Denton County Living Well Magazine September-October 2019

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Tracey Gold Sharing her strengths At Texas Health Flower Mound PLUS: TRAVIS STORK THE REAL DEAL A MOTHER’S PLEA OVER 40 & HAPPY!
DENTON COUNTY SEPTEMBER/OCTOBER 2019

Gabriel Rodriguez, M.D. Anesthesiologist

Interventional Pain Relief Physician

Dr. Gabriel Rodriguez is a board-certified anesthesiologist and fellowship-trained interventional pain physician at The Pain Relief Center and is dedicated to the eradication of pain. The Pain Relief Center is a state-of-the-art facility providing custom pain relief treatments and same-day procedures to give each patient the ultimate experience.

Dr. Rodriguez received his medical degree from the University of Texas Health Science Center in Houston, Texas. Following this, he completed his anesthesia residency at the prestigious Mayo Clinic in Jack- sonville, FL (ranked among the very best pain management programs in the country by U.S.News & World Report) and continued his training in the pain relief fellowship. He is now a Diplomat of the Ameri- can Board of Pain Medicine, as well as a Diplomat of the American Board of Anesthesiology.

Dr. Rodriguez approaches pain management from an individualized perspective and diligently prepares a comprehensive pain treatment plan tailored to each patient’s specific needs. Dr. Rodriguez understands that not all pain is the same and offers a complete assessment of your pain as well as frequent reassessments to ensure your pain is well controlled. Most procedures are minimally invasive and provide considerable relief. Dr. Rodriguez believes that no one should live with pain and be limited from having the life they once knew.

The Pain Relief Center

7709 San Jacinto Place Bldg. 3, Ste. 101 Plano, Texas 75024

214.709.1904 painendshere.com

Medicare (CMS) has certified Denton Rehabilitation with an overall rating of 5 out 5 stars, which is the highest possible rating. Our Focus is You 2229 N. Carroll Blvd. Denton, TX 76201 dentonrehab.com 940.387.8508 From the time of admission and throughout your recovery, our team implements a patient-focused process. Our number one goal is helping you recover and rebuild your life. Denton Rehabilitation will coordinate all aspects of your care including: ✔ Wound Care ✔ Hospice/Respite Care ✔ Restorative Nursing ✔ Physical, Occupational & Speech Therapies ✔ Assistance with Personal Care ✔ Laboratory and X-Ray services ✔ Skilled Nursing

PREMIER SURGEON FOR HIP AND KNEE REPLACEMENT

Voted Top Doc in Dallas County and Collin County. Dr. Toulson is proud to serve local residents and surrounding communities.

Dr.

Robotic Joint Replacement

Total Hip Replacement

Total Knee Replacement

Partial Knee Replacement

Charles
specializes in:
Toulson
To learn more, visit AlphaOrtho.net TOP DOCS 2018 PROVIDERS HEALTHCARE AND OTHER Livingwell Alpha Orthopedics & Sports Medicine 6850 TPC Drive, Suite 116 McKinney, Texas 75070 972-362-0065 Alpha Orthopedics & Sports Medicine 204 Medical Drive, Suite 110 Sherman, Texas 75092 972-362-0253
3 DENTON COUNTY Living Well Magazine | SEPTEMBER/OCTOBER 2019 Mako “ Nice to meet you! I am a surgeoncontrolled robotic-arm for your total knee replacement.” You are unique and that is why you deserve a surgical plan that is tailored to your needs. Mako helps surgeons provide patients with a personalized surgical experience. I’m now in DFW and I’d love to meet you. Find a surgeon to see if Mako Technology is right for you. www.dfwmako.com Take control of your knee pain

THEALTHCARE MATTERS

exas Health Presbyterian Hospital Flower Mound knows healthcare matters, which is why the organization is hosting its annual Women’s Health Fair on Sat., Sept. 21. The event will emphasize the importance of preventive medicine and will offer free screenings relating to cholesterol, blood pressure, glucose, body mass index, thyroid, and heart health. Participants can visit wellness booths, physician booths, and vendors such as the Painted Tree, Institute of Bodywork Studies, and Nordstrom.

The event will kick-off with a physician panel ready to answer the audience’s questions and will be moderated by Sean Fleming, MD, Director of Emergency Services and include an oncologist, orthopedic surgeon, breast surgeon, urologist, cardiologist, and more. There will also be a special presentation by Tracey Gold, former child actress best known for playing Carol Seaver on the 1980s sitcom Growing Pains. Check the feature inside for comprehensive details about the event.

You may notice another recognizable face in this issue––Dr. Travis Stork, the former star of ABC’s long-running prime-time dating juggernaut, The Bachelor. But, his sizable credentials extend beyond looking for the girl of his dreams. MD, ER physician, and the host of the award winning syndicated television program The Doctors, Stork is also a New York Times #1 bestselling author.

Although he didn’t find his soul mate on The Bachelor, this heartthrob’s time spent “interviewing” potential mates was not for naught. By the time he landed a spot on The Doctors, Stork was not only a board–certified emergency medicine physician, and a seasoned television personality whose easy going demeanor and frank approach to uncomfortable topics made him a natural fit for a daytime talk show.

While the 47-year-old Stork is likely unfazed about the aging process. For most of us, being “over 40” is stressful. According to Julie Alvira, MD, MBA, it’s a time that can readily result in anxiety and heightened stress. With that in mind, Dr. Alvira offers the top questions to ask your doctor when you’re over 40. We think you’ll be surprised by some of the questions to consider.

Switching gears, in this issue, Kimberly Blaker shares the harrowing tale of her son’s decline into mental illness. Her son was diagnosed with schizoaffective disorder at the age of 19 and the first several years of his adult life were spent inside a living hell. She chronicles the trials and tribulations she’s faced with her son and offers valuable information to help other families recognize the signs of schizophrenia, along with suggestions on where to turn should the disease be present.

If you’re noticing a trend, it’s because healthcare matters. We hope that this issue inspires you to make your health a priority.

Sincerely,

Sam and Spring Houston

PRESIDENT & CEO

Sam Houston

VICE PRESIDENT & CFO

Spring Houston

FEATURE WRITER, COPY EDITOR & SOCIAL MEDIA DIRECTOR

Sondra Barr

ART DIRECTOR, LAYOUT, PRODUCTION & WEBSITE DESIGN

Lewis Schucart

ADMINISTRATION & ACCOUNTS MANAGEMENT

Jennifer Beavers

ADVERTISING/SALES

Texas | Denton County, Dallas County, Collin County

Texas & Oklahoma | Texoma

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 spring@livingwellmag.com

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4 DENTON COUNTY Living Well Magazine | SEPTEMBER/OCTOBER 2019 FROM THE PUBLISHER
DENTON COUNTY
5 DENTON COUNTY Living Well Magazine | SEPTEMBER/OCTOBER 2019 in this issue features CONTENTS SEPTEMBER/OCTOBER 2019 on the cover Visit LivingWellMag.com for a free digital subscription FREE DIGITAL SUBSCRIPTION A MOTHER’S PLEA 40 TRAVIS STORK THE REAL DEAL 24 TRACEY GOLD SHARING HER STRENGTHS AT TEXAS HEALTH FLOWER MOUND 8 8 Tracey Gold 10 Texas Health Flower Mound 16 Over 40 and Happy! 19 Choosing Your Pharmacy 24 Travis Stork 30 Returning to College 33 Is my Foot Pain Osteoporosis? 40 A Mother’s Plea 42 Delicious Recipe 48 Are you Living Your Best Life?

Owner Damien Dauphinée, DPM, FACFAS, FAENS,FACCWS, CWS-P

Owner

Lesley RicheySmith, DPM, FACFAS

Co-Founder and Owner

Katina Butler

PROFESSIONAL. SPA. CARE.

LOOKING FOR THE CURE IN YOUR PEDI?

VISIT THE NAIL TREATMENT CENTER FOR THE HIGHEST STANDARDS IN SPA CARE.

Founded by board certified podiatrists in 2014, The Nail Treatment Center has served podiatry patients and the Greater Denton community by holding to 3 core values:

EXPERTISE PAMPERING SAFETY SIGNATURE SERVICES

To be our clients’ best possible resource for foot and nail care products and services.

To provide a luxurious experience, marked by relaxation and quality service.

To offer the peace-of-mind that comes from high medical standards for safety & cleanliness.

We are a full-service nail spa with a comprehensive menu to meet your needs. Our pedicures range from basic to specialty custom focus on fungus/ dermatitis, calluses, severe dryness, and other issues. We also offer manicures, diabetic nail trimmings, nail art, locally made organic products, safer alternatives for stronger or acrylic nails (Gel, KeryFlex, NexGen, SNS), and much more.

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Stephen P. Courtney, M.D.

Orthopedic Spine Surgeon

Dr. Stephen Courtney is a board-certified, fellowship-trained orthopedic spine surgeon and the founder of the Advanced Spine Center in Plano, TX. Dr. Courtney has been Chief of Orthopedic Surgery at the Medical Center of Plano and a member of the Hospital’s Executive and Operating Room Committees.

Dr. Courtney is a respected orthopedic spine surgeon who focuses on disorders of the neck and back. His work ethic, outstanding outcomes, and personable approach to patient care have earned him a reputation as one of the best spine surgeons in Texas. He has expanded his reach and has improved the quality of life for patients across the country. Dr. Courtney has developed 9 product lines, and has obtained 9 patents and 14 trademarks on its spine related products. He has been honored with numerous awards and recognitions.

Dr. Courtney is dedicated to educating not just himself and his colleagues but his patients as well. He is known for his straight-forward, honest approach which puts his patients at ease, trusting him to perform highly technical operations that will help them restore their quality of life. He knows the single most important person in the treatment process is the patient.

When Dr. Courtney is not with his patients you can find him enjoying time with his wife and five children, hitting the trails on his mountain bike, or perfecting his Cajun cooking.

Advanced Spine Center 1705 Ohio Drive, Suite 300 Plano,
www.courtneymd.com www.advancedspinecenters.com 972.499.5457
TX 75093

TRACEY GOLD TO SPEAK AT WOMEN’S HEALTH FAIR

SEPTEMBER/OCTOBER 2019 SPOTLIGHT 8 DENTON COUNTY Living Well Magazine | SEPTEMBER/OCTOBER 2019 September 21, 2019 at Texas Health Presbyterian Hospital Flower Mound Sponsored by The Courtyard Marriott Flower Mound Free event includes health screenings, physician panel, and exposition.

Texas Health Presbyterian Hospital Flower Mound will once again host its annual Women’s Health Fair on Saturday, September 21, 2019, from 7:30 a.m. to 11:30 a.m. at The Courtyard Marriott, located at 4330 Courtyard Way, Flower Mound, Texas 75028 (directly behind the hospital). Don’t miss a special presentation by Tracey Gold, former child actress best known for playing Carol Seaver on the 1980s sitcom, “Growing Pains”.

The event will emphasize the importance of preventive medicine and will offer free screenings relating to cholesterol, blood pressure, glucose, body mass index, thyroid, and heart health. Participants can visit wellness booths, physician booths, and vendors such as the Painted Tree, Institute of Bodywork Studies, Nordstrom, and Blo Blow Dry Bar.

The event will kick-off with a physician panel ready to answer the audience’s questions and will be moderated by Sean Fleming, MD, Medical Director of Emergency Services. The panel will include an oncologist, orthopedic surgeon, breast surgeon, urologist, cardiologist, family practitioner, OB/GYN, plastic surgeon, and a colon and rectal specialist.

The schedule of events is as follows:

• 7:30 a.m. to11:30 a.m. – Breakfast, screenings, vendors and wellness booths

• 7:30 a.m. to 11:30 a.m. – Door prize drawings

• 10:00 a.m. to 11:00 a.m. – Physician panel with Q&A

• 11:00 a.m. – Keynote speaker Tracey Gold with Q&A

This year’s event will coincide with the Rhythms at the River Walk located at the Riverwalk in Flower Mound, which is a fun-filled family event. For more information regarding that event, go to www.rhythmsattheriverwalk.com.

Texas Health Presbyterian Hospital Flower Mound is a full-service, 99-bed facility with over 500 physicians on its medical staff who practice a full range of specialties. As the area’s first acute care hospital, Texas Health Presbyterian Hospital Flower Mound is committed to offering comfort and care to those seeking quality health services. The hospital is located at 4400 Long Prairie Road, Flower Mound, Texas 75028.

For more information, go to www.texashealthflowermound.com or call 469-322-7085.

9 DENTON COUNTY Living Well Magazine | SEPTEMBER/OCTOBER 2019
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. The hospital complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

A Service Overview of Texas Health Presbyterian Hospital Flower Mound

Taking Care of the Community

Texas Health Flower Mound has evolved to be more than just a normal community hospital. Over the years, they have added, improved, grown and changed into a regional health care campus. From clinics, doctors’ offices, the hospital and so many more other facilities are all designed and built to take exceptional care of the community and beyond. Not only is the hospital equipped with high-tech equipment,

PHYSICIANS ON THE MEDICAL STAFF CARE FOR CRITICALLY ILL PATIENTS IN TEXAS HEALTH HOSPITAL FLOWER MOUND’S EIGHT-BED INTENSIVE CARE UNIT, FEATURING ADVANCED CARDIAC MONITORING AND ALL PRIVATE PATIENT ROOMS.

they also have an exceptional medical team ready to provide personalized care to you and your family.

Texas Health Flower Mound strives to create a center-of-excellence environment. From the first phone call to inquire, to surgery and then discharge, you will receive excellent care at every step along the way. They are focused on your health care journey to make sure you receive high quality care and results. Since opening their doors in 2010, the vision has remained the same: To be the best place to work, practice medicine and receive health care.

Texas Health Flower Mound’s Mission

To improve the health of the people in the community and, in doing so, provide their patients, families and physicians with an exceptional experience, anticipating their needs and exceeding their expectations in service and quality of care received.

Hospital Services

• Advanced Joint Replacement Center

• Bariatrics/Weight Loss Services

• Cardiology

• Diagnostic Imaging

• Epilepsy & Seizure Center

• Intensive Care/ICU

• Joint/Spine Services

• Neck and Spine Center

• NICU Level II

• Orthopedics

• Radiological Services

• Robotic Surgery

• Sleep Diagnostic Center

• Surgery

• Women’s Imaging Center

• Women’s Services

Quick Facts

• 500+ Medical Staff Members

• 99 Patient Rooms

• Eight Operating Rooms

• 24/7 Emergency Room

• Area’s First Acute Care Center

• Opened: April 2010

• Square Feet: 199,270

• LEED Silver Certified

• Voted: Best Place to Have a Baby by North Texas Child Magazine

• Voted: Best Places to Work by Modern Healthcare

• Voted: Best Hospital & Best ER in Denton County by Reader’s Choice & Best of Denton County

Cardiology

According to the American Heart Association, heart disease continues to be the single leading cause of death in America. Texas Health Flower Mound and their medical staff are committed to providing their patients with quality heart and vascular care. A full unit devoted to cardiology provides a wide array of services, such as:

• Accredited Chest Pain Program

• Angiography/Interventional radiology suite

• Cardiac catheterization lab

• Echocardiograms

• Electrocardiograms (EKGs)

SEPTEMBER/OCTOBER 2019
10 DENTON COUNTY Living Well Magazine | SEPTEMBER/OCTOBER 2019
SPOTLIGHT

• Endovascular procedures

• Pulmonary function testing

• Stress testing

Diagnostic Imaging

Diagnostic Imaging Services department offers important tools physicians utilize to diagnose and develop treatment options for their patients. Texas Health Flower Mound offers patients comfortable, convenient and quality imaging services. These include:

• Magnetic Resonance Imaging (MRI)

• Computed Tomography (CT)

• Interventional radiology

• Cardio and pulmonary testing

• Nuclear imaging studies

• Stereotactics

• X-ray

• 2D & 3D Mammography

• Bone densitometry

• Ultrasound

Epilepsy & Seizure Center

Texas Health Flower Mound’s Epilepsy & Seizure Center monitors and treats patients under the supervision of neurologists. Patients are monitored for a time and then recommendations are made to help better manage their condition. Furthermore, patients enjoy their comfortable accommodations during their stay including large private rooms, personal climate controls, personal communication with dietary professionals, and an environment of care that promotes patient interaction and feedback.

Surgery

Texas Health Flower Mound is equipped to handle a wide range of inpatient and outpatient surgeries. These procedures are performed using advanced surgical techniques. The surgery staff provides personalized service with an emphasis on education, so patients know what to expect before, during, and after their procedures.

Texas Health Flower Mound is equipped to perform the following procedures and much more:

• Breast surgeries for biopsies, aspirating cysts and diagnosing irregularities

Texas Health Flower Mound features all digital and filmless imaging and is equipped with a total Picture Archiving and Communication System (PACS). PACS allows physicians to view patient exams and reports online at computer terminals throughout the hospital and gives most off-site physicians rapid remote access to test results.

Orthopedics

From injury prevention to advanced surgical procedures, board-certified orthopedic surgeons on the medical staff at Texas Health Flower Mound provide a wide array of treatment options for musculoskeletal disorders and injuries to hips, knees, shoulders and spine. Many orthopedic procedures are now performed using minimally invasive techniques, which generally result in shorter hospital stays and reduced recovery time when compared to traditional open techniques.

Other specialized orthopedic programs and services include:

• Fracture repair and procedures to treat back and spine disorders

• Joint Replacement Center of Excellence

• Orthopedic arthroscopic procedures

• Orthopedic rehabilitation

• Total joint replacement classes

• Bariatric surgery

• Advanced laparoscopic surgery

• Ear, nose and throat surgeries

• Gastrointestinal and endoscopic procedures

• General surgery

• Hernia repair

• Orthopedic surgical repair for bone, spine, joint and muscle disorders and injuries

• Plastic and reconstructive surgery

• Urology

• Bariatric surgery

• Pain management procedures

Robotic Surgery

Minimally invasive surgery is designed to provide surgeons with enhanced capabilities, including high definition 3D vision and a magnified view. Though the equipment is often called a “robot”, it cannot act on its own. Instead, the surgery is performed entirely by your doctor, who controls the system which translates his or her hand movements into smaller, more precise movements of the surgical instruments. Texas Health Flower Mound has several physicians on staff experienced in robotic surgery for gynecology, urology, colon/rectal, and general surgical procedures.

Continued, next page

11 DENTON COUNTY Living Well Magazine | SEPTEMBER/OCTOBER 2019

Emergency Services

Quality emergency care is available around the clock, seven days a week Texas Health Flower Mound. Physicians on the medical staff and other clinical personnel trained in emergency care are prepared to deal with serious injuries and illnesses. The emergency services department is fully computer automated to streamline patient admissions and facilitate the assessment process. Individual treatment rooms are designed to respect patient privacy and confidentiality.

Women’s Services: Voted Best Place to Have a Baby!

Caring for women is a priority for Texas Health Flower Mound, so whether you’re concerned about breast health, planning to have a baby or experiencing the challenges of the mid-life years, you’ll find the services and support you need.

Physicians on the medical staff provide care in a variety of areas, including:

• Obstetrics

• Gynecology

• Breast care

• Gynecologic oncology

• Neonatology

Gynecology

Texas Health Flower Mound is committed to addressing women’s health concerns. Physicians on the medical staff provide high quality care to women in need of gynecological services. Women’s surgeries include:

• Hysterectomy

• Hysteroscopy

• Laparoscopy

• Endometrial ablation

• Myomectomy

Women’s Imaging Center

Located adjacent to the hospital at The River Walk Medical Park, our Women’s Imaging Center is the first in the area to offer tomosynthesis (3D) mammography, conventional 2D digital mammography, breast ultrasound and stereotactic breast biopsy services and bone density screening. Breast cancer screening with tomosynthesis, when combined with a conventional 2D mammography, has a 40 percent higher invasive cancer detection rate than conventional 2D mammography alone.

Community Education

Community outreach programs at Texas Health Flower Mound are designed to bring a wide range of information to those who need it most. From childbirth education to health fairs and screenings, Texas Health Flower Mound is always striving to advance the health of our community. For a complete list of educational programs, visit www.TexasHealthFlowerMound.com or call 469-322-7000.

SEPTEMBER/OCTOBER 2019
12 DENTON COUNTY Living Well Magazine | SEPTEMBER/OCTOBER 2019
SPOTLIGHT
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 staff practice independently and are not employees or agents of the hospital. 4400 Long Prairie Road Flower Mound, Texas 75028 469-322-7000 Information about programs, services and physician referral is available by phone or online. To find a physician, go to: www.TexasHealthFlowerMound.com From previous page

Key-Whitman Eye Center

SPECIALTY: LASIK, Cataract Surgery, Symfony, Crystalens, and Comprehensive Adult Eye Care

Thousands of North Texans choose Key-Whitman Eye Center because they want better vision, and Key-Whitman is one of the few eye centers that offers the full range of vision improvement options. This highly experienced team of doctors offers patients comprehensive eye care with the convenience of locations across Dallas-Fort Worth. Chief surgeon and President Dr. Jeffrey Whitman is the past president of the American College of Eye Surgeons and is recognized in D Magazine as one of the Best Doctors in Dallas for 18 consecutive years. He is one of the first surgeons in Texas to be trained in LASIK eye surgery for nearsightedness, farsightedness, and astigmatism. Today, Key-Whitman is known for all-laser, blade-free LASIK to give patients greater predictability and accuracy than ever before. From comprehensive eye exams, management of glaucoma and corneal disease to reconstructive and cosmetic eyelid surgery, Key-Whitman continues to provide its patients with personalized, high-tech solutions for better vision.

11442 North Central Expressway | Dallas

7785 Eldorado Parkway | McKinney

3060 Communications Parkway | Plano 910 North Davis Drive | Arlington 400 West Arbrook Boulevard, Suite 121 | Arlington

18661 LBJ Freeway, Suite 400 | Mesquite 2380 South Goliad | Rockwall 214-220-3937 | keywhitman.com

Front row from left to right: Todd Agnew, O.D., Anita Jacob, O.D., Kim Warren, M.D., Ron Barke, M.D., Martin Faber, O.D., Amanda Hoelscher, O.D., Larry Fish, M.D., Kate Lee, M.D., Jeffrey Whitman, M.D., Faisal Haq, M.D., Priya Kalyam, M.D., Alfred Humphrey, M.D., Edward Hurst, M.D., Tara Hardin, O.D., Amy Hong, M.D.

Being “over 40” for some peo ple can be stressful because the idea of aging does not sit well for many. There’s a feeling of being overwhelmed and preoccupied that can easily result in anxiety. Nobody wants to age even though aging is inevitable. To accept our age, take care of ourselves, be mindful of our reactions and behaviors to circumstances, and to be mindful of our appearance, are all part of respecting our whole being. Loving our age is loving ourselves. There are many wonderful aspects about being over 40 and feeling good, stable, and happy. Creating your life the way you want it to be, is essential. One primordial thing that many tend to forget is to take care of our health.

“Sometimes you get so busy taking care of others that you forget you are important too.”

Here are top questions that you should ask your doctor:

Men

• Are my testosterone levels normal?

• Are there any screening tests for men that I need?

• When do I need a prostate test?

OVER 40 AND HAPPY!

TOP QUESTIONS TO ASK YOUR DOCTOR WHEN YOU’RE OVER 40.

Women

• I understand a couple of things about menopause. Can you explain to me the signs and symptoms I should look for?

• Are my estrogen levels normal for my age?

• Are there any screening tests for women that I need now?

• When do I need breast cancer screening? How often?

• Is depression normal in aging?

• Is anxiety normal in aging?

• Should I change my skin care?

• What can I do about vaginal dryness?

• Should I get my hormones adjusted?

• What is the probability of getting pregnant?

• Should I worry about osteoporosis?

• How often do I need a PAP test?

Both Men and Women

• What kind of sunscreen do you recommend?

• How is my heart’s health?

• I heard metabolism gets slower with age, what can I do about it?

• I’m losing some hair. Why?

• I feel my libido decreasing. What can I do?

• Why do I have more joint pain than usual?

• I am not sleeping very well. Why is that?

do I need to do any special test?

• Is my weight alright for my age and height?

• Do I need a colonoscopy?

• Can you tell me my BMI?

• What can I do to lose some weight?

• What can you recommend to have more energy?

• Is my blood sugar within normal limits?

• Can you check my cholesterol?

• Do I need to take any special supplements?

• Are there any tests specific for my age that I should do?

• Is my blood pressure alright?

• I am not hearing very well. Do I need a hearing test?

• How does my family history affect my health?

• I heard there are tests to see the gut function. Can you explain about them?

• What can I eat to preserve my vision?

• I heard about hormone replacement. Can you explain to me what that involves?

• Why do I pee more frequently than before?

• How often should I be getting checkups?

Julie Alvira, MD, MBA is the founder of Coach Dr. Julie, LLC. Executive Coaching. “Level Up Your Medical Practice.” www.coachdrjulie.com. email: julie@coachdrjulie.com.

16 DENTON COUNTY Living Well Magazine | SEPTEMBER/OCTOBER 2019

Dear Olivia,

If we choose hospice for my dad, does that mean we can no longer take him to his family physician he has seen for 30 years?

~Needing Coordinated Care

Dear Needing Coordinated Care,

It is a difficult decision to choose hospice for anyone, and it is especially difficult when families have a close relationship with the physicians who have been caring for them for so long. Choosing hospice does not mean that your primary care physician will no longer be involved in your dad’s care. On hospice, the patient can choose one physician, other than the hospice physician, to be involved in the care planning and the patient can go to that doctor as needed or desired. The hospice physician will work with your physician to carry out a patient-centered care plan.

OLIVIA ROGERS

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

Dear Olivia,

We have been in and out of the hospital multiple times in the past year with our mom, who is suffering from congestive heart failure. This time, the hospital physician is recommending hospice and we feel it’s too soon. Is there a reason they are mentioning hospice, even though she is still fighting?

Dear Not Ready to Give Up,

~Not Ready to Give Up

Hospice often brings to mind people who are in their final days of life. This frequently creates a dilemma for patients and families who are struggling to make a decision, especially when it feels too soon. When a doctor refers a patient to hospice, it is because the physician believes the patient has six months or less to live if the disease takes its normal course. This does not necessarily mean the patient will pass in six months, but that people in that stage of the disease process tend to pass away within six months. That is the qualification for hospice care as defined by Medicare. The goal of hospice is to maximize a patient’s time with their families and loved ones in a comfortable, safe environment. The hospice care team comes to the home to control symptoms and helps the family plan for the future.

~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.

To schedule your free in-home informational visit please call (214) 689-2989 or email gethelp@vnatexas.org For volunteer opportunities please call (214) 689-2271 or email volunteer@vnatexas.org

17 DENTON COUNTY Living Well Magazine | SEPTEMBER/OCTOBER 2019
2016 Readers’ Choice N I J H ACCREDITED vnatexas.org

CHOOSE YOUR PHARMACY.

CHOOSE YOUR HEALTH.

Aconfused customer comes into my pharmacy with a letter in hand.

This customer had been a loyal customer of Allen Pharmacy for many years and recently received a letter from her insurance company telling her that the pharmacy that had served her through a heart attack, her husband’s death, and many other trying times in her life was no longer an acceptable option. She was confused, hurt and a little angry.

I took the letter from her and gave it a read myself. Whoever had written the letter was well-versed in the English language and the art of influence because each word was chosen carefully to convey a singular message: “You need to use XYZ Pharmacy.”

This is not a new tactic to me.

Unfortunately, I see it all the time.

The insurance companies send phone calls and letters strongly encouraging their customers to go to a pharmacy that, conveniently, the insurance company owns. This keeps money in insurance companies’ pockets and usually means the customer receives sub-par service and care.

So, the question becomes, can your insurance make you go to a certain pharmacy?

The short answer is a resounding “NO!” Your insurance cannot make you go to a certain pharmacy. They may provide incentive for you to go there by offering slightly lower copay, but typically there is a minimal difference between the copay at the pharmacy your insurance company wants you to go to and Allen Pharmacy or any other pharmacy.

18 DENTON COUNTY Living Well Magazine | SEPTEMBER/OCTOBER 2019

Why choose one pharmacy over another? Does it really matter? You bet it does.

A study from Consumer Reports showed that customer satisfaction at independent pharmacies like Allen Pharmacy was up to three times higher than that of the big box pharmacy.

Also, choosing the right pharmacy can impact your health. Here are five reasons your choice in pharmacy can impact your health.

• We focus on your health first.

• We work on your behalf; not for insurance companies.

• We help you feel confident about your prescriptions.

• We assure the best medications for your needs, not for the insurance company.

• We connect with prescribers and assure the best insurance-covered products for you.

Often, insurance companies will push customers to use products that are cheapest for the insurance company and “adequate” from a therapy standpoint. But this is your health we’re dealing with and “adequate” does

Allen Pharmacy is your full-service neighborhood pharmacy. We’re a family owned and operated independent pharmacy based out of Denton, TX. Our mission is to provide the best pharmacy experience possible. At Allen Pharmacy, our staff understands the value of relationships and getting to know you and your needs. Come in and see!

not seem good enough to us. We want to make sure that you have the medication that is best suited to your needs and we work with your provider and with the insurance company to ensure that you get the best drug for the best price.

Ultimately, it comes down to putting our customers ahead of all else, ensuring that their health is put first and that we don’t let an insurance company get in the way of you achieving your best health outcomes.

This is just another way that Allen Pharmacy is Pharmacy, Done Better.

At Allen Pharmacy, you will find a caring and loving staff that knows you by name. Our staff understands the value of relationships and getting to know you and your needs. Come see us!

Mention Living Well Magazine to get a $15 gift card when you transfer your prescriptions to Allen Pharmacy. Transferring is easy! Just call us with some basic information and we’ll handle the rest!

Pharmacy. Done Better.

Some of Allen Pharmacy’s services include:

• Custom Compounding

• Immunizations

• EZ Meds

• Hormone Counseling

• Part D Plan Finder

• FREE Delivery

Opening Hours

Monday – Friday 8:30am – 6:00pm Saturday 8:30am – 1:00pm

19 DENTON COUNTY Living Well Magazine | SEPTEMBER/OCTOBER 2019
Allen Pharmacy | 1612 Scripture St. | Denton, TX 76201 940.484.0100 | allenpharmacy.net

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 214-947-3248.

METHODIST DALLAS MEDICAL CENTER

221 W. Colorado Blvd., Pav II, Suite 431

Dallas, Texas 75208

METHODIST CHARLTON MEDICAL CENTER

3430 W. Wheatland Rd., POB 1, Suite 216

Dallas, Texas 75237

214-947-3248

dallasorthojoint.com

21 DENTON COUNTY Living Well Magazine | SEPTEMBER/OCTOBER 2019

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 certified 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 affiliated 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.

Orthopaedic Surgeons located in Richardson, TX

www.LWOrthopaedics.com

(972)498-4791
Dr. Diane S. Litke, MD
L&W Orthopaedic Associates
2821 E. President George Bush Highway Suite 201 Richardson, TX 75082

The Real Deal

24 DENTON COUNTY Living Well Magazine | SEPTEMBER/OCTOBER 2019

Travis Stork, MD, ER physician, and the host of the award winning syndicated television program The Doctors , is having a moment. Fresh off wrapping up the 11th season of his Emmy-nominated medical talk show, in August Dr. Stork tied the knot with his girlfriend of three years, lawyer Parris Bell. He’s been basking in the resulting endorphins since.

Of course, the self-described adrenaline junkie’s marriage to Bell left scores of women across the country distraught. Stork, 47, the former star of ABC’s long-running prime-time dating juggernaut, The Bachelor, is officially off the market.

That doesn’t mean you don’t have the chance to be under his ministration. If you happen to end up in a Nashvillearea emergency room, you may find yourself under the handsome doctor’s care. When not in Hollywood tapping The Doctors, Stork practices emergency room medicine and lives in Nashville. Where, according to reports, his colleagues call him ‘Doc Hollywood.’

Surprisingly, Stork never intended to be a doctor or a television star. First, he was an actuarial scientist working in Washington D.C. After graduating from Duke University magna cum laude as a member of Phi Beta Kappa Society, he found himself pouring over numbers and research but longing for more human interaction.

“I just was never meant to be someone who was sitting all day in front of a computer,” he told Chris Parton with Nashville Lifestyles Magazine. To feel more in tune with the community, on his off time, he volunteered at a Washington free clinic, which inspired Stork to earn a medical degree with honors from the University of Washington, where he was a member of Alpha Omega Alpha.

“Even though I was good at math, I feel like that (volunteer clinic) experience showed me that you can use science and also have the personal element.”

During his emergency medicine residency at Vanderbilt University Medical Center in Nashville, Tennessee, Stork appeared on Season 8 of The Bachelor. Stork later revealed how he landed as the star of the popular ABC show in a 2016 episode of The Doctors.

“I went to dinner with my ER colleagues and a person came up to me from The Bachelor and hung out with our group of ER friends and was buying beverages,” Stork recollects. “The next thing you know, I’m literally in Paris as The Bachelor.”

During the season finale of the dating show, Stork handed schoolteacher Sarah Stone the final rose. Seven days after the program’s pre-taped finale aired, the couple called it quits. Stork went on to complete his residency before working in the emergency departments at Vanderbilt and then a hospital in Colorado, although he grappled with the tremendous recognition his stint as the bachelor generated.

“What I didn’t expect was coming back and then feeling like I had to justify all the hard work I had put in,” he told Meredith B. Kile for ET Online. “I worked really hard in med school and residency. My record speaks for itself.”

Although he didn’t find his soul mate on The Bachelor, the heartthrob doctor’s time spent “interviewing” potential mates was not for naught. By the time he landed a spot on The Doctors, Stork was not only a

Continued, next page

25 DENTON COUNTY Living Well Magazine | SEPTEMBER/OCTOBER 2019

Continued from previous page

board –certified emergency medicine physician, he was a seasoned television personality whose easy going demeanor and frank approach to uncomfortable topics made him a natural fit for a daytime talk show.

The Doctors premiered in 2009. The brainchild of Jay McGraw, the son of Dr. Phil McGraw, a psychologist who was a regular on Oprah before starring on Dr. Phil, the show combines entertainment with legitimate medical information.

On The Doctors, Stork heads a panel of three other physicians in the fields of pediatrics, plastic surgery, and obstetrics/gynecology. The quartet presents their knowledge in an entertaining way and educates viewers on how to live healthier lives. In 11 seasons, the group has tackled myriad issues from the mundane to the sensational. Recent episodes explored topics ranging from rare skin diseases, gym germs, dating behind bars, and a medical condition that causes public pooping, interspersed with viewers’ phone calls and e-mail queries.

“What I try to do on the show is teach and share with people all of the little things they can do to improve their health,” said Stork in an interview. “I think our show has really empowered people. Viewers tell me

they feel more knowledgeable and more excited about their health rather than intimidated or even terrified.”

According to a New York Times article by Brian Stelter written a few months after the show’s release, as the creator of the show, McGraw’s priority was to

26 DENTON COUNTY Living Well Magazine | SEPTEMBER/OCTOBER 2019
Travis Stork married girlfriend of 3 years, Parris Bell, in Nashville last month.
CBS –The Doctors

feature physicians who regularly see patients rather than ones who spend all their time on television.

McGraw attributed the show’s success to “allowing them to be doctors and videotaping it.” The show has gone on to win the 2010 Emmy Award for Outstanding Talk Show/Informative and has been nominated six times in the category. Meanwhile, Stork and his cohosts received back-to-back Emmy nominations for Outstanding Talk Show Host in 2011 and 2012.

Stork has parlayed his medical and television success into publishing as well. Stork is the New York Times #1 bestselling author of The Doctor Is In: A 7-Step Prescription for Optimal Wellness, The Lean Belly Prescription, The Doctor’s Diet, and The Lose Your Belly Diet––Change Your Gut, Change Your Life.

The Amazon summary of The Doctor’s Diet says, it’s the “solution to unhealthy eating, an American epidemic with a death toll higher than that of car accidents, drug abuse, smoking, and gun violence combined. Here, Dr. Stork offers a flexible and workable diet plan that addresses this health crisis by helping you lose weight, restore your health, and ultimately add years to your life.”

While promoting his book, The Doctor Is In: A 7-Step Prescription for Optimal Wellness, Stork sat down with CBN.com to share his philosophy on health. “You have to be your own health guru; you have to be the CEO of your health. Treat it like a job.”

“People in their 20s need to realize that chronic illness starts its progression in your younger years. Heart disease doesn’t start in your 50s. That’s why making health

switches––like eating whole grains in place of refined carbohydrates––when you’re young is important.”

It’s advice that Stork himself heeds. While not a vegetarian, he incorporates five to six smaller meals into his day. From whole grain cereals to lean proteins, healthy fats, and good carbs, he also makes sure to add foods high in fiber to the mix.

In addition to a healthy diet, Stork consistently stresses the importance of exercise. In an interview with journalist Diana Kelly, Stork said, “With society as sedentary as it is, it’s important to be walking. Even 10 minutes after every meal adds up to 30 minutes a day.

Stork also stresses finding an active hobby. “We’re genetically programmed to enjoy activities. I’d venture a guess there is some activity out there for all of us. For me it’s biking. Don’t stop until you find an activity you enjoy, commit to it, and just like everything, schedule it.”

The first doctor in his family, Stork takes the profession seriously. “During med school, I kept a journal of the type of doctor I wanted to be. One of the first things I wrote was ‘Whenever you’re with a patient, put them at ease.’ If you walk in and you’re like, ‘Okay, what’s going on?’ it’s very different from pulling up a stool, sitting, and saying, ‘Miss Watkins, I’m sorry you’re not feeling well. How can I help you?’ Stork explained to Prevention Magazine.

“If you’re present, a patient can tell––even if ou’re busy or if they’re calling you over to Trauma Bay One. The same thing is true of friendships or hosting a television show.”

27 DENTON COUNTY Living Well Magazine | SEPTEMBER/OCTOBER 2019
1351 W. President George Bush Highway Richardson, Texas 75080
Recognized for our pursuit of excellence in providing quality care to our community, Eminent Medical Center is a distinguished leader in healthcare. www.eminentmedicalcenter.com (469) 910-8800 Find us on Facebook @EMC.TEXAS Eminent Medical Center is the premier treatment destination in the Dallas/ Fort Worth area with three operating suites and five private patient rooms. 24/7 Emergency Care | Pain Management | Sports Medicine | General Surgery | Orthopedic Surgery | Neurosurgery | Minimally Invasive Spine Surgery | Total Joint Surgery | Foot & Ankle Surgery | Hand Surgery | Gynecological Surgery | Plastic Surgery

SENIORS AND RETIREES ARE RETURNING TO COLLEGE––HERE’S HOW YOU CAN TOO

As many seniors and retirees today will attest, you’re never too old to go to college. Lifelong learning has become increasingly popular in recent years as baby boomers have reached the age of retirement. For some, the purpose in going back to school is to finish their studies and accomplish a degree. But for many more, it’s simply for fun and an opportunity to gain knowledge, discover new interests, and keep their minds and bodies fit.

With the rising costs of college, you may see it as an unlikely endeavor. Not to mention, if you’re still in the workforce, where would you find time for the commute and classes let alone time to study? Fortunately, today there are many ways to overcome these obstacles.

If you’d like to go to college, first, consider your purpose and what you hope to accomplish. Do you want to earn your degree? Are you primarily interest-

ing in broadening your knowledge? Are you in search of new interests and socializing opportunities? Your answer might be one or all of these. But knowing your purpose will give you direction.

Once you’ve determined what you hope to achieve, visit nearby colleges or explore the websites of colleges in the city or state where you’d like to settle for retirement, and see what they have to offer.

Non-traditional college credit

Resources for financial assistance

• Visit Fast Web for information on colleges and a scholarship search at www.fastweb.com

If earning your degree is important, today, more and more accredited colleges offer a variety of options for earning nontraditional course credit. Look into this first to save time and money.

• For federal grants and loans, request your Student Guide by calling (800) 433-3243 or visit www.studentaid.ed.gov/resources

• Visit the U.S. Department of Education for information on tax credits at www.studentaid.ed.gov/types/ tax-benefits

At some colleges you can earn Self-Acquired Competency (SAC) credits. These may have different names at various institutions. But such credits are available for a wide range of skills and life experiences. This requires compiling a

30 DENTON COUNTY Living Well Magazine | SEPTEMBER/OCTOBER 2019

portfolio for faculty evaluation. Your portfolio will include onthe-job training, work and volunteer experience, workshops, seminars, and more. If you served in the military, you may be eligible for Military Service Credit for education you gained through schools, experience, or service. You can also earn credits by examination. Some of these include:

• Credits for College-Level Examination Programs (CLEP)

• Advanced Placement Examinations (AP)

• Defense Activity for Non-Traditional Education Support (DANTES)

Credit by examination can also save time and money if you have knowledge in a particular area or if you study and test well. But be sure to check with your institution before enrolling since credit may not be awarded following admission.

Another possibility for credits is if you’ve completed any noncollegiate or in-company sponsored programs or courses. Find out if those programs or courses are any of the thousands reviewed by the American Council on Education (ACE). If so, ask your academic institution if they award credits based on ACE recommendations.

Correspondence and online courses

Independent study programs offer a couple options. Online courses can be taken in the convenience of your home. These usually require attendance (at your computer) at specific times. Correspondence courses are a good option also because there are no schedules. They usually allow six to eighteen months for completion with extensions up to one year. Evening and weekend courses as well as accelerated programs also offer some flexibility.

How to pay for tuition and books

There are many options for financing your education. The Federal Pell Grant is available regardless of your age and is awarded based on financial need. The maximum award amount for the 2017-2018 school year was $5,920. Several other options include:

• The Federal Supplemental Education Opportunity Grant (FSEOG)

• The Federal Work Study program

• The Federal Perkins Loan

• Federal Subsidized Stafford Loan

• Federal Unsubsidized Stafford Loan

Many scholarships are also available for seniors. So ask the academic institutions you’re considering what they offer.

If you’re still in the work force, ask your employer if it offers reimbursement for college courses. If the classes pertain to your job, your employer may cover the costs.

Finally, don’t forget the American Opportunity Tax Credit, which modifies the HOPE Credit, a tax credit available for eligible taxpayers, totaling up to a maximum of $2,500. There’s also the Lifetime Learning tax credit. Certain requirements and restrictions apply.

If you aren’t interested in pursuing a degree, but just want the opportunity to attend courses, many colleges also offer special rates to seniors to audit a class.

Coordinating multiple responsibilities

Like many older Americans, you may still be working. But with a little planning and finesse, you can develop workable solutions that’ll free up time for your studies.

Start by making a list of all your responsibilities, then cross off anything unnecessary. Where else can you save time? You can do housecleaning every 10 to 14 days rather than weekly. Skip cleaning anything that isn’t in dire need until the next time. Straighten up only the main rooms on a daily basis. Others can wait.

Colleges that offer independent study

Before enrolling, make sure credits are transferable and the institution is fully accredited.

Indiana University’s School of Continuing Studies, Independent Study Program.

• Eastern Michigan University, Distance Education Program.

• Ohio University Lifelong Learning Programs, External Student Program.

• University of Colorado at Boulder Independent Learning Program.

• Upper Iowa University, External Degree Program.

• The University of Texas at Austin Continuing and Extended Education, Distance Education Center.

Make a pact to limit volunteering your time until you’ve reached your educational goals. If ‘no’ isn’t in your vocabulary, create reminder cards. Then put them by the phone and in your purse, so you’ll be prepared to say ‘no’ at all times.

Discuss the importance of furthering your education with your partner. Ask which responsibilities your partner is willing to take over until you’ve accomplished your goals.

Ask your employer if you can take shorter lunch breaks and leave earlier. Another possibility is for your employer to allow you fewer but longer workdays for an extra day off study each week.

Kimberly Blaker is a freelance lifestyle writer. She also writes content and blog posts for businesses in a variety of industries and is an expert in on page SEO. www.kimberlyblaker.com

31 DENTON COUNTY Living Well Magazine | SEPTEMBER/OCTOBER 2019

• Onsite Diabetic Shoe Store with Dynamic Arc Balance Assessment to help pinpoint the speci c area(s) of functional balance lost.

• Onsite Nail Treatment Center with full spa services and open to the public.

• We have podiatric specialists that treat chronic pain and peripheral nerve problems that a ect the foot and ankle.

• MLS Laser Therapy for pain and in ammation and the Hyperion 1530 laser for treatment of fungal nails.

Achilles Tendon

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Ankle Sprains

Foot and Ankle Injuries

Arthritic Foot & Ankle Care

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Children’s Feet Corns

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Complete Foot and Ankle Care of North Texas, P.A. Is equipped to handle all of your podiatric needs. DENTON 3319 Unicorn Lake Blvd., Suite 111 Denton, TX 76210 940.300.3054 CompleteFootAndAnkleCare.com
Damien Dauphinée DPM, FACFAS, FAENS,FACCWS, CWS-P Lesley Richey-Smith DPM, FACFAS

IS YOUR FOOT FRACTURE AN EARLY SIGN OF OSTEOPOROSIS?

Local foot surgeon urges patients not to ignore foot pain

Courtesy Complete Foot and Ankle Care of North Texas

Unexplained foot fractures may be the first sign of osteoporosis, a bone thinning disease which affects over 28 million Americans and accounts for 1.5 million bone fractures a year.

According to North Texas foot and ankle surgeon Damien M. Dauphinée DPM, FACFAS, CWS-P, osteoporosis is frequently referred to as the “silent crippler” since it often progresses without any symptoms or isn’t diagnosed until a person experiences pain from a bone fracture. Dr. Dauphinée, a Fellow of the American College of Foot and Ankle Surgeons, explains that the porous nature of bones in people with osteoporosis makes them more susceptible to bone fractures, especially in the feet. “Because the bones are in a weakened state, normal weight-bearing actions like walking can cause the bones in the foot to break,” says Dr. Dauphinée. “In fact, many patients visit their foot and ankle surgeon suffering from foot pain only to find out they actually have a stress fracture, without having experienced an injury.”

While osteoporosis is most commonly seen in women over age 50, younger people and men are also affected. Early symptoms can include increased pain with walking accompanied by redness and swelling on the top of the foot. “Often times patients don’t seek

treatment for their symptoms for weeks or even months, thinking the pain will pass,” says Dr. Dauphinée. “The best advice is, don’t ignore foot pain of any type. Early intervention can make

indicated by their primary care physicians,” Dr. Dauphinée explains.

If you are diagnosed with osteoporosis, it’s important to protect your feet

all the difference in your treatment and recovery.”

Foot and ankle surgeons are able to diagnose osteoporosis through bone densitometry tests, which measure calcium and mineral levels in the bones through low-dose radiation x-ray, or possibly through a routine x-ray. “This is why prevention and early intervention are key; women should make sure bone densitometry tests are part of their wellness examinations when

from stress fractures. Wear shoes that provide support and cushioning, such as athletic running shoes, to provide extra shock absorption and protection. Custom orthotics may also be recommended to protect the foot from pressure and provide shock absorption, particularly during exercise.

For more information on osteoporosis of the foot, visit the American College of Foot and Ankle Surgeons’ website, www.foothealthfacts.org.

For further information about ankle fractures and sprains or other foot and ankle problems, contact Dr. Dauphinée and Complete Foot and Ankle Care at 940-300-3054 or go to their website www.completefootandanklecare.com.

33 DENTON COUNTY Living Well Magazine | SEPTEMBER/OCTOBER 2019
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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.

The “S ca rless” Face Lif t

Nationally-k nown facial plastic surgeon Dr Gregor y D. Rober ts has refined a face lift technique, k nown as the “scarless” face lift, which allows patients to recover from surger y with vir tually no visible scarring. The “scarless” face lift involves a series of surgical methods and meticulous precision that can help restore more natural, youthful facial features with vir tually imperceptible signs of surgical inter vention.

Dr. Rober ts’ patients love their results!

KM contacted Dr. Rober ts after viewing some of his online images. During her consultation Dr. Rober ts recommended upper and lower blepharoplasty (eyelid lifts) as well as a mini face lift. “I inherited drooping eyes from my dad, sagging jowls from my mother. But Dr. Rober ts has completely changed that for me. Now I get comments even from strangers about how good my sk in looks. Only my close friends k now what I’ve had done, but I feel dramatically different. I t ’s helped my confidence and I’m definitely more comfor table when I’m face -to -face with people.”

At 51, JT worked to stay in shape but couldn’t stop the natural signs of aging. The sagging in her neck and jowl area star ted to bother her so much she no longer wore her hair off her face. “I feel young and wanted to look more youthful,” she said After a mini face lift, she’s thrilled with the results “Not one person has said, ‘Did you have a face lift?’” she said “But people do tell me how pretty my sk in is. I didn’t want to overdo it, and what Dr Rober ts did is per fec t. Ever yone in his office was attentive, helpful and suppor tive I’d definitely do it again ”

5 Weeks - No Visible Scars below

At 53, JR, below, had a face lift, endoscopic brow lift and lower blepharoplasty per formed in one procedure. “Before the surger y I looked tired and my jowl area and the sk in around my mouth sagged,” she said. “Dr. Rober ts spent a lot of time explaining ever ything and answering my questions. After surger y, I was wearing a ponytail two weeks later and attended a work conference a week after that. No one could tell I’d just had surger y! To me, it ’s so natural. I can’t say enough good things about Dr. Rober ts and his staff.”

38 DENTON COUNTY Living Well Magazine | SEPTEMBER/OCTOBER 2019
“ M y o ne g u idi n g p r i n cip l e i s th a t y our c osmetic s u r ge r y lo o k s n a tu r a l , ” s a i d D r R obe r t s “
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Meet Gregor y D. Rober ts, M.

At Rober ts Cosmetic Surger y Cen Rober ts specializes in facial cosmetic medical procedures, including the “scarles lift, endoscopic brow lift, blephar rhinoplasty, otoplasty, chin and lip impla For over 20 years, Dr. Rober ts has his surgical specialty on the face, but he also per forms minimally invasive medical procedures, such as BOT dermal filler procedures. Dr. Robe dual Board cer tified by both the Ame Board of Facial Plastic and Reconstru Surger y as well as the American B of O tolar yngology | Head and Neck Surger y.

Dr. Rober ts personally per forms all surgical procedures, BOTOX® and filler procedures. Laser and resur facing procedures at Rober ts Cosmetic Surger y are per formed by a cer tified and licensed aesthetician, while his suppor t staff endeavors to provide optimal patient care.

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A MOTHER’S HARROWING TALE OF HER SON’S DECLINE INTO MENTAL ILLNESS––

and Signs to Watch for in Your

Regardless of our kids’ trials and tribulations during childhood and into teen years, the furthest thing from any parent’s mind is that our child might develop a serious mental illness. Unfortunately, it’s an equal opportunity disease that can strike even model kids who’ve rarely experienced a difficult day in their lives. Just as kids are preparing to become independent adults is when serious mental illness (SMI) often strikes. The incurable brain diseases of schizophrenia, schizoaffective disorder, and bipolar disorder combined strike one in every 25 people typically as they are entering adulthood.

My son (who I’ll call Sean) was diagnosed with schizoaffective disorder at the age of 19. This disease is the combined illnesses of schizophrenia and bipolar disorder. The first several years of his adult life were spent inside a living hell—literally. The early stage was marked primarily by delusions and paranoia: there was a government conspiracy against him, Li’l Wayne and Drake were writing derogatory songs about him, and pimps were trying to kill him. But this was only the beginning of a downward spiral.

Teen or Young Adult

The first year of treatment showed only mild success. Antipsychotics are relatively fast acting, and if monitored, can be quickly adjusted or changed. But with a severe shortage of psychiatric beds, lack of adequate federal and state funding for mental health care services, and laws as sick as those who are ill—problems that exist in every state in America—he was in and out of the hospital within days, still in psychosis. Further hindering recovery, he was allowed only one 30-minute psychiatric appointment per month despite having a severe brain disease.

There are two broader problems with treatment for the SMI in America, which are laws and funding.

Laws were created decades ago to protect the rights of seriously mentally ill individuals. But legislators didn’t take

into account that those with SMI are often unaware of their illness due to a symptom called anosognosia. As a result, the SMI are most often unwilling to seek treatment.

Mental hospitals have shut down in droves in recent decades. At the same time, public funding for treatment has dwindled drastically. This has impeded the development of adequate outpatient services and housing for seriously mentally ill people.

Important to note, new research indicates episodes of psychosis may cause more damage to the brain. The lack of timely, adequate, and appropriate treatment often results in each episode becoming increasingly more se -

40 DENTON COUNTY Living Well Magazine | SEPTEMBER/OCTOBER 2019

vere, reducing the likelihood of recovery.

This had proven true for Sean. A year into his illness, he received a message from a game of Scrabble to cut off his ear or toe or to break a leg in order to save the world. In the middle of the night, I awakened to his blood curdling screams. He had jumped 15 feet from a tree, fracturing his back instead. Just prior to this feat, he attempted, unsuccessfully, to silence the commands. He branded his arm with a fork, a scar that remains today. He was admitted for psychiatric care, but released within seven days with little improvement.

Over the next three years, he was hospitalized with increasing frequency, always released within days. He was paranoid and lived in constant fear with the belief his family and friends wanted to kill him. He hallucinated that I said such horrific things to him as, “I’m going to chop off your head”, or “I’ll bury you alive.” He spent nights awake sitting on his bed prepared to bolt if I broke down the door to kill him.

A few years into the illness, the television told him he was Jeffrey Dahmer, and the President told him to kill me. My son isn’t violent. But statistics speak for themselves. Psychosis often leads to violent and tragic acts by those who are otherwise nonviolent. It was a several day battle to get him hospitalized. But he was released in three days in the same condition.

Finally, we got a little breather though. For a couple months, although his psychosis was still present, it had at least improved. But this often didn’t last. With Sean’s paranoia that doctors, pharmaceutical companies, and his family were trying to poison him, he often refused medication.

Soon Sean took another downturn. He couldn’t comprehend real conversations because the hallucinatory voices were so overpowering. He carried on arguments with these voices, told news anchors on the TV to shut up because they were talking about him, and was angry with the Pope for something the Pope was doing to him.

He repeatedly insisted he was traversing. As a result, there were two of him, or maybe three––and he didn’t know which was the real him. He became confused and didn’t know where he was and often pleaded with me to get him home. I’d try to reassure him, “You are the real Sean, and you are safe at home.” It was heartbreaking.

Finally, several years into my son’s illness, I was finally able to get his psychiatrist to put him on Clozapine, the gold standard for treatment resistant patients. Although Sean still experiences mild psychosis and is disabled, he’s seen remarkable improvement.

But my son and I aren’t alone. This plays out for millions of seriously mentally ill people and their families day-after-day, week-after-week, and year-after-year as loved ones spiral further into the abyss.

In recent years, legislative proposals have been introduced. There’ve been some very small strides in changing laws to improve the care and treatment for those with SMI. Still, there’s a long way to go to ensure appropriate and adequate treatment for all the sons, daughters, parents, and siblings in America suffering from serious mental illness— and for the countless people who in the future who will be struck by this dreadful fate.

Signs of schizophrenia to watch for in your teen or young adult child

It’s often difficult to recognize SMI developing. That’s because many symptoms of these illnesses are also typical problems associated with the teen years. There’s no cure for schizophrenia, schizoaffective disorder, or bipolar disorder. Still, recovery is possible for many with these brain diseases. But early detection is crucial to the prognosis.

Schizophrenia

With schizophrenia the symptoms usually, though not always, develop gradually over months or even a couple

Continued, page 46

41 DENTON COUNTY Living Well Magazine | SEPTEMBER/OCTOBER 2019

Stuffed

Butternut Squash

Ingredients:

• 2 medium butternut squash, about 2 1/2 pounds each

• 2 teaspoons olive oil, divided

• 3/4 cup quinoa

• 1 1/2 cups low sodium vegetable or chicken broth

• 1 bunch kale, stems removed and chopped (about 6 lightly packed cups)

• 2 cloves garlic, minced

• 1 teaspoon dried oregano

• 1/2 teaspoon kosher salt

• 1/2 teaspoon black pepper

• 1 (15 ounce) can low sodium chickpeas, rinsed and drained

• Zest of 1 orange, plus 1 tablespoon fresh orange juice

• 1/3 cup reduced sugar dried cranberries

• Grated Parmesan cheese or crumbled feta cheese

Directions:

Preheat oven to 425. Halve the butternut squash, scoop out the seeds, then arrange the halves on a baking tray, cut sides up. Drizzle with 1 teaspoon olive oil and sprinkle lightly with salt and pepper. Bake 45-55 minutes, just until the squash is fork tender. Remove from the oven and let cool. Reduce the oven temperature to 375 degrees.

While the squash is baking, place the broth in a small saucepan and bring to a boil. Add the quinoa, return to a boil, then reduce the heat, cover, and let simmer for 12 minutes, until most of the broth is absorbed. Remove from the heat and let sit, covered, for 15 minutes. Fluff with a fork, then set aside.

In a large skillet, heat the remaining 1 teaspoon olive over medium. Add the kale and cook until wilted, about 4 minutes, then reduce the heat to medium low. Add the garlic, oregano, 1/2 teaspoon salt, and 1/2 teaspoon black pepper. Cook 30 additional seconds, until is fragrant. Stir in the chickpeas, orange zest, orange juice, cooked quinoa, and cranberries.

Once the squash is cool enough to handle, scoop out the flesh, leaving a 1/2-inch-thick border around the sides and a 3/4-inch border along the bottom. You can reserve the flesh for another recipe. Stuff the kale quinoa filling into the squash halves, then return the squash to the oven. Bake at 375 degrees until hot, about 10 additional minutes. Sprinkle with cheese and serve warm.

43 DENTON COUNTY Living Well Magazine | SEPTEMBER/OCTOBER 2019
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Continued from page 41

years. They show up as changes in behavior, thinking, and emotions.

Changes in behavior may include:

• Poor hygiene

• Talking to oneself or odd speech

• Difficulty with making or maintaining friendships

• Substance abuse

• Unusual facial or body movements

• Unblinking vacant expressions

• Difficulty picking up on social cues

• Threatening behaviors

• Increasing isolation

• Inappropriate emotional responses like laughing at something sad

Emotional changes are often seen in:

• Angry outbursts

• Extreme moodiness or irritability

• Severe anxiety and fearfulness.

Changes in thinking might include paranoia:

• Obsessing about the past

• Visual or auditory hallucinations

• Delusional thinking (illogical and nonsensical ideas)

• Difficulty with concentration or following a train of thought

• Trouble distinguishing dreams or television scenes from reality.

Bipolar

Bipolar is a mood disorder with swings to opposite extremes. It’s believed there may be a correlation between this disease and ADHD. There are a couple forms of bipolar, one in which mania is more severe. The less extreme state is called hypomania. With bipolar, the mood swings in teens can change in the course of just a few hours or days. During adulthood the swings can last much longer, for weeks or months.

Depressive symptoms to watch for include:

• Loss of interest in activities

• Decline in grades

• Difficulty concentrating

• Prolonged sadness or irritability

• Loss of energy

• Change in sleep patterns

• Change in food intake

• Feelings of guilt or worthlessness

• No longer experiencing pleasure

• Suicidal thoughts

• Anxiety, worrying, and anger

The difference between mania and hypomania is primarily the severity of the symptom where mania is more extreme. Mania or hypomania can be seen in the following symptoms:

• Decreased need for sleep

• Elated mood to exaggerated optimism

• Increased energy

• Increased confidence

• Extreme focus on projects

• Increased physical or mental activity

• Increased creativity or productivity

• Increased libido to hypersexual thoughts and behavior

• Difficulty concentrating

• Inflated sense of self-importance

• Risk taking and reckless behavior

• Racing speech and thoughts

• Grandiose delusions

• Hallucinations

Schizoaffective disorder

This disease has the combined symptoms of both schizophrenia and bipolar. The symptoms, therefore, can be any combination of symptoms for the two distinct diseases.

Getting help

If your child exhibits signs of SMI, be aware that counselors and therapists often don’t have the educational and medical background to diagnose or treat these specific brain diseases. Seek an evaluation at a walk-in mental health crisis center or a licensed psychiatrist. You can also consult with your family doctor who can make a referral.

Kimberly Blaker is a freelance lifestyle writer. She also writes content and blog posts for businesses in a variety of industries and is an expert in on page SEO. www.kimberlyblaker.com

46 DENTON COUNTY Living Well Magazine | SEPTEMBER/OCTOBER 2019
“You may find that your 2nd or 3rd opinion should have been your first.”

DENNIS BIRENBAUM, MD

Dr. Birenbaum founded the Arlington Cancer Treatment Center in 1981. He founded the Texas Hematology Center, PA in 1997. He is the founder, Medical Director, and CEO of Patients Comprehensive Cancer Center (2001) & McKinney Regional Cancer Center (2007). 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 facility professor. His private practice in Hematology/ Oncology has been in the Dallas/Fort Worth area since 1979.

AREAS OF CLINICAL INTEREST:

• Gastrointestinal Tumors

• Melanoma, Sarcoma

• Breast Cancer

• Lymphoma

CREDENTIALED AT SEVERAL LOCAL HOSPITALS:

• Centennial Medical Center

• Medical Center of McKinney

• Methodist Richardson Medical Center

• Dallas Medical Center

• Specialty Hospital

• Kindred Hospital

PERSONAL INTERESTS:

• Born and raised in Dallas, TX

• Attended SMU (Southern Methodist University)

• 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

may
Texas Hematology/Oncology Centers 10 Medical Parkway Plaza III, Ste. 106 Dallas, TX 75234 469-453-5500
They
be reached at the following location:
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ARE YOU LIVING YOUR BEST LIFE?

Courtesy Preston Place

What does it mean to live your best life? To the residents of Preston Place, it means having the freedom that comes with truly maintenance-free living.

Dine where and when you want

Cook dinner in your kitchen or join friends for the chef’s special of the day. And, of course, – you must always save room for dessert. This is retirement, after all.

Are you a foodie? Even better. Head to Plano’s celebrated restaurants and find something for every craving, from Italian classics, to Texas BBQ landmarks, to fresh Mediterranean cafes.

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Go for a walk, explore – and go often

Preston Place are best suited for people who can live on their own but choose to give up the responsibilities of home maintenance to focus on the things they enjoy.

Depending on the community you choose, you may have access to the convenience of transportation to appointments, shopping, and scheduled programs and events. You may also enjoy chef-prepared meals, housekeeping, maintenance and landscaping, 24-hour security, and some included utilities. Ask about specific includ -

Your furry family member will love all the extra time you’ll now have. Be sure to find a community with pet-friendly living – and plenty of nature trails for all the hikes you’ll finally have the time to enjoy.

What is Independent Living – and is it right for me?

Free from the burdens of home ownership, you can design your day any way you’d like. Some say it’s like living on a cruise ship or at a resort – where everything is provided for you, yet you still have the freedom to plan any excursion you would like. Independent living communities like

ed services and amenities whenever you tour a community you’re considering. And be sure to tour – it’s the best way to get a feel for the community and your potential new neighbors. Live your best life

Put on an extra accessory or three before you head out the door. Paint the town – and your nails – red. Become a billiards champion or find a fourth for golf. Try new experiences, bring out the good china again – or retire it for good. Lounge by the pool or up your endurance with a water aerobics class. How you live your best life is up to you. Just be sure to find a community filled with people living their best life, too.

Live your best life at Preston Place. Call 972-931-1123 or visit PrestonPlaceRetirement.com to reserve lunch for you and a friend.

49 DENTON COUNTY Living Well Magazine | SEPTEMBER/OCTOBER 2019
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