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Baylor All SaintsOn the Forefront of Pancreatic Islet Cell

Transplantation Research

Baylor All Saints On the Forefront of Pancreatic Islet Cell

Transplantation Research

Fort Worth/Dallas Edition | November 2008 VOL. 16, NO. 9

Special FeatureThe Texas Clinic at Prestonwood

Restaurant ReviewN9NE Steakhouse

Special FeatureThe Texas Clinic at Prestonwood

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FORT WORTH/DALLAS M.D. NEWS NOVEMBER 2008 | 1

VOL. 16, NO. 9contents4 COVER STORY

BAYLOR ALL SAINTS: ON THE FOREFRONT OF PANCREATIC ISLET CELL TRANSPLANTATION RESEARCHWorldwide research is being done on this complex procedure in which islets are taken from the pancreas of a nonliving organ donor, purifi ed, processed and then transferred into the diabetic’s liver. The beta cells begin to make and release insulin once implanted, assuming the role of a backup pancreas. The most effective research stands on the shoulders of giants and the researchers as Baylor works closely with other scientists to achieve the most benefi cial data possible.

10 FEATURE

GERIATRIC UPDATEA look at the issues, concerns and diseases that affect the elderly and their caregivers

ON THE COVER(Left to right) Marlon Levy, M.D., Surgical Director of Transplantation at Baylor All Saints Medical Center and Medical Director of the Islet Cell Program, and Shinichi Matsumoto, M.D., Ph.D., Director, All Saints Islet Cell Research and Director, Baylor Institute for Immunology Research Islet Cell Transplantation Research

NOVEMBER 2008

DEPARTMENTS

2 from the publisher

3 news

7 adventure

8 restaurant review

14 perspective

24 news

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16 SPECIAL FEATURE

THE TEXAS CLINIC AT PRESTONWOODA World-Class Facility for Physicians and Surgeons

16

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10R10 FEATURER FEATURE

GERIATRIC RGERIATRIC

Eof a backup pancreas. The most effective

Eof a backup pancreas. The most effective research stands on the shoulders of giants

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Eand the researchers as Baylor works closely with other scientists to achieve the Eclosely with other scientists to achieve the most benefi cial data possible.Emost benefi cial data possible.Vinsulin once implanted, assuming the role

Vinsulin once implanted, assuming the role of a backup pancreas. The most effective

Vof a backup pancreas. The most effective research stands on the shoulders of giants Vresearch stands on the shoulders of giants and the researchers as Baylor works Vand the researchers as Baylor works closely with other scientists to achieve the Vclosely with other scientists to achieve the most benefi cial data possible.Vmost benefi cial data possible.

Iinsulin once implanted, assuming the role

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8I8

14I14Enews

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from the publisher

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ON THE COVER


ON THE COVER


GERIATRIC © 2008 SUNSHINE MEDIA, INC. UNAUTHORIZED USE OF THIS DOCUMENT IS STRICTLY PROHIBITED.

GERIATRIC UPDATE© 2008 SUNSHINE MEDIA, INC. UNAUTHORIZED USE OF THIS DOCUMENT IS STRICTLY PROHIBITED.

UPDATEA look at the issues, concerns and diseases © 2008 SUNSHINE MEDIA, INC. UNAUTHORIZED USE OF THIS DOCUMENT IS STRICTLY PROHIBITED.

A look at the issues, concerns and diseases

review


review

perspective


perspective

24


24 news


news

2 | FORT WORTH/DALLAS M.D. NEWS NOVEMBER 2008

Hello again,Over the past years, M.D. News has circulated our cover story and

special feature nomination form to our past cover recipients, mar-keting and public relations directors as well as others in the medical community. This form allows for recognition for many deserving area physicians that are on the forefront of medical advances, surgical techniques and patient treatment innovations.

This year we are including this form as part of this month’s edi-tions of M.D. News. Our editorial staff will review the nominations for 2009 and award the cover stories based on merit and content.

M.D. NEWS DALLAS/FORT WORTH MAGAZINE 2009 CALL FOR NOMINATIONS

M.D. News is now accepting nominations of physicians for cover stories and recommendations for special feature stories for the year 2009. We encourage nominations from all cities included in the D/FW area. If you or someone you know has an interesting story to share with our readership of 11,000 physicians, surgeons and hospital administrators, please complete the form below and send it to:

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Rick SutherlandPublisher

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E2009 COVER STORY NOMINATIONS AND SPECIAL FEATURE

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Cover Story Nomination GuidelinesICover Story Nomination Guidelines1. The focus must be on a physician or a small group of physicians currently affi liated with I1. The focus must be on a physician or a small group of physicians currently affi liated with

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2009 COVER STORY NOMINATIONS AND SPECIAL FEATURE E2009 COVER STORY NOMINATIONS AND SPECIAL FEATURE W 1-866-639-3421 Fax (please note our new fax number)

W 1-866-639-3421 Fax (please note our new fax number)Multiple nominations are welcomed. To submit more than one nomination for a cover story or special W Multiple nominations are welcomed. To submit more than one nomination for a cover story or special

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OD/FW area. If you or someone you know has an interesting story to share with our readership of 11,000

OD/FW area. If you or someone you know has an interesting story to share with our readership of 11,000 physicians, surgeons and hospital administrators, please complete the form below and send it to:

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1. The focus must be on a physician or a small group of physicians currently affi liated with


1. The focus must be on a physician or a small group of physicians currently affi liated with Dallas (Dallas and Collin counties) or


Dallas (Dallas and Collin counties) or (Tarrant, Parker, Denton and Johnson counties) areas.


(Tarrant, Parker, Denton and Johnson counties) areas.2. The doctor(s) must live, as well as work, in these areas.


2. The doctor(s) must live, as well as work, in these areas.3. The physician


3. The physician(s)


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8283 N. Hayden Rd., Ste 220


8283 N. Hayden Rd., Ste 220Scottsdale, AZ 85258


Scottsdale, AZ 85258(480) 522-


(480) 522-2900


2900 | sunshinemedia.com


| sunshinemedia.com

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Baylor Health Care System Breaks Ground on New Baylor Medical Center at McKinneyMcKinney Development to be Baylor’s Fourth Hospital in Collin County

news

On Tuesday, September 23, Baylor Health Care System will break ground on 332,000-square-foot Baylor Medical Center at McKinney, located on 58 acres at the northwest corner of Highway 380 and Lake Forest Drive. Baylor will host a groundbreaking at 10 a.m. Health care system offi cials anticipate completion of the estimated $212-million, 95-bed, four-story hospital and medical offi ce complex by November 2010.

Services at the medical center will include obstetrics and gynecology; gen-eral surgery; cardiovascular care including cardiac catheterization; gastroenterology, including endoscopy services; orthopae-dics; neurology and neurosurgery; internal

medicine; a full-service emergency depart-ment and extensive outpatient services.

“The health care services provided by this new hospital will meet the increasing medical needs of this community,” says Joel Allison, President and CEO, Baylor Health Care System. “We look forward to building what will prove to be an innovative facility offering exemplary health care for the resi-dents of McKinney, close to their homes.”

The population of McKinney and the sur-rounding area is expected to grow 34.5% between 2006 and 2011. According to the most recent census data (released March 21, 2007), Collin County is the eighth fastest growing county in the nation in numbers of people. In fact, Collin County is growing

faster than Denton and Dallas counties. As the community grows, Baylor plans to grow with it. The infrastructure of the main hos-pital will be built to accommodate a total of 12 fl oors and more than 400 beds.

“Baylor has a longstanding tradition of partnering with physicians to provide quality patient care,” says Michael Taylor, Senior Vice President, Baylor. “We have been working with a core group of physi-cians and a clinical design team for the past 12 months on an innovative design that incorporates the latest advances in information technology and supports our commitment to quality.” Physician prac-tices will be located in an adjacent medical offi ce building. ■

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growing county in the nation in numbers of Igrowing county in the nation in numbers of people. In fact, Collin County is growing Ipeople. In fact, Collin County is growing Erounding area is expected to grow 34.5%

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coverstory

The future holds remarkable promise for patients with type 1 diabetes, and the physician scientists at Baylor Research Institute are striving to seize that promise as they

not only make advances in the management of this disease, but also push to fi nd a cure. In March 2006, Baylor Dallas became the fi rst center in Texas to receive FDA permission

to independently process pancreatic islet cell for transplantation, a prom-ising experimental procedure on which they are currently conducting research and clinical trials, and have continued to make great strides.

COLLABORATION Worldwide research is being done

on this complex procedure in which islets are taken from the pancreas of a nonliving organ donor, purifi ed, processed and then transferred into the diabetic’s liver. The beta cells begin to make and release insulin once implanted, assuming the role of a backup pancreas. The most effective research stands on the shoulders of giants, and the researchers at Baylor works closely with other scientists to achieve the most benefi cial data possible. “We were very excited about the results as described by the Edmonton protocol, and when we started our program a collaboration was developed with the Canadian group to further the research and its implementation,” says Marlon Levy, M.D., Surgical Director of Liver, Kidney and Pancreas Transplant

Baylor All Saints: On the Forefront of Pancreatic Islet Cell Transplantation ResearchBy Jeanie Erwin

“Ultimately, this program will focus on fi nding cures for diabetes, not only type 1, but also type 2. With improved effi cacy and reduced side effects of islet transplantation, we will perform a lot of this treatment to the diabetic patients. Currently, there are approximately 20 million diabetic patients in the United States. Advanced research should reduce this number signifi cantly,” says Marlon Levy, M.D., Surgical Director of Transplantation at Baylor All Saints Medical Center and Medical Director of the Islet Cell Program.

RREVVSaints Medical Center and Medical Director of the Islet Cell Program.

VSaints Medical Center and Medical Director of the Islet Cell Program.

IIMarlon Levy, M.D., Surgical Director of Transplantation at Baylor All

IMarlon Levy, M.D., Surgical Director of Transplantation at Baylor All

Saints Medical Center and Medical Director of the Islet Cell Program.

ISaints Medical Center and Medical Director of the Islet Cell Program.Eperform a lot of this treatment to the diabetic patients. Currently, there are approximately 20

Eperform a lot of this treatment to the diabetic patients. Currently, there are approximately 20 million diabetic patients in the United States. Advanced research should reduce this number

Emillion diabetic patients in the United States. Advanced research should reduce this number

EEMarlon Levy, M.D., Surgical Director of Transplantation at Baylor All

EMarlon Levy, M.D., Surgical Director of Transplantation at Baylor All

Saints Medical Center and Medical Director of the Islet Cell Program.ESaints Medical Center and Medical Director of the Islet Cell Program.W “Ultimately, this program will focus on fi nding cures for diabetes, not only type 1, but also

W “Ultimately, this program will focus on fi nding cures for diabetes, not only type 1, but also type 2. With improved effi cacy and reduced side effects of islet transplantation, we will

W type 2. With improved effi cacy and reduced side effects of islet transplantation, we will perform a lot of this treatment to the diabetic patients. Currently, there are approximately 20

W perform a lot of this treatment to the diabetic patients. Currently, there are approximately 20 million diabetic patients in the United States. Advanced research should reduce this number W million diabetic patients in the United States. Advanced research should reduce this number W W Marlon Levy, M.D., Surgical Director of Transplantation at Baylor All W Marlon Levy, M.D., Surgical Director of Transplantation at Baylor All Saints Medical Center and Medical Director of the Islet Cell Program.W Saints Medical Center and Medical Director of the Islet Cell Program.

Obecame the fi rst center in Texas to receive FDA permission

Obecame the fi rst center in Texas to receive FDA permission

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perform a lot of this treatment to the diabetic patients. Currently, there are approximately 20 Operform a lot of this treatment to the diabetic patients. Currently, there are approximately 20 Nbut also push to fi nd a cure. In March 2006, Baylor Dallas

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to independently process pancreatic Yto independently process pancreatic LYLnot only make advances in the management of this disease,

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to independently process pancreatic Lto independently process pancreatic Yto independently process pancreatic Lto independently process pancreatic

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ising experimental procedure on which they are currently conducting


which they are currently conducting research and clinical trials, and have


research and clinical trials, and have



at Baylor All Saints Medical Center at Fort Worth and Medical Director of the Islet Cell Transplant Program. While much work needs to be done, the procedure is already showing as-tounding results and has researchers hopeful in the possibility of eliminat-ing the need for insulin injections for most patients with type 1 diabetes.

DRAWING WORLD-RENOWNED RESEARCHERS

This major research program is having an impact not only locally and nationally, but also internationally as well, drawing top researchers to the state-of-the-art facilities. “The addition of the world-renowned islet cell researcher Shinichi Matsumoto, M.D., Ph.D., of Kyoto, Japan, not only strengthens us, but is also an incredible validation of our preparatory work up to this point,” says Dr. Levy. “Dr. Matsumoto’s standing as a world-class investigator in pancreatic islet cell transplantation propels Baylor All Saints to the front ranks of this fi eld, and brings to the Fort Worth medical community exciting research in the area of juvenile diabetes, transplantation and immunology.” Dr. Matsumoto is the world’s only islet cell transplant researcher to have performed an islet cell transplant from a living donor. He was drawn to the Baylor All

Saints research facilities because of their implementation of superior techniques and top technology of islet isola-tion for islet transplantation. “When I was in Japan, we did not have access to brain-dead donors. Therefore, we had to isolate islets from nonheartbeating donors. Islet isolation from a nonheartbeating donor is very diffi cult.” He continues, “I performed more than 200 pig islet isola-tions in order to develop the technology to isolate islets even from nonheartbeating donors. This large amount of research made it possible for us to achieve the highest success rate of islet isolation.” He now serves as Director, Baylor All Saints Islet Cell Research, and Director,

The addition of the world-renowned islet

cell researcher Shinichi Matsumoto, M.D., Ph.D., of Kyoto, Japan, not only strengthens us, but is also an incredible validation of our preparatory work up to this point.

— Marlon Levy, M.D., Surgical Director of Transplantation at Baylor

All Saints Medical Center and Medical Director of the Islet Cell Program

“Islet cell transplantation is considered to be a prototype of cell therapy and/or regenerative medicine. Therefore, a lot of basic sciences are focusing on making islet cells using stem cells, gene therapy or regenerative medicine,” says Shinichi Matsumoto, M.D., Ph.D., Director, All Saints Islet Cell Research, and Director, Baylor Institute for Immunology Research Islet Cell Transplantation Research.

Rhopeful in the possibility of eliminat-

Rhopeful in the possibility of eliminat-ing the need for insulin injections for

Ring the need for insulin injections for

Rmost patients with type 1 diabetes.Rmost patients with type 1 diabetes.

DRAWING WORLD-RDRAWING WORLD-RENOWNED RRENOWNED

Etounding results and has researchers

Etounding results and has researchers hopeful in the possibility of eliminat-

Ehopeful in the possibility of eliminat-ing the need for insulin injections for Eing the need for insulin injections for Emost patients with type 1 diabetes.Emost patients with type 1 diabetes.

DRAWING WORLD-EDRAWING WORLD-

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most patients with type 1 diabetes.


most patients with type 1 diabetes.

DRAWING WORLD-


DRAWING WORLD-RENOWNED


RENOWNED RESEARCHERS© 2008 SUNSHINE MEDIA, INC. UNAUTHORIZED USE OF THIS DOCUMENT IS STRICTLY PROHIBITED.

RESEARCHERS


Baylor Institute for Immunology Research Islet Cell Transplantation Research.

PHYSICIANS OFFERING SUPPORTThe program is also exciting news to area physicians who

want to see their patients receive the benefi ts of advanced treatment. Patients in these studies have experienced an extremely high rate of success, with many patients elimi-nating the need for insulin or having a signifi cantly reduced need. “We are enjoying incredibly strong support in the medical community and are honored every time a patient is referred to us,” comments Dr. Levy about gratitude toward local physicians. “Not only does it speak highly of the level of trust put in our staff, but also the deep commitment that physicians have for the well-being of their patients who endure the substantial burden caused by the disease.” With less than 20 islet research teams nationwide, Baylor is the only hospital in the Southwest performing islet cell transplantation and is an important regional point of access to this groundbreaking treatment for patients with diabetes.

RESEARCH FRONTS

The research has garnered interest on many major fronts. “Islet cell transplantation is considered to be a prototype of cell therapy and/or regenerative medicine. Therefore, a lot of basic sciences are focusing on making islet cells using stem cells, gene therapy or regenerative medicine.” Explains Dr. Matsumoto, “In addition, islet cell transplantation is considered to be the most promis-ing treatment for using animal cells. If we were able to use animal cells in a clinical setting, we would no longer need to worry about organ donor shortage.” The yearly increase of patients with diabetes coupled with an insuf-fi cient supply of islet donors is one of the barriers yet to be overcome in islet cell transplantation. While the use

of xenographs and the generation of islets from cell culture are possible sources of an adequate supply of is-lets and show some promise, there are still many obstacles to overcome before it becomes a clinical reality. “This is why we have enormous grati-tude for our donor families and their

generosity. This is life-changing research that could not happen without them.” Dr. Levy refl ectively adds, “That signifi cance is not lost to us.”

PERSONALLY GRATIFYINGExcitement is certainly contagious and the positive

results are fueling continued interest. “One of the most personally gratifying patients recently was one of our own transplant family. He has lived 20 years with diabetes and has made his life’s work fi nding organs for transplant. His diabetes was limiting in that his glucose would become critically low with no clues. After treatment, he has done very well and has continued to have good glucose control,” says Dr. Levy. In fact, it is diffi cult for the staff not to be enthusiastic when their patients can be among the fi rst to participate in the trials and receive the benefi t of recent breakthroughs. Dr. Matsumoto fi nds the possibilities thrilling. “Ultimately, this program will focus on fi nding cures for diabetes, not only type 1, but also type 2. With improved effi cacy and reduced side effects of islet trans-plantation, we will perform a lot of this treatment to the diabetic patients. Currently, there are approximately 20 million diabetic patients in the United States. Advanced research should reduce this number signifi cantly.”

“This work is extremely rewarding. Every challenge brings new opportunity and fuels a desire to fi nd a cure that cannot be quenched,” says Dr. Levy. “Our staff has a tremendous amount of gratitude for the patients who share in this journey and the trust that they place in us. Dr. Matusumoto adds, “We should not forget that every advanced medicine is for patients. Therefore, we do every research for patients’ satisfaction. Our best efforts should always be about the patients.”

For more information on islet cell transplantation, please contact

1-800-4Baylor or visit www.BaylorHealth.com. ■

We should not forget that every advanced medicine is for patients. Therefore, we do every research

for patients’ satisfaction. Our best efforts should always be about the patients.

— Shinichi Matsumoto, M.D., Ph.D., Director, All Saints Islet Cell Research, and Director, Baylor Institute for Immunology

Research Islet Cell Transplantation Research

Rof the level of trust put in our staff, but also the deep

Rof the level of trust put in our staff, but also the deep commitment that physicians have for the well-being of

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Imedical community and are honored every time a patient

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Emedical community and are honored every time a patient is referred to us,” comments Dr. Levy about gratitude Eis referred to us,” comments Dr. Levy about gratitude toward local physicians. “Not only does it speak highly Etoward local physicians. “Not only does it speak highly of the level of trust put in our staff, but also the deep Eof the level of trust put in our staff, but also the deep commitment that physicians have for the well-being of Ecommitment that physicians have for the well-being of

W nating the need for insulin or having a signifi cantly reduced

W nating the need for insulin or having a signifi cantly reduced need. “We are enjoying incredibly strong support in the

W need. “We are enjoying incredibly strong support in the medical community and are honored every time a patient W medical community and are honored every time a patient is referred to us,” comments Dr. Levy about gratitude W is referred to us,” comments Dr. Levy about gratitude toward local physicians. “Not only does it speak highly W toward local physicians. “Not only does it speak highly of the level of trust put in our staff, but also the deep W of the level of trust put in our staff, but also the deep

personally gratifying patients recently was one of our own

W personally gratifying patients recently was one of our own transplant family. He has lived 20 years with diabetes and

W transplant family. He has lived 20 years with diabetes and has made his life’s work fi nding organs for transplant. His

W has made his life’s work fi nding organs for transplant. His diabetes was limiting in that his glucose would become W diabetes was limiting in that his glucose would become critically low with no clues. After treatment, he has done W critically low with no clues. After treatment, he has done very well and has continued to have good glucose control,” W very well and has continued to have good glucose control,”

Oresults are fueling continued interest. “One of the most

Oresults are fueling continued interest. “One of the most

Opersonally gratifying patients recently was one of our own Opersonally gratifying patients recently was one of our own transplant family. He has lived 20 years with diabetes and Otransplant family. He has lived 20 years with diabetes and has made his life’s work fi nding organs for transplant. His Ohas made his life’s work fi nding organs for transplant. His diabetes was limiting in that his glucose would become Odiabetes was limiting in that his glucose would become

NExcitement is certainly contagious and the positive

NExcitement is certainly contagious and the positive

results are fueling continued interest. “One of the most Nresults are fueling continued interest. “One of the most Npersonally gratifying patients recently was one of our own Npersonally gratifying patients recently was one of our own transplant family. He has lived 20 years with diabetes and Ntransplant family. He has lived 20 years with diabetes and has made his life’s work fi nding organs for transplant. His Nhas made his life’s work fi nding organs for transplant. His

LPERSONALLY GRATIFYING

LPERSONALLY GRATIFYING

Excitement is certainly contagious and the positive LExcitement is certainly contagious and the positive results are fueling continued interest. “One of the most Lresults are fueling continued interest. “One of the most Lpersonally gratifying patients recently was one of our own Lpersonally gratifying patients recently was one of our own transplant family. He has lived 20 years with diabetes and Ltransplant family. He has lived 20 years with diabetes and

YExcitement is certainly contagious and the positive YExcitement is certainly contagious and the positive results are fueling continued interest. “One of the most Yresults are fueling continued interest. “One of the most personally gratifying patients recently was one of our own Ypersonally gratifying patients recently was one of our own LYLExcitement is certainly contagious and the positive LExcitement is certainly contagious and the positive YExcitement is certainly contagious and the positive LExcitement is certainly contagious and the positive results are fueling continued interest. “One of the most Lresults are fueling continued interest. “One of the most Yresults are fueling continued interest. “One of the most Lresults are fueling continued interest. “One of the most LYLpersonally gratifying patients recently was one of our own Lpersonally gratifying patients recently was one of our own Ypersonally gratifying patients recently was one of our own Lpersonally gratifying patients recently was one of our own

© 2008 SUNSHINE MEDIA, INC. UNAUTHORIZED USE OF THIS DOCUMENT IS STRICTLY PROHIBITED.personally gratifying patients recently was one of our own

© 2008 SUNSHINE MEDIA, INC. UNAUTHORIZED USE OF THIS DOCUMENT IS STRICTLY PROHIBITED.personally gratifying patients recently was one of our own transplant family. He has lived 20 years with diabetes and

© 2008 SUNSHINE MEDIA, INC. UNAUTHORIZED USE OF THIS DOCUMENT IS STRICTLY PROHIBITED.transplant family. He has lived 20 years with diabetes and has made his life’s work fi nding organs for transplant. His


has made his life’s work fi nding organs for transplant. His diabetes was limiting in that his glucose would become


diabetes was limiting in that his glucose would become


of the level of trust put in our staff, but also the deep


of the level of trust put in our staff, but also the deep commitment that physicians have for the well-being of


commitment that physicians have for the well-being of their patients who endure the substantial burden caused


their patients who endure the substantial burden caused by the disease.” With less than 20 islet research teams


by the disease.” With less than 20 islet research teams nationwide, Baylor is the only hospital in the Southwest


nationwide, Baylor is the only hospital in the Southwest performing islet cell transplantation and is an important


performing islet cell transplantation and is an important regional point of access to this groundbreaking treatment © 2008 SUNSHINE MEDIA, INC. UNAUTHORIZED USE OF THIS DOCUMENT IS STRICTLY PROHIBITED.

regional point of access to this groundbreaking treatment

critically low with no clues. After treatment, he has done


critically low with no clues. After treatment, he has done very well and has continued to have good glucose control,”


very well and has continued to have good glucose control,” says Dr. Levy. In fact, it is diffi cult for the staff not to be


says Dr. Levy. In fact, it is diffi cult for the staff not to be


Cliff Diving: Not for the Faint of Heartadventure

Cliff diving has become a popular sport, due largely to the increased interest of the media and the increased exposure platform

diving has received in recent times. It re-mains, however, an extreme sport.

Professional cliff divers perform their

dives from platforms at a maximum height of 28 meters. At this height, the body’s impact into the water is nine times greater

than that from a platform of 10 meters.

You don’t have to be a pro-fessional diver to enjoy cliff diving. But be forewarned: Cliff diving is not for the faint of heart or feeble of body. What you do need are cour-age and an extra measure of physical control. A will of steel wouldn’t hurt, either.

Instead of heading straight for the western cl i f fs of Acapulco, where cliff diving is a major pastime and tour-ist attraction — and, most importantly, reserved for the elite of the cliff diving world — a little cliff diving practice is in order.

Here are some tips about safety and technique for the budding cliff diver:

Start out lower rather than higher. Scout a safe location to dive. This means fi nding an area that is free of rocks in the water, one that is exposed to little or no winds and one that has no water current.

Start low. When you first start your cliff diving career, choose cliffs that are less than 10 feet high. This may seem too low at fi rst, but consider this: Diving from a 10-foot-high cliff will accelerate your body to speeds of 17 mph as you hit the water.

And, of course, thanks to the laws of physics, this speed accelerates proportionally with the height you jump from. So, for example, jumping

See Page 13

RREVIEW OONof heart or feeble of body.

Nof heart or feeble of body. What you do need are cour-

NWhat you do need are cour-age and an extra measure of Nage and an extra measure of physical control. A will of steel Nphysical control. A will of steel wouldn’t hurt, either.Nwouldn’t hurt, either.

Instead of heading straight NInstead of heading straight for the western cl i f fs of Nfor the western cl i f fs of NLCliff diving is not for the faint

LCliff diving is not for the faint of heart or feeble of body.

Lof heart or feeble of body. What you do need are cour-LWhat you do need are cour-age and an extra measure of Lage and an extra measure of physical control. A will of steel Lphysical control. A will of steel wouldn’t hurt, either.Lwouldn’t hurt, either.Ydiving. But be forewarned:

Ydiving. But be forewarned: Cliff diving is not for the faint

YCliff diving is not for the faint of heart or feeble of body. Yof heart or feeble of body. What you do need are cour-YWhat you do need are cour-age and an extra measure of Yage and an extra measure of physical control. A will of steel Yphysical control. A will of steel LYLCliff diving is not for the faint

LCliff diving is not for the faint

YCliff diving is not for the faint

LCliff diving is not for the faint of heart or feeble of body.

Lof heart or feeble of body. Yof heart or feeble of body.

Lof heart or feeble of body. What you do need are cour-LWhat you do need are cour-YWhat you do need are cour-LWhat you do need are cour-age and an extra measure of Lage and an extra measure of Yage and an extra measure of Lage and an extra measure of physical control. A will of steel Lphysical control. A will of steel Yphysical control. A will of steel Lphysical control. A will of steel wouldn’t hurt, either.Lwouldn’t hurt, either.Ywouldn’t hurt, either.Lwouldn’t hurt, either.

© 2008 SUNSHINE MEDIA, INC. UNAUTHORIZED USE OF THIS DOCUMENT IS STRICTLY PROHIBITED.physical control. A will of steel

© 2008 SUNSHINE MEDIA, INC. UNAUTHORIZED USE OF THIS DOCUMENT IS STRICTLY PROHIBITED.physical control. A will of steel wouldn’t hurt, either.

© 2008 SUNSHINE MEDIA, INC. UNAUTHORIZED USE OF THIS DOCUMENT IS STRICTLY PROHIBITED.wouldn’t hurt, either.


Instead of heading straight


Instead of heading straight for the western cl i f fs of


for the western cl i f fs of Acapulco, where cliff diving


Acapulco, where cliff diving



N9NE Steakhouse: Leading Dallas Down a Fresh Steakhouse PathBy Zoe Dunn

restaurant review

“ … Two roads diverged in a wood, and I — I took the one less traveled by, and that has made all the difference.”

— Robert Frost

While a 1900s poem may not have been going through the minds of the N9NE Group as they masterfully designed and cre-ated N9NE Steakhouse in Victory Park, I believe it to be the perfect metaphor. Before entering the restaurant, many would expect the typical, dark wood, white tablecloth ambience, commonly found at my daddy’s steakhouse; instead, you are fascinated to fi nd the interior of N9NE to be contem-porary and chic. For example, in place of

RRporary and chic. For example, in place of

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dim lighting and bulky furniture, N9NE has chosen to complement their sleek aesthetic with suede booths, large, mirrored mosaic columns and colorful illumination. It is precisely this bold decision to steer away from the conventional concept that makes N9NE so refreshing and luxurious.

Not only is the innovative style evident in the restaurant’s décor, but also mimicked throughout every element of the dining ex-perience. If it were me, I would recommend starting off with the “shrooms” appetizer, consisting of nine mushrooms stuffed with Alaskan king crab and served with lemon. If you are in the mood for a salad, then I would suggest the Garbage Salad, made with romaine lettuce, shrimp, salami, Maytag blue cheese, cucumber, tomato, hearts of palm, artichokes, olives and topped off with a tasty Dijon vinaigrette.

As far as entrées go, I would recommend the Whole Fish Tempura, which is pieces of fresh fish lightly fried in tempura batter and presented whole-fish style. And those looking for a more traditional steakhouse

main course, N9NE also offers a selection of prime steaks, including the 8 oz. filet, which is sure to match your expectations, as it did mine. Can’t decide whether to order seafood or a steak? The “All Steaks Can Surf” option, which adds ½ of a Maine lobster to your steak, will surely satisfy your indecisive desires. So, put away all of that “red meat, cholesterol” mumbo jumbo, and take the leap! You will not be disappointed.

To complement your entrée, I would recommend the potato gnocchi side, served with a white truffle cream sauce, as well as — my personal favorite — the creamed garlic spinach. To top off the meal, I would suggest the vanilla vodka and Kahlúa espresso shot … shaken, not stirred.

Commander of the kitchen, Chef Tommy Simpson, has been a part of the Dallas din-ing scene for a long time, working for some of the city’s most noteworthy restaurants, including The Mansion and Hotel ZaZa. It is clear, after having finished a meal at N9NE, that Chef Simpson truly understands the tastes and preferences of his Dallas diners.

Because the restaurant is located a few feet from the American Airlines Center, N9NE is the perfect place to grab cocktails before and after the game. And while you will not be the only one sporting your Mavericks jersey on a game day, you never know who you will run into at N9NE (Jessica Simpson, Mike Modano, etc.), and so most everyone dresses to impress. Rephrased: I would sug-gest leaving the scrubs at home.

On another note, if you are in need of a venue for a company holiday party or a room for a corporate event, the private dining options at N9NE are quite extensive. The private dining room looked perfect for a more intimate gathering, and the restau-rant is also large enough to accommodate a sizeable guest list.

By tweaking the customary to fit a more contemporary atmosphere, N9NE steak-house has created a new wow factor that you must experience to comprehend. In other words, N9NE Steakhouse has traveled down an alternative road to steakhouse success … and that has made all of the difference. ■

1 0 | FORT WORTH/DALLAS M.D. NEWS NOVEMBER 2008

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from 50 feet will accelerate you to speeds of 38 mph as you hit the water.

Test the depth of the water before you dive — ALWAYS. To dive safely, the water must be a minimum of 13 feet deep. Find out where the water is the deepest, where it is the shallowest. Is there a particular spot you’d like to aim for, and how much of a margin for error does the pool and all of its variable fac-tors allow for?

Look for underwater rocks. Noting the rocks you can see above the surface is just not good enough. That would be a little like what happened between the Titanic and an iceberg. You must swim below and check out where all of them are, their size and shape and location in relation to your jump. Also, be sure to note how wide your landing pool is.

Check your diving spot. Is it easy to get to? Does it offer sure footing before you dive? And once you’re up there, be sure to check for any obstacles (like trees or roots) that may jut out from the promontory you stand on.

Is your jumping point wet or dry? Does it offer you sure footing? Is it slip-pery or crumbling? These factors will all come into play in how successful your jump will be. If you are not sure of your footing, it is best to choose another location. Remember, anything that goes wrong can have dire consequences in this sport.

Finally, make sure that you always go with friends. And be sure to carefully note your proximity to civilization and the nearest hospital. If something goes wrong, how long would you like to wait for an ambulance to fi nd you?

PROPER FORMImproper form in cliff diving can lead

to broken bones and bruised internal organs. According to many of the expert sites dedicated to cliff diving, there are only three jumping styles, especially for the beginner:• Pencil• Full crab• Half crab

Usually, the pencil dive is the easiest form to follow. This is not to say, however, that this diving position is easy whatsoever. For the pencil dive, you must jump feet fi rst, legs together, with your arms positioned straight down against your body. The ob-ject of this form is to get your body as tight and as vertical as possible before you enter the water.

You can bend your legs slightly at the knees. Be sure to press your elbows to your body, not just your hands. This will prevent the water from rushing through the pocket between your body and elbows and pushing your arms straight out in a perpendicular position. Hold this form until you stop your descent in the water.

The pencil dive is the most aerodynamic of the three forms, and it is also the safest.

The full-crab style should only be used if you are jumping from a spot 15 feet high or lower into a very shallow pool. By spreading your body out, you create the most surface area you possibly can. Thus,

when you hit the water, you will not go down as deep as you would if you were executing your dive in pencil form. The trade off to this, however, is a little more pain upon hitting the water, and a little more uncertainty as to where and how you will land.

As you dive, bring your legs up so you are in a sitting position, and spread your arms out wide. Make sure your knees are bent, and be prepared for your feet to hit the bottom of the pool.

Lastly is the half-crab style of diving, which is a combination of the pencil and full-crab styles. You can execute this type of dive when you are diving from over 15 feet into a relatively shallow pool. As you jump, lift your legs up so that you are in a sitting position, like the full-crab style. Keep your arms, how-ever, tucked against your sides tightly. You will reduce the slap and pain upon entry, and give you a little more balance to control your fall a bit better. ■

Continued from Page 7 adventure

Rcheck for any obstacles (like trees or roots)

Rcheck for any obstacles (like trees or roots) that may jut out from the promontory you

Rthat may jut out from the promontory you stand on.

Rstand on.

Is your jumping point wet or dry? RIs your jumping point wet or dry? Does it offer you sure footing? Is it slip-RDoes it offer you sure footing? Is it slip-pery or crumbling? These factors will Rpery or crumbling? These factors will all come into play in how successful Rall come into play in how successful

Edive? And once you’re up there, be sure to

Edive? And once you’re up there, be sure to check for any obstacles (like trees or roots)

Echeck for any obstacles (like trees or roots) that may jut out from the promontory you Ethat may jut out from the promontory you

Is your jumping point wet or dry? EIs your jumping point wet or dry? Does it offer you sure footing? Is it slip-EDoes it offer you sure footing? Is it slip-pery or crumbling? These factors will Epery or crumbling? These factors will

VCheck your diving spot. Is it easy to get

VCheck your diving spot. Is it easy to get

to? Does it offer sure footing before you

Vto? Does it offer sure footing before you dive? And once you’re up there, be sure to

Vdive? And once you’re up there, be sure to check for any obstacles (like trees or roots) Vcheck for any obstacles (like trees or roots) that may jut out from the promontory you Vthat may jut out from the promontory you

Is your jumping point wet or dry? VIs your jumping point wet or dry? I

Check your diving spot. Is it easy to get

ICheck your diving spot. Is it easy to get

to? Does it offer sure footing before you Ito? Does it offer sure footing before you dive? And once you’re up there, be sure to Idive? And once you’re up there, be sure to check for any obstacles (like trees or roots) Icheck for any obstacles (like trees or roots) that may jut out from the promontory you Ithat may jut out from the promontory you

spreading your body out, you create the Ispreading your body out, you create the most surface area you possibly can. Thus, Imost surface area you possibly can. Thus, Eof the three forms, and it is also the safest.

Eof the three forms, and it is also the safest.

The full-crab style should only be used

EThe full-crab style should only be used

Eif you are jumping from a spot 15 feet Eif you are jumping from a spot 15 feet high or lower into a very shallow pool. By Ehigh or lower into a very shallow pool. By spreading your body out, you create the Espreading your body out, you create the most surface area you possibly can. Thus, Emost surface area you possibly can. Thus, W The pencil dive is the most aerodynamic

W The pencil dive is the most aerodynamic of the three forms, and it is also the safest.

W of the three forms, and it is also the safest. The full-crab style should only be used W The full-crab style should only be used W if you are jumping from a spot 15 feet W if you are jumping from a spot 15 feet

high or lower into a very shallow pool. By W high or lower into a very shallow pool. By spreading your body out, you create the W spreading your body out, you create the most surface area you possibly can. Thus, W most surface area you possibly can. Thus,

Oposition. Hold this form until you stop your

Oposition. Hold this form until you stop your

The pencil dive is the most aerodynamic OThe pencil dive is the most aerodynamic of the three forms, and it is also the safest. Oof the three forms, and it is also the safest.

full-crab styles. You can execute this

Ofull-crab styles. You can execute this type of dive when you are diving from

Otype of dive when you are diving from over 15 feet into a relatively shallow Oover 15 feet into a relatively shallow pool. As you jump, lift your legs up so Opool. As you jump, lift your legs up so that you are in a sitting position, like the Othat you are in a sitting position, like the full-crab style. Keep your arms, how-Ofull-crab style. Keep your arms, how-Nwhich is a combination of the pencil and

Nwhich is a combination of the pencil and full-crab styles. You can execute this

Nfull-crab styles. You can execute this

Ntype of dive when you are diving from Ntype of dive when you are diving from over 15 feet into a relatively shallow Nover 15 feet into a relatively shallow pool. As you jump, lift your legs up so Npool. As you jump, lift your legs up so that you are in a sitting position, like the Nthat you are in a sitting position, like the

LLastly is the half-crab style of diving,


which is a combination of the pencil and Lwhich is a combination of the pencil and full-crab styles. You can execute this Lfull-crab styles. You can execute this Ltype of dive when you are diving from Ltype of dive when you are diving from over 15 feet into a relatively shallow Lover 15 feet into a relatively shallow pool. As you jump, lift your legs up so Lpool. As you jump, lift your legs up so

Ybent, and be prepared for your feet to hit

Ybent, and be prepared for your feet to hit

Lastly is the half-crab style of diving, YLastly is the half-crab style of diving, which is a combination of the pencil and Ywhich is a combination of the pencil and full-crab styles. You can execute this Yfull-crab styles. You can execute this Ytype of dive when you are diving from Ytype of dive when you are diving from over 15 feet into a relatively shallow Yover 15 feet into a relatively shallow LYL

Lastly is the half-crab style of diving,

LLastly is the half-crab style of diving, YLastly is the half-crab style of diving,


which is a combination of the pencil and Lwhich is a combination of the pencil and Ywhich is a combination of the pencil and Lwhich is a combination of the pencil and full-crab styles. You can execute this Lfull-crab styles. You can execute this Yfull-crab styles. You can execute this Lfull-crab styles. You can execute this LYLtype of dive when you are diving from Ltype of dive when you are diving from Ytype of dive when you are diving from Ltype of dive when you are diving from over 15 feet into a relatively shallow Lover 15 feet into a relatively shallow Yover 15 feet into a relatively shallow Lover 15 feet into a relatively shallow

© 2008 SUNSHINE MEDIA, INC. UNAUTHORIZED USE OF THIS DOCUMENT IS STRICTLY PROHIBITED.type of dive when you are diving from

© 2008 SUNSHINE MEDIA, INC. UNAUTHORIZED USE OF THIS DOCUMENT IS STRICTLY PROHIBITED.type of dive when you are diving from over 15 feet into a relatively shallow

© 2008 SUNSHINE MEDIA, INC. UNAUTHORIZED USE OF THIS DOCUMENT IS STRICTLY PROHIBITED.over 15 feet into a relatively shallow pool. As you jump, lift your legs up so

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all come into play in how successful your jump will be. If you are not sure of © 2008 SUNSHINE MEDIA, INC. UNAUTHORIZED USE OF THIS DOCUMENT IS STRICTLY PROHIBITED.

your jump will be. If you are not sure of

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spreading your body out, you create the most surface area you possibly can. Thus,


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full-crab style. Keep your arms, how-


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Open Enrollment Time Is Here AgainBy Scott Jacobson, R.N.

perspective

Last month, my article invited you to get engaged in a dialogue about our health care environment. Since then, we’ve witnessed a suffering economy the likes of which I haven’t seen in my 45 years.

An historic presidential election will have just been completed — we are at a crossroads on many fronts as we prepare to enter into 2009.

As a physician, are you ready to engage in revolutionizing health care? Are you able to give the care to the senior population that you would like to give? Are medical services fragmented or would you consider care services well coordinated between primary care providers, specialists and hospitals?

Medicare Advantage plan enrollment will

have begun and many of your patients who are struggling fi nancially will have joined or considered joining a local plan. We hear you when you say much of the time, these plans are problematic for you and your staff. I contend, for over 80% of you the answers to the previous questions are: not enough time to even consider what this means; no, and I would rather not see them; and fragmented would be an improvement.

HEALTHSPRING ‘GETS’ PHYSICIAN ENGAGEMENT

It drives our business model and leads our strategic initiatives. Our whole focus is on getting physicians engaged in the process of adding value to the health care

system. We communicate with doctors, not at doctors. We seek and respond to input that improves patient care and moves us toward a model of care with a focus on early assessment, intervention and proac-tive follow-up.

Engaged primary care physicians who have around 50 patients in our plan fi nd they have significantly enhanced reim-bursement over traditional Medicare fee-for-service rates. They fi nd they have control over the care delivery model and that we augment their efforts at coordinat-ing care plan initiatives.

Patients fi nd their standard of care im-proved through these initiatives. There are more caregivers engaged in servicing their needs and working with the doctors to coordinate services. It is a team effort with improved patient outcomes as the focus.

HealthSpring takes the time to work through the complex issues and assist the provider network in designing a process that meets the patient needs and delivers quality outcomes. We do not operate in a vacuum — we actually pay doctors to listen to what we have to say and be leaders in their health care community.

We speak a good deal about the primary care physician’s role, but we are open to creating incentives with the specialty providers, too. Congestive heart failure programs are valuable to us and we want to support them where they support our members. We have piloted an oncology program with the largest oncology group in Tennessee and are hopeful that with them, we have a unique program that proves the benefi t of a jointly supported process.

TOO GOOD TO BE TRUE … MUST BE SKEPTICAL

This is a normal reaction and mindset almost always encountered as we begin

RRRRMedicare Advantage plan enrollment will

RMedicare Advantage plan enrollment will

EEEcare providers, specialists and hospitals?

Ecare providers, specialists and hospitals?

Medicare Advantage plan enrollment will

EMedicare Advantage plan enrollment will VVV

fragmented or would you consider care

Vfragmented or would you consider care services well coordinated between primary

Vservices well coordinated between primary care providers, specialists and hospitals?

Vcare providers, specialists and hospitals?

Medicare Advantage plan enrollment will VMedicare Advantage plan enrollment will IIIfragmented or would you consider care

Ifragmented or would you consider care services well coordinated between primary Iservices well coordinated between primary care providers, specialists and hospitals? Icare providers, specialists and hospitals?

Medicare Advantage plan enrollment will IMedicare Advantage plan enrollment will is on getting physicians engaged in the Iis on getting physicians engaged in the process of adding value to the health care Iprocess of adding value to the health care EHEALTHSPRING ‘GETS’

EHEALTHSPRING ‘GETS’

EPHYSICIAN ENGAGEMENT

EPHYSICIAN ENGAGEMENT

It drives our business model and leads EIt drives our business model and leads our strategic initiatives. Our whole focus Eour strategic initiatives. Our whole focus is on getting physicians engaged in the Eis on getting physicians engaged in the process of adding value to the health care Eprocess of adding value to the health care

W would be an improvement.

W would be an improvement.

HEALTHSPRING ‘GETS’

W HEALTHSPRING ‘GETS’

W PHYSICIAN ENGAGEMENTW PHYSICIAN ENGAGEMENTIt drives our business model and leads W It drives our business model and leads

our strategic initiatives. Our whole focus W our strategic initiatives. Our whole focus is on getting physicians engaged in the W is on getting physicians engaged in the

Owould rather not see them; and fragmented

Owould rather not see them; and fragmented

have around 50 patients in our plan fi nd

Ohave around 50 patients in our plan fi nd they have significantly enhanced reim-

Othey have significantly enhanced reim-bursement over traditional Medicare Obursement over traditional Medicare fee-for-service rates. They fi nd they have Ofee-for-service rates. They fi nd they have control over the care delivery model and Ocontrol over the care delivery model and that we augment their efforts at coordinat-Othat we augment their efforts at coordinat-N

Engaged primary care physicians who

NEngaged primary care physicians who

Nhave around 50 patients in our plan fi nd

Nhave around 50 patients in our plan fi nd they have significantly enhanced reim-Nthey have significantly enhanced reim-bursement over traditional Medicare Nbursement over traditional Medicare fee-for-service rates. They fi nd they have Nfee-for-service rates. They fi nd they have control over the care delivery model and Ncontrol over the care delivery model and

Learly assessment, intervention and proac-


Engaged primary care physicians who LEngaged primary care physicians who Lhave around 50 patients in our plan fi nd Lhave around 50 patients in our plan fi nd they have significantly enhanced reim-Lthey have significantly enhanced reim-bursement over traditional Medicare Lbursement over traditional Medicare fee-for-service rates. They fi nd they have Lfee-for-service rates. They fi nd they have

Yus toward a model of care with a focus on

Yus toward a model of care with a focus on early assessment, intervention and proac-

Yearly assessment, intervention and proac-

Engaged primary care physicians who YEngaged primary care physicians who Yhave around 50 patients in our plan fi nd Yhave around 50 patients in our plan fi nd they have significantly enhanced reim-Ythey have significantly enhanced reim-bursement over traditional Medicare Ybursement over traditional Medicare LYLearly assessment, intervention and proac-


Yearly assessment, intervention and proac-


Engaged primary care physicians who LEngaged primary care physicians who YEngaged primary care physicians who LEngaged primary care physicians who LYLhave around 50 patients in our plan fi nd Lhave around 50 patients in our plan fi nd Yhave around 50 patients in our plan fi nd Lhave around 50 patients in our plan fi nd they have significantly enhanced reim-Lthey have significantly enhanced reim-Ythey have significantly enhanced reim-Lthey have significantly enhanced reim-bursement over traditional Medicare Lbursement over traditional Medicare Ybursement over traditional Medicare Lbursement over traditional Medicare

© 2008 SUNSHINE MEDIA, INC. UNAUTHORIZED USE OF THIS DOCUMENT IS STRICTLY PROHIBITED.they have significantly enhanced reim-

© 2008 SUNSHINE MEDIA, INC. UNAUTHORIZED USE OF THIS DOCUMENT IS STRICTLY PROHIBITED.they have significantly enhanced reim-bursement over traditional Medicare

© 2008 SUNSHINE MEDIA, INC. UNAUTHORIZED USE OF THIS DOCUMENT IS STRICTLY PROHIBITED.bursement over traditional Medicare fee-for-service rates. They fi nd they have

© 2008 SUNSHINE MEDIA, INC. UNAUTHORIZED USE OF THIS DOCUMENT IS STRICTLY PROHIBITED.fee-for-service rates. They fi nd they have


control over the care delivery model and


control over the care delivery model and that we augment their efforts at coordinat-


that we augment their efforts at coordinat-




our strategic initiatives. Our whole focus


our strategic initiatives. Our whole focus is on getting physicians engaged in the


is on getting physicians engaged in the process of adding value to the health care


process of adding value to the health care

ing care plan initiatives.


ing care plan initiatives.


the giftof hospice

800-226-0373www.chot.org

Frequent trips to the ER or a recent hospitalization R

Decreasing appetite and weight loss R

Increasing weakness or falls R

Requiring more help with everyday activities R

Multiple changes and adjustments to medications because R of ineffectiveness or increase in the number of medications required to control symptoms

Increasing shortness of breath or need for oxygen most R or all of the time

Family feeling overwhelmed and in need of more resources. R

When should I consult hospice?Q:A: It can be difficult to predict a patient’s

prognosis. However, if you notice some of the symptoms below, its a good idea to consult with a hospice provider about the patient’s elibigilibility to receive hospice care:

98% of respondents to the NHPCO Family Survey say they wish they had known

sooner about the benefits of hospice.

If you are concerned about a patient’s prognosis, please contact Community Hospice of Texas.

to lay the foundation of our model in a community. We understand this skepti-cism and we welcome the opportunity to prove our differences.

Fear and mistrust are powerful motiva-tors. At HealthSpring, our actions will speak louder than our words.

Some of you will be unable to participate because your physician organization or hos-pital-based contracting staff has elected not to participate in a Medicare Advantage plan. Others of you are in large groups who are resistant to trust a health plan and so will stand on the sidelines to the detriment of your patients.

We understand. We’ll stay the course and prove with those who are willing thought leaders that together with key stakeholders, we can demonstrate a better model than the “free for all” that currently exists.

WE OWE MORE TO OUR SENIORS

At HealthSpring, we focus solely on the geriatric patient population. We believe that by surrounding them with appropriate care, we can maximize their health services. By working with their caregivers, we can improve ad-herence to evidence-based guidelines, not because we say they are better, but because you and your associations say they are better.

We have seen these efforts lead to high-er reimbursement for doctors through our bonus-sharing program and through our Partnership for Quality program.

In these tough economic times, we want to work with you to provide a cost-saving benefi t program focused on preventative health for your Medicare patients that pays you for improving quality outcomes and engaging in a health care revolution for your profession.

Scott Jacobson, R.N., is Regional Vice President and manages the north Texas offi ce for HealthSpring. HealthSpring (NYSE: HS) is a publicly traded company with a primary focus on the Medicare Advantage market. ■

perspective

ROUR SENIORS

ROUR SENIORS

At HealthSpring, we focus solely on

RAt HealthSpring, we focus solely on

the geriatric patient population. We Rthe geriatric patient population. We believe that by surrounding them with Rbelieve that by surrounding them with appropriate care, we can maximize Rappropriate care, we can maximize their health services. By working with Rtheir health services. By working with their caregivers, we can improve ad-Rtheir caregivers, we can improve ad-

EWE OWE MORE TO

EWE OWE MORE TO OUR SENIORS

EOUR SENIORS

At HealthSpring, we focus solely on EAt HealthSpring, we focus solely on the geriatric patient population. We Ethe geriatric patient population. We believe that by surrounding them with Ebelieve that by surrounding them with appropriate care, we can maximize Eappropriate care, we can maximize

VWE OWE MORE TO

VWE OWE MORE TO

At HealthSpring, we focus solely on VAt HealthSpring, we focus solely on the geriatric patient population. We Vthe geriatric patient population. We believe that by surrounding them with Vbelieve that by surrounding them with

IAt HealthSpring, we focus solely on IAt HealthSpring, we focus solely on ER

ER

Increasing weakness or fallsEIncreasing weakness or fallsRER

RERW Frequent trips to the ER or a recent hospitalization

W Frequent trips to the ER or a recent hospitalization

Decreasing appetite and weight lossW Decreasing appetite and weight lossR W R

Increasing weakness or fallsW Increasing weakness or falls

OFrequent trips to the ER or a recent hospitalizationOFrequent trips to the ER or a recent hospitalization

Decreasing appetite and weight lossODecreasing appetite and weight loss

with a hospice provider about the patient’s

Owith a hospice provider about the patient’s with a hospice provider about the patient’s elibigilibility to receive hospice care:

Oelibigilibility to receive hospice care: elibigilibility to receive hospice care: NFrequent trips to the ER or a recent hospitalizationNFrequent trips to the ER or a recent hospitalization

symptoms below, its a good idea to consult

Nsymptoms below, its a good idea to consult symptoms below, its a good idea to consult with a hospice provider about the patient’s

Nwith a hospice provider about the patient’s with a hospice provider about the patient’s elibigilibility to receive hospice care: Nelibigilibility to receive hospice care: elibigilibility to receive hospice care: LFrequent trips to the ER or a recent hospitalizationLFrequent trips to the ER or a recent hospitalization

prognosis. However, if you notice some of the

Lprognosis. However, if you notice some of the prognosis. However, if you notice some of the symptoms below, its a good idea to consult

Lsymptoms below, its a good idea to consult symptoms below, its a good idea to consult with a hospice provider about the patient’s Lwith a hospice provider about the patient’s with a hospice provider about the patient’s elibigilibility to receive hospice care: Lelibigilibility to receive hospice care: elibigilibility to receive hospice care: Yprognosis. However, if you notice some of the

Yprognosis. However, if you notice some of the prognosis. However, if you notice some of the symptoms below, its a good idea to consult Ysymptoms below, its a good idea to consult symptoms below, its a good idea to consult with a hospice provider about the patient’s Ywith a hospice provider about the patient’s with a hospice provider about the patient’s LYLprognosis. However, if you notice some of the

Lprognosis. However, if you notice some of the prognosis. However, if you notice some of the

Yprognosis. However, if you notice some of the prognosis. However, if you notice some of the

Lprognosis. However, if you notice some of the prognosis. However, if you notice some of the symptoms below, its a good idea to consult

Lsymptoms below, its a good idea to consult symptoms below, its a good idea to consult Ysymptoms below, its a good idea to consult symptoms below, its a good idea to consult

Lsymptoms below, its a good idea to consult symptoms below, its a good idea to consult with a hospice provider about the patient’s Lwith a hospice provider about the patient’s with a hospice provider about the patient’s Ywith a hospice provider about the patient’s with a hospice provider about the patient’s Lwith a hospice provider about the patient’s with a hospice provider about the patient’s


Frequent trips to the ER or a recent hospitalization


Frequent trips to the ER or a recent hospitalization

Decreasing appetite and weight loss


Decreasing appetite and weight loss

Increasing weakness or falls


Increasing weakness or falls

Requiring more help with everyday activities


Requiring more help with everyday activitiesR


R


the geriatric patient population. We


the geriatric patient population. We believe that by surrounding them with


believe that by surrounding them with appropriate care, we can maximize


appropriate care, we can maximize their health services. By working with


their health services. By working with their caregivers, we can improve ad-


their caregivers, we can improve ad-herence to evidence-based guidelines, © 2008 SUNSHINE MEDIA, INC. UNAUTHORIZED USE OF THIS DOCUMENT IS STRICTLY PROHIBITED.

herence to evidence-based guidelines,


REVIEW ONLYLYL



Beyond mere convenience, the multispecialty Texas Clinic at Prestonwood brings together the most advanced technology with superior physicians and surgeons, affording patients unsurpassed care. Conveniently located in the metropolitan area of Plano, the facility was designed with not only patients, but also physicians in mind, by the award-winning global health care architectural fi rm Jonathon Bailey with the intention of evoking an impression of the future while remaining accessible and welcoming. The Texas Clinic at Prestonwood is collaboration of physicians and surgeons who want to provide the very best care to their patients.

The world-class facility attracts physicians and surgeons locat-ing their offi ce at the facility or coming to the facility to perform services who want access to the very best equipment to perform their art. Some of the groundbreaking equipment available in-cludes the fi rst-in-north-Texas outpatient-based 3.0 Tesla-strength MRI by Siemens, a Hologic Selenia digital mammography unit, the revolutionary Siemens 64-slice computed tomography (CT) scan capable of diagnosing a coronary artery blockage in a matter of seconds and an ultra-posh four-star sleep diagnostic facility. The facility also houses the Varian Trilogy, the most advanced radiation therapy device from the most trusted manufacturer in the indus-try, and the fi rst to be installed in north Texas. Currently, these physicians have offi ces at The Texas Clinic at Prestonwood.

CARDIOLOGYPHILLIP E. BURKET, M.D., FACC, HEART FIRST CARDIOLOGY

Dr. Phillip E. Burket is proud to be part of a team providing premier cardiol-ogy care to Texas residents. In his practice, he uses state-of-the-art equipment and the latest procedures available in cardiac medicine. Not only is he dedicated to the diagnosis

and treatment of specifi c cardiac problems, but also assuring the personal comfort and well-being of his patients. Concerned, compassionate care is at the heart of all he does in his efforts to help encourage a heart-healthy lifestyle. He specializes in

cardiology consultation, nuclear cardiology, cardiac catheter-ization, permanent pacemakers, coronary CT angiography and sleep disorders.

After graduating with a medical degree from the University of Nebraska Medical Center in Omaha, he continued his extensive training, completing a surgical internship at the Medical College of Virginia and an internal medicine residency and cardiology fellowship at Creighton University Medical Center, Omaha. He is board certifi ed in nuclear cardiology and a Fellow of the American College of Cardiology. Dr. Burket is now one of the newest associates at Heart First, and privileged to be serving the people of Texas from the Plano location.

JAMES S. RELLAS, M.D., P.A., M.S., FACC, HEART FIRST CARDIOLOGY

Excellence in service, treat-ment and technology has always been the goal of James S. Rellas, M.D., founder of Heart First Cardiology. Prolonging the health and longevity of his patients through the implemen-tation of the latest in technology

and treatment options is the core of Dr. Rellas and his team at Heart First. Recently, Heart First became one of the fi rst medical entities in the country to obtain and utilize a dual source (128-slice) CT machine. This new breakthrough in CT technology produces images with twice the resolution and speed of the most advanced single-source CT systems and uses as little as 50% of the radiation dose exposure. Its unrivaled image resolution makes coronary CT angiography the earliest way to detect heart disease in their patients.

Dr. Rellas is board certifi ed in cardiovascular diseases, internal medicine, vascular testing and nuclear cardiology. Education and service have been the foundation for his 20 years of cardiol-ogy experience. Dr. Rellas, however, contributes most of Heart First’s success to his staff. They are highly trained, compassionate professionals, many of whom have worked with Dr. Rellas from the start of his career.

The Texas Clinic at PrestonwoodA World-Class Facility for Physicians and SurgeonsBy Jeanie Erwin

special feature

RMRI by Siemens, a Hologic Selenia digital mammography unit,

RMRI by Siemens, a Hologic Selenia digital mammography unit, the revolutionary Siemens 64-slice computed tomography (CT)

Rthe revolutionary Siemens 64-slice computed tomography (CT) scan capable of diagnosing a coronary artery blockage in a matter Rscan capable of diagnosing a coronary artery blockage in a matter of seconds and an ultra-posh four-star sleep diagnostic facility. The Rof seconds and an ultra-posh four-star sleep diagnostic facility. The facility also houses the Varian Trilogy, the most advanced radiation Rfacility also houses the Varian Trilogy, the most advanced radiation therapy device from the most trusted manufacturer in the indus-Rtherapy device from the most trusted manufacturer in the indus-

Ecludes the fi rst-in-north-Texas outpatient-based 3.0 Tesla-strength

Ecludes the fi rst-in-north-Texas outpatient-based 3.0 Tesla-strength MRI by Siemens, a Hologic Selenia digital mammography unit,

EMRI by Siemens, a Hologic Selenia digital mammography unit, the revolutionary Siemens 64-slice computed tomography (CT) Ethe revolutionary Siemens 64-slice computed tomography (CT) scan capable of diagnosing a coronary artery blockage in a matter Escan capable of diagnosing a coronary artery blockage in a matter of seconds and an ultra-posh four-star sleep diagnostic facility. The Eof seconds and an ultra-posh four-star sleep diagnostic facility. The facility also houses the Varian Trilogy, the most advanced radiation Efacility also houses the Varian Trilogy, the most advanced radiation

Vservices who want access to the very best equipment to perform

Vservices who want access to the very best equipment to perform their art. Some of the groundbreaking equipment available in-

Vtheir art. Some of the groundbreaking equipment available in-cludes the fi rst-in-north-Texas outpatient-based 3.0 Tesla-strength

Vcludes the fi rst-in-north-Texas outpatient-based 3.0 Tesla-strength MRI by Siemens, a Hologic Selenia digital mammography unit, VMRI by Siemens, a Hologic Selenia digital mammography unit, the revolutionary Siemens 64-slice computed tomography (CT) Vthe revolutionary Siemens 64-slice computed tomography (CT) scan capable of diagnosing a coronary artery blockage in a matter Vscan capable of diagnosing a coronary artery blockage in a matter of seconds and an ultra-posh four-star sleep diagnostic facility. The Vof seconds and an ultra-posh four-star sleep diagnostic facility. The

Iservices who want access to the very best equipment to perform

Iservices who want access to the very best equipment to perform their art. Some of the groundbreaking equipment available in-Itheir art. Some of the groundbreaking equipment available in-cludes the fi rst-in-north-Texas outpatient-based 3.0 Tesla-strength Icludes the fi rst-in-north-Texas outpatient-based 3.0 Tesla-strength MRI by Siemens, a Hologic Selenia digital mammography unit, IMRI by Siemens, a Hologic Selenia digital mammography unit, the revolutionary Siemens 64-slice computed tomography (CT) Ithe revolutionary Siemens 64-slice computed tomography (CT) E

The world-class facility attracts physicians and surgeons locat-

EThe world-class facility attracts physicians and surgeons locat-

ing their offi ce at the facility or coming to the facility to perform

Eing their offi ce at the facility or coming to the facility to perform services who want access to the very best equipment to perform Eservices who want access to the very best equipment to perform their art. Some of the groundbreaking equipment available in-Etheir art. Some of the groundbreaking equipment available in-cludes the fi rst-in-north-Texas outpatient-based 3.0 Tesla-strength Ecludes the fi rst-in-north-Texas outpatient-based 3.0 Tesla-strength MRI by Siemens, a Hologic Selenia digital mammography unit, EMRI by Siemens, a Hologic Selenia digital mammography unit,

W The world-class facility attracts physicians and surgeons locat-

W The world-class facility attracts physicians and surgeons locat-ing their offi ce at the facility or coming to the facility to perform W ing their offi ce at the facility or coming to the facility to perform services who want access to the very best equipment to perform W services who want access to the very best equipment to perform their art. Some of the groundbreaking equipment available in-W their art. Some of the groundbreaking equipment available in-cludes the fi rst-in-north-Texas outpatient-based 3.0 Tesla-strength W cludes the fi rst-in-north-Texas outpatient-based 3.0 Tesla-strength

He is board certifi ed in nuclear cardiology and a Fellow of the

W He is board certifi ed in nuclear cardiology and a Fellow of the American College of Cardiology. Dr. Burket is now one of the

W American College of Cardiology. Dr. Burket is now one of the newest associates at Heart First, and privileged to be serving the

W newest associates at Heart First, and privileged to be serving the people of Texas from the Plano location.W people of Texas from the Plano location.W Oof Virginia and an internal medicine residency and cardiology

Oof Virginia and an internal medicine residency and cardiology fellowship at Creighton University Medical Center, Omaha.

Ofellowship at Creighton University Medical Center, Omaha. He is board certifi ed in nuclear cardiology and a Fellow of the

OHe is board certifi ed in nuclear cardiology and a Fellow of the American College of Cardiology. Dr. Burket is now one of the OAmerican College of Cardiology. Dr. Burket is now one of the Onewest associates at Heart First, and privileged to be serving the Onewest associates at Heart First, and privileged to be serving the people of Texas from the Plano location.Opeople of Texas from the Plano location.Ntraining, completing a surgical internship at the Medical College

Ntraining, completing a surgical internship at the Medical College

Nof Virginia and an internal medicine residency and cardiology

Nof Virginia and an internal medicine residency and cardiology fellowship at Creighton University Medical Center, Omaha. Nfellowship at Creighton University Medical Center, Omaha. He is board certifi ed in nuclear cardiology and a Fellow of the NHe is board certifi ed in nuclear cardiology and a Fellow of the American College of Cardiology. Dr. Burket is now one of the NAmerican College of Cardiology. Dr. Burket is now one of the Nnewest associates at Heart First, and privileged to be serving the Nnewest associates at Heart First, and privileged to be serving the

LNebraska Medical Center in Omaha, he continued his extensive

LNebraska Medical Center in Omaha, he continued his extensive training, completing a surgical internship at the Medical College

Ltraining, completing a surgical internship at the Medical College

Lof Virginia and an internal medicine residency and cardiology Lof Virginia and an internal medicine residency and cardiology fellowship at Creighton University Medical Center, Omaha. Lfellowship at Creighton University Medical Center, Omaha. He is board certifi ed in nuclear cardiology and a Fellow of the LHe is board certifi ed in nuclear cardiology and a Fellow of the American College of Cardiology. Dr. Burket is now one of the LAmerican College of Cardiology. Dr. Burket is now one of the

YAfter graduating with a medical degree from the University of

YAfter graduating with a medical degree from the University of

Nebraska Medical Center in Omaha, he continued his extensive

YNebraska Medical Center in Omaha, he continued his extensive training, completing a surgical internship at the Medical College Ytraining, completing a surgical internship at the Medical College Yof Virginia and an internal medicine residency and cardiology Yof Virginia and an internal medicine residency and cardiology fellowship at Creighton University Medical Center, Omaha. Yfellowship at Creighton University Medical Center, Omaha. He is board certifi ed in nuclear cardiology and a Fellow of the YHe is board certifi ed in nuclear cardiology and a Fellow of the LYLNebraska Medical Center in Omaha, he continued his extensive

LNebraska Medical Center in Omaha, he continued his extensive

YNebraska Medical Center in Omaha, he continued his extensive

LNebraska Medical Center in Omaha, he continued his extensive training, completing a surgical internship at the Medical College

Ltraining, completing a surgical internship at the Medical College Ytraining, completing a surgical internship at the Medical College

Ltraining, completing a surgical internship at the Medical College

LYLof Virginia and an internal medicine residency and cardiology Lof Virginia and an internal medicine residency and cardiology Yof Virginia and an internal medicine residency and cardiology Lof Virginia and an internal medicine residency and cardiology fellowship at Creighton University Medical Center, Omaha. Lfellowship at Creighton University Medical Center, Omaha. Yfellowship at Creighton University Medical Center, Omaha. Lfellowship at Creighton University Medical Center, Omaha. He is board certifi ed in nuclear cardiology and a Fellow of the LHe is board certifi ed in nuclear cardiology and a Fellow of the YHe is board certifi ed in nuclear cardiology and a Fellow of the LHe is board certifi ed in nuclear cardiology and a Fellow of the

© 2008 SUNSHINE MEDIA, INC. UNAUTHORIZED USE OF THIS DOCUMENT IS STRICTLY PROHIBITED.He is board certifi ed in nuclear cardiology and a Fellow of the

© 2008 SUNSHINE MEDIA, INC. UNAUTHORIZED USE OF THIS DOCUMENT IS STRICTLY PROHIBITED.He is board certifi ed in nuclear cardiology and a Fellow of the American College of Cardiology. Dr. Burket is now one of the

© 2008 SUNSHINE MEDIA, INC. UNAUTHORIZED USE OF THIS DOCUMENT IS STRICTLY PROHIBITED.American College of Cardiology. Dr. Burket is now one of the


newest associates at Heart First, and privileged to be serving the


newest associates at Heart First, and privileged to be serving the people of Texas from the Plano location.


people of Texas from the Plano location.


MRI by Siemens, a Hologic Selenia digital mammography unit,


MRI by Siemens, a Hologic Selenia digital mammography unit, the revolutionary Siemens 64-slice computed tomography (CT)


the revolutionary Siemens 64-slice computed tomography (CT) scan capable of diagnosing a coronary artery blockage in a matter


scan capable of diagnosing a coronary artery blockage in a matter of seconds and an ultra-posh four-star sleep diagnostic facility. The


of seconds and an ultra-posh four-star sleep diagnostic facility. The facility also houses the Varian Trilogy, the most advanced radiation


facility also houses the Varian Trilogy, the most advanced radiation therapy device from the most trusted manufacturer in the indus-


therapy device from the most trusted manufacturer in the indus-try, and the fi rst to be installed in north Texas. Currently, these © 2008 SUNSHINE MEDIA, INC. UNAUTHORIZED USE OF THIS DOCUMENT IS STRICTLY PROHIBITED.

try, and the fi rst to be installed in north Texas. Currently, these © 2008 SUNSHINE MEDIA, INC. UNAUTHORIZED USE OF THIS DOCUMENT IS STRICTLY PROHIBITED.


BRIAN T. BLATT, D.O., FACC, TEXAS CARDIAC RHYTHM ASSOCIATES

Tremendous advances continue to be made in electro-physiology, which Dr. Brian T. Blatt fi nds exciting. Whether in diagnosing abnormalities or accessing the heart for the correction of some conditions, Dr. Blatt is proud to offer car-diac electrophysiology services

to the Dallas area with the Texas Cardiac Rhythm Associates, located at the Prestonwood Clinic in Plano. He specializes in such areas as palpitations, syncope, pacemaker implants, biven-tricular pacemakers, biventricular defi brillators and implantable loop recorders. He has participated in numerous major medical studies, including the DAVID trial, which have had a major impact on the practice of medicine today. He has also received specialized training in cardiac electrophysiology and cardiac catheter ablation.

Dr. Blatt completed a three-year cardiology fellowship at the Deborah Heart and Lung Center in Browns Mills, NJ, and a two-year adult cardiac electrophysiology fellowship at Baystate Medical Center in Springfi eld, MA. He is board certifi ed in internal medicine, cardiology and cardiac electrophysiology. He is a Fellow of the American College of Cardiology and has pro-fessional affi liations with the American College of Cardiology, American Osteopathic Association and the Texas Osteopathic Medical Association.

CARDIOVASCULAR AND THORACIC SURGERYWILLIAM E. WALLACE, D.O., FACOS, FCCP, CARDIOVASCULAR AND THORACIC SURGERY

Wi l l i a m E . Wa l l ace, D.O., FACOS, FCCP, enjoys the challenge and inten-sity of cardiovascular and thoracic surgery, and the op-portunity to make an impact in patient lives. Certifi ed in general surgery, thoracic and

cardiovascular surgery and surgical critical care, he regularly performs a wide array of cardiothoracic and cardiovascular surgical procedures.

After earning his medical degree in osteopathy from the University of North Texas Health Science Center, Texas College of Osteopathic Medicine in Fort Worth, Dr. Wallace did his internship

at Tulsa Regional Medical Center. Well known for his genuine caring and excellence in medical care, he has been named in Marquis Who’s Who in America and Who’s Who in Medicine and Healthcare in both 2006 and 2007. He was also honored to be voted Texas Super Doctor 2004 by Texas Monthly magazine and Tarrant County Top Docs Fort Worth in 2003 and 2006. Dr. Wallace enjoys membership in many societies, which includes being a Fellow of the American College of Osteopathic Surgeons and a Fellow of the American College of Chest Physicians.

GASTROENTEROLOGYAAMER AGHA, M.D., INSTITUTE FOR DIGESTIVE HEALTH

In less than six months since bringing his practice to the Plano area, Aamer Agha, M.D., is already a busy and sought-after practitioner. His practice brings fast, convenient access to excep-tional gastroenterology care. Dr. Agha, who recently com-

pleted his fellowship in gastroenterology at Baylor College of Medicine, is committed to digestive disease management, diagnostic and therapeutic endoscopy and preventative health care. His passion is helping his patients obtain optimum health through proper screen-ings and treatments. One of his many areas of specialty includes endoscopic ultrasound, which combines endoscopy and ultrasound in order to obtain images and information about the digestive tract and the surrounding tissue and organs. Other areas of specializa-tion include advanced endoscopic techniques, Barrett’s esophagus, refl ux disease, intestinal bleeding and anemia, abdominal pain, biliary tract disease, pancreas disease, hepatitis C, gallstones and swallowing diffi culties.

The Institute for Digestive Health is located in the multispecialty facility, The Texas Clinic at Prestonwood. The facility has the abil-ity to accommodate a variety of outpatient procedures, offering convenience and accessibility for all patients. Dr. Agha provides specialized, high-quality, comprehensive care for all patients, and works in collaboration with the primary care physician to assure the best possible patient care.

HEMATOLOGY/ONCOLOGYVIRGINIA KINSELLA, M.D., PLANO CANCER INSTITUTE

Compassionate care is what characterizes Virginia Kinsella, M.D. As a board-certifi ed medical oncologist, she is highly trained in can-cer treatment, and is enthusiastic about providing and coordinating quality oncologic and hematologic care with the utmost compassion.

RMedical Center in Springfi eld, MA. He is board certifi ed in

RMedical Center in Springfi eld, MA. He is board certifi ed in internal medicine, cardiology and cardiac electrophysiology. He

Rinternal medicine, cardiology and cardiac electrophysiology. He is a Fellow of the American College of Cardiology and has pro-Ris a Fellow of the American College of Cardiology and has pro-fessional affi liations with the American College of Cardiology, Rfessional affi liations with the American College of Cardiology, American Osteopathic Association and the Texas Osteopathic RAmerican Osteopathic Association and the Texas Osteopathic Medical Association.RMedical Association.

EDeborah Heart and Lung Center in Browns Mills, NJ, and a

EDeborah Heart and Lung Center in Browns Mills, NJ, and a two-year adult cardiac electrophysiology fellowship at Baystate

Etwo-year adult cardiac electrophysiology fellowship at Baystate Medical Center in Springfi eld, MA. He is board certifi ed in

EMedical Center in Springfi eld, MA. He is board certifi ed in internal medicine, cardiology and cardiac electrophysiology. He Einternal medicine, cardiology and cardiac electrophysiology. He is a Fellow of the American College of Cardiology and has pro-Eis a Fellow of the American College of Cardiology and has pro-fessional affi liations with the American College of Cardiology, Efessional affi liations with the American College of Cardiology, American Osteopathic Association and the Texas Osteopathic EAmerican Osteopathic Association and the Texas Osteopathic

VDr. Blatt completed a three-year cardiology fellowship at the

VDr. Blatt completed a three-year cardiology fellowship at the

Deborah Heart and Lung Center in Browns Mills, NJ, and a

VDeborah Heart and Lung Center in Browns Mills, NJ, and a two-year adult cardiac electrophysiology fellowship at Baystate Vtwo-year adult cardiac electrophysiology fellowship at Baystate Medical Center in Springfi eld, MA. He is board certifi ed in VMedical Center in Springfi eld, MA. He is board certifi ed in internal medicine, cardiology and cardiac electrophysiology. He Vinternal medicine, cardiology and cardiac electrophysiology. He is a Fellow of the American College of Cardiology and has pro-Vis a Fellow of the American College of Cardiology and has pro-fessional affi liations with the American College of Cardiology, Vfessional affi liations with the American College of Cardiology,

IDr. Blatt completed a three-year cardiology fellowship at the

IDr. Blatt completed a three-year cardiology fellowship at the

Deborah Heart and Lung Center in Browns Mills, NJ, and a IDeborah Heart and Lung Center in Browns Mills, NJ, and a two-year adult cardiac electrophysiology fellowship at Baystate Itwo-year adult cardiac electrophysiology fellowship at Baystate Medical Center in Springfi eld, MA. He is board certifi ed in IMedical Center in Springfi eld, MA. He is board certifi ed in internal medicine, cardiology and cardiac electrophysiology. He Iinternal medicine, cardiology and cardiac electrophysiology. He

Especialized training in cardiac electrophysiology and cardiac

Especialized training in cardiac electrophysiology and cardiac

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W impact on the practice of medicine today. He has also received

W impact on the practice of medicine today. He has also received specialized training in cardiac electrophysiology and cardiac

W specialized training in cardiac electrophysiology and cardiac

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bringing his practice to the Nbringing his practice to the Plano area, Aamer Agha, M.D., NPlano area, Aamer Agha, M.D., is already a busy and sought-after Nis already a busy and sought-after practitioner. His practice brings Npractitioner. His practice brings NLFOR DIGESTIVE

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YFOR DIGESTIVE

YFOR DIGESTIVE

YIn less than six months since YIn less than six months since bringing his practice to the Ybringing his practice to the Plano area, Aamer Agha, M.D., YPlano area, Aamer Agha, M.D., LYLFOR DIGESTIVE

LFOR DIGESTIVE

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LYLIn less than six months since LIn less than six months since YIn less than six months since LIn less than six months since bringing his practice to the Lbringing his practice to the Ybringing his practice to the Lbringing his practice to the Plano area, Aamer Agha, M.D., LPlano area, Aamer Agha, M.D., YPlano area, Aamer Agha, M.D., LPlano area, Aamer Agha, M.D.,

© 2008 SUNSHINE MEDIA, INC. UNAUTHORIZED USE OF THIS DOCUMENT IS STRICTLY PROHIBITED.Plano area, Aamer Agha, M.D.,

© 2008 SUNSHINE MEDIA, INC. UNAUTHORIZED USE OF THIS DOCUMENT IS STRICTLY PROHIBITED.Plano area, Aamer Agha, M.D., is already a busy and sought-after

© 2008 SUNSHINE MEDIA, INC. UNAUTHORIZED USE OF THIS DOCUMENT IS STRICTLY PROHIBITED.is already a busy and sought-after practitioner. His practice brings


practitioner. His practice brings fast, convenient access to excep-


fast, convenient access to excep-


Medical Center in Springfi eld, MA. He is board certifi ed in


Medical Center in Springfi eld, MA. He is board certifi ed in internal medicine, cardiology and cardiac electrophysiology. He


internal medicine, cardiology and cardiac electrophysiology. He is a Fellow of the American College of Cardiology and has pro-


is a Fellow of the American College of Cardiology and has pro-fessional affi liations with the American College of Cardiology,


fessional affi liations with the American College of Cardiology, American Osteopathic Association and the Texas Osteopathic


American Osteopathic Association and the Texas Osteopathic Medical Association.


Medical Association.

pleted his fellowship in gastroenterology at Baylor College of


pleted his fellowship in gastroenterology at Baylor College of Medicine, is committed to digestive disease management, diagnostic


Medicine, is committed to digestive disease management, diagnostic



She realizes that each patient is unique and their treatment should be carefully tailored to meet their needs. Her special interests include the use of target therapy in the management of advanced stage and metastatic cancer. She has extensive expe-rience in the treatment of many common types of cancers, such as lung, colorectal, breast, pros-tate and lymphomas.

Another vital role that Dr. Kinsella plays is patient and pa-tient family educator by providing education to the patients and their families about various forms of cancer and the temporary side effects of cancer treatment. From diagnosis to treatment to follow-up care, patients and their loved ones are kept in-formed through every step of the process and comforted by everyone involved in their care.

Dr. Kinsella, who is an active member of the American Society of Clinical Oncology and Hematology, relocated to the Plano area after completing her fellowship at George Washington University School of Medicine, which included training at the NIH in Bethesda, MD. Dr. Kinsella is also a partner at the Plano Cancer Institute.

RUBEN SAEZ, M.D., FACP, PLANO CANCER INSTITUTE

Dedicated to providing high-quality and compassionate care to his patients, Dr. Saez is a valuable support to patients and their families. He realizes that patients need and deserve treatment and support that is as unique as their situation. By providing and coordinating

quality oncologic and hematologic care at Plano Cancer Institute, Dr. Saez is a valuable asset to the community.

His wide range of experience gives him the leading edge in patient care. Every patient receives the advantage of his collective experience in areas such as bone marrow transplant and clinical trials for breast cancer and hematological malignancies. Dr. Saez has served as director of clinical trials, institutional review boards and therapeutic committees, and is a member of the American Society of Clinical Oncology, American Society of Hematology, Fellow of the American College of Physicians, Alpha-Omega-Alpha Honor Medical Society and the American Society for Blood and Marrow Transplantation.

After graduating with a medical degree from the University of Puerto Rico School of Medicine, Dr. Saez completed his in-ternship and residency in internal medicine at UT Southwestern Medical Center, Dallas, and completed a combined hematology and medical oncology fellowship at the University of Texas Health Science Center in San Antonio.

ORTHOPAEDICSCHARLES TOULSON, M.D., ORTHOPAEDIC SURGERY AND JOINT REPLACEMENT, TEAM ORTHOPEDICS

It is all about keeping peo-ple in the game and restoring people to optimum health for Charles Toulson, M.D., of Team Orthopedics in Plano and McKinney. Team Orthopedics utilizes the latest in technology

and equipment as well as the most up-to-date use of medical, surgi-cal, physical and rehabilitative methods in the diagnosis, treatment, rehabilitation and prevention of injuries.

Dr. Toulson, who earned his M.D. with highest honors from University of North Carolina at Chapel Hill, also received his fellowship training for joint reconstruction at Hospital of Special Surgery, the No. 1 orthopaedic surgery program in the country. Team Orthopedics takes a “rapid rehabilitation” approach to wellness and likes to see patients restored to optimum health and back to their daily life as soon as possible. Young and old, when people are suddenly faced with limited mobility issues, the world — and their lives — becomes vastly different. Suddenly, simple things are impaired and hindered, which can limit our enjoyment in life. Most gratifying to Dr. Toulson is helping patients achieve optimum restoration, and know that they are back to fully enjoy-ing their normal activities.

PAIN MANAGEMENTPETER LEONARD, M.D., BOARD-CERTIFIED ANESTHESIOLOGIST, PAIN MANAGEMENT AT THE TEXAS CLINIC AT PRESTONWOOD

Dr. Peter Leonard makes both health and hope his top priorities. For patients who suffer with chronic pain, the goal is more than pain control and the restoration

RCancer Institute.

RCancer Institute.

RENIH in Bethesda, MD. Dr. Kinsella is also a partner at the Plano

ENIH in Bethesda, MD. Dr. Kinsella is also a partner at the Plano Cancer Institute.

ECancer Institute.

EVarea after completing her fellowship at George Washington

Varea after completing her fellowship at George Washington University School of Medicine, which included training at the

VUniversity School of Medicine, which included training at the NIH in Bethesda, MD. Dr. Kinsella is also a partner at the Plano VNIH in Bethesda, MD. Dr. Kinsella is also a partner at the Plano

RUBEN SAEZ, M.D., VRUBEN SAEZ, M.D., VIof Clinical Oncology and Hematology, relocated to the Plano

Iof Clinical Oncology and Hematology, relocated to the Plano area after completing her fellowship at George Washington

Iarea after completing her fellowship at George Washington University School of Medicine, which included training at the IUniversity School of Medicine, which included training at the NIH in Bethesda, MD. Dr. Kinsella is also a partner at the Plano INIH in Bethesda, MD. Dr. Kinsella is also a partner at the Plano E

Dr. Kinsella, who is an active member of the American Society

EDr. Kinsella, who is an active member of the American Society

of Clinical Oncology and Hematology, relocated to the Plano

Eof Clinical Oncology and Hematology, relocated to the Plano area after completing her fellowship at George Washington Earea after completing her fellowship at George Washington University School of Medicine, which included training at the EUniversity School of Medicine, which included training at the NIH in Bethesda, MD. Dr. Kinsella is also a partner at the Plano ENIH in Bethesda, MD. Dr. Kinsella is also a partner at the Plano W Dr. Kinsella, who is an active member of the American Society

W Dr. Kinsella, who is an active member of the American Society of Clinical Oncology and Hematology, relocated to the Plano W of Clinical Oncology and Hematology, relocated to the Plano area after completing her fellowship at George Washington W area after completing her fellowship at George Washington University School of Medicine, which included training at the W University School of Medicine, which included training at the NIH in Bethesda, MD. Dr. Kinsella is also a partner at the Plano W NIH in Bethesda, MD. Dr. Kinsella is also a partner at the Plano

and equipment as well as the most up-to-date use of medical, surgi-W and equipment as well as the most up-to-date use of medical, surgi-cal, physical and rehabilitative methods in the diagnosis, treatment, W cal, physical and rehabilitative methods in the diagnosis, treatment, rehabilitation and prevention of injuries.W rehabilitation and prevention of injuries.W Oand equipment as well as the most up-to-date use of medical, surgi-Oand equipment as well as the most up-to-date use of medical, surgi-cal, physical and rehabilitative methods in the diagnosis, treatment, Ocal, physical and rehabilitative methods in the diagnosis, treatment, ON

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Npeople to optimum health for Charles Toulson, M.D., of NCharles Toulson, M.D., of Team Orthopedics in Plano and NTeam Orthopedics in Plano and McKinney. Team Orthopedics NMcKinney. Team Orthopedics utilizes the latest in technology Nutilizes the latest in technology NL

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YIt is all about keeping peo-


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© 2008 SUNSHINE MEDIA, INC. UNAUTHORIZED USE OF THIS DOCUMENT IS STRICTLY PROHIBITED.Team Orthopedics in Plano and

© 2008 SUNSHINE MEDIA, INC. UNAUTHORIZED USE OF THIS DOCUMENT IS STRICTLY PROHIBITED.Team Orthopedics in Plano and McKinney. Team Orthopedics

© 2008 SUNSHINE MEDIA, INC. UNAUTHORIZED USE OF THIS DOCUMENT IS STRICTLY PROHIBITED.McKinney. Team Orthopedics utilizes the latest in technology


utilizes the latest in technology


RUBEN SAEZ, M.D.,


RUBEN SAEZ, M.D., FACP, PLANO CANCER


FACP, PLANO CANCER

and equipment as well as the most up-to-date use of medical, surgi-


and equipment as well as the most up-to-date use of medical, surgi-cal, physical and rehabilitative methods in the diagnosis, treatment,


cal, physical and rehabilitative methods in the diagnosis, treatment, rehabilitation and prevention of injuries.


rehabilitation and prevention of injuries.Dr. Toulson, who earned his M.D. with highest honors from


Dr. Toulson, who earned his M.D. with highest honors from University of North Carolina at Chapel Hill, also received his


University of North Carolina at Chapel Hill, also received his



of function. Pain is not always the straightforward thing it is thought to be, and the answers are not always immediately evident. Often, sufferers have endured constant pain for some time, many treatments and few answers. As much as they want relief, hope is also an essential element.

As a board-certifi ed anesthesiologist and member of NorthStar Anesthesia, P.A and Medical Director of Prestonwood Surgery Center, Dr. Leonard brings quality care to patients in the Plano area. His areas of specialization include cervical and thoracic ESIs, lumbar ESIs, facet joint injections, sacroiliac joint injections, trig-ger point injections and peripheral nerve blocks.

Dr. Leonard has an undergraduate degree in systems engineering from Vanderbilt University, where he graduated magna cum laude. He received his medical degree from UT Southwestern Medical School, Dallas, and served his internship in general surgery at Parkland Hospital, also in Dallas. After completing his residency in anesthesiology at UT Health Science Center, San Antonio, Dr. Leonard has been serving his patients in private practice in the Dallas area for over 20 years.

PULMONARYFIDEL DAVILA, M.D., THE LUNG CLINIC

As a physician board cer-tifi ed in internal medicine, pulmonary diseases and criti-cal care medicine, Dr. Fidel Davila is dedicated to pro-viding superior care to his patients at The Lung Clinic at Heart First in Plano. Patients commonly seen have diag-noses including community

and nosocomial pneumonia, bronchogenic carcinoma, lung cancer, asthma, chronic obstructive pulmonary disease, adult respiratory distress syndrome and respiratory failure. Assuring the patients with respiratory diffi culties receive optimum care is his greatest concern.

Dr. Davila also offers medical ethics and end of life consultations at Life’s Last Transitions Center at the Texas Clinic. He realizes the special cares and concerns of patients and their families and helps those concerned navigate the diffi cult times.

After receiving his medical degree from Harvard Medical School, Dr. Davila completed his internal medical residency and pulmonary diseases fellowships at Baylor College of Medicine Ben Taub County Hospital in Houston, Rush Medical School/McNeal Hospital at Chicago, Texas A&M School of Medicine and Scott and White Hospital in Temple, TX. He also holds a Master of Science in Medical Management with extensive clinical experience. His publications on medical ethics are widely read.

RADIATION ONCOLOGYEDWARD H. GILBERT, M.D., RADIATION ONCOLOGIST

Dr. Edward Gilbert is one of the experts behind Verity’s Varian Trilogy lin-ear accelerator, the world’s most comprehensive radiation therapy machine for cancer treatment. Among the thera-pies that he will perform are IMRT and IGRT, along with

3-D conformal treatment planning. The opportunity to work in a technologically advancing fi eld and the ability to bring those potentially lifesaving advances to patients is extremely rewarding to Dr. Gilbert, as well as working with a staff of caring profes-sionals. Dr. Gilbert is board certifi ed in therapeutic radiology by the American College of Radiology.

Dr. Gilbert is a Philadelphia, PA, native, and earned his under-graduate and medical degrees at Temple University in that city. He was also a radiation therapy Fellow at Stanford University Medical Center in Palo Alto, CA. A former Captain in the U.S. Air Force, Dr. Gilbert has most recently been director of the Lance Armstrong Shaped Beam Radiosurgery Program at the Richardson Regional Cancer Center, as well as the director and radiation oncologist at that facility, and at Medical City Dallas.

RANDI FOGG AARONSON, PH.D., PHYSICIST

Dr. Randi Aaronson plays a key role at Verity Radiation Therapy, ensuring that the facil ity’s state-of-the-art machines are functioning properly, and that patients receive the right radiation dos-age in the right location. The advanced technology utilized

by the clinic requires signifi cant training and expertise by a staff of committed professionals, and Dr. Aaronson is proud to be a part of that dedicated team. The opportunity to make a signifi cant difference in the lives of others is part of what draws her to this area of specialty.

Dr. Aaronson received both her Ph.D. and M.S. in Biomedical Physics from the University of California – Los Angeles after graduating magna cum laude in physics and mathematics from Willamette University in Salem, OR. She has most recently served as medical physicist and RSO (radiation safety offi cer) at

RREVFIDEL DAVILA, M.D.,

VFIDEL DAVILA, M.D., THE LUNG CLINIC

VTHE LUNG CLINIC

As a physician board cer-VAs a physician board cer-tifi ed in internal medicine, Vtifi ed in internal medicine, pulmonary diseases and criti-Vpulmonary diseases and criti-cal care medicine, Dr. Fidel Vcal care medicine, Dr. Fidel VIFIDEL DAVILA, M.D.,

IFIDEL DAVILA, M.D., THE LUNG CLINICITHE LUNG CLINIC

As a physician board cer-IAs a physician board cer-tifi ed in internal medicine, Itifi ed in internal medicine, pulmonary diseases and criti-Ipulmonary diseases and criti-

EFIDEL DAVILA, M.D., EFIDEL DAVILA, M.D., THE LUNG CLINICETHE LUNG CLINIC

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W FIDEL DAVILA, M.D., W FIDEL DAVILA, M.D.,

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sionals. Dr. Gilbert is board certifi ed in therapeutic radiology by

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Opotentially lifesaving advances to patients is extremely rewarding

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IMRT and IGRT, along with

YIMRT and IGRT, along with

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L3-D conformal treatment planning. The opportunity to work

Y3-D conformal treatment planning. The opportunity to work

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Lin a technologically advancing fi eld and the ability to bring those potentially lifesaving advances to patients is extremely rewarding Lpotentially lifesaving advances to patients is extremely rewarding Ypotentially lifesaving advances to patients is extremely rewarding Lpotentially lifesaving advances to patients is extremely rewarding to Dr. Gilbert, as well as working with a staff of caring profes-Lto Dr. Gilbert, as well as working with a staff of caring profes-Yto Dr. Gilbert, as well as working with a staff of caring profes-Lto Dr. Gilbert, as well as working with a staff of caring profes-sionals. Dr. Gilbert is board certifi ed in therapeutic radiology by Lsionals. Dr. Gilbert is board certifi ed in therapeutic radiology by Ysionals. Dr. Gilbert is board certifi ed in therapeutic radiology by Lsionals. Dr. Gilbert is board certifi ed in therapeutic radiology by

© 2008 SUNSHINE MEDIA, INC. UNAUTHORIZED USE OF THIS DOCUMENT IS STRICTLY PROHIBITED.sionals. Dr. Gilbert is board certifi ed in therapeutic radiology by

© 2008 SUNSHINE MEDIA, INC. UNAUTHORIZED USE OF THIS DOCUMENT IS STRICTLY PROHIBITED.sionals. Dr. Gilbert is board certifi ed in therapeutic radiology by

Dr. Gilbert is a Philadelphia, PA, native, and earned his under-


Dr. Gilbert is a Philadelphia, PA, native, and earned his under-


tifi ed in internal medicine,


tifi ed in internal medicine, pulmonary diseases and criti-


pulmonary diseases and criti-cal care medicine, Dr. Fidel


cal care medicine, Dr. Fidel Davila is dedicated to pro-


Davila is dedicated to pro-

graduate and medical degrees at Temple University in that city.


graduate and medical degrees at Temple University in that city. He was also a radiation therapy Fellow at Stanford University


He was also a radiation therapy Fellow at Stanford University Medical Center in Palo Alto, CA. A former Captain in the U.S.


Medical Center in Palo Alto, CA. A former Captain in the U.S. Air Force, Dr. Gilbert has most recently been director of the


Air Force, Dr. Gilbert has most recently been director of the Lance Armstrong Shaped Beam Radiosurgery Program at the


Lance Armstrong Shaped Beam Radiosurgery Program at the



the Richardson Regional Cancer Center in Richardson, TX.A resident of Lewisville, TX, Dr. Aaronson is a widely

published author as well as an active member of the American Association of Physicists in Medicine, and the American Society of Therapeutic Radiology and Oncology. She is board certifi ed in therapeutic radiologic physics by the American Board of Radiology.

SLEEP MEDICINEMARGARET E. MIKE, M.D., SLEEP HEALERS

Dr. Margaret Mike is pas-sionate and dedicated to sleep medicine. Sleep is a fundamen-tal part of health, but one that is often neglected in our fast-paced society, and often with negative results. Effectively diagnosing a sleep disorder can have a huge impact on the life of a patient, and to help

them not only sleep better, but also enjoy a healthier and more fulfi lling life.

A graduate of Thomas Jefferson Medical College, Philadelphia, PA, Dr. Mike was fellowship trained at the Medical College of Pennsylvania, Allegheny University. She has served as Diplomate of the American Board of Psychiatry & Neurology in November 1993 and Diplomate of the American Board of Sleep Medicine in June 1992. She has also served on the American Board of Electroencephalography and Neurophysiology in November 1991. Dr. Mike has gained much recognition for her dedicated work with patients and commitment to referring doctors and has been voted one of the best doctors in Dallas by D magazine as well as one of Fort Worth, Texas: The City’s Magazine’s “Top Docs” 2004-2008.

UROLOGY FREDRICK S. LEACH, M.D., PH.D., PRESTONWOOD UROLOGY

It is the personal mission of Fredrick S. Leach, M.D., Ph.D., to bring unrivaled urology and urologic on-cology care to the greater Dallas area. His practice, Prestonwood Urology, is located in The Texas Clinic

at Prestonwood, a new facility that brings together the area’s

most advanced technology with exceptional medical practi-tioners. Dr. Leach likes to bring great care to his patients, as well as use the most current state-of-the-art diagnostic testing, treatments and surgical procedures. He offers a full range of techniques, methods and technology to help deal with the many conditions he encounters. Some of his clinical interests include genitourinary reconstruction, genitourinary/pelvic malignancies, endoscopic treatment of urological diseases including stones, erectile/sexual and voiding dysfunction, general adult urology adrenal cancer, antenatal hydronephro-sis, benign prostatic hyperplasia and bladder cancer, among many others.

A Ph.D. graduate of Stanford University Medical Center, he did his surgical residency and internship at Johns Hopkins Hospital and urology residency at UT Southwestern Medical Center, as well as urology chief resident at UT. Prior to join-ing Prestonwood Urology at the Texas Clinic at Prestonwood, Dr. Leach completed B.S. and B.A. degrees with highest honors in biology and chemistry from Southern Methodist University in Dallas, TX.

NABEEL HYDER-KHADERI SYED, M.D., UROLOGIST, ASSOCIATED UROLOGISTS

Dr. Nabeel Hyder-Khaderi Syed believes in providing ex-cellent, innovative medical and surgical care in the treatment of urological problems to the people in the Dallas area. He offers a comprehensive range of

urology procedures for both men and women where his efforts are focused on overall patient care and early diagnosis, which is a critical aspect in the effective treatment in most urological con-cerns. Patient education is a vital part of the treatment he does, and he feels that building relationships is a tool in helping assure patients receive the best possible care. He makes a special effort to explain and answer questions, always treating patients with respect, support and compassion.

After completing medical school and graduating from the University of Texas Health Science Center in San Antonio, Dr. Syed completed his urology residency at Brookdale University Hospital Medical Center and Mayday University Hospital in London. He is a member of the American Societies of Lasers in Medicine and the American Urological Association. Dr. Syed is board certifi ed and has more than 15 years’ experience in treating patients with a wide range of urology conditions and has received many awards and certifi cations in his fi eld. ■

RPhiladelphia, PA, Dr. Mike was fellowship trained at the

RPhiladelphia, PA, Dr. Mike was fellowship trained at the Medical College of Pennsylvania, Allegheny University. She

RMedical College of Pennsylvania, Allegheny University. She has served as Diplomate of the American Board of Psychiatry Rhas served as Diplomate of the American Board of Psychiatry & Neurology in November 1993 and Diplomate of the R& Neurology in November 1993 and Diplomate of the American Board of Sleep Medicine in June 1992. She has also RAmerican Board of Sleep Medicine in June 1992. She has also served on the American Board of Electroencephalography and Rserved on the American Board of Electroencephalography and

EA graduate of Thomas Jefferson Medical College,

EA graduate of Thomas Jefferson Medical College,

Philadelphia, PA, Dr. Mike was fellowship trained at the

EPhiladelphia, PA, Dr. Mike was fellowship trained at the Medical College of Pennsylvania, Allegheny University. She EMedical College of Pennsylvania, Allegheny University. She has served as Diplomate of the American Board of Psychiatry Ehas served as Diplomate of the American Board of Psychiatry & Neurology in November 1993 and Diplomate of the E& Neurology in November 1993 and Diplomate of the American Board of Sleep Medicine in June 1992. She has also EAmerican Board of Sleep Medicine in June 1992. She has also

Vthem not only sleep better, but also enjoy a healthier and more

Vthem not only sleep better, but also enjoy a healthier and more

A graduate of Thomas Jefferson Medical College, VA graduate of Thomas Jefferson Medical College, Philadelphia, PA, Dr. Mike was fellowship trained at the VPhiladelphia, PA, Dr. Mike was fellowship trained at the Medical College of Pennsylvania, Allegheny University. She VMedical College of Pennsylvania, Allegheny University. She has served as Diplomate of the American Board of Psychiatry Vhas served as Diplomate of the American Board of Psychiatry & Neurology in November 1993 and Diplomate of the V& Neurology in November 1993 and Diplomate of the

Ilife of a patient, and to help

Ilife of a patient, and to help

them not only sleep better, but also enjoy a healthier and more

Ithem not only sleep better, but also enjoy a healthier and more

A graduate of Thomas Jefferson Medical College, IA graduate of Thomas Jefferson Medical College, Philadelphia, PA, Dr. Mike was fellowship trained at the IPhiladelphia, PA, Dr. Mike was fellowship trained at the Medical College of Pennsylvania, Allegheny University. She IMedical College of Pennsylvania, Allegheny University. She E

can have a huge impact on the

Ecan have a huge impact on the life of a patient, and to help

Elife of a patient, and to help

them not only sleep better, but also enjoy a healthier and more Ethem not only sleep better, but also enjoy a healthier and more

A graduate of Thomas Jefferson Medical College, EA graduate of Thomas Jefferson Medical College, Philadelphia, PA, Dr. Mike was fellowship trained at the EPhiladelphia, PA, Dr. Mike was fellowship trained at the

W diagnosing a sleep disorder

W diagnosing a sleep disorder can have a huge impact on the

W can have a huge impact on the life of a patient, and to help W life of a patient, and to help

them not only sleep better, but also enjoy a healthier and more W them not only sleep better, but also enjoy a healthier and more

A graduate of Thomas Jefferson Medical College, W A graduate of Thomas Jefferson Medical College,

Dr. Leach completed B.S. and B.A. degrees with highest

W Dr. Leach completed B.S. and B.A. degrees with highest honors in biology and chemistry from Southern Methodist

W honors in biology and chemistry from Southern Methodist University in Dallas, TX.

W University in Dallas, TX.

W OCenter, as well as urology chief resident at UT. Prior to join-

OCenter, as well as urology chief resident at UT. Prior to join-ing Prestonwood Urology at the Texas Clinic at Prestonwood,

Oing Prestonwood Urology at the Texas Clinic at Prestonwood, Dr. Leach completed B.S. and B.A. degrees with highest ODr. Leach completed B.S. and B.A. degrees with highest honors in biology and chemistry from Southern Methodist Ohonors in biology and chemistry from Southern Methodist University in Dallas, TX.OUniversity in Dallas, TX.ONHospital and urology residency at UT Southwestern Medical

NHospital and urology residency at UT Southwestern Medical

NCenter, as well as urology chief resident at UT. Prior to join-

NCenter, as well as urology chief resident at UT. Prior to join-ing Prestonwood Urology at the Texas Clinic at Prestonwood, Ning Prestonwood Urology at the Texas Clinic at Prestonwood, Dr. Leach completed B.S. and B.A. degrees with highest NDr. Leach completed B.S. and B.A. degrees with highest honors in biology and chemistry from Southern Methodist Nhonors in biology and chemistry from Southern Methodist Lhe did his surgical residency and internship at Johns Hopkins

Lhe did his surgical residency and internship at Johns Hopkins Hospital and urology residency at UT Southwestern Medical

LHospital and urology residency at UT Southwestern Medical

LCenter, as well as urology chief resident at UT. Prior to join-LCenter, as well as urology chief resident at UT. Prior to join-ing Prestonwood Urology at the Texas Clinic at Prestonwood, Ling Prestonwood Urology at the Texas Clinic at Prestonwood, Dr. Leach completed B.S. and B.A. degrees with highest LDr. Leach completed B.S. and B.A. degrees with highest honors in biology and chemistry from Southern Methodist Lhonors in biology and chemistry from Southern Methodist

YA Ph.D. graduate of Stanford University Medical Center,

YA Ph.D. graduate of Stanford University Medical Center,

he did his surgical residency and internship at Johns Hopkins

Yhe did his surgical residency and internship at Johns Hopkins Hospital and urology residency at UT Southwestern Medical YHospital and urology residency at UT Southwestern Medical YCenter, as well as urology chief resident at UT. Prior to join-YCenter, as well as urology chief resident at UT. Prior to join-ing Prestonwood Urology at the Texas Clinic at Prestonwood, Ying Prestonwood Urology at the Texas Clinic at Prestonwood, Dr. Leach completed B.S. and B.A. degrees with highest YDr. Leach completed B.S. and B.A. degrees with highest LYLhe did his surgical residency and internship at Johns Hopkins

Lhe did his surgical residency and internship at Johns Hopkins

Yhe did his surgical residency and internship at Johns Hopkins

Lhe did his surgical residency and internship at Johns Hopkins Hospital and urology residency at UT Southwestern Medical

LHospital and urology residency at UT Southwestern Medical YHospital and urology residency at UT Southwestern Medical

LHospital and urology residency at UT Southwestern Medical

LYLCenter, as well as urology chief resident at UT. Prior to join-LCenter, as well as urology chief resident at UT. Prior to join-YCenter, as well as urology chief resident at UT. Prior to join-LCenter, as well as urology chief resident at UT. Prior to join-ing Prestonwood Urology at the Texas Clinic at Prestonwood, Ling Prestonwood Urology at the Texas Clinic at Prestonwood, Ying Prestonwood Urology at the Texas Clinic at Prestonwood, Ling Prestonwood Urology at the Texas Clinic at Prestonwood, Dr. Leach completed B.S. and B.A. degrees with highest LDr. Leach completed B.S. and B.A. degrees with highest YDr. Leach completed B.S. and B.A. degrees with highest LDr. Leach completed B.S. and B.A. degrees with highest

© 2008 SUNSHINE MEDIA, INC. UNAUTHORIZED USE OF THIS DOCUMENT IS STRICTLY PROHIBITED.Dr. Leach completed B.S. and B.A. degrees with highest

© 2008 SUNSHINE MEDIA, INC. UNAUTHORIZED USE OF THIS DOCUMENT IS STRICTLY PROHIBITED.Dr. Leach completed B.S. and B.A. degrees with highest honors in biology and chemistry from Southern Methodist

© 2008 SUNSHINE MEDIA, INC. UNAUTHORIZED USE OF THIS DOCUMENT IS STRICTLY PROHIBITED.honors in biology and chemistry from Southern Methodist


Philadelphia, PA, Dr. Mike was fellowship trained at the


Philadelphia, PA, Dr. Mike was fellowship trained at the Medical College of Pennsylvania, Allegheny University. She


Medical College of Pennsylvania, Allegheny University. She has served as Diplomate of the American Board of Psychiatry


has served as Diplomate of the American Board of Psychiatry & Neurology in November 1993 and Diplomate of the


& Neurology in November 1993 and Diplomate of the American Board of Sleep Medicine in June 1992. She has also


American Board of Sleep Medicine in June 1992. She has also served on the American Board of Electroencephalography and


served on the American Board of Electroencephalography and Neurophysiology in November 1991. Dr. Mike has gained © 2008 SUNSHINE MEDIA, INC. UNAUTHORIZED USE OF THIS DOCUMENT IS STRICTLY PROHIBITED.

Neurophysiology in November 1991. Dr. Mike has gained © 2008 SUNSHINE MEDIA, INC. UNAUTHORIZED USE OF THIS DOCUMENT IS STRICTLY PROHIBITED.


Art Treasures of the Silk RoadBy Scott Smith and Sandra Wells

“Where the heck is Uzbekistan and why would you go there? ” asked more than one friend. The fi rst question was easy to answer: It is a country bigger than California with 28 million people, next to Afghanistan. Its location was why we were headed there: It was the center of the 7,000-mile-long Silk Road of the Middle Ages, where goods were exchanged between the East and West, causing the area to fl ourish for centuries. Its rulers left behind impressive art and architecture, now preserved at four UNESCO World Heritage sites, which tourists are just start-ing to discover.

It’s always wise to do some homework in advance, rather than expecting the tour guide to give you the complete background in world history you need to fully appreci-ate a destination. We read the best book on the subject, Uzbekistan: The Golden Road to Samarkand by Calum Macleod and Bradley Mayhew (also helpful was the DVD The Silk Road: Music, Art, and Poetry www.silkroadmusicandart.com). But no matter how much we thought we knew, we didn’t know this would turn out to be the trip of a lifetime.

We signed up for Bestway Tours & Safaris’ 10-day “The Splendours of Uzbekistan (www.bestway.com).” The biggest surprise is that Uzbekistan is not third world. Its sparklingly clean capital, Tashkent, has

2.3 million people and a modern subway. Provided you stick with the tour’s hotels and restaurants, there is no reason to be concerned about the food (although bottled water is always smart). There is little crime and Islamic extremists would have a hard time getting a foothold; we never heard a call to prayer the entire time we were there and the security forces are everywhere.

Not that the country is entirely ready for prime time; roads outside Tashkent can sometimes be bad and passport control at entry and exit is understaffed and confusing. Fortunately,

Bestway provided a driver who was a genius at avoiding potholes, and our guide not only knew everything of inter-est about her country, but also was an excellent negotiator.

KHIVA AND BUKHARAOur first destination was the most

remote city of the Silk Road, Khiva, where the inner city, Ichan Kala, has been preserved largely as it was in the Middle Ages, with walls dating from the 5th cen-tury A.D. and fortifi ed in the 17th. The homes are adobe and the people on the street in colorful robes and scarves aren’t dressing up for tourists; traditional cloth-ing is worn widely, especially in rural

Sher Dor, Registan

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ate a destination. We read the best book on the subject,


ate a destination. We read the best book on the subject, Uzbekistan:


Uzbekistan: by Calum Macleod and Bradley


by Calum Macleod and Bradley Mayhew (also helpful was the DVD


Mayhew (also helpful was the DVD The Silk Road: Music, Art, and


The Silk Road: Music, Art, and www.silkroadmusicandart.com). But no matter how much


www.silkroadmusicandart.com). But no matter how much we thought we knew, we didn’t know this would turn out to be


we thought we knew, we didn’t know this would turn out to be the trip of a lifetime.


the trip of a lifetime.We signed up for Bestway Tours & Safaris’ 10-day “The Splendours © 2008 SUNSHINE MEDIA, INC. UNAUTHORIZED USE OF THIS DOCUMENT IS STRICTLY PROHIBITED.

We signed up for Bestway Tours & Safaris’ 10-day “The Splendours





areas (the fl ash of gold when they smile is due to its preference for fi xing decayed teeth).

At the entry to Ichan Kala is a statue of Al-Khorezmi, a math-ematician who was born there in 780 and whose name lives on in our words “algebra” and “algorithm.” He established the use of the zero and decimal notation and was among many great Arab scientists of the time.

What stands out immediately in Khiva is Islam Khoja Minaret, built in 1910, the last of the great monuments built by Central Asia’s khans before the region fell under Russian control. It is 146 feet tall, designed for the call to prayer to be heard throughout the city and was our fi rst close-up look at the gorgeous tile work for which Uzbekistan is world famous (it does get 1.5 million visitors a year, but virtually no Americans).

Khiva is fi lled with little museums on specialty subjects, ranging from Zorastrianism (the important “fi re worshipping” religion was believed to have begun in the area) to traditional musical instru-ments. The inner city has numerous sites of historic, religious and cultural importance, including the Juma Mosque (which has 213 elaborately carved wooden pillars) and the Pakhlavan Mahmoud mausoleum (a 12th century poet, wrestler and saint), where wed-ding parties gather to drink from a well for good luck. UNESCO runs handicraft workshops, including one for beautiful handmade silk carpets and another for hand-carved furniture.

The highlight of Khiva was the 163-room Tash Hauli Palace of the khan, commissioned in 1830. We were already dizzy from go-ing past tiles with geometric and fl oral art, perfected over 1,400 centuries since the Koran forbade using fi gures of people or animals except for symbolic purposes, as well as mandating that nothing be a precise duplication of anything else. Every inch of the palace was covered with different designs and colors and we felt like we had walked into a kaleidoscope.

We then drove south to Holy Bukhara, which once had a mosque for every day of the year. During the 10th century, its state library rivaled the one in Baghdad as the greatest in the Islamic world, at-tracting Ali ibn-Sina, or Avicenna, who cured the sultan and wrote a remarkably accurate medical handbook used in the West until the 19th century (a museum devoted to him is in the suburbs). Bukhara’s bazaars were a primary destination for caravans and it still has hawkers of everything from cute puppets to handmade ceramics who are eager to bargain.

SAMARKANDOne could spend many days in Bukhara, but we were eager to move

on to Samarkand. It was a fabled oasis of innumerable trees and pros-pered as a trade center soon after its founding in the 6th century B.C. When Alexander the Great conquered it in 329 B.C., he remarked, “Everything I have heard about the beauty of the city is indeed true, except that it is much more beautiful than I imagined.”

We started out visiting a colorful Sunday market and also went through some excellent museums devoted to the culture and history

of the city. Another highlight was the observatory of Ulug Beg, who spent his reign making breakthrough astronomical discoveries and sponsoring science and art.

The fi rst great monumental architecture we saw was the Bibi Khanum Mosque. The largest in the world at the time, its portals were 115 feet high, with 165-foot minarets and 400 cupolas and a courtyard that could accommodate 10,000. The gates were made of seven metals and the mosque was built with marble and terra cotta, decorated with glazed multihued mosaics and blue-gold frescoes. But it began to fall apart almost immediately because it exceeded the building capabilities of the age and is only partially restored.

The Gur Emir is where the ruler Tamarlane and some of his family are entombed. When we walked inside the lights were dim, but then Zamira turned on full lighting and it was like the heavens opened up. No set of even wide-angled photos could convey the 360º scope of what our eyes beheld; beheld every inch covered with stars and trees carved into copper and gold, with Koranic phrases in calligraphic Arabic script. One of the world’s largest pieces of jade rests over Tamarlane’s tomb. In our opinion, Gur Emir is more beautiful than the Taj Mahal.

The highlight of any visit to Samarkand is the Registan, which Lord Curzon called “the noblest public square in the world.” On three sides are madrassahs, each with a unique outer design (on the right side, the Shir Dor shows lion-tigers, deer and hu-man faces as symbols of power, allowed under the infl uence of Persian Shiite interpretation of the Koran). The combination of grand portal, turquoise domes and elaborately decorated pillars is awesome and the whole thing is impossible to truly capture with photos.

And then we walked into the center madrassah, the Tillya Kari, which means “decorated in gold,” and we caught our breath. The far wall is covered in gold leaf up to the ceiling, which has what appears to be a vibrating sun surrounded by circles of leaves and fl owers. Not to commit artistic heresy, but we found it more awe inspiring than the Sistine Chapel. In the moments of ecstasy as we looked up, everything else in our lives was put into proper perspective. ■

Sunday market in Uzbekistan

RThe highlight of Khiva was the 163-room Tash Hauli Palace of

RThe highlight of Khiva was the 163-room Tash Hauli Palace of

the khan, commissioned in 1830. We were already dizzy from go-

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Esilk carpets and another for hand-carved furniture.

Esilk carpets and another for hand-carved furniture.

The highlight of Khiva was the 163-room Tash Hauli Palace of

EThe highlight of Khiva was the 163-room Tash Hauli Palace of

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Vding parties gather to drink from a well for good luck. UNESCO

Vding parties gather to drink from a well for good luck. UNESCO runs handicraft workshops, including one for beautiful handmade

Vruns handicraft workshops, including one for beautiful handmade silk carpets and another for hand-carved furniture.

Vsilk carpets and another for hand-carved furniture.

The highlight of Khiva was the 163-room Tash Hauli Palace of VThe highlight of Khiva was the 163-room Tash Hauli Palace of the khan, commissioned in 1830. We were already dizzy from go-Vthe khan, commissioned in 1830. We were already dizzy from go-ing past tiles with geometric and fl oral art, perfected over 1,400 Ving past tiles with geometric and fl oral art, perfected over 1,400 centuries since the Koran forbade using fi gures of people or animals Vcenturies since the Koran forbade using fi gures of people or animals

Iding parties gather to drink from a well for good luck. UNESCO

Iding parties gather to drink from a well for good luck. UNESCO runs handicraft workshops, including one for beautiful handmade Iruns handicraft workshops, including one for beautiful handmade silk carpets and another for hand-carved furniture.Isilk carpets and another for hand-carved furniture.

The highlight of Khiva was the 163-room Tash Hauli Palace of IThe highlight of Khiva was the 163-room Tash Hauli Palace of the khan, commissioned in 1830. We were already dizzy from go-Ithe khan, commissioned in 1830. We were already dizzy from go-ing past tiles with geometric and fl oral art, perfected over 1,400 Iing past tiles with geometric and fl oral art, perfected over 1,400

Eelaborately carved wooden pillars) and the Pakhlavan Mahmoud

Eelaborately carved wooden pillars) and the Pakhlavan Mahmoud mausoleum (a 12th century poet, wrestler and saint), where wed-

Emausoleum (a 12th century poet, wrestler and saint), where wed-ding parties gather to drink from a well for good luck. UNESCO Eding parties gather to drink from a well for good luck. UNESCO runs handicraft workshops, including one for beautiful handmade Eruns handicraft workshops, including one for beautiful handmade silk carpets and another for hand-carved furniture.Esilk carpets and another for hand-carved furniture.

The highlight of Khiva was the 163-room Tash Hauli Palace of EThe highlight of Khiva was the 163-room Tash Hauli Palace of the khan, commissioned in 1830. We were already dizzy from go-Ethe khan, commissioned in 1830. We were already dizzy from go-

W cultural importance, including the Juma Mosque (which has 213

W cultural importance, including the Juma Mosque (which has 213 elaborately carved wooden pillars) and the Pakhlavan Mahmoud

W elaborately carved wooden pillars) and the Pakhlavan Mahmoud mausoleum (a 12th century poet, wrestler and saint), where wed-W mausoleum (a 12th century poet, wrestler and saint), where wed-ding parties gather to drink from a well for good luck. UNESCO W ding parties gather to drink from a well for good luck. UNESCO runs handicraft workshops, including one for beautiful handmade W runs handicraft workshops, including one for beautiful handmade

The fi rst great monumental architecture we saw was the Bibi

W The fi rst great monumental architecture we saw was the Bibi

Khanum Mosque. The largest in the world at the time, its portals

W Khanum Mosque. The largest in the world at the time, its portals were 115 feet high, with 165-foot minarets and 400 cupolas and a

W were 115 feet high, with 165-foot minarets and 400 cupolas and a courtyard that could accommodate 10,000. The gates were made of W courtyard that could accommodate 10,000. The gates were made of seven metals and the mosque was built with marble and terra cotta, W seven metals and the mosque was built with marble and terra cotta, decorated with glazed multihued mosaics and blue-gold frescoes. W decorated with glazed multihued mosaics and blue-gold frescoes. But it began to fall apart almost immediately because it exceeded W But it began to fall apart almost immediately because it exceeded

Ospent his reign making breakthrough astronomical discoveries and

Ospent his reign making breakthrough astronomical discoveries and sponsoring science and art.

Osponsoring science and art.

The fi rst great monumental architecture we saw was the Bibi

OThe fi rst great monumental architecture we saw was the Bibi

Khanum Mosque. The largest in the world at the time, its portals OKhanum Mosque. The largest in the world at the time, its portals were 115 feet high, with 165-foot minarets and 400 cupolas and a Owere 115 feet high, with 165-foot minarets and 400 cupolas and a courtyard that could accommodate 10,000. The gates were made of Ocourtyard that could accommodate 10,000. The gates were made of seven metals and the mosque was built with marble and terra cotta, Oseven metals and the mosque was built with marble and terra cotta,

Nof the city. Another highlight was the observatory of Ulug Beg, who

Nof the city. Another highlight was the observatory of Ulug Beg, who

Nspent his reign making breakthrough astronomical discoveries and

Nspent his reign making breakthrough astronomical discoveries and

The fi rst great monumental architecture we saw was the Bibi NThe fi rst great monumental architecture we saw was the Bibi Khanum Mosque. The largest in the world at the time, its portals NKhanum Mosque. The largest in the world at the time, its portals were 115 feet high, with 165-foot minarets and 400 cupolas and a Nwere 115 feet high, with 165-foot minarets and 400 cupolas and a

Lof the city. Another highlight was the observatory of Ulug Beg, who


Lspent his reign making breakthrough astronomical discoveries and Lspent his reign making breakthrough astronomical discoveries and

The fi rst great monumental architecture we saw was the Bibi LThe fi rst great monumental architecture we saw was the Bibi Khanum Mosque. The largest in the world at the time, its portals LKhanum Mosque. The largest in the world at the time, its portals

Yof the city. Another highlight was the observatory of Ulug Beg, who Yof the city. Another highlight was the observatory of Ulug Beg, who Yspent his reign making breakthrough astronomical discoveries and Yspent his reign making breakthrough astronomical discoveries and

The fi rst great monumental architecture we saw was the Bibi YThe fi rst great monumental architecture we saw was the Bibi LYLof the city. Another highlight was the observatory of Ulug Beg, who

Lof the city. Another highlight was the observatory of Ulug Beg, who Yof the city. Another highlight was the observatory of Ulug Beg, who


LYLspent his reign making breakthrough astronomical discoveries and Lspent his reign making breakthrough astronomical discoveries and Yspent his reign making breakthrough astronomical discoveries and Lspent his reign making breakthrough astronomical discoveries and

The fi rst great monumental architecture we saw was the Bibi LThe fi rst great monumental architecture we saw was the Bibi YThe fi rst great monumental architecture we saw was the Bibi LThe fi rst great monumental architecture we saw was the Bibi

© 2008 SUNSHINE MEDIA, INC. UNAUTHORIZED USE OF THIS DOCUMENT IS STRICTLY PROHIBITED.The fi rst great monumental architecture we saw was the Bibi

© 2008 SUNSHINE MEDIA, INC. UNAUTHORIZED USE OF THIS DOCUMENT IS STRICTLY PROHIBITED.The fi rst great monumental architecture we saw was the Bibi Khanum Mosque. The largest in the world at the time, its portals

© 2008 SUNSHINE MEDIA, INC. UNAUTHORIZED USE OF THIS DOCUMENT IS STRICTLY PROHIBITED.Khanum Mosque. The largest in the world at the time, its portals were 115 feet high, with 165-foot minarets and 400 cupolas and a


were 115 feet high, with 165-foot minarets and 400 cupolas and a courtyard that could accommodate 10,000. The gates were made of


courtyard that could accommodate 10,000. The gates were made of seven metals and the mosque was built with marble and terra cotta,


seven metals and the mosque was built with marble and terra cotta, decorated with glazed multihued mosaics and blue-gold frescoes.


decorated with glazed multihued mosaics and blue-gold frescoes.


The highlight of Khiva was the 163-room Tash Hauli Palace of


The highlight of Khiva was the 163-room Tash Hauli Palace of the khan, commissioned in 1830. We were already dizzy from go-


the khan, commissioned in 1830. We were already dizzy from go-ing past tiles with geometric and fl oral art, perfected over 1,400


ing past tiles with geometric and fl oral art, perfected over 1,400 centuries since the Koran forbade using fi gures of people or animals


centuries since the Koran forbade using fi gures of people or animals except for symbolic purposes, as well as mandating that nothing


except for symbolic purposes, as well as mandating that nothing be a precise duplication of anything else. Every inch of the palace


be a precise duplication of anything else. Every inch of the palace was covered with different designs and colors and we felt like we


was covered with different designs and colors and we felt like we had walked into a kaleidoscope.© 2008 SUNSHINE MEDIA, INC. UNAUTHORIZED USE OF THIS DOCUMENT IS STRICTLY PROHIBITED.

had walked into a kaleidoscope.

But it began to fall apart almost immediately because it exceeded


But it began to fall apart almost immediately because it exceeded the building capabilities of the age and is only partially restored.


the building capabilities of the age and is only partially restored.


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Baylor Radiosurgery Center .......................................................... Inside Back Cover

Community Hospice of Texas .................................................................................15

HealthSpring ...........................................................................................................9

Randy Yarbrough Photography ............................................................... Back Cover

U.S. Army ...............................................................................................................3

Army Physicians NeededCan You Put Your Country First?By Jennifer B. Scott

news

For the fi rst time this decade, the Army is recruiting physicians by specialty for active duty. “Although the Army hasn’t increased in size in years, the need for medical care has increased because of world events,” said Command Sergeant Major Thomas Smith, head of Army medical recruiting for the southwest region of the U.S. “As more of our reservists mobilize, the need for health care has increased,” he continued, both at home and in the fi eld.

BOTH NEW AND EXPERIENCED PHYSICIANS IN DEMAND

CSM Smith explained that the military hopes to recruit more experienced doctors who may have always had a desire to serve their country, but haven’t had the oppor-tunity to do so. “We haven’t completely fi lled our ranks with students,” CSM Smith said, explaining that the Army has seen a decline in medical school scholarship ap-plicants since the confl icts in Afghanistan and Iraq began.

The military’s scholarship program nor-mally places more than 300 students a year in medical schools, but has fallen short of that mark during the past fi ve years. At the same time, the war has created a greater need than ever. “The Army is sending the most troops to Iraq,” CSM Smith said. “It’s simple; we need more doctors to take care of our soldiers and their families.” The spe-cialties most in demand right now are family practice, pediatrics, internal medicine, emergency medicine and neurology.

The Army wants to continue recruit-ing great physicians who are looking for a new challenge and have the desire to take care of soldiers and their families. Experienced doctors are needed as much

as new recruits, especially those with specialty expertise and those who have served in the past. In fact, approximately 50% of physicians who join the Army have prior service in the military, CSM Smith said. He added that most doctors and dentists who volunteer deploy for 90 days and then return home.

ARMY TEACHING INSTITUTIONS AMONG BEST IN THE COUNTRY

Both new and experienced physicians will fi nd excellent opportunities in the Army, CSM Smith said.

“Our teaching institutions are some of the best in the country,” he said, adding that trauma training during wartime is cutting edge simply because of the large numbers of battlefi eld injuries. “Army docs are learning new things on the battlefi eld and improving techniques to save limb and life,” he said.

“Army residents’ pass rates on medical exams exceed that of civilians,” CSM Smith said. In fact, advanced training has led to a pass rate of 90% on medical boards for military physicians compared to around 70% with the civilian population. In ad-dition, military physicians, unlike their civilian counterparts, don’t have to worry

about malpractice private insurance cover-age. Finally, right now the Army is offering incentives and bonuses to joining physicians to ensure its medical staff is the cream of the crop.

Recently, a premier specialty physician who is almost 60 joined the Army simply because he’d always wanted to serve his country and now fi nally sees an opportunity after his children are grown. This isn’t sur-prising to CSM Smith, however, who feels that people who choose medicine as a career are already by nature very compassionate and unselfi sh professionals by nature.

TAKE ONE MORE STEPSelfl ess service is a key Army value and

one most physicians already have, CSM Smith explained. “Consider a calling greater than you’ve already been called to do — take that one more step,” he said. “Consider that you’d be serving others before yourself. We can’t let our soldiers down. We can’t fail them.”

For more information about serving as an Army physician, call CPT Luis Rocha at 1-877-571-4142 or visit healthcare.goarmy.com.

Jennifer Scott is a freelance writer and editor based in San Antonio, TX. E-mail: [email protected]. ■

Rhopes to recruit more experienced doctors

Rhopes to recruit more experienced doctors who may have always had a desire to serve

Rwho may have always had a desire to serve their country, but haven’t had the oppor-Rtheir country, but haven’t had the oppor-tunity to do so. “We haven’t completely Rtunity to do so. “We haven’t completely fi lled our ranks with students,” CSM Smith Rfi lled our ranks with students,” CSM Smith said, explaining that the Army has seen a Rsaid, explaining that the Army has seen a

ECSM Smith explained that the military

ECSM Smith explained that the military

hopes to recruit more experienced doctors

Ehopes to recruit more experienced doctors who may have always had a desire to serve Ewho may have always had a desire to serve their country, but haven’t had the oppor-Etheir country, but haven’t had the oppor-tunity to do so. “We haven’t completely Etunity to do so. “We haven’t completely fi lled our ranks with students,” CSM Smith Efi lled our ranks with students,” CSM Smith

VCSM Smith explained that the military

VCSM Smith explained that the military

hopes to recruit more experienced doctors Vhopes to recruit more experienced doctors who may have always had a desire to serve Vwho may have always had a desire to serve their country, but haven’t had the oppor-Vtheir country, but haven’t had the oppor-tunity to do so. “We haven’t completely Vtunity to do so. “We haven’t completely

IEXPERIENCED PHYSICIANS

IEXPERIENCED PHYSICIANS

CSM Smith explained that the military ICSM Smith explained that the military hopes to recruit more experienced doctors Ihopes to recruit more experienced doctors who may have always had a desire to serve Iwho may have always had a desire to serve

the best in the country,” he said, adding Ithe best in the country,” he said, adding that trauma training during wartime is Ithat trauma training during wartime is E

Both new and experienced physicians

EBoth new and experienced physicians

will fi nd excellent opportunities in the

Ewill fi nd excellent opportunities in the Army, CSM Smith said. EArmy, CSM Smith said. E“Our teaching institutions are some of E“Our teaching institutions are some of the best in the country,” he said, adding Ethe best in the country,” he said, adding that trauma training during wartime is Ethat trauma training during wartime is

W INSTITUTIONS AMONG BEST

W INSTITUTIONS AMONG BEST IN THE COUNTRY

W IN THE COUNTRYBoth new and experienced physicians W Both new and experienced physicians

will fi nd excellent opportunities in the W will fi nd excellent opportunities in the Army, CSM Smith said. W Army, CSM Smith said. W

“Our teaching institutions are some of W “Our teaching institutions are some of

the best in the country,” he said, adding W the best in the country,” he said, adding

OINSTITUTIONS AMONG BEST OINSTITUTIONS AMONG BEST

Both new and experienced physicians OBoth new and experienced physicians

country and now fi nally sees an opportunity

Ocountry and now fi nally sees an opportunity after his children are grown. This isn’t sur-

Oafter his children are grown. This isn’t sur-prising to CSM Smith, however, who feels Oprising to CSM Smith, however, who feels that people who choose medicine as a career Othat people who choose medicine as a career are already by nature very compassionate Oare already by nature very compassionate and unselfi sh professionals by nature.Oand unselfi sh professionals by nature.

Nwho is almost 60 joined the Army simply

Nwho is almost 60 joined the Army simply because he’d always wanted to serve his

Nbecause he’d always wanted to serve his country and now fi nally sees an opportunity

Ncountry and now fi nally sees an opportunity

Nafter his children are grown. This isn’t sur-Nafter his children are grown. This isn’t sur-prising to CSM Smith, however, who feels Nprising to CSM Smith, however, who feels that people who choose medicine as a career Nthat people who choose medicine as a career are already by nature very compassionate Nare already by nature very compassionate

LRecently, a premier specialty physician


who is almost 60 joined the Army simply

Lwho is almost 60 joined the Army simply because he’d always wanted to serve his Lbecause he’d always wanted to serve his country and now fi nally sees an opportunity Lcountry and now fi nally sees an opportunity Lafter his children are grown. This isn’t sur-Lafter his children are grown. This isn’t sur-prising to CSM Smith, however, who feels Lprising to CSM Smith, however, who feels Y

Recently, a premier specialty physician

YRecently, a premier specialty physician

who is almost 60 joined the Army simply Ywho is almost 60 joined the Army simply because he’d always wanted to serve his Ybecause he’d always wanted to serve his country and now fi nally sees an opportunity Ycountry and now fi nally sees an opportunity Yafter his children are grown. This isn’t sur-Yafter his children are grown. This isn’t sur-LYL

Recently, a premier specialty physician


YRecently, a premier specialty physician


who is almost 60 joined the Army simply

Lwho is almost 60 joined the Army simply Ywho is almost 60 joined the Army simply

Lwho is almost 60 joined the Army simply because he’d always wanted to serve his Lbecause he’d always wanted to serve his Ybecause he’d always wanted to serve his Lbecause he’d always wanted to serve his country and now fi nally sees an opportunity Lcountry and now fi nally sees an opportunity Ycountry and now fi nally sees an opportunity Lcountry and now fi nally sees an opportunity LYLafter his children are grown. This isn’t sur-Lafter his children are grown. This isn’t sur-Yafter his children are grown. This isn’t sur-Lafter his children are grown. This isn’t sur-prising to CSM Smith, however, who feels Lprising to CSM Smith, however, who feels Yprising to CSM Smith, however, who feels Lprising to CSM Smith, however, who feels

© 2008 SUNSHINE MEDIA, INC. UNAUTHORIZED USE OF THIS DOCUMENT IS STRICTLY PROHIBITED.after his children are grown. This isn’t sur-

© 2008 SUNSHINE MEDIA, INC. UNAUTHORIZED USE OF THIS DOCUMENT IS STRICTLY PROHIBITED.after his children are grown. This isn’t sur-prising to CSM Smith, however, who feels

© 2008 SUNSHINE MEDIA, INC. UNAUTHORIZED USE OF THIS DOCUMENT IS STRICTLY PROHIBITED.prising to CSM Smith, however, who feels that people who choose medicine as a career


that people who choose medicine as a career are already by nature very compassionate


are already by nature very compassionate


their country, but haven’t had the oppor-


their country, but haven’t had the oppor-tunity to do so. “We haven’t completely


tunity to do so. “We haven’t completely fi lled our ranks with students,” CSM Smith


fi lled our ranks with students,” CSM Smith said, explaining that the Army has seen a


said, explaining that the Army has seen a decline in medical school scholarship ap-© 2008 SUNSHINE MEDIA, INC. UNAUTHORIZED USE OF THIS DOCUMENT IS STRICTLY PROHIBITED.

decline in medical school scholarship ap-plicants since the confl icts in Afghanistan


plicants since the confl icts in Afghanistan

“Our teaching institutions are some of


“Our teaching institutions are some of the best in the country,” he said, adding


the best in the country,” he said, adding that trauma training during wartime is


that trauma training during wartime is cutting edge simply because of the large


cutting edge simply because of the large

and unselfi sh professionals by nature.


and unselfi sh professionals by nature.

Bright solutions for patients with lung cancer.If you’ve been diagnosed with lung cancer, there’s a ray of hope. At Baylor University Medical

Center at Dallas, we have a dedicated radiosurgery center where even something as complex

as an inoperable lung tumor may be eliminated without incision. Advanced techniques like

GammaKnife® aim radiation directly at the tumor to avoid damaging healthy tissue.

And a team of specialists work together to provide the most suitable treatment plan for each

patient. At Baylor, we have the expertise and technologies needed to remove the tumor.

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Physicians are members of the medical staff at one of Baylor Health Care System’s subsidiary, community or affiliated medical centers and are neither employees nor agents of those medical centers, Baylor University Medical Center at Dallas or Baylor Health Care System. ©2008 Baylor Health Care System CE BRS MDN 9.08

05711200811000

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