Texoma Area Living Well Magazine January-February 2020

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

TA Note From The Mayor

David Plyler, Mayor SHERMAN, TEXAS

A Growing, Vibrant Community

he year 2019 was an incredibly exciting time in Sherman, Texas. During the last year alone, Sherman took numerous significant strides forward as a city in both the public and private sectors. And with new infrastructure and economic projects slated to come online during this coming year, the future of our city has never looked brighter.

Good schools are absolutely vital to any town that wants to provide an outstanding quality-of-life for its citizens. Because while parks are wonderful and potholes will always need to be filled, we must first ensure we’re doing right by our kids. Having facilities available at all levels of education that provide the maximum opportunities for children to learn is a critical part of that equation.

That’s why I’m incredibly proud of the work being done to build a new, state-of-theart Sherman High School. With a slated completion date in fall of 2020, this facility will serve generations of students in traditional subjects as well as through a brandnew Advanced Manufacturing Program to prepare our kids for the workforce.

A high-functioning school system is the first things families ask about when they move here – but it’s also the first thing prospective employers ask about as well. And Sherman’s pro-business approach to economic development has paid huge dividends in recent years. During 2019, our growing city added numerous employers, in addition to dozens of new small businesses in and around our growing, historic downtown.

Chief among those exciting economic developments was the addition of Finisar on our city’s south side. The high-tech manufacturer has brought more than 600 high-paying jobs to town, with plans to add even more employment as demand for its 3D imaging technology used in Apple iPhones continues to expand.

On the public sector side of things, Sherman boasts world-class utilities, as upgrades to our town’s drinking water plant have now been completed. That $30 million investment has greatly increased our ability to provide clean drinking water to our citizens and businesses for decades to come. Additional projects to expand our fire department, revamp our library, and add even more parks and ball fields were either completed in the last year or are due to wrap up soon.

And the close of 2019 saw Sherman break ground on one of the most ambitious projects Grayson County has ever seen – the Highway 75 “GAP” Project. With a scheduled build time of three years, the GAP Project will greatly upgrade and improve our County’s main thoroughfare and bring it up to Interstate standards. Financial contributions from both the City of Sherman and Grayson County – in addition to some great regional cooperation – made the project possible.

The City is also working alongside private developers to create several new commercial centers, with Schulman’s Movie Bowl Grill and the Crossroads Medical Center anchoring the city’s south side, and the Sherman Landing development anchoring on the north. Both of those projects will greatly expand the reach of Sherman’s economy to its borders, providing jobs and new opportunities along the way.

Put it all together and you have a small picture of our growing, vibrant community. Because although Sherman is just an hour from downtown Dallas, we might as well be a world away. And as our city continues its recent trend of rapid growth, we plan to make sure that our quality-of-life remains peerless in the great state of Texas.

“We Chose WNJ!”

Dr. Grant Craig

Pastor Terry Barnett

Natalie, Jeremy and Champ Roberts

Mayor David and Mignon Plyler

IDECADE OF CHANGE

t’s 2020. Let that sink in. To put it into perspective, 36 years ago our feature celebrity, Arnold Schwarzenegger, took on the breakout movie role of cyborg assassin, Terminator, who was sent back in time from 2029 to 1984. Time certainly does fly, but it’s been quite a ride for Schwarzenegger.

The bodybuilder once known as The Austrian Oak is the proverbial American success story. Born into an Austrian family that valued austerity and hard work, Schwarzenegger was taught that being the best was defined by winning and winning came from work. Built like an iron-muscled war machine, he took American bodybuilding by storm and parlayed his success on that stage to a career as a blockbuster action star.

Never satisfied with standing still, Schwarzenegger went on to command California’s highest office as governor, transcending his status as a sports and movie icon to become one of the most famous people of the last four decades, a startling achievement in both scope and magnitude. Now, he’s set to head into a fresh decade where anything is possible, at least as far as Schwarzenegger is concerned. Check out the profile on this ageless celebrity to find out why he continues to seek greatness and is looking forward to what’s next for 2020 and beyond.

Dr. Richard Jelsma is also looking forward to the decade ahead. Voted by the public as the Best of Texoma in Orthopedic Surgery in 2018 and 2019, this double board certified, fellowship trained orthopedic surgeon specializes in sports medicine, shoulder, and knee surgery and is considered one of the best surgeons in his field. His exceptional work with professional and recreational athletes who’ve suffered severe injuries is well known in Texoma and beyond. Turn to his cover story to learn more about his approach to medicine.

On the subject of the New Year, it’s time to take inventory, set goals, and take charge of your life. Of course, making resolutions is easier said than actually following through with them. In this issue, writer Kimberly Blaker offers some solid advice on how to avoid disappointment by setting yourself up to avoid failure and guarantee progress. By adjusting your mindset to enable success, you’ll stay strong when faced with thoughts of throwing in the towel. Check out her insightful suggestions.

Inside this issue, Blaker also tackles the fraught subject of anxiety. She provides insight on the symptoms of this common medical condition and offers tips on how to reduce anxiety and alleviate symptoms so that you can lead a happier, more fruitful life. Check out this and all the other educational articles in this issue. As always, thank you to the knowledgeable professionals lending their expertise to our readers. Here’s hoping they can help you tackle the new decade with success.

Cheers, 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

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

DHe is board certified by the American Board of Orthopedic Surgery in both orthopedic surgery and the subspecialty of sports medicine. He is a member and instructor for the Arthroscopy Association of North America, and the American Orthopedic Society of Sports Medicine. He has been practicing and providing high quality care to the patients in Texoma since 2000.

Dr. Jelsma has trained at some of the best universities and with some of the best surgeons in his field. Dr. Jelsma grew up in Louisville, Kentucky, then attended Dartmouth College. He graduated summa cum laude, phi beta kappa, and won the Haseltine award given to the most outstanding student in chemistry and physics. He then went to medical school at Columbia University in New York City, and completed his residency in orthopedic surgery at Columbia New York Orthopedic Hospital. He also spent a year doing basic science research on articular cartilage at the Orthopedic Research Laboratory at Columbia, where he focused on studying biomarkers of cartilage metabolism and injury. Finally, he was accepted into one of the most prestigious fellowships in sports medicine. He spent one year at the American Sports Medicine Institute with Dr. James Andrews, who is the most renowned sports medicine orthopedic surgeon. There he worked with many professional athletes and teams, and continues today to work with Dr. Andrews through his association with the Andrews Sports Medicine Institute at Children’s Hospital in Frisco. Dr. Jelsma created and is the medical director of the Children’s sports medicine program in the north Texas and Texoma area. He also remains at the forefront of cutting-edge technol -

ogy in his field, specializing in minimally invasive arthroscopic surgery of the shoulder and knee, robotic joint replacement surgery, and treatment of appropriate ligament and cartilage injuries with orthobiologics. He also teaches other physicians minimally invasive arthroscopic surgical techniques. Dr. Jelsma’s training has allowed him to become a very experienced surgeon, having performed over 15,000 surgeries in his career to date.

Although Dr. Jelsma’s training often focused on the needs of professional athletes, it was his fond personal memories of playing sports in high school and college that motivated him to focus on helping athletes of all levels, from high school seniors to senior citizens. He says, “It doesn’t matter if you are an athlete on a team, or a senior citizen having increasing difficulty with activities of daily living. Any patient can improve their health if they take an active role. I’m here to be my patients’ partner in the process.” He enjoys spending time finding out about his patients’ problems, and then collaborating with them to develop a personalized treatment plan. For this reason, if you make an appointment to see Dr. Jelsma, you will see him, not a physician’s assistant or nurse practitioner. He will explain in simple to understand terms what the problem is, and the options for treatment, discussing all viable non-surgical treatments first, with surgery being the last option whenever possible. His staff focuses on the patient, he tries to keep patient wait time limited, and he opened a new office in 2019 to improve his patients’ comfort. When you call for an appointment, there is no navigating frustrating phone trees, as his staff personally answers the phone.

Continued, page 10

SPOTLIGHT

Continued from page 9

Dr. Jelsma knows no one enjoys going to the doctor, so he tries to make the experience as pleasant as possible.

While his educational and professional accomplishments are impressive, he is particularly gratified when other physicians and healthcare providers in the community seek out his care. It is humbling when another medical professional who understands healthcare puts their trust in him as a physician:

Dr. Hunter Richmond, ENT surgeon and Crossfit competitor, says, “Rich (Dr. Jelsma) has been my friend forever. He’s a hard working physician that really knows orthopedics. When I tore my rotator cuff in a motorcycle wreck, he was my logical choice to address the issue. I wouldn’t go to anyone else. He’s trying to make everything better for patients so that they have a good outcome.”

Another physician who sought Dr. Jelsma’s help is pediatrician Dr. Rebecca Rue, who says, “A skiing accident left me with a torn ACL. It was a difficult injury, but Dr. Jelsma repaired my knee. so that I was able to return to a normal lifestyle. I’m currently training for a half marathon. Expect excellent results under Dr. Jelsma’s amazing care.”

Physical therapists work extremely closely with orthopedic surgeons. Several knowledgeable physical therapists have chosen Dr. Jelsma as their orthopedic surgeon. Bo Mosby chose Dr. Jelsma as his surgeon after years

of seeing his patients. Bo says, “Dr. Jelsma’s patients always have great outcomes, and are able to return to function quickly.” So when Bo broke his leg skiing, and his son tore his ACL playing football, he sought Dr. Jelsma’s help. He says, “I have nothing but great things to say about Dr. Jelsma and his staff, and I think the people of North Texas are lucky to have a doctor of his caliber available.”

Jon Poe, who has been treating patients in North Texas over two decades, chose Dr. Jelsma to care for his son when he tore his ACL, MCL, and meniscus cartilage playing football. He says, “During my son’s senior year of high school, he suffered a season-ending injury on the football field. He tore his ACL, MCL, and medial meniscus. Dr. Jelsma did a fantastic job with his ACL reconstruction and my son is back to an active lifestyle that includes running and cycling. Not only is Dr. Jelsma’s skillset top notch, his decision-making process allows for the best possible outcomes.”

Jay Estes, yet another skilled physical therapist, chose Dr. Jelsma to take care of his son. He says, “With my son being an athlete at Pottsboro High School and Dr. Jelsma being the team doc there, it was an easy choice picking him to do my son’s ACL surgery. But Dr. Jelsma’s position with the high school was only a small part of that decision. As a physical therapist, I’m very familiar with Dr. Jelsma’s work, and have seen patient after patient who he has performed surgery on thrive returning to their sport. My son’s knee was no exception. He has returned to sports with no issues and has full confidence in his knee. Dr. Jelsma is passionate about what he does and truly cares for his

Chiropractor and competitive water skier Stephanie Stange came to Dr. Jelsma when she tore her rotator cuff in a waterskiing accident. She says, “I injured my rotator cuff in an unfortunate water ski accident this spring. I consulted Dr. Jelsma because he is highly regarded by his peers and has expertise in shoulders. As a chiropractor, a mom and amateur athlete my priority was a full recovery. I had complete confidence in Dr. Jelsma. He was knowledgeable and thorough in his explanation of the surgery and rehabilitation to follow. Under his care and guidance, I am thrilled to be back to the active lifestyle I enjoy.”

Finally, Dr. Jelsma enjoys treating families, and feels honored when a fellow physician trusts him to care for their family. Among the over 15,000 surgeries he’s performed during his career include the multiple surgeries he’s performed on the Hodge family. Dr. Brad Hodge and his wife, Tawni, have seven sons and Dr. Jelsma has helped them all stay active on the sports field. When Tawni slipped on some ice and broke her ankle, “I knew that if he could keep my athletes on the field, he could fix my ankle,” says Tawni. “I’m married to a doctor, and I say with absolute confidence that Dr. Jelsma is excellent at his job and inspires confidence. He’s one of the kindest people I know and he has a great reputation.”

Dr. Jelsma has been dedicated to providing the highest quality of medical care to both his patients and the community at large. He founded the first sports medicine program in the Texoma area when he arrived in 2000. This program and Dr. Jelsma, who is the medical director, are now affiliated with Children’s Hospital and the James Andrews Sports Medicine Institute, helping to provide trainers and services to over 20 local schools in our community. The services cover treating more than just orthopedic injuries. For instance, the student athletes in our community now

have access to state-of-the-art concussion testing and treatment. This did not exist here when he arrived. In addition, since 2000 Dr. Jelsma has run a sports injury clinic in his office on Saturday mornings during the football season to treat any injured athletes.

Beyond sports medicine and orthopedic surgery, Dr. Jelsma was one of a small group of dedicated physicians who founded and built Heritage Park Surgical Hospital, which in 2015 partnered with Baylor and was renamed Baylor Scott and White Surgical Hospital at Sherman. He has been a board member since inception. It has been the highest rated hospital by CMS for quality and patient satisfaction in Texoma every year of its existence, thanks to an incredible staff, dedicated physicians, and a culture focused solely on providing the best possible care to our patients and community. It consistently achieves a 5-star rating, which puts it in the top 5% of hospitals nationwide. It has won numerous other awards for patient care as well. Finally, Dr. Jelsma is a proud supporter of the House of Eli, which is a locally run non-profit organization dedicated to helping troubled young men get on the right path to become a productive, responsible adult.

Dr. Jelsma is accepting new patients. He tries to get people with immediate need seen as rapidly as possible. Call 903-868-8800 to make an appointment. Our new office in Sherman is located in the Crossroads Medical Building, 204 Medical Drive, Suite 100. It is located on the south side of Sherman, at the intersection of Highway 75 and FM1417 (exit 56), on the northwest corner.

By Craig Watson

Back in 2006, Hal and Barbara had an unsettled feeling, but they couldn’t determine why. They were in excellent health. Hal was 85 and Barbara was 73. They had a modest estate consisting of a house and approximately $100,000 in savings. They rarely made withdrawals from their savings because their monthly income was more than enough for their needs. They had a close and trusting relationship with their children. Hal and Barbara knew their children were financially secure and were not counting on an inheritance. However, Hal and Barbara really wanted to make sure their estate would eventually be received by their children.

Hal and Barbara were anxious because they knew that their estate plan did not protect their assets from being depleted if one of them had to enter a nursing home. They also wanted to make sure that if either one of them had to go to a nursing home, their assets would be protected and available for the survivor. They didn’t have long-term care insurance and they knew Medicare would not pay for custodial care in a nursing home. When they had previously asked their accountant about how to protect their assets, she referred them to a Certified Elder Law Attorney. So they decided to make an appointment.

WISE ADVANCE PLANNING

The attorney explained all about how to finance long-term care and make changes to their estate plan. He explained that if one of them had to enter a nursing home, their savings would first be used up to pay for the required care and then the ill spouse would qualify for Medicaid, leaving the well spouse financially at risk. After considering several different alternatives proposed by their attorney, they decided to establish an irrevocable trust and put their savings in the trust.

They discussed the trust idea with their children and decided to appoint one of their sons as trustee to manage the trust. The trust would protect their savings from their future creditors and their children’s creditors, including if one of their children happened to experience a divorce. The gift to the trust would mean that Hal and Barbara would not be able to qualify for Medicaid to pay for nursing home care for five years. If they remained in good health for over five years, their life savings would be completely protected if one of them had to enter a nursing home. Their attorney included a provision in the trust that would

allow their children to access the trust funds. The attorney explained that in the event Hal or Barbara unexpectedly had to enter a nursing home during the five year period, it would be possible to unwind the trust and qualify the ill spouse for Medicaid before the five year period was complete. An additional benefit was that their new estate plan would allow both of their estates to avoid probate. The trust would avoid probate and terminate (with the trust funds going to their children) upon the death of the survivor between Hal and Barbara. The attorney explained how they could change their house deed so that it would avoid probate. He also explained how their children could avoid probate regarding Hal and Barbara’s cars. They were pleased to learn that the legal fees saved by avoiding probate would more than pay for the cost of the trust.

Hal and Barbara experienced good health for the next seven years until early 2013 when Hal experienced a dramatic medical event and spent almost a week in the intensive care unit of a local hospital and then another couple of months in a local rehabilitation facility and nursing home. Although Hal has finally improved enough to return home, he is very weak and Barbara needs assistance with his care. While Hal was in the nursing home, the family was able to apply for Medicaid assistance because Hal and Barbara had contributed their savings to the irrevocable trust. Now their children are able to use the trust funds to pay for extra care that improves the quality of life of both Hal and Barbara. They have the peace of mind because they know that their life savings will be preserved for the rest of Barbara’s life even if Hal passes away. Further, at Barbara’s death, their life savings will benefit their children.

NEW YEAR RESOLUTIONS: WHY THEY FAIL AND HOW YOU CAN SUCCEED

By Kimberly Blaker

“The new year stands before us, like a chapter in a book, waiting to be written. We can help write that story by setting goals.” -- Melody Beattie

The New Year is a great time to take inventory, set goals, and take charge of your life. But if you’re like most, making resolutions is much easier than keeping them. Rather than focus on the idea of a new beginning, which can lead to disappointment at the first slip, keep in mind that selfimprovement is an ongoing endeavor. Setbacks are not failure; they bring

wisdom and insight for future success.

Before making a split decision on this year’s resolutions, make a list of goals and changes you’d like to make. Then review your list, and cross off any you don’t feel genuinely devoted to.

Setbacks are not failure; they bring wisdom and insight for future success

Maybe you want to resolve to spend more time with your family, quit smoking, or lose weight. You’re more likely to succeed if you feel a strong personal commitment rather than ‘I should.’

One reason people don’t keep resolutions they make is the resolutions are often made to silence the pestering of a loved one. If you decide to quit smoking to get your husband off your back, you’re less likely to succeed. If you choose to quit smoking to feel healthier and be able to enjoy physical activity without being winded, you’re more likely to experience success.

Choose one or perhaps two of the resolutions on your list that you feel most committed to. Then choose one or two you feel confident you can do with ease. These last couple can be used as positive reinforcement for the more challenging first choices.

Next, make a clear plan for adhering to your resolutions. Put each resolution in writing and write down the steps to achieve them. Let’s say your resolution requires a routine or schedule such as an exercise routine, a new diet, or steps toward completing your education. Create a goal chart, a detailed plan, and a checklist to track your progress.

Also, post notes in strategic places such as the refrigerator, bathroom mirror, or steering wheel as reminders of your resolutions with tips on how to overcome temptation. Make sure your family understands the importance of your resolutions. Family support and their positive

reinforcement can be most helpful. If your resolution is something your family has been nagging you about, ask for their encouragement. But explain that pressure and pestering, particularly during setbacks, could undermine your resolve. Determine how each family member can help you to achieve your goal perhaps by taking on additional household chores or through affirmations of your continued success.

Adjust your environment to enable success

Adjust your environment to enable success. If eating healthier is your goal, don’t fill the cupboards with junk food for other family members. Find healthy snacks they’re willing to substitute. If you’re trying to quit smoking, avoid people,

places, and things that remind or tempt you, at least until you have it well under control. Don’t go it alone. If you have a friend with a similar resolution, make a pact. Work together to create a plan, and then make a point to check in with each other regularly for encouragement, praise, and support. If you resolve to get more exercise, do it together. Having a commitment and someone to accompany you will go a long way in helping you succeed.

Finally, reward yourself, not just once you’ve achieved your goal, but periodically for your success so far. Small, periodic rewards can be motivation enough to keep you strong when you’re ready to throw in the towel.

Remember, whatever New Year resolutions you choose, success awaits you if you resolve never to give up trying.

WHY CHOOSE CREMATION?

Courtesy Dannel Funeral Home

The trend continues. Cremation, a centuries old funeral rite, is increasingly chosen by individuals and families as an option that provides greater flexibility, allowing families to honor loved ones with traditional or contemporary arrangements––or even a blend of the two.

Charles Dannel, fifth generation owner of Dannel Funeral Home, said there are many reasons why cremation appeals to so many. Among them:

• Environmental concerns

• Personal or spiritual philosophy

• The possibility of less cost

• Society’s increasing mobility across broad geographic areas

• Growing acceptance among many religions.

Dannel Funeral Home provides cremation as one of many services to Tex-

oma families. Charles says cremation is simply another form of disposition, and that it doesn’t change the value of thoughtful memorials that celebrate life, acknowledge grief, and provide a significant tribute. “In fact,” Charles says, “cremation services may be no different than services for burial or interment. In recent years, people have increasingly chosen services tailored to the individual, adding ‘personality’ and meaning for the family. Cremation doesn’t change that.”

In addition to the varied service options available, families can still arrange to see their loved one before saying a final good-bye. Some families wish to have their loved one prepared for viewing at a family night or during the service. Cremation doesn’t take away options, it simply provides families with additional choices.

“We will assist you with every part of planning and carrying out whatever arrangements are most meaningful for you and your family,” says Charles. “We’ll talk with you about final resting place options, scattering, urns, interment, services, and keepsakes.”

“We’ve been honored to help Texoma families for over 100 years. My primary interest is to be sure every family’s emotional and spiritual needs are met. They only do this one time for their loved one; they get this one chance. We focus on how to help them feel comfortable in knowing they did the right thing, that they fulfilled the wishes of their loved one, so they can begin healing.”

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

YOUR INVESTMENT PLAN: GETTING IT DONE

Courtesy Dobbs Wealth Management Group of Wells Fargo Advisors

Your financial life requires thoughtful attention. Perhaps you want to know more about developing a diverse portfolio, tailored to fit your unique goals. You may want to consider rebalancing those investments as your life and economic circumstances change. You could have questions about life insurance, your IRA contributions, social security claiming strategies, and more.

Juston Dobbs, MBA, CDFA®, CFP®, Senior Vice President – Investments at Dobbs Wealth Management Group of Wells Fargo Advisors in Sherman, said one thing he has learned in his 20 plus years as a professional Financial Advisor is that most people know they need to do something.

“We help people do the things they know they need to do, but for many reasons, sometimes don’t,” Juston says. “It’s never too late to begin. Or reassess. Be assured that we’re committed to providing you with top-notch service and personalized attention that you expect––and deserve. We’ll work with you to assess your financial situation and determine strategies that take into consideration your goals, as well as other factors, such as your risk tolerance.”

“Our clients appreciate knowing that Wells Fargo Advisors offers a scale and structure that combines the capabilities and best practices available through a large, national firm with a client focus more typical of smaller firms,” Juston continues. “I believe the services offered to my clients are second to none. And for me, listening is key.”

The Dobbs Wealth Management Team of Wells Fargo Advisors can help clarify your financial situation, identify goals and develop a plan that may help you feel more confident about achieving your objectives. They understand that it’s about more than investments. It’s a part of caring for your family, paying for what’s important, saving for your goals, and meeting financial needs.

Let’s get started. Call 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 that the firm or its associates are acting as experts in this field. Wells Fargo is not a legal or tax advisor. Wells Fargo Advisors is a trade name used by Wells Fargo Clearing Services, LLC, Member SIPC. Any estate plan should be reviewed by an attorney who specializes in estate planning and is licensed to practice law in your state. Insurance products are available through non-bank insurance agency affiliates of Wells Fargo & Company and underwritten by non-affliated Insurance Companies. Not available in all states. CAR 0919-03563

To learn more about Dobbs Wealth Management Group of Wells Fargo Advisors, visit www.justondobbs.com http://www.justondobbs.com/

Helping Clients Succeed Financially

Providing advice and guidance for navigating

Juston J. Dobbs, MBA, CDFA®, CFP® Senior Vice President - Investments

Courtesy Home Hospice of Grayson

Areport released by the National Partnership for Hospice Innovation (NPHI) highlights several cost and quality differences between for-profit and nonprofit hospices serving Medicare beneficiaries. The report, prepared by the global actuarial and consulting firm Milliman, confirms three differences between the hospice types.

Compared to for-profit hospices, nonprofits:

• Report higher costs per day for direct patient care

• Have fewer patients who discontinue hospice care

• Generate lower Part A costs for Medicare in the subsequent 90 days among those patients who do decide to discontinue hospice care.

The report also found that nonprofit hospices enroll a higher percentage of patients who had an inpatient stay immediately prior to their hospice admission. This finding suggests they may be high-acuity patients with greater care needs on hospice enrollment. Meanwhile, for-profit hospices report lower spending and fewer visits per patient day for nursing care, therapy, and social worker services than nonprofit hospices.

As for advertising, for-profit hospices report spending over 300% more on advertising costs than nonprofit hospices.

And, for-profit hospices report spending less than half what nonprofit hospices report on bereavement services.

Compared to nonprofit hospices, for-profits have nearly twice the rate of live discharges. Patients discharged alive from for-profit hospices went on to incur higher Medicare Part A costs in the weeks and months post-discharge.

In 2017, nonprofit hospice programs operated at a net aggregate Medicare margin of 3.0 percent, while for-profit programs operated with a margin of 19.9 percent. This finding of a significant differential in the Medicare margin is consistent with the last several annual reports by the Medicare Payment Advisory Commission (MedPAC), a nonpartisan Congressional advisory panel.

John Richardson, NPHI Chief Strategy Officer, says, “We believe the findings of this deeply- researched expert report are consistent with and reinforce the findings of the most recent reports on the Medicare hospice benefit from the HHS Office of Inspector General, Government Accountability Office, and the Medicare Payment Advisory Commission. All have found significant differences between nonprofit and for-profit hospices in the stewardship of Medicare dollars and the quality of care for Medicare beneficiaries.”

Upcoming Events [ Texoma

January 3

Mesmerica 360 Denton:

A Visual Music Journey

6:00 PM

Sky Theater, Denton, TX www.danceandtheatre.unt.edu

Marty Haggard – A Tribute to My Dad

7:00 PM - 9:00 PM

Kidd-Key Auditorium, 400 N. Elm Street Sherman

January 4

Denison on Ice

Skate Night Date Night

9:00 PM - 10:00 PM

530 W Main Street Denison www.cityofdenison.com/parksrec

January 7–

February 28

January 11

MetLive: Wozzeck

12:00 PM - 4:00 PM www.exploreardmore.com

January 14

Bolshoi Ballet: Le Corsaire

6:00 PM - 9:00 PM www.exploreardmore.com

January 15

Texoma Medical Center

Stroke Support Group

3:00 PM

Reba McEntire Center for Rehabilitation, Denison www.texomamedicalcenter net/events-and-programs

January 17

Martyn Lucas - World

Piano Man

Sherman Lions Fundraiser

7:00 PM

Kidd-Key Auditorium

Area ]

January 25

Saturdays at the Station: Fiber Arts Meetup

10:00 AM

Meetup will focus on a different topic of artistic expression. Ideation Station, Sherman 101 East Jones Street

Choctaw Casino

Blake Shelton

8:00 PM

Choctaw Grand Theater www.choctawcasinos.com

Fastrac’s Eagle Watching

Breakfast Cruise

8:00 AM – 10:00 AM

Lighthouse Marina Charter Dock

300 Lighthouse Drive Pottsboro www.fastrac.com

February 29 – March 1

Arkansas Territory Juried Show

10:00 AM 5:00 PM www.heartofamericaartists.com

January 10

Texoma Medical Center

Living Well with Congestive Heart Failure

9:00 AM – 10:00 AM TMC Conference Room 2

400 N. Elm Street Sherman

January 18

Arkansas Territory

Exhibit Reception

6:30 PM - 7:30 PM

Goddard Center 401 1st Ave SW

Todd Mosby’s New Horizons Ensemble

7:30 PM – 9:30 PM

Goddard Center 401 1st Ave SW

January 20

MLK Day Parade and Celebration

10:00 AM - 12:00 PM HFV Wilson Community Center www.chickasawcountry.com/events

January 22

Denton Wine Walk

6:00 PM Downtown Denton

February 8

Choctaw Casino

John Pardi

8:00 PM

Choctaw Grand Theater www.choctawcasinos.com

February 19

Texoma Medical Center

Stroke Support Group

3:00 PM

Reba McEntire Center for Rehabilitation, Denison www.texomamedicalcenter. net/events-and-programs

February 22

Choctaw Casino

Clay Walker with Lonestar

8:00 PM

Choctaw Grand Theater www.choctawcasinos.com

The Great Texoma Gun/ Knife Show

Midway Mall - Expo Hall

9:00 AM

Midway Mall, Sherman

February 29

Sherman Symphony Orchestra’s Late Winter Concert

7:30 PM - 9:30 PM

Sherman Kidd-Key Auditorium 400 North Elm Street

Choctaw Casino

Eli Young Band

8:00 PM

Choctaw Grand Theater www.choctawcasinos.com

“While Alzheimer’s can’t be fixed, treatments and care can make a di erence in quality of life. We can be a valuable resource for families because we have experience caring for those with all forms of dementia. We’ll help the family go on this journey with the person they love.” – Steve Streun, owner

Steven & Kimberly Streun, Owners

Stoker, OTR & Kimberly Ross-Streun, OTR - Owners

DOCUMENTING YOUR LIFE

Courtesy Jennie James Photography

Documentary Photography is not about posing or cute outfits. It’s about preserving family memories for a life time. It’s about family relationships and personalities. It’s about capturing those every day moments that make your family unique. The little details of everyday life are where the love and hard work in a family shows.

A family documentary session is when I come to your house and document your family’s stories as they unfold. The session is not directed or posed; it is just me, observing and documenting blending in as part of the family.

Each session I do is unique to each family. We can go to your family’s favorite park, ice cream shop or document your daily routine. Maybe family comes to dinner once a week or close friends come over for game night and you want to remember those events just like they are. Family documen-

tary photography is capturing all the parts of life that seem mundane and boring but are done with love and care––the trips to the grocery store, making dinner, kids’ toys, diaper changes, baths and temper tantrums.

As a family documentary photographer, it is my job to allow moments to evolve. Your session will be undirected and unposed. This means that everyone isn’t always going to be happy and joyful. Our session together may also have tears and chaos. All emotions are welcome.

While documenting your family is the biggest part of my job, I also feel you need to have a tangible product to pass on to future generations. Being able to reminisce about what your days were like and reliving the feelings and moments that were captured is priceless.

Create a legacy for your family and schedule a family documentary session today.

Jennifer

CROSSROADS MEDICAL

204 Medical Drive, Sherman, Texas 75092

Jelsma Orthopedics & Sports Medicine ................

Richard D. Jelsma, MD

Alpha Orthopedics & Sports Medicine .................

Duncan L. McKellar, Jr., MD

Charles E. Toulson, MD, MBA

Jon C. Thompson, MD

Brian J. Snow, MD

Ask RX Pharmacy ...............................................

Helix Health Lab .................................................

Integrated Pain Management ..............................

Deborah Fisher, MD

Areli Medical Devices ..........................................

Peak Physical Therapy ........................................

Jon Poe, PT, LAT

ENT Centers of North Texas .................................

Hunter Richmond, MD

Peter Selz, MD

McDonald Arnot, DO

Sherman Internal Medicine & Primary Care .........

Benarji Tegala, MD

Grayson Digestive Disease Consultants ...............

Jermaine G. Clarke, DO, MBA

Grayson Digestive Health ....................................

Joseph Kim, MD

Texoma Weight Loss ...........................................

Ikram Kureshi, MD

First Texas Home Health Corporate Office............

Arnold Schwarzenegger

By Sondra Barr

The king of muscle heads into the future with ambitious plans.

He is the undisputed king of muscle who became the king of hustle. Driven by a seemingly insatiable furnace of ambition, Arnold Schwarzenegger speeds along from one project to another like a locomotive on steroids (pun intended).

At 72 years of age, Arnold is still working out, still appearing in films (like 2019’s Terminator: Dark Fate) and still inspiring future athletes, politicians, actors, and activists across the globe with half a dozen new initiatives.

A former tank driver for the Austrian military, Schwarzenegger’s new aspiration was to become a human tank. Built like an iron-muscled war machine, with an equally unbreakable spirit, he won 13 bodybuilding competitions. This was in an era before fitness had become fully immersed in popular culture, before Crossfit or Planet Fitness or 6-Minute Abs. He was the primary figure that ushered fitness into the cultural Zeitgeist, leading to a multi-billion dollar global industry.

In the beginning, friends and mentors worried that no one would ever be able to pronounce his name or look past his thick Austrian accent. Now, Schwarzenegger has been a household name for over 40 years. His accent is beloved, and he is a quadruple threat (and counting), having become a superstar in at least four arenas of public life, while continuing to build fame and credibility in other sectors.

He is globally famous for bodybuilding, Hollywood blockbuster films, entrepreneurship, philanthropy, activism, writing best-selling books on bodybuilding (and his autobiography, Total Recall, named for one of his famous sci-fi thrillers). Not to mention, he served as California’s 38th governor. He even playfully embraced the moniker of “The Governator” to the delight of some, and to the chagrin of more serious-minded public servants. In short, Schwarzenegger transcended being a mere sports icon to become one of the most famous people of this century and last.

He credits his resolve to a drive to keep moving forward at any cost. Schwarzenegger says he is never satisfied with standing still. “When people tell me I can’t do something, because no one has ever done it, I love that, because it means I get to be the first to do it,” he said in his autobiography Total Recall

Schwarzenegger has long served as a champion for youth and those with special needs. His biography details his years of support for the Special Olympics and the continual dedication of time raising awareness and funds about the importance of after-school youth programs. As the founder and honorary chair of After-School All Stars, he helped raise over $12 million for after-school programs for underprivileged youth across America, reports Haute Living Magazine

As he explained to Men’s Health magazine, he wanted to “Democratize fitness.” In 1990, he became the chair of the President’s Council on Physical Fitness, and he continues with his health and wellness crusade both by mentoring youngsters on healthy activities and by way of his supplements company called Ladder.

Since exiting elective office in 2011, Schwarzenegger has still committed great energy to politics and social issues like climate change. He started the “R20 Regions of Climate Action” group to bring together global resources and thought leaders to help stave off global warming from human pollution.

He also took up the cause of ending gerrymandering, which is a fancy term for redistricting voting areas to benefit a particular political party. In an interview with The Atlantic, he passionately described gerrymandering as “The evil of all evils,” because it leads to incumbents getting reelected again and again, and isn’t a fair representation of the political views in a given region.

According to Variety, his films have grossed over $5 billion, internationally. After a long and storied career of success in film and athletics, with all his 13 championships, he wanted to inspire others to be great just as his heroes like Eugene Sandow had inspired greatness in him.

He succeeded in making California even more ambitiously eco-friendly, in part through his Hydrogen Highway and Million Solar Roofs Plan. In December of 2019, he congratulated California for reaching its milestone onemillionth solar roof, according to The Sacramento Bee.

Schwarzenegger appeared at the CAA talent agency in 2017, with Mayor Eric Garcetti, to discuss changing the conversation around climate change. As reported by Variety, he strategized, “If you talk about climate change, it doesn’t really mean much to most people in the world, and when you talk about icebergs melting, they don’t care.” He went on to explain that climate talk needs to focus on the impacts on people living today, not what may happen decades from now.

Back in his bodybuilding heyday, he was known as The Austrian Oak. A man with such a sculpted physique he looked as powerful as anyone ever had, with a million-dollar smile, and a devilish sense of humor. He won the world over with his playful arrogance that was forgiven because his multiple championships earned him the right to be confident.

In Total Recall, Arnold describes his strict and austere upbringing in the Austrian countryside. As someone who grew up with a strict, military father who made him do push-ups to earn his breakfast, Schwarzenegger was born ready to push further than most people in order to achieve his goals. He was taught that being the best was defined by winning Continued, next page

From previous page

and winning came from work, while recreation and leisure were for losers.

Yet, Schwarzenegger’s life has not been without controversy and criticism. Of course, he is the type of personality that can turn even his worst failure into an inspirational and teachable moment, for those who are charmed by his personality and confidence.

Although he has openly admitted to using performance-enhancing drugs during competition, steroid use was legal when he competed. Still, purists consider steroids a blemish on his career. However, when one considers that Arnold’s generation of competitors took about onetenth the steroid use as today’s competitors, he feels his physique was all the more impressive.

Leading up to his run for governor of California, Schwarzenegger was accused of inappropriate touching, during a mild scandal that became known as “Gropergate.” He apologized and pressed forward, perhaps benefitting from the lack of social media in 2003,

therefore bypassing the scrutiny of the #MeToo movement. Further embarrassment shook the Schwarzenegger family and brand when Schwarzenegger’s marriage later crumbled in the heat of the public spotlight, after rumors of infidelity with his housekeeper proved true.

His marriage into the Shriver family put him into the Kennedy clan, which some saw as an indication of personal political aspirations. Of course, history proved that to be true, but he maintained in a People Magazine interview, that his love for Shriver was very real, and he regrets his infidelity. “If I could, in

reality, be Terminator, of course I would go back in time and would say, ‘Arnold … no,’” he told the magazine. “You know, it’s always easy to be smart in hindsight.”

Putting aside his past, Schwarzenegger continues to stay busy with his ambitious plans for the future, including new measures of corrective action for his physical well being. How does he train today? As he has relayed in many interviews, he’s modulated his workouts to include lower weights with higher reps, to be gentler on his aging body. After suffering a heart attack and undergoing knee and hip surgeries, he skips the high-impact powerlifting movements like deadlifts and squats in favor of machines with adjustable settings. “A guy like myself who had surgeries—they can always find an exercise around the injury that I could do. So I cannot do dumbbell lateral raises anymore, but I can go and find the machine that does exactly the same thing and I have no pain,” he explained during an interview with Men’s Health

AT LEFT: Arnold joins forces again with Linda Hamilton in the sixth film of the Terminator franchise, Terminator: Dark Fate [2019].

Arnold Schwarzenegger photo

Arnold won the Mr. Universe title at age 20 and went on to win the Mr. Olympia contest an impressive seven times.

Whereas Schwarzenegger used to eat everything under the sun, he has since adopted a stricter diet, telling Men’s Health that, “I always was called the garbage disposal because I was never sick and tired of anything.” Today, his diet leans heavily, though not entirely, vegan. And while he takes his own brand of supplements, Schwarzenegger gives the caveat that, “They only supplement what you get in your diet. So the key is to rely on good food. Natural food. Lot of vegetables, fruits and good proteins.”

When training for a new movie project, he cuts all sugars and white bread. Now largely plant-based, Schwarzenegger sometimes refers to himself as “nearly vegan.” He often drinks cherry juice and almond milk for protein and bone soreness. He was recently featured in the 2019 vegan documentary called The Game Changers, where he discussed his shift in diet.

Above all, Schwarzenegger is a family man. A proud father to five adult chil-

dren, he looks back on fatherhood with great nostalgia in Total Recall, calling it his way of “Giving back, by making a better world than you inherited by being a good parent.” Nowadays, his children have started marrying.

Schwarzenegger recently told ABC late-night host Jimmy Kimmel that he gets along really well with Chris Pratt, who married his daughter, Kathryn, in June of 2019.

“I get along with him really well,” he told Kimmel.

“Of course, the first thing when we met, he says, ‘Can we have a workout together? I need to have the inside scoop to pumping iron,’” Schwarzenegger explained.

Beyond a mutual love for working out, he was simply happy that another of his children had found love. “I’m really happy that he is such a great guy,” Schwarzenegger said. “A really kind man and kind to my daughter, which

is the most important thing for me.”

Whether striving for the 22-inch biceps or challenging the sitting governor of the nation’s most populous state, Schwarzenegger has always aimed big and achieved bigger. He is the embodiment of living larger-than-life, both literally and figuratively. He is the proverbial hard-working immigrant, whose motivation of a better life never allowed him to rest on his laurels.

It has been said that any great leader or public figure will polarize and alienate at least part of their fan base, and with Schwarzenegger it has been no exception. He seeks greatness, and manages to sidestep the naysayers on his way to the top of the mountain. As he famously explained in Pumping Iron, “When you’re at the top, you’re still hungry, but the food is always there.”

A photograph of the cast from The Expendables 3 with Sylvester Stallone, Mel Gibson, Jason Statham, Harrison Ford, Ronda Rousey, Kelsey Grammer, Wesley Snipes and Antonio Banderas [2014]

DISTRESSING ANXIETY SYMPTOMS— SOME YOU MIGHT NEVER EXPECT

By Kimberly Blaker

Imagine, out of the blue, you feel your brain spin 180 degrees at lightning speed as if fueled by an electrical current. This bizarre feeling isn’t lightheadedness, dizziness, or anything you’ve ever experienced. You panic and wonder, ‘Am I going crazy?’ Or worse, ‘Am I going to die?’ You try to brush it off when suddenly, it happens again.

According to the National Institute of Mental Health, nearly one in five Americans will experience an anxiety disorder in a given year. What’s more, there are over 100 possible symptoms, many of which you’d never expect to be caused by anxiety. For that reason, when they occur, they often exacerbate anxiety because of the worry caused by the symptoms.

UNUSUAL SYMPTOMS OF ANXIETY

The following are some of the more bizarre symptoms of anxiety, though most are not uncommon. If you experience symptoms that persist, seek medical attention to rule out a medical cause since all the symptoms of anxiety can also be associated with various medical conditions.

• Indigestion Anxiety can cause temporary or even chronic indigestion. Burping, passing gas, diarrhea, and heartburn can all be symptoms.

• Phantom ringing Tinnitus, which is a ringing in the ears, can be a sign of stress or anxiety and can be experienced in several ways. According to anxietycentre. com, you may hear buzzing, ringing, humming, whizzing, chirping, roaring, swooshing, or any number of other sounds.

• Burning sensation This unusual anxiety symptom can be felt on your skin, lips, tongue, and even in your eyes. It can feel like a sunburn despite no sunburn being present, a prickling sensation, or even shooting sparks.

hyperventilation is a common response leading your body to feel it isn’t getting enough oxygen. As a result, you might experience frequent yawning.

• Phantom smell Phantosmia, an olfactory hallucination, sometimes occurs with anxiety. It can cause you to smell something that isn’t there, or rather, a neutral smell becomes unpleasant.

• Brain shivers or zaps Most often, this bizarre sensation is caused by antidepressants or withdrawal from them. However, sometimes it’s associated with anxiety. Brain shivers can range from mild to severe and feel different from person-to-person, though they usually last only a brief time. Brain shivers or zaps, explains anxietycentre.com, can feel like an electrical jolt or a shaking, vibration, or tremor in the brain,

• Phantom vibrations If you’ve ever felt your phone vibrate, only to discover it didn’t, attachment anxiety may be the cause. This is a genuine phenomenon, according to a study reported by the University of Michigan in 2016.

• Tremors Anxiety can cause numerous types of tremors. In addition to shaking or trembling, other typical forms, according to calmclinic. com, include arm or leg spasms, cramping, or longer or slower shaking than usual.

• Derealization This experience feels like not being in reality. Anxietybc.com says it can be experienced in several ways. You may feel disconnected from the world and people around you, sort of like being in a dream state. You may have a distorted perception of space, time, and the size of things. Everything might feel foggy or fuzzy or that you’re very ill or going crazy.

YOU MAY FEEL DISCONNECTED FROM THE WORLD AND PEOPLE AROUND YOU, SORT OF LIKE BEING IN A DREAM STATE.

• Heart irregularities Skipped heartbeats, palpitations, or a racing heart can all be symptoms of anxiety. What’s so troublesome is that it can be difficult to tell the difference between heart irregularities caused by anxiety versus a heart attack. When in doubt, seek medical treatment right away.

• Physical numbness or tingling These feelings can occur in your hands, feet, arms, legs, or face. It may also feel like physical weakness.

• Excessive yawning During anxiety attacks,

• Globus hystericus With this anxiety symptom, it feels like a lump in your throat, or you might have difficulty swallowing. Some people also feel a tightness in their throat.

• Eye problems Blurred vision, dilated pupils, watery eyes, and shapes that float in front of the eyes can all be a result of anxiety.

• Skin rashes Stress can cause hives, itching, and rashes. If you already have rosacea or psoriasis, anxiety and stress can exaggerate it.

• Shooting pains You may experience these in several areas of your body, including your face, abdomen, arms, and chest during episodes of anxiety.

• Freezing hands and feet Stress and anxiety can decrease circulation. As a result, your hands and feet may feel icy.

HOW TO ALLEVIATE ANXIETY

Depending on whether you have an actual anxiety disorder or the severity of the symptoms, antianxiety or antidepressant medication may be the solution. But there are other things you can do as well to reduce anxiety and alleviate symptoms.

During periods of high stress, get plenty of rest. This will help keep anxiety under control and result in fewer or less severe symptoms.

Also, practice slow breathing. Alice Boyes Ph.D., in her article, “Breathing Techniques for Anxiety,” says the key is to focus only on breathing out. While concentrating on slowly, steadily, and gently breathing out, allow the tension to flow out of your body and relaxation to flow in.

Mindfulness meditation is another useful technique for reducing anxiety according to a growing body of research. You can start by meditating for just a few minutes each day and gradually increase it to more extended periods. For complete instructions, visit www.mindful.org/mindfulness-how-to-do-it/

Get some exercise. It doesn’t have to be a lengthy, hardcore workout. Even a 10-minute brisk walk can provide several hours of anxiety relief, according to psychologists, says the Anxiety and Depression Association of America.

Finally, if your doctor has told you your symptoms are anxiety-related, remind yourself of this when symptoms strike. Try not to worry about the symptoms, which only serves to exacerbate anxiety and cause the symptoms to persist.

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

Easy Tomato Gazpacho

Ingredients

• 1 onion, finely chopped

• 1 cucumber, finely chopped

• 1 green bell pepper, finely chopped

• 1 yellow bell pepper, finely chopped

• 1 red bell pepper, finely chopped

• 3 stalks celery, finely chopped 2 (14.5 ounce) cans whole peeled tomatoes

• 1/2 cup tomato juice

• 2 tablespoons white vinegar

• 1 tablespoon olive oil

• 1 teaspoon crushed garlic

• salt and ground black pepper to taste

Directions

Combine all ingredients in a large bowl. Blend with an immersion blender until mostly smooth.

Season with salt and black pepper.

Chill in refrigerator to blend flavors, at least 2 hours.

Top with diced cucumber and tomatoes.

Ginger Basil Salmon

Ingredients

• 2 lb. side of Alaska salmon (wild caught)

• Sea salt, to taste

For the marinade:

• 3 Tbsp rice vinegar

• Juice of half a lemon

• 1 Tbsp honey

• 1 Tbsp reduced sodium soy sauce

• 1 Tbsp fresh ginger, grated

• 2 tsp. Sriracha

• 3 cloves garlic, minced

• 2 Tbsp fresh basil, chopped

Directions

Preheat oven to 375 degrees

Line a baking sheet with foil and place salmon in the middle of the foil. Season with salt and set aside.

In a small bowl, whisk together rice vinegar, lemon juice, honey, soy sauce, ginger, Sriracha, garlic and basil. Pour marinade over salmon until it is evenly coated and wrap tightly with the foil.

Bake salmon for 15 to 20 minutes then open up the foil and let it cook under the broiler for an additional 5 minutes.

Serve immediately and enjoy!

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

James P. Ralston, M.D., F.A.A.D. Dermatologist

Dr. Ralston is Board Certified in Dermatology. He is an award-winning dermatologist with numerous accolades. Most recently he was honored in 2019 as Best Dermatologist, Best Place for Botox, and Best Laser Hair Removal by McKinney / Allen Living Magazine. In 2018 he won Best Physician - Dermatologist for the eighth year in a row by McKinney Magazine/Online's Best of McKinney.

Dr. Ralston practices cosmetic, surgical and medical dermatology and provides the latest treatment options for a wide range of pediatric, adolescent and adult dermatological concerns such as skin cancer, eczema, acne and acne scars, wrinkles, age spots, rashes and psoriasis. He utilizes treatments, such as PDT, which combines laser or other light with topical medicine to treat skin cancer, acne, aging, and other conditions. He provides the latest in body contouring and other cosmetic treatments and techniques. Additionally, he is a national key opinion leader for multiple lasers. His professional interests include utilizing technology to enhance the art and science of medicine for optimal skin health through preventative and quality care.

Dr. Ralston received his medical degree from The University of Texas Medical School at Houston, and completed his dermatology residency at the State University of New York (SUNY) in Buffalo, New York where he was Chief Resident. He also fulfilled a fellowship in cutaneous oncology and photodynamic therapy (PDT) at the prestigious Roswell Park Cancer Institute in Buffalo, New York. There he explored leading edge technology to develop less invasive methods to treat skin cancer and pre-cancers in order to refine his skills as a surgeon further, Dr. Ralston participated as a fellow in Mohs micrographic surgery. Dr. Ralston has contributed textbook chapters and articles to the medical literature and was awarded Best Clinical Science Report from Roswell Park Cancer Institute.

Dr. Ralston was raised in The Woodlands, Texas, and now lives in McKinney with his wife and three children. He enjoys snow skiing, computers, music, reading, theatre, and spending time with his family.

Reza Mobarak, DPM, FACFAS, FAPWCA

Board Certified in Foot & Ankle Surgery and in Wound Care

Fellow, American College of Foot and Ankle Surgeons

Fellow, American Professional Wound Care Association

PLANO CLINIC: 5804 Coit Rd., Ste. 100 Plano, TX 75023

972.805.9985

LEWISVILLE CLINIC: 502 N. Valley Pkwy., #2 Lewisville, TX 75067

972.318.2738

IRVING CLINIC: 6161 N. State Hwy. 161 Ste. 320 Irving, TX 75038 972.318.2655

The foot is a crucial part of the human body and comes with numerous complications that often need to be treated by qualified professionals. Our staff is filled with responsible specialists experienced in treating a variety of conditions.

SPECIALIZES IN:

Foot and Ankle • Wound Care • *Neuropathy OFFERING:

Laser Therapy for • Pain

• Swelling

• Arthritis

• Wounds

*Neuropathy (numbness, tingling, burning, pain)

Medical & Surgical Treatments

• Foot and Ankle Surgery

• Heel Pain (Plantar Fasciitis)

• Bunions and Hammer Toe Procedure

• Ingrown Toenails

• Tarsal Tunnel Syndrome

• Diabetic Foot Care

• Flat Feet

• Trauma

• Drop Foot

• Custom Orthotics & Braces

Hip or Knee Slow You Down

J. TYLER NEWTON, DO

Reconstructive Orthopedic Surgeon

Dr. J. Tyler Newton is a board-eligible, fellowship trained orthopaedic surgeon. Dr. Newton graduated from the University of Texas with a Bachelor of Science in Electrical Engineering and completed medical school at the University of North Texas Health Science Center where he was inducted into the honors society. Dr. Newton completed his orthopaedic surgery residency at St. John Providence Health System in metro Detroit and spent an additional year completing an orthopaedic hip and knee replacement fellowship at Cleveland Clinic in Florida.

During his fellowship, Dr. Newton gained invaluable experience utilizing the latest robotic technology to learn the most advanced practices in hip and knee replacements. Dr. Newton hopes to bring this state-of-the-art technology to his own practice soon.

In 2019, Dr. Newton joined the staff at Texoma Medical Center in the Denison. He is an active member of the American Academy of Orthopaedic Surgeons, American Osteopathic Academy of Orthopaedics, and the American Association of Hip and Knee Surgeons.

Dr. Newton’s clinical interests include treatment of fractures and injuries, hip replacements (including direct anterior hip replacements), knee replacements (including partial and total knee replacements), as well as hip and knee replacement revisions.

5012 S. US Hwy. 75, Suite 285 Denison, TX 75020

From your

Physical Therapy, Occupational, and Speech Therapy

Vital Stem

Respirator y Therapy

Ser vices and Amenities:

Bariatric Care

Dementia Care

Wound Care

Pharmac y & Lab Ser vices

Direc t Coordination

Pain Management

Hospice and Respite Care

Registered Dietician

Restaurant-Style Dining

Salon and Spa Ser vices with Surgeons

Private and Semi-Private

Podiatr y, Dentist & Rooms and Suites

Optometr y Ser vices

Direc ted Care by Physicians & Nurse Practitioners

Resident Enrichment & Social Programs

Admissions Accepted 7 days a week

We accept Medicare, Medicaid, and Private Pay. Reviewing Insurances on individual bases.

PREMIER SURGEON FOR HIP AND KNEE REPLACEMENT

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BELLY FAT

By Julie Alvira, MD, MBA

Each day millions of people are becoming aware of the risks of excess fat in the abdominal area also known as “belly fat.”

It is not the idea of not fitting into your favorite jeans anymore, right now it is about your health. According to a recent study published in the Journal of American Medical Association (2015), abdominal fat is tending to be very common among adults. For this reason obesity is a major issue in the United States. When a person exercises too little and doesn’t balance the amount of calories going in and burning off, excess body fat can accumulate in the abdominal area. This aspect, plus the fact that with aging comes muscle mass loss, means one thing––you need to take charge of your health. You can do it!

The science behind it

There are two types of belly fat: subcutaneous and visceral. While the subcutaneous fat refers to the one between the skin and the wall of the abdomen, the visceral is deeper and surrounds abdominal organs. According to Harvard University, the type of fat related to health risks is visceral. Abdominal fat is supposed to break down into fatty acids that travel directly into the

liver and muscle. Fatty acids stimulate certain reactions in the liver that result in health risks which UT Southwestern Medical Center (2015) describe as: inflammation of joints and tissues, altered cholesterol levels, heart disease, some types of cancers, diabetes type 2, liver problems, metabolic syndrome, and overall mortality.

Interesting points: not all fat is completely dangerous, it all depends where it’s deposited in the body. Belly fat is metabolically active and produces factors and hormones that increase risks for the illnesses mentioned above. Even skinny people can have hidden, unhealthy belly fat.

Take note: waist measurements with the use of a tape measure of more than 35 inches for women and more than 40 inches in men need to be evaluated.

Why it develops?

• Lack of physical activity

• High caloric inadequate food choices

• Excess of saturated fats

• Larger portion sizes while eating

• Busy schedules with not enough time to cook

• Incorporating too many processed foods into eating plans

Women and men

Usually both men and women undergo a decrease in hormone levels and muscle mass as they advance in age. The difference relies in the following:

As women age, there is a decrease of estrogen that influences the accumulation of fat in various areas in the body especially in the abdominal area. Such accumulation in the abdomen can increase a woman’s risk for heart disease. According to a study published in the Journal of the National Cancer Institute, pre-menopausal women with enlarged waists pose a risk for breast cancer. Also, fatty acids released from belly fat are associated with an increase in LDL cholesterol (commonly known as the “bad”), which is a risk factor for heart disease. Let’s remember that cardiovascular disease is the number one killer of American women.

When men age there is a decrease in muscle mass but also the accumulation of fat in several areas. Linked to this is the famous beer belly. In this situation the liver burns alcohol instead of fat. Let us not forget that alcohol can increase your appetite. A person ends up drinking lots of empty calories (sometimes in one sitting) and consum-

ing the usual “fat munchies” that goes with it such as pizza and fried foods. Different from women, men have less subcutaneous fat all over the body but they tend to store more in the belly area. In addition, studies suggest that a large belly in men had been linked to erectile dysfunction in older men (over age 60 and still under research).

What can be done?

• Start a healthy lifestyle by modifying eating habits

• Decrease or avoid foods high in simple sugars or saturated fat

• Increase physical activity

• Start in a support group for a more active lifestyle

A big number of studies agree that by increasing physical activity and cutting certain fats and foods can reduce total body fat, including belly fat.

As Plato once said, “Lack of activity destroys the good condition of every human being, while movement and physical exercise save it and preserve it.”

Julie Alvira, M.D., MBA Healthcare Management is the founder of Coach Dr. Julie, LLC - Physician Life Coaching Services as well as a certified life coach. She’s master certified in health and wellness. You can find her on Facebook as Coach Dr. Julie for via email at julie@coachdrjulie.com. www.coachdrjulie.com

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.

Key-Whitman Eye Center

SPECIALTY: LASIK, Cataract Surger y, Symfony, Cr ystalens, and Comprehensive Adult Eye Care

Thousands of Nor th 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-For t Wor th 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 surger y 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 surger y, Key-Whitman continues to provide its patients with personalized, high-tech solutions for better vision

From left to right: Todd Agnew, O.D., A nit a Jacob, O.D., Kim Warren, M.D., Ron Barke, M.D., Mar t in Faber, O.D., A manda Hoelsc her, O.D.,

M.D., Ed ward Hurs t, M.D., Tara Hardin, O.D., A my Hong, M.D.

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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

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Infectious Disease/HBO/Wound Care

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Dr. Dustin Lloyd

Podiatry/HBO/Wound Care

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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.