For over 40 years, Debbie has been our office manager and often the first voice greeting you when calling or coming into the office.

Debbie will be retiring at the end of October, 2023. ActiveKidMD is pleased to share her retirement message. We look forward to having patients, families and friends stop by over the next several months to wish her well!


After 42 years of dedicated and heartfelt service, I say my farewell to an amazing group of doctors, staff, and patients.

Over the years, Gladstien & Koutures have given me the opportunity to learn, grow, succeed, and provide the best possible patient care.

I could not have come to this point without each and everyone of you. Your professional and personal friendships have greatly contributed to my 42 years of success.

I will reflect on all these years as I now look forward to a new journey ahead. I will be spending more time with my husband, Andy, and my two amazing grandkids, Ryder and Regan.

This will definitely be a life change for me, but I won’t miss waking up at 2:00 am every morning to make the gym and avoid the horrible 91 traffic. I hope to travel more, spend more time with my daughters and someday relocate residence to St. Louis to be with my siblings.

My journey has not ended -it’s just begun!
Debbie