Texoma Area Living Well Magazine March-April 2022

BUILT to LAST

Plyler Construction celebrates 60 years in Sherman.

THERAPY SERVICES:

• 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

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, Brian T. Rose, MD and Raymond Delpak, DPM, believe in improving quality of life by providing their patients with education as well as topnotch 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.

Texoma Orthopedic and Spine has on-staff therapists to make sure your doctor is in close communication regarding your therapy during your rehabilitation process.

Dr. Raymond Delpak, DPM, AACFAS

FOOT AND ANKLE SURGERY

Surgical Services:

• Foot and Ankle Trauma and Reconstruction

• Fracture repair

• Flat Foot Reconstruction

• Total Ankle Replacements

• Bunion Repair

• Hammertoe Repair

• Joint replacement in small joints

• Charcot reconstruction

• Foot and Ankle arthritic conditions

• Plantar fasciitis

• Achilles Tendon Repair

Brian T. Rose, MD, FAAOS

ORTHOPEDIC SURGERY OF THE SPINE

Surgical Services:

• Spinal Fusion

• Kyphoplasty

• Cervical Disk Replacement

• Microdiskectomy

• Spinal Decompression

• Interlaminar Stabilization

Dr. Richard Jelsma is double board-certified by the American Board of Orthopedic Surgery in Orthopedic Surgery and Sports Medicine.

HIGH QUALITY SURGERY DEMANDS EXPERIENCE

Dr. Jelsma is one of the most experienced surgeons in North Texas having performed:

•Over 3,000 minimally invasive arthroscopic shoulder repairs. Including rotator cuff and labral tears.

•Over 3,000 arthroscopic knee surgeries. Including ACL tears, meniscus tears, and cartilage injuries.

•Over 1,000 minimally invasive knee replacements.

DR. JELSMA’S OFFICE PHILOSOPHY: PERSONAL CARE

He prides himself on seeing all of his patients personally. Each patient is examined, and additional tests may be ordered to determine an accurate diagnosis. Dr. Jelsma then reviews a list of treatment options with the patient in order to make a decision while taking into account their personal goals and lifestyle considerations.

ASSISTING ALL PATIENTS WITH THEIR GENERAL ORTHOPEDIC NEEDS

•Treats all types of musculoskeletal pain, whether you’re an athlete or spectator.

•Addresses both non-surgical and surgical options.

•Dr. Jelsma and his team are here to get you back in life’s game.

THE HEALING POWER OF

RegenerativeTherapies

Naturally Treat & Heal the Cause of Painful Conditions

Not all Regenerative Medicine Injections are the Same. Regenerative therapies are a spectrum of cutting edge therapeutic techniques used to naturally treat and heal the cause of a painful condition rather than masking the symptom. Regenerative therapies stimulate and accelerate your own body’s natural ability to heal itself. Two of the most effective Regenerative therapies include stem cell and platelet rich plasma injections.

Stem Cells are “undifferentiated” cells, which allow them to develop into another type of cell that is required to repair or replace damaged tissue.

Stem cell therapy can repair tissues that are too damaged to heal on their own. Stem cells can stimulate the formation of cartilage, tendon, ligaments, bone and fibrous connective tissues.

PLATELET RICH PLASMA

Platelet rich plasma (PRP) therapy utilizes platelets taken from the patient’s own blood to rebuild damaged tendons or cartilage.

As a result, the damaged tissue begins to heal. PRP has been successful in not only relieving pain, but also in jump-starting the healing process.

ROBERT J. NOCERINI, MD

Board Certified in Pain Management Board Certified in Anesthesiology

TREATMENTS

Injuries and conditions commonly treated by regenerative therapy procedures include:

• Back & Neck Pain

• Golfer’s Elbow

• Osteoarthritis of the Knee, Hip, & Shoulder

• Tennis Elbow

• Joint Injuries

• Ligament, Cartilage, & Tendon Injuries

THE INJECTION PROCEDURE

SREENADHA VATTAM, MD

Board Certified in Pain Management Physical Medicine and Rehabilitation

MIKE CONNER, APRN, FNP-C Nurse Practitioner

HELENE DEHAAN, FNP Nurse Practitioner

Platelet rich plasma therapy and stem cell injections are done at our office and take about an hour. Patients return home the same day and are often able to work the following day.

EXPERIENCE

Our providers have years of experience in minimally invasive procedures with additional training in regenerative injection techniques. The entire staff is dedicated to providing you with the best possible experience.

Schedule an appointment with one of our providers to determine if one of these state of the art procedures could be right for you.

SHERMAN OFFICE: 1001 Sara Swamy Dr., #220 Sherman, TX 75090 (903) 892-1999

ROWLETT OFFICE: 7700 Lakeview Pkwy. Rowlett, TX 75088 (469) 653-0222

FROM THE PUBLISHER

TEXANS ON TOP

As Texan David Plyler embarks on his third term as mayor of Sherman, he does so with another significant accomplishment under his belt. President of Plyler Construction, he’s leading the company his grandfather Lloyd Plyler founded in 1962 to even greater heights.

When Lloyd located the company’s headquarters in Sherman 60 years ago, he recognized the significant role Plyler Construction would have on the evolution and growth of a city that was near and dear to his heart.

Next, we turn our attention to Chip and Joanna Gaines, a couple who’ve also made quite a name for themselves. Since the launch of their show Fixer Upper in 2013, the duo have revitalized the once sedate town of Waco, Texas, and turned it into a bustling, must-visit destination that millions of their devotees visit yearly for a chance to sample the gracious, bucolic lifestyle cultivated by the pair.

Check out page 24 to learn how the photogenic couple met and how they ended up heading an entire network devoted exclusively to their personally curated content.

Of course, there’s more. Get reading!

Be well!

Living Well

MARCH/APRIL 2022

PRESIDENT & CEO

SAM HOUSTON

VICE PRESIDENT & CFO

SPRING HOUSTON

EDITOR, FEATURE WRITER & SOCIAL MEDIA

SONDRA BARR

ART DIRECTOR

VANESSA FRYER

ACCOUNTS MANAGER JENNIFER BEAVERS

WEBSITE LYDIA ROGERS

ADVERTISING & SALES

TEXAS: Denton County, Dallas County, Collin County

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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.

SPRING AND SAM HOUSTON

SAM AND SPRING HOUSTON

Brian Nwannunu, MD, MS

Brian Nwannunu, MD, MS, is an orthopedic surgeon specializing in hip and knee replacement. He cares for patients at Alpha Orthopedics & Sports Medicine’s offices in Sherman and 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.

Commitment. Community. Stability.

“The French writer and pioneering aviator, Antoine de Saint-Exupéry, said ‘A goal without a plan is just a wish.’ A sound investment plan, tailored to fit your goals, can provide welcome confidence, charting your progress through life’s variables as well as fluctuations in the market. Seeing our clients meet their financial goals is how we view our success. It’s been our pleasure to help people like you for over 20 years. If you’ve been meaning to talk with an experienced financial advisor, there’s never been a better time to give us a call.”

– Juston J. Dobbs, MBA, CDFA®, CFP®

The Forbes Best-in-State Wealth Advisors ranking algorithm is based on industry experience, interviews, compliance records, assets under management, revenue and other criteria by SHOOK Research, LLC, which does not receive compensation from the advisors or their firms in exchange for placement on a ranking. Investment performance is not a criterion.

Serving Texoma for over 20 years

PAST & PRESENT COMMUNITY LEADERSHIP

• Sherman City Council

• Sherman Kiwanis Club

• Texoma Chapter Ducks Unlimited, former President

• First United Methodist Church of Sherman

• Sherman Independent School District, Board of Directors

• Wilson N. Jones Foundation, Board of Directors

• Sherman Kiwanis Club, Board of Directors

• Sherman Chamber of Commerce, former Board Chair

• Sherman Economic Development Corporation, former Board Chair

Juston J. Dobbs, MBA, CDFA®, CFP® Managing DirectorInvestments

Plyler Construction celebrates 60 years in Sherman. BUILT to LAST

BY SONDRA BARR

MICHAEL LYON PHOTOGRAPHY

As David Plyler embarks on a third term as mayor of Sherman, he does so with another significant accomplishment under his belt. President of Plyler Construction, he’s leading the company his grandfather Lloyd Plyler founded in 1962 to even greater heights.

While David follows his grandfather’s ideals and conservative financial-management philosophy, he’s also harnessing the power of the latest cutting-edge technology to ensure the company remains ultra competitive and continues to set the gold standard for construction services in the region and beyond.

When Lloyd located the company’s headquarters in Sherman 60 years ago, he recognized the significant role Plyler Construction would have on the evolution and growth of a city that was near and dear to his heart.

“The company’s first project was a Sherman Post Office, which, interestingly, is now our city hall. I have an office there,” says David. “We built a lot of things in Sherman and it grew from there.”

“We constructed the 320 Building on Travis Street in 1965, which is a landmark building. It’s a post modern building that’s really pretty. One of my dad’s good friends still owns it. He was going to renovate the upper floor for apartments not long ago,” says David. “Can you believe we still have the drawings on it?”

The 320 Building is just one of the significant community projects Plyler Construction has erected over 60 years. “There are a number of projects in Sherman we’ve done that we’re especially proud of like the First United Bank and Faith Church. We even did the community hospital addition back in the early ‘60s and my dad actually designed it,” says David.

Contributing to Plyler Construction’s success was its early adoption of the Design-Build delivery system. Lloyd’s vision of building a company that delivered such reliable project management and accountability that clients would choose Plyler again and again was paramount.

Recognizing that subcontractors could not work until the concrete and steel were in place, Lloyd established a Steel Fabrication and Erection division in 1970. What began as a 15,000-square-foot shop, is now one of the region’s largest steel fabrication facilities—an 85,000-square-foot state-of-the-art complex, housing an extensive array of cranes, conveyors, cutting tools, paint facilities, and amply areas for assembly and distribution.

“ ”

You hear so often in construction companies that they ebb and flw; my goal is different in that we’re going to leave something lasting for our folks, not only our family, but our employees.

COUSINS CHRIS PLYLER AND DAVID PLYLER. CHRIS IS PARTNER AND A DESIGNER WITH THE FIRM WHILE DAVID IS PRESIDENT.

SHERMAN CITY HALL, PLYLER CONSTRUCTION’S FIRST PROJECT 60 YEARS AGO.

“

” The company’s first project as a Sherman Post Offic, which, interestingly, is now our city hall. I have an office ther.

Plyler’s Mechanical, Electrical, and Plumbing (MEP) division was established along with the Steel Fabrication and Erection division.

Bringing these elements under Plyler control eliminated crucial project pinch points, speeding production and maximizing efficiency. Plyler’s project managers, crew leaders, and tradesman—working in tandem, coordinating manpower and materials—promote fast project turnaround, which has become a Plyler hallmark.

Prior to taking the helm of Plyler Construction when his father passed away in early 2002, David attended Sherman High School and spent his summers working for the family business before continuing his education at Texas Tech University.

“I wanted to pursue architecture. Turns out, as I went through the courses, I leaned more toward the construction side, so I ended up in the College of Engineering going through the construction management program at Tech,” he says.

A fervent Red Raider to this day, David came back to Sherman after graduation fortified with the skills necessary to take Plyler Construction to the next level.

“As president of the firm, I handle all the financial and legal aspects, along with a lot of the marketing as it relates to general construction,” explains David, who has the help of his cousins Chris and Jory Plyler.

“Chris handles most of our design build and implementation. It’s a little bit different from what I do because the customer group is so different. They do mostly heavy industrial, manufacturing, factories, that sort of thing, whereas general construction handles churches, schools, banks, things of that nature. Meanwhile, Jory serves as the electrical project manager and handles a lot of the plumbing and heavy industrial-type installations.”

FIRST BAPTIST CHURCH OF SHERMAN

BETTY DENNIS FORSTER ART STUDIO COMPLEX AT AUSTIN COLLEGE IN SHERMAN

WASHINGTON ELEMENTARY SCHOOL IN SHERMAN

BUTTERFIELD ELEMENTARY SCHOOL IN SANGER

C E L E B R A T I N G 6 0 Y E A R S

PERCY NEBLETT ELEMENTARY SCHOOL IN SHERMAN

LEO AND MABEL SCOTT HEALTH SCIENCE CENTER AT NCTC IN GAINESVILLE

MONTESSORI SCHOOL AT STARCREEK IN ALLEN

POTTSBORRO ISD SERVICE CENTER

GRAYSON COLLEGE ADMINISTRATION BUILDING IN DENSION

“

We’ve got a lot of developers looking to build homes here and there are about 6,000 houses to be built in Sherman that are already approved––that’s a lot of new friends and neighbors in our community.

As family, all three Plylers have the same goal—the success of the company. “I know they’re not going to leave the firm, so we have assurance that we’re all going to be there so we better make it work,” explains David.

And work, it does. With 89 employees, the company has completed projects far and wide including large-scale construction efforts for Southeastern Oklahoma State University, Sherman Independent School District, Austin College, and Grayson College.

David’s approached his role as mayor with the same logical business mind that’s fueled his success in the construction industry. “The city is essentially a nonprofit business,” he says. “The things that I learned in the construction company such as financial management, negotiation, business planning, long-term planning, infrastructure planning, all of those things I do here translate directly to what I do at the city.”

It also gives David a unique insight when he sits down with a prospective company coming into Sherman. “I know what their business is. I know what they need. I know what they look for. So I can speak their language when they come to town because I know what’s important to them when lining up a new facility,” says David, who

points to the new multi-billion Texas Instrument project coming to Sherman as an example of the synergy that results from running a large construction company and being mayor.

“This will be in the top six manufacturing size plants in our nation,” explains David. “That’s going to really change our community. We’ve got a lot of developers looking to build homes here and there are about 6,000 houses to be built in Sherman that are already approved—that’s a lot of new friends and neighbors in our community.”

Growth on that scale can cause a slew of problems if a city isn’t ready with adequate infrastructure. David’s extensive construction experience translates into his knowledge that engineering firms need to be hired and utility upgrades are necessary. “There’s a lot of work to do on our part,” says David.

Speaking of work, David knows nothing is possible without a great team and Plyler Construction has some of the best. “Our average tenure is over 18 years. Not only that, some of our people have worked with us for over 30 years,” he says.

“You hear so often in construction companies that they ebb and flow; my goal is different in that we’re going to leave something lasting for our folks, not only our family, but our employees.”

FOUNDERS OF PLYLER CONSTRUCTION (LTOR) RON PLYLER, LLOYD PLYLER AND MIKE PLYLER.

Planning to Avoid Probate and Guardianship without Using a Living Trust

By CRAIG WATSON

Arvie is an 85 year old widow in good health. She delights in her two adult children who also enjoy a good relationship. Her Will was drafted over a decade ago. She owns a house (debt free) and about $150,000 in cash. She has a long term care insurance policy in case she needs nursing home care. She wonders if she needs a power of attorney and a medical directive, so she schedules an appointment with an Elder Law attorney.

At the appointment, her attorney reviews her Will and explains that it leaves her estate equally to her two children, appointing them as Executors. He explains the Probate process and agrees that she, along with virtually everyone else in Texas, needs a Statutory Durable Power of Attorney, a Medical Power of Attorney and a Directive to Physicians.

Her attorney counsels that a Statutory Durable Power of Attorney is a document that simply authorizes her children, as her agents, to manage her property for her benefit in the event that she becomes incapacitated and unable to handle her affairs. Her children would be able to pay her bills and take care of her property if she were alive but mentally incapacitated. She asks why she needs a Power of Attorney when she has already appointed an Executor. He explains that the Executor is powerless until appointed by the Probate Court after her death in contrast to the Power of Attorney, which is applicable for the rest of her life. Without a Power of Attorney, her children would be required to initiate a much more expensive, court supervised Guardianship in order to manage her estate and pay her bills if she became mentally incapacitated.

The attorney says a Medical Power of Attorney is different because it applies only to health care decisions, allowing her children to make general health care decisions for her benefit if she is unable to make decisions. He explains that the last document is called a Directive to Physicians and is sometimes referred to as a Living Will because it

allows her to express her wish not to be kept alive by artificial means if she ever becomes so ill that there is no hope of recovery.

Then the attorney starts to creatively add value to the meeting. He asks Arvie if she would like to plan her estate so that her children won’t have to go through the probate process. She tells him that she has heard about avoiding probate by using a Revocable Living Trust but that she thinks her estate is too small to justify a Trust. She is surprised to learn that she can avoid Probate without using a Trust.

Because Arvie has a relatively simple estate and, very importantly, because Arvie has two trustworthy children that enjoy a close relationship, her estate can be planned to avoid the expense, delay and public disclosure of probate without using a Living Trust.

Her attorney recommends that she deed her house to her children but reserve the right to live in the house for the rest of her life, known as a Life Estate Deed. For Federal Income Tax purposes, her children would receive a step up in cost basis in her house to fair market value in the event they choose to sell it after her death. Also, her property taxes would remain frozen because she is over the age of 65 and because the house would remain her homestead. Best of all, her house would instantly pass to her children upon her death with no need for a probate.

She added her children to her bank accounts and converted the accounts to be held as “joint tenants with right of survivorship”, meaning she retains ownership of the accounts but that they would instantly pass to her children upon her death without the need for a probate. Finally, her children could simply divide up her personal property, donate it to charity or sell it as they see fit. By taking these actions, Arvie’s children will be able to settle her estate without the expense of probating her Will.

Arvie was glad she went to see her lawyer about a power of attorney because she left his office with a whole lot more than she expected.

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Radiofrequency ablation treatment now available for spinal tumors

Minimally invasive technology, close to home

Brian Rose, MD,

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

cement

like substance, and patients can get re

“Many patients who previously rated their pain as a ‘10’ tell

‘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 ”

Texas Oncology–Denison Cancer Center Now Open

Texas Oncology opened a new comprehensive cancer center in Denison in June, combining both Sherman and Denison locations to offer medical oncology, radiation therapy, and hematology services—all at one location. Located at 5125 Texoma Medical Center Dr., Suite 100, Texas Oncology–Denison Cancer Center, provides patients with access to cancer prevention and screenings, genetic risk evaluation and testing, and research and clinical trials.

“For nearly three decades, Texas Oncology has provided leading-edge cancer care to patients in the Texoma region,” said Steven Paulson, M.D., president and chairman of the board of Texas Oncology. “The new Texas Oncology–Denison Cancer Center highlights our commitment to ensuring that cancer patients across North Texas not only receive high-quality, comprehensive cancer care, but that they have access to innovative therapies and groundbreaking research.”

We are proud to serve the patients of this region and look forward to strengthening our relationships with the community for decades to come.

In addition to providing cancer care, the new 26,000-square-foot facility includes an on-site pharmacy and in-house laboratory. Other support services offered at Texas Oncology–Denison Cancer Center include financial counseling and support groups.

“Texas Oncology–Denison Cancer Center provides patients in the Texoma community with enhanced access to care in a convenient, comfortable setting with the same team of trusted physicians who have always cared for the patients of Grayson County,” said Tammy Roque, M.D., medical oncologist at Texas Oncology–Denison Cancer Center. “We are proud to serve the patients of this region and look forward to strengthening our relationships with the community for decades to come.”

For more information or to schedule an appointment, visit TexasOncology.com/Denison.

Sweet

HOME HOME

CHIP & JOANNA

GAINES

PUT FAMILY FIRST WHILE BUILDING A LIFESTYLE EMPIRE IN TEXAS.

BY SONDRA BARR

In small town Waco, Texas, Chip and Joanna Gaines are hometown royalty. Since the launch of their show Fixer Upper in 2013, the pair revitalized the once sedate town into a bustling, must-visit destination that millions of their devotees visit yearly for a chance to sample the gracious, bucolic lifestyle cultivated by the Gaines’s Magnolia brand.

There’s the 5-acre Magnolia Market shopping complex, the Magnolia Press coffee shop, the Silos Baking Co. Bakery, and Magnolia Table, add to this their lifestyle books, a magazine (Magnolia Journal), apparel, furniture, accessories, a real estate company, and most recently their very own cable channel, the Magnolia Network on Discovery, all proof of the pair’s influence in the worlds of design, food, home, and garden.

The photogenic couple’s affable nature and country approachability, combined with an eye for design, have contributed to their popularity. Yet, it’s their unwavering commitment to each other and their family that is the ultimate “secret” sauce to their appeal.

“We are who you think we are. We’re the couple you want to go have a coffee with, we’re the couple you want to have a 15-minute chat with on the way to the market,” said Chip to Hunter Hauk of Cowboys & Indians. “The reason that we’re those people is because we do the hard work that is required. We treat each other with respect. We admire one another’s strengths and weaknesses. We pull for each other. We learned that early.”

Although they both graduated from Baylor University, Chip with a marketing degree and Joanna with a degree in communications, his first glimpse of her was a photo of Joanna hanging on the wall of her father’s Firestone Tire store. “I knew I’d marry her one day just by the picture on the wall,” Chip told Popsugar

Hoping to meet his future wife, Chip returned to the shop for fresh “repairs.” His doggedness proved fruitful when he finally ran into her. He landed a date by complimenting Joanna on the car commercials she starred in for her family’s tire shop.

“At first, I couldn’t believe how kind Chip was––he had kind eyes, and made me laugh a lot. I knew he was the one because I knew I could trust him,” Joanna said.

Contrary to their traditional Christian values, after only a year of dating, they moved into a rental property of Chip’s, an 800-square-foot home that they renovated. They married in 2003, the year they opened the original Magnolia Market on Bosque Blvd. After their wedding, they purchased their first official flip together. “All I could remember is the smell. The house was bad. Chip did all the construction, and I remember many nights he was on his hands and knees staining floors or laying tile,” she said.

“I remember when we first got married the only money we had was what was in Chip’s pocket,” Joanna told PEOPLE. “He always had a wad of cash, but we were broke. If I needed to go grocery shopping it’s whatever was in his pocket. That’s how we paid the bills.”

A Vietnam War vet, Joanna’s father wasn’t exactly pro Chip. “Her dad spent the first two years of our marriage asking me if I was going to get a job,” Chip said. “I was like, ‘I have a job and I like it.’”

When Magnolia Market closed in 2006 after the birth of two of their five children, the duo focused on their construction business, Magnolia Homes.

“One pretty amazing thing we learned early on was that the more time we spent together, the better our relationship was,” wrote Joanna on her blog. “We seem to give each other energy. We function better together than we do apart, and I don’t think either one of us has ever felt the urge to say,

“ ONE PRETTY AMAZING THING WE LEARNED EARLY ON WAS THAT THE MORE TIME WE SPENT TOGETHER, THE BETTER OUR RELATIONSHIP WAS.

”

‘I need a break from you.’ Don’t get me wrong, we’ve certainly had our share of disappointments and arguments, but we just always wanted to tackle our issues together.”

After more than a decade of flipping houses, Joanna’s blog caught the attention of producer Katie Neff, who called the couple to learn more.

“I was just really impressed by the fact that they were so in love with the town and so dedicated to it––and so dedicated to making a more beautiful place to live in. It’s the perfect place to be flipping homes, because there were so many horribly decrepit homes that you couldn’t live in,” Neff told Texas Monthly

HGTV recognized the duo’s dynamic chemistry and distinctive style was unique and signed them up, much to the surprise of Chip, who initially couldn’t believe it was legitimate interest. “He was like, ‘it’s a scam, do not call them back,’” Joanna told Today

Launched in 2013, Fixer Upper became the most watched series in the history of HGTV. With years spent fixing and flipping houses, they hit the ground running and viewers were instantly hooked on the pair’s charming design aesthetic.

Early on, they established ground rules to ensure their brood, which has since grown to five, wouldn’t suffer due to filming. They insisted all the homes worked on during the show’s 79 episodes be in Waco so that they were rarely far from home or their other businesses.

“ I KNEW I’D MARRY HER ONE DAY JUST BY THE PICTURE ON THE WALL.

”

Single-handedly responsible for turning farmhouse chic into a national obsession and for the meteoric rise of shiplap sales, the looks they achieved on the show were widely coveted and opened the door for other opportunities.

“We realized we didn’t necessarily love that side of the camera, and that part became a fulltime job,” said Joanna to PEOPLE. “We’ve got a big family. We’ve got a business. The show ended up where we had to constantly be feeding it.”

When Chip and Joanna walked away from the show in 2018, fans were shocked. Yet, the pair, always ahead of the trend, had bigger plans. Their biggest remodel to date turned out to be the transformation of HGTV’s sister channel, DIY Network, into their own personal cable realm devoted exclusively to Chip and Joanna curated content. Named (what else) Magnolia Network, it debuted on cable this year with over a dozen original shows handpicked by the duo and the tagline “TV that feels like home.” Not surprising, considering Magnolia Network is a coming home of sorts for Chip and Joanna.

“What we’re hoping to do is to light a fire so that you can go out and create the life that you were meant to live. And that’s really, really the bottom line for us,” explained Chip to Variety about the venture.

“We just believe in the power of getting around the television as a family watching the same show together. I think right now a lot of people are on their own devices watching their own shows,” said Joanna. “It kind of reminds me of six years ago when we said yes to [creating Magnolia Journal quarterly] magazine. That was something we were dreaming about. Everyone was saying it’s all going digital, print is dying. We believe in the idea of sitting in your favorite chair with your magazine for an hour doing that kind of back-to-basics thing. And I think the same goes with television. It’s weird to think of it as nostalgic, but being around the television set feels like back to the basics all over again.”

“ WE’RE THE COUPLE YOU WANT TO GO HAVE A COFFEE WITH, WE’RE THE COUPLE YOU WANT TO HAVE A 15-MINUTE CHAT WITH ON THE WAY TO THE MARKET.

”

CROSSROADS MEDICAL

204 Me di ca l Drive , She rman , 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

Ask RX 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

Dr. Grant Craig

Pastor Terry Barnett

Natalie, Jeremy and Champ Roberts

Mayor David and Mignon Plyler

STAND OUT WITH THE EMINENT CHOICE IN HEALTHCARE

Pain Management • Sports Medicine • General Surgery

Spine Surgery • Orthopedic Surgery • Neurosurgery

Minimally Invasive Spine Surgery • Total Joint Surgery

Foot & Ankle Surgery • Hand Surgery

Gynecological Surgery • Plastic Surgery

ROBOTIC TECHNOLOGY

Orthopedic surgeons and the medical staff at Eminent Medical Center are excited to offer Zimmer Biomet’s ROSA Knee System, which helps surgeons personalize surgical procedures for their patients.

We provide surgical services for pain management, orthopedic & sports medicine, gynecology, spine surgery and general surgery.

Mind Game:

Obsessive Compulsive Disorder

By KIMBERLY BLAKER

An estimated 2.3% of adults have Obsessive Compulsive Disorder (OCD), according to the National Institute of Mental Health. For many, the symptoms begin in childhood or adolescence. This anxiety disorder is a neurological malfunction that creates unrelenting, intrusive thoughts, and extreme anguish for those affected. Obsessions range from unbearable worries about contamination to believing they have run over someone while driving. These fears can be alleviated only one way—by acting out compulsions, which become repetitive acts of checking and rechecking to ensure the fear is unfounded.

OCD was added to the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM-III) in 1987. Yet many people still live with its destruction unaware there’s treatment or even a name for their bizarre fears and behaviors. Add to that, “Families often don’t know they have a sick child,” says Judith L. Rapoport, M.D., in  The Boy Who Couldn’t Stop Washing. Children may keep their obsessions and compulsions a secret to avoid appearing crazy.

The devastation of OCD isn’t seen in just the adult or child with the disorder. OCD negatively impacts the whole family. Families often destruct from the stress caused by the disorder. It’s not unusual for the OCD sufferer to rely on family members to help alleviate their fears. The afflicted person may insist that a child, parent, or spouse check electrical outlets or may badger loved ones with constant questions for reassurance.

Many individuals with OCD fear contamination. Often, family members get banned from specific rooms or areas to prevent contamination of the areas. Family members may also be required to live up to unreasonable standards of cleanliness to satisfy the person with OCD. In other homes, compulsions such as hoarding are so out of hand the home becomes a maze. Family members must maneuver through narrow trails and stacks of boxes and clutter.

In OCD, the brain is essentially stuck, according to many researchers. It replays a particular thought over and over again, like a broken record. It tricks the individual and they cannot trust their judgment. Those who don’t understand OCD often tell the afflicted, “Why don’t you just stop?”

Researchers believe the disorder is neurobiological. The obsessions are not a matter of choice. Differences have been found in the brain of OCD sufferers through brain imaging techniques. Some studies have found abnormalities in the neurotransmitters, such as serotonin. The occurrence of OCD is also higher in families with depressive and anxiety disorders. For most people with the disorder, there’s no known event that relates to their particular obsession(s). Still, researchers feel environmental stressors may play at least some role in the development of OCD for those who are biologically predisposed.

Although there’s no known cure for OCD, there are several treatments available. The two most common, effective, and proven forms of treatment for OCD are psychotropic drugs and cognitive behavioral therapy (CBT). Many doctors recommend medication in combination with CBT. Medication helps to normalize brain dysfunction making people more receptive to CBT. Then they can learn techniques through CBT to relieve or stop the intrusive thoughts and control compulsive behaviors.

There are also several treatments marketed for which there is not a preponderance of evidence to support their effectiveness. These include hypnotherapy, psychosurgery, and electroconvulsive therapy (ECT). So caution should be exercised if considering these methods.

The severity of untreated OCD generally tends to worsen over time. It can become completely debilitating. If someone in your family has symptoms of OCD, contact your mental health care provider for a confidential evaluation. With proper treatment, many OCD sufferers can lead healthy and productive lives.

COMMON OBSESSIONS

• Fear of running over someone while driving

• Fear of contamination

• Fear of harming others

• Fear of blurting obscenities or insults

• Preoccupation with a part of the body

• Violent, horrific, or disgusting images

• Superstitions or persistent thoughts of lucky/unlucky colors, etc.

• Extreme concern with religious issues, values, or morals

COMMON COMPULSIONS

• Repeated checking of doors, ovens, locks, plugs, or other items

• Repeated rituals such as counting or going in and out of doors a specific number of times, among other rituals

• Excessive arranging and rearranging

• Hoarding or collecting mail, newspapers, food, or other items

• Repeated confessions or asking repeated questions for reassurance

• Prolonged or repeated bathing or handwashing

• Repeatedly checking for mistakes

• Repeatedly drawing up lists

Dear Olivia,

We are considering starting our mother on hospice services sometime soon, as her physician thinks that it might be time to keep her at home and prevent any further hospitalizations. She has been frail for some time now and he feels she may need this extra layer of support and care. How do we know when the time is right? Also, are there any supports our family can receive if we need to go out of town to see our grown children while she is on hospice service?

-Difficult decisions

Dear Difficult decisions,

It is often a difficult decision to put a loved one on hospice service, even when we know that may be the best way to provide the appropriate level of care. Skilled hospice care can provide comprehensive, holistic care to both the patient and family when someone is facing a terminal illness or condition.

Starting hospice at the right time is important to ensure that the care team has a chance

to get to know the patient and family and establish the best plan of care possible. The “right time” to transition someone to hospice is different for every family, but two important considerations are whether further aggressive treatment is desired, and if the patient would want to return to the hospital. If the answer to both questions is no, then this is often the right time to choose hospice care.

In terms of travel, one of the best benefits of hospice for families is a service called respite care. This is one of the levels of care we can provide. This allows a patient to stay in an inpatient setting, such as a nursing facility, for up to five consecutive days for caregiver relief. This means that the family can travel, see other loved ones, or even just have a much-needed respite from caregiving, knowing that their loved one is safe and being checked on daily by hospice staff. Hospice really can help families take care of loved ones as they navigate the challenges of endof-life care.

~Olivia

VNA Hospice Care focuses on living life to its fullest and treating you with the dignity and respect you deserve. As a nonprofit, our bottom line is patient support and care provided by our highly qualified staff.

To schedule your free in-home informational visit please call (214) 535-2615 or email gethelp@vnatexas.org For volunteer opportunities please call (214) 689-2271 or email volunteer@vnatexas.org

OLIVIA ROGERS is a leading voice in health care and senior services and the Chief Nursing Officer of VNA Texas.

Experienced DWI Defense THE LAWYER LAWYERS CALL

Deandra M. Grant

JD, GC, MS

Attorney Deandra M. Grant is the Managing Partner of Deandra Grant Law’s five 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.

GRANT DEANDRA

“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

Volunteering Serves our Heart and Helps Others

By TAMERA WHITLOW, LVN, USAF

Volunteers! When I hear the word, it reminds me of a family. People doing things that benefit others, unconditionally, with a smile on their faces. Each day, somewhere, volunteers give of their time, expertise, and wisdom to help make life better. It is the best feeling in the world, making a difference for others. Volunteers often say, “I get so much out of volunteering; it gave me a purpose and changed my life.”

I had a mentor tell me during my nursing career, that losing ourselves in helping others allows us to discover our own happiness, and he was right! I can honestly say working with our volunteers has brought much insight and happiness to my life. Each volunteer

has taught me something I needed to learn or hear. I love my job working with the most compassionate, caring, and devoted group of volunteers.

And what a difference they make in our Home Hospice organization, from patient support to auxiliary member to helping with our resale store. They have become part of our family, working side by side together to achieve the same goal––assist our community, where everyone facing serious illness and loss will experience the best possible quality of life. As a nonprofit hospice, volunteers are so important in allowing us to care for more people in our community.

We recruit and train our volunteers based

Caring for patients. Supporting their families.

on their interest. For instance, if they like reading or talking to others, they may train as patient support. Or, if they enjoy handson activities, our office and resale store may be a place of service for them. Volunteers are truly part of our family and each is appreciated for all their hard work and dedication. If you’re interested in becoming a volunteer, please contact us at 903-868-9315 or 940665-9891. Thank you for all you do and for all the lives you help us touch!

JUST BECAUSE DAYS ARE LIMITED, QUALITY OF LIFE SHOULDN’T BE.

We are your neighborhood hospice helping patients and families find loving care with unparalleled skill. Surprisingly, perhaps, there are still opportunities to experience joy. Governed by community leaders, funded by grants and gifts, we are an award-winning hospice, providing end-of-life care for you and support for those you love. Let us be of assistance during this time when every moment is more precious than ever.

It’s essential to take care of your feet !

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!

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!

Finding a DOG to Fit Your LIFESTYLE

By KIMBERLY BLAKER

Every year thousands of dogs are turned over to animal shelters because they were given as a gift without first consulting the gift recipient—or people discover they brought home a biter, barker, digger, or jumper. When pets are given away, owners, and particularly dogs, suffer. So before selecting your dog, do your homework. With a little pre-planning, you can find the dog that most closely fits yours or your gift recipient’s lifestyle.

VARIETY OF DOGS, VARIETY OF NUISANCES

Dogs can create many nuisances. Some of these are more common in particular breeds. A barking dog helps protect against intruders. But excessive barking can become a problem. Some breeds known for their barking include the Alaskan Malamute, American Water Spaniel, Bassett Hound, Finnish Spitz, Fox and other Terriers, Great Pyrenees, and Miniature Schnauzer.

A playful, energetic puppy can make a great playmate. But as your puppy grows, that hyperactivity could become overwhelming. Highstrung dogs often jump on people and tear through the house. Certain breeds tend to maintain that high energy level well into their adult size bodies. Such breeds include Airedale Terriers, Boxer, Brittany,

Cocker Spaniel, Dalmatian, Golden Retriever, Irish Setter, Jack Russell Terrier, Labrador Retriever, Pointer, and Schnauzer.

Dogs dig for many reasons—to bury a bone, to escape from a fenced yard, to keep cool, or out of boredom. A torn-up yard can be the last straw for many dog owners. The following breeds tend to be diggers: Fox Terriers, Norwich Terrier, and Petit Basset Griffon Vendeen.

Dogs can be aggressive for a variety of reasons. Poor breeding, physical abuse, and even disease can cause aggression in a dog. Certain dominant breeds can also tend toward aggressiveness if not handled by a firm and skilled handler. Choose these dogs with caution and the understanding they require strong leadership: Akita, American Pit Bull Terrier, Bulldog, Bullmastiff, Chow Chow, Doberman Pinscher, German Shepherd, Rottweiler, Schnauzer, Shih Tzu, Siberian Husky, and Weimaraner.

Grooming is another consideration. While it may sound painless, the upkeep of certain breeds can be overwhelming. In addition to keeping claws trimmed and an occasional bath, some dogs require lengthy daily brushing to remove tangles or trapped fur in double coats. High maintenance breeds include the American Eskimo, Cocker Spaniel, Collie, Great Pyrenees, Lhasa Apso, Old English Sheepdog, Poodle, Schnauzer, and Terriers.

Continued on page 44

TRAITS TO LOOK FOR IN A FAMILY DOG

Many unforeseen problems are avoidable by finding a dog that’ll be easy to handle. Easy trainers include American Water Spaniel, Australian Shepherd, Bichon Frise, Cocker Spaniel, Irish Setter, Italian Greyhound, Maltese, and Shetland Sheepdog.

Calm, gentle breeds may be essential to your peace of mind. Keep in mind size alone doesn’t dictate these traits. Gentle breeds you might consider are Bassett Hound, Beagle, Bearded Collie, and Chinese Crested.

Playful and energetic puppies can be a handful once they’re fullgrown and haven’t outgrown their energy level. These include American Eskimo, Bloodhound, Brittany, Dalmatian, Golden Retriever, Irish Wolfhound, Labrador Retriever, Pointer, Poodle, Saint Bernard, or Schnauzer.

There are many other traits to consider in choosing a new dog. Before bringing home your puppy, read a book or articles about the breed that interests you to determine if it will fit your family’s lifestyle. For personalized assistance in choosing a breed, go to www.selectsmart.com/DOG or one of the many other breed selection sites. You’ll be guided through a series of questions and receive a free personalized list of matches.

SPECIAL CONSIDERATIONS

The Centers for Disease Control and Prevention estimate that 800,000 people, mostly children, are bitten annually severely enough to require medical attention. If you have grandchildren or other children who visit, keep in mind that Infants and small children shouldn’t be left alone with a dog. It may be hard to picture your lovable Fido as capable of hurting a child. But even the gentlest dogs have been known to bite.

Little kids sometimes get too close to a dog while it’s eating or chewing a bone or startle a dog while it’s sleeping. Sometimes, small children hang on dogs, pull their tails, or threaten a dog’s safety. This can lead to injury to either the dog or your child.

Also, dogs view their families as part of their pack. A properly trained dog should view adults and older children as alpha (top dog). But a dog isn’t likely to see a small child in this light and may wield its authority when no one’s around.

Apartment living is another consideration. The size dog you choose is vital to both your dog’s well being and to maintain your sanity. High energy and medium to large breeds generally need large areas to romp. Without it, your apartment could become a round-the-clock racetrack. Planning regular walks for these dogs may not be sufficient. You’ll tire long before your dog. Also, there will be occasions when you aren’t able to accommodate your dog’s need to exercise.

The costs of pet ownership should also be weighed out. First, there are obvious costs, such as pet food and annual vaccinations. Other expenses include licensing, monthly heartworm pills, chew toys, damaged belongings, fencing, training, unexpected veterinary expense, grooming, kenneling, and more.

If you or frequent guests have bad allergies or asthma, check with your doctor before bringing any furred, feathered, or finned pet into your home. Also, the holiday season may not be the best time of year to bring home a new dog. People are generally too busy during the holidays to give a new pet the attention it needs. Choose a season when you’ll be able to spend plenty of time with your new dog as it adjusts to its new home.

WHERE TO FIND YOUR DOG

The Humane Society, an animal shelter, or an accidental litter of pups is a great place to find your dog at an affordable price. Giving a home to a dog that might otherwise be put to sleep or caged indefinitely, and not contributing to the overpopulation of dogs by buying from breeders, are good reasons to go this route.

Most often, you’ll find mixed breeds through these methods. Mixed breeds are less likely to inherit the diseases and disabilities often common in pure breeds. Keep in mind though, sometimes these dogs are strays or weren’t properly cared for by their original owner. If a dog didn’t receive proper vaccinations, it could be at risk for disease.

A dog that was abused by its previous owner could also pose risks. Ask the animal shelter what it knows about the dog’s history.

Another way to find your new puppy is through a breeder. Taking home a puppy whose history is known and hasn’t been exposed to a poor environment is a plus. But caution should be used even when buying from a breeder. While most are in the business for their love of the breed, there are plenty of exceptions.

Some breeders are only interested in profits and have little knowledge or concern for good breeding and proper care of pups. This can lead to dogs with poor temperaments, genetic disorders, or disease. Ask plenty of questions, request references, and ask to see the puppies in their normal environment.

According to the American Kennel Club, some things to watch for when selecting your puppy include a runny nose, watery eyes, fever, or disease in the litter. If any of these conditions are present, look elsewhere.

Avoid a puppy that trembles and is shy or one that shows a bad temper. Also, understand that a kennel designated “AKC Reg.” doesn’t mean it has the American Kennel Club’s stamp of approval. It merely means the dogs are registered as being purebred. Finally, keep in mind that puppies should remain with their mother until six weeks of age, and preferably 8.

TRAINING TIPS

No matter how careful you are in selecting your pet, chances are, your puppy will develop a problem or nuisance behavior. Prevention is the first step. Around six months, your puppy will be old enough for an obedience course. Teaching your puppy the basics will make it easier to manage problem behaviors. If you can’t take a class, purchase a dog-training manual and stick with it. If your dog shows signs of aggression, talk with a professional trainer or your veterinarian. Depending on the cause, there may be a simple solution. If you have kids and their safety becomes an issue, your only option may be a new home for your pet.

Whether your dog ends up with a new owner or in a shelter, make sure you explain the reason for giving your dog away, so it ends up in the proper environment. For other problem behaviors, there are several good books to help tame your dog. Decoding Your Dog: Explaining Common Dog Behaviors and How to Change or Prevent Unwanted Ones by the American College of Veterinary Behaviorists, provides many helpful techniques. Contrary to popular belief, never hit, kick, or swat a dog with a newspaper. This can lead to aggressiveness or increase already aggressive behavior. Most importantly, try to understand and accept your pet’s imperfections and adjust your home accordingly to reduce aggravations. In time, your dog will learn to accept the household routine and become a part of it.

TRAVELING WITH A PUPPY

For some dog owners, going on vacation without their dog is like leaving a family member behind. Therefore, many hotels accommodate guests who travel with pets. Try one of the following that offers pet-friendly services at some or most of its locations:

Residence Inn and TownePlace Suites by Marriott (800) 228-9290

Best Western (800) 528-1234

Hilton (800) 445-8667

Doubletree Hotels (800) 222-8733

Embassy Suites Hotels (800) 362-2779

Holiday Inn (800) 465-4329

Comfort Inn (877) 424-6423

When you need top quality parts and service, look to Plano Power Equipment.

To keep your equipment in top shape, you can count on Plano Power Equipment’s retail pats sales and servicing of Toro®, Echo®, Scag®, equipment using genuine manufacture parts.

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Experience the residential zero-turn riding mower with commercial mower features.

DENNIS BIRENBAUM, MD EUGENE J. WYSZYNSKI, DO

Dr. Birenbaum founded the Arlington Cancer Treatment Center in 1981. He founded the Texas Hematology/Oncology Center, PA in 1997. He is the founder, Medical Director, and CEO. Dr. Birenbaum trained at The University of Texas M.D. Anderson Cancer Institute for 5 years, 3 years as a Hematology/Oncology fellow and 2 years as a facility professor. His private practice in Hematology/Oncology has been in the Dallas/Fort Worth area since 1979. Dr. Birenbaum is available by cell phone 24/7 and participates in many support groups and radio programs.

AREAS OF CLINICAL INTEREST:

• Gastrointestinal Tumors

• Melanoma, Sarcoma

• Breast Cancer

• Lymphoma

• Kidney Cancer

EDUCATION AND TRAINING CREDENTIALS:

• Southern Methodist University

• Universidad Autonoma de Guadalajara/University of Michigan

• Straight Medical Internship - Henry Ford Hospital/University of Michigan

• Straight Medicine Residency - Tulane University Medical Center/Ochsner Clinic

• Fellowship Hematology/Oncology - University of Texas M.D. Anderson Hospital and Tumor Institute

• Private Practice 1979 to Present

PERSONAL INTERESTS:

• Born and raised in Dallas, TX

• Father of 2 sons

• Owns six dogs

• Loves traveling and golf

• Avid collector of arts and antiques

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

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

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

BOARD CERTIFICATIONS:

• American Osteopathic Board of Internal Medicine: Hematology/

• Oncology-Certified: 8/24/2007

• American Osteopathic Board of Internal Medicine

PROFESSIONAL SOCIETIES:

• American Osteopathic Association

• ASCO

• Texas Medical Association

• Dallas County Medical Association

CLINICAL CANCER INVESTIGATIVE TRIALS:

• Central Pennsylvania Oncology Group Protocal

• Eastern Cooperative Group

• Southwest Oncology Group

PERSONAL INTERESTS:

• Married and father of 2 children

• Enjoys traveling and spending time with family

• Active in many hobbies

You may find that your 2nd or 3rd opinion should have been

Tips for Dealing with Spring Allergies

Courtesy KEY-WHITMAN EYE CENTER

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

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

How allergies affect your eyes

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

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

Common types of allergic eye conditions

• Allergic conjunctivitis or allergic rhinoconjunctivitis: This is the most common allergic eye condition, and it is typically associated with seasonal allergies or hay fever. The

release of histamine can cause common eye allergy symptoms, including itchy, red, burning, watery or swollen eyes. Topical antihistamine drops, decongestants and mast-cell stabilizers are common treatments for allergic conjunctivitis.

• Atopic keratoconjunctivitis:

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

• Vernal keratoconjunctivitis:

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

EYE CARE TIPS FOR DEALING WITH SEASONAL ALLERGIES

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

• Apply a cold compress.

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

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

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

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

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

• Avoid rubbing or scratching your eyes. Consistently rubbing or scratching your eyes may lead to more serious eye

problems or a damaged cornea. Purchase over-the-counter eye drops, or ask your doctor for prescription eye drops to help relieve dry or itchy eyes.

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

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

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

Key-Whitman Eye Center celebrates over 60 years of providing excellence in eye care to North Texas. The Plano clinic has provided services in Collin County for 20 years.

Dr. Kimberly Warren is board certified in general ophthalmology by the American Board of Ophthalmology and specifically board certified in LASIK and cataract surgery by the American Board of Eye Surgery. She has been an integral part of the Key-Whitman staff since 2000. She resides in Plano with her husband and three children.

Dr. Faisal Haq is also board certified in general ophthalmology by the American Board of Ophthalmology and specifically board certified in LASIK and cataract surgery by the American Board of Eye Surgery. He joined Key-Whitman in 2006 and lives in Plano with his wife and two children.

Dr. Warren and Dr. Haq provide a full range of adult vision services, including comprehensive eye exams, management of glaucoma and corneal disease, and cataract surgery.

See Better. Look Better. Feel Better.

• Comprehensive Adult Eye Care

• Comprehensive Adult Eye Care

• Cataract Surgery

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

• Symfony®,Crystalens®, Tecnis® PanOptix & the Toric IOL

• Management of Glaucoma & Corneal Disease

• Management of Glaucoma & Corneal Disease

• Eyelid Surgery & Botox®

• Eyelid Surgery & Botox®

• Laser Vision Correction

• Laser Vision Correction

Give us a call today 972-769-2020 or Toll-Free 800-442-5330 www.keywhitman.com

Convenient locations to serve you in Dallas, Plano, Richardon, Mesquite, Frisco, Arlington, Rockwall and North Fort Worth.

Seven locations to serve you Dallas, Plano, Mesquite, West McKinney, North Arlington, Rockwall and South Arlington.

Give us a call today 972-769-2020 or Toll-Free 800-442-5330 www.keywhitman.com Follow us on (username: keywhitman)

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.

We work together to heal your wound

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