Healthcare among challenges for area’s impoverished
August 31, 2018
2018 Audit Report
September 21, 2018

RSVP Newsletter

Texoma Senior Corps Retired Senior Volunteer Program

For those 55 and Better

Reba's Ranch House

Reba’s Ranch House provides a comforting place for out of town families here taking care of a loved one in a local hospital. Made possible due to the love of Reba McEntire, the Ranch House has touched over 31,000 lives because of her continued love for our community. Staff and volunteers are consistently working to provide the needed environment of care and support to our families who are often facing difficult decisions. Reba’s Ranch House incorporates a holistic approach to service by working to provide a calm setting for rest, warm meals for nourishment and sensitive staff for spiritual connections.

Reba’s Ranch House is always in need of snacks for our families to take to the hospital and bottles of water. They also need groups or organizations to furnish meals, in the evening, for the familes. This can be set up on a rotating basis or a one time event.

To learn more please visit


How can social issues affect the life and health of seniors?

Social issues can have a significant impact on life and both physical and mental health of seniors. Some of the major contributors to social and pyschological problems for seniors are as follows:

  • Loneliness from losing a spouse and friends
  • Inability to independently manage regular activities of living
  • Difficulty coping and accepting physical changes of aging
  • Frustration with ongoing medical problems and increasing number of medications
  • Social isolation as adult children are engaged in their own lives
  • Feeling inadequate from inability to continue to work
  • Boredom from retirement and lack of routine activities
  • Financial stresses from the loss of regular income

It's not uncommon for older people to become socially and intellectually withdrawn. But if you make an effort to stay engaged as you get older, you will find more joy and satisfaction in life — and there is a good chance you will stay healthier as you age.


Meals on Wheels

Drivers Needed in Bells, Bonham, Denison, Gainesville, Honey Grove, Sherman, Whitewright and Whitesboro

Clyde Cosper Texas State Veterans Home


Miss Peggy's Porch - Howe

During the week and on Saturdays

TMC Bonham

The Green House - Sherman

Clothing Room on Wednesdays 1pm-4pm

Grayson Crisis Center

Foster Grandparent Program

Cooke, Fannin and Grayson counties

Home Hospice

Cooke, Fannin and Grayson counties

Your Neighbor's House


For information on any of these volunteer positions, please contact Vicky Hestand

(903) 813-3587 or

Happy birthday to all of our September volunteers!

  • Please try to have your timesheets in by the 10th of every month.
  • If you have a Volunteer that is no longer a part of your station, please let us know.
  • If you have updated information that we need, such as phone numbers, addresses or email addresses, please remember to send them to us.
  • If you have a need for Volunteers or a special event for the next month, please email us by the 20th of the prior month.

Virginia Rhodes - Program Manager

Vicky Hestand - Program Specialist

Opioid Painkillers

How they work and why they can be risky

Pain is the most common reason people seek medical treatment. Patients often want the most potent painkillers—opioid drugs. There are many reasons why you should try safer medications before taking opioid painkillers.

Misuse and abuse of opioid painkillers is the fastest growing drug problem in the United States. Since 2003, more overdose deaths have involved opioid painkillers than heroin and cocaine combined. This epidemic parallels the huge increase in the number of prescriptions written for opioid medications during the past decade.

What are opioids

Opioid painkillers include a wide variety of compounds divided into classes based on whether they are straight extracts from opium poppy, extracts that have been chemically modified or completely manmade compounds that have a similar action.

Heroin, codeine and morphine are natural derivatives of opium. Their effects, and the abuse potential of the various compounds, differ. Opioids can be short acting (e.g., morphine sulfate), extended release (short-acting formulations that are absorbed slowly so they can be taken at longer intervals) or long acting (e.g., methadone).

How do these drugs work?

These drugs are easily absorbed through the gastrointestinal tract and attach to one or more of the four types of opiate receptors in the brain. When receptors are stimulated, they reduce pain without eliminating its cause. They produce sleepiness, euphoria and respiratory depression. And they slow gut function, leading to constipation. Peak effects generally are reached in 10 minutes if taken intravenously—30-45 minutes with an intramuscular injection, and 90 minutes by mouth.

How opioids kill

These medications are dangerous because the difference between the amount needed to feel their effects and the amount needed to kill a person is small and unpredictable.

Respiratory depression is the chief hazard associated with opioid painkillers. Other especially problematic drugs—in particular alcohol, sleeping pills and anti-anxiety medications—increase the respiratory depression caused by opioids. So if someone is drinking or taking sleeping pills and takes what would be usual doses of opioids, he or she may pass out, stop breathing and die.

Mixing extended-release and long-acting opioids can be deadly. The pain-relieving and euphoria-inducing aspect of opioids may wear off before the tendency to depress breathing does.

This is especially true of methadone. Methadone’s peak respiratory effects typically occur later, and last longer, than its peak painkilling effects. Overdoses often occur when someone takes methadone for the first time or the dose is increased. What is worse, doctors prescribing various opioid medications may not understand how different opioid brands are metabolized, how different drugs interact and how this affects overdose potential.

Tolerance brings further peril

Another serious problem with opioids is tolerance—when your body feels less of the effect of a drug. Regular users of opioids and other drugs (such as alcohol) develop tolerance. In effect, a person who is a chronic opioid user feels less of its effect (and his or her body can tolerate more of the drug) than a new user feels. A common overdose death scenario among opioid addicts is when, because of tolerance, they increase the dose to get a rush, not realizing they are not tolerant to the respiratory depression effects.

Tolerance may not be the same for different opioids. This can make changing from one opioid to another dangerous.

There is evidence that opioids taken for long periods may actually increase the body’s perception of pain called hyperalgesia. This may lead to a feedback loop of need for higher and higher doses, more and more risk of overdose, and increasing pain.

Why are opioids prescribed if they are so risky?

Opioid pain medications are often believed to be the most powerful pain relievers available to ease severe pain. Studies have shown, however, that they are NOT MORE EFFECTIVE THAN other available oral medications. Too often, they are prescribed when safer medications would suffice and they are prescribed in larger amounts than needed. If you need to take a prescription opioid painkiller, do so with caution and talk to your doctor about limiting the length of time you take them.

Content provided by the National Safety Council -

Baker, Daniel D., and Amanda J. Jenkins. 2008. “A Comparison of Methadone, Oxycodone, and Hydrocodone Related Deaths in Northeast Ohio.” Journal of Analytical Toxicology 32(2):165–71.

Centers for Disease Control and Prevention. 2012. “CDC Grand Rounds: Prescription Drug Overdoses — A U.S. Epidemic.” Morbidity and Mortality Weekly Report 61(1):10–13.

Cherny, Nathan I. 1996. “Opioid Analgesics: Comparative Features and Prescribing Guidelines.” Drugs 51(5):713–37.

Franklin, Gary M., Enass A. Rahman, Judith A. Turner, William E. Daniell, and Deborah Fulton– Kehoe. 2009. “Opioid Use for Chronic Low Back Pain: A Prospective, Population-Based Study Among Injured Workers in Washington State, 2002–05.” Clinical Journal of Pain 25(9):743–51.

Gelfand, Stephen G. N.d. The Pitfalls of Opioids for Chronic Nonmalignant Pain of Central Origin. Medscape Reference. Last updated Feb. 25, 2002.

Paulozzi, Leonard J. 2006. “Opioid Analgesic Involvement in Drug Abuse Deaths in American Metropolitan Areas.” American Journal of Public Health 96(10):1755–57.

Stephens, Everett, and Asim Tarabar. N.d. “Toxicity, Opioids.” Medscape Reference. Last updated Nov. 19, 2010.

Substance Abuse and Mental Health Services Administration. 2010. Results From the 2009 National Survey on Drug Use and Health: Vol. 1, Summary of National Findings. Publication no. SMA 10–4586. Rockville, Md.: Office of Applied Statistics.

Vogel–Sprott, Muriel. 1992. “Ethanol: The Beverage Alcohol.” In Alcohol Tolerance and Social Drinking. Howard T. Blane and Thomas R. Kosten (eds.). New York, N.Y.: Guilford Press, 7–23.

Yoast, Richard, Michael A. Williams, Scott D. Deitchman, and Hunter C. Champion. 2001. “Report of the Council on Scientific Affairs: Methadone Maintenance and Needle-Exchange Programs to Reduce the Medical and Public Health Consequences of Drug Abuse.” Journal of Addictive Diseases 20(2):15–40.

Out and About

Things to do, places to go and people to see

September Events for the Creative Arts Center:

Annual Art Show & Contest – Friday, Sept. 7, 5-6:30pm

Writers Group – Saturday, Sept. 8, 10am-Noon

Wine Down on Willow – Friday, Sept. 21, 6pm

Art in the Park – Sat., Sept. 29, 9-11am (Simpson Park)

Artist Meet & Greet – Sat., Sept. 29, 11am-1pm

Sherman Arts Fest---September 15th Sherman Municipal Grounds

Texoma Medical Center - Celebrate Health Fall Fest 2018
September 22nd 9am-1pm Texoma Medical Center Denison

Farming Hertiage Day ---September 22nd 10am-3pm
Sam Rayburn House-Bonham

Autumn in Bonham---September 29th Bonham