SEAN PENN
USING HIS HOLLYWOOD PLATFORM FOR HUMANITARIAN ACTIVISM
THE LITTLE “ PUSH ” TO HELP YOU REACH YOUR GOALS
HEALTHY WINTER HABITS TO MAINTAIN HEALTH
DENTON COUNTY
JANUARY/FEBRUARY 2023
Charles Toulson, MD, MBA Renowned orthopedic surgeon
Attorney Deandra M. Grant is the Managing Partner of Deandra Grant Law’s five 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
Texas Hip and Knee Center Fellowship Co-Director and Faculty at the Anne Burnett Marion School of Medicine at Texas Christian University
Dr. David Shau is a native Texan, born in Fort Worth, TX. He graduated high school in Flower Mound, TX, and attended the University of Texas at Austin, where he studied biomedical engineering. Dr. Shau then ventured out-of-state to work at leading academic orthopedic surgery centers, including Vanderbilt University, Emory University, and University of California, San Francisco, before being recruited to return home to practice at the premier DFW joint replacement group, the Texas Hip and Knee Center (THK).
Dr. Shau has quickly built his practice through connecting with his community, committing to quality service, and delivering excellent patient care. He utilizes a variety of techniques and approaches for hip and knee care, including direct anterior hip replacements, and offers technology-assisted surgeries, such as Mako Technology for partial and total joint replacements. He also specializes in revision joint surgeries and enjoys complex, challenging cases. As a result of dedicating himself to his craft, his partners at THK promoted him to Fellowship Co-Director early in his practice. Dr. Shau also serves as a Physician Development Coach and is an Assistant Professor at the Burnett School of Medicine at TCU, where he enjoys his roles as a teacher, mentor, and coach.
In his free time, he enjoys food, sports, music, and spending time with his wife and daughter. For more information on Dr. Shau’s care philosophy and the techniques/approaches offered for hip and knee care, please visit DavidShauMD.com.
Not all doctors are created equal. And, in the case of orthopedic surgeon Charles Toulson, MD, MBA, that’s readily apparent. Board-certifid and fellowship-trained, Dr. Toulson’s specialties and interests include adult hip and knee reconstruction, adult hip and knee revisions, and state-ofthe-art robotic-assisted joint replacement.
Armed with an impeccable educational pedigree, he’s pioneered minimally invasive surgery techniques that result in outstanding patient results. If that weren’t enough, Dr. Toulson has also performed more robotic-assisted joint replacement procedures than any other surgeon in the Dallas-Fort Worth Metroplex and paved the path for two major hospitals in North Texas to achieve the elite status of being accredited as Joint Replacement Centers of Excellence. When you compare Dr. Toulson’s orthopedic experience to other doctors in his fild, it’s clear that experience matters and is what has led him to being regarded by his patients and peers as one of the leading orthopedic surgeons in the country, if not the world. Read about this exceptional doctor and how he can help your hips and knees regain their youthful movement on page 8.
You can also see the dramatic effects of experience when it comes to actor Sean Penn. The double-Oscar winner has dedicated his life to honing his acting craftand it shows. The characters he’s inhabited over many decades in film have become increasingly intense and nuanced, which has led to more and more accolades Penn’s earned over the years.
For Penn, life is much more than playing a character. In his eyes, to live means to participate in life by speaking up for others and acting—not only on screen but by taking action on political and social changes globally. His humanitarian activism is well documented and further illustrates his experiences helping others matter. While it’s well known that Penn personally was on the ground helping others after Hurricane Katrina and the Haiti earthquake, this past year he and his non-profit have helped Ukraine and neighboring countries providing humanitarian relief to those devastated by fatalities and the war. Turn to page 24 to learn more.
For most of us, experience can also impact reaching a goal. If we’ve had positive experiences in the past sticking with plans to reach specificgoals and expectations, we’re more likely to get a good result. The converse is also true. With that in mind, writer Lindy Rogers offers helpful tips and tricks to change your mindset and experience with setting and reaching goals on page 32. Adopting a different perspective and getting enthusiastic about the process is the fist step, as she details in her article, which is the perfect read as we head into 2023!
Be well!
JANUARY/FEBRUARY
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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TEXAS: Denton County, Dallas County, Collin County
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Dr. Courtney is a board-certified orthopedic spine surgeon located in Plano, Texas. A Louisiana native, he attended Louisiana State University for medical school, and completed residency at Texas A&M followed by a fellowship at the Florida Neck and Back Institute.
SPECIALTIES:
• Back Pain
• Neck Pain
• Spine Pain
• Disc Replacement
• Microdiscectomy
• Spinal Fusion
• Minimally Invasive Surgery
• Steroid Injections
• Physical Therapy
“I believe in treating each of my patients with honesty, dignity, and respect. My patients come away from our shared interactions feeling confident, assured that they are truly in the best hands. Throughout my career, I have remained laser-focused on providing world-class care and innovation to the patients I treat on a daily basis. I look forward to getting to know you!”
Charles Toulson, MD, MBA, is an orthopedic surgeon who is committed to excellence. From a young age, he realized that with his aptitude for medicine, he could help people living with chronic pain and dedicated his life to become a pioneer in the fild of orthopedic surgery.
Board-certifid and fellowship-trained, Dr. Toulson’s specialties and interests include adult hip and knee reconstruction, adult hip and knee revisions, and stateof-the-art robotic-assisted joint replacement. He’s regarded by his patients and peers as one of the leading orthopedic surgeons in the country.
Dr. Toulson’s impeccable educational pedigree includes a medical degree from the University of North Carolina at Chapel Hill, extensive training from Johns Hopkins Hospital, and sub-specialty training at the Hospital for Special Surgery (HSS) in New York, the number-one ranked orthopedic hospital in the country.
Affiliated with several institutions in North Texas including Medical City McKinney, Medical City Frisco and Plano, Eminent Medical Center, Baylor Scott & White Surgical Hospital at Sherman, and Texas Health Presbyterian Hospital of Allen, his esteemed reputation is one that has been hard-earned and reflcts his unwavering dedication to his craft
Not only has Dr. Toulson performed more robotic-assisted joint replacement procedures than any other surgeon in the Dallas-Fort Worth Metroplex, he has the distinction of paving the path for two major hospitals in North Texas to achieve the elite status of being accredited as Joint Replacement Centers of Excellence.
Dr. Toulson has greatly impacted orthopedic services across North Texas. He founded Alpha Orthopedics & Sports Medicine and is looking forward to providing orthopedic care when he joins Texas Joint Institute in February 2023. Texas Joint Institute is a comprehensive orthopedic practice with locations in Dallas, Frisco, Plano, and new locations opening soon in McKinney and Sherman, Texas.
When Texas Joint Institute began, it brought together two leading orthopedic surgeons to address the bone and joint needs of patients across the DFW Metroplex. Dr. Cyrus Abbaschian and Dr. Donald W Hohman brought their immense surgical talent to the new offic located in Medical City Dallas to handle complex joint reconstruction, diagnose and treat bone and softtissue sarcomas, and handle an entire spectrum of surgical and non-surgical orthopedic services. Well known for their ability to handle even the most difficult cases, the doctors continue to deliver excellent care to patients around Dallas-Fort Worth and beyond.
Known for pioneering minimally invasive surgery techniques for hip and knee replacements, including the anterior supine hip replacement surgery, Dr. Toulson’s anterior approach allows patients to immediately bend their hip freely and bear full weight after their surgery. Ths surgical technique allows him to replace a hip joint without detaching muscle from the pelvis or femur during surgery and typically results in rapid recovery times for patients. Patients are able to walk comfortably without a cane or walker in just one to two days following surgery, according to Dr. Toulson.
Dr. Toulson was the fist surgeon in the area to perform a direct anterior hip replacement with robotic assistance. Dr. Toulson also completed the fist-ever, total knee replacement for both of a patient’s knees bilaterally (simultaneously) using Robotic-Assisted Technology.
The robot assists Dr. Toulson by improving precision during the surgery. “What’s critical is the robot will not permit me to deviate outside of the plan that we have instituted in the very beginning of surgery,” details Dr. Toulson. “As the surgeon, I’m still doing the surgery, the robot is just allowing me to do it in a more precise manner.”
“Ths 3D technology allows me to see the orientation, alignment, rotation, and actual size of the implant that we will be using. So, I can actually see with 3D technology what the implant looks like and I can make adjustments in surgery to balance the ligaments inside of the knee,” Dr. Toulson continues.
“When patients come to see me with arthritis, we often try non-operative means of treatment before we talk about surgery,” says Dr. Toulson. Once non-operative options for hip or knee arthritis are exhausted, Dr. Toulson sits down with patients and details the benefits and the risks of a total joint replacement.
One of Dr. Toulson’s recent patients was suffering with severe arthritis in her knees. “I was having severe pain in my knees, I had difficulty going up and down stairs, steps, even the curb. It hurt so bad to walk, even short distances,” she says. The results of her bilateral (both) knee replacement procedure have been life changing. “ The surgery went wonderfully. I haven’t had any problems and every day it gets better and better. I can walk up the steps now getting into my home,” she says.
Highlights of success stories and the joy his patients express at the outcome of their hip or knee replacement surgeries—and how it’s changed their lives—are documented on his website, drcharlestoulson. com, with videos and moving testimonials.
It’s no surprise that Dr. Toulson has been named among the Best Doctors in Dallas for orthopedic surgery by D Magazine nine times and among the Best Orthopedic Surgeons in Collin County by D Magazine six times. He’s also been awarded best orthopedic surgeon for nine years running by Living Magazine, along with being named best orthopedic surgeon for the past five years by Living Well Magazine
Dr. Toulson is among those individuals who is genuine in his compassion and kindness. He greets every patient with a warm smile and considers each one of them part of the family.
Dr. Toulson recently achieved his Master’s of Business from Baylor University. He and his lovely wife Deryn live in Frisco with their three children, Cameryn, Brooklyn, and Blaze. Deryn is an accomplished entrepreneur and holds a bachelor’s degree in nursing. She is also former cheerleader for the New Orleans Saints and the Dallas Cowboys cheerleaders.
4201 Medical Center Drive, Ste. 100 McKinney, Texas 75069
Please call (972) 566-5255 to make an appointment.
DR. TOULSON IS AMONG THOSE INDIVIDUALS WHO IS GENUINE IN HIS COMPASSION AND KINDNESS. HE GREETS EVERY PATIENT WITH A WARM SMILE AND CONSIDERS EACH ONE OF THEM PART OF THE FAMILY.
While beauty may be in the eye of the beholder, the key to beauty and a youthful appearance may be in the hands of a skilled cosmetic surgeon who specializes in treating the eyes and areas around the eyes.
Are fie lines, wrinkles, sun damage, droopy eyelids, bags under the eyes or sagging brows getting you down? Then schedule a visit with one of our oculoplastic surgeons at Key-Whitman’s Cosmetic Center.
Why choose an oculoplastic surgeon to help you look younger?
When we look at someone’s face, our gaze gravitates toward the eyes fist. When signs of aging appear on the face, people notice. One of the fist places the signs of aging show up is around the eyes. Ths can involve the eyelids, forehead, cheeks, eye socket, or all of these.
The eyelids are a delicate area, and the eyelid skin is the thinnest skin of the body. When looking for improvement around the eyes, you need a surgeon who specializes exclusively in this area. Oculoplastic surgeons not only take into account the health of the eye as a top priority but also have intimate knowledge of the detailed anatomy here.”
Key-Whitman’s Dr. Pfeiffer and Dr. May are trained eye surgeons (ophthalmologists) who also added a two-year specialty fellowship in oculoplasty (reconstructive and cosmetic surgery in the eyelids and tissues surrounding the eye).
Four ways to get a fresh, youthful look with cosmetic procedures:
The team at Key-Whitman Cosmetic Center are pleased to offer patients a variety of anti-aging treatments—from minimally-invasive cosmetic procedures like Botox and laser resurfacing to surgical procedures, including eyelid lifts,under-eye bag correction, and brow lifts
Ready for a younger-looking you? Our ocuplastic surgeons break down the top facial aging culprits and how to address them below.
NO. 1: WRINKLES. THE SOLUTION? NEUROTOXINS LIKE BOTOX.
If wrinkles on your forehead, crow’s feet around the eyes or deep vertical lines between your brows are aging you beyond your years, you’re not alone. Injecting Botox in those areas creates a smooth appearance and also gives a refreshing look around the eyes.
NO. 2: SUN-DAMAGED SKIN AND FINE LINES. THE SOLUTION? LASER RESURFACING.
Here in Texas a lot of people experience sun damage. Unfortunately, sun damage can really age the skin. Depending on the patient, we may treat sun damage on the face with CO2 laser resurfacing or the Intense Pulsed Light laser.
NO. 3: DROOPY UPPER EYELIDS AND BROWS. THE SOLUTION? SURGERY.
Many patients feel young but think that the appearance of their eyes makes them look older than they feel. Often droopy eyelids are the culprit. This can be improved with surgery. These are by far the most common surgical procedures we perform. Surgery takes place at our stateof-the-art surgery center at Key-Whitman’s Dallas headquarters.
NO. 4: SAGGY LOWER EYELIDS. THE SOLUTION? SURGERY.
Many of our patients don’t like the way their lower eyelid bags cause them to look tired and older than they feel. We can really improve their appearance by removing or repositioning the fat under their eyes. In addition, we can use CO2 laser resurfacing to smooth the lines and wrinkles below the eyes.
About Dr. Pfeiffer Leslie Pfeiffer, MD is board certifid by the American Board of Ophthalmology and is a member of the American Society of Ophthalmic Plastic and Reconstructive Surgery, American Academy of Ophthalmology, the Texas Ophthalmology Association and the medical honor society, Alpha Omega Alpha.
Dr. Pfeiffer is not only experienced in all areas of General Ophthalmology, but also has advanced training in eyelid, orbit, tear duct system and facial cosmetic and reconstructive surgery. She earned her Doctor of Medicine at the University of Texas Medical School at Houston, where she was honored as the most outstanding student in her specialty. She was also voted “Outstanding Resident” by her fellow residents at the Ruiz Department of Ophthalmology and Visual Science at The University of Texas Medical School at Houston. She then completed a full two years of surgical training at the largest oculoplastics-only private practice in Los Angeles, Eyesthetica, and the University of Southern California Roski Eye Institute.
A few of Dr. Pfeiffer’s many honors and awards include Outstanding Resident, and Champion of the Quarter for excellence in patient care and advocacy. She is an alumna of Duke University and speaks Spanish as a second language. When she isn’t treating patients, she enjoys skiing, cycling, rock climbing, and hiking.
Ronald M. Barke, MD and Chian-Huey (Amy) Hong, MD
About Dr. May
Lauren May, MD is a board-certifid, fellowship trained Oculofacial Plastic Surgeon specializing in both reconstructive and aesthetic surgery of the eye and face. She is dedicated to providing patient-centered medical care using the most sophisticated techniques to address her patient’s medical and cosmetic concerns.
Dr. May attended medical school at Northwestern University in Chicago, where she graduated in the top 10% of her class. She remained here for her residency training in Ophthalmology, where she was named Chief Resident. Dr. May then completed two intensive years of fellowship in Oculoplastic Surgery at Duke University in Durham, North Carolina where she received the “Fellow of the Year” award for teaching. Here, she developed an expertise in both cosmetic and reconstructive surgery with a focus on eyelids, forehead, and the lacrimal system.
Dr. May has performed hundreds of eyelid, eyebrow, and facial surgeries, each customized for the individual patient. She enjoys performing a thorough facial analysis, identifying what procedures would be best to achieve the patient’s functional and aesthetic goals.
In her free time, Dr. May enjoys spending time with friends and family, traveling around the world, and playing with her two French Bulldogs.
Southwest Foot & Ankle Center is a respected group of board certified foot and ankle surgeons. They are fellow trained surgeons, and board certified in wound care and reconstructive surgery. All physicians have also completed an intense residency and fellowship in the area of limb salvage, and foot and ankle surgery. The team at Southwest Foot & Ankle Center strive to make each patient’s experience personable. Our outcomes are of perfection and meticulous in surgery. As a result, patients from all over the country seek to be treated by DFW Wound Care Center.
Foot and Ankle Surgery
Bunion and Hammer Toe Correction
MIS—Minimally Invasive Surgery
Heel Pain (Plantar Fasciitis) Stem Cell Therapy
Neuropathy
Ingrown Toenails
PLANO CLINIC 5804 Coit Rd., Ste. 100 Plano, TX 75023
LEWISVILLE CLINIC 502 N. Valley Pkwy., #2 Lewisville, TX 750067
Tarsal Tunnel Syndrome Diabetic Foot Care Flat Feet Trauma Wound Care
Custom Orthotics & Braces
Laser Therapy for Pain, Swelling, Arthritis, and Wounds
CLINIC 6161 N. State Hwy. 161, Ste. 320 Irving, TX 75038 DESOTO CLINIC 714 N. Hampton Rd. De Soto, TX 75115
Dear Olivia,
We lost our mom last spring to cancer. My family and I are experiencing grief over her passing, and I am concerned about how we will cope. Are there any resources to help us with this grief?
Dear Grieving Family,
The loss of a loved one can have an impact long after their passing and especially during the holidays. I encourage you and your family to give yourselves permission to experience the feelings that come with grieving. When you embrace the pain of your loss, it helps you work through your grief. Allow yourselves to think about your mom and to replay memories you shared around the holidays—perhaps keeping
vnatexas.org
some traditions alive and creating some new ones can help.
Talking about your emotions in a safe environment helps to reduce the stress that accompanies grief. VNA’s highly trained staff can help you navigate the grief process through support, education and resources. It can be a great comfort to talk to someone who is familiar with the grief process. Additionally, we hold regular group meetings both in person and online throughout North Texas for those experiencing grief to have a safe place to share and learn together. Resources are also available at www.vnatexas.org and you can email griefcare@vnatexas.org for help.
~Olivia
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.
To schedule your free in-home informational visit please call (214) 535-2615 or email gethelp@vnatexas.org For volunteer opportunities please call (214) 689-2271 or email volunteer@vnatexas.org
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.
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.
& TRUSTS
Throughout history, the New Year has always been representative of a new beginning. Every January 1st presents us all with the opportunity to take an inventory of last year’s resolutions and recommit ourselves to a new set of goals. Due to the ongoing Covid-19 pandemic, many will add “getting affirs in order” to their list of aspirations for 2023. Many people think only of a Will when contemplating the legal documents necessary to protect their future. However, there are more documents and considerations in developing a well-rounded estate plan. Every estate plan ought to include the following:
Although often overlooked, a Durable Power of Attorney and a Medical Power of Attorney are critical parts of long-term care planning, since they designate the person or persons who will be acting for you in the event you are unable to handle your own fiancial and health care decisions. Without these documents, no one, not even your spouse, is legally authorized to handle your fiances or make medical decisions for you.
Your estate planning documents are extremely powerful and should be executed after great contemplation. The people you appoint to act on your behalf as your agents should be those you trust fully to handle your affirs now, as well as when you cannot handle them on your own. If you do not trust the person you have named to act for you right now, be careful about naming that person to act for you when you are incapacitated. Often people appoint spouses, adult children, or other family members as agents to keep affirs private and to avoid hurting feelings. However, appointing a family member may not always be the best option. In all cases, signing estate planning documents should be done only after deep reflction as to the abilities and trustworthiness of each candidate.
In addition to the essential legal documents listed above, another planning area that warrants early and informed consideration is preparing for the cost of funding long-term care. Long-term care differs from other types of healthcare, in that the goal of long-term care is not to cure an illness, but to provide an individual with support so they can maintain an optimal level of functioning. Some people want to stay in their homes as long as possible and bring in outside help to make that possible. Others want the freedom from home maintenance that a senior residence community offers. There is a wide range of living arrangements for seniors, from retirement communities to assisted living facilities to skilled nursing facilities. There exists a long-standing myth that Medicare will cover all our healthcare needs, including the cost of long-term care. The reality is that Medicare provides support only in limited situations. Notably, Medicare does not pay for assisted living, memory care, or longterm custodial care in skilled nursing facilities.
Some people are fortunate to have the ability to private pay for longterm care, which ranges from $4,000–$16,000/month in the Dallas-Fort Worth area. Others have long-term care insurance (an insurance policy designed to cover long-term healthcare expenses that are not covered by health insurance or Medicare). However, long-term care insurance may not be available if you have certain existing health problems, and the costs and premiums can rise as you age. Therefore, it is important to investigate the availability of long-term care insurance as early as possible. If you cannot qualify for long-term care insurance, there are fiancial options that may fit your circumstances and provide similar coverage. Professionals who work primarily with seniors, such as Elder Law attorneys, can often provide connections to a community of support agencies and other professionals who may be of assistance to you as you explore your options.
Ths year, resolve to take the time to crafta thoughtful, and thorough, estate plan. Educate yourself on your options, and seek qualifid professional advice on legal documents, healthcare, insurance, and fiancial planning. A little planning now goes a long way towards ensuring that you and your loved ones are protected, no matter what the future holds. Lori Leu, Erin Peirce, and Lauren Olson are Elder Law attorneys with Leu & Peirce, PLLC located in Plano, Texas. They can be reached at 972-996-2540.
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
Orthopedic
Orthopedic pain can make any movement unbearable. The orthopedic specialists at Orthopedic Institute of North Texas can resolve your back pain and return you to the activities you’ve been missing.
We offer comprehensive operative and non-operative orthopedic expertise to resolve your joint issues with care, compassion and confidence. Returning you to a fuller more productive life is our priority and you can depend on us throughout diagnosis, treatment, and recovery. You can rely on us to fully discuss every step of your medical treatment until you feel comfortable and confident that the solutions we recommend will deliver the best possible outcome.
Don’t put your life on hold one day longer because of your pain. Call the experts at Orthopedic Institute of North Texas today ~ 972-591-6468.
At the Orthopedic Institute of North Texas, our only goal is your return to normal activity. We provide surgical and non-surgical solutions designed to resolve your pain.
We are available 24/7
During diagnosis, treatment and recovery, any questions or concerns you have will be answered.
We speak in terms you can understand, and discuss every step of your care to ensure you feel comfortable and confident with the recommended treatment plan.
Our promise to you
Using advanced, proven medical techniques, we will return you to the freedom of mobility you enjoyed before.
Double-Oscar winner Sean Penn is known for playing deeply intense characters. But the Mystic River and Milk star is just as known for using his Hollywood influence to organize and encourage political and social change around the world.
Evolving from an early television appearance to becoming a two-time best-actor winner and prominent activist, Penn has always been in the limelight for his roles and responsibilities.
ACTING IS IN PENN’S BLOOD
Born in August 1960, Penn was raised with his three brothers in Santa Monica, California, by actor and director Leo Penn and actress Eileen Ryan. A few of his now-famous childhood friends included Emilio Estevez, Charlie Sheen, Robert Downey Jr., and Rob Lowe.
While Penn had parents in the film industry and grew up around friends with ties to the business, he hadn’t considered acting.
“I grew up going to sets sometimes with my father, and I found it all very interesting, but it never occurred to me to be part of filmmaking in any capacity,” he told MakingOf
One of Penn’s early experiences was when he appeared in a 1974 episode of the Little House on the Prairie T V series as an extra when his father directed some of the episodes.
He offially entered the industry in an off-roadway play in which he was spotted and chosen for the action-drama Taps, where he played a military high school cadet in the 1981 movie. His role as an underachieving surfer in the 1982 film Fast Times at Ridgemont High followed, and his career took offafter his 1983 role as a troubled youth in the crime drama Bad Boys.
Penn’s acting work paid offin the 1990s when the Academy Awards nominated him for two roles. Penn also made his directorial debut and directed music videos during this time.
Penn’s third Oscar nomination came in 2001 for the drama I Am Sam, and he fially won for his part as a grieving father in the mystery drama Mystic River in 2004.
He attended the Oscars for the fist time in the four times he’d been nominated. An opponent of the war in Iraq, Penn added a side of politics into his acceptance speech.
“If there’s one thing that actors know, other than there weren’t any WMDs, it’s that there is no such thing as best in acting,” he said, referring to weapons of mass destruction. “And that’s proven by these great actors that I was nominated with.”
He won his second Oscar in 2008 for his portrayal of a real-life politician and gay rights icon in the documentary Milk. “I did not expect this and... I know how hard I make it to appreciate me,” the outspoken Penn told the audience as he collected his award.
Penn played a diverse range of film roles until his satirical novel, “Bob Honey Who Just Do Stuff,” was published in March 2018. He told Vogue that he no longer had “a generic interest in making films,” and that being a writer will “dominate my creative energies for the foreseeable future.”
IT’S NOT ENOUGH TO JUST BE AN ARTIST... I THINK, IN HAITI, THAT’S HOW I FINALLY FELT. I HAD OTHER STUFF TO GIVE. AND SO, I FOUND A PLACE TO DO THAT.
I GREW UP GOING TO SETS SOMETIMES WITH MY FATHER, AND I FOUND IT ALL VERY INTERESTING, BUT IT NEVER OCCURRED TO ME TO BE PART OF FILMMAKING IN ANY CAPACITY
But Penn was inspired by his newest movie Flag Day, which was released in 2021. It was a family affir, too, as he starred with and directed his co-star daughter, Dylan Penn, 30. His son, Hopper, 28, also appeared in the movie. Both are Penn’s children with ex-wife actress and director Robin Wright.
“It’s been such a joy. And when we were shooting, we also had Hopper Jack with us. So, it’s been a great experience top to bottom,” Penn told USA Today about filming with his kids.
The other constant in Penn’s film career was and is his support of numerous political and social causes. From criticizing President George Bush to supporting same-sex marriage, Penn has gone with his heart and head to live well by rolling up his sleeves and putting his time and talent where his mouth is, in addition to his money.
One well-known example came on the heels of Penn’s Mystic River win in 2005 when Hurricane Katrina hit New Orleans. Frustrated by the search and rescue efforts, he launched a rescue mission, saving 40 stranded locals.
“As it turns out, you feel you can fixit,” he told Oprah. “And I guess I am drawn by that because I feel I can offer something that way, and as it turns out I’m good at choosing people who can do what I dream about getting done.”
After the 2010 Haiti earthquake, Penn founded the non-profit organization Community Organized Relief Effort (CORE, formerly J/P Haitian Relief Organization) to distribute aid and, as the organization grew, free COVID-19 tests and immunizations.
“It’s not enough to just be an artist,” Penn said in an interview with Variety magazine. “I think, in Haiti, that’s how I fially felt. I had other stuffto give. And so, I found a place to do that.”
CORE has most recently been in Ukraine and neighboring countries providing humanitarian relief to those devastated by the fatalities and war. Penn even loaned Ukraine President Volodymyr Zelensky one of his Oscars in November.
“It’s just a symbolic silly thing, but if I know this is here with you then I’ll feel better and stronger for the fihts,” Penn said in a video shared by Zelensky’s offi. “When you win, bring it back to Malibu.”
Penn shows that life is much more than mere existence. In his eyes, to live means to participate in life by speaking up for others and acting—not only on screen but by taking action on political and social changes globally.
“Our soul as America is lost,” if Americans allow the Ukrainian people to fiht alone, Penn released in a statement.
JOIN PENN IN SUPPORTING COMMUNITIES WORLDWIDE: CORERESPONSE.ORG.
“Where we are committed to excellence”
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
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• Physical, Occupational, and Speech Therapies
• Wound Management
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Diane S. Litke, MD Diplomate American Board of Orthopaedic Surgery
Dr. Litke is a passionate artist, both in her spare time and as an orthopaedic surgeon. At L&W Orthopaedics, she approaches every orthopaedic problem with an eye toward restoration of function and mobility. With a deep knowledge of the inner workings of the body’s most active and important joints, Dr. Litke is able to repair most hip, knee, and shoulder problems, giving her patients the freedom to move again. Assisting her skilled hands, she uses the latest state-of-the-art robotic equipment for accuracy and precision, delivering a powerful combination of experience and technology to all of her patients.
Dr. Litke earned her medical degree at the University of North Carolina Chapel Hill. She went on to complete her orthopaedic residency at the University of South Carolina in Columbia South Carolina. She is certi ed by the American Board of Orthopaedic Surgery, and is a Fellow of American Academy of Orthopaedic Surgery and a Fellow of the American Associaion of Hip and Knee Surgeons. Dr. Litke is the medical director of the Orthopedic Department for Methodist Health System and is a liated with the Methodist Richardson Medical Center, where she is the director of the joint program. When she’s not working, Dr. Litke enjoys photography and cycling.
Please call 972.498.4791 to schedule an appointment.
Orthopaedic Surgeons located in Richardson, TX
www.LWOrthopaedics.com
If motivation can be bottled and sold, imagine the impact it would have on our lives. The price would probably be out of my budget. But what if there’s a little bit of free motivation already inside us?
I’ve heard the theory that motivation doesn’t exist that you have to start moving towards your desired goal and motivation will then come along. I tend to agree with that thought but something must get me up and get moving. That something is enthusiasm. Yes; Your attitude. Don’t run offyet. I know you’re probably thinking that answer is lame. But just give me a few minutes.
There’s no question we like hanging out with enthusiastic people. Unless a person likes to feel gloom, which I doubt many people do. Enthusiastic people keep the conversation going and upbeat and rubs offa little onto you. You’re automatically feeling uplifted and when you feel like that, you’d wish the conversation wouldn’t end. Ths upbeat enthusiastic feeling brings out the hyper character in us. It’s fuel to our fie. Just writing this, I’m feeling more enthusiastic myself.
You see, this enthusiasm is like a contagious disease. Probably the only disease everybody wants to catch. So, now the big question. “How do I go about getting enthusiastic?”
USE THE “AS IF” PRINCIPLE.
In Richard Wiseman’s book “The As If Principle” he explains we are what we act. Just acting differently can make a lasting changing on your personality. Act as if you’re enthusiastic, put a smile on your face, pull your shoulders back, and dress the part. Act like who you want to be and feel.
KNOW YOUR “WHY”.
If you’re working towards a goal the most important key to boosting your enthusiasm about it is to have the best “why” you can muster. Make it as personal and as raw as you can get it. Have more than one “why” if you need to. Put reminders of this “why” all around you. Write them in code if it’s embarrassing or too personal but put it in front of you because when you’re about to slip, you’ll need that reminder to help you make a better choice. Should you slip, this “why” will help you get back on target and not stop.
Change the story you tell yourself about who you are. Journal it, put notes around to remind yourself that you are in charge of this life God has given you. It’s a gift for you to enjoy and design. Surround yourself with inspirational quotes that keep you reminded of this. Phone apps such as “Quotes” and others can automatically send you uplifting messages.
EXPERIENCE YOUR PASSION.
There are not simple solutions to many of the problems we all face. One way to cope and spark a little enthusiasm within the tough seasons of life is to spend a little time doing something we are passionate about. It does not matter if you’re good at it. If you love to paint, paint. If you love to sing, sing. Even if you don’t feel like it, let yourself experience what you love for a few minutes and ignite a little spark. It can help center your emotions and possible overcome victim-mode. You’re doing something you enjoy and you’re in control of. Give yourself permission to smile and have a happy moment even if you’re experiencing a tough time in life.
There’s an old saying that sums up my next tip well, “If we all threw our problems in a pile and saw everyone else’s, we’d grab ours back.” Your thoughts swirling around in your head may have you bogged down. Get out and have a conversation with a friend. You can lift each other up and help each other out. Helping others either through pep talks, or volunteering can boost your enthusiasm and self-talk.
Get creative about this. You know yourself best. You probably have many other ideas that you could add to my list. Be kind to yourself and remember, practice makes perfect. It’s unrealistic to expect to feel enthusiastic 24/7 but you can make improvements and take steps towards your goal and become better and better in the process. No matter how small and insignifiant the steps you take make seem, they do all add up into some become big. Something that you achieved and something you can help someone else do.
Dr. Chambers is an orthopaedic surgeon at Texas Bone & JointArlington who specializes in joint replacement surgery. He received extensive training in joint replacement surgery during his fellowship at Harvard Medical School / Massachusetts General Hospital, which was voted as the top hospital in the United States. Dr. Chambers has implemented the techniques learned at Harvard Medical School into his own practice and offers minimally invasive total hip / knee replacement, partial knee replacement, revision surgery for malfunctioning, loose, and infected joint replacements, arthroscopic surgery of the hip and knee, and revision of failed and recalled metal-on-metal total hip replacement implants. Dr. Chambers focuses special attention on surgical techniques for rapid recovery after total joint replacement which allow his patients a more predictable and earlier return to home and an active lifestyle.
Dr. Chambers is pleased to offer the MAKOplasty Robotic-Arm Assisted partial/total knee and hip replacement. The MAKOplasty procedure is changing the way joint replacement surgeries are performed by providing each patient with a personalized surgical experience based on their specific diagnosis and unique anatomy using a CT-based 3D modeling. The robotic arm technology allows for extremely precise placement of hip/knee components with potentially less soft tissue injury than traditional joint replacement.
Dr. Chambers is a Texas native and grew up in Houston, Texas. He attended medical school at The University of Texas Medical Branch in Galveston, and completed residency at John Peter Smith Hospital in Fort Worth, Texas. He then completed a fellowship in joint replacement surgery at Harvard Medical School. In his free time, Dr. Chambers enjoys traveling with his wife, Christine, and spending time with friends and family. He is an avid sailor and enjoys participating in sailing races on the local lakes in the Dallas/ Fort Worth area. TEXAS BONE & JOINT – ARLINGTON 3201 Matlock Road, Suite 260 Arlington, Texas 76015
There are few things in life that will affect us like the death of someone to whom we are close. People will attempt to prepare themselves mentally for the time when that death will occur, but until the reality of loss hits, exactly how you will respond or what you will need to move through the grief you will experience is hard to anticipate. In times past, funerals were traditional in nature and a set protocol was expected and followed. People traveled to attend ceremonies, time was taken offwork and people stopped to honor the life that was lived and to offer support for the grieving family. As with everything in life, funerals, traditions, and schedules are different and the approach to how we as a community deal with death is different. For example, viewing of the body has become less common now compared to times past. Preferences for cremation has paralleled that of burial on a national average and with that trend, the type of ceremony has changed. While the “traditional” funeral may be less popular for a lot of people, the need to have a ceremony has not changed.
Some people attempt to deal with grief by ignoring it. While some things will go away on their own, grief is not one of those things. There are identifiable steps and a chartable cycle of grief we experience and failing to acknowledge each phase and reconcile it can lead to long-term problems. The best way to acknowledge and deal with grief is to allow others to come around you to show their support. While this helps the one most impacted by loss, it also allows others who knew the person who died to be able to say their “good-bye” as well. Ths is often accomplished through ceremony. Ceremonies should reflct the uniqueness and personality of the one being honored. Memorabilia displayed often helps people remember the good times shared with the one who has passed and allowing people to share those stories often lightens the burden of loss for everyone. Finally, after a ceremony of remembrance, establishing a permanent memorial to the one who is gone is also important. For those choosing burial, a marker on a grave is common. For cremation, a permanent memorial can be a bit more difficult if cremains are scattered, but burial or placement in a columbarium allows for marking the place of rest.
In summary, everyone is different and while the way we live will vary, the way we are remembered will also vary, but it should closely resemble the way we lived. If you have strong feelings about what your fial tribute should look like, write down those wishes and make them known to the one who will be responsible for those arrangements. Even though none of us want to be a burden and it has often been said, “I don’t even want a funeral,” do not deny those who are leftand grieving a chance to deal with that grief through ceremony.
DFW Wound Care Center is a group of wound care specialists in all of the DFW area. They are fellow trained surgeons, and board certified in wound care and reconstructive surgery. All physicians have also completed an intense residency and fellowship in the area of limb salvage, and foot and ankle surgery. When it comes to wound care and limb salvage, DFW Wound Care Center has the knowledge and experience to successfully treat your condition. As a result, patients from all over the country seek to be treated by DFW Wound Care Center.
Whether caused by diabetes, infection or disease, any wound that will not heal can be very serious. If you are experiencing a wound or ulcer that will not properly heal, our wound care center can provide a range of expert treatment options best in each case. We offer non-surgical and surgical treatments for:
Diabetic Wounds & Ulcers
Arterial Ulcers
Infected Wounds
Open Wounds
Pressure Ulcers
Vascular Wounds
Acute Wounds
Non-Healing Wounds
Chronic Wounds
Surgical Wounds
Traumatic Wounds
PLANO CLINIC
5804 Coit Road, Ste. 100 Plano, TX 75023
LEWISVILLE CLINIC
502 N. Valley Pkwy., #2 Lewisville, TX 75067
IRVING CLINIC
6161 N. State Hwy. 161, Ste. 320 Irving, TX 75038
DESOTO CLINIC
714 N. Hampton Rd. De Soto, TX 75115
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Partial
Another cough and cold season calls for healthy preparation, and while there may not be a foolproof plan for escaping pesky germs, taking preventive steps and practicing self-care can help protect your health.
You can catch a cold or flu any time of the year, but they seem more common during the cooler months.
“As much as we all would love a quick cure for the common cold, unfortunately, that doesn’t exist,” said Ian K. Smith, MD. “However, there are many options one can try to relieve cold and flu symptoms, including over-the-counter medications. These medications can provide fast and much-needed relief.”
Reduce the chances you’ll contract a serious illness this cold season by following these tips from the experts at Mucinex:
• MAKE HANDWASHING A PRIORITY.
Preventive measures like washing your hands often can signifiantly lower your odds of getting sick. In fact, handwashing is such a powerful tool against germs that the Centers for Disease Control and Prevention compared it to a “do-it-yourself vaccine.” Wash regularly with soap and water for about 20 seconds, especially when handling food, caring for someone sick or after using the restroom.
• MAKE OVERALL WELLNESS A WAY OF LIFE.
Adopting healthy everyday habits means your body is in better condition to fiht off otential attacks by germs and combat an illness more effectively if you do get sick. A well-balanced diet that includes moderate portions from each of the major food groups can help ensure you’re getting the nutrition and nutrients your body needs. Staying physically active can help promote a stronger immune system. Getting enough sleep and making sure you’re drinking enough water can also ensure your body is ready for whatever the season brings.
• STOCK UP ON NECESSARY SUPPLIES.
If you do get sick, the best place for you is at home, where you can nurse yourself back to health. That means having the essentials on hand, like over-the-counter medications to treat uncomfortable cold and flu symptoms. Be sure to check last year’s leftovers, as some may have expired. A shopping list to fiht common cold and flu symptoms should include pain relievers, fever reducers, decongestants, antihistamines, throat lozenges and cough suppressants, as well as plenty of facial tissue, a working thermometer, humidifier nd more. Also update your supply of hand sanitizer and disinfecting cleaners and sprays to protect family members in your home.
• RELIEVE BOTHERSOME SYMPTOMS.
When you’re under the weather, treating your symptoms gives you a reprieve and lets your body rest so you can get back to feeling better. A cough is a common cold symptom, and relieving chest congestion that causes you to cough frequently can make a big difference. An option like Mucinex Extended-Release Bi-Layer Tablets, with the No. 1 pharmacist recommended expectorant, is clinically proven to relieve chest congestion and thin and loosen mucus to make your cough more productive for up to 12 hours. If symptoms persist, contact your health care professional.
• DO YOUR PART TO PREVENT SPREADING GERMS. If you do get sick, know you can take steps to protect those around you. Simple acts like covering your nose and mouth with a tissue when you cough or sneeze and using your elbow if you don’t have a tissue can be effective in preventing the spread of germs. It’s also important to wash your hands well and keep a distance from others to help prevent the spread of your illness. You can fid more advice for preventing illness and protecting yourself this cough and cold season at Mucinex.com.
Oranges
Grapefruits
Lemons
Limes
Red Bell Peppers
Broccoli
Garlic
Ginger
Spinach
Yogurt
Almonds
Sunflower Seeds
Turmeric
Green Tea
Papaya
Kiwi
Poultry
Shellfish
Apple Cider Vinegar
Honey
L TO R: TOM DALEY, * JESSICA PERRONI, * KEVIN SEGLER, * NEDA GARRETT,* RICK ROBERTSON, * JULIE CRAWFORD, * BRIAN LOUGHMILLER, * SALLY PRETORIUS, * DERON SUGG AND LAUREN HARRIS.
*BOARD CERTIFIED IN FAMILY LAW BY THE TEXAS BOARD OF LEGAL SPECIALIZATION
family law, divorce, child custody, prenuptial agreements, property division, paternity
FAMILY LAW IS NOT ONLY WHAT WE DO. IT’S ALL WE DO.
With more than thirty proven attorneys in four office across North Texas, KoonsFuller is one of the largest family law fims in Texas and the Southwest. KoonsFuller Family Law offers clients a level of legal representation and range of resources unmatched by any other family law fim. Whether your case calls for informal negotiations, mediation, collaborative law or court proceedings, KoonsFuller is equipped to handle cases of all sizes and issues and has been doing so for over 40 years. The Plano attorneys pride themselves on the compassion, skill, and thoughtfulness they bring to each case. They understand that every family is unique and every family’s concerns are different, especially when divorce, custody issues, and fiances are involved.
Working together, as a fully integrated team, there is no case too large or complex for us to manage. To learn more about KoonsFuller, visit koonsfuller.com.
RICK ROBERTSON SHAREHOLDER
Voted 2022 Top Lawyer
DALLAS (Principal Office) 1717 McKinney Ave., Ste. 1500 Dallas, TX 75202 (214) 871-2727
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320 W. Eagle Dr., Ste. 200 Denton, TX 76201 (940) 442-6677
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550 Reserve St., Ste. 450 Southlake, TX 76092 (817) 481-2710
www.koonsfuller.com
Brian Nwannunu, MD, MS, is an orthopedic surgeon specializing in hip and knee replacement. He cares for patients at Alpha Orthopedics & Sports Medicine’s offices in Sherman and McKinney, Texas.
Dr. Nwannunu, a native of Dallas, graduated Valedictorian from the High School for Health Professions at Townview Magnet Center in DISD. He then earned his bachelor’s degree in Biology at Morehouse College in Atlanta, Georgia, where he was part of the Morehouse College Honors Program. Upon graduation, he completed his master’s degree in Physiology at Georgetown University in Washington, D.C., with a concentration on complementary and alternative medicine. Dr. Nwannunu then graduated with his medical degree from Howard University College of Medicine in Washington, D.C., where he was inducted into the Alpha Omega Alpha Honor Medical Society.
Dr. Nwannunu completed his residency in orthopedic surgery at the John Peter Smith Health Network in Fort Worth, Texas, before pursuing additional training with a fellowship in adult reconstruction at Baylor College of Medicine in Houston, Texas. In addition to his clinical training, Dr. Nwannunu enjoys mission work abroad, providing medical care and health education to populations in need.
He is a member of the American Medical Association, National Medical Association, American Academy of Orthopaedic Surgeons and the American Association of Hip and Knee Surgeons.
When not working, Dr. Nwannunu enjoys basketball, weight training, outdoor activities, attending art and music festivals, traveling, world news, and reading.
6850
» Staffed by 2 Licensed, Doctors of Audiology
» Hearing Aid Fittings, Maintenance and Repairs
» Invisible Fittings/Open Fittings
» Evaluation Period On All Hearing Aids
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You’ve seen the advertisements; “it may just be ear wax”—but what if it’s not? There are many causes of hearing loss such as ear infections, noise exposure, ear trauma, sudden idiopathic hearing loss, ear or auditory nerve tumors, Meniere’s disease among many other possible reasons. That’s where the skill of the hearing professional comes into play.
Our staffof licensed audiologists with doctoral degrees in Audiology have spent 8 years in school (4 years of undergraduate and 4 years of a doctoral program including a full audiology residency or externship) studying such things as the causes of hearing loss, the balance system, hearing instrument technology, auditory processing, anatomy and physiology of the auditory system and non-medical treatment of hearing loss. We often, as professionals, work closely with Ear, Nose and Thoat physicians.
Whenever you’re seeking hearing healthcare, make sure you ask about their experience, years of training and type of training from the practitioner. Not all professionals, unfortunately, are created equal. We recently had a patient come in from a big box store (where they had gone for hearing testing and to look at purchasing hearing aids) for a second opinion and two different medical conditions directly related to hearing were missed. These are often medical conditions that need medical treatment and could impact not only a person’s performance with amplifiation but if treated, may eliminate the need for amplifiation. Or there are cases that could impact a person’s health in general (such as a tumor). As audiologists we will refer onto the ENT when medically warranted.
Secondly, hearing healthcare isn’t always about the price. You can see some low cost ads that are referencing dated technology or perhaps very little technology. Don’t necessarily be fooled by the price and/or incentives. You have seen our past articles that discuss some of the recent hearing aid innovations. We realize everyone’s hearing and communication needs are different so it’s important to work with a hearing professional that will walk you through the various options of styles and technologies available today.
Finally, we want our patients to be educated so that you can make the best decision for your communication needs. Just be comfortable with the hearing professional that you choose!
SO, YOU THINK YOU’VE HEARD IT ALL?
Did you know that over 36 MILLION AMERICANS have a significant hearing loss?
Did you know that only 6 MILLION have sought help?
Did you know that hearing loss has been cited as the THIRD MOST COMMON health related problem in America?
Did you also know that according to the Better Hearing Institute, 95% OF PEOPLE with hearing loss can be helped with today’s advanced technology?
It’s time to find your personalized solution.
