Essential tremor is a neurological condition that causes shaking or trembling. It’s not linked to other conditions, but because it often affects the hands and can worsen over time, it can make everyday tasks difficult. For Jimmy, said Dr. Dworak, the condition was “very dramatically bothersome.” He would need specialty care to treat the condition. OneWorld providers advocate for their patients when they recognize the need for specialty or groundbreaking care – even if that means referring to a partnering health care system, according to Dr. Kinnan. “We’re keeping in touch with the latest literature, so … not only is it care for all, but it’s also exceptional care,” said Dr. Kinnan. That’s why Jimmy’s team at OneWorld referred him to Josue M. Avecillas-Chasin, MD, a neurosurgeon at Nebraska Medicine. Among other specialties, Dr. Avecillas-Chasin has expertise in deep brain stimulation, a surgical procedure used to treat symptoms of essential tremor and other movement disorders.
Brain surgery, of course, is a big deal – but Jimmy moved forward. The results were worth it.
“He fixed me,” Jimmy said, while letting his hand hover in the air. “I'm steady now, you know, because of him. And because of [Dr. Kinnan] and Dr. Dworak and [Nebraska Medicine neurologist Erin Smith, MD]. I mean everybody was a team about it, everybody working together.” Dr. Dworak also pointed to Jimmy’s own efforts. He said that Jimmy’s quality of life has improved since the surgery – and that Jimmy has continued to apply himself to his diabetes care, mental health care and recovery. Jimmy maintains a strong sense of gratitude for the people who he says gave him “a fighting chance to have a normal life.” “I'm happy. And I would not be happy if I did not have people like you to be behind me and guide me and advise me on the right thing to do,” Jimmy said, while sitting by Dr. Kinnan. “I'm very grateful. I'm grateful I went to OneWorld. You have no idea. I love that place.” *Jimmy’s first name is used with permission.
A 'fighting chance' at happiness A need for diabetes care brought Jimmy* in the door. But arriving at OneWorld meant access to a “one-stop shop” that would help him with other conditions – and give him a new lease on life.
Above: Associate Medical Director of Family Medicine Alex Dworak, MD Below: Associate Medical Director of Behavioral Health Shannon Kinnan, MD
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I'm happy. And I would not be happy if I did not have people like you to be behind me and guide me and advise me on the right thing to do.”
H e was upfront with his doctor, Alex Dworak, MD, at that first appointment. Besides diabetes care, he needed support for his mental health and recovery. “I had just got out of prison,” Jimmy said. “And I knew one of the things that was going to keep me out of prison is if I keep taking care of my mental health.”
wellbeing, Dr. Dworak, Associate Medical Director of Family Medicine, connected Jimmy with the Behavioral Health team. Shannon Kinnan, MD, Associate Medical Director of Behavioral Health began seeing him as a patient too. Jimmy’s care team continued to grow as his providers got to know him and learn about his health. Troublesome symptoms led to a new diagnosis: essential tremor.
Jimmy, OneWorld patient
Because OneWorld’s health care teams collaborate across disciplines to support whole-person health and
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EXCHANGE | ISSUE 1 2026
ISSUE 1 2026 | EXCHANGE
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