Denton County Living Well Magazine November-December 2021

SOUTHWEST FOOT AND ANKLE CENTER

DR. JOSHUA WORLEY

DR. REZA MOBARAK

DR. MITCH WILLIAMS

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/

Living Well

BETTER WITH AGE

Entertainer extraordinaire Jennifer Lopez is many things, an actress, singer, dancer, style icon, mom, entrepreneur, and dreamer.

The multi-hyphenate star has lived several lifetimes in her 52 years, yet you’d never guess her age. After working nonstop for decades, she looks and feels better than ever.

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

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

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

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

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

Be well!

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SAM HOUSTON

VICE PRESIDENT & CFO

SPRING HOUSTON

EDITOR, FEATURE WRITER & SOCIAL MEDIA

SONDRA BARR

ART DIRECTOR

VANESSA FRYER

ACCOUNTS MANAGER

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WEBSITE

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ADVERTISING & SALES

TEXAS: Denton County, Dallas County, Collin County

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in their

SPRING AND SAM HOUSTON

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.

Mitchel Kruger, MD | Mary Youssef, MD

Mitchel Kruger, MD | Mary Youssef, MD

MAN OF Distinction

DR. REZA MOBARAK AND HIS TEAM BRING A DEPTH OF KNOWLEDGE TO THEIR PATIENTS AT SOUTHWEST FOOT AND ANKLE CENTER AND DFW WOUND CARE CENTER.

Patients always come first for Reza Mobarak, DPM, FACFAS, FAPWCA. Double board certified in foot and ankle surgery and wound care, he has been providing exceptional patient care for 20 years in the DFW metroplex.

It’s a philosophy that developed early on in his life and it’s one that has helped guide him in his journey to earn a distinguished reputation among his professional colleagues, medical peers and, most importantly, his patients.

He began his medical career from the ground up. While a teenager, Dr. Mobarak spent nights and weekends waiting tables to earn money to attend medical school. Working hard taught him the value of serving his customers, which translated to his patients as a doctor.

After immigrating to America from Iran in the early 1970s, his parents worked hard to establish a life in America. Interested in medicine from a young age, he pursued any opportunity to learn about the field in school. Growing up in South Dallas introduced him to America’s prospects, as did attending Asher Silverstein Elementary School.

Inspired by his parents’ immigration to America, education was always a priority. A national merit scholar at J.J. Pearce High School, Dr. Mobarak went on to earn his bachelor’s degree in biochemistry with honors from Baylor University in just three years. From there, he attended Barry University School of Podiatric Medicine in Miami, Florida, and graduated with a Doctorate in Podiatric Medicine and Surgery. Utilizing summers to work and volunteer at local hospitals, he learned as much as he could about medicine in the clinical settings provided by the diverse Miami population. He also volunteered as a student in the South Florida community.

A surgical residency at Central Alabama Veterans Health Care System in Montgomery, Alabama, followed and furthered his specialty training in foot and ankle trauma, reconstruction surgery and intense limb salvage. Helping American veterans recover from unhealing wounds inspired Dr. Mobarak to attain his board certification in wound care. From there, he continued to gain more knowledge and insight on how to help his patients, specifically veterans, with proper preventative procedures, while recognizing there was room for much improvement in the tools at hand in podiatry and wound care fields.

LEFT TO RIGHT: DR. JOSHUA WORLEY, DR. REZA MOBARAK, DR. MITCH WILLIAMS

I like to educate my patients, student doctors, and other doctors. It gives me satisfaction knowing that we will be able to prevent health issues, while ensuring physicians know how to treat and heal wounds.

”

TESTIMONIALS

“Experienced, quality, & thorough care—from the first visit, then surgery, to post-operative. I will/ would recommend Dr. Reza Mobarak.”

–MR. SCOLOSKY, A FOOT SURGERY PATIENT OF DR. MOBARAK’S.

As a native Texan, he returned to Dallas after his residency to work in Mansfield and the DFW Metroplex, further developing his training in podiatry and wound care. He founded Southwest Foot & Ankle Center & DFW Wound Care in 2009 with locations in Plano and Lewisville. Working hard, he grew his practice to five locations and added two associates, Dr. Mitch Williams and Dr. Joshua Worley, to more efficiently serve patients.

An emerging social media luminary, he offers unparalleled access to his work on TikTok @theDFWfootDoc and Instagram as @DFWfootDoc, where patients and fans get a behind-the-scenes look at procedures and outcomes. He has a love for his senior patients but also wants to reach younger generations and educate them on these platforms about prevention and medical procedures available. Dr. Mobarak’s extensive knowledge of podiatry and hands-on experience working with patients makes him one of the best at treating pediatric, senior, and sports injuries, which shines through in social media.

Led by Dr. Mobarak, the skilled team at Southwest Foot & Ankle Center cares for patients with foot and ankle problems using a wide array of state-of-the-art tools and techniques—from conservative physical therapy and injection therapy—to advanced surgical intervention.

“We employ a variety of treatments to heal foot and ankle problems and foot and ankle surgeries, in addition to cutting-edge laser technology, incorporating both high tech and high touch,” says Dr. Mobarak. Endorsed by the Advanced Foot and Ankle Surgeon and American Professional Wound Care Association, Dr. Mobarak is also a Fellow of the American Professional Wound Care Association and board certified in wound care and foot reconstruction. He is also trained in hyperbaric oxygen treatment.

An adjunct faculty member at Barry University School of Podiatric Medicine and Surgery and the Hunt Regional Podiatric Surgical Residency Program, Dr. Mobarak loves teaching his surgical residents the newest and most effective techniques in foot and ankle surgery and limb salvage.

Combining his knowledge of foot surgery with his love of teaching, Dr. Mobarak is an avid lecturer. He speaks at national and interna-

tional events on advanced wound care, diabetic limb salvage, hyperbaric medicine, foot pain, and ankle trauma. This he combines with writing extensively in medical journals emphasizing wound care and limb salvage.

Another area in which Dr. Mobarak is particularly adept is the triple nerve release. He completed an intense surgical course in treating numbness, tingling, and tarsal tunnel syndrome. As a result, he provides a treatment that allows patients to walk the next day after surgery and decreases pain after surgery.

Known for his extensive knowledge of wound care, limb salvage, and foot and ankle trauma treatments, patients come from throughout the region to Southwest Foot and Ankle Center. They know they can trust their wounds to Dr. Mobarak because he treats each patient as an individual (both surgically and non-surgically), saving their limbs from amputation.

Helping others is a passion of Dr. Mobarak’s, evidenced by his travels to the Middle East to teach other doctors about limb salvage. There, he also started a hyperbaric oxygen program. “I like to educate my patients, student doctors, and other doctors. It gives me satisfaction knowing that we will be able to prevent health issues, while ensuring physicians know how to treat and heal wounds. I want to accomplish and work toward continuing this in the years to come,” he says. “I also do this in my personal life; accomplishing my goals and finishing something I didn’t think I could do helps me push through any obstacles.”

The medical field is not the only arena in which Dr. Mobarak excels. He approaches fitness with the same dedication and vigor he applies to medicine. Waking up at 5 a.m. to work out in his garage, which he converted to a home gym, Dr. Mobarak never waivers from the goal at hand—exceeding his personal best.

He believes fitness and wellness should be a priority and shares this with his patients. If his schedule wasn’t full enough, Dr. Mobarak also volunteers his time to the community, enjoys bodybuilding and traveling. He also coaches his son and others in Greco Roman and freestyle wrestling.

“Dr. Mobarak was very friendly and helpful. I came in for a second opinion, and he took the time to explain what he would do to treat my problem. At no time did I feel like he was in a rush. Answered all our questions. If he were closer to Waco, I would use him for my surgery. I would recommend him and his accommodating staff to anyone.”

–LOU SEE MORE OF DR. MOBARAK’S PATIENTS’ TESTIMONIALS HERE:

DO YOU HAVE HEEL PAIN?

Southwest Foot and Ankle offer the popular treatment of Amniotic fluid injections to people looking for quick relief from discomfort involving heel pain. The injections goal is to eliminate the need to use steroids or surgery to help with the condition. Amniotic fluid injections can heal the affected area and help regenerate and heal damaged tissue.

Voted Top Doc by Living Well Magazine’s readers for Podiatrist and Wound Care

Dr. Mobarak and Southwest Foot and Ankle Center is also rated the #1 Podiatrist in TopDocs of DFW

Southwest Foot & Ankle and DFW Wound care has 5 locations: Plano, Lewisville, Irving, DeSoto and their brand-new location in the heart of Ft. Worth.

833-FOOT-DFW • 833-DFW-WOUND www.dfwfootdoc.net • www.dfwwoundcarecenter.com

–DR. REZA MOBARAK, DPM, FACFAS, FAPWCA

Pain

Spine Surgery • Orthopedic Surgery • Neurosurgery

Minimally Invasive Spine Surgery • Total Joint Surgery

Foot & Ankle Surgery • Hand Surgery

Gynecological Surgery • Plastic Surgery

EXPERIENCE

True Compassion

As Elder Law attorneys, one question we hear often from our clients is: Do I need a trust? And, ordinarily, the answer is: It depends. In its most basic form, a trust is a document setting forth an intent that assets be held and managed for the benefit of certain persons. The person making the trust is the Grantor (also Settlor or Trustor). The Trustee is the person administering the trust. Sometimes the Grantor and Trustee are the same person. The Beneficiary is the individual who will receive the benefit of the trust assets. The Trustee has a fiduciary duty to manage the assets in the trust for the benefit of the Beneficiary. Trusts can be revocable, such as a Revocable Living Trust, or irrevocable, such as an Asset Protection Trust or Testamentary Trust.

REVOCABLE LIVING TRUST

Do You Really Need a TRUST?

By LEU & PEIRCE, PLLC

The grantor cannot retain any economic interest or control in the policy, or it remains subject to estate taxation.

ASSET PROTECTION TRUST

This type of trust is sometimes used as a long-term planning tool to prepare for qualification for future public benefits, such as Medicaid and Veteran’s Benefits. Because a transfer into an Asset Protection Trust is considered a transfer of assets for public benefits purposes, a transfer penalty will apply if done within five years of applying for Medicaid and three years of applying for Veteran’s Benefits.

SUPPLEMENTAL NEEDS TRUST

ELDER LAW FOR SENIOR ADULTS & THEIR FAMILIES

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

AREAS OF LAW:

LONG-TERM CARE PLANNING

MEDICAID ELIGIBILITY

VETERANS BENEFITS

ESTATE ADMINISTRATION GUARDIANSHIPS

PROBATE LITIGATION

ESTATE PLANNING WILLS & TRUSTS

Also known as Inter Vivos Trusts, Revocable Living Trusts are trusts that you set up during your lifetime to hold assets. If you have a Revocable Living Trust in place upon your death, it is possible that your loved ones may avoid the probate of your estate. During your lifetime, although your assets are titled in the name of the Revocable Living Trust, you always have the right to revoke the trust or amend its provisions. Therefore, ownership of the assets will be attributed to you for income tax, bankruptcy, creditor, and public benefits purposes. Revocable Living Trusts can be helpful for people who own property in states other than Texas, or where a grantor is expecting disputes amongst family members after his or her death. However, Revocable Living Trusts are not a one-size fits all solution. For example, a Revocable Living Trust is not an appropriate planning tool for someone who may need public benefits in the future.

IRREVOCABLE TRUST

By contrast, an Irrevocable Trust cannot be revoked or amended after it is signed, and the transfer of assets into an Irrevocable Trust is considered a completed gift.

COMMON TYPES OF IRREVOCABLE TRUSTS INCLUDE

THE FOLLOWING:

IRREVOCABLE LIFE INSURANCE TRUST

Also known as an ILIT, this type of trust is created to assume ownership of a life insurance policy, so that the proceeds from the policy are not included in the grantor’s taxable estate upon their death. The insured individual is the grantor of the trust.

A Supplemental Needs Trust (“SNT”) is used to hold funds for a person who is receiving needs-based public benefits. The Trustee of the SNT makes distributions to the beneficiary for the purpose of enhancing the beneficiary’s quality of life, not for basic support, such as food or shelter. Particular care should be taken in the creation and maintenance of SNTs. Specific rules apply to SNTs based on whether the SNT is created by the beneficiary or a third party. And, distributions from SNTs must be handled carefully to avoid disqualifying the beneficiary from eligibility for public benefits.

TESTAMENTARY TRUST

A Testamentary Trust is a trust created through the terms of a Will. Testamentary Trusts can be a helpful for protecting incapacitated or minor beneficiaries, or to allow the testator some control over the future use of assets.

Despite all the buzz about avoiding probate, probate in Texas is relatively quick and inexpensive. Do not allow yourself to be pressured into purchasing a complicated trust plan under the logic that the probate process is something to be feared and avoided. Further, even if you have a Revocable Living Trust in place, you still need current ancillary documents, including a Statutory Durable Power of Attorney, Medical Power of Attorney, HIPAA Release and Authorization, and a Living Will (Advanced Directive), among other documents. Schedule a visit with Leu & Peirce at 972-996-2540 or leulawfirm.com to discuss the estate planning options that are available and advisable for you.

Lauren Olson Attorney

Lori Leu Certified Elder Law Attorney

Erin Peirce Attorney

When orthopedic pain slows you down and makes everyday movement a challenge, call the experts at Orthopedic Institute of North Texas. Our surgeons provide a comprehensive array of solutions designed to resolve your pain.

Our approach is simple - our patients are our top priority. We demonstrate this by answering your questions and providing availability 24/7 during diagnosis, treatment, and recovery. 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 proven medical techniques will return you to the freedom of mobility you enjoyed before.

Don’t spend one more day in pain. Call 972-591-6468 today and get rolling again.

If You Own Everything, You Actually Own Nothing

What

Courtesy HODGES CAPITAL MANAGEMENT, INC.

How familiar does this scenario sound? Into your investment accounts, you pick a couple of the best performing mutual funds you can find and spread around your contributions into each. Then, at the start of the next year, you again look for the best funds and make another contribution. Year after year, repeat, repeat. Perhaps your employer changed 401k providers at some point, and you had to choose from a whole new set of funds? At the end of a couple decades, you might end up owning 10-20 mutual funds in the aggregate of all your accounts. Certainly, there is nothing wrong with owning mutual funds. They are great investment vehicles when you have smaller sums of money and are in the accumulation phase of your investment life, but if you own too many, you might have gaps or redundancies in your investment portfolio. There might be a better way to have larger sums of money managed. Allow me to explain.

In the above example, you were probably given a narrow list of funds from which to choose, and so you did a little homework, and selected. For most folks, this is merely an exercise in picking the best performers (from past data, mind you), and crossing your fingers.

If we dig a little deeper, we might find that the average mutual fund (depending on size) might contain 100 stocks. Multiply that by 10-20 and you’re the proud owner of fractional bits of 1,000-2,000 stocks! On top of the sheer volume of stocks you own, many funds own the same stocks. In some instances, you could theoretically own the stock of XYZ 10, maybe even 15 times.

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

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

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

-WARREN BUFFETT

PHOTO BY AUSTIN DISTEL

MANAGE YOUR PAIN DIFFERENTLY

Oral opioids are not the only option for treating fractures.

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

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

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

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

Finding Relief From Excruciating Spine Fractures Thanks to Balloons and Cement

Courtesy MEDTRONIC

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

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

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

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

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

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

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

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

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

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

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

2. Wardlaw D, Cummings SR, Van Meirhaeghe J, et al. Efficacy and safety of balloon kyphoplasty compared with non-surgical care for vertebral compression fracture (FREE): a randomised controlled trial. Lancet. 2009;373(9668):1016-1024.

3. Van Meirhaeghe JV, Bastian L, Boonen S, et al. A Randomized trial of balloon kyphoplasty and nonsurgical management for treating acute vertebral compression fractures. Spine 2013;38(12):971–983.

Fractured Vertebra

Normal Vertebra

Kyphoplasty Balloons

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

BEYONDBOND

DanielCraigmovespast007.

WBYSONDRABARR

hen Daniel Craig was cast as the world’s most famous spy in 2005, most fans instantly took umbrage. A little-known British indie actor at the time, the 37 year old was everything the iconic James Bond was considered not—short, brooding, skinny, blonde, uncharismatic—and most decidedly not Sean Connery, the actor to whom all James Bonds are compared.

Outraged diehard Bond fans set up websites to voice their disapproval—danielcraigisnotbond.com, bondnotblond.com. The press was equally unrelenting with headlines like the Daily Mirror’s “The Name’s Bland—James Bland.” Talk of a 007 boycott intensified when Craig arrived by speedboat (wearing a life jacket, of all things) at the London press conference unveiling him as the new Bond.

Fans proclaimed that Bond would never be such a wuss as to don a life jacket, nor would he ever be anything but a brunette. Among the biting online comments: “Bring back Pierce! Daniel looks like a villain in a Bond movie that gets killed by 007 in the opening sequence.” “I’m sure a blonde could play James Bond, but not someone who’s so ugly and uncharismatic as Daniel Craig.”

His previous film credits did nothing to bolster his “super” spy cred—Road to Perdition Layer Cake and Munich, to name a few. Not to mention the little-seen film, The Mother, in which he plays a carpenter who starts sleeping with a woman in her 60s.

Craig also wasn’t especially keen on the 007 role at first. He told GQ, “It was genuinely like, my life is going to get F***ed if I do this.” He didn’t want to play what he perceived as the campy Pierce Brosnan version of Bond or be saddled with a hopelessly formulaic storyline. And, he realized that once he became the iconic spy there’d be no going back to his under the radar existence. Reading the script for Casino Royale changed the actor’s mind.

Five Bond films later, it’s hard to see anyone besides Craig inhabiting the role. His darker, tougher 007 portrayal has redefined the series and crafted it to be more modern and not as sexist and misogynistic as earlier incarnations.

“In 2005, 2006,” he told The Independent’s Paul Whitington, “all the social media stuff was still just taking off, and I wasn’t used to using it, thank God. I still don’t do social media, and as much as there are lots of good things about it, it is a place for hate and I can’t imagine how one would cope. All of that is a pressure, but I myself was like, you’ve just got to get on with it, get on with the work and do your best.”

And get to work Craig did. His first outing as 007 in Casino Royale necessitated he be well toned and ready for action, something Craig was decidedly not when he showed up for his initial day of training.

AT LEAST NOW AT 60 I CAN SAY: ‘I WAS BOND. NOW BUY ME A DRINK.’

“ ”

“Yes. I turned up with a bacon buttie and a rollie. That’s very true. Those were the days,” he told Whitington.

The intense physical training paid off handsomely, as evidenced when Craig emerged from the sea in a pair of swim trucks, the light glistening off his sculpted physique, in Casino Royale

The training also gave Craig the physicality to do a majority of the stunts and fight scenes, something the actors who’ve played Bond in the past have rarely done. “Nobody told me it was OK if I didn’t do all that, so I just went OK, I’ve got to do it. And I think possibly I made a rod for my own back really, because I started doing it and the stunt co-ordinator Gary Powell was like ‘Oh great, you can do it, well do this then’ and I sort of ended up doing loads.”

“He gets his hands very dirty,” Powell told the Guardian in 2008. “Daniel puts the work in, even if it’s something he’s not keen on.” According to Powell, Craig is not fond of heights, but in Quantum of Solace, he jumped out of a three-story window onto a moving bus.

Doing his own stunts has led to numerous on-set injuries including Craig’s two front teeth being smashed out, a separated shoulder, an ankle injury, and losing the tip of a finger.

“It wasn’t as extreme as all that. I lost the pad,” he told Playboy magazine at the time. “I was bleeding a lot. I had to get it cauterized. Filming stopped and everybody went, ‘Oh my God! He sliced the end of his finger off!’ They went looking for it, but couldn’t find it.”

After five Bond movies, Craig is ready to pursue a more quiet sort of life with his wife, actress Rachel Weisz. With No Time to Die doing well in the theaters, the 53-year-old Craig has once again proved he’s a formidable 007, albeit one who’s a little gray around the edges and a bit less flexible. “You get tighter and tighter,” Craig told GQ’s Sam Knight. “And then you just don’t bounce.”

Craig won’t stray far from the public eye, however. According to People magazine, he’s the highest paid actor of 2021, taking in over $100 million due to a record breaking deal with Netflix to star in two sequels to the comedic mystery hit Knives Out

He knew immediately that he had to make time for Knives Out, in between production delays of No Time to Die “I don’t get to play parts like this very often,” the actor explained of his role as Benoit Blanc in an interview with the South China Morning Post “The satisfaction of watching the film with an audience and them laughing at the same gags I laughed at when I first read it. There’s such joy and satisfaction to that.”

In the 2019 mystery film, which was nominated for three Golden Globes, Craig takes on the role of Blanc with gusto, portraying a detective with a heavy southern drawl and an eccentric approach to solving criminal cases. The sequel recently wrapped and is expected to arrive next year.

It’s a return to a more normal state for Craig, far from the hoopla of playing the world’s most famous spy. “I would just rather keep myself to myself and my home, with my wife and family, I don’t venture out a great deal and I will choose places that I want to go carefully. It’s not that I don’t like fans or appreciate how passionate they are about the films and the industry; they are entirely the ones who keep this industry moving; it’s just that I choose not to be the person who courts publicity or has loads of celebrity friends and is always out for the paparazzi to shoot me in particular hot spots.”

As for the future of Bond, Craig is grateful for the opportunity to inhabit a global icon for the past 15 years. “The idea of regretting not doing this seemed insane to me. Sitting in the corner at a bar at age 60, saying: ‘I could’ve been Bond. Buy me a drink.’ That’s the saddest place I could be. At least now at 60 I can say: ‘I was Bond. Now buy me a drink.”’

I WAS BLEEDING A LOT. I HAD TO GET IT CAUTERIZED. FILMING STOPPED AND EVERYBODY WENT, ‘OH MY GOD! HE SLICED THE END OF HIS FINGER OFF!’

“ ”

DANIEL CRAIG AND WIFE RACHEL WEISZ AT THE GOLDEN GLOBES.

PHOTO BY GA FULLNER

CRAIG ACTED IN KEITH HUFF’S PLAY, A STEADY RAIN , ON BROADWAY IN 2009 WITH HUGH JACKMAN.

PHOTO BY EVERETT COLLECTION

CRAIG WITH DAME JUDI DENCH, WHO HAS PLAYED M IN 7 BOND FILMS.

PHOTO BY METRO-GOLDWYN-MAYER

CRAIG IN THE 2017 COMEDIC NASCAR HEIST FILM LOGAN LUCKY

PHOTO BY FINGERPRINT RELEASING

Andrew Chambers, M.D.

Orthopedic Surgeon

Dr. Chambers is an orthopaedic surgeon at Texas Bone & JointArlington who specializes in joint replacement surgery. He received extensive training in joint replacement surgery during his fellowship at Harvard Medical School / Massachusetts General Hospital, which was voted as the top hospital in the United States.

Dr. Chambers has implemented the techniques learned at Harvard Medical School into his own practice and offers minimally invasive total hip / knee replacement, partial knee replacement, revision surgery for malfunctioning, loose, and infected joint replacements, arthroscopic surgery of the hip and knee, and revision of failed and recalled metal-on-metal total hip replacement implants.

Dr. Chambers focuses special attention on surgical techniques for rapid recovery after total joint replacement which allow his patients a more predictable and earlier return to home and an active lifestyle.

Dr. Chambers is pleased to offer the MAKOplasty Robotic-Arm Assisted partial/total knee and hip replacement. The MAKOplasty procedure is changing the way joint replacement surgeries are performed by providing each patient with a personalized surgical experience based on their specific diagnosis and unique anatomy using a CT-based 3D modeling. The robotic arm technology allows for extremely precise placement of hip/knee components with potentially less soft tissue injury than traditional joint replacement.

Dr. Chambers is a Texas native and grew up in Houston, Texas. He attended medical school at The University of Texas Medical Branch in Galveston, and completed residency at John Peter Smith Hospital in Fort Worth, Texas. He then completed a fellowship in joint replacement surgery at Harvard Medical School. In his free time, Dr. Chambers enjoys traveling with his wife, Christine, and spending time with friends and family. He is an avid sailor and enjoys participating in sailing races on the local lakes in the Dallas/ Fort Worth area.

“Where we are committed to excellence”

Experience The Cantex Advantage

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

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

• Flat-Screen televisions

• 32 channels of satellite television service

• Wi-Fi internet access

• Electric beds for easy comfort adjustments

• Living room with fireplace and player piano

• Library with computer stations and complimentary internet access

• Chapel

• Neighborhood cafes with complimentary premium beverages and snacks

• Restaurant-Style dining room

• Beauty/barber shop with full-time beautician

• Activity program with community outings

• Sedan and van for resident transportation

Amenities: Clinical Services: 4101 Long Prairie Road, Flower Mound, TX 75028 214-285-3200 | 866-400-7621 (Fax) | www.cantexcc.com

• Around-the-clock skilled nursing

• Physical, Occupational, and Speech Therapies

• Wound Management

• Intravenous Therapy

• Tracheotomy Care

• Physician Services

• Medication Administration

• Enteral/Parenteral Therapy

• X-Ray Services

• Laboratory Services

Difference

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

AREAS OF CLINICAL INTEREST:

• Gastrointestinal Tumors

• Melanoma, Sarcoma

• Breast Cancer

• Lymphoma

• Kidney Cancer

EDUCATION AND TRAINING CREDENTIALS:

• Southern Methodist University

• Universidad Autonoma de Guadalajara/University of Michigan

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

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

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

• Private Practice 1979 to Present

PERSONAL INTERESTS:

• Born and raised in Dallas, TX

• Father of 2 sons

• Owns six dogs

• Loves traveling and golf

• Avid collector of arts and antiques

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

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

@thocCares

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

VASCULAR SURGEON & VEIN SPECIALIST

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

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

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

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

• Total Hip Replacement

• Direct Anterior Hip Replacement

• Knee Replacement

• Treatment of Fractures

• Bone Deformity

• Nonunion of Fractures

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

–David P.

• Limb Lengthening

• Elbow Injuries / Elbow Replacement

• Foot and Ankle Injuries

• Infections

• Total Hip Revision

• Total Knee Revision

Better Hearing Keeps You Connected!

• Staffed by 2 Licensed, Doctors of Audiology

• Hearing Aid Fittings, Maintenance and Repairs

• Invisible Fittings/Open Fittings

• Evaluation Period On All Hearing Aids

• Hearing Evaluations For All Ages

• Wireless/Connectivity Hearing Solutions

• Battery Purchase Programs

• Custom Ear Protection

• Assistive Devices

• 42 Years of Experience

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

– Terry G. Box, Retired

Collin County Sheriff

Effects of Hearing Loss on a Patient’s Life and how to better communicate!

By ELIZABETH BRASSINE, AU.D

We think of the obvious effect of hearing loss with regard to communication difficulties. However, your hearing health contributes to your overall well-being and quality of life. Statistically, hearing loss is the third most prevalent chronic condition in older Americans after hypertension and arthritis. Aging also brings cognitive processing deficits that interfere with communication and can create distractions that lead to memory loss, falls and other accidents. Let’s examine these effects.

MEMORY AND HEARING LOSS–Adults with hearing loss are more likely to develop problems thinking and remembering than adults with normal hearing. Also, adults with hearing loss develop a significant impairment in their cognitive abilities. 3.2 years sooner than those with normal hearing. It’s believed that untreated, degraded hearing may force the brain to devote too much of its energy/resources to processing sound.

DEMENTIA AND HEARING LOSS–Seniors with hearing loss are significantly more likely to develop dementia over time than those who retain their hearing or treat their hearing loss. It appears that this effect increases as the amount of hearing loss increases.

FALLING AND HEARING LOSS–People with mild hearing loss are three times more likely to have a history of falling. Each additional increase of hearing loss by 10 decibels increases the chance of falling by 1.4 times the original risk.

MENTAL HEALTH AND HEARING LOSS–Hearing loss results in social isolation. Adults with untreated hearing loss tend to withdraw from engaging with family and friends. They are also likely to report depression, anxiety, anger and frustration. The degree of depression or other emotional or mental health issues also increases with the severity of the hearing loss.

TINNITUS AND HEARING LOSS–Tinnitus or “ringing in the ear” affects up to 50 million Americans. 90% of people with tinnitus also have hearing loss. The most common causes of tinnitus are: noise exposure, aging, head injury and medication side effects.

INCOME AND HEARING LOSS-Statistics show that people with untreated hearing loss lose up to $30,000 annually. Adults with hearing loss, who wear hearing aids, have a lower unemployment rate than those who don’t.

So, hearing loss can affect your life in many ways. You may miss out on talks with friends and family. Sometimes hearing problems can make you feel embarrassed, upset and lonely. It’s easy to withdraw when you can’t follow a conversation. It’s also easy for friends and family to think you are confused, uncaring or difficult when the problem may be that you just can’t hear well. We often get asked in our office by friends and family, especially when fitting a new patient with hearing aids, how to best communicate with them. So, we thought we’d share some tips on best communicating with a hearing impaired person.

• Face the person and talk clearly (not while walking away from patient or while looking in cabinets, refrigerators, etc).

• Speak at a reasonable speed-often slowing down how you speak is more beneficial than raising your voice.

• Do not hide your mouth (so much speech information comes from non-verbal cues and facial expressions) or talk while eating or chewing gum.

• Stand in good lighting.

• Reduce background noises.

• Use facial expressions or gestures to give useful cues.

• Repeat yourself if necessary, using different words.

• Include the hearing-impaired person when talking. Talk with the person, not about the person when you are with others. This helps keep the person with hearing loss from feeling alone and excluded.

• Be patient; stay positive and relaxed.

• Ask how you can help!

Also important, here are some tips of what the hearing impaired person can do to improve their communication with hearing aids:

• Let people know that you have difficulty hearing.

• Ask people to face you and to speak for slowly and clearly. Ask them to speak without shouting which can just distort the speech signal.

• Pay attention to what is being said and to facial expressions or gestures.

• Let the person talking know if you do not understand.

• Ask people to reword a sentence and try again.

• Turn off any unnecessary, extraneous noises (such as radio while in car, TV at home, etc).

• Wear your hearing aids consistently!

To hear better, is to live better! Start a better health and wellness conversation today! Better hearing health is possible! Call your audiologist today!

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Dear Olivia,

My family and I have concerns about allowing people into our home due to the rising concerns over COVID-19. We have had in-home care to help with the day-to-day needs of our loved one. How can we protect her, but still get her the care that she needs at home?

-Concerned about COVID-19

Dear Concerned about COVID-19, All of us should be concerned about protecting ourselves and those we love from this dangerous virus. As everyone has been hearing, the Delta variant of COVID-19 is more contagious than what we were seeing this time last year. Therefore, everyone should take precautions to protect themselves and those they love from contracting the

OLIVIA ROGERS

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

virus. The best way to do this is to be fully vaccinated, wear a mask in public, social distance and encourage your social circle to do the same! When it comes to allowing people, including caregivers, into your home, there are safe ways to allow necessary care to be provided while still ensuring the safety of your family.

Always require anyone who enters your home to wear a mask (caregivers should be doing this already), you wear a mask as well if in the same room as the caregiver and know that it is okay to ask if they have been vaccinated. You can also reserve the right to ask the agency to only send fully vaccinated personnel to your home. At the Visiting Nurse Association, our staff are required to be vaccinated in order to protect the health and well-being of those we serve.

~Olivia

VNA Hospice Care

Hospice & Palliative Care vnatexas.org

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.

For All Your Foot & Ankle N e eds

Your feet and ankles were designed to suppor t you for a lifetime. Give them the care they deser ve. Complete Foot and Ankle Care of Nor th Texas is equipped to treat all of your podiatric needs.

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) 535-2615 or email gethelp@vnatexas.org For volunteer opportunities please call (214) 689-2271 or email volunteer@vnatexas.org

Damien Dauphinée*†

DPM , FACFAS , FAEN S , FACCWS , CWS - P

American Board of Foot and Ankle Surgeons, and in Wound Management by the American Board of Wound Management, Dr. Dauphinée s esteemed as a trusted expert within the medical commun ty. He lectures nationally and internationally, trains surgeons to treat a variety of per pheral nerve pathologies, and serves as facu ty for multiple surgical workshops

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

Raafae Hussain DPM

Dr Hussain ascribes to the simple philosophy that each patient s unique and deserving of individualized, attent ve, and personable care

Dr. Hussain received his formal educat on and training from some of the nat on’s most distinguished podiatric surgeons, and is a contr buting author to cl nical research and medical textbook pub icat ons Highly knowledgeable and sk lled in advanced treatment opt ons, he de monstrates exemplary expertise both in podiatr c medicine and in his exceptional and compassionate care for patients.

* Certified - Board Fo o Surger y Reconstruc ve Rear fo o A nk e Su ger y † B oard - Wound Management

Ann’s Haven

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

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

• Typical issues presented at patient office visits.

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

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

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

• Determining when surgery is needed.

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

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

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Experienced DWI Defense THE LAWYER LAWYERS CALL

Deandra M. Grant

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

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

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

–DEANDRA GRANT

Co-Author of the Texas DWI Manual

JD, GC, MS

Healing and Care in a Beautiful Environment

FALL & WINTER FITNESS

By KIMBERLY BLAKER

When the weather turns colder, days get shorter, and sweaters are pulled back out of the closet, it can be a struggle to keep up healthy habits. During the fall and winter months, health and fitness routines often take a backseat to staying warm and cozy. After a few months of hibernation and holiday indulgences, the pounds, lack of energy, and health consequences set in, reminding us of those long-forgotten fitness goals. It can be frustrating to feel like you’re starting back at square one. Instead of falling into this yearly cycle, read on for ways to avoid the fall and winter fitness slump and to keep focused on staying fit.

FIND AN ACCOUNTABILITY PARTNER OR GROUP

This is one of the best ways to stay consistent with your fitness goals. It’s much easier to blow off a workout and curl up with a warm drink and blanket if you’re only accountable to yourself. Finding a partner or a community with similar goals is a great way to keep yourself on track. You can give and receive support, find ways to stay fit together, and remind each other of the benefits of keeping fit. While in-person support is helpful, it isn’t always easy to find. But social media makes it much easier to join like-minded people in a virtual community. Do a quick search on social media sites, and you’ll find fitness groups for all levels and interests. These communities provide various ways to keep you account-

able. They’re a safe place to share struggles and successes, provide moral support to one another, and share ideas or tips.

JOIN A GYM OR CLASS

Another way to increase the odds of staying fit through the colder months is by joining a gym or fitness class. This requires a financial commitment, which may be an excellent external motivator.

Gyms offer many amenities to support fitness goals. These include personal training, a variety of equipment, and often classes you can explore for new ways to stay fit. Some fitness centers even have extras like childcare, rock climbing walls, saunas, and heated pools. Such perks may help get you out the door on colder days. Even many libraries offer free fitness classes.

WORK OUT AT HOME

Maybe braving the cold and dark sounds like too much, or working out with other people isn’t your bliss. If so, there are many ways to get in an effective workout at home. Investing in a home gym is one way to stay active through the colder months. If you have space and money, particularly if other family members want an at-home workout too, purchase the appropriate equipment to fit your needs. It doesn’t need to be elaborate. Just a set of hand weights or a kettlebell can be enough to get you started if you don’t want to commit to large or expensive equipment. However,

sizeable used equipment can often be found for practically nothing on Craigslist and elsewhere online.

You can also find thousands of exercise videos and written plans on the internet, DVDs, through your cable provider, or at your local library. There are also video game systems with fun workouts like the Wii Fit or dancing games. Whatever type of exercise or fitness plan you can think of, there are likely at least a few resources out there so you can do it at home. These include exercises with or without equipment. Many are designed for or take into consideration working out in small spaces or with limited time.

KEEP IT SIMPLE

If you’re starting from scratch or lack motivation, find small ways to incorporate healthy fitness habits into your daily routine. For example, take stairs instead of the elevator, park your car farther away in the lot, and go for a walk during lunch.

You can also start by taking an extra 15 minutes before your shower to do some quick exercises. A daily routine could include bodyweight moves like squats, pushups, and planks. These can have a significant impact on your fitness when done consistently.

Regardless of your fitness goals, you can stay on track throughout the colder months if you find what works best to keep you motivated and consistent.

Dr. Litke is a passionate artist, both in her spare time and as an orthopaedic surgeon. At L&W Orthopaedics, she approaches every orthopaedic problem with an eye toward restoration of function and mobility. With a deep knowledge of the inner workings of the body’s most active and important joints, Dr. Litke is able to repair most hip, knee, and shoulder problems, giving her patients the freedom to move again. Assisting her skilled hands, she uses the latest state-of-the-art robotic equipment for accuracy and precision, delivering a powerful combination of experience and technology to all of her patients.

Dr. Litke earned her medical degree at the University of North Carolina Chapel Hill. She went on to complete her orthopaedic residency at the University of South Carolina in Columbia South Carolina. She is certi ed by the American Board of Orthopaedic Surgery, and is a Fellow of American Academy of Orthopaedic Surgery and a Fellow of the American Association of Hip and Knee Surgeons. Dr. Litke is a liated with the Methodist Richardson Medical Center, where she is the director of the joint program. When she’s not working, Dr. Litke enjoys photography and ceramics.

Please call 972.498.4791 to schedule an appointment.

Dr. Diane S. Litke, MD

A Dream to Change Spine Care is

In 1977, Dr. Stephen Hochschuler was practicing as a spine surgeon in Plano, Texas. He wanted to advance spine care for patients suffering from neck and back pain locally and all over the world. This would be the beginning of the dream that would become Texas Back Institute.

At the time, spine patients were generally given the same treatment plan across the United States. “Back then, there was little differentiation about what was actually causing spine pain. We were interested in getting to the root of the problem the patient was having and work was needed to resolve that specific issue,” explains Dr. Hochschuler. This would mean the doctors at TBI would have to change their diagnostic and treatment processes.

“One of the initial thoughts was to create a clinic as an integrated multi-specialty model that would include prevention, conservative care, surgical care, rehabilitation, research, and development with a culture that considered surgery as a last option,” says Dr. Hochschuler.

Drs. Rashbaum and Guyer would join Dr. Hochschuler in this endeavor over the next few years and the three of them would research various treatment options for spine care, and begin changing their patient care protocols.

As the doctors at Texas Back evolved in the treatment of neck and back pain, they made the decision to become a leader in spine care and would always look for innovative ways to change the future of spine care through technique, technology, or other treatment pathways. One of these elements was to have a significant role in the research of spine treatment.

In 1985, they formed a non-profit research foundation so they could add an academic component to their private practice. This was almost unheard of at the time. Dr. Hochschuler says, “The mission of Texas Back Institute was research, education, and development. We always wanted to know what was next and be part of that change.”

Over the years, TBI would bring on new physicians, expand their geography, and keep the multi-disciplinary approach by having doctors in different specialties that were involved in the development of spine imaging through Multiplanar CT and the MRI, fusion technologies such as the Pedical Screw Systems; Anterior Cages; and Facet Fusion Techniques.

As part of the desire to help change spine care around the world, TBI started a fellowship program in 1986 and has trained over 125 spine surgeons from various regions of the country and around the world. Texas Back also created internal learning opportunities and quality control processes like neuroscience, peer review, and interesting case conferences.

TBI brought cervical and lumbar artificial discs to the United States, kicking off a new era of motion preservation technologies. The company was also instrumental in the development of robots for spine care and has been part of the revolution of minimally invasive and ultra-minimally invasive spine surgery.

“Texas Back Institute has also held key roles in national and international spine organizations such as North American Spine Society, International Society for the Advancement of Spine Surgery, and the International Society for the Study of the Lumbar Spine and several others,” says Dr. Hochschuler.

As Dr. Hochschuler retires this year, he feels fortunate he did what he loved with people he loved. “Texas Back Institute has made a difference for spine patients all over the world and continues to do so,” he says.

What does Dr. Hochschuler see in the future for TBI? “Working in regenerative medicine, augmented reality, predictive analytics, information technology, musculoskeletal population health, and the advancement of telemedicine and digital home, it is an exciting time in spine health,” he says.

The culture of TBI continues to be strong. Its current mission statement: Texas Back Institute exists to provide the best possible spine care in an environment of innovation, education, and research.