An advertising supplement of Denton Record-Chronicle October 13, 2010
02 American Legion Hall is a community center Prime Time
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By Nancy Franke For the Denton Record-Chronicle
The American Legion Hall has long been a magnet for the seniors living in southeast Denton. Betty Kimble, recreation leader for the center, said it has been a community endeavor from the first. Returning WWII veterans, members of the American Legion Post, built the original structure, she said. It was to become the meeting location for African American legionnaires. Fred Moore, community leader, educator and neighborhood resident collected funds to improve the property and the structure. The property was later donated to the City of Denton for use as a neighborhood park. In 1953, the city leased the building back to the Legion post, and it continued to be used in that capacity for several years, and then fell into disuse after Commander Noble Holland died. Kimble recalls that at one time the build-
ing became a restaurant, and then sat vacant and abandoned. “There was graffiti on it, and windows were broken out,” she said. “Some neighborhood ladies went to the council and requested the building,” she recalled. “At first they said no, but we were persistent. We were meeting at the time in one room at the Martin Luther King Center, and we needed more room.” She said Councilman Mark Chew agreed that there was a need and helped keep the issue before the council. The American Legion Hall was rehabilitated with council direction and funded through a $100,000 grant from the Community Development Block Grant program. In 1994, this arrangement was reaffirmed by the approval of a new lease agreement with the American Legion Post No. 840, which still meets there periodical-
FILE PHOTO
Betty Kimble sings during an annual holiday celebration at the See COMMUNITY on Page 4 Martin Luther King Jr. Community Center.
Writing opportunities increase for seniors By Nancy Franke For the Record-Chronicle
Two writing opportunities for senior adults are as close as the Denton Senior Center. Whether you’re interested in creating fiction or writing a memoir, the center’s Creative Writing Group and Reminiscence Writing Group offer chances to put pen to paper in a nurturing environment. The Creative Writing Group is comprised of “experienced but not professional” writers of fiction and poetry, said the group leader, Mildred Pittman. This is not a “how to” group, but rather a support group, she added. Members are encouraged, but not required, to bring a completed manuscript or a work in progress to share with the class, Pittman said. The class then makes suggestions and asks questions. “We’re not a critique group,” Pittman added. “We rely on and respect the other members. We make suggestions based on our experiences.” Begun nearly 20 years ago, the current class usually includes an activity or exercise provided and directed by
one of the members. The class completes the exercise and brings it to the next meeting to share with the group. At a recent meeting, Helen Leath, a member since last spring, read a chapter from her novel in progress, The Thirteenth Bride. She received suggestions and criticism from other members, and noted some changes she may decide to make. “I think this group is very helpful,” Leath said. The Creative Writing Group meets each Thursday from 10 a.m. to noon and is actively recruiting new members. Reminiscence Writing, under the direction of Joan Floyd, meets the second and fourth Monday of each month from 9:45 a.m. to 11 a.m. Eight to 10 people attend each class, sharing the memoirs they are recording in their loose leaf notebooks. Class members are given a bibliography of books on memoir writing, and a list of suggested things to include in their reminiscences, Floyd said. Many of the students are compiling a record of their life to give to children or grandchildren, she added.
COURTESY PHOTO/NANCY FRANKE
Helen Leath, left, and Mildred Pittman compare notes on a manuscript during the Creative Writing class. “They go back into their childhood up until the present time,” she said. “They remember cars like Model As, gas lights, and working for 50 cents an hour wages, things kids today don’t have any idea about.” Last winter, the senior cen-
ter group was invited to participate in a seminar put on by the Association of Lutheran Older Adults at King of Glory Lutheran Church in Dallas. The class put together a paperback book with ten examples of their writing, a bibliography and writing prompts. Frtiz
Poppe, a class member and one of the seminar presenters, said it was basically a “how to” book on how to put together a class on memoir writing. “At least one new group has been started using our book,” See WRITING on Page 4
Fitness opportunities for senior residents abound in Denton By Nancy Franke For the Record-Chronicle
Senior adults looking for fitness opportunities need look no further than the city of Denton’s Parks and Recreation Department. The Denton Senior Center, the Natatorium and North Lakes Recreation Center and Civic Center all offer a variety of fitness activities geared to the over 50-set. The city is also a provider for the SilverSneakers Fitness Program — a health, exercise and wellness program helping older adults live health, active lifestyles. The senior center has a fitness room, which is available from 8 a.m. to 9 p.m. Monday through Friday and from 9 a.m. to 1 p.m. on Saturday. The fitness room includes free weights, treadmills, stationary bikes, stair steppers and core fitness training equipment. The fitness room is free to SilverSneakers members. For those not on the SilverSneakers plan, the cost to join is $15 a month, $35 for three months or $100 a year. A trial visit to the fitness room is free and a staff member is available to demonstrate safe use of the equipment. On Monday, Wednesday and Friday, the center offers a free Stretch ‘n Tone class featuring chair aerobics set to music. This popular class is free and has nearly 100 participants. Tai chi is another highly popular class and is offered each See FITNESS on Page 11
Margaret Popov uses the ab crunch machine daily.
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Courtesy photo/ Nancy Franke
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Courtesy photo/ Nancy Franke
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Community Denton voters approved the 2000-2004 bond issue, which funded the new American Legion Hall annex building, and new park restrooms were added with a CDBG grant in 2001. Today the American Legion Hall is a bustling place, offering not only a community gathering site for seniors, but also a variety of classes and services, Kimble said. “The most popular activities are bingo (which attracts 10-15 people on Tuesdays and Thursdays), pool tables and dominoes,” she said. “We also have sewing classes, and periodic computer classes.” The center offers exercise classes which attract 12-15 people on Mondays, Wednesday and Fridays and has exercise equipment avail-
“If someone dies, a lot of our folks go to the funeral. This is a close knit community.” — Betty Kimble
able all day. A monthly potluck social from 7 p.m. to 10 p.m. on the last Friday of the month is another chance for the community to gather. SPAN congregate lunches are served at noon Monday through Friday, and reservations should be made by calling 349-8298 at least 24 hours in advance. A volunteer nurse, Jean Washington, does free blood pressure and blood sugar checks once a month. Health screenings and For
Your Health Seminars also are offered. Kimble said her statistics show the center attracts “at least” 100 people daily. Unless, of course, she adds there is a death in the community. “If someone dies, a lot of our folks go to the funeral,” she said. “This is a close knit community.” The American Legion Hall Senior Center is located at 629 Lakey Street and is open 10 a.m. to 3 p.m. Monday through Friday and on Thursdays hosts a domino tournament from 6 p.m. to 9 p.m.
FILE PHOTO
A new section of the American Legion Senior Center opened in 2003.
From Page 2
Writing Poppe said. Floyd, the class instructor, said she encourages students to publish their memoirs once they have completed them. “Once they’ve gotten down everything they want to write about and polished it, I urge them to self publish,” she said. The Reminiscence Writing
Group is accepting a limited number of new participants. Both writing classes are held at the Denton Senior Center, 509 North Bell Avenue in Denton. For more information on the classes, leave your name and contact information at the center, 940-349-8720.
940-565-0575
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05 Prime Time
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06 Prime Time
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Eat Your Age Growing up doesn’t mean food can’t be fun. Here’s what seniors need to eat to get the most from life
By Bev Bennett CTW FEATURES Eat more. You probably haven’t read those encouraging words in a long time, maybe not since your teen years. Instead, as a senior you’re admonished to cut back on fat, calories and cholesterol, and it can be frustrating. Health experts are hearing from patients who don’t know what they can eat anymore. “One patient said if he followed everyone’s recommendations, he’d just be eating turkey and fish,” says Dr. Carole Gardner, a geriatrician and chief of the Elder Care Department at Kaiser Permanente Georgia, an Atlanta-area healthcare provider. However, that’s not the whole story. There’s also a positive message. Yes, consume more: more delicious fruits and vegetables, nutty-tasting whole grains, low-fat dairy products and mouthwatering salmon and tuna. By adding more of these healthful and flavorful foods to your diet, you’ll also increase your intake of fluids, calcium, omega-3 fatty acids, vitamins D and B12, which are essential to your well-being as you age. Here’s what to add to your table. CALCIUM If you’re 70 or older you should increase your intake of this bone-protective mineral to 1,200 milligrams (up from 1,000 milligrams) every day. Milk is an excellent source, providing 275 to 300 milligrams per cup. Drink and/or use a total of four cups of milk a day in your cooking and you’re set. But if you were never fond of milk you may have a hard time reaching your goal through dairy alone. You’ll also find calcium in fortified orange juice. “Take a look at orange juice with [added] calcium and vitamin D. You’ll get more for your money,” says Ruth Frechman, a registered dietitian and spokeswoman for the American Dietetics Association. You also may want talk to your healthcare provider about taking a calcium supplement. DIETARY FIBER Although you need slightly less fiber as a senior, certain medications, dehydration (see water) or dental problems can leave you short. Fortunately, fiberrich foods, which prevent constipation, are readily available and inexpensive. Eat oatmeal for breakfast or choose cold cereals made from whole-grains, says registered dietitian Dee Sandquist. Add beans, whole grains, fruits and vegetables to your menus to reach the recommended daily intake of 30 grams for men age 51 and older and 21 grams for women in the same age group.
07
More for Less
OMEGA-3 FATTY ACIDS This healthy fat is very important as you age, says Frechman, who’s based in Burbank, Calif. Eating foods high in omega-3 fatty acids may reduce your risk of arthritis and macular degeneration. Salmon is one of the best sources of omega-3 fatty acids. The fish also delivers vitamin B12 and protein, giving you more nutrients for your dollar, according to Sandquist, spokeswoman for the American Dietetic Association. Sardines, tuna, walnuts and flaxseed also provide omega-3 fatty acids, Sandquist says. Canned bonein sardines also are rich in calcium, as well. Eating fish, especially fatty varieties, at least twice a week, is the American Heart Association’s recommendation. Ask your physician whether you should take omega-3 supplements. VITAMIN D Spend any time in the sun and your body synthesizes vitamin D. Unfortunately that ability declines as you age, leaving you short of this essential vitamin that supports bone health and possibly reduces risk of certain cancers. Experts currently recommend getting 600 International Units, which is also 15 micrograms a day, if you’re 71 or older (400 IU if you’re 51 to 70). Salmon, mackerel, tuna and fortified milk and orange juice are your best food bets. Getting adequate amounts of vitamin D from food alone may be difficult, say nutritionists, who suggest taking a vitamin D supplement. The vitamin is fat-soluble
and should be taken with a fat-containing food, such as 1percent milk or a salmon sandwich. “Don’t take it first thing in the morning if you haven’t eaten for a while,” Sandquist says. VITAMIN B12 This vitamin, necessary for the formation of red blood cells, is available in animal products, including meat, fish, milk and eggs. Some breakfast cereals are fortified with vitamin B12. Although the vitamin B12 recommendation of 2.4 micrograms a day doesn’t increase when you reach your senior years, your body may be less able to absorb the nutrient from food, which could lead to a deficiency. Talk to your physician about whether you’re getting adequate vitamin B12, Gardner says. WATER Water is more than a thirst quencher. It helps regulate body temperature and remove body waste. As you age you may become less sensitive to thirst and dehydrate easily, Gardner says. Don’t wait until you’re parched to have a beverage. Calorie-free water is ideal. Add a little zip to a plain glass of water with a lemon or lime slice, Sandquist says. Water doesn’t have to be your liquid of choice, but avoid drinks that are high in caffeine, sugar or alcohol. You also can hydrate by eating fluid-containing foods such as yogurt, grapes, apples and cucumbers, Gardner says. MyPyramid for Older Adults [see sidebar] recommends drinking at least eight servings of water or fluids a day. © CTW Features
Although older adults need as many or even more of some nutrients than they did in their 30s they have to get those nutrients from fewer calories, say nutrition experts. As a general guideline, trim back 10 percent of calories for every decade over age 50, says Sandquist. A 49-year-old woman can consume 2,000 calories a day, as long as she’s moderately active. That drops to 1,800 calories on her 51st birthday, according to recommendations from the government’s 2005 Dietary Guidelines for Americans. Getting what your body needs while consuming fewer calories than you did decades ago can be challenging. Keep a food journal. Note when you’re eating high-fat, sugary snacks and substitute more nutritious options. And move more. Active women age 51 and up can indulge in 2,000 to 2,200 calories a day without gaining weight.
Visit the following websites for reliable nutrition information: I For general information and meal planning tips: www.mypyramid.gov/. I The government offers a useful guide to weight management, exercise and nutrition in a downloadable file at: www.health.gov/dietaryguidelines/dga2005/document/pdf/DGA2005.pdf I For more information on vitamin D, visit the government’s health website at: http://ods.od.nih.gov/factsheets/vitamind.asp
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08 Prime Time
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Care for the Caregiver
The area’s LEADER in Skilled Nursing Care and Rehabilitation Services
As the number of people responsible for caring for ailing loved ones increases, so does the need for caregivers to attend to their own health By Anna Sachse CTW FEATURES The term “informal” or “family” caregiver refers to anyone who provides unpaid assistance to a loved one who is, in some degree, incapacitated and needs help: a wife with cancer; a grandfather with Alzheimer’s; a brother with a traumatic brain injury; a friend with AIDS. According to the Family Caregiver Alliance, there are approximately 52 million family caregivers in the United States providing either short- or long-term care for an ill or disabled loved one aged 20 or older. Nearly one in five provides more than 40 hours of care per week. These numbers continue to grow due to the high cost and limitations of heathcare and the aging baby boom generation. “You don’t have to be doing it 24/7,” says Donna Schempp, program director for the San Francisco-based FCA. “If you are doing things like bringing over meals or helping with laundry, you should identify as a caregiver.” But the caregiver’s role also can include full-time cooking, cleaning, running errands and handling bills, feeding, bathing and dressing their loved one and, in some cases, providing complex medical care, such as administering shots and medications, flushing ports and dressing wounds. In addition, they often provide emotional support and manage erratic behavior. “It’s a really tough role,” says Kimberly Stump-Sutliff, a registered nurse and associate medical editor for the American Cancer Society. “A leukemia patient in one of my support groups whose wife had lymphoma said that he’d rather be the one with cancer than the caregiver any day.” In light of the overwhelming responsibilities, most caregivers tend to disregard their own health, often skipping routine checkups, eating poorly and failing to get adequate sleep, exercise and personal time. The higher incidence of stress contributes to increased cortisol levels, which make caregivers
more susceptible to problems like high blood pressure, compromised immune function and cognitive impairment. Sleep deprivation can lead to weight gain, fatigue and mood disorders. “Caregivers have a 50-percent higher incidence of depression,” Schempp says. The solution for prevention is to make it a priority to take care of yourself. It may sound selfish or impossible when your loved one is gravely ill, but you can’t provide optimal care if you are also sick, says John W. Anderson, author of “Stand by Her: A Breast Cancer Guide for Men” (AMACOM, 2009). Anderson had such poor immune function while caring for his wife as she fought breast cancer, that he developed Lyme disease and tested positive for exposure to tuberculosis. Caregivers must keep up with their own medications and doctor’s visits. They should also consider following the ACS Nutrition and Physical Activity Guidelines: maintain a healthy weight; eat a diet rich in produce and whole grains; limit alcohol consumption; get 30 to 60 minutes of exercise at least five days a week; and don’t smoke.These steps reduce the risk of cancer, heart disease, diabetes and other illnesses. And a healthy caregiver is a more capable caregiver. Taking care of your body includes taking care of your mind. That could mean reading a book, finishing a project or going out to dinner with friends. “It’s easy to think that you always have to be there, but you need breaks to recharge your batteries,” Anderson says, “and the truth is that your loved one needs breaks from you, too.” Make the time for self-care by asking for help from family and friends before you desperately need it. Say yes when help is offered. © CTW Features
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The Center for Women on the campus of Texas Health Presbyterian Hospital Denton is dedicated entirely to women’s health care. For Labor & Delivery, we have the area’s only Level III NICU, for peace of mind just in case. We offer a full range of classes, newsletters and all the information and support you need to make the experience as successful and rewarding as possible, including a full-time lactation specialist. Our Women’s Imaging features digital mammography, ultrasound, stereotactic and bone densitometry suites. We even have a remarkable Women’s Resource Library to offer you information on just about any issue relating to your health. The Center for Women is all about you, and we have you covered for every stage of your life. 1-877-THR-Well
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10 Prime Time
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Let the Games Begin By Jeff Schnaufer CTW FEATURES The Fortune 500 CEO was going through a grim time. His wife was slowly dying. The emotional toll of her illness pressed in upon him, threatening to drag him under. Then, one day, he found a way to ease his mind. “He went out and flew a model airplane,” recalls Dr. Stuart Brown. “He was able to deal better with the situation. Then he went out and did some painting. It gave him hope for his own life and the future.” Brown, who founded the nonprofit National Institute for Play in Carmel Valley, Calif., has collected many examples of how play transforms people’s lives. He believes the prevalence of depression, stress-related diseases, interpersonal violence, addictions, and other health and wellness problems can be linked to the prolonged deprivation of play. “Play is terribly important through the whole life cycle, particularly in childhood and senior adulthood,” Brown says. “Play is a survival drive of the human species. The side effect of a playful life is the ability to roll with the punches and soldier on.” “We all need to blow off steam. To be deprived of play is to become edgy and jittery,” says Dr. Scott G. Eberle of the Strong National Museum of Play in Rochester, N.Y. and editor of The American Journal of
Play. “But when the picture is clinical, and isolation adds to the trouble, play can be a remedy. For example, nursing homes have introduced video games for clients whose mobility is limited and whose only stimulation, such as it is, may come in the form of watching television.” What form of play is right for you? That depends on your temperament and physical health, Brown says. Here, Brown, Eberle and several other experts suggest some playful activities for the 50plus generation. BODY PLAY Find a physical activity that you enjoy, such as hiking, biking, spinning, dancing, or even wall climbing, Brown says. Choosing any hard physical activity that will gradually require 80 percent of maximum cardiac output has favorable effects on the hippocampus of the brain, where memory is stored. “If you get in good enough shape to sustain that for 30 to 40 minutes, you are going to have immediate and permanent new connections in your brain,” Brown says. Physically challenging video game systems like the Nintendo Wii are a playful way to exercise. Brown, who is 77, plays tennis on the courts and on the Wii with his son, while Eberle touts the benefits of the Wii and karaoke machines. “If you’re the sedentary type, and if the game gets you
playing instead of watching, that’s good, Eberle says. “If the game gets you up and moving while you’re playing, that’s great. And if it gets you up and moving and singing among friends like a karaoke evening would, that’s splendid.” Another enjoyable way to play is dancing, says Kristin Brown, lifestyles coordinator at Sun City Texas, an active adult community in Georgetown, Texas. “Line dancing works the lower body, requires memory and can be done anywhere,” Brown says. “It’s beneficial for those who don’t think they can dance, or for those that no longer have partners.” Patricia Nash, activity coordinator at ONEgeneration Adult Day Care in Encino, Calif., offers creative, playful exercises for seniors with limited physical ability, such as baseball played with a plastic bat and a beach ball. “We play volleyball with a balloon instead of a ball because their response time is a little bit slower,” Nash says. “It’s good for the attention span, their reflexes and upper body exercise. And they love it.” PLAY BACK Finally, think of the activities you enjoyed as a child. For those who loved getting dirty as a kid, the garden may be the place to play. If you loved singing, join a choir. If you loved animals, adopt a pet. © CTW Features
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Geriatric care managers offer individual assessments By Nancy Franke For the Record-Chronicle
If you or a family member faces a health care crisis, would you know where to turn? If you need a hip or knee replacement, how would you find out about the resources available in your community? What happens when you live far away from family and have no caregiver? Seniors are turning in increasing numbers to geriatric care managers to help them through the maze of health care options. Geriatric care management is not a new field, but the growing number of aging “boomers” and the increasing number of older Americans living alone has brought an increased need for their services. Geriatric care managers, or
GCMs, are specially trained to work with older patients, doing individual assessments, determining what their clients want and finding the best way to deliver those services. They may hold degrees in the fields of nursing, gerontology, social work, or psychology, with specialized focus on issues related to aging and elder care. Geriatric care managers keep very informed on what is available in the area they serve, and most cover a very specific geographical area. Geri Sams, LCSW, CMC,, a local professional care manager said sometimes her patients have a caregiver present, but the caregiver is simply overwhelmed by the job. “Caregiving is a very difficult journey, and we as GCMs can make the journey a little easi-
er,” Sams said. Sometimes GCMs are asked to provide assistance for people with no relatives or with none living near enough to help them. “We can become that person’s advocate, and we can be professional eyes for family members who aren’t here. For example, we can take people to the doctor and report back on the visit to a family member.” Sams said she keeps on top of what is available in the Denton County area by networking through the group Elderly Service Providers and visiting various facilities and agencies. “We know about resources, funding options, and living arrangements,” she added. “Plans are very individualized, based on the patient’s wishes, health issues,
resources, family relationships and on an individualized assessment done at the first visit.” According to the National Association of Professional Geriatric Care Managers, GCMs can deliver personalized and compassionate service focusing on the individual’s wants and needs. They also have the advantage of accessibility — care is typically available 24 hours a day. Continuity of care is provided through communication between family members, doctors, and service providers. Cost containment is achieved by avoiding inappropriate placements, duplication of services and unnecessary hospitalizations. In the Dallas-Fort Worth area prices range from $60 to $100 an hour for the services. For
From Page 3
Fitness Tuesday at 4 p.m. and costs $35. North Lakes Recreation Center offers Seniorcize, Zumba Gold, Silver Sneakers MSROM and Yoga Stretch. Seniorcize is a six weeks weight room based program held from 10 a.m. to 11 a.m. Monday, Wednesday and Friday. Zumba Gold, held from 9:30 a.m. to 10:30 a.m. on Mondays, is like a regular zumba class, but with lower impact moves. Zumba Gold fuses Latin rhythms and creates an individual dance workout that tones the core and sculpts the body. Silver Sneakers MSROM concentrates on muscular strength, range of movement and activities of daily living and is held from 10 a.m. to 11 a.m. on Tuesdays and Thursdays. The Silver Sneakers Yoga Stretch program moves the whole body through a complete series of yoga poses, some seated. The yoga program is on Monday and Friday from 11:15 a.m. to noon. Although the classes are primarily designed to promote fitness activities, they have evolved into a social support network. “There’s a potluck lunch the
second Tuesday of each month, and the participants themselves organized that,” said Alicia McDaniel, fitness recreation specialist at North Lakes. “If someone misses a class, people are concerned and want to know where they’ve been.” McDaniel said the center encourages seniors to take a look at what they offer. “They get to try each class absolutely free,” McDaniel added. Though many of the classes were organized for members of SilverSneakers Fitness Programs, anyone can participate, McDaniel said.
People who are not SilverSneakers members pay $3-$5 per class. The Denton Natatorium offers what Aquatic Center Manager Bobbie Davis calls a “controlled environment” year ‘round. Senior Water Exercise is conducted in warm water (88 degrees) in the leisure pool. “Because it’s lower impact, water exercise is a great way for seniors to get the workouts they need,” Davis said. “The water exercise program is not just for seniors — anyone who needs a low impact exercise
may join. The natatorium’s water aerobics classes draw 20-25 seniors for each class. Held on Monday, Wednesday and Friday and taught by Claralynn Barnes, the classes include strength training from 9 a.m. to 9:55 a.m. and water exercise from 10:15 a.m. to 11:15 a.m. Water walking in the shallow water pool is also available most daytime hours. For those who prefer walking as their primary form of exercise, the Civic Center’s indoor track is available Monday-Friday 7 a.m. to 7 p.m.
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information, visit www.caremanager.org.
HEARING TESTS ARE IMPORTANT
Guy “Trey” Horn, BC-HIS Audioprosthologist Everyone should have their hearing checked at least once a year. If you have a hearing problem of any kind, you owe it to yourself to have a hearing check up to determine what can be done to help you. These check ups are free, and will only take about 20 minutes of your time. We can also look into your ear with our ear camera. Your hearing difficulty may just be wax. You’ll see what we see! Jones Hearing Aid Centers have been helping those who are hard of hearing. Use of the latest electronic equipment will pinpoint your problem. We will explain some of the causes of hearing loss and diagrams of how the ear works will be available. Come in for your free hearing consultation. We carry a variety of hearing aids. Our professional experience assures you of personal understanding and expert help with a most important problem – hearing impairment. Our Denton office is located at 1719 S. Loop 288, #165, 940-566-2425. Repair service and cleaning are available for your present hearing aid, no matter what brand or where you bought it. JM
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gr ity • st H u r o te n T e s • t y
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In 940-387-0550
www.dentonhearing.com Professional Services: DIAGNOSTIC • Diagnostic Hearing Evaluation • Auditory Processing Screening • Pre-School Hearing & Vision Screening • Balance Testing
HEARING AIDS • Evaluation & Fitting • Assistive Devices • Repairs & Batteries • Loss/Damage Insurance
Doctors of Audiology Chris D. Caudle, Au. D. Judith A. Caudle, Au. D.
3304 Colorado Blvd. Ste. 204 Denton, Texas
JM