Collin County Living Well Magazine May/June 2026

TEXAS JOINT INSTITUTE

Total

Total

Partial

Total

Stephen P. Courtney, MD

Fellowship-Trained Orthopedic Spine Surgeon

Over 28 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!”

STAND OUT WITH THE EMINENT CHOICE IN HEALTHCARE

Total

Headache

BUILT FOR THE LONG RUN

When your body works the way it should, everything else feels easier. That’s what makes this issue’s cover story such a natural fit. Texas Joint Institute is helping people across North Texas move better, recover stronger, and get back to the parts of life they don’t want to sit out. It’s the kind of care that doesn’t just fix a roblem—it changes how you live day to day.

SPRING AND SAM HOUSTON

The rest of this issue follows that same instinct. The stories feel familiar in the best, most comforting way. They address the issues that meet you in real life. When health decisions feel a little murky, or when your home starts to feel heavier than it should.

“Before You Take That Pill” takes a closer look at the supplement aisle, a place full of promises, but not always clarity. It’s a good reminder that a quick conversation with the right professional can make all the difference. Turn to page 40 to read it.

Then there’s clutter. Not the kind you fixin an afternoon, but the kind tied to memory, identity, and the versions of ourselves we hang onto. The piece on page 36, is thoughtful, a little unexpected, and one of those pieces that tends to stay with you.

You’ll also fid actor Paul Rudd in our celebrity spotlight on page 24—still doing things his way, still aging on his own terms. No extremes, no gimmicks, just consistency and a sense of humor about it all.

If anything connects these pages, it’s this: living well isn’t about getting everything right. It’s about paying attention, making a few better choices, and adjusting as you go.

Live well, Sam & Spring Houston

PRESIDENT & CEO

SAM HOUSTON

VICE PRESIDENT & CFO SPRING HOUSTON

EDITOR, FEATURE WRITER & SOCIAL MEDIA SONDRA BARR

ART DIRECTOR

VANESSA FRYER

ACCOUNTS MANAGER JENNIFER BEAVERS

WEBSITE LYDIA ROGERS

ADVERTISING & SALES

TEXAS: Denton County, Dallas County, Collin County

TEXAS & OKLAHOMA: Texoma Area

WRITE TO US:

Tell us who you would like to see featured on the cover, or what subjects you would like covered in upcoming editions of LIVING WELL MAGAZINE at info@livingwellmag.com

SUBSCRIPTIONS & CUSTOMER INQUIRIES

Houstons of Dallas Publishing, Inc. 102 E. Broadway, #901 Prosper, TX 75078

www.LivingWellmag.com

Phone: (214) 507-1000 Fax: (855) 248-2132

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.

to the name of this Magazine, and all versions of Living Well Magazine as well as Houstons of Dallas Publishing, Inc.

Kwame A. Ennin, MD, MBA

Orthopaedic

Surgeon

Kwame Ennin, MD, MBA, is a fellowship-trained board-certified orthopedic surgeon at Texas Joint Institute in McKinney and Plano, Texas who is an expert in hip and knee replacement procedures, adult reconstructive surgery, and nonoperative osteoarthritis care.

Dr. Ennin earned his undergraduate degree in biochemistry from the State University of New York in Stony Brook. He then went on to receive his medical education at the University of Cincinnati College of Medicine, before completing his general internship and orthopedic surgery residency at The University of Texas Southwestern Medical Center in Dallas. He is fellowship-trained in adult reconstructive surgery from William Beaumont Hospital in Michigan.

Dr. Ennin has a keen desire to educate. He is a presenter and educator to his colleagues regarding direct anterior total hip arthroplasty, total knee arthroplasty, revision total knee arthroplasty, partial knee replacement, and robotic surgery. He is committed to ensuring that the best understandings and techniques are available to all surgeons in the orthopedic community. Dr. Ennin is passionate about research. He has, throughout his career, been involved in and published numerous peer-reviewed studies.

Dr. Ennin has been a leader in the North Texas orthopedic community since 2015. He delivers personalized, patientcentered, evidence-based care for his patients. He is committed to taking care of his patient’s joints for their lifetime.

Dr. Ennin specializes in:

•Hip Replacement Surgery

•Knee Replacement Surgery

•Revision Hip and Knee Replacement Surgery

•Orthopedic Surgery

•Osteoarthritis

4001

TEXAS JOINT INSTITUTE

Expert Orthopaedic Surgeons Close to Home

The highly specialized doctors of Texas Joint Institute focus on complex reconstruction and total joint replacements serving the North Texas region. We have officein eight communities to care for your needs including Allen, Dallas, Frisco, Lakewood, McKinney, Plano, Sachse, and Sherman. Our team includes board-certifid and fellowship-trained surgeons in adult reconstruction (total joint replacement and revisions), orthopaedic oncology, orthopaedic trauma, and sports medicine surgery.

At Texas Joint Institute, we understand the importance orthopaedic bone and joint health, and the impact it can have on your mobility and quality of life. We offer a comprehensive range of services from conservative arthritis treatments to surgical care. Our doctors are currently accepting new patients and specialize in joint health, total joint replacement and revisions, robotic and navigation-assisted total joint replacements, muscle-sparing total joint replacements, osteosarcoma, complex trauma, bones that fail to heal, osteochondral lesion, and rotator cufftears. For a more complete list of services, see below or visit our website.

ORTHOPAEDIC SERVICES:

• Joint replacement (hip, knee, shoulder, and elbow)

• Joint revisions (hip, knee, shoulder, ankle, and elbow)

• Ankle reconstruction

• Ankle replacement

• Traumatic foot and ankle injuries/care

• Anterior hip replacement

• Partial (unicompartmental) knee replacement

• Robotic and navigation-assisted joint replacement

• Minimally invasive total hip and knee replacement

• All orthopaedic trauma injuries/complex trauma

• Soft tissue, bone tumor or unknown mases

• Chronic osteomyelitis

• Bones that fail to heal/nonunion

• Bones that don’t heal properly/malunion

• Limb deformity

• All fractures

• Rotator cuff tears

• AC joint separation

• Shoulder and hip dislocation

• ACL, PCL, MCL, and meniscus tears

• Hip labral tears and CAM deformity

• Knee, hip, and shoulder arthroscopy

*This is not an exhaustive list of the services we provide.

TEXAS JOINT INSTITUTE

Meet our team of Orthopaedic Specialists:

Kwame Ennin, MD

Orthopaedic Surgeon Board Certified McKinney, Sachse & Plano offices

Cyrus Abbaschian, MD

Orthopaedic Surgeon Board Certified Dallas office

Alexander Greenstein, MD

Orthopaedic Surgeon Board Certified Dallas & Plano offices TOP DOCS

Samuel Stephenson, MD

Orthopaedic Surgeon Board Certified Allen, Dallas & Plano offices

James Ryan, MD

Orthopaedic Surgeon Board Certified Dallas, Frisco, Plano, & Sachse offices

Stephen Appleton, MD

Orthopaedic Surgeon Board Certified Dallas & Frisco offices

Terry Gemas, MD

Orthopaedic Surgeon Board Certified Lakewood office

Charles Toulson, MD

Orthopaedic Surgeon Board Certified Allen, McKinney, & Sherman offices

Florian Dibra, MD

Orthopaedic Surgeon Board Certified Frisco office

Donald Hohman, Jr., MD

Orthopaedic Surgeon Board Certified Dallas & Frisco offices

William Tucker, Jr., MD

Orthopaedic Surgeon Board Certified Dallas office

John Early, MD

Orthopaedic Surgeon Board Certified Allen & Dallas offices

Duncan McKellar, Jr., MD

Orthopaedic Surgeon Board Certified McKinney & Sherman offices

Raj Yalamanchili, MD

Orthopaedic Surgeon Board Certified Allen, Frisco, & Sherman offices

Emmanuel Eisenstein, MD

Orthopaedic Surgeon Board Certified Allen & Sherman offices

Brian Nwannunu, MD

Orthopaedic Surgeon Allen & McKinney offices

Justin Kane, MD, FAAOS Board-Certified Orthopedic Surgeon

Justin M. Kane, MD, is a board-certified orthopedic surgeon and founder of the Orthopedic Institute of North Texas (OINT). He is internationally recognized for his expertise in foot and ankle care. He is a published author and a global lecturer, who has previously served as a Professor of Surgery at Texas A & M Health Science Center College of Medicine.

At the Orthopedic Institute of North Texas, Dr. Kane and his team’s goal is your return to normal activity. They provide surgical and non-surgical solutions designed to resolve your pain.

Dr. Kane specializes in

• Bunion and hammertoe correction

• Complex foot and ankle reconstructive surgery

• Surgical and non-surgical treatment of foot and ankle disorders

Balance

for Strength and Stability

By MADISON FINCH

Like strength or flexibility, it can improve with attention and practice. As you work on your balance, the benefits will extend far beyond simply staying upright.

Having good balance matters more than you think. It’s one of those things most of us rarely think about, until we suddenly feel unsteady. Maybe it happens while stepping offa curb, reaching for something on a high shelf, or standing on one foot while putting on a shoe. In these small moments, balance reveals itself as something quietly essential. It’s not just about avoiding a fall; it’s about maintaining confidece and remaining capable in the way we move through everyday life.

Balance is a remarkable dance between your body’s systems. It depends on a complex partnership between your muscles, your eyes, your inner ear, and your brain. When all of those systems communicate smoothly, your body instinctively knows how to adjust when the ground shiftsbeneath you or when you change direction. When one of those systems weakens or becomes less responsive, stability can start to feel less certain.

The good news is that balance is not a fied ability. Like strength or flexbility, it can improve with attention and practice. As you work on your balance, the benefits will extend far beyond simply staying upright. Researchers at the Harvard T.H. Chan School of Public Health have noted that balance training strengthens the body’s stabilizing muscles, particularly in the core, hips, and legs—while also improving coordination and reaction time. In practical terms, that means smoother movement, quicker adjustments when something unexpected happens, and greater confidece in daily activities.

Balance also plays an important role in preventing injuries. According to the Centers for Disease Control and Prevention, falls remain one of the leading causes of injury among adults in the United States. But what’s encouraging is that studies show regular balance exercises can signifiantly reduce the risk. The CDC’s fall prevention research has consistently shown that activities that improve strength and balance such as Tai Chi, yoga, and targeted stability exercises can make a measurable difference.

But beyond statistics and research fidings, balance has a deeper connection to how we experience our bodies. When balance improves, movement feels smoother. Walking feels lighter. Climbing stairs feels easier. Even standing for longer periods becomes more comfortable. These changes may seem small, but they add up to a greater sense of independence and ease in everyday life.

When balance is neglected, those systems can become less responsive. Muscles that support the joints may weaken, reaction time may slow slightly, and the brain may receive less precise signals about where the body is positioned in space. Over time, this can create a sense of hesitation or uncertainty during movement.

Incorporating balance into daily routines doesn’t require an hour-long workout. It might mean standing on one foot while folding laundry, taking a short walk outdoors, or adding a few simple strengthening exercises to your morning routine. Over time, those small moments of practice reinforce the systems that keep you steady.

Fortunately, improving balance doesn’t require complicated routines or specialized equipment. Often, the most effective exercises are surprisingly simple. One of the easiest starting points is practicing single-leg balance. Standing on one foot while brushing your teeth or waiting for the kettle to boil can gently activate the muscles that sta-

bilize your hips and core. Over time, your body learns to make those subtle adjustments more efficitly.

Another helpful practice is mindful walking. Instead of rushing from place to place, pay attention to how your feet meet the ground. Notice your posture, your stride, and the way your arms swing naturally. Ths kind of awareness strengthens the brain-body connection that supports coordination and stability.

Activities that challenge balance in a controlled way can also be particularly benefical. Yoga, for example, includes poses that strengthen the legs while encouraging steady breathing and concentration. Tai Chi, a slow and graceful form of movement often described as “meditation in motion,” has been widely studied for its balance benefits.

Strength training also plays a critical role. While balance exercises help the body respond quickly to instability, strong muscles provide the foundation that keeps joints supported. Strengthening the legs and core through exercises such as squats, step-ups, or gentle resistance training can signifiantly improve balance and reduce fall risk.

Posture is another factor that often goes overlooked. Many of us spend long hours sitting, which can gradually weaken the muscles that help keep the spine aligned. When posture becomes rounded or forward-leaning, the body’s center of gravity shifts,making balance more difficult. Standing tall, with the shoulders relaxed and the head aligned over the spine, helps restore the natural alignment that supports stability.

Vision also contributes more to your balance than many people realize. Your eyes constantly provide information about your surroundings and help your brain orient the body in space. As your vision changes over time, your balance may feel slightly different as well. Regular eye exams and proper lighting in the home can quietly support safer movement.

The inner ear plays its part, too. Tiny structures within the ear detect motion and changes in head position, sending signals to the brain that help regulate balance. When this system is disrupted, whether by illness, inflammation, or certain medications, people may experience dizziness or vertigo.

Perhaps the most encouraging truth about balance is that improvement can happen at any stage of life. The body remains adaptable, and even small, consistent efforts can produce meaningful change.

Thik of balance as a conversation within your body—a constant exchange of information between muscles, joints, senses, and brain. The more that conversation is practiced and strengthened, the more naturally stability becomes part of everyday life.

As the seasons change and routines shift,it can be a good time to check in with your own sense of stability. Are you moving with ease? Do you feel confidet stepping onto uneven ground or reaching for something overhead? If not, a few minutes of balance-focused movement each day can gradually restore that sense of steadiness.

Strength and stability are not separate goals. They work together, supporting the body in ways that often go unnoticed until they are challenged. By caring for balance now, through movement, awareness, and simple daily habits, you create a foundation that supports both safety and vitality for years to come.

FLORIAN DIBRA, MD

Florian F. Dibra, MD is a board-certified, orthopedic surgeon located in Frisco, Texas who has extensive knowledge in hip and knee orthopedics and treats operative and non-operative hip and knee arthritis. He focuses on minimally invasive muscle-sparing total hip and knee replacement, anterior hip replacement, partial knee replacement, robotic joint replacement and complex hip and knee replacement revisions. Dr. Dibra is specialized in MagicKnee and MagicHip, muscle-sparing techniques with robotic technology.

Dr. Dibra graduated with honors from Villanova University in Pennsylvania. Soon after, he received his medical degree, with cum laude honors from the esteemed Jefferson Medical College in Philadelphia, Pennsylvania. He completed his orthopedic surgery training at the University of Florida. He continued at the University of Florida Health Hospital to complete his fellowship in Adult Arthroplasty with an emphasis in hip and knee reconstruction. During Dr. Dibra’s surgical training, he accomplished several publications, book chapters, and poster presentations.

Dr. Dibra’s family consists of his wife and two children. In addition to English, he is fluent in Albanian, Italian, and proficient in Spanish.

Why Can’t I Sleep Anymore?

By THOMAS CALDER

At some point, sleep stops being the thing you fall into easily at the end of a long day and starts being the thing you have to work at. As we age, especially after 50, this shiftcan feel sudden and deeply frustrating. You lie awake at 2am for no particular reason. You wake up feeling like you barely touched the pillow. You driftoffon the couch at eight in the evening but stare at the ceiling for an hour once you actually go to bed. If any of that sounds familiar, you are not imagining it, and you are not alone.

Something genuinely changes in the way our bodies handle sleep as we get older, and understanding what is actually happening is more useful than lying there blaming yourself for it.

Here is the honest explanation. Deep inside the brain sits a cluster of around 20,000 cells called the suprachiasmatic nucleus, which is essentially your body’s internal clock. It governs when you feel sleepy,

when you feel alert, when you get hungry, and when certain hormones are released. Ths internal clock begins to lose some of its precision as we age. The rhythms it keeps become less reliable, which is why sleep patterns shiftin ways that feel completely outside your control, because to a signifiant degree, they are.

One of the most noticeable changes is that the body begins producing less melatonin, the hormone that rises in the evening as darkness falls and signals to the brain that it is time to wind down. With less melatonin in circulation, that natural transition from wakefulness to drowsiness becomes blurrier. You may feel tired but wired, ready for sleep in theory but unable to get there in practice. Compounding this, many people spend less time outdoors as the years go on, which matters more than most people realize because daylight is one of the most powerful tools the body uses to keep that internal clock properly set.

Deep inside the brain sits a cluster of around 20,000 cells called the suprachiasmatic nucleus, which is essentially your body’s internal clock.

The architecture of sleep itself changes too. The deep, restorative slow-wave sleep that leaves you feeling genuinely refreshed in the morning becomes harder to reach and easier to fall out of. You spend more time in the lighter stages, which is why the smallest sound, a car outside, a partner turning over, a pet at the foot of the bed, can pull you fully awake at three in the morning when it would have barely registered years earlier.

A large-scale study published in Nature Communications, involving over 730,000 participants across 63 countries, found that sleep duration declines through early adulthood, stabilizes through the middle years, and then naturally begins to lengthen again in the early fiies. In other words, the disrupted, fragmented sleep so many people experience is not necessarily the permanent new normal. The body does fid its way back toward rest. It just needs some help getting there.

What that help looks like is less dramatic than the supplement aisle at your local pharmacy might suggest.

Consistency is the single most effective tool most people are not using properly. Going to bed and waking at the same time every day, including weekends, gives that imprecise internal clock something reliable to anchor itself to. It sounds almost insultingly simple, and yet most sleep specialists consider it the foundation everything else is built on. The body responds to routine in ways it does not respond to anything you can buy.

Light exposure matters enormously, and in both directions. Getting outside within the fist hour or so of waking, even on a cloudy day, sends a strong signal to the brain that the day has begun and the clock can start counting. In the evenings, the opposite applies. The blue-toned light from phones, tablets, and televisions tells the brain it is still midday, which suppresses melatonin production at exactly the time you need it rising. Dimming the lights and putting screens away at least an hour before bed is one of the more evidence-backed changes you can make, even if it is also one of the least popular ones.

Alcohol deserves a particular mention because it is probably the most misunderstood sleep disruptor for this age group. Many people have a drink in the evening specifially because it helps them relax and nod off. And it does help with the falling asleep part. The problem is what it does to the quality of sleep once you are there. Alcohol suppresses the deeper stages of sleep and causes the brain to become more active in the second half of the night, which is why a nightcap that sends you offpeacefully tends to leave you wide awake at four in the morning, restless and unable to settle. The sleep you get after alcohol is genuinely less restorative than the sleep you get without it.

Temperature also plays a larger role than most people appreciate. The body needs to drop its core temperature slightly to initiate sleep, which is why a bedroom that is too warm makes it harder to

get there and stay there. Keeping the room a little cooler than feels instinctively comfortable supports that process in a way that is easy to overlook precisely because it is so unglamorous.

Caffeine is another quiet culprit worth reconsidering. Most people know not to drink coffee at ten at night, but caffeine has a half-life of roughly five to seven hours, meaning a three o’clock cup still has a signifiant presence in your system at bedtime. If sleep has become a struggle, moving that afternoon cutoffearlier than feels necessary is often worth the experiment.

For those dealing with persistent wakefulness that goes beyond the ordinary shiftsof aging, it is worth speaking with your doctor about what might be driving it. There are underlying conditions, from sleep apnea to restless leg syndrome to hormonal changes, that a doctor can properly assess and address. Do not assume that broken sleep is simply something to endure. In many cases, there is a specificreason for it, and a specific olution.

Your doctor may also be able to discuss cognitive behavioral therapy for insomnia, often referred to as CBT-I, which has a strong body of evidence behind it and is now widely considered more effective than sleep medication for long-term results. It works by addressing the thought patterns and behaviors that reinforce poor sleep rather than simply sedating the brain, and unlike medication, it tends to produce lasting improvements rather than short-term relief. It is well worth asking whether it might be right for you.

The important thing to hold onto, on those nights when sleep feels impossibly out of reach, is that what you are experiencing has a biological explanation. Your brain has not failed you. Your habits are not irredeemable. Sleep changes as we get older, but different is not the same as gone. With a little patience and a few deliberate changes made consistently over time, most people fid their way back to rest.

It just rarely happens overnight.

This internal clock begins to lose some of its precision as we age.

Macular Degeneration

Diabetic Eye Disease

Retinal Vein & Artery Occlusions

Flashes & Floaters

Retinal Tears & Detachments

Macular Pucker/Epiretinal

Membrane

Macular Holes

Uveitis

MATTHEW K. ADAMS, MD, MBA

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.

Does Eating Carrots Really Improve Your Vision?

Dietary and Lifestyle Modifications to Keep your Eyes Healthy

By MATTHEW K. ADAMS, MD, MBA

Eating carrots alone won’t improve your eyesight; but living a healthy lifestyle and eating nutritious foods can be benefical to your eye health. In today’s fast-paced world, with its reliance on screens, artifical lighting, and fast food, it’s more important than ever to take care of our eyes. As we age, our eyes become more susceptible to various conditions such as age-related macular degeneration, cataracts, and glaucoma. However, there are steps we can take to maintain good eye health well into our golden years.

Maintain a Healthy Diet

Dark greens and leafy vegetables such as spinach and kale, along with yellow and orange vegetables (such as carrots!) contain nutrients that can contribute to the health of the retina, the part of the eye that is responsible for clear, detailed vision. Eating fish that are high in omega-3 fatty acids like salmon and tuna may reduce the risk of age-related macular degeneration.

Nutritional supplements can also benefit your eye health. The National Eye Institute’s Age-Related Eye Disease Studies (AREDS and AREDS 2) found that supplements with a specificformulation of vitamins C and E, zinc, lutein, and zeaxanthin can delay or even prevent the progression of macular degeneration.

Stay Hydrated

Dehydration can cause dry eyes, which can lead to discomfort and irritation. Make sure to drink plenty of water throughout the day to keep your body and eyes hydrated. If you spend a lot of time in air-conditioned or

heated environments, consider using a humidifierto add moisture to the air and prevent dry eyes.

Maintain a Healthy Weight and Exercise Regularly

Being overweight or obese increases the risk of developing diabetes and other systemic conditions that can lead to vision loss. By maintaining a healthy weight and exercising regularly, you can reduce your risk of developing these conditions and help preserve your vision. The American College of Sports Medicine recommends 150 minutes of moderate-intensity aerobic physical activity each week. That equates to 30 minutes of exercise, five days per week.

Get Adequate Sleep

Getting enough sleep is essential for overall health, including eye health. During sleep, your eyes are replenished and refreshed, reducing the risk of eye strain and fatigue. Aim for 7-8 hours of sleep per night, and establish a regular sleep schedule to ensure restful and rejuvenating sleep.

Protect Your Eyes from UV Rays

Exposure to ultraviolet (UV) rays can increase the risk of developing cataracts and macular degeneration. When spending time outdoors, especially on sunny days, it’s crucial to wear sunglasses that offer 100% UV protection. Wide-brimmed hats can also provide added protection by shading your eyes from direct sunlight.

Limit Screen Time

In today’s digital age, many of us spend a signifiant amount of time in front of screens, whether it’s computers, smartphones, or tablets. Prolonged screen time can cause digital eye strain, which can lead to symptoms such as dry eyes, eye fatigue, and headaches. To reduce eye strain, follow the 20-20-20 rule: every 20 minutes, take a 20-second break, and look at something 20 feet away. Additionally, consider using blue light filters on your electronic devices to reduce the amount of blue light emitted, which can contribute to eye strain.

Quit Smoking

Smoking is not only harmful to your overall health but can also have a severe impact on your eye health. Smoking increases the risk of developing age-related macular degeneration, cataracts, and optic nerve damage. If you smoke, quitting can signifiantly reduce your risk of developing these eye conditions and improve your overall health.

Be Mindful of Changes in Your Vision

Finally, pay attention to any changes in your vision or eye health and seek prompt medical attention if you experience any unusual symptoms. Common warning signs include blurry vision, double vision, sudden loss of vision, eye pain or discomfort, flashes of light, or the appearance of flaters in your fild of vision. Early detection and treatment are essential for preserving your vision and preventing further damage to your eyes.

By following these simple tips, you can help maintain good eye health well into your golden years. At Texas Macula & Retina, our experienced team is dedicated to helping you maintain optimal eye health. With stateof-the-art technology and personalized care, we will ensure that your eyes receive the attention and treatment they deserve. Schedule an appointment with us today and let us take care of you and your eyes. We would love to help you see better!

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 have so many questions about hospice care, and I have heard different things from the medical community and family members. Can you help clarify a few things?

~Wanting

to Learn More

Dear Wanting to Learn More, You are not alone. Navigating health care can be confusing when it comes to talking about end-of-life care, which is hard to discuss for anyone facing these difficult decisions. I hope the below questions can help!

1. Is hospice a place? No, hospice is a type of health care provided primarily in the home. Many people associate hospice with a facility, but actually most hospice care is provided in the patient’s own home, or wherever they call home (nursing facility, assisted living facility, memory care, etc).

2. Is hospice care expensive? The services are meant to be accessible and affordable for patients. Hospice is covered by Medicare, Medicaid, and most private insurance plans. The Visiting Nurse Association (VNA) also provides charitable care for those with no means to pay.

3. Do most hospice patients have cancer? Hospice is not just for cancer patients. Though many associate it with cancer, hospice can be used for any terminal diagnosis. These include Alzheimer’s, other forms of dementia, heart disease, lung disease, liver disease, and many other diagnoses. The doctor certifies that a patient meets the criteria for hospice care, and then care can begin.

4. Does hospice stop all of my medications once I sign up for hospice care? No, hospice works with your doctor and the hospice doctor to establish a plan of care to meet the goals of the patient and family. Also, hospice care is about more than medical needs. Hospice aims to treat the whole person by providing emotional, social, and spiritual support.

5. What about personal needs for those who cannot care for themselves with activities of daily living? Hospice support includes a home health aide who can assist in personal care such as bathing, dressing and light meal preparation. They are part of the interdisciplinary team, along with volunteers. Hospice organizations have many trained volunteers who visit patients, provide respite for caregivers, help with errands, and offer companionship.

~Olivia

Brian Nwannunu

MD, MS

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

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

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

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.

I try to be polite to people. I think it feels better knowing that people probably think that I’m nice versus a jerk.

PAUL RUDD

The man who defies aging.

By SONDRA BARR

Actor Paul Rudd is approaching 60 with the kind of confidece that comes from knowing exactly who he is and seemingly unbothered by how famous he is. At 57, he has been in the cultural zeitgeist for three decades and still seems quietly baffled by what that means.

There is, by now, a well-established tradition of marveling at his face. Jennifer Aniston, his friend since before either of them became famous, summed it up in 2024 when she posted a birthday clip from their film Wanderlust with the caption: “Happy birthday Paul Rudd, I love you, you ageless freak.” Even Deadpool & Wolverine riffed on it: Deadpool stumbles upon Giant-Man’s corpse and remarks, “Paul Rudd fially aged!”

The jokes land because they’re rooted in something real—and because Rudd has never had any interest in pretending he deserves the credit.

Paul Stephen Rudd was born April 6, 1969, in Passaic, New Jersey, to British parents who immigrated for his father Michael’s career at Trans World Airlines. By the time Rudd was 10, the family had settled in Overland Park, Kansas. “At my core, I’m a Midwesterner,” he told Elle in 2011. He studied theater at the University of Kansas and trained at the American Academy of Dramatic Arts.

In 2023, he told Interview Magazine: “ There is a major part of who I am that does not feel like the alpha male… I moved a lot when I was a kid. I’m sure that shaped my personality in many ways.” In 1995, Clueless arrived. Playing the irresistible stepbrother opposite Alicia Silverstone’s Cher, he landed in a film that became a cultural touchstone. By Hollywood standards, he was on the launchpad. He chose to do a play in New York instead.

His agent was not pleased. Rudd explained in a 2023 Men’s Health cover story: “My agent said, ‘What are you doing?’ My career was just starting. But I had a real clear vision of what I wanted. I didn’t want to be considered a joke among actors who I really admire.”

A superhero franchise was never on my radar.

That clarity defies everything that followed. Wet Hot American Summer led to Anchorman, Anchorman led to Judd Apatow, and Apatow led to The 40-Year-Old Virgin, Knocked Up, and This Is 40—cementing Rudd as the funniest straight man in Hollywood. “I never thought of myself as a comedic actor,” he has said. “I didn’t go to Second City. I studied theater.”

“Looking back, I’m really happy with the choices I’ve made in my career,” he told one interviewer. “Just about every single thing I’ve ever done I’ve gone into with the right intentions, and that goes a long way.”

The role of Ant-Man came in 2015. “A superhero franchise was never on my radar,” he told Men’s Health. “I never really thought I was the type of actor that they would offer any of those parts to.” His son’s fist reaction to the casting said it all. “What he actually said was, ‘Wow, I can’t wait to see how stupid that’ll be,’” Rudd recalled to HuffPost. Many films later, Emmy nominations for Only Murders in the Building, and an upcoming Avengers: Doomsday (2026) later, Rudd has become something rarer than a movie star: a genuinely beloved one.

Asked about the secret to his seeming agelessness, Rudd gave Men’s Health a hierarchy: “Sleep. Then diet. Then weights. Then cardio.” The specificsare not glamorous: eggs every day, salmon, protein shakes of just protein and water, cardio before breakfast. And sunscreen—always. “I am a big believer in sunscreen,” he told InStyle. “Honestly, I wear it not to prevent wrinkles but because I don’t want to get skin cancer.”

The deeper insight is what routine does for the mind. “ There isn’t an officthat we have to go to every day where we see the same people,” he told Men’s Health. “Routine is a human need. It’s grounding in a really positive and healthy way… I fially understand that if you make fitness a part of your lifestyle, you’ll just feel good.”

In November 2021, People magazine named Paul Rudd its Sexiest Man Alive. He found out by email. He read it twice. “I do have an awareness, enough to know that when people hear that I’d be picked for this, they would say, ‘What?’” he told People. “Ths is not false humility. There are so many people that should get this before me.”

His wife Julie was, he reported, “stupefid.” “After some giggling and

shock, she said, ‘Oh, they got it right.’ She was probably not telling the truth, but what’s she going to say?”

The most revealing thing Rudd has said in any interview may be about a conversation with his father, Michael, who died of cancer in 2008. “I had a good relationship with my dad; we always got on and talked. But we didn’t have, like, the real heart-to-hearts,” he told People in 2023. His father’s message was simple: treat people the way you’d want to be treated. “You’re only here for a short while anyway,” Rudd recalled, “so try and do something that adds to the pot, that makes life a little bit easier for somebody else.” “It was a major moment to have with my dad,” he said. He carries it still.

He has spoken to TODAY about loss: “When you lose a parent, the world is offits axis, and it never rights itself… you adapt or perish.” He adapted. “I feel like a husband and a father when I think about myself,” he told People. “I feel my age… in a good way.”

Rudd has lived in New York City for nearly 30 years. He and Julie, married since 2003, split their time between Manhattan and upstate New York, where since 2014 he has co-owned Samuel’s Sweet Shop in Rhinebeck—a candy store he and actor Jeffrey Dean Morgan saved from closing after its owner, a friend, died unexpectedly. He is also a regular at Big Slick Celebrity Weekend, the Kansas City fundraiser for Children’s Mercy Hospital. For all of it—the career, the family, the candy store, the decades of being the guy everyone says is genuinely nice—Rudd remains constitutionally modest. “I try to be polite to people,” he told Parade. “I think it feels better knowing that people probably think that I’m nice versus a jerk.”

On a 2019 episode of Hot Ones, eating spicier and spicier wings with host Sean Evans, Rudd arrived at the fial sauce and looked up with genuine wonder. “Hey, look at us,” he said. “Who would’ve thought? Not me.” It became a meme instantly—because it reads like his autobiography in six words: bemused by his own good fortune, and genuinely grateful for it.

He is, by every credible account, exactly what he appears to be: talented, kind, funny, and fully at ease with a life built on his own terms.

Sixty is a few years away for Rudd. At this rate, nobody will be able to tell.

Texas Back Institute

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, 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 highly-trained 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

MCKINNEY

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

NORTH RICHLAND HILLS

4351 Booth Calloway Dr., Ste. 404 Fort Worth, TX 76180

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

SASCHE

4650 President George Bush Turnpike, Ste. 100 Sachse, TX 75048

» 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

» Assistive Devices

Yes, You’ll Get Used to Them

Courtesy HEARING SERVICES OF McKINNEY

Picture this. You’re sitting with a hearing specialist, about to be fitted for your very fist pair of hearing aids. Part of you is genuinely excited. Another part is quietly wondering what it will feel like to have a device in your ear all day, every day. Both of those feelings are completely normal, and both deserve a thoughtful answer.

The truth is that getting hearing aids is the beginning of a journey rather than a single moment. And like most journeys worth taking, it gets better the further along you go.

The fist thing most people notice is the physical sensation. Something new in your ear is going to feel like something new in your ear, at least for a little while. Hearing specialists typically suggest wearing your aids as much as possible in order to acclimate and re-train the brain. Ths is not because the devices are difficult to wear. It is simply because your brain and body appreciate a little time to get acquainted with something new. Minor awareness of the device is common in those early days. Actual pain, however, is not, and if you experience it, a quick visit back to your specialist to adjust the fit will sort it out.

The second thing people notice (and this one tends to catch them by surprise), is the sound itself. Hearing aids do not just turn up the volume. They open up a whole spectrum of sound that may have been fading quietly into the background for years. The rustle of leaves. The hum of a refrigerator. A conversation happening across the room. At fist, some of these sounds can feel almost startlingly present. That is your brain reconnecting with an auditory world it had learned to do without. Give it a few weeks, and it begins to filter naturally, tuning into what matters and letting the background settle where it belongs.

Practicing during this period makes a real difference. Reading along with audiobooks, watching television with captions, or simply having more conversations all help your brain adjust more quickly to its new, richer sound environment. Patience with yourself during this phase is not optional. It is part of the process.

Once that adjustment settles, most people fid they stop thinking about their hearing aids altogether and simply start noticing what they can hear again.

A large part of how comfortable that journey feels comes down to which style of hearing aid you choose, and the good news is that the options today are genuinely impressive. Invisible-in-Canal devices

are designed to sit inside the ear canal where they are virtually undetectable, making them a popular choice for anyone who wants maximum discretion. Receiver-in-Canal models are among the most widely worn styles today, offering a slim, lightweight fit with excellent sound quality and comfort. For those who prefer something easier to handle, In-the-Ear styles fill the outer ear and come with longer battery life and a simpler, all-in-one design. Behind-the-Ear models are highly versatile and work across nearly all degrees of hearing loss, offering room for advanced features including rechargeable batteries. And if the thought of fidling with tiny disposable batteries feels like a concern, it is worth knowing that rechargeable options are now available across most styles, including many In-the-Ear models, making daily use even simpler than it used to be.

For anyone who simply wants the most hands-offexperience possible, extended-wear devices are fitted by a professional and can stay comfortably in place for several weeks at a time. No daily insertion. No removal at night. Just consistent, clear hearing as part of your everyday routine.

Many of today’s hearing aids also connect wirelessly to smartphones, allowing you to stream phone calls, music, and audio directly to your ears. Settings can be adjusted through an app, and some specialists can even make fie-tuning changes remotely, without requiring you to come in for an appointment. Custommolded fits are available for those who want the most precise and comfortable result possible.

The right style for you depends on your degree of hearing loss, your lifestyle, and honestly, your personal preferences. There is no single correct answer. What matters most is fiding a device that fits your life so naturally that you stop noticing the hearing aid and start simply enjoying the sounds around you.

That is exactly the kind of conversation the team at Hearing Services of McKinney loves to have. From your very fist evaluation through to fiding the right fit and following up to make sure everything feels as good as it should, we are here to guide you through each step without any pressure. A hearing evaluation is a relaxed and informative starting point, and many people leave surprised by how straightforward and reassuring the whole experience feels.

The sounds you love are waiting. The journey to hear them clearly again starts with one easy appointment.

What Really MeansLegacy

By RICK ALLEN

There is a particular kind of conversation that tends to happen at a certain point in life. It does not happen at dinner parties or over coffee. It happens late at night, or during a long drive, or on a quiet Sunday afternoon when the house is unusually still. It is the conversation you have with yourself, the one that asks, in so many words, what any of this actually adds up to.

The word “Legacy” has been hijacked. It now conjures images of scale, of impact that can be measured and ranked and pointed to. Buildings with names on them. Endowments. Charitable foundations. The kind of thing that requires a press release and a tax attorney. And because that version of legacy belongs to a very small group of people, the rest of us tend to quietly let the word go, as though it somehow has nothing to do with us.

It has everything to do with us. It’s your life’s quiet figerprint.

Consider what people say at funerals. Not the formal eulogies that get rehearsed and printed out, but the quieter moments afterward, the things people say to each other in the parking lot or over plates of food in someone’s dining room. They almost never talk about accomplishments. They talk about what it felt like to be around that person. They mention a specificphrase someone used. A habit. A way of listening. The particular quality of attention that someone gave when you needed it most. The offhand remark made thirty years ago that you have never forgotten, though they almost certainly had no idea it would stay with you.

That is legacy. And it is happening right now, whether you are thinking about it or not.

The research confims what most of us sense intuitively. Ths is worth sitting with for a moment. Not the headline version of legacy, but the quieter, more personal one. The kind that does not require a Wikipedia page. The kind that requires showing up, paying attention, and being honest about who you actually are and what you actually value.

Thiking about your legacy is one of the most life-affirming things a person can do. It forces you to decide what actually matters, in how you spend your time and your energy and your patience on an ordinary Tuesday. For many people in their fiies, sixties, and seven-

ties, this reframing comes as something of a relief. The pressure to build something monumental begins to liftwhen you realize that the things people carry forward from your life are rarely your achievements. They are your recipes. Your sense of humor. The advice you gave that one time that stuck. The way you handled something hard without falling apart. The things you believed in and were not ashamed to say so.

One practical way many people are beginning to approach this is by thinking deliberately about how they want their life to be remembered and celebrated. What songs meant something to you? What readings, or words, or small details would feel like you? More people are sitting down with funeral planners earlier than you might expect, not out of morbidity, but out of love. Pre-planning a funeral service is quietly becoming one of the most generous giftsa person can give their family, lifting the weight of impossible decisions from the shoulders of the people who are already grieving. It is also an opportunity to have a say in your own story by shaping a service that truly reflcts who they were and the mark they want to leave behind.

There is also something to be said for the legacy being built in real time, through the relationships you are tending right now. The grandchild you sit with patiently. The friend you call even when you are tired. The neighbor you check on without being asked. None of this requires wealth or fame or a particularly dramatic life. It requires presence, and a willingness to believe that the ordinary moments are the ones that matter most.

The mark you leave will not be on a building. It will live in the people who knew you, in the way they treat others because of how you treated them, in the values they carry forward without quite knowing where those values came from. And when the time comes to honor that life fully, the team at Allen Family Funeral Options understands that a life well lived deserves to be told well, and they are there to help families capture, share, and celebrate the story that only you could have written.

Legacy is not something you leave when you go. It is something you are building today.

DART OUT OF TOWN

Need to get to the airport quickly and conveniently? DART means business. We serve Dallas Fort Worth International Airport and Dallas Love Field every day of the week.

DFW AIRPORT

ORANGE LINE to DFW Airport

Terminal A Station

SILVER LINE to DFW Airport

Terminal B Station

DALLAS LOVE FIELD

GREEN OR ORANGE LINE to Inwood/Love Field Station, and then LOVE FIELD

SHUTTLE (Bus Route 5) to Dallas Love Field

DOWNLOAD THE GOPASS® APP TO BUY PASSES AND PLAN TRIPS.

Andrew Chambers, M.D. Orthopedic Surgeon

Dr. Chambers is an orthopaedic surgeon at Texas Bone & JointArlington who specializes in joint replacement surgery. He received extensive training in joint replacement surgery during his fellowship at Harvard Medical School / Massachusetts General Hospital, which was voted as the top hospital in the United States. Dr. Chambers has implemented the techniques learned at Harvard Medical School into his own practice and offers minimally invasive total hip / knee replacement, partial knee replacement, revision surgery for malfunctioning, loose, and infected joint replacements, arthroscopic surgery of the hip and knee, and revision of failed and recalled metal-on-metal total hip replacement implants. Dr. Chambers focuses special attention on surgical techniques for rapid recovery after total joint replacement which allow his patients a more predictable and earlier return to home and an active lifestyle.

Dr. Chambers is pleased to offer the MAKOplasty Robotic-Arm Assisted partial/total knee and hip replacement. The MAKOplasty procedure is changing the way joint replacement surgeries are performed by providing each patient with a personalized surgical experience based on their specific diagnosis and unique anatomy using a CT-based 3D modeling. The robotic arm technology allows for extremely precise placement of hip/knee components with potentially less soft tissue injury than traditional joint replacement.

Dr. Chambers is a Texas native and grew up in Houston, Texas. He attended medical school at The University of Texas Medical Branch in Galveston, and completed residency at John Peter Smith Hospital in Fort Worth, Texas. He then completed a fellowship in joint replacement surgery at Harvard Medical School. In his free time, Dr. Chambers enjoys traveling with his wife, Christine, and spending time with friends and family. He is an avid sailor and enjoys participating in sailing races on the local lakes in the Dallas/ Fort Worth area.

3201 Matlock Road, Suite 260

Arlington, Texas 76015

What Clutter is Telling You

By MARGARET HOLLOWAY

There is a particular kind of frustration that settles into a home that looks, from the outside, perfectly fie. The rooms are livable. The furniture works. And yet, something feels heavier than it should. Drawers resist closing. Closets feel stuffed even when nothing is obviously out of place. Countertops become permanent resting spots for things that never quite fid their way back where they belong. If this sounds familiar, you are in good company. And chances are, it has nothing to do with laziness or poor organization. What sits beneath the surface of most clutter is something far more interesting, and far more human, than a simple failure to tidy up.

Clutter is emotional. It is psychological. And understanding why it accumulates, and why letting go feels so surprisingly difficult, can change the way you approach your home entirely.

At the heart of it all is attachment. We tend to think of attachment as something we reserve for the people in our lives, but the brain does not always draw that line so neatly. Objects become containers for memory. A chipped mug is not just ceramic. It is a Tuesday morning twenty years ago, a child in pajamas, a season of life that felt both chaotic and tender. A stack of old notebooks is not just paper. It is a record of who you once were, or who you quietly hoped to become.

Clutter is not a character flaw.

Once an object is connected to a memory or an emotion, it stops being just a thing. It becomes a cue, capable of bringing a feeling back to life. That is powerful. And letting go of the object can feel, on some level below conscious thought, like letting go of the memory itself. Intellectually, we know that is not true. Emotionally, the two can feel impossible to separate.

Then there is the sheer exhaustion of it all. Every item in a cluttered home represents an unfinshed task or an unresolved choice, and these possessions trigger what psychologists call the Zeigarnik Effect, a tendency for the mind to become preoccupied with incomplete actions. That creates a kind of mental background noise that makes true relaxation difficult. Add to that the weight of dozens of tiny decisions, keep it, donate it, throw it away, store it for later, and the brain simply runs out of steam. When decision fatigue sets in, avoidance becomes the path of least resistance. Instead of sorting, we shiftthings into another room. Instead of deciding, we delay. Clutter, in this sense, is not just accumulation. It is postponed decision-making, made visible.

But even beyond fatigue, there is something deeper at work: the discomfort of uncertainty. When you let go of an object, you are not just releasing the thing itself. You are also releasing what it represents. A box of old clothing might carry a past identity, a past body, a past chapter of life. Keeping it preserves a kind of continuity. It quietly says, “this still belongs to me.” Letting it go introduces questions that are not always easy to sit with. Who am I without this? What does it mean if I no longer want to hold onto it?

These questions are not logical. But they are emotionally real, and they tend to grow louder during life’s transitions. Career changes, grown children leaving home, health shifts,the natural evolution of who we are as we age. During these seasons, possessions can become anchors to earlier versions of ourselves. A wardrobe full of “someday” clothes or a garage full of half-finshed projects is not simply clutter. It is a collection of paused stories.

There is also something deeply human about seeing what an object could be, rather than what it is. The dress that no longer fits becomes a future self, imagined and waiting. The unopened hobby supplies represent the person you plan to be once life slows down. The unfinshed home project is the more spacious, more intentional life that always feels just around the corner. In this way, clutter is often built on hope. And hope, even when it has quietly expired, is genuinely difficult to discard without a little grief.

That grief tends to get overlooked in most conversations about decluttering. We frame letting go as liberating, and it can be. But it can also feel quietly mournful. Every item released requires a small emotional adjustment, an acknowledgment that a moment has passed, that a version of yourself has shifted, that a particular possibility is no longer alive. Ths is often why people start decluttering with real enthusiasm and then fid themselves stalled partway through. The emotional weight becomes more visible as the process deepens, and nobody warned them to expect that.

Memory plays its own central role here. We are not neutral archi-

vists of our lives. We are emotional historians. A souvenir from a trip does not just remind us of a place. It holds the sense of freedom we felt during that particular season of life. A child’s drawing keeps something of early family years, when everything felt simultaneously overwhelming and irreplaceable. These objects work as emotional shortcuts, allowing us to revisit states of mind that would otherwise be out of reach.

Ths is why decluttering can feel, at its deepest, like editing a personal biography. You are not just sorting through belongings. You are deciding which parts of your story remain physically present around you. That is a profound act, even when it involves something as ordinary as a kitchen drawer.

Research published in 2025 in the Journal of Environmental Psychology found that people who considered their homes more cluttered reported lower levels of wellbeing and life satisfaction, along with higher levels of negative emotion. The science is catching up to what many people already feel intuitively: the state of your home and the state of your inner life are far more connected than we sometimes like to admit.

There is also the influence of how we were raised. Many of us grew up in households where keeping things was a sign of responsibility, or preparedness, or simple respect for what you had worked hard to afford. Thowing something away could feel wasteful, even morally uncomfortable. For those who experienced fiancial uncertainty, whether personally or through the stories passed down from parents and grandparents, holding onto objects became a quiet form of security. Even decades later, even in circumstances that look entirely different, the emotional habit remains.

All of this helps explain why the usual decluttering advice so often falls short. Tips about storage systems and sorting categories address the surface without touching what lies beneath. People do not struggle to let go because they do not know where to put things. They struggle because each object is quietly asking something of them.

And yet, change is genuinely possible, not through forcing yourself to be ruthless, but through becoming curious. When you begin to notice what an object actually represents rather than simply what it is, something shifts.You can honor a memory without needing to keep the physical item that carries it. You can recognize that identity lives inside you, not inside a drawer. You can allow yourself to feel a small loss without interpreting it as failure.

A simpler home, then, is not built by removing everything unnecessary in a single afternoon. It is built gradually, through the thoughtful process of disentangling meaning from material things. It is learning to tell the difference between what is still alive in your present life and what is simply echoing from the past.

Clutter is not a character flaw. It is a reflction of something deeply human: the instinct to remember, to hope, to prepare, and to hold on. Letting go is not the opposite of those instincts. It is a way of refiing them, so that what surrounds you supports not just who you have been, but who you are still becoming.

David Shau, MD/MBA

Texas Hip and Knee Center Fellowship Co-Director and Faculty at the Anne Burnett Marion School of Medicine at Texas Christian University

Dr. David Shau is a native Texan, born in Fort Worth, TX. He graduated high school in Flower Mound, TX, and attended the University of Texas at Austin, where he studied biomedical engineering. Dr. Shau then ventured out-of-state to work at leading academic orthopedic surgery centers, including Vanderbilt University, Emory University, and University of California, San Francisco, before being recruited to return home to practice at the premier DFW joint replacement group, the Texas Hip and Knee Center (THK).

Dr. Shau has quickly built his practice through connecting with his community, committing to quality service, and delivering excellent patient care. He utilizes a variety of techniques and approaches for hip and knee care, including direct anterior hip replacements, and offers technology-assisted surgeries, such as Mako Technology for partial and total joint replacements. He also specializes in revision joint surgeries and enjoys complex, challenging cases. As a result of dedicating himself to his craft, his partners at THK promoted him to Fellowship Co-Director early in his practice. Dr. Shau also serves as a Physician Development Coach and is an Assistant Professor at the Burnett School of Medicine at TCU, where he enjoys his roles as a teacher, mentor, and coach.

In his free time, he enjoys food, sports, music, and spending time with his wife and daughter. For more information on Dr. Shau’s care philosophy and the techniques/approaches offered for hip and knee care, please visit DavidShauMD.com.

Dr. Shau has three office locations: 10900 Founders Way, Ste. 201, Fort Worth, TX 76244 6301 Harris Parkway, Ste. 300, Fort Worth, TX 76132

Before You Take That Pill

By EDWARD LANGFORD

Walk into any pharmacy or grocery store and you will fid an entire wall devoted to supplements. Bottles promising better sleep, sharper memory, stronger joints, smaller waistlines, more energy, and a longer life stare back at you from every shelf. The market has grown to over 100,000 products in the U.S., and Americans are buying them in remarkable numbers. They are easy to purchase, require no prescription, and carry the reassuring word “natural” on almost every label.

But natural does not always mean safe. And the gap between what most people assume about supplements and how they are actually regulated is wide enough to matter.

Here is what most people do not know. When you pick up a bottle of fish oil, turmeric, or melatonin, that product has not been reviewed or approved by the U.S. Food and Drug Administration before it reached the shelf.

According to the FDA’s own guidelines under the Dietary Supplement Health and Education Act, passed by Congress in 1994, supplements are not medicines and are not required to prove they work before being sold. The responsibility for safety sits with the manufacturer, not the government. The FDA steps in after the fact, if a problem is reported or a product is found to be harmful.

Ths is not a small distinction. It means the burden of proof runs in the opposite direction from what most people expect. With a prescription drug, a company must demonstrate safety and effectiveness before it reaches you. With a supplement, it can reach the shelf fist and face scrutiny later, if at all.

That said, the FDA does enforce some meaningful standards. Supplement manufacturers are required to follow what the agency calls Good Manufacturing Practices, which are rules covering how products are made, labeled, and tested for purity and content. The FDA also conducts periodic facility inspections and can issue recalls when products are found to be contaminated or mislabeled. In fact, the FDA recently issued warnings after testing uncovered supplements containing undisclosed prescription drug ingredients, including substances found in medications for blood pressure and other serious conditions, none of which appeared anywhere on the label. Ths is not a fringe problem. It is one of the reasons simply reading the label is not always enough.

When you are browsing the supplement aisle, one thing worth looking for is a third-party verifiation seal. Organizations such as USP, NSF International, and ConsumerLab independently test supplements and allow products that pass their standards to carry a seal of approval on the label. Ths seal does not mean the supplement will do what it claims, but it does mean the product likely contains what it says it contains, in the amount stated, without harmful levels of contamination. It is one of the more reliable signals available to a consumer in an otherwise loosely regulated marketplace.

But reading the label carefully is only half of what you need to do. The other half involves a conversation that far too many people skip entirely.

A comprehensive review published in Cureus in 2025, examining evidence across nearly three decades of research, found that between 23 and 82 percent of older adults were taking both prescription medications and dietary supplements at the same time, and that the risk of harmful interactions was signifiant, particularly with blood thinners and thyroid medications. Even more concerning, the review found that a critical failure in communication between patients and their healthcare providers was consistently making the problem worse. Doctors often do not ask. And patients often do not think to mention what they consider to be vitamins.

The interactions are real, and some of them are serious. St. John’s Wort, one of the most widely purchased herbal supplements in the country, is known to speed up the liver’s processing of many medications, which means it can quietly reduce the effectiveness of antidepressants, heart medications, and other critical treatments. Ginkgo biloba and fish oil both have mild blood-thinning properties that can amplify the effect of prescribed blood thinners like warfarin, raising the risk of dangerous bleeding. Calcium and magnesium can interfere with the absorption of thyroid medication if taken at the same time. Potassium supplements taken alongside certain blood pressure medications can cause potassium to build up in the bloodstream to levels that affect heart rhythm.

None of this means supplements are something to fear across the board. Some have genuinely good evidence behind them and a reasonable safety profile when used appropriately.

But “appropriate” is the key word, and appropriate for you specifially depends on what else you are taking.

Before starting any new supplement, speak with your doctor or your pharmacist. Your pharmacist in particular is an often underused resource for exactly this kind of question. They have access to your full medication history and are well positioned to spot a potential interaction that might not be obvious to anyone else. It is a five minute conversation that can prevent a serious problem.

And here is something equally important: when you hand your doctor or pharmacist a list of everything you are taking, include the supplements. Every single one of them. The fish oil. The magnesium. The turmeric capsule you started taking for your knees. The probiotic your neighbor recommended. Supplements do not require a prescription, but that does not mean they have no effect on the body. They absolutely can, which is precisely why the people treating you need to know about them. A complete picture of what you are putting into your body every day is not optional information for your medical team. It is essential.

The supplement aisle is not the enemy. But it deserves the same thoughtful approach you would bring to any other health decision. A little information, a conversation with the right person, and a realistic view of what any bottle can and cannot promise will serve you far better than the claims on the label ever will.

When you are browsing the supplement aisle, one thing worth looking for is a third-party verification seal.

Providing modern, minimally invasive procedures to patients with neurological conditions

Dallas Brain, Spine and Skull Base Surgery is a neurosurgical practice that offers over 40 years of experience providing an innovative and collaborative state of the art approach to the care of patients with challenging neurological problems from around the world. Dr. Beshay and Dr. Coimbra have developed unique expertise in the treatment of brain tumors becoming the referral destination for the treatment of patients, especially those with complex or difficult to access tumors. They have also shown a commitment to the development of minimally invasive neurosurgical procedures including the most modern expanded trans–nasal endoscopic skull base surgical techniques and focused extradural approaches to skull base tumors.

Dr. Beshay’s interests include tumors of the brain and spine, minimally invasive spine surgery, complex spinal reconstruction, and epilepsy surgery. In addition to surgical treatment of intracranial and spinal disease, he has an interest in neurological bleeding and its reversal. Dr. Beshay’s clinical interests include: benign and malignant brain tumors, neuroendoscopy, epilepsy surgery, intracranial hemorrhage, cranial/ spinal trauma, minimally invasive spine surgery, complex spinal reconstruction with an interest in C1–C2 and occipito–cervical junction disease.

Dr. Coimbra restricts his practice mostly to intracranial neurosurgery. This selective tertiary practice has fostered the opportunity to develop unique expertise and commitment to the treatment of malignant and benign brain tumors. He is an expert in the minimally invasive resection of the most complex skull base tumors, including meningiomas, acoustic neuromas, and pituitary tumors. He employs CyberKnife radiation therapy, endoscopic endonasal techniques, and an array of focused skull base approaches to create a customized treatment plan for each patient in his practice. These innovative approaches allow resection of deep, difficult, and complex tumors with minimal brain tissue manipulation and maximal preservation of function.

Dr. Coimbra and Dr. Beshay believe in customized patient care and a team approach to medicine with attention to careful selection of the least invasive and most effective treatment for each patient. Their commitment to this philosophy has resulted in maximum preservation of function, less discomfort, shorter hospital stays and durable favorable outcomes for their patients.

Urology Care

Robert Brunner, MD is a general urologist with Urology Clinics of North Texas serving patients in our Dallas office cated at Texas Health Presbyterian Hospital Dallas. A native of Toledo, Ohio, Dr. Brunner combines a robust academic foundation with extensive clinical expertise. He graduated magna cum laude from the University of Notre Dame, earning dual degrees in Economics and PreProfessional Studies. He then earned his Doctor of Medicine (MD) degree from the University of Toledo College of Medicine and Life Sciences, where he was inducted into the prestigious Alpha Omega Alpha Honor Medical Society.

Following medical school, Dr. Brunner completed his residency in Urology at Baylor College of Medicine in Houston, Texas, where he received comprehensive training in all aspects of adult urology. He developed specialized expertise in the management of stone disease and in the use of robotic-assisted surgery, particularly with the Da Vinci robotic system. Dr. Brunner is skilled in treating a wide range of both benign and malignant urologic conditions, with a particular focus on leveraging advanced robotic technologies to improve surgical outcomes and accelerate patient recovery.

Committed to providing exceptional care, Dr. Brunner is passionate about staying at the forefront of urologic advancements, ensuring that his patients benefit from the latest techniques and innovations in the fild.

• Bladder Cancer

• Blader Stones

• Enlarged prostate or benign prostatic hyperplasia (BPH)

• Erectile dysfunction

• Kidney stones

• Low Testosterone

• Male sexual dysfunction

• Overactive bladder

• Penile curvature or Peyronie’s disease

• Prostate Cancer

• Stress urinary incontinence (Male & Female)

• Testicular Cancer

• Ureteral Cancer

• Ureteropelvic juncion (UPJ) obstruction

• Urethral stricture

• Urinary retention

• Urinary tract infection (UTI)

PRIMARY OFFICE LOCATION: Urology Clinics of North Texas 8230 Walnut Hill Lane, Prof. Bldg. 3, Ste. 700, Dallas, TX 75231 (214) 691-1902 | urologyclinics.com

KHALID YOUSUF, MD, MS

Board-Certified Orthopedic Surgeon | Hip & Knee Replacement Specialist

Dr. Yousuf is a nationally recognized leader in advanced hip and knee surgery, offering robotic-assisted procedures, partial knee replacements, and the anterior hip approach to help patients fid relief from joint paint and move freely again.

He serves as Medical Director of Hip & Knee Surgery and Orthopedic Robotics at Baylor Scott & White (East Region) and has been honored among the B est Doctors in Dallas & Collin County. His dedication to innovation and patient care continues to set the standard in orthopedic excellence.

Gaylord Pkwy., Ste. 810 Frisco, TX 75034

5220 W. University Dr. Physician Bldg. 2, Ste. 300 McKinney, TX 75071

I Didn’t Plan This Either

By D.S. EMORY

Can I be honest with you about something? I had plans. Good ones, I thought. The kind you build quietly over years, the kind that feel solid because you’ve thought them through so carefully. And then life, as it has a way of doing, went in a completely different direction. Not just once. More times than I care to count.

I don’t know what your unplanned thing looks like. Maybe it’s a health diagnosis that arrived like a stranger at the door. Maybe it’s a relationship that fell apart after you gave it everything you had. Maybe it’s a dream you carried for so long that letting it go felt like losing a part of yourself. Whatever it is, I want you to know that I’m not going to sit here and tell you it doesn’t hurt. It does. And that matters. What I will tell you is what I’ve slowly, and sometimes painfully, come to understand. Trust isn’t something that shows up fully formed when you need it most. It’s built in the ordinary, quiet moments long before the hard ones arrive. And when the hard ones do arrive, which they will for all of us, trust looks a lot less like confidece and a lot more like just getting up and trying again tomorrow.

There is a passage in Proverbs that has stayed with me through some of my most disorienting seasons. It says that the heart of a person plans their way, but the Lord establishes their steps [Proverbs 16:9]. The fist time I really sat with those words, I’ll be honest, I wasn’t sure if I found them comforting or unsettling. Because I liked my plans. I had worked hard on them. But somewhere along the way I began to understand that this wasn’t a verse about God overriding us. It was a verse about God being with us, even in the redirections we never asked for.

There’s something I’ve noticed about the seasons in my life that looked the most like failure or loss. They were also, strangely, the seasons where I grew the most. Not because the pain was good in itself, but because something about being stripped of the plan I was gripping so tightly opened me up to things I never would have seen otherwise. Compassion I didn’t know I had. Resilience I didn’t know I needed. And a kind of quiet peace that I honestly cannot explain, except to say it felt like something beyond me was holding what I couldn’t hold myself.

I think about Joseph sometimes, the one from Genesis, a man who had more reason than most to feel abandoned by any sense of a plan. Betrayed, sold, imprisoned, forgotten by people he’d helped. And yet he later looked back at all of it and said, what was intended to harm him, God had intended for good. I fid that remarkable. Not easy, not painless, but remarkable. Because it means that even the broken places in a story are not outside of something larger being written.

Now, I want to be careful here, because I know how hollow certain words can feel when you are deep in the middle of something hard. I am not suggesting that everything that happens is meant to happen, or that your pain has a tidy explanation waiting for you around the corner. What I am saying, gently and with real conviction, is that I do not believe you have been forgotten. Not for a single moment.

Prayer changed for me during one particularly difficult stretch of my own life. I stopped approaching it as a list of requests and started showing up to it more like I would show up to a conversation with someone I trusted deeply. Less polished. More honest. Some mornings it sounded more like, I don’t understand this, but I’m still here, and I’m still trying. And that, I came to believe, was enough. Because I think what we sometimes call weak faith is actually just real faith. The kind that keeps showing up even when the answers haven’t come yet.

I’ve also learned that I need people around me who are also figuing this out. Not people who have all the answers, but people who will sit with me in the questions. There is something quietly powerful about being known by others who are learning, just like you are, to hold their plans with a little more openness. Not to give up on hoping, but to hope with open hands instead of clenched fists.

If you are in a season right now where almost nothing looks the way you thought it would, I want to leave you with this. You are not behind. You are not forgotten. And your story is not over. The same love that set the stars in place has not lost track of you in the middle of your particular Tuesday, your particular heartache, your particular unplanned chapter.

Trust, I’ve found, is less about having certainty and more about choosing to keep walking toward something good, even when you can’t quite see it yet. And sometimes, just sometimes, the path you never would have chosen turns out to be the one that leads you somewhere you couldn’t have imagined from where you started.

I believe that for you. I really do.

Trust isn’t something that shows up fully formed when you need it most. It’s built in the ordinary, quiet moments long before the hard ones arrive.

DALE EHMER JR., MD

Board-Certified Otolaryngologist (ENT)

Dr. Dale Ehmer Jr. received his medical degree from UT-Southwestern Medical school graduating in the top of his class with honors. He subsequently completed his ENT training at the UT-Southwestern Department of Otolaryngology-Head and Neck Surgery in Dallas, Texas. He is also board certified by the American Board of Otolaryngology-Head and Neck Surgery. Dr. Ehmer has multiple publications in medical journals and his research has been presented at multiple national conferences.

Dr. Ehmer’s approach to medicine combines technologically advanced surgical experience with the ability to communicate and relate to his patients and their families to provide the best care possible. His goal is to apply extensive knowledge and expertise to enhance the quality of life for both children and adults seeking comprehensive ENT care.

AREAS OF CARE

Ear infections

Allergies

Nasal Congestion

Sinusitis

Tonsillitis

Centennial Medical Pavilion I 4401 Coit Road, Ste. 411 Frisco, TX 75035

Eldorado Office Park 6717 W. Eldorado Parkway, Ste. 140 McKinney, TX 75070

940 Legacy Drive, Ste. 30 Prosper, TX 75078

Carrara

BY CANTEX CONTINUING CARE NETWORK

Carrara is a 112-bed facility staffed by friendly professionals with extensive experience caring for high clinical acuity residents.

Welcome to Carrara

Transitional Healthcare in a Luxury Setting

QUALITY MEASURES

• Private and Semi-Private Suites

• Pastorial Services

• Television with Satellite Service

• Wi-Fi Internet Access

Rehabilitative, Complex or Chronic Care

Carrara offers both inpatient and out-patient rehabilitation services aimed at treating a variety of sub-acute and chronic medical conditions:

• Orthopedic (Fractures, Joint Replacement, Amputation, etc.)

• Cardiac (Congestive Heart Failure, etc.)

• Comprehensive Wound Care

• IV Therapy

• Pain Management

• Chronic Obstructive Pulmonary Disease

• Stroke Recovery

• Lymphedema Management

• Bladder Control

• Contractures

• Care Transitions

• Rheumatoid Arthritis

• Post Operative Care

• Neuromuscular Conditions (Such as Parkinson’s)

• Balance Recovery

• Electric Beds for Easy Comfort Adjustments

• Restaurant Style Dining

• Three-Course Meals at Lunch and Dinner

Services Include:

• Clinical Services

• Round-the-Clock

Skilled Nursing Care

• Intravenous Therapy

• Physician Services

• Enteral/Parenteral Therapy

• Housekeeping

• Transportation

• Bilingual Staff

• Activities and Outings

• Library

• Salon Services

• Medication Administration

• Therapy Services

• Physical Therapy

• Occupational Therapy

• Speech Therapy

• Respiratory Therapy

• Restorative Program

• Cardiac Drips

• Dobutamine & Milrinone

• LVAD • Lifevest • TPN

• Trachs & Trach Collars

• CPAP

• BIPAP

Experience the Cantex Advantage

• Trilogy for COPD Support

• Wound Vacs

• Pleurex

• Swallow Function Recovery Our Clinical Capabilities Include:

• Chest Tubes

• JP Drains

• Hema Vacs

• Long Term Antibiotics

Cantex Continuing Care Network has been performing the highest standards of transitional healthcare and long-term residential services for more than 30 years. Ask anyone who knows: Cantex stands for quality.

Expert Orthopedic Surgeons Close to Home