Texoma Area Living Well Magazine May-June 2019

At Texoma Orthopedic and S pine, we are dedicated to providing our patients with the highest qualit y treatment of Orthopedic injuries and disorders for patients at all stages of life O ur physicians, Mark Young, MD; Brian T Rose, MD; C Craig Cranford, DPM; and Benjamin W ilson, MD, believe in improving qualit y of life by providing their patients with education as well as top-notch surgical, non-surgical, diagnostic and therapeutic treatment options.

We provide a full range of surgical and non-surgical treatment options for a variet y of orthopedic conditions, inc luding osteoarthritis of the joints, sports injuries and fractures of the upper and lower extremities, as well as neck and back pain.

Mark Young, MD Orthopedic Surgery & Sports Medicine

Surgical Services:

• Total Joint Replacement including Knee and Shoulder

• Fracture Repair

• Carpal Tunnel Release

• Rotator Cuff Repair

• Arthroscopic wrist, knee and shoulder surgery

Spotlight on our Surgeons

Brian T. Rose, MD Orthopedic Surgery of the Spine

Surgical Services:

• Spinal Fusion

• Kyphoplasty

• Cervical Disk Replacement

• Microdiskectomy

• Spinal Decompression

• Interlaminar Stabilization

C. Craig Cranford, DPM Foot and Ankle Surgery

Surgical Services:

• Foot and Ankle Trauma and Reconstruction

• Fracture repair

• Total Ankle Replacements

• Bunion Repair

• Hammertoe Repair

• Joint replacement in small joints

• Charcot reconstruction

• Foot and Ankle arthritic conditions

• Plantar fasciitis

• Achilles Tendon Repair

Benjamin Wilson, MD Orthopedic Surgery

Surgical Services:

• Total Joint Replacement including Hip, Knee and Shoulder

• Fracture Care and Repair

• Hand Trauma and Soft Tissue conditions

• Rotator Cuff Repair

• Arthroscopic Wrist, Knee and Shoulder Surgery

• ACL Repair

• Pre- and Post-surgical

• Arthritis treatment

• Sports Injuries

• Muscle dysfunction

• Sprains and strains • Back & neck pain

physical therapy using Pilates and Yoga methods. Visit www.strongstable.com for more information

WSTAY INFORMED

hen it rains, it pours. And while we rejoice in some much needed moisture, the hail this precipitation’s been “gifting” the area is not particularly welcome. Our part of Texas has been pummeled with hail and the ensuing damage is going to take many months to repair.

In the meantime, we invite you to sit back and read our latest issue. Delve into our cover story on actor Leonardo DiCaprio, who’s made his mark in diverse films highlighting his deft skills in front of the camera. It’s hard to believe DiCaprio is now 44 years old. Equal parts fabled Dorian Gray and Jay Gatsby, the perennial bachelor was named after Leonardo Da Vinci. DiCaprio has done his namesake proud––both on and off screen.

In recent years, DiCaprio has turned his sights on bringing attention to the health of our planet. It’s an issue dear to DiCaprio’s heart. Not only has he given his time and resources to environmental causes, he also devoted his Oscar winning speech to the topic. Read how he’s making a difference and get an inside look at his latest role starring opposite Brad Pitt in this summer’s most anticipated movie, Upon a Time in Hollywood.

Next, we turn our attention to Alpha Orthopedics & Sports Medicine. We want to congratulate them on 10 years caring for the orthopedic needs of our community. They recently added experienced orthopedic surgeon Duncan McKellar, Jr., MD, to their new Sherman, Texas location. An early adopter of computer assisted surgery, he maintains a keen interest in utilization of evolving technology in hip and knee reconstruction. Dr. McKellar is board certified by the American Board of Orthopedic Surgeons and is a fellow of the American Academy of Orthopedic Surgeons, member of the American Medical Association, and other state medical and orthopedic societies. Learn more about Dr. McKellar and this innovative orthopedic practice inside.

From there, HearCare & Associates is on hand to cover the topic of hearing loss. Don’t be fooled, hearing loss doesn’t just affect senior adults. It can occur at any age and there are multiple causes besides aging, including prolonged exposure to noise, certain types of disease, some medications, and even hereditary factors. Untreated, hearing loss can get worse. Perhaps one of the most troubling potential connections is that of hearing loss and dementia or cognitive decline, which may be associated with changes in brain structure or reduced brain volume. If you’re experiencing even minor problems with your hearing, you won’t want to miss this article.

There’s a lot more inside worthy of your attention, so dig in.

Sincerely,

Sam & Spring Houston

PRESIDENT & CEO

Sam Houston

VICE PRESIDENT & CFO

Spring Houston

FEATURE WRITER, COPY EDITOR & SOCIAL MEDIA DIRECTOR

Sondra Barr

ART DIRECTOR, LAYOUT, PRODUCTION & WEBSITE DESIGN

Lewis Schucart

ADMINISTRATION & ACCOUNTS MANAGEMENT

Jennifer Beavers

ADVERTISING/SALES

Texas | Denton County, Dallas County, Collin County

Texas & Oklahoma | Texoma

WRITE TO US. Tell us who you would like to see featured on the cover, or what subjects you would like covered in upcoming editions of LIVING WELL Magazine at spring@livingwellmag.com

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TEXOMA AREA

ALPHA ORTHOPEDICS & SPORTS MEDICINE

An Award Winning Orthopedic Practice

Alpha Orthopedics & Sports Medicine is celebrating its 10th year of caring for the orthopedic needs of our community. Over the years our community served has grown from the McKinney area to include Grayson county and southern Oklahoma. It is because of our friendly northern neighbors that we decided to open an office in Sherman, Texas. We are excited to announce that we saw our first Sherman patient on March 18th at our beautiful new office.

In order to provide full-time orthopedic care to the Texoma community, we are very excited to introduce Duncan McKellar, Jr., MD. Dr. McKellar is an experienced orthopedic surgeon based at our new Sherman, Texas location. Dr. McKellar completed his training at the University of Arizona in 1990 under the tutelage of Dr. Robert Volz, one of the early innovators of joint replacement surgery. For the past 25 years, he has practiced general orthopedics with an emphasis on hip and knee replacements and revisions. He has served in multiple hospital leadership roles including director of Joint Replacement Programs, Chief of Surgery, and Chief of Staff with a career long emphasis on quality and standardization of outcomes in joint replacement surgery. An early adopter of computer assisted surgery, he maintains a keen interest in utilization of evolving technology in hip and knee reconstruction. Dr. McKellar is board certified by the American Board of Orthopedic Surgeons and is a fellow of the American Academy of Orthopedic Surgeons, member of the American Medical Association, and other state medical and orthopedic societies.

Dr. Charles Toulson, MBA is a board-certified orthopedic surgeon, fellowship trained in adult reconstruction. Dr. Toulson earned his medical degree from the University of North Carolina at Chapel Hill. He has extensive experience that began with his training at Johns Hopkins Hospital, the highest ranked hospital in the United States. He then completed his sub-specialty training at the Hospital for Special Surgery in New York, which has the top orthopedic program in the country. Dr.

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Toulson has been voted among D Magazine’s Best Doctors for multiple years in a row. His areas of specialty include adult hip and knee reconstruction, adult hip and knee revisions and robotic-assisted hip and knee replacements.

Jon C. Thompson, MD is double board certified in orthopedic surgery and orthopedic sports medicine. Dr. Thompson graduated with honors from Dartmouth College in Hanover, New Hampshire and then received his Medical Degree from the Uniformed Services University in Bethesda, Maryland. He proudly served the brave men and women in the United States Armed Services prior to going into practice in McKinney, Texas. He specializes in orthopedic sports medicine including injuries to the shoulder, knee, ankle, elbow and wrist. His special interests are ACL reconstruction, cartilage preservation and restoration, and shoulder instability. Dr. Thompson has been honored by being voted among D Magazine’s Best Doctors for multiple years. He is also the author of Netter’s Concise Orthopedic Anatomy which is currently in its second edition. He has a passion for performing stateof-the-art cartilage restoration techniques which restores and preserves joints and allows patients to return to their normal activity levels and postpone joint replacements.

Brian J. Snow, M.D. is a board-certified orthopedic surgeon who received his medical degree from the University of Southern California Keck School of Medicine. After graduating from medical school he completed his orthopedic surgery residency at the Los Angeles County+USC Medical Center, the busiest trauma center in the country. He then went on to complete a fellowship in advanced arthroscopy and sports medicine at the University of Utah in Salt Lake City. During his training he treated a wide variety of injuries to athletes at all levels and contributed articles to medical literature about the long-term effects of ACL reconstruction. He has served as the team physician for various high schools and cared for the University of Utah Utes and the USC Trojans. Dr. Snow has also been selected as one of D Magazine’s Best Doctors. Dr. Snow specializes in sports medicine injuries, fractures in adults and children and total hip and knee replacements.

Dr. Charles Toulson, MD, MBA

Duncan McKellar, Jr., MD

Brian

HOW DO I PROTECT MY DISABLED CHILD?

By Craig Watson

Grace is a sweet 69 year old widow. Her husband died recently from a long illness. She has two children: a son, Todd, and a daughter, Kate. Todd is disabled and suffers from mental illness. Although Todd lives in his own apartment, he is unable to work. He receives Food Stamps, Supplemental Security Income (SSI) and Medicaid. Grace has to supplement Todd’s meager income so that he will have enough money for his basic needs. He is a meek, loyal man who faithfully helped Grace care for his father. Her daughter, Kate, lives nearby. Kate is financially secure. Kate has a tendency to bully Grace. Kate called yesterday, cursed at Grace and hung up on her. While Kate regularly checks on Grace, she never calls or visits Todd. Kate was always too busy to help Grace care for her husband. Grace also has a responsible, caring nephew who lives in a nearby state. He regularly visits Grace and Todd.

Grace owns her home, valued at around $100,000. She keeps $10,000 hidden under her mattress, $30,000 in her checking account and $110,000 in a brokerage account. Grace wants to protect her assets if she ever has to enter a nursing home, which she heard can cost $4,800 per month. She would like to keep control of her funds if possible. She desires to leave an inheritance for both children but she is especially worried about Todd because she knows his government benefits are insufficient to meet his needs. She knows that if she leaves Todd an outright inheritance, he will immediately lose his SSI/Medicaid which would be catastrophic. Grace does not want to leave her assets to Kate to use for Todd because Grace does not trust Kate to care for Todd. Even if Grace trusted Kate, Grace knows that if Kate died, Kate’s will bequeaths her assets to her husband, not Todd. Further, if a divorce occurred, Kate’s husband might get Todd’s money. Grace feels alone and doesn’t know how to solve these problems. Grace decides to make an appointment with her elder law attorney to ask him what to do.

The attorney recommends that Grace establish a Special Needs Trust (SNT) to benefit Todd. If Grace bequeaths her money to this trust, it will allow Todd to benefit from his inheritance without causing him to lose his SSI/Medicaid benefits. If Grace has to enter a nursing home, the attorney explains that Grace will be able to transfer her financial assets into the SNT without incurring a Medicaid “Look back” penalty period. This means that Grace’s gift to the Trust would not disqualify her from receiving Medicaid assistance to help pay for her nursing home expenses. Grace can keep control of her assets up until she dies or has to enter a nursing home. She will also be able to qualify immediately for Medicaid assistance with her nursing home bills and the SNT will keep Todd from losing his government benefits. At Todd’s death, the Trust will provide for the assets to be distributed to Kate.

Grace decides to ask her nephew and his wife to be trustees of

the Trust. Although the SNT must be irrevocable, the attorney explains that a clause allowing Grace or Todd to make some changes to the distribution provisions can be included to enhance its flexibility. The elder law attorney suggests that Grace use a special deed to revocably convey a life interest in her house to her son. At his death, the house will pass to her daughter. This deed will avoid a possible Medicaid Estate Recovery Program claim against her house if she needs Medicaid to assist with her nursing home bills. Grace’s property taxes will stay the same for the rest of her life and both her son and daughter are likely to enjoy very favorable capital gains tax if and when they sell the house.

Grace experiences a flood of relief when she realizes that the elder law attorney’s plan to use a Special Needs Trust meets all of her goals: asset protection for her assets for the rest of her life and during Todd’s remaining life so that he can receive supplemental income while also keeping his government benefits. Her estate will even avoid probate!

Craig Watson’s law practice focuses on Estate Planning, Probate, Guardianship and Elder Law. Formerly a CPA, he has over 25 years of experience. Call 903-813-8500 or go online to www.craigwatsonlaw.com

NEW SERVICES AT THE REHABILITATION CENTER

The Rehabilitation Center on Hillcrest Avenue in Sherman brings a myriad of fresh programs to promote a new you while continuing to build on its commitment to serving the community by providing exceptional pediatric physical, occupational, and speech programs.

This year, TRC brings an expansion of adult services with the development of specialized orthopedic services in Hand Therapy and Complex Shoulder Rehabilitation, as well as treatment of Lumbopelvic Pain, including Pelvic Floor Dysfunction for men and women. These programs, designed by our Physical Therapist, Dr. Colleen Grafa, who is a Board-Certified Orthopedic Specialist through the American Board of Physical Therapy Specialties (ABPTS), are unique and compliment traditional physical therapy.

A hand therapist is an occupational therapist or physical therapist who, through advanced study and experience, specializes in treating individuals with conditions affecting the hands and upper extremity. A qualified hand therapist can evaluate and treat any problem related to the upper extremity. The hand therapist can effectively treat and rehabilitate the patient through post-operative rehabilitation, preventative, non-operative or conservative treatment or industry consultation. The therapist works closely with the physician and patient to provide a continuum of care. This often starts within days of the injury or surgery right through the patient’s return to work and/or a productive lifestyle.

Some benefits to the Hand Therapy and Complex Shoulder Rehabilitation Programs include: Accurate assessments, immediate care and effective treatment to reduce treatment time. A continuum of care eliminates the need for multiple medical providers. Faster recovery results in decreased medical costs. Functional outcomes ensure a faster return to work and productive lifestyles.

Common pre- and post- surgical hand conditions treated at TRC include:

Shoulder conditions we treat include:

• Basal joint (base of the thumb) arthritis

• Carpal Tunnel

• Trigger Finger

• De Quervain’s Tendinosis

• Dupuytren’s Contracture Release

• Tendon and nerve repairs

In continuing to bring about the best treatments and practic-

• Shoulder Sports Injuries

• Shoulder Fractures

• Rotator Cuff Repair

• Instability and Labral Injuries

• Biceps Labral and Biceps Pulley Injuries

• Total Shoulder Replacement

• Reverse Total Shoulder Replacement

es that meet the needs of the community, The Rehabilitation Center is also introducing help for lower back pain in connection with Pelvic Floor Dysfunction.

While low back pain associated with Pelvic Floor Dysfunction occurs more in women than in men, many men also suffer from PF dysfunction.

TRC’s Pelvic Floor Dysfunction Program treats pelvic floor disorders and lumbopelvic pain in both men and women and provides pre- and postnatal musculoskeletal care. We work with you to optimize function, restore healthy and functional pelvic floor muscles, and alleviate pain.

Common conditions and diagnoses include: Not all therapies need to be directed toward correcting or healing injuries. This year, we are introducing sever-

• Birthing injuries

• Constipation

• Gynecological or breast cancer survivorship

• Painful intercourse (dyspareunia)

• Pelvic health in pregnancy

• Pelvic pain

• Pelvic organ prolapse

• Pelvic girdle pain in pregnancy

• Post-prostatectomy pelvic floor dysfunction

• Pre- and postnatal care

• Tailbone pain (coccydynia)

• Testicular pain

• Urinary or fecal incontinence

• Urinary frequency

• Urinary urgency

al programs to promote overall mind and body wellness with the introduction of both yoga and Pilates programs. The Rehabilitation Center is excited to be the only center in the area to promote health through Ability™ Pilates and Yoga and is the area’s only dedicated Mind-Body studio with certified teachers through the Pilates Method Alliance (PMA) and Yoga Alliance (YA). These classes will help stretch the mind and body to new levels by providing expert instruction on proper stretch, flexibility, and alignments, while helping to focus and quiet the mind, building a better, stronger, healthier you.

In partnership with the Alzheimer’s Association, The Rehabilitation Center is opening its doors on the first Thursday of every month to a new no-charge support group for caregivers of loved ones with dementia or Alzheimer’s related conditions. You are not alone! Peer Support for Caregivers will meet at 6:00 p.m. on the first Thursday of every month in the conference room of TRC. Trained facilitators will be there to lend support, offer resources, and tips on navigating the complex world of caring for dementia and Alzheimer’s patients. No preregistration is need, and this group session is free.

Too often we gaze into others’ lives with rose-colored glasses. We peruse the picture perfect Facebook and Instagram images believing the stories they tell. But there is always more to the story…

Stephen Lambdin (born in Rockwall, TX) competed with Team USA in taekwondo at the 2016 Olympics. His mother, Naomi Lambdin (we know her as “Noni”) is a long-time family friend. While HBO and other primetime networks have featured Stephen and shared his story, I’m telling a different story—one of a woman who came from less than nothing and produced an Olympian.

Noni was born in October of 1956 to parents who were hardened criminals. Dregs of society, they committed incest, polygamy, forgeries, thefts, and drug related crimes. They abused alcohol, cigarettes, drugs, and their children. They seemed to lack even basic human decency; in fact, animals take better care of their young than her parents did of her and her siblings. The children suffered immeasurable abuse, going days without meals, and frequently being sold to pedophiles for money.

Noni’s childhood was heinous and horrifying, cruel and unimaginable even in today’s iniquitous culture. She was beaten, had a swastika carved into her young skin, and locked in a burning room to die, among other wicked acts. Often, her parents would leave her at a church or with a group of people promising they’d send money to take care of her. They never did and eventually Noni would be sent to the

BEHIND THE OLYMPIAN

By Lisa Jenkins-Moore

streets. She’d re-unite with her parents only to endure the cruelty again.

Noni believes God gave her an incredible imagination, one she used to escape the reality of the pain being inflicted upon her. She explained, “I was blessed with a vivid imagination, and I would simply spend my day walking around the city with my mind off in some fantasy. I would imagine that I lived in a big fancy house and I was swimming in my own pool, or traveling around Europe. To this day I believe that imagination was a gift from God, a coping mechanism that was necessary for my survival.”

As Noni entered her teens, her parents began running scams on churches. They’d enter as a needy family, stay long enough to get financial assistance, and then move on to the next church. Then they came to a church in Dallas— here, Noni found a real family, a church family. Though her parents threatened to kick her out of the house, she continued to attend because she had never known kindness and friendship like she experienced within the walls of the Dallas church. Two of the women who impacted her life were my now departed grandmother and great-grandmother, Barbara Jenkins, and her mother Clara. They embraced her and were genuinely interested in her life. Noni shared, “I had never experienced anyone asking how I was, and this was truly amazing to me. I would spend my day in school looking forward to seeing these people again. I can honestly say that this was the first time in my life I had experienced friends and felt loved.”

Noni also met Maurice Hart, who in a sense fathered her. She described, “He became “Uncle Reese” to me, and he would spend hours talking to me about what I could do with my life, and how to get an education, a job, a car. He taught me how to save money to buy a car, what a work ethic is, and the importance of that. He taught me that the most important thing beyond our relationship with God is people and treating them with respect and honor. He taught me that an attitude of service is more valuable than any possession. Dr. Hart stayed in contact for the remainder of his life, providing me with counsel, help applying to school and first jobs, and most of all, his absolute love and acceptance. Before his influence, it had never occurred to me that I would one day have a college education, own a home, or even own a piece of furniture, but God put these extraordinary people in my life to give me a dream. From that dream God has allowed me to build a life.”

Noni acquired her first job at 15 and climbed the corporate ladder, becoming a successful business woman. Until recently, she was a high-ranking executive at a huge corporation. She travelled extensively, staying in the finest hotels, dining in the nicest restaurants, and enjoying the scenery of some of the most beautiful places in the world. She married a successful architect; they’ve been married for over thirty years and have shared an incredible life together. Noni and Wayne parented two sons together—one an Olympian, and the other a success in his own field.

Noni attributes her amazing life to the grace and goodness of God. She states, “I see the incredible kindness of God that I have been blessed to do just about everything I had daydreamed of during those [childhood] years. Joel 2:25 says, ‘And I will restore to you the years that the locust hath eaten, the cankerworm, and the caterpillar, and the palmerworm, my great army which I sent among you.’ I live this scripture every day.”

the Olympics, and he holds to that promise without wavering. One news anchor in a recent interview with Stephen said, “I’ve never seen such integrity and faith.”

I have. I’ve seen it in the life of his mother, Naomi Lambdin. A woman from a horrific childhood, statistically predicted to fail, has lived a prosperous life as a wife, mother, and business woman, and is an inspiration to so many. While she is currently fighting the battle of a lifetime struggling to win the war against stage 3 carcinoid cancer, she maintains her faith in God, knowing He is good, in spite of her circumstances.

As you witness the pictures and videos of her son, Stephen the Olympian, don’t just imagine the glory of such prestige; think of her, what she’s overcome, and where she still needs a victory. Thank God for sparing her life and turning ashes

Though her son, Stephen Lambdin did not win the Olympics in 2016, he plans to return in 2020 to bring home the gold. A strong Christian, Stephen knew as a child he’d win

to beauty, and celebrate her healing and future testimony. And please remember, things aren’t always as they seem. You never know the impact your smile, your kindness, your genuine concern will have on someone you encounter. She might just be the mother of a future Olympian.

To connect with Lisa or follow her blog, visit LisaJenkinsMoore.com or Facebook.com/ljenkinsmoore/ or Instagram @ljmooreauthor

Do I really need to remove my wisdom teeth, they don’t hurt?

Through the studies of ancient tribes there was a time where one’s jaws were big enough to accommodate 32 teeth. Through environment and dietary changes we no longer have room for the third set of molars, also called wisdom teeth. When these teeth cannot erupt in to the mouth correctly they often become “impacted” or stuck in a crooked position. This impaction causes several problems which are not always painful including:

• Damage to other teeth: by crowding and pushing other teeth causing pain and bite problems

• Jaw damage: cysts can form around the third molars causing bone loss and damage to the nerve

• Sinus Issues: pain, pressure and congestion

• Inflamed gums: tissue can swell and may be hard to keep clean & lead to gum infection

• Cavities: swollen, infected gums can create pockets between teeth that help bacteria form and cavities will develop

• Alignment: the third molars can cause crowding and create the need for orthodontics to straighten teeth for a healthy smile

• Vertigo: commonly known as dizziness which is caused by the pressure of the wisdom teeth on the nerve which leads to the ear, which also controls one’s balance The jaw bone has no feeling other than the nerve that runs through it and connects to teeth from under the roots; unless your problem affects the actual nerve you may have no pain but that does not mean there is no problem-not yet!

Please call our office at 903-868-9850 to have a complete exam and x-rays to assess your mouth.

Wisdom teeth or third molars are the last permanent molars to erupt in the mouth. They usually appear between the ages of 17 to 25 but can grow any time after that. We don’t usually use those teeth for chewing because they are so far back in the mouth. Third molars are hard to keep clean and very prone to decay.

If you or a family member is in need of an evaluation for wisdom teeth, the summer is a great time to take care of that.

Please call Premier Dentistry to schedule an evaluation of your wisdom teeth with one of our expert dentists. Take advantage of our summer special of 50% off sedation if you schedule during the summer months, May through August.

Sam J. Nechamkin, DDS, MS

Dr. Sam J. Nechamkin (Dr. Sam) earned his doctorate degree at Baylor College of Dentistry and completed his Periodontics and Dental Implants specialty training at The University of Oklahoma Health Sciences Center. Dr. Sam practices all fields of general dentistry and is a boardcertified specialist in the field of periodontics,(foundation of teeth). He has received extensive training in dental implants and sedation dentistry.

Dr. Sam has been distinguished as a Diplomate of the American Board of Periodontology. A Diplomate “is a periodontist who has made significant achievements beyond the mandatory educational requirements of the specialty. “ Less than 35% of periodontists in the world hold the Diplomate status; Dr. Sam is the only Sherman dentist distinguished as a Diplomate in Periodontology.

Scott C. Schwalm, DDS

Dr Schwalm attended Illinois Wesleyan University for a BA in Biology and continued his education at the University of Washington School of Dentistry. Prior to moving to North Texas, Dr. Schwalm had an extremely successful and state-of-theart private practice in Bellevue, WA for 14 years.

Dr. Schwalm brings experience and his consistent pursuit of excellence for a wide variety of procedures. He loves the ability to take care of his patients from start to finish in the comfort of one office. When needed, he is also a stellar quarterback coordinating specialists and follow-up care, all in the interest of his patients.

Recently Scott, and wife Dawna, collaborated with shark biologists at Guadalupe Island, Mexico studying mega great whites who frequent the island each year. They plan on travelling back this year to continue the work to understand these amazing creatures.

D. Shane Edwards, DDS

Dr. Edwards received his Bachelor of Science for Abilene Christian University. He continued his education at the Baylor College of Dentistry in Dallas graduating in 1995. Dentistry is Dr. Edward’s passion. His philosophy on dentistry encompasses comprehensive restorative care, including conscious sedation, aesthetics, dental implants, Fast Braces and the treatment of bruxism. He whole heartedly believes in staying abreast of advances in dentistry and is continually advancing his skills.

Dr. Edwards is dedicated to healthy beautiful smiles. He believes that the practice of dentistry is relationship based and patient driven. This enables him to provide comprehensive, interdisciplinary care to his patients. “I am committed to providing the highest quality of dental care available in an ethical and caring environment. I am dedicated to continual advancement of my knowledge and skills; I strive to deliver to each patient the type of care that I would accept for my own family.”

Misaligned wisdom tooth that caused patient to lose both teeth.

Impacted Wisdom teeth.

Charles Toulson, M.D. Orthopedic Surgeon Premier Surgeon for Hip and Knee Replacement

Dr. Charles Toulson is a board-certified orthopedic surgeon, fellowship trained in adult reconstruction. Dr. Toulson earned his medical degree from the University of North Carolina at Chapel Hill. He has extensive experience that began with his training at Johns Hopkins Hospital, the highest ranked hospital in the United States. He then completed his sub-specialty training at the Hospital for Special Surgery in New York, which has the top orthopedic program in the country. Dr. Toulson has been voted among D Magazine’s Best Doctors, Living Magazine’s Best of McKinney/Allen, and he was featured on CBS 11 News!

Dr. Toulson is a pioneer in direct anterior hip replacement surgery. Using only a three-to-four-inch incision, anterior hip replacement surgery allows for a faster recovery, less pain, and alleviates the need for postoperative hip range of motion restrictions. As a result of its muscle-sparing approach, it is most attractive to patients. This minimally invasive technique is so effective that patients are often walking the same or next day without a walker, cane, or crutches.

Dr. Toulson is considered a leader in the Dallas/Fort Worth area in Robotic-Assisted hip and knee replacement and has performed more robotic joint replacements than any other surgeon in the area. He was the first surgeon in the area to perform a direct anterior hip replacement with robotic assistance. Most recently, Dr. Toulson completed the first ever, total knee replacement for both of a patient’s knees bilaterally (simultaneously) using the MAKO™ Robotic-Arm Assisted Technology.

Dr. Toulson’s education and training are only outmatched by his warm smile and kind-hearted nature.

972.992.1072

RELENTLESS DETERMINATION

A handicapped calf shows the value of making each moment lived count.

By Georgia Smith-Lyle, MA, LPC-S

Nature teaches us many truths we can live by if we are willing to observe, listen and implement. I’m a city girl who recently moved to the country almost two years ago. I’m learning truths about human nature through the nature of the animals on my ranch.

City life is wonderful and we learn much growing up in a city. However, the peace of the country through the animals and the beauty of open range have many advantages. The focus topic of this article is “relentless determination,” which I have come to experience in a whole new way through the life of one calf I named “Rocky.”

When Rocky was born, he could not stand up within the first hour so we knew there was a problem. Because he could not stand, he was unable to nurse immediately from his mother. We knew we had to bottle feed him in order to save his life. The adventure with Rocky began. We discovered all of his legs work properly except for the left hind leg, which does not bend properly in

order to help him get off the ground without help. He also needs help walking because this leg does not move and bend as well as the others and he will fall after trying to take a few steps. We implemented stretching and strengthening every day, two times a day, and we have seen such progress.

But the most awesome characteristic that has helped Rocky the most is his innocent relentless determination! He doesn’t even know he has this kind of determination. He doesn’t have to muster it up. All he knows is he is alive and there is a whole open pasture he was created to explore, eat from and live on.

There is a determination to get up and run that has caused me to continue to help him in hopes his back leg improves. He has improved so much he wants to run instead of walk, which causes him to take a quick nosedive. I keep telling him he needs to learn to walk before he can run but of course he’s not listening too well. All he knows is he has this moment of life, the ability with help to stand and walk and a relentless unceasing determination to get up. He does not focus on what he doesn’t have, but only what he has. He does not know defeat. He was born to try because he was born with “life” inside of him and he is determined to make the most of every moment of every day he is alive. As innocent and unknowing this determination is, it is real and it keeps him living in the moment without giving up.

This is a true story and one that has reminded me of the sacred gift of life and the value of making each moment lived count. If you have been met with defeat, trauma, tragedy or combat constant pain to whatever degree, find the help you need to help you be stronger. Inside of each of us there is “life” if we are breathing. With the gift of life there is a relentless determination to move forward and take advantage of every breathing moment. Focusing on what you are not, or what you can not do will only keep you defeated. Plan to succeed with the gift of relentless determination. Find those people who will help you with this adventure called life. Every moment counts!

Georgia Smith-Lyle, MA, LPC-S is in private practice as a Licensed Professional Counselor in the state of Texas providing counseling for children, adolescents, adults, marriage and family. She has authored two books and is a public speaker. Georgia may be reached at 469-855-0256 or via email gpsmith7@aol.com. counselingbygeorgia.com

Stephen P. Courtney, M.D.

Orthopedic Spine Surgeon

Dr. Stephen Courtney is a board-certified, fellowship-trained orthopedic spine surgeon and the founder of the Advanced Spine Center in Plano, TX. Dr. Courtney has been practicing medicine and providing exceptional patient care in Plano since 1995 and has worked tirelessly to develop superior operative techniques to treat neck and back disorders.

Dr. Courtney is a respected orthopedic spine surgeon who focuses on disorders of the neck and back. His work ethic, outstanding outcomes, and personable approach to patient care have earned him a reputation as one of the best spine surgeons in Texas. He has expanded his reach and has improved the quality of life for patients across the country. Dr. Courtney has developed 9 product lines, and has obtained 9 patents and 14 trademarks on its spine related products. He has been honored with numerous awards and recognitions.

Dr. Courtney is dedicated to educating not just himself and his colleagues but his patients as well. He is known for his straight-forward, honest approach which puts his patients at ease, trusting him to perform highly technical operations that will help them restore their quality of life. He knows the single most important person in the treatment process is the patient.

When Dr. Courtney is not with his patients you can find him enjoying time with his wife and five children, hitting the trails on his mountain bike, or perfecting his Cajun cooking.

www.courtneymd.com www.advancedspinecenters.com

972.499.5457

THE ENIGMA

Leonardo DiCaprio lives by his own set of rules.

By Sondra Barr

It’s hard to believe Leonardo DiCaprio is 44 years old. The Hollywood native, who grew up in a rough neighborhood in Los Angeles bullied and belittled only to become one of its brightest denizens, is equal parts fabled Dorian Gray and Jay Gatsby. Ironically, the latter character being a role the dashing actor seamlessly slipped into for the much anticipated 2013 film The Great Gatsby .

Ageless, yet conveying a wisdom beyond his years, the perennial bachelor who was named Leonardo because his German mother, Irmelin, first felt him kick while gazing upon a Da Vinci painting in Florence, has done his namesake proud.

“He’s like a silent-film actor,” says director Martin Scorsese. “He can flash half a dozen emotions in a matter of seconds, simply by using his eyes.”

DiCaprio first worked with the notable director on Gangs of New York and they’ve since partnered on four further films, The Aviator, The Departed, Shutter Island, and The Wolf of Wall Street. Next up, the duo is partnering with Hulu to adapt Erik Larson’s book The Devil in the White City for their sixth collaboration.

“Marty is the great director of our time, who has taught me two crucial things. One, it takes a long time and a lot of patience to make a good movie; and two, film is as valid an art form as painting or sculpture. Ultimately, like any artist, I want to make lasting pieces of art; movies that people will look at and appreciate in 50 years’ time,” DiCaprio told Chloe Fox of The Telegraph.

Acting is a craft that DiCaprio was drawn to in his formative years. “Very early on, I was always impersonating different characters, imitating people who came by. I loved doing that and getting the amazing experience of seeing people’s reactions. You see your parents laughing. It’s a communal family experience, and you share that love, you know?” he said an interview with Parade

ACTING ALWAYS REPRESENTED A WAY OUT FOR ME. I SAW MANY THINGS IN THE NEIGHBORHOODS WHERE I GREW UP THAT WERE PRETTY TERRIFYING.

Acting provided a ready escape to young DiCaprio while growing up in an area rife with prostitutes, addicts, and drug dealers. “Acting always represented a way out for me. I saw many things in the neighborhoods where I grew up that were pretty terrifying. Acting takes you away from reality. Being able to escape was important. Movies do that for me. Two hours inside of a theater can transport you into a completely other universe. To me, that’s the beauty of movies.”

In front of an audience is where DiCaprio flourishes, something that didn’t go unnoticed by his parents. Although his mother and father amicably divorced soon after Leo was born, they supported their son unconditionally. “They listened to their kid saying, ‘This is what I want to do,” described DiCaprio to The Telegraph. “They made me feel that all my dreams were within reach.”

Continued, next page

From previous page

“Leo is an enigma,” said his Revenant co-star Tom Hardy during press for the film that would earn DiCaprio his first Academy Award after four previous unsuccessful nominations. “There’s something kind of magic about him.”

That special something was readily apparent in 1994 when DiCaprio portrayed Arnie Grape, a child with learning difficulties in the film What’s Eating Gilbert Grape, which earned him his first Oscar nomination (best supporting actor).

He’s since gone on to give groundbreaking performances that have one thing in common, they’re all unequivocally different: charming Jack Dawson (Titanic), prevaricator Frank Abagnale Jr. (Catch Me If You Can), eccentric Howard Hughes (The Aviator), fraudster Jordan Belfort (The Wolf of Wall Street)––just to name a few.

His riveting role as Hugh Glass, a man dominating nature, in Revenant may have scored DiCaprio his first

Oscar, but it also provided him an opportunity to talk about his other passion: environmentalism. It’s an issue dear to DiCaprio’s heart. Not only has he given his time and resources to environmental causes, he also devoted his Oscar winning speech to the topic.

He founded the Leonardo DiCaprio Foundation (LDF) in 1998 to bring attention to the plight of our planet. According to the foundation’s website, “LDF has been on a mission to protect the Earth’s last wild places, implementing solutions that restore balance to threatened ecosystems, and ensure the long-term health and wellbeing of all its inhabitants.” Since its inception, the foundation has donated more than $15 million to the protection of species including tigers in Asia, elephants in Africa, and sharks in California.

“Historically, we always look back at cultures that have been self-destructive and we talk about the ignorant way they treated the natural world, and we pass judgment on them,” explained DiCaprio to writer Dotson Rader. “But the truth is that what we’re now doing to the natural world is thousand times more destructive than it’s ever been before. We’re literally going through an extinction right now. We’re changing our climates irreparably, and climate change lasts tens of thousands, if not millions, of years. We don’t seem to be learning lessons from the past.”

DiCaprio is so passionate about the subject that he also produced a documentary, Before the Flood, presented by National Geographic, where he served as a United Nations Messenger of Peace, traveling to five continents and the Arctic to witness climate change firsthand.

Leonardo as Jordan Belford in The Wolf of Wall Street (2013) who takes some rather bland people and turns them into one of the biggest scams that the FBI ever saw.

Paramount Pictures

Leonardo and Kate Winslet as a pair back in 1997, in Titanic. Now, 20 years later, their friendship is still one of the strongest in Hollywood.

“You realize how lucky we are, and how destructive we’ve been, and what little regard we have for the natural world,” DiCaprio said to Parade.

“I play fictitious characters often solving fictitious problems. I believe mankind has looked at climate change in the same way, as if it were a fiction. But I think we know better than that.”

While DiCaprio enjoys being immersed in nature and wild places, he’s faced the danger that comes with outdoor adventures. In an interview with Wired, DiCaprio detailed the time he was nearly killed in a shark incident. “A great white jumped into my cage when I was diving in South Africa. Half its body was in the cage, and it was snapping at me,” detailed DiCaprio. “I sort of fell down to the bottom and tried to lie flat. The great white took about five or six snaps an arm’s length away from my head. The guys there said that has never happened in the 30 years they’d been doing it.”

Then there was the time when he was tandem skydiving and both the primary and secondary chutes knotted up. As they were plummeting toward the earth, the instructor DiCaprio was tethered to was finally able to unravel the secondary shoot in midair, ensuring the survival of Hollywood’s most bankable star.

Living on the edge is apparently not unusual for the Oscar winner. “My friends have named me the person they least want to do extreme adventures with, because I always seem to be very close to being part of a disaster.”

One thing that is guaranteed not to be a disaster is DiCaprio’s upcoming movie Once Upon a Time in Hollywood, slated for a July release. In director Quentin Tarantino’s ninth feature film, DiCaprio plays TV actor Rick Dalton and neighbor to Sharon Tate. Brad Pitt plays his friend and stunt double Cliff Booth and centers on the duo as they navigate Hollywood. No doubt, DiCaprio will be drawing from firsthand experience.

Filming The Great Gatsby (2013) with Carey Mulligan.

© Warner Bros.

Staring alongside Brad Pitt in this year’s Once Upon a Time in Hollywood.

Hearing & Your Health

It’s not always about aging

Maintaining your good health includes periodic hearing checks. Hearing loss can be associated with other health issues, so it’s important to have a thorough hearing exam once a year. By monitoring your hearing regularly, problems can be identified and treated early. Of course, if you detect any changes in your hearing, please call us right away. Evaluations at HearCare are easy, painless and informative.

May is Better Hearing Month

The professionals at HearCare provide knowledge, compassion and experience, and do so with integrity and good humor. Why wait? Let us help you maintain your good hearing health. Call 903-868-2650 for an appointment today.

“We find the root of your hearing difficulty and treat it in a way that meets your individual preferences, lifestyle and budget.”

Kenneth Sheppard, Jr., Licensed Fitter and Dispenser of Hearing Instruments (LFDHI) and owner of HearCare

Carol Ann Miller, Administrative Assistant; Kenneth Sheppard, Jr., LFDHI; Jill Sheppard, BS Audiology, LFDHI; Cassidae King, Doctor of Audiology; Deborah Boring, Practice Administrator

YOUR HEARING AND OVERALL HEALTH

Hearing loss is sometimes considered a condition that affects only senior adults. It’s true that one in three people between the ages of 65 and 74 have some hearing difficulties, and that number increases to about half of all adults 75 and over. But it can occur at any age and there are multiple causes besides aging, including prolonged exposure to noise, certain types of disease, some medications, and even hereditary factors. Untreated, hearing loss can get worse.

Your overall health regimen should include an annual hearing exam, beginning with a baseline screening at around age 45, or any time you notice changes in your hearing. Kenneth and Jill Sheppard, owners of HearCare and Associates in Sherman and Gainesville, can become an integral part of your healthcare team, providing information––upon your request––to your primary care physician or other providers.

Integrated care is especially important because some hearing problems may be associated with other health issues, such as heart disease, vision loss, diabetes, or cognitive decline. For instance, an estimated 54% of American adults with chronic kidney disease have some level of hearing loss. Hearing loss occurs almost twice as often in adults who have diabetes than in those who don’t. The diminished awareness that can accompany hearing loss can be a contributing factor to increased risk of falls. And, low-frequency hearing loss and heart disease may be related due to the inner ear’s sensitivity to blood flow.

Perhaps one of the most troubling po-

Courtesy HearCare & Associates

tential connections is that of hearing loss and dementia or cognitive decline, which may be associated with changes in brain structure or reduced brain volume. Even in situations where there are no direct links to physical disease, people who can’t hear well may become depressed due to feeling isolated or frustrated with their inability to understand conversation. It can take an enormous effort to simply enjoy watching television or tolerate loud sounds.

“When you can hear better, you’re more likely to enjoy life because you’re not having to work so hard to participate,” says Jill Sheppard, B.S., SLP/Audiology, Licensed Fitter and Dispenser of Hearing Instruments (LFDHI). “The latest digital hearing aids are programmed to your individual hearing needs and preferences, so you have less listening fatigue and enjoy better speech understanding. Just being able to hear your granddaughter’s voice again is a remarkable achievement for those who have been missing out on the simple pleasures of life.”

A hearing evaluation at HearCare is easy, painless, non-threatening, informative, and even fun. After an initial interview, your ears are checked, followed by a state-of-the-art hearing test

in a booth with glass “windows” so you can see into the room. Afterward, you’ll be given the results immediately (Kenneth likes to draw pictures!) so you better understand your hearing loss––if any––and what will work for you.

“I’ll be the first to tell you if you don’t need a hearing aid,” says Kenneth Sheppard, Jr., LFDHI. “You deserve to hear as well as you possibly can, and if you can benefit from a hearing aid, I’ll talk with you honestly about your situation and recommend options that would best fit your hearing loss, lifestyle, and your budget.”

What’s different about HearCare? Some would say the Sheppards themselves, who offer extraordinary customer care, as well as the highest level of products and services available anywhere. Dr. Cassidae King, HearCare audiologist, provides comprehensive diagnostic evaluations for adults and children, conducting tests, as needed, for hearing sensitivities, speech understanding, and middle ear and auditory nerve functions.

Additionally, we can fit you with all major brands of hearing aids at HearCare, unlike some clinics owned by specific hearing aid manufacturers. Patients appreciate the “gift of time” that HearCare provides, allowing them to learn, experience, and make good decisions about their hearing health.

“Nothing sounds as good as what God gave you,” says Kenneth, smiling. “We want to work with the ability you have to hear natural sounds and then leverage that with the finest technology available and the earnest desire to help you hear well again.”

WHAT TO SAY: Part Two

Courtesy Dannel Funeral Home

In a previous issue, Charles Dannel offered suggestions for how to offer words of comfort to those who are grieving. But what if you’re the one who is mourning a loss?

Obviously, you’re greeting people at a time of enormous stress and loss. Many people say they feel almost numb. And yet, people you care about are coming forward to offer their love and condolences. What is the best way to respond?

According to Charles Dannel, fifth-generation owner of Dannel Funeral Home, it can be surprisingly difficult to find words of gratitude. Charles said to try to smile, if you can. “It will help you receive the love

and warmth those in attendance are doing their best to extend to you,” he said.

“Everyone feels awkward, and while it isn’t necessary for you to put them at ease, being aware of their struggle can help you respond, especially if well-meaning visitors offer words that conflict with your beliefs or feelings,” Charles continued. “An easy and polite response is always a simple, ‘Thank you for your thoughts.’”

If comfortable, you can respond to specific references directly by saying things like, “I know how much Don enjoyed your weekly golf games.” Or “Sarah always looked forward to movie nights with her friends.”

Responding to expressions of sympathy

“People

The extent of your ability to converse with others may be entirely logistical. If there is a long line of people waiting to see you, you’ll want to keep conversations brief. If not, you will feel freer to engage for longer periods, sharing memories and hearing more from those who come to express their sympathies.

A note about privacy. Questions about an unexpected death may arise. It can be a delicate subject. There are some who, with the best of intentions, may ask you what happened. If you want to tell them, condense your answer to a few sentences that are meaningful to you. If not, you can say something like: “You know we have been so overwhelmed by grief that hasn’t been our focus, but thank you for being here.”

Dannel Funeral Home is now owned by Charles Dannel, fifth generation exemplifying leadership and community service.

SPECIALIZED WOUND CARE

Our team of specialists uses an advanced clinical approach, including hyperbaric oxygen therapy, to reduce your healing time.

Working together with your healthcare provider, our trained staff will get you back to living your daily life.

MEET OUR PHYSICIAN PANEL

Dr. Edward Tomoye

Infectious Disease/HBO/Wound Care

Dr. Minaxi Rathod

Infectious Disease/HBO/Wound Care

Dr. Jennifer Laing

Family Practitioner/HBO/Wound Care

Dr. Dustin Lloyd

Podiatry/HBO/Wound Care

WE TREAT ALL WOUNDS INCLUDING, BUT NOT LIMITED TO:

• Diabetic foot ulcers

• Venous ulcers

• Pressure ulcers

• Surgical wounds

• Traumatic wounds

• Arterial ulcers

• Late effects of radiation treatments

• Compromised skin grafts and flaps

• Crush injuries

CHOOSE WILSON N. JONES

If you have a wound or an ulcer that is not healing, or any wound that is of concern, ask your physician for a referral to the wound center or contact us directly for an appointment.

891-2139

Radiofrequency ablation treatment now available for spin al tumor s

Minimally invasive technology, close to home

Brian Rose, MD, FAAOS

A treatment system specifically used for treating painful tumors that have spread to the spine from cancer in other parts of the body is now available at TMC. Orthopedic Spine Surgeon at Texoma Medical Center, Brian Rose, MD, FAAOS, says he has been treating patients for about two years.

The treatment serves a dual purpose. Dr. Rose states, “Radiofrequency ablation enables us to treat tumors using a small incision. Once the tumor is destroyed, we strengthen and stabilize the spine by filling in the affected areas with a cement-like material. The procedure usually takes less than one hour and following a short time in recovery, patients can go home.”

Dr Rose says that the person ’ s pain level is greatly reduced. For older patients with other health conditions, the minimal side effects are a plus. This often allows the patient to proceed with radiation therapy and/or chemotherapy without severe pain

Enhancing treatment options for patients

The new treatment is an extension of kyphoplasty, a procedure already performed at Texoma Medical Center for patients with spinal pain due to compression fractures that result from osteoporosis “Kyphoplasty is a very similar procedure. The difference is that no ablation is needed. The patient’s vertebrae need support, so we fill any fractures or pockets with the cementlike substance, and patients can get relief fairly quickly,” says Dr Rose “Many patients who previously rated their pain as a ‘10’ tell us it dropped to a ‘2’. It’s exciting to be able to offer these solutions. We are trained to be as minimally invasive as possible, which equates to minimized pain and quicker recovery for the patient. These two procedures fall right in line with that ” ■

Individual results may vary There are risks associated with any surgical procedure. Talk with your doctor about these risks to find out if minimally invasive surgery is right for you

Orthopedic & Spine Surgeon The neurosurgeons and orthopedic and spine surgeons at TMC specialize in the nerves, brain and spine. For more information, visit www.texomamedicalcenter.net/neurology. To find a doctor, call Direct Doctors Plus ® at 903.416.DOCS (3627).

Brian Rose, MD Texoma Orthopedic and Spine 903.465.2190

Gregory D. Roberts, M.D.

The“Scarless”Face Lift

By Pamela Hammonds

Eating right and exercising are great ways to stave off the inevitable signs of aging. But even if you’re devoted to wellness, over time your skin loses elasticity, bone and tissue deteriorate and hereditary factors become more pronounced.

North Texas residents can count themselves fortunate that nationally-known facial plastic surgeon Dr. Gregory D. Roberts is a short drive away. He’s refined a face lift technique, known as the “scarless” face lift, which allows patients to recover from surgery with virtually no visible scarring. The “scarless” face lift involves a series of surgical methods and meticulous precision that can help restore more natural, youthful facial features with virtually imperceptible signs of surgical intervention.

“My one guiding principle is that your cosmetic surgery looks natural,” said Dr. Roberts. “You should look refreshed and well-rested, never pulled.” Dr. Roberts takes the time necessary to meticulously place and

close incisions, ensuring that his patients’ incisions are virtually invisible, as well as helping to minimize bruising and quicken the healing process. Dr. Roberts and his staff are thorough and attentive before and after surgery, making sure each patient understands the procedure and recovery time.

Many of Dr. Roberts’ patients also find pleasing results with a non-surgical face lift alternative known as a Liquid Face Lift. Revolumizing the face with a Liquid Face Lift can be done alone or in conjunction with a face lift to restore natural, youthful volume and contours. Dr. Roberts appreciates that each patient is a unique individual with specific needs and expectations. “I like to spend time with each patient discussing options and determining what will produce the best and most consistent results to fit the patient’s goals and desires,” he said.

If your goal is smoother, clearer skin tone and texture, skin resurfacing with advanced lasers such as D.O.T. or Fraxel® can be a tremendous help, as well. For patients seeking more com-

prehensive facial rejuvenation, Dr. Roberts might recommend an R-Lift, which integrates a “scarless” face lift (or other cosmetic surgery), as well as a liquid face lift and fractional laser resurfacing. “An R-Lift essentially blends the three R’s of facial rejuvenation,” said Dr. Roberts, “Repositioning (drooping skin), Revolumizing (flattened facial features) and Repairing (sun damaged skin).”

“There’s a tremendous amount of satisfaction that comes along with my work,” he said. “Seeing patients get positive results from their procedure, as well as seeing their renewed confidence, and then hearing the reaction of others in their lives is very fulfilling.”

Dr. Roberts’ procedures are performed at an AAAASF certified facility near George Bush Tollway and Preston in Plano, Texas. Read more here about what his patients say about him. View more before-and-after photos and review additional information at RobertsCosmeticSurgery.com.

To schedule a free consultation, call 972-608-0000.

Meet Gregory D. Roberts, M.D.

At Roberts Cosmetic Surgery Center, Dr. Roberts specializes in facial cosmetic medical procedures, including the “scarless” face lift, endoscopic brow lift, blepharoplasty, rhinoplasty, otoplasty, chin and lip implants. For over 14 years, Dr. Roberts has focused his surgical specialty on the face, but he also performs laser liposuction procedures with the dual wavelength Slimlipo®, as well as other minimally invasive cosmetic medical procedures, such as BOTOX® and dermal filler procedures. Dr. Roberts is certified by both the American Board of Facial Plastic and Reconstructive Surgery as well as the American Board of Otolaryngology | Head and Neck Surgery. Dr. Roberts personally performs all surgical procedures, liposuction procedures, BOTOX® and filler procedures. Laser and resurfacing procedures at Roberts Cosmetic Surgery are performed by a certified and licensed anesthetician, while his support staff endeavors to provide optimal patient care.

Save 25% OFF Mini Face Lift

Book your Mini Face Lift with Dr. Roberts before May 31, 2019, and save 25 percent. (Have your procedure anytime in 2019.) Natural results, hidden incisions and limited downtime— why not call 972-608-0000 to book your free consultation today?

* Incl. Free O.R. ($1,600 value); Excl. Anesthesia

Dr. Roberts’ patients love their results! KM didn’t fully embrace the aging process and sought help to improve her appearance. During her consultation Dr. Roberts recommended upper and lower blepharoplasty (eye lifts) as well as a mini face lift. “I inherited drooping eyes from my dad, sagging jowls from my mother. But Dr. Roberts has completely changed that for me. Now I get comments even from strangers about how good my skin looks. Only my close friends know what I’ve had done, but I feel dramatically different. It’s helped my confidence and I’m definitely more comfortable when I’m face-to-face with people.”

At 51, JT worked to stay in shape but couldn’t stop the natural signs of aging. The sagging in her neck and jowl area started to bother her so much she no longer wore her hair off her face. “I feel young and wanted to look more youthful,” she said. After a mini face lift, she’s thrilled with the results. “Not one person has said, ‘Did you have a face lift?’” she said. “But people do tell me how pretty my skin is. I didn’t want to overdo it or become obsessed with vanity, and what Dr. Roberts did is perfect. Everyone in his office was attentive, helpful and supportive. I’d definitely do it again.”

JR, 52, had a face lift, endoscopic brow lift and lower blepharoplasty performed in one procedure. “Before the surgery I looked tired and my jowl area and the skin around my mouth sagged,” she said. “Dr. Roberts spent a lot of time explaining everything and answering my questions. During my consultation, I saw a woman who’d had a face lift the day before, and you couldn’t see the incisions since they were in her hairline. After surgery, I was wearing a ponytail two weeks later and attended a work conference a week after that. No one could tell I’d just had surgery! To me, it’s so natural. I can’t say enough good things about Dr. Roberts and his staff.”

by May 31, 2019

After 8 Weeks, “Scarless”

Actual Roberts Patient

Actual Roberts Patients

A PASSION FOR INNOVATION

CTL Medical is a forward thinking medical device design, development and manufacturing company that creates exemplary surgical products and services specifially for spinal disorders. CTL Medical’s in-house Research and Development team works closely with surgeons to imagine and construct multifaceted implants and instruments that become works of art. Join us as

COMMUNICATING WITH A GRIEVING PERSON

By Kelly Lamkin, LBSW

hen you ask someone, “How are you?” do you really want them to tell you the honest truth or are you waiting for the standard answer of “I’m fine”? What if they were honest and told you that they were having a bad day? What if they started to cry? What would you do?

I would stop what I am doing, sit them down so we are eye to eye, look them in the eye and give them permission to get it out. Depending on the situation I may hold their hand but no matter what I make sure I am present with them in that moment. In order to be present with a person you give your undivided attention to them, look them in the eyes, pay attention, listen, ac-

knowledge what is being said verbally and nonverbally and don’t put up any physical barriers between you and the other person.

When a grieving person is asked that question most times they want to bust out and talk but don’t because of the

Grief Support Groups and Individual Support are available now. Programs are offered weekly and monthly by Home Hospice – call 903868-9315 for more information.

thought, “No one has time to listen to me or they don’t care, they don’t want to listen to my problems.” It only takes a few minutes of your time to listen to a hurting, grieving heart. Wouldn’t you want someone to listen to you if the roles were reversed? Those moments spent with a grieving person can potentially be the most important moments of their lives. You may not even have to say many words because your presence will be all the person needs. Sitting in silence and listening to another person can be the best gift you can give to them and even to yourself. The look in a caring person’s eye can also warm a grieving person’s soul.

So remember, the next time you start to ask someone how they are, it could change their day and your day too!

Hospice Grayson, Cooke and Fannin Counties

505 W. Center St. Sherman, TX 75090

903-868-9315

316 S. Chestnut

Gainesville, TX 76240 940-665-9891

www.HomeHospice.org

CARING FOR THE CAREGIVER

By Julie Alvira, MD MBA

Caregiving is a labor of love but can pose some extreme challenges, both physically and emotionally. It does not matter if you’re an individual working as a professional caregiver for an agency or by yourself. Caregiving can create family pressures, impact financial well being, and contribute to social isolation.

Stress can take a toll and result in burnout. Professional burnout, which often is the result of stress manifested in the form of emotional and physical exhaustion, has become a national health crisis among healthcare professionals. It can result in poor sleep, mounting pressure, skipping exercise, bowing out of social events, poor eating, feeling not good enough, depression, an inability to accomplish obligations out of the healthcare setting, not having quality time with loved ones, and a decrease in the sense of personal accomplishments.

This doctor was having symptoms of anxiety. With the help of a therapist, he learned how to recognized these symptoms and take control. Also, he learned to listen with more patience and practice compassion with his own patients. As one can see, a caregiver gives their love and time with compassion and empathy but needs to learn how to con-

orities. Yes, you feel compassion for your loved one, client or patient, but in order to help that person you have to help yourself first. This is not selfish or self-centered, it’s part of caring for your well being and having a balanced lifestyle to prevent the manifestations of stress.

A physician and caregiver for his wife with breast cancer (Finkelstein, 2013) points out, “I compartmentalized my fears about what might happen, and I pushed forward––exactly as I would do with my patients at work, as I was trained to do. But while this strategy works effectively with the strangers that I care for in the operating room, it proved to be less successful at home. I started to have trouble sleeping, and I noticed many odd new physical symptoms––muscle fatigue and weakness, numbness and tingling in my fingers and arms, and palpitations.”

nect to self. The idea of “feeling your feelings” by becoming aware of them is important. Take control, have emotional support, and know when to ask for help. One great thing that I have learned as a caregiver to my mom, who’s a widow and recently had a hip replacement, is to practice self-care.

Remember, you might not be able to do anything about the person’s disability, but you can do something about the way your life is impacted. Whether you are in the healthcare industry or are a professional caregiver or caring for a loved one, if you let stress and emotions lead to exhaustion, you might become vulnerable to many problems.

Self-Care

Self compassion and self care are pri-

According to Chopra Wellness Center, there are six areas of self-care that we should work on including:

• Physical: adequate sleep, nutrition, and physical movement to raise your energy levels.

• Emotional: “feel your feelings” and talk about them. Get in touch with your thoughts.

• Mental: instead of getting caught in stagnation, try a new challenge or project.

• Spiritual: connect with the self by practicing yoga, tai chi, meditation, relaxation techniques or trying solitude. Remember that solitude is not isolation. It is a time to connect with yourself and recharge. Sometimes it is called “me time.” Some people walk in nature while others read a book. Your type of solitude time is special and it is your own. If the feeling of loneliness kicks in, be aware of where it’s coming from and come back to the present moment. Mindfulness helps when our fears and emotional wounds from the past show up and try to take over.

• Social: cultivate connection with people.

• Practical: pay attention to other areas of your life that are part of your chores and routines such as financial, projects, etc.

It’s important to know that you are not alone. It’s not easy, but in order to be come a compassionate caregiver, love with a whole heart.

Julie Alvira, MD, MBA. www.coachdrjulie.com. Dr. Julie is a Certified Life Coach for men and women but has a passion for Women Recovering from Addictions. Creator of Your Recovery Gal program for women, she is a Nationally Certified Addictions Professional. julie@coachdrjulie.com. Bilingual virtual or in-office sessions.

HOW THE TMC EMERGENCY DEPARTMENT, NEURO-INTERVENTIONAL SUITE AND COMMUNITY OUTREACH WORKED TOGETHER TO SAVE THE LIFE OF A STROKE PATIENT

In medical emergencies, it’s important to get the right level of care as quickly as possible. And going to an ER that’s part of an acute care hospital has many advantages, especially when a higher level of care is needed. Just ask Lloyd “Buddy” Durbin and his wife, Malinda.

The couple lives on a large ranch in Atoka, OK. While preparing dinner on the evening of June 11, Malinda noticed that Buddy’s arm was limp, and he was having difficulty speaking. She recognized these as possible stroke symptoms and her daughter called 9-1-1.

When Atoka EMS arrived, they realized Buddy’s condition was critical and called for Air Evac, who flew him to TMC instead of taking him to the local hospital. They made their decision based on a presentation by TMC’s Stroke Program Coordinator Jenny Reeves, RN, SCRN, PCCN, just three days before. It was there that Jenny spoke about TMC’s accredited stroke program and new neuro-interventional suite with bi-plane angiography.

and neuro-interventional team were waiting when Buddy arrived at TMC. His entire left side was paralyzed. After a CT scan, CT angiogram and receiving clot-busting medication, Interventional Neurologist Vivek H. Tank, MD, explained that Buddy had a large clot in his brain that needed to be removed.

and improved much faster than anticipated. He has gotten back to his daily activities and has almost no side effects from the stroke.

“So many miracles happened that day! Without the care Buddy received from EMS, the ER staff, Dr. Tank and his team, and Jenny, he would not be here today. The therapists at Reba Rehab were incredible, and Buddy made amazing progress every day. We are forever grateful and we just love TMC,” says Malinda.

“I told Dr. Tank to do what he needed to do, even though it was a risk. If he did nothing, we would have lost Buddy for sure,” says Malinda.

Recognized for Quality

TMC is the first hospital in the area to offer a neurointerventional center, featuring lifesaving biplane angiography. The hospital also has advanced certification as a Primary Stroke Center by The Joint Commission. The hospital is equipped with a 24-hour stroke team and trained emergency department personnel who provide care in designated stroke units.

The emergency department staff

In less than two hours from the time he arrived at the emergency department, the clot was removed and blood flow restored. After a hospital stay, Buddy spent a week at the TMC Reba McEntire® Center for Rehabilitation

Physicians are on the medical staff of Texoma Medical Center, but, with limited exceptions, are independent practitioners who are not employees or agents of Texoma Medical Center. The hospital shall not be liable for actions or treatments provided by physicians. For language assistance, disability accommodations and the non-discrimination notice, visit our website.

Reba® and Reba McEntire® are registered trademarks licensed by “Reba’s Business, Inc.”

To learn more about the hospital’s stroke services, visit www.texomamedicalcenter.net/stroke; or call 903-416-5070.

10 TIPS TO AVOID INJURIES FROM CROSSFIT TRAINING

By Dr. Peter Derman Texas Back Institute

CrossFit participants are intense in their pursuit of this training regimen and sometimes this can lead to back injuries. Judging by the number of participants, CrossFit is possibly the largest fitness trend in the world, with more than 13,000 affiliated gyms, over half of which are in the United States. Because of its rigorous exercises, CrossFit can also be dangerous to the spine health of participants. However, it doesn’t have to be.

One of the newer members of the Texas Back Institute team of spine surgeons is Dr. Peter Derman and in his undergraduate days at Stanford University he was on another team. He was the captain of the Stanford gymnastics team and a world-class athlete. With his athletic background and medical training in spine surgery, he is an excellent source of information on how CrossFit athletes can build strength and stamina without incurring injuries to their spine.

“Despite its popularity, there has been increasing recognition of the potential risks of CrossFit participation,” Dr. Derman said. “Adrenaline, competitiveness, and exhaustion sometimes combine to produce injuries – most commonly of the lumbar spine.”

By adhering to these 10 tips, CrossFitters can maximize their fun and fitness while reducing the chance of spinal injury.

Find the right “box”.

“Finding the right CrossFit gym or ‘box’ which is challenging without being potentially dangerous is a critical first step,” Dr. Derman said. “I suggest that participants spend some time researching – with personal visits and interviews – a box with a philosophy of fitness and wellness. Coaches and fellow gym goers should be focused on progressive skill and strength acquisition rather than simply a no pain, no gain mentality, which can result in burnout and injury.

Check your ego at the door.

“One of the great aspects of CrossFit training is its communal environment that motivates athletes to push their limits,” Dr. Derman said. “This can produce remarkable results when harnessed appropriately. However, don’t get so carried away that you put your health at risk. Remember the reason you started CrossFit in the first place – to get fit and have fun doing

it. Work gradually toward your goals because taking shortcuts and sustaining injuries will only set you back.”

The core is key.

“A strong core is essential for stabilizing the spine and pelvis,” he said. “Strengthening these muscles can offload the spine itself and reduce the risk of strains, sprains, and disc herniations. However, a ‘6-pack’ is only part of the equation. The paraspinal and other trunk muscles are just as important and should not be neglected.”

Having the proper form is critical.

“In a CrossFit workout program, more injuries are caused by improper form than any other factor,” Dr. Derman said. “This cannot be overstated. Poor form places the spine in a compromised position and radically increases the forces imparted across it. Having a well-trained instructor, who is observant and involved with every participant, can dramatically help here.

“Deadlifts and other Olympic lifts can be particularly hard on the spine. Never compromise form, even as you fatigue and reach the point of exhaustion. This requires focus and is why CrossFit is as much a mental as a physical sport.”

The effect of cold and hot weather on CrossFit injuries.

“It is important to adequately warm up before workouts to prevent muscle, tendon and ligament injuries,” he said. “This is especially relevant in the winter months when cold temperatures cause peripheral blood vessels to constrict. Doing some light aerobic activity before jumping into the intense workout helps increase circulation and helps reduce the chance of injury to your back and elsewhere.

“On the flip side, warm weather can take a toll as well. Heat stroke, a dangerous elevation in body temperature, is most common in the summer months. Symptoms include confusion, nausea, vomiting, flushed skin, headache, and rapid breathing. If someone at the gym exhibits these warning signs, immediately get them to a cool, shaded environment and call 911. Even if it doesn’t produce heat stroke, overheating in the setting of dehydration and physical exertion can lead to severe muscle breakdown and possible damage to kidneys. Adequate hydration, appropriate attire and attention to your body’s cues can help prevent these scenarios.”

The importance of pre-workout and post-workout stretching.

“The scientific literature on stretching is somewhat limited,” he said. “There is some evidence to suggest that stretching before a workout can reduce the risk of muscle strains but has no impact on the development of overuse injuries. Aggressively stretching muscles while still ‘cold’ may actually cause muscle strains. It is therefore advisable to structure your workout session as follows

(1) warm up

(2) stretch

(3) WOD (workout of the day) (4) stretch.

“The post-workout stretch is a great way to boost overall flexibility while your muscles are warm and pliable. Prone extensions, cat-camels, bridges, and seated twists can help keep your spine mobile and nimble. Attention to hamstring flexibility is also key to maintaining a healthy back as tightness in these muscles may transfer more stress to the lumbar spine during bending and lifting activities.”

Take time for recovery.

“Most CrossFit athletes are highly competitive,” Dr. Derman said. “And this overtraining can sometimes lead to decreased performance and elevated risk of injury. Your muscles sustain minor damage during routine workouts and respond by rebuilding in stronger configurations and increased size. However, this process takes time.

“The exact amount of rest needed between workouts depends on many factors, including baseline fitness level, age, workout duration, and exercise intensity. Ice, heat, massage, and appropriate nutrition may help speed recovery. Again, this is where a trained instructor can help. If an injury is sustained, don’t make matters worse by ‘training through it.’ Rest and seek a medical opinion if your symptoms are severe or persistent.”

The difference between injury and muscle fatigue.

“Muscle fatigue during a tough workout builds with increasing reps and can resemble a burning sensation,” Dr. Derman said.

“Once you stop exerting that muscle group, the burn should resolve within minutes. However, sudden and sharp pain while exercising is cause for concern, and you should rest until symptoms resolve. Ice, heat and non-steroidal anti-inflammatory

medications can be helpful for persistent aches and pains. However, consult with a doctor before taking medications if you have any underlying health issues. If symptoms are severe or if they don’t steadily improve with time, it is best to seek the opinion of a medical professional.

“Debilitating back pain with sciatica may represent a disc herniation and is something that should prompt more rapid medical attention, especially if you are experiencing weakness in your legs. If you develop numbness about your genitals, inability to urinate, or loss of bladder control in the setting of back and/or leg symptoms, this could represent critical nerve compression and necessitates an immediate trip to the emergency room to reduce the chance of permanent nerve damage.”

CrossFit and kids.

“Some parents worry about the weight-training aspect of CrossFit,” Dr. Derman said. “Research suggests that it is safe for children to participate in light weightlifting after age eight. Rather than stack on the plates and aim for full muscle fatigue, kids should use relatively light weights with high reps – they should be able to perform 8-15 at a given weight without significant struggle. Parents and trainers should reinforce the importance of form above all else.”

Don’t forget about foods and beverages for quicker recovery.

“Post-exercise nutrition is key to speeding recovery and maximizing the benefits of your workout,” Dr. Derman said. Because powering through ‘Fran’ or ‘Murph’ can result in depletion of your body’s glycogen stores and even break down muscle proteins, eating the right nutrients afterward can help your body recover more rapidly.

“I recommend that the CrossFit athlete consume 0.14 – 0.23 grams of protein and 0.5 – 0.7 grams of carbohydrates per pound of body weight (1:3 ratio) within 45 minutes of completing your workout. This allows you to take advantage of your body’s enhanced ability to rebuild glycogen and protein immediately after exertion. Plus, don’t forget to hydrate. Water is sufficient after a typical workout, but a sodium-containing beverage is advisable to maintain proper electrolyte balance when exercising indoors for more than two hours or in the heat for over an hour.”

Dr. Peter Derman

UNIVERSITY OF TEXAS M.D. ANDERSON HOSPITAL AND TUMOR INSTITUTE TRAINED PHYSICIANS

THOC P.A. DBA

We do all types of infusion and accept ALL INSURANCE as well as Medicare, Medicaid, Secure Horizon, Molina and Superior Texas Hematology Oncology Centers

NOW ACCEPTING ALL MEDICARE ADVANTAGE PLANS

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COMPLETE INFUSION CENTER

DALLAS 10 Medical Parkway Plaza III, Ste. 106

Courtesy Key-Whitman Eye Center

Spring in North Texas can be especially brutal for allergy sufferers. According to the Asthma and Allergy Foundation of America, Dallas ranks 19thin the nation for the most challenging places to live with spring allergies, although this year’s ranking is an improvement from last year’s no. 7 rank.

Spring allergies can cause sneezing, runny nose and nasal congestion, as well as dry, red, itchy, burning or even swollen eyes. These symptoms are more than irritating; they can be downright painful.

How allergies affect your eyes

When the conjunctiva (mucous membrane covering the whites of the eyes and lining the eyelids) comes into contact with allergens such as pollen from grasses, trees and weeds, the immune system senses a threat and antibodies are developed that release histamine, causing watery, itchy, red eyes.

In addition to seasonal allergies, many people suffer from perennial allergies, which may be caused by dust, mold, pet dander, air pollution, cosmetics, perfume, medication or smoke. If you aren’t certain of the cause of your eye allergies, ask your doctor for an allergy test to determine the source of your discomfort.

Common types of allergic eye conditions

Allergic conjunctivitis or allergic rhinoconjunctivitis: This is the most common allergic eye condition, and it is typically associated with seasonal allergies or hay fever. The release of histamine can cause common eye allergy symptoms, including itchy, red, burning, watery or swollen eyes. Topical antihistamine drops, decongestants and mast-cell stabilizers are common treatments for allergic conjunctivitis.

Atopic keratoconjunctivitis: Primarily affecting adolescent

TIPS FOR DEALING WITH SPRING ALLERGIES

boys, this condition involves inflammation in the conjunctiva and the cornea. Symptoms include itchy, red patches on the eyelids, scaly or crusty skin on the eyelids, heavy discharge or sensitivity to light. If not properly managed, this condition could lead to permanent scarring of the cornea from rubbing and scratching.

Vernal keratoconjunctivitis: Though less common, this spring eye allergy condition causes the eyes to become itchy, sensitive to light and can even cause eyelids to feel heavy or droopy. Improper treatment may lead to impaired vision. A short-term, low-dose prescription of topical steroids has shown to be the most effective treatment for this condition.

Eye care tips for dealing with seasonal allergies

If you suffer from seasonal allergies, follow these eye care tips for relief from your symptoms:

• Apply a cold compress. If your eyes are puffy or swollen from allergies, a cold compress can provide temporary relief.

• Stay inside and keep your windows closed on high pollen count days. Local weather services provide daily pollen counts. When pollen is high, avoid being outside as much as possible. Typically, pollen counts tend to be higher mid-morning and early evening.

• Wear eyeglasses or sunglasses to block pollen from your eyes. When you do go outside, eyeglasses or sunglasses can provide an extra shield to protect your eyes from allergens that may be in the air.

• Practice proper contact lens care. Contact lens wearers may experience more allergy symptoms due to allergens becoming trapped behind the contact lens. Lenses should be cleaned thoroughly and changed regularly. Do not share contact lenses or cases with others.

• Wash your hands and hair frequently. In the same way your hands can spread germs, they can also spread allergens, and if you spend much time outside during the spring, pollen and other allergens may become trapped in your hair.

• Avoid rubbing or scratching your eyes. Consistently rubbing or scratching your eyes may lead to more serious eye problems or a damaged cornea. Purchase over-the-counter eye drops, or ask your doctor for prescription eye drops to help relieve dry or itchy eyes.

• Change your bedding frequently. Allergens can stick to your bedding, further irritating your eyes.

• Remember that some eye conditions—dry eyes or pinkeye, to name a few—are not caused by allergies, but may be confused with allergies.

• If you are experiencing any of the symptoms of eye allergies, only your doctor will be able to tell you if your symptoms are in fact caused by an allergic reaction. Schedule an eye exam today to ensure your symptoms are not caused by an infection or more serious problem.

From left to right are: Kimberly S. Warren, M.D.; Falsal, M.D.; and Sadof Razi ElHaffar, O.D.

Think It’s a Stroke? Recognizing the Symptoms Can Save Your Life

F B A E S T

STROKE COMES ON FAST.

B.E. F.A.S.T., by the American Stroke Association® offers an easy way to remember the most common signs of stroke.

911

BALANCE

Does the person have a sudden loss of balance or coordination?

EYESIGHT

Has the person lost vision in one or both eyes or have they had sudden double vision?

FACE

Ask the person to smile. Does one side of the face droop?

ARMS

Ask the person to raise both arms. Does one arm drift downward?

SPEECH

Ask the person to repeat a simple phrase. Is their speech slurred or strange?

TIME

If you observe any of these signs, call 9-1-1 immediately.

At TMC, a 24-hour stroke team and trained emergency department personnel provide care in our designated stroke units. Ambulance personnel will provide care in transit, and they alert the hospital that a patient in need of critical care is on the way. Hospital staff is ready when you arrive.

A Higher Level of Stroke Care

TMC is home to a neuro-interventional center, featuring lifesaving biplane angiography. The center houses an advanced imaging system for the quick and accurate diagnosis and treatment of blockages in the head and neck.

Advanced Primary Stroke Center Certification Level II Primary Stroke Facility designation

See all that we offer: texomamedicalcenter.net/stroke