H.I.P. Health is Paramount

HIP HEALTH IS PARAMOUNT

Audiologist explores new treatment options Farmer’s Market serves up local, healthy goods Yoga particiation in Fredericksburg at local studios

A health guide for the Texas Hill Country Fredericksburg Standard-Radio Post

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A new you

Contents

They say the best time to plant a tree was 20 years ago. But the second best time is right now.

Perhaps, in this fifth month of 2014, our New Year’s resolutions have gone by the wayside. But it’s never too late to make changes, or to “create healthy.”

Fredericksburg is an active small town, and there are lots of places for walking, as well as facilities and groups that provide a more intense workout with yoga, weights, swimming, jogging or biking.

Let’s plant that tree today.

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‘Can you hear me now?’ ......................................... 4 Top 10 dental destroyers ........................................ 6 Reinventing snack-time .............................................7 Homegrown Farmer’s Market ................................ 8 A model C.E.O. ..........................................................12 CrossFit—Scaled to YOU .......................................14 Yoga in Fredericksburg ..........................................20 Golden days at Hub ................................................ 24 Good Samaritan Center ......................................... 27 Renew: advanced colon health ........................... 30

Dentistry in Fredericksburg

830.997.9893

Dentistry with Integrity and a Gentle Hand, Relaxed, Comfortable Office All Ages Welcome.

We accept insurance.

General & Pediatric Dentistry Periodontal & Cosmetic Dentistry Emergency Service Available Raymond “Dr. Ray” Knuppel Jr., DDS 408 South Adams Street • Fredericksburg, TX 78624

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‘Can you hear me now?’

HEARING LOSS and its severity is discussed with a patient by Ann Barsch, M.S., Audiologist - CCC-A, in her Fredericksburg office at 510 South Adams Street. —Standard-Radio Post/ Lisa Treiber-Walter

Audiologist Ann Barsch is helping Gillespie hear better one ear at a time

By Lisa Treiber-Walter

As we age, people often experience common ill effects as their systems begin to break down There comes a time in some peoples’ lives when or, simply put, wear out. Hearing loss, however, sitting in a crowded, noisy restaurant means miss- doesn’t necessarily go hand-in-hand with growing older. “I see many patients in their 80s and ing a lot of the conversation at the table.

90s with excellent hearing so, it is not a given that When time after time, it seems that people our hearing will decline. But, it is common to see are mumbling, talking too fast or just simply not speaking clearly … or when family members final- more hearing loss as we age,” Barsch said.

With worsening vision, it’s easy to tell because ly get fed up with repeating themselves … it could the picture simply gets fuzzier. be time to get a hearing check-up.

With hearing loss, how does one notice what is Or, according to Fredericksburg audiologist missing?

Ann Barsch, M.S., why not go before that?

“The most common sign of hearing loss is “I recommend a baseline hearing evaluation difficulty understanding what is said because around the age of 40 years, unless difficulty with hearing is observed earlier,” Barsch said. “Re-eval- the speech is not clear,” Barsch said. “Further, difficulty often is observed when visual cues are uations, if hearing loss is present, should occur not available, such as when the speaker’s back every other year, following an initial diagnosis in is turned. Understanding can be compromised order to monitor any progression.”

when background noise covers or ‘masks’ important soft speech sounds such as ‘s’ or ‘f’ or ‘th’ that are important for speech clarity.”

“When hearing is impaired, casual listening becomes almost impossible. The individual must really work to focus on what is being said to improve understanding,” she said.

Oftentimes, it is a person’s family or co-workers who notice that an individual is becoming impaired. “We do not know that we didn’t hear it if we didn’t hear it but others notice it!” Barsch added.

What causes hearing loss over time? “Many of us are exposing our ears to excessive noise. Noise is all around us. The critical factors are in the volume levels of the noise and the length of time or duration of the noise,” Barsch said.

Loud music exposure is cumulative and expo-

5 sure over and over to excessive levels can permanently damage the delicate hair cells in our ears.

Examples of dangerous noise levels are things such as chain saws, gunfire and any type of amplified music at close range, hours of exposure to loud equipment such as tractors, bulldozers and

FOAM inserts are placed in a patient’s ear for a completely painless hearing evaluation by Ann Barsch, M.S., Audiologist, CCC-A. —Standard-Radio Post/ Lisa Treiber-Walter

saws.

There are actually two types of hearing loss: conductive, sensorineural — or a combination of both. Conductive impairment results from a disorder in the outer or middle ear space, whereas a sensorineural loss originates in the inner ear or the auditory pathways leading to the base of the brain. “Many conductive hearing losses are medically treatable,” Barsch said, however, adding that the vast majority of hearing losses fall in the sensorineural category and are usually not reversible.

So, the best idea when it comes to hearing A NEW AGE of technology means a large loss is prevention in the first place. variety of types and sizes of hearing aids “Hearing protection is so easy to obtain,” Barsch said. “One size fits all foam ear inserts are available to those who need them. — Standard-Radio Post/Lisa Treiber-Walter are great if they are inserted properly and used! Ear muffs are best for really excessive portion of the testing, explaining the results and noise levels, such as firing at a shooting range. offering communication tips/strategies to better Your audiologist can work with you to find approfunction with the hearing that you do have,” she priate custom hearing protection that is easy to said. use, comfortable to wear and effective at protectA hearing test averages $80, but can increase ing your hearing.” if more advanced diagnostic testing is required.

Although many new hearing patients are Some health plans cover audiological exams. referred by their primary physicians, Barsch said Should a patient need a hearing aid, the choices individuals can call and set up a hearing check-up they are met with today is widely different than without a referral. a few decades ago. “Hearing aids have changed A basic hearing evaluation is painless and lasts dramatically since I began my audiology career 35 about 45 minutes as Barsch visually examines the years ago. They are no longer squealing devices ear canals and measures how sounds conduct that have to be endlessly adjusted by the user,” through the eardrum.

Cont. on page 7 “I always allow plenty of time to review each

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Top 10 ‘dental destroyers’ to avoid for better smiles Working on a healthier lifestyle?

Don’t forget those pearly whites!

Here’s a few things that’ll quickly destroy any sparkling white smile.

1. Sports drinks — Sports drinks contain a concentration of acidic parts that can erode tooth enamel.

They also are high in sugar, which acts as “food” for acid-producing bacteria which lives in the cracks and crevices of teeth, causing them to decay.

2. Bottled water — Believe it or not, the bottled water craze may actually be harming teeth. That’s because bottled water contains less fluoride than is recommended for good oral health. Public water supplies (i.e. tap water) often contain fluoride additives which actually help teeth resist decay.

3. Tobacco — Yellow stains are a given from tobacco use, but don’t forget that tar also leaves a sticky film on teeth, which harbors bacteria that promotes acid production and creates tooth decay and loss, not to mention gum inflammation.

4. Wine — Don’t assume drinking white wine will help teeth

escape danger. Both red and white varieties increase staining. Enamel erosion is also most prevalent when wine drinkers “swish” wine, keeping it in constant contact with tooth enamel. Take small sips and rinse with water when done.

5. Dry mouth — Whether it’s caused by medicine, chemotherapy or a natural cause, dry mouth is bad for teeth. Saliva is a natural wash that rids the mouth of cavitycausing bacteria and neutralizes harmful acids. Drink water, chew sugarless gum, use a fluoride toothpaste or rinse and consider over-the-counter saliva substitution.

6. Candy — A dentist’s job security, candy doesn’t directly “rot out teeth,” but the acid that’s produced when a person eats sugar and carbohydrates can. Don’t cut off candy altogether, but make sure to brush and floss immediately after. If that’s not possible, then be sure to follow the candy treat with a snack of cheese or yogurt or chew sugarless gum to boost saliva flow and neutralize acid.

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7. Whitening to extremes — Sure everyone likes to have a bright smile, but whitening too much simply causes damage to tooth enamel. Remember … all good things in moderation.

8. Dieting — Oftentimes, cutting down on certain foods puts a smile in danger. It’s important to get enough folate, B vitamins, protein, calcium and vitamin C to protect teeth and keep a person in good

dental health.

9. Aging — It’s a fact that, as people age, their teeth become more susceptible to tooth decay near old fillings or root surfaces that may have become unprotected because of receding gums.

Counter those long years on this Earth by bumping up the fluoride protection.

10. Brushing at the wrong time — Believe it or not, brushing too soon after consuming highacid food or drinks can have the opposite effect on a mouth. Wine, coffee, citrus fruit juices and soft drinks that are consumed should be followed with a rinse of water to neutralize acids, then at least an hour-long wait before brushing.

To brush immediately after their consumption puts teeth at risk for erosion.

There are plenty of other factors out there that cause harm to teeth.

One thing’s for sure, we’re given only one set of permanent chompers to keep our entire lives, so pay heed to a few simple tips for keeping that smile in tip-top shape.

DARIN W. HOLMES, D.D.S. General Dentistry Implants

Cosmetic

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Redefining snack time

1. Smoothie Creations Blend fat-free or low-fat yogurt or milk with fruit pieces and crushed ice. Use fresh, frozen, canned and even overripe fruits. Try bananas, berries, peaches and/or pineapple. If you freeze the fruit first, you can even skip the ice!

2. Delicious Dippers Kids love to dip their foods. Whip up a quick dip for veggies with yogurt and seasonings such as herbs or garlic. Serve with raw vegetables like broccoli, carrots or cauliflower. Fruit chunks go great with a yogurt and cinnamon or vanilla dip.

3. Caterpillar Kabobs Assemble chunks of melon, apple, orange

and pear on skewers for a fruity kabob. For a raw veggie version, use vegetables like zucchini, cucumber, squash, sweet peppers or tomatoes.

4. Personalized Pizzas Set up a pizza-making station in the kitchen.

Use whole-wheat English muffins, bagels, or pita bread as the crust. Have tomato sauce, low-fat cheese and cut-up vegetables or fruits for toppings. Let kids choose their own favorites. Then pop the pizzas into the oven to warm.

5. Fruity Peanut Butterfly Start with carrot sticks or celery for the body.

Attach wings made of thinly sliced apples with peanut butter and decorate with halved grapes or dried fruit.

6. Frosty Fruits Frozen treats are bound to be popular in the warm months. Just put fresh fruits such as melon chunks in the freezer (rinse first). Make “popsicles” by inserting sticks into peeled

Hearing health she said. Due to miniaturization, hearing aids are frequently very small units that are placed behind the ear or even inside the ear canal.

The type of hearing aid and its style chosen depends upon the patient’s degree of hearing loss, as well as their personal preferences, including dexterity and ability to handle the units.

“Digital technology allows a very precise prescription, customized to the user’s listening challenges,” Barsch said. “The newest advances today include devices that wirelessly stream phone, music, television and speech from a remote microphone directly into hearing aids. I am especially excited about the newly-released iPhone

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bananas and freezing.

7. Bugs On A Log Use celery, cucumber or carrot sticks as the log and add peanut butter. Top with dried fruit such as raisins, cranberries or cherries, depending on what bugs you want!

8. Homemade Trail Mix Skip the pre-made trail mix and make your own. Use your favorite nuts and dried fruits, such as unsalted peanuts, cashews, walnuts or sunflower seeds mixed with dried apples, pineapple, cherries, apricots or raisins. Add wholegrain cereals to the mix, too.

9. Potato Person Decorate half a baked potato. Use sliced cherry tomatoes, peas and low-fat cheese on the potato to make a funny face.

10. Put Kids In Charge Ask your child to name new veggie or fruit creations. Let them arrange raw veggies or fruits into a fun shape or design.

Cont. from page 5 hearing aids that allow direct and discreet individual control of one’s aids via the touchscreen of their iPhone!” she said.

Barsch is the only licensed audiologist who bases her operations in Fredericksburg. Her office is at 510 South Adams Street and appointments may be scheduled by phoning 830-997-5006.

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SIMPLE GOODNESS

HOME GROWN

CHOICES, CHOICES — A variety of locally-produced vegetables, strawberries, peaches and more is available at the Fredericksburg Farmer’s Market from 4-7 p.m. each Thursday at Marktplatz. — Standard-Radio Post file photo

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Farmer’s Market offers healthy choices Now open in its seventh year, the Fredericksburg Farmer’s Market offers opportunities for individuals to purchase locally-grown, fresh produce from 4-7 p.m. Thursdays in Marktplatz’s Kinder Halle.

Local farmers and ranchers, chefs, winery owners and musicians will be on hand to sell vegetables and meats, offer tastes of local wines and entertain, said Cynthia England, spokesperson.

Some of the offerings will include certified organic eggs and vegetables, grass-fed beef and lamb, peaches, strawberries, tomatoes, salad greens, lavender and other herbs, knife sharpening, potatoes, cucumbers, squash, melons, artisan bread, wood fired pizza, soup, salad, sliders, tacos and more.

“The Farmer’s Market is again partnering with Hill Country Memorial Hospital,” England said. “Their chef will produce soup made with market products, and give the recipe to take home.”

A “Chef Corner” will feature servings of specially prepared, free bites made with market produce.

“Our big focus at the Farmer’s Market is creating and promoting healthy opportunities for our community,” HCM Chef Steve Sommers said. “With the current state of health care, more than ever the need for preventative health care has become apparent. The best way to prevent illness is a healthy diet along with consistent exercise. Eat well, live well is a simple and poignant phrase.”

Each Chef Corner recipe is available on the HCM Facebook page.

“The Farmer’s Market is a great way to get healthy fresh foods while at the same time developing a great sense of community,” Sommers said.

We would like to thank

Cont. on page 10

Hill Country Memorial as well as the specialists and dentists who help us help the uninsured in our community. You are the living embodiment of the Good Samaritan.

For more information about our medical and dental services for uninsured families and individuals, please contact us Monday through Thursday at 830-990-8651, or visit us on the web at www.goodsamfbg.0rg.

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Farmer’s Market “Engaging with others while sharing a love for great food is a remarkable way to sustain healthy eating habits. At the Farmer’s Market, you are able to speak to the farmers and vendors that got their hands dirty making your meal possible, you are able to garner a new respect for the food you eat.”

“When you eat, you are consuming a thing that was once alive, plant or animal, and many hours of another’s life were spent making sure that product got to the market,”

Chef Corner creates:

‘Chilled Tomato Peach Soup’ One popular soup recipe during last fall’s Chef Corner at the Fredericksburg Farmer’s Market is a Chilled Tomato Peach Soup with Basil, prepared by Sommers.

Using Farmer’s Market vendors, the recipe calls for: • Two large Engel Farm onions; two stalks celery, diced; two cloves garlic, minced; three tablespoons olive oil; two cups vegetable stalk; four to six Engel Farm tomatoes; four to six Marburger Orchard peaches; 12 leaves fresh basil; pinch of ground coriander; salt and pepper to taste; one teaspoon balsamic vinegar, and one-third cup olive oil.

• Heat three tablespoons of olive oil over medium-high heat in a sauté pan. Add onions, celery and garlic and sauté for 5-10 minutes, until vegetables are golden. Remove from pan and add to a blender.

• With a paring knife, carve a slight X on the bottom of each peach and tomato. Bring a pot of water to a boil. Start with the tomatoes and drop two to three at a time and let blanch for 30 seconds. Remove from pot and place under cold running water. At this point it will be easy to remove the skins. Discard the skins, cut tomatoes in half, and squeeze out the seeds and place tomatoes in a blender • Drop the peaches in the boiling water and let blanch 45 seconds. Remove and place under cold running water.

Remove the skins, cut in half and remove the pit. Add peaches to the blender • Place onion-garlic-celery mixture in blender with all other ingredients and purée until smooth.

• Serve or place mixture in a large bowl, cover and refrigerate to chill before serving.

Cont. from page 8

he added. “When we at HCM bring our soup to the market, we do it well and with a respect for all that goes into making great food happen. We are conveying our vision of creating healthy, and empowering others and living our mission of remarkable always.”

The market is planned every Thursday, rain or shine, from May 1 through August.

More information is available at www.fredericksburgfarmersmarket.com.

Michael Majors, MD

DERMATOLOGY Certified by The American Board of Dermatology

95 E. Highway St. Fredericksburg, Texas 78624

For Appointment Call 830-992-3396

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A model

C.E.O.

Leader Jayne Pope takes hospital’s vision to the community

outreach, WIC program, began in 1995. Its hospice has been in operation since 1994, and home care and cardiac outpatient rehabilitation programs have been available since the early 1980s.

“Empower Others. Create Healthy.” and leading HCM continues to diversify its operations.

Hill Country Memorial Hospital’s vision discussions.

In 2011 HCM began the “Restore” program, statement would be just a public relations We’re trying offering hip and knee joint replacement surslogan, if its CEO and staff hadn’t bought to make sure gery. This year “Renew,” a best practice prointo it so completely and looked to transform people have gram for bowel surgery derived from Restore, Pope proper food and an entire community. is the latest program for creating healthy.

In doing so, HCM has managed to be ahead information, “Our community engagement reaches and they know how diet impacts their own of the curve as changes from the Affordable outside the hospital walls,” Pope said. “We Care Act begin to take hold in the healthcare wellness.” expand our community-based partnerships, Pope wants empowerment and health to marketplace. aligning the community needs with the hospervade every area of HCM’s operations. She pital’s offerings.”

Recently recognized for a “best practice praised the hospital’s team and physicians. in leadership” by the national Baldrige A recent community needs assessment Performance Excellence Program, HCM has But it also is looking to diversify its offerings found that early detection of diabetes was as community health becomes a part of the made its vision a core part of its operations. a top concern locally, as it is in communifederal reimbursement formula.

“We have doubled our efforts on getting ties across the nation. The HCM Wellness HCM opened its wellness center in the out into the community,” CEO Jayne Pope Center includes diabetes screens among its Fredericksburg Dentistry, mid-1990s, with a gym, pool and a long list said. “We are reaching out into neighboring many offerings for patients PLLC to stave off the of workout classes.

HCM’s community counties, and having healthy food initiatives disease. “Preventing an illness is creating Jay Lindsay, D.D.S.

Thomas E. Schmidt, D.D.S.

Fredericksburg Dentistry, PLLC Jay B. Lindsay, D.D.S.

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EXPLORE THE PILLARS OF HEALTH AND HEALING THROUGH CHIROPRACTIC & NUTRITIONAL COUNSELING...

Hardison Chiropractic Wellness Center HILL COUNTRY Memorial Hospital CEO Jayne Pope competes in a recent bicycle race to encourage the staff and community to “create healthy.”

healthy,” Pope said.

Fredericksburg hospital staffers also can be seen in local runs and bike rides. Pope herself is a frequent walker and took part in a 36-mile trek in the April Texas Gran Fondo bicycle race.

“If I want a healthy community and a healthy staff, I need to model it myself,” she said. “The vision is what we’re all about because we have so many different parts of the hospital – both inside the walls and outside – that the vision really resonates with all of us.”

In looking at its initiatives, HCM has been ahead of the curve, and in ways that pay dividends. Under the Affordable Care Act payments will be based on high quality and patient safety.

HCM is a top performing quality hospital, ranked by CMS as No. 1 in Texas and among the top 3 percent in the nation in areas that include patient satisfaction and fewer hospital readmission rates.

HCM has been named a “Top 100 Hospital” by Truven Health Analytics for three years running.

Pope said even the hospital’s partnership with the Fredericksburg Farmers Market helps get the word out about the benefits of fresh food. (See related story in this issue.) “We’re also using social media to help us spread the news about what we’re doing and even sharing healthy recipes from our chef.”

After speaking recently at the Baldrige program, Pope said other health care leaders affirmed what HCM is doing. “The hospital that won the top award has partnered with their local farmer’s market.

So some of these initiatives are intuitive on our part, such as our farmers market outreach,” she said. “But again, it’s modeling. It’s getting people thinking about their health, and getting them to know they have control of their health.”

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HealtHcare for tHe entire family Karen G. Cornett, M.D. John P. Ramsay, M.D. Nancy M. Rickerhauser, M.D. Kristi A. Stafford, M.D.

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C R O S S

fit

Scaled to YOU TV CrossFit athletes can be intimidating. But a local gym welcomes all shapes, sizes and fitness levels.

Watching Crossfit athletes on television can be both inspiring and discouraging. Some think because those top-level Crossfitters are doing 100 pull-ups, they will be expected to do so in their local gym, or “box,” to use Crossfit lingo.

But Crossfit FBG owners Danny Elliott and Mark Logue say any level of athlete can and does train at their location in south Fredericksburg, behind Sports Medicine & Physical Therapy, 1316 State Highway 16 South.

“In our adult classes, we have athletes ranging

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Trainer Mark Logue works on form with a new client at Crossfit FBG.

from age 15 to 74,” Elliott said. And they are doing great with it. People like the mix of workouts. And that’s a great thing for we attention-challenged people. There’s nothing more boring than doing the same workout every day.”

Logue has been into fitness and nutrition a long time, holding boot camps for friends and relatives in Kerrville. But with Crossfit, he found a way to bring a beneficial program to a lot of people, and in a time frame that fits busy schedules.

“People like the consistency and camaraderie of Crossfit classes,” Logue said.

“We try to encourage eating better and working out and all the benefits those simple things will bring.”

Logue said people can choose a schedule of three times a week or more, if they want a daily (Monday through Saturday) regimen.

Elliott said Crossfit box owners struggle with the misperception of having to be a super athlete to try it out. “People say they want to wait until they get in shape to start Crossfit,” he said. “But we scale it down, and we can modify the workouts.”

Elliott’s own wife, Jill, is down three dress sizes since she began the workouts.

“I did spin classes and all sorts of things, but nothing has shown results like this,”

she said. “I’m still not where I want to be, but I’m definitely closer.”

Danny said his wife also has seen strength gains as well as toning up. Still, all gyms combat the “She-Hulk” fallacy, whereby women believe they will bulk up like a body builder if they lift weights. Not true, Elliott said.

Camaraderie Many feel that fellow members help push them as well. Competing in timed events each workout can be a motivator.

And some have “drank the Crossfit Kool-aid.” Athletes become addicted to the endorphin-releasing high, and seeing results in the mirror. Some become nearly religious about it, claiming “their spot” like a church parishioner.

No matter what level an athlete is, Elliott said, there is progress to be made.

And with the camaraderie comes daily accomplishments. People who never dreamed of doing 75 pushups manage to reach that total by breaking it down to 15 at a time. But Elliott said the most rewarding clients are the ones who have struggled with their health in the past.

“It’s easy to coach people who already Cont. on page 18

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MEDICAL GROUP

2511 Highway 281, Suite 800 / Marble Falls

1st Saturday of every month 8am-11am q DIABETES SCREENING $35 q BLOOD TYPE $25 q HEMOGLOBIN A1C $30 q PSA (PROSTATE) $25 q TSH (THYROID) $30 q VITAMIN D $42 q VITAMIN B12 $25 q LIPID PANEL $30 q QUICKDRAW 1 $65 q QUICKDRAW 2 $95 q WOMEN’S HEALTH $135 q MEN’S HEALTH $135

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Visit hillcountrymemorial.org/quickdraw for full test explanations.

EAR NOSE & THROAT

Tracy Byerly, II, MD Carrie Culpepper, FNP-C (830) 997-4000 / TOLL-FREE 1 (855) 254-1368 205 W Windcrest, Suite 210 / Fredericksburg 1331 Bandera Hwy, Suite 3 / Kerrville 2511 Highway 281, Suite 800 / Marble Falls

FAMILY MEDICINE

Roger Gildersleeve, MD (830) 990-1404 / TOLL-FREE 1 (888) 899-7256 205 W Windcrest, Suite 130 / Fredericksburg 1331 Bandera Hwy, Suite 3 / Kerrville

V isit

hcmmedicalgroup.com bios | videos | events locations

GASTRO

Lindy Rachal, MD, FACP (830) 997-1031 / TOLL-FREE 1 (888) 997-1031 205 W Windcrest, Suite 100 / Fredericksburg

GENERAL SURGERY

Gregory Andreassian, MD (830) 997-6773 205 W Windcrest, Suite 220 / Fredericksburg

OB/GYN

Michael Campbell, MD (830) 997-3038 816 Reuben St., Suite C / Fredericksburg 1331 Bandera Hwy, Suite 3 / Kerrville

ORTHO

Daniel Robertson, MD Kristina Crawford, PA-C (830) 997-2936 / TOLL- FREE 1 (855) 232-9131 205 W Windcrest, Suite 340 / Fredericksburg 2511 Hwy 281 N, Suite 800 / Marble Falls

VASCULAR

Andrew Bowser, MD, FACS Joseph Vinas, MD, FACS (830) 997-7138 / TOLL FREE: 1-866-238-2911 205 W Windcrest, Suite 350 / Fredericksburg 1331 Bandera Hwy, Suite 3 / Kerrville

18

Ave Maria Hospice “Se Habla Español” SERVICES PROVIDED • Nursing • Medical Director • Social Worker • Chaplain • Hospice Aides • Volunteers

Serving the Hill Country

“Be Not Afraid”

830-997-1709 www.avemariahospice-tx.com

MID-TEXAS HEALTH CARE FAMILY MEDICINE DAVID CANTU, M.D. YVONNE HAUG, M.D.

Accepting New Patients • urgent sick visits • child & adult wellness • family planning • immunizations • hospital & nursing care • newborn care

1305 N. Milam St. 830/997-7626 Serving the Hill Country since 1986 Accepting most insurances including Medicare

CrossFit

Cont. from page 15

are good athletes,” he said.

“But the fun ones to coach are the ones making huge strides in their health. We have one woman who has lost 75 pounds. Another man who shattered his knee has modified and made great gains.”

One middleaged local man praised the workouts as just what he needed.

“I had worked out on and off over the years and spent a lot of time on cardio machines,” said Jay Lindsey, a dentist who recently marked a year with Crossfit. “But the variety is what’s great. I don’t dread com- Crossfit FBG owners and operators Danny ing to work out, Elliott, right, and Mark Logue. and I’m in the best shape of my • See CrossfitFBG.com or its Facebook page life.” for more information.

Want to get a taste?

Crossfit FBG has begun an “elements” class, which explains the ins and outs of Crossfit. It also lets people go through several workouts before requiring a signup.

It also has a Kids Class that features varied, yet scaled-down versions of the exercises.

AWARD-WINNING SERVICE. THE POCKET EDITION. With the Frost App you can deposit checks, transfer funds, find nearby locations and talk to a real person at the bank with a single tap. Now available for iPhone and Android.

frostbank.com 1300 South Main Street | Boerne, TX 78006 (830) 249-6633 MEMBER FDIC

19

At O YOUNG MD, we want to encourage you to find...Your own kind of beautiful Dr. Ode Young has extensive experience in the medical field spanning over 20 years in the Texas Hill Country which has earned her a well respected reputation in her community.

Dr. Ode joined the medical aesthetics and skin care industry in 2006. She states, “Aesthetics have allowed me to assist my clients in bringing forth their self confidence and a healthy self-image”. As a medical professional, Dr. Ode is committed to researching and investing in the best, most advanced products and equipment available. She combines innovative procedures and products with insight, revealing radiance and luminosity of your own intrinsic beauty.

218 Sidney Baker North • Kerrville Texas 78028 • 830-315-5005 info@odeyoungmd.com • www.odeyoungmd.com

Ode Young, MD

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Located in the heart of -the medical community, on the 1st floor of the Perry Feller Professional Building at

205 W. Windcrest Ste. 160 • Fredericksburg, TX 78624 (830) 997-2163 • Hours: 8:30 - 6:00 Monday-Friday

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Our friendly and professional staff are here to serve you!

Mills & Associates Physical Therapy

Frank Mills, PT Melinda Mills, PT Carol Johnson, PT Karen Sweet, PT Autumn Holland, PTA

1420 E. Main St. Suite 800 Fredericksburg, TX 78624 830.992.3713

All the gain without the pain!

We don’t believe therapy should be painful, so we use gentle yet very effective therapy solutions to assist you. If your body is not allowing you to live your life to the fullest, please come see us. We can help.

Our Promise Nobody will work harder to help you or your family We are located at 712 W. Main St., Suite A

(within the Fredericksburg Standard-Radio Post building)

Hours: Mon.-Fri., 7 a.m. to 6 p.m.

Phone: 830-997-3781; Fax: 830-997-3786

20

Let’s get flexible

NAMASTE — Patty Williamson leads a class at Lizard Dreaming Yoga. She has been practicing yoga for 26 years and has taught it for 14. — Standard-Radio Post/Richard Zowie

Yoga participation growing in Fredericksburg Sometimes, getting into shape consists of putting on shoes and socks and going out for a two-mile jog or a five-mile hike.

And, sometimes, it consists of sitting barefoot

on a mat and doing slow movements in a multimillennia discipline.

Those slow movements on a floor could perhaps best be described as yoga, and for Gillespie

County residents, there are opportunities to practice it.

Cont. on page 22

Kathy Wilson, MD Board Certifed in Sleep Medicine Seeing patients for symptoms of:

v Daytime Sleepiness v Snoring v Difficulty Falling or Staying Asleep v Feeling “Skin Crawling” at Night v Unrestful Sleep v Not Breathing While Asleep Ask your doctor for a referral or

call 830-792-1132

Women’s Associates

Obstetrics and Gynecology

Jonathan Egly, MD

Stephanie Hutchison, MD

Elizabeth Wilfong, DO

Jodie Baker, CNM

Niessa Meier, CNM

Annette Jones, CNM

The Providers with Peterson Women’s Associates are currently accepting new patients and most major insurances.

Peterson Women’s Associates 575 Hill Country Drive Kerrville, Texas 78028 830-258-OBDR (6237)

21

LEIGH ANNE BAINS, M.D.

Chris Stewart, M.S. Licensed Professional Counselor

NEUROLOGY

Children, Adolescents & Families

Specializing in Movement Disorders

• ADHD • Depression • Anxiety • Sports Performance • Health & Wellness

830-998-4320 • ckstwrt@gmail.com 306 Cottonwood Street • Fredericksburg, Texas 78624

Hill Country Vision Center 508 S. Adams Fredericksburg, TX 78624

O D

Shelly Blaker O.D. and W. Steve Kroeger O.D. Therapeutic Optometrists Optometric Glaucoma Specialists

O D

Tel: 830-997-2504 1-800-997-2504 Fax: 830-997-5155

Offer valid 5/1/14 - 5/31/14 on new 3-Month Memberships only Extends membership an additional 31 days.

• Headaches/Migraines • Dizziness • Nerve Disorders • Seizure Disorders • Muscular Disorders • Strokes

• Tremors • Parkinson’s Disease & Related Disorders • Restless Leg Syndrome Procedures: • DBS Programming • VNS Programming • Baclofen Pumps • EMG/NCS

* Botox for Neurological Disorders

NEW PATIENTS ARE WELCOME! Leigh Anne Bains, M.D. 205 W. Windcrest, Suite 120 Fredericksburg, Texas 78624 830-997-3283

22

Yoga Benefits of yoga Patty Williamson teaches yoga at Lizard Dreaming Yoga and has practiced it for 26 years. She describes yoga as a collective benefit that can be seen physically, mentally and emotionally.

Another instructor, Carla Harless of Sanctum Spa, began practicing in 1995 after the birth of her second daughter.

“Yoga was a way for me to not only stay flexible but also helped increase my endurance and stamina,” Harless said.

Among the physical benefits: functional strength, muscular balance, flexibility, improved posture and enhanced breath capacity.

“The most important benefits, though, are the reduction in stress, the mental clarity and inner peace — real life coping skills — that come with regular practice,” Williamson said.

Cont. from page 20 Originally developed as a therapeutic practice, yoga has evolved since its introduction to the western world, she said. Specifically, as a workout, taught in class settings.

“Even so, the therapeutic benefits are still measurable,” Williamson JAMIE MORRIS reaches to complete a Sukhasana (“easy pose” in Sanskrit) side bend during a yoga class in Fredericksburg. In town, there are three places that teach yoga.

— Standard-Radio Post

said. “It has been proven to help with hypertension, back rehabilitation, chronic pain control, treatment of depression, addiction recovery, and a host of other conditions.”

Harless likes to practice her yoga

asanas (poses) daily, believing that doing so helps her body stay strong and supple; the meditative practice of yoga helps her mind become more calm and focused.

Do’s and Don’ts in yoga For those interested in yoga, Williamson and Harless discussed some important things to consider: •If new, find a class that isn’t too advanced or one that can be modified for beginners.

“There are many different ‘styles’ of yoga, so I encourage people to try different classes with different teachers until they find the right fit,” Harless said.

•Trust what your body is telling you, and don’t be afraid to come out of a pose that feels uncomfortable. Don’t worry about trying to achieve elaborate poses.

•Wear comfortable clothes that don’t inhibit your movement and don’t get in your way. Most studios require yoga to be practiced barefoot.

•Have fun with yoga. “You don’t

23 get judged or graded, so enjoy the process of self-discovery,” Williamson said.

Yoga classes in Fredericksburg At Lizard Dreaming Yoga, they offer multiple classes a day, six days a week, from as early as 6:15 a.m. to as late as 6 p.m. They have seven instructors who teach everything from gentle beginner yoga to more advanced flow styles.

“I have been teaching in Fredericksburg for 14 years and have seen the market for yoga grow immensely,” Williamson said. She began with four students once a week, and Lizard Dreaming Yoga now has over 400 students after being open only a year.

According to Williamson, an instructor should have at least a 200-hour certification. She believes that the market for yoga will continue to grow not only for local residents, but also for visitors.

Harless teaches a weekly class on Tuesdays from 12:30-1:30 at Lizard Dreaming Yoga and also offers private sessions at her home office.

“My style is very gentle and focuses on proper alignment,” Harless said. “I believe that the Hill Country is a great market for yoga. There are many different teachers in Fredericksburg who all have their own style, so there are plenty of opportunities for people to incorporate yoga into their lives.”

Yoga classes • Lizard Dreaming Yoga, 406 West Main Street, 830992-3223, www.lizarddreamyoga.liveeditaurora.com.

• Yoga Center of Fredericksburg, 109 East Hackberry Street, 830-456-6975, www. yogacenterfbg.com.

• Sanctum Spa, 804 Reuben Street, 432-638-3729, www. sanctumspa.net.

Peterson Hospice 1121 Broadway 830-258-7799 www.petersonhospice.com

EMERGENCY

service, at the highest level.

Air Evac Lifeteam has been serving rural America for over 25 years. For as little as $65 a year, an Air Evac Lifeteam membership provides prepaid protection against any out-of-pocket flight cost for our services during an emergency.

For more information, call:

Horace Taylor Local Membership Sales Manager

830-423-4544 Learn more at www.lifeteam.net or call 800.793.0010

L-R: Board Member- Margie Jetton, Medical Directors- Dr. Jim Young and Dr. Odemaris Young, Board Members- Louis Romero and Dr. Val Chyle. Not pictured: Board member Jennifer Correa-Knoulton and Associate Medical Director- Dr. Klaus Schroeder

Peterson Hospice taking care of our community with people from our community Services offered: • • • • • •

Hospice Care Pathways Dementia and Cancer Support Groups Adult Bereavement Children’s Bereavement Peterson Hospice Thrift Store

For more information, call 830-258-7799

Gaining Strength And fitness in a motivating, encouraging and challenging atmosphere!

1361 S. State Hwy 16 (behind sm&pt)

830-998-5154

constantly varied high intensity functional movement

www.crossfitfbg.com

24

GOLDEN days Seniors find healthy living easier at the ‘Hub’ When it comes to seniors, everything really is “golden” at the Golden Hub Community Center.

The Golden Hub at 1009 North Lincoln is a place where senior citizens can gather to enjoy a variety of daily activities that include fitness classes, health screenings, fellowship, nutritious meals and much more.

“Our mission is kind of our philosophy,” said Denise Usener, director of the Golden Hub. “We provide opportunities to enhance the quality of life for seniors in Gillespie County.”

Nutrition is a big part of what the Golden Hub offers each day through its Meals on Wheels program and the meals served at the center.

Through Meals on Wheels, a hot, nutritious meal is delivered five days a week to recipients.

But it is not only the meal that is important, according to Usener. It is also a chance for social contact for the recipient as well as the opportunity to check and make sure the recipient is doing okay and if not, report any issues.

Meals on Wheels can also be helpful to someone who is recovering from surgery or an illness on a temporary basis, Usener said.

Individuals wanting more information on Meals on Wheels on a permanent or temporary basis are urged to call the Golden Hub. Lunch is also served at noon Monday through Friday in the dining room at the Hub. A requested donation of $5 is asked for diners 60 years of age and over and $6 for those under 60.

“We have some people who come every day,” Usener said. “It is their way to get out and socialize with their friends.”

Usener noted that a registered dietician makes up the menus to meet state dietary regulations.

For help with transportation, the Golden Hub partners with ART (Alamo Regional Transit) three days a week.

On Tuesdays and Thursdays, the center’s van will pick up anyone who needs transportation.

(Information on transportation is also available by contacting the center.)

TAKING ADVANTAGE of one of the many exercise classes offered at the Golden Hub Community Center are Irene Mauldin and Geneva Smith. Along with the exercise classes, the center also offers line dancing and health checks. — Standard-Radio Post photo To compliment the nutrition program, the Hub offers a variety of programs on a regular basis, including exercise classes, line dancing, quilting, games, musical entertainment, crafts and more.

Coffee and pastries are available in the mornings.

Several special events are held each month, including blood pressure

Creek Street Dental in Fredericksburg Fred Grimes, D.D.S; Ericka T. McBrine, D.D.S

General Dentistry

101 West Creek Street • 830-990-1178 www.appointments@creekstreetdental.com follow us on Facebook

We believe your teeth can and should last a lifetime.

“It’s a team thing.”

We offer a wide variety of services including wisdom tooth removal and I.V. Sedation

25

ENJOYING an afternoon playing Mahjongg at the Golden Hub Community Center are, from left, Rita Durham, Crystal Fox, Henry Etta Collier and Marilyn Mohr. Mahjongg is just one of the many card, domino and board games that are offered at the center. — Standard-Radio Post photo

checks, a mini health fair and glucose checks.

And with the exception of an exercise class, the cost of the activities for those over 60 is by donation.

Also, a birthday celebration is held each month and “we love parties here,” Usener said.

She said, “Anything that we offer here is to keep seniors active, healthy and independent.”

Individuals also have the opportunity to volunteer at the Hub as drivers for the Meals on Wheels program, activity leaders, servers and more.

Usener said, “Volunteering keeps you young, too.”

For those children who would like to get their parent(s) involved at the Hub, Usener suggests accompanying them to the center for lunch to see what it is all about.

And once they visit, Usener said that most will want to come back. “It is just getting them here the first time that is sometimes hard,” she said.

She pointed out that “we are not a nursing home. We are an activity center for older adults.”

“We’re always trying to keep it buzzing here,” she said. “We are keeping busy and active.”

Following is a general schedule of the weekly activities that take place at the Golden Hub. Special activities are also included each month such as the monthly Birthday Bash, mini health fairs and more.

Copies of the activities calendar and the menu are available at the Hub and also online at www. goldenhub.org.

For more information on any of the services at the Hub, individuals can also call 997-7131.

26

Good Samaritan Center facing Obamacare changes

By John Willome “Are you going to be open next year?”

We, at The Good Samaritan Center, heard that question a lot late last year as patients tried to figure out how the Affordable Care Act (ACA) and Texas’ implementation of it would impact them.

The easy answer is, yes, we are still here and, at this point, we see no need to reduce the availability of our services.

The tricky part is talking with each patient individually and explaining how the healthcare law impacts them and their family because each situation is unique.

In the end, with only a few exceptions, nearly all of our patients are still and will remain uninsured. Most of our patients live below 133 percent of the poverty level, and the ACA intended that the states would expand their Medicaid programs to include them.

In the summer of 2012, however, the Supreme Court ruled that the ACA could not mandate that the states do that, so more than half of the states, including Texas, citing unacceptable increases to the states’ budgets, opted out.

Additionally, the insurance rates through the federal insurance CHECKING the heart sounds of Debra Benavidez at the Good Samaritan Center is Megan Staudt, PA-C. — Standard-Radio Post photo

ANN BARSCH, MS Audiologist, CCC-A

Fellow American Academy of Audiology Board Certified American Board of Audiology Celebrating my 30th year of professional hearing care in Fredericksburg.

Professional Hearing Care For All Ages Diagnostic Audiological Evaluation State of the Art Digital Hearing Aid Technology in a variety of styles, features and price ranges to meet individual communication and lifestyle needs.

COMPREHENSIVE COMPASSIONATE COMPETENT AUDIOLOGICAL CARE 510 South Adams Street Fredericksburg, Texas 78624 830-997-5006

The Paige House Luxury Retirement Living

Fredericksburg’s premier Retirement/Assisted Living community. We provide the perfect venue for living well. For some it’s music or gardening, faith or pets. For others it’s relaxing or entertaining in their private suites, or celebrating connections with family & friends in the community common areas. At The Paige House you’ll discover life enhancing programs in tune with your interests and lifelong passions. If assistance or enhanced care is desired, it will be provided with compassion and expertise.

Services offered include: Three meals a day served in a common dining area or room service, weekly housekeeping, scheduled transportation, 24-hour personal assistance, personal laundry, social and recreational programs & other services tailored to your needs.

We welcome the opportunity to serve you and your loved ones. For more information, please call 830-997-4613 or come by 2230 N. Llano for a tour. thepaigehouse@gmail.com license #136388

Pets under 25 lbs. are welcome!

27 exchange available to the rest of our patients who live between 133 percent and 200 percent of the poverty level, even with the sliding scale subsidies, are beyond their economic reach.

In short, it’s turning out that our patients will continue to fall through the cracks of the healthcare system and it is critical that we be here for them.

To be clear, I am speaking specifically about our patients who are all below 200 percent of the federal poverty level.

While a few of them have been able to find an insurance plan through the exchange who worked for them, it is those between 200 percent and 400 percent of the poverty level who have really benefited from the exchange. This has been a very underserved population, and it is nice to be able to tell people who are over-income for our services that they can probably find an affordable policy through the exchange.

What about the penalties?

A lot of our patients are concerned about paying a penalty if they do not get insurance.

Most of them do not have to worry about this because of a provision in the ACA that says that if the insurance premiums available to them are more than 8 percent of their income, then they will not be penalized for not getting the insurance.

The rules are a little different if your employer offers group health insurance. In that case, the magic number is 9½ percent.

Peterson Home Care 1420 Water Street 830-257-3111 www.petersonrmc.com

If the cost of the employee’s individual insurance is over 9½ percent of the employee’s gross income, then they are free to find insurance in the exchange, and if they cannot find anything there below 8 percent of their income, then they will not be penalized.

Talk with an insurance agent or other trained professional.

At the end of the day, the best thing for anyone to do is talk to a licensed insurance agent. They are trained and experienced in working with the insurance companies and providers in our area.

They will also be there to help if you have any problems after you have your insurance. Talking with them does not cost you anything. They are only paid a commission by the insurance company if you sign up for a policy.

The best option for Spanish-speaking individuals is to talk to a Certified Application Counselor at the Frontera Healthcare Network clinic.

It is located in The Good Samaritan Center’s building and their phone number is 830-992-2005. You can also call the federal helpline at 800318-2596.

These individuals are versed in the plans available. The downside is that they are only qualified to help people sign up, but they cannot be an advocate for them after they have their insurance.

The open enrollment period for the federal exchange for 2014 is currently closed, although there are special exceptions about which you can Cont. on page 28

Pedernales Medical Group Board Certified Internal Medicine and Pediatrics Office and Hospital Care for the Entire Family!

NANCY K. THOMPSON, MD

Dr. James Young Medical Director

Internal Medicine & Pediatrics Dr. Cynthia McNeely Medical Director

Peterson Home Care has provided quality care to seniors in their homes for over 25 years.

• • • • •

Locally owned and operated Counties served - Bandera, Edwards, Gillespie, Kendall and Kerr Skilled Nursing Care Physical, Occupational and Speech Therapy Medication Management

For more information or to request an evaluation for home care services please call 830-257-3111 or visit us at www.petersonrmc.com

PAMELA D. CANTU, MD Internal Medicine

FELICE H. HOWARD, MD Internal Medicine & Pediatrics

THERESA S. WIGINTON, MD Neurology

830-997-2191 205 W. Windcrest, Suite 310

28

Good Samaritan Center

Cont. from page 27

WELLNESS CENTER

THE MOST COMPREHENSIVE FITNESS FACILITY IN TOWN

1 2 3

Your kick-start to a healthy new you.

HCM WELLNESS CENTER

(830) 997-1355 / 1006 S State Hwy 16 hillcountrymemorial.org Monday - Friday 5:15am - 8pm Saturday 7am - 2pm Sunday 2pm - 5pm

ask an insurance agent.

The 2015 open enrollment starts on Nov. 15, 2014, and closes Feb. 15, 2015.

Any penalties you might face for not having insurance in 2014 will be minimal, but they will increase each year for the next several years.

Therefore, we encourage you to talk with an insurance agent and let her or him thoroughly explore all of your options with you.

Just know that, if you cannot afford the insurance available and fall within our income and geographic guidelines (Gillespie, Blanco, Mason and Kimble counties as well as the towns of Comfort and Brady), The Good Samaritan Center will be here for you.

John Willome is the executive director of The Good Samaritan Center in Fredericksburg. The Good Samaritan Center is a charitable medical and dental clinic that helps uninsured individuals and families that live below 200 percent of the federal poverty level.

For more information, call the center at 830-990-8651 or visit online at www.goodsamfbg.org

For Breaking News — Subscribe to the

Standard DAILY UPDATE Email fbgnews@fredericksburgstandard.com to get on the list

Texas Hill Country Orthopaedics and Sports Medicine J. Steven Hoerster, M./D. P. Charles Romanick, M.D. Joseph M. Cohn, M.D. Board Certified by The American Board of Orthopaedic Surgery

Fredericksburg, Kerrville, Brady, Marble Falls & Llano

(830) 997-4043 thcosm.com

Kimberly Smajstrla has a Masters in Oriental Medicine and is a Licensed Acupuncturist, Certified Wholistic Kinesiology Practitioner, Applied Clinical Nutritionist, Detox Specialist, and Reiki Master. She uses ZYTO biocommunication technology to optimize her nutritional recommendations.

• pain relief • digestive & sleep issues • fatigue • hormonal imbalances • weight loss • preventative care TX License #AC00638

Two Holistic Healers, One Location 605 N. Llano, Fredericksburg

Tranquil Center

Massage

balance.body.mind.spirit SPECIAL PRICES! $65. 1 hour massage $95. 1.5 hour massage

Specializing in Eastern and Western Therapeutic Modalities

Deep tissue, Relaxation, Reflexology, Reiki, Pain Relief, Cranial/Sacral, Stretching

Lisa Bohnert became a Licensed Massage Therapist in 1999 and focuses on oriental and holistic modalities; she holds an MA in psychology from Saybrook University. Lisa is a certified Reiki Master, Qi Gong instructor, and Reflexologist.

She studied a wide range of massage and movement therapy techniques, which she draws upon to create a unique style customized to each client’s needs.

(210) 789-5128

by appointment call or text

Massage is an essential component for optimal health, increasing the flow of blood and lymph, reducing tension, and easing stress. Massage helps the body TX License #MT022805 heal itself and is an integral part of holistic care.

www.tranquilcentermassage.com

•

tranquil.center@gmail.com

30

RENEW: advanced colon surgery, enhanced recovery Renew is Hill Country Memorial’s enhanced surgery and recovery program for surgical colon resection.

Its specially designed protocol enhances each step of the surgical process, from pre-operative education to the transition home. The Renew process is designed to reduce complications, shorten hospital stays and achieve the best patient outcome and experience possible.

Through diagnostic tests like a colonoscopy, a patient’s bowel is evaluated. If a portion of the bowel is diseased or damaged, a physician may recommend that it be removed surgically, also called “resection.”

The Renew difference The Renew surgical procedure is performed laparoscopically, a minimally invasive technique that requires a much smaller incision.

During the surgery, the surgeon administers an anesthetic directly at the surgical site that minimizes post-operative pain for 72 hours. In comparison, traditional colon surgery involves a large incision in the bowel followed by a lengthy recovery, typically five to seven days.

The Renew care team Patients who have a Renew procedure are

Renew physicians: • GREGORY D. ANDREASSIAN, MD General Surgery, Board Certified (830) 997-6773 205 W Windcrest, Suite 220A Fredericksburg hcmmedicalgroup.com • C. LANCE LOVE, MD General Surgery, Board Certified (830) 997-6000 820 Reuben St, Suite A Fredericksburg • JAY S. STAUFFER, MD General Surgery, Board Certified (830) 997-8833 205 W Windcrest, Suite 220B Fredericksburg

hillcountrymemorial.org hcmmedicalgroup.com (830) 997-4353

assigned a nurse navigator — the first member of a dedicated care team focused on the Renew experience.

Each patient receives an educational guide booklet listing pre-surgery instructions and a preparation checklist from their surgeon.

To reduce stress on the day of surgery, patients are pre-registered, and health information is gathered by a pre-admission nurse beforehand over the phone. The nurse navigator then becomes the contact person for any questions and is available to patients and families during the entire process.

On the day of surgery, anesthesiologists and certified registered nurse anesthetists prepare patients for surgery with individualized anesthesia protocols.

After surgery, nurses specially trained in colon surgery recovery oversee patients’ daily care including completing orders from a physician, dispensing medication and monitoring vital signs. Throughout recovery optimal pain management is emphasized.

As a patient’s advocate, the nurse navigator continues to oversee the care team. Together with patients they focus on a speedy return to a normal diet and physical activity.

Upon discharge, an RN case manager helps

31 patients transition from the hospital to home by ensuring they have the information and instructions needed for a successful recovery. The case manager continues to follow up with patients throughout their recovery process.

What Renew means for patients Renew is a best practice derived from Restore, the innovative process used to treat knee and hip replacement patients at Hill Country Memorial.

The Renew program’s approach to pain management and rapid recovery mean that patients go home sooner and recover faster. Specifically, the Renew procedure’s smaller incision enables patients to sit up the night of surgery, and most patients return home within one to three days.

Hill Country Memorial is ranked in the top two percent nationally for medical excellence in overall surgical care and in the top five percent nationally for medical excellence in major bowel procedures based on independent research conducted by Carechex, a division of COMPARION. The Texas Hospital Association ranked it first in the nation for patient experience in 2013.

Medical Associates

Family and Internal Medicine

Cynthia McNeely, MD

Bridget Robledo, MD

David Vaughan, MD

Sandra Garred, MD

D. Ann Rosson, MD

Shelia Mays, FNP

MORE WAYS TO KEEP UP TO DATE • Newly redesigned

Fredericksburg Standard.com

• Standard DAILY UPDATE email list • Follow us on Facebook • Follow us on Twitter (@fbgstandard) • Download our app at the App Store or Google Play.

Or subscribe in print by calling 830-997-2155!

The Providers with Peterson Medical Associates are currently accepting new patients and most major insurances.

Same day access for sick visits.

Peterson Medical Associates 575 Hill Country Drive Kerrville, Texas 78028 830-258-7PMA

KNOPP HEALTHCARE SERVICES offers two state of the art therapy facilities operated by a licensed and trained staff. Each therapy facility is conveniently located within our homes, allowing our residents and members of the community easy access to physical,occupational and speech therapy services.

• 24-Hour Licensed and Skilled Nurses on Duty • Emergency Call Systems In All rooms • Housekeeping & Laundry Services • Beauty & Barber Shop Services

www.knopphealthcare.com Services Provided

• Live Music Performances • Local Ministry visits & Weekly Worship Services • Bible Study & Hymn-Along

OUR HOMES

Knopp Healthcare & Rehabilitation Center, Inc.

1208 North Llano • 830-997-3704 A 132-bed licensed facility providing skilled nursing care, along with physical, speech & occupational therapy services. Medicare, Medicaid, VA Contract & insurance are accepted. Private pay & hospice services are also available.

• 24-Hour Licensed and Skilled Nurses on Duty • Therapy services - Occupational, Physical, Speech & IV Therapy • Private & Semi-Private Rooms • Hospice Services Available • 3 Dietician Supervised Meals Served Daily • Special Diets Available

Knopp Retirement Center, Inc.

103 East Trailmoor • 830-997-4426 Emphasizes independence in a minimum care setting, while offering the highest level of personal care when necessary. Knopp Retirement Center provides a positive, faithbased environment to inspire & encourage our residents to maintain an active & dynamic lifestyle.

• Respite Care • ADL Assistance • Three Chef Prepared Meals Daily • Private Rooms with a Variety of Floor Plans • Large Common Areas & Outdoor Recreation Space • Nursing & Medication Management LIC # 000552

• Pet & Music Therapy • Daily Social & Recreational Activities • Scheduled Local Transportation Is Available

Knopp Nursing & Rehabilitation, Inc.

202 Billie Drive • 830-997-8840

A 60-bed licensed facility providing skilled nursing care, along with physical, speech & occupational therapy services.

Medicare, Medicaid, VA Contract & insurance are accepted. Private pay & hospice services are also available.

• Therapy services - Occupational, Physical, Speech & IV Therapy • Private & Semi-Private Rooms • Hospice Services Available • 3 Dietician Supervised Meals Served Daily • Special Diets Available

Knopp Assisted Living, Inc.

202 Billie Drive • 830-997-7924 Provides assisted living in a secure & moderate care setting. A 60-bed facility offers alarms on all exit doors for resident safety & a gated outdoor recreational space for our residents & their families’ enjoyment.

• Respite Care • Private & SemiPrivate Rooms • Nursing & Medication Management • Large Common Areas & Outdoor Recreation Space • Three Chef Prepared Meals Daily • ADL Assistance LIC # 000530

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Remarkable Health Care

HCM SERVICE LINES

MEN’S HEALTH

BIRTHING CENTER

OB/GYN

BREAST CENTER

ORTHOPEDICS

CARDIOLOGY

OUTPATIENT REHAB CENTER

CARDIOPULMONARY

RESTORE—The Remarkable Joint Center

EAR, NOSE & THROAT

SLEEP LAB

EMERGENCY DEPARTMENT—24 / 7 Physician Coverage

STROKE CENTER

FAMILY MEDICINE

SURGERY—Inpatient / Day Surgery

GASTROENTEROLOGY

WIC—Women, Infants and Children

HOME CARE

WOMEN’S HEALTH

HOSPICE

WOUND-HEALING CLINIC

HOSPITALIST

VASCULAR

IMAGING

HCM CAFÉ

INFUSION THERAPY

HCMH FOUNDATION

INTENSIVE CARE UNIT

HCM THRIFT SHOP

LABORATORY SERVICES

HCM WELLNESS CENTER

FIND A DOCTOR: 1 (800) 578-0631 ı hillcountrymemorial.org ı hcmmedicalgroup.com 2014