Dallas County Living Well Magazine November/December 2024

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NORTH TEXAS ORTHOPAEDIC

& SPINE

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 E. Toulson, MD

STAND OUT WITH THE EMINENT CHOICE IN HEALTHCARE

Total

Headache

ORTHOPEDIC EXPERTISE TO PERSONAL WELLNESS

Welcome to the latest LIVING WELL Magazine, where we’re diving into topics that matter to our community’s health, vitality, and well-being. Our cover features North Texas Orthopaedic & Spine, a remarkable medical group leading the charge in providing comprehensive orthopedic care. Their dedication to patient-centered treatment is second to none, and they continue to set the standard in motion and spine care. You’ll want to check out their article, Excellence in Motion, on page 8 to learn how they are reshaping healthcare in the area.

We’re also bringing you an exclusive look into the fascinating life and career of Jake Gyllenhaal on page 24. Known for his dedication to his craft and his impressive physical transformations for various roles, Gyllenhaal’s story showcases the discipline and focus needed to succeed both on and off the screen.

On the health front, our article Beyond the Smoke: Quitting for Good tackles one of the most challenging habits to break—smoking. Whether you’re considering quitting or supporting someone on their journey, this piece offers practical advice and resources to help make the process more manageable. Quitting smoking is tough, but the benefits begin almost immediately, and there’s never a better time to start. Check it out on page 46.

Also, don’t miss Protein’s Role in Aging, a must-read for those interested in maintaining strength and vitality as the years go by. With detailed guidance on how protein can help preserve muscle mass and support overall health, this article on page 34 serves as a great resource for optimizing your nutrition.

We hope you find this edition both informative and empowering. Our goal is to bring you content that helps you live your healthiest, happiest life.

Be well

PRESIDENT & CEO SAM HOUSTON

VICE PRESIDENT & CFO SPRING HOUSTON

EDITOR, FEATURE WRITER & SOCIAL MEDIA SONDRA BARR

ART DIRECTOR VANESSA FRYER

ACCOUNTS MANAGER JENNIFER BEAVERS

WEBSITE LYDIA ROGERS

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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.

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 manufacture, sell, distribute or provide any of the goods or services advertised herein. We hereby expressly disclaim any liability with respect to information or goods and services contained herein. We further disclaim any and all warranties or representations, express or implied, with respect to such information, goods or services, including any warranty of merchantability or fitness for a particular purpose (it being

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.

MIS—Minimally Invasive Surgery

Heel Pain (Plantar Fasciitis) Stem Cell Therapy

Toenails

Custom Orthotics & Braces

Laser Therapy for Pain, Swelling, Arthritis, and Wounds

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!”

NORTH TEXAS ORTHOPAEDIC & SPINE

Driven by their motto “Excellence in Motion,” North Texas Orthopaedic and Spine, a group of exceptional medical professionals, shape the region’s healthcare by reshaping lives through their focused dedication and unyielding commitment to comprehensive patient care.

North Texas Orthopaedic & Spine (NTOS), a pioneering medical practice rooted in the vision of its founder, Dr. Vudhi Slabisak, transcends the traditional boundaries of medical care. The practice thrives on a unique philosophy that centers on patient-first ethos, collective goals, and independence of its physicians. This vision is fueled by Dr. Slabisak who values preserving the autonomy of surgeons and upholding the sanctity of independent practices.

The center has grown to accommodate 9 surgeons in just four years. While Dr. Slabisak’s commitment to a brighter and more patient-centric future for healthcare has been the driving force behind this growth, the team of talented doctors each bring their unique skills and experiences to the practice, enhancing its reputation and reach. Their collective wisdom and medical prowess have rapidly transformed NTOS into an unmatched hub of orthopedic and spinal care.

Dr. Vudhi Slabisak is a board-certified orthopaedic surgeon with fellowship training in the diagnosis and treatment of conditions of the cervical, thoracic, and lumbar spine. He is also skilled in most general orthopaedic conditions. With over 25 years of experience, Dr. Slabisak focuses on pain management and healing to address each patient’s unique needs for wellness.

Dr. James Stanley, a native Texan, brings over 20 years of experience as a board-certified orthopedic and fellowship-trained spine surgeon. He specializes in the treatment of conditions and disorders of the cervical, thoracic, and lumbar spine. “Here, the focus is not just on curing, but empowering patients by helping them to understand their condition and making informed decisions,” Dr. Stanley remarks. His commitment is to a multi-disciplinary, collaborative approach to spine care, echoes the patient-centric ethos of NTOS.

Dr. Amir Malik, a board-certified neurosurgeon, specializes in cranial, spinal, and peripheral neurology. He brings a rich background in research, lectures, and clinical work to the center.

Dr. Steve Hong, an anesthesiologist and ACGME fellowship-trained interventional pain management physician, is able to focus and serve the unique needs of the individual to provide personalized pain management to every patient.

On the sports medicine front, board-certified orthopedic surgeon Dr. Bruce Markman, has a compassionate approach and adept skills in shoulder reconstruction, elbow, shoulder, hip, knee, and ankle surgery. He brings a dynamic element to the clinic. Dr. Markman notes, “NTOS is driven by a philosophy of empathy. We treat each patient as if they were family.”

Dr. Rahul Banerjee lends his expertise as a board-certified orthopedic surgeon in trauma, hip and knee replacement, limb lengthening, and management of other complex orthopedic problems. Dr. Banerjee embraces the practice’s emphasis on individual growth, collective success, and systemic change. He echoes the sentiments of Dr. Slabisak, saying, “Every patient deserves individualized, comprehensive care which is the cornerstone of our practice.”

Working alongside Dr. Banerjee is Briana Hodgson, PA-C, a certified physician assistant with over 20 years of experience in orthopedic surgery. She focuses on treatment of fractures and injuries, total hip and knee arthroplasty, and management of complex orthopedic problems.

Bringing the focus to hip and knee replacement and regenerative medicine is NTOS’s board-certified orthopedic surgeon, Dr. Khawaja Ikram. He firmly believes in educating patients about their conditions and treating them as family. Dr. Ikram adds, “The beauty of NTOS lies in its balance of professional excellence, personal empathy, and systemic change.”

Dr. Geoffrey Glidden, a board-certified orthopaedic surgeon and sports medicine doctor with over 40 years of experience, specializes in the care of acute and chronic bone, joint, ligament, muscle, tendon and peripheral nerve disorders.

Our growth and success are a testament to our commitment to our patients.We believe in a patient-centric approach that values empathy, understanding, and quality care above all.
LEFT TO RIGHT: Amir Malik, MD; Bruce Markman, MD; Rahul Banerjee, MD; Charles Marder, DPM; Steve Hong, MD; Vudhi Slabisak, MD; James Stanley, MD; Khawaja Ikram, DO; Briana Hodgson, PA-C; Geofrey G. Glidden

SPINE

Podiatrist, Dr. Charles Marder brings podiatric excellence to the practice, ensuring comprehensive care for the patients. Dr. Marder is board-certified in podiatric surgery with special interests in reconstructive foot and ankle surgery, Lapiplasty surgery, trauma treatment, diabetic foot care, pediatric podiatry, and sports medicine.

Along with Dr. Slabisak, each provider’s rich tapestry of skills, experiences, and commitments of the doctors at NTOS make it a beacon of orthopedic excellence. Their relentless commitment to research and innovation has also put them at the forefront of medical advancements. With numerous breakthroughs, the team at NTOS remains dedicated to finding the most effective and least invasive treatments to benefit their patients.

Beyond the walls of the practice, NTOS is also committed to community service and philanthropy. The providers are regular contributors to local charities, participate in community health initiatives, and sponsor local sports teams, all of which embodies their belief that a healthy community is the cornerstone of individual wellbeing.

Dr. Slabisak, reflecting on the journey, says, “Our growth and success are a testament to our commitment to our patients. We believe in a patient-centric approach that values empathy, understanding, and quality care above all. We are proud of our achievements and remain dedicated to improving the lives of our patients and making a positive impact in our community.”

With its combination of medical expertise, patient-focused care, and community involvement, North Texas Orthopaedic & Spine is more than just a medical center. It is a place where patients are treated as individuals, where doctors work collaboratively to deliver the best possible care, and where the wellbeing of the community is as important as the wellbeing of the individual.

As they look to the future, NTOS is poised to continue its growth and influence, not only in the realm of orthopedics but in the broader healthcare sector. They are committed to continuing to drive advancements in patient care and to ensure that their patients receive the most effective treatments possible. Their dedication to quality, innovation, and community sets them apart, making them a leading example of the possibilities of modern healthcare.

CARROLLTON

4333 N. Josey Ln.

Professional Plaza II, Ste. 103 Carrollton, TX 7501

DALLAS

Lakewood Medical Center

6243 Retail Rd., Ste. 500 Dallas, TX 75231

FRISCO

9990 Dallas Pkwy., Ste. 105 Frisco, TX 75033

KAUFMAN

2300 Commerce Way Kaufman, TX 75142

MCKINNEY

1505 Harroun Ave., Ste. F McKinney, TX 75069

MESQUITE

1102 N. Galloway Ave. Mesquite, TX 75149

PLANO

4090 Mapleshade Ln., Ste. 100 Plano, TX 75093

PLANO

5655 W. Spring Creek Pkwy., Ste. 115 Plano, TX 75023

A HOLIDAY HEART-TO-HEART

During the holiday season, we are reminded that the gifts we cherish the most do not come wrapped in a box. Rather, it is the time we spend with loved ones that makes the greatest present of all. As you celebrate the holidays with family and friends, we encourage you to sit down with the seniors in your life to discuss their plans for the future. There is more to planning for the future than just signing documents as part of an estate plan. Discussing Elder Law issues with your loved ones will give them options so they can have control over decisions about their own care, thus giving them peace of mind. After all, Elder Law is first and foremost about empowering seniors.

Elder Law is not a type of law, but a relatively new way to bring several areas of law together to benefit a particular group of peopleolder adults. Elder Law services enable you to make your own choices and decisions about managing life as you age. Everyone wants to have some control over the future, and Elder Law helps people do just that. The main areas of Elder Law include planning your living arrangements, financial wellbeing, healthcare options, and the ultimate disposition of assets. Helping seniors learn about these Elder Law issues may be the most valuable gift you give this year.

Starting the conversation about aging and planning for care can be overwhelming. Consider opening the discussion with these important topics:

LIVING ARRANGEMENTS

No one knows exactly what the future holds, but the key to feeling secure is to keep all your options open. There are a wide range of living arrangements for seniors, from retirement communities to assisted living facilities to memory care to skilled nursing facilities. Some people want to stay in their own homes as long as possible and bring in outside help to make that possible. Others want the freedom from home maintenance that a senior residence community offers. Elder Law services can help you weight all the options and make sure you have the right plans in place for the future.

FINANCIAL WELLBEING

Money matters can be especially complex for seniors. It is important

to plan carefully and preserve your assets for when you need them most. Will you Social Security, pension, or other retirement fund be enough to pay your monthly expenses? Will you be eligible for public benefits such as Medicaid or Veterans benefits? Do you have long-term care insurance? Have you designated individuals to act on your behalf in financial and legal matters through a proper Durable Power of Attorney so your finances can be protected if you cannot act for yourself? Elder Law encompasses all these decisions within the context of planning for long-term care.

HEALTHCARE OPTIONS

Healthcare in the United States has become one of the most confusing and uncertain issues we face. If you have private insurance that covers medical expenses or long-term care, you need to be sure that changing laws and regulations will not affect your coverage. If you rely on Medicare and a Medicare Supplement or, alternatively, a Medicare Advantage Plan to pay your healthcare costs, do you know what benefits those plans will cover when you need them? Elder Law includes these issues and can help you outline your wishes for health decisions through a Medical Power of Attorney and Advance Directives.

DISPOSITION OF ASSETS

Elder Law includes estate planning issues such as wills, trusts, special needs trusts, and property transfers. As time passes and circumstances change, it is often necessary to make changes to your plans to control the disposition of your assets during your lifetime and after you pass. Further, depending upon the government benefits for which you may be eligible, changes may be needed to ensure your long-term desires are met. Elder Law considers the importance of planning to preserve assets and maintain eligibility for public benefits.

As this holiday season approaches, consider having a heart-to-heart with your loved ones about these important Elder Law issues. The peace of mind for your family will be the gift that keeps giving for years to come.

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

The Beauty of Saying “No”

Setting Boundaries for a Healthier Life

Saying “No” can be intimidating and even rebellious if, like many of us, your way of life is one of busyness as a badge of honor. Many adults view life as an ongoing balancing act in which their commitments to friends, family, and job continually eclipse their personal needs. Though it usually results in exhaustion, fatigue, and resentment, the need to say “Yes” to every request and opportunity may come from a want to be helpful, kind, and accommodating. Saying “No” is an art that goes beyond rejecting offers to include establishing reasonable limits that guard our time, money, and mental health. It’s about learning to value our own needs as much as we value the needs of others, therefore guiding our life toward self-respect and deliberate living. Though it takes time, this change brings a great sense of freedom and a road toward a more balanced, healthy life.

Photo by Jon Tyson

Many of us were taught to equate saying “Yes” with being decent or responsible, and turning anything down looked rude, dismissive, or even selfish. Even when our instincts tell us it’s the proper thing to do, these ingrained ideas can make it challenging to set limits. We say “Yes” out of anxiety—that of failing others, of missing out, or of coming across as rude. Still, there is a quiet fortitude in realizing we cannot be all things to all people and that saying “No” is more of a self-preservation act than a rejection one. Establishing limits helps us to honor our own life by making sure we have enough time to breathe, grow, and be present in the moments that really count.

Boundaries, at their core, are not barriers to keep others out, but rather structures that help us live more authentically and sustainably. They help us to save our mental and emotional energies so that we may devote them where they are really needed. A life without boundaries is like a building without walls—it loses structure and becomes open to outside influences. Boundaries give us the required framework and enable us to set our acceptable limits as well as our non-acceptable ones. This is about building a life that reflects our values, needs, and aspirations, not about being stiff or unyielding.

Learning to say “No” begins with understanding our own limitations and priorities. This implies stepping back to evaluate our actual wants and needs rather than those of others. It entails a readiness to be open with others and with ourselves regarding our realistically manageable capacity. Saying “No” can occasionally feel like a confrontation, particularly in light of demands from people we love or those in positions of power. Remember, nevertheless, that our value is not determined by our propensity to overreach ourselves. Choosing to establish limits helps us to realize that our time and energy are limited resources deserving of careful preservation.

For many, the challenge is not just in saying “No,” but in saying it with kindness and grace. You can turn down an offer without insulting or alienating someone completely. The secret is to be sympathetic, direct, and respectful. Approaching the topic from a sincere standpoint helps us to express our limits in a way that others would find acceptable. Saying “no” is a declaration of clarity and self-awareness, not a sign of weakness or a lack of compassion. While keeping true to our own constraints, we can nevertheless show support in various ways or show gratitude for being taken under consideration.

Using one of the many polite ways to decline an offer without using the word “No” will help to soften but remain firm the rejection. Should a colleague ask you to take on an additional project, for instance, you might say, “I’m flattered you thought of me, but I’m focusing on my current workload at the moment.” This establishes a limit and shows thanks for the request. “I’d love to help,” another could be, “but my schedule is already full this week.” This lets you be unambiguous about your availability without having to defend or apologies. Should a buddy extend an invitation to an event and you know you have time for yourself, you can respond, “I really appreciate the invite, but I’ve been stretched a bit thin lately and need some downtime.” You are attending to your own needs and expressing thanks for the invitation. Saying, “I’m afraid I can’t

commit to this right now, but I’ll let you know if anything changes,” can help you answer ongoing or open-ended requests. In this sense, you are not obligating yourself but rather you are not closing the door totally. Say, “That sounds great, but sadly, I have other commitments at that time,” in cases when you might be interested but really cannot engage.

Setting limits benefits us and improves relationships. By setting clear boundaries, we educate people how to treat us and allow them to create their own. This deepens the relationship and balances the dynamic through mutual respect. Resentment builds when we feel taken for granted or overworked, but boundaries prevent that. Instead of exhausting ourselves, being honest about our limitations allows us to better serve those we love.

In the realm of work, the ability to say “No” is crucial for maintaining a sustainable career. It is not uncommon for professionals to feel pressured to say “Yes” to every new opportunity, project, or after-hours request in the name of advancement or job security. However, constantly saying “Yes” can lead to chronic stress, burnout, and a diminished quality of work. It is important to remember that we do not need to prove our worth by taking on more than we can handle. When we set boundaries at work, we create a space where we can thrive rather than just survive. This means being truthful about our capacity and communicating it with confidence, whether it’s setting limits on after-hours availability or clarifying the scope of a project.

The practice of saying “No” extends beyond work and social life; it is also a deeply personal journey. It requires prioritizing self-care and acknowledging our needs. We often push through tiredness, ignore our need for rest, or schedule unenjoyable activities. Saying “No” to perfectionism and overachievement is as vital as setting limits with others. Self-awareness includes listening to our bodies and minds, recognizing our limits, and responding with kindness rather than judgment. It means allowing ourselves to rest without guilt, pursue what thrills us, and let go of what doesn’t.

Setting boundaries is not a one-time act but a continuous process of reflection and adjustment. Our boundaries must alter with our wants and lives. Sometimes saying “No” is uncomfortable or others don’t understand or respect our decisions. After practicing and accepting this technique, we will feel calm and empowerment. Saying “No” is about choosing which doors to walk through with thought and purpose, not closing them.

The beauty of saying “No” lies in its ability to create space for what truly matters. It helps us live authentically, take care of ourselves, and build respectful, understanding relationships. By saying “No” gracefully, we signal that our lives and needs are worth safeguarding. In a world that encourages us to say “Yes” to everything, it takes bravery and wisdom to choose differently, prioritize ourselves, and say “Yes” only to what aligns with our innermost values and objectives.

Embracing the power of “No” is not just a matter of language, but of living with clarity, compassion, and a commitment to our own health and happiness. It reminds us that we have the right to choose how we spend our time and energy and that a life lived on our own terms is lovely.

VUDHI SLABISAK, MD OrthopaedicSpineSurgeon

BRUCE MARKMAN, MD OrthopaedicSurgeon&Sports MedicineSpecialist

JAMES STANLEY, MD OrthopaedicSpineSurgeon

STEVE HONG, MD Interventional Pain ManagementSpecialist

RAHUL BANERJEE, MD OrthopaedicSurgeon

GEOFFREY G. GLIDDEN, MD OrthopaedicSurgeon

AMIR MALIK, MD Neurosurgeon

KHAWAJA IKRAM, DO OrthopaedicSurgeon

BRIANA HODGSON, PA-C OrthopaedicSurgery PhysicianAssistant

CHARLES MARDER, DPM Podiatrist,Foot&AnkleSurgeon

If you’re suffering from pain or an athletic injury, schedule an appointment with your preferred NTOS location for effective, compassionate treatment.

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

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

JAKE Gyllenhaal More than muscles.

Jake Gyllenhaal has spent over three decades navigating the world of Hollywood with an intensity and dedication. From his early days as a child actor to his more recent roles in action-packed blockbusters and Broadway hits, Gyllenhaal has shown a relentless commitment to his craft. But while the world knows him as an actor who goes to extreme lengths to embody his characters, the man behind the roles is also learning to slow down, find balance, and embrace the quieter moments in life.

A Hollywood Legacy

Born into a family entrenched in the film industry, Gyllenhaal grew up surrounded by the magic of storytelling. His father, Stephen Gyllenhaal, is a director, and his mother, Naomi Foner, a screenwriter. It was only natural that Gyllenhaal and his older sister, Maggie, would eventually follow in their parents’ footsteps. As a child, Gyllenhaal was exposed to some of Hollywood’s biggest names—Paul Newman, who taught him how to drive, even served as his godfather.

His first taste of acting came early. At just 10 years old, Gyllenhaal played Billy Crystal’s son in the 1991 comedy City Slickers. “I think I’ve always been a bit absurdist,” Gyllenhaal told Eric Sullivan for Esquire earlier this year, reflecting on how, as a boy, he offered Crystal a dining-room chair as a parting gift. The comedian found the gesture hilarious, setting the stage for what would be Gyllenhaal’s lifelong career in front of the camera.

From Donnie Darko to Brokeback Mountain

It wasn’t until Gyllenhaal’s breakout role in Donnie Darko (2001) that audiences began to take notice of his ability to dive

deep into complex, often troubled characters. In the cult classic, Gyllenhaal portrayed a disturbed teenager haunted by visions of a giant rabbit named Frank. The role set the tone for much of his early career, with Gyllenhaal gravitating toward characters with emotional depth and intensity.

In 2005, Gyllenhaal’s role in Brokeback Mountain further solidified his place as one of Hollywood’s most talented actors. Playing Jack Twist, a cowboy entangled in a secretive relationship with Heath Ledger’s Ennis Del Mar, Gyllenhaal earned his first Oscar nomination. The role not only showcased his acting chops but also pushed boundaries in Hollywood by portraying a same-sex relationship with honesty and vulnerability.

During filming, Gyllenhaal learned a lot from Ledger’s methodical approach to acting. “While we were on set, Heath would get in his moment, and he would stay in his moment,” Gyllenhaal told Esquire. The experience shaped Gyllenhaal’s own work ethic, encouraging him to fully immerse himself in his characters.

Pushing Physical and Emotional Limits

Over the years, Gyllenhaal became known for his willingness to transform himself physically for roles. Whether shedding 30 pounds for Nightcrawler (2014) or bulking up to play a boxer in Southpaw (2015), Gyllenhaal’s commitment to his craft was nothing short of extreme. “My God, that’s extreme. That’s dangerous,” said Southpaw director Antoine Fuqua of Gyllenhaal’s body manipulation. “Actors do that, you know, but Jake goes right to the edge. Sometimes you have to pull him back. He’s like a stick of dynamite.”

At my age, you get to a place where you’re still really physically active, but a hit is different a fall is different.

In Nightcrawler, Gyllenhaal portrayed a gaunt, manic crime journalist, and his dedication to the role was palpable. To achieve the character’s sunken, hollowed-out look, Gyllenhaal ran 15 miles a day and lived off minimal food. It was a performance that left audiences both impressed and disturbed. Then, in Southpaw, he did the opposite, packing on muscle and training with real fighters to bring the role of Billy Hope, a down-and-out boxer, to life.

His latest role in Road House (2024), an action-packed remake, saw Gyllenhaal take his physical transformation to new heights. “I wanted to record it because I was 41, getting in shape and doing all this stuff,” Gyllenhaal explained to The Hollywood Reporter. Working alongside UFC fighter Conor McGregor, he shared videos of his preparation, which included ice baths, grueling strength training, and intense sparring sessions. But Gyllenhaal knows his body has limits. “At my age, you get to a place where you’re still really physically active, but a hit is different—a fall is different,” he told Jonathan Wells for Sharp “We were protecting ourselves from that.”

But no matter how jacked Gyllenhaal becomes for his action roles, it’s his eyes that have been his most powerful tool as an actor. Over the years, Gyllenhaal’s expressive gaze has been used to convey sensitivity, vulnerability, and barely-contained emotion. Interestingly, those same eyes have also posed a personal challenge. Gyllenhaal has worn corrective lenses since the age of 6 due to a lazy eye. “I’ve never known anything else. When I can’t see in the morning, before I put on my glasses, it’s a place where I can be with myself,” he told The Hollywood Reporter of being basically blind without corrective lenses.

The Power of Stillness

Despite being known for his high-octane performances, Gyllenhaal has also mastered the art of subtlety. Whether in theater or on screen, he knows how to convey emotion without saying a word. “One of the most wonderful things about being a performer,” Gyllenhaal told Wells, “is the ability to run the gamut, and try all different sorts of

things. That’s the essence of what it’s about, in my opinion. I love being physical and moving around and being outlandish in performances— that’s fun. But I think there’s real power in stillness.”

This stillness, he explained, has become a key part of his work in theater, where he has found new creative energy. Gyllenhaal is no stranger to the stage. In 2017, he took to the stage in Stephen Sondheim’s Sunday in the Park with George, earning rave reviews for his performance, showcasing not only his acting but his singing talents as well. That performance marked a significant return to Broadway, and he hasn’t slowed down since. In 2019, Gyllenhaal was nominated for a Tony Award for his poignant portrayal in the oneact monologue A Life, written by British playwright Nick Payne. Payne, who had already recognized Gyllenhaal’s theatrical potential, previously cast him in two back-to-back Broadway shows in 2012 and 2014, helping to shape his stage career. Gyllenhaal’s ability to connect with the audience in real-time has made him a natural in the world of theater. This momentum continues as, in 2025, he will return to Broadway once again, starring as Iago opposite Denzel Washington in Othello, a role that promises to showcase yet another dimension of his dynamic range.

Speaking of range, Gyllenhaal’s talents extend beyond acting— he’s also an accomplished singer, a skill that has taken many by surprise. His love for singing goes back to his childhood, where he was captivated by the film La Bamba and would perform its title song endlessly, strumming a tennis racket like a guitar. On stage, his vocal abilities have been put to the test, most notably in Sunday in the Park with George, where he tackled Sondheim’s complex music to rave reviews. Gyllenhaal’s voice was praised for its “richly flexible timbre,” with The New York Times writing that he confidently elicited “the most delicate shades of passion and despair.” According to his sister Maggie, singing unlocks something special in him. “When my brother sings, it’s almost like this clear channel expressing who he is. There’s nothing blocking it,” she told Esquire

Spider-Man: Far From Home, Columbia Pictures Southpaw, Weinstein Co.

Beyond Acting

While acting remains a significant part of his life, Gyllenhaal has found balance in pursuing other passions. One of his greatest loves, surprisingly, is cooking. “I spend a lot of time cooking, and my instinct towards food—not just eating it, but also cooking it—has been that way for many years,” Gyllenhaal told Wells. Cooking, for him, offers a form of relaxation and creative expression. He often gets inspired by cookbooks, but just as often, he enjoys improvising in the kitchen. “What I love is to explore,” he explains. “I’ll find ingredients and then I’ll just figure out what I want.”

This love of cooking has become intertwined with his commitment to family. Gyllenhaal is especially close to his sister Maggie and her children, taking his role as an uncle seriously. “Uncledom is something Jake takes very seriously,” says his brother-in-law, Peter Sarsgaard. “He’s like 110 percent.”

Gyllenhaal’s connection to his family has deepened with time. “It’s my family, my friends, and the people I love who take priority,” Gyllenhaal told Sullivan. “He seems so great lately—generous and loving and really solidly there for me and my family,” said Maggie. Their bond wasn’t always this strong, though. As children, the siblings fought often, but today, they rely on one another for support, both personally and professionally.

Slowing Down and Living Well

As he enters his mid-40s, Gyllenhaal is learning to embrace a new kind of challenge: letting go of his intense approach to life and work. “There are movies I’ve made that people have said to me, ‘Man, intense. That was great. It was tough,’” Gyllenhaal told The Hollywood Reporter. “And there have been many different times where I’m like, ‘Wait, what’s it like to make a movie and be like, ‘That was just fun?’”

His recent projects reflect this shift. While he continues to take on physically demanding roles, like his action-packed performance in Road House, he’s also finding more joy in the process, embracing roles that allow him to experience life in a more relaxed, joyful way.

As Gyllenhaal’s career evolves, so too does his approach to life. More than three decades after his debut, he’s finally finding the balance between intensity and peace, work and play, and, most importantly, the power of living well.

I think I’ve always been a bit absurdist.
Presumed Innocent Apple TV
The Guilty, Netflix Prince of Persia, Walt Disney
Source Code, Summit Entertainment
Guy Ritchie’s The Covenant, STXfilms

Dr. Bilal Mahmood is a Cleveland Clinic trained orthopedic surgeon with fellowship training in adult hip and knee reconstruction and joint replacement. He specializes in anterior hip replacement, robotic joint replacement, hip resurfacing, total knee replacement, partial knee replacement, minimally invasive joint replacement, same-day joint replacement, complex hip and knee deformity, revision joint replacement, hip and knee arthritis, osteonecrosis, hip dysplasia, and femoroacetabular impingement (FAI).

Outside of work, Dr. Mahmood enjoys spending time with his wife and children. His hobbies include alpine skiing, baseball, hockey, biking, and travel.

He is involved with local outreach organizations for medically underserved populations. He is also involved in research and innovation to advance hip and knee joint replacement.

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.

Macular Degeneration Explained Protecting Your Sight as You Age

Macular degeneration, often referred to as AMD (Age-related Macular Degeneration), is a progressive eye disease that affects the macula, a small but crucial part of your retina responsible for central vision. This condition can lead to significant vision impairment and is a leading cause of vision loss among individuals aged 50 and older.

There are two primary types of macular degeneration: dry and wet. Both forms can cause vision loss, but they progress differently and have distinct treatment options.

Dry Macular Degeneration:

Dry macular degeneration is the most common form, accounting for about 80-90% of cases. It is characterized by the gradual breakdown of light-sensitive cells in the macula. In the early stages of dry macular degeneration, people may not notice significant vision changes. However, as the condition progresses, central vision may become blurry, and it can become difficult to read, recognize faces, or perform tasks that require fine vision. Dry macular degeneration tends to progress slowly over several years, but in some cases, it can lead to advanced vision loss.

Wet Macular Degeneration:

Wet macular degeneration is less common but more severe. It occurs when abnormal blood vessels grow under the retina and leak fluid or blood, which damages the macula. This rapid onset of abnormal blood vessel growth is known as choroidal neovascularization, which can cause sudden and significant vision loss. Straight lines may appear wavy or distorted, and a dark or empty area can develop in the center of your vision.

How is Macular Degeneration Treated?

Managing macular degeneration involves a combination of lifestyle changes, medical interventions, and ongoing eye care. While there is no cure for AMD, various treatment options can help slow its progression and improve your quality of life:

• AREDS SUPPLEMENTS: Studies, including the Age-Related Eye Disease Study (AREDS), have shown that taking specific vitamins and minerals can slow down the progression of dry macular degeneration. These supplements typically include a combination of Vitamins C and E, Zinc, Copper, Lutein, and Zeaxanthin.

• LIFESTYLE CHANGES: A healthy lifestyle can make a difference in the progression of macular degeneration. Quitting smoking, eating a balanced diet rich in leafy greens, and exercising regularly can protect your vision.

• INTRAOCULAR INJECTIONS: For those with wet AMD, injections can be a highly effective treatment option. These injections help reduce abnormal blood vessel growth and leakage, preserving central vision.

• LOW VISION AIDS: If macular degeneration has caused significant vision loss, low vision aids like magnifiers,

special glasses, and electronic devices can help maximize your remaining vision and maintain independence in daily activities.

• REGULAR EYE CHECKUPS: Early detection and monitoring are crucial in managing macular degeneration. Regular eye examinations by an Ophthalmologist can help identify changes in your condition and guide treatment decisions.

Can You Prevent Macular Degeneration?

While it’s not possible to completely prevent macular degeneration, there are steps you can take to reduce your risk or slow the progression if you have already been diagnosed:

• QUIT SMOKING: Smoking significantly increases the risk of developing macular degeneration. Quitting smoking is one of the most effective ways to protect your vision.

• MAINTAIN A HEALTHY DIET: A diet rich in leafy green vegetables, fruits, and omega-3 fatty acids has been linked to better eye health. Foods like spinach, kale, and fish are excellent choices for supporting macular health.

• MANAGE OTHER HEALTH CONDITIONS: High blood pressure, high cholesterol, and cardiovascular diseases can increase your risk of macular degeneration. Managing these conditions with the help of your healthcare provider can benefit your vision.

• WEAR SUNGLASSES: Prolonged exposure to ultraviolet (UV) light may contribute to the development of macular degeneration. Wearing sunglasses that block UV rays or a widebrimmed hat can help protect your eyes.

• REGULAR EYE EXAMS: Early detection is crucial for managing macular degeneration. Regular eye exams, especially if you’re over 50, can help catch the condition in its early stages.

What To Do If You Think You Have Macular Degeneration?

If you experience any symptoms of macular degeneration, such as blurry central vision, difficulty reading, or seeing distorted or wavy lines, it is essential to see your eye doctor immediately. Early detection and prompt treatment can make a significant difference in preserving your vision.

With the right treatments, healthy habits, and regular check-ups, you can continue enjoying the things you love in life. Remember, early action is key—so keep an eye on your eye health and stay positive!

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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.

Protein’s Role in Aging

The significance of nutrition in maintaining health and vitality becomes ever more evident as we grow older. Among the various dietary components that contribute to overall well-being, protein stands out as an essential building block that supports our bodies through the natural aging process. Its role extends far beyond simply building muscle; protein is involved in nearly every function that keeps our bodies operating smoothly. Understanding why protein becomes increasingly important with age can help us make informed choices that promote longevity, strength, and quality of life.

Protein is often associated with muscle mass and physical fitness, but its functions reach into cellular maintenance, immune health, and the regulation of hormones and enzymes. Our bodies are made up of trillions of cells, and each one requires protein to repair itself, build new tissue, and perform basic functions. As we age, these cellular processes begin to slow, making the need for adequate protein intake even more crucial. Aging is accompanied by a gradual loss of muscle mass, a condition known as sarcopenia, which can affect balance, mobility, and overall physical strength. This decline in muscle mass starts as early as our thirties and accelerates with each passing decade. Consuming enough protein helps mitigate this loss by supporting muscle maintenance and growth, thus preserving physical function.

The recommended dietary allowance (RDA) for protein varies with age, gender, and activity level. For adults, the general guideline is about 0.8 grams of protein per kilogram of body weight per day. However, research suggests that older adults may benefit from a higher intake to help combat the natural decline in muscle mass. For women over the age of 50, a daily intake of 1 to 1.2 grams of protein per kilogram of body weight is often recommended to maintain muscle health and support overall bodily functions. For men over 50, the suggested intake ranges from 1.2 to 1.5 grams per kilogram, depending on their

level of physical activity. For adults over the age of 65, an even higher intake—around 1.2 to 1.5 grams per kilogram—may be needed to prevent frailty and support optimal health.

The quality of protein matters as much as the quantity. High-quality protein sources contain all the essential amino acids the body needs but cannot produce on its own. These amino acids are crucial for the synthesis of new proteins in the body, which help repair damaged tissues, support immune function, and maintain hormonal balance. Animal-based proteins, such as lean meats, dairy products, and eggs, are considered complete proteins because they provide all essential amino acids in optimal amounts. Plant-based proteins, such as legumes, nuts, seeds, and whole grains, can also contribute to a healthy diet, although they may require combining different sources to achieve a complete amino acid profile. For those adopting a vegetarian or vegan lifestyle, understanding how to balance various plant proteins can ensure that nutritional needs are met.

As we age, our bodies become less efficient at processing and utilizing protein. This phenomenon, known as “anabolic resistance,” means that older adults may need more protein per meal to achieve the same muscle protein synthesis response as younger adults. For this reason, it is beneficial to spread protein intake throughout the day, aiming for 25 to 30 grams of high-quality protein per meal, rather than consuming a large portion at once. This approach not only helps to maintain muscle mass but also ensures a steady supply of amino acids for other vital functions.

Protein is also an ally in weight management, a concern for many as metabolism naturally slows with age. It has a higher thermic effect compared to fats and carbohydrates, meaning that the body burns more calories digesting protein. Additionally, protein contributes to satiety, helping to reduce cravings and prevent overeating. Maintain-

ing a healthy weight through balanced protein intake can lower the risk of age-related conditions such as type 2 diabetes, cardiovascular disease, and certain cancers.

In addition to physical benefits, protein intake plays a role in cognitive health, which becomes increasingly important as we age. Neurotransmitters in the brain, which facilitate communication between nerve cells, are made from amino acids derived from dietary protein. These neurotransmitters are essential for memory, mood regulation, and cognitive function. Consuming enough protein can support brain health, potentially reducing the risk of age-related cognitive decline.

Older adults often face changes in appetite, digestion, and dietary habits that can impact protein intake. Reduced appetite may be due to a decreased sense of taste and smell, while digestive issues such as acid reflux or slowed gastric emptying can make eating less enjoyable. Additionally, some older adults may avoid high-protein foods due to concerns about kidney health. While it is true that individuals with pre-existing kidney disease need to monitor protein intake, for the majority of healthy older adults, moderate to high protein consumption is not only safe but beneficial. In fact, adequate protein may even help support kidney function by promoting healthy blood pressure and blood sugar levels.

The relationship between protein and bone health is another important consideration. Bone density naturally decreases with age, particularly in postmenopausal women who experience a rapid loss of bone mass due to hormonal changes. Protein plays a role in maintaining bone integrity by stimulating the production of growth factors that aid in bone remodeling. Combining sufficient protein intake with other nutrients such as calcium and vitamin D can help reduce the risk of osteoporosis and related fractures.

As life expectancy continues to rise, the goal is not just to add years to our lives, but to add life to our years. Achieving this requires a focus on maintaining physical, mental, and emotional health. Protein serves as a cornerstone in this pursuit, offering benefits that extend beyond muscle maintenance. It supports immune function, aids in recovery from illness or injury, and contributes to overall vitality.

For aging adults, protein is more than a dietary component; it is a key ingredient in the recipe for living well. It empowers us to stay active, feel strong, and engage with life on our terms, offering the sustenance necessary to navigate the later years with grace and vigor.

Here are healthy and easy foods for getting additional protein:

GREEK YOGURT

Offers around 10-15 grams per serving.

CHICKEN BREAST

Skinless chicken breast provides roughly 26 grams of protein per 3-ounce serving.

TUNA

Canned or fresh tuna offers about 20 grams of protein per 3-ounce serving.

ALMONDS

A handful of almonds (about 23 nuts) provides 6 grams of protein.

SALMON

This fatty fish is not only rich in omega-3 fatty acids but also offers around 22 grams of protein per 3-ounce serving.

EGGS

One large egg contains about 6 grams of protein.

COTTAGE CHEESE

A single cup of cottage cheese packs around 25 grams of protein.

LENTILS

Legumes are a plant-based protein source with around 18 grams of protein per cup (cooked).

Young soybeans, or edamame, provide about 17 grams of protein per cup.

QUINOA

A complete protein source, quinoa delivers about 8 grams of protein per cup (cooked) and can be used in place of rice or pasta.

EDAMAME

JUST SOMETHING SIMPLE?

As a funeral director, I am often asked, “How much does a funeral cost?” Without trying to appear as if I am avoiding the question, I typically will follow up with, “What do you want to do?”

Several years ago, when cremation was almost non-existent in the United States, all funeral costs were based on which casket a family selected. That price would include everything the funeral home offered, such as limousines, funeral programs, flowers, etc. In the mid-1980s, the Federal Trade Commission (FTC) investigated funeral pricing and how the prices were disclosed to client families. From that review, the FTC devised “The Funeral Rule,” which requires funeral homes to itemize all items of service they offer and attach an itemized cost to each service.

Therefore, if a family wanted to drive their own cars to a funeral instead of using the funeral home limousine, they did not have to pay for that service. Funeral homes realized they had expenses related to overhead no matter what a family selected, so the FTC allows funeral homes to recoup the overhead in what is titled as “Basic Services.” Basic Services will be an added piece of cost to every funeral and is deemed as non-declinable by the FTC.

Today, some funeral homes offer services in packages, but are still required to present the families they serve with an itemized General Price List, Casket Price List, and Outer Burial Container (vault) Price List. Families may choose only the items they want and then only pay for items they choose. For lack of a better description, it is most like à la carte dining. Even though the application and adherence to The Funeral Rule was burdensome at first for funeral homes, it has created a much fairer way for client families to be charged for funeral and cremation services.

So, what does all of this have to do with the title of this article, “Just Something Simple?” A lot of families I talk with these days will answer my question about what they want to do with the phrase, “something simple.” Simple means different things to different people. Fortunately, now a family can create their own version of “simple” by picking only what they really want. The result is often a beautifully planned, meaningful, and appropriate tribute that is affordable to that family’s budget. Don’t we all strive to live our lives in as simple a fashion as possible? If so, why should a funeral be anything different?

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.

Dear Olivia,

I am considering the right care for my mom, who has been suffering from heart issues for quite some time. She is going to the hospital and emergency room more and more, and she does not seem to be “bouncing back” like she used to. She just seems to be declining in her overall health. What kind of healthcare is available for her at this point in her journey? I don’t want to see her suffer, as she is in her 80s and has been so independent her whole life, but now she needs more help and as a family, we are considering all options for care.

~What to Do Now

Dear What to Do Now,

This is such a difficult place to be, the loved one of someone who is gradually losing some independence as they begin to decline from a serious illness. There are a few options that can provide your mom with much-needed support at home. One option may be inhome therapy services, which are normally provided by a licensed and certified home health agency. This type of care is for patients who are wanting and

able to regain some strength and independence. For patients who may not be a good candidate for therapy due to overall health decline, hospice and palliative care are alternative options for patients to receive expert support in the home. Supportive palliative care is a program that allows patients to receive in-home assessments and support while still maintaining all of their other treatment options, such as specialist care and hospitalizations. For patients who no longer want to pursue disease-directed therapies and appointments and want to avoid further hospitalizations, they may qualify for hospice care if the physician believes their condition is now terminal. This type of care is interdisciplinary in nature and includes the help of a Registered Nurse case manager, social worker, chaplain, volunteers, a team physician, and other supportive personnel to ensure the patient and family’s goals are met. Perhaps it is a good time to sit down with your mom’s primary care physician to have an in-depth conversation about goals of care, as this may then inform what type of care would be the most appropriate at this point.

Care

Focuses on quality of life for the patient and family at a time when comfort, compassion and clinical expertise matter most.

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 VNA Hospice & Supportive Palliative

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.

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.

Dr. Shau has three office locations: 10900 Founders Way, Ste. 201, Fort Worth, TX 76244 6301 Harris Parkway, Ste. 300, Fort Worth, TX 76132 5450 Clearfork Main, Ste. 100, Fort Worth, TX 76109

» 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

» Batter y Purchase Programs

» Custom Ear Protection

» Assistive Devices

Do You Hear What I Hear?

The holiday season is a time for connection, filled with lively family dinners, cheerful conversations, and shared traditions. When does your Christmas tree go up, before or after Thanksgiving? Do you shop with the crowds on Black Friday? Whether your traditions are catching up with loved ones at Thanksgiving or singing carols around the Christmas tree, these moments rely heavily on being able to hear and engage. For individuals with untreated hearing loss, navigating holiday events can present emotional and safety challenges that can take away from the magic of the season. The sounds of laughter, conversation, and holiday music are a crucial part of the festivities, but without the help of hearing aids, these experiences may be diminished or missed entirely.

Untreated hearing loss can make it difficult to keep up with conversations in crowded, festive environments. At holiday gatherings, background noise—laughter, music, and overlapping voices—can overwhelm those with hearing difficulties, making it hard to follow what’s being said. Even with family members nearby, if one is experiencing hearing loss they may miss key parts of the conversation, leading to misunderstandings or the need to repeatedly ask others to repeat themselves. Over time, these situations can leave the individual feeling left out or disconnected from the experience, as though they are observing from the sidelines rather than participating.

This struggle to communicate can take an emotional toll. Many people with hearing loss experience embarrassment or anxiety when they can’t keep up, which may cause them to avoid social interactions altogether. During the holidays, a time meant for bonding and celebration, this withdrawal can be especially painful. Imagine being at a family dinner, hearing fragments of a funny story, but missing the punchline. Others laugh, but you’re left wondering what was said— and pretending to understand can be exhausting.

There’s also the safety aspect to consider. The hustle and bustle of the holiday season means crowded kitchens, bustling shopping trips, and busy gatherings where important sounds—like timers, doorbells, or someone calling out a warning—can easily get lost. Without

hearing aids, subtle cues may go unnoticed, increasing the risk of accidents. Something as simple as missing a conversation about food allergies at the dinner table could cause serious complications. Hearing aids help individuals stay connected not only emotionally but also to their surroundings, reducing these risks.

Another cherished holiday tradition, singing Christmas carols, can become a bittersweet experience for those with untreated hearing loss. Without clear hearing, the melody can feel jumbled, making it hard to stay in sync with the group. Of course, holiday carols are often sung with enthusiasm rather than perfection—”If you think I sing offkey now, just imagine if I couldn’t hear at all!” But beyond the humor, being unable to fully engage in this tradition can make one feel even more disconnected from the festivities.

The good news is that modern hearing aids can make a world of difference. These devices are designed not only to amplify sound but also to reduce background noise, making conversations clearer and social interactions more enjoyable. Many hearing aids now come with discreet designs and advanced features like Bluetooth connectivity, allowing users to stream holiday music or phone calls directly to their ears. With the right hearing aids, the sounds of the season—laughter, music, and heartfelt conversations—become accessible again.

The holidays are about more than just presents and decorations; they are about being present with the people who matter most. Addressing hearing loss means more than hearing better—it means participating fully in the moments that create lasting memories. With the right support, those experiencing hearing loss can enjoy the holidays to the fullest, hearing every laugh, song, and story as they were meant to.

This season, if you or a loved one is struggling with hearing loss, I’d love to meet you. Let’s work together to find the perfect solution for your hearing needs. The gift of clear hearing is one of the greatest gifts you can give yourself or someone you care about. Because the best part of the holidays isn’t just the sounds—it’s the connection those sounds bring.

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

• Or thopedic Surgery

• Osteoar thritis

BEYOND THE Smoke

Quitting for Good

You have probably heard all the reasons on why you should quit smoking, but quitting smoking is often described as one of the most challenging things a person can undertake. It is also one of the most rewarding. Smoking, with its highly addictive nature due to nicotine, not only harms your health but also impacts nearly every aspect of life. The good news is that with the right approach, resources, and determination, it is possible to break free from the chains of smoking for good. The benefits of quitting start almost immediately, and your body begins the healing process within hours of your last cigarette. As Mark Twain once said, “The secret of getting ahead is getting started.”

When it comes to quitting smoking, the first step is understanding why it’s so difficult. Nicotine addiction creates a powerful dependency in the brain, triggering the release of chemicals like dopamine, which make you feel good temporarily. This “reward” is what keeps many smokers coming back to cigarettes despite knowing the harmful effects.

PREPARING TO QUIT: SETTING YOURSELF UP FOR SUCCESS

The decision to quit smoking starts with a commitment to change. While the decision itself is significant, it’s equally important to prepare both mentally and practically. Building a quit plan allows you to anticipate the obstacles you may face and to strategize ways to overcome them. Start by identifying your reasons for quitting. Whether it’s improving health, saving money, or setting a positive example for your loved ones, having a clear motive will fuel your resolve.

Setting a quit date can also create a sense of urgency and a tangible target. Choose a date that gives you enough time to prepare but is not so far off that you lose motivation. Inform friends and family about your quit date so that they can offer support and encouragement.

MANAGING WITHDRAWAL SYMPTOMS AND CRAVINGS

When you stop smoking, your body begins to experience nicotine withdrawal, which can manifest as irritability, anxiety, increased appetite, and strong cravings. Withdrawal symptoms are at their peak during the first few days after quitting, but they typically decrease in intensity over the next few weeks. To manage these symptoms effectively, it helps to anticipate and prepare for them.

Nicotine replacement therapy (NRT) is a well-established method for easing withdrawal symptoms. Products like nicotine gum, patches, lozenges, nasal sprays, and inhalers provide lower doses of nicotine without the harmful chemicals found in cigarettes. By gradually reducing the nicotine dose over time, NRT helps your body adjust and reduces the intensity of cravings.

Prescription medications, such as varenicline (Chantix) and bupropion (Zyban), have also been shown to be effective in aiding smoking cessation. These medications work by altering brain chemistry to reduce

cravings and withdrawal symptoms, and they may improve your chances of quitting permanently. Speak with your healthcare provider to see if these options are suitable for you. There are seven medicines approved by the Food and Drug Administration (FDA) to help you quit. They work in different ways. All have been shown to be safe and effective for adults who wish to stop smoking cigarettes.

Behavioral strategies are another key component in managing cravings. When a craving hits, distract yourself with activities that keep your hands and mind busy, such as taking a walk, chewing gum, or engaging in a hobby. Remind yourself that cravings are temporary and usually last only a few minutes. Practicing relaxation techniques, such as deep breathing, yoga, or meditation, can help you cope with stress and reduce the likelihood of smoking as a stress-relief tool.

THE IMPORTANCE OF A SUPPORT SYSTEM

Studies consistently show that people who have support from friends, family, or smoking cessation groups are more likely to quit successfully. Support can come in many forms, from a friend who checks in regularly to a formal program led by a trained professional. Knowing that you are not alone in your journey and that others have succeeded despite similar challenges can be incredibly encouraging.

Counseling, whether in person, over the phone, or online, has been shown to double the chances of quitting compared to going it alone. Programs often focus on identifying triggers, developing coping strategies, and building motivation. Online support groups and forums can also be valuable resources, offering 24/7 encouragement from others who are going through the same experience.

It’s equally important to address potential saboteurs in your support network. Well-meaning friends or family members who smoke may unintentionally weaken your resolve. If this is the case, consider limiting time spent in environments where smoking is common, or ask your loved ones to refrain from smoking around you.

UNDERSTANDING AND MANAGING TRIGGERS

One of the most difficult aspects of quitting smoking is dealing with triggers—situations, people, or emotions that prompt the urge to smoke. Common triggers include drinking alcohol, socializing with friends who smoke, feeling stressed, or even having a cup of coffee. Identifying your personal triggers is crucial for developing strategies to handle them effectively.

Avoiding high-risk situations during the early stages of quitting can help reduce temptations. For example, if you normally smoke while drinking coffee, try switching to tea or another beverage, or enjoy your coffee in a different setting where smoking is not permitted. If social gatherings where others are smoking make you feel tempted, consider attending smoke-free events or inviting friends to non-smoking venues.

Over time, you will learn to navigate these situations without the need for cigarettes. When a trigger arises, have a plan in place to address the urge to smoke, such as taking a walk, practicing deep breath ing, or using a nicotine replacement product.

STAYING SMOKE-FREE FOR THE LONG TERM

Quitting smoking is not a one-time event but a continuous commitment to your health and well-being. After the initial stages of withdrawal, the risk of relapse remains, often because of stress, social pressures, or complacency. It’s important to celebrate milestones and recognize the effort it takes to stay smoke-free.

Many people experience a “slip,” where they may smoke a cigarette or two after quitting. While this can be discouraging, it doesn’t mean failure. Recognize it as a learning opportunity and reflect on what triggered the lapse. Recommit to your quit plan and seek additional support if needed. The key is persistence, and understanding that the process of quitting is unique for everyone. Incorporating a healthy lifestyle can further strengthen your commitment to being smoke-free. Engaging in regular physical activity, eating a balanced diet, and practicing mindfulness can all improve mood, reduce stress, and decrease the likelihood of smoking relapse. Exercise, in particular, helps reduce withdrawal symptoms and boosts endorphins, providing a natural mood lift.

THE HEALTH BENEFITS OF QUITTING

The benefits of quitting smoking begin almost immediately. Within 20 minutes of your last cigarette, your heart rate starts to return to normal. Within 12 hours, carbon monoxide levels in your blood drop to normal. Over the next few weeks, circulation improves, and lung function increases. In the long term, quitting smoking can reduce the risk of heart disease, stroke, lung cancer, and numerous other health conditions.

Quitting also brings non-physical benefits, such as improved self-esteem, better financial health from not buying cigarettes, and the freedom of not being dependent on nicotine. As the days, weeks, and months pass, you will find yourself living with more energy, vitality, and peace of mind.

THE POWER OF BELIEF AND RESILIENCE

If you would like some support with quitting smoking, a quitline might be just what you need to succeed. Quitlines provide free coaching—over the phone—to help you quit smoking. A quit coach will help create a plan that works for you.

Believing in your ability to quit is a significant part of the process. The journey to a smoke-free life is filled with challenges, but it is one of the most worthwhile pursuits you can undertake. Every small victory, from resisting a craving to reaching a month smoke-free, adds up to a life-changing accomplishment. Join thousands in letting the Great American Smokeout® be day one of your journey towards a smoke-free life. November 21

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