Denton County Living Well Magazine September-October 2021

SELF EMPLOYMENT IDEAS FOR SENIORS

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

PROTECTING YOUR VISION FROM DIGITAL SCREENS

Lopez JENNIFER

A TIMELESS STAR AT ANY AGE

Preserving the Backbone of Life

Comprehensive Back, Neck & Spine Program

Back and neck pain happen for a number of reasons. Muscular weakness, herniated discs, damaged vertebrae or more severe spinal conditions can all make pain severe and debilitating.

At Texas Health Presbyterian Hospital Flower Mound, our dedicated team of spinal physicians, therapists and practitioners are skilled at treating back and neck pain and spinal disorders.

Advanced technology and minimally invasive techniques are used to e ciently and e ectively treat conditions, address pain and get you back to doing what you love.

For more information or to schedule a consultation, please call 469-929-9497 or visit the Program’s website at https://www.texashealthflowermound.com/back-neck-and-spine-center/

Texas Health Presbyterian Hospital Flower Mound is a joint venture owned by Texas Health Resources and physicians dedicated to the community and meets the definition under federal law of a physician-owned hospital. Doctors on the medical sta practice independently and are not employees or agents of the hospital. Model in photo is not an actual patient.

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FROM THE PUBLISHER

BETTER WITH AGE

Entertainer extraordinaire Jennifer Lopez is many things, an actress, singer, dancer, style icon, mom, entrepreneur, and dreamer. The multi-hyphenate star has lived several lifetimes in her 52 years, yet you’d never guess her age. After working nonstop for decades, she looks and feels better than ever.

Lopez doesn’t intend to slow down anytime soon. In fact, she’s had quite a year or two, but doesn’t she always? First there was her high profile separation from fiancee Alex Rodriguez and then her equally high profile re-coupling with Ben Affleck. She also launched her new skincare line, JLo Beauty and found time to release a new album. We touch base with this superstar and find out what keeps her going and motivates her to be the best she can be on page 8.

While Lopez may be getting better with age, one thing that rarely ages well is hearing. One of the body’s most remarkable senses, according to audiologist Dr. Elizabeth Brassine, hearing integrates with our brains to help us connect with the world around us. However, as we age, our ability to hear declines. For 48 million Americans—or nearly one in five ages 12 and older—this is precisely the case.

Dr. Brassine discusses the options available to the hearing impaired on page 39. The good news, while hearing loss typically can’t be reversed, most cases can be managed with the help of an audiologist and hearing aids. Before you shudder at the thought of hearing aids, check our her article.

Of course, even with a bit of hearing loss, many older Americans won’t retire. According to statistics, 30.2% of Americans ages 65 to 74 are projected to be in the workforces in 2026. Financial necessity may be one of the reasons, but for others, generating extra income and staying relevant are reasons. No matter, we offer a myriad of ideas for seniors looking for business opportunities on page 24.

As always, there’s more. Dive in and enjoy!

Be well!

Living Well

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

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SPRING AND SAM HOUSTON

SAM AND SPRING HOUSTON

Advanced Heart & Vascular Care

Advanced Heart & Vascular Care

Your heart is uniquely yours. At Texas Health Heart & Vascular Specialists, your heart and vascular care begins with a plan that’s customized for you. And with locations across North Texas, our care is close by. Schedule an appointment today, either in-person or via virtual visit, and discover our compassionate, comprehensive approach. From proactive prevention and diagnostics to advanced bypass and valve surgery and more, we’ll get you started with a plan for your heart health. And, as always, we have protocols in place designed around your safety.

Your heart is uniquely yours. At Texas Health Heart & Vascular Specialists, your heart and vascular care begins with a plan that’s customized for you. And with locations across North Texas, our care is close by. Schedule an appointment today, either in-person or via virtual visit, and discover our compassionate, comprehensive approach. From proactive prevention and diagnostics to advanced bypass and valve surgery and more, we’ll get you started with a plan for your heart health. And, as always, we have protocols in place designed around your safety.

Find your specialist today. 855-827-5697 | THPG.org/Heart

Find your specialist today. 855-827-5697 | THPG.org/Heart

Mitchel Kruger, MD | Mary Youssef, MD

Mitchel Kruger, MD | Mary Youssef, MD

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.

A TIMELESS STAR AT ANY AGE.

BY SONDRA BARR

Jennifer Lopez is many things, an actress, singer, dancer, style icon, mom, entrepreneur, and dreamer. The multi-hyphenate star has lived several lifetimes in her 52 years, yet you wouldn’t know it from looking at her flawless visage and taut frame.

She’s been working nonstop for decades and has eight albums, 33 films, 10 television shows, 26 producer credits, multiple fragrances, and a skincare line to show for her strong work ethic and tireless drive to be the best at whatever she sets her sights on doing.

The talented performer credits her success to working harder than everybody else. “There’s a lot of people with talent, but I don’t think there’s a lot of people who are willing to put in the work…I didn’t have much of an education. I didn’t go to college. I never dreamt of Harvard or any of these big schools. That wasn’t my route,” Lopez told Red Magazine

Following her own path has never been a problem for Lopez, who was raised in Castle Hill, in the South Central part of the Bronx. According to multiple sources, she shared a bed with her two sisters in the house she grew up in and commuted downtown to Manhattan to take dance lessons. The NYC borough will always hold a special place in her heart. She told W Magazine, “All the strength that I needed for life, I got from that neighborhood.”

Lopez’s portrayal of the late Latin recording artist Selena Quintanilla that served as her breakout movie.

Lopez in 2003 with then fiancé Ben Affleck arriving at the premiere of their movie Gigli

Costarring with Matthew McConaughey in The Wedding Planner.

Hustlers garnered Lopez a lot of Oscar buzz.

WARNER BROS.

COLUMBIA PICTURES

GLORIA SANCHEZ PRODUCTIONS

PAUL SMITH / FEATUREFLASH

All the strength that I needed for life, I got from that neighborhood.

Lopez’s first brush with Hollywood came when she worked as a backup dancer for New Kids on the Block in 1991. From there she landed on the show In Living Color as a Fly Girl. She moved from New York City to Los Angeles in 1993 to become a regular cast member on the show. Minor appearances in Mi Familia, Money Train, and Jack followed, but it was her portrayal of the late Latin recording artist Selena Quintanilla that served as Lopez’s breakout movie.

To prepare for the role, Lopez painstakingly researched Selena’s backstory and even slept in her bed to better capture the tragically short life of the Queen of Tejano Music. The hard work paid off and earned Lopez a 1998 Golden Globe nomination for best actress in a musical or comedy.

Lopez followed it up with starring roles in Anaconda and Out of Sight and became the first Latin actress to make over $1 million for a film. She went on to release her debut studio album On the 6, followed up by the simultaneous 2001 release of her second album J.Lo and the romantic comedy

The Wedding Planner, which garnered her the distinction of being the first woman to have a number one film and album in the same week.

“I always wanted to be great at what I did—that’s what drove me. My race has never been with anyone else, it’s been with myself,” she told Vanity Fair’s Julie Miller in 2018. “If I got rejected, I wouldn’t take it personally. I was like, make them a fan and they’ll bring you back in for something else. I never thought about money or fame, and I never really thought that would happen to me. All that was just a by-product.”

When asked by Vanity Fair writer Britt Hennemuth what a 10-year-old Jennifer might be surprised to know she’d ultimately achieved, Lopez said: “So many things. Wow. When I did my first movie, when I booked my first dance job and went to Europe and nobody in my family had ever been to Europe. The first time I heard my record on the radio. The first time I was in the studio recording a record. The first time I saw myself on screen and I was sitting in the movie theater, and I saw Mi Familia and I started crying.”

“Sometimes I didn’t believe my life. I don’t believe what happens to me and the things that I’m able to experience and

I definitely feel like I've grown up.

the opportunities that I’ve gotten. It’s every single moment, even till this moment, surprises me and touches my heart in a way that I could never really even begin to explain.”

Interspersed throughout her prolific career have been a string of romances that have come and gone and come around again. The most notable coupling was with actor and filmmaker Ben Affleck from mid-2002 to early 2004. Tabloids dubbed the duo Bennifer, when the pair starred together in the much ridiculed Gigli. After breaking off their engagement, Lopez married singer Marc Anthony in 2004 and gave birth to fraternal twins, Maximillian David and Emma Maribel in 2008. The couple divorced in 2011.

Lopez explained how being a mom changed her to Miller. “I can’t help but be a different person now that I’ve had kids. That really does change your whole perspective on life for the better. I definitely feel like I’ve grown up.”

After splitting from Anthony, Lopez retained primary physical custody of Emme and Max and went on to date former backup dancer Casper Smart before dating baseball player Alex Rodriguez. Engaged in 2019, the pair announced the end of their relationship in April of this year. Since then, Lopez has been seen with her former paramour, Affleck.

In an interview with Ebro Darden for Apple Music 1, Lopez subtly addressed the breakup with ex-fiancé Rodriguez. “Once you get to the point where you’re like, ‘This is not right for me, or this doesn’t feel good, or I need to make an adjustment here. This is not really about anybody else but me.’ Once you do that, stuff starts falling into place.”

And, things have certainly been falling into place for Lopez over the last couple of years. In addition to her turn in Hustlers, which garnered Lopez a lot of Oscar buzz in 2019, she has multiple movies in production including Marry Me with Owen Wilson and Shotgun Wedding with Josh Duhamel. And, of course, there’s her relationship with Affleck, who even before they got back together came down on the Academy for overlooking Lopez for an Oscar for Hustlers

“She should have been nominated. She’s the real thing… How awesome is it that she had her biggest hit movie at 50?” said Affleck.

As for being a sex symbol in her 50s, Lopez considers aging all about attitude. “I find myself thinking about being youthful and timeless at every age. At some point aging is going to happen, but until then, you decide how strong you’re going to be. How much you’re going to move. How much you’re going to work. How active you’re are going to be in your mind, with your life, with your body,” she said to Darden. “You decide. And you can keep it strong. You can keep it good.”

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

THOC doctors don’t want to learn on Monday that you had a problem on Friday. They want to know Friday. They are available to you 24/7.

DENNIS BIRENBAUM, MD

Dr. Birenbaum founded the Arlington Cancer Treatment Center in 1981. He founded the Texas Hematology/Oncology Center, PA in 1997. He is the founder, Medical Director, and CEO. Dr. Birenbaum trained at The University of Texas M.D. Anderson Cancer Institute for 5 years, 3 years as a Hematology/Oncology fellow and 2 years as a facility professor. His private practice in Hematology/Oncology has been in the Dallas/Fort Worth area since 1979. Dr. Birenbaum is available by cell phone 24/7 and participates in many support groups and radio programs.

AREAS OF CLINICAL INTEREST:

• Gastrointestinal Tumors

• Melanoma, Sarcoma

• Breast Cancer

• Lymphoma

• Kidney Cancer

EDUCATION AND TRAINING CREDENTIALS:

• Southern Methodist University

• Universidad Autonoma de Guadalajara/University of Michigan

• Straight Medical Internship - Henry Ford Hospital/University of Michigan

• Straight Medicine Residency - Tulane University Medical Center/Ochsner Clinic

• Fellowship Hematology/Oncology - University of Texas M.D. Anderson Hospital and Tumor Institute

• Private Practice 1979 to Present

PERSONAL INTERESTS:

• Born and raised in Dallas, TX

• Father of 2 sons

• Owns six dogs

• Loves traveling and golf

• Avid collector of arts and antiques

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

Dr. Wyszynski, MD, DO also trained at Fox Chase Cancer Center in Philadelphia, PA.

EUGENE J. WYSZYNSKI, DO

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

BOARD CERTIFICATIONS:

• American Osteopathic Board of Internal Medicine: Hematology/

• Oncology-Certified: 8/24/2007

• American Osteopathic Board of Internal Medicine

PROFESSIONAL SOCIETIES:

• American Osteopathic Association

• ASCO

• Texas Medical Association

• Dallas County Medical Association

CLINICAL CANCER INVESTIGATIVE TRIALS:

• Central Pennsylvania Oncology Group Protocal

• Eastern Cooperative Group

• Southwest Oncology Group

PERSONAL INTERESTS:

• Married and father of 2 children

• Enjoys traveling and spending time with family

• Active in many hobbies

Recognized by U.S. News and World Report as Best Nursing Home and Short-Term Rehabilitation Facility.

Amenities:

Cantex Continuing Care Network has been performing the highest standards of transitional healthcare and long-term residential services for more than 30 years. Ask anyone who knows. Cantex stands for quality.

• Private and semi-private studios, some with kitchen elements and/or Frenchdoor courtyard patios

• Flat-Screen televisions

• 32 channels of satellite television service

• Wi-Fi internet access

• Electric beds for easy comfort adjustments

• Living room with fireplace and player piano

• Library with computer stations and complimentary internet access

• Chapel

• Neighborhood cafes with complimentary premium beverages and snacks

• Restaurant-Style dining room

• Beauty/barber shop with full-time beautician

• Activity program with community outings

• Sedan and van for resident transportation

• Around-the-clock skilled nursing

• Physical, Occupational, and Speech Therapies

• Wound Management

• Intravenous Therapy

• Tracheotomy Care

• Physician Services

• Medication Administration

• Enteral/Parenteral Therapy

• X-Ray Services

• Laboratory Services

Your Opinion Matters

By RICK ALLEN

Planning has many benefits. Planning a vacation or a joyous occasion such as a wedding or baby shower often result in months of discussion and attention to details. Much effort goes in to making certain that everything goes smoothly, and no stone is left unturned. If you are fortunate enough to not worry about expenses, the planning is even more fun. The result is gratifying, and the stories told recounting the amazing event will go on for years. Naturally, an event that will not be pleasant to attend or even think about for that matter is not something that anyone wants to discuss or certainly plan for. However, while we plan for retirement, college, weddings, and vacations, many people fail to plan for the one thing we all, without exception, have in front of us. Over the course of my career, I have met with many families who have lost a loved one. Not a single family whose loved one planned has expressed regret or displeasure. On the other hand, I talk with families who are completely caught off guard and have no idea what the person who has died would have wanted for their final arrangements.

Your opinion does matter because it may be the only time your family will hear you say what you prefer when it comes to your funeral, burial, or cremation. Sitting down with a pre-planning professional at your funeral home of choice will bring you peace of mind and allow you to guide the process as you want to, not leave all the important details to your family to struggle through after you are gone. Pre-planning also assures that the cost is what you are comfortable with and when pre-planning, you will have payment options that are typically not available after someone has died. Most plans today are fully transferable should you relocate and by prepaying, you lock in the cost at today’s price, thus protecting your family from inflation.

Talk about this subject with your family while you can express your feelings and desires. The peace of mind you will have once the discussion is over and you have a plan in place will be remarkable. Furthermore, your opinion will be heard because it does matter!

CORE

Timothy C. Pringle, MD, R.V.T., R.P.V.I.

VASCULAR SURGEON & VEIN

SPECIALIST

Dr. Timothy Pringle is a board-certified endovascular surgeon. He specializes in minimally invasive techniques to address all aspects of vascular disease. He is knowledgeable and experienced with management of venous insufficiency and peripheral arterial disease. Dr. Pringle predominately treats venous insufficiency in his office with laser procedures. His philosophy is, “Interventions improve quality of life, but lifestyle change improves lifespan.” Dr. Pringle understands true healing comes from an integrative approach to vascular disease. He provides in-office surveillance through ultrasound testing. Dr. Pringle is the rare combination of a caring, kind, and compassionate physician who loves God, family, and his patients.

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MANAGE YOUR PAIN DIFFERENTLY

If you have been diagnosed with osteoporosis (low bone density) and have also tried treatments like rest and oral medication for more than a few days and still have sharp back pain, you may have a spinal fracture, also known as a vertebral compression fracture (VCF).

Balloon kyphoplasty (BKP) is a treatment for spinal fractures due to osteoporosis, non-cancerous tumors, and cancer. BKP has been shown in clinical studies to alleviate pain and reduce prescription opioids, compared to patients treated with non-surgical management, such as bracing and bed rest.1-3

While not all treatments have the same benefits for everyone, talk to your doctor about your options and whether BKP may be an option for you.

Although the complication rate for balloon kyphoplasty is low, as with most surgical procedures, serious adverse events, some of which can be fatal, can occur, including heart attack, cardiac arrest (heart stops beating), stroke, and embolism (blood, fat, or cement that migrates to the lungs or heart). Other risks include infection; leakage of bone cement into the muscle and tissue surrounding the spinal cord, and nerve injury that can, in rare instances, cause paralysis; leakage of bone cement into the blood vessels resulting in damage to the blood vessels, lungs, and/or heart.

3.

2009;373(9668):1016-1024.

2013;38(12):971–983.

1. Boonen S, Van Meirhaeghe J, Bastian L, et al. Balloon kyphoplasty for the treatment of acute vertebral compression fractures: 2-year results from a randomized trial. J Bone Miner Res. 2011;26(7):1627-1637.

2. Wardlaw D, Cummings SR, Van Meirhaeghe J, et al. Efficacy and safety of balloon kyphoplasty compared with non-surgical care for vertebral compression fracture (FREE): a randomised controlled trial. Lancet.

Van Meirhaeghe JV, Bastian L, Boonen S, et al. A Randomized trial of balloon kyphoplasty and nonsurgical management for treating acute vertebral compression fractures. Spine.

Finding Relief From Excruciating Spine Fractures Thanks to Balloons and Cement

Sharon first noticed the pain in her back one day. “I thought I had a sprain, you know, ‘It’ll go away,’” says the 72 year old grandmother from Fort Worth. Then one night she rolled over in bed and felt a pop. “I waited a while. I just thought the pain would go away, and it didn’t.”

Sharon eventually went to the emergency room at Harris Methodist Hospital, and doctors did some tests that found the cause of her pain: multiple myeloma, a type cancer that attacks the bone marrow. She had pathological fractures in two of the vertebral bodies of her spine—in other words, a broken back. Sharon was treated for her cancer with chemotherapy and a stem cell transplant, and she took opiod pain medication for the lingering pain in her back.

“I still had the pain. It just didn’t go away,” she recalls. “There was a lot I couldn’t do. Just bending or rolling over in bed was a major ordeal.” Once Sharon was in remission, doctors referred Sharon to Dr. Irfan Ali in Flower Mound. Ali recommended a minimally invasive surgical procedure called Balloon Kyphoplasty to repair her damaged spine and relieve her pain.

Balloon Kyphoplasty is a minimally invasive procedure for the treatment of spinal fractures due to osteoporosis, cancer, or non-cancerous tumors. Guided by live imaging, Ali created two tiny openings in Sharon’s back at each fractured level and used a needle to insert a tiny balloon into the damaged vertebra. He then inflated the balloon to restore the original height of the vertebrae. Finally, he injected acrylic bone cement into the cavity left by the balloon, creating an internal cast to repair the fractures.

After the procedure, which takes typically less than an hour, Sharon was able to leave the hospital and go home the same day. “She’s doing great,” Ali says. Sharon says she no longer takes pain medication for her back. “By the next day, where the fracture was, I could tell a difference there. It was just a true blessing.” She was even able to attend her grandson’s junior high football game the night of the procedure.

“I asked Dr. Ali, and he said if I felt like it, I could,” Sharon says. “So I went home and changed my clothes and went to the football game that night. As a matter of fact, I usually would try to find a place down low in the stadium so I wouldn’t have to climb steps, but this time I went all the way up and sat halfway up in the bleachers, so that was really nice!”

Medtronic developed balloon kyphoplasty, a minimally invasive procedure that reduces and stabilizes VCF related to osteoporosis, cancer or non-cancerous tumors. Since the initial technology launched in 1998, Medtronic has developed better balloons, an improved cement delivery system and added access tools shown to reduce hand radiation exposure for the surgeon. Over the years, studies comparing balloon kyphoplasty to non-surgical management have shown balloon kyphop lasty produced better pain relief and quality of life for patients with acute VCF compared to patients treated with non-surgical management.

Although the complication rate for BKP is low, as with most surgical procedures, seri ous adverse events, some of which can be fatal, can occur, including heart attack, cardiac arrest, stroke, and embolism. Other risks include infection; leakage of bone cement into the muscle and tissue surrounding the spinal cord and nerve injury that can, in rare instances, cause paralysis; leakage of bone cement into the blood vessels resulting in damage to the blood vessels, lungs, and/or heart.

Talk to your doctor about both benefits and risks of this procedure. A prescription is required. Results may vary. For more information, please call Medtronic at 763-505-5000 and/or consult Medtronic’s website at www.medtronic.com or spine-facts.com.

The following testimonial contains the opinions of and personal surgical techniques practiced by Irfan Ali, M.D. The opinions and techniques presented herein are for information purposes only and the decision of which techniques to use in a particular surgical application should be made by the surgeon based on the individual facts and circumstances of the patient and previous surgical experience.

Fractured Vertebra

Normal Vertebra

Kyphoplasty Balloons

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

Self-Employment Ideas for Seniors toTakeChargeofTheirDestiny

By KIMBERLY BLAKER

For a variety of reasons, many older Americans won’t retire. According to a May 29, 2019, report by the U.S. Bureau of Labor Statistics, 30.2% of Americans ages 65 to 74 are projected to be in the workforce in 2026. While financial necessity is one big reason many people won’t retire, others are choosing to stay employed for as long as they can. According to Maurie Backman, in “3 Reasons to Work During Retirement,” generating extra income, saving on leisure costs, and warding off depression top the reasons many seniors choose to remain in the workforce.

Still, working after retirement age doesn’t necessarily mean seniors are punching time clocks. According to data from the Kauffman 2017 National Report on Early-Stage Entrepreneurship, 26% of new entrepreneurs are aged 55 to 64 years old.

So if you plan to remain in the workforce, but would like to work for yourself, there are plenty of business opportunities that don’t cost a bundle to get started. Here are 19 companies you can start from home, most of which require minimal to no investment.

WEDDING PLANNER. Does the idea of helping couples with one of the most important and romantic days of their lives make your heart skip a beat? Wedding planners help couples with every aspect of their wedding and reception, from invitations and the wedding party’s attire to the cake, reception hall, and entertainment.

EVENT PLANNER. If you have excellent organizational and time management skills as well as business acumen, this might be the perfect fit. Event planners coordinate every aspect of a meeting or convention, and sometimes social events as well. Planners arrange the location, catering, speakers, and printed materials for events, and more.

HOME STAGING CONSULTANT. According to the real estate industry, well-staged homes sell faster and for more money. Yet, when it comes down to it, most people’s homes are anything but show-ready. If you like home decorating and rearranging furniture, this might be up your alley. You can either offer consulting services or do the staging yourself.

PROFESSIONAL ORGANIZER. Are you obsessed with keeping your cupboards, drawers, closets, and garage organized? If so, you might be surprised to learn that most people are not. Here’s where your organizational skills can earn you a living. Between those who lack organizational skills and others who don’t have the time, there’s a massive market for such services.

PET SITTING. For animal lovers, this has become a particularly popular form of self-employment. With the rising cost of pet boarding and pet owners’ desire to reduce the stress their pets experience during owners’ absences, many hire sitters and are willing to pay good money for the service.

Between those who lack organizational skills and others who don’t have the time, there’s a massive market for such services.

TOUR COMPANY. Do you live in a big city, historical town, or scenic area with state parks and national monuments? If so, there’s likely a need or demand for tour guides, which can be a lucrative business. You can provide either walking or driving tours to visitors and residents while sharing your knowledge of the area and sights with them. Just be sure to set up good safety measures before you meet alone with strangers.

SOCIAL MEDIA MANAGEMENT. If you’re savvy with social media, companies large and small require your service. Social media management includes setting up social media accounts and writing ongoing engaging and shareable posts. You’ll also respond to social media messages and comments to build and maintain the company’s relationship with its followers.

BLOGGING. If you love writing and have the skill to write ongoing, engaging posts, you’ll discover every type of business imaginable either has or needs a blog. Just look for companies related to your area of expertise. If you’re an expert researcher, that’s all the better, and the sky’s the limit.

CONTENT WRITING. This is another high-demand writing job. Businesses of all kinds need well-written website content that describes their products and services as well as related content to increase targeted traffic. For most companies, search engine optimized (SEO) content is a must. So, if you have this skill, you already have the edge over many writers.

CONSULTING. What’s your area of expertise? Whatever it is, there are likely plenty of people or businesses that could use your advice. To get your brain churning, here are a few examples of consultant services to consider: financial, business, social media, legal, career, technology, public relations, human resources, strategy, marketing, information technology, management, childbirth, interior decorating, and the list goes on.

TRAVEL AGENCY. Despite the ease and cost-effectiveness of buying and scheduling travel online, there’s still a good demand for travel agents. Many people prefer using an agent because of the travel advice agents offer as well as for arranging complicated travel plans. So if you love travel and helping people, this might be just the right business for you.

WEBSITE DESIGN. Have you built a website for yourself or someone in the past? If so and you have a knack for design along with excellent computer skills, this might be just the home-based career you’ve been waiting for. With Wordpress, in particular, website design is relatively simple yet offers designers unlimited options.

PROJECT MANAGEMENT.

If you’re an idea person with excellent management skills, this career is worth considering. Can you take a project and run with it and see it through to completion? As a project manager, your role is to put together and lead teams through projects. You’ll also be in charge of creating project budgets and managing their costs, and ultimately, making most of the projects’ decisions.

BOOKKEEPING. Small businesses often have only a few hours’ of accounting per week or month. So it isn’t feasible or necessary for them to hire an employee for the task. This is where you can step in and offer your services. Landing just a few business accounts could quickly provide you a full-time income working from home.

PERSONAL TRAINER. If you’re a fitness buff and enjoy motivating others, this might be just the career for you. Personal trainer certification programs run between $400 to $1,000. Upon completion, you can either work as a personal trainer for a fitness corporation or independently.

TEACH ONLINE COURSES. Here’s a wide-open opportunity because courses can be taught on just about anything. Do you have a passion for something? What are your areas of expertise, educational background, or special skills or talents? Chances are there’s something you’re great at and qualified to teach. Here are some ideas to consider: a hobby or craft, computer skills, photography, web design, writing, professional development, how to play an instrument, dog training, the list is endless.

RECRUITING AGENCY. Because of the challenges and time involved in finding qualified applicants to fill high-level positions, many companies now use recruiters to help fill the roles. With the current low unemployment rate, businesses are finding it increasingly difficult to find qualified candidates on their own. So why not step in and help them?

CATERING. Do you live for making delicious and eye-appealing food? If you’ve got excellent culinary skills, then offer your catering services. Think wedding receptions, corporate events, graduation parties, bar mitzvahs, luncheons, anniversary parties, and a host of other occasions.

LIFE COACH. If you enjoy helping people better themselves, here’s the perfect opportunity to make the most of your skill. Depending on where you live, there may be educational requirements for this career. So do your research. But if you’re good at setting goals and developing personal plans, solving problems, understanding people and what motivates them, and offering sound advice, this career is worth considering.

Dear Olivia,

My husband is coming home from the hospital after a long battle with cancer and we are overwhelmed with the thought of how to care for him at home. I know the VNA will help us by providing hospice care at home, but we just don’t know what to say to him and if we should avoid talking about dying so that he does not give up hope. My grown children and I just don’t know how to help him be at peace or how to make the most of the time left. Can you help?

-Don’t Know What to Say

Dear Don’t Know What to Say,

Bringing a loved one home on hospice care can be a scary experience, and the hospice team is here to help with these difficult questions. While families are coping with their grief and that of their family members, it is normal to want to put on a “brave face” for the patient. One of the things that I have learned through working in hospice for so many years is that each person deals with his or her dying in their

Hospice & Palliative Care

OLIVIA ROGERS

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

unique way based on their own beliefs and culture. Some patients will talk openly about their prognosis and dying experience. Some do not wish to talk about this at all, and this applies to family members also. There is no “right way” to navigate this process, but our hospice team will be there to help you decide what feels the most comfortable and comforting for you and your loved one. Our social workers, bereavement counselors, and spiritual support staff are all trained in the unique art of hospice care and counseling to help you as you have meaningful conversations, love, and support your husband and other family members. We also have a child life specialist trained in helping younger family members work through this process. Our team will surround you with the support you need so that you can best support your family through this difficult time. Our goal is to help you bring the best quality of life possible to your loved one’s final days.

~Olivia

VNA Hospice Care

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

VNA Care Choices

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

Ann’s Haven

Foot & Ankle Needs

Damien Dauphinée*†

DPM, FACFAS, FAENS, FACCWS, CWS-P

American Board of Foot and Ankle Surgeons, and in Wound Management by the American Board of Wound Management, Dr. Dauphinée is esteemed as a trusted expert within the medical community. He lectures nationally and internationally, trains surgeons to treat a variety of peripheral nerve pathologies, and serves as faculty for multiple surgical workshops.

He has been the recipient of numerous fellowships and awards, which have gained him respect from his peers and have provided unique opportunities to further study and successfully perform innovative procedures. He is the author of Saving Limbs Saving Lives: Advanced Treatments to Prevent Amputations in Diabetic Populations.

Raafae Hussain DPM

Dr Hussain ascribes to the simple philosophy that each patient is unique and deserving of individualized, attentive, and personable care.

Dr. Hussain received his formal education and training from some of the nation’s most distinguished podiatric surgeons, and is a contributing author to clinical research and medical textbook publications Highly knowledgeable and skilled in advanced treatment options, he de monstrates exemplary expertise both in podiatric medicine and in his exceptional and compassionate care for patients.

* Certified - Board Foot Surgery, Reconstructive Rearfoot/Ankle Surgery

† Board - Wound Management

Andrew Chambers, M.D.

Orthopedic

Surgeon

Dr. Chambers is an orthopaedic surgeon at Dallas Orthopaedic Joint Institute 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.

Dr. Chambers practices at Methodist Dallas, Charlton, and Richardson Hospitals. To schedule an appointment please call or text 469-747-0382.

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If You Own Everything, You Actually Own Nothing

What constitutes an overdiversified investment portfolio?

Courtesy HODGES CAPITAL MANAGEMENT, INC.

How familiar does this scenario sound? Into your investment accounts, you pick a couple of the best performing mutual funds you can find and spread around your contributions into each. Then, at the start of the next year, you again look for the best funds and make another contribution. Year after year, repeat, repeat. Perhaps your employer changed 401k providers at some point, and you had to choose from a whole new set of funds? At the end of a couple decades, you might end up owning 10-20 mutual funds in the aggregate of all your accounts.

Certainly, there is nothing wrong with owning mutual funds. They are great investment vehicles when you have smaller sums of money and are in the accumulation phase of your investment life, but if you own too many, you might have gaps or redundancies in your investment portfolio. There might be a better way to have larger sums of money managed. Allow me to explain.

In the above example, you were probably given a narrow list of funds from which to choose, and so you did a little homework, and selected. For most folks, this is merely an exercise in picking the best performers (from past data, mind you), and crossing your fingers. If we dig a little deeper, we might find that the average mutual fund (depending on size) might contain 100 stocks. Multiply that by 10-20 and you’re the proud owner of fractional bits of 1,000-2,000 stocks! On top of the sheer volume of stocks you own, many funds own the same stocks. In some instances, you could theoretically own the stock of XYZ 10, maybe even 15 times.

How about transparency, fees, and taxes? The only way to see which stocks your mutual funds own is to go to the fund’s website and look for yourself. You will never be able to pick up the phone and talk with the fund manager about his/her thoughts on the market, certain industries, or stocks. On the fee front, mutual funds have various annual fees to fund their operating expenses. These can be anywhere between .25%-

1.5% depending on the size of the fund, the types of stocks they purchase, or investment style they follow. The fees come out of your investment dollars. If you then have an advisor handling your affairs this way, you must account for that fee as well. These fees vary depending on the scope of what your advisor provides, but for most accounts around $1 million, it’s safe to budget about 1%. Finally, you have no control of your capital gains situation; your money is comingled with everyone else. If you are invested this way, you most likely have redundancies in holdings that are entirely unnecessary, you have no day-to-day look into what the funds own, tax gains/losses are uncontrollable, and you’ve paid twice (once to the funds and once to your advisor). If you spread yourself too thin, you might compromise your results. If this sounds like your current portfolio, we believe there is a more efficient way to provide ample diversification, true transparency, and tax efficiency. We would enjoy talking with you.

Wide diversification is only required when investors do not understand what they’re doing.

-WARREN BUFFETT

Capital Management, Inc. (“HCM”), is an Investment Advisory Firm registered with the Securities and Exchange Commission (“SEC”), is a wholly owned subsidiary of Hodges Capital Holdings and serves as investment advisor to the Hodges Funds. HCM is affiliated with First Dallas Securities, Inc, a broker-dealer and investment advisor registered with the SEC.

This discussion is not intended to be a forecast of future events and should not be considered a recommendation to buy or sell any security. Past performance is not indicative of future results. Investing involves risk. Principal loss is possible. Investing in smaller companies involves additional risks such as limited liquidity and greater volatility. No current or prospective client should assume that information referenced in this communication is a recommendation to buy or sell any security or is a substitute for personalized investment advice from your individual advisor. HCM does not provide tax or legal advice. Consult your tax or legal advisor for any related questions. All information referenced herein is from sources believed to be reliable and is provided as general market commentary and does not constitute investment advice. This material was created for informational purposes only and the opinions expressed are solely those of HCM. HCM shall not in any way be liable for claims and makes no expressed or implied representations or warranties as to the accuracy or completeness of the data and other information. The data and information are provided as of the date referenced and are subject to change without notice.

PHOTO BY AUSTIN DISTEL

The PODdoctors are Dr. Damien Dauphinée, double board certified in reconstructive foot and ankle surgery and wound management, and his partner Dr. Raafae Hussain, fellowship trained podiatric surgeon. Each week The PODdoctors will discuss aspects of podiatric medicine and surgery to educate listeners on common foot and ankle problems and the latest treatment options available.

Podcast listeners can gain rare insights into the mind of a podiatric surgeon, as Doctors Dauphinée and Hussain discuss topics such as:

• Typical issues presented at patient office visits.

• Causes, prevention methods, and treatment options of common foot and ankle issues such as bunions, heel pain, diabetic foot problems, and ankle sprains.

• Common treatments to decelerate the progression of symptoms or issues.

• Different types of treatments, surgeries, and recovery periods.

• Determining when surgery is needed.

We are really having fun with the podcast discussing foot and ankle surgery and mixing in interviews with colleagues in other specialties that can provide additional perspective on our patient population. Our secondary focus is to educate folks about the medical mission project we are involved in through the Texas Podiatric Medical Foundation which provides care to indigent patients. We started a Go Fund Me campaign for the Foundation through the podcast website and encourage our listeners to donate.

Dr. Damien Dauphinée and Dr. Raafae Hussain co-own and operate Complete Foot and Ankle Care of North Texas, a podiatric practice in Denton, TX. Their podcast, “The PODdoctors” is available on most streaming platforms, including iTunes, Spotify, Google, Amazon Podcasts. iHeartRadio, and more.

Dr. Bush Benjamin grew up in Lubbock, Texas. He completed his undergraduate, masters, and medical degree at Texas Tech University; honoring the long line of Red Raiders within his family.

Dr. Benjamin then moved to Houston, Texas to complete his residency training in Internal Medicine at Houston Methodist Hospital, where he received the Humanism in Medicine Award for providing compassionate and devoted care to his patients.

Dr. Benjamin met his wife in medical school and tied the knot a few years later. She will be continuing her training in Pediatric Pulmonary Medicine at UT Southwestern. Together, they love to explore the world, eat good food, and spend time with family and friends. Despite his time in Houston, Dr. Benjamin remains an avid Dallas Mavericks and Cowboys fan, and also enjoys the outdoors.

Dr. Benjamin is an Internal Medicine physician who focuses on all aspects of his patients’ care. He is experienced in treating both acute and chronic conditions, and strived to incorporate his patient’s physical and mental well-being into their overall health. Dr. Bush Benjamin is committed to providing humanistic care and aims to engage patients in their own health plans in hopes to build a lasting team dynamic between himself and his patients.

PROTECTING YOUR VISION FROM DIGITAL SCREENS

By KIMBERLY BLAKER

In today’s digital world, the amount of time many of us spend plugged in can be a real problem. We may recognize it’s sedentary, isolating, and even affects our attention spans. But digital screens also cause eye damage and vision problems.

One of these problems, computer vision syndrome, is also known as digital eye strain. Even more concerning, however, is the permanent damage blue light causes to the eyes. These conditions can affect people of all ages.

DIGITAL EYE STRAIN

Computer vision syndrome causes eye discomfort and vision problems. As the American Optometric Association (AOA) explains, it results from extended viewing of computer screens, e-readers, tablets, and cell phones. The more time spent on digital devices, the worse the discomfort becomes.

According to The Vision Council, computer vision syndrome symptoms include eyestrain, dry eyes, headache, blurred vision, and neck and shoulder pain.  Fortunately, there are several solutions to prevent or cure computer vision syndrome. To start, limit your daily leisure media use.

Another way to protect against computer vision syndrome is to wear computer eyeglasses. If you experience digital eye strain symptoms, make an appointment with an optometrist for a vision check. Be sure to discuss screen use to determine if computer glasses might be the right choice.

Also, when using a computer, position the screen at an arm’s distance away. Increase the font size to reduce strain as well. You can also reduce overhead lighting to eliminate glare.

Finally, follow the easy-to-remember 20-20-20 rule that’s recommended by the AOA. Every 20 minutes, take a 20-second screen break by looking at something 20 feet away.

BLUE LIGHT HAZARDS

In addition to computer vision syndrome, exposure to blue light is another digital screen hazard. Blue light comes from many sources. This includes and comes primarily from sunlight as well as LED and fluorescent lighting. But smartphones, flat-screen TVs, computers, and electronic notebooks also emit significant amounts of blue light.

The problem is that our eyes can’t block blue light. So it penetrates the eye lens and cornea, then it reaches the retina. Prolonged exposure to blue light is likely a contributor to macular degeneration and vision loss.

But our eyes aren’t the only thing impacted by blue light. Harvard researchers found that blue light affects our circadian rhythm and throws off the body’s biological clock. The Harvard Health Letter reported, “Blue light has a dark side,” literally. Night-time light exposure appears to be particularly unhealthy. Numerous studies have linked exposure to light at night (while working the night shift) with breast and prostate cancer, heart disease, diabetes, and obesity.

Harvard researchers also point out that even dim light affects our circadian rhythm and interferes with melatonin secretion. The lack of sleep that results from it then increases the risk of depression.

So there are multiple good reasons to try to reduce blue light exposure. Minimizing screen time is one of the most obvious ways to reduce exposure. Also, shut down devices with digital screens two to three hours before bed, if possible. If not, at least dim the screen light in the evenings. If you have a nightlight in your bedroom, use a dim red light instead. This has the least impact on the circadian rhythm and eyes. Finally, if you spend much time on digital devices, stay up late, or work the night shift, wear blue-blocking glasses. This will also reduce the likelihood of eye damage or throwing your circadian rhythm out of balance.

EVERY 20 MINUTES, TAKE A 20-SECOND SCREEN BREAK BY LOOKING AT SOMETHING 20 FEET AWAY.

PROLONGED EXPOSURE TO BLUE LIGHT IS LIKELY A CONTRIBUTOR TO MACULAR DEGENERATION AND VISION LOSS.

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“Hearing Services of Mckinney is my #1 place to go for my hearing loss needs. Caring and dedicated professionals with many years of experience working daily to meet your needs.”

– Terry G. Box, Retired Collin County Sheriff

Hearing is one of the body’s most remarkable senses. It integrates with our brain to help us connect with the world around us. Made up of a complex system of delicate and synchronous parts, it’s easy to take this vital sense for granted. If any of these components aren’t working properly, the result could be hearing loss. For 48 million Americans—or nearly one in five ages 12 and older—this is precisely the case. If you think you or someone you know has hearing loss, you’re probably wondering what the next step should be: that’s easy—see a hearing professional. It’s important to see someone who specializes in hearing issues such as a Doctor of Audiology. Schedule a comprehensive evaluation to begin treatment and rehabilitation as soon as possible.

DON’T DO IT ALONE

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

SEE A PROFESSIONAL

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

GET THE RIGHT SOLUTION

Today the best solution for sensorineural hearing loss is hearing aids. Like all high-tech devices, hearing aids have improved significantly over the past several years in terms of performance and appearance. From “invisible” solutions that fit deep inside your ear and are virtually undetectable but still deliver exceptional sound quality, to wireless options that stream audio from your phone and TV, today’s hearing aids sound better, fit more comfortably and perform more reliably than ever before.

HOW A HEARING AID WORKS (THE BASICS)

A microphone picks up sound and converts it into an electrical/digital signal. An amplifier then increases the strength of the signal, which in our more sophisticated devices, is manipulated by advanced signal processing. This allows the signal to be “shaped” to someone’s hearing loss. The receiver or speaker converts it back into sound and sends it into the ear canal, to eventually reach the inner ear. That signal goes up the auditory pathway to the brain which “hears” and understands the sound as speech. There is a difference between basic amplification products and hearing aids. Hearing aids and personal sound amplifier products

Treating Hearing Loss

Who you should see and what steps you should take.

By ELIZABETH BRASSINE, AU.D

(PSAPs) both improve the ability to hear sound. PSAPs are typically stripped of sound enhancement features. In many ways, these devices are a throwback to the old analog hearing aids that basically just made all sounds louder. However, hearing aids are designed to improve your hearing in more difficult listening situations with advanced technology features like feedback elimination, noise reduction technology and often better ability to hear on the phone.

TWO ARE BETTER THAN ONE

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

• Better understanding of speech

• Better understanding in background noise

• Better and smoother sound quality

• Better sound identification and localization

• Better tinnitus masking

TREATMENT MAKES A DIFFERENCE

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

THE RIGHT FIT

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

GET THE MOST OUT OF YOUR INVESTMENT

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

Feel like Youagain.

Rahul Banerjee, MD is a board-certified, fellowship-trained orthopaedic surgeon who specializes in hip and knee replacement, comprehensive management of fractures, and treatment of complex orthopaedic problems. Dr. Banerjee graduated from the University of Chicago Pritzker School of Medicine and completed his residency and fellowship at Brown University.

After training, Dr. Banerjee served in the United States Air Force and worked with the Army treating the injured and training residents in El Paso, TX. He was deployed to the War in Iraq and treated many soldiers and civilians.

After his military service, Dr. Banerjee joined the faculty at University of Texas Southwestern as Assistant Clinical Professor. In 2021, Dr. Banerjee joined North Texas and Orthopaedic Spine. Dr. Banerjee is available to see patients at office locations in Plano, Carrollton and Dallas.

• Total Hip Replacement

• Direct Anterior Hip Replacement

• Knee Replacement

• Treatment of Fractures

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“From the moment I met Dr. Banerjee, he listened to what I had to say and how I felt, that means a lot to me. After many years of knee pain and not being able to live the lifestyle I wanted, he agreed to do a total knee replacement. It was the best decision I ever made. He did an amazing job! Less than two months out and I am walking and biking like I haven’t been able to in years! It really changed my life!!!”

–David P.

Experienced DWI Defense THE LAWYER LAWYERS CALL

Deandra M. Grant

JD, GC, MS

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

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

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

–DEANDRA GRANT

Co-Author of the Texas DWI Manual

EXPERIENCE

True Compassion

ELDER LAW FOR SENIOR ADULTS & THEIR FAMILIES

Elder Law is first and foremost about empowering seniors. Elder Law services help you address issues of living arrangements, financial well-being, healthcare options, and the ultimate disposition of assets, enabling you to make your own choices and decisions about managing life as you age.

Lauren Olson Attorney

Lori Leu Certified Elder Law Attorney

Erin Peirce Attorney

WALKING TOGETHER TO End Alzheimer’s

Courtesy of LEU & PEIRCE, LLC

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. Alzheimer’s disease is the most common form of dementia, accounting for 60%–80% of dementia cases. More than 6 million Americans are living with Alzheimer’s, which kills more people each year than breast cancer and prostate cancer combined. Notably, Alzheimer’s and dementia deaths have increased by 16% during the COVID-19 pandemic. This year, Alzheimer’s disease will cost the United States $355 billion, with this number projected to increase to $1.1 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, 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 23rd at Grandscape in The Colony (outside Nebraska Furniture Mart). In fact, the whole 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, at Dallas City Hall Plaza, on November 6th. Participation in the Walk to End Alzheimer’s is simple. Sign up individually or as a team at www.alz.org/greaterdallas. The Alzheimer’s Association will continue to closely monitor the Centers for Disease Control and Prevention (CDC) to ensure all Walk events adhere to public health guidelines and are safe for attendees.

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 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 fight to find a cure. Deaths from Alzheimer’s have increased 145 percent since the year 2000, 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 Grandscape on October 23rd or in Dallas on November 6th and join a community of others walking together to end Alzheimer’s. Lori Leu, Erin Peirce, Lauren Olson, and Brandi Binkley are Elder Law attorneys with Leu & Peirce, PLLC located in Plano, Texas. They can be reached at 972-996-2540.

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 Association of Hip and Knee Surgeons. Dr. Litke 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 ceramics.

Please call 972.498.4791 to schedule an appointment.

Dr. Diane S. Litke, MD

Going “Zero to Caregiver”–Advance Directives make a Difference

By TAMERA WHITLOW, LVN, USAF

Our second day was eventful at the hospital. Things started to move rapidly. The final straw was when they came to ask for consent for evasive procedures and informed it would be safer if they moved us to ICU so we could have a nurse one on one. His heart is frailer and tired. The lack of sleep, pain and the unknown are starting to show on his face. As I watch I know he is tired, and I will become his fight to live. In his eyes I can see fright, worry, regret and exhaustion. He is begging to just close his eyes and go to sleep until it is over, so he pulls the cover over his head. Today is our wedding anniversary of 24 years. As I reminisce about our marriage it was always this way, I took care of the battles and conflict and he was all jokes and pranks.

Our door reminds me of the doors you find at hotels that go around and around and around. Consent forms, doctors for each specialty, nurses, social workers, surgeon team, heart team, LVAD

team. His heart can no longer push fluids to his organs, so now we take the next door in keeping him alive. Feeling stunned, stressed and overwhelmed by it all, it is informed consent time once again––to hear the risk that each procedure brings and its saving qualities. I have insisted he be awake and hear about each procedure and sign his own consent forms. He is definitely not excited at being an informed patient and wants me to do all the paperwork. He just does not want to hear it. He now needs an Intra-Aortic Balloon device; it will be his heart in a machine. Our bridge to keep him alive until he is cleared to have heart surgery. And we sign and wait.

I had no idea how many decisions we would have to make. Knowing what is important makes such a difference on you emotionally and supporting the caregiver is just as critical as patient care.