Texoma Area Living Well Magazine September/October 2024

TEXOMA AREA

SEPTEMBER/OCTOBER 2024

More Inside

EATING CLEAN A SIMPLE PATH TO HEALTHIER EATING

STRESS AND ANXIETY LESSONS FROM OUR GRANDPARENTS

BRIDGING THE GENERATIONAL GAP

Natalie PORTMAN

ICONIC ACTRESS IS REDEFINING SUCCESS

Justin M. Kane, MD, FAAOS ~ Foot and Ankle Orthopedic Surgeon

•Minimally invasive bunion and foot/ ankle surgeries

•4-D DynaBunion and Lapiplasty bunion correction

•Total ankle replacement (TAR)

•Hammer toes

•Arthritis and deformity correction

•Lateral ankle instability

•PARS Achilles repair

•Foot and ankle cartilage injuries

•Limb salvage surgery

Vikas V. Patel, MD ~ Upper Extremity Orthopedic Surgeon

•All fractures

•Shoulder arthroscopy

•Rotator cuff repair

•Sports related injuries

•Carpel tunnel syndrome

•Trigger finger

•Wrist and hand surgery

•Shoulder and elbow replacement

•Complex revision procedures of the upper extremity

Leroy Butler, DO, FAAOS ~ Foot and Ankle Orthopedic Surgeon

•Minimally invasive bunion and foot/ankle surgeries

•4-D DynaBunion and Lapiplasty bunion correction

•Total ankle replacement (TAR)

•Arthritis and deformity correction

•Lateral ankle instability

•PARS Achilles repair

•Foot and ankle cartilage injuries

•Trauma

Christopher Kowalski, MD ~ Orthopedic Spine Surgeon

•Minimally invasive spine surgery

•Complex revision spine surgery

• Spinal deformity correction surgery

•Cervical disc replacement

•Anterior/posterior cervical fusion

•Posterior cervical foraminotomies

•Lumbar microdiscectomy

•Lumbar laminectomy

•Lumbar fusion

•Anterior lumbar fusion

• Lateral lumbar fusion

Michael McHugh, MD ~ Orthopedic Hip & Knee Surgeon

•Total joint replacement

•Minimally invasive hip and knee surgery

•Robotic hip and knee surgery

•Treatment of hip dysplasia in adolescents and adults

•Complex revision surgeries

•Hip preservation

Stephen P. Courtney, MD

Fellowship-Trained Orthopedic Spine Surgeon

Over 26 Years of Experience

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

SPECIALTIES:

• Back Pain

• Neck Pain

• Spine Pain

• Disc Replacement

• Microdiscectomy

• Spinal Fusion

• Minimally Invasive Surgery

• Steroid Injections

• Physical Therapy

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

Robotic Joint Replacement

Total Hip Replacement

Total Knee Replacement

Partial Knee Replacement

Total Hip and Knee Revisions FRISCO

5575 Frisco Square Blvd., Ste. 530 Frisco, TX 75034 (972) 566-5255

4201 Medical Center Dr., Ste. 100 McKinney, TX 75069 (469) 796-4295 SHERMAN

204 Medical Dr., Ste. 110 Sherman, TX 75092 (469) 796-4295

Please

Living Well Living

INSPIRING JOURNEYS, REAL STORIES

Welcome to the latest issue of LIVING WELL Magazine. We’re excited to share some truly compelling stories with you—stories that highlight perseverance, transformation, and the pursuit of a fulfilling life.

SPRING AND SAM HOUSTON

Our cover story this month features the extraordinary Natalie Portman. Her journey from a young actress to an Oscar-winning star, who’s now navigating life post-divorce, is as intriguing as it is inspiring. Portman’s story is a reminder that even in the face of fame and public scrutiny, it’s possible to stay true to yourself and fid new beginnings. Read more about her fascinating life on page 8.

We’re also excited to bring you an article on clean eating—an approach to food that’s all about enjoying real, unprocessed foods that make you feel good. It’s not about cutting things out but rather making simple, mindful choices that support your health in a sustainable way. Check it out on page 26.

In another thought-provoking piece, we explore how our grandparents managed stress and anxiety in a time before smartphones and constant connectivity. Lessons from Our Grandparents is on page 46 and offers practical insights into how we can apply their wisdom to our fast-paced modern lives. It’s a gentle reminder that sometimes, the old ways are worth revisiting, especially when it comes to fiding peace and balance.

Additionally, don’t miss Bridging the Generational Gap on page 34, where we dive into the connections between Baby Boomers and Gen Z. Ths article explores how these two seemingly different generations can fid common ground, share wisdom, and foster deeper family bonds. It’s a timely piece that underscores the importance of understanding and connecting across generations, offering practical advice on how to bridge the gap.

As you flp through this issue, we hope you fid these stories as inspiring and thought-provoking as we did while putting them together. There’s something in here for everyone, whether you’re looking for a dose of inspiration, practical tips, or just a good read.

Thank you for being part of our LIVING WELL community. Enjoy the issue!

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.

All advertisements in this Magazine are placed by third parties. We do not control or endorse either the advertisements or their content. Further, we do not manufacture, sell, distribute or provide any of 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

SAM AND SPRING HOUSTON

STAND OUT WITH THE EMINENT CHOICE IN HEALTHCARE

Total

Headache

ROBOTIC

Natalie PORTMAN

The iconic actress is redefining success.

By SONDRA BARR

“THIS IS GOING TO BE THE REST OF MY LIFE, PUTTING ATTENTION AND TIME AND LOVE INTO THIS.

From the streets of Jerusalem to the glittering stages of Hollywood, Natalie Portman’s journey is anything but conventional. At 11, she was plucked from obscurity while eating pizza, her wide-eyed innocence masking the fiece intelligence that would soon captivate audiences worldwide. By 13, she was walking her fist red carpet, a rite of passage that would mark the beginning of an extraordinary career.

Now, after decades of fame, an Oscar win, and a very public divorce, Portman stands at a crossroads—embracing a new chapter with the same quiet determination that has defied her from the start. But behind the glamour and accolades lies a woman who has consistently chosen depth over superficality, substance over spectacle. Ths is Natalie Portman, unfiltered and unafraid, as she navigates life beyond the silver screen, where the real story begins.

A STAR IS BORN

Born Natalie Hershlag in Jerusalem on June 9, 1981, Portman’s early years were shaped by a deep connection to her heritage and a keen sense of curiosity. Her parents relocated to the United States when she was 3, and Portman soon found herself adapting to life in various cities before the family settled in Long Island, New York. The constant movement fostered a sense of dislocation, a theme Portman would later explore in her work. “I’ve always felt disconnected from the places my family has lived because every generation has been in a different place,” she shared in a recent interview with The Guardian.

At just 11 years old, Portman’s life took a dramatic turn when she was discovered by a Revlon agent at a local pizza parlor. Portman found modeling mundane and instead gravitated toward acting, where she appeared in a number of local productions with the Usdan Theatre Arts Camp. Portman’s movie debut was in Luc Besson’s Léon: The Professional (1994), where she played Mathilda, the clever assassin protégé. The role showcased her innate talent and set her on a path to stardom. Reflcting on her early career, Portman told Vanity Fair, “I was lucky. My parents protected me, and I was lucky not to have any traumatic experiences. I feel a lot of gratitude, and I know how much is chance.”

“I have remarkable parents. I’ve never seen disappointing behavior from them…Neighter of my parents were ever involved fiancially at all in my career –at all. They were just very much parents—protective parents who didn’t want me exploited,” the actress told The Hollywood Reporter in 2016.

THE ASCENT TO FAME

Portman’s transition from child star to serious actress was marked by a series of roles that highlighted her versatility. In the late 1990s, she appeared in a string of films that showcased her range, including Heat (1995), Beautiful Girls (1996), and Mars Attacks! (1996). However, it was her portrayal of Padmé Amidala in the Star Wars prequel trilogy that catapulted her to international fame. The films, while polarizing, cemented Portman’s status as a household name and introduced her to a global audience.

Despite the demands of her burgeoning career, Portman remained committed to her education. In 2003, she graduated from Harvard University with a degree in psychology—an indication of her intellectual curiosity and determination to live a life beyond Hollywood’s confies. Writer and director Greta Gerwig, her co-star in Jackie (2016), said to Vanity Fair, “She reads everything—there is no end to her curiosity. It’s never homework; it’s pleasure.”

AN OSCAR-WINNING PERFORMANCE

Portman’s dedication to her craftreached new heights with her performance in Black Swan (2010). Portraying a ballerina descending into madness, Portman underwent a rigorous physical transformation, losing 20 pounds and enduring intense ballet training. The role earned her an Academy Award for Best Actress, cementing her place among Hollywood’s elite. “It was a beautiful experience, but also incredibly challenging,” Portman reflcted. “I met my husband on it, so I think I was in, like, dreamland.”

Her now former husband, French dancer and choreographer Benjamin Millepied, played a role in Black Swan’s success. The couple married in 2012, and their union was often described as a fairy tale—one that later led them to Paris, where Millepied served as the director of dance at the Paris Opera. Two children, Aleph and Amalia, followed.

LIFE BEHIND THE CAMERA

Portman has never been content to stay in front of the camera. In 2016, she made her directorial debut with A Tale of Love and Darkness, an adaptation of Amos Oz’s memoir. The film was a deeply personal project for Portman, who also wrote the screenplay and starred in the lead role. It was a bold move that highlighted her multifaceted talent and deep connection to her Israeli roots.

Portman’s career has been marked by a series of carefully chosen roles that reflct her intellectual and artistic ambitions. Whether playing a pop star in Vox Lux (2018) or the iconic Jacqueline Kennedy in Jackie (2016), Portman has consistently pushed the boundaries of her craft.“My work demands me to be believable, so the less people know

about me personally, the better,” she once told The Guardian. It’s a philosophy that has allowed her to maintain a level of privacy rare among celebrities of her stature.

A NEW CHAPTER

In recent years, Portman’s life has been marked by signifiant change. In 2023, after 11 years of marriage, she quietly filed for divorce from Millepied, a decision fialized in early 2024. The news was met with surprise by many, but those close to her recognized it as part of her ongoing journey of self-discovery and growth.

Portman has never shied away from speaking her mind, especially on issues close to her heart. Her decision to decline the 2018 Genesis Prize, citing her discomfort with being onstage alongside Israeli Prime Minister Benjamin Netanyahu, made headlines and underscored her complex relationship with her country of birth. “I was choosing not to attend an event where I was supposed to be onstage with Prime Minister Netanyahu, sitting next to him, which felt like an endorsement,” she explained to Vanity Fair. Ths same commitment to her principles is evident in her work with Angel City Football Club, a women’s soccer team she co-founded.

Portman has expressed her long-term commitment to the project. “I know that you can’t just build it and then move on to another project,” she says. “Ths is going to be the rest of my life, putting attention and time and love into this.”

Since its founding in 2020 by Portman, venture capitalist Kara Nortman, and video game entrepreneur Julie Uhrman, Angel City FC has been a trailblazer in women’s sports. The club’s ownership group, composed predominantly of women, includes minority owners who are pioneers in their filds, such as Billie Jean King, Candace Parker, and 13 former players from the U.S. women’s national soccer team, including Julie Foudy and Mia Hamm. Angel City FC made its NWSL debut in the 2022 season and boasts a star-studded roster featuring players like Christen Press, Sydney Leroux, and sisters Alyssa and Gisele Thompson. Last year, the club led the league in attendance, revenue, and season ticket membership, solidifying its place as a powerhouse in women’s sports.

In a groundbreaking achievement for women’s sports, Angel City FC recently fialized a new ownership agreement, making it the highest-valued women’s professional sports team in the world.

LIVING WELL AFTER DIVORCE

Portman’s recent appearance on The Tonight Show highlighted her resilience and sense of humor in the face of personal challenges. When asked about her experience meeting Rihanna at Paris Fashion Week,

LEFT TO RIGHT: Star Wars: The Phantom Menace—Credit: 20th Century Fox; Jackie—Credit: Fox Searchlight Pictures Black Swan—Credit: 20th Century Fox; Goya’s Ghosts—Credit: Sony Pictures

Portman quipped, “I think every woman going through divorce should get to have Rihanna say to her that she’s a bad b---h. It was a formative moment in my life.” The comment, delivered with a smile, was a reminder that Portman remains as grounded and relatable as ever, even after years in the spotlight.

As she moves forward, Portman is focused on living well—both for herself and her children. She has embraced a vegan lifestyle for over a decade, a decision she credits with helping her maintain her health and energy. “It’s such a privilege to age,” she told Elle in February 2024. “You have to appreciate it at every moment.”

Portman’s commitment to self-care extends beyond diet. She prioritizes regular massages and maintains a simple skincare routine. “I’m not very high maintenance,” she admitted. “I only really use face wash and moisturizer.”

FORWARD LOOKING

As she enters this new phase of her life, Portman remains as passionate about her work as ever. She recently starred in May December and received a Golden Globe nomination for her performance. Additionally, in July, Portman’s production company released the highly anticipated adaptation of Laura Lippman’s Lady in the Lake on Apple TV+, a project where she not only stars but also plays a signifiant role behind the scenes. Set in 1960s Baltimore, the show follows Portman’s character, Maddie Schwartz, a Jewish housewife who boldly leaves her family to become an investigative journalist. Maddie soon fids herself reporting on the mysterious death of Cleo Sherwood, a Black activist played by Lupita Nyong’o, whose body is discovered in a city park. The series delves deep into the social and racial complexities of the time, with Portman’s portrayal of Maddie capturing the transformation of a woman determined to seek out the truth in a world that often silences voices like hers.

Working on Lady in the Lake also prompted Portman to reflct on the strides women have made over the past half-century. Maddie’s journey to break into the male-dominated world of journalism—and even her struggle to buy a car without her husband’s signature—highlighted the systemic barriers women faced. “How powerful it is that we’ve made such strides in the 50 years or so since then,” Portman noted. “What could be possible, if that much change is possible again, in the next 50 years—it gives hope.”

Portman also observed changes within her own industry. “When I was starting out, actresses’ careers were over when they were 40. Now, our greatest actresses who are doing the most interesting work, I feel, are in their 60s, 70s, 80s. We’re really seeing interest in a woman’s whole life and whole self. I’m so grateful to the actresses who are paving the way for that, and are refusing to disappear,” she told The Guardian

In a world where fame often comes at the cost of authenticity, Portman stands out as an example of someone who has managed to navigate the treacherous waters of Hollywood without losing sight of who she is. She’s proven that real success is about living authentically and fiding balance along the way.

I WAS LUCKY. MY PARENTS PROTECTED ME, AND I WAS LUCKY NOT TO HAVE ANY TRAUMATIC EXPERIENCES. I FEEL A LOT OF GRATITUDE, AND I KNOW HOW MUCH IS CHANCE. “

Have You Received the Best Advice?

By CRAIG WATSON

Harry is a 78-year-old man whose beloved wife has had dementia for years. The couple’s children, while supportive, do not live near enough to help. Sally’s condition has worsened to the point that Harry has no choice except to admit Sally to a memory care center. Harry is very sad and feels like he has failed his wife because he cannot care for her at home any longer. They have about $90,000 in savings and a $90,000 home. His depression was made worse by the realization that he can’t afford her care. They still make monthly payments on loans for their home, car and preneed funeral plans. The nursing home personnel suggested that he get some free counseling available at a council of governments officregarding qualifying Sally for Medicaid assistance. His outlook sunk deeper when the case worker told him his only choice was to pay for Sally’s care until half the couple’s savings was gone at which time Sally would be able to qualify for Medicaid. Further, they didn’t even tell him how to protect his house from a Medicaid Estate Recovery Program (MERP) claim if he were to unexpectedly die before Sally.

Harry’s brother suggested consulting with a local elder law attorney. After Harry provided the attorney with detailed information about the couple’s income, assets, debts and expenses, the attorney devised a plan that preserved all of the couple’s assets for Harry’s security and allowed Sally to qualify immediately for Medicaid. Harry was so relieved! Harry considered it a bonus that the attorney also suggested a special type of deed which would allow the house to pass to the couple’s children and avoid a MERP claim. Harry was very appreciative when the elder law attorney told him that this plan would also allow both of their estates to avoid probate, thereby saving their children money.

The above story is true; the names have been changed to protect

the client’s confidetiality. Today’s senior citizens are members of the Greatest Generation. They were taught that our government is “of the people, by the people and for the people.” They would trust just about any government entity because, in their mind, the government is supposed to serve them as a taxpaying citizen. However, the cost of long term care is a big deal and protecting the fiancial security of today’s trusting senior citizen is not a priority for the government.

The fact is that a man paying for his wife’s memory care pays a higher monthly fee than Medicaid would pay even though the level of care is exactly the same. Most senior citizens think fairness would dictate that the government would not negotiate a better deal for itself than it allows a taxpayer to get but that is not the case with respect to the price paid for care in a long term care facility. Because a nursing home receives more money per month from a private citizen than it would for the same service rendered to a Medicaid patient, the nursing home has no incentive to refer a private citizen to an elder law attorney.

In fact, the nursing home is incentivized to refer the private citizen to a counselor that will advise the citizen in such a way to keep the citizen on “private pay” for as long as possible because the nursing home will receive more monthly revenue for the same care from a private citizen than it would from Medicaid. Obviously, the government would also like to see each citizen spend all of their money on their own long term care. However, Congress has provided a set of statutes that outline what is required to qualify for Medicaid assistance. It is the elder law attorney’s job to know those statutes inside and out in order to apply the law to each client’s particular, special set of facts. He also helps clients plan to protect their assets even though there is no current indication that they will ever need a nursing home.

Texas Back Institute (TBI) has served the North Texas area in spine care for over 45 years. An uncompromising desire to put patients first and provide individualized spine care has helped change the treatment options available to patients for neck and back pain.

Today, TBI is a leader in artificial disc replacement, minimally invasive spine surgery, complex revision surgery, and treatment of spinal deformity. TBI has trained hundreds of surgeons, scientists,

TEXAS BACK INSTITUTE

and allied health professionals now practicing worldwide. Its research institute employs state-of-the-art technology and is actively involved in many clinical trials, including artificial disc replacement, minimally invasive technologies, and robotic spine surgery. Texas Back Institute has remained one of the most academic practices in spine care. It is one of the largest multidisciplinary spine centers in the world, providing comprehensive care for neck and back pain. With a fully dedicated staff of board-certified orthopedic spine surgeons, neurosurgeons, physiatrists, and physical therapists, the TBI team works together to support its mission of helping patients get back to life. The 26 physicians at Texas Back Institute are leaders in the surgical and nonsurgical treatment options for back and neck pain, from the most common outpatient procedures to the most complex cases. Thanks to the unmatched expertise of the medical staff, the advanced diagnostic testing, and an unparalleled commitment to patient care, the Texas Back Institute physicians can identify the potential cause of your pain and create a treatment plan specific to your needs.

Texas Back Institute has developed several spine specialty programs. These include the Minimally Invasive Spine Surgery Center, Center for Disc Replacement, Scoliosis and Spine Tumor Center, and Complex Back Surgery Center. These programs give patients access to highlytrained care teams who focus specifically on these areas of spine care, allowing patients in the North Texas area access to treatment options for their individual problems from physicians with extensive experience in these areas.

“At Texas Back Institute, finding the right solution for each patient and offering the least invasive treatment is core to our belief and the foundation for all treatment plans.” Dr. Michael Duffy.

ALLIANCE

3025 N. Tarrant Pkwy., Ste. 220 Fort Worth (Alliance), TX 76177

ARGYLE

310 FM 407E, Ste. 100 Argyle, TX 76226

DALLAS

12222 N. Central Expy. Pavilion II, Ste. 310 Dallas, TX 75243

DENTON

3537 S. Interstate 35, Ste. 308 Denton, TX 76210

FLOWER MOUND

4370 Medical Arts Dr. River Walk Bldg. III, Ste. 230 Flower Mound, TX 75028

FORT WORTH

1650 W. Rosedale St., Ste. 301 Fort Worth, TX 76104

FRISCO

5575 Frisco Square Blvd. Ste. 400 Frisco, TX 75034

LEWISVILLE

500 W. Main St., Ste. 380 Lewisville, TX 75057

MANSFIELD

2925 E. Broad St., Ste. 101 Mansfield, TX 76063

MCKINNEY

4510 Medical Center Dr. Ste. 106 McKinney, TX 75069

CENTRAL PLANO

4001 W. 15th St., Ste. 455 Medical Office Bldg. III Plano, TX 75093

PLANO

6020 W. Parker Rd. Ste. 200 Plano, TX 75093

ROCKWALL

3164 Horizon Rd., Ste. 100 Rockwall, TX 75032

TEXOMA 4616 US-75, Ste. 202 Denison, TX 75020

WICHITA FALLS

501 Midwestern Pkwy. East Wichita Falls, TX 76302

TOP ROW:

Sheena Bhuva, MD; Michael Duffy, MD; Peter Derman, MD; Brian Braaksma, MD; Shashank Gandhi, MD; Stephen Tolhurst, MD; Blake Staub, MD; Alexander Satin, MD; Chun Lin, MD; Kevin Ju, MD; Akwasi Boah, MD; Junyoung “Jon” Ahn, MD

BOTTOM ROW:

Adewale Adeniran, MD; Thomas Kosztowski, MD; Rey Bosita, MD, MBA; Rajesh Arakal, MD; Jessica Shellock, MD; Isador Lieberman, MD, MBA, FRCSC; Richard Guyer, MD; Jack Zigler, MD, FACS; Scott Blumenthal, MD; Theodore Belanger, MD; Nayan Patel, MD; Craig Lankford, MD; Michael Hisey, MD; Uche Davidson, MD

Finding Purpose in the Midlife Rut

By BOB DICKERMAN

Middle age can be a challenging time in life, often marked by a feeling of being stuck in a rut with no clear direction or purpose. As we reach this stage, the goals and dreams that once fueled our ambition may seem distant or unfulfilled, leaving us to wonder if we’ve lost our way. The sense of disconnection, both from our younger selves and from the life we thought we would be living, can create a profound feeling of emptiness. But it’s important to remember that this stage of life, though difficult, can also be an opportunity for transformation. With the right mindset and approach, you can rediscover your sense of purpose and fid new meaning in your life.

One of the fist steps in overcoming the feeling of being stuck is to acknowledge and accept where you are. It’s easy to fall into the trap of self-criticism, questioning why you haven’t achieved more or why you feel so lost. However, self-compassion is essential in this process. Recognizing that everyone goes through periods of doubt and uncertainty can help you approach this time with a gentler, more understanding mindset. Instead of viewing your current situation as a failure, try to see it as a natural part of life’s journey. Ths shiftin perspective can open the door to new possibilities and growth.

Middle age is often a time of reflction, where we begin to assess the choices we’ve made and the paths we’ve taken. Ths introspec-

tion can be both enlightening and overwhelming, as we confront the reality that life may not have turned out exactly as we had planned. Perhaps you’re grappling with unfulfilled dreams, wondering if it’s too late to pursue them. Or maybe you’ve achieved many of your goals, only to fid that they haven’t brought the satisfaction you expected. These feelings are common, and they don’t mean that you’ve lost your way. Rather, they can serve as a catalyst for change, prompting you to explore new directions and redefie what success and fulfillment mean to you.

One of the challenges of middle age is that it often coincides with signifiant life transitions. Children may be leaving home, careers may be shifting, and relationships may be evolving. These changes can leave you feeling unmoored, unsure of where to direct your energy and focus. It’s important to recognize that these transitions, while diffiult, also present opportunities for renewal. With the responsibilities of early adulthood easing, you may fid that you have more time and freedom to explore new interests and passions. Ths can be a time to reconnect with the things that once brought you joy, or to discover new pursuits that ignite your curiosity.

Reconnecting with your passions can be a powerful way to reignite your sense of purpose. As we age, it’s easy to lose touch with the activities and interests that once excited us. Responsibilities and obligations often take precedence, leaving little room for the things we truly enjoy. But now, as you fid yourself at a crossroads, it’s worth taking the time to rediscover those passions. Whether it’s a hobby you’ve neglected, a creative pursuit you’ve always wanted to try, or a cause you feel strongly about, engaging in activities that resonate with you can provide a renewed sense of meaning and direction.

In addition to exploring your passions, it’s important to consider your values and how they align with the life you’re living. Middle age is a time when many people begin to question the choices they’ve made and whether those choices truly reflct who they are. Ths can be a difficult process, as it may require confronting uncomfortable truths about yourself and your life. However, it’s also an opportunity to make changes that align more closely with your authentic self. Grab a journal and take some time to reflct on what’s truly important to you. What are the values that guide your decisions and actions? How do you want to contribute to the world? By clarifying your values, you can begin to make choices that are more aligned with your true self, leading to a greater sense of fulfillment.

As you navigate this period of self-reflction and exploration, it’s important to stay open to change. Ths can be a time of reinvention, where you have the chance to reshape your life in ways that reflct your evolving identity. Ths might involve making small adjustments, such as adopting new habits or pursuing new interests, or it could mean making more signifiant changes, such as changing careers or reevaluating your relationships. While change can be daunting, it’s

also a powerful tool for growth. Embracing change with an open mind and a willingness to take risks can lead to new opportunities and experiences that bring renewed purpose to your life.

Relationships play a crucial role in our sense of purpose and fulfillment, and middle age is often a time when relationships undergo signifiant changes. Whether it’s a long-term partnership, friendships, or family connections, these relationships can provide support, love, and a sense of belonging. However, it’s also a time when some relationships may begin to feel stagnant or strained. Ths can be particularly true in romantic relationships, where the routine of daily life can sometimes lead to a loss of connection.

If you’re feeling disconnected in your relationships, it’s important to address these feelings openly and honestly. Communication is key to maintaining strong, healthy relationships, and it’s never too late to work on deepening your connections with the people you care about. If we’re blessed to live to be middle aged, we will all be faced with how to deal with these feelings. So, it’s a good time to reach out to friends and walk through it together.

Joining clubs, volunteering, or taking classes are all great ways to connect with others who share your passions. These new connections can bring fresh perspectives and energy into your life, helping you feel more engaged and connected.

Feeling stuck in a rut can take a toll on your health, leading to stress, anxiety, and a lack of motivation. Prioritizing self-care is essential for maintaining your energy and resilience as you navigate this period of your life. Regular exercise, a balanced diet, and sufficit sleep are all crucial components of physical health, while practices like mindfulness, meditation, or therapy can support your mental well-being. Taking time to care for yourself not only improves your overall quality of life but also gives you the strength and clarity to pursue new directions and opportunities.

It’s important to remember that fiding purpose and direction is a journey, not a destination. It’s normal to feel uncertain or lost at times, and it’s okay to take things one step at a time. Rather than focusing on a specificoutcome or goal, try to stay present and engaged in the process of self-discovery. Be patient with yourself as you explore new possibilities and trust that, over time, clarity will come. The path to a fulfilling life is often winding and unpredictable, but it’s one that holds the potential for profound growth and transformation.

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

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

Diabetic Wounds & Ulcers

Arterial Ulcers

Infected Wounds

Open Wounds

Pressure Ulcers

Vascular Wounds

Acute Wounds

Non-Healing Wounds

Chronic Wounds

Surgical Wounds

Traumatic Wounds

PLANO CLINIC 5804 Coit Road, Ste. 100 Plano, TX 75023

LEWISVILLE CLINIC

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

IRVING CLINIC

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

DESOTO CLINIC

714 N. Hampton Rd. DeSoto, TX 75115

JOSHUA WORLEY, DPM | REZA MOBARAK, DPM, FACFAS, FAPWCA, FAPWHC | ROSE MARY WILSON, DPM

Innovation. Ingenuity. Integrity.

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

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

General Construction

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Construction Management

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OLIVIA ROGERS , RN, BSN, CHPN, CHPO, MBA, is a leading voice in health care and senior services and the Vice President, Chief Nursing Officer of VNA Texas.

Dear Olivia,

I hear a lot about hospice, but I am honestly not sure what one would receive while on hospice, or how it works alongside my other medical care. Can you explain to me the hospice philosophy of care?

~Unsure What Hospice Really Is

Dear Unsure What Hospice Really Is,

At the Visiting Nurse Association (VNA), our hospice mission statement is “To provide quality of life through comprehensive interdisciplinary care that addresses physical, spiritual, emotional, and mental health, while also caring for the families of those facing serious or life limiting illness and loss.” It is the goal of hospice to improve quality of life for those who are facing a terminal condition. The Medicare Hospice Benefit criteria states that a person qualifies for hospice if their doctor believes that they have a prognosis of six months or less if the disease follows the normal course. That means that hospice is not

only for those who are imminently dying, but may also be appropriate for those who are nearing the end of disease-specific treatment, may not wish to return to the hospital any longer, or those who are facing a decline in condition. The VNA Hospice Care team will provide care in the home by a skilled nurse, social worker, chaplain, personal care attendant and others, all of whom make visits to wherever the patient calls home to ensure the best quality of life possible and support for caregivers. This includes symptom management, medication management and providing those medications, ensuring a safe place to provide care and training caregivers on how to do so, supply delivery and medical equipment delivery to meet the needs of each individual patient. We can work with your chosen attending physician to ensure good communication and follow through. We are here to serve you and ensure that your wishes and goals of care are met through the delivery of hospice care.

VNA Hospice & Supportive Palliative Care

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

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

~Olivia

JOSH CREEL, DC

Josh Creel, DC is a chiropractor with Airrosti, a healthcare group that specializes in rapid recovery for soft tissue injuries by utilizing manual therapy—a hands-on treatment used to alleviate pain, improve mobility, and promote overall physical well-being. In nearly all cases, this allows for rapid recovery, complete injury resolution, and lasting results. In-clinic patients should expect to see dramatic improvement after the first visit, and most patients experience complete injury resolution in as few as three visits (based on in-clinic and Remote Recovery patientreported outcomes).

Dr. Creel has been serving the McKinney/Prosper area for 10 years and provides patients with an individualized treatment plan, and uses a variety of techniques, including joint mobilization, soft tissue manipulation, and muscle energy techniques to address specific musculoskeletal issues and promote recovery.

Dr. Creel graduated with honors from Mississippi State University. Soon after, he received his Doctor of Chiropractic degree from Parker University in Dallas, Texas. In Dr. Creel’s free time, he enjoys all types of fitness activities and spending time with his wife and three children. Dr. Creel is an active member of Lighthouse Church in Prosper, TX.

Eating Clean

A Simple Path to Healthier Eating

Maintaining a healthy diet can seem like a daunting task in our fast-paced, multi-tasking world of quick foods and quick fad diets. I invite you to visit the concept of “eating clean.” By just focusing on eating clean, you get a straightforward, accessible approach to ensuring you’re nourishing your body with wholesome, nutrient-rich foods. Unlike restrictive diets that focus on what you can’t eat, eating clean is about embracing real, unprocessed foods and developing a balanced, sustainable way of eating.

What Is Eating Clean?

At its core, eating clean revolves around consuming whole, minimally processed foods that are as close to their natural state as possible. The idea is to avoid foods laden with additives, preservatives, artifical colors, and unhealthy fats. Instead, the focus is on fresh fruits and vegetables, whole grains, lean proteins, and healthy fats.

Clean eating isn’t a fad diet with rigid rules; it’s a flexble lifestyle choice that encourages making mindful food selections. The aim is not just to lose weight but to nourish your body with the nutrients it needs to function optimally. Eating clean is about creating a sustainable and enjoyable way of eating that supports overall health and well-being.

The Simple Basics of Clean Eating

• PRIORITIZE WHOLE FOODS: The foundation of a clean eating diet is whole foods. These are foods that have undergone little to no processing, retaining their natural nutrients. Fresh fruits and vegetables, whole grains like brown rice and quinoa, and unprocessed meats and fish are all examples of whole foods. These foods provide essential vitamins, minerals, and fiber while avoiding unnecessary additives.

• AVOID PROCESSED FOODS: Processed foods are often stripped of their natural nutrients and loaded with unhealthy ingredients like added sugars, unhealthy fats, and sodium. Examples include sugary cereals, packaged snacks, and fast

food. By steering clear of these items, you reduce your intake of empty calories and harmful chemicals, promoting better health.

• CHOOSE HEALTHY FATS: Not all fats are created equal. Clean eating encourages the consumption of healthy fats, such as those found in avocados, nuts, seeds, and olive oil. These fats are essential for heart health, brain function, and hormone production. Avoid trans fats and highly processed oils, which are linked to various health issues.

• LIMIT ADDED SUGARS: Excessive sugar intake is associated with numerous health problems, including obesity, diabetes, and heart disease. Clean eating emphasizes reducing added sugars by choosing natural sweeteners like honey or maple syrup and enjoying the natural sweetness of fruits.

• STAY HYDRATED WITH WATER: Proper hydration is crucial for overall health. Water is the cleanest beverage choice, free from sugars, additives, or artifical ingredients. Drinking plenty of water throughout the day helps maintain energy levels, supports digestion, and aids in the body’s natural detoxifiation processes.

Eating Clean at the Grocery Store

Shopping for clean foods can be simple and straightforward when you know what to look for. Here are some tips to help you make the best choices while at the grocery store:

• SHOP THE PERIMETER: The outer aisles of most grocery stores typically contain fresh produce, meats, dairy, and whole grains. These areas are where you’ll fid the most natural, unprocessed foods. Avoid the inner aisles, which are usually filled with processed snacks, sugary cereals, and canned goods high in sodium.

• READ INGREDIENT LABELS: When buying packaged foods, always check the ingredient list. A shorter ingredient list usually indicates less processing. Avoid products with ingredients that sound like chemicals or that you can’t easily pronounce, as these are likely additives or preservatives.

• CHOOSE WHOLE GRAINS: When selecting grains, opt for whole versions like brown rice, quinoa, oats, and whole-wheat pasta. These are less processed and retain more of their natural nutrients compared to refied grains like white rice and white bread.

• BUY ORGANIC WHEN POSSIBLE: Organic foods are grown without synthetic pesticides or fertilizers, making them a cleaner option. While organic can sometimes be more expensive, prioritizing organic versions of the “Dirty Dozen” (fruits and vegetables most likely to contain pesticide residues) can be a good place to start.

• FOCUS ON FRESH PRODUCE: Fresh fruits and vegetables should make up a signifiant portion of your diet when eating clean. Look for a variety of colors to ensure you’re getting a wide range of nutrients. If fresh produce is too expensive or not available, frozen options are also a good choice, as they are often flash-frozen at their peak ripeness.

Tips for Maintaining a Clean Diet

Adopting a clean eating lifestyle is easier when you have a plan in place. Here are some tips to help you stay on track:

• MEAL PREP: Preparing meals in advance is one of the best ways to ensure you stick to clean eating. Set aside time each week to plan and prepare your meals. Ths not only saves time during the week but also reduces the temptation to grab unhealthy, processed foods when you’re busy.

• COOK AT HOME: Cooking at home gives you full control over what goes into your food. You can choose fresh, high-quality ingredients and avoid unnecessary additives. Plus, home-cooked meals often taste better and can be more satisfying than pre-packaged or restaurant meals. A quick search on the internet for “Clean Eating Recipes” will provide an endless list of ideas to suit your taste buds, including deserts!

• LISTEN TO YOUR BODY: Clean eating is about nourishing your body, so it’s essential to pay attention to how different foods make you feel. If certain foods leave you feeling sluggish or unwell, consider cutting back or eliminating them from your diet.

• PRACTICE MINDFUL EATING: Mindful eating involves paying full attention to your eating experience. Slow down, savor each bite, and listen to your hunger and fullness cues. Ths practice can help you enjoy your food more and prevent overeating.

• BALANCE AND MODERATION: While clean eating emphasizes whole, unprocessed foods, it’s important to maintain balance and moderation. There’s no need to be overly restrictive; occasional indulgences are part of a healthy lifestyle. The key is to make sure that the majority of your diet consists of clean, nutritious foods.

The Benefits of Eating Clean

The benefits of clean eating extend beyond just physical health. Here are some of the many advantages:

• INCREASED ENERGY: Whole foods are rich in vitamins, minerals, and other nutrients that your body needs for energy production. By eating clean, you may notice an increase in your energy levels and overall vitality.

• IMPROVED DIGESTION: A clean diet, rich in fiber from fruits, vegetables, and whole grains, supports healthy digestion and can prevent common digestive issues like constipation and bloating.

• BETTER SKIN HEALTH: The nutrients found in clean foods, such as antioxidants, vitamins, and healthy fats, can promote clearer, healthier skin. Reducing sugar and processed foods also helps to prevent breakouts and other skin problems.

• WEIGHT MANAGEMENT: Clean eating can naturally lead to weight loss or maintenance, as it encourages nutrient-dense, low-calorie foods. Since clean eating avoids processed foods, it also reduces the intake of empty calories that contribute to weight gain.

• ENHANCED MENTAL CLARITY: Eating clean can also benefit your mental health. Nutrient-rich foods support brain function, potentially improving focus, memory, and overall mental clarity.

You can easily incorporate this benefical lifestyle into your daily routine. Remember, eating clean is not about perfection—it’s about making better choices most of the time and enjoying a healthier, more balanced way of eating.

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

Heel Pain (Plantar Fasciitis) Stem Cell Therapy

Toenails

Custom Orthotics & Braces

Laser Therapy for Pain, Swelling, Arthritis, and Wounds

How to Know It’s Time to Choose Hospice Care

By SARAH ELISABETH SAWYER

When we hear the term “hospice,” we immediately think of death. One of the greatest emotional decisions a family makes together is deciding on hospice care for their loved one. Whether it’s a wife with her terminally ill husband, or five kids and their bedridden father, the emotions are raw because choosing hospice feels like choosing death.

But that isn’t the choice.

Becky Frank, Home Hospice Auxiliary member and longtime volunteer says, “ The information is out there, but I think sometimes people have a hard time hearing it.” A misconception we have about hospice care is that death is imminent, and your gut reaction is to battle death back as long as possible.

Which, according to patients in Home Hospice care, is what hospice can do. There are countless stories of hospice patients living full lives free of intense medical treatments and concerns. With the burdens Home Hospice relieves, patients often live longer than doctors predict.

“No matter how much time is left,there is so much hospice can help you with,” Ruth Summers, Auxiliary President, says. “ They come

in and take charge. You know your family member is in good hands.”

“A lot of people think hospice is the beginning of the end,” says Darlene Schweizer, also a Home Hospice Auxiliary member and longtime volunteer. “But hospice provides so much more than medical care. It’s the counseling and the real caring that makes a difference in how the end of life is handled. There’s something so comforting about knowing that if a big concern happens in the middle of the night, all you have to do is make a phone call.”

To those wanting to postpone the decision for hospice, Darlene adds, “When you’re in that situation, I would say it’s better to do it sooner than later. You’re not giving up by saying ‘We need hospice.’ You are giving your family members a chance to have dignity during the last part of their life.”

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.

» Staffed by 2 Licensed, Doctors of Audiology

» Hearing Aid Fittings, Maintenance and Repairs

» Invisible Fittings/Open Fittings

» Evaluation Period On All Hearing Aids

» Hearing Evaluations For All Ages

» Wireless/Connectivity Hearing Solutions

» Battery Purchase Programs » Custom Ear Protection »

Difficulty Hearing in the Presence of Noise

By CASSANDRA WILSON, AU.D., CCC-A, FAAA

Hearing loss is a pervasive, often underestimated health issue in the United States, affecting millions across all age demographics. Despite its prevalence, hearing loss frequently goes unnoticed, resulting in a signifiant lack of awareness and understanding of its impact on individuals and society.

The Prevalence of Hearing Loss

Hearing loss is more common than most people realize. According to the National Institute on Deafness and Other Communication Disorders (NIDCD), approximately 15% of American adults—37.5 million people aged 18 and over—report experiencing trouble with hearing.

Causes of Hearing Loss

Hearing loss can result from various factors, both genetic and environmental. Here are some primary causes:

• AGING: Presbycusis, or age-related hearing loss, is the most common form. It occurs gradually as individuals age and often reduces the ability to hear high-pitched sounds.

• NOISE EXPOSURE: Prolonged exposure to loud noises— from music, machinery, fiearms, or everyday city noise—can permanently damage the delicate hair cells in the inner ear, resulting in noise-induced hearing loss.

• GENETICS: Some forms of hearing loss are hereditary and can be passed down through families, with genetic factors signifiantly influencing susceptibility.

• MEDICAL CONDITIONS: Certain conditions, such as diabetes, cardiovascular disease, and infections like meningitis, can also contribute to hearing loss.

• MEDICATIONS: Ototoxic drugs can harm the auditory system, potentially causing hearing loss or tinnitus (ringing in the ears).

Consequences of Hearing Loss

Difficulty understanding speech in noisy environments is the most commonly reported problem among individuals with hearing impairment. Clinical studies show that even mild hearing loss can hinder one’s ability to communicate against background noise.

How Do We Define Noise?

In simple terms, noise is any unwanted signal that interferes with what the hearing instrument user wants to hear at a given moment. Ths concept is known as the Signal-to-Noise Ratio (SNR). When background noise is present, the speech signal (what we want to hear) is relatively low compared to the noise level. People with hearing loss require a more favorable SNR (louder speech than noise) to comprehend speech compared to those with normal hearing.

Reducing Background Noise

How do hearing instruments improve the SNR? The optimal way to minimize background noise is to prevent it from entering the hearing system. Ths can be achieved with advanced directional microphone technology, which assumes that the primary signal for the listener is speech. To enhance the SNR, the signals from the hearing aids use cues (how the person’s body movement, head movement, surrounding conversation activity, and acoustic sound scene analysis) to predict the user’s listening intent. By doing so, the hearing aid is better able to preserve and process the speech cues from the surrounding environmental sounds. Ths approach facilitates better speech understanding with reduced background noise interference. Can everyone benefit from directional microphone technology in hearing instruments? Yes, but the question remains: which technology is most appropriate? The answer largely depends on lifestyle. The more active a person is, and the more diverse their listening environments, the harder the hearing instrument must work for them, thereby necessitating more advanced directional technology. Your audiologist can help you make an informed decision about the technology based on your hearing loss and lifestyle requirements.

•

Bridging the Generational Gap

Baby Boomers

Connecting with Gen Z

By BOB DICKERMAN

The generational divide between Baby Boomers and Gen Z can seem vast. As Baby Boomers watch their grandchildren grow up in a digital age, they might feel disconnected or unsure of how to relate to a generation so different from their own. However, the desire to connect across generations is both natural and important, fostering strong family bonds and ensuring that wisdom, values, and support are passed down. You don’t need to try and be just like them. The aim is for them to remember how they feel when they’re with you. Let them be seen and heard by you.

Understanding the Generational Differences

Baby Boomers grew up in a world that emphasized hard work, stability, and the value of a secure job. They witnessed or were influenced by major historical events such as the Civil Rights Movement, the Cold War, and the economic boom of the post-war era. Ths generation often values face-toface communication, loyalty, and a strong work ethic. They tend to be more traditional in their views, and their experiences have shaped them into pragmatic and resilient individuals.

Gen Z, born roughly between 1997 and 2012, is the fist generation to grow up entirely in the digital age. They are characterized by their comfort with technology, social media, and instant access to information. Ths generation is highly diverse, socially aware, and values inclusivity and authenticity. They’ve grown up in a world marked by rapid technological change, economic uncertainty, and a heightened awareness of global issues like climate change. Communication for Gen Z is often digital, with texting, social media, and video calls being primary modes of interaction.

I recently tried to schedule a haircut with a Gen Z barber only to discover he only took appointments through Instagram messages. There is disconnect between the generations in the business world as well.

Finding Common Ground

Despite the differences, there are several areas where Baby Boomers and Gen Z can connect and learn from each other. Finding common ground is the key to bridging the generational gap and fostering meaningful relationships.

Embrace Technology Together

One of the most apparent differences between Baby Boomers and Gen Z is their relationship with technology. While Gen Z is naturally adept at using smartphones, social media, and digital platforms, Baby Boomers may fid these tools intimidating or unnecessary. However, technology can also be a bridge rather than a barrier.

Learn from Each Other :  Gen Z can help Baby Boomers navigate the digital world, teaching them how to use social media, video calling apps, or even how to shop online. In return, Baby Boomers can share their wisdom on how to critically evaluate online information, avoid scams, and maintain privacy online.

Use Technology to Stay Connected:  Grandparents can use video calls, text messaging, or even social media to stay in touch with their Gen Z grandkids. Sharing photos, sending messages, or even playing online games together can help maintain a close relationship, even if they’re physically apart.

Share Stories and Life Lessons

Baby Boomers have a wealth of life experiences and stories that can be both fascinating and educational for Gen Z. Sharing these stories is not just a way to pass on family history, but also a way to impart valuable lessons.

Try creating a family history project where you can encourage your Gen Z grandchildren to interview you about your life, recording stories about your childhood, career, or signifiant events you’ve witnessed. Ths can be turned into a video project, a written memoir, or even a family podcast to tie into their technology interests.

While times have changed, many core values such as integrity, kindness, and the importance of family remain the same. Discussing how these values have shaped your life can provide Gen Z with guidance as they navigate their own challenges.

Foster Mutual Respect and Understanding

One of the biggest hurdles in connecting across generations is the potential for misunderstandings or judgment. Baby Boomers may sometimes view Gen Z’s reliance on technology or their different social values with skepticism, while Gen Z might see Baby Boomers as out of touch with the modern world. Building a relationship based on mutual respect and understanding is essential.

It’s important to listen without judgement when discussing topics like politics, social issues, or lifestyle choices, approach conversations with an open mind. Respecting each other’s perspectives, even when they differ, helps build trust and deepens relationships.

Take an interest in learning about their world such as trends, music, and issues that are important to Gen Z, while Gen Z can learn about the historical context and experiences that have shaped the Baby Boomer generation.

Offering Wisdom and Support

As Baby Boomers, you have a unique opportunity to offer guidance and support to your Gen Z grandchildren as they navigate the complexities of growing up in the 21st century.

Be their source of stability in a world that often feels uncertain and rapidly changing. Your stability and experience can be a comforting presence for Gen Z. Offering a listening ear, advice, or just being there as a constant in their lives can be invaluable.

Ways to Offer Stability

Be Available: Let your grandchildren know that you’re there for them, whether they need advice, someone to talk to, or just a place to feel safe and loved.

Share Practical Skills: Baby Boomers can teach practical life skills that Gen Z might not have learned in school, such as budgeting, cooking, or even how to navigate challenging life situations. It’s important to not force the skills. Start subtly at fist.

Gen Z is a generation full of passion—whether it’s for social justice, the environment, or creative pursuits. When you take the time and support their interests, it can help them feel understood and valued and bridge the age gap. While the world may look different today than it did in your youth, the bonds of family and the value of intergenerational connection remain timeless.

CROSSROADS MEDICAL

Jelsma Orthopedics & Sports

Richard D. Jelsma, MD

Texas Joint Institute.............................................Suite

➠ Duncan L. McKellar, Jr., MD

➠ Charles E. Toulson, MD, MBA

Helix

➠ Jon Poe, PT, LAT ENT

➠ Hunter Richmond, MD

➠ Peter Selz, MD

➠ McDonald Arnot, DO

➠ Benarji Tegala, MD

➠ Jeremy Urbanczyk, DO

➠ Jermaine G. Clarke, DO, MBA

➠ Joseph Kim, MD Texoma

➠ Ikram Kureshi, MD

VUDHI SLABISAK, MD OrthopaedicSpineSurgeon

BRUCE MARKMAN, MD OrthopaedicSurgeon&Sports MedicineSpecialist

JAMES STANLEY, MD OrthopaedicSpineSurgeon

STEVE HONG, MD Interventional Pain ManagementSpecialist

RAHUL BANERJEE, MD OrthopaedicSurgeon

GEOFFREY G. GLIDDEN, MD OrthopaedicSurgeon

AMIR MALIK, MD Neurosurgeon

KHAWAJA IKRAM, DO OrthopaedicSurgeon

BRIANA HODGSON, PA-C OrthopaedicSurgery PhysicianAssistant

CHARLES MARDER, DPM Podiatrist,Foot&AnkleSurgeon

If you’re suffering from pain or an athletic injury, schedule an appointment with your preferred NTOS location for effective, compassionate treatment.

Carly, Colon Cancer Survivor

5WAYS TO BUILD A HEALTHY HABIT

Courtesy of TEXAS ONCOLOGY

Over the course of a lifetime, one in three women will face a cancer diagnosis. “For men, the odds stand at one in two. The good news is that between 30 and 50% of cancers may be preventable,” according to the World Health Organization. By taking small but meaningful actions toward a healthier lifestyle, you can create a positive habit that could decrease your cancer risk. Texas Oncology suggests five ways to get started.

GET REGULAR CANCER SCREENINGS

Screening exams are the most effective way to detect cancer in its earliest stages—often before it has spread and when treatment is the most effective. Call your physician to schedule your annual screenings and reach out to friends and loved ones to ensure they do the same.

GET MOVING

Whether you prefer biking, gardening, walking, or yoga, it’s important to get active. The U.S. Department of Health and Human Services recommends healthy adults participate in a minimum of 150 minutes of moderate exercise or 75 minutes of vigorous exercise each week. Incorporating regular physical activity into your daily routine can reduce your risk for several major cancers, as well as improve quality of life for those already fihting cancer.

STOP SMOKING

Smoking-related deaths represent 80% of lung cancer mortalities, and half of lifetime smokers will die from some tobacco-related disease, according to the American Cancer Society. Research shows that smoking cessation is paramount to lung health, and smokers who quit are more likely to live healthier and longer lives, while greatly decreasing their lung cancer risk. If you smoke and don’t know how to quit, call the Quitline at (877) 937-7848 for help and support.

EAT RIGHT

Managing your weight and eating a well-balanced diet full of nutrientrich foods is critical to both preventing and fihting cancer. To bolster your body’s defenses against cancer and other illnesses, limit your intake of sugars, saturated fats, trans fats, and alcohol. Instead, opt for healthy foods like nutrient-packed produce, dark, leafy greens, and a variety of seasonal fruits and cruciferous vegetables.

PRACTICE

SUN SAFETY

Skin cancer is the most common form of cancer, but many cases are preventable. The sun constantly produces ultraviolet (UV) rays that can penetrate clouds and affect your skin, even on overcast days or during cold weather. Limit exposure to UV rays by avoiding indoor tanning, applying sunscreen year-round, and wearing protective clothing that covers your skin.

Adopting a healthy lifestyle doesn’t mean changing everything overnight. By starting with small, intentional changes in your daily routine, you can create lasting healthy habits. For more information about the steps you can take to reduce your cancer risk, visit www.TexasOncology.com.

Macular Degeneration

Diabetic Eye Disease

Retinal Vein & Artery Occlusions

Flashes & Floaters

Retinal Tears & Detachments

Macular Pucker/Epiretinal

Membrane

Macular Holes

Uveitis

At Texas Macula & Retina, our mission is to provide exceptional eye care with a focus on the diagnosis, treatment, and management of retinal disorders.

Dr. Adams is a board-certified Ophthalmologist and Ophthalmic Surgeon specializing in Vitreoretinal Surgery. His principal areas of interest include age-related macular degeneration, diabetic retinopathy, retinal detachment repair, macular surgery, retinal lasers, and secondary intraocular lens implantation.

Dr. Adams and his team are committed to preserving and improving the vision and overall quality of life for our patients by offering the most advanced and personalized retina care available.

How Diabetes Affects Your Eyes

By MATTHEW K. ADAMS, MD, MBA

Diabetes is a chronic condition that affects millions of people worldwide, and while its impact on blood sugar levels is wellknown, its effects on vision are often overlooked. Understanding how diabetes can affect eye health is crucial for all people who have this condition. It’s important to understand the various ways diabetes can impact your eyes so you can protect your vision.

Understanding Diabetic Eye Disease

Diabetes primarily affects the eyes through a group of conditions collectively known as diabetic eye disease. The most common of these conditions are diabetic retinopathy, diabetic macular edema, and cataracts. Each of these conditions can lead to vision impairment or even blindness if left utreated.

Diabetic Retinopathy

Diabetic retinopathy is the most common cause of vision loss among people with diabetes and is a leading cause of blindness among working-aged adults. Ths condition occurs when high blood sugar levels damage the blood vessels in the retina, the light-sensitive tissue at the back of the eye.

There are two stages of diabetic retinopathy: non-proliferative and proliferative. In the non-proliferative stage, the blood vessels in the retina may swell and leak fluid, causing blurry vision. In the more advanced proliferative stage, new, abnormal blood vessels begin to grow on the surface of the retina. These vessels can bleed into the vitreous (the clear, gel-like substance inside the eye), leading to severe vision loss or even retinal detachment.

Diabetic Macular Edema (DME)

DME is a complication of diabetic retinopathy and occurs when fluid leaks into the macula, the part of the retina responsible for sharp, central vision. Ths leakage causes the macula to swell, leading to blurry or wavy vision. DME is a major cause of vision loss in people with diabetes and can make it difficult to perform tasks that require clear vision, such as reading, driving, or working on a computer.

Cataracts

While cataracts can develop in anyone as they age, people with diabetes are at a signifiantly higher risk of developing them at a younger age. A cataract occurs when the eye’s lens becomes cloudy, leading to vision that is blurry, dim, or tinted. In individuals with diabetes, high blood sugar levels can cause the lens to swell and change its clarity, accelerating the formation of cataracts. Ths can make it challenging to see clearly, especially in low-light conditions (i.e. driving at night).

Protecting Your Vision: What You Can Do

The good news is that by managing your diabetes effectively and getting regular eye exams, you can signifiantly reduce your risk of developing serious eye problems. Here are some steps you can take to protect your vision:

1. CONTROL YOUR BLOOD SUGAR LEVELS

The most important step in preventing diabetic eye disease is to keep your blood sugar levels within your target range. Consistently high blood sugar can damage the blood vessels in your eyes, so it’s crucial to monitor your levels regularly and follow your healthcare provider’s recommendations for managing your diabetes.

2. MONITOR BLOOD PRESSURE AND CHOLESTEROL

High blood pressure and high cholesterol can further increase your risk of developing diabetic eye disease. Managing these conditions through medication, diet, and exercise can help protect your eyes and overall health.

3. GET REGULAR EYE EXAMS

Annual comprehensive eye exams by a retina specialist are essential for detecting diabetic eye disease in its early stages, often before you notice any symptoms. During these exams, your eye doctor will dilate your pupils to get a better view of the retina and check for signs of damage. Early detection can lead to more effective treatment and a better outcome for your vision.

4. ADOPT A HEALTHY LIFESTYLE

Eating a balanced diet, exercising regularly, and maintaining a healthy weight can help you manage your diabetes and reduce the risk of complications, including those that affect your eyes. Incorporating foods rich in antioxidants, such as leafy greens, fruits, and nuts, can also support eye health.

By controlling your blood sugar levels, getting regular eye exams, and adopting a healthy lifestyle, you can reduce your risk of diabetic eye disease and maintain clear vision for years to come. Remember, your eyes are not only the windows to your soul but also to your overall health. Don’t take them for granted.

Experienced DWI Defense THE LAWYER LAWYERS CALL

Deandra M. Grant

JD, GC, MS

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

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

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

–DEANDRA GRANT

Co-Author of the Texas DWI Manual

LESSONS FROM OUR GRANDPARENTS

Modern Stress and Anxiety

By KAY BEACHAM

Iremember my family sitting on my grandparents’ porch and having long, slow conversations with one another and visiting occasionally with the neighbors. The kitchen was the heartbeat of the house and there always seemed to be something good cooking or brewing. The phone might have rang two or three times a day at most. It was a great way to spend time after a long day or week at work.

The conveniences of modern times have brought about stress and anxiety that previous generations didn’t face. We constantly juggle work, family, social obligations, and personal aspirations, all while being bombarded by information from every corner and our smart phones. While it would be naïve for us to romanticize the past as entirely stress-free, there is much to be learned from the way previous generations lived.

Our grandparents’ generation, particularly those who lived through the Great Depression, World War II, or the post-war era, undoubtedly faced signifiant challenges. Economic hardships, uncertainty, and the

trauma of war were prominent stressors. However, the nature of stress and anxiety during those times was often more immediate and survival-oriented. People were concerned with putting food on the table, ensuring their families’ safety, and rebuilding their lives in the aftermath of global conflits.

Today’s stressors are multifaceted and often more abstract. The pressures of a globalized economy, the demands of constant connectivity through social media and technology, and the expectations of achieving success in an increasingly competitive world contribute to a pervasive sense of anxiety. Unlike the clear and tangible challenges of the past, modern stress is often characterized by a sense of overwhelming options and uncertainty about the future. Ths can lead to chronic stress, where the body’s stress response is constantly activated, resulting in long-term health issues such as anxiety disorders, depression, and cardiovascular problems.

KEY DIFFERENCES WE COULD LEARN FROM

PACE OF LIFE

One of the most striking differences between the lifestyles of our grandparents and our own is the pace of life. In the past, daily life was structured around routines that were dictated by natural rhythms— daylight, seasons, and agricultural cycles. Ths allowed for more downtime which is crucial for mental health. Today, the 24/7 nature of modern life, driven by technology and the expectation of constant availability, leaves little room for rest. The lack of boundaries between work and personal life, exacerbated by remote work and mobile devices, means that many people never truly switch off, leading to burnout.

Applying the Lesson: One way to combat modern stress is by intentionally slowing down and creating clear boundaries between different aspects of life. Ths could involve setting specifictimes for work and relaxation, adopting a digital detox routine, or incorporating mindfulness practices such as meditation or yoga into daily life.

COMMUNITY AND SOCIAL SUPPORT

Our grandparents often lived in close-knit communities where social support was readily available. Families were larger and more extended, with multiple generations often living under one roof or in close proximity. Neighbors knew each other, and there was a strong sense of community, with people regularly coming together for social events, religious gatherings, and communal activities. Ths social fabric provided a buffer against stress, as individuals had a network of people to rely on during difficult times.

Modern life is marked by increasing social isolation. Urbanization, the breakdown of extended families, and the rise of individualism have led to a weakening of social ties. While social media offers the illusion of connection, it often lacks the depth and emotional support of real-life relationships. Loneliness has become a significant issue, contributing to the rise in anxiety and depression.

Applying the Lesson: Rebuilding a sense of community and fostering strong social connections can be a powerful antidote to stress. Ths might involve spending more time with family, reaching out to neighbors, or getting involved in local organizations or clubs. Even small acts, such as regularly checking in on friends or participating in community events, can create a sense of belonging and support that helps mitigate stress.

WORK AND LEISURE BALANCE

For our grandparents, work was often physically demanding but had clearer boundaries. The workday typically ended at a set time, and evenings and weekends were reserved for leisure, family, and community activities. Leisure time was not just a luxury but a vital part of life, with people engaging in hobbies, outdoor activities, and socializing. Today, the lines between work and leisure are increasingly blurred. The rise of the gig economy, remote work, and the expectation of being constantly connected mean that many people struggle to truly disengage from work. Leisure time is often filled with passive activities like scrolling through social media or binge-watching TV, which, while relaxing in the short term, do not provide the same restorative benefits as more active forms of leisure.

Applying the Lesson: Prioritizing meaningful leisure activities and setting strict boundaries around work can help restore balance. Engaging in hobbies, spending time outdoors, or simply enjoying a meal with family without distractions can provide the mental and physical relaxation needed to counteract the effects of stress. It’s also important to recognize the value of doing nothing.

ATTITUDE TOWARDS MATERIALISM

Our grandparents’ generation lived through times of scarcity, which influenced their attitudes towards material possessions. They tended to be frugal, valuing what they had and making the most of limited resources. Ths mindset often led to a greater appreciation for the simple things in life—home-cooked meals, handmade items, and the joy of spending time with loved ones. There was less emphasis on consumerism, and people were less likely to equate their self-worth with material success. In contrast, modern society is highly materialistic, with success often measured by the accumulation of wealth and possessions. The pressure to constantly upgrade and consume contributes to financial stress and a sense of inadequacy. Ths relentless pursuit of material goods can lead to a cycle of stress, as people work harder to afford a lifestyle that may ultimately bring little satisfaction.

Applying the Lesson: Embracing a more minimalist and frugal lifestyle can reduce fiancial stress and lead to greater contentment. Ths might involve prioritizing experiences over possessions, practicing gratitude for what one already has, and being mindful of spending habits.

CONNECTION WITH NATURE

Many of our grandparents had a close connection with nature, whether through farming, gardening, or simply spending time outdoors. Ths connection provided not only physical exercise but also a sense of peace and grounding. Nature has a calming effect on the mind, reducing stress and promoting mental well-being. In contrast, modern life is often spent indoors, with little direct contact with the natural world. Urbanization, long working hours, and the rise of screen-based entertainment have led to a disconnection from nature, contributing to feelings of stress and anxiety.

Applying the Lesson: Reconnecting with nature can be a powerful way to reduce stress. Ths can be as simple as taking regular walks in a park, gardening, or spending time in green spaces. Even small doses of nature, such as having plants at home or sitting by a window with a view of trees, can have a positive impact on mental health.

INTEGRATING PAST WISDOM INTO MODERN LIFE

While our grandparents faced their own unique challenges, their ability to fid contentment in simplicity, community, and a connection with the natural world offers valuable lessons for us today. By blending the best of the past with the conveniences and opportunities of the present, we can create a lifestyle that supports mental and emotional well-being in the face of modern pressures.

Radiant Imaging is a locally owned and operated diagnostic imaging center that offers their patients full-body scans with optimum patient comfort. Our team aims to make the diagnostic process as comfortable and safe as possible because we recognize the tension and anxiety that are frequently associated with it.

Radiant Imaging’s cutting-edge technology provides our patients the most reliable results possible. Our imaging center offers:

• Arthrograms

• Magnetic Resonance Imaging (MRI)

• 3 Tesla Magnetic Resonance Imaging (MRI 3T)

Alexander

Samuel K. Stephenson, MD

Expert Orthopedic Surgeons Close to Home

Left to right

William F. Tucker, MD

Duncan L. McKellar, Jr., MD

Brian Nwannunu, MD

Florian F. Dibra, MD

Charles E. Toulson, MD

Cyrus Abbaschian, MD

Donald W. Hohman, MD

J. Stephen Appleton, MD

S. Greenstein, MD

Kwame A. Ennin, MD

James Ryan, MD