4201 Medical Center Dr., Ste. 100 McKinney, TX 75069 (469) 796-4295
SHERMAN
204 Medical Dr., Ste. 110 Sherman, TX 75092 (469) 796-4295
Please call to make an appointment.
E.
Cyrus Abbaschian, MD
Donald W. Hohman, MD
J. Stephen Appleton, MD
Alexander S. Greenstein, MD
Raj Yalamanchili, MD
Kwame A. Ennin, MD
Samuel K. Stephenson, MD J. Conner Ryan, MD
Expert Orthopedic Surgeons Close to Home
Left to right
William F. Tucker, Jr., MD
Duncan L. McKellar, Jr., MD
Brian Nwannunu, MD
Florian F. Dibra, MD
Charles
Toulson, MD
LIVING WELL THROUGH PURPOSE, PROGRESS, AND PASSION
WSPRING AND SAM HOUSTON
elcome to this edition of LIVING WELL Magazine, where we shine a light on the people and ideas that inspire us to lead lives of health, happiness, and purpose. At the heart of this issue is our cover story on Dr. Charles Toulson, a groundbreaking orthopedic surgeon whose dedication to excellence is transforming lives across North Texas. From pioneering minimally invasive techniques to numerous patient success stories, Dr. Toulson exemplifieswhat it means to live with passion and purpose. His innovative work in robotic-assisted joint replacement is not only redefinig orthopedic care but also helping patients reclaim mobility and joy in their daily lives. Ths story offers a glimpse into the remarkable journey of a man committed to making a difference—one step at a time.
Shifting the focus from medicine to Hollywood, our feature on Anne Hathaway is a must read on page 24. From her early days as a theater-loving child to becoming an Academy Award-winning actress, Hathaway’s journey is one of self-discovery and transformation. Though highs and lows—whether breaking stereotypes in Hollywood or gracefully navigating internet backlash—she reminds us that staying bold and true to oneself is the key to progress. Her dedication to mental health, family, and advocacy makes her not just a star but a role model for living with purpose.
In matters of the heart, love takes center stage with 10 Meaningful Ways to Say, “I Love You,” on page 18. Beyond those three magical words, expressing love in creative ways can deepen bonds and reignite connections. Whether it’s “I choose you every day” or “I see the best in you,” these heartfelt phrases, combined with meaningful actions, remind us that love is as much a choice as it is a feeling.
Meanwhile, the article on Someday Syndrome: The Enemy of Progress tackles a universal challenge—procrastination. If you’ve ever caught yourself saying, “I’ll do it someday,” this story is for you. Learn how to overcome mental barriers and take actionable steps toward your goals today. Check it out on page 42.
As always, this issue is a celebration of living well in every sense—physically, emotionally, and intellectually. We hope these stories inspire you to embrace progress, express love, and pursue your passions.
Be well,
Living Well Living
JANUARY/FEBRUARY 2025
PRESIDENT & CEO SAM HOUSTON
VICE PRESIDENT & CFO SPRING HOUSTON
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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.
All advertisements in this Magazine are placed by third parties. We do not control or endorse either the advertisements or their content.
SAM AND SPRING HOUSTON
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. DeSoto, TX 75115
JOSHUA WORLEY, DPM | REZA MOBARAK, DPM, FACFAS, FAPWCA, FAPWHC | ROSE MARY WILSON, DPM
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.
DEFINING
Orthopedic Excellence
RENOWNED ORTHOPEDIC SURGEON CHARLES TOULSON, MD, MBA
Charles Toulson, MD, MBA, is an orthopedic surgeon who is committed to excellence. From a young age, he realized that with his aptitude for medicine, he could help people living with chronic pain and dedicated his life to become a pioneer in the fild of orthopedic surgery.
Board-certifid and fellowship-trained, Dr. Toulson’s specialties and interests include adult hip and knee reconstruction, adult hip and knee revisions, and state-of-the-art robotic-assisted joint replacement. He’s regarded by his patients and peers as one of the leading orthopedic surgeons in the country.
EXCEPTIONAL EDUCATION AND TRAINING
Dr. Toulson’s impeccable educational pedigree includes a medical degree from the University of North Carolina at Chapel Hill, extensive training from Johns Hopkins Hospital, and sub-specialty training at the Hospital for Special Surgery (HSS) in New York, the number-one ranked orthopedic hospital in the country.
Affiliated with several institutions in North Texas including Medical City McKinney, Medical City Frisco and Plano, Eminent Medical Center, Baylor Scott & White Surgical Hospital at Sherman, and Texas Health Presbyterian Hospital of Allen, his esteemed reputation is one that has been hard-earned and reflcts his unwavering dedication to his craft
Not only has Dr. Toulson performed more robotic-assisted joint replacement procedures than any other surgeon in the Dallas-Fort Worth Metroplex, he has the distinction of paving the path for two major hospitals in North Texas to achieve the elite status of being accredited as Joint Replacement Centers of Excellence.
ORTHOPEDIC EXCELLENCE
Dr. Toulson has greatly impacted orthopedic services across North Texas when he founded Alpha Orthopedics & Sports Medicine. Now, he’s excited to have joined Texas Joint Institute this past February 2023. Texas Joint Institute is a comprehensive orthopedic practice with locations in Dallas, Frisco, Plano, McKinney and Sherman, Texas.
When Texas Joint Institute began, it brought together two leading orthopedic surgeons to address the bone and joint needs of patients across the DFW Metroplex. Dr. Cyrus Abbaschian and Dr. Donald W. Hohman brought their immense surgical talent to the officeat Medical City Dallas and Plano to handle complex joint reconstruction, diagnose and treat bone and softtissue sarcomas, and handle an entire spectrum of surgical and non-surgical orthopedic services. Well known for their ability to handle even the most difficult cases, the doctors continue to deliver excellent care to patients around Dallas-Fort Worth and beyond.
A PIONEER IN MINIMALLY INVASIVE SURGERY
TECHNIQUES
Known for pioneering minimally invasive surgery techniques for hip and knee replacements, including the anterior supine hip replacement surgery, Dr. Toulson’s anterior approach allows patients to immediately bend their hip freely and bear full weight after their surgery. Ths surgical technique allows him to replace a hip joint without detaching muscle from the pelvis or femur during surgery and typically results in rapid recovery times for patients. Patients are able to walk comfortably without a cane or walker in just one to two days following surgery, according to Dr. Toulson.
Dr. Toulson was the fist surgeon in the area to perform a direct anterior hip replacement with robotic assistance. Dr. Toulson also completed the fist-ever, total knee replacement for both of a patient’s knees bilaterally (simultaneously) using Robotic-Assisted Technology.
The robot assists Dr. Toulson by improving precision during the surgery. “What’s critical is the robot will not permit me to deviate outside of the plan that we have instituted in the very beginning of surgery,” details Dr. Toulson. “As the surgeon, I’m still doing the surgery, the robot is just allowing me to do it in a more precise manner.”
“Ths 3D technology allows me to see the orientation, alignment, rotation, and actual size of the implant that we will be using. So, I can actually see with 3D technology what the implant looks like and I can make adjustments in surgery to balance the ligaments inside of the knee,” Dr. Toulson continues.
SUCCESSFUL OUTCOMES
“When patients come to see me with arthritis, we often try non-operative means of treatment before we talk about surgery,” says Dr. Toulson. Once non-operative options for hip or knee arthritis are exhausted, Dr. Toulson sits down with patients and details the benefits and the risks of a total joint replacement.
One of Dr. Toulson’s recent patients was suffering with severe arthritis in her knees. “I was having severe pain in my knees, I had difficulty going up and down stairs, steps, even the curb. It hurt so bad to walk, even short distances,” she says. The results of her bilateral (both) knee replacement procedure have been life changing. “ The surgery went wonderfully. I haven’t had any problems and every day it gets better and better. I can walk up the steps now getting into my home,” she says.
Highlights of success stories and the joy his patients express at the outcome of their hip or knee replacement surgeries—and how it’s changed their lives—are documented on his website, drcharlestoulson.com, with videos and moving testimonials.
DR. TOULSON IS AMONG THOSE INDIVIDUALS WHO IS GENUINE IN HIS COMPASSION AND KINDNESS. HE GREETS EVERY PATIENT WITH A WARM SMILE AND CONSIDERS EACH ONE OF THEM PART OF THE FAMILY.
AWARDS AND ACCOLADES
It’s no surprise that Dr. Toulson has been named numerous times among the Best Doctors in Dallas for orthopedic surgery by D Magazine, Best Orthopedic Surgeons in Collin County by D Magazine, Best Orthopedic Surgeon by Living Magazine, and Best Orthopedic Surgeon by Living Well Magazine
A PERSONAL GLIMPSE OF DR. TOULSON OUTSIDE OF HIS PRACTICE
Dr. Toulson is among those individuals who is genuine in his compassion and kindness. He greets every patient with a warm smile and considers each one of them part of the family.
Dr. Toulson recently achieved his Master’s of Business from Baylor University. He and his lovely wife Deryn live in Frisco with their three children, Cameryn, Brooklyn, and Blaze. Deryn is an accomplished entrepreneur and holds a bachelor’s degree in nursing. She is also former cheerleader for the New Orleans Saints and the Dallas Cowboys cheerleaders.
4201 Medical Center Dr., Ste. 100 McKinney, TX 75069 (469) 796-4295
SHERMAN
204 Medical Dr., Ste. 110 Sherman, TX 75092 (469) 796-4295
Macular Degeneration
Diabetic Eye Disease
Retinal Vein & Artery Occlusions
Flashes & Floaters
Retinal Tears & Detachments
Macular Pucker/Epiretinal
Membrane
Macular Holes
Uveitis
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.
What Are Those Floaters in Your Vision?
Understanding Floaters and Why it Matters
By MATTHEW K. ADAMS, MD, MBA
If you’ve ever noticed small specks, cobwebs, or shadowy shapes
flating in your fild of vision, you’re not alone. These visual phenomena, known as flaters, are common and can often be attributed to a condition called a posterior vitreous detachment (PVD). While a PVD itself is usually benign, it’s important to understand its implications and why a thorough examination is essential to rule out more serious complications like a retinal tear or detachment.
What Is Posterior Vitreous Detachment?
The eye is filled with a gel-like substance called the vitreous, which occupies about 80% of the eye’s volume. Ths transparent gel helps maintain the eye’s shape and allows light to pass through to the retina at the back of the eye.
As we age, the vitreous gel naturally begins to liquify, shrink, and pull away from the retina. Ths separation of the vitreous from the retinal surface is called a posterior vitreous detachment.
PVDs are a normal part of aging, typically occurring in people over the age of 50, though it can happen earlier in those who are nearsighted or have experienced trauma to the eye. It is estimated that about 75% of people over the age of 65 will experience a PVD in at least one eye.
How Do PVDs Cause Floaters?
When the vitreous separates from the retina, structural changes in the gel can result in the appearance of flaters. These flaters are caused by:
• Clumps of Collagen Fibers: As the vitreous shrinks, tiny clumps of collagen fibers form within it. These clumps cast shadows on the retina, which we perceive as flaters.
• The eiss Ring: A common type of flater seen in PVDs is the “Weiss ring,” which forms when the vitreous detaches at the optic nerve head. Ths ring-like flater can be especially noticeable as a “cobweb”.
• Vitreous Opacities: During a PVD, small debris or blood may enter the vitreous, further contributing to the appearance of flaters.
Floaters are often most noticeable against a bright, uniform background, such as a clear sky or a computer screen.
The Importance of Examining Floaters
While most cases of PVDs are harmless, the process of vitreous separation can sometimes lead to serious complications. As the vitreous detaches, it can pull on the retina. In some cases, this pulling may cause a retinal tear or detachment, which are sight-threatening conditions. Signs of a retinal tear or detachment may include:
• A sudden increase in flaters
• Flashes of light in the peripheral vision
• A shadow or curtain appearing in your fild of vision
If you experience any of these symptoms, it is crucial to see an eye doctor immediately. Even if your flaters are mild, it’s wise to schedule an eye examination to ensure there is no underlying damage. During an exam, your retina specialist will dilate your eyes to carefully examine the retina and vitreous.
Can Floaters Be Treated?
For many people, flaters become less noticeable over time as the brain adapts to ignoring them. However, in some cases, flaters can be persistent and signifiantly impact quality of life, particularly when they interfere with reading, driving, or other daily activities. When flaters are especially bothersome, they can be removed through a surgical procedure called a vitrectomy.
What Is a Vitrectomy?
Vitrectomy is a minimally invasive eye surgery in which the vitreous gel is removed and replaced with a clear, saline-like fluid to maintain the eye’s shape. By removing the vitreous, the flaters are eliminated and never return. While a vitrectomy is generally safe, it is not without risks. As such, the decision to undergo surgery is typically reserved for patients whose flaters severely disrupt their vision and daily life.
Living with Floaters
For most people, flaters caused by a PVD are an inconvenience rather than a serious problem. Nevertheless, their sudden appearance should never be ignored. A timely examination can provide reassurance or, if necessary, lead to vision-saving interventions to address retinal tears or detachments.
Final Thoughts
Posterior vitreous detachments are a natural part of aging, but it is not without potential risks. If you notice flaters in your vision, schedule an eye exam to ensure that your retina is healthy. And if the flaters persist and interfere with your quality of life, options like a vitrectomy can provide relief. Remember, your vision is invaluable, and early detection of any issues can make all the difference in preserving your sight.
Floaters in your vision.
Floaters in your eye.
FLORIAN DIBRA, MD
Florian F. Dibra, MD is a board-certified, 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.
are deeply meaningful, expressing love in various ways can deepen the bonds between partners, family members, or friends. As a retired marriage and family counselor, I’ve witnessed how varied expressions of love can bridge emotional gaps, fortify relationships, and rekindle connections. Try one of these phrases to emphasize your love.
“You Inspire Me Every Day”
Love is often fueled by admiration. Telling someone, “You inspire me every day,” highlights the ways they motivate you to be better and bring light to your life. This phrase affirms the reciprocal nature of love, where both partners enrich each other’s lives.
“I Choose You Every Day”
Love is a choice—one that must be made repeatedly. By saying, “I choose you every day,” you affirm your ongoing commitment and remind your partner that your love is intentional. This phrase emphasizes that love is an active decision rather than a passive feeling.
“I See the
In relationships, love often becomes so routine that we forget to articulate it meaningfully. Repetition of “I love you” can sometimes lose its impact, but varied expressions remind us and our loved ones of the multifaceted nature of love. Each phrase carries its unique signifiance, addressing different needs—from emotional security to appreciation and admiration.
Moreover, diversifying how you express love helps prevent misunderstandings. Not everyone interprets love the same way. For instance, some people feel most loved through actions, while others value verbal affirmations. Exploring different ways to say “I
love you” ensures that your message resonates, regardless of your partner’s love language.
The Long-Term Impact
Consistently expressing love in varied ways strengthens emotional intimacy and fosters resilience in relationships. It builds a foundation of trust, appreciation, and mutual support, helping couples and families navigate life’s challenges. Over time, these efforts contribute to a deeper sense of connection and a more fulfilling relationship.
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!”
Kwame A. Ennin, MD, MBA
Orthopaedic Surgeon
Kwame Ennin, MD, MBA, is a fellowship-trained board-certified orthopedic surgeon at Texas Joint Institute in McKinney and Plano, Texas who is an expert in hip and knee replacement procedures, adult reconstructive surgery, and nonoperative osteoarthritis care.
Dr. Ennin earned his undergraduate degree in biochemistry from the State University of New York in Stony Brook. He then went on to receive his medical education at the University of Cincinnati College of Medicine, before completing his general internship and orthopedic surgery residency at The University of Texas Southwestern Medical Center in Dallas. He is fellowship-trained in adult reconstructive surgery from William Beaumont Hospital in Michigan.
Dr. Ennin has a keen desire to educate. He is a presenter and educator to his colleagues regarding direct anterior total hip arthroplasty, total knee arthroplasty, revision total knee arthroplasty, partial knee replacement, and robotic surgery. He is committed to ensuring that the best understandings and techniques are available to all surgeons in the orthopedic community. Dr. Ennin is passionate about research. He has, throughout his career, been involved in and published numerous peer-reviewed studies.
Dr. Ennin has been a leader in the North Texas orthopedic community since 2015. He delivers personalized, patient-centered, evidence-based care for his patients. He is committed to taking care of his patient’s joints for their lifetime.
Dr. Ennin specializes in:
•Hip Replacement Surgery
•Knee Replacement Surgery
•Revision Hip and Knee Replacement Surgery
•Orthopedic Surgery
•Osteoarthritis
VUDHI SLABISAK, MD OrthopaedicSpineSurgeon
BRUCE MARKMAN, MD OrthopaedicSurgeon&Sports MedicineSpecialist
JAMES STANLEY, MD OrthopaedicSpineSurgeon
STEVE HONG, MD Interventional Pain ManagementSpecialist
If you’re suffering from pain or an athletic injury, schedule an appointment with your preferred NTOS location for effective, compassionate treatment.
ANNE Hathaway
By SONDRA BARR
Hollywood’s darling shines brighter than ever.
Anne Hathaway has lived many lives in her journey to becoming one of Hollywood’s most celebrated actresses. From a precocious child captivated by the theater to an Academy Award-winning star, she has embraced reinvention and resilience at every turn. Her path has been anything but conventional, fueled by a fiece commitment to self-discovery and a passion for storytelling that began long before she stepped into the spotlight.
A Star is Born
Growing up in Millburn, New Jersey, Hathaway was captivated by the stage at just 3 years old when she watched her mother perform as Eva Perón in a touring production of Evita. “I knew in every cell of my being that I wanted to act,” Hathaway recalled in Vogue. Her parents, however, were hesitant to let her pursue a professional acting career. “My husband and I had seen perfectly nice children become little monsters,” her mother, Kate McCauley Hathaway, once said. Despite their reservations, Hathaway’s determination won out. At 14, she was understudying Broadway star Laura Benanti, and by 15, she had the confidece to send her headshot to an agent. “You can tell from that story I don’t do things by half measure,” Hathaway explained in Interview. “When I love something, I imagine myself doing it to the hilt.”
Breaking the Mold
Her career launched with Th Princess Diaries (2001), where her portrayal of the awkward Mia Thermopolis resonated with audiences worldwide. Hathaway quickly became a household name, but she was determined not to be pigeonholed. “ There’s only so long you can play princesses before you start feeling ridiculous,” she once said in WWD. Her ambition led to a diverse filmography, including Brokeback Mountain (2005), The Devil Wears Prada (2006), and Les Misérables (2012), which earned her an Academy Award for Best Supporting Actress.
If you want to play it SAFE, don’t be an ACTOR.
Interstellar, Paramount
Eileen, Neon
Mothers’ Instinct, Amazon MGM Studios
The Idea of You, Amazon MGM Studios
She Came To Me, AI-Film
The Princess Diaries, Disney
Commitment to Craft
Hathaway’s commitment to her roles is legendary. For Les Misérables, she lost 25 pounds and shaved her head to authentically portray the tragic Fantine. She delivered a haunting rendition of “I Dreamed a Dream” that left director Tom Hooper in awe after just four takes, though she insisted on 20 to perfect it. Reflcting on her process, Hathaway shared in Vogue, “Sometimes while filming, I’ll be so in the zone that it’s like I leave my body. You come up at the end and you’re like, ‘What just happened?’”
Ths intensity has impressed collaborators like director James Gray, who worked with Hathaway on Armageddon Time (2022). “She’s brilliantly committed,” Gray said. “She will give herself 100% to whatever she’s doing.” Michael Showalter, who directed Hathaway in The Idea of You (2024), added in Interview, “She’s fiey. She has deeply held feelings about everything—and she’ll fiht for what she believes in.”
Facing Adversity
Offcreen, Hathaway has experienced her share of challenges, including facing harsh criticism during the early 2010s. Dubbed “Anne Hathaway Syndrome” by the internet, the backlash was painful but transformative. “ The vitriol cut deep because it mirrored my own self-criticism,” Hathaway said during a 2022 Women in Hollywood speech. “When your self-inflited pain is amplifid back at you, it’s a thing.” However, she emerged stronger. “You have to stay bold,” she emphasized in Vogue. “If you want to play it safe, don’t be an actor.”
Living Well
Hathaway’s personal life has also evolved profoundly. Becoming a mother to Jonathan, 8, and Jack, 4, with her husband, producer Adam Shulman, has brought her a new perspective. “When I was younger, I improved by being hard on myself. Now, I’ve learned to do it in a nurturing way,” she said in Vogue. Ths shiftextends to her sobriety, a decision she made five years ago. “I knew deep down alcohol wasn’t for me,” she admitted. “My personal experience is that everything is better without it. For me, it was wallowing fuel, and I don’t like to wallow.”
Her choice to quit drinking is part of a broader commitment to mental health. “I make a lot of my lifestyle choices in service of supporting mental health,” Hathaway explained in Interview. Ths includes setting boundaries with social media. “I don’t have a relationship with myself online,” she said, prioritizing real-life connections over virtual noise.
Activism and Advocacy
Hathaway’s resilience and grace have also inspired her activism. She’s a UN Women goodwill ambassador advocating for gender equality and a board member of the Lollipop Theatre Network, which brings movies to hospitalized children. Her vulnerability and authenticity resonate deeply with fans. When she announced her second pregnancy in 2019, she shared a heartfelt message about her struggles with infertility in Vogue: “For everyone going through conception hell, please know it was not a straight line to either of my pregnancies. Sending you extra love.”
Bold New Roles
Her latest projects continue to challenge societal norms and push creative boundaries. In The Idea of You, Hathaway portrays a 40-year-old divorcée rediscovering her sexuality, a role she’s proud to champion. “It’s about taking pleasure in female pleasure,” she noted in WWD. Hathaway is also set to star alongside Jessica Chastain in Mothers’ Instinct and Salma Hayek in Netfli’s action-comedy Seesaw Monster
A Grounded Perspective
Though it all, Hathaway remains grounded, attributing much of her stability to Shulman. “I have the world’s greatest partner,” she said in Interview. “He supports my dreams and celebrates what I do. That makes all the difference.” Her journey from self-doubt to self-assurance is summed up in her own words: “Ths is the fist time I’ve known myself this well. I’m connected to my own feelings and quicker to laugh now.”
Anne Hathaway’s journey is a testament to her willingness to embrace vulnerability and remain true to herself. Her life has been shaped by both triumphs and challenges, yet she faces each with courage and openness. Reflcting on the adversity she has faced, she shared in Vogue, “Humiliation is rough, but the key is to not let it close you down. You have to stay bold.” Ths approach has not only propelled her career forward but has also established her as a distinctive and genuine voice in an often unforgiving industry.
Anne Hathaway’s journey highlights her willingness to embrace vulnerability and remain true to herself. Her life has been shaped by both triumphs and challenges, yet she faces each with courage and openness. Reflcting on the adversity she has faced, she shared in Vogue, “Humiliation is rough, but the key is to not let it close you down. You have to stay bold.” Ths approach has not only propelled her career forward but has also established her as a distinctive and genuine voice in an often unforgiving industry.
Justin M. Kane, MD, FAAOS ~ Foot and Ankle Orthopedic Surgeon
• Minimally invasive bunion and foot/ ankle surgeries
• Bunionplasty
• Total ankle replacement (TAR)
• 3D printed total talus
• Arthritis and deformity correction
• Hammertoe surgery
• Sports injuries
• Foot and ankle cartilage injuries
• Limb salvage surgery
• Foot and ankle fractures
• Limb lengthening
Vikas V. Patel, MD ~ Upper Extremity Orthopedic Surgeon
• All fractures
• Shoulder arthroscopy
• Rotator cuff repair
• Shoulder and elbow replacement
• Carpel tunnel syndrome
• Trigger finger
• Wrist and hand surgery
• Sports-related injuries
• 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
Bryce Clinger, MD ~ Orthopedic Sport Medicine Surgeon
• Open & arthroscopic shoulder surgery
• Shoulder arthroplasty & revision
• Hip arthroscopy
• Hip & knee preservation
• Knee ligament reconstruction
• Knee meniscus & cartilage surgery
• Lower extremity deformity correction
• Patella stabilization surgery
» Staffed by 2 Licensed, Doctors of Audiology
» Hearing Aid Fittings, Maintenance and Repairs
» Invisible Fittings/Open Fittings
» Evaluation Period On All Hearing Aids
» Hearing Evaluations For All Ages
» Wireless/Connectivity Hearing Solutions
» Battery Purchase Programs
» Custom Ear Protection
»
Devices
Hear Better with Both Ears
Do I really need two hearing aids?
By CASSANDRA WILSON, AU.D., CCC-A, FAAA
W
hy Binaural Hearing Aids Are Better Than One
When it comes to addressing hearing loss, the choice of hearing aids can make a signifiant difference in quality of life. People with hearing loss in both ears often face the question: should they use one hearing aid or two? While it might seem logical to choose just one hearing aid to save costs or for simplicity, research and clinical experience overwhelmingly support the use of binaural hearing aids for individuals with bilateral hearing loss.
Understanding Binaural Hearing
Binaural hearing refers to the natural ability of the brain to process sounds from both ears simultaneously. Ths process allows us to localize sound, distinguish speech from background noise, and enjoy a fuller, more balanced auditory experience. When hearing is impaired in both ears, the brain’s ability to integrate sounds diminishes, leading to challenges in communication, spatial awareness, and overall quality of life. Simply stated, you have two ears because you need two ears. If you try to amplify sound in only ear, you cannot expect to do very well. Even good hearing instruments will sound “flat” or “dull” when worn in only one ear.
Using only one hearing aid can exacerbate these difficulties. The brain becomes deprived of essential auditory input from the unaided ear, making it harder to process sounds effectively. One ear working by itself cannot do this as well. The brain needs to compare and contrast loudness, pitch, and the phase (timing) of the sounds from the two ears to make sense of it.
It’s sort of like using your eyes. If you close one eye, you cannot get depth perception. In other words, if you were to close one, it becomes very difficult to tell how far something is in front of you. You’ll fid yourself getting tired more quickly as you are straining and working harder to make visual sense of he world.
Benefits of Binaural Hearing Aids
Binaural hearing aids work together to create a more natural and effective hearing experience. One advantage is improved sound localization. Sound localization—the ability to identify where a sound is coming from—relies on the brain’s interpretation of subtle differences in timing and intensity of sounds reaching each ear. Without input from both ears, localization becomes challenging, making everyday situations, such as crossing the street or responding to someone calling your name, more difficult. Binaural hearing aids restore this ability, enhancing safety and communication.
In noisy environments, one of the greatest challenges for individuals with hearing loss is distinguishing speech from background noise. Binaural hearing aids signifiantly improve speech recognition by
enabling the brain to focus on the speech signal while filtering out distracting sounds. Ths phenomenon, known as the “binaural squelch effect,” is only possible when both ears are actively engaged.
Binaural hearing aids also provide a balanced and natural sound quality. Wearing a hearing aid in only one ear can create an unbalanced auditory experience, with sounds seeming louder or clearer on one side.
Preventing Auditory Deprivation
Auditory deprivation occurs when the unaided ear receives insufficit stimulation over time, leading to a decline in its ability to process sound effectively. Ths can make it harder to adapt to hearing aids later on. By using binaural hearing aids, both ears remain actively engaged, reducing the risk of auditory deprivation and preserving long-term hearing function.
Reducing Listening Effort
Listening with one ear places extra strain on the brain as it struggles to compensate for the lack of input from the other ear. Ths increased cognitive load can lead to listening fatigue and difficulty concentrating. Binaural hearing aids distribute the auditory workload evenly, making it easier to listen and communicate throughout the day.
Addressing Common Concerns
Some individuals may hesitate to opt for binaural hearing aids due to cost concerns, the belief that one hearing aid is sufficit, or worries about managing two devices. However, advancements in hearing aid technology have addressed many of these issues. Modern hearing aids are smaller, more user-friendly, and equipped with features such as Bluetooth connectivity and rechargeable batteries, making them easier to use and maintain. Additionally, many insurance plans and hearing care providers offer fiancing options or discounts for purchasing binaural hearing aids.
The Role of Audiologists
An audiologist plays a critical role in guiding patients toward the best hearing solution. Though comprehensive hearing evaluations and consultations, audiologists can determine the degree of hearing loss in each ear and recommend appropriate hearing aids.
Choosing binaural hearing aids is an investment in long-term hearing health and quality of life. Come see us at Hearing Services of McKinney and let’s talk about the latest advancements in hearing technology to help you overcome the limitations of hearing loss. Let us help you embrace a future of better communication and connection.
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.
TEXAS BONE & JOINT – ARLINGTON
3201 Matlock Road, Suite 260
Arlington, Texas 76015
877-314-8990
tbjortho.com
Urology Care
Robert Brunner, MD is a general urologist with Urology Clinics of North Texas serving patients in our Dallas office cated at Texas Health Presbyterian Hospital Dallas. A native of Toledo, Ohio, Dr. Brunner combines a robust academic foundation with extensive clinical expertise. He graduated magna cum laude from the University of Notre Dame, earning dual degrees in Economics and PreProfessional Studies. He then earned his Doctor of Medicine (MD) degree from the University of Toledo College of Medicine and Life Sciences, where he was inducted into the prestigious Alpha Omega Alpha Honor Medical Society.
Following medical school, Dr. Brunner completed his residency in Urology at Baylor College of Medicine in Houston, Texas, where he received comprehensive training in all aspects of adult urology. He developed specialized expertise in the management of stone disease and in the use of robotic-assisted surgery, particularly with the Da Vinci robotic system. Dr. Brunner is skilled in treating a wide range of both benign and malignant urologic conditions, with a particular focus on leveraging advanced robotic technologies to improve surgical outcomes and accelerate patient recovery.
Committed to providing exceptional care, Dr. Brunner is passionate about staying at the forefront of urologic advancements, ensuring that his patients benefit from the latest techniques and innovations in the fild.
• Bladder Cancer
• Blader Stones
• Enlarged prostate or benign prostatic hyperplasia (BPH)
• Erectile dysfunction
• Kidney stones
• Low Testosterone
• Male sexual dysfunction
• Overactive bladder
• Penile curvature or Peyronie’s disease
• Prostate Cancer
• Stress urinary incontinence (Male & Female)
• Testicular Cancer
• Ureteral Cancer
• Ureteropelvic juncion (UPJ) obstruction
• Urethral stricture
• Urinary retention
• Urinary tract infection (UTI)
Carly, Colon Cancer Survivor
EARLY SIGNS OF COLON CANCER AND TIPS FOR PREVENTION
By CARRIE UMSTEAD
Colon cancer, or colorectal cancer, is a type of cancer that starts in the colon or rectum. It is one of the most common types of cancer, but when detected early, it can be treated effectively. The disease often begins as non-cancerous growths known as polyps, which can develop into cancer over time if leftuntreated. Understanding the signs and symptoms play a crucial role in early detection and prevention.
tional modifiable risk factors that can elevate the likelihood of developing colorectal cancer.
In its early stages, colon cancer may not cause noticeable symptoms, which is why regular screening is essential, especially for those over the age of 50 or with risk factors. However, as the cancer progresses, it can produce a range of symptoms that affect digestion and bowel habits.
One of the most common signs is a change in bowel habits that lasts for several weeks. Ths could include persistent diarrhea or constipation, or a noticeable difference in the consistency of stools. These changes often occur without any apparent cause and may be accompanied by a feeling that the bowel does not completely empty.
Another potential sign is the presence of blood in the stool, which may appear bright red or dark, making the stool look almost black. Blood in the stool may be accompanied by rectal bleeding. While not always indicative of colon cancer—conditions such as hemorrhoids or anal fissures can also cause bleeding—persistent or unexplained bleeding should always be checked by a healthcare professional.
Unexplained weight loss and fatigue can also be early signs of colon cancer. Weight loss occurs as the body uses more energy to fiht the cancer, and fatigue may develop due to anemia from blood loss in the digestive tract. Ths can leave individuals feeling unusually tired even after adequate rest.
Abdominal discomfort, such as cramping, bloating, or pain, may develop as the tumor grows, obstructing the passage of stool. Ths can lead to a feeling of fullness, even after a small meal. In some cases, advanced colon cancer can cause nausea or vomiting if a bowel obstruction occurs.
While the exact cause of colon cancer is not fully understood, several risk factors can increase the likelihood of developing the disease. Age is a signifiant factor, with most cases occurring in people over 50. A family history of colon cancer or certain genetic conditions, such as Lynch syndrome or familial adenomatous polyposis, further elevates the risk.
Lifestyle choices also play a role. A diet high in red or processed meats has been linked to an increased risk of colon cancer, as has a sedentary lifestyle. Obesity, smoking, and heavy alcohol use are addi-
Preventing colon cancer involves a combination of regular screening, healthy lifestyle choices, and sometimes medical interventions for those at high risk. Screening is the most effective way to detect colon cancer early or even prevent it by identifying and removing precancerous polyps. The American Cancer Society recommends that individuals at average risk start screening at age 45, while those with a family history or other risk factors may need to begin earlier.
Colonoscopy is the most commonly recommended screening test because it allows for the direct visualization and removal of polyps during the procedure. Other screening options include stool-based tests, which check for hidden blood or abnormal DNA in the stool, and flexble sigmoidoscopy, which examines the lower part of the colon.
Diet plays an essential role in reducing the risk of colon cancer. A diet rich in fruits, vegetables, and whole grains provides fiber, vitamins, and antioxidants, which help protect against cancer. Fiber, in particular, promotes healthy digestion and helps reduce the time that waste spends in the digestive tract, potentially limiting exposure to harmful substances. Consuming less red and processed meat, along with avoiding excessive alcohol, further contributes to a lower risk. Incorporating fish, lean poultry, and plant-based protein sources can be benefical.
Regular physical activity has been shown to decrease the risk of cancer as exercise helps maintain a healthy weight and regulate hormone levels that may contribute to cancer growth. Even moderate activities such as walking can make a signifiant difference in overall health.
Smoking cessation is another crucial preventive measure. Tobacco use is not only linked to lung cancer but also increases the risk of many other cancers, including colon cancer.
For individuals with a high genetic risk of colon cancer, medical interventions may be necessary. Preventive surgeries may be considered in those with inherited conditions like Lynch syndrome. Genetic counseling can help assess risk and guide these decisions.
Colon cancer is highly treatable when detected early, with survival rates signifiantly higher for cancers caught before they spread. That’s why it’s important to not ignore symptoms or delay routine screenings. Seeking medical advice without hesitation can be life-saving.
Providing modern, minimally invasive procedures to patients with neurological conditions
Dallas Brain, Spine and Skull Base Surgery is a neurosurgical practice that offers over 40 years of experience providing an innovative and collaborative state of the art approach to the care of patients with challenging neurological problems from around the world. Dr. Beshay and Dr. Coimbra have developed unique expertise in the treatment of brain tumors becoming the referral destination for the treatment of patients, especially those with complex or difficult to access tumors. They have also shown a commitment to the development of minimally invasive neurosurgical procedures including the most modern expanded trans–nasal endoscopic skull base surgical techniques and focused extradural approaches to skull base tumors.
Dr. Beshay’s interests include tumors of the brain and spine, minimally invasive spine surgery, complex spinal reconstruction, and epilepsy surgery. In addition to surgical treatment of intracranial and spinal disease, he has an interest in neurological bleeding and its reversal. Dr. Beshay’s clinical interests include: benign and malignant brain tumors, neuroendoscopy, epilepsy surgery, intracranial hemorrhage, cranial/ spinal trauma, minimally invasive spine surgery, complex spinal reconstruction with an interest in C1–C2 and occipito–cervical junction disease.
Dr. Coimbra restricts his practice mostly to intracranial neurosurgery. This selective tertiary practice has fostered the opportunity to develop unique expertise and commitment to the treatment of malignant and benign brain tumors. He is an expert in the minimally invasive resection of the most complex skull base tumors, including meningiomas, acoustic neuromas, and pituitary tumors. He employs CyberKnife radiation therapy, endoscopic endonasal techniques, and an array of focused skull base approaches to create a customized treatment plan for each patient in his practice. These innovative approaches allow resection of deep, difficult, and complex tumors with minimal brain tissue manipulation and maximal preservation of function.
Dr. Coimbra and Dr. Beshay believe in customized patient care and a team approach to medicine with attention to careful selection of the least invasive and most effective treatment for each patient. Their commitment to this philosophy has resulted in maximum preservation of function, less discomfort, shorter hospital stays and durable favorable outcomes for their patients.
Left to Right Caetano J. Coimbra, MD; Joseph Beshay, MD
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.
Dear Olivia,
I have so many questions about hospice care, and I have heard different things from the medical community and family members. Can you help clarify a few things?
~Wanting to Learn More
Dear Wanting to Learn More, You are not alone! Navigating health care can be confusing when it comes to talking about end-of-life care, which is hard to discuss for anyone facing these difficult decisions. Following are some questions I often get and answers:
1. Is hospice a place? No, hospice is a type of health care provided primarily in the home. Many people associate hospice with inpatient facilities, but most hospice care (more than 90 percent) is actually provided in the patient’s own home, or wherever they call home (nursing facility, assisted living facility, memory care, etc).
2. Is hospice care expensive? The services are meant to be accessible and affordable for patients. Hospice is covered by Medicare, Medicaid, and most private insurance plans. The Visiting Nurse Association (VNA) also provides charitable care for those with no means to pay.
3. Do most hospice patients have cancer? Hospice is not just for cancer patients. Though many associate it with cancer, hospice can be used for any terminal diagnosis. These included Alzheimer’s, other forms of dementia, heart disease, lung disease, liver disease, and many other diagnoses. The doctor certifies that a patient meets the criteria for hospice care, and then care can begin.
4. Does hospice stop all of my medications once I sign up for hospice care? No, hospice works with your doctor and the hospice doctor to establish a plan of care to meet the goals of the patient and family. Also, hospice care is about more than medical needs. Hospice aims to treat the whole person by providing emotional, social, and spiritual support.
5. What about personal needs for those who cannot care for themselves with activities of daily living? Hospice support includes a home health aide who can assist in personal care such as bathing, dressing and light meal preparation. They are part of the interdisciplinary team, along with volunteers. Hospice organizations have many trained volunteers who visit patients, provide respite for caregivers, help with errands, and offer companionship.
~Olivia
To schedule your free in-home informational visit please call (214) 689-0000 or email gethelp@vnatexas.org For volunteer opportunities please call (214) 689-2271 or email volunteer@vnatexas.org
HOW MUCH LIFE INSURANCE DO I NEED?
By RICK ALLEN
Typically, the question regarding life insurance is one that should be discussed with your fiancial planner or life insurance representative. However, as I work with clients who are pre-planning funeral services for themselves, I am often informed that a life insurance policy has been purchased to cover the cost of a funeral.
While a life insurance policy is an acceptable way to pay for a funeral, it is not the most advisable. When you purchase life insurance, a beneficary is designated, and that person will receive the proceeds from the death benefit of the policy upon the death of the policyholder. The person who receives this benefit should not have to immediately relinquish a portion of that benefit to pay to bury or cremate you. That money is intended for the person’s benefit who receives it. That is why it is called life insurance not death insurance. It benefits the living, not the dead. Another negative to using life insurance to pay for funeral expenses is a possible added cost to do so. Historically, funeral homes would file the insurance claim and attach an assignment for the cost of the funeral. Unfortunately, as it now takes longer to receive certifid copies of death certifiates, which are needed to file the claim and the fact that an insurance company often takes 30 days after a claim is filed to pay out proceeds, funeral homes are now using third party re-assignment companies to advance the cost of the funeral. The re-assignment company charges a fee to the beneficary for this service since the company is waiting for the claim to settle to get their money back.
Lastly, life insurance cannot protect you from inflation like a pre-paid funeral contract can. When determining how much life insurance you would need for an event that will happen at a future, undetermined date it is a “toss of the dice” at best. But, by creating a pre-paid funeral contract, the exact cost is determined by you, based on what you want and when pre-payment is made, the price is frozen to you, the consumer. The pre-paid funeral contract can be paid all in one single payment or over time in equal monthly payments with no interest.
At the end of the day, having a plan in place, regardless of what that plan is, is much better than waiting until a death has occurred and leaving the burden of guessing what you would want and how to pay for it on a loved one. Pre-planning is a huge giftto your family, and it will provide an amazing peace of mind to you knowing that you have been responsible and have spared your family from added burden in addition to the difficulty of losing someone they care about.
SOMEDAY SYNDROME
The Enemy of Progress
By JODIE WHITAKER
Someday. It’s a word filled with promise but often hollow in its delivery. How many times have we told ourselves, “I’ll start next week,” or “When things settle down, I’ll fially tackle this”? For so many, this notion of “someday” becomes a trap—a perpetual waiting game where the “right time” never seems to arrive. Ths phenomenon, aptly named “Someday Syndrome,” is a silent thief, robbing us of progress, growth, and the satisfaction that comes from taking action.
The idea of waiting for the perfect moment is alluring. It’s comforting to think that tomorrow will bring clarity, motivation, or an ideal set of circumstances to pursue our goals. Yet, life rarely aligns itself in neat, predictable ways. By placing our aspirations in the hands of “someday,” we relinquish control and remain stuck in a cycle of waiting. The truth is, the perfect time doesn’t exist. What matters is the decision to begin, regardless of the conditions.
The roots of Someday Syndrome often lie in fear and perfectionism. The fear of failure, or even success, can paralyze us, convincing us that we’re better offstaying in our comfort zone. Perfectionism tells us that we need the “right” tools, more preparation, or an ideal scenario to start. Together, these forces keep us stuck in inaction, convincing us that tomorrow is always a better option than today.
Breaking free from this loop requires a shiftin mindset. Progress doesn’t happen when everything is perfect; it happens when we embrace imperfection and take messy, uncomfortable steps forward. Action, even imperfect action, creates momentum. Each small step builds confidece, laying the foundation for larger, more significant strides. Ths principle is especially important as we enter a new year—a time when resolutions and goals often feel daunting. Instead of waiting for inspiration to strike, it’s crucial to create opportunities for progress by acting now.
One way to combat Someday Syndrome is to redefie success. Often, we envision success as the fial, polished outcome of our efforts. Ths mindset makes the journey feel overwhelming, leading us to delay starting. Instead, focus on progress over perfection. Success can be as simple as showing up—writing a single paragraph if your goal is to author a book, or taking a ten-minute walk if your aim is better health. These small, manageable actions are the antidote to inertia.
Accountability can also be a powerful tool in overcoming Someday Syndrome. Sharing your goals with a trusted friend, family member, or coach creates a sense of responsibility that motivates you to take action. When someone else knows what you’re striving for, it becomes harder to put it offindefintely. Beyond accountability, consider breaking your goals into smaller, actionable steps. A large goal can
feel overwhelming, but dividing it into bite-sized tasks makes it more approachable and easier to integrate into your daily routine.
Another key strategy I always try to embrace is the concept of “the wrong time is the right time.” When life feels chaotic or challenging, it’s tempting to wait until the storm passes to begin something new. Yet, these moments of turbulence often reveal what is truly sustainable. If you can create habits during life’s busiest or messiest phases, those habits are far more likely to stick long-term. Starting when it feels inconvenient builds resilience and proves to yourself that progress is possible even under less-than-ideal conditions.
The environment you create for yourself can also signifiantly impact your ability to overcome Someday Syndrome. Surrounding yourself with reminders of your goals and keeping your tools accessible makes starting easier. For example, if you want to work out more, placing your gym clothes by your bed the night before reduces friction. Similarly, carving out a dedicated space for creative pursuits or study minimizes distractions and encourages consistency.
It’s important to recognize the role of self-compassion in this process. The journey to achieving our goals won’t be linear, and setbacks are inevitable. Instead of using these moments as an excuse to revert to inaction, practice kindness toward yourself. Acknowledge the effort you’ve made and recommit to your goals without judgment. Self-compassion fosters resilience and keeps you focused on the longterm picture rather than momentary stumbles.
Visualization can be another powerful motivator. Imagining yourself successfully reaching your goal can provide clarity and drive. Picture the impact of achieving your aspiration—how it will feel, how it will improve your life, and the pride you’ll experience. Ths mental rehearsal can bridge the gap between inaction and taking the fist step. When combined with concrete planning, visualization transforms your goal from an abstract idea to an achievable reality.
As 2025 begins, consider adopting the mantra, “Some day is today.” Ths mindset challenges the inertia of Someday Syndrome by reframing today as an opportunity to act. Whether your goal is to learn a new skill, improve your health, or pursue a passion project, remember that starting small is still starting. Even the smallest effort today brings you closer to your aspirations than waiting ever will. The momentum you create by acting now will carry you forward, making each subsequent step feel more natural and attainable.
Ths year, let’s commit to progress over perfection, to showing up even when it’s inconvenient, and to choosing today over “someday.”
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.
Laser Therapy for Pain, Swelling, Arthritis, and Wounds
COMING SOON!
Radiant Imaging is a locally owned and operated diagnostic imaging center that offers their patients full-body scans with optimum patient comfort. Our team aims to make the diagnostic process as comfortable and safe as possible because we recognize the tension and anxiety that are frequently associated with it.
Radiant Imaging’s cutting-edge technology provides our patients the most reliable results possible. Our imaging center offers:
• Arthrograms
• Magnetic Resonance Imaging (MRI)
• 3 Tesla Magnetic Resonance Imaging (MRI 3T)
Behind America’s Funny Sayings
By J.B. SIMS
American English is filled with colorful, quirky expressions that can leave non-native speakers scratching their heads. Phrases like “spill the beans,” “close but no cigar,” or “bite the bullet” not only add personality to conversations but often carry amusing or perplexing origins. These funny sayings have roots in history, culture, and sheer creativity, reflcting the melting pot nature of American society. Let’s explore the intriguing origins of some of the most well-known humorous idioms in American culture.
“SPILL THE BEANS”
Ths expression, which means to divulge a secret, originated in ancient Greece. Beans were used to vote on issues in some Greek citystates; a black bean may represent disapproval, while a white bean might indicate approval. If someone “spilled the beans” accidentally or intentionally, they could prematurely reveal the outcome of a vote. Over time, this literal act of spilling beans evolved into its modern figurtive meaning.
“CLOSE BUT NO CIGAR”
Often used to describe a near miss, this saying harks back to early 20th-century carnivals. Cigars were frequently given away as game prizes in those days. If a contestant came close to winning but didn’t quite succeed, the carnival barker might announce, “Close, but no cigar!” The phrase eventually gained popularity beyond the carnival scene, symbolizing any effort that falls just short of success.
“BITE THE BULLET”
“Bite the bullet” means to endure a difficult or unpleasant situation with courage. Its roots are in the harsh realities of 19th-century military medicine. Prior to the widespread availability of anesthetics, soldiers undergoing surgery might be given a bullet to bite on in order to help them manage the agony. The phrase now serves as a reminder of resilience in tough times.
“KICK THE BUCKET”
There are multiple rival origin theories for this darkly comic term, which means to die. One popular theory involves slaughterhouses, where animals were hung on a wooden frame known as a “bucket.” If an animal struggled, it might kick the frame before being slaughtered. Another interpretation stems from an old suicide method involving a bucket being kicked away. Despite its somber beginnings, the phrase has evolved from its solemn origins to become a lighthearted euphemism for death.
“THE
WHOLE NINE YARDS”
Ths expression, meaning “going all out” or “giving everything,” has one of the most contentious origins. There are many who link it to the nineyard-long ammo belts found in World War II fihter aircraft.Pilots were said to have gone “the whole nine yards” when they used up all of their ammunition. Other hypotheses include the quantity of fabric in a traditional burial shroud, concrete delivery vehicles, or even Scottish kilts. Despite its mysterious origins, the phrase remains a staple in American vernacular.
“LET THE CAT OUT OF THE BAG”
Meaning to reveal a secret, this idiom likely originated in medieval markets. Dishonest merchants might substitute a less valuable cat for a piglet, tying it in a sack for unsuspecting buyers. If the buyer opened the bag and discovered the ruse, they literally “let the cat out of the bag.” The expression endures as a cautionary tale about dishonesty and premature revelations.
“SAVED
BY THE BELL”
While this phrase is now commonly associated with being rescued at the last moment, its origins may lie in 18th-century burial practices. Fear of being buried alive led to the invention of coffins equipped with bells. A string attached to the bell allowed anyone buried prematurely to alert grave keepers. The term has since shifted to less morbid uses, such as being rescued from a tough situation or ending a conversation at an opportune moment.
“BREAK THE ICE”
Originally a nautical term, “break the ice” referred to ships breaking through ice-covered waters to forge a path for others. Over time, it came to signify initiating interaction or overcoming initial awkwardness in social situations. The phrase reflcts the importance of taking the fist step to foster communication.
“PULLING YOUR LEG”
Ths humorous saying, meaning to tease or deceive someone in a lighthearted way, has murky origins. Some trace it back to 18th-century England, where thieves might trip victims by pulling their legs to rob them. Another theory suggests it’s tied to playful banter rather than actual leg-pulling. Regardless of its origin, the phrase has evolved into a staple of good-natured teasing.
“BURNING THE MIDNIGHT OIL”
Before electricity, people used oil lamps to light their homes, especially when working late into the night. The phrase “burning the midnight oil” became synonymous with staying up late to complete a task. Today, it often describes late-night efforts, whether for work, study, or personal projects.
AMERICAN CREATIVITY IN LANGUAGE
The humor and creativity behind these sayings reflct the American penchant for storytelling and adaptability. The melting pot nature of American society has allowed these sayings to thrive, change, and entertain across generations. Funny sayings like these serve as a bridge between past and present, connecting us through shared expressions that transcend their origins. So, the next time you “bite the bullet” or “spill the beans,” you’re not just using colorful language—you’re keeping history alive, one quirky phrase at a time.
Deandra M. Grant
NATIONALLY RECOGNIZED DWI AND CRIMINAL DEFENSE LAW FIRM
Have you been arrested? Whether you have been charged with DWI in Texas or another criminal offense, we advise you to secure the immediate representation of our experienced DWI lawyers. Your charges can have life-altering consequences. It is of the utmost importance that following an arrest, you hire our Dallas criminal defense lawyer. We will stop at nothing in order to protect your rights, freedom, and future. At Hamilton Grant PC, you will receive the individualized support and tenacious advocacy that you require in order to combat your criminal charges.
Because we care deeply about helping as many people as we can, our Texas DWI & criminal attorneys also represent clients in Collin County and throughout northern Texas.
Hamilton Grant’s North, East and South Texas offices are led by Attorney Deandra Grant*, JD, GC, MS, one of the most awarded and respected DWI authorities in the country. She is co-author of The Texas DWI Manual, certified in the science and testing of DWI enforcement, and respected by her peers as being a leader in her field.