Texoma Area Living Well Magazine July-August 2023

TEXOMA AREA

JULY/AUGUST 2023

CHARLES TOULSON, MD, MBA

RENOWNED SURGEON FOR HIP AND KNEE REPLACEMENT

STAND OUT WITH THE EMINENT CHOICE IN HEALTHCARE

Pain

Orthopedic Surgery • Neurosurgery • Minimally Invasive Spine Surgery

Total Joint Surgery • Foot & Ankle Surgery • Hand Surgery

Gynecological Surgery • Plastic Surgery

ROBOTIC TECHNOLOGY

Innovation. Ingenuity. Integrity.

With a clear focus on quality, reliability and timely completion, Plyler Construction works with owners of such diverse commercial, institutional and industrial projects as manufacturing, warehousing, educational, retail, support and religious facilities to provide the most appropriate delivery method. Plyler offers pre-construction services, experienced construction management, a variety of delivery methods, equipment setting and in-plant maintenance services.

We work with our clients, not just for them. That’s just one of the reasons architects, designers, and industrial and commercial project owners from across the nation have looked to Plyler Construction for more than a half-century for solutions to their building needs. At Plyler Construction, we build relationships.

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Design-Build Capabilities

Construction Management

MEP Mechanical

Electrical

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Steel

Steel Fabrication

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Specialty Fabrication

Expert Orthopedic Surgeons Close to Home

Left to right

Duncan L. McKellar, Jr., MD

Brian Nwannunu, MD

Florian F. Dibra, MD

Charles E. Toulson, MD

Cyrus Abbaschian, MD

Donald W. Hohman, MD

J. Stephen Appleton, MD

Alexander S. Greenstein, MD

Kwame A. Ennin, MD

Samuel K. Stephenson, MD

Living Well Living

EVOLVING HEALTHCARE

Welcome to another issue of LIVING WELL Magazine where our aim is to empower you with knowledge that inspires wellness and happiness.

SPRING AND SAM HOUSTON

Ths issue brings to the spotlight the incredible journey of Charles Toulson, MD, MBA, an orthopedic surgeon who has dedicated his life to easing the chronic pain of many. Dr. Toulson, renowned for his pioneering work in minimally invasive surgery techniques, shares his wealth of knowledge and insights on adult hip and knee reconstruction and robotic-assisted joint replacements. The surgeon’s unrivaled dedication to his fild has earned him numerous accolades, and his stories of patient success paint a compelling picture of hope and recovery for those living with orthopedic ailments.

We also dive into the personal life of Hollywood legend Bruce Willis. Recently diagnosed with aphasia, Willis is navigating new terrain as he steps back from his illustrious acting career spanning more than four decades. We explore his journey from stardom to this new chapter in his life, shedding light on the challenging aspects of living with frontotemporal dementia.

In our quest to keep you informed about the evolving landscape of mental health care, we explore the potential benefits and limitations of online therapy. As modern society continues to change the way we live, work, and interact, we discuss if virtual therapeutic interactions could be a viable alternative to traditional face-to-face sessions.

We also delve into the world of natural wound care solutions courtesy of CURAD. Here, we discuss clean, “natural” ingredients that are fiding their way into our fist-aid boxes. From the soothing properties of aloe vera to the healing wonders of manuka honey, we look at how these natural ingredients can be potent alternatives to synthetic ones.

Ths issue also marks a signifiant milestone for Dannel Funeral Home, celebrating 115 years of service and the 100th anniversary of its dedicated funeral home building. Beginning in 1908 with John Carlton Dannel, the business moved to its current premises in 1923, marking it as one of the fist in Texas to serve as a funeral home. Ths journey is a testament to enduring service and commitment.

Thank you for choosing LIVING WELL Magazine as your trusted companion in the journey to wellness. We hope the stories and articles in this issue not only educate and inform but also inspire you to live well and thrive.

Happy reading!

PRESIDENT & CEO SAM HOUSTON

VICE PRESIDENT & CFO SPRING HOUSTON

EDITOR, FEATURE WRITER & SOCIAL MEDIA SONDRA BARR

ART DIRECTOR VANESSA FRYER

ACCOUNTS MANAGER JENNIFER BEAVERS

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LIVING WELL MAGAZINE is a source for quality educational articles on living a healthy, vibrant life. Our focus is on connecting our readers with the latest information on a host of topics relevant to their evolving life. From cutting edge medical news and procedures to top-tier financial, legal and lifestyle information. Connecting readers to leading medical and business professionals in their community in Texas and Oklahoma.

JULY/AUGUST 2023 All advertisements in this Magazine are placed by third parties. We do not control or endorse either the advertisements or their content. Further, we

Brian Nwannunu, MD, MS

Brian Nwannunu, MD, MS, is an orthopedic surgeon specializing in hip and knee replacement. He care for patients at Texas Joint Institute in McKinney, Texas.

Dr. Nwannunu, a native of Dallas, graduated Valedictorian from the High School for Health Professions at Townview Magnet Center in DISD. He then earned his bachelor’s degree in Biology at Morehouse College in Atlanta, Georgia, where he was part of the Morehouse College Honors Program. Upon graduation, he completed his master’s degree in Physiology at Georgetown University in Washington, D.C., with a concentration on complementary and alternative medicine. Dr. Nwannunu then graduated with his medical degree from Howard University College of Medicine in Washington, D.C., where he was inducted into the Alpha Omega Alpha Honor Medical Society.

Dr. Nwannunu completed his residency in orthopedic surgery at the John Peter Smith Health Network in Fort Worth, Texas, before pursuing additional training with a fellowship in adult reconstruction at Baylor College of Medicine in Houston, Texas. In addition to his clinical training, Dr. Nwannunu enjoys mission work abroad, providing medical care and health education to populations in need.

He is a member of the American Medical Association, National Medical Association, American Academy of Orthopaedic Surgeons and the American Association of Hip and Knee Surgeons.

When not working, Dr. Nwannunu enjoys basketball, weight training, outdoor activities, attending art and music festivals, traveling, world news, and reading.

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SURGICALexcellence

RENOWNED ORTHOPEDIC SURGEON CHARLES TOULSON, MD, MBA

Charles Toulson, MD, MBA, is an orthopedic surgeon who is committed to excellence. From a young age, he realized that with his aptitude for medicine, he could help people living with chronic pain and dedicated his life to become a pioneer in the fild of orthopedic surgery.

Board-certifid and fellowship-trained, Dr. Toulson’s specialties and interests include adult hip and knee reconstruction, adult hip and knee revisions, and state-of-the-art robotic-assisted joint replacement. He’s regarded by his patients and peers as one of the leading orthopedic surgeons in the country.

EXCEPTIONAL EDUCATION AND TRAINING

Dr. Toulson’s impeccable educational pedigree includes a medical degree from the University of North Carolina at Chapel Hill, extensive training from Johns Hopkins Hospital, and sub-specialty training at the Hospital for Special Surgery (HSS) in New York, the number-one ranked orthopedic hospital in the country.

Affiliated with several institutions in North Texas including Medical City McKinney, Medical City Frisco and Plano, Eminent Medical Center, Baylor Scott & White Surgical Hospital at Sherman, and Texas Health Presbyterian Hospital of Allen, his esteemed reputation is one that has been hard-earned and reflcts his unwavering dedication to his craft

Not only has Dr. Toulson performed more robotic-assisted joint replacement procedures than any other surgeon in the Dallas-Fort Worth Metroplex, he has the distinction of paving the path for two major hospitals in North Texas to achieve the elite status of being accredited as Joint Replacement Centers of Excellence.

ORTHOPEDIC EXCELLENCE

Dr. Toulson has greatly impacted orthopedic services across North Texas when he founded Alpha Orthopedics & Sports Medicine. Now, he’s excited to have joined Texas Joint Institute this past February 2023. Texas Joint Institute is a comprehensive orthopedic practice with locations in Dallas, Frisco, Plano, McKinney and Sherman, Texas.

When Texas Joint Institute began, it brought together two leading orthopedic surgeons to address the bone and joint needs of patients across the DFW Metroplex. Dr. Cyrus Abbaschian and Dr. Donald W. Hohman brought their immense surgical talent to the officeat Medical City Dallas and Plano to handle complex joint reconstruction, diagnose and treat bone and softtissue sarcomas, and handle an entire spectrum of surgical and non-surgical orthopedic services. Well known for their ability to handle even the most difficult cases, the doctors continue to deliver excellent care to patients around Dallas-Fort Worth and beyond.

A PIONEER IN MINIMALLY INVASIVE SURGERY TECHNIQUES

Known for pioneering minimally invasive surgery techniques for hip and knee replacements, including the anterior supine hip replacement surgery, Dr. Toulson’s anterior approach allows patients to immediately bend their hip freely and bear full weight after their surgery. Ths surgical technique allows him to replace a hip joint without detaching muscle from the pelvis or femur during surgery and typically results in rapid recovery times for patients. Patients are able to walk comfortably without a cane or walker in just one to two days following surgery, according to Dr. Toulson.

Dr. Toulson was the fist surgeon in the area to perform a direct anterior hip replacement with robotic assistance. Dr. Toulson also completed the fist-ever, total knee replacement for both of a patient’s knees bilaterally (simultaneously) using Robotic-Assisted Technology.

The robot assists Dr. Toulson by improving precision during the surgery. “What’s critical is the robot will not permit me to deviate outside of the plan that we have instituted in the very beginning of surgery,” details Dr. Toulson. “As the surgeon, I’m still doing the surgery, the robot is just allowing me to do it in a more precise manner.”

“Ths 3D technology allows me to see the orientation, alignment, rotation, and actual size of the implant that we will be using. So, I can actually see with 3D technology what the implant looks like and I can make adjustments in surgery to balance the ligaments inside of the knee,” Dr. Toulson continues.

SUCCESSFUL OUTCOMES

“When patients come to see me with arthritis, we often try non-operative means of treatment before we talk about surgery,” says Dr. Toulson. Once non-operative options for hip or knee arthritis are exhausted, Dr. Toulson sits down with patients and details the benefits and the risks of a total joint replacement.

One of Dr. Toulson’s recent patients was suffering with severe arthritis in her knees. “I was having severe pain in my knees, I had difficulty going up and down stairs, steps, even the curb. It hurt so bad to walk, even short distances,” she says. The results of her bilateral (both) knee replacement procedure have been life changing. “ The surgery went wonderfully. I haven’t had any problems and every day it gets better and better. I can walk up the steps now getting into my home,” she says.

Highlights of success stories and the joy his patients express at the outcome of their hip or knee replacement surgeries—and how it’s changed their lives—are documented on his website, drcharlestoulson. com, with videos and moving testimonials.

AWARDS AND ACCOLADES

It’s no surprise that Dr. Toulson has been named numerous times among the Best Doctors in Dallas for orthopedic surgery by D Magazine, Best Orthopedic Surgeons in Collin County by D Magazine, Best Orthopedic Surgeon by Living Magazine, and Best Orthopedic Surgeon by Living Well Magazine.

A PERSONAL GLIMPSE OF DR. TOULSON OUTSIDE OF HIS PRACTICE

Dr. Toulson is among those individuals who is genuine in his compassion and kindness. He greets every patient with a warm smile and considers each one of them part of the family.

Dr. Toulson recently achieved his Master’s of Business from Baylor University. He and his lovely wife Deryn live in Frisco with their three children, Cameryn, Brooklyn, and Blaze. Deryn is an accomplished entrepreneur and holds a bachelor’s degree in nursing. She is also former cheerleader for the New Orleans Saints and the Dallas Cowboys cheerleaders.

4201 Medical Center Drive, Ste. 100 McKinney, Texas 75069 (972) 566-5255

204 Medical Drive, Ste. 110 Sherman, Texas 75092 (972) 362-0253

Dr. Toulson is among those individuals who is genuine in his compassion and kindness.

He greets every patient with a warm smile and considers each one of them part of the family.

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 account. 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 signer, Jill lost her job. She began to experience 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 confidd to George that she was afraid of Jill and wanted to move out. George decided to schedule a vacation to come help his Mother fid 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 affirs were in order. During the meeting, they learned that by putting Jill’s name on the investment 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 fie print on the back of the document. The broker told Ava that it was his fim’s policy to require Jill’s signature to authorize the removal of her name from the account. No one at the brokerage fim 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 leftalone living with Jill. She decided to wait until after she moved into her new apartment to ask Jill to sign the brokerage fim’s form. Unfortunately, Ava died before her new apartment was ready, so the brokerage fim stated their intention to give the money to Jill. Ava’s son, as executor of her estate, filed suit. After a long, expensive trial, the court ordered the money to be paid to Ava’s estate, thus fulfilling Ava’s wishes.

The moral of this story is that putting one of your children’s names on your accounts can cause problems. If your child’s fiancial situation or your relationship with your child unexpectedly changes, you cannot take your child’s name offthe account without the 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 fiancial 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.

How can intervertebral discs degenerate?

Intervertebral discs can deteriorate through normal aging and injury, causing dehydration, flattening, and loss of natural cushioning. Just like grapes lose water over time and turn into raisons, your intervertebral discs undergo a similar dehydration process. This process leaves your discs vulnerable to motion stress, strains your spinal nerves, and can result in lower back pain.

VIA DISC NP Treatment for Discogenic Low Back Pain

What is VIA Disc NP?

VIA Disc NP is intended for use as an allograft to supplement degenerated intervertebral discs. An allograft is tissue recovered from a human cadaveric donor that is transferred to a human recipient. VIA Disc NP consists of dehydrated nucleus pulposus particulate derived from the intervertebral disc region of the donor. The nucleus pulposus particulate is mixed together with saline and delivered into your intervertebral disc during a non-surgical spinal procedure.

How VIA Disc NP Works

Age-related wear and tear of the intervertebral disc can cause loss of hydration and degeneration.

VIA Disc NP is delivered into the degenerated intervertebral disc through a 22G spine needle.

What to expect with VIA Disc NP?

PRE-PROCEDURE

The nucleus pulposus particulate is mixed together with saline for delivery into your intervertebral disc. Intravenous antibiotics may be given before the VIA Disc NP Procedure to reduce risk of infection.

After delivery, VA Disc NP supplements the degenerated intervertebral disc.

PROCEDURE

The VIA Disc NP procedure is performed under strict sterile conditions. The VIA Disc NP procedure can be performed under local anesthesia or moderate sedation may be recommended by your physician. A procedure involving your pain-generating intervertebral disc can be painful.

During the procedure, your physician will use fluoroscopy (a computer tomography scan that continues to take images during the procedure so that the physician can see where the needle is going).

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JULIA ROLAND APRN- FNP-C Nurse Practitioner

SREENADHA

HELENE DEHAAN, FNP Nurse Practitioner

Celebrating the 100th Anniversary of The Dannel Funeral Home Building

(and 115 Years of Service)

The Dannel Funeral Home story began in 1908 when John Carlton Dannel, who worked with his father, Charles Oliver Dannel, came to Sherman and bought the Lindsey Undertaking Company, located on Main Street in Denison, Texas, and moved to Sherman at the corner of Houston and Walnut Street.

In 1913, the business moved to a renovated pool hall on the south side of the courthouse square.

John introduced the first motorized hearse to the area in 1917.

The current building was completed in 1923, the first in the area and one of the first in Texas to be built for the sole purpose of serving as a funeral home.

“I have an abundance of gratitude for the men and women who have shown extraordinary commitment, compassion, and service to families since 1908. It’s an honor to continue my family’s legacy as we introduce new innovations that thoughtfully combine tradition with creativity and personalization. We’re providing greater flexibility, enhanced technology, and an emphasis on gathering in whatever ways are most meaningful. Additionally, I’m proud to announce our new crematorium, onsite, so your loved ones never leave our care. Service is what distinguishes us, and I’m grateful to be here, continuing the focus on families that the Dannels have displayed for over 115 years.”

– Charles Dannel, Fifth generation owner of Dannel Funeral Home

Before, During, and After Cataract Surgery

Courtesy KEY-WHITMAN EYE CENTER

If cataract surgery has been recommended for your eyes, you are not alone. Truth is, we will all develop cataracts, reducing our quality of vision, as we age. Gratefully, cataract surgery procedures have become more advanced and is safe, painless and effective.

If you are thinking about having cataract surgery, you most likely have a lot of questions regarding when you should have it done, what you can expect, and how to prepare for surgery. Read on to see some helpful tips from Dr. Whitman at Key-Whitman.

What Are The Common Symptoms Of Cataracts?

The complaint we hear most from cataract patients is difficulties with their night vision. They begin to experience a lot of glare, halos and starburst symptoms, especially when driving. We also hear complaints of a haze or fog obstructing their vision and they’ll notice their vision gets blurrier over time.

How Do I Prepare For Cataract Surgery?

Before your procedure, our patients undergo a preoperative exam to gather measurements to determine the level of correction needed and review the types of intraocular lens options available. We will also schedule a visit to listen to your heart and lungs as well as review prior anesthesia and surgeries, medical history and medications to ensure they’re physically healthy enough to have cataract surgery.

Key-Whitman also has counselors who will walk our patients through the process, review insurance coverage and make sure the

lens option the patient selects best meets their goals. If there is an eye drop protocol associate with their surgery, the counselor will also go through the drop sequence involved—antibiotics and non-steroidal anti-inflammatories—well in advance of the procedure.

Be sure to have a friend or family member to accompany you to surgery, as you won’t be allowed to drive yourself home due to the twilight sedation.

How Do I Know It’s Time To Have Cataract Surgery?

When your cataracts have worsened to the point where they prevent you from performing day-to-day tasks and interfere with your quality of life, it is time to consider cataract surgery.

Cataracts worsen gradually, and we start to make a lot of accommodations for our vision as we get older. Essentially, we assume how well we see is normal. But if it gets to the point where you’re afraid to drive at night, can’t see well enough to safely take your medication or do household chores, and feel a loss of independence due to failing vision, cataract surgery can allow you to enjoy life again.

What Misconceptions Do People Have About Cataract Surgery?

In the past, cataract surgery was quite invasive, there were fewer lens options, and healing took much longer. Ths isn’t the case today. The biggest misconceptions people have is that the procedure is painful and complicated. That couldn’t be farther from the truth today.

What

Can I Expect Following Cataract Surgery?

Following your surgery, your surgeon will review the procedure with you and answer any questions you may have at that time. Typically, patients leave with a protective eye patch, which will be removed at their follow-up visit the next day. Subsequent follow-up examinations will be scheduled approximately every two weeks until the eye is healed.

Healing post-surgery is also easier for most cataract patients today. “Key-Whitman uses the most advanced technology available, so healing occurs more quickly and with fewer complications. Even better, once the eyes have healed and adjusted, most patients are surprised by the improvement in their vision. They can see clearly again and notice how colors are much more vibrant than before with cataracts. Depending on the type of intraocular lenses patients choose, many become less dependent on glasses,” Dr. Whitman says. You should also be aware that the surgeon won’t operate on both eyes during the same visit. Surgeries are typically scheduled one to two weeks apart. Ths allows plenty of time for the fist eye to heal and the patient to realize the full extent of correction in that eye.

• Comprehensive Adult Eye Care

• Light Adjustable Lens, Synergy™, Symfony®, PanOptix, Vivity® and the Toric IOL

• Management of Glaucoma & Corneal Disease

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Laser Vision Correction

locations to serve you Dallas, Plano, Mesquite, West McKinney, North Arlington, Rockwall and South Arlington. • Comprehensive Adult Eye Care • Cataract Surgery • Symfony®,Crystalens®, Tecnis® PanOptix & the Toric IOL

From left to right are: Leslie Pfei er, M.D.; Anita Jacob, O.D.; Kimberly Warren, M.D.; Sadaf Razi ElHa ar, O.D.,; Faisal Haq, M.D.

OLIVIA ROGERS , RN, BSN, CHPN, CHPO, MBA, is a leading voice

in

health

care

and senior services and the Vice President, Chief Nursing Officer of VNA Texas.

Dear Olivia,

My 94-year-old grandmother has been living alone in her home, but she has had multiple falls lately, and we are concerned that she may need more support with her care. As we look at the best caregiving options to ensure she is not alone, how do we know when she is ready for hospice?

-Unsure of Next Steps

Dear Unsure of Next Steps, I am glad that you as a family are pursuing options for caregiving. This is often the most difficult part of the aging process—determining when it is not safe for someone to live alone anymore. There are many options for supporting an aging loved one such as bringing caregiving support into the home, looking assisted living, memory care or skilled nursing facilities, as well as other long-term care solutions. Often a Medical Social Worker (MSW) can assist with finding the right solution. You can ask her primary care physician if this resource is available to your grandmother. In terms of the medical component of her care and determining when someone is ready for the

hospice benefit, there are several easy questions to consider. First, an increase or onset of falls is important to track, so keep notes on when the falls occur and if there are any injuries. Also, consider what activities of daily living, such as bathing, toileting, dressing and preparing food, may be becoming more difficult, as this decline is important in hospice consideration. Also, as people age or begin to decline, they may eat less, and weight loss may become evident, which is a factor in determining decline. Another indicator of decline is how often an individual is hospitalized or visits the emergency department; keep a list of these encounters. Lastly, if a loved one is expressing that they no longer wish to pursue curative therapy or go to the hospital, that is a sign that it may be time to have a conversation with the physician about next steps in care. All of these factors play a role in the family beginning to consider hospice care, and the physician determining if it is the right level of care. Best wishes to you, as we all want to ensure our loved ones get the best care possible at the right time.

~Olivia

Palliative Care

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

To schedule your free in-home informational visit please call (214) 689-0000 or email gethelp@vnatexas.org For volunteer opportunities please call (214) 689-2271 or email volunteer@vnatexas.org VNA Hospice & Supportive

BRUCE WILLIS

A LOOK INTO THE LIFE, CAREER, AND CHALLENGES FACED BY THE SILVER SCREEN LEGEND, AS HE STEPS AWAY FROM THE LIMELIGHT DUE TO A HEALTH CRISIS.

BY SONDRA BARR

In the tapestry of Hollywood, the name Bruce Willis holds a unique echo. A dynamic and lasting presence in the realm of movies, Willis has delighted audiences worldwide with unforgettable roles, iconic one–liners, and myriad thrilling scenes. Now, at the age of 68, he fids himself stepping back from a career that spreads across more than 40 years due to a health condition that challenges him beyond the most formidable on–screen foes he’s encountered.

In 2022, Willis’ family, including his wife Emma Heming Willis, former spouse Demi Moore, and his daughters, revealed his diagnosis of aphasia, a disorder associated with frontotemporal dementia (FTD). Ths condition predominantly impacts the frontal and temporal lobes of the brain, resulting in progressive shiftsin personality, behavior, and language, as explained by the Mayo Clinic. The diagnosis was preceded by a string of performances where Willis’s cognitive challenges were becoming increasingly apparent.

Informed sources quoted in a March 2023 article from the Los Angeles Times revealed that around June 2020, the director of Out of Death, Mike Burns, had suggested in an email to the film’s scriptwriter that Willis’s role be reduced, and his lines be simplifid. Other movie makers aired concerns about Willis’ welfare, as he displayed signs of cognitive decline on set. Willis reportedly had trouble memorizing his lines, frequently requiring an earpiece to deliver them. Even action sequences, typically Willis’s forte, were performed by a stand–in.

Per the article, multiple individuals have expressed worry about Willis’s health over the past few years, with the report noting that he “has shown indications of declining health in recent years.” The Emmy–winning actor, recognized for his roles in numerous direct–to–video releas-

es in recent years, is said to have been paid “a sum of $2 million for two days of shooting” on his recent projects, according to documents examined by the Times. His management team, which includes representatives from the Creative Artists Agency, outlined that he should not work more than two days on any single project and that his filming should not exceed eight hours per day. Yet, he usually filmed for just half that time, insiders in the production team shared with the Times

A number of crew members aired their concerns regarding Willis’s on–set behavior. Two crew members recalled Willis questioning aloud during filming, “I comprehend your presence here, but why am I here?” Another crew member detailed an instance where “A line was delivered to him, and he struggled to grasp its implication. It seemed like he was merely following directives.”

In spite of these hurdles, Willis’s commitment to his profession remained unwavering. From 2020 to 2023, his name graced the promotional material of more than two dozen movies, including Hard Kill, Out of Death, American Siege, and A Day to Die These performances may not have embodied the full dynamism of Willis’s earlier work, but they testify to an undeniable determination.

That very determination also carried him through a prolificcareer that most actors can only aspire to. From his breakthrough role in the 1980s TV series Moonlighting, which won him a Golden Globe, to his unforgettable interpretation of detective John McClane in the Die Hard franchise, Willis has made a lasting impact on Hollywood. His collaborations with celebrated directors like M. Night Shyamalan, Wes Anderson, and Terry Gilliam bear testament to his range and skill.

“Bruce has always found joy in life—and has helped everyone he knows to do the same. It has meant the world to see that sense of care echoed back to him and to all of us.”

Beyond the camera, Willis is a cherished personality. He shares two daughters, Mabel Ray and Evelyn Penn, with Heming Willis, and has three daughters, Rumer, Scout, and Tallulah, with Moore. His eldest daughter, Rumer Willis, communicated the family’s deep emotions in an Instagram post, stating: “Bruce has always found joy in life—and has helped everyone he knows to do the same. It has meant the world to see that sense of care echoed back to him and to all of us.”

The actor’s condition poses a challenge not just for him, but also for the millions around the world who grapple with similar diagnoses. Frontotemporal dementia, which can lead to aphasia, not only disrupts communication but also motor function and movement.

FTD differs from Alzheimer’s in its age of onset and symptoms, usually affecting those in their 40s to 60s, and results in loss of functionality in personality, behavior, and language, as opposed to memory loss or spatial disorientation. Although treatment can mitigate symptoms, the disease progressively intensifiesover time, with about 30% of those affected inheriting the disease. There are no known risk factors, adding an additional layer of uncertainty to an already challenging condition, according to the Mayo Clinic.

Despite these adversities, Willis and his family are transforming this personal battle into a broader platform for awareness. “Bruce always believed in using his voice in the world to help others, and to raise awareness about important issues both publicly and privately. We know in our hearts that—if he could today—he would want to respond by bringing global attention and a connectedness with those who are also dealing with this debilitating disease and how it impacts so many individuals and their families,” his family said.

Over the past decade, Willis’s work, particularly his frequent appearances in direct–to–video and smaller–budget films, appears to mirror a common theme in his blockbuster roles: a steadfast fihter, undaunted by the odds. As he battles this new off–creen enemy, the resilience and grit that marked his cinematic performances inspire hope for his personal journey.

Although it’s saddening to see Willis, a figue so entwined with Hollywood’s identity, withdraw from the public eye, his career stands as a testament to a life lived with full vigor, displaying a relentless spirit of endurance and resilience. His current struggle serves as a poignant reminder of the personal battles faced by those affected by conditions like FTD. In confronting his diagnosis, Willis has the opportunity to increase global awareness and encourage further research into this and related conditions.

From his breakout role in Moonlighting to his last performance in Assassin, which was released in March, Willis’s influence on the film industry is profound and enduring. As he navigates the trials ahead, his bravery and resilience continue to inspire. His family’s statement captures the sentiment: “Your continued compassion, understanding, and respect will enable us to help Bruce live as full a life as possible.”

In the end, Bruce Willis, the actor, the father, and now, the warrior in a battle against FTD, embodies the spirit of his numerous on–screen characters: unyielding, resilient, and ultimately, unbowed. His current journey may not be one that he chose, but it’s one that he—and millions around the world— are confronting with courage and dignity. Ths phase in Willis’s life story adds a new layer to his legacy.

To learn more about FTD, or to donate to fid a cure, visit theaftdorg.

Armageddon (1998) Touchstone Pictures

The Fifth Element (1997) Columbia Pictures

Moonlighting (1985)

Photo Courtesy ABC

The Sixth Sense (1999) Buena Vista Pictures

Die Hard 2 (1990) Twentieth Century Fox

Patient–Centric

HEALTHCARE

WITH A UNIQUE BLEND OF MEDICAL EXPERTISE, INNOVATION, AND COMMUNITY INVOLVEMENT, NORTH TEXAS ORTHOPAEDIC & SPINE IS REDEFINING ORTHOPEDIC HEALTHCARE AND DRIVING POSITIVE CHANGE IN THE COMMUNITY.

By Sondra Barr

Photography EM Corporate

FRONT ROW (L TO R): CHARLES MARDER, DPM; STEVE HONG, MD; VUDHI SLABISAK, MD; JAMES STANLEY, MD; BRIANA HODGSON, PA–C; RAMI BASATNEH, DPM

SECOND ROW (L TO R): AMIR MALIK, MD; RAHUL BANERJEE, MD; BRUCE MARKMAN, MD; KELVIN CHENG, DPM; KHAWAJA IKRAM, DO

In the vibrant landscape of North Texas, a group of exceptional medical professionals shape the region’s healthcare by reshaping lives through their focused dedication and unyielding commitment to comprehensive patient care.

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

The center has grown to accommodate 12 surgeons in just four years. While Dr. Slabisak’s commitment to a brighter, more patient–centric future for healthcare has been the driving force behind this growth, the team of talented doctors each bringing their unique skills and experiences to the practice, enhancing its reputation and reach. Their collective wisdom and medical prowess have rapidly transformed NTOS into an unmatched hub of orthopedic and spinal care.

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

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

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

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

Dr. Amir Malik, a board–certifid neurosurgeon, specializes in cranial, spinal, and peripheral neurology, bringing a rich background in research, lectures, and clinical work to the center.

“

HERE, THE FOCUS IS NOT JUST ON CURING, BUT EMPOWERING PATIENTS BY HELPING THEM UNDERSTAND THEIR CONDITION AND MAKING INFORMED DECISIONS.

”

TOP DOCS 2023 Livingwell

PROVIDERS HEALTHCARE AND OTHER

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

Podiatrists, Dr. Charles Marder and Dr. Kellvan Cheng bring podiatric excellence to the practice, ensuring comprehensive care for the patients. Dr. Marder is board–certifid in podiatric surgery with special interests in reconstructive foot and ankle surgery. Dr. Cheng is board–certifid in podiatric surgery as well as reconstructive rearfoot and ankle surgery.

Dr. Rami Basatneh, another eminent podiatrist, received his Doctorate of Podiatric Medicine from Temple University’s School of Podiatric Medicine and contributes his expertise and leadership skills to the practice. He has extensive training in reconstructive rearfoot and ankle surgery and brings vibrant energy to the clinic’s environment.

Rounding offthe team is Briana Hodgson, PA–C, a certifid physician assistant with over 20 years of experience in orthopedic surgery. Hodgson works alongside Dr. Banerjee, focusing on treatment of fractures and injuries, total hip and knee arthroplasty, and management of complex orthopedic problems.

Joining the practice in the upcoming months will be Dr. Geoffrey Glidden, who is a board–certifid orthopaedic surgeon and sports medicine doctor with over 40 years of experience. Dr. Glidden specializes in the care of acute and chronic bone, joint, ligament, muscle, tendon and peripheral nerve disorders.

Along with Dr. Slabisak, each provider’s rich tapestry of skills, experiences, and commitments of the doctors at NTOS make it a beacon of orthopedic excellence.

Their relentless commitment to research and innovation has also put them at the forefront of medical advancements. With numerous breakthroughs, the team at NTOS remains dedicated to fiding the most effective and least invasive treatments to benefit their patients.

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

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

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

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

PLANO

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

FRISCO

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

DALLAS

Lakewood Medical Centeer 6243 Retail Rd., Ste. 500 Dallas, TX 75231

CARROLLTON

4333 N. Josey Ln. Professional Plaza II, Ste. 103 Carrollton, TX 75010

KAUFMAN

2300 Commerce Way Kaufman, TX 75142

MCKINNEY

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

MESQUITE

1102 N. Galloway Mesquite, TX 75149

Experienced DWI Defense THE LAWYER LAWYERS CALL

Deandra M. Grant

JD, GC, MS

Attorney Deandra M. Grant leads Hamilton Grant’s North, East and Central Texas offices. She is an international speaker on DWI law, science and trial skills. As the author of the annually updated Texas DWI Manual, she is viewed by her peers as being a leader in her field. Deandra understands the science behind alcohol absorption and elimination rates and can use this knowledge to competently defend you.

Deandra formerly was an assistant district attorney. Her tenure as a prosecutor focused on DWI prosecutions which has given her firsthand knowledge on how to counter the prosecutor’s evidence and strategy. Deandra has spent hundreds of hours in training courses and programs related to DWI defense and has completed the certification course to administer standard field sobriety testing (SFST), the same training course taught to police officers nationwide on how to identify drunk drivers during traffic stops. As a certified SFST Instructor, Deandra has taught the course to other attorneys. She’s also completed the coursework on DWI forensic blood and urine testing.

“I have a masters degree in pharmaceutical science and a graduate certificate in forensic toxicology. I am able to take apart evidence in ways a lot of other attorneys are not able to do. The most important part of my job is being the barrier between the government and my client. Standing between them. Making sure their rights are protected.”

–DEANDRA GRANT

Co-Author of the Texas DWI Manual

CENTER FEATURES:

• Chair Yoga

• Adaptive Yoga

• Chair Volleyball

• Treadmills

• Stationary Bikes

• Fitness Classes

• Book Club

• Movie Matinee

• Pool Tournaments

• Art Classes

• ZUMBA (Coming Soon)

And so much more!

CROSSROADS MEDICAL

204 Me di ca l Drive , Sherman , Texas 7509 2

Jelsma Orthopedics & Sports Medicine ................Suite 100

Richard D. Jelsma, MD

Alpha Orthopedics & Sports Medicine .................Suite 110

➠ Duncan L. McKellar, Jr., MD

➠ Charles E. Toulson, MD, MBA

➠ Jon C. Thompson, MD

➠ Brian J. Snow, MD

Lakeland Pharmacy ............................................ Suite 120

Integrated Pain Management ..............................Suite 140

➠ Deborah Fisher, MD

Areli Medical Devices ..........................................Suite 150

Peak Physical Therapy ........................................Suite 160

➠ Jon Poe, PT, LAT

ENT Centers of North Texas .................................Suite 200

➠ Hunter Richmond, MD

➠ Peter Selz, MD

➠ McDonald Arnot, DO

Sherman Internal Medicine & Primary Care .........Suite 210

➠ Benarji Tegala, MD

Urbanczyk Ortho Suite 220

Helix Health Lab ................................................. ................................................. Suite 130

➠ Jeremy Urbanczyk, DO

Grayson Digestive Disease Consultants ...............Suite 240

➠ Jermaine G. Clarke, DO, MBA

Grayson Digestive Health....................................Suite 240

➠ Joseph Kim, MD

Texoma Weight Loss ...........................................Suite 250

➠ Ikram Kureshi, MD

First Texas Home Health Corporate Office ............Suite 260

NATURAL SOLUTIONS FOR WOUND CARE

Courtesy CURAD

Many people look for natural products with “clean” ingredients, especially in the food, beverage, skin care and beauty categories. In fact, the market for clean label ingredients is projected to reach $64.1 billion by 2026, according to Allied Market Research.

For many common ailments or minor injuries, there’s a natural treatment that can be used in place of hard–to–pronounce ingredients and preservatives.

“Ths same kind of clean ingredient demand is migrating to the fist–aid space with many of these natural alternatives being used to treat anything from scrapes and bug bites to wound odor and pulled or sore muscles,” said Dr. Billy Goldberg, a New York Times best–selling authorand emergency room physician. “In fact, some companies are beginning to incorporate these kinds of natural and efficacious ingredients right into their products.”

Goldberg and the fist–aid experts at CURAD, which have made adhesive bandages since 1951, offer these suggestions for natural ingredients you can use at home to treat common ailments:

Named for a bitter saline spring at Epsom in Surrey, England, Epsom salt is not actually salt but a naturally occurring mineral compound of magnesium sulfate. Long known as a natural remedy for several ailments, Epsom salt can be used to relax muscles and relieve pain in the shoulders, neck and back. It can also be applied to sunburns or dissolved in the bath to help relieve sore muscles or detox.

Few things soothe sunburn like aloe vera. With analgesic, anti–inflammatory and soothing properties that ease the healing process, aloe vera gel contains phytochemicals that help reduce pain and inflammation. Also helpful in the healing process of cuts and scrapes, the CURAD Naturals line of adhesive bandages are infused with aloe vera in the wound pad and surface of the bandage, which is enriched with the antioxidant vitamin E to help soothe and moisturize skin.

Bicarbonate of soda, commonly known as baking soda, can be used for more than baking. From removing stains to cleaning teeth and more, it can also be used to help treat a variety of wounds. In addition to being an odor absorber, it can be applied to insect stings and bites, such as those from bees or mosquitoes.

Whether making a paste using baking soda and water then applying to the bite or using an option like CURAD Naturals adhesive bandages featuring baking soda, the chemical compound can help soothe the skin. In addition to absorbing wound odor, the bandages provide skin–friendly comfort and stretch with a four–sided seal to keep dirt and germs out.

A mild antiseptic that can be used to prevent infection of minor cuts, scrapes and burns, hydrogen peroxide is often used for the initial cleaning of wounds. Simply apply a small amount on the affected area—alternating with water to avoid killing good bacteria—to help release oxygen, which causes foaming that aids in cleaning and the removal of dead skin.

A honey native to New Zealand, manuka honey contains methylglyoxal as an active ingredient and has unique antibacterial properties that speed healing and help prevent and fight infections when applied as a topical wound treatment. It may also help soothe coughs and sore throats, prevent tooth decay and improve digestive issues.

It’s also helpful to have a fist aid kit on hand containing a few basic essentials such as alcohol prep pads and non–stick bandaids. You can learn more about natural fist–aid products and tips on wound care at www.curad.com.

Epsom Salt

Baking Soda

Aloe Vera

Manuka Honey

Hydrogen Peroxide

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

Invasive Surgery

Heel Pain (Plantar Fasciitis) Stem Cell Therapy

Neuropathy

Ingrown Toenails

Tarsal Tunnel Syndrome Diabetic Foot Care Flat Feet Trauma Wound Care

Custom Orthotics & Braces

Laser Therapy for Pain, Swelling, Arthritis, and Wounds

Support Makes an Impact

By LINDA BLANTON

Together for 51 and a half years, Linda was shocked when the diagnosis came that Bar rie had only a short time leftwith her and their four children and six grandchildren.  When they arrived home from the hospital, Home Hospice of Grayson County was already there. A hospital bed was set up, along with a breathing machine, meds, gowns—everything Barrie and the family needed. He passed November 13, 2018, on his daughter’s birthday.

“Going through that fist Thanksgiving was hard, but I had all of my children, their spouses, and my grandchildren,” Linda says. “ The grandchil dren put up my Christmas tree while they were here. Then they were back for Christmas, and we have continued celebrating the holidays because my husband really enjoyed them with the family.”

lieve the impact it immediately had on her life.  Thee years later, Linda still attends the support group and shares her experiences with others.

When a woman she knows loses a loved one, Linda invites her to the support group. Linda says, “I give them a few days and then I go to them and say, ‘I’m here. I understand a little bit about what you’re going through, and if there’s anything I can do or say to help you, I’d like to do that.

One of the things I have done is join a support group at Home Hospice. You have no obligations to go, it’s just that I would like you to go one time with me and see if it’s a place you feel you can get some help.”

They went through Christmas and the New Year, grief fresh as they coped with the newness of loss.  Within weeks, Linda had started attending the Home Hospice support group for women. She couldn’t be-

Everyone needs a little help and encouragement at some point in life. It’s what Linda has found through the Home Hospice support group. “I appreciate being able to bare my soul and not have to worry about it, just know that I am understood and I’m cared about,” Linda says. She believes it helped her to continue living and to fid life after the loss.

Stephen P. Courtney, MD

Fellowship-Trained Orthopedic Spine Surgeon

Over 26 Years of Experience

Dr. Courtney is a board-certified orthopedic spine surgeon located in Plano, Texas. A Louisiana native, he attended Louisiana State University for medical school, and completed residency at Texas A&M followed by a fellowship at the Florida Neck and Back Institute.

SPECIALTIES:

• Back Pain

• Neck Pain

• Spine Pain

• Disc Replacement

• Microdiscectomy

• Spinal Fusion

• Minimally Invasive Surgery

• Steroid Injections

• Physical Therapy

“I believe in treating each of my patients with honesty, dignity, and respect. My patients come away from our shared interactions feeling confident, assured that they are truly in the best hands. Throughout my career, I have remained laser-focused on providing world-class care and innovation to the patients I treat on a daily basis. I look forward to getting to know you!”

Online Therapy

Is it right for you?

Since COVID–19, online and teletherapy has grown in popularity. Ths has conveniently let patients talk to therapists from the comfort of their own home. In many cases, online therapy or teletherapy has proven to be an equally effective treatment as in–person therapy for many emotional health problems.

Talking to a professional can help you overcome difficulties, understand your issues, manage symptoms, and heal. Cognitive behavioral therapy (CBT) has been demonstrated to be as effective as antidepressants in treating moderate to severe depression without adverse effects.

Online therapy—effective?

Online counseling may be as effective as in–person treatment for many people, according to early research. Online counseling helps you talk to a trained expert anywhere in the world without the cost, travel time, or bother of meeting in person. Being in the comfort of your home may help you open up to a therapist.

Texting or using a messaging app for therapy may be more comfortable for some, especially younger people who grew up with it, but it hinders the therapist from assessing your body language and speech. It makes it harder to build trust and support between therapist and patient, which is crucial to therapy. That requires in–person or live video counseling.

Online therapy works best when you open up to your therapist and work hard. To enhance your mood and mental health, use what you learn in sessions and make healthy lifestyle changes. A good therapist can use technology to help you learn and grow.

Online vs. in–person therapy

Online counseling might vary in benefits and cons compared to in–person therapy. Some therapists use third–party websites or directories to interact with patients, while others offer internet counseling through their private officesSome systems limit therapist–patient communication to messaging or live texting, while others allow weekly phone conversations or live video conferencing. The latter is closer to in–person therapy and more likely to yield the same benefits. Calling, emailing, or messaging your therapist between sessions can be helpful, but experts recommend using it in addition to face–to–face engagement, either in person or by video.

Why therapy requires face–to–face interaction

Humans communicate through body language and other nonverbal indicators. Your habits, posture, and voice say more than your words. Nonverbal communication can assist therapists spot discrepancies between verbal and nonverbal answers. It can also assist them understand your unspoken words.

Benefits of online therapy include:

• CONVENIENCE. Online counseling lets you get support anywhere with a fast internet connection. You don’t have to drive, park, wait in a waiting room, pay for daycare, or take time off work to get to appointments.

• COMFORT. Online therapy can make it easier for you to open up, be more vulnerable, and better manage unpleasant emotions. Online therapy is suitable for people with mobility challenges, chronic disease, or conditions like agoraphobia or social anxiety disorder that make it hard to leave home.

• OPTIONS. If you live in a remote place, a certifid therapist is available online. Online therapists are more likely to specialize on your issue, regardless of where you live. (In certain regions, you can only see therapists licensed in your state or nation.) Online counseling makes it easier to switch therapists until you fid the ideal one. If your friend in a different city loves their therapist, they may offer online therapy to you.

• EASE OF COMMUNICATION. When you see a therapist for an hour a week, it can be hard to remember all that happened. Emailing or messaging your therapist between sessions lets you express your feelings and issues immediately. Some online counseling programs use messaging to track progress and failures.

• PRIVACY. Mental health care is stigmatized. Online therapy is easier than in–person therapy because it eliminates the risk of running into a friend in the therapist’s parking lot or waiting area.

Drawbacks of online therapy include:

• TECHNICAL DIFFICULTIES. Online therapy relies on internet speed and device reliability. If you can’t stream movies, you probably can’t video chat with a therapist. Even the best connections and equipment might malfunction and interrupt your therapy session.

• EMOTIONAL DISCONNECT. Video conferencing is helpful, although it may be harder to emotionally connect with the therapist. Video calls can lose certain body language clues. You may not notice the therapist’s empathy or them noticing your tapping leg under the table.

• UNQUALIFIED PROVIDERS. As with any online service, you risk being scammed. Always examine a therapist’s credentials or use a trusted third–party agency that vets their counselors.

Online therapy isn’t for everyone

Sometimes in–person counseling is better than internet therapy. In–person therapy is better for serious mental illnesses like schizophrenia, suicidal thoughts, and other crises.

Getting the most from online therapy

Seek and compare. Ask questions, read reviews, and use free initial sessions to fid the ideal online therapist. You must trust this individual enough to discuss sensitive and difficult topics and be honest about your thoughts and feelings. You may have to talk to a couple before fiding the right fi for you.

• KNOW YOUR THERAPY GOALS. What do you want to achieve? The clearer your goals for treatment are, the easier it will be to track your progress and maximize your benefits. Your therapist should know your motivations and address them.

• BE OPEN AND HONEST. Therapy often brings up difficult feelings. Be honest with your therapist. Tell them if a topic is too challenging. Your therapist will help you more if you are honest.

• DO THE WORK. Treatment takes more than weekly chats. You may be assigned homework or asked to practice strategies outside of sessions. Prepare to invest effort to maximize the experience.

• REDUCE DISTRACTIONS. Talking to a professional from home is handy, but if kids, other family members, noisy neighbors, phone calls, or other disruptions interrupt your sessions, you won’t benefit as much from therapy. Choose a peaceful time for therapy, switch off our phone, and mute other apps.

Paying for online therapy

Online counseling is usually less expensive than in–person treatment, but it depends on where you reside, your benefits, and the sort of service.

• Some US health insurers cover internet therapy, but you may need a referral from your primary care physician.

• Depending on your income, you may be able to obtain low–cost online therapy via a community clinic or Federally Qualifid Health Center (FQHC).

• Psychology departments or campus social workers provide online or in–person therapy at colleges and universities.

• Some employers offer employee assistance programs with free online treatment trials and other types of support.

• Many third–party services offer monthly or yearly subscriptions to reduce the cost, or packages that allow you to purchase multiple sessions at a discounted rate. Some online therapy services even offer free trials so you can sample interacting with a therapist to help gauge if it’s right for you.

Whether it’s online or in–person, many make mental health counseling essential. First, therapy offers a secure, judgment–free space to discuss thoughts, feelings, and worries. It helps people understand their thoughts and actions and improve. Therapists help us manage stress, negotiate challenges, and promote well–being, leading to a more satisfying and balanced existence.

DFW Wound Care Center is a group of wound care specialists in all of the DFW area. They are fellow trained surgeons, and board certified in wound care and reconstructive surgery. All physicians have also completed an intense residency and fellowship in the area of limb salvage, and foot and ankle surgery. When it comes to wound care and limb salvage, DFW Wound Care Center has the knowledge and experience to successfully treat your condition. As a result, patients from all over the country seek to be treated by DFW Wound Care Center.

Whether caused by diabetes, infection or disease, any wound that will not heal can be very serious. If you are experiencing a wound or ulcer that will not properly heal, our wound care center can provide a range of expert treatment options best in each case. We offer non-surgical and surgical treatments for:

Diabetic Wounds & Ulcers

Arterial Ulcers

Infected Wounds

Open Wounds

Pressure Ulcers

Vascular Wounds

Acute Wounds

Non-Healing Wounds

Chronic Wounds

Surgical Wounds

Traumatic Wounds

PLANO CLINIC

5804 Coit Road, Ste. 100 Plano, TX 75023

LEWISVILLE CLINIC

502 N. Valley Pkwy., #2 Lewisville, TX 75067

IRVING CLINIC

6161 N. State Hwy. 161, Ste. 320 Irving, TX 75038

DESOTO CLINIC

714 N. Hampton Rd. De Soto, TX 75115

JOSHUA WORLEY, DPM | REZA MOBARAK, DPM, FACFAS, FAPWCA, FAPWHC | MARK MASHNI, DPM, AACFAS | MITCH WILLIAMS, DPM

Premier Foot & Ankle specializes in the treatment of all foot and ankle issues patients of all ages may experience. Our dedicated providers are committed to providing patients with quality care and pain relief using cuttingedge technology such as Pulse Activation Treatment to cure heel pain/plantar fasciitis as well as Padnet vascular and Smart Scan nerve testing for diabetics. By for the entire family, we at Premier Foot & Ankle focus on treating both the injured athlete and anyone with foot or ankle injuries.

Premier Foot & Ankle is the leading practice of foot and ankle specialists in the Dallas-Ft. Worth area as evidenced by multiple awards such as the Best of Dallas 2011-2012 and 2015-2020 and the Reader’s Choice Best of Living 2017. As a trusted and dedicated

provider, Premier Foot & Ankle is here to help patients alleviate their foot and ankle pain resulting from various foot disorders and injuries such as sports and diabetic foot care.

To move toward your pain-free lifestyle with an individualized comprehensive treatment plan, visit us today at www.premierfoot.com to schedule your appointment!

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