Denton County Living Well Magazine January/February 2025

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10 MEANINGFUL WAYS TO SAY “I LOVE YOU”

BEHIND AMERICA’S FUNNY SAYINGS

SOMEDAY SYNDROME: THE ENEMY OF PROGRESS Hollywood’s darling shines brighter than

ANNE Hathaway

Our Focus is You

Denton Rehab is a locally owned and operated skilled nursing facility that is licensed by the State of Texas and certified to participate in both the Medicare and Medicaid programs. Our core management team has worked together for years and has decades of experience providing compassionate healthcare.

When you require professional, dependable, skilled nursing care to regain your health and strength, chose the expert team at Denton Rehab. We invite you to stop by and meet our friendly staff.

We’re excited to soon be able to show you our beautiful new community in Denton, located on six beautiful acres conveniently located next to Medical City Denton.

Our new facility will have 94 private beds with ensuite and shower. We will have two suites that include ensuite, shower and a living area.

Our new community has three living areas, two dining areas, a private dining area for families, cultural center, sitting parlor, beauty shop, activities center, whirlpool room, therapy gym, and eight covered outdoor areas to relax and view nature and the beautiful, landscaped grounds. Our state-of-the-art kitchen uses green technology to provide healthier, more delicious food. Denton Rehab’s nurses and certified nurse aides provide aroundthe-clock care. Doctors and nurse practitioners make rounds three times a week while our medical director makes rounds twice a week. Our number one goal is helping you recover and rebuild your life. Our Focus is You!

David Shau, MD/MBA

Texas Hip and Knee Center Fellowship Co-Director and Faculty at the Anne Burnett Marion School of Medicine at Texas Christian University

Dr. David Shau is a native Texan, born in Fort Worth, TX. He graduated high school in Flower Mound, TX, and attended the University of Texas at Austin, where he studied biomedical engineering. Dr. Shau then ventured out-of-state to work at leading academic orthopedic surgery centers, including Vanderbilt University, Emory University, and University of California, San Francisco, before being recruited to return home to practice at the premier DFW joint replacement group, the Texas Hip and Knee Center (THK).

Dr. Shau has quickly built his practice through connecting with his community, committing to quality service, and delivering excellent patient care. He utilizes a variety of techniques and approaches for hip and knee care, including direct anterior hip replacements, and offers technology-assisted surgeries, such as Mako Technology for partial and total joint replacements. He also specializes in revision joint surgeries and enjoys complex, challenging cases. As a result of dedicating himself to his craft, his partners at THK promoted him to Fellowship Co-Director early in his practice. Dr. Shau also serves as a Physician Development Coach and is an Assistant Professor at the Burnett School of Medicine at TCU, where he enjoys his roles as a teacher, mentor, and coach.

In his free time, he enjoys food, sports, music, and spending time with his wife and daughter. For more information on Dr. Shau’s care philosophy and the techniques/approaches offered for hip and knee care, please visit DavidShauMD.com.

Living Well Living

LIVING WELL THROUGH PURPOSE, PROGRESS, AND PASSION

As we welcome this new issue of LIVING WELL Magazine, we’re reminded that life is a delicate balance of embracing joy, cultivating relationships, and staying true to our passions. This edition is brimming with stories that inspire us to live with intention and laughter, offering insights that speak to the heart of what it means to truly live well.

For fans of resilience and reinvention, our feature on Anne Hathaway is a must read. 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. Through 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. Read it starting on page 8.

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.

Sometimes, though, love and life are hindered by procrastination. If you’ve ever said, “Someday, I’ll get to that,” you’re not alone. Someday Syndrome: The Enemy of Progress, on page 34, delves into the mental blocks that keep us from pursuing dreams and goals, offering practical tips to break free and act.

Of course, life isn’t all about introspection—it’s also about having a little fun! In Behind America’s Funny Sayings, we explore the origins of quirky expressions like “spill the beans” and “bite the bullet.” These idioms, rich with history and humor, remind us of the creativity embedded in everyday language. Check it out on page 46.

Whether you’re chasing dreams, nurturing relationships, or simply laughing at life’s absurdities, this issue is here to inspire you to live well—every day, in every way.

Here’s to a life filled with love, laughter, and progress!

Be well,

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SPRING AND SAM HOUSTON

ANNE Hathaway

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 fierce 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 confidence 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. Reflecting 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?’”

This 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 fiery. She has deeply held feelings about everything—and she’ll fight for what she believes in.”

Facing Adversity

Offscreen, 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-inflicted pain is amplified 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. This shift extends 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. This 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 Netflix’s action-comedy Seesaw Monster

A Grounded Perspective

Through 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: “This is the first 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. Reflecting 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.” This 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. Reflecting 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.” This approach has not only propelled her career forward but has also established her as a distinctive and genuine voice in an often unforgiving industry.

STAND OUT WITH THE EMINENT CHOICE IN HEALTHCARE

Total

Headache

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SHERMAN

204 Medical Dr., Ste. 110 Sherman, TX 75092 (469) 796-4295

Please call to make an appointment.

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
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

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.

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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.

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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 significance, 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.

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.

Carly, Colon Cancer Survivor

EARLY SIGNS OF COLON CANCER AND TIPS FOR PREVENTION

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 left untreated. 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. This 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 fight the cancer, and fatigue may develop due to anemia from blood loss in the digestive tract. This 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. This 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 significant 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 flexible 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 beneficial.

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 significant 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 significantly 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.

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Devices

Hear Better with Both Ears

Do I really need two hearing aids?

Why Binaural Hearing Aids Are Better Than One

When it comes to addressing hearing loss, the choice of hearing aids can make a significant 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. This 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 find 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 significantly improve speech recognition by

enabling the brain to focus on the speech signal while filtering out distracting sounds. This 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 insufficient stimulation over time, leading to a decline in its ability to process sound effectively. This 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. This 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 sufficient, 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 financing 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. Through 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.

JOSH CREEL, DC

Josh Creel, DC is a chiropractor with Airrosti, a healthcare group that specializes in rapid recovery for soft tissue injuries by utilizing manual therapy—a hands-on treatment used to alleviate pain, improve mobility, and promote overall physical well-being. In nearly all cases, this allows for rapid recovery, complete injury resolution, and lasting results. In-clinic patients should expect to see dramatic improvement after the first visit, and most patients experience complete injury resolution in as few as three visits (based on in-clinic and Remote Recovery patientreported outcomes).

Dr. Creel has been serving the McKinney/Prosper area for 10 years and provides patients with an individualized treatment plan, and uses a variety of techniques, including joint mobilization, soft tissue manipulation, and muscle energy techniques to address specific musculoskeletal issues and promote recovery.

Dr. Creel graduated with honors from Mississippi State University. Soon after, he received his Doctor of Chiropractic degree from Parker University in Dallas, Texas. In Dr. Creel’s free time, he enjoys all types of fitness activities and spending time with his wife and three children. Dr. Creel is an active member of Lighthouse Church in Prosper, TX.

KOONS FULLER TOP

DIVORCE, CHILD CUSTODY, POST-DIVORCE MODIFICATIONS, CHILD SUPPORT, MARITAL PROPERTY AGREEMENTS, ENFORCEMENTS, GRANDPARENTS’ RIGHTS, PATERNITY, COLLABORATIVE LAW, AND APPEALS

KOONSFULLER SHAREHOLDERS

ROW 1: NEDA GARRETT,* BRIAN LOUGHMILLER,*† LIZ PORTER,* CHARLA BRADSHAW,* IKE VANDEN EYKEL,*†, RICK ROBERTSON,* HEATHER KING*, JESSICA JANICEK,* JULIE CRAWFORD*

ROW 2: DREW WILLIAMSON,* DANA MANRY,* SEAN ABEYTA,* JESSICA PERRONI,* SALLY PRETORIUS,* CHRIS MEUSE,* FRED ADAMS,* KEVIN SEGLER,* ROB MCEWAN*, LAURA S. HAYES,* TOM DALEY*, PAUL LEOPOLD**

*Board certified in family law by the Texas Board of Legal Specialization.

†Board certified in civil trial law by the Texas Board of Legal Specialization.

**Board certified in civil appellate law by the Texas Board of Legal Specialization.

We’re solely focused on family law. So you can fully focus on your family.

At KoonsFuller, we only practice family law. Which means we’re fully dedicated to serving Dallas area families and their unique legal needs. From informal negotiations to mediations, collaborative law to court proceedings, our thirty plus attorneys across four offices provide an unmatched network of expertise. Working together as a fully integrated team, KoonsFuller’s attorneys are equipped to handle estates of all sizes, cases of all complexities, and custody issues of any kind.

See what KoonsFuller can do for your family.Working together, as a fully integrated team, there is no case too large or complex for us to manage. To learn more about KoonsFuller, visit koonsfuller.com.

RICK ROBERTSON

DALLAS (Principal Office)

1717 McKinney Ave. Ste. 1500 Dallas, TX 75202 (214) 871-2727

DENTON

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

PLANO

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

SOUTHLAKE

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

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

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

Please call 972.498.4791 to schedule an appointment.

Orthopaedic Surgeons located in Richardson, TX

www.LWOrthopaedics.com

Dr. Diane S. Litke, MD

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

OLIVIA ROGERS , RN, BSN, CHPN, CHPO, MBA,

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

“Where we are committed to excellence”

Cantex Continuing Care Network has been performing the highest standards of transitional healthcare and long-term residential services for more than 30 years. Ask anyone who knows. Cantex stands for quality.

AMENITIES: CLINICAL SERVICES

•Private and semi-private studios, some with kitchen elements and/or Frenchdoor courtyard patios

•Flat-Screen televisions

•32 channels of satellite television service

•Wi-Fi internet access

•Electric beds for easy comfort adjustments

•Living room with fireplace and player piano

•Library with computer stations and complimentary internet access

•Chapel

•Neighborhood cafes with complimentary premium beverages and snacks

•Restaurant-Style dining room

•Beauty/barber shop with full-time beautician

•Activity program with community outings

•Sedan and van for resident transportation

•Around-the-clock skilled nursing

•Physical, Occupational, and Speech Therapies

•Wound Management

•Intravenous Therapy

•Tracheotomy Care

•Physician Services

•Medication Administration

•Enteral/Parenteral Therapy

•X-Ray Services

•Laboratory Services

SOMEDAY SYNDROME

The Enemy of Progress

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 finally tackle this”? For so many, this notion of “someday” becomes a trap—a perpetual waiting game where the “right time” never seems to arrive. This 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 off staying 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 shift in 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 confidence, laying the foundation for larger, more significant strides. This 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 redefine success. Often, we envision success as the final, polished outcome of our efforts. This 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 off indefinitely. 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 significantly 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. This mental rehearsal can bridge the gap between inaction and taking the first 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.” This 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.

This year, let’s commit to progress over perfection, to showing up even when it’s inconvenient, and to choosing today over “someday.”

Flagstaff, ARIZONA

An Easy Getaway with Endless Charm

here’s something liberating about being able to hop on a plane and, in just over two hours, find yourself in a completely different world. That’s the beauty of Flagstaff for anyone flying out of Texas. With direct flights from Dallas Fort Worth International Airport (DFW) to Flagstaff Pulliam Airport (FLG), the journey feels effortless—like the adventure is inviting you in without any hassle. And trust me, Flagstaff is worth the trip. This high-country town is a treasure trove of breathtaking landscapes, fascinating history, and an unexpectedly vibrant food scene that will leave you enchanted.

Photos by SONDRA
Fall in Flagstaff offers the perfect chance to see the leaves change colors.

Flagstaff isn’t a place that tries too hard to impress—it doesn’t need to. From its towering pines and rugged trails to its retro motels and James Beard-nominated restaurants, it balances small-town charm with big-city appeal in a way that feels effortless.

My first stop was the Little America Hotel, and stepping onto the property felt like entering a mountain retreat designed for pure relaxation. The hotel is set on 500 acres of Ponderosa pine forest, and its recent $50 million renovation has only enhanced its appeal. Rooms are spacious and inviting, featuring warm, earthy tones and views that stretch out over the forest. It’s the kind of place where you don’t just stay—you linger.

The hotel’s Silver Pine Restaurant & Bar is an easy choice for dinner, and its patio is a standout. Heated floors and flickering fire features kept the evening chill at bay as I sipped a whiskey sour that came highly recommended. (Pro tip: Ask for extra Luxardo cherries—you won’t regret it.) The food mirrored the setting—fresh, comforting, and thoughtfully prepared. It’s a perfect introduction to Flagstaff’s understated luxury.

For my next night, I wanted to experience the vintage charm of High Country Motor Lodge, a reimagined boutique hotel on historic Route 66. It’s like stepping into the past, with its mid-century design elements, but the amenities are decidedly modern. My room was well-appointed, with just enough personality to make it memorable.

The Nordic Spa is a surprise highlight. Alternating between hot and cold therapy pools sounds intimidating, but the experience left me completely refreshed. Later, I grabbed a cocktail from The General Store and joined a group around the fire pits. The lodge’s communal vibe is infectious—it’s the kind of place where you end up chatting with fellow travelers long after your drink is gone.

Flagstaff’s history is as much a part of its identity as the Ponderosa pines. The Hotel Monte Vista is a classic example. Built in the 1920s, it’s known for its vintage charm—and its ghosts. While I didn’t spend the night, I couldn’t resist checking it out and soaking in the ambiance, especially after hearing about its haunted history during a Freaky Foot Tour, but more on that later.

One of Flagstaff’s biggest draws is its connection to the stars. A visit to the Lowell Observatory brings that to life. Gazing at Saturn’s rings through a high-powered telescope was unforgettable, but what stood out most was the observatory’s history—it’s where Pluto was discovered, after all. The guides made the experience accessible and engaging, even for someone like me, whose astronomy knowledge is mostly limited to wishing on stars.

Just a short drive away, the volcanic landscape of Sunset Crater Volcano National Monument feels like another planet. The trails wind through lava fields and cinder cones, remnants of eruptions nearly 1,000 years ago. It’s a striking contrast to Flagstaff’s dense forests and a reminder of the diverse beauty this region holds.

Meanwhile, a gondola ride at Arizona Snowbowl took me to new heights—literally. The views from the summit of Humphreys Peak stretch for miles, with the golden hues of aspen trees creating a patchwork of color against the evergreens below. It’s a perspective that feels uniquely Flagstaff: wild, unspoiled, and expansive.

In winter, Snowbowl transforms into a skier’s dream, offering groomed runs and powdery slopes without the

A whiskey sour at Silver Pine Restaurant & Bar.
The Hotel Monte Vista is known for its vintage charm—and its ghosts.
The summertime view during a gondola ride at Arizona Snowbowl.

hustle of larger, more commercialized ski areas. The lift lines are shorter, the atmosphere is more laid-back, and the trails cater to all skill levels, from gentle beginner runs to thrilling black diamonds. It’s a breath of fresh air—both figuratively and literally—compared to the crowds often found at big-name resorts. Yet Snowbowl still delivers stunning alpine views and a well-maintained infrastructure, making it a favorite for locals and visitors alike. In the warmer months, the gondola ride becomes a peaceful escape, offering access to hiking trails and vistas that rival any in the Southwest. Whether you visit for the snow or the solitude, Snowbowl offers a mountain experience that’s hard to beat.

Flagstaff’s food scene is also a delightful surprise, blending innovative concepts with a strong sense of place. At Atria, every dish feels meticulously crafted, a love letter to the region’s fresh, seasonal bounty. The roasted bone marrow appetizer, rich and velvety, paired with a daring whiskey luge, is an unforgettable start to the evening. For the main course, the locally raised beef short ribs, braised to perfection and served with a creamy parsnip purée, showcase the kitchen’s mastery of bold, comforting flavors. Atria’s ambiance, with its warm lighting and elegant-yet-unpretentious vibe, only adds to the experience. It’s the kind of place where you savor every bite, wondering how soon you can return.

Meanwhile, Shift Kitchen & Bar brings an energetic and playful approach to dining. The Sacchetti pasta—delicate, cheesefilled pockets drizzled with truffle oil—is indulgence at its finest. Their pickled French fries sound unusual, but one bite will have you questioning why all fries aren’t pickled. Shift’s shareable small plates and creative twists on familiar dishes encourage diners to explore bold combinations, making it a perfect spot for adventurous eaters. Don’t skip dessert here—the brown butter cake, served warm with a dollop of house-made ice cream, is the ultimate sweet finale. For breakfast or brunch, Forêt FLG delivers French-inspired dishes with a rustic yet polished touch. Their Yukon gold hash bowl is a revelation—a hearty mix of perfectly crispy potatoes, soft poached eggs, and savory seasonal vegetables. The café’s airy, welcoming vibe makes it a favorite spot to linger over a meal, especially with one of their expertly brewed cappuccinos in hand.

Lunch at Lumberyard Brewing Company was equally memorable. The Vietnamese burger, loaded with char siu pork, pickled daikon, jalapeños, and sriracha aioli, is an inspired take on banh mi flavors, marrying spice and umami with each juicy bite. Their truffle fries are crisp and fragrant, the perfect indulgence to pair with one of their craft beers. For a sweet treat, the beer float—made with their Red Rock Raspberry ale—was a fun and surprisingly refreshing dessert.

The interior of Atria is warm and inviting.
The Sacchetti pasta at Shift Kitchen & Bar.
Atria showcases the region’s fresh, seasonal bounty.

Flagstaff’s dining scene caters to every craving, from upscale dinners to laid-back comfort food, making it a hidden gem for food lovers. Three more standout spots— Fat Olives, Salsa Brava, and Fat Bagels—are all owned by Arizona native John Conley, whose culinary talent has earned him features on the Food Network’s “Top Places to Eat in Flagstaff.” At Fat Olives, wood-fired pizzas and handmade pastas celebrate authentic Italian flavors, while Salsa Brava offers vibrant, fresh Mexican dishes that locals love. His newest venture, Fat Bagels, delivers perfectly chewy bagels with creative toppings for a satisfying start to any day. Conley’s dedication to quality and creativity shines across all three restaurants, making Flagstaff’s culinary scene all the more impressive.

Of course, Flagstaff isn’t all about the outdoors and fine dining—it has a quirkier side too. Locally owned, Freaky Foot Tours offers riveting stories of opium dens, Skinwalkers, and ghostly apparitions, many of the latter supposedly haunting the aforementioned Hotel Monte Vista. It’s a different way to see the city, one steeped in the darker corners of its history.

And then there’s the beer. Flagstaff’s craft breweries showcase the town’s creativity and community spirit. Stops at Dark Sky Brewery, Mother Road Brewing Company, and Beaver Street Brewery highlight the ingenuity of local brewers, which comes as no surprise in this vibrant college town, home to Northern Arizona University. The Flagstaff Brewery Trail is a must for beer enthusiasts, offering a digital passport that guides you through eight local breweries. Along the way, stamps are earned via a geo-tag feature at each location or by uploading a “selfie” taken on-site. Once you’ve collected all eight stamps, you can redeem your completed passport at one of two Flagstaff Convention & Visitors Bureau locations for a commemorative pint glass—a perfect keepsake from a memorable craft beer journey.

What strikes one most about Flagstaff is its effortless ability to balance rugged adventure with moments of refinement. Whether gazing at the stars at Lowell Observatory, hiking a volcanic trail, or savoring a chef-crafted meal, Flagstaff offers something memorable at every turn.

It’s more than a place to visit—it’s a place to experience. And with its close proximity and direct flights, it’s easier than ever to let this mountain town work its magic.

Forêt FLG delivers French-inspired breakfast dishes.
The Yukon Gold Hash Bowl at Forêt FLG.

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

If you’ve ever noticed small specks, cobwebs, or shadowy shapes floating in your field of vision, you’re not alone. These visual phenomena, known as floaters, 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. This 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. This 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 floaters. These floaters 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 floaters.

• The eiss Ring: A common type of floater seen in PVDs is the “Weiss ring,” which forms when the vitreous detaches at the optic nerve head. This ring-like floater 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 floaters.

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 floaters

• Flashes of light in the peripheral vision

• A shadow or curtain appearing in your field of vision

If you experience any of these symptoms, it is crucial to see an eye doctor immediately. Even if your floaters 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, floaters become less noticeable over time as the brain adapts to ignoring them. However, in some cases, floaters can be persistent and significantly impact quality of life, particularly when they interfere with reading, driving, or other daily activities. When floaters 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 floaters 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 floaters severely disrupt their vision and daily life.

Living with Floaters

For most people, floaters 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 floaters in your vision, schedule an eye exam to ensure that your retina is healthy. And if the floaters 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.

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. TOP DOCS 2024 Livingwell PROVIDERS HEALTHCARE AND OTHER

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

Foot and Ankle Surgery

Bunion and Hammer Toe Correction

MIS—Minimally Invasive Surgery

Heel Pain (Plantar Fasciitis) Stem Cell Therapy

Neuropathy

Ingrown Toenails Tarsal Tunnel Syndrome

Foot Care

Feet Trauma Wound Care

Custom Orthotics & Braces

Laser Therapy for Pain, Swelling, Arthritis, and Wounds PLANO CLINIC

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

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
Michael Catino, M.D.; Jennifer Zahn, M.D.

Behind America’s Funny Sayings

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, reflecting 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”

This 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 figurative 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”

This 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 fighter 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 reflects the importance of taking the first step to foster communication.

“PULLING YOUR LEG”

This 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 reflect 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.

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.

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.

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