier when you have a plan in place. Here are some tips to help you stay on track:

• MEAL PREP: Preparing meals in advance is one of the best ways to ensure you stick to clean eating. Set aside time each week to plan and prepare your meals. Ths not only saves time during the week but also reduces the temptation to grab unhealthy, processed foods when you’re busy.

• COOK AT HOME: Cooking at home gives you full control over what goes into your food. You can choose fresh, high-quality ingredients and avoid unnecessary additives. Plus, home-cooked meals often taste better and can be more satisfying than pre-packaged or restaurant meals. A quick search on the internet for “Clean Eating Recipes” will provide an endless list of ideas to suit your taste buds, including deserts!

• LISTEN TO YOUR BODY: Clean eating is about nourishing your body, so it’s essential to pay attention to how different foods make you feel. If certain foods leave you feeling sluggish or unwell, consider cutting back or eliminating them from your diet.

• PRACTICE MINDFUL EATING: Mindful eating involves paying full attention to your eating experience. Slow down, savor each bite, and listen to your hunger and fullness cues. Ths practice can help you enjoy your food more and prevent overeating.

• BALANCE AND MODERATION: While clean eating emphasizes whole, unprocessed foods, it’s important to maintain balance and moderation. There’s no need to be overly restrictive; occasional indulgences are part of a healthy lifestyle. The key is to make sure that the majority of your diet consists of clean, nutritious foods.

The Benefits of Eating Clean

The benefits of clean eating extend beyond just physical health. Here are some of the many advantages:

• INCREASED ENERGY: Whole foods are rich in vitamins, minerals, and other nutrients that your body needs for energy production. By eating clean, you may notice an increase in your energy levels and overall vitality.

• IMPROVED DIGESTION: A clean diet, rich in fiber from fruits, vegetables, and whole grains, supports healthy digestion and can prevent common digestive issues like constipation and bloating.

• BETTER SKIN HEALTH: The nutrients found in clean foods, such as antioxidants, vitamins, and healthy fats, can promote clearer, healthier skin. Reducing sugar and processed foods also helps to prevent breakouts and other skin problems.

• WEIGHT MANAGEMENT: Clean eating can naturally lead to weight loss or maintenance, as it encourages nutrient-dense, low-calorie foods. Since clean eating avoids processed foods, it also reduces the intake of empty calories that contribute to weight gain.

• ENHANCED MENTAL CLARITY: Eating clean can also benefit your mental health. Nutrient-rich foods support brain function, potentially improving focus, memory, and overall mental clarity.

You can easily incorporate this benefical lifestyle into your daily routine. Remember, eating clean is not about perfection—it’s about making better choices most of the time and enjoying a healthier, more balanced way of eating.

WALKING TOGETHER TO END ALZHEIMER’S

By LEU, PEIRCE & OLSON, PLLC

Leu, Peirce & Olson 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. An estimated 6.9 million Americans age 65 and older are living with Alzheimer’s, which kills more people each year than breast cancer and prostate cancer combined. In 2024, Alzheimer’s and other dementias are estimated to cost the United States $360 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 fihting this disease alone. Formed in 1980, the Alzheimer’s Association is the leading voluntary health organization for Alzheimer’s care, support, and research. Though 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, this one-day event calls upon walkers of all ages to come out and support those touched by Alzheimer’s.

Leu, Peirce & Olson works closely with the Dallas and Northeast Texas Chapter of the Alzheimer’s Association, and encourages the community to join us at the Walk to End Alzheimer’s on September 28th in The Colony. The Leu, Peirce & Olson 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, at Dallas City Hall Plaza, on November 2nd. Participation in the Walk to End Alzheimer’s is simple. Sign up individually or as a team at www.alz.org/dallasnetexas.

Leu, Peirce & Olson 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 to 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 fiht to fid 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 in The Colony on September 28th or in Dallas on November 2nd 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 & Olson, PLLC located in Plano, Texas. They can be reached at 972-996-2540.

SPEAK YOUR MIND

By RICK ALLEN

My dad was, in one sense, a man of few words. His words were well chosen and spoken with a tone of confidece that dared you to challenge him. While everyone might not agree with him completely on a particular subject, it was hard to say that he was wrong because he whole-heartedly believed in his position.

When my dad died in 1995, as a family, we had no doubt what the appropriate things to do were in planning his funeral and burial. His professional demeanor and desire to be well-dressed led us to select his best dark-colored suit, white shirt, and a bold tie. His love of God and care and concern for his friends and colleagues made it right and fitting to hold his funeral at his church. His planning in advance and selecting the exact spot near a beautiful, large magnolia tree in the local cemetery where he and my mother would ultimately be laid side by side eliminated the need for discussion regarding this fial disposition.

As I sat in the pew, deep in my grief, I could not have been more proud of my dad. The words spoken by the pastor, a man who knew my dad so well, recalled experiences they had shared and words of encouragement and guidance that my dad had offered during difficult times. The song sung by the vocalist reflcted a life lived by serv-

ing others. Finally, after the prayer at the cemetery, the bright, blue, crisp December sky swallowed up the colorful balloons we all released with our personal notes of “Good-Bye” attached. Despite of how difficult and sad that occasion was for me and my family, looking back, I now feel so happy and proud that because we knew our dad so well and understood his attitude, creating a meaningful and appropriate tribute to his life came naturally. While writing this article, I have stopped on two occasions to take phone calls from people who are currently dealing with family members who are terminally ill and near death. Both families are just now beginning their search for information about funeral options and costs. Neither caller had discussed the subject with their family member who was ill, and unfortunately, “last minute” talks along that line can be extremely difficult and uncomfortable. So, as always, be sure family members know where you stand on important issues.

As I close this issue’s article, I would like to offer a word of exceeding thanks to all of our military men and women who are courageously serving our country around the world. Additionally, I want to thank all of those who have previously served as well.

Providing modern, minimally invasive procedures to patients with neurological conditions

Dallas Brain, Spine and Skull Base Surgery is a neurosurgical practice that offers over 40 years of experience providing an innovative and collaborative state of the art approach to the care of patients with challenging neurological problems from around the world. Dr. Beshay and Dr. Coimbra have developed unique expertise in the treatment of brain tumors becoming the referral destination for the treatment of patients, especially those with complex or difficult to access tumors. They have also shown a commitment to the development of minimally invasive neurosurgical procedures including the most modern expanded trans–nasal endoscopic skull base surgical techniques and focused extradural approaches to skull base tumors.

Dr. Beshay’s interests include tumors of the brain and spine, minimally invasive spine surgery, complex spinal reconstruction, and epilepsy surgery. In addition to surgical treatment of intracranial and spinal disease, he has an interest in neurological bleeding and its reversal. Dr. Beshay’s clinical interests include: benign and malignant brain tumors, neuroendoscopy, epilepsy surgery, intracranial hemorrhage, cranial/ spinal trauma, minimally invasive spine surgery, complex spinal reconstruction with an interest in C1–C2 and occipito–cervical junction disease.

Dr. Coimbra restricts his practice mostly to intracranial neurosurgery. This selective tertiary practice has fostered the opportunity to develop unique expertise and commitment to the treatment of malignant and benign brain tumors. He is an expert in the minimally invasive resection of the most complex skull base tumors, including meningiomas, acoustic neuromas, and pituitary tumors. He employs CyberKnife radiation therapy, endoscopic endonasal techniques, and an array of focused skull base approaches to create a customized treatment plan for each patient in his practice. These innovative approaches allow resection of deep, difficult, and complex tumors with minimal brain tissue manipulation and maximal preservation of function.

Dr. Coimbra and Dr. Beshay believe in customized patient care and a team approach to medicine with attention to careful selection of the least invasive and most effective treatment for each patient. Their commitment to this philosophy has resulted in maximum preservation of function, less discomfort, shorter hospital stays and durable favorable outcomes for their patients.

Left to Right Caetano J. Coimbra, MD; Joseph Beshay, MD

COMING SOON!

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

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

• Arthrograms

• Magnetic Resonance Imaging (MRI)

• 3 Tesla Magnetic Resonance Imaging (MRI 3T)

Deandra M. Grant

NATIONALLY RECOGNIZED DWI AND CRIMINAL DEFENSE LAW FIRM

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

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

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

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!”

Kwame A. Ennin, MD, MBA Orthopaedic Surgeon

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

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

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

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

Dr. Ennin specializes in:

•Hip Replacement Surgery

•Knee Replacement Surgery

•Revision Hip and Knee Replacement Surgery

•Orthopedic Surgery

•Osteoarthritis

Carly, Colon Cancer Survivor

5WAYS TO BUILD A HEALTHY HABIT

Courtesy of TEXAS ONCOLOGY

Over the course of a lifetime, one in three women will face a cancer diagnosis. “For men, the odds stand at one in two. The good news is that between 30 and 50% of cancers may be preventable,” according to the World Health Organization. By taking small but meaningful actions toward a healthier lifestyle, you can create a positive habit that could decrease your cancer risk. Texas Oncology suggests five ways to get started.

GET REGULAR CANCER SCREENINGS

Screening exams are the most effective way to detect cancer in its earliest stages—often before it has spread and when treatment is the most effective. Call your physician to schedule your annual screenings and reach out to friends and loved ones to ensure they do the same.

GET MOVING

Whether you prefer biking, gardening, walking, or yoga, it’s important to get active. The U.S. Department of Health and Human Services recommends healthy adults participate in a minimum of 150 minutes of moderate exercise or 75 minutes of vigorous exercise each week. Incorporating regular physical activity into your daily routine can reduce your risk for several major cancers, as well as improve quality of life for those already fihting cancer.

STOP SMOKING

Smoking-related deaths represent 80% of lung cancer mortalities, and half of lifetime smokers will die from some tobacco-related disease, according to the American Cancer Society. Research shows that smoking cessation is paramount to lung health, and smokers who quit are more likely to live healthier and longer lives, while greatly decreasing their lung cancer risk. If you smoke and don’t know how to quit, call the Quitline at (877) 937-7848 for help and support.

EAT RIGHT

Managing your weight and eating a well-balanced diet full of nutrientrich foods is critical to both preventing and fihting cancer. To bolster your body’s defenses against cancer and other illnesses, limit your intake of sugars, saturated fats, trans fats, and alcohol. Instead, opt for healthy foods like nutrient-packed produce, dark, leafy greens, and a variety of seasonal fruits and cruciferous vegetables.

PRACTICE

SUN SAFETY

Skin cancer is the most common form of cancer, but many cases are preventable. The sun constantly produces ultraviolet (UV) rays that can penetrate clouds and affect your skin, even on overcast days or during cold weather. Limit exposure to UV rays by avoiding indoor tanning, applying sunscreen year-round, and wearing protective clothing that covers your skin.

Adopting a healthy lifestyle doesn’t mean changing everything overnight. By starting with small, intentional changes in your daily routine, you can create lasting healthy habits. For more information about the steps you can take to reduce your cancer risk, visit www.TexasOncology.com.

LESSONS FROM OUR GRANDPARENTS

Modern Stress and Anxiety

By KAY BEACHAM

Iremember my family sitting on my grandparents’ porch and having long, slow conversations with one another and visiting occasionally with the neighbors. The kitchen was the heartbeat of the house and there always seemed to be something good cooking or brewing. The phone might have rang two or three times a day at most. It was a great way to spend time after a long day or week at work.

The conveniences of modern times have brought about stress and anxiety that previous generations didn’t face. We constantly juggle work, family, social obligations, and personal aspirations, all while being bombarded by information from every corner and our smart phones. While it would be naïve for us to romanticize the past as entirely stress-free, there is much to be learned from the way previous generations lived.

Our grandparents’ generation, particularly those who lived through the Great Depression, World War II, or the post-war era, undoubtedly faced signifiant challenges. Economic hardships, uncertainty, and the

trauma of war were prominent stressors. However, the nature of stress and anxiety during those times was often more immediate and survival-oriented. People were concerned with putting food on the table, ensuring their families’ safety, and rebuilding their lives in the aftermath of global conflits.

Today’s stressors are multifaceted and often more abstract. The pressures of a globalized economy, the demands of constant connectivity through social media and technology, and the expectations of achieving success in an increasingly competitive world contribute to a pervasive sense of anxiety. Unlike the clear and tangible challenges of the past, modern stress is often characterized by a sense of overwhelming options and uncertainty about the future. Ths can lead to chronic stress, where the body’s stress response is constantly activated, resulting in long-term health issues such as anxiety disorders, depression, and cardiovascular problems.

KEY DIFFERENCES WE COULD LEARN FROM

PACE OF LIFE

One of the most striking differences between the lifestyles of our grandparents and our own is the pace of life. In the past, daily life was structured around routines that were dictated by natural rhythms— daylight, seasons, and agricultural cycles. Ths allowed for more downtime which is crucial for mental health. Today, the 24/7 nature of modern life, driven by technology and the expectation of constant availability, leaves little room for rest. The lack of boundaries between work and personal life, exacerbated by remote work and mobile devices, means that many people never truly switch off, leading to burnout.

Applying the Lesson: One way to combat modern stress is by intentionally slowing down and creating clear boundaries between different aspects of life. Ths could involve setting specifictimes for work and relaxation, adopting a digital detox routine, or incorporating mindfulness practices such as meditation or yoga into daily life.

COMMUNITY AND SOCIAL SUPPORT

Our grandparents often lived in close-knit communities where social support was readily available. Families were larger and more extended, with multiple generations often living under one roof or in close proximity. Neighbors knew each other, and there was a strong sense of community, with people regularly coming together for social events, religious gatherings, and communal activities. Ths social fabric provided a buffer against stress, as individuals had a network of people to rely on during difficult times.

Modern life is marked by increasing social isolation. Urbanization, the breakdown of extended families, and the rise of individualism have led to a weakening of social ties. While social media offers the illusion of connection, it often lacks the depth and emotional support of real-life relationships. Loneliness has become a significant issue, contributing to the rise in anxiety and depression.

Applying the Lesson: Rebuilding a sense of community and fostering strong social connections can be a powerful antidote to stress. Ths might involve spending more time with family, reaching out to neighbors, or getting involved in local organizations or clubs. Even small acts, such as regularly checking in on friends or participating in community events, can create a sense of belonging and support that helps mitigate stress.

WORK AND LEISURE BALANCE

For our grandparents, work was often physically demanding but had clearer boundaries. The workday typically ended at a set time, and evenings and weekends were reserved for leisure, family, and community activities. Leisure time was not just a luxury but a vital part of life, with people engaging in hobbies, outdoor activities, and socializing. Today, the lines between work and leisure are increasingly blurred. The rise of the gig economy, remote work, and the expectation of being constantly connected mean that many people struggle to truly disengage from work. Leisure time is often filled with passive activities like scrolling through social media or binge-watching TV, which, while relaxing in the short term, do not provide the same restorative benefits as more active forms of leisure.

Applying the Lesson: Prioritizing meaningful leisure activities and setting strict boundaries around work can help restore balance. Engaging in hobbies, spending time outdoors, or simply enjoying a meal with family without distractions can provide the mental and physical relaxation needed to counteract the effects of stress. It’s also important to recognize the value of doing nothing.

ATTITUDE TOWARDS MATERIALISM

Our grandparents’ generation lived through times of scarcity, which influenced their attitudes towards material possessions. They tended to be frugal, valuing what they had and making the most of limited resources. Ths mindset often led to a greater appreciation for the simple things in life—home-cooked meals, handmade items, and the joy of spending time with loved ones. There was less emphasis on consumerism, and people were less likely to equate their self-worth with material success.

In contrast, modern society is highly materialistic, with success often measured by the accumulation of wealth and possessions. The pressure to constantly upgrade and consume contributes to financial stress and a sense of inadequacy. Ths relentless pursuit of material goods can lead to a cycle of stress, as people work harder to afford a lifestyle that may ultimately bring little satisfaction.

Applying the Lesson: Embracing a more minimalist and frugal lifestyle can reduce fiancial stress and lead to greater contentment. Ths might involve prioritizing experiences over possessions, practicing gratitude for what one already has, and being mindful of spending habits.

CONNECTION WITH NATURE

Many of our grandparents had a close connection with nature, whether through farming, gardening, or simply spending time outdoors. Ths connection provided not only physical exercise but also a sense of peace and grounding. Nature has a calming effect on the mind, reducing stress and promoting mental well-being. In contrast, modern life is often spent indoors, with little direct contact with the natural world. Urbanization, long working hours, and the rise of screen-based entertainment have led to a disconnection from nature, contributing to feelings of stress and anxiety.

Applying the Lesson: Reconnecting with nature can be a powerful way to reduce stress. Ths can be as simple as taking regular walks in a park, gardening, or spending time in green spaces. Even small doses of nature, such as having plants at home or sitting by a window with a view of trees, can have a positive impact on mental health.

INTEGRATING PAST WISDOM INTO MODERN LIFE

While our grandparents faced their own unique challenges, their ability to fid contentment in simplicity, community, and a connection with the natural world offers valuable lessons for us today. By blending the best of the past with the conveniences and opportunities of the present, we can create a lifestyle that supports mental and emotional well-being in the face of modern pressures.

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

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

Diabetic Wounds & Ulcers

Arterial Ulcers

Infected Wounds

Open Wounds

Pressure Ulcers

Vascular Wounds

Acute Wounds

Non-Healing Wounds

Chronic Wounds

Surgical Wounds

Traumatic Wounds

PLANO CLINIC 5804 Coit Road, Ste. 100 Plano, TX 75023

LEWISVILLE CLINIC

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

IRVING CLINIC

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

DESOTO CLINIC

714 N. Hampton Rd. DeSoto, TX 75115

JOSHUA WORLEY, DPM | REZA MOBARAK, DPM, FACFAS, FAPWCA, FAPWHC | ROSE MARY WILSON, DPM

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.