ALT Medical Guide July 2011

S U M M E R 2 0 11

Skin cancer does not discriminate!

Yo u c a n b e a f f e c t e d ! L e a r n the signs now!

S U M M E R 2 0 11 / c o n t e n t s

F E AT U R E S

BUSINESS

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Don’t Fry Day

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Profile - Oak Creek Furniture

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Heat Stroke

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Profile - Vision Source

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Swimming . Pros and Cons

HELPFUL INFO

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A r k - L a - Te x R e s o u r c e G u i d e

Publisher and Editor / Debbie Brower Associate Editors / Jaclyn Gooding, Miranda Johnson

k / COVER

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Don’t Fry Day...

Skin Cancer...the prognosis is devastating. The cancer does not discriminate. Find out the signs so that you can take action if your health is affected!

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Photography / Image Forward Photography, Debbie Brower, Jaclyn Gooding, Miranda Johnson, Rozana Page Sales & Marketing Manager / Charlie McMurphy Feature Writer / Jane Bouterse

w w w. a l t - m a g . c o m

info@alt-mag.com 200 Heather Dr., Texarkana, TX 75501 (903) 334-9605

©2011 ALT Magazine

by Jane Bouterse

Anita Carver, left; Jennifer Jaynes, right.

“DON’T FRY DAY” … was Friday, May 27, 2011

If you missed it, not a problem…You still have lots of opportunities to celebrate!

Although this day is defined in America’s list of significant occasions, its purpose is relevant for the almost 7 billion who populate the Earth. We all have skin.

Although our skin—the largest organ in our bodies-- may seem “as tough as nails,” skin is fragile and vulnerable to our caretaking choices.

“Don’t Fry Day”…

… is the creation of the U.S. Environmental Protection Agency and the National Council on Skin Cancer Prevention. Each Friday before Memorial Day Weekend these organizations provide life-saving tips on sun safety. Both agencies recognize that the main cause of skin cancer—the most common type of cancer in the United States—is UVA and UVB radiation. Most of this radiation is delivered via. our six billion year old star, the sun, yet sources like tanning beds and sunlamps also deliver the damaging rays.

EPA statistics indicate skin cancer is more frequent than breast, prostate, lung and colon cancers combined. “Every hour, one American dies from skin cancer, the agency noted.” According to the National Cancer Institute of the National Institutes of Health, the most common skin cancers are Melanoma, Basal cell skin cancer and Squamous cell carcinoma.

To show that no one is immune to skin cancers and assist in diagnosis, Mayo Clinic resources clarify. The two most common types of Non-Melanoma Cancers are: Basal cell carcinoma-- usually occurs in sun-exposed areas of the body— face, ears, or scalp and may appear as a “pearly or waxy bump or a flat, flesh-colored or brown scar-like lesion.”

Squamous cell carcinoma-occurs on sun-exposed areas of the body, such as face, lips, ears, and hands and may appear as “a firm, red nodule or a flat lesion with a scaly, crusted surface.”

Melanoma-- “can develop anywhere on your body, in otherwise normal skin or in an existing mole….Melanoma most often appears on the trunk, head or neck of affected men. In women, this type of cancer most often develops on the lower legs.  In both men and women, melanoma can occur on skin that hasn’t been exposed to the sun.  Melanoma can affect people of any skin tone. In people with darker skin tones, melanoma tends to occur on the palms or soles, or under the fingernails or toenails.  Melanoma signs may include a large brownish spot with darker speckles or a mole that changes in color, size or feel

or that bleeds; a small lesion with an irregular border and portions that appear red, white, blue or blue-black; …or on mucous membranes ….

[For more comprehensive information, see the online booklet What You Need To Know About Melanoma and Other Skin Cancers.

Published by the National Cancer Institute of the National Institutes of Health.]

Skin cancer can be caused by genetics as well as environment and lifestyle. A recent report in JAMA noted that the frequency of non-melanoma skin cancers among children and young adults appears to be increasing. Since most people get the majority of their sun exposure before reaching 18 years of age, a closer examination of early lifestyle choices seems appropriate. Anita Carver and Jennifer Jaynes offer their experiences as examples.

ANITA CARVER

Anita Carver’s bright wall-ofwindows office at the Temple Memorial Rehabilitation Center in Texarkana, Texas, is filled with signs of a busy job. Boxes and baskets with all kinds of goodies—tickets, candy, peanuts— currently occupy any space available. “This is what’s left over from our Divots for Disabilities Golf Tournament,” this lively 5 foot 4 inch dynamo explains.

Anita Carver is dedicated to the Temple Memorial Rehabilitation Center.

During the time Carver’s son Jared was receiving treatment at the Center, she proved her ability to deal with challenging circumstances. As a result she was offered the position of Development Director for the Rehab Center. “I was just thrilled!”

Today, her inexhaustible energies and ideas provide the driving forces behind money raising for Temple Memorial’s considerable needs.

“We are a pediatric facility, and we treat children regardless of their ability to pay.

Temple Memorial Rehabilitation Center provides occupational, physical and speech therapy services, hippotherapy in conjunction with the Runnin’ WJ Ranch and aquatic therapy at Minton’s Sportsplex. “To each according to his need.” Occasionally, older clients may receive assistance, but the focus of Carver and her crew is on the children.

“I am a non-profit junkie,” she laughs comfortably. “When I lose focus or

get discouraged, I just go to our lobby to find it. That’s not hard when you watch kids in braces take their first steps or ride a bike for the first time. There is so much reward in helping others—in feeling like in some small way I am helping people.”

In recent days, however, Carver has been in need of help for herself, as her life has caught up with her. To explain: Carver was born and reared in Foreman, AR, where she and her husband Brandon and son Jared still live. She grew up with multiple ranching responsibilities, all of which suited her as long as they were outside. “I’m still pretty much that way,” she confesses.

“When I was growing up, I actively tried to have a tan. I have some Native American blood, so I tanned easily. I thought I was invincible in high school and college.

My mom tried to tell me ‘Oh, that’s just what mom’s say,’ so I stayed in the sun without any hat or sunscreen. I never burned, so I didn’t worry.” The arrival of 2011 changed all of that.

Anita explains that one morning she just happened to notice this bump.

Apparently the bump had been near the base of her forehead just between her eyes for a while, but all of a sudden it grew quite a bit in a short time. Just so they could tell her it was nothing, Anita had the bump examined. “I don’t know why I did. That’s not like me,” she adds. Just as a precaution, a portion of the bump was shaved off and sent for biopsy. The results indicated basal cell carcinoma, a non-melanoma cancer which rarely spreads to distant sites in the body but can invade nearby tissues and be disfiguring.

The treatment recommended for Carver was Mohs Surgery (“a technique in which tissue is removed in thin layers and each layer carefully examined under a microscope for cancer cells”). After the first layer was removed and tested, the cancer cells were gone, so the wound was cauterized and 6-8 stitches employed.

Anita’s pleas for the additional removal of her wrinkles fell on deaf ears, however.

All went well until the stitches were removed. Anita’s wound was not healed, so it broke open. That not only extended the healing process but made it necessary for her to wear a Band-Aid right in the center www.alt-mag.com

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of her forehead. With her usual aplomb and humor, she decided to call attention to what could not go unnoticed. Every day for four weeks, she carefully placed a new Bandaid near the base of her forehead’s center just between her eyes. Her choices brought steady comments from not only her host of children but also her center and community colleagues.

Even with the laughter, the first day Madame Director was able to wear make-up was a day for celebration. Now every three weeks, Carver receives laser treatments which leave little blue marks and bruises—much more noticeable to her than anyone else-- but no matter. Today, she looks forward—“I feel good about myself.”

As for changes: sunscreen goes on under her make-up, SPF 45, “I know there are all kinds of excuses not to do it—sweat gets in my eyes and burns; it feels heavy and has to be reapplied. I always wear a hat now—even on the beach, and I pay attention to the sun and the time of day.

You can burn on a cloudy day. My lifestyle is just more cautious than before, and my idea of beautiful no longer includes a tan.

I understand there are no negotiations on these changes, if I want to stay skin cancer free.”

Anita Carver is fortunate. She has been given a warning—frightening, uncomfortable and early. With minor changes in her lifestyle, she can continue to engage in all those outdoor activities she

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has always enjoyed without endangering her future. How fortunate she learns so quickly and is willing to share the lessons she has learned with others. She has dedicated her life to helping others in many different ways—from braces to beauty.

JENNIFER JAYNES

Jennifer Jaynes, on the other hand, has just celebrated her twentieth birthday, so she hasn’t had as much experience in helping others as Anita Carver. Her commitment, however, is growing.

Jennifer’s glowing green eyes captivate anyone on whom they fall.

Her blonde hair and easy smile command that attention be paid to her attractive 5 foot 1 inch frame.

Every ounce of her 110 pounds has found just the right place to compliment her appearance. To all eyes, Jennifer is a beautiful, bright young lady with a promising future. This vision is accurate but incomplete, as Jennifer’s body is already in the process of reminding her “I know what you have done.”

Jennifer’s definition of beauty was formed early. At 12 years of age, she began to experience the teasing of her peers about her “pale” appearance, so she decided to do something about it. The answer for her was the tanning bed, since “tan” was the key to changing the taunts. By age 13, Jennifer was on the tanning bed four times a month for five years. She had no reason to worry, as there was no history of cancer in her family, and

her sessions were only 15 minutes unless the bed was a newer one—then 10 minute sessions were in order.

The first few times on the bed she burned a little, but she also used lotion which made her tingle as it moved into her pores to produce a darker, longer-lasting tan. Jennifer felt safe with her lotions and her showers after each tan. Perhaps more important than safety was her happiness with herself because she liked the way she looked. Her efforts to be beautiful were producing the results she wanted, that is until the last semester of her senior year at Texas High School when her bubble began to lose some of its air…. …The rotation of her body during her tanning sessions had guaranteed that every inch of her skin was exposed to the predominantly UVA rays emitted by the beds. “A tan results from injury to the skin’s DNA; the skin darkens in an imperfect attempt to prevent further DNA damage.” Even though Jennifer had noticed differences in several moles on her body— darker, puffier, different shapes—it was the summer between her high school graduation and her freshman year at Texarkana College. A German friend had provided her a three week visit to include Hamburg, Berlin and Kiel—an opportunity she could not ignore.

Since she knew that Kiel boasted beautiful beaches, Jennifer went almost every other day to the tanning bed so she could get really dark for her German beach debut. Her visit was exciting, but she recognized when she returned home it was time to visit the doctor. The changes in her moles were much more noticeable— a darker middle than border and irregular shapes. There was no discomfort; she just knew something was wrong.

In November 2009, the doctor checked the suspect moles and, after administering anesthetic, “hole punched” a portion of a mole’s middle. The test results signaled malignancy. Jennifer was declared lucky for having detected the moles early so the infected cells were confined to the top. However, when she returned to get these test results, two more suspect moles (which she could not see) were discovered on top of her hip and spine. They, too, were misshapen and growing fast. Samples were removed and sent off for testing three times.

Each time results indicated malignancy.

Jennifer’s mom, reluctantly determined it was time to head to The University of Texas

M. D. Anderson Cancer Center in Houston.

Jennifer’s first appointment was in June 2010. To begin, the dermatologist used a dermatoscope (also known as dermoscope and dermascope) to get a detailed view of Jennifer’s skin and the structures not visible to the naked eye. That examination provided the doctor a picture base of Jennifer’s largest organ—her skin. It also revealed a problem mole on her lower right front stomach and two more on her front left side. The lower mole was healthy after the first test which removed the malignant cells. Early detection prevented serious problems.

At this stage of her life, Jennifer has been inspected by doctors in Texarkana and in Houston all of whom have discovered and removed problem moles. In fact one mole on her lower trunk had another discolored mole growing fast on top of the original.

Her frequent examinations have accustomed her to the routine of needles and removals and shavings and samples. She is also well aware of the pain.

For now, Jennifer returns every six months to Houston for an examination and whatever actions need to be taken to keep her body cancer free. On her latest trip two new lesions were discovered and will be watched carefully until her next visit in November.

Jennifer uses the above chart regularly as recommended by her doctors to check for abnormalities.

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Although her Anderson dermatologist would like to see Jennifer move to annual visits, her body is not ready to be unobserved for that long. Jennifer is also her own observer who has been provided a measurement card to gauge the changes which take place in her moles.

Today, Jennifer’s tanning consists of sunshine only after sunblock of 100 SPF has been applied, but even that time is limited.

A malignant mole has been found in her hairline, so her sun visits are short and always topped by a broad brimmed hat. Tanning sprays provide most of her tan. “Now I go to get my spray-on tan, and I see all these young girls. It breaks my heart. I really wish I could tell them that just because a lot of young people are using tanning beds that doesn’t make them beautiful; it just makes them more at risk. I promise you are beautiful the way you are, whatever color your skin tone is, it doesn’t matter. The only person that can judge you is God, and He thinks you are beautiful. I wake up to a daily reminder of scars at twenty years old. Tanning beds are just not worth it, and the doctor bills are way higher than the tanning beds.

“Girls and even some guys don’t pay enough attention to their bodies because they think ‘cancer is not going to happen to me; it’s never been in my family.’ It happened to me, and I’m still paying for it.”

At this point, Jennifer has no idea for how long she will be paying for her definition of “beautiful.” Her healing has begun, however, as she has redefined and prioritized those components most important to her life. Her willingness to share her mistakes with others is a courageous step.

The human body does not forget what has been done to it; therefore, choices should be carefully considered. We also have the privilege of occupying a rare and beautiful planet which deserves our respect. As summer approaches, be knowledgeable and sensible in handling both the heat and the sun, i.e. celebrate “Don’t Fry Day” every day.

For the latest information about skin cancer, consult the following Web sites: http://www.cancer.gov/cancertopics/types/skin.

For information about melanoma, go to: http://www.cancer.gov/cancertopics/types/melanoma Also, National Cancer Institute’s Cancer Information Service can answer your questions about skin cancer. NCI booklets and fact sheets are available. Call 1-800-4-CANCER (1-800-422-6237) or chat online at LiveHelp, NCI’s instant messaging service at: http://www.cancer.gov/livehelp,

Sun Protection Factor (SPF) and UV Radiation  Since the advent of modern sunscreens, a sunscreen’s efficacy has been measured by its sun protection factor, or SPF.  SPF is not an amount of protection per se.  Rather, it indicates how long it will take for UVB (Ultraviolet B—shortwave rays) to redden skin when using a sunscreen, compared to how long skin would take to redden without the product.  For instance, someone using a sunscreen with an SPF of 15 will take 15 times longer to redden than without the sunscreen.

SPF 15 Sunscreen screens 93% of sun’s UVB rays SPF 30 protects against 97% SPF 50 protects against 98%

The Skin Cancer Foundation maintains that SPFs of 15 or higher are necessary for adequate protection.  Since both UVA (Ultraviolet A—longwave rays) and UVB are harmful, look for sunscreen label phrases like Multi spectrum Broad spectrum UVA/UVB protection  The FDA, June 14, 2011, announced new labeling standards for sunscreen within one year. Users will be able to more adequately judge sunscreen’s strengths…

WATCH FOR THEM and READ! Source: www.skincancer.org/ understandinguva-and-uvb.html

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SKIN CANCER PREVENTION GUIDELINES

•

Seek the shade, especially between 10 AM and 4 PM

•

DO NOT burn.

•

Avoid tanning and UV tanning booths and sunlamps

•

Cover up with protective clothing--including

o Loose-fitting, long-sleeved clothing to cover as much skin as possible •

o Extended outdoor activity requires water-resistant, UVA and UVB resistant sunscreen of SPF of 30 or higher

o Broad-brimmed hats to protect face and neck

o Apply 1 ounce of sunscreen (2 tablespoons) 30 minutes before going into sun. Reapply every 2 hours if swimming or sweating or exercising.

o Tightly-woven clothing made of thick material—unbleached cotton, polyester, wool or silk o Dark or bright clothing with dyes added to absorb UV radiation

Wear a broad-spectrum, sunscreen with an SPF of 15 or higher, summer and winter, cloudy and clear days

•

Wear wraparound sunglasses that block at least 99% of UVA and UVB radiation.

•

Be careful when on sand, snow or water because these surfaces can reflect 85% of the sun’s rays.

•

Keep newborns out of the sun. Use sunscreens on babies over the age of six months.

•

Examine your skin head-to-toe every month

•

See your physician every year for a professional skin exam.

Sources: The Skin Cancer Foundation www.skincancer.org and www.texasoncology.com/skin-cancer

For information on advertising in the Ark-La-Tex’s Premiere Magazine, call

Charlie McMurphy 903.908.5797

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For the first time ever, Minton’s Sportsplex offers

Summer memberships!

OR

$0 Enrollment!

On average, there are approximately 3000 drowning deaths every year. Most of these deaths are preventable.

Mike Minton, owner of Minton’s Sportsplex, calls these unnecessary deaths a tragedy and hopes to make an impact on the number of drownings here in Texarkana, so he is prepared to offer FREE SWIM LESSONS to the first fifty people who get memberships by July 31st. “Where and when I grew up, the Coast Guard, Scouts, and public schools taught us water safety,” says Mike. Unfortunately our children do not have access to these life saving skills in Texarkana. “We are trying to fill that void.”

Water safety is something Minton’s practices in every part of their facility, from their preschool kids to the general public.

Amy Cornish, preschool administrator at Minton’s, spoke about their Red Cross Longfellow’s Whales Tales Week: “This week we do things with children five to twelve to make them safer and more aware when around water.” Children who attend Minton’s Daycare can take swim lessons during the day as an added convenience to parents. Also, the Minton’s Sportsplex pool does not open without a Red Cross Certified

903.838.4697 mintonssportsplex.com

Let us h elp you have th perfect e STAY-c a t ion!

Outdoo r Gr

Life Guard on duty.

Do you have a little swimmer who is interested in learning more about aquatics? Minton’s offers swim camps for ages eight to twelve designed to help children learn freestyle, breaststroke, butterfly, and backstroke, while covering turns and use of equipment. The camps are offered July 11th to July 15th, and July 25th to July 29th. “That’s why we call it a sportsplex,” says Charlotte Hartwell, Director of Public Relations, “because we offer so much more than just a gym.”

There is so much value to having a Minton’s membership in the summer months.

“Summer is our busiest time of the year,” stated Executive Director, Shane Holland.

Minton’s summer swim lessons can help you or your child feel more secure in the water.

“We offer morning and afternoon lessons in one week sessions, Monday through Friday, for all ages,” added Darrell Magee, Aquatics and Recreations Director. All children should learn to swim to lower the risk of drowning.

Whether it is the beginning of the summer or the end, Minton’s offers private and group lessons all summer long.

Hurry in to Minton’s Sportsplex

ill - Tik i Huts a - Man i/Pedi/M assage s Dazzle Hair Sa lon

Day Sp

by April Little

and sign up for a new membership. The first 50 memberships receive FREE SWIM LESSONS! If you are interested in signing up for lessons, please call and register, as there is limited space. Minton’s Sportsplex; improving Texarkana’s health and quality of life one person, one family, one business at a time.

You can visit Minton’s at :

5610 Richmond Road, or give them a call at 903.838.4697. www.mintonssportsplex.com

5610 Richmond Road Texarkana, TX

What is heat stroke?

Heat stroke is a form of hyperthermia, an abnormally elevated body temperature with accompanying physical and neurological symptoms. Unlike heat cramps and heat exhaustion, two other forms of hyperthermia that are less severe, heat stroke is a true medical emergency that can be fatal if not properly and promptly treated. Heat stroke is also sometimes referred to as heatstroke.

The body normally generates heat as a result of metabolism, and is usually able to dissipate the heat by either radiation of heat through the skin or by evaporation of sweat. However, in extreme heat, high humidity, or vigorous physical exertion under the sun, the body may not be able to dissipate the heat and the body temperature rises, sometimes up to 106 F (41.1 C) or higher. Another cause of heat stroke is dehydration. A dehydrated person may not be able to sweat fast enough to dissipate heat, which causes the body temperature to rise.

Those most susceptible individuals to heart strokes include infants, the elderly (often with associated heart diseases, lung diseases, kidney diseases, or who are taking medications that make them vulnerable to dehydration and heat strokes), athletes and individuals who work outside and physically exert themselves under the sun.

What are heat stroke symptoms and signs?

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Symptoms of heat stroke can sometimes mimic those of heart attack or other conditions.

Sometimes a person experiences symptoms of heat exhaustion before progressing to heat strokes.

Signs and symptoms of heat exhaustion include nausea, vomiting, fatigue, weakness, headache, muscle cramps and aches, and dizziness.

However, some individuals can develop symptoms of heat stroke suddenly and rapidly without warning.

Different people may have different symptoms and signs of heatstroke. But common symptoms and signs of heat stroke include high body temperature, the absence of sweating, with hot red or flushed dry skin, rapid pulse, difficulty breathing, strange behavior, hallucinations, confusion, agitation, disorientation, seizure and/or coma.

How do you treat a heat stroke victim?

Victims of heat stroke must receive immediate treatment to avoid permanent organ damage.

First and foremost, cool the victim.

• Get the victim to a shady area, remove clothing, apply cool or tepid water to the skin (for example you may spray the victim with cool water from a garden hose), fan the victim to promote sweating and evaporation, and place ice packs under armpits and groin.

• Monitor body temperature with a thermometer and continue cooling efforts until the body temperature drops to 101 to 102 F (38.3 to 38.8 C).

• Always notify emergency services (911) immediately. If their arrival is delayed, they can give you further instructions for treatment of the victim.

How can heat stroke be prevented?

The most important measures to prevent heat strokes are to avoid becoming dehydrated and to avoid vigorous physical activities in hot and humid weather.

If you have to perform physical activities in hot weather, drink plenty of fluids (such as water and sports drinks), but avoid alcohol, caffeine, and tea which may lead to dehydration.

Your body will need replenishment of electrolytes (such as sodium) as well as fluids if you sweat excessively or perform vigorous activity in the sunlight for prolonged periods.

Take frequent breaks to hydrate yourself. Wear hats and light-colored, lightweight, loose clothes.

What about man’s best friend?

panting, dark red gums, tacky or dry mucus membranes (specifically the gums), lying down and unwilling (or unable) to get up, collapse and/or loss of consciousness, thick saliva and dizziness or disorientation.

-Heat stroke in dogs.

Hyperthermia is a term describing an elevation in body temperature. This increase typically occurs as a response to a trigger, such as inflammation in the body or a hot environment. When a dog is exposed to high temperatures, heat stroke or heat exhaustion can result. Heat stroke is a very serious condition that requires immediate medical attention. Once the signs of heat stroke are detected, there is precious little time before serious damage - or even death can occur.

Dogs do not sweat through their skin like humans - they release heat primarily by panting and they sweat through the foot pads and nose. If a dog cannot effectively expel heat, the internal body temperature begins to rise. Once the dog’s temperature reaches 106°, damage to the body’s cellular system and organs may become irreversible.

Unfortunately, too many dogs succumb to heat stroke when it could have been avoided.

Learn how to recognize the signs of heat stroke and prevent it from happening to your dog.

The following signs may indicate heat stroke in a dog: increased rectal temperature (over 104° requires action, over 106° is a dire emergency), vigorous

If you have even the slightest suspicion that your dog is suffering from heat stoke, you must take immediate action.

1. First, move your dog out of the heat and away from the sun right away.

2. Begin cooling your dog by placing cool, wet rags or washcloths on the body especially the foot pads and around the head.

3. DO NOT use ice or very cold water!

Extreme cold can cause the blood vessels to constrict, preventing the body’s core from cooling and actually causing the internal temperature to further rise. In addition, overcooling can cause hypothermia, introducing a host of new problems. When the body temperature reaches 103°, stop cooling.

4. Offer your dog cool water, but do not force water into your dog’s mouth.

5. Call or visit your vet right away - even if your dog seems better. Internal damage might not be obvious to the naked eye, so an exam is necessary (and further testing may

be recommended).

Tip: recruit others to help - ask someone to call the vet while you cool your dog.

There are ways you can prevent heat stroke from happening in the first place.

• NEVER leave your dog alone in the car on a warm day, regardless of whether the windows are open. Even if the weather outside is not extremely hot, the inside of the car acts like an oven - temperatures can rise to dangerously high levels in a matter of minutes.

• Avoid vigorous exercise on warm days.

When outside, opt for shady areas.

• Keep fresh cool water available at all times.

• Certain types of dogs are more sensitive to heat - especially obese dogs and brachycephalic (short-nosed) breeds, like Pugs and Bulldogs. Use extreme caution when these dogs are exposed to heat.

Some dogs can recover fully from heat stroke if it is caught early enough.

Others suffer permanent organ damage and require lifelong treatment. Sadly, many dogs do not survive heat stroke. Prevention is the key to keeping your dog safe during warmer weather. *Information from medicinenet.com and about.com

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ul ! f i t u ip a h e s B an m t f Cra

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We have chosen Amish furniture craftsmen who are recognized leaders in the solid wood furniture industry. Amish furniture is made by hand in small Amish wood shops so every piece of furniture receives the same attention to detail. Our Amish handcrafted furniture is built to last.

Why all the fuss about details?

Because the Amish craftsmen build furniture that your children and grandchildren will be proud to inherit. Come see our Amish-built bedroom furniture and oak dining room furniture.

The selection of the boards and the grade of the hard wood, along with dovetailed drawers, mortise-and-tenon construction and the multi-step finish are all just small parts of the build process that add up to an heirloom quality piece of oak or cherry furniture.

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Did you know...

There is no better place to sit for a meal than around Amish dining room furniture. Amish dining room furniture is made for a family to sit around and enjoy not just the meal, but each other’s company, as well.

All of our dining room furniture is sturdy and durable - your family and future generations of your family will be able to sit at and around our dining room furniture for years to come.

That most of the furniture made today uses substitute materials such as particleboard. Because particleboard is made from wood fragments bonded with resin, it is considered an all wood product BUT IT IS NOT solid wood.

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PROS

CONS

Asthma

Chlorine affects lungs

“Swimming is sometimes described as the perfect exercise for people with asthma,” says Greg Smith, CEO of the Asthma Foundation of NSW. A foundation study of 73 kids who joined a swimming program found that half reported a change in the amount or type of asthma medication they needed.

Two-thirds of these children reported they needed less medication to stay healthy. The air just above the surface of the water is moister and less likely to cause the airway muscles to constrict and bring on an attack, Smith says.

A study by the Sports Science Institute of South Africa found a big increase in exerciseinduced breathing problems in swimmers who used chlorinated pools.

Cushions joints

Chlorine quickly kills most germs that cause skin rashes and swimmer’s ear, but it takes longer to kill diarrhea-causing cryptosporidium. And if levels of chlorine are too low, chloramines form from the reaction between chlorine, urine and sweat.

“Swimming is a good whole-body exercise that has low impact for people with arthritis, musculoskeletal or weight limitations,” says Robert Robergs, director of the exercise physiology labs at the University of New Mexico. Water’s buoyancy helps cushion joints and bones. Immersed to the waist, your body bears 50% of its weight; to the chest, 25%; to the neck, 10%.

Anti-ageing A study at Indiana University found longterm swimmers aged over 40 who swam more than four times a week showed fewer signs of aging than the general population.

Study leader Dr Joel Stager says that the subjects displayed lower blood pressure, blood triglycerides and cholesterol; better pulmonary function; and better muscle mass.

Builds muscles Swimming uses all the major muscle groups and water provides 12 times the resistance of air, which boosts muscle strength. It’s not so wonderful for building bone density, however; for that you need weight-bearing exercise.

Earlier this year, researchers in Brussels found that infants taking indoor swimming lessons were more likely to develop asthma and recurrent bronchitis. It’s believed that chlorine-related gas is particularly damaging to the lungs of very young children.

Waterborne illness

Chloramines can cause skin, eye and respiratory irritation.

“Most of the ‘ideal’ ranges for chlorine in public pools are simply too low,” says Tom Griffiths, president of the Aquatic Safety Research Group at Penn State University.

Heavily used pools may need three to four parts per million (ppm) to prevent chloramine reactions.

Weight loss Swimming is a great way to get fit, but it may not speed up weight loss. Exercise physiologist Robert Robergs explains that scientists believe water submersion sets off a complex nerve pathway that lowers metabolic rate. As a result, you burn fewer kilojoules. And there’s another possible catch, according to Professor Louise Burke of the Australian Institute of Sport: “Swimming can increase appetite in some people and lead to eating more than you think.”

The verdict Swimming is a good fitness choice for just about everyone, but especially people who find other forms of exercise painful. If you want to lose weight, though, you may need to up the pace: a 70kg swimmer doing a vigorous freestyle can burn 35kJ a minute, Robert Robergs’ findings notwithstanding.

Some experts suggest people with asthma avoid pools with chlorine concentrations too far above 0.5ppm. So how do they get protection against chloramines? “Use a pool with a non-chlorine shocking agent like monopersulphate-based oxidisers,” says Griffiths.

He also recommends pools where water is replaced regularly. If indoors, they should have UV light treatment systems and good ventilation that brings in fresh air and blasts out chloramines at busy times. *Information obtained from R‑eader’s Digest

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Charlene and Mike Carter

CORONARY HEALTH IMPROVEMENT PROJECT All Other Weight Loss Programs Tag Their Ads with “Results Not Typical.”

“I was a severe diabetic, Our Results Are Typical! could barely walk because

What is CHIP? Former President, Bill Clinton, began this Lifestyle diet after his heart surgery.

The Coronary Health Improvement Project (CHIP) is designed to substantially lower high levels of blood pressure, blood sugar, cholesterol, heartburn, angina and to lessen depression. It facilitates the reversal of narrowed arteries.

Charlene lost 13 pounds in 30 days.

Jackie Pope

of my sore feet. Now walking several MILES daily! I was overweight.

Lost 14 pounds in 30 days and working toward my goal weight.”

-Jackie Pope Larry and Lela Harrison

“It’s never too late to take charge of your health,” say Larry and Lela Harrison of Texarkana. “Our results prove it!”

CHIP is now available in your community!

You too can be

Healthy by

Beginning Cholesterol 167

232 Ratio TC/HDL 5.76

5.40 Triglycerides 154

266 Weight 174

168

Choice, Not by Chance!

Ending 111 178 3.58 4.24 89 178 167 166

Difference -56 -54 -2.18 -1.16 -65 -88 -7 -2

*Visit Our Booth At The Four States Fair Grounds! 9/16 - 9/27 44

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19 Delicious Meals will be

served during the fall schedule! *Pictured, just a few examples of the meals provided.

Fall CHIP 2011 schedule!

First blood draw early morning session September 29, 2011 (Thursday morning 6:00AM-8:00AM) *sessions below will be from 6:30PM in the evening until 8:30PM

Week One: October 3, 4 , 6 (Monday, Tuesday, Thursday) Week Two: October 10, 11, and 13 (Monday, Tuesday, Thursday) Week Three: October 17, 18 and 20 (Monday, Tuesday,Thursday) Week Four: October 24, 25, 27 (Monday, Tuesday, Thursday) Week Five: October 31 (Monday) Week Six: November 1, 2, 3 (Tuesday, Wednesday, Thursday) Last blood draw November 4, 2011 (Friday morning 6:00AM-8:00 AM) GRADUATION EXERCISES November 7, Monday evening (6:30 PM)

Fees: Alumni - $150.00

Singles - $250.00

Couples - $375.00

Phone: 888-843-9199 Email: TXKCHIP@aol.com Learn More at our website: www.TXKCHIP.com www.alt-mag.com

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by Anne Fruge

Dr. James H. Moser, O.D. and Dr. Mark E. Allen, O.D. at Vision Source strive to provide quality eye care and excellent service to patients of all ages.

Whether you are seeking comprehensive vision care for the entire family or specialized treatment of an eye disease, Dr. Moser and Dr. Allen are skilled and experienced in a full range of eye care services.

wear for every patient’s individual needs. Keeping their eye on fashion trends, Vision Source offers frames and sunglasses for men, women and children depending on their personality and interests. Feel free to come in and peruse the large selection of Oliver Peoples, David Yurman, Rudy Project, Oakley, Ray Ban, Michael Kors, Vera Bradley, DKYN, Jones of New York, Vogue, Orvis, Vivian Morgan, Harley Davidson and much more.

Vision Source’s state of the art equipment allows them to provide an extensive range of testing to diagnose and treat many eye problems, including eye injuries, glaucoma, diabetic eye diseases, eye infections, macular degeneration and other retinal problems and dry eyes.

If you are thinking of contact lenses, the doctors at Vision Source have had years of experience and advanced training in fitting even the most difficult cases. They have a large selection of contact lenses in stock to find the one that best fits you.

Dr. Mark E. Allen was born in Texarkana and attended Texarkana College before transferring to Texas A&M University where he earned his Bachelor of Science degree in 1991. Dr. Allen attended the University of Houston College of Optometry from 1993 to 1997. After receiving his Doctor of Optometry degree with academic honors, he returned to Texarkana for private practice. Dr. Allen practices family care optometry with a special emphasis on medical eye care. His training at UHCO and the Amarillo Veterans Administration Medical Center was instrumental in preparing him to care for his patients with glaucoma, diabetes and other agerelated eye and vision problems.

Dr. James H. Moser has been practicing optometry in Texarkana since 1987. Dr. Moser received his Bachelor of Science degree in 1979 from University of Louisiana – Monroe. In 1985, he earned the Doctor of Optometry degree from the University of Houston College of Optometry. His work with post-cornea surgery patients as Mann-Berkley Eye Center in Houston allowed him to develop the knowledge and diagnostic skills necessary for managing difficult contact lens cases.

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“The best thing about our practice is the daily opportunity that we have to work with and help the people in our area,” Dr. Allen says. “Our practice is not just about selling glasses or contact lenses - it is about helping people.”

“Dr. Moser and I have been practicing together since 1997 because we both believe that the best and most thorough eye care is delivered in a practice that values long term relationships with patients,” Dr. Allen says.

Vision Source also employs an American Board certified optician, Jim Crawford, who has been making glasses since he was eight years old.

Crawford can customize any of Vision Source’s extensive inventories of around 1000 frames and eye

Vision Source is located at 4401 Morris Lane and is open from 8 a.m.-5 p.m. Monday through Friday. Call (903) 838-9063 for your appointment today.

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Ark-La-Tex Resource

Guide

Air and Heating Central Air 450 S. Kings Highway Texarkana, TX 75501 903.832.1212

Auto Repair Gary’s Body Shop 2306 Texas Blvd.

Texarkana, TX 903.793.3631

Caterers Chappo’s Italian Restaurant 1617 New Boston Road Texarkana, TX 75501 903.791.1726

Clothing Abby Gayle’s 4012 Summerhill Square Texarkana, TX 903.792.0088

Kraus Heating and Air 200 Industrial Blvd.

Nash, TX 903.831.3912

Banks Guaranty Bond Bank 2202 St. Michael Dr. Texarkana, TX 903.792.8600

Culinary Creations Pam Elliott 903.831.4674

Gayle’s 4059 Summerhill Square Texarkana, TX 903.792.0056

Alterations Bea’s Alterations 2917 N. Stateline Ave. Texarkana, TX 903-792-2955 Apartments Legacy at Pleasant Grove 5911 Richmond Rd. Texarkana, TX 888.763.2676 Richmond Oaks Apartments 2815 Richmond Rd. Texarkana, TX 903.832.6150 Summerhill Woods Apartments 4501 Summerhill Rd. Texarkana, TX 903.793.7888 Westwood Apartments 101 Redwater Rd. Wake Village, TX 903.832.8446 Attire Abby Gayle’s 4012 Summerhill Square Texarkana, TX 903.792.0088 Gayle’s 4059 Summerhill Square Texarkana, TX 903.792.0056

Texar Federal Credit Union Richmond Rd. Texarkana, TX 903.223.5626 Texarkana First Bank 3601 East 9th St. Texarkana, AR 870.772.0222 615 Sam Houston Dr. New Boston, TX 3625 Richmond Rd. Texarkana, TX 903.793.6955 Cakes Coldstone Creamery 4228 St. Michael Dr. Texarkana, TX 903.838.2653 Julie’s Deli 4055 Summerhill Sq. Texarkana, TX 903.792.3354 Reception Arts Becky Risinger Ashdown, AR 870.898.5273

Fuzzy’s Tacos 4809 Texas Blvd.

Texarkana, TX 903.791.8226 Julie’s Deli 4055 Summerhill Sq. Texarkana, TX 903.792.3354 Smokey Joe’s BBQ 300 W. New Boston Road Nash, TX 903.223.8227 Wendy’s 4201 Stateline Avenue Texarkana, TX 2902 Richmond Road Texarkana, TX 3737 New Boston Road Texarkana, TX 1615 N. Hervey Hope, AR 124 N. Loop Highway 59 Atlanta, TX Wingstop 2700 Richmond Road, Suite 14A1 Texarkana, TX 903.255.0090 4501 N. State Line, No. 106 Texarkana, TX 903.792.9464 www.wingstop.com

Dry Cleaning Holiday Cleaners Locations throughout Texarkana Area 870.773.4072 Event Locations Garrison Gardens Texarkana, AR 71854 870.773.0275 www.garrisongardens.net The Pavillion at Elk Meadow 8 Miles West of New Boston on I-30 382 PR 42042 DeKalb, TX 75559 903.319.5130 Prissy Chrissy Ranch 915 FM 2148 South Texarkana, TX 75501 903.838.6121 www.prissychrissy.com Regional Arts Center Cabe Hall 321 W. 4th Street Texarkana, TX 75501 903.792.8681 www.trahc.org Financial Planner Dustin Stringer Stringer Wealth Management 210 N. Stateline, Suite 204A Texarkana, AR 870.216.0089

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Fitness Centers Anytime Fitness Richmond Road 3415 Richmond Road.

Texarkana, TX 75503 903.794.5348 Minton’s Sportsplex 5610 Richmond Road Texarkana, TX 903.838.4697 Flooring G&A Carpet 1019 N. Kings Highway Nash, TX 903.832.0553 Lighthouse Flooring 6223 Mall Dr. Nash, TX 903.793.2047 Florists H&N Floral 7801 N. State Line 5708 Richmond Rd. Texarkana, TX 903.794.1417 903.832.2000

Twisted Vines 406 N. Stateline Avenue Texarkana, AR 870-772-2700

Table Manners 3205 Kennedy Lane Texarkana, TX 903.838.3538

Taylored Home Solutions 2840 Richmond Rd. Texarkana, TX 903.278.2353

Furniture

Twisted Vines 406 N. Stateline Avenue Texarkana, AR 870-772-2700

Hospice Dierksen Hospice 6500 N. Summerhill Road, Suite 2B Texarkana, TX

Oak Creek Furniture 8024 West 7th St. Texarkana, TX 903.832.0793 Gifts Dot’s Ace Hardware 3411 Richmond Rd. Texarkana, TX 903.838.0059 H&N Floral 7801 N. State Line 5708 Richmond Rd. Texarkana, TX 903.794.1417 903.832.2000 Lane’s Gifts & Collectibles 720 Realtor Ave. Texarkana, AR 870.773.2123

Queen City Floral Highway 59 North Queen City, TX 903.796.2891

Mixing Bowl 4014 Summerhill Square Texarkana, TX 903.794.4014

Ruth’s Flowers 3501 Texas Bllvd.

Texarkana, TX 903.793.6711 www.ruthsflowers.net

Queen City Floral Highway 59 North Queen City, TX 903.796.2891

Guns and Ammunition P&J Guns Jeff and Pam Cliften 248 E. New Boston Rd. Nash, TX 75569 903.293.4867 Hair Care Headmasters Hair Salon 3703 Mall Drive Texarkana, TX 903.832.6261 Style Studio Lisa Harris 3201 Kennedy Lane Texarkana, TX 903.223.1719 Home Designs/Remodeling Live Oak Construction PO Box 1325 Nash, TX 903.280.8813 Shannon-Lee, LLC Texarkana, TX 75501 903.908.1044

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903.793.6350 Hospitals Christus St. Michael Health System 2600 St. Michael Dr. Texarkana, TX 903.614.1000 Health South Rehabilitation 515 West 12th St. Texarkana, TX 903.793.0088 Wadley Hospital 1000 Pine St. Texarkana, TX 903.798.8000 Hotels Best Western Texarkana Inn & Suites 5219 Crossroads Parkway Texarkana, AR 870.774.1534 Clarion Lacross Hotel 5100 N. Stateline Ave. Texarkana, AR 870.774.3521 www.lacrosse-hotel.com Courtyard by Marriott 5001 North Cowhorn Creek Texarkana, TX 903.334.7400 Fairfield Inn and Suites by Marriott 4209 Mall Dr. Texarkana, TX 903.838.1000

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Holiday Inn Express & Suites 4545 Cowhorn Creek Road Texarkana, TX 903.223.0008

Kristi Smith State Farm Insurance 418 Walton Drive Texarkana, TX 903.223.3276

TownePlace Suites by Marriott 5020 North Cowhorn Creek Texarkana, TX 903.334.8800

Ron Morrow State Farm Insurance 3306 Richmond Rd. Texarkana, TX 75503 903.832.5505 www.ronmorrowagency.com

Insurance Brian Purtle Allstate Insurance 3301 Richmond Rd. Texarkana, TX 903.832.5881 Elite Insurance Tammy McDowell 1705 N. Kings Highway Nash, TX 903.794.0000 Farm Bureau Insurance 4140 McKnight Rd. Texarkana, TX 903.838.8707 Greg Cockerell State Farm Insurance 4807 Texas Blvd.

Texarkana, TX 75503 903.793.7502 Kelli Ashbrook State Farm Insurance 3410 Moores Lane Texarkana, TX 75503 903.223.8100 www.kelliashbrook.com

Jewelers Alexander’s Jewelers 3701 Mall Drive Texarkana, TX 903.832.3557 Blue Isle Expressions 3402 Richmond Road Texarkana, TX 903.791.9992 Micah’s Jewelers 2812 Richmond Road Texarkana, TX 903.735.2336 Make-up Gayle’s 4059 Summerhill Square Texarkana, TX 903.792.0056 Salon Visage Esthetique Mary Ann Robbins 4506 Summerhill Rd. Texarkana, TX 903.794.4007

Sanctuary Kimberly Parham, M.D. 3502 Richmond Road Texarkana, TX 75503 903.334.8661 Medical Equipment Respiratory Solutions 3101 Kennedy Lane, Suite 1000 Texarkana, TX 75503 903.793.2110 Pet Groomer Bows & Tows 254 E. New Boston Rd. Nash, TX 75570 903.223.3647 Photographer Image Forward Photography 200 Heather Dr. Texarkana, TX 75501 903.334.9605 www.imageforwardtxk.com Physicians Express Care 5483 Summerhill Road Texarkana, TX 75503 903.223.5931 Ly Gaylor, M.D. Dermatologist Collom & Carney Clinic 5002 Cowhorn Creek Road Texarkana, TX 75503 903.614.3006

Trevor Swanson, D.C. Advanced Spine, Sports & Rehab 4206 Richmond Place Texarkana, TX 903.792.2060 806 West Main St. Atlanta, TX 903.796.2060 Mark Wren, M.D. Physiatrist 3510 Richmond Road, Suite 400 Texarkana, TX 75503 903.831.6275 Vision Source 4401 Morris Lane Texarkana, TX 903.838.9063 Plumbing Central Air/Roto Rooter 450 S. Kings Highway Texarkana, TX 75501 903.832.1212 Real Estate Columbia Property Management 4425 Jefferson Avenue #108 Texarkana, AR 71854 870.772.2080 Connie Walker Coldwell Banker United 3001 Richmond Road Texarkana, TX 903.277.0100 903.832.2486 Impact Realty Bill and Tracy Spradlin 1200 N. Kings Hwy., Suite 104 Nash, TX 903.748.3186 903.748.2477 Teresa Liepman Remax 5120 Summerhill Rd. Texarkana, TX 75503 903.276.9464 Refreshments Bolls Distributing 700 E. Broad St. Texarkana, AR 870.774.9283 Rentals Big Event / Atlas Game Room 2837 New Boston Rd. Texarkana, TX 903.334.7444 Bounce-A-Lot 903.276.2961 www.bounce-a-lot.org Dot’s Rentals 814 N. Robison Road Texarkana, TX 75501 903.792.7011 3413 Richmond Rd. Texarkana, TX 903.838.0551 Lone Star Amusements 903.949.5802

Twisted Vines 406 N. Stateline Avenue Texarkana, AR 870-772-2700

Shorty’s Donuts 2729 New Boston Road Texarkana, TX 75501 903.832.6686

Restaurants Amigo Juan Mexican Cafe 2004 Hampton Rd. Texarkana, TX 903.794.2300 4301 Morris Lane Texarkana, TX 903.334.6971 1200 N. Hervey Hope, AR 870.777.0006 611 Loop 59 Atlanta, TX 903.796.2400

Smokey Joe’s BBQ 300 W. New Boston Road Nash, TX 903.223.8227

Big Jake’s BBQ 2610 New Boston Rd. Texarkana, TX 903.793.1169 1521 Arkansas Blvd.

Texarkana, AR 870.774.0099 603 W. Commerce Hope, AR 870.777.1000 170 N. Constitution Ashdown, AR 870.898.2227 Chappo’s Italian Restaurant 5602 Richmond Rd., Suite 101 Texarkana, TX 75501 903.791.1726 Coldstone Creamery 4228 St. Michael Dr. Texarkana, TX 903.838.2653

Tasty Donuts 1443 N. Kings Highway Nash, TX 903.838.0422 Wendy’s 4201 Stateline Avenue Texarkana, TX 2902 Richmond Road Texarkana, TX 3737 New Boston Road Texarkana, TX 1615 N. Hervey Hope, AR 124 N. Loop Highway 59 Atlanta, TX Wingstop 2700 Richmond Road, Suite 14A1 Texarkana, TX 903.255.0090 4501 N. State Line, No. 106 Texarkana, TX 903.792.9464 Retirement/Assisted Living Home Cornerstone Retirement Community 4100 Moores Lane

Texarkana, TX 903.832.5515 Spas/Salons All About You Diana Gregory/Lori Campbell 4100 Summerhill Sq. Texarkana, TX 903.792.7775 Salon Visage Esthetique Mary Ann Robbins 4506 Summerhill Rd. Texarkana, TX 903.794.4007 Sanctuary Kimberly Parham, M.D. 3502 Richmond Road Texarkana, TX 75503 903.334.8661 Sporting Goods Baits and Blades 3302 Richmond Rd. Texarkana, TX 903.832.4545 Travel Vickie’s Tours PO Box 682 Hooks, TX 903.547.3030 Wedding Attire Bridal Castle 3209 Kennedy Lane Texarkana, TX 903.838.3886

Daddy Dougaloo’s 905 New Boston Road Texarkana, TX 75503 903.791.0172 Dairy Queen Locations throughout Ark-La-Tex Fuzzy’s Tacos 4809 Texas Blvd.

Texarkana, TX 903.791.8226 Golden Corral 3809 Sowell Lane Texarkana, TX 903.334.8399 Ironwood Grill 4312 Moores Lane Texarkana, TX 903.223.4644 Julie’s Deli 4055 Summerhill Sq. Texarkana, TX 903.792.3354 Los Agaves 5100 N. Stateline Ave. Texarkana, AR 870.773.2300 Pop’s Place Highway 67 Texarkana, AR 870.773.4887

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Reed’s Bridal and Formal 2501 N. Stateline Texarkana, TX 903.793.7333

Smokey Joe’s BBQ 300 W. New Boston Road Nash, TX 903.223.8227

Wedding Coordinators Abracadabra Wedding and Event Planning Debra Mason, Event Coordinator 903.748.4838 damason@cableone.net

Weight Loss All About You Diana Gregory/Lori Campbell 4100 Summerhill Sq. Texarkana, TX 903.792.7775

Wedding Favors Pop Pop Shoppe 2011 Mall Drive, Suite B Texarkana, TX 903.793.0209

Richmond Nutrition 3316 Richmond Road Texarkana, TX 903.832.0437

Wedding Officiant Jeff Taylor 903.733.6347 pgccminister@yahoo.com Wedding Planners Abracadabra Wedding and Event Planning Debra Mason, Event Coordinator 903.748.4838 damason@cableone.net Wedding Rehearsal Dinner Locations Julie’s Deli 4055 Summerhill Sq. Texarkana, TX 903.792.3354

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