Denton County Living Well Magazine March-April 2022

DEANDRA GRANT LAW

LEADERS IN DWI DEFENSE

Healthy Changes Start at Flower Mound

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FROM THE PUBLISHER

TEXANS ON TOP

It’s no surprise the local criminal lawyer team Deandra Grant Law makes our cover. Deandra’s focus on the defense of intoxication-related crimes led her to become one of the nation’s foremost experts on the subject. In addition to speaking to her peers all over the country on DWI law, she’s one of the lawyers tasked with annually updating The Texas DWI Manual, a go-to guide for lawyers defending DWI cases.

If that weren’t enough of a challenge, after earning much success in the courtroom, Deandra went back to school and graduated with a Masters in Pharmaceutical Science with a concentration in forensic science and a Graduate Certifiate in Forensic Toxicology. She also completed the American Chemical Society’s Forensic Lawyer-Scientist program at Axion Labs in Chicago. Ths extensive education and training provided the SMU law alum with a wealth of specialized knowledge that has earned Deandra the moniker “ The Lawyer Lawyers Call.”

On page 8, we sat down with Deandra to learn more about her evolution as an assistant district attorney to a sought-after criminal lawyer other lawyers call for help with difficult forensic-heavy cases.

Next, we turn our attention to Chip and Joanna Gaines, a couple who’ve also made quite a name for themselves. Since the launch of their show Fixer Upper in 2013, the duo have revitalized the once sedate town of Waco,Texas, and turned it into a bustling, must-visit destination that millions of their devotees visit yearly for a chance to sample the gracious, bucolic lifestyle cultivated by the pair.

Check out page 24 to learn how the photogenic couple met and how they ended up heading an entire network devoted exclusively to their personally curated content.

Of course, there’s more. Get reading!

Be well!

Living Well

MARCH/APRIL 2022

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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.

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L TO R: MADISEN PITTMAN, JAMES FLETCHER, ELIZABETH SAMPLE, DEANDRA GRANT, DOUGLAS HUFF, MAKENZIE ZARATE, CLARK MARTIN

DEANDRA GRANT LAW

NATIONALLY RECOGNIZED DWI LAW FIRM

Growing up in Plano, Texas, Deandra Grant never pictured herself at the head of a major law fim as managing partner. “I really wanted to be a vet but didn’t think I could handle seeing animals hurt,” says Grant. Fast forward 30+ years and she found a way to channel her love for animals into a VP role at Living the Doxie Dream Rescue & Sanctuary in Royse City. “I wear a lot of hats: running the law fim, raising money for the dog rescue, pulling dogs out of shelters, taking care of my family. My life is never boring.”

Grant graduated from Plano Senior High School in 1986. She attended Trinity University in San Antonio where she obtained a business degree. She came back to Dallas to attend law school at SMU. “My fist class in law school was Criminal Law. I was hooked. Made the highest grade in the class. I knew what I wanted to do,” says Grant.

She started an internship at the Dallas District Attorney’s Offi, which turned into a job as an Assistant District Attorney. Grant leftthe DA’s Officat the end of 1994. “I liked working as a prosecutor but once I switched to criminal defense there was no going back for me. I knew I’d found my calling.”

In 1994 Grant opened the Law Officeof Deandra M. Grant, a criminal defense fim handling cases throughout the DFW Metroplex. In the mid-2000s Grant started focusing more on the defense of intoxication-related crimes. That involved traveling the country taking courses in breath and blood alcohol testing and fild sobriety tests. The more success she had in defending DWI cases, the more other attorneys wanted to learn from her. “I was asked to present on breath alcohol testing at a legal seminar in 2007 and that opened up a whole new world for me. Suddenly I was being asked to speak all over the country on DWI law, science and trial skills,” says Grant. By 2019 she was presenting at an average of 13 legal seminars per year.

We

are an office full o animal lovers.

The year 2011 brought a new challenge. Grant was invited to help re-write The Texas DWI Manual, which had been out of print for several years after the death of the original author. She and attorney Kimberly GriffiTucker spent three years completely re-writing the book for James Publishing. The fist edition was released in 2013 and it is updated annually. It is considered the go-to guide for lawyers defending DWI cases. “ The book was the biggest challenge of my career. It is really hard to write a book. You never think it’s ready. Updating it each year is defintely a labor of love.”

After years of studying, writing and lecturing in the fild of intoxication, Grant decided to make it offial and go back to school. She was accepted into both the University of Florida’s College of Pharmacy and the College of Veterinary Medicine and in 2016 she graduated with a Masters in Pharmaceutical Science with a concentration in forensic science and a Graduate Certifiate in Forensic Toxicology. She also completed the American Chemical Society’s Forensic Lawyer-Scientist program at Axion Labs in Chicago. After earning the designation, she joined the faculty at Axion as an assistant chromatography instructor and teaches four weeks each year. She added “forensic consultant” to her resume and is now retained by other attorneys to assist in their cases where intoxication is an issue. Her tag line is “ The Lawyer Lawyers Call.”

The Law Officeof Deandra M. Grant took a leap in 2018 and became Deandra Grant Law. Grant says overnight she went from a fim with two officeand four staff members to a statewide fim with five officeand nine staffmembers. “ That fist year was a bit crazy. It was a lot of work to grow a law fim that quickly, but we made it work. We have built an amazing team.”

Deandra Grant Law is a fim that defends cases ranging from traffitickets to Capital Murder. Client communication and well-being are priorities she stresses to her team. “Being charged with a crime is a scary experience. We work hard to keep our clients informed along the way and to refer them to treatment providers if we see signs that help is needed.” Grant even created a position called “Client Concierge” which is a dedicated staffmember who spends each day reaching out to clients just to touch base and make sure they are well.

The Deandra Grant Law team in North Texas includes Partner Douglas Huffand Associates Makenzie Zarate, Madisen Pittman and Clark Martin. These attorneys staff the offices inallas, Fort Worth, Denton and Allen.

Douglas Huffjoined the Law Officeof Deandra M. Grant in 2016 and is now a Partner at Deandra Grant Law. An Army veteran, Huffreceived the Army Achievement Medal and the Army Commendation Medal during his service. He later moved to Austin and decided to go to law school. After a stint with the bar education company, Barbri, Huffran his own fim for a few years before joining the Dallas County Public Defender’s Officin 2013. Huffdefends offenses such as Capital Murder, sexual assault allegations, DWI’s and drug cases throughout North Texas. He is the proud “dad” of rescue dog, Athena.

Makenzie Zarate joined Deandra Grant Law in 2020. A Texas native, she attended law school at Texas Tech University and then worked for several years at a criminal defense fim in Ellis County. Her caseload includes felonies, misdemeanors and DWI cases in Dallas, Ellis, Rockwall, Kaufman and counties further east. She is the “mom” of Dachshunds Sammy, Louie and Elvis.

Madisen Pittman began her career at Deandra Grant Law as a law school intern. She joined the fim as an associate after passing the Bar Exam in 2020. A native of Rockwall, Pittman now lives in Denton and runs Deandra Grant Law’s Denton offi. Her caseload includes felonies, misdemeanors and DWI cases in Tarrant, Denton, Collin and Cooke County. She is the proud “mom” of Zoey the Pomeranian.

Clark Martin also began his career as a law school intern at Deandra Grant Law. He joined the fim as an associate in 2021. Clark is a proud Aggie who was born and raised in Dallas and now runs Deandra Grant Law’s Allen offi. He covers dockets in Collin, Denton, Tarrant and Dallas County.

Deandra Grant Law is very involved in dog rescue and supports Living the Doxie Dream Rescue and Sanctuary in Royse City where Deandra Grant serves as Vice President. The law fim website includes photos of “Furry Friends of the Firm” and information regarding the dog rescue. “We are an officfull of animal lovers,” says Grant.

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Dr. Patel’s family consists of his wife and two children. He enjoys traveling the globe and capturing the moment. When he is not working, he loves all outdoor activities and sports and enjoys the culinary arts.

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MANAGE YOUR PAIN DIFFERENTLY

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

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

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

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

of acute vertebral compression frac-

2011;26(7):1627-1637.

with non-surgical care for vertebral

3.

fracture (FREE): a randomised controlled trial. Lancet. 2009;373(9668):1016-1024.

. 2013;38(12):971–983.

1. Boonen S, Van Meirhaeghe J, Bastian L, et al. Balloon kyphoplasty for the treatment

tures: 2-year results from a randomized trial. J Bone Miner Res.

2. Wardlaw D, Cummings SR, Van Meirhaeghe J, et al. Efficacy and safety of balloon kyphoplasty compared

compression

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

Finding Relief From Excruciating Spine Fractures Thanks to Balloons and Cement

Sharon fist 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 leftby 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 fid a place down low in the stadium so I wouldn’t have to climb steps, but this time I went all the way up and sat halfway up in the bleachers, so that was really nice!”

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

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

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

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

Fractured Vertebra

Normal Vertebra

Kyphoplasty Balloons

Dear Olivia,

We are considering starting our mother on hospice services sometime soon, as her physician thinks that it might be time to keep her at home and prevent any further hospitalizations. She has been frail for some time now and he feels she may need this extra layer of support and care. How do we know when the time is right? Also, are there any supports our family can receive if we need to go out of town to see our grown children while she is on hospice service?

-Difficult decisions

to get to know the patient and family and establish the best plan of care possible. The “right time” to transition someone to hospice is different for every family, but two important considerations are whether further aggressive treatment is desired, and if the patient would want to return to the hospital. If the answer to both questions is no, then this is often the right time to choose hospice care.

Dear Difficult decisions,

It is often a difficult decision to put a loved one on hospice service, even when we know that may be the best way to provide the appropriate level of care. Skilled hospice care can provide comprehensive, holistic care to both the patient and family when someone is facing a terminal illness or condition.

Starting hospice at the right time is important to ensure that the care team has a chance

In terms of travel, one of the best benefits of hospice for families is a service called respite care. This is one of the levels of care we can provide. This allows a patient to stay in an inpatient setting, such as a nursing facility, for up to five consecutive days for caregiver relief. This means that the family can travel, see other loved ones, or even just have a much-needed respite from caregiving, knowing that their loved one is safe and being checked on daily by hospice staff. Hospice really can help families take care of loved ones as they navigate the challenges of endof-life care.

~Olivia

Hospice & Palliative Care

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

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Ann’s Haven

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

Stephen P. Courtney, MD

Fellowship-Trained Orthopedic Spine Surgeon

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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

Sweet

HOME HOME

CHIP & JOANNA

GAINES

PUT FAMILY FIRST WHILE BUILDING A LIFESTYLE EMPIRE IN TEXAS.

BY SONDRA BARR

In small town Waco, Texas, Chip and Joanna Gaines are hometown royalty. Since the launch of their show Fixer Upper in 2013, the pair revitalized the once sedate town into a bustling, must-visit destination that millions of their devotees visit yearly for a chance to sample the gracious, bucolic lifestyle cultivated by the Gaines’s Magnolia brand.

There’s the 5-acre Magnolia Market shopping complex, the Magnolia Press coffee shop, the Silos Baking Co. Bakery, and Magnolia Table, add to this their lifestyle books, a magazine (Magnolia Journal), apparel, furniture, accessories, a real estate company, and most recently their very own cable channel, the Magnolia Network on Discovery, all proof of the pair’s influence in the worlds of design, food, home, and garden.

The photogenic couple’s affble nature and country approachability, combined with an eye for design, have contributed to their popularity. Yet, it’s their unwavering commitment to each other and their family that is the ultimate “secret” sauce to their appeal.

“We are who you think we are. We’re the couple you want to go have a coffee with, we’re the couple you want to have a 15-minute chat with on the way to the market,” said Chip to Hunter Hauk of Cowboys & Indians. “ The reason that we’re those people is because we do the hard work that is required. We treat each other with respect. We admire one another’s strengths and weaknesses. We pull for each other. We learned that early.”

Although they both graduated from Baylor University, Chip with a marketing degree and Joanna with a degree in communications, his fist glimpse of her was a photo of Joanna hanging on the wall of her father’s Firestone Tire store. “I knew I’d marry her one day just by the picture on the wall,” Chip told Popsugar

Hoping to meet his future wife, Chip returned to the shop for fresh “repairs.” His doggedness proved fruitful when he fially ran into her. He landed a date by complimenting Joanna on the car commercials she starred in for her family’s tire shop.

“At fist, I couldn’t believe how kind Chip was––he had kind eyes, and made me laugh a lot. I knew he was the one because I knew I could trust him,” Joanna said.

Contrary to their traditional Christian values, after only a year of dating, they moved into a rental property of Chip’s, an 800-square-foot home that they renovated. They married in 2003, the year they opened the original Magnolia Market on Bosque Blvd. After their wedding, they purchased their fist offial flp together. “All I could remember is the smell. The house was bad. Chip did all the construction, and I remember many nights he was on his hands and knees staining flors or laying tile,” she said.

“I remember when we fist got married the only money we had was what was in Chip’s pocket,” Joanna told PEOPLE. “He always had a wad of cash, but we were broke. If I needed to go grocery shopping it’s whatever was in his pocket. That’s how we paid the bills.”

A Vietnam War vet, Joanna’s father wasn’t exactly pro Chip. “Her dad spent the fist two years of our marriage asking me if I was going to get a job,” Chip said. “I was like, ‘I have a job and I like it.’”

When Magnolia Market closed in 2006 after the birth of two of their five children, the duo focused on their construction business, Magnolia Homes.

“One pretty amazing thing we learned early on was that the more time we spent together, the better our relationship was,” wrote Joanna on her blog. “We seem to give each other energy. We function better together than we do apart, and I don’t think either one of us has ever felt the urge to say,

“ ONE PRETTY AMAZING THING WE LEARNED EARLY ON WAS THAT THE MORE TIME WE SPENT TOGETHER, THE BETTER OUR RELATIONSHIP WAS.

”

‘I need a break from you.’ Don’t get me wrong, we’ve certainly had our share of disappointments and arguments, but we just always wanted to tackle our issues together.”

After more than a decade of flpping houses, Joanna’s blog caught the attention of producer Katie Neff, who called the couple to learn more.

“I was just really impressed by the fact that they were so in love with the town and so dedicated to it––and so dedicated to making a more beautiful place to live in. It’s the perfect place to be flpping homes, because there were so many horribly decrepit homes that you couldn’t live in,” Nefftold Texas Monthly

HGTV recognized the duo’s dynamic chemistry and distinctive style was unique and signed them up, much to the surprise of Chip, who initially couldn’t believe it was legitimate interest. “He was like, ‘it’s a scam, do not call them back,’” Joanna told Today

Launched in 2013, Fixer Upper became the most watched series in the history of HGTV. With years spent fixig and flpping houses, they hit the ground running and viewers were instantly hooked on the pair’s charming design aesthetic.

Early on, they established ground rules to ensure their brood, which has since grown to five, wouldn’t suffer due to filming. They insisted all the homes worked on during the show’s 79 episodes be in Waco so that they were rarely far from home or their other businesses.

“ I KNEW I’D MARRY HER ONE DAY JUST BY THE PICTURE ON THE WALL.

”

Single-handedly responsible for turning farmhouse chic into a national obsession and for the meteoric rise of shiplap sales, the looks they achieved on the show were widely coveted and opened the door for other opportunities.

“We realized we didn’t necessarily love that side of the camera, and that part became a fulltime job,” said Joanna to PEOPLE. “We’ve got a big family. We’ve got a business. The show ended up where we had to constantly be feeding it.”

When Chip and Joanna walked away from the show in 2018, fans were shocked. Yet, the pair, always ahead of the trend, had bigger plans. Their biggest remodel to date turned out to be the transformation of HGTV’s sister channel, DIY Network, into their own personal cable realm devoted exclusively to Chip and Joanna curated content. Named (what else) Magnolia Network, it debuted on cable this year with over a dozen original shows handpicked by the duo and the tagline “TV that feels like home.” Not surprising, considering Magnolia Network is a coming home of sorts for Chip and Joanna.

“What we’re hoping to do is to light a fie so that you can go out and create the life that you were meant to live. And that’s really, really the bottom line for us,” explained Chip to Variety about the venture.

“We just believe in the power of getting around the television as a family watching the same show together. I think right now a lot of people are on their own devices watching their own shows,” said Joanna. “It kind of reminds me of six years ago when we said yes to [creating Magnolia Journal quarterly] magazine. That was something we were dreaming about. Everyone was saying it’s all going digital, print is dying. We believe in the idea of sitting in your favorite chair with your magazine for an hour doing that kind of back-to-basics thing. And I think the same goes with television. It’s weird to think of it as nostalgic, but being around the television set feels like back to the basics all over again.”

“ WE’RE THE COUPLE YOU WANT TO GO HAVE A COFFEE WITH, WE’RE THE COUPLE YOU WANT TO HAVE A 15-MINUTE CHAT WITH ON THE WAY TO THE MARKET.

”

EVERYTHING YOU NEED TO KNOW ABOUT Retirement Income Planning

Courtesy ALAN EBRIGHT

Those of you inching closer to retirement are probably wondering how your golden years will work from a fiancial standpoint. Ths is a natural curiosity, as you will one day need to replicate your income from your savings and other sources. While this might sound like a daunting task, it’s actually pretty simple to illustrate. I think that the advisory and planning industry provides too much detail around the topic and it might be explained in a way

that is confusing or downright scary. I’ll attempt to alleviate those feelings as we walk through a simple example. Most of you probably have a good handle on your income sources and expenses. The goal now is to figue out your known sources of income. Typical sources:

• Social Security

• Employer Pension

• Rental Property

These are all hypothetical numbers for illustrative purposes

Social Security (spouses combined): $4,000 mo................................$48,000 yr Pension: $5,000 mo................................$60,000 yr

Rental Property (net of expenses): $1,500 mo................................$18,000 yr

Sub-Total: $10,500 mo............................$126,000 yr

Now, let’s add-in the effects of $1,000,000 in investible money from all accounts. Let’s assume the income producing stocks and bonds in the portfolio throws off 2.5% er year.

Then we need to figue out variable income from all your investment accounts; IRAs, Individual Accounts, Joint Accounts, 401ks, etc. These accounts will be invested and will be throwing offincome from the investments you own, plus appreciation (over time). Ths income can be added to all of your known sources, and voila, you have your retirement income plan. To give you more peace of mind, let’s plug in some numbers:

$1,000,000 @ 2.5%.............................................................$25,000

Total…………………………………..………………$151,000*

“Ths is all well and good, but I need more income.” I get this request pretty often, so there’s more that one can harvest from their investment accounts to get that extra income. Let’s use the same example as the couple with the $1 million in investible accounts. Let’s say they need $50,000 per year (5%) from the aggregate of all their accounts. Well, as shown above, half of it (2.5%) is already coming in from dividends and bond coupons, so where does the other 2.5% come from. The answer is the appreciation of the portfolio. That’s right, at the end of the day you are indifferent from getting $50,000 a year in dividends vs. selling $50,000 worth of your investments.** It’s all just money! Ths is a concept called total return. It’s your investment income + the appreciation over time.

You might be saying to yourself, “Well, that seems like I’m digging into principal, and I am not comfortable with that.” I get this question by virtually every client, and here’s my simple answer. As long as your total return, over time, is in excess of your withdrawals, your principal will continue to grow over time.

The next natural question (and I’ll spare you from having to ask) is how does this work in a recession and a bear market? It’s a fair question and one that deserves an answer. Given that the duration of market cycles can vary, and trying to predict the next big downturn is a fool’s errand, it’s always good to have a cash cushion that makes a person comfortable. Perhaps one to two years’ worth of cash needs should be kept in a money market? When the market takes that big dip, you can now draw from your cushion without having to sell anything during the down period. Once the market comes back, you replenish the cash you have taken out by selectively selling when things have rebounded. The specificsof how your portfolio should be allocated is an exercise that all clients should have with their advisor.

A quick note on financial planning:

The essence of a plan is showing a person how to get income by pulling various levers at various times. There really isn’t much more to it than that. Where the artistry comes into play is helping a client figue out when it’s best to pull each lever. For example, should I take social security as early as I can or should I defer? Should I start taking distributions from my IRA now, or wait until age 72 when the Required Minimum Distribution kicks in?

All of these variables can be worked out when talking to a client and running scenarios. Sure, there could always be some one-offsalong the way. Perhaps you want to sell a rental property, or you might be getting an inheritance. All of these can be accounted for and baked into your income plan when they occur. Again, putting together the plan is not the hard part, but it’s the execution of the plan by your advisor that is the hardest part.

You might need your portfolio to deliver income over a 20- to 30-year horizon, and in those multiple decades there will be some crazy times in the market where a seasoned investment manager can truly add value. It might behoove a person to look for the most qualifid manager fist, then figue out the income plan, not the reverse. Why? Some advisors lead with the fiancial planning angle as the most important part, build you the plan, and then try to sell you products for the plan or outsource the management to a third party. They might be great with numbers and spreadsheets, but can they manage money in an ever-changing market? Ths is one of the most important questions you need to ask yourself while you’re evaluating an advisor.

“EverybodyHasaPlanUntilThey Get Punched in the Mouth”

MIKE TYSON

*This is a pre-tax amount

**There could be different tax treatments for IRA withdrawals, dividend payments, and capital gains.

Hodges Capital Management, Inc. is a Federally Registered Investment Advisory Firm registered with the SEC. The above discussion is not intended to be a forecast of future events, a guarantee of future results, and should not be considered a recommendation to buy or sell any security. Past performance is not indicative of future results. Investing involves risk. Principal loss is possible. Investing in smaller companies involves additional risks such as limited liquidity and greater volatility. No current or prospective client should assume that information referenced in this communication is a recommendation to buy or sell any security. Different types of investments involve varying degrees of risk. No client or prospective client should assume that any information provided is a substitute for personalized individual advice from the adviser or any other investment professional. This document was created for informational purposes only and the opinions expressed are solely those of Hodges Capital Management, Inc.

All data and information reference herein are from sources believed to be reliable. Any opinions, news, research, analyses, prices, or other information contained in this research is provided as general market commentary, it does not constitute investment advice. Hodges Capital Management shall not in any way be liable for claims and make no expressed or implied representations or warranties as to the accuracy or completeness of the data and other information, or for statements or errors contained in or omissions from the obtained data and information referenced herein. The data and information are provided as of the date referenced. Such data and information are subject to change without notice.

DENNIS BIRENBAUM, MD EUGENE J. WYSZYNSKI, DO

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

AREAS OF CLINICAL INTEREST:

• Gastrointestinal Tumors

• Melanoma, Sarcoma

• Breast Cancer

• Lymphoma

• Kidney Cancer

EDUCATION AND TRAINING CREDENTIALS:

• Southern Methodist University

• Universidad Autonoma de Guadalajara/University of Michigan

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

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

• Fellowship Hematology/Oncology - University of Texas M.D.

Anderson Hospital and Tumor Institute

• Private Practice 1979 to Present

PERSONAL INTERESTS:

• Born and raised in Dallas, TX

• Father of 2 sons

• Owns six dogs

• Loves traveling and golf

• Avid collector of arts and antiques

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

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

You

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

CORE

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

VASCULAR SURGEON & VEIN

SPECIALIST

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

Feel like Youagain.

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

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

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

• Total Hip Replacement

• Direct Anterior Hip Replacement

• Knee Replacement

• Treatment of Fractures

• Bone Deformity

• Nonunion of Fractures

• Limb Lengthening

• Elbow Injuries / Elbow Replacement

• Foot and Ankle Injuries

• Infections

• Total Hip Revision

• Total Knee Revision

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

–David P.

ELDER

LAW FOR SENIOR ADULTS & THEIR FAMILIES

True Compassion

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.

PROBATE LITIGATION ESTATE PLANNING WILLS & TRUSTS

Lauren Olson Attorney

Lori Leu Certified Elder Law Attorney

Erin Peirce Attorney

What is “ELDER LAW?”

By LEU & PEIRCE ELDER LAW ATTORNEYS

“Elder Law” is a relatively new area of focus within the legal community. Attorneys who practice Elder Law have committed themselves to helping seniors plan for the issues they will face as they age. In recent years, the demand for attorneys focused on this area of the law has only increased. With 10,000 people turning 65 every day, and advancements in medical technology allowing people to live longer than ever before, access to long-term health care is becoming increasingly more complicated and expensive.

Attorneys who primarily work with seniors appreciate the complex fiancial, social, and health-related decisions their clients face. Elder Law attorneys bring to their practice a knowledge of their client base that allows them to ignore the myths related to aging, while empathizing with the true physical and mental difficulties that often accompany the aging process. Moreover, Elder Law attorneys are normally tied into a community of support agencies and organizations, such as geriatric care managers, psychologists, and other professionals who may be of assistance to seniors and their families.

Elder Law encompasses many different filds of law, including the following:

Estate Planning. Everyone should plan for the future, regardless of their income or asset level. Books and websites with pre-printed forms are not always up to date, and documents available from these sources may not work in your state or meet your goals. Elder Law attorneys have special training and expertise in estate and disability planning, and are sensitive to the special needs of seniors and their families. A comprehensive estate plan includes several documents that work together to ensure your wishes are followed and trusted individuals are in place to assist you if you are no longer able to act for yourself:

• A Will declares your intentions regarding the distribution of your property after you die

• A Durable Power of Attorney appoints an agent to act on your behalf regarding fiancial and legal matters.

• A Medical Power of Attorney appoints an agent to make health care decisions for you, if you are unable to do so yourself.

• A HIPAA Release and Authorization names individuals who may access your health information.

• A Directive to Physicians (Living Will) provides direction to your agent under the medical power of attorney regarding your desires about life-sustaining treatment.

• A Declaration of Guardian names individuals you trust to be appointed your guardian, if necessary, as well as individuals who should never be appointed.

Public Benefits (Medicaid/VA). Available healthcare choices depend on your specific stuation and needs. Elder Law attorneys can

help ensure the proper level of care, and explore payment options and eligibility for public benefits.

Guardianship. If you become unable to make important decisions for yourself, or are subject to exploitation by unscrupulous people, it may be necessary for a court to appoint a guardian. Elder Law attorneys can help you determine if a guardianship over your loved ones is necessary or whether other alternatives are available.

Probate/Estate Administration. After the death of a loved one, the legalities involved in distributing the estate can seem overwhelming. If title to assets needs to be transferred, a probate proceeding will usually be required. The type of proceeding depends on whether a valid Will exists, the details of its terms, the existence of debts, and the value of the estate. Elder Law attorneys can help you understand and evaluate your options.

Elder Law attorneys specialize in helping seniors and their families address the often-complicated legal issues related to fiancial and medical care Because of their concentration in this area, attorneys whose sole focus is Elder Law are more likely to have the legal tools and techniques necessary to meet the objectives of an older client. The Elder Law attorneys at Leu & Peirce, PLLC believe that education is one of the greatest benefits we can provide our clients and their families. Arming our clients with knowledge about options available to meet their care needs allows them to move through the aging process with confidece. If you or someone you love needs to visit with an Elder Law attorney, local agencies and support programs, such as the Alzheimer’s Association, State or local Bar organizations, or the website for the National Academy of Elder Law Attorneys (www.naela. org), are good places to look for a referral. Lori A. Leu, Erin W. Peirce, and Lauren E. Olson are Elder Law attorneys with Leu & Peirce, PLLC in Plano, Texas.  For more information, call 972-996-2540 or visit www.leulawfim.com.

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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

KOONS fuller

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

5700 W. Plano Pkwy., Ste. 2200 Plano, TX 75093 (972) 769-2727

DENTON

320 W. Eagle Dr., Ste. 200 Denton, TX 76201 (940) 442-6677

550 Reserve St., Ste. 450 Southlake, TX 76092 (817) 481-2710

www.koonsfuller.com

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.

Finding a DOG to Fit Your LIFESTYLE

By KIMBERLY BLAKER

Every year thousands of dogs are turned over to animal shelters because they were given as a giftwithout fist consulting the gift recipient—or people discover they brought home a biter, barker, digger, or jumper. When pets are given away, owners, and particularly dogs, suffer. So before selecting your dog, do your homework. With a little pre-planning, you can fid the dog that most closely fits yours or your gift ecipient’s lifestyle.

VARIETY OF DOGS, VARIETY OF NUISANCES

Dogs can create many nuisances. Some of these are more common in particular breeds. A barking dog helps protect against intruders. But excessive barking can become a problem. Some breeds known for their barking include the Alaskan Malamute, American Water Spaniel, Bassett Hound, Finnish Spitz, Fox and other Terriers, Great Pyrenees, and Miniature Schnauzer.

A playful, energetic puppy can make a great playmate. But as your puppy grows, that hyperactivity could become overwhelming. Highstrung dogs often jump on people and tear through the house. Certain breeds tend to maintain that high energy level well into their adult size bodies. Such breeds include Airedale Terriers, Boxer, Brittany,

Cocker Spaniel, Dalmatian, Golden Retriever, Irish Setter, Jack Russell Terrier, Labrador Retriever, Pointer, and Schnauzer.

Dogs dig for many reasons—to bury a bone, to escape from a fenced yard, to keep cool, or out of boredom. A torn-up yard can be the last straw for many dog owners. The following breeds tend to be diggers: Fox Terriers, Norwich Terrier, and Petit Basset Griffon Vendeen.

Dogs can be aggressive for a variety of reasons. Poor breeding, physical abuse, and even disease can cause aggression in a dog. Certain dominant breeds can also tend toward aggressiveness if not handled by a fim and skilled handler. Choose these dogs with caution and the understanding they require strong leadership: Akita, American Pit Bull Terrier, Bulldog, Bullmastiff, Chow Chow, Doberman Pinscher, German Shepherd, Rottweiler, Schnauzer, Shih Tzu, Siberian Husky, and Weimaraner.

Grooming is another consideration. While it may sound painless, the upkeep of certain breeds can be overwhelming. In addition to keeping claws trimmed and an occasional bath, some dogs require lengthy daily brushing to remove tangles or trapped fur in double coats. High maintenance breeds include the American Eskimo, Cocker Spaniel, Collie, Great Pyrenees, Lhasa Apso, Old English Sheepdog, Poodle, Schnauzer, and Terriers.

Continued on next page

TRAITS TO LOOK FOR IN A FAMILY DOG

Many unforeseen problems are avoidable by fiding a dog that’ll be easy to handle. Easy trainers include American Water Spaniel, Australian Shepherd, Bichon Frise, Cocker Spaniel, Irish Setter, Italian Greyhound, Maltese, and Shetland Sheepdog.

Calm, gentle breeds may be essential to your peace of mind. Keep in mind size alone doesn’t dictate these traits. Gentle breeds you might consider are Bassett Hound, Beagle, Bearded Collie, and Chinese Crested.

Playful and energetic puppies can be a handful once they’re fullgrown and haven’t outgrown their energy level. These include American Eskimo, Bloodhound, Brittany, Dalmatian, Golden Retriever, Irish Wolfhound, Labrador Retriever, Pointer, Poodle, Saint Bernard, or Schnauzer.

There are many other traits to consider in choosing a new dog. Before bringing home your puppy, read a book or articles about the breed that interests you to determine if it will fit your family’s lifestyle. For personalized assistance in choosing a breed, go to  www.selectsmart.com/DOG  or one of the many other breed selection sites. You’ll be guided through a series of questions and receive a free personalized list of matches.

SPECIAL CONSIDERATIONS

The Centers for Disease Control and Prevention estimate that 800,000 people, mostly children, are bitten annually severely enough to require medical attention. If you have grandchildren or other children who visit, keep in mind that Infants and small children shouldn’t be leftalone with a dog. It may be hard to picture your lovable Fido as capable of hurting a child. But even the gentlest dogs have been known to bite.

Little kids sometimes get too close to a dog while it’s eating or chewing a bone or startle a dog while it’s sleeping. Sometimes, small children hang on dogs, pull their tails, or threaten a dog’s safety. Ths can lead to injury to either the dog or your child.

Also, dogs view their families as part of their pack. A properly trained dog should view adults and older children as alpha (top dog). But a dog isn’t likely to see a small child in this light and may wield its authority when no one’s around.

Apartment living is another consideration. The size dog you choose is vital to both your dog’s well being and to maintain your sanity. High energy and medium to large breeds generally need large areas to romp. Without it, your apartment could become a round-the-clock racetrack. Planning regular walks for these dogs may not be sufficit. You’ll tire long before your dog. Also, there will be occasions when you aren’t able to accommodate your dog’s need to exercise.

The costs of pet ownership should also be weighed out. First, there are obvious costs, such as pet food and annual vaccinations. Other expenses include licensing, monthly heartworm pills, chew toys, damaged belongings, fencing, training, unexpected veterinary expense, grooming, kenneling, and more.

If you or frequent guests have bad allergies or asthma, check with your doctor before bringing any furred, feathered, or fined pet into your home. Also, the holiday season may not be the best time of year to bring home a new dog. People are generally too busy during the holidays to give a new pet the attention it needs. Choose a season when you’ll be able to spend plenty of time with your new dog as it adjusts to its new home.

WHERE TO FIND YOUR DOG

The Humane Society, an animal shelter, or an accidental litter of pups is a great place to fid your dog at an affordable price. Giving a home to a dog that might otherwise be put to sleep or caged indefintely, and not contributing to the overpopulation of dogs by buying from breeders, are good reasons to go this route.

Most often, you’ll fid mixed breeds through these methods. Mixed breeds are less likely to inherit the diseases and disabilities often common in pure breeds. Keep in mind though, sometimes these dogs are strays or weren’t properly cared for by their original owner. If a dog didn’t receive proper vaccinations, it could be at risk for disease.

A dog that was abused by its previous owner could also pose risks. Ask the animal shelter what it knows about the dog’s history.

Another way to fid your new puppy is through a breeder. Taking home a puppy whose history is known and hasn’t been exposed to a poor environment is a plus. But caution should be used even when buying from a breeder. While most are in the business for their love of the breed, there are plenty of exceptions.

Some breeders are only interested in profits and have little knowledge or concern for good breeding and proper care of pups. Ths can lead to dogs with poor temperaments, genetic disorders, or disease. Ask plenty of questions, request references, and ask to see the puppies in their normal environment.

According to the American Kennel Club, some things to watch for when selecting your puppy include a runny nose, watery eyes, fever, or disease in the litter. If any of these conditions are present, look elsewhere.

Avoid a puppy that trembles and is shy or one that shows a bad temper. Also, understand that a kennel designated “AKC Reg.” doesn’t mean it has the American Kennel Club’s stamp of approval. It merely means the dogs are registered as being purebred. Finally, keep in mind that puppies should remain with their mother until six weeks of age, and preferably 8.

TRAINING TIPS

No matter how careful you are in selecting your pet, chances are, your puppy will develop a problem or nuisance behavior. Prevention is the fist step. Around six months, your puppy will be old enough for an obedience course. Teaching your puppy the basics will make it easier to manage problem behaviors. If you can’t take a class, purchase a dog-training manual and stick with it. If your dog shows signs of aggression, talk with a professional trainer or your veterinarian. Depending on the cause, there may be a simple solution. If you have kids and their safety becomes an issue, your only option may be a new home for your pet.

Whether your dog ends up with a new owner or in a shelter, make sure you explain the reason for giving your dog away, so it ends up in the proper environment. For other problem behaviors, there are several good books to help tame your dog. Decoding Your Dog: Explaining Common Dog Behaviors and How to Change or Prevent Unwanted Ones by the American College of Veterinary Behaviorists, provides many helpful techniques. Contrary to popular belief, never hit, kick, or swat a dog with a newspaper. Ths can lead to aggressiveness or increase already aggressive behavior. Most importantly, try to understand and accept your pet’s imperfections and adjust your home accordingly to reduce aggravations. In time, your dog will learn to accept the household routine and become a part of it.

TRAVELING WITH A PUPPY

For some dog owners, going on vacation without their dog is like leaving a family member behind. Therefore, many hotels accommodate guests who travel with pets. Try one of the following that offers pet-friendly services at some or most of its locations:

Residence Inn and TownePlace Suites by Marriott (800) 228-9290

Best Western (800) 528-1234

Hilton (800) 445-8667

Doubletree Hotels (800) 222-8733

Embassy Suites Hotels (800) 362-2779

Holiday Inn (800) 465-4329

Comfort Inn (877) 424-6423

Experienced DWI Defense THE LAWYER LAWYERS CALL

Deandra M. Grant

JD, GC, MS

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.

GRANT DEANDRA

“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

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

JOSHUA WORLEY, DPM | REZA MOBARAK, DPM, FACFAS, FAPWCA, FAPWHC | MITCH WILLIAMS, DPM

Diane S. Litke, MD Diplomate American Board of Orthopaedic Surgery

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

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

Please call 972.498.4791 to schedule an appointment.

Dr. Diane S. Litke, MD

Better Hearing KEEPS

» 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

UNDERSTANDING HEARING LOSS

Courtesy HEARING SERVICES OF McKINNEY

Hearing Facts

Let’s start with some facts (NIDCD, 2013): one in five Americans 12 and older experiences hearing loss severe enough to hinder communication. Nearly 50% of adults ages 75 and older have hearing impairments. Hearing loss is the third most prevalent chronic condition in older Americans after hypertension and arthritis. About 26 million Americans between the ages of 20 and 69 have high frequency hearing loss due to exposure to loud noises at work or in leisure activities. Tinnitus (“ringing in the ears”) affects up to 50 million Americans. Tinnitus is currently the #1 service-connected disability for veterans from all service. If you have hearing loss, you’re not alone. In fact, the World Health Organization estimates that 360 million people worldwide have “disabling hearing loss.”

How Hearing Works

When we become aware of a sound in our environment, it is the result of a sequence of events. The outer ear-sound travels through the pinna, what we see on the side of our head, which collects and funnels sound into and down the ear canal, striking the eardrum and causing it to vibrate. The middle ear-vibrations from the eardrum cause the ossicles (the three smallest bones in the body) to vibrate which, in turn, send the information onto the inner ear. In the inner ear, the movement of the hair cells sends electrical impulses through the auditory nerve to the hearing center of the brain, which translates them to sounds the brain can recognize.

Causes of Hearing Loss

Something can go wrong along that whole auditory pathway, therefore many things can cause our hearing system to stop functioning

properly. The main causes are the aging process, noise exposure, infections, variety of diseases such as Meningitis, injuries to the head or ear, birth defects, genetics, and ototoxic reaction to drugs or cancer treatment (i.e., certain antibiotics, chemotherapy, etc.).

How Hearing Loss Occurs

To understand why hearing loss is pervasive, it’s important to understand how hearing loss happens. Hearing loss happens when any part of our delicate hearing system stops working properly, whether it’s due to damage or deterioration. The most susceptible and common parts to break down are the microscopic stereocilia, the thousands of tiny hair cells that detect and send sound impulses to the brain. When these tiny hair cells become injured, diseased or die naturally, the result is sensory hearing loss. Ths is by far the most common type of hearing loss. When the microscopic stereocilia (hair cells) in your cochlear (inner ear) are damaged, they will not send complete signals to your brain, causing you to be unable to understand the consonants (more typical than vowels) within words. For example, the word “TOOTHBRUSH” may sound like “OO-BRU.” Healthy hair cells stand erect and are able to accurately detect sound waves and send impulses to the brain to correctly identify the word spoken. Damaged hair cells are limp and will no longer stand erect. They are therefore unable to properly detect sounds waves or send the correct information to the brain to identify.

How Hearing Loss Can Impact Your Life

If you think you hearing loss is inconsequential, you should know that studies have linked

untreated hearing loss to signifiant issues such as: diminished psychological and overall health, impaired memory and ability to learn new tasks, reduced alertness and increased risk to personal safety, avoidance or withdrawal from social situations, social rejection and loneliness, fatigue, tension, stress and depression, irritability, negativism and anger, reduced job performance and earning power.

What Hearing Loss is Like

You can’t recreate a hearing loss simply by plugging your ears. A person with normal hearing can hear quiet, medium and loud sounds that vary from low pitch (bass) to high pitch (treble). But when you have hearing loss, you often lose the ability to hear higher pitched sounds fist, such as certain consonants like T, K, S, F, SH and TH. Even though you still may be able to hear the stronger, lower pitch vowel sounds. Ths is why “I hear, but cannot understand” is a common complaint.

Help is Available

If you think you or someone you know has hearing loss, the next step is an easy one— confim it by seeing an Audiologist. Just as every person is unique, every hearing loss and hearing need is unique too. Consult an Audiologist who is trained to inspect your ear canal, accurately measure your hearing loss, assess your unique needs and make a recommendation that takes all this personal information into account.