Texoma Area Living Well Magazine May-June 2022

Managing Director – Investments

Dobbs Wealth Management Group of Wells Fargo Advisors

GAGA OVER GAGA THE LADY OF A MILLION DIFFERENT FACES SENIOR DRIVING SAFETY WHEN IS IT TIME TO PUT DOWN THE KEYS?

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

GAGA FOR LADY GAGA

In this issue, we’re going gaga for Lady Gaga. After watching her in House of Gucci, we knew we had to feature her in the magazine. Her total transformation into, as she describes “…some edgy, sexy, chancy, risky b*tch…some punky Italian gold digger” was masterful and should have earned her a leading lady Oscar.

If her track record is any success, there’s no doubt it’ll happen eventually. Indeed, after reading this issue’s cover story, it’s obvious that Lady Gaga was born to be a superstar— on the stage and screen. Yet, while it may seem everything’s gone according to plan for Lady Gaga, as you’ll find reading her story on page 24, she’s hit some potholes on the way to superstardom.

Switching drastic gears, much like Lady Gaga’s penchant for transformation, allow us to introduce you to Managing Director of Investments at Dobbs Wealth Management, Juston Dobbs, MBA, CDFA, CFP. With all those designations behind his name, it’s clear Juston has financial advisor credentials; he also has over 20 years of experience to back them up.

Turn to page 8 to hear Juston’s financial planning advice and to learn how you can reach your retirement goals.

Of course, there’s more. Get reading!

Be well!

Living Well

MAY/JUNE 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

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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.

the goods or services advertised herein. We hereby expressly disclaim any liability with respect to information or goods and services contained herein. We further disclaim any and all warranties or representations, express or implied, with respect to such information, goods or services, including any warranty of merchantability or fitness for a particular purpose (it

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.

Experienced DWI Defense THE LAWYER LAWYERS CALL

Deandra M. Grant

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

Co-Author of the Texas DWI Manual

“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

JD, GC, MS

Juston and Amber Dobbs

Juston Dobbs

MBA, CDFA®, CFP®, Managing Director – Investments

Dobbs Wealth Management Group of Wells Fargo Advisors

FINDING EXPERTISE THAT FITS

You’ve worked hard. You recognize the value of setting financial goals, of saving money, of developing a strategic approach to help maximize your investment efforts. You know the “right” things to do, but maybe you’ve been too busy to find a financial advisor with the experience and expertise to help you achieve your objectives. Or maybe you’ve sought help in the past, but didn’t feel you got the attention or consistent communications you desired.

“Your comfort level with your financial advisor is critically important,” said Juston Dobbs, MBA, CDFA®, CFP®, Managing Director—Investments at Dobbs Wealth Management Group of Wells Fargo Advisors in Sherman. “You want to be assured about the advisor’s credentials and background, but also you’ll want to find a good fit. Is the advisor relatable? Does he or she communicate well? Are your individual needs considered and addressed to your satisfaction? Look for proven skills and transparency. Understand how your advisor gets paid. The fiduciary relationship is a crucial aspect of working together.”

Juston, a financial advisor for over 20 years, and his wife, Amber, lead the team of Dobbs Wealth Management. “Seeing our clients meet their investment goals is how we view our success,” Juston said. “My experience with market fluctuations gives me a perspective that can enhance a client’s comfort level with staying the course based on their aspirations and circumstances. I take the faith placed in me seriously, always acting in the best interest of clients.”

Sound investment plans are designed to help meet specific goals, such as paying for college or retirement, but also to help weather unexpected life circumstances. There are variables unique to you, as well as the market. That’s one reason having a good relationship with your financial advisor can bring added confidence.

The Process is Important

• The first step at Dobbs Wealth Management is an introductory meeting. “Let’s get to know one another so we can decide together if we’re a good fit,” said Juston. “I start by listening. Understanding your priorities. Answering your questions. Hearing your concerns. Sharing our process. Every client is unique and there’s no such thing as one-size-fits-all with investment planning.”

• On your second visit, you’ll provide complete information about your assets, prioritizing your goals. You and Juston will examine your resources, identify gaps, and discuss options for paying yourself first. “Many people begin to feel an enormous sense of relief that they’re about to get on track to do what they need to do rather than simply talking about it,” Juston said. “It’s an opportunity to clarify where you are and where you want to be within an estimated timeframe—to imagine your future self and take the necessary steps to make that a reality. We identify what’s important to you, what your life situation is, and how to plan for financial growth, as well as considering how your life insurance, wills, savings accounts and other assets fit within your plan.”

• During the third meeting, your detailed plan is presented and discussed. It’s a thorough and easy-to-understand document, personalized with charts and graphs illustrating where you are and options to help you achieve your goals within your comfortable risk tolerance. Amber will schedule periodic meetings to keep you apprised of your progress. “Your investment plan is unique to you and can be readjusted, if necessary,” Juston said. “There are those who think of returns in a straight line, but, like life, there are fluctuations. Sometimes critical financial events take place in peoples’ lives, like a divorce or the death of a spouse, and we want to help clients plan for the unplanned, rather than having to react in haste.”

Life is busy, but your financial wellbeing should be a top priority. Find the time to get started.

”

What’s the Biggest Mistake You Can Make?

According to Juston, not having a plan is where many fall short. He says people often mean to get started on a wise investment plan, but don’t devote the time to begin.

Juston will coach you through decisions such as making Roth contributions, maximizing your 401K, building an emergency savings account, and reminding you to update your will.

“We’ll help you with every step,” Juston said. “We’ve had clients who put off strategic investing because, despite running a successful business for years, they said they simply didn’t get around to it until they realized they needed a plan and someone to assist them along the way and hold them accountable for their decisions.

“One of the things we’re really good at is gentle reminders to do all the things you said you wanted to do. We help keep you on track; we’re easy to talk with and accessible. That’s one of the benefits of Dobbs Wealth Management. We’re available to you. We know you. We are interested in you and what’s important in your life. We are on this journey with you and we want you to meet your goals.”

Three Important Factors

• Engage an advisor you trust; one who is interested in you, your family and your goals, and will supply you with a sound investment plan tailored to you, based on a detailed account of all your finances.

• The relationship must go beyond buy and sell. You need to feel comfortable with your plan, knowing there is a valid reason behind the decisions made—understanding the big picture. Juston, supported by a team of Wells Fargo Investment Institute analysts and strategists, can help you chart your progress through variables unique to you as well as to the market and encompassing all aspects of your investment picture.

• Have a plan that fits. It’s critical for decision-making. And it keeps you from having knee-jerk reactions. A financial advisor you trust provides a helpful buffer, a guide based on historical performance and how that may affect you.

Consider Leadership and Community Involvement

Demonstrated leadership reflects a commitment to service beyond work, and both Juston and Amber are active volunteers in Texoma. Juston, who currently serves on the Sherman City Council, has been involved with numerous boards and organizations including the Sherman Economic Development Corporation, the Sherman ISD Board, the Sherman Chamber of Commerce, and the Wilson N. Jones Foundation. “It’s an honor to work together with diverse groups to reach common goals,” Juston said. “I bring the same skills of careful consideration and thoughtful decision-making to the client relationship. It’s a commitment I believe in and one our clients appreciate.”

What Works for You

Your financial future starts with a conversation. You deserve the assurance that your financial wellbeing is a priority; that your advisor is accessible and communicates frequently, providing you with periodic reviews and addressing your questions or concerns.

Juston can provide you with the attention you expect and deserve. Dobbs Wealth Management services include asset management, insurance protection, social security, retirement, budgeting, tax considerations, savings, college funds, debt reduction, and investments. Additionally, Juston is a Certified Divorce Financial Planner (CDFP®), helping clients navigate the complicated financial issues divorce may involve.

Life is busy, but your financial wellbeing should be a top priority. Dobbs Wealth Management offers you advice and guidance—a roadmap to help you feel more comfortable about your financial outlook. “We’ll talk together, listen to one another, and develop a plan to help manage day-to-day needs while staying on the path toward where you want to be in the future,” Juston said.

“Some of our clients tell us they simply don’t worry about their financial investments now that we’ve developed a sound investment plan together,” he continued. “We hope many of our clients are reassured by our thoughtful process and the fact that their plans are just that—theirs, tailored to their lifestyle and their goals. If you think we might be a good solution for you, please give us a call.”

The time to get started is now. You can reach Juston and Amber at 903-893-6682.

The use of the CDFA® designation does not permit Wells Fargo Advisors or its Financial Advisors to provide legal advice, nor is it meant to imply that the firm or its associates are acting as experts in this field. Investment and Insurance Products: NOT FDIC Insured / NO Bank Guarantee / MAY Lose Value Wells Fargo Investment Institute, Inc. is a registered investment adviser and wholly-owned subsidiary of Wells Fargo Bank, N.A., a bank affiliate of Wells Fargo & Company. Wells Fargo Advisors is a trade name used by Wells Fargo Clearing Services, LLC, Member SIPC, a registered broker-dealer and non-bank affiliate of Wells Fargo & Company. CAR 0222-00958

Seeing our clients meet their financial goals is how we view our success. “ ”

WHERE DID YOU GET YOUR Power of Attorney?

By CRAIG WATSON

John’s parents were in their 90s. They had banked at Big Bank for most of their life. They even owned stock in Big Bank since it was listed on the NYSE. When John’s Dad died, his mother signed a Statutory Power of Attorney that John obtained from the lawyer who handled his divorce. John, his three brothers and his mother wanted to set up her estate to avoid probate. His mother had over $500,000 in her checking account at Big Bank and another $750,000 in certificates of deposit (CDs) scattered at several local banks. He wanted to move some of the money to another bank in order to keep the deposit amount under the FDIC insurance maximum limit. The banker suggested that his mother should use a “payable on death” (POD) beneficiary form to change her account so that her money would pass equally to her four sons without probating her will. The banker told John that by adding her four sons to her accounts, her FDIC coverage at Big Bank would be increased to $1,250,000.

However, the banker insisted that his mother sign a new power of attorney on a standard power of attorney form supplied by Big Bank. So John took Big Bank’s power of attorney to his mother. She signed it in a notary’s presence and he returned it to Big Bank. John used Big Bank’s power of attorney to add him and his brothers to his mother’s accounts. Since the banker had helped him obtain more FDIC coverage, John decided to simplify his mother’s estate by moving her other deposits to Big Bank. He took the power of attorney to the local banks and withdrew her CDs, even though they had not matured, and moved all her money to Big Bank.

John used the Big Bank power of attorney all year to make deposits and write checks. His mother decided to give her house, valued at $120,000, to John’s brother for Christmas. She also instructed John to withdraw $360,000 from her account and divide it into three equal shares to give to himself and his other two brothers so that all four of her sons received the same amount. He used the Big Bank power of attorney to do this without objection from Big Bank.

John’s mother died soon after New Year’s Day. A couple of months after the funeral, after all her bills were paid, John and his brothers went to Big Bank to withdraw their equal shares of her accounts. They were shocked and angered when Big Bank told them that it would not honor its own Big Bank power of attorney because the Big Bank corporate attorney decided that its power of attorney did not give John the right to add POD beneficiaries to his mother’s account. It made no difference that the banker at Big Bank had allowed John to use Big Bank’s power of attorney to add the POD beneficiaries and that John had relied on the banker’s advice to withdraw his mother’s money

from the other banks and deposit it at Big Bank. Big Bank’s decision to go back on their word required John and his brothers to incur extra expense and delay to probate his mother’s estate. Big Bank refused to reimburse John and his brothers for the extra cost made necessary by Big Bank.

What could John have done differently to avoid this frustrating experience? If John had sought the counsel of an elder law attorney to advise him, he would have been provided with a power of attorney that Big Bank would have accepted and that would have authorized John to add the POD beneficiaries to his mother’s accounts. In the alternative, based on the elder law attorney’s advice, John and his mother may have decided to use a revocable trust to avoid probate instead of trying to use POD beneficiary designations. Using a revocable trust to avoid probate is a far more reliable method of avoiding probate than using POD designations, which often result in problems. Using right of survivorship accounts to avoid probate often causes even more surprises. Finally, it is important to remember that when you hire an attorney, he represents you and only you. If you rely on a legal document drafted by Big Bank’s lawyer, or anyone else’s lawyer, you are on your own.

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

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Addressing Neck Pain

By MATTHEW BONANDER PT, DPT

The neck is an essential part of the human body for function and sustaining life. In addition to holding the head upright, it serves as a major passage for blood vessels and nerves as well as gastrointestinal and respiratory organs that help provide equilibrium between the various systems of the body. The neck moves by pivoting, bending (forward, laterally), and extending. Because the vertebral struc tures are smaller and have increased range of motion, they are at increased vulnerability to injury, especially if not cared for properly.

Many muscles and ligaments cross the neck to optimize stability. The vertebrae of the neck, seven in all, are cushioned by intervertebral discs which further enhance the structural integrity of the neck. The discs act to absorb forces placed on the spine and help prevent injury. The spinal column runs vertically and houses the spinal cord. The nerves of the spinal cord branch out at each vertebral level to provide sensory and motor input. These systems foster muscle contraction as well as feedback from our external environment back to the brain. The neck is truly an amazing part of the body!

Disorders of the neck can hinder function and quality of life. In fact, muscle tension is often carried in the muscles that cross the neck and upper back. Stress is a contributing factor to conditions such as headache and painful trigger points. Trigger points are discrete, hyperirritable, and focal points in skeletal muscle that typically lead to pain.

Postural abnormalities occur often when excessive forward momentum is placed through the cervical vertebrae and related structures. Specifically, with forward head posturing, the upper portion of the neck is positioned in such a way as to limit normal rotation of the first cervical vertebra on the second. This, in turn places increased demands on the mid- to lower level of the neck and can lead to spinal instability, degenerative changes, and elevated neck discomfort.

Other symptomatic neck conditions include osteoarthritis, disc protrusion, and disc degermation. As part of emphasizing good care of the neck, appropriate posture and body mechanics are essential. Maintaining alignment of the neck and back helps minimize strain on the muscles, ligaments, joints, and nerves. For example, an individual who works at a computer for prolonged periods of time, needs intentional and scheduled breaks. The setup of the workstation should also be considered. For instance, are the hips and knees aligned at 90 degrees when seated in the chair? Are the elbows also at 90 degrees? Is appropriate eyewear being utilized (if needed)? Is there appropriate lighting? These are all important questions to consider in limit-

ing the risk of strain or injury of the neck. The neck can be exercised by addressing strength as well as flexibility. Typically, the neck can be strengthened by actively moving the neck through the normal planes of movement (up/down, rotation, ear to shoulder) and with some form of resistance applied. Stretches are important for maintaining or enhancing range of motion and limiting the likelihood of muscle tension and headaches. Equally as important are maintaining appropriate durations of rest as well as dietary and hydration intake.

Whether addressing new onset of pain or chronic symptoms of the neck, an exercise program is important for helping to reduce symptoms and enhance quality of life. Author Matt Bonander is the author of Author of Exercise, Health and Vitality A Concise, Science-Based Guide for Adults and Older Adults which can be found on Amazon.

Author Matt Bonander is the author of Exercise, Health and Vitality A Concise, Science-Based Guide for Adults and Older Adults which can be found on Amazon.

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.

BY SONDRA BARR

ultitalented Stefani Joanne Angelina Germanotta is one of the most celebrated artists on the planet whose full name you’ve probably never heard. Yet, unless you’ve been living off the grid for the last 15 years, it’s guaranteed you’ll instantly recognize her iconic face.

Better known as Lady Gaga, a moniker inspired by the 1984 song “Radio Ga Ga” by Queen, Germanotta’s explosive ascent to superstardom was fast and furious, with a longevity that shows no signs of waning.

Using “David Bowie’s amphibious glam, Madonna’s blond ambition, Michael Jackson’s dual love of sparkles and precision” as her creative muses, Gaga’s forged her own amorphous persona that consistently connects with enamored fans and leaves them wanting more.

Each iteration of Gaga is arguably better than the last. Her recent turn portraying Patrizia Reggiani, an Italian socialite who was convicted of hiring a hitman to kill her former husband, Maurizio Gucci, an example. The film House of Gucci is Gaga’s latest high-profile coup—just one in a long list of accomplishments that have garnered numerous awards and accolades.

It was as a singer songwriter that Gaga first entranced audiences in 2008 with her debut studio album, The Fame. With the ubiquitous hits “Just Dance” and “Poker Face,” it was an album that defined the year, if not the decade. She followed it up with the Born This Way album. The title song was number one in over 25 countries, with the single selling more than 10.49 million copies, making it among the best-selling songs of all time.

OVER GAGA GAGA The lady of a million different faces.

“It’s like open heart surgery to do a record. You have to dig deeper and deeper. It’s painful, and then when it’s over you’re healed again,” Gaga told Home Business of developing an album from start to finish.

Yet dig deeper the 36 year old does, each of her succeeding albums a distinct departure from the last. From dance beats to electronic rock to jazz, she crafts all her albums with a deft hand and impressive lyrical range, each encompassing a different sound and feel.

“She learned to play piano by ear at home when she was really young,” Gaga’s mother Cynthia Germanotta told In Style. “One day I said, ‘Do you want to take some lessons?’ She was a little bit confused by that because she said that she heard the music in her head. She didn’t understand why she had to take a lesson. That was a defining moment because I knew there was something different about her at that point. I didn’t know what it would lead to, but I realized that there was something more there.”

While her parents supported the raw talent they recognized in their daughter, her antics on stage initially gave them pause.

“When Gaga started emerging, when she was performing, I think it was at Joe’s Pub downtown, and she was in her bikini performing with Lady Starlight, and decided that night to do heavy metal and to actually light hairspray on fire,” Cynthia told Oprah. “Some people left when that happened, a lot of people stayed and thought it was cool. Her father and I were like—honestly, he said, ‘I think she has a screw loose.”

Perhaps then it was no surprise after extraordinary musical success that Gaga would turn her sights to acting, something she had wanted to do since childhood.

Indulging their talented daughter with method-acting classes at the Lee Strasberg Theatre & Film Institute at NYU’s Tisch School of Arts when she was 12 signaled the things to come. “I loved it so

much,” said Gaga to Vogue’s Jonathan Van Meter. “But I was terrible at auditioning—I would get too nervous and just couldn’t be myself.”

Fast forward to 2015, when she took on a leading role in the miniseries American Horror Story: Hotel. Her portrayal of a vampiric, selfstyled Countess, a bloodsucking fashionista, earned Gaga a Golden Globe Award for Best Actress. She followed it up with another winning turn in the 2018 critically acclaimed film A Star is Born, playing Ally, a young singer who’s discovered by an alcoholic musician.

Although Gaga came close to winning an Oscar for the performance, she didn’t leave empty handed. She took home an Oscar for Best Original Song for “Shallow,” making her the first woman in history to win an Academy Award, Golden Globe Award, Grammy Award, and BAFTA Award in a single year.

Taking on the role of Patrizia Reggiani in House of Gucci, struck Gaga as the ideal next step. “What if I didn’t play some edgy, sexy, chancy, risky b*tch?” she recalled during the interview with Van Meter. “Some punky Italian gold digger?”

“I mean, I’m Italian-American, I come from a long lineage of Italians. And Italians are passionate, vibrant people. To Americans, who might go to Rome and hear women yelling in the piazza at each other, they would hear them as yelling when they’re simply just speaking to each other.”

To prepare for the role, Gaga spent a year and a half living as Reggiani in Italy, speaking with an accent for nine months—on and off camera. “Off camera, I never broke. I stayed with her.”

While she didn’t want to glorify somebody who would commit murder, Gaga approached the role from a unique perspective. “I hope women will watch this and remind themselves to think twice about the fact that hurt people hurt people. And it’s dangerous. What happens to somebody when they’re pushed over the edge?”

GAGA STARRING IN A STAR IS BORN

PHOTO BY WARNER BROS.

GAGA WON HER FIRST ACTING AWARD FOR HOUSE OF GUCCI.

PHOTO BY METRO GOLDWYN MAYER

STARRING WITH KATHY BATES IN AMERICAN HORROR STORY.

PHOTO BY FX NETWORKS

Gaga knows a thing or two about being pushed to the edge. Before she became a household name, she was raped at 19 by a music producer. She didn’t tell anyone for years until she revealed in a 2016 Today interview that she suffers from PTSD stemming from the assault.

“For me, with my mental-health issues, half of the battle in the beginning was, I felt like I was lying to the world because I was feeling so much pain but nobody knew. So that’s why I came out and said that I have PTSD, because I don’t want to hide away more than I already have to,” she explained to Vogue

To further confront the issue, she co-founded the Born This Way Foundation, with her mother to support the mental health of young people. According to the foundation’s website, through high-impact programming, youth-led conversations, and strategic, cross-sectoral partnerships, the organization aims to make kindness cool, validate the emotions of young people, and eliminate the stigma surrounding mental health.

Starting the foundation and singing at Joe Biden’s inauguration are among

It’s like open heart surgery to do a record. You have to dig deeper and deeper. It’s painful, and then when

ACTING IN BRADLEY COOPER’S REMAKE OF A STAR IS BORN

PHOTO BY ENTERTAINMENT WEEKLY

Dr. Grant Craig

Pastor Terry Barnett

Natalie, Jeremy and Champ Roberts

Mayor David and Mignon Plyler

Gain Better Return from Planning

Courtesy CAROL MARAK

Along-range planner has an infinite number of options for the future. What gets in the way is the stress of choosing the best one. And many times, people use uncertainty as an excuse to postpone altogether. As a whole, our society is reactive, especially when dealing with life events and emergencies. No one wakes up thinking, “Today I’m going to put a plan together just in case I need it.” People do need one, they just don’t know where to start. The following steps will help people to plan for a favorable tomorrow. This process mentally prepared me to live well today and into the future.

1. Mitigate Stress and Worry

Planning is a thought process that requires mental effort free of stress. This is important because stress affects the ability to concentrate and to focus on the matters at hand. A few tips to mitigate stress that postpones action: Identify the signs of stress such as fidgeting or tense muscles. Know the situations that impact stress like financial or personal problems, and finally, Practice well-being activities, for example, exercise, eat healthy foods, and learn new skills. A therapist reminded me, “The simple step of acknowledging a problem or issue positions the person for solving it.”

2. Shift Mindset from Problems to Possibilities

People are trained to focus on the problems when making decisions. But ultimately planners need to see possibilities—that’s where magic lives and where trends are born. Embracing a possibility mindset adds value to almost everything; life purpose, the community, family and friends, a supportive environment—restoring hope, in what we can do and who we are as people.

Components of a Problem Focused Attitude

There’s a feeling of disempowerment in problems, a feeling that all doors are shut. When planners fixate on worries, they’re preoccupied with reducing and resolving threats, emotional distress, fears and worries, and barriers.

Components of a Possibility Mindset

Even the smallest shift can create exciting possibilities. Start by asking, “What’s the possibility that I see in this situation?” Ultimately, spend time on the options and positive interrelationships, insights and choices, replacing expectations with plans, collecting information, and finally, focus on what you can control.

3. Evaluate Strengths and Weaknesses

A simple but powerful framework for leveraging strengths and rectifying weaknesses is to concentrate on what feels right. Become more self-aware and pay attention to what behaviors make you feel good

about yourself. Reflect on and pay attention to choices that expand improvement such as, What do I do well? What’s unique about me? Where do I excel?

Examples: Resourceful, adaptable, manage money well, self-directed, and resilient.

Similar to strengths, identify the weaknesses by answering: What areas in life are underperforming and why? What could improve? What resources are needed?

Examples: Low quality of life, unsatisfying friendships, poor budgeter, and unfulfilling relationships.

4. Research Available Options

Quality research is doable, replicable, and based on logical rationale. It must generate new questions, and address problems. Start with provoking questions and searching for answers on the Internet and within the local community such as:  What would it take to create a change in my overspending? How to get a budget under control? How to stop spending more than I earn?

Questions inform the planner. It’s the secret sauce for creating something better.

Grab a pen and pad. Pick one thing to improve—say it’s saving money.

Answer: What does it look like right now? Am I putting money away in an emergency fund and if not, why not? What do I predict will happen to my money if I don’t make any changes?

What are the variables that influence my finances the most? Is it saving more, overspending, or not following a budget?

Describe your finances in one, three, and five years. List the actions you’ll take. The outcome depends on the amount of control you have. Have fun with this and don’t hold back. Fifteen years ago, that’s what I did. Started small. Broadened expectations overtime. Do that and you’ll have more money!

Carol

is

She’s the author of “Solo and Smart - The oadmap for a Supportive and Secure Future” which is based on Carol’s plan as a single adult. “Solo and Smart” can be purchased at www. Amazon.com. Her work has been featured in The New York Times, Washington Post, USA Today, PBS, NPR, AARP, USNews, local newspapers and radio shows. www.CarolMarak.com.

Author

Marak

a native Texan who lives in Dallas.

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STRATEGIES FOR WORKING FROM HOME Successfully

By KIMBERLY BLAKER

Despite the light at the end of the tunnel from the COVID-19 pandemic now in sight, many companies and individuals will continue to work from home until a sufficient percentage of the population is immunized to reach herd immunity. Fortunately, working from home offers many benefits to employers and employees alike, especially with new technology that makes it easier than ever. In fact, a growing number of companies were already heading in the direction of remote work before the coronavirus outbreak. Now, the pandemic may have served as a catalyst to expedite the growth of this trend even after the COVID-19 threat is over.

In addition, countless people have lost their jobs as a direct result of the pandemic. So many are now seeking work-from-home opportunities through self-employment or side gigs.

While for some, working from home is a dream come true, for others, telecommuting has its drawbacks and is a big adjustment. Many find it challenging to get motivated, struggle with time management, self-management, and productivity, and find it easy to slack off. If you are struggling, the following strategies utilized by many successful entrepreneurs can help you stay on track while working from home.

Assess Your Personal Situation

Everyone's work-from-home situation is different. So think about your situation and individual needs. Some questions to consider are:

1. What is your home environment like?

• Is it loud or quiet?

• Do you have sufficient workspace?

2. What does working from home look like?

• Do you have flexible or structured hours?

• Do you work with others through video calls or exclusively by yourself?

• How is your work from home measured?

3. How do you work best?

• Do you need structure or flexibility?

• Do you work better alone or with others?

• Is a commute or transition time necessary to mentally prepare you for work?

After you've thought about your work situation and what you need to be successful, find ways to incorporate what works best for you while working from home.

Create a Home Workspace

If you don't already have an office or workspace, find a way to create one. It may be tempting to work on your couch in front of the TV. But you're not likely to be focused and productive. If you're used to commuting to work, your mind and body are conditioned to work in a particular environment. If others live in your home or you don't have a designated workspace, it can be challenging to work from home. So set boundaries around your work time and space. Even if you have a home office, you may need to make modifications, so it meets your needs.

When setting up your work area, create a space that mimics your ideal work environment, and designate that space for work. Consider all the tools and the layout you need to do your job efficiently and find ways to incorporate everything into your workspace. If you're used to personal comforts at work like a salt lamp, plants, or coffee machine, incorporate them into your setup at home. If you have limited space, create a 'workspace in a box.' Store everything you need together in a box so you can set up quickly and easily on any surface. Then take it down at the end of your workday.

Get Into Work Mode

If you usually work away from home, you're probably accustomed to a transition between home and work life. For example, you get dressed, eat breakfast, drink coffee, then commute to work. At the end of the day, you travel home, perhaps listening to the radio to wind down before you arrive. This helps to shift between work mode and relaxing at home. When working from home, however, these boundaries are often blurred. So you may need to find ways to differentiate between work time and personal time. Otherwise, it's easy to fall into the trap of never being entirely focused on work or relaxation, leaving you feeling unsatisfied in both areas.

Come up with a routine that closely mimics your regular workday. Set your alarm rather than sleeping in and get dressed rather than lingering in your pajamas. This will also make it easier to transition back to your place of employment when the time comes.

Also, do a commuting activity. If you usually listen to a podcast in the car or read a book on the train, do the same thing for a set amount of time before beginning your workday. Or go for a walk in your neighborhood (being mindful of social distancing).

Set Time and/or Task Goals

Productivity and self-management can be more difficult when working from home. So set small, achievable goals based either on amounts of time or accomplishing specific tasks. Create a chart so you can visualize your goals and mark off items as you complete them so you can see your progress and feel you've accomplished something.

Also, reward yourself and give your brain a rest with breaks. Breaks are healthy and necessary, so use them to reset and recharge. Stand up, get in some light activity, and do something fun. Try not to use this time to accomplish things around the house that you don't enjoy. Also, avoid social media and the news as much as possible as they can increase anxiety and stress. Set a timer for your break, so you don't lose track of time. Then use a mini transition to get back into work mode.

Keep Communicating

It can be challenging to communicate with your managers, employees, or coworkers when working from home. You may be used to walking over to someone to ask questions or troubleshoot a problem. When

usual communication patterns are interrupted, there's also room for misinterpretation and misunderstandings. When communicating by email or phone, keep communication clear and concise. Remember that tone and meaning can be difficult to convey over text, email, and even video conferencing. If something comes across in a way you wouldn't expect, assume the other person has good intentions, and if needed, ask for clarification and check for understanding.

In addition to work-related conversation, it may be helpful to keep up social communication with your coworkers. Social interaction with coworkers may be part of what makes work enjoyable to you. If you usually chat with coworkers during breaks, eat lunch together, or go out after work, incorporate a video call into your lunch break from home. This can also help keep you sane and improve your mood during these chaotic times by creating balance and a sense of normalcy.

Finally, remember, that this is a time of transition and new experiences. It'll take time and experimentation to discover how to make working remotely work best for you. So go gentle on yourself and others while learning how to do your job in a whole new way.

Dear Olivia,

There are many emotions that come along with deciding to put a family member on hospice, and then even more at a loved one’s passing. We have had a few family members who were on hospice in their final days, and we are not sure what resources are available to families such as ours. We would like information about resources that are available to cope with these difficult times.

-Living with Loss

Dear Living with Loss,

The grief and loss experience is unique for each individual impacted by someone’s passing away, but no one should go through the grief process alone. At the Visiting Nurse Association, we have licensed social workers, chaplains, and counselors available to help families navigate the grief and loss process. We have a quarterly bereavement

newsletter called Sharing the Journey, as well as other resource information on our website (see QR code). Our bereavement coordinators help families process the changes that come with loss, and they can offer additional community support resources as well, which are also listed on the VNA website, vnatexas.org. Please reach out and let us know if we can help during these challenging times.

~Olivia

Coping with change and loss

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.

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.

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“I

Caring for patients. Supporting their families.

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.

Hospice Care

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Supporting your choices for end-of-life care

Comprehensive, compassionate services to meet your needs

Care for your family

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!

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And so much more!

Senior driving safety

When is it time to put down the keys?

Courtesy BANKRATE

While aging is a natural part of life, it does not make the conversation any easier when we need to tell the ones we care about that it might be time to put away the keys. Having this conversation is tough, but it is in the best interest of the individual’s safety. Drivers who are 65 and older are 16% more likely to cause an accident compared to adults aged 25 to 64. There is no designated time frame for when you should tell someone they should stop driving for the sake of their safety and others, which means recognizing the right time is often left to the caregivers or loved ones. Knowing the signs and understanding how to start the conversation can go a long way.

Seniors may face health issues that impact their ability to drive safely. Although not an exhaustive list, the health problems an older person might encounter could include bad vision, brain damage from a stroke, Dementia, or arthritis. In addition, older people tend to use more prescription drugs, which can have side effects like drowsiness, blurred vision and confusion and have negative impacts on driving.

Driving stats for seniors

• Over 700 older adult drivers are injured in car accidents each day and more than 20 are killed in car accidents.

• There are more than 30 million licensed drivers on the road who are 70 or older..

• Drivers aged 65-69 have the lowest number of auto insurance property damage claims, but the number of claims begins to increase at age 70.

• Drivers aged 75 and older have higher death rates from accidents versus middle-aged drivers, according to the CDC.

• Across all ages, including the senior population, male drivers are more likely to die in a car accident than female drivers.

• Failure to yield the right-of-way is one of the most common causes for fatal accidents among senior drivers.

What to watch for: signs of an unsafe driver

The ability to exhibit safe driving behavior does not usually come to an immediate halt, but is typically rather a gradual process that can eventually lead to putting lives in danger. Look for the following signs if you are concerned about an older person’s ability to drive:

• Driving extremely slowly

• Not using turn signals

• Trouble making turns or properly changing lanes

• Parking outside of the lines of a space

• Failing to stop at red lights or stop signs

• Running into things and getting scrapes or dents on the car

Physical and Cognitive Capabilities

• Not being able to see or hear what is going on outside the vehicle

• Difficulty backing up

• Delayed responses to events around them

• Needs someone else to tell them how to drive

• Frequently getting lost or forgetting their destination

• Getting confused frequently about how to handle different situations

How to talk to a family member or friend about no longer driving

Relaying your concerns to an aging friend or family member and letting them know you believe they can no longer drive safely is a difficult conversation to have, but keep these tips in mind when you do:

• Start talking about it early so there are no surprises. The sooner you bring up the topic, the smoother the outcome is likely to be for everyone. Not only does this help keep surprises to a minimum, but it develops more open communication around the topic.

• Choose who needs to initiate the conversation. You can talk with other family members and friends to find out who would be the best person to do the talking. Bear in mind that it should be someone the older driver trusts. Another option is to ask their physician, ophthalmologist or optometrist to address the situation.

• Find a good time to talk and plan ahead. Pick a time that works for both you and the driver so you are comfortable and not rushed. Mark a date on the calendar and stick to it so you do not feel the urge to reschedule or put it off.

• Provide the facts leading to the decision. Present the facts behind the decision and explain why you’ve come to it. This could be because of the medications they are on, their health or because of recent incidents causing alarm. Have the supporting materials ready and be familiar with them since they will provide the factual basis for getting an older driver to retire their keys.

• Be encouraging and supportive. Losing the ability to drive often feels like loss of independence. Reassure your friend or family member that this decision is for their safety, but there are also other options for them to get around.

• Offer alternative transportation suggestions, such as rideshare or public transportation. The good news is that there are numerous alternatives available for transportation, several of which can be used to preserve independence. Have your list of suggestions ready to share so you can discuss the options while you are together.

• Suggest a driving test or class for elderly drivers. There are a number of online and in-person safety courses specifically designed for older drivers. This alternative could be offered when safety concern observations are first made. Not only could this help an older individual become a better driver, but it could qualify them for an auto insurance discount.

Options for if you can’t drive

• Family members: If family members are located close by, consider asking if they are willing to pitch in and drive the loved one to needed appointments, errands or other events. Caregivers & home care aides: There are services available to hire caregivers and home care aides to assist older people with driving to and from appointments. However, there is a cost to be considered when hiring caregivers.

• Public transportation: Depending on where you live, there may be public transportation available to pick up and drop off older drivers to grocery stores, banks or other places of business.

• Volunteer transportation programs: There are religious and civic clubs that provide transportation options for seniors. Since it is a volunteer organization, it is a relatively low-cost option. Transportation would be limited to the availability of the volunteers.

• Paratransit services: If the county you live in has public transportation services, such as buses and trains, it likely has paratransit services too. These services are typically either free or low cost and take people with disabilities to and from medical appointments, the grocery store or other places within a designated area. To determine if your loved one is eligible, contact the local paratransit authorities to find out what criteria is needed.

• Carpooling: Carpooling services not only offer a low-cost option for getting around town, but it adds a social aspect too. Safety should be a priority, so the best course of action would be for you and the older driver to research carpooling options together and choose a carpool with people you know.

• Taxis & rideshare services: Uber and Lyft are two rideshare options to get seniors to and from their appointments. Since the app must be downloaded to use these services, the senior would need to be comfortable using a smartphone.

• Senior call a ride programs: There are numerous senior call a ride programs, many of which are low-cost alternatives to driving. You may be able to find these programs through your loved one’s insurance company or local companies in the area.

• Senior housing transportation: Today’s options for senior housing include a wide range of benefits. One benefit offered might be transportation services for residents. Double check with the facility to see if this is an option and what your loved one needs to do to book the service.

As with many aspects of protecting the people we love and care for, deciding to talk to someone about giving up their driving privileges involves several emotions. It is not a black and white issue with a one-size-fits-all solution. By working together to keep ongoing communication about safe driving and highlighting the numerous alternatives available, you can help create solutions that work best for everyone.

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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

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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

Is There a Link Between Dementia and Cataracts?

Courtesy KEY-WHITMAN EYE CENTER

As we get older, the risk of developing dementia increases. According to the Alzheimer’s Association, 1 in 6 adults over the age of 65 will develop dementia, and this number rises to one in three people over the age of 85. Despite these sobering statistics, there is some evidence that cataract treatment may help reduce the risk of dementia.

Keep reading to learn how our team at Key-Whitman Eye Center can help treat your cataracts, protect your vision, and perhaps even reduce your risks of dementia and other diseases.

What Are Cataracts?

Cataracts are a common condition that affect millions of Americans. They occur when the eye's lens becomes clouded, and, making it difficult to see clearly. Cataracts often develop slowly and painlessly, and they can eventually lead to blindness if left untreated.

While cataracts are most commonly associated with aging, they can also be caused by other factors such as exposure to ultraviolet (UV) light, smoking, and diabetes. Trauma to the eye is another cause of cataracts.

New Research and Statistics

Dementia affects nearly fifty million people worldwide, and there are currently no effective treatments for the condition. However, recent research has shown that there may be a link between untreated cataracts and dementia. A recent study supported by the National Institute on Aging and published in JAMA Internal Medicine found that people with cataracts were more likely to develop dementia than those without cataracts. In another study also published this year in JAMA found that people who had surgery to remove their cataracts were less likely to develop dementia than those who did not have surgery.

While the exact relationship between cataracts and dementia is not yet known, it is possible that treating cataracts may help reduce the risk of dementia. If you are 65 or over and have cataracts, you should talk to your eye doctor about treatment options.

Treatment Options For Cataracts

Cataract surgery is one of the most performed surgeries with over 4 million procedures performed in the United States every year and

over 28 million all over the world. They are treated by removing the cloudy lens and replacing it with an intraocular lens implant. Surgery to remove cataracts is a safe and straightforward procedure which is usually performed in an out-patient surgery facility.

Other than the traditional monofocal intraocular lens with one focal point usually to correct distance, there are many elective options available including high technology lenses used to replace the cataract and reduce or eliminate the need for corrective glasses or contact lenses afterwards. These include the new Light Adjustable Lens by RxSight which allows the patient to choose their final outcome by changing the power in the lens after surgery and the patient’s choice of power is finalized in the “lock-in” adjustment. Additionally, there are lenses with multi-focal focus points, trifocal lenses and extended depth of focus lenses which each come in an option to treat astigmatism as well. Depending on several factors including dilated pupil size, your surgeon may also opt to use the femtosecond laser to perform some of the most delicate portions of the surgery even further improving the safety and accuracy of the surgery.

Cataract Treatments in Dallas/Ft. Worth

If you are noticing changes in your vision, talk to your doctor about all the treatment options available to you. Keep in mind, cataract surgery is a safe and effective way to improve your vision, and as the studies indicate, it may also help reduce your risk of dementia.

Contact Key-Whitman Eye Center today to schedule your eye exam and learn more about your cataract treatment options at one of our 9 office locations throughout the Dallas/Ft. Worth metroplex.

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