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Top Shoulder Doctor in Nation

JOPLIN, Mo. – Freeman Health System’s Dr. Todd Twiss was named one of America’s most talented shoulder surgeons working in the field today by New York-based news magazine Newsweek and global data intelligence firm Statista.
“It certainly is a privilege to be recognized by Newsweek with some of the best shoulder surgeons in the country, and I think it speaks volumes to the team we work with in both clinic and the operating room at Freeman to provide high-level care to our shoulder patients,” Dr. Twiss said.
In all, 2,845 specialists across 15 medical fields, from hearts to hips to hands, were named by the magazine from a pool of more than 1 million specialists nationwide. Dr. Twiss admitted the recognition came out of left field.
“An out-of-town professional colleague forwarded the article to me, and I was surprised to see our name on the list,” Dr. Twiss said.
His recognition comes from the excellent results from two of his primary shoulder surgeries – rotator cuff repairs and total shoulder replacements.
“These would be the two most common operations we performed, and the lion’s share of any shoulder surgery practice,” the board-certified surgeon said.
Additional shoulder surgeries he performs regularly include reverse total shoulder replacement, labral repairs, instability repairs, fracture fixation, arthroscopic bone resection, open shoulder reconstruction, and biceps tenodesis.
Dr. Twiss gravitated to orthopedics as a medical subspecialty for one primary reason – he simply wanted recreational and occupational athletes alike to get back into the game they enjoyed playing.
“I enjoyed treating the various traumatic and degenerative conditions with targeted interventions to relieve pain, restore function, and improve quality of life,” he said. “I chose to pursue a year-long fellowship after residency in the shoulder because of a love for the complex pathology and evolving treatments being developed during my training.”
Dr. Twiss also treats a large spectrum of shoulder disorders, including rotator cuff pathology, Instability and labral lesions, frozen shoulder, osteoarthritis, rotator cuff arthropathy, sports injuries, fractures, dislocations, post traumatic abnormalities, and generalized shoulder pain with both surgical and non-surgical treatments.
“I think all of the physicians and staff members at Freeman Orthopedics & Sports Medicine strive to provide high-level, musculoskeletal care for the people of the four-state area,” Dr. Twiss said. “For myself, to be recognized for the shoulder, the recognition validates those efforts and motivates us toward continued improvement.”
Dr. Twiss is currently accepting new patients at Freeman Orthopedics & Sports Medicine, 3105 McClelland Blvd. in Joplin. Call 417.347.5400 to make an appointment.
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BOURBON COUNTY,
KANSAS
Bourbon County Commission Agenda
Bourbon County Commission Chambers, 210 S National Ave.
Map Qt_Bourbon_Bridge 19.2-Q.0
1302 Project Programming Request
I. Call Meeting to Order
Roll Call
Pledge of Allegiance
Prayer
II. Approval of Agenda
III. Consent Agenda
Approval of 09.19.25 Accounts Payable Totaling $250,084.75
Approval August Financials
IV. Pursuant to KSA 75-4319 (b)(2) for consultation with an attorney for the public body of agency which
would be deemed privileged in the attorney-client relationship
V. Public Comments for Items Not on The Agenda
VI. Old Business
Budget Discussion
Roads Discussion
i. Lynne Oharah – 95th & Unique
ii. North Crawford Street
iii. Eagle Road
iv. 190th Street Benefit District
CIC Access – Milburn
Elevator – Milburn
108 W 2nd – Milburn
Crawkan – Milburn
Planning Commission announce terms – Beerbower
Resolution Review – Beerbower
i. Commission Meetings & Commissioner Conduct
VII. New Business
Credit App for Enterprise – Bill Martin
Resolution – Law Enforcement
Motion to move normal meeting from the 13th of October to the 14th
VIII. Department Updates
Public Works – Kenny Allen and Dustin Hall
i. KDOT Grant – Bridge 19.2-Q.0
ii. Transfer of Thomas Quarry
IX. Build Agenda for following meeting
X. Commission Comments
XI. Adjournment _____________
FUTURE 10/6/2025 10/14/2025 10/20/2025 10/27/2025
Vehicle Lease Program Credit Cards – Milburn Culverts Bitcoin Mining
Economic Development Gov. Deals – Beerbower 2025 Tri-Valley Agreement Noise Resolution
Juvenile Detention Contract Road Closure 140th Moratorium
Sanitation Worksession
Benefits Committee Letters
Elm Creek Quarry
Phone System
EXECUTIVE SESSIONS – FORM OF MOTION
____ Pursuant to KSA 75-4319 (b)(1) to discuss personnel matters of individual nonelected personnel to
protect their privacy
____ Pursuant to KSA 75-4319 (b)(2) for consultation with an attorney for the public body of agency which
would be deemed privileged in the attorney-client relationship
____ Pursuant to KSA 75-4319 (b)(3) to discuss matters relating to employer/employee negotiations whether
or not in consultation with the representatives of the body or agency
____ Pursuant to KSA 75-4319 (b)(4) to discuss data relating to financial affairs or trade secrets of
corporations, partnerships, trust, and individual proprietorships
____ Pursuant to KSA 75-4319 (b)(6) for the preliminary discussion of acquisition of real estate
____ Pursuant to KSA 75-4319 (b)(12) to discuss matters relating to security measures, if the discussion of
such matters at an open meeting would jeopardize such security measures
The subject to be discussed during executive session: ________________________________________
State persons to attend
Open session will resume at _____ A.M./P.M. in the commission chambers.


Keys to the Kingdom by Carolyn Tucker
4-Barrel Carburetor
I really enjoy walking down memory lane at car shows and looking at the gorgeous classic ‘50s, ‘60s, and ‘70s cars on display. I have personal fond memories of these powerful beauties because the first car I remember my folks owning was a ‘59 Chevy Impala. And later, when I was in high school, I was permitted to drive their ’68 Chevy Caprice SS. Wowie zowie; this car was so classy she even wore skirts! Something unexplainable happened to me during those years that caused me to fall in love with glasspacks and 4-barrel carburetors.
As opposed to a 2-barrel, a 4-barrel is a more-complex carburetor commonly used in high-performance engines. It uses two primary and two secondary barrels to supply air and fuel to the engine which results in increased horsepower and performance. Only the primary barrels open at idle and low-rpm driving, but the secondary barrels open up during high-rpm driving, e.g., passing vehicles or just flooring it for the fun of it! Modern cars don’t have carburetors; they’ve been replaced by fuel-injection systems. Ah, for the good ol’ days when you ran out of gas and had to save a little bit to pour into the carburetor. They just don’t make ‘em like they used to!
At my age, I’m pretty much considered a “classic” because I’ve noticed that when I wake up in the mornings, I just don’t feel like I used to at 22. I’m basically just idling on a 2-barrel carburetor for several minutes. But as I meander to the kitchen, I know I’ll be strengthened, encouraged, and reinforced with power once I read my Bible and devotional books. As I spend time with my heavenly Father, He begins to pour fuel into my 4-barrel which enables me to get started and have the power I need for the day. Dad used to say, “You never know what the day holds when your feet hit the floor in the morning.“ And I might add, “So you better take time to fill up your spiritual gas tank so you won‘t run out of power.
Apostle Paul wrote that we believers are in a race. So we can think of ourselves as driving a race car. Every day we run laps, around and around, and it takes lots of focus, determination, strength, and power. So it makes sense that every morning we need to get our jump-start from Jesus (and a cup of coffee) to get us up and running at full throttle. Every believer finds his/her source of power in the Father, so we can commit our prayers to Him in confidence. Apostle Paul wrote a letter to the Church of Ephesus and surrounding area churches: “May He grant you out of the rich treasury of His glory to be strengthened and reinforced with mighty power in the inner man by the Holy Spirit Himself indwelling your innermost being and personality” (Ephesians 3:16 AMP).
There’s power in a 2-barrel, but I would most-certainly choose the mighty power of the 4-barrel. As Christ followers, it’s our choice. So why be puny when you can be powerful? The “inner man” is the true and enduring self — who we really are. So we need to keep our heart (inner man) tuned up so we can accomplish our calling and participate in the race of life at full power. Thankfully, we don’t have to try to live our lives on our own strength. “Now all glory to God, Who is able, through His mighty power at work within us, to accomplish infinitely more than we might ask or think” (Ephesians 3:20 NLT).
The Key: In the words of Tim “The Tool Man” Taylor, choose more power.

Opening Soon: 4-H Enrollment!
As the largest youth development organization in the country, reaching 6 million young people annually, 4-H is uniquely equipped to ensure youth are ready for work and life after high school. 4-H is delivered by Cooperative Extension – a community of more
than 100 public universities across the nation that provides experiences where young people learn by doing. Additionally, our 4-H alumni network reaches every industry and is 35 million strong.
4-H is also the only organization with a scientifically proven approach to developing young people, backed by more than 20 years of longitudinal research in partnership with Tufts University. The data are clear: youth who participate in 4-H programs are more likely to succeed academically, engage civically, and contribute to their communities. They’re also more prepared to enter the workforce and navigate the complexities of life with confidence.
Across a nation 4-H will is working to continue to provide more high-quality positive youth development programs to assist in preparing youth with the skills to be ready for work and life. To go beyond the expected. To be Beyond Ready.
4-H Beyond Ready is a national movement to prepare young people for the challenges and opportunities of the future. 4-H has been around since 1902. The world has changed significantly and yet, the impact of 4-H on youth has stood the test of time. 4-H has a tried-and-true, research-backed approach to helping kids reach their potential. Research shows that kids who participate in 4-H programs are more likely to make healthy choices, serve their communities, and live with purpose. They are also more likely than their non-4-H peers to feel competent, positive, and confident in what the
future holds.
Now is the time to join 4-H to help youth be Beyond Ready. Starting on October 1, enrollment opens for the new 4-H program year. All youth ages 5-18 are encouraged to enroll in the Kansas 4-H program through K-State Extension – Southwind District. Enrollment will close for those youth eligible to participate in competitive events within the 4-H program on December 1. And all adults who want to volunteer should plan to enroll at this time too!
Have questions about 4-H, don’t hesitate to reach out to K-State Extension – Southwind District, 4-H Youth Development Agent, Jennifer Terrell at [email protected] or 620-223-3720. All are welcome to visit the following websites as well, southwind.ksu.edu or kansas4h.org.

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One week before Charlie Kirk’s death, I mentioned to a family member that if I could have lunch with anyone, it would be Charlie. His death left me in tears.
As a former high school debate coach, I was awestruck by his ability to express his opinion, showing respect for his opposition while imparting unique, masterfully-crafted arguments that I never had considered. Who was this man?
I mean, I am fairly knowledgeable about the Bible, but Charlie had a way of synthesizing scriptural positions in a way I failed to anticipate. “How did he come up with that?” I would ask my husband, or whomever was in listening position. “That’s a brilliant argument,” I would say to myself. Like I said, who was this man?
Regardless of what you think of Charlie Kirk, I hope you consider his assassination a grave injustice. Instead of facing off with this man-of-faith to discuss their differences, Tyler Robinson premeditatively chose to put a bullet through his adversary’s neck.
Today, while driving to work, I listened to the radio as the detective assigned to the crime discussed how Robinson begged the arresting officers to be gentle with him, not to cause him harm by sending a SWAT team to bring him in. Basically, to treat him with a dignity he did not afford Charlie Kirk.
And I thought…that takes some nerve. How can someone who offers no mercy expect to get any in return?
Matthew 18:23-35 confronts that issue. Jesus’ parable addresses a king who decided to bring his accounts up to date with servants who had borrowed money from him. One who could not pay owed millions of dollars. His master ordered that he be sold—along with his wife, his children, and everything he owned—to pay the debt.
The man fell down and begged his master to be patient; he would repay it all. The master, pitying his servant, forgave his debt. When the man left the king, he met up with another servant who owed him a few thousand dollars, grabbed him by the throat and demanded instant payment.
Just like the servant with the king, this man fell down and begged for clemency. “Be patient with me, and I will pay it.” Instead, his creditor had the man arrested and jailed until he repaid the debt in full, a lack of mercy that upset the other servants who witnessed the injustice. They went to the king and told him what had happened.
The king responded by calling in the servant he had forgiven and said, “You evil servant! I forgave you that tremendous debt because you pleaded with me. Shouldn’t you have mercy on your fellow servant, just as I had mercy on you?” Payback time. The king sent the man to prison to be tortured until he had paid his entire debt.
Jesus had one last message for his crowd: “That’s what my heavenly Father will do to you if you refuse to forgive your brothers and sisters from your heart.” If only Robinson would have done that with Charlie! He who couldn’t find any mercy begged for kindness and compassion when arrested.
So, what are we to take from this message? We are not to respond as Robinson and the king’s servant did and seek vengeful payback, as much as we want to do so. After all, God will be the final judge. Should Robinson not repent, his eternal punishment from the King will be much worse than any we can inflict with our lack of mercy.
As is true as that is for Kirk’s killer, so it is for us as well. Are we showing the same mercy to others as we want in return?