Texoma Area Living Well Magazine September-October 2019

TEXOMA AREA SEPTEMBER/OCTOBER 2019

PLUS:

A mother’s Plea

Over 40 and Happy! Returning to College

At Texoma Orthopedic and Spine, we are dedicated to providing our patients with the highest quality treatment of Orthopedic injuries and disorders for patients at all stages of life. Our physicians, Mark Young, MD; Brian T. Rose, MD; C. Craig Cranford, DPM; and Benjamin Wilson, MD, believe in improving quality 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 variety of orthopedic conditions, including 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:

• Hip to Total Joint replacement

• ACL Reconstruction

Spotlight on our Surgeons

Brian T. Rose, MD, FAAOS Orthopedic Surgery of the Spine

Surgical Services:

• Spinal Fusion

• Kyphoplasty

• Total Joint Replacement including Knee and Shoulder

• Fracture Repair

• Carpal Tunnel Release

• Rotator Cuff Repair

• Arthroscopic wrist, knee and shoulder surgery

• Cervical Disk Replacement

• Microdiskectomy

• Spinal Decompression

• Interlaminar Stabilization

C. Craig Cranford, DPM, MPH, FACFAS Foot and Ankle Surgery

Surgical Services:

• Foot and Ankle Trauma and Reconstruction

• Fracture repair

• Flat Foot Reconstruction

• Total Ankle Replacements

• Bunion Repair

• Hammertoe Repair

Benjamin Wilson, MD, FAAOS Orthopedic Surgery

Surgical Services:

• Total Joint Replacement including Hip, Knee and Shoulder

• Fracture Care and Repair

• Hand Trauma and Soft Tissue conditions

• Arthroscopic Knee and Shoulder Surgery

• Joint replacement in small joints

• Charcot reconstruction

• Foot and Ankle arthritic conditions

• Plantar fasciitis

• Achilles Tendon Repair

Therapy Services:

• Orthopedic Care

• Manual Physical Therapy

• Manipulation based therapy

• Dry needling

• Cupping

• Individualized exercise programs

• Sports and injury prevention programs

• Vestibular rehabilitation

• Balance and fall prevention programs

• Pre- and Post-Operative therapy

• ACL Reconstruction

Taylor Denney, PT, DPT

Julie Harbison, PTA

Jared Bourne, PT, DPT

YRECOGNIZE

THE SIGNS

ou may recognize our cover celebrity, Dr. Travis Stork, as the former star of ABC’s long-running prime-time dating juggernaut, The Bachelor, but his sizable credentials extend beyond looking for the girl of his dreams. MD, ER physician, and the host of the award winning syndicated television program The Doctors, Stork is also a New York Times #1 bestselling author.

Although he didn’t find his soul mate on The Bachelor, this heartthrob’s time spent “interviewing” potential mates was not for naught. By the time he landed a spot on The Doctors, Stork was not only a board–certified emergency medicine physician, he was a seasoned television personality whose easy going demeanor and frank approach to uncomfortable topics made him a natural fit for a daytime talk show. You could end up in this charming doctor’s care if you turn up in a certain emergency room. But, you’ll have to read the cover story on Stork to find out where.

While the 47-year-old Stork is likely unfazed about the aging process. For most of us, being “over 40” is stressful. According to Julie Alvira, MD, MBA, it’s a time that can readily result in anxiety and heightened stress. With that in mind, Dr. Alvira offers the top questions to ask your doctor when you’re over 40. We think you’ll be surprised by some of the questions to consider. For woman, these include: “What is the probability of getting pregnant” and “How often do I need a PAP test?” Meanwhile, for men, questions include: “Are my testosterone levels normal?” and “When do I need a prostate test?”

Switching gears, in this issue, Kimberly Blaker shares the harrowing tale of her son’s decline into mental illness. Her son was diagnosed with schizoaffective disorder at the age of 19 and the first several years of his adult life were spent inside a living hell. She chronicles the trials and tribulations she’s faced with her son and offers valuable information to help other families recognize the signs of schizophrenia, along with suggestions on where to turn should the disease be present.

Be vigilant with the healthcare of you and your loved ones. Recognize the signs and act accordingly.

Sincerely,

Sam and 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

The Real Deal

By Sondra Barr

DR. TRAVIS STORK FINDS SUCCESS IN AND OUT OF THE EMERGENCY ROOM.

Travis Stork, MD, ER physician, and the host of the award winning syndicated television program The Doctors , is having a moment.

Fresh off wrapping up the 11th season of his Emmy-nominated medical talk show, in August Dr. Stork tied the knot with his girlfriend of three years, lawyer Parris Bell. He’s been basking in the resulting endorphins since.

Of course, the self-described adrenaline junkie’s marriage to Bell left scores of women across the country distraught. Stork, 47, the former star of ABC’s long-running prime-time dating juggernaut, The Bachelor, is officially off the market.

That doesn’t mean you don’t have the chance to be under his ministration. If you happen to end up in a Nashvillearea emergency room, you may find yourself under the handsome doctor’s care. When not in Hollywood tapping The Doctors, Stork practices emergency room medicine and lives in Nashville. Where, according to reports, his colleagues call him ‘Doc Hollywood.’

Surprisingly, Stork never intended to be a doctor or a television star. First, he was an actuarial scientist working in Washington D.C. After graduating from Duke University magna cum laude as a member of Phi Beta Kappa Society, he found himself pouring over numbers and research but longing for more human interaction.

“I just was never meant to be someone who was sitting all day in front of a computer,” he told Chris Parton with Nashville Lifestyles Magazine. To feel more in tune with the community, on his off time, he volunteered at a Washington free clinic, which inspired Stork to earn a medical degree with honors from the University of Washington, where he was a member of Alpha Omega Alpha.

“Even though I was good at math, I feel like that (volunteer clinic) experience showed me that you can use science and also have the personal element.”

During his emergency medicine residency at Vanderbilt University Medical Center in Nashville, Tennessee, Stork appeared on Season 8 of The Bachelor. Stork later revealed how he landed as the star of the popular ABC show in a 2016 episode of The Doctors.

“I went to dinner with my ER colleagues and a person came up to me from The Bachelor and hung out with our group of ER friends and was buying beverages,” Stork recollects. “The next thing you know, I’m literally in Paris as The Bachelor.”

During the season finale of the dating show, Stork handed schoolteacher Sarah Stone the final rose. Seven days after the program’s pre-taped finale aired, the couple called it quits. Stork went on to complete his residency before working in the emergency departments at Vanderbilt and then a hospital in Colorado, although he grappled with the tremendous recognition his stint as the bachelor generated.

“What I didn’t expect was coming back and then feeling like I had to justify all the hard work I had put in,” he told Meredith B. Kile for ET Online. “I worked really hard in med school and residency. My record speaks for itself.”

Although he didn’t find his soul mate on The Bachelor, the heartthrob doctor’s time spent “interviewing” potential mates was not for naught. By the time he landed a spot on The Doctors, Stork was not only a

Continued, next page

Continued from previous page

board –certified emergency medicine physician, he was a seasoned television personality whose easy going demeanor and frank approach to uncomfortable topics made him a natural fit for a daytime talk show.

The Doctors premiered in 2009. The brainchild of Jay McGraw, the son of Dr. Phil McGraw, a psychologist who was a regular on Oprah before starring on Dr. Phil, the show combines entertainment with legitimate medical information.

On The Doctors, Stork heads a panel of three other physicians in the fields of pediatrics, plastic surgery, and obstetrics/gynecology. The quartet presents their knowledge in an entertaining way and educates viewers on how to live healthier lives. In 11 seasons, the group has tackled myriad issues from the mundane to the sensational. Recent episodes explored topics ranging from rare skin diseases, gym germs, dating behind bars, and a medical condition that causes public pooping, interspersed with viewers’ phone calls and e-mail queries.

“What I try to do on the show is teach and share with people all of the little things they can do to improve their health,” said Stork in an interview. “I think our show has really empowered people. Viewers tell me

they feel more knowledgeable and more excited about their health rather than intimidated or even terrified.”

According to a New York Times article by Brian Stelter written a few months after the show’s release, as the creator of the show, McGraw’s priority was to

Travis Stork married girlfriend of 3 years, Parris Bell, in Nashville last month.

feature physicians who regularly see patients rather than ones who spend all their time on television.

McGraw attributed the show’s success to “allowing them to be doctors and videotaping it.” The show has gone on to win the 2010 Emmy Award for Outstanding Talk Show/Informative and has been nominated six times in the category. Meanwhile, Stork and his cohosts received back-to-back Emmy nominations for Outstanding Talk Show Host in 2011 and 2012.

Stork has parlayed his medical and television success into publishing as well. Stork is the New York Times #1 bestselling author of The Doctor Is In: A 7-Step Prescription for Optimal Wellness, The Lean Belly Prescription, The Doctor’s Diet, and The Lose Your Belly Diet––Change Your Gut, Change Your Life.

The Amazon summary of The Doctor’s Diet says, it’s the “solution to unhealthy eating, an American epidemic with a death toll higher than that of car accidents, drug abuse, smoking, and gun violence combined. Here, Dr. Stork offers a flexible and workable diet plan that addresses this health crisis by helping you lose weight, restore your health, and ultimately add years to your life.”

While promoting his book, The Doctor Is In: A 7-Step Prescription for Optimal Wellness, Stork sat down with CBN.com to share his philosophy on health. “You have to be your own health guru; you have to be the CEO of your health. Treat it like a job.”

“People in their 20s needs to realize that chronic illness starts its progression in your younger years. Heart disease doesn’t start in your 50s. That’s why making health

switches––like eating whole grains in place of refined carbohydrates––when you’re young is important.”

It’s advice that Stork himself heeds. While not a vegetarian, he incorporates five to six smaller meals into his day. From whole grain cereals to lean proteins, healthy fats, and good carbs, he also makes sure to add foods high in fiber to the mix.

In addition to a healthy diet, Stork consistently stresses the importance of exercise. In an interview with journalist Diana Kelly, Stork said, “With society as sedentary as it is, it’s important to be walking. Even 10 minutes after every meal adds up to 30 minutes a day.

Stork also stresses finding an active hobby. “We’re genetically programmed to enjoy activities. I’d venture a guess there is some activity out there for all of us. For me it’s biking. Don’t stop until you find an activity you enjoy, commit to it, and just like everything, schedule it.”

The first doctor in his family, Stork takes the profession seriously. “During med school, I kept a journal of the type of doctor I wanted to be. One of the first things I wrote was ‘Whenever you’re with a patient, put them at ease.’ If you walk in and you’re like, ‘Okay, what’s going on?’ it’s very different from pulling up a stool, sitting, and saying, ‘Miss Watkins, I’m sorry you’re not feeling well. How can I help you?’ Stork explained to Prevention Magazine.

“If you’re present, a patient can tell––even if you’re busy or if they’re calling you over to Trauma Bay One. The same thing is true of friendships or hosting a television show.”

UNINTENDED CONSEQUENCES

By Craig Watson

As people age, they often begin to wonder what will happen to their home and investments if they get sick. They may set up their bank or brokerage accounts as “right of survivorship” accounts so that their children will be able to access the accounts in order to pay bills. My friend, Ava, recently found herself in a quandary because she put her daughter’s name on a large investment account, intending for her daughter to be able to pay her bills if she became ill.

Ava was a 79-year-old widow with two adult children. She owned a small house and a large brokerage ac count. Ava’s son George was a real estate executive in Vermont. Ava’s daughter Jill lived with Ava. Ava’s Will bequeathed her estate in equal shares to her two children. Several years after Ava put Jill on the investment account as a joint sign er, Jill lost her job. She began to expe rience self-image problems because she was divorced, jobless and generally didn’t like herself. Jill became verbally abusive, threatening and intimidating. Jill even hit Ava during an argument. Ava confided to George that she was afraid of Jill and wanted to move out. George decided to schedule a vacation to come help his moth er find an assisted living facility.

George helped Ava visit all of the different facilities in the area. She decided to rent an apartment in a brand new facility that would soon be complete. Ava also took George to meet with her broker to make sure her affairs were in order. During the meeting, they learned that by putting Jill’s name on the invest ment account, it had become a Joint Tenancy with Rights of Survivorship (JTROS) account which meant that the joint account owner who lived the longest would automatically own the entire account upon the death of the other joint owners. Ava was surprised to learn that substantially all of her estate would instantly be owned by Jill upon Ava’s death regardless of the provisions of her Will. Ava’s broker explained that the signature card that they had signed with Jill to put her name on the JTROS account is actually a contract. The terms of the contract were in fine print on the back of the document. The broker told Ava that it was his firm’s policy to require Jill’s signature to authorize the removal of her name from the account.

No one at the brokerage firm had explained these consequences to Ava when she put Jill’s name on the account. It made no difference that all of the money in the account was Ava’s. Ava became very anxious and scared when she realized that her new apartment would not be ready for a couple of weeks, George had to return home and Ava would be left alone living with Jill. She decided to wait until after she moved into her new apartment to ask Jill to sign the brokerage firm’s form. Unfortunately, Ava died before her new apartment was ready so the brokerage firm stated their intention to give the money to Jill. Ava’s son, as executor of

child’s approval. A much better way to enable your children to pay your bills or access your accounts if you are sick is by asking your estate planning attorney to prepare either a power of attorney or a trust as part of your estate plan. Either document can be drafted to allow your child to access your assets but only for your benefit. Further, you can change either document without notice to the child. If your child runs into financial problems, his or her creditors will not have an interest in your accounts. Finally, the power of attorney and the trust offer many additional advantages to you that can be explained by your estate planning attorney. Avoiding joint accounts can prevent unintended consequences.

Craig Watson’s legal practice is focused on Estate and Tax Planning, Probate, Guardianships, Elder Law and Corporate Law. Formerly a CPA, he has over 25 years of experience and can be reached by calling 903-813-8500.

GRAY DIVORCE

Courtesy Dobbs Wealth Management Group of Wells Fargo Advisors

According to the National Center for Health Statistics and the U.S. Census Bureau, divorce after 50 has doubled since 1990. Couples who have been together for many years tend to have more shared resources and the financial implications of a split can be complicated.

“Divorce at any age is often traumatic,” says Juston Dobbs, MBA, CDFA®, CFP®, Senior Vice President – Investments at Dobbs Wealth Management Group of Wells Fargo Advisors in Sherman. “Divorce is most likely the largest financial transaction one will experience in his/her lifetime.”

That’s why engaging a Certified Divorce Financial Analyst (CDFA®) in addition to your attorney and CPA, may prevent costly mistakes. Together, these professionals comprise a team with extensive knowledge of tax law and asset distribution.

Divorce

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Often, one of the spouses has not been actively participating in financial decisions and may not be aware of what assets are or where they are. Juston, who has over 20 years’ experience as a CERTIFIED FINANCIAL PLANNER™ (CFP®) professional may help develop an accurate assessment of your financial situation, evaluate tax consequences, consider division of property, and review retirement funds, life insurance, and social security benefits. Additionally, he can help you prepare a post-divorce comprehensive investment plan, including a workable budget for your future.

“Many people mistakenly believe that a 50/50 split of assets is the fairest and easiest solution,” Juston says. “That’s not always the case and a comprehensive review of all your assets and liabilities will help prevent unwanted surprises so you can begin a new chapter in your life.

“I want to help people during this difficult time when their lives have just been completely changed.” Call Juston at 903-893-6682 for more information.

The use of the CDFA® designation does not permit Wells Fargo Advisors or its Financial Advisors to provide legal advice, nor is it meant to imply

Courtesy Dannel Funeral Home

Suppose you die unexpectedly. We don’t like to think about it, but it happens and when it does, families are faced with making over 100 decisions very quickly. They may struggle with doing what they hope is what you would have wanted. But they won’t know for sure. Unless you have a pre-plan.

The simple act of pre-planning your service is a remarkable way to assist your family through the difficult days surrounding your passing. Knowing your wishes relieves them of the tremendous burden of having to guess, and hope they “get it right.”

The process requires thoughtful attention, but it isn’t arduous or unpleasant. Some of it is simple information gath-

Got plans?

ering, including facts about your life. There is a place in the Dannel Preplanning Guide, a preliminary planning tool, to describe the type of service you want, whether you’d like to be cremated or buried, who you want to officiate, favorite flowers, and other helpful information.

You can record logistics, such as where you store important papers, who your insurance agent is, where you bank. You can list cherished items––what they are, why you love them, who you would like to have them. Finally, the guide includes space for your family history and treasured memories.

Be assured that pre-planning arrangements are transferable, so if you move to another city, another funeral home will honor your plan. You have pay-

ment options within a plan that fits your budget. And costs are frozen, even if the service is paid out in installments. (Funeral costs, like most other services, rise over time.)

A Dannel Funeral Home counselor will assist you throughout the process, working with you on a broad range of choices. You can take your time. You are welcome to take the guide home and discuss it with your family.

“Pre-planning is one of the most important gifts you will ever give, offering peace of mind to those you love most,” says Charles Dannel, owner of Dannel Funeral Home. “It’s one of the reasons we say, ‘Take care of your family. We’ll take care of everything else.’” You are invited to call 903-8931171 for more information.

c Make dinner reservations for Sat night

c Schedule Bruno for the vet

c Buy theater tickets, aisle seats

c Pre-plan funeral

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It’s important. It’s reasonably easy (and the staff at Dannel Funeral Home will help guide you). It’s an amendable document. It’s transferable, if you move. It’s a free booklet. Did we say it’s important? It’s one of the best gifts you can leave behind for your family. Call for

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

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REHABILITATION PLAYS A CRITICAL ROLE IN HELPING PATIENTS RECOVER

For patients recovering from stroke, brain injury, orthopedic and general surgery, sports injuries, falls and other conditions, rehabilitation is often essential to healing.

At Texoma Medical Center (TMC) patients have access to both a comprehensive inpatient and outpatient rehabilitation program, depending on their needs.

injury or total joint replacement can begin their journey back to health.

A specialized team, including occupational, speech and physical therapists dedicates itself to helping patients reach the highest level of independence possible.

When a patient starts rehabilitation, the multidisciplinary “Reba Rehab” team assesses his or her abilities and

Quality and comfort is key for inpatients

TMC recently announced that the Reba McEntire® Center for Rehabilitation has been named a top performer.

To track quality outcomes, inpatient rehabilitation facilities across the country use what’s known as a Uniform Data System for Medical Rehabilitation. The Reba McEntire® Center for Rehabilitation has been ranked among the top 10 percent in the country in the 2019 Program Evaluation Model rankings.

Comprehensive, personalized and family-centered care for inpatients

The Reba McEntire® Center for Rehabilitation offers a beautiful, homelike setting, where patients who have experienced debilitating illness or injury, such as stroke, trauma, spinal cord

limitations. Together, team members develop an individualized plan of care, focused on meeting the patient’s specific needs and goals.

“No matter what the diagnosis, we tailor the plan to each patient,” says Deborah Fisher, MD, Reba Rehab Medical Director. “We stay in contact with patients’ physicians and closely monitor progress throughout their stay.”

The rehabilitation program’s philosophy encourages family members to participate in therapy. They’re also included in discussions about discharge planning. “It’s important for family members

to be involved,” says Dr. Fisher. “Chances are a close relative will be a caregiver, so education is a part of the patient’s successful recovery.”

TMC Outpatient Therapy Services

Also provides personalized and comprehensive care. Recently relocated to a new and larger location with 12 treatment rooms and a spacious gym, TMC Outpatient Therapy Services offers treatment to patients with neurological, orthopedic and other conditions. The gym is available to those participating in the hospital’s fitness or wellness program.

As with inpatient rehabilitative care, certified physical, occupational and speech therapists work together and individually with patients to ensure personalized and well-rounded care.

Rehabilitative services include:

• Physical, occupational and speech therapies

• Advanced facilities and equipment

• In-house Medical Director

• First certified hand therapist in the area (outpatient)

• Lymphedema specialists (outpatient)

• LSVT® BIG Treatment for Parkinson’s disease (outpatient)

• Fitness program, featuring certified trainers (outpatient)

• And more

For more information or to arrange a referral or admission for inpatient rehabilitation, call the Reba McEntire® Center for Rehabilitation at 903.416.1040. For TMC Outpatient Therapy Services information, call 903-416-4241. For complete information on treatments and services offered at TMC, visit texomamedicalcenter.net

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

See how Reba McEntire Center for Rehabilitation helped.

SENIORS AND RETIREES ARE RETURNING TO COLLEGE––HERE’S HOW YOU CAN TOO

By Kimberly Blaker

As many seniors and retirees today will attest, you’re never too old to go to college. Lifelong learning has become increasingly popular in recent years as baby boomers have reached the age of retirement. For some, the purpose in going back to school is to finish their studies and accomplish a degree. But for many more, it’s simply for fun and an opportunity to gain knowledge, discover new interests, and keep their minds and bodies fit.

With the rising costs of college, you may see it as an unlikely endeavor. Not to mention, if you’re still in the workforce, where would you find time for the commute and classes let alone time to study? Fortunately, today there are many ways to overcome these obstacles.

If you’d like to go to college, first, consider your purpose and what you hope to accomplish. Do you want to earn your degree? Are you primarily interest-

ing in broadening your knowledge? Are you in search of new interests and socializing opportunities? Your answer might be one or all of these. But knowing your purpose will give you direction.

Once you’ve determined what you hope to achieve, visit nearby colleges or explore the websites of colleges in the city or state where you’d like to settle for retirement, and see what they have to offer.

Non-traditional college credit

Resources for financial assistance

• Visit Fast Web for information on colleges and a scholarship search at www.fastweb.com

If earning your degree is important, today, more and more accredited colleges offer a variety of options for earning nontraditional course credit. Look into this first to save time and money.

• For federal grants and loans, request your Student Guide by calling (800) 433-3243 or visit www.studentaid.ed.gov/resources

• Visit the U.S. Department of Education for information on tax credits at www.studentaid.ed.gov/types/ tax-benefits

At some colleges you can earn Self-Acquired Competency (SAC) credits. These may have different names at various institutions. But such credits are available for a wide range of skills and life experiences. This requires compiling a

portfolio for faculty evaluation. Your portfolio will include onthe-job training, work and volunteer experience, workshops, seminars, and more. If you served in the military, you may be eligible for Military Service Credit for education you gained through schools, experience, or service. You can also earn credits by examination. Some of these include:

• Credits for College-Level Examination Programs (CLEP)

• Advanced Placement Examinations (AP)

• Defense Activity for Non-Traditional Education Support (DANTES)

Credit by examination can also save time and money if you have knowledge in a particular area or if you study and test well. But be sure to check with your institution before enrolling since credit may not be awarded following admission.

Another possibility for credits is if you’ve completed any noncollegiate or in-company sponsored programs or courses. Find out if those programs or courses are any of the thousands reviewed by the American Council on Education (ACE). If so, ask your academic institution if they award credits based on ACE recommendations.

Correspondence and online courses

Independent study programs offer a couple options. Online courses can be taken in the convenience of your home. These usually require attendance (at your computer) at specific times. Correspondence courses are a good option also because there are no schedules. They usually allow six to eighteen months for completion with extensions up to one year. Evening and weekend courses as well as accelerated programs also offer some flexibility.

How to pay for tuition and books

There are many options for financing your education. The Federal Pell Grant is available regardless of your age and is awarded based on financial need. The maximum award amount for the 2017-2018 school year was $5,920. Several other options include:

• The Federal Supplemental Education Opportunity Grant (FSEOG)

• The Federal Work Study program

• The Federal Perkins Loan

• Federal Subsidized Stafford Loan

• Federal Unsubsidized Stafford Loan

Many scholarships are also available for seniors. So ask the academic institutions you’re considering what they offer.

If you’re still in the work force, ask your employer if it offers reimbursement for college courses. If the classes pertain to your job, your employer may cover the costs.

Finally, don’t forget the American Opportunity Tax Credit, which modifies the HOPE Credit, a tax credit available for eligible taxpayers, totaling up to a maximum of $2,500. There’s also the Lifetime Learning tax credit. Certain requirements and restrictions apply.

If you aren’t interested in pursuing a degree, but just want the opportunity to attend courses, many colleges also offer special rates to seniors to audit a class.

Coordinating multiple responsibilities

Like many older Americans, you may still be working. But with a little planning and finesse, you can develop workable solutions that’ll free up time for your studies.

Start by making a list of all your responsibilities, then cross off anything unnecessary. Where else can you save time? You can do housecleaning every 10 to 14 days rather than weekly. Skip cleaning anything that isn’t in dire need until the next time. Straighten up only the main rooms on a daily basis. Others can wait.

Colleges that offer independent study

Before enrolling, make sure credits are transferable and the institution is fully accredited.

Indiana University’s School of Continuing Studies, Independent Study Program.

• Eastern Michigan University, Distance Education Program.

• Ohio University Lifelong Learning Programs, External Student Program.

• University of Colorado at Boulder Independent Learning Program.

• Upper Iowa University, External Degree Program.

• The University of Texas at Austin Continuing and Extended Education, Distance Education Center.

Make a pact to limit volunteering your time until you’ve reached your educational goals. If ‘no’ isn’t in your vocabulary, create reminder cards. Then put them by the phone and in your purse, so you’ll be prepared to say ‘no’ at all times.

Discuss the importance of furthering your education with your partner. Ask which responsibilities your partner is willing to take over until you’ve accomplished your goals.

Ask your employer if you can take shorter lunch breaks and leave earlier. Another possibility is for your employer to allow you fewer but longer workdays for an extra day off study each week.

Kimberly Blaker is a freelance lifestyle writer. She also writes content and blog posts for businesses in a variety of industries and is an expert in on page SEO. www.kimberlyblaker.com

THINGS TO CONSIDER WHEN BUYING A NEW WASHER AND DRYER

By Jennie Joseph

If you haven’t shopped for a washer/dryer in a while, you will quickly realize how much the choices and process of buying one have changed. Like buying any high-priced item, it can be an intimidating task. In fact, the many choices that are now available can make it even more overwhelming. To help reduce the stress of buying a washer and dryer, here are five things you should consider before committing to a purchase:

Front Load Versus Top Load

Top-loading washers are the ones you are probably most familiar with and are the ones that you grew up with (if you were lucky enough to have a washer and dryer in the house). You can still get newer models of top-loading washers, but they are becoming outdated. They are not as efficient as front-loading washers, which are the trend for modern households. However, at the same time, if you are trying to save on costs, top-loading washers are the cheaper option, averaging around $250.

You should also consider the size of your family and the average amount of water you will use. Front-loading washers use about 21-25 gallons on average for a wash cycle, while top-loading washers can use more than 40 gallons. Although front-loading washers use less water, they generally take longer to run through a whole cycle. Top-loading washers also tend to be a little tougher on fabrics while front-loading washers are on the gentler side.

Front-loading washers cost more than top-loading washers because they are more efficient and have faster agitation speeds. The spin cycles are quieter even though the speeds are higher on front-loading washers. High-speed cycles help get clothes cleaner and use less water.

Size Does Matter

Today, you can find washer-dryer combinations in many different sizes. Some are smaller than others, and many compact dryers are vent-less and don’t need to send exhaust to the outside. Stackable washer and dryer combos, for example, are perfect for small spaces and apartments. Others are oversized —made to hold multiple loads. The typical washer basket is about 27 inches deep, but some are bigger, suitable for large families.

Features to look for

New stainless steel washer tubs last longer and absorb odors better, but can be a little more expensive than plastic. Some dryers come with a special rack for drying delicate items such as shoes and sweaters. Here are some of the other newer features you can choose from:

Gas Versus Electric High-efficiency gas dryers reduce utility bills and dry clothes faster.

More Temperature Settings New temperature settings include allergen, and sanitizing settings, as well as steam heat to get clothes cleaner.

Specific Wash Settings Modern washer-dryers have quick-wash settings, delicate cycles, wash cycles for kids’ clothing, extra rinse cycles, presoak cycles, bleach and softener dispensers, favorite or custom settings and so on.

High-tech Features Delayed start to avoid peak-hour usage, self-cleaning technology and smartphone-enabled alerts as well as start/stop, load sensors, moisture sensors, sanitation cycle and wrinkle-prevent dryer features are just a few of the available high-tech extras.

As you decide on which features you want, think about whether or not you need every single high-tech extra feature you can buy. Will the extras actually be of use to you, or will they be something you never give a thought about? Some new features you should take advantage of such as energy-efficient machines (look for the Energy Star label) and noise-reduction technology. Others may just be nice to have but not necessary; opt out of these if you want to save money.

Warranty Terms

A one-year warranty comes with most new washers and dryers. Make sure that if you buy high-tech washers and dryers, your warranty covers repairs for tech-enabled features.

Take the time to read customer reviews. This can save you a lot of time and money. You can learn a lot from someone else’s experience. Make a list of what you must have and stick to your budget. You may find out that you like to do laundry.

Sta ed by 3 Licensed, Doctors of Audiology

Hearing Aid Fittings, Maintenance and Repairs

Wireless/Connectivity Hearing Solutions

• Invisible Fittings/Open Fittings

Evaluation Period On All Hearing Aids

Hearing Evaluations For All Ages

Battery Purchase Programs

Custom Ear Protection

Assistive Devices

29 Years of Experience

“Hearing Services of Mckinney is my #1 place to go for my hearing loss needs. Caring and dedicated professionals with many years of experience working daily to meet your needs” .

– Terry G. Box, Retired Collin County Sheri

TAKING GOOD CARE OF YOUR HEARING AIDS

Hearing aids are pretty sturdy devices in spite of their complex electronic components. They’re shock resistant and well-protected against moisture and humidity. But unlike mobile phones and computer tables such as an iPad, many hearing instruments don’t come with built in GPS locating devices (although some of the newer made for iPhone hearing aids can make use of the Find my Hearing Aid app through phone, assuming hearing aid is still turned on and battery good), so they can get lost!

The summer months are particularly challenging for hearing aids due to humidity, moisture and perspiration. In fact perspiration is a greater challenge than just water due to the salt content. Many of our devices today incorporate good water resistancy but things can still happen. Many households may experience an increase in humidity during the summer, which can be potentially harmful to hearing aids. One of the best ways to avoid water damage is to eliminate the risk altogether. Be sure to see if your hearing aids are moisture resistant. The other recommendation (good idea all year round, not just in summer) is to use a dehumidifier to store your hearing aids in. Hearing aid dehumidifiers use a desiccant to extract moisture from the hearing aid overnight. This desiccant helps prevent water from interacting with the electric and metallic components of the hearing aid. These dehumidifiers can serve as a good “insurance” policy to help protect your devices and keep them working better for longer.

We recommend that you never wrap your hearing aids in tissue paper. Hearing aid users have thrown the tissue paper away and even flushed it down the toilet and there go the hearing aids.

Also, if on an airplane, don’t wrap your hearing aid in an airline napkin-have also had thrown away inadvertently when the tray table was being cleaned (i.e. Passenger sleeping and the flight attendant clears the tray).

Hearing aids sometimes get lost within the wearer’s home. One woman replaced her lost hearing aids, only to find them behind the couch 2 years later. When we have a patient call us to inform us that they’ve lost their hearing aid(s), we usually encourage them to look for several days or a week before filing a claim or purchasing new. Most hearing aids come with an initial loss/ damage policy included in their warranty (typically a one-time loss and will have a deductible apply).

Hearing aids have been left in pockets and then put through the washing machine. We don’t recommend it, but it’s not unusual for hearing aids to survive the wash and spin cycle.

Hearing Aid Cases

Hearing aid cases are an excellent accessory for keeping your hearing aid safe! They can protect against moisture, dirt and dust. Furthermore, you are less likely to lose or break your hearing aid if you have a case that you routinely put it inside when it is not in use.

Keep your hearing aid above ground level, as moisture from freshly worn shoes or other articles of clothing might spread moisture across the floor.

Keeping these tips in mind can help protect your hearing aids and allow you to enjoy daily activities without worry!

And beware of small animals. Some

By Elizabeth Brassine, Au.D.

dogs like the smell of the acrylic casing (can often smell their “human” on the hearing aid) and will chew up hearing aids if within reach. Also if the hearing aid is left on, the exceptional hearing of a dog can hear it feeding back and then find it and react to it as in chew it!

So, take good care of your hearing aids, and remember, the safest place for them is in your ears (or case or dehumidifier jar at night)!

Fun hearing fact (Noisy Pigs)

About 30 million Americans are exposed to hazardous levels of noise from recreation, at home and at work. One of the most hazardous work sites may be the farm. Researchers at Kansas State University found farm workers to have a high incidence of hearing loss, apparently due to the noise of both machinery and farm animals. Noise levels have been recorded at 74 to 112 decibels (dBA) for tractors and 80 to 115dBA for harvesters. And pig squeals-particularly sows in gestation have been measured at 80 to 115dBA (anything above 85 is considered harmful)!

To hear better, is to live better! Start a better health and wellness conversation today! Better hearing health is possible! Call your audiologist today!

Elizabeth Brassine is a doctor of audiology and the owner of Hearing Services of McKinney.

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

Orthopedic & Spine Surgeon

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

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

Stuffed Butternut Squash

Ingredients:

• 2 medium butternut squash, about 2 1/2 pounds each

• 2 teaspoons olive oil, divided

• 3/4 cup quinoa

• 1 1/2 cups low sodium vegetable or chicken broth

• 1 bunch kale, stems removed and chopped (about 6 lightly packed cups)

• 2 cloves garlic, minced

• 1 teaspoon dried oregano

• 1/2 teaspoon kosher salt

• 1/2 teaspoon black pepper

• 1 (15 ounce) can low sodium chickpeas, rinsed and drained

• Zest of 1 orange, plus 1 tablespoon fresh orange juice

• 1/3 cup reduced sugar dried cranberries

• Grated Parmesan cheese or crumbled feta cheese

Directions:

Preheat oven to 425. Halve the butternut squash, scoop out the seeds, then arrange the halves on a baking tray, cut sides up. Drizzle with 1 teaspoon olive oil and sprinkle lightly with salt and pepper. Bake 45-55 minutes, just until the squash is fork tender. Remove from the oven and let cool. Reduce the oven temperature to 375 degrees.

While the squash is baking, place the broth in a small saucepan and bring to a boil. Add the quinoa, return to a boil, then reduce the heat, cover, and let simmer for 12 minutes, until most of the broth is absorbed. Remove from the heat and let sit, covered, for 15 minutes. Fluff with a fork, then set aside.

In a large skillet, heat the remaining 1 teaspoon olive over medium. Add the kale and cook until wilted, about 4 minutes, then reduce the heat to medium low. Add the garlic, oregano, 1/2 teaspoon salt, and 1/2 teaspoon black pepper. Cook 30 additional seconds, until is fragrant. Stir in the chickpeas, orange zest, orange juice, cooked quinoa, and cranberries.

Once the squash is cool enough to handle, scoop out the flesh, leaving a 1/2-inch-thick border around the sides and a 3/4-inch border along the bottom. You can reserve the flesh for another recipe. Stuff the kale quinoa filling into the squash halves, then return the squash to the oven. Bake at 375 degrees until hot, about 10 additional minutes. Sprinkle with cheese and serve warm.

The “S ca rless” Face Lif t

Nationally-k nown facial plastic surgeon Dr. Gregor y D Rober ts has refined a face lift technique, k nown as the “scarless” face lift, which allows patients to recover from surger y with vir tually 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 vir tually imperceptible signs of surgical inter vention.

Dr. Rober ts’ patients love their results!

KM contac ted Dr Rober ts after viewing some of his online images. During her consultation Dr Rober ts recommended upper and lower blepharoplasty (eyelid lifts) as well as a mini face lift. “I inherited drooping eyes from my dad, sagging jowls from my mother. But Dr Rober ts has completely changed that for me. Now I get comments even from strangers about how good my sk in looks. Only my close friends k now what I’ve had done, but I feel dramatically different. I t ’s helped my confidence and I’m definitely more comfor table 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 star ted 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 sk in is. I didn’t want to overdo it, and what Dr. Rober ts did is per fec t. Ever yone in his office was attentive, helpful and suppor tive. I’d definitely do it again.”

At 53, JR, below, had a face lift, endoscopic brow lift and lower blepharoplasty per formed in one procedure “Before the surger y I looked tired and my jowl area and the sk in around my mouth sagged,” she said. “Dr. Rober ts spent a lot of time explaining ever ything and answering my questions. After surger y, 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 surger y! To me, it ’s so natural. I can’t say enough good things about Dr Rober ts and his staff ”

5 Weeks - No Visible Scars below

Gregor y D. Rober ts, M.D.

Cosmetic Surgeon

Meet Gregor y D. Rober ts, M.

At Rober ts Cosmetic Surger y Cen Rober ts specializes in facial cosmetic medical procedures, including the “scarles lif t, endoscopic brow lift, blephar rhinoplasty, otoplasty, chin and lip impla For over 20 years, Dr. Rober ts has his surgical specialty on the face, but he also per forms minimally invasive medical procedures, such as BOT dermal filler procedures. Dr. Robe dual Board cer tified by both the Ame Board of Facial Plastic and Reconstru Surger y as well as the American B of O tolar yngology | Head and Neck Surger y.

Dr. Rober ts personally per forms all surgical procedures, BOTOX® and filler procedures. Laser and resur facing procedures at Rober ts Cosmetic Surger y are per formed by a cer tified and licensed aesthetician, while his suppor t staff endeavors to provide optimal patient care

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COMMUNICATING WITH A GRIEVING PERSON

By Kelly Lamkin, LBSW

When 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!

A MOTHER’S HARROWING TALE OF HER SON’S DECLINE INTO MENTAL ILLNESS––and

Signs to Watch for in Your

Regardless of our kids’ trials and tribulations during childhood and into teen years, the furthest thing from any parent’s mind is that our child might develop a serious mental illness. Unfortunately, it’s an equal opportunity disease that can strike even model kids who’ve rarely experienced a difficult day in their lives. Just as kids are preparing to become independent adults is when serious mental illness (SMI) often strikes. The incurable brain diseases of schizophrenia, schizoaffective disorder, and bipolar disorder combined strike one in every 25 people typically as they are entering adulthood.

My son (who I’ll call Sean) was diagnosed with schizoaffective disorder at the age of 19. This disease is the combined illnesses of schizophrenia and bipolar disorder. The first several years of his adult life were spent inside a living hell—literally. The early stage was marked primarily by delusions and paranoia: there was a government conspiracy against him, Li’l Wayne and Drake were writing derogatory songs about him, and pimps were trying to kill him. But this was only the beginning of a downward spiral.

Teen or Young Adult

The first year of treatment showed only mild success. Antipsychotics are relatively fast acting, and if monitored, can be quickly adjusted or changed. But with a severe shortage of psychiatric beds, lack of adequate federal and state funding for mental health care services, and laws as sick as those who are ill—problems that exist in every state in America—he was in and out of the hospital within days, still in psychosis. Further hindering recovery, he was allowed only one 30-minute psychiatric appointment per month despite having a severe brain disease.

There are two broader problems with treatment for the SMI in America, which are laws and funding.

Laws were created decades ago to protect the rights of seriously mentally ill individuals. But legislators didn’t take

into account that those with SMI are often unaware of their illness due to a symptom called anosognosia. As a result, the SMI are most often unwilling to seek treatment.

Mental hospitals have shut down in droves in recent decades. At the same time, public funding for treatment has dwindled drastically. This has impeded the development of adequate outpatient services and housing for seriously mentally ill people.

Important to note, new research indicates episodes of psychosis may cause more damage to the brain. The lack of timely, adequate, and appropriate treatment often results in each episode becoming increasingly more se -

By Kimberly Blaker

vere, reducing the likelihood of recovery.

This had proven true for Sean. A year into his illness, he received a message from a game of Scrabble to cut off his ear or toe or to break a leg in order to save the world. In the middle of the night, I awakened to his blood curdling screams. He had jumped 15 feet from a tree, fracturing his back instead. Just prior to this feat, he attempted, unsuccessfully, to silence the commands. He branded his arm with a fork, a scar that remains today. He was admitted for psychiatric care, but released within seven days with little improvement.

Over the next three years, he was hospitalized with increasing frequency, always released within days. He was paranoid and lived in constant fear with the belief his family and friends wanted to kill him. He hallucinated that I said such horrific things to him as, “I’m going to chop off your head”, or “I’ll bury you alive.” He spent nights awake sitting on his bed prepared to bolt if I broke down the door to kill him.

A few years into the illness, the television told him he was Jeffrey Dahmer, and the President told him to kill me. My son isn’t violent. But statistics speak for themselves. Psychosis often leads to violent and tragic acts by those who are otherwise nonviolent. It was a several day battle to get him hospitalized. But he was released in three days in the same condition.

Finally, we got a little breather though. For a couple months, although his psychosis was still present, it had at least improved. But this often didn’t last. With Sean’s paranoia that doctors, pharmaceutical companies, and his family were trying to poison him, he often refused medication.

Soon Sean took another downturn. He couldn’t comprehend real conversations because the hallucinatory voices were so overpowering. He carried on arguments with these voices, told news anchors on the TV to shut up because they were talking about him, and was angry with the Pope for something the Pope was doing to him.

He repeatedly insisted he was traversing. As a result, there were two of him, or maybe three––and he didn’t know which was the real him. He became confused and didn’t know where he was and often pleaded with me to get him home. I’d try to reassure him, “You are the real Sean, and you are safe at home.” It was heartbreaking.

Finally, several years into my son’s illness, I was finally able to get his psychiatrist to put him on Clozapine, the gold standard for treatment resistant patients. Although Sean still experiences mild psychosis and is disabled, he’s seen remarkable improvement.

But my son and I aren’t alone. This plays out for millions of seriously mentally ill people and their families day-after-day, week-after-week, and year-after-year as loved ones spiral further into the abyss.

In recent years, legislative proposals have been introduced. There’ve been some very small strides in changing laws to improve the care and treatment for those with SMI. Still, there’s a long way to go to ensure appropriate and adequate treatment for all the sons, daughters, parents, and siblings in America suffering from serious mental illness— and for the countless people who in the future who will be struck by this dreadful fate.

Signs of schizophrenia to watch for in your teen or young adult child

It’s often difficult to recognize SMI developing. That’s because many symptoms of these illnesses are also typical problems associated with the teen years. There’s no cure for schizophrenia, schizoaffective disorder, or bipolar disorder. Still, recovery is possible for many with these brain diseases. But early detection is crucial to the prognosis.

Schizophrenia

With schizophrenia the symptoms usually, though not always, develop gradually over months or even a couple

Continued, page 46

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 Chief of Orthopedic Surgery at the Medical Center of Plano and a member of the Hospital’s Executive and Operating Room Committees.

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.

Being “over 40” for some people can be stressful because the idea of aging does not sit well for many. There’s a feeling of being overwhelmed and preoccupied that can easily result in anxiety. Nobody wants to age even though aging is inevitable. To accept our age, take care of ourselves, be mindful of our reactions and behaviors to circumstances, and to be mindful of our appearance, are all part of respecting our whole being. Loving our age is loving ourselves. There are many wonderful aspects about being over 40 and feeling good, stable, and happy. Creating your life the way you want it to be, is essential. One primordial thing that many tend to forget is to take care of our health.

“Sometimes you get so busy taking care of others that you forget you are important too.”

Here are top questions that you should ask your doctor:

Men

• Are my testosterone levels normal?

• Are there any screening tests for men that I need?

• When do I need a prostate test?

OVER 40 AND HAPPY!

TOP QUESTIONS TO ASK YOUR DOCTOR WHEN YOU’RE OVER 40.

By Julie Alvira, MD, MBA

Women

• I understand a couple of things about menopause. Can you explain to me the signs and symptoms I should look for?

• Are my estrogen levels normal for my age?

• Are there any screening tests for women that I need now?

• When do I need breast cancer screening? How often?

• Is depression normal in aging?

• Is anxiety normal in aging?

• Should I change my skin care?

• What can I do about vaginal dryness?

• Should I get my hormones adjusted?

• What is the probability of getting pregnant?

• Should I worry about osteoporosis?

• How often do I need a PAP test?

Both Men and Women

• What kind of sunscreen do you recommend?

• How is my heart’s health?

• I heard metabolism gets slower with age, what can I do about it?

• I’m losing some hair. Why?

• I feel my libido decreasing. What can I do?

• Why do I have more joint pain than usual?

• I am not sleeping very well. Why is that?

• I have a family history of Alzheimer’s; do I need to do any special test?

• Is my weight alright for my age and height?

• Do I need a colonoscopy?

• Can you tell me my BMI?

• What can I do to lose some weight?

• What can you recommend to have more energy?

• Is my blood sugar within normal limits?

• Can you check my cholesterol?

• Do I need to take any special supplements?

• Are there any tests specific for my age that I should do?

• Is my blood pressure alright?

• I am not hearing very well. Do I need a hearing test?

• How does my family history affect my health?

• I heard there are tests to see the gut function. Can you explain about them?

• What can I eat to preserve my vision?

• I heard about hormone replacement. Can you explain to me what involves?

• Why do I pee more frequently than before?

• How often should I be getting checkups?

Julie Alvira, MD, MBA is the founder of Coach Dr. Julie, LLC. Executive Coaching. “Level Up Your Medical Practice.” www.coachdrjulie.com. email: julie@coachdrjulie.com.

years. They show up as changes in behavior, thinking, and emotions.

Changes in behavior may include:

• Poor hygiene

• Talking to oneself or odd speech

• Difficulty with making or maintaining friendships

• Substance abuse

• Unusual facial or body movements

• Unblinking vacant expressions

• Difficulty picking up on social cues

• Threatening behaviors

• Increasing isolation

• Inappropriate emotional responses like laughing at something sad

Emotional changes are often seen in:

• Angry outbursts

• Extreme moodiness or irritability

• Severe anxiety and fearfulness.

Changes in thinking might include paranoia:

• Obsessing about the past

• Visual or auditory hallucinations

• Delusional thinking (illogical and nonsensical ideas)

• Difficulty with concentration or following a train of thought

• Trouble distinguishing dreams or television scenes from reality.

Bipolar

Bipolar is a mood disorder with swings to opposite extremes. It’s believed there may be a correlation between this disease and ADHD. There are a couple forms of bipolar, one in which mania is more severe. The less extreme state is called hypomania. With bipolar, the mood swings in teens can change in the course of just a few hours or days. During adulthood the swings can last much longer, for weeks or months.

Depressive symptoms to watch for include:

• Loss of interest in activities

• Decline in grades

• Difficulty concentrating

• Prolonged sadness or irritability

• Loss of energy

• Change in sleep patterns

• Change in food intake

• Feelings of guilt or worthlessness

• No longer experiencing pleasure

• Suicidal thoughts

• Anxiety, worrying, and anger

The difference between mania and hypomania is primarily the severity of the symptom where mania is more extreme. Mania or hypomania can be seen in the following symptoms:

• Decreased need for sleep

• Elated mood to exaggerated optimism

• Increased energy

• Increased confidence

• Extreme focus on projects

• Increased physical or mental activity

• Increased creativity or productivity

• Increased libido to hypersexual thoughts and behavior

• Difficulty concentrating

• Inflated sense of self-importance

• Risk taking and reckless behavior

• Racing speech and thoughts

• Grandiose delusions

• Hallucinations

Schizoaffective disorder

This disease has the combined symptoms of both schizophrenia and bipolar. The symptoms, therefore, can be any combination of symptoms for the two distinct diseases.

Getting help

If your child exhibits signs of SMI, be aware that counselors and therapists often don’t have the educational and medical background to diagnose or treat these specific brain diseases. Seek an evaluation at a walk-in mental health crisis center or a licensed psychiatrist. You can also consult with your family doctor who can make a referral. Continued from page 41

Kimberly Blaker is a freelance lifestyle writer. She also writes content and blog posts for businesses in a variety of industries and is an expert in on page SEO. www.kimberlyblaker.com

“You may find that your 2nd or 3rd opinion should have been your first.”

DENNIS BIRENBAUM, MD

Dr. Birenbaum founded the Arlington Cancer Treatment Center in 1981. He founded the Texas Hematology Center, PA in 1997. He is the founder, Medical Director, and CEO of Patients Comprehensive Cancer Center (2001) & McKinney Regional Cancer Center (2007). Dr. Birenbaum trained at The University of Texas M.D. Anderson Cancer Institute for 5 years, 3 years as a Hematology/Oncology fellow and 2 years as facility professor. His private practice in Hematology/ Oncology has been in the Dallas/Fort Worth area since 1979.

AREAS OF CLINICAL INTEREST:

• Gastrointestinal Tumors

• Melanoma, Sarcoma

• Breast Cancer

• Lymphoma

CREDENTIALED AT SEVERAL LOCAL HOSPITALS:

• Centennial Medical Center

• Medical Center of McKinney

• Methodist Richardson Medical Center

• Dallas Medical Center

• Specialty Hospital

• Kindred Hospital

PERSONAL INTERESTS:

• Born and raised in Dallas, TX

• Attended SMU (Southern Methodist University)

• Father of 2 sons

• Owns six dogs

• Loves traveling and golf

• Avid collector of arts and antiques

Dennis Birenbaum, MD and Dr. Wyszynski, MD, DO are M.D. Anderson trained hematologists/oncologists.

Dr. Wyszynski, MD, DO also trained at Fox Chase Cancer Center in Philadelphia, PA.

EUGENE J. WYSZYNSKI, DO

Dr. Wyszynski joins the Texas Hematology and Oncology Centers after many years of successful private medical practice in the Dallas/Fort Worth area. Dr. Wyszynski completed his internship and residency at John F. Kennedy Memorial Hospital in Stanford, New Jersey. He followed these with a number of Fellowships including one in Hematology/Oncology at the prestigious M.D. Anderson Cancer Center in Houston, TX, and two years at Fox Chase Cancer Center in Philadelphia, PA. Dr. Wysznski is well known for his quality of care and the personal interest he takes in his patients. He is very active in many professional societies and investigative trials.

BOARD CERTIFICATIONS:

• American Osteopathic Board of Internal Medicine: Hematology/ Oncology-Certified: 8/24/2007

• American Osteopathic Board of Internal Medicine

PROFESSIONAL SOCIETIES:

• American Osteopathic Association

• ASCO

• Texas Medical Association

• Dallas County Medical Association

CLINICAL CANCER INVESTIGATIVE TRIALS:

• Central Pennsylvania Oncology Group Protocal

• Eastern Cooperative Group

• Southwest Oncology Group

PERSONAL INTERESTS:

• Married and father of 2 children

• Enjoys traveling and spending time with family

• Active in many hobbies

Key-Whitman Eye Center

SPECIALTY: LASIK, Cataract Surgery, Symfony, Crystalens, and Comprehensive Adult Eye Care

Thousands of North Texans choose Key-Whitman Eye Center because they want better vision, and Key-Whitman is one of the few eye centers that offers the full range of vision improvement options. This highly experienced team of doctors offers patients comprehensive eye care with the convenience of locations across Dallas-Fort Worth. Chief surgeon and President Dr. Jeffrey Whitman is the past president of the American College of Eye Surgeons and is recognized in D Magazine as one of the Best Doctors in Dallas for 18 consecutive years. He is one of the first surgeons in Texas to be trained in LASIK eye surgery for nearsightedness, farsightedness, and astigmatism. Today, Key-Whitman is known for all-laser, blade-free LASIK to give patients greater predictability and accuracy than ever before. From comprehensive eye exams, management of glaucoma and corneal disease to reconstructive and cosmetic eyelid surgery, Key-Whitman continues to provide its patients with personalized, high-tech solutions for better vision.

11442 North Central Expressway | Dallas 7785 Eldorado Parkway | McKinney

3060 Communications Parkway | Plano 910 North Davis Drive | Arlington 400 West Arbrook Boulevard, Suite 121 | Arlington

18661 LBJ Freeway, Suite 400 | Mesquite 2380 South Goliad | Rockwall 214-220-3937 | keywhitman.com

Front row from left to right: Todd Agnew, O.D., Anita Jacob, O.D., Kim Warren, M.D., Ron Barke, M.D., Martin Faber, O.D., Amanda Hoelscher, O.D., Larry Fish, M.D., Kate Lee, M.D., Jeffrey Whitman, M.D., Faisal Haq, M.D., Priya Kalyam, M.D., Alfred Humphrey, M.D., Edward Hurst, M.D., Tara Hardin, O.D., Amy Hong, M.D.

Reba McEntire Center®

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