Denton County Living Well Magazine January-February 2022

Page 1

GREGORY D. ROBERTS, M.D.

FACIAL PLASTIC SURGEON TRANSFORMS SELF ESTEEMS

DENTON COUNTY JANUARY/FEBRUARY 2022

RANCH HAND YELLOWSTONE ’S COLE HAUSER BRINGS HEART AND SOUL TO COWBOY ROLE PLANNING YOUR RETIREMENT INCOME

Healthy Changes Start at Flower Mound

Weight Loss Center at Texas Health Flower Mound

Texas Health Flower Mound Weight Loss Center o ers comprehensive weight loss programs complete with diagnostic, surgical and non-surgical options designed to promote a full and healthy life.

Our bariatric team consists of board certified bariatric surgeons, experienced bariatric practitioners, nurses, dietitians and coordinators.

A dedicated weight loss specialist will be with you each step of your experience - from your initial appointment, through diagnosis, treatment, after care and follow-up maintenance appointments.

For more information or to schedule a consultation, please call 469-322-7073 or visit the Center’s website at TexasHealthFlowerMound.com/weight-loss-center

02 • JANUARY/FEBRUARY 2022
Texas Health Presbyterian Hospital Flower Mound is a joint venture owned by Texas Health Resources and physicians dedicated to the community and meets the definition under federal law of a physician-owned hospital. Doctors on the medical sta practice independently and are not employees or agents of the hospital. The model in these photos is not an actual patient; weight loss results may vary.
Medicare (CMS) has certified Denton Rehabilitation with an overall rating of 5 out 5 stars, which is the highest possible rating. Our Focus is You 2229 N. Carroll Blvd. Denton, TX 76201 dentonrehab.com 940.387.8508 From the time of admission and throughout your recovery, our team implements a patient-focused process. Our number one goal is helping you recover and rebuild your life. Denton Rehabilitation will coordinate all aspects of your care including: ✔ Wound Care ✔ Hospice/Respite Care ✔ Restorative Nursing ✔ Physical, Occupational & Speech Therapies ✔ Assistance with Personal Care ✔ Laboratory and X-Ray services ✔ Skilled Nursing
2 • JANUARY/FEBRUARY 2022
VOTED TOP DOC IN DALLAS COUNTY AND COLLIN COUNTY. DR. TOULSON IS PROUD TO SERVE LOCAL RESIDENTS AND SURROUNDING COMMUNITIES. TO LEARN MORE, VISIT AlphaOrtho.net Dr. Charles Toulson specializes in: Robotic Joint Replacement Total Hip Replacement Total Knee Replacement Total Hip and Knee Revisions TOP DOCS 2020 Livingwell PROVIDERS HEALTHCARE AND OTHER TOP DOCS 2019 Livingwell PROVIDERS HEALTHCARE AND OTHER TOP DOCS 2018 Livingwell PROVIDERS HEALTHCARE AND OTHER TOP DOCS 2021 Livingwell PROVIDERS HEALTHCARE AND OTHER 2 LOCATIONS TO SERVE YOU: McKINNEY 6850 TPC Drive, Suite 116 McKinney, Texas 75070 972-362-0065 SHERMAN 204 Medical Drive, Suite 110 Sherman, Texas 75092 972-362-0253
PREMIER SURGEON FOR HIP AND KNEE REPLACEMENT
DENTON COUNTY • 3 It’s your move. Speak with a surgeon to see if Mako Technology is right for you. Find a surgeon today! Call 1 888 STRYKER (1 888 787 9537) or visit dfwmako.com. All surgery carries risk. See your orthopaedic surgeon to discuss your potential benefits and risks. Not all patients will have the same post-operative recovery and activity level. Individual results vary. MKOSYM-PM-14_22150 Take control of your joint pain Mako Robotic-Arm Assisted Technology, the latest in total hip, partial knee and total knee replacement, is now available in your area.

FROM THE PUBLISHER

THE STORY BEHIND A FACE

Aface conveys the story of a life, a life lived and experienced with a multitude of emotions, while doing countless activities. Whatever you’ve filled your life doing, daily living takes a toll on your face and body in often unexpected and unwanted ways. That’s where plastic surgeon Gregory D. Roberts comes in.

For over 20 years, Dr. Roberts has reversed the effects of time on hundreds of patients, providing them with results that are in harmony with their individual facial features. Offering a host of surgical and nonsurgical procedures to achieve each patient’s unique desires and goals, Dr. Roberts helps re-shape a person’s beauty for a renewed sense of self-confidece. Read about this accomplished doctor’s results in his cover story inside.

Speaking of faces telling a story, when Cole Hauser ambled in to his fist scene in the hit show Yellowstone, most people had a hard time placing where they’d seen him before—so complete was the transformation of this previously clean-shaven actor from his previous roles.

Hauser’s nuanced portrayal of Yellowstone’s ranch foreman Rip Wheeler is in no small part dependent on a face that appears forged from years spent in the saddle, braving the elements. Sporting a dark, wiry beard and a wizened expression, Hauser’s faces conveys a multitude of emotions that range from fiece and vulnerable to rough and tender.

As Texans, we recognize that steely gaze and determination that comes from years spent working the land, which makes Hauser’s character so engrossing to watch. In this issue, we catch up with the breakout star to learn about his Montana and Texas connections and to hear what’s next for this now bonafide cwboy starting on page 24.

Meanwhile, we have a lot more going on in this issue, including an insightful and timely article from Hodges Capital on everything you need to know about retirement income planning.

Be well!

Living Well

JANUARY/FEBRUARY 2022

PRESIDENT & CEO SAM HOUSTON

VICE PRESIDENT & CFO SPRING HOUSTON

EDITOR, FEATURE WRITER & SOCIAL MEDIA SONDRA BARR

ART DIRECTOR

VANESSA FRYER

ACCOUNTS MANAGER JENNIFER BEAVERS

WEBSITE LYDIA ROGERS

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LIVING WELL MAGAZINE is a source for quality educational articles on living a healthy, vibrant life. Our focus is on connecting our readers with the latest information on a host of topics relevant to their evolving life. From cutting edge medical news and procedures to top-tier financial, legal and lifestyle information. Connecting readers to leading medical and business professionals in their community in Texas and Oklahoma.

4 • JANUARY/FEBRUARY 2022
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CONTENTS FOLLOW US ON SOCIAL MEDIA @ LivingWellmag @ LivingWellmags @ LivingWellmags @ LivingWellmagaz RANCH HAND YELLOWSTONE’S COLE HAUSER BRINGS HEART AND SOUL TO COWBOY ROLE PLANNING YOUR RETIREMENT INCOME GREGORY D. ROBERTS, M.D. FACIAL PLASTIC SURGEON TRANSFORMS SELF ESTEEMS DENTON COUNTY JANUARY/FEBRUARY 2022 Visit LivingWellMag.com for a free digital subscription. 8 24 29 FEATURES 8 Dr. Gregory D. Roberts: Transforming Self Esteems 24 Cole Hauser 29 The 411 on Retirement Income Planning AND MUCH MORE... 12 New Year’s Checklist 21 Finding Relief from Excruciating Spine Fractures 40 Suddenly Sherman A High-Tech Hub 49 Hearing Loss in America Dr. Gregory D. Roberts Transforming Self Esteems

Advanced Heart & Vascular Care

Advanced Heart & Vascular Care

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

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

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

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

6 • JANUARY/FEBRUARY 2022
Physicians employed by Texas Health Physicians Group practice independently and are not employees or agents of Texas Health Resources hospitals. © 2021
Mitchel Kruger,
MD |
Mary Youssef,
MD What does a plan for your heart look like? Let us show you.
Physicians employed by Texas Health Physicians Group practice independently and are not employees or agents of Texas Health Resources hospitals. © 2021
Mitchel Kruger, MD | Mary Youssef, MD
What does a plan for your heart look like? Let us show you.

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.”

“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!”

Dr. Jason C. Tinley Board Certified Orthopedic Spine Surgeon
(817)916-4685 • www.dfwspinecenter.com DFW DISORDERS Center for SPINAL

GREGORY D. ROBERTS ,

Transforming Self Esteems

8 • JANUARY/FEBRUARY 2022
Each patient is unique, so it’s important to really listen to what the patient wants.

We inherit some great characteristics from our ancestors. A sense of humor. A strong work ethic. Maybe even features such as high cheekbones and expressive eyes. But sometimes we also receive Dad’s baggy eyelids, Mom’s sagging jowls, a distracting nose or weak chin. Some of these traits can hide our inner beauty. Coupled with the effects of time, they may cause us to look tired and even older than we feel.

Unlike generations before us, we can explore surgical and nonsurgical options that not only produce natural results but are also affordable. The key is fiding a plastic surgeon who has honed his skills and innovative techniques, listens to your goals and explains your options while striving to adhere to the highest standards. That surgeon is Gregory D. Roberts, M.D.

For over 20 years, he’s devoted his practice to helping his patients achieve natural results and endeavoring to exceed their expectations. “Each patient is unique,” Dr. Roberts said, “so it’s important to really listen to what the patient wants. I start by asking what bothers you. What do you hope to achieve?”

Dr. Roberts specializes in facial plastic surgery. His objective is to provide results that are in harmony with individual facial features. He also wants patients to be able to go out in public without makeup if they so desire. Ths requires him to take additional time in each procedure to incorporate a series of precise surgical methods.

For example, during a female Face Lift,he utilizes post-tragal incisions placed on the inside of the ear and bevels placement of incisions at the hairline to help provide a virtually “scarless” appearance.

In an Endoscopic Brow Lift, e typically places tiny endoscopic incisions hidden above the hairline.

In each Rhinoplasty Nose Contouring procedure, his goal is to provide an outcome that fits with an individual’s unique anatomy, as well as incorporating each person’s unique desires and goals. That is why his nose jobs can look so different from one person to the next.

Many of our patients find a new or renewed sense of self-confidence. To me, it is as much of an aura of confidence as it is the results of the procedure that helps re-shape a person’s beauty. That is very fulfilling to me.

In Otoplasty Ear Contouring, Chin Implants and Lip Implants, results are individualized, and incisions performed with the goal of hiding any signs of surgical intervention for a natural look and feel. (Visit RobertsCosmeticSurery.com to see other surgical methods incorporated in Dr. Roberts’ Face Lift rocedures.)

“No surgery can be performed without an incision, but over the years I’ve perfected my techniques so incisions can be practically imperceptible in many procedures I perform,” Dr. Roberts said.

Dr. Roberts also utilizes FDA-approved injectables such as Juvéderm®, Voluma®, Radiesse® & Botox® to stave offthe signs of aging—perfect for patients who are hesitant to commit to surgery, who don’t need surgery or for post-surgery maintenance. Roberts Cosmetic Surgery can also address issues such as sun damage, acne scarring, wrinkles and uneven pigmentation with advanced fractional resurfacing lasers.

“ There’s an artistic element to every aspect of our practice,” Dr. Roberts said. “Many of our patients fid a new or renewed sense of self-confidece. To me, it is as much of an aura of confidece as it is the results of the procedure that helps re-shape a person’s beauty. That is very fulfilling to me.”

On the personal side, Dr. Roberts’ likes to fish, golf and adores pets. He loves it when patients show him pictures of their beloved pets, and delights in talking with patients about their furry best friends, and of course his best friend and sidekick Baylor, named after his alma mater.

Dr. Roberts is certifid by the American Board of Facial Plastic & Reconstructive Surgery and the American Board of Otolaryngology-Head & Neck Surgery. All procedures are performed at Dr. Robert’s AAAASF certifid facility near George Bush Tollway and Preston Road in Dallas suburb, Plano, Texas. Roberts Cosmetic Surgery staffmake it easy to schedule consultations via phone 972-608-0000 or by text at 972-762-6699. For more information about Dr. Roberts and his surgical techniques, visit RobertsCosmeticSurgery.com. For qualifid patients, CareCredit, the leader in patient fiancing, makes it easy for you to get the cosmetic enhancements you desire.

10 • JANUARY/FEBRUARY 2022
Face Lift, Bleph & Brow Lift, Front View Face Lift, Bleph & Brow Lift, Side view Baylor with her toy

TESTIMONIALS

Dr. Roberts’ patients love their results! Read what they have to say about him. Some patients travel across the globe to see him. This is why Dr Roberts has an overall Internet rating of 4.59 stars! (source ReviewInc)

“The sagging in my neck and jowl area started to bother me so much, I no longer wore my hair off y face. I decided to do [a facelift ith Dr. Roberts]. Not one person has asked if I had a face lift. Instead they tell me how pretty my skin is or how good I look. I don’t have to even wear makeup because there are no scars! The results were just what I wanted, natural and almost subtle. I love it.”

JANNA

“My nose has always been a big insecurity growing up. I always felt so masculine with the wide bridge and boxy tip. I am so glad that I found Dr. Roberts because the outcome of this surgery has changed my life in the positive way I finally see myself. I’m so happy that I went through with the procedure. I’m so pleased with the results!”

RACHEL

“I am so glad I chose Dr. Gregory Roberts for my eye procedure. From the consultation to my post-op checkup, I have been impressed with his skill, expertise and gentle manner. Dr. Roberts and his staff are kind, caring professionals who patiently answered all of my questions. I am thrilled with my results and can’t thank Dr. Roberts enough for giving me back my self-confidence!”

CINDY

BEFORE & AFTER

View more before-and-after photos. Read more patient testimonials.

DENTON COUNTY • 11
Chin Augmentation & Lipo Face Lift & Blepharoplasty Face Lift, Left side view, “Scarless” Face Lift, Right side view, “Scarless” Face Lift Face Lift & Bleph Rhinoplasty Rhinoplasty & Chin Augmentation Rhinoplasty

STAND OUT WITH THE EMINENT CHOICE IN HEALTHCARE

Pain Management • Sports Medicine • General Surgery

Spine Surgery • Orthopedic Surgery • Neurosurgery

Minimally Invasive Spine Surgery • Total Joint Surgery

Foot & Ankle Surgery • Hand Surgery

Gynecological Surgery • Plastic Surgery

ROBOTIC TECHNOLOGY

DENTON COUNTY • 13 Eminent Medical Center is the premier treatment destination in the Dallas/Fort Worth area with three operating suites and five private patient rooms. www.eminentmedicalcenter.com • (469) 910-8800 1351 W. President George Bush Highway, Richardson, Texas 75080 IN-NETWORK
area.
an
Eminent Medical Center is a premier, boutique treatment destination in the DFW
We are
In-Network provider with Aetna, Blue Cross Blue Shield, Cigna, and United Healthcare.
Orthopedic surgeons and the medical staff at Eminent Medical Center are excited to offer Zimmer Biomet’s ROSA Knee System, which helps surgeons personalize surgical procedures for their patients. PROVIDING SPECIALTY CARE We provide surgical services for pain management, orthopedic & sports medicine, gynecology, spine surgery and general surgery.
TOP DOCS 2019 Livingwell PROVIDERS HEALTHCARE AND OTHER TOP DOCS 2020 Livingwell PROVIDERS HEALTHCARE AND OTHER
TEXAS ONCOLOGY .COM When you’re diagnosed with breast cancer, you need comprehensive care from renowned physicians, advanced treatment options, leading edge technology, and clinical trials. But you also need to keep being Mom. To be front row at every soccer game and gymnastics meet. To be home for family game night. With more than 210 locations across the state, Texas Oncology provides expert care and keeps you close to family and friends. Because you shouldn’t have to choose. 903.868.4700 EXPERT BREAST CANCER CARE RIGHT WHERE YOU LIVE.

Southwest Foot & Ankle Center is a respected group of board certified foot and ankle surgeons. They are fellow trained surgeons, and board certified in wound care and reconstructive surgery. All physicians have also completed an intense residency and fellowship in the area of limb salvage, and foot and ankle surgery. The team at Southwest Foot & Ankle Center strive to make each patient’s experience personable. Our outcomes are of perfection and meticulous in surgery. As a result, patients from all over the country seek to be treated by DFW Wound Care Center.

Foot and Ankle Surgery

Bunion and Hammer Toe Correction

MIS—Minimally Invasive Surgery

Heel Pain (Plantar Fasciitis) Stem Cell Therapy

Neuropathy

Ingrown Toenails Tarsal Tunnel Syndrome Diabetic Foot Care Flat Feet Trauma Wound Care

Custom Orthotics & Braces

Laser Therapy for Pain, Swelling, Arthritis, and Wounds PLANO CLINIC 5804 Coit Rd., Ste. 100 Plano, TX 75023

LEWISVILLE CLINIC 502 N. Valley Pkwy., #2 Lewisville, TX 750067

CLINIC 714 N. Hampton Rd. De Soto, TX 75115

DENTON COUNTY • 15 Let your feet guide your way to Comfort
IRVING CLINIC 6161
State
161,
DESOTO
833-FOOT-DFW www.dfwfootdoc.net
N.
Hwy.
Ste. 320 Irving, TX 75038
Joshua Worley, DPM Reza Mobarak, DPM, FACFAS, FAPWCA, FAPWHc Mitch Williams, DPM Voted best in D Magazine, Living Well Magazine, and Best Docs Network SPECIALIZING IN Southwest Foot & Ankle Center is proud to provide Stem Cell Therapy. TOP DOCS 2021 Livingwell PROVIDERS HEALTHCARE AND OTHER NORTH TEXAS #1 FOOT AND ANKLE SURGEONS IN DFW #1 WOUND CARE CENTER IN DFW! dfwfootdocswfacenterthedfwfootdoc

Enjoy your life

We get you dancing again!

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 carefully review your options, explain your treatment, and the prospects for a return to full mobility. You will be fully informed at every step of your treatment.

Our experts are available 24/7

During diagnosis, treatment and recovery, any questions or concerns you have will be answered. We speak in terms you can understand, and discuss every step of your care to ensure you feel comfortable and confident with the recommended treatment plan.

Our promise to you

Using advanced, proven medical techniques, the surgeons at Orthopedic Institute of North Texas 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 dancing again.

16 • JANUARY/FEBRUARY 2022

Justin M. Kane, MD

Education:

Medical School:

Thomas Jefferson University, Philadelphia PA

Residency:

The Rothman Institute at Thomas Jefferson University, Philadelphia PA

Fellowship:

Foot and Ankle Surgery, Baylor University

Medical Center, Dallas TX

Memberships:

• American Academy of Orthopedic Surgeons

• American Orthopedic Foot and Ankle Society

• Baylor Scott & White Quality Alliance

Board-certified Foot and Ankle Orthopedic Surgeon

Dr. Kane specializes in foot and ankle problems ranging from bunions and hammertoes to complex reconstructive procedures and limb salvage surgeries. He has particular interest in academic endeavors relating to the outcomes of surgical and non-surgical treatment of foot and ankle disorders. Dr. Kane gives lectures world-wide and has published numerous books chapters, articles, and reviews. He serves as a Professor of Surgery at Texas A & M Health Science Center College of Medicine and remains active in teaching residents, fellows, and medical students.

Dr. Kane enjoys spending time doing overseas medical mission work, volunteering with local dog rescues, and outdoor activities including hiking, water sports, cycling, and triathlons. He also likes traveling and cooking international cuisine. Dr. Kane is currently welcoming new patients and accepts most insurance plans.

DENTON COUNTY • 17
Frisco • Farmers Branch • Lewisville www.oint.org 972-591-6468
Actual Patients Experience The Sabolich Difference TheWorldLeaderinProstheticsSince1947.•Free DVD •Free Book •Free Evaluations & Second Opinions •Unmatched Patient Care and Expertise 1500 Preston Rd. Dallas, TX 75248 (877)226-5424 ScottSabolich.com

Amenities:

Cantex Continuing Care Network has been performing the highest

of transitional healthcare and long-term residential services for more than 30 years. Ask anyone who knows. Cantex stands for

• 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

Clinical Services:

• 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

DENTON COUNTY • 19 “Where we are committed to excellence” Recognized by U.S. News
World Report
Best Nursing Home
Short-Term Rehabilitation Facility.
and
as
and
4101 Long Prairie Road, Flower Mound, TX 75028 214-285-3200 | 866-400-7621 (Fax) | www.cantexcc.com Cantex Continuing Care Network is committed to providing the highest level of services to promote recovery and restore independence. We are passionate about patient safety and well-being, devoted in innovation, and dedicated to values of compassion and service.
quality. Transitional Healthcare In a Luxury Setting
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MANAGE YOUR PAIN DIFFERENTLY

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

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

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

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

3.

2009;373(9668):1016-1024.

2013;38(12):971–983.

20 • JANUARY/FEBRUARY 2022
Oral opioids are not the only
LEARN MORE: MEDTRONIC.COM/MANAGE © 2020 Medtronic. All rights reserved. Medtronic, Medtronic logo and Further, Together are trademarks of Medtronic. All other brands are trademarks of a Medtronic company. UC201909020a EN
option for treating fractures.
1. Boonen S, Van Meirhaeghe J, Bastian L, et al. Balloon kyphoplasty for the treatment of acute vertebral compression fractures: 2-year results from a randomized trial. J Bone Miner Res. 2011;26(7):1627-1637. 2. Wardlaw D, Cummings SR, Van Meirhaeghe J, et al. Efficacy and safety of balloon kyphoplasty compared with non-surgical care for vertebral compression fracture (FREE): a randomised controlled trial. Lancet. Van Meirhaeghe JV, Bastian L, Boonen S, et al. A Randomized trial of balloon kyphoplasty and nonsurgical management for treating acute vertebral compression fractures. Spine.

Finding Relief From Excruciating Spine Fractures Thanks to Balloons and Cement

Sharon 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.

Courtesy
MEDTRONIC
Fractured Vertebra Normal Vertebra Kyphoplasty Balloons
22 • JANUARY/FEBRUARY 2022 Plano’s only family owned and operated full service funeral home Rick and Melanie Allen Owners/Funeral Directors Meaningful Appropriate Affordable 2112 W. Spring Creek Pkwy. | Plano, TX 75023 | 972.596.8200 www.affoplano.com

Stephen P. Courtney, MD

Fellowship-Trained Orthopedic Spine Surgeon

Over 26 Years of Experience

Dr. Courtney is a board-certified orthopedic spine surgeon located in Plano, Texas. A Louisiana native, he attended Louisiana State University for medical school, and completed residency at Texas A&M followed by a fellowship at the Florida Neck and Back Institute.

SPECIALTIES:

• Back Pain

• Neck Pain

• Spine Pain

• Disc Replacement

• Microdiscectomy

• Spinal Fusion

• Minimally Invasive Surgery

• Steroid Injections

• Physical Therapy

“I

DENTON COUNTY • 23
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• JANUARY/FEBRUARY 2022

RANCH HAND

YELLOWSTONE ’S COLE HAUSER BRINGS HEART AND SOUL TO COWBOY ROLE.

When Cole Hauser ambled in to his fist scene in the Paramount series Yellowstone, it took more than a few episodes to place where you’d seen the actor before.

Hauser’s transformation from the clean-shaven actor who fist appeared in 1992’s School Ties, followed by such films as Good Will Hunting, Pitch Black, Olympus Has Fallen, Transcendence, and 2 Fast 2 Furious, was such that it completely took viewers by surprise.

Sporting a dark, wiry beard, substantial heft,a worn cowboy hat, and steely gaze, Hauser’s portrayal of Yellowstone’s ranch foreman Rip Wheeler is engrossing. A complex character that is both fiece yet vulnerable, rough yet tender, his deftperformance leaves women watching the show swooning and the men wanting to be him.

In a show that highlights ranching, wildlife conflits, and politics amid fiey family drama and corrupt land developers, Rip serves as the show’s moral compass of sorts. The perfect foil to John Dutton, the hardened ranching patriarch of the Yellowstone ranch skillfully played by Kevin Costner, Rip’s storyline is rich in contrasts.

“He is quiet, cool, and breathes everything that is Montana. Rip Wheeler is someone who is not very modern, who is more old school in his loyalties and in the way he acts. I realized this is something that needs to be portrayed, and I wanted to do it,” explained Hauser to Guns & Ammo’s Mike Schooby on his motivation to take on the role.

DENTON COUNTY • 25

In addition to wanting to work with Yellowstone’s two creators, Taylor Sheridan and John Linson and being intrigued with Rip’s character, Hauser also saw the job as a way to connect with the rural life he experienced as a child, as well as a chance to explore his deep personal ties to Montana.

“I grew up on a really nice ranch in Oregon for about four years,” he told Bobbie Jean Sawyer of Wide Open Country. “ Those were my earliest memories of being a kid.”

Meanwhile, Hauser’s dad’s family hails from Helena, Montana. Recently, Hauser and his eldest son researched the family to learn his great-great grandfather, Samual T. Hauser, helped fund the Louis and Clark Expedition.

“ There is a lake named after him and all kinds of stuff. We went on this little history tour. He was a really special guy, a pioneer in many ways. He has been there since 1870. Thik about that area in 1870, there was nothing out there. He came through the Great Lakes and into Montana, that’s wild. Samual T. Hauser was the fist governor of Montana. I have always had this love for the state but didn’t really know why. It makes so much sense now. I mean, my family has been there since the beginning of time,” he told Courtney Rodgers of the Havoc Journal.

Although he spent time on a ranch growing up and performed some rodeo stunts for The High-Lo Country, a 1998 Western he starred in opposite Sam Elliott and Woody Harrelson, Hauser considered himself a novice horseman before Yellowstone

“Taylor Sheridan, Ross Coleman and all these cowboys put me through the works. They had me on horses every day, different horses, different saddles and after a lot of work, I can say now I am a ‘rider,’ but before I was not. I now know about my feet and ankles and what they should be doing versus yanking a horse around by his neck,” said Hauser to Schoby.

While becoming a horseman worthy of Yellowstone took some doing, 46-year-old Hauser didn’t require much practice for the fiearms part of being a cowboy. An avid hunter who advocates for gun ownership rights, his stance is an anomaly in Hollywood.

“Listen, my right as an American is to own guns. Responsibility is a big deal to me. Have we as a community forgotten a little bit about

responsibility? Possibly. But in my household, no,” he told Guns & Ammo. “All my children know how to shoot and handle fiearms safely. They will always know how to shoot, and they will be able to protect themselves, in every way they can. But gun ownership really all boils down to personal responsibility.”

Hauser has hunted in Texas, Montana, and other places around the West and holds a deep respect for the age-old practice. He won’t shoot anything that he doesn’t intend on eating and shuns the use of riding around in a truck or employing anything other than old school methods.

“When you hunt at the highest level, without bait, feeders, etcetera, and you fially get the one you are after, after walking miles, there is a certain amount of respect you have for that animal as well as respect for the process. I don’t think non-hunters really understand that. They may go to Whole Foods to buy meat, and they don’t really think about where it came from. When you walked for it and really hunted it and butchered it and stocked your freezer with it and now your kids are eating it, it is just a different feeling.”

It’s this ethos of a multifaceted, extremely interesting, deep-thinking, heartfelt, strong American man that Hauser embraces for this once-in-a-lifetime role, one which he suspected would resonate strongly with viewers.

“RIP WHEELER IS SOMEONE WHO IS NOT VERY MODERN, WHO IS MORE OLD SCHOOL IN HIS LOYALTIES AND IN THE WAY HE ACTS.”

“It obviously wasn’t what it is now. But there were people throughout the country who were watching very closely right out of the gates,” he told writer Joe Leydon for Cowboys and Indians. “And then I think it’s bled into the younger crowd, which has been really cool to see over the last couple of years. There are

26 • JANUARY/FEBRUARY 2022
HAUSER PLAYS ROUGH AND TOUGH COWBOY RIP WHEELER IN THE POPULAR TV SERIES YELLOWSTONE PHOTO BY PARAMOUNT NETWORK
“THEY HAD ME ON HORSES EVERY DAY, DIFFERENT HORSES, DIFFERENT SADDLES AND AFTER A LOT OF WORK, I CAN SAY NOW I AM A ‘RIDER,’ BUT BEFORE I WAS NOT.”

more and more younger people coming up to me and talking about this show then there were initially. I meant, I was at a high school football game the other day here in Florida, and I was shocked that 16-year-olds, 14-yearolds, 18-year-olds—male and female—are watching the show and are blown away and love it.”

While Hauser credits Kevin Costner for much of the show’s early buzz, he’s been surprised about the outpouring of love for his character Rip. “He’s not somebody that Taylor and I thought, ‘Oh well, people, men and women, are just going to love this guy.’ I think that’s been a happy surprise for us both. And to see the response in the public to the character—for me, personally, it’s just been a real blessing.”

Yellowstone fans will be pleased to know that the show’s popularity has spawned two highly anticipated spinoffs Y:1883, s prequel starring Tim McGraw and Faith Hill as John Dutton’s ancestors James and Margaret Dutton and 6666, set in Texas.

In case you can’t get enough of Hauser, he has two films set to debut in 2022—Muti, a thriller with Morgan Freeman, and Panama, an action-adventure co-starring Mel Gibson.

A happily married (sorry ladies) father of three, Hauser lives in Florida and puts just as much effort into his family as he does his thriving career. “I am pretty good about compartmentalizing working and family. They are two of my biggest passions. I am not the kind of guy who forgets about them.”

IN DAZED AND CONFUSED (1993) A COMING-OF-AGE COMEDY.

HAUSER PHOTO BY UNIVERSAL PICTURES HAUSER AND EVA MENDES IN 2 FAST 2 FURIOUS (2003). PHOTO BY UNIVERSAL PICTURES HAUSER TURNS US MARSHAL IN THE SHORT-LIVED MANHUNT SERIES CHASE PHOTO BY NBC HAUSER WAS VINCE VAUGHN’S BAD WINGMAN IN THE BREAK-UP (2006). PHOTO BY UNIVERSAL PICTURES FELLOW CASTMATES OF GOOD WILL HUNTING (1997): CASEY AFFLECK, MINNIE DRIVER, BEN AFFLECT, MATT DAMON AND COLE HAUSER. PHOTO BY BE GENTLEMEN
• 27
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Everything You Need to Know About Retirement Income Planning

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*

DENTON COUNTY • 29
Continued on next page

“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”

*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.

30 • JANUARY/FEBRUARY 2022
Continued from page 29

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

DENTON COUNTY • 31
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VASCULAR SURGEON & VEIN

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.

32 • JANUARY/FEBRUARY 2022
4541 North Josey Lane, Suite 140 Carrollton, Texas 75010 (972) 906-1055 • corevascularservices.com
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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

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

DENTON COUNTY • 33
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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.

34 • JANUARY/FEBRUARY 2022
LAW: LONG-TERM CARE PLANNING MEDICAID ELIGIBILITY
(972)996-2540 | 2313 Coit Road, Suite A, Plano, TX 75075
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VETERANS BENEFITS ESTATE ADMINISTRATION GUARDIANSHIPS PROBATE LITIGATION ESTATE PLANNING WILLS & TRUSTS
Lauren Olson Attorney Lori Leu Certified Elder Law Attorney Erin Peirce Attorney

NEW YEAR’S CHECKLIST

Throughout history, the New Year has always been representative of a new beginning. Every January 1st presents us all with the opportunity to take an inventory of last year’s resolutions and recommit ourselves to a new set of goals. Due to the ongoing Covid-19 pandemic, many will add “getting affirs in order” to their list of aspirations for 2022. Many people think only of a Will when contemplating the legal documents necessary to protect their future. However, there are more documents and considerations in developing a well-rounded estate plan. Every estate plan ought to include the following documents:

2 Durable Power of Attorney

2 Medical Power of Attorney

2 Directive to Physicians and Family or Surrogates (Living Will)

2 Authorization to Release Medical Information (HIPAA Authorization)

2 Declaration of Guardian

2 Will

2 Long-term Care Insurance

Although often overlooked, a Durable Power of Attorney and a Medical Power of Attorney are critical parts of long-term care planning, since they designate the person or persons who will be acting for you in the event you are unable to handle your own fiancial and health care decisions. Without these documents, no one, not even your spouse, is legally authorized to handle your fiances or make medical decisions for you.

Your estate planning documents are extremely powerful and should be executed after great contemplation. The people you appoint to act on your behalf as your agents should be those you trust fully to handle your affirs now, as well as when you cannot handle them on your own. If you do not trust the person you have named to act for you right now, be careful about naming that person to act for you when you are incapacitated. Often people appoint spouses, adult children, or other family members as agents to keep affirs private and to avoid hurting feelings. However, appointing a family member may not always be the best option. In all cases, signing estate planning documents should be done only after deep reflction as to the abilities and trustworthiness of each candidate.

In addition to the essential legal documents listed above, another planning area that warrants early and informed consideration is preparing for the cost of funding long-term care. Long-term care differs from other types of healthcare, in that the goal of long-term care is not to cure an illness, but to provide an individual with support so they can maintain an optimal level of functioning. Some people want to stay in their homes as long as possible and bring in outside help to make that possible. Others want the freedom from home maintenance that a senior residence community offers. There is a wide range of living arrangements

for seniors, from retirement communities to assisted living facilities to skilled nursing facilities. There exists a long-standing myth that Medicare will cover all our healthcare needs, including the cost of long-term care. The reality is that Medicare provides support only in limited situations. Notably, Medicare does not pay for assisted living, memory care, or long-term custodial care in skilled nursing facilities.

Some people are fortunate to have the ability to private pay for long-term care, which ranges from $3,000–$16,000/month in the Dallas-Fort Worth area. Others have long-term care insurance (an insurance policy designed to cover long-term healthcare expenses that are not covered by health insurance or Medicare). However, long-term care insurance may not be available if you have certain existing health problems, and the costs and premiums can rise as you age. Therefore, it is important to investigate the availability of long-term care insurance as early as possible. If you cannot qualify for long-term care insurance, there are fiancial options that may fit your circumstances and provide similar coverage. Professionals who work primarily with seniors, such as Elder Law attorneys, can often provide connections to a community of support agencies and other professionals who may be of assistance to you as you explore your options.

Ths year, resolve to take the time to crafta thoughtful, and thorough, estate plan. Educate yourself on your options, and seek qualifid professional advice on legal documents, healthcare, insurance, and fiancial planning. A little planning now goes a long way towards ensuring that you and your loved ones are protected, no matter what the future holds. Lori Leu, Erin Peirce, Lauren Olson, and Emily Seale are Elder Law attorneys with Leu & Peirce, PLLC located in Plano, Texas. They can be reached at 972-996-2540.

DENTON COUNTY • 35

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DENTON COUNTY • 37
(972)316-4555 • www.mcguinessdermatology.com 6000 W. Springcreek Pkwy., Ste. 200, Plano, Texas 75024

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

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

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.

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.

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.

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

38 • JANUARY/FEBRUARY 2022
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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.

DENTON COUNTY • 39
TEXAS BONE & JOINT – ARLINGTON 3201 Matlock Road, Suite 260 Arlington, Texas 76015 877-314-8990 tbjortho.com TOP DOCS 2021 Livingwell PROVIDERS HEALTHCARE AND OTHER

Gradually, then Suddenly

HOW A SLEEPY TEXAS TOWN BECAME DFW’S HIGH-TECH HUB

Just an hour north of Reunion Tower, nestled between the Red River and the sprawling suburbs of McKinney, sits Sherman, Texas, county seat of Grayson County. And over the last few months, the eyes of many Texans—not to mention several national and international heavyweights of industry—have been focused fimly upon this growing city of 45,000 people.

What they’ve seen here has catapulted this historic community to the forefront of Texas’s burgeoning high-tech economy. And with Texas Instruments’ November announcement of a $29 billion (with-a-‘b’) semiconductor plant to begin construction in early 2022, sufficto say that those eyes are now wide-open to the seemingly limitless untapped potential of Sherman.

“People have been saying for decades that growth was coming up Highway 75, but then it never really happened,” said Sherman Mayor David Plyler. “But after what we’ve seen in the last few years, there aren’t many doubters left”

In 2017, Finisar (since rebranded as “II-VI”) renovated a 700,000-square-foot building in Sherman, investing $390 million of Apple’s money to create an onshore production facility for iPhone chips. And with those 500 new jobs in hand, Sherman had offially announced itself as major combatant in the Metroplex’s internecine battle to woo the next great titan of industry.

“ That really put us on the map,” said Sherman City Manager Robby Hefton. “And as the jobs came, the rooftops quickly followed.”

A steady stream of emigrants from cities further south and states far afild soon began to pay Sherman and its cheap housing notice. A trickle of 100 new homes a year expanded to 150, then 200, and now 300 new housing starts each year—a number that’s expected to double in 2022.

But those housing numbers could soon look quaint. News broke in late November that Texas Instruments had selected Sherman over Singapore for a new facility that will be one of the largest factories in the United States when complete—on par with Tesla’s plant in Austin. And the 3,000 high-paying jobs that come along with it will deliver the type of growth that most cities only dream about.

“Sherman provides some unique advantages such as a competitive business environment, access to a highly trained technical workforce,

and an existing supplier base,” said TI Senior Vice President of Technology and Manufacturing Kyle Flessner.

But preparing for this day has been a process that stretches back decades. In order to capitalize on its water rights in nearby Lake Texoma, Sherman undertook a massive expansion of its water treatment facility in 2020. That $30-million investment gave the city far more water than it was able to use at the time, creating a reservoir of potential, should an opportunity like the TI plant ever come along.

“We’re very fortunate in Sherman that our leaders have had the foresight to make sure we would have all the water we would need,” said Hefton, the city manager. “We are able to chart our own course when we need to make hard decisions. And God continues to bless our community in ways that are unimaginable.”

Now, the flodgates are open. Literally hours after the TI announcement, Hefton’s phone was already ringing. Companies large and small have reached out to learn what made Sherman so attractive, and to be next in line to take advantage of what it has to offer.

So, water? Check.

Jobs? Check.

Affordable housing? Write a small check.

And as for quality-of-life, well, that’s the mayor’s forte. Sherman hosts perhaps the largest free concert series in Texas, with big-name acts every summer. Also on the city’s résumé: a brand-new high school that opened last year; a re-blossoming historic downtown chockfull of locally-owned shops and restaurants; and city property taxes that are among the lowest in the state. Leaders say it’s a recipe for sustained success that extends far beyond the big-tech headlines.

“It’s pretty remarkable, how quickly it’s all come together,” said Plyler. “You spend all these years preparing for growth, but when it arrives is out of your hands. All you can do is plant the seeds and wait for nature to do its thing.”

It was Hemingway who coined “Gradually, then suddenly,” in his 1926 book The Sun Also Rises, and it seems an apt phrase for what’s happened in Sherman in the last few years—incremental growth, followed by a day in the sun in which everything comes together.

And now that the sun has risen in Sherman, it seems the day may have only just begun.

40 • JANUARY/FEBRUARY 2022

SHERMAN’S BOARDWALK BUILDING ANCHORS A REINVIGORATED DOWNTOWN FULL OF LOCALLY OWNED SHOPS AND RESTAURANTS.

AUSTIN COLLEGE IS AMONG THE STATE’S OLDEST INSTITUTIONS OF HIGHER LEARNING. THE CAMPUS HELPS SUPPLY SHERMAN’S HIGHLY TRAINED TECHNICAL WORKFORCE.

DENTON COUNTY • 41

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.”

42 • JANUARY/FEBRUARY 2022 TOP LAWYERS 2021 Livingwell
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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

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DENTON COUNTY • 45
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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.

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

Better Hearing KEEPS

» Staffed by 2 Licensed, Doctors of Audiology

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48 • JANUARY/FEBRUARY 2022
4201 Medical Center Dr, Suite 270 Across from Medical City of McKinney Mon-Fri: 8:30am-5:00pm Other times available by appointment Locally Owned and Operated • Financing Options Available hearinmckinney.com 972.838.1300 TOP DOCS 2021 Livingwell PROVIDERS HEALTHCARE AND OTHER HEARING SERVICES OF McKINNEY CASSANDRA WILSON, Au.D. DOCTOR OF AUDIOLOGY
YOU Connected!

How Prevalent is Hearing Loss in America?

How prevalent is hearing loss in America? You may be surprised! Nearly a fih of all Americans 12 years or older have enough hearing loss to make communication difficult, according to a new study led by Johns Hopkins researchers and published in the Nov. 14 Archives of Internal Medicine.

The fidings, thought to be the fist nationally representative estimate of hearing loss, suggest that many more people than previously thought are affected by this condition. The study was led by Frank Lin, M.D., Ph.D., an assistant professor in the Department of Otolaryngology-Head & Neck Surgery at the Johns Hopkins School of Medicine

Using the World Health Organization's defintion for hearing loss (not being able to hear sounds of 25 decibels or less in the speech frequencies), the researchers found that overall, about 30 million Americans, or 12.7% of the population, had hearing loss in both ears. That number jumps to about 48 million, or 20.3%, for people who have hearing loss in at least one ear. These numbers far surpass previous estimates of 21 to 29 million.

Hearing loss prevalence nearly doubled with every age decade, with women and blacks being signifiantly less likely to have hearing loss at any age. Lin and his colleagues aren't sure why these groups appear to be protected. However, he notes that the female hormone estrogen, as well as the melanin pigment in darker skin, could have a protective effect on the inner ear.

In the meantime, Lin says, the new numbers greatly impact the work he and other researchers are doing on hearing loss and its consequences, which, according to previous studies, include cognitive decline, dementia, and poor physical functioning. Lin’s research also looked at a link between hearing loss and the risk of falling in middle aged-adults and the elderly. They found that hearing loss triples the risk!

Another link that exists is between diabetes and hearing loss. According to the American Diabetes Association, it’s estimated that 25.8 million Americans (children and adults) have diabetes—that’s 8.3% of the population. There are certainly many complications from diabetes that are well known such as heart disease, kidney disease, blindness, stroke, high blood pressure and peripheral neuropathy.

However, one of the most common and yet least understood and diagnosed complication of diabetes is hearing loss. In a 2008 study, it was found that diabetics have approximately a 30% higher incidence of hearing loss than patients with normal blood sugar. Over 50% of those participating in the study showed a high frequency hearing loss, which is one of the most common types of hearing loss and the type effectively treated with hearing aids. The study also showed a correlate between pre-diabetes and hearing loss.

Diabetes can lead to nerve damage. Neuropathy occurs when high blood sugars cause chemical changes in nerves that impair their ability to transmit signals. Hearing also depends on nerves of the peripheral auditory mechanism. It’s believed that over time high blood glucose levels damage these nerves diminishing the ability to hear. High blood sugar is also known to damage vascular systems. Diabetes can damage the blood vessels in the ear similar to the retina. The structures of the ear have a delicate blood supply, which is susceptible to disruption due to diabetes. Ths interruption can result in damage to the sensory structures of the ear, therefore causing or contributing to hearing loss.

Finally, the study looked at the link between how long someone has lived with diabetes and the severity of their hearing loss. Specifially, it was found that 75% of individuals who had diabetes for more than eight years experienced a moderate to severe hearing loss.

So, if you or a loved one has been diagnosed with diabetes or is classifid as pre-diabetic, it’s important to have your hearing screened. If a hearing loss is suspected, a full hearing test would be recommended. Contact your audiologist today.

This gives us the real scope of the problem for the first time and shows us how big of a problem hearing loss really is," Lin says. The moral of the story is that it’s a good idea to have your hearing tested throughout your life. See an audiologist today and stay connected.
DENTON COUNTY • 49
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