Denton County Living Well Magazine July/August 2024
JON HAMM
From Struggles to Stardom
HEALTHY HEARTS FOSTER HEALTHY BRAINS DO CARROTS REALLY IMPROVE YOUR VISION?
Our Focus is You
Denton Rehab is a locally owned and operated skilled nursing facility that is licensed by the State of Texas and certified to participate in both the Medicare and Medicaid programs. Our core management team has worked together for years and has decades of experience providing compassionate healthcare.
When you require professional, dependable, skilled nursing care to regain your health and strength, chose the expert team at Denton Rehab. We invite you to stop by and meet our friendly staff.
We’re excited to soon be able to show you our beautiful new community in Denton, located on six beautiful acres conveniently located next to Medical City Denton.
Our new facility will have 94 private beds with ensuite and shower. We will have two suites that include ensuite, shower and a living area.
Our new community has three living areas, two dining areas, a private dining area for families, cultural center, sitting parlor, beauty shop, activities center, whirlpool room, therapy gym, and eight covered outdoor areas to relax and view nature and the beautiful, landscaped grounds. Our state-of-the-art kitchen uses green technology to provide healthier, more delicious food. Denton Rehab’s nurses and certified nurse aides provide aroundthe-clock care. Doctors and nurse practitioners make rounds three times a week while our medical director makes rounds twice a week. Our number one goal is helping you recover and rebuild your life. Our Focus is You!
David Shau, MD/MBA
Texas Hip and Knee Center Fellowship Co-Director and Faculty at the Anne Burnett Marion School of Medicine at Texas Christian University
Dr. David Shau is a native Texan, born in Fort Worth, TX. He graduated high school in Flower Mound, TX, and attended the University of Texas at Austin, where he studied biomedical engineering. Dr. Shau then ventured out-of-state to work at leading academic orthopedic surgery centers, including Vanderbilt University, Emory University, and University of California, San Francisco, before being recruited to return home to practice at the premier DFW joint replacement group, the Texas Hip and Knee Center (THK).
Dr. Shau has quickly built his practice through connecting with his community, committing to quality service, and delivering excellent patient care. He utilizes a variety of techniques and approaches for hip and knee care, including direct anterior hip replacements, and offers technology-assisted surgeries, such as Mako Technology for partial and total joint replacements. He also specializes in revision joint surgeries and enjoys complex, challenging cases. As a result of dedicating himself to his craft, his partners at THK promoted him to Fellowship Co-Director early in his practice. Dr. Shau also serves as a Physician Development Coach and is an Assistant Professor at the Burnett School of Medicine at TCU, where he enjoys his roles as a teacher, mentor, and coach.
In his free time, he enjoys food, sports, music, and spending time with his wife and daughter. For more information on Dr. Shau’s care philosophy and the techniques/approaches offered for hip and knee care, please visit DavidShauMD.com.
CELEBRATING EXCELLENCE AND INSPIRING STORIES
Welcome to another enriching edition of LIVING WELL Magazine. On the cover, we feature the versatile and talented actor, Jon Hamm. Long before he captivated audiences as Don Draper on AMC's Mad Men, Hamm faced a series of personal tragedies and challenges. Despite these hardships, Hamm persevered, moving to Los Angeles to pursue his acting dreams. His journey from financial struggles to critical acclaim is proof of resilience and determination. Dive into Hamm’s compelling life story and his reflections on success and authenticity on page 8.
SPRING AND SAM HOUSTON
In this issue, we also bring you insightful articles focused on health and wellness. On page 44, explore the comprehensive guide to managing diabetes effectively. This article offers practical advice on diet, exercise, and monitoring blood sugar levels to maintain a healthy lifestyle. Additionally, turn to page 34 for an enlightening read on how fostering a healthy heart can significantly benefit brain health. This piece highlights the interconnection between cardiovascular health and cognitive function, providing valuable tips for a holistic approach to wellbeing.
We are excited to present Dr. Matthew K. Adams' article, "Do Carrots Really Improve Your Vision? Dietary and Lifestyle Modifications to Keep Your Eyes Healthy." This informative piece debunks common myths and provides evidence-based advice on maintaining optimal eye health through diet and lifestyle choices. Discover more about how you can protect your vision and support overall eye health on page 25.
At LIVING WELL Magazine, we strive to bring you not only the latest advancements in medical care but also inspiring stories of perseverance and triumph. Whether it’s Jon Hamm's journey from adversity to stardom or practical health tips to enhance your wellbeing, we hope these narratives resonate with you and inspire a sense of hope and determination.
Thank you for joining us in celebrating excellence in healthcare and the human spirit. We invite you to explore these stories and more within the pages of this issue.
Stay well, stay inspired.
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
ADVERTISING & SALES
TEXAS: Denton County, Dallas County, Collin County
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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.
JULY/AUGUST 2024 All advertisements in this Magazine are placed by third parties. We do not control or endorse either the advertisements or their content. Further, we do not
SAM AND SPRING HOUSTON
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 believe in treating each of my patients with honesty, dignity, and respect. My patients come away from our shared interactions feeling confident, assured that they are truly in the best hands. Throughout my career, I have remained laser-focused on providing world-class care and innovation to the patients I treat on a daily basis. I look forward to getting to know you!”
JON HAMM’S NEXT CHAPTER
By Sondra Barr
From Mad Men to Landman
Long before he epitomized the man that women want and men want to be while inhabiting the iconic role of Don Draper in AMC’s Mad Men show, 53-year-old actor Jon Hamm was a self-described “nerdy kid” and a “voracious reader” who excelled in high school sports to mask his childhood pain.
Growing up in St. Louis, Missouri, Hamm’s early life was marred by tragedy. His mother, Deborah, passed away from colon cancer when Hamm was just 10 years old. After her death, Hamm and his father, Daniel, moved in with his grandmother. Tragedy struck again when Hamm was 20, and his father passed away, leaving him orphaned.
Reflecting on these experiences, Hamm told PEOPLE in 2014, “I’ve survived a lot in my life. I’ve had a lot of close calls with a lot of stuff. I think someone’s watching out for me.” Despite these challenges, Hamm doesn’t see himself as a tragic figure: “Everyone’s got a sad story. I’ve had two good decades and two bad ones. No one was raised in Happyland. It doesn’t exist.”
Determined to pursue his dreams, Hamm moved to Los Angeles to embark on an acting career. His early years in Hollywood were far from glamorous. He faced
financial hardships and struggled to find steady work. “At a certain point, I had owed my landlord here in LA about seven or eight months’ worth of back rent that I somehow talked her into being fine with,” Hamm revealed in an interview. His finances were so strained that he dodged phone calls from creditors throughout the ‘90s. “The caller ID would come up and if it was an 800 number, it would immediately go to voicemail.”
Hamm’s big break came in 2007 with his portrayal of the dashing Don Draper on Mad Men, a series that would go on to become a cultural phenomenon. Despite a network executive once telling his agent that Hamm would “never be a television star,” Hamm’s depiction of Draper earned him critical acclaim and an Emmy Award in 2015.
The character of Draper, with his mix of charm and deep-seated flaws, showcased Hamm’s ability to bring complex characters to life, solidifying his place in television history and as a sex symbol, which he never fully understood. “It’s silly,” he told PEOPLE in 2014. “First of all, it’s completely arbitrary. Point me to 50 people online who think I’m super sexy, I’ll point you to 50 more who say, ‘He’s old and looks like my dad.’ It’s not universal. If you buy into that, you’re crazy.”
EVERYONE’S GOT A SAD STORY… NO ONE WAS RAISED IN HAPPYLAND. IT DOESN’T EXIST.
THE POINT OF LIFE IS
NOT TO PUT DOG EARS ON YOURSELF AND POST IT ONLINE FOR EVERYONE TO SEE.
Beyond Mad Men, Hamm has demonstrated a remarkable range. His dramatic depth shone through in The Town, Baby Driver, and Top Gun: Maverick, while his acting versatility is further highlighted by his work in comedy. His appearances on Saturday Night Live and his role in 30 Rock showcased his comedic timing and ability to make audiences laugh. In discussing his favorite SNL sketches, Hamm fondly recalled working with SNL’s Bill Hader and Kristen Wiig, saying, “You realize how uniquely gifted those people are—the cast, the writing staff, the production staff, everybody. It’s like being a part of a really good baseball team. You just don’t want to be the guy that drops the ball.”
Meanwhile, his recent role as the villainous sheriff Roy Tillman in Fargo season five was hailed as his best performance since Mad Men, marking a new era for the seasoned actor. “One of the great things about Jon is that he can play both sides of that moral spectrum,” said Noah Hawley, creator of Fargo, in a recent interview, highlighting Hamm’s ability to portray both charm and menace with equal finesse. Hamm’s upcoming project, Landman, created and directed by Taylor Sheridan, the creator of Yellowstone, promises to be another exciting chapter in Hamm’s career. Set in the boomtowns of West Texas, the series explores the world of oil rigs and features Hamm as Monty, a Texas oil titan. The show, which also stars Billy Bob Thornton and Demi Moore, is expected to be a compelling blend of drama and intrigue.
Hamm’s career is not only defined by his on-screen roles but also the roles he didn’t land. He learned early on the importance of honesty, a lesson that came in a rather humiliating fashion. During an audition for the 2004 movie Miracle, Hamm, who had embellished his ice skating skills on his resume, quickly realized the error of his ways. “I can skate a little bit. I can go forward and backward, I can turn, can’t really stop. But who needs that? That’s what the boards are for,” he joked during Th Hollywood Reporter’s Drama Actor Emmy Roundtable earlier this year. He did not get the role and this experience taught him the value of authenticity and set the tone for his future endeavors.
Reflecting on his career, Hamm has often emphasized the importance of resilience. “The auditioning process is the worst,” he once said. “It just stinks, but that’s the only way we’ve got. And there’s so many variables that are completely out of your control, so the ability to let it go is an amazing point in one’s career. And then, of course, that’s when you don’t ever have to audition again.” The irony doesn’t escape him: “It was one of those things where I had auditioned for this person and this network over and over and over again, as one does, and for whatever reason didn’t get the part, and didn’t get the part, and didn’t get the part. It would always come down to the last two, me and the guy who’s going to get it.”
On the home front, after many years as an eligible bachelor, he found love with actress Anna Osceola, whom he met on the set of Mad Men. The couple, who wed in June 2023, prefer to keep their lives private and away from social media. Both he and Osceola choose to maintain a low-key presence away from the public eye. Hamm has spoken about setting boundaries in the industry to retain his sense of self, telling InStyle, “The point of life is not to put dog ears on yourself and post it online for everyone to see.” Despite their tight lips, the couple has hinted that starting a family might be on the horizon.
Although Hamm’s personal life reflects a balance between public and private spheres, he has opened up about the importance of mental health and the impact of therapy on his life, helping him navigate the complexities of relationships and personal growth.
“As an actor, you have to be aware of your emotions and where you are in the course of a day or in the course of your life. And you have to be able to let that inform whatever character you’re playing. I think keeping that side of your mind/body duality sharp is the same thing as keeping your physical side sharp. There’s a weird stigma about mental health, and there doesn’t need to be. Staying aware of where you are in that spectrum just makes good sense,” he told Men’s Journal
As Hamm continues to take on diverse roles, his dedication to acting remains evident. Whether portraying a suave advertising executive, a menacing sheriff, or a Texas oil magnate, Hamm’s performances are consistently compelling, drawing viewers into the complexities of his characters. No doubt, his journey is far from over.
If you’re suffering from pain or an athletic injury, schedule an appointment with your preferred NTOS location for effective, compassionate treatment.
JOSH CREEL, DC
Josh Creel, DC is a chiropractor with Airrosti, a healthcare group that specializes in rapid recovery for soft tissue injuries by utilizing manual therapy—a hands-on treatment used to alleviate pain, improve mobility, and promote overall physical well-being. In nearly all cases, this allows for rapid recovery, complete injury resolution, and lasting results. In-clinic patients should expect to see dramatic improvement after the first visit, and most patients experience complete injury resolution in as few as three visits (based on in-clinic and Remote Recovery patientreported outcomes).
Dr. Creel has been serving the McKinney/Prosper area for 10 years and provides patients with an individualized treatment plan, and uses a variety of techniques, including joint mobilization, soft tissue manipulation, and muscle energy techniques to address specific musculoskeletal issues and promote recovery.
Dr. Creel graduated with honors from Mississippi State University. Soon after, he received his Doctor of Chiropractic degree from Parker University in Dallas, Texas. In Dr. Creel’s free time, he enjoys all types of fitness activities and spending time with his wife and three children. Dr. Creel is an active member of Lighthouse Church in Prosper, TX.
Expert Orthopedic Surgeons
Left to right
William F. Tucker, MD
Duncan L. McKellar, Jr., MD
Brian Nwannunu, MD
Florian F. Dibra, MD
Charles E. Toulson, MD
Cyrus Abbaschian, MD
Donald W. Hohman, MD
J. Stephen Appleton, MD
Alexander S. Greenstein, MD
Kwame A. Ennin, MD
Samuel K. Stephenson, MD
James Ryan, MD
STAND OUT WITH THE EMINENT CHOICE IN HEALTHCARE
Total
Headache
THE BUDDY SYSTEM
By RICK ALLEN
How many of us remember as little children being told “Hold my hand while we cross the street” or “Don’t go out there all alone”? These words of advice will stay with us our entire lifetime. I see husbands reach for the hand of their wife when crossing a street, not so much for safety but for the purpose of subliminally suggesting “you will be fine because I am right here”. As a Boy Scout, while working on our swimming merit badge we were told if you ever go out into open water always follow the buddy system. There should always be someone nearby in case you get in trouble.
As we grow and mature something mysteriously happens to us though. For some reason, a large number of us feel as if we no longer need help (or at least are not supposed to ask for it). Society has somehow caused women to feel as if they should be independent and strong-willed. As men, we develop the idea that we are never supposed to ask for directions or read instructions. I can personally attest to the fact that this is not accurate as I can easily become lost in a shopping mall and have the most difficult of times assembling even simple items. When something bad happens in our lives we naturally tend to want to shut down and isolate ourselves from the rest of the world. This is your mind’s defense system kicking into action. It is similar to an ostrich burying its head in the sand to hide. Everyone sees the ostrich, but since he cannot see them they must not exist. We all know how off base that theory is, but believe if we hide our grief and sorrow; no one will know we hurt. This is terribly unhealthy as grief shared is grief diminished. Grief not acknowledged will only grow and ultimately lead to depression which will in turn manifest into a number of other unhealthy conditions.
When we learn of another person’s loss, we instinctively feel the need to do something to help ease their pain. The problem with grief is that most people feel awkward and unprepared in how to go about
helping. The worst thing we can do is to avoid that person because of our own lack of confidence. This causes the person who is grieving to believe something is wrong with them for feeling sad. This feeling tends to cause the grieving person to want to rush through any type of memorial for the one who has died. Some people will try to avoid any acknowledgment that death has occurred at all in an attempt to get their life back to normal as quickly as possible. That never happens because the grieving person’s life cannot be the same again as there will always be a void where the person who died previously occupied. A healthy end result for a grieving person is the final phase of grief; reconciliation. When the grieving person can accept that their life will be different because of the loss, but that different life will be ok, they have truly healed. This cannot be reached alone.
It is important to be the buddy for someone who has lost someone they love. Just telling that person you are sorry for their loss can open a door for conversation. The one thing every person who has lost someone wants to talk about is the person who has died. Allow them to tell the story of that person. In a way, this is allowing them to openly acknowledge that the person is no longer here and this will gently move them through the denial phase of their grief. Help that person find others who can relate to their loss. Maybe you have a friend who lost their spouse that can be introduced to the one who has just lost their spouse and they can share common feelings and listen to one another’s story. Grief support groups are also great ways to help a person move through the grieving process. The common thread to healthy recovery is being around other people. If you have lost someone close to you please do not shut down and attempt to find healing from within. If you know someone who is hurting from the loss of a loved one, be their buddy. The buddy system worked well for us all in our early phases of life. It will serve us all well in the end.
Dear Olivia,
My husband is coming home from the hospital after a long battle with cancer and we are overwhelmed with the thought of how to care for him at home. I know the VNA will help us by providing hospice care at home, but we just don’t know what to say to him and if we should avoid talking about dying so that he does not give up hope. My grown children and I just don’t know how to help him be at peace or how to make the most of the time left. Can you help?
~Don’t Know What to Say
Dear Don’t Know What to Say,
Bringing a loved one home on hospice care can be an emotional and anxious experience, and the Visiting Nurse Association’s (VNA) compassionate hospice team is here to help with these difficult questions. While families are coping with their grief and that of their family members, it is normal to want to put on a “brave face” for the patient. One of the things that I have learned through working in hospice for so many years is that each
person deals with his or her dying in their unique way based on their own beliefs and culture. Some patients will talk openly about their prognosis and dying experience. Some do not wish to talk about this at all, and this applies to family members also. There is no “right way” to navigate this process, but our hospice team will be there to help you decide what feels the most comfortable and comforting for you and your loved one. Our social workers, bereavement counselors, and spiritual support staff are all trained in the unique art of hospice care and counseling to help you as you have meaningful conversations, love, and support your husband and other family members. We also have a Child Life Specialist trained in helping younger family members work through this process. Our team will surround you with the support you need so that you can best support your family through this difficult time. Our goal is to help you bring the best quality of life possible to your loved one’s final days.
~Olivia
OLIVIA ROGERS , RN, BSN, CHPN, CHPO, MBA, is a leading voice in health care and senior services and the Vice President, Chief Nursing Officer of VNA Texas.
“Where we are committed to excellence”
Cantex Continuing Care Network has been performing the highest standards of transitional healthcare and long-term residential services for more than 30 years. Ask anyone who knows. Cantex stands for quality.
AMENITIES: CLINICAL SERVICES
•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
•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
CrossTimbersRd.
Justin M. Kane, MD, FAAOS ~ Foot and Ankle Orthopedic Surgeon
• Minimally invasive bunion and foot/ ankle surgeries
• 4-D DynaBunion and Lapiplasty bunion correction
• Total ankle replacement (TAR)
• Hammer toes
• Arthritis and deformity correction
• Lateral ankle instability
• PARS Achilles repair
• Foot and ankle cartilage injuries
• Limb salvage surgery
Vikas V. Patel, MD ~ Upper Extremity Orthopedic Surgeon
• All fractures
• Shoulder arthroscopy
• Rotator cuff repair
• Sports related injuries
• Carpel tunnel syndrome
• Trigger finger
• Wrist and hand surgery
• Shoulder and elbow replacement
• Complex revision procedures of the upper extremity
Leroy Butler, DO, FAAOS ~ Foot and Ankle Orthopedic Surgeon
• Minimally invasive bunion and foot/ankle surgeries
• 4-D DynaBunion and Lapiplasty bunion correction
• Total ankle replacement (TAR)
• Arthritis and deformity correction
• Lateral ankle instability
• PARS Achilles repair
• Foot and ankle cartilage injuries
• Trauma
Christopher Kowalski, MD ~ Orthopedic Spine Surgeon
• Minimally invasive spine surgery
• Complex revision spine surgery
• Spinal deformity correction surgery
• Cervical disc replacement
• Anterior/posterior cervical fusion
• Posterior cervical foraminotomies
• Lumbar microdiscectomy
• Lumbar laminectomy
• Lumbar fusion
• Anterior lumbar fusion
• Lateral lumbar fusion
Michael McHugh, MD ~ Orthopedic Hip & Knee Surgeon
• Total joint replacement
• Minimally invasive hip and knee surgery
• Robotic hip and knee surgery
• Treatment of hip dysplasia in adolescents and adults
• Complex revision surgeries
• Hip preservation
Macular Degeneration
Diabetic Eye Disease
Retinal Vein & Artery Occlusions
Flashes & Floaters
Retinal Tears & Detachments
Macular Pucker/Epiretinal
Membrane
Macular Holes
Uveitis
MATTHEW K. ADAMS, MD, MBA
At Texas Macula & Retina, our mission is to provide exceptional eye care with a focus on the diagnosis, treatment, and management of retinal disorders.
Dr. Adams is a board-certified Ophthalmologist and Ophthalmic Surgeon specializing in Vitreoretinal Surgery. His principal areas of interest include age-related macular degeneration, diabetic retinopathy, retinal detachment repair, macular surgery, retinal lasers, and secondary intraocular lens implantation.
Dr. Adams and his team are committed to preserving and improving the vision and overall quality of life for our patients by offering the most advanced and personalized retina care available.
Does Eating Carrots Really Improve Your Vision?
Dietary and Lifestyle Modifications to Keep your Eyes Healthy
By MATTHEW K. ADAMS, MD, MBA
Eating carrots alone won’t improve your eyesight; but living a healthy lifestyle and eating nutritious foods can be beneficial to your eye health. In today’s fast-paced world, with its reliance on screens, artificial lighting, and fast food, it’s more important than ever to take care of our eyes. As we age, our eyes become more susceptible to various conditions such as age-related macular degeneration, cataracts, and glaucoma. However, there are steps we can take to maintain good eye health well into our golden years.
Maintain a Healthy Diet
Dark greens and leafy vegetables such as spinach and kale, along with yellow and orange vegetables (such as carrots!) contain nutrients that can contribute to the health of the retina, the part of the eye that is responsible for clear, detailed vision. Eating fish that are high in omega-3 fatty acids like salmon and tuna may reduce the risk of age-related macular degeneration.
Nutritional supplements can also benefit your eye health. The National Eye Institute’s Age-Related Eye Disease Studies (AREDS and AREDS 2) found that supplements with a specific formulation of vitamins C and E, zinc, lutein, and zeaxanthin can delay or even prevent the progression of macular degeneration.
Stay Hydrated
Dehydration can cause dry eyes, which can lead to discomfort and irritation. Make sure to drink plenty of water throughout the day to keep your body and eyes hydrated. If you spend a lot of time in air-conditioned or heated environments, consider using a humidifier to add moisture to the air and prevent dry eyes.
Maintain a Healthy Weight and Exercise Regularly
Being overweight or obese increases the risk of developing diabetes and other systemic conditions that can lead to vision loss. By maintaining a healthy weight and exercising regularly, you can reduce your risk of developing these conditions and help preserve your vision. The American College of Sports Medicine recommends 150 minutes of moderate-intensity aerobic physical activity each week. That equates to 30 minutes of exercise, five days per week.
Get Adequate Sleep
Getting enough sleep is essential for overall health, including eye health. During sleep, your eyes are replenished and refreshed, reducing the risk of eye strain and fatigue. Aim for 7-8 hours of sleep per night, and establish a regular sleep schedule to ensure restful and rejuvenating sleep.
Protect Your Eyes from UV Rays
Exposure to ultraviolet (UV) rays can increase the risk of developing cataracts and macular degeneration. When spending time outdoors, especially on sunny days, it’s crucial to wear sunglasses that offer 100% UV protection. Wide-brimmed hats can also provide added protection by shading your eyes from direct sunlight.
Limit Screen Time
In today’s digital age, many of us spend a significant amount of time in front of screens, whether it’s computers, smartphones, or tablets. Prolonged screen time can cause digital eye strain, which can lead to symptoms such as dry eyes, eye fatigue, and headaches. To reduce eye strain, follow the 20-20-20 rule: every 20 minutes, take a 20-second break, and look at something 20 feet away. Additionally, consider using blue light filters on your electronic devices to reduce the amount of blue light emitted, which can contribute to eye strain.
Quit Smoking
Smoking is not only harmful to your overall health but can also have a severe impact on your eye health. Smoking increases the risk of developing age-related macular degeneration, cataracts, and optic nerve damage. If you smoke, quitting can significantly reduce your risk of developing these eye conditions and improve your overall health.
Be Mindful of Changes in Your Vision
Finally, pay attention to any changes in your vision or eye health and seek prompt medical attention if you experience any unusual symptoms. Common warning signs include blurry vision, double vision, sudden loss of vision, eye pain or discomfort, flashes of light, or the appearance of floaters in your field of vision. Early detection and treatment are essential for preserving your vision and preventing further damage to your eyes.
By following these simple tips, you can help maintain good eye health well into your golden years. At Texas Macula & Retina, our experienced team is dedicated to helping you maintain optimal eye health. With state-of-the-art technology and personalized care, we will ensure that your eyes receive the attention and treatment they deserve. Schedule an appointment with us today and let us take care of you and your eyes. We would love to help you see better!
No Will is Such a Bad Plan for Your Family…
By CRAIG WATSON
Jane Doe, age 54, was tired. “I’m going to bed early tonight,” she told her husband. They had been happily married for 14 years. John was sitting in his recliner watching television. It was not unusual for him to fall asleep watching TV. Jane got up the next morning and quietly got ready for work. As she was walking past John, she noticed something did not look right. She walked closer and tried to wake him. John had died in his sleep without warning. He had been the picture of health; he worked outside, was not overweight, never smoked, and never went to the doctor. “What a nightmare,” you say; and, it is. You will really think ‘nightmare’ when you hear about his estate.
John did not have a Will or any life insurance. John and Jane did not have a prenuptial or postnuptial agreement. Self-employed, he had a lot of debt, including equipment loans, car loans and credit card balances. Jane knew virtually nothing about John’s business. John owned their house before they got married so the house was his separate property. Most of his net worth was tied up in the house, which was worth $350,000. The remaining mortgage balance was $150,000. He had a savings account of approximately $18,000. John’s first wife remarried a wealthy man who adored John’s teenage daughter so she had everything she needed. They live on the West Coast, so John might have seen his daughter once per year for the last several years. John’s daughter decided to hire her own attorney to represent her interests in John’s estate.
Because John died without a Will, the Texas heirship statutes control who inherits his property. John’s personal property (cash, personal effects, brokerage accounts, equipment, cars, etc.) will be split equally by Jane and John’s daughter. However, there is no equity in his equipment because the loans are about equal to the value of the equipment securing the loans. The cash will quickly be eaten up by the funeral, appraisal fees, attorney fees, monthly debt payments, property taxes, insurance, and other expenses. Much to Jane’s surprise, she learned that because John died without a Will, his daughter’s attorney can ask for John’s estate to pay his attorney fees and the judge might allow the request.
Of course, the estate’s attorney will also be paid out of the estate. Legal fees are much higher for an estate without a well-drafted Will because the attorney must do a lot more work. Property taxes are due on the house. Within a month of John’s death, the equipment loans, car payments, house payment and credit cards are all one month overdue, meaning two payments are due. Probating an estate without a Will takes longer because more court hearings are required. So, all of the loans will soon be three payments behind, resulting in unpleasant calls from collection agencies. John still owes child support to his first wife. Before any inheritance can be distributed to Jane or John’s daughter, the debts and expenses must be paid. Jane finds that after expenses, she will inherit nothing from John’s personal property.
Because the house was John’s separate property, John’s daughter will inherit two-thirds of the house. Jane will only inherit the right to live in the house but the daughter inherits the entire house as soon as Jane dies. However, in order to live in the house, someone has to pay the monthly mortgage of $1,200. Jane only earns $22,000 per year at her job. The property taxes and homeowner’s insurance are $8,000 per year. Living in the house is not an option for Jane because she simply cannot afford it. Jane is devastated to learn that she will inherit very little from John’s real property. So when all the dust settles, John’s pampered daughter inherits most of his estate.
In conclusion, if you do not plan for the disposition of your estate, Texas law provides an inflexible and often surprising “estate plan.” This is especially true in second marriage situations. Your very own well-drafted estate plan can protect your loved ones from extra expenses, avoidable delays, preventable disputes and devastating surprises—much like homeowner’s insurance protects you in case your house burns down. Hopefully, you will never need your homeowner’s insurance. Unfortunately, everyone will need an estate plan someday. Because John never got around to it, Jane was left with virtually nothing, a result that John probably never intended. Don’t let such a depressing experience happen to you or your loved ones. Make sure your family is prepared and secure.
Experienced DWI Defense THE LAWYER LAWYERS CALL
Deandra M. Grant
JD, GC, MS
Attorney Deandra M. Grant leads Hamilton Grant’s North, East and Central Texas offices. She is an international speaker on DWI law, science and trial skills. As the author of the annually updated Texas DWI Manual, she is viewed by her peers as being a leader in her field. Deandra understands the science behind alcohol absorption and elimination rates and can use this knowledge to competently defend you.
–DEANDRA GRANT NATIONALLY RECOGNIZED DWI AND CRIMINAL DEFENSE LAW FIRM
Deandra formerly was an assistant district attorney. Her tenure as a prosecutor focused on DWI prosecutions which has given her firsthand knowledge on how to counter the prosecutor’s evidence and strategy. Deandra has spent hundreds of hours in training courses and programs related to DWI defense and has completed the certification course to administer standard field sobriety testing (SFST), the same training course taught to police officers nationwide on how to identify drunk drivers during traffic stops. As a certified SFST Instructor, Deandra has taught the course to other attorneys. She’s also completed the coursework on DWI forensic blood and urine testing.
“I have a masters degree in pharmaceutical science and a graduate certificate in forensic toxicology. I am able to take apart evidence in ways a lot of other attorneys are not able to do. The most important part of my job is being the barrier between the government and my client. Standing between them. Making sure their rights are protected.”
Co-Author of the Texas DWI Manual
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.
HEALTHCARE ADVANCED DIRECTIVES
By LEU, PEIRCE & OLSON, PLLC
Healthcare Advance Directives are a vital part of your estate plan. Each of the advance directives plays a distinct role in ensuring that when the time comes, your healthcare wishes are followed. A Medical Power of Attorney, HIPAA Release and Authorization, and Directive to physicians (also known as a Living Will) work in concert to provide trusted individuals with the tools they will need to manage your healthcare and make health-related decisions for you, should you become unable to do so for yourself.
MEDICAL POWER OF ATTORNEY
A Medical Power of Attorney enables you to name a trusted individual as your agent to make healthcare decisions for you in accordance with your wishes. As long as you are awake and can understand and answer a medical professional, you always make your own healthcare decisions. If you are not capable of making or communicating your decisions, your agent under the Medical Power of Attorney has authority to act for you. Your agent is obligated to follow your wishes when making healthcare decisions for you, to the extent you have made those wishes known. If there is no evidence of your wishes, your agent should make decisions based on your best interests; however, treatment may not be given, or withheld, if you object. This is true whether you are competent or not. Although you are not required to designate alternate agents, it is advisable that you name at least one additional person, if not more, whom you trust to act on your behalf and in accordance with your beliefs and desires. For many reasons, your agent may not be able to act when a decision needs to be made. Therefore, having alternate agents named can be very important.
HIPAA RELEASE AND AUTHORIZATION
HIPAA (Health Insurance Portability and Accountability Act of 1996) is a federal law that requires doctors, nurses, hospitals, nursing homes, and other healthcare providers to protect the privacy of patient health information. A HIPAA Release and Authorization document names individuals you trust to have access to this protected health information. When you execute a HIPAA Release and Authorization, you are giving your healthcare providers permission to discuss your
health information with those trusted individuals. This can be an important tool for those who are assisting you with your healthcare and want to stay informed of your status. Without such access, your agents may not have all the information they need when it is time to act under the Medical Power of Attorney. This document also allows you to keep others who are close to you informed of your medical condition, even if they cannot make decisions.
DIRECTIVE TO PHYSICIANS AND FAMILY OR SURROGATES (LIVING WILL)
A Directive to Physicians and Family or Surrogates, commonly known as a Living Will, provides information and instructions to your agent under the Medical Power of Attorney regarding your desires to administer, withhold, or withdraw life-sustaining treatment should you be diagnosed with a terminal or irreversible condition. Although commonly confused, a Living Will is different from a Do Not Resuscitate Order (“DNR”). A DNR should be signed only after receiving an explanation from a physician, who also signs a document to confirm you were provided the information necessary to make a sound decision. While a Living Will addresses life-sustaining treatment before your heart has stopped beating, a DNR instructs medical personnel not to perform emergency resuscitation after your heart has stopped beating. Importantly, medical personnel must see a properly executed DNR prior to beginning resuscitation procedures, as they cannot stop resuscitation procedures once they have begun.
An experienced attorney who practices in this area of the law understands each of these documents and how to tailor them to your unique circumstances, wishes, and family dynamics. Advice on Healthcare Advance Directives, as well as other interrelated legal issues should be provided by an attorney who works in this area on a daily basis. There is a reason that professionals like attorneys and doctors are licensed-they are providing important services and are required to meet strict standards. If you need help with your estate plan or have questions about Healthcare Advance Directives, please contact our office for a consultation.
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
In our pursuit of a healthier life, we often segregate our focus on different parts of our body. Yet, it’s crucial to recognize the interconnectedness of our bodily systems. A shining example of this interplay is the relationship between heart health and brain health. By managing your heart health, you are not just taking steps to prevent cardiovascular diseases but also significantly enhancing your brain function and reducing the risk of cognitive decline.
Despite the brain only making up 2% of our body’s total weight, it consumes approximately 20% of the body’s oxygen and blood supply. This excessive demand underscores the critical role of the cardiovascular system in maintaining cognitive function. The heart, as the central pump, ensures a continuous supply of oxygen-rich blood to the brain. In addition to oxygen, the blood delivers essential nutrients like glucose, vitamins, and amino acids, which are vital for maintaining neuronal health and supporting cognitive functions. The health of the brain may be impacted both immediately and over time by any interruption in this flow.
Impact of Cardiovascular Health
Strokes, often caused by blockages in the arteries supplying the brain, are a stark example of how poor cardiovascular health can directly impair brain function. According to the American Heart Association, strokes are the fifth leading cause of death and a major cause of serious disability in adults. The aftermath of a stroke can include memory loss, difficulty in reasoning, and changes in behavior or mental health.
Hypertension, or high blood pressure, is a significant risk factor for both heart disease and cognitive decline. Chronic hypertension can damage blood vessels in the brain, leading to a condition known as vascular dementia. This form of dementia results from reduced blood flow to the brain, causing a gradual decline in cognitive abilities.
Cholesterol levels also play a crucial role in brain health. High levels of LDL cholesterol (often termed “bad” cholesterol) can lead to the buildup of plaques in arteries, including those that supply the brain. This condition, known as atherosclerosis, restricts blood flow and can lead to strokes or transient ischemic attacks.
Conversely, HDL cholesterol (“good” cholesterol) helps remove LDL cholesterol from the bloodstream, preventing plaque buildup and maintaining healthy blood flow to the brain. Thus, a healthy balance between LDL and HDL cholesterol is essential for both cardiovascular and cognitive health.
Lifestyle Factors
Physical Activity: Engaging in regular physical activity, such as brisk walking, swimming, or cycling, can improve cardiovascular health and enhance cognitive function. The American Heart Association recommends at least 150 minutes of moderate-intensity aerobic exercise per week. Exercise helps strengthen the heart muscle, improves blood circulation, and can lower blood pressure and cholesterol levels. Moreover, physical activity has direct benefits for the brain:
• Neurogenesis: Exercise promotes the production of new neurons, particularly in the hippocampus, a region critical for memory and learning.
• Neuroplasticity: Physical activity enhances neuroplasticity, the brain’s ability to reorganize itself by forming new neural connections. This is crucial for learning, memory, and recovery from brain injuries.
• Mood and Cognitive Function: Exercise stimulates the release of endorphins and other neurotransmitters, such as serotonin and dopamine, which improve mood and cognitive function. Regular physical activity has been associated with a lower risk of depression and anxiety, conditions that can adversely affect cognitive health.
• Nutrition: Adopting a heart-healthy diet, such as the Mediterranean diet, can significantly benefit cognitive health. This diet emphasizes fruits, vegetables, whole grains, fish, and healthy fats while limiting red meat, sugar, and saturated fats. Look for your healthy diet to include:
• Omega-3 Fatty Acids: Found in fish, nuts, and seeds, omega-3 fatty acids are known for their anti-inflammatory properties and their ability to protect against cognitive decline. These fats are critical for maintaining the structure and function of brain cell membranes.
• Antioxidants: Foods high in antioxidants, such as berries, leafy greens, and nuts, help combat oxidative stress, a condition linked to aging and cognitive decline. Antioxidants neutralize free radicals, which can damage brain cells and contribute to neurodegenerative diseases.
• B Vitamins: B vitamins, particularly B6, B12, and folic acid, play a crucial role in brain health by supporting energy production and the synthesis of neurotransmitters. Deficiencies in these vitamins have been linked to cognitive impairment and an increased risk of dementia.
Sleep: Prioritizing sleep hygiene is crucial. This includes maintaining a regular sleep schedule, creating a restful sleeping environment, and avoiding stimulants like caffeine and electronics before bedtime. During sleep, the body undergoes essential maintenance processes that support cardiovascular function and cognitive health. Poor sleep quality and sleep disorders, such as sleep apnea, are associated with an increased risk of hypertension, heart disease, and stroke. Quality sleep helps regulate blood pressure and reduces the strain on the heart.
Sleep is critical for memory consolidation, the process by which shortterm memories are transformed into long-term ones. It also allows the brain to clear out toxins that accumulate during wakefulness, a function that is crucial for preventing neurodegenerative diseases like Alzheimer’s.
Stress Management: Chronic stress is a significant risk factor for both cardiovascular disease and cognitive decline. Stress triggers the release of cortisol, a hormone that, in excess, can have harmful effects on the body and brain. Elevated cortisol levels over prolonged periods can damage the hippocampus, impairing memory and increasing the risk of depression and anxiety. Additionally, chronic stress can lead to hypertension, increased heart rate, and inflammation, all of which contribute to cardiovascular disease. Incorporating stress-reduction techniques, such as yoga, meditation, and deep-breathing exercises, can lower cortisol levels and reduce the risk of both cardiovascular disease and cognitive decline.
Socially Connected: Social interactions and relationships are important for maintaining mental and emotional health, which in turn supports cognitive function. Engaging in social activities stimulates cognitive processes and can help maintain and even improve brain function. Social engagement challenges the brain, promoting neuroplasticity and cognitive resilience. Also, strong social ties provide emotional support, reducing stress and promoting a sense of wellbeing. This emotional stability supports both heart health and cognitive function.
Regular Check-Ups and Monitoring: Regular health check-ups are essential for monitoring and preventing diseases that could affect the heart and brain. Blood pressure, cholesterol levels, and blood sugar levels should be regularly assessed, particularly in older adults or those with a family history of cardiovascular disease.
The interdependence of heart and brain health underscores the importance of a holistic approach to wellness. By adopting heart-healthy habits, you not only safeguard your cardiovascular system but also enhance cognitive function and reduce the risk of dementia. Embrace a lifestyle that nourishes both your heart and brain, ensuring a healthier, more vibrant life. Remember, a healthy heart fosters a healthy brain, paving the way for a longer, more fulfilling life.
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Does Loud Noise Really Damage Your Hearing?
By CASSANDRA WILSON, AU.D., CCC-A, FAAA
We are surrounded by sound in our environment, whether it be sounds from household appliances, conversations, or music. These noises are often at a safe decibel (dB) that won’t cause harm to our hearing. However, sounds that are too loud, even for a short while, or that are both loud and persistent, can potentially cause harm to the delicate inner ear and cause noise-induced hearing loss (NIHL).
NIHL may occur suddenly or gradually. It can impact one or both ears and it may be temporary or permanent. Since you can be exposed to harmful noise at any age, individuals with NIHL can be of any age. The good news is, regardless of how it may affect you; you can avoid noise-induced hearing loss.
What causes NIHL?
NIHL can be caused by a single, intense “impulse” sound exposure, like an explosion, or repeated, prolonged exposure to loud noises, like the noise produced in a machine shop.
Sound is measured in units called decibels (dB). Sounds at or below 70dB, even after long exposure, are unlikely to cause hearing loss. However, long-term exposure to sound levels above 85dB can cause hearing loss. The louder the sound, the less time it takes for NIHL to occur.
Here are the average decibel ratings of some familiar sounds: Ticking watch (20dB), Average room noise (30-50dB), Noisy restaurant (85dB), Leaf blower (106-115dB), Gun shot/Fireworks (140-160dB).
What are the effects and signs of NIHL?
When exposed to loud noise over an extended period of time, you may slowly begin to lose your hearing. Because the damage from this type of noise exposure is usually gradual, you might not detect the damage right away, or you might ignore the signs until they become more pronounced.
Over time you may notice you have to crank up the TV volume, or you may start having trouble understanding others when they speak, particularly over the phone or in a noisy environment. Normal sounds might start to get distorted or muffled over time. Add aging in the mix and it can cause enough hearing loss where you might require hearing aids to enhance the sounds so you can hear better, converse with others, and engage more fully in daily activities.
Tinnitus, or ringing, buzzing, or roaring in the ears or head, is another condition brought on by exposure to loud noises. Over time, tinnitus may lessen, but it can also sometimes last a lifetime and occur either continuously or sporadically. Just like NIHL, tinnitus can affect one or both ears.
Can NIHL be prevented?
I often tell my patients the three most common causes of sensorineural hearing loss are family history, the aging process, and noise exposure. I usually follow that comment up with, “You can’t control family history or aging, but you can control noise exposure.” NIHL is
the only type of hearing loss that can be protected from damage due to loud noise exposure by adhering to the following strategies:
HHold Yourself Accountable: You are in the best position to ensure that you practice behaviors that support healthy hearing for yourself and your family.
E
A
R
Evaluate Your Surroundings: If you are standing three feet away from someone and cannot hear what they are saying, the surrounding noise level could be damaging to your hearing.
Avoid the Noise: The easiest way to avoid noise-induced hearing loss is to avoid the noise! Turn down the volume on your music and whenever possible move away from the sources of loud noises to diffuse the overall intensity.
Remember Protection: If you are unable to avoid excessive noise, muffle it! There are different types of earplugs (many of them custom-made which makes them more comfortable and ensure proper placement and usage) that can decrease the intensity of the sound reaching your ear drum. Protection should always be used while working near power tools, firearms, heavy machinery, concerts, etc.
So, how loud and how long?
At 91dB, your ears can tolerate up to two hours of exposure (loud movies in theater). At 100dB, damage can occur with 15 minutes of exposure (tractor, cement mixer, and snowmobile). At 112dB, damage can occur with only one minute of exposure (chainsaw, jackhammer, loud rock concert. At 140dB, immediate nerve damage can occur. Firearms, firecrackers and jet engines taking off are all louder than 140dB. To protect your hearing, you’ll want to limit your exposure to these moderately high noise levels.
Can NIHL Be Cured?
Although there is no cure for NIHL, there are therapies that can help you hear better. Make an appointment with your audiologist if you believe you have noise-induced hearing loss. They specialize in hearing loss and can perform auditory tests to determine if you have hearing loss and counsel you how it can be managed and treated.
Dr. Jason Tinley, MD is a minimally invasive, board certified, orthopedic spine surgeon. He specializes in spine surgery, including spinal stenosis, cervical radiculopathy and myelopathy, minimally invasive cervical and lumbar spine surgery, cervical artificial disc replacement, and microdiscectomy.
Dr. Jason C. Tinley is committed to excellence by pledging to provide the highest quality spine care possible. Along with the treatment of immediate or chronic problems, he strives to integrate the doctrine of prevention in all treatment plans with the goal of alleviating possible future difficulties.
Dr. Tinley has become a leader in instruction and research in disc replacement and has a passion for optimizing spine surgery outcomes through development and utilization of new techniques, research and materials.
“Dr Tinley is a leader in the field of spinal surgery. His technique is excellent, but he does not rush to pursue surgery. Very good at explaining your condition and allowing you to decide a course of treatment.”
—RANDALL W.
“My experience with DFW Center for Spinal Disorders was excellent. Dr. Tinley and his staff are attentive and compassionate. My surgery went better than I could have ever expected, and I am now pain free!”
—BARBARA K.
Jason C. Tinley
Uncommon Ways to Make Walking Fun
Whether you’re new to using walking as a form of exercise or you just want to mix things up, check out these ideas for adding some fun to your walking routine! Some are free of charge, while others require payment but the health benefits of walking surely make it worth your while.
Goose Chase
If you don’t like the idea of hunting little boxes try the app Goose Chase for a photo scavenger hunt.
Listen to Music
Apps like Spotify and Pandora are great. Try Rock My Run which can sync the beat to your pace.
Walk Backwards
Walking backwards can positively affect cognitive abilities, balance, and muscle strength among other things. Give it a try!
Hit the Trails
Visit your local Parks and Recreation website and make it a challenge to walk every trail in your city. If going on vacation, try the All Trails app to find a nearby trail to hike.
99 Walks
This app is a community where you set your own monthly walking goal. If you hit your goal for the month, you receive an inspirational metal bracelet in the mail.
Geocaching
Join the world’s largest treasure hunt! The Geocaching app using your GPS can direct you to a location to hunt for “caches” which are like tiny hidden treasure boxes that were hidden by other geocachers.
Local or Kids Sports Referee
Get out and about and get involved with sports to get in those steps.
Frisbee Golf
Also known as disc golf, this sport is very affordable and can be played on frisbee golf courses around the world.
Start Someplace New
If you usually start your walk at home, get in your car and walk a different neighborhood. Invite a friend and walk their neighborhood.
Carly, Colon Cancer Survivor
5WAYS TO BUILD A HEALTHY HABIT
Courtesy of TEXAS ONCOLOGY
Over the course of a lifetime, one in three women will face a cancer diagnosis. “For men, the odds stand at one in two. The good news is that between 30 and 50% of cancers may be preventable,” according to the World Health Organization. By taking small but meaningful actions toward a healthier lifestyle, you can create a positive habit that could decrease your cancer risk. Texas Oncology suggests five ways to get started.
GET REGULAR CANCER SCREENINGS
Screening exams are the most effective way to detect cancer in its earliest stages—often before it has spread and when treatment is the most effective. Call your physician to schedule your annual screenings and reach out to friends and loved ones to ensure they do the same.
GET MOVING
Whether you prefer biking, gardening, walking, or yoga, it’s important to get active. The U.S. Department of Health and Human Services recommends healthy adults participate in a minimum of 150 minutes of moderate exercise or 75 minutes of vigorous exercise each week. Incorporating regular physical activity into your daily routine can reduce your risk for several major cancers, as well as improve quality of life for those already fighting cancer.
STOP SMOKING
Smoking-related deaths represent 80% of lung cancer mortalities, and half of lifetime smokers will die from some tobacco-related disease, according to the American Cancer Society. Research shows that smoking cessation is paramount to lung health, and smokers who quit are more likely to live healthier and longer lives, while greatly decreasing their lung cancer risk. If you smoke and don’t know how to quit, call the Quitline at (877) 937-7848 for help and support.
EAT RIGHT
Managing your weight and eating a well-balanced diet full of nutrientrich foods is critical to both preventing and fighting cancer. To bolster your body’s defenses against cancer and other illnesses, limit your intake of sugars, saturated fats, trans fats, and alcohol. Instead, opt for healthy foods like nutrient-packed produce, dark, leafy greens, and a variety of seasonal fruits and cruciferous vegetables.
PRACTICE SUN SAFETY
Skin cancer is the most common form of cancer, but many cases are preventable. The sun constantly produces ultraviolet (UV) rays that can penetrate clouds and affect your skin, even on overcast days or during cold weather. Limit exposure to UV rays by avoiding indoor tanning, applying sunscreen year-round, and wearing protective clothing that covers your skin.
Adopting a healthy lifestyle doesn’t mean changing everything overnight. By starting with small, intentional changes in your daily routine, you can create lasting healthy habits. For more information about the steps you can take to reduce your cancer risk, visit www.TexasOncology.com.
Brian Nwannunu, MD, MS
Brian Nwannunu, MD, MS, is an orthopedic surgeon specializing in hip and knee replacement. He care for patients at Texas Joint Institute in McKinney, Texas.
Dr. Nwannunu, a native of Dallas, graduated Valedictorian from the High School for Health Professions at Townview Magnet Center in DISD. He then earned his bachelor’s degree in Biology at Morehouse College in Atlanta, Georgia, where he was part of the Morehouse College Honors Program. Upon graduation, he completed his master’s degree in Physiology at Georgetown University in Washington, D.C., with a concentration on complementary and alternative medicine. Dr. Nwannunu then graduated with his medical degree from Howard University College of Medicine in Washington, D.C., where he was inducted into the Alpha Omega Alpha Honor Medical Society.
Dr. Nwannunu completed his residency in orthopedic surgery at the John Peter Smith Health Network in Fort Worth, Texas, before pursuing additional training with a fellowship in adult reconstruction at Baylor College of Medicine in Houston, Texas. In addition to his clinical training, Dr. Nwannunu enjoys mission work abroad, providing medical care and health education to populations in need.
He is a member of the American Medical Association, National Medical Association, American Academy of Orthopaedic Surgeons and the American Association of Hip and Knee Surgeons.
When not working, Dr. Nwannunu enjoys basketball, weight training, outdoor activities, attending art and music festivals, traveling, world news, and reading.
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
Foot Care
Feet Trauma Wound Care
Custom Orthotics & Braces Laser Therapy for Pain, Swelling, Arthritis, and Wounds PLANO CLINIC
LEWISVILLE CLINIC 502 N. Valley Pkwy., #2 Lewisville, TX 750067
DIABETES: Type 1 vs. Type 2
By DOYLE R. JESSUP
As someone who has loved ones wrestling with the symptoms of diabetes, I became aware that many individuals don’t know there are two types of diabetes, let alone know about their differences. This can be dangerous as they may not recognize the symptoms in themselves because diabetes can strike anyone. According to the American Diabetes Association, over 11% of Americans are living with diabetes—that’s over 38 million individuals, including children. If not treated properly, it can lead to organ failure and even death.
So, what is diabetes? Let’s first start with insulin. Insulin is an essential hormone your pancreas naturally produces, which allows your body to use sugar (glucose) for energy. If your pancreas doesn’t make enough insulin (type 1 diabetes) or is unable to use insulin properly (type 2 diabetes), it leads to a condition that causes higher than normal blood sugar levels (hyperglycemia), which results in diabetes.
As you now may have learned, insulin lowers your blood sugar level. Glucagon, another hormone produced by your pancreas, naturally raises it. Your body uses these two hormones to balance out your blood sugar level to keep it within a healthy range. It’s a beautiful natural dance when all is working properly. Diabetics, however, need help with this process.
Diabetics use manufactured insulin to help lower their blood sugar. If you have diabetes, too much manufactured insulin can lead to
low blood sugar (hypoglycemia). Should this occur, you might need to consume sugar to raise your blood sugar level. This is the manual process of trying to mimic the body’s natural process.
IMPORTANCE OF MONITORING
Many factors, such as your food choices, medicine, and physical activity level, can cause your blood sugar to fluctuate throughout the day. Some change is normal, but when your blood sugar is too high or too low, this is where problems can occur.
As a diabetic, monitoring your blood sugar level will help you figure out what affects your numbers, find patterns, and adjust as you go. By monitoring regularly, you’ll be more likely to achieve your blood sugar target ranges. Monitoring also helps your health care team make decisions about your diabetes care plan. Your doctor can educate you on how often to check your blood sugar levels.
If a diabetic fails to properly monitor and manage their blood sugar levels and leaves their blood sugar too high for too long, over time, this can damage nerves and blood vessels and lead to heart disease and other problems. Diabetes never takes a day off. It’s a 24-hour, 365-day-a-year condition that you must monitor and be vigilant about all the time.
DIABETES NEVER TAKES A DAY OFF. IT’S A 24-HOUR, 365-DAYA-YEAR CONDITION THAT YOU MUST MONITOR AND BE VIGILANT ABOUT ALL THE TIME.
TYPE 1 DIABETES
Type 1 diabetes is the most severe form of diabetes and is a condition in which the body is unable to produce insulin. About 5% of diabetics have type 1 diabetes, or insulin-dependent diabetes. Type 1 diabetes was previously known as juvenile diabetes because it usually develops in children and teenagers; however, people of all ages can develop type 1 diabetes. In type 1 diabetes, the body’s immune system attacks the insulin-producing islet cells in the pancreas. The islet cells sense glucose in the blood and produce the correct amount of insulin to regulate blood sugar. This attack on the body’s own cells is known as an autoimmune disease.
Scientists don’t yet know why this attack happens, but once the insulin-producing cells are destroyed, a person can no longer produce their own insulin. Without insulin, the sugar stays in the blood and builds up. As a result, the body’s cells starve. If left untreated, high blood sugar levels can damage the eyes, kidneys, nerves, and heart, and can also lead to coma and death. It’s imperative type 1 diabetes be treated through a daily regimen of insulin therapy.
TYPE 2 DIABETES
Type 2 diabetes, also known as insulin resistance, is the most common form of diabetes and is a condition in which the body’s cells have trouble responding to insulin. You may have also heard type 2 diabetes referred to as adult-onset diabetes since it typically develops after age 35. However, a growing number of younger individuals are now being diagnosed with type 2 diabetes.
Individuals with type 2 diabetes are able to naturally produce some of their own insulin, but often it is not enough. Sometimes, type 2 diabetics’ insulin will try to open the body’s cells to allow the glucose to enter, but the process won’t work because the cells just won’t open. This is called insulin resistance. Type 2 diabetes is usually attributed to people who are overweight with a sedentary lifestyle and unhealthy diet.
WARNING SIGNS
The symptoms of both type 1 and type 2 diabetes can be similar and difficult to distinguish from one another. In some cases, people may even be misdiagnosed based on various factors like age. For example, latent autoimmune diabetes in adults (LADA) is commonly misdiagnosed as type 2 diabetes. Understanding your diabetes type and getting a proper diagnosis allows you to find the right treatment and management plan.
The major difference is the onset of type 1 diabetes occurs very quickly, and the symptoms are usually severe and hard to overlook. The symptoms of type 2 diabetes are similar to those of type 1 diabetes but are usually slower to occur and not as severe. For these reasons, many people mistakenly overlook the warning signs of type 2. They also might think that the symptoms are signs of other conditions, like getting older, overworking, or hot weather. Symptoms of diabetes can include:
• Increased thirst
• Increased urination (bed-wetting in children who have already been toilet trained)
• Rapid and unexplained weight loss
• Extreme hunger
• Extreme weakness or fatigue
• Mood changes, irritability
• Blurred vision
• Erectile dysfunction
• Nausea, vomiting, constipation
• Unpleasant breath odor
• Itchy skin
• A cut that is slow to heal
• Darkened patches of skin (usually around the neck, armpits, or groin area)
SEEKING REMISSION
While you cannot cure diabetes, whether remission is possible depends on the type of diabetes you are living with and how far diabetes has progressed. At present, with type 1 being an autoimmune disorder, there is nothing a patient can do to prevent type 1 diabetes. There’s hope in the future. Scientists have made developments in donor cell transplantation, as well as artificial pancreas technology, that have shown promise in the search for achieving remission.
In the case of type 2 diabetes, remission may be possible for some people by making diet and lifestyle changes to stabilize blood sugar levels. Type 2 diabetes is considered a chronic, lifelong condition, so giving up the newly developed healthy habits creates a possibility of relapse.
LEARNING MORE
The American Diabetes Association has a very informative website at diabetes.org. If you suspect you have the symptoms of diabetes, make an appointment with your physician right away. Make a list of questions for your doctor, learn what your blood sugar range is and what the target should be. Your path to health always includes educating yourself about your body and self-care.
ROW 1: NEDA GARRETT,* BRIAN LOUGHMILLER,*† LIZ PORTER,* CHARLA BRADSHAW,* IKE VANDEN EYKEL,*†, RICK ROBERTSON,* HEATHER KING*, JESSICA JANICEK,* JULIE CRAWFORD*
ROW 2: DREW WILLIAMSON,* DANA MANRY,* SEAN ABEYTA,* JESSICA PERRONI,* SALLY PRETORIUS,* CHRIS MEUSE,* FRED ADAMS,* KEVIN SEGLER,* ROB MCEWAN*, LAURA S. HAYES,* TOM DALEY*, PAUL LEOPOLD**
*Board certified in family law by the Texas Board of Legal Specialization.
†Board certified in civil trial law by the Texas Board of Legal Specialization.
**Board certified in civil appellate law by the Texas Board of Legal Specialization.
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320 W. Eagle Dr. Ste. 200 Denton, TX 76201 (940) 442-6677
5700 W. Plano Pkwy. Ste. 2200 Plano, TX 75093 (972) 769-2727
SOUTHLAKE
550 Reserve St. Ste. 450 Southlake, TX 76092 (817) 481-2710
RICK
Diane S. Litke, MD Diplomate American Board of Orthopaedic Surgery
Dr. Litke is a passionate artist, both in her spare time and as an orthopaedic surgeon. At L&W Orthopaedics, she approaches every orthopaedic problem with an eye toward restoration of function and mobility. With a deep knowledge of the inner workings of the body’s most active and important joints, Dr. Litke is able to repair most hip, knee, and shoulder problems, giving her patients the freedom to move again. Assisting her skilled hands, she uses the latest state-of-the-art robotic equipment for accuracy and precision, delivering a powerful combination of experience and technology to all of her patients.
Dr. Litke earned her medical degree at the University of North Carolina Chapel Hill. She went on to complete her orthopaedic residency at the University of South Carolina in Columbia South Carolina. She is certi ed by the American Board of Orthopaedic Surgery, and is a Fellow of American Academy of Orthopaedic Surgery and a Fellow of the American Associaion of Hip and Knee Surgeons. Dr. Litke is the medical director of the Orthopedic Department for Methodist Health System and is a liated with the Methodist Richardson Medical Center, where she is the director of the joint program. When she’s not working, Dr. Litke enjoys photography and cycling.
Please call 972.498.4791 to schedule an appointment.
Orthopaedic Surgeons located in Richardson, TX
www.LWOrthopaedics.com
Dr. Diane S. Litke, MD
FLORIAN DIBRA, MD
Florian F. Dibra, MD is an orthopedic surgeon located in Frisco, Texas who has extensive knowledge in hip and knee orthopedics and treats operative and non-operative hip and knee arthritis. He focuses on minimally invasive muscle-sparing total hip and knee replacement, anterior hip replacement, partial knee replacement, robotic joint replacement and complex hip and knee replacement revisions. Dr. Dibra is specialized in MagicKnee and MagicHip, muscle-sparing techniques with robotic technology.
Dr. Dibra graduated with honors from Villanova University in Pennsylvania. Soon after, he received his medical degree, with cum laude honors from the esteemed Jefferson Medical College in Philadelphia, Pennsylvania. He completed his orthopedic surgery training at the University of Florida. He continued at the University of Florida Health Hospital to complete his fellowship in Adult Arthroplasty with an emphasis in hip and knee reconstruction. During Dr. Dibra’s surgical training, he accomplished several publications, book chapters, and poster presentations.
Dr. Dibra’s family consists of his wife and two children. In addition to English, he is fluent in Albanian, Italian, and proficient in Spanish.
