People Kerr County
THE PREMIER MAGAZINE CELEBRATING THE
PEOPLE & LIFE OF KERR COUNTY
Look
inside July - August │ 2011
EVENTS 24 Playhouse 2000 26 Tabletop Show 30 Hill Country Arts Foundation
ARTIC LES Diane Ferrell Editor & Publisher
5 Legal Tip About PIP 8 Step Up To The Stars
COVER
12 Cover Story 14 Robotic Surgery
Sharon Ballay Eloquence
16 Gold in the Hill Country
Vickie Ogilvie Izzi Bear
18 Conserving Energy
Sandra Garcia Notre Dame
20 Your Home
17 Solar Energy 19 Title Talk 22 TLC For Caregivers
Photo by Portraits by Jenn portraitsbyjenn.com
23 Conserving Water 31 Summer Hair 32 Fighting Cancer 33 Hospice Care
Diane Ferrell
34 Colon Cancer
Editor & Publisher diane@kerrcountypeople.com
37 Home Health Care 38 Peterson RMC Volunteers
Mark A. Jackson Art Director/Graphics Cover Photographer Portraits by Jenn portraitsbyjenn.com Contributing Editors Skye Alexander Anne Schneider
Kerr County People Kerrville, Texas
830-285-0973
D EPARTMENTS 6 The Arts
Visit Us At kerrcountypeople.com
Contributing Writers Skye Alexander Anne Schneider Kathleen Cook Wayne Este KCP reserves the right to edit and/or refuse all submitted materials. The opinions expressed are those of the authors and do not necessarily reflect the opinion of KCP. Content is copyrighted by Mark Jackson and may not be reproduced without written permission. All rights reserved. Copyright 2011, Kerr County People Magazine.
36 Women's Health
from the editor
The Executive Women’s Club 2012
Dear Friends and Neighbors,
Who
EW C
among us has not been affected by breast cancer? If not ourselves, someone we know, someone we love has suffered with this devastating disease that attacks the very core of womanhood. One in eight women in the US will be diagnosed with breast cancer and more than 40,000 will die from it each year. To help Hill Country women with breast cancer, the Executive Women’s Club supports the Breast Cancer Patient Assistance Fund at Peterson Regional Medical Center, which provides financial assistance to those who need it. Overseen by Dr. Rebecca Barrington, the fund is available to anyone receiving treatment in Kerrville in whatever capacity needed. For example, if a patient from Leakey is too ill after her treatment to drive home, the fund provides a hotel room for her for the night. If a mother needs money to keep her electricity on, the fund helps with the bill. If a woman needs a wig to make her feel more comfortable going out into the world, the fund purchases one for her.
Jaran Floyd
Bobby Cummings
Baubles & Beads
FIREFIGHTERS OF KERRVILLE, TEXAS CALENDAR
Your Support Counts
Since 2002, the Executive Women’s Club has contributed $155,000 to the fund. The diligent efforts of EWC members and the generosity of local businesses have made this possible. You, too, help to enrich the lives of 4 │ KCP │ July-August 2011
breast cancer patients when you attend and participate in the annual Baubles & Beads Style Show and Luncheon, which takes place each October. This year the EWC has come up with a new and novel way to raise money for the fund. By teaming up with the Kerrville firefighters and Scott Allen of Boss Photos, we’ve created the 2012 Kerrville Firefighters Calendar. This colorful calendar gives you an opportunity to enjoy pictures of some of our great-looking and hard-working firefighters all year long. And because proceeds from calendar sales go to the breast cancer patient assistance fund, you’ll also have the satisfaction of knowing you’re helping women. Quantities are limited, so pre-order now to make sure you don’t miss out on this once-in-a-lifetime opportunity. If you
order before August 1, you’ll also get the calendar at a special price of $20 for one or $15 each if you buy more than one. Please visit the EWC website, executivewomensclub.org, to pre-order online or call me at 830-285-0973 for more information. A special thanks to the Kerrville firefighters and to Boss Photos (at the corner of Water Street and Sidney Baker) for making this calendar a reality. And thanks to all of you for supporting this worthwhile cause. Because of you, this year the EWC hopes to make its biggest contribution ever.
Executive Women's Club Calendar Committee
by Doyle Weaver
A Legal Tip about PIP U
nder the provisions of the Texas Insurance Code §1952.152, et seq., automobile insurance companies are required to offer Personal Injury Protection (PIP) coverage in an amount not less than $2,500. Most insurance companies offer PIP coverage in amounts up to $10,000. PIP coverage is mandatory unless an insured rejects coverage in writing. If you shop for the cheapest automobile insurance rate, rejecting PIP is a way to save money. However, rejecting PIP may be a mistake if you are eventually injured in an automobile accident. PIP covers medical-related expenses that arise from automobile accidents. PIP also covers up to 80% of lost income or lost reimbursement of expenses incurred for essential services ordinarily performed for care and maintenance of the family or family household. PIP covers anybody insured under a PIP policy and injured in an automobile accident regardless of who is at fault for the accident. If you, or a family member, are injured in an automobile accident, you may be able to make claims against more than one PIP policy. An injured party can make a claim under the family’s PIP policy whether the insured car is involved in the accident or not. If you are an injured occupant of another vehicle involved in an accident which is covered by PIP, you may use both policies to file claims. Combining both PIP policies could add up to $20,000 in coverage, depending on the amounts covered under each policy. Be careful though, it is insurance fraud to “double dip.” Two PIP policies may expand your PIP coverage amount, if needed, but you cannot make claims under both PIP policies for the same injury and get paid twice. In case you are injured in an automobile accident, a liable party’s insurance carrier will NOT assume immediate payment of your medical expenses. The liability carrier,
if they accept liability on the part of their insured, will only pay one claim, for an agreed settlement amount and only upon your written agreement to release them and their insured from further liability. In some cases, the liability carrier may deny liability and force you into court if you seek restitution for your damages. If so, you must sue the at-fault party personally and you cannot sue the liability carrier. These are some of the reasons medical providers are reluctant to forego payment for their medical services until recovery and full settlement is reached, which could take up to three (3) years. You will not be able to make a claim with the liability insurance carrier without documentation of your medical costs and other expenses. Your medical expenses cannot be documented until the medical services are performed. Practically, without PIP, you may not be able to receive the medical treatment you need unless you pay for the services out of your own pocket and wait for full and final settlement to recover your costs. One option is to use your health insurance coverage to pay your medical expenses, but there are co-pays and deductibles to worry about. Nevertheless, your health insurance company may deny payment of any medical costs associated with third party liability claims. Further, medical insurance
companies have rights of subrogation. That is a right to be reimbursed from proceeds you collect from the person at fault or their liability carrier. By contrast, PIP proceeds paid to you either directly or to a service provider in certain circumstances are free from subrogation. PIP coverage is only one of many considerations an insured should take into account prior to purchasing automobile insurance. These decisions may appear financial in nature, but in reality, they are decisions that affect an insured’s future legal position. For the reasons explained in this article, PIP coverage may place you in a more advantageous negotiation position with the liability carrier. In addition, PIP benefits could help with costs and allow you to reach your full potential recovery before you are forced to settle your claims. You may want to consider having your automobile insurance policy reviewed by a competent attorney who practices personal injury law to get the best advice on what coverage will best protect you and your family in case of injury in an automobile accident. Doyle Weaver earned his JD from Regent University School of Law in 1990; was licensed to practice law in Virginia, 1991 and in Texas, 1997.
WEAVER LAW OFFICES A FULL SERVICE LAW FIRM Doyle Weaver Attorney At Law
830-896-3000
IRS Tax Collection ● Criminal Defense Personal Injury ● Civil Law Litigation Wills, Trusts & Estates
843 Sidney Baker St., Suite 101 • Kerrville, Texas 78028 KCP │ July-August 2011 │5
August 4 thru September 4 2011
Armadillo Uprising
The Winds and Words of War an exhibition of
40 WWI Vintage Posters
A Broadway Experience In Your Home Town
July 9
ALWAYS free admission up to 4 gallery shows featuring local artists. New exhibits monthly.
July 15-30
Playhouse 2000 Box Office:
830.896.9393
or visit
2-27
Gallery Hours: Tues. - Sat. 10–4, Sun. 1–4 228 Earl Garrett - Downtown Kerrville 830-895-2911 www.kacckerrville.com
August 1
KERR ARTS AND CULTURAL CENTER
a silent auction featuring original armadillo themed artwork by local artists.
caillouxtheater.com
Summer at The Point! OUTDOOR THEATRE
GALLERY
July 8 8--23
Weekends 8:30 p.m. Written by
Alan Janes
Art Camp Museum July 8 8--29
The artwork of HCAF art camp students
Turning 60
Aug. 5 5--20
Aug. 5 5--Sept. 3
Weekends 8:30 p.m.
VaRoom with a View By Melissa Starry
Written by
Del Shores Sunday Family Night—All tickets only $8
Gallery Hours: Tues.-Sat. 10-4 p.m. and one hour before Point performances
July 10 and Aug. 7
HILL COUNTRY ARTS FOUNDATION 120 Point Theatre Rd. S., Ingram 830-367-5121 hcaf.com
the arts index
Carolyn Minshew
Colin Turner Featuring Original Paintings By Two Nationally Known Artists
Gallery - Framing - Printing
Hungarian Rhapsody
832 Water St. Kerrville, TX 830.895.5184 riversedgegallery.net riversedgegallery@gmail.com
Rooster Cogburn
Landscape Oils, Jewelr y and Other Original Ar tworks
Your Source for One-of-a-Kind Jewelry & Gifts located in kerrville
Bracelets by Herbert Joe, Navajo
Gift Certificates & Lay-A-Way Plans
Wayne J. Este, Owner Specializing in
10 01 J U N C T I O N H W Y. AT I N N O F T H E H I L L S K E R R V I L L E • T E X A S • 2 5 7- 4 3 0 0
texasetc.com
american indian jewelry & art paintings sculpture pottery texas confections fine silver gemstone jewelry leather goods
The Stars by Anne Schneider
This summer, you don’t have
to leave home to enjoy a great trip . . . to journey back in time to experience the sparkling wit of a literary legend, or the days of swashbuckling and noble knights, or the soaring music of midtwentieth century Americana. The whole family can enjoy the magic of Playhouse 2000, where you can see your neighbors onstage at the beautiful Cailloux Theater—the same stage graced by Broadway stars, opera divas, and musical maestros. Nowhere else can you find such professional quality amateur theater, with the bonus of renowned professional stars shimmering throughout the playlist.
July 9
Playhouse 2000 wows Kerrville with the phenomenal performance by Hal Holbrook of Mark Twain Tonight! The 86 yearold Holbrook’s one-man show has captivated audiences for nearly sixty years and promises to be a jewel in the Playhouse 2000 crown. In Holbrook’s own words, “. . . people laugh at the truth when they hear it, because they don’t hear it very often. Mark Twain comes along and speaks the truth about who we are, what we think we are, our behavior, and it can be very funny.” 8 │ KCP │ July-August 2011
July 15-30
Playhouse 2000 stages a medieval history with King Arthur Chronicles. This energetic cast with the likes of Schreiner University students and Starbuck aficionados will take swordplay to a new level. The lavish production will appeal to fun-seekers of all ages and offers an affordable excursion for the whole family.
August 12-27
Playhouse 2000 brings us Meredith Willson’s The Music Man in all its wholesome, comic tradition. This great musical comedy, a Broadway hit and winner of five Tony Awards and a Grammy, is as American as “apple pie and a Fourth of July oration.” You’ll love this rousing rendition of a shining classic. To reserve your tickets or for more information, contact the Cailloux Theater at 896-9393 or www.caillouxtheater.com.
PLAYHOUSE 2000
Step Up To
Cakes for all occasions
0
Wedding, anniversary, birthday—whatever your special occasion, we have the perfect cake. We lovingly prepare our cakes and pastries from scratch, using only the finest ingredients.
Exquisitely presented, our cakes are as pleasing to the palate as to the eye. We will design your cake—traditional to contemporary—to suit your personal taste, the crowning complement to your special occasion. Stop by today to order your cake extraordinaire or to see what we have fresh in the case!
Cookies & Bars Cupcakes & Pies Scones & Kolaches Cinnamon Rolls 225 Earl Garrett, Kerrville 830-896-0107
KCP │ July-August 2011 │9
y f s i t a s Sure mtoan ’s appetite! any
Daily Specials Sandwiches Hearty Soups
A
Baked Potatoes Homemade Desserts
Ta s t e Of Ol d M e x ico Bistro Style When you dine at Francisco’s,
whether inside or out, you are warmed to the soul. There’s a hint of history, a concoction of traditions going back for centuries. A Taste of Old Mexico in the Heart of Downtown Kerrville!
Fresh Breads and More And yes, we still have the freshest salads!
Newly Added
Taco Bar
R E S T A U R A N T
Mon-Fri 7am - 3pm Sat-Sun 11am - 2pm
Lunch 11 - 3 Mon - Sat Dinner 5:30 - 9 Thurs - Sat
201 Earl Garrett ● Kerrville ● 257-2995
225 Earl Garrett Kerrville
896-0107
“Voted Best Carne Guisada by Kerr County People Magazine”
rita’s fa m o u s ta c o s Rita’s name is synonymous with the best breakfast and lunch tacos in town. Rita’s mouthwatering tortillas are handmade daily in the Mexican tradition Rita’s mother taught her as a child. Open daily from 6 a.m. to 2 p.m., choose from your favorite tacos or plate lunch. On weekends, barbacoa and menudo are added to the menu. If you’re on the run, call ahead to pick up a bag of your favorite soft or crisp tacos.
Downtown Kerrville · 209 Earl Garrett · 830-895-8885 10 │ KCP │ July-August 2011
Stephen Joseph & OhMint Monogramable backpacks, nap mats, and lunch boxes for boys and girls.
Consuela A laid back luxe collection of totes and bags, apparel, headwear, and home décor that fuses sassy fashion with worldwide whimsy.
Still The Most Complete Children’s Store in the Hill Country Now Featuring Fine Ladies' Wear
get r o F t ’ D o n o-School -t
Back e Weekend Tax Fr5e0% Off Sale & Our t 19-21 Augus
227 Earl Garrett • Kerrville, Texas • 830.896.1033 • Open 10-5 Mon-Sat
Kuff-its There is a new fun way to enhance your kids' pants with kuff-its iron-on pant cuffs! Put them on to add some length or just to add some cuteness. Kuffs come in a variety of fabulous cotton prints and solids.
cover story by Kathleen Cook
Izzi Bear + incipal! Note from the pr
out our “NDCS is excited ab zi Bear and partnership with Iz ill be many Eloquence. There w is partnership. benefits through th ve the ease of Our parents will ha ay from school. shopping a block aw municate easily The school can com e are supporting about our needs. W as many support our local businesses what our school is our school. This is relationship with about, service and are so grateful our community. We y for our families.” it un rt po op is th r fo l
ipa Sandra Garcia, Princ ol. ho Sc c Notre Dame Catholi
Once in a while a great idea that makes perfect sense comes along. When something is right, all obstacles disappear and everyone wins.
That’s exactly what happened when Vickie Ogilvie, owner of the popular Izzi Bear Infant & Children’s Boutique, began brainstorming with Sharon Ballay, whose custom monogram business, Eloquence, is housed within the Izzi Bear store at 227 Earl Garrett Street in downtown Kerrville.
An Idea Is Born
One day Sharon was lamenting the task of outfitting her children, who attend Notre Dame Catholic School. Instead of being fun, shopping for new school clothes was both impersonal and frustrating. The uniform company provided one four-hour window for all parents and students to shop in Kerrville. Otherwise, it was either go to San Antonio or shop online.
Top: Chase Ballay, Roman Garcia and Maya Garcia Sharon Ballay and Vickie Ogilvie On slide: Cruz Garcia, Paloma Garcia and Graham Ballay
Vickie, with her many years of experience in children’s retailing, had toyed with the idea of providing Notre Dame’s uniforms before. Sharon’s concerns, shared by many local families, made it even more apparent to her that this was a unique opportunity for Kerrville. She spoke to Sharon about monogramming the garments, and suggested, “We can sell the Notre Dame school uniforms here at Izzi Bear. Then parents won’t have to go to San Antonio to clothe their children.”
Eloquence + Notre Dame=
a c l L o t I g i e p Ke n
Starting up a venture like this would have overwhelmed and stymied many people. But not Vickie and Sharon. The women approached Notre Dame’s Principal Sandra Garcia and Monsignor Mike Boulette with the idea. They loved it. “There will be many benefits through this partnership,” says Sandra Garcia. “Our parents will have the ease of shopping a block away from school. And the school can communicate easily about our needs.”
Southern Belle Sleuths
The first challenge Vickie and Sharon faced was tracking down Notre Dame’s signature plaid fabric, a trade secret jealously guarded by the San Antonio supplier. It took detective work worthy of Sherlock Holmes for the women to search through thousands of cloth swatches. Their perseverance prevailed, however, and after a few months they finally found the elusive Notre Dame plaid. But the search didn’t stop there. Next, Vickie and Sharon had to locate a major manufacturer of children’s clothing and convince them to produce the garments Notre Dame required. Why would a manufacturer who dealt in quantities of millions be interested in a little store that would only be ordering hundreds of items? The answer is simple: Southern Belle tenacity. When you meet Izzi Bear’s Vickie Ogilvie, you’re immediately captivated by her melodious East Texas accent, bubbly enthusiasm, generous smile, and persuasive energy. You also get just the slightest hint that it would be far easier to say “yes” to this lovely redhead than to argue the “why nots” with her. As Vickie and Sharon’s deadline for a commitment with Notre Dame approached, the manufacturing mogul with whom they’d been negotiating finally agreed to supply Izzi Bear with all the clothing that Notre Dame desired for its students. Vision and determination combined to make the dream a reality.
A New Shopping Experience for Notre Dame’s Students
This summer, for the very first time, the children of Notre Dame Catholic School and their parents will enjoy the special, easy M sg r. M ike shopping experience of actually trying on new fall outfits and making selections in the charming atmosphere of Izzi Bear. No more mail order. No more mistakes, disappointments, and returns. Hunter Morris, president of the school board, has three daughters at Notre Dame. “This is such a great convenience for us,” she says. “Instead of going to San Antonio, we can get everything we need right around the corner from the school. We’re very excited.” Every item (except shoes)––jackets, jumpers, shirts, pants, belts, socks, ties, and hair bows––in girls’ and boys’ sizes pre-K to eighth grade, will be available to see, try on, and purchase. Sharon’s custom personalizing business, Eloquence, will take care of all the school’s embroidery monogramming requirements. As the school year progresses and kids outgrow their clothes or need replacements, they can find everything they want just around the corner at Izzi Bear.
Clothing and Gifts with a Personal Touch
Izzi Bear will continue to be the favorite shopping place for clothing and gifts. Mothers- and grandmothers-to-be love the Gift Registry where friends can view the choices they have selected, which makes
al Sa nd ra Ga rci a Bo ul et te an d Pr in cip
gift shopping easy. As Vickie explains, people “come in and want to see and touch all the soft, beautiful baby things. They’re so full of anticipation and excitement. I feel so blessed that they want to share that exciting journey with me.” Izzi Bear also features unique clothing for women, along with a variety of appealing accessories and gift items. Be sure to look for Izzi Bear’s ad in every issue of this magazine to see what’s new. Eloquence offers the personal touch, including custom embroidery monogramming. Come see Eloquence’s complete range of personalized products including cups, napkins, invitations, cards, gifts, and much more, or check out her website www.eloquenceonline.com. Vickie invites you to visit the beautiful world of infants’, children’s, and ladies’ clothing and specialty gifts at Izzi Bear, 227 Earl Garrett Street, in downtown Kerrville. You’ll be warmly welcomed and treated to a friendly shopping experience unlike any other. Izzi Bear is open Monday through Saturday from 10 to 5, Eloquence Monday through Friday from 10 to 2:30. Questions? Call them at 830.896.1033. Kathleen Cook is a professional artist who also enjoys writing. She has an art studio/ gallery on the Old Ingram Loop in Ingram.
ROBOTIC SURGERY
COMING TO THE HILL COUNTRY On April 14, 2011, Peterson Regional Medical Center announced plans to acquire a state-of-the-art da Vinci® Surgical System. The da Vinci® Surgical System combines computer and robotic technologies to create a new category of minimally invasive surgery.
T
his system will enhance the patient experience with less after-surgery pain and a shorter patient recovery time. Patients who want this type of minimally invasive surgery will not have to travel to San Antonio or Austin. “Having this advanced technology assists in recruiting physicians to the area,” explained Pat Murray, CEO of PRMC. “There are physicians all over the country who are familiar with the da Vinci® and being able to offer it to their patients is an extra incentive as they consider bringing their practice to Kerrville.” The initial surgical focus of the da Vinci® at Peterson will be urology and gynecology—two areas that research shows will best serve our population. “Peterson is one of the best equipped and most advanced hospitals of its size,” stated Dr. Eileen Toloza, Peterson’s Chief of Staff. “Most of the hospitals who have this system are much larger. It speaks volumes that our administration and board are committed to keeping this hospital on the leading edge of medical technology.” The technology for robotic surgery was first developed in the U.S. Armed Forces in the 1980s as a way to provide basic surgery on the battlefield in a more efficient and effective manner. Today, the best hospitals use this same technology to perform minimally invasive robotic surgery.
14 │ KCP │ July-August 2011
Tens of thousands of minimally invasive robotic surgical procedures have been performed at hundreds of hospitals around the country. The da Vinci® Surgical System is a robotic surgical platform designed to enable complex procedures of all types to be performed through 1-2 centimeter incisions or operating ‘ports.’ The benefits for the patient include:
Less bleeding Reduced post-operative pain Shorter rehabilitation time Quicker return to everyday activities
How Does Robotic Surgery Work? The patient is on a regular surgical bed monitored by an anesthesiologist, a surgeon, and specially trained nursing and support staff. The da Vinci® does not do the surgery. A trained surgeon sits at a console and manipulates robotic ‘arms’ with his/her thumb and forefinger. The surgeon looks into a 3-dimensional screen which provides an accurate ‘left is up, up is up,’ view of the surgical area. The movement of the surgeon’s hands at the console is translated to the instrument tips positioned in the patient’s body through small incisions. The surgeon is seated during the procedure, resulting in much less fatigue that he/she would experience if they were required to be bent over the patient for hours of surgery. “Peterson Regional Medical Center is our community hospital,” stated Robert C. Fairchild, President of the PRMC Foundation Board. "When the hospital was first built back in 1949, it was heralded as one of the most innovative and forward thinking of that time. I believe it’s important that we continue on that same path of innovation and advancement today.”
What happens next?
Partnerships have been the cornerstone in the development of this organization and volunteer board and community leaders are working to help raise funds to bring this exciting new technology to the Hill Country through the Campaign for da Vinci® Robotic Surgery.
Campaign for da Vinci Tri-chairs Melissa Pevehouse Hoelscher (left) and Jim Wilson (center, standing), enjoy the recent “test drive” of the da Vinci® Surgical System at Peterson Regional Medical Center with Foundation Board member and Campaign Committee member, Kathy Camp Casper, (right).
Regional Medical Center to help acquire the da Vinci®. Currently, we only need $210,000 in additional gifts/pledges to reach our $1.5 million fundraising goal. Leading the campaign effort are Tri-chairs, Melissa Pevehouse Hoelscher, R. E. “Ed” Warren, Jr. and James E. Wilson, CPA. Other members of the Campaign Steering Committee are R. H. “Sonny” Baldwin, Kathy Camp Casper, Robert C. Fairchild, Frank W. Maresh, CPA, Louis Romero, Jr., Shirley and Robert L. Schmerbeck, III, A. L. “Curg” Starkey, III, M. Scott Stehling, Edgar A. Wallace, L. Bryant Williams, and William Womack. “The challenge grant from the Mabee Foundation is a wonderful opportunity to encourage individuals, businesses, organizations, and other foundations across the Hill Country to become partners with our community hospital,” said Melissa Pevehouse Hoelscher, Tri-Chair of the Campaign for da Vinci® Robotic Surgery. You can help bring the da Vinci® Surgical System to the Hill Country. Whether it’s a cash donation, a gift of stock, or a memorial or living tribute, you can help our community acquire this advanced healthcare by supporting these efforts. If you wish to participate, we encourage you to call 830-258-7411 to find out how to make a donation.
The J.E. and L.E. Mabee Foundation of Tulsa, Oklahoma and Midland, Texas recently approved a $300,000 challenge grant for Peterson KCP │ July-August 2011 │15
Worry-Free, Hassle-Free Travel
There's
with an Escorted Tour
GOLD
Save up to 40% off the price of traveling on your own!
Let Us arrange your next group trip or fundraiser.
In The
by Kevin & Linda Pillow Smoky Mountains "Show Trip" Oct. 29 - Nov. 6 9 Days/8 Nights $755*
Well, Goldfinches that is. Our year-round resident is the Lesser Goldfinch. He’s the one at your feeders that has an all black back and bright yellow front. His girlfriend is a duller greenish-yellow. Most folks tend to assume that this golden nugget leaves upon spring migration, and take down their feeders. Actually, Lesser Goldfinches will feed quite heavily through May into June. They tend to slow down and become sporadic until August. August and September will bring on a finch feeding frenzy. Why, you ask? Because the Lesser Goldfinch is one of two late nesters—the other is the Eastern Bluebird.
I
New Orleans Big Fun in the Big City Nov. 27 - Dec. 3 7 Days/6 Nights $589*
Hill Country!
LIZ
* Per person/dbl. Include transportation, lodging, admissions, most meals.
travelwithlizfundraisers.com
830.285.1027
Choose
Drought-Tolerant Native Plants
Lessers nest in August, because that is when their preferred food source is seeding out and plentiful. They enjoy Mexican Hat, Butterfly Bush, and Cowpen Daisies at the end of summer. At feeders they prefer Nyjer seed. Also known as thistle, its proper name is Nyjer and is not grown in this country. It is imported from sources like Myanmar and India. Nyjer is not the seed of the nasty thistle that grows here. As a matter of fact, Nyjer is heat treated and will not grow in your yard.
Nyjer seed goes in a special feeder. A port style feeder limits how many birds can feed at one time, or you can opt for the favorite mesh style feeder that will accommodate up to 30 or more at one time! This seed is very small and will lose its oil content quickly. No oil content, no birds. If you doubt your seed is fresh, take a few seeds and crush them on some white paper. If you get an oil spot you are good to go.
These birds are extremely attracted to water—especially moving water. To attract them to your yard you must have water! To keep them, you need fresh Nyjer. Once there, they will delight you all year round.
Your Hill Country Gardening Experts Since 1989
The
Plant Haus 2
528 Jefferson St., Kerrville 830-792-4444 16 │ KCP │ July-August 2011
Happy Birding! Kevin & Linda Pillow are the proud owners of Wilds Birds Unlimited Nature Shop located at 855 Junction Hwy in Kerrville. Each staff member is a Certified Bird Feeding Specialist and can help you discover a refuge in your own backyard. 830-895-7393.
wbu.com/Kerrville.
an introduction to
S O L A RcE N E R G Y
c by Regan Land
While a majority of the world’s current electricity supply is generated from fossil fuels such as coal, oil and natural gas, these traditional energy sources face a number of challenges including rising prices, security concerns over dependence on imports, and growing environmental concerns over the climate change risks associated with power generation using fossil fuels.
Because of these and other
challenges facing traditional energy sources, governments, businesses, and consumers are increasingly supporting the development of alternative energy sources and new technologies for electricity generation. Renewable energy sources such as solar, biomass, geothermal, hydroelectric and windpower generation have emerged as potential alternatives, which address some of these concerns. As opposed to fossil fuels, which draw on finite resources that may eventually become too expensive to retrieve, renewable energy sources are generally unlimited in availability.
Solar energy is widely considered the ultimate renewable energy. Solar energy is clean, plentiful and thanks to today’s technologies, easy to harvest. Every single day enough solar energy strikes the planet to meet the world’s energy needs for four to five years. In an era where global warming and CO2 buildup are of critical concern, solar energy can become an incredibly valuable solution for helping to protect our planet.
There are many benefits of installing solar energy; a few of them are:
Incentives
First, thanks to recent federal legislation, homeowners can get up to 30% tax credit for money they invest in home solar energy systems. The tax credit applies to the total installed cost of the solar system and can save thousands of dollars off your initial investment. Depending on where you live, you may also be eligible for incentives through your utility company. To find out what incentives are available in your area, visit dsireusa.org
You can get paid
With grid-tied solar energy systems, such as the Lennox Sun Source, the meter on sunny days can actually run backwards which means the energy companies have to pay you rather than the other way around. Now isn’t that a nice change! Moreover, grid-tied solar electric systems avoid the need for batteries to store the electricity, making the overall system even more cost effective.
It’s clean
It can increase your home’s value
An investment in a solar-energy system may improve the value of your home, thanks to its ability to lower the cost of heating and cooling. Surveys conducted by the U.S. Department of Housing and Urban Development have shown that home values rise an average of $20 for every $1 reduction in annual utility bills. For more information on solar energy and other ways to reduce your energy costs, call Hardin Heating and Cooling.
Kerrville, Texas native Regan Land, General Manager at Hardin Heating and Cooling, has a knack for helping customers get the most out of their indoor comfort systems through energy audits, education, design and repair. Regan has more than 15 years of industry experience and, along with his Texas HVAC license, is also a Certified Indoor Environmentalist and is NATE certified. You can reach him at regan@ hardinheatingandcooling.com or (830) 792-3993. You can also view the website at HardinHeatingAndCooling.com.
Solar energy used to power your home, has almost no impact on the global climate. By comparison, electricity generated by power plants produces carbon dioxide emissions that scientists say pose serious threats to the environment.
KCP │ July-August 2011 │17
home building
YOUR HOME...
by Derek Meier & John Merritt
A Working Member of the Family!
deeply connected to you and your family. You eat, sleep, work, and play in and around your home—so my question is, does your home enhance your lifestyle or does it cramp it? Whether designing a new home or redesigning an existing one, here are a few things to keep in mind that will help you enjoy your “family member” greatly.
storage for food, storage for cooking utensils, and storage for serving utensils. Also, you do more than cook in a kitchen—you must prepare the food first, and you must clean up last—so make sure you have room to make meal time a pleasure and not a workout. Because not every meal is a large sit-down event, it is nice to have an area off the kitchen that provides a place to enjoy a light, quick meal. This could be nothing more than a bar type countertop behind cabinets or a nook that looks out over the back yard. These areas take up little room yet add immense character to your home.
“Come and get it!” The kitchen should be laid out in such a way that it allows your cooking efforts to flow. Design it so you have plenty of
Remember—your house can (and should be) treated as a living, growing member of your family. Not just functional, but enjoyable!
While your home (or soon-to-behome) is not literally a living being, it is
18 │ KCP │July-August 2011
Meier Custom Built Homes is owned by Derek Meier (one of two Master Builders in Kerr County) whose family came to the Kerrville area in the mid-1800’s. John Merritt is the company’s Project Manager and between the two they have almost 50 years experience in the construction trade. As members of the National Association of Homebuilders, they are certified as Design and Build Professionals and also as Green Building Professionals to name just a few fields. For more information visit them at www.meiercustombuilt.com or call 830.370.1558.
Title Talk by Diane Green
E
Protecting Your Rights
arly explorers and colonists came to America in search of freedom and a new beginning. Many dreamed of the possibility of owning property and a home. On July 4, 1776, Americans declared themselves free from foreign rule by signing the Declaration of Independence. A famous quote from that document reads, “We hold these truths to be self-evident—that all men are created equal, that they are endowed by their Creator with certain unalienable rights, that among these are life, liberty and the pursuit of happiness.” Having a place to call home is a right that Americans enjoyed then and continue to enjoy today. Title companies proudly protect this right by eliminating risks that could jeopardize home ownership. In our country, documents affecting ownership of property should be made public. In Kerr County, these documents are recorded at the courthouse. After receiving a contract for the sale of property, a title company’s examiner searches the public records to locate and correct potential problems so that a transfer of ownership can proceed. Until the nation was nearly a century old, though, conveying real estate from one party to another did not include any form of guarantee or insurance. Buyers who suffered financial damages or lost their property when title problems surfaced had no recourse. In 1886, title insurance was created to protect people’s investments in their homes. As an American, when you decide to buy or sell property and use a title company, you can feel confident that you are receiving title protection at a standard that is unequalled anywhere in the world.
Shower Yourself in
Elegance with the hottest shower enclosure trends.
Shower Doors Mirrors Plate Glass Tub Enclosures Tabletops Windows Cabinet Glass
Custom Glass & Mirror Kerrville Showroom 3110 Junction Hwy
customglassmirror.net John & Lynn Palmer owners
830.367.6074 also serving
Bandera 830.460.7728 Boerne 830.249.2747
Hill Country
BlueBonnet Home Decor & Imports
Mexican Imports • Iron Works • Pottery Rustic Furniture • Western Decor Crosses • Jewelry
Diane Green moved to Kerrville in 1972 with husband, Bob, and immediately began her title insurance career at Kerr County Abstract & Title Co. Diane and Bob enjoyed raising their children in the beautiful Texas Hill Country. Diane has spent 39 years in the title business and now owns Kerr County Abstract. To learn more, call 257-5151 or visit www.kerrtitle.com.
3951 Bandera Hwy
(between Kerrville & Camp Verde)
830.634.2984
hillcountrybluebonnet.com KCP │ July-August 2011 │19
by Ode Young, MD and Kathy Dietert, RN, BSN
Cut
and
Shoot
It's not just a town in Texas ...
Great news! You have a choice! Technological advances in
cosmetic face-freshening methods, both surgical (cutting and tucking) and non-surgical (injectables and other non-invasive treatments) give today’s woman a wider range of options than ever before. Want to turn back time just a tad? Now, depending on your budget and your objectives, you have solid and effective alternatives. No longer is it just “cut,” nowadays you can pick cut or shoot—surgery or injectables. In terms of speed and visual improvements, nothing beats cosmetic facefreshening. The new non-surgical treatments offer dramatic facial rejuvenation, including laser removal of sunspots—something surgery can’t do. If you’re searching for an instant method of removing the ravages of time you’ll find the range of new treatments more affordable and more rewarding than ever before. Cosmetic facelift surgery has helped thousands of women rejuvenate their skin and look younger. Women can effectively cut out crow’s lines, laugh lines, and wrinkles all thanks to the modern facelift. These changes however are only
20 │ KCP │ July-August 2011
skin deep and do nothing in terms of our skin’s long-term health. A customized non-surgical treatment plan just for you not only gives you quick results, but also puts you on track to maintaining healthier skin. Nothing can totally stop the signs and symptoms of aging, whether you are “cutting” or “shooting,” and surgical facelifts only try to mask what is occurring. Problems with facelift surgery include downtime for recovery, expense, and dangers of anesthesia. Also, surgical procedures can lead to further degeneration of facial skin as the facial fat is repositioned and the muscles and skin are tightened. There are many factors that contribute to the development of age lines apart from aging. Smoking irritates and leaves the skin dry, making it easier to develop wrinkles. Even simple facial gestures leave lines that make us appear older than we really are. Nothing can stop us from showing our emotions. More facial muscles are used when we frown, while smiling uses fewer muscles. This is why people who smile look younger when compared to those who are always stressed.
At Bella Luz, we stay on top of changes in the industry to offer you the best and most effective treatments. We maintain high standards and go the extra distance needed to make sure you are educated, have realistic expectations, and are happy with your results. Come visit us to discuss what options would be best for you. No two faces are alike, but the professionals at Bella Luz “have seen ‘em all,” and can help you decide whether to “cut” or “shoot.” Kathy Dietert, RN, BSN, has been a nurse for over thirty years with an extensive background in aesthetic medicine. Dr. Ode Young, MD, has been a physician for over twenty years with a concentration in aesthetic medicine for the past four and a half years. Kathy, Dr. Ode and their trained staff provide a full range of aesthetic services at their state-of-theart and beautifully appointed spa, Bella Luz. 1411 Water Street, Kerrville. Call 792-3552 today to schedule your complimentary and completely confidential consultation.
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1411 water street (corner of water and e street) • kerrville, texas • www.bellaluzkerrville.com KCP │July-August 2011 │21
TLC for Caregivers by Tina Woods
Caregiving for an elderly loved-
one is an awesome and loving task. Few gifts are more valuable than time and attention. Far too often, though, the stress of caregiving creates health problems for the caregiver. Studies show that just like oxygen masks on an airplane, as a caregiver, you must first care for yourself so you’ll be able to care for your loved-one. Hard as it may be, it’s critical that you get a break, just to be able to continue the important job of cargiving. The Dietert Center’s “Take Five Club” can help! Caregivers bring loved-ones to the Club for structured activities, games and lunch. While your loved-one is enjoying themselves,
you have 4 hours to run errands, schedule appointments, or just relax. “One of the major benefits of the Take Five Club is how much fun our members have,” commented Mary Amburn, RN, Take Five Club Coordinator. “They have a great time with all the activities and each other. Caregivers forget that it’s important for their loved-ones to get a break from them, too!” Take Five Club meets Monday through Friday, 10a.m. to 2p.m.. The cost is $35 per day. It’s not adult day care—its better ! We celebrate life and all that a person can still do. Prospective Club members must be able to follow simple directions, socialize, be ambulatory (canes and walkers okay) and be continent.
Call for a free DVD to see all the fun at a Club session. Join the family of caregivers who enjoyed more than 6,000 hours of respite last year while their loved-ones played at Dietert’s Take Five Club. Tina Woods is Dietert’s Executive Director. Contact her at (830) 792-4044, or visit the Center’s website: www.dietertcenter.org. The Dietert Center is a 501 (c) (3) non-profit organization located at 451 Guadalupe Street in Kerrville.
with any
t u C r y o r l o a t C n e m Compli service* Karen
* New Clients Only Thru August 15
Open Mon-Sat, 9 till 7
Liz
Walk-ins welcome – Appointments Recommended 22│ KCP │ July-August 2011
Holley
Dezi
Kari
Alice
Studio 8
HAIR SPA & MORE kerrville 257-1311
100 Guadalupe Plaza, Ste.100 (behind Jack-in-the-Box)
LANDSCAPING AND GARDENING by Zack Derese
The Outdoor Guy
tips for water conservation
A few more quick tips for water conservation • Install SDI (Subsurface Drip Irrigation) in your lawn.
Being on the edge of the desert, you would think we would be used to seasonal droughts. But every time it comes around, we act surprised and react in a panic. Here are some tips for water conservation while maintaining a healthy landscape.
Water deeply and let your landscape dry out between watering. Doing so will create deeper root systems and develop drought resistance. When you water deeply, water soaks down into the soil instead of evaporating. When you let the soil dry out on the top, the roots “follow” the water and grow a deeper, tougher root system. (Roots are kind of like people—if they have to work for something, they are made better by the effort.) Shallow, frequent waterings create a shallow, “lazy” root system that does not have the reserve to sustain the grass above it. It is better to water two times a week for three hours each time than to water six times per week for thirty minutes. Same amount of water, but much better utilized. For instance, if you water your lawn with a pop-up spray head sprinkler zone for ten minutes, 30-40% of that water may be donated to the atmosphere (in the form of evaporation, depending on heat and humidity). Then, if you only water enough to moisten the thatch of grass and a thin layer of topsoil, very little hydration is reaching the most critical place—the root zone. Most of that water simply sits in the thatch until it also evaporates. You may need to water fifteen to thirty minutes for spray zones and forty-five to sixty minutes for rotor zones for water to actually get down to the roots. Variables will be slope, type of soil (sandy vs. clay), type of vegetation, and shade. If your lawn is on a slope, you may have to water two cycles back to back. In other words, water until there is runoff, pause, and then resume as soon as some of the water is absorbed. Clay soils will not absorb water as quickly and may need the same technique. If there is full sun on the watered area, there obviously will be more evaporation and drying out of the soil..
• Plant a well-adapted tree with a long life span. • Re-mulch your shrub beds. • Don’t cut your grass too short. • Use soil amendments, such as a compost soil mix.
In Other News… We would like to announce another addition to our team, Beau Itschner, BLA (Bachelor of Landscape Architecture). Beau received his degree in Landscape Architecture at Texas Tech. Kimble County Hospital is just one of his many design achievements. His love for his family and the Hill Country has led him to pass up opportunities in the big cities. He resides here with his wife, Ann, and son, Witt. Having Beau work with us allows even more energy and thought into the perfect plan for your property. Stop by the office and let him show you some of his plans and ideas.
Beau Itschner, BLA
Zack Derese has deep roots in Kerrville. As owner of Kerrville Landscaping, Inc., he has been in the landscape business for over 15 years. He is a Landscape Designer, holds an Irrigation License (LI#9453), a Backflow Prevention License (BPAT #10754), is NCMA certified for Segmental Retaining Walls, and is a Water Feature Specialist. You can reach him at zack@kerrvillelandscaping.com or call him at 830-377-4861.
Kerrville Landscaping. Inc KCP │ July-August 2011 │23
hometown events Who
Playhouse 2000
What
Dinner With the Stars
When
May 22, 2011
Where Kathleen C. Cailloux Center For the Performing Arts Beth & Jeff Cunningham, Sally Ritch
An evening of dining and entertainment in support of Playhouse 2000 and tribute to Andy and Sally Ritch’s tireless commitment to local theatre.
George & Teri Stieren
Chloe Hedrick, Maddi Danford
Janie Altgeldt, Linda Werlein
Carole & Preston Weatherred
Christina Hedrick, Darcey Hill
Julie & Miranda Land
Mary & Jim Boman
Cliff Cunningham, Shane Clark, Nickie Cunningham
Judy Davis Whitlow, Wendy Danford
Frank & Mollie Maresh
24│ KCP │ July-August 2011
P L A Y H O U S E
2 0 0 0
Marc West, Nicholas Boland
Suzanne Edwards, Maggie Meek
Carie Wilson, Joan McCollom, Sammi Shaheen
Marcus & Amy Goodyear
Sue & Sonny Baldwin
Elaine Terrell, Debbie Graxiola, Lynn Hecht
We Make It Simple!
830.257.0625 2410 Memorial Blvd, Kerrville, TX
www.RobertsAuto.us
Stephen Roberts
With High-Quality and Excellent Service, We Provide You the Best Selection. KCP │ July-August 2011 │25
hometown events Who
WHEN YOU NEED A PLUMBER
ReRuns’ Resale Shop
What “Table for 57,000” Dining Designs Tablescapes Show & Sale Benefiting Dietert Center’s Meals on Wheels Program When May 13-14, 2011 Where The Dietert Center
USE THIS
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April Warnix & Alice Watley
Donna Nottingham & Mary Helen Johnson
Evelyn Anderson & Karla Kersten
Fran Rankin & Rosalie Pinson
Jane Brandon & Anne Byrne
Cherry Wright, Sylvia Ostos & Kathleen Keller
TOWARD YOUR NEXT SERVICE CALL WITH US.
Holloway Plumbing 830-896-0890 or call toll free
866-990-2224
24 Hour Emergency Sevice We Accept All Major Credit Cards Master Plumber M-16563
26 │ KCP │ July-August 2011
Best Bargains with Benefits! Funding services to help today's victims of abuse and neglect–preventing tomorrow's Jewelry | Clothing | Furniture | Gifts | Housewares & More
Store & Donation Hours 9-5 Monday-Saturday Benefiting Hill Country Cares
515 Hays, Kerrville, Texas 830-257-7114 www.ReRunsResale.org KCP │ July-August 2011 │27
Spread Sunshine & Cheer
KERRVILLE FRAMING
with The FTD® Pick-Me-Up™ Bouquet
custom picture framing
Assorted roses and gerbera daisies in their most brilliant hues.
The
Rose Shop
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at 800 Earl Garrett
Grand Opening Celebration July 22, 5-9 pm Lori Burrroughs-Haines is now at tarte hair studio
cuts color highlights extensions waxing airbrush tanning
370-0782 896-8278
tartehairstudio.com 28│ KCP │ July-August 2011
Hand-picked clothing and specialty jewelry in a quaint atmosphere.
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Specialty Boutique
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s n o i h s a F s i r a P
continued from page 11
at
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KCP │ July-August 2011 │2929
hometown events Who
Hill Country Arts Foundation
What Opening of Sleeping Beauty When June 10, 2011 Where The Point Theatre, Ingram
People came from near and far to enjoy opening night of this summer’s outdoor theatre at the Point.
Mary Rocchio, Morgan and Katy Luebke and Jane Ann Anderson
Mark and Kathie Nixon, Passion, Ken and Nancy Trenkelbach, Evan Rohrbach
This summer’s lineup continues with The Buddy Holly Story in July and the hilarious comedy, Daddy’s Dyin’; Who’s Got the Will? in August.
Buddy and Mickey Rohrbach
Caitlin Patsches, Cierra, Jim and Tana Wooten
Experience local theatre at its finest at the Point outdoor theatre on the banks of the beautiful Guadalupe.
Linda Stegall, Lucie and Cecile Desprez
Call 830-367-5120 for tickets. Vickie and Elena Spinks, Sydney Garcia 30│ KCP │ July-August 2011
r i a H r e m Sum
by Katie Kleespies
Allow your summer hair type to be what it is and find ways to work with it, not against it. Consider the Buddhist philosophy of non-resistance and go with the flow—no fighting, no worries, be happy! If heat and humidity is in the air, your hair will react and . . . it will prevail. So, why fight it? For wavy and curly hair—layer the hair for a wash-n-go shape that fits your face shape and your hairstyle. Wavy or curly hair, whether long, medium or short, will look best when cut to let it air dry and styled into shape with fingers. Wear more updos such as ponytails, twists, high buns and chignons. Summer is the perfect time to change your look with fun, quick and easy hairstyles. One or two hair products are all you need to define your curl and keep it shiny and pretty. I like a leave in conditioner, sculpting foam, and/or anti-frizz serum.
For straight and fine hair types—shampoo to keep the hair squeaky clean. A daily shampooing with a product formulated for your hair type will allow for the most shine and fullness. Add a favorite dry shampoo for a quick hair refresher when unable to shampoo. Wear plenty of updos, braid it, wear a variety of ponytails, buns and chignons and don’t forget headbands, hats and other hair accessories that allow for style options. Katie is a hairstylist at the Tin Star Salon, 319 Earl Garrett, Kerrville. Contact Katie at 895-5030 or www.hairbykatiek.com.
KCP │ July-August 2011 │31
health awareness
Fighting
R E C Strategy #3 N A C C
ancer is responsible for nearly one in four deaths in the U.S., killing 1,500 people per day. Although chemotherapy and radiation are the standard treatments for many types of cancer, these therapies not only kill cancerous cells, they harm healthy cells in the process. Anyone who has undergone chemotherapy or radiation––or knows someone who has–– can attest to the devastating effects of these treatments. Is there a better way? When fighting cancer you are more likely to succeed if you address the problem in several different ways. In previous articles, I have recommended getting oxygen to the cells, changing your pH, and hydration. Here are some other top-rated products that can also be valuable in combating cancer.
Zormus is a beryllium formulation designed to reduce inflammation, pain, fatigue, and cancer tumors. It is most beneficial because chronic inflammation, which can lead to cancer, is reduced.
Zeolite is a volcanic mineral that is highly effective in destroying cancer cells. This powerful detoxifier improves the alkalinity if your body. According to its developer, it destroys the nucleus of cancer cells. The micronized zeolite is the best form, not the liquid. Safe, natural products that don’t harm the body could be an option for you, but your doctor may not know about them or recommend them. One reason for this is that natural supplements generally aren’t tested in extensive, multimilliondollar trials for FDA approval. Consequently, most doctors won’t use them––even if they do know about them. Instead, physicians recommend drugs that chemical companies have designed, subjected to expensive testing
It is simple to learn to use Reiki on yourself and others. In support of your physical and emotional health, contact Reiki Master, Anne Schneider to register for Reiki training or workshop.
Before you undergo treatment, ask questions. Understand the products you are using and their possible effects. Weigh the benefits vs. the drawbacks. Consider alternatives. Demand change. Mention this article to receive your initial consultation free. Dr. Bilderback received his degree from Western States Chiropractic College in Portland, Oregon in 1985. He has chosen to serve the folks of Kerr County and surrounding area for more than twenty years. 1416 Sidney Baker, Kerrville. 257-2323.
Window Cleaning through July
Anne Schneider
Reiki I training and sessions are available at Anne’s Ventana Al Cielo Studio. Next Workshop Scheduled August 19 - 20 (FRI, 6:30-9:30 p.m.) (SAT, 10 a.m.-5:30 p.m.) For more information or to schedule these services, contact Anne. www.ReikiTexas.info
(830)739-5828 32│ KCP │ July-August 2011
procedures, and patented, which requires altering their natural state. (Naturally occurring substances cannot be patented.) Patented drugs can be sold at high mark ups because they have no competition. However, these drugs can become toxic in your body, causing harmful side effects and even death.
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The Three “Rs” of Reiki School’s out and it’s a long, hot summer— time to refresh, renew, and recuperate with Reiki, an integrative therapy that promotes relaxation and natural healing. Reiki is a hands-on, non-invasive therapy that stimulates the immune system and catalyzes the body’s natural ability to heal itself. Find out why over 60 hospitals and clinics across the US are using Reiki in their patient programs to enhance and support wellness.
by Dr. John Bilderback, Chiropractor
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hospice care by Jackie Newman, RN
Importance of Addressing
End of Life Issues A few years ago,
the country heard a lot about the heartbreaking story of Terri Schiavo and her family. No matter what your personal opinion of the best outcome for her and her family, the lesson we should learn is the importance of having end-of-life discussions with our families (including our adult children) and preparing legal documents so that those wishes can be carried out even if our ability to communicate is impaired due to illness or accident. Hospice is a special program designed to provide end-of-life care and support to patients and their families facing a life limiting illness. The goal of a hospice program is to provide a broad range of pain and symptom management for patients and provide both patients and families with psychosocial services to assist during this difficult time. In hospice, social workers, chaplains and clinicians are trained to assist patients and families with end-of-life decisions; they do not make those decisions, and they do not sit in judgment of those choices. Hospice clinicians do know from years of experience that while they can assist terminally ill patients and families with their advance directives—the term used to describe the written documents that describe end-oflife treatment wishes, it is far easier to have those family discussions without the stress of life limiting conditions.
It’s estimated 80% of Americans do not have advance directives or healthcare powers of attorney. It’s estimated that 80 percent of Americans do not have advance directives or healthcare powers of attorney. No doubt, you, or some of your loved ones fall in this category. Therefore, while death and dying is never a pleasant topic, it is far easier to discuss without the stress of an impending life limiting illness. It is never too early to sit the family down and outline those wishes while competent. Use Terri Schiavo’s case to open your family dialogue today.
(or living will, as it is also called) with specific instructions on your wishes for your endof-life circumstances. Various websites, including www.caringinfo.org, can also provide assistance. Make sure others in your family who might be involved in your case are aware of your wishes and have a copy of your living will. Provide a copy to your physician. It is also a good idea to place a copy with your local hospital in the event that you should end up in the emergency room with no immediate family available. If possible, carry a copy in your wallet. Terri Schiavo’s very difficult saga can have a positive affect if we each learn from it and take action today. Jackie Newman, RN, AE, is with VistaCare Hospice. For additional information or copies of the advance directive, out of hospital dnr or the medical power of attorney forms, call VistaCare at 830-792-6200 or stop by 1001 Water Street, Suite B100 in Kerrville. For a presentation to your local community group or organization, please call Jackie Newman or Brad O’Quinn.
Ask your family to openly discuss their individual wishes, not just those specific to Ms. Schiavo’s case. Consult your local hospice, church or your own lawyer for help in writing your personal advance directive KCP │ July-August 2011 │33
health and wellness
Colon Cancer by Michael J. Rensch, MD
Colorectal cancer kills more than 55,000 Americans a year. It is the second most common cancer in both men and women, second to lung cancer in men and breast cancer in women. However, it can be argued that it is the most preventable of all cancers.
Other tests include: •
Colorectal cancer develops in the large intestine or rectum. Colonoscopy can prevent the development of colon cancer by identifying precancerous abnormal growths called adenomatous polyps, which can be removed before they become malignant. Effectiveness of Colon Cancer Screening All adults should undergo colon cancer screening by age 50 or earlier, depending on the individual’s family history and other pertinent digestive health problems. Regular screening for, and removal of, colon polyps reduces your risk of developing colorectal cancer by up to 90% for the following 10 years. Colon Cancer Risk Factors Almost 80% of patients who develop colorectal cancer have no family history of colon cancer, and little or no symptoms. Colon cancer usually has no symptoms until it is almost too late to treat. The biggest mistake I have seen patients make in my 20 years of practice is convincing themselves that they don’t need a colonoscopy just because they feel well. Risk factors that increase the chance of colon cancer include family history of colorectal cancer, previous history of colon polyps, increasing age and lifestyle factors, which include a diet high in fat and red meat and low in fiber, and a sedentary lifestyle. Conditions that significantly increase the risk of colon cancer include hereditary syndromes and inflammatory bowel disease. Screening Tests Colonoscopy is the most accurate and sensitive way of discovering colorectal cancer and polyps. Furthermore, it allows the physician to see the lining of the colon. It is the only test which allows for the removal of the polyps that decrease the eventual risk of colorectal cancer. 34│ KCP │July-August 2011
•
•
•
The CT colography is an effective test, however it’s costly and Medicare doesn’t reimburse for it. If polyps are found a colonoscopy will be necessary to remove them. A sigmoidoscopy allows the physician to view the lower one-third of the colon but does not allow for the removal of many precancerous polyps. And, if polyps are found, a colonoscopy will still be necessary to examine the remainder of the colon. A barium enema can evaluate the entire colon, but similar to CT colography, the identification of polyps requires a colonoscopy to remove them. Stool tests are a non-invasive, easy way to detect blood or abnormal DNA in the stool. Unfortunately, the DNA tests are expensive. Stool tests for blood can be performed, but are not highly accurate. If the stool test for occult blood is positive, a colonoscopy will be ordered to evaluate the entire colon.
The Bottom Line The most accurate, least expensive and most complete evaluation of your colon health remains the colonoscopy. If you are 50 years old or have a history of cancer in your family, talk to your doctor today about scheduling a colonoscopy. Michael J. Rensch, MD is a new gastroenterologist in Kerrville. He most recently practiced in St. Paul Minnesota and his medical training was completed at Fitzsimons and Brooke Army Medical Centers. He served in the United States Army for over 20 years. Hill Country Digestive Health, 1331 Bandera Highway, Suite #4, (830) 257-0375.
551 Hill Country Drive, Kerrville www.petersonrmc.com
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Just What The Doctor Ordered
We have everything you need when it comes to comfort and discretion with a personal touch. • Prescription Services • Most Prescription Plans • Serving All Area Nursing Homes • City-Wide Delivery • Competitive Pricing • Respiratory Medications • Oxygen • Nebulizers • Hospital Beds • Wheelchairs • Bathroom Safety • Mobility Products • Mastectomy Products • Diabetic Products & Shoes • CPAP/BIPAP • Respiratory Therapist
“We take it personally” (830) 895-2803 1331 Bandera Hwy. Ste. 5 (Mon – Fri: 7:30-5:30) 212 Wesley Dr. (Mon – Thurs: 7:30-4:00, Fri: 7:30-1:00,Sat: 8:00-1200)
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errville Drug Co.
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KCP │ July-August 2011 │35
women’s health by Annette Jones RN, CNM
Routine
Well Woman Screening Recommendations From OB/GYN Associates
In March
of this year, the American Congress of Obstetricians and Gynecologists published an updated schedule of recommended screenings, lab tests and immunizations for women. While a few components of the annual exam have been modified, a yearly preventive visit is still recommended. The new list should serve as a guideline to be modified to meet an individual’s needs. What follows is an agreement by the providers in our office for a comprehensive preventive baseline.
Annual exams should begin by
age 21, sooner if there are menstrual difficulties or concerns about infection. This preventive health care exam should include a height, weight, blood pressure check, and clinical breast exam. Pap smear screening is now based on past history but is usually every 1-3 years, although a pelvic exam is done every year. This exam is the ideal time to discuss specific health topics like weight concerns, tobacco use, depression, skin exam, thyroid function, and contraceptive options.
one year of unprotected sex. There are many contraceptive options available and a discussion with your provider will help you decide which method is best for you. Screening for sexually transmitted infections is recommended when there is a change in partners and with pregnancy. If pregnancy is desired within the next year, take a prenatal vitamin daily and record the 1st day of menstrual periods.
Heart Health begins with a lifestyle
that includes good nutrition and exercise. Screening for cholesterol routinely begins at age 40, but may be sooner if there is a family history or personal risk factors. We recommend a baseline EKG by age 50. Any new chest pain or tightness should be evaluated immediately.
Family Planning should be
discussed anytime a woman may have sex. Most pregnancies are unplanned due to incorrect or no contraceptive use and 80% of women will conceive within 36│ KCP │ July-August 2011
We are often asked about nutritional supplements. A daily multiple vitamin, a calcium tablet twice per day, Vitamin D 2000 IU and a daily Omega 3 (fish oil) capsule is a good place to start. Others may be recommended based on an assessment of your needs. While an annual check up may seem stressful and possibly embarrassing, preventing health problems is always easier than treating them. Taking care of your body helps to promote health and happiness for your future.
Bone Density Screening
is recommended at menopause and then every 2-5 years.
Laboratory Screening should
be individualized based on age, personal and family history and current symptoms. This may include tests mentioned above and others to check
Annette is a certified nurse midwife (one type of nurse practitioner), which means she specializes in women’s health and also provides pregnancy and birth care. Annette has twenty eight years experience and has been with OB/GYN for the past eight years.
Wo m e n ’ s H e a l t h c a r e Specialists
Self Breast Exam is recommended
every month with an exam by your provider once per year. Any persistent lumps, skin changes or nipple discharge should be evaluated between visits if detected. We recommend annual mammograms begin at age 40, sooner is there is a family history of breast cancer.
for high cholesterol, diabetes, thyroid problems, and anemia. We encourage all of our clients to have a colonoscopy at age 50 because colon cancer can be prevented with this test. We have a list of doctors who offer this service.
Melissa G. Wampler, MD M. Elizabeth Ruiz Wilfong, DO Annette Jones, RN, CNM Kathy Bogie, RN, WHNP Niessa Meier, RN, CNM Mary E. Prentice, MD
Now Offering the Medifast Weight Loss System
895-7755
1331 Bandera Hwy Ste 2
OB/GYN ASSOCIATES, P.A. Board Certified by the American College of Obstetrics and Gynecology
home healthcare
In-Home Telemonitors
Your telephone can be part of your health care In-Home Telemonitors collect vital health information and securely sends the information automatically to a professional nurse for daily review—all in the comfort of your home. It takes just 3 minutes a day to answer the programmed questions and obtain your vital signs. The answers and vital signs are then automatically sent to the professional nurse for daily review and reporting to the physician if needed.
by Kathy Dietert, RN, BSN & Annabelle Lindner, RHIT
In-Home Telemonitors can: • •
• •
help the professional nurse catch early subtle medical changes, reduce the likelihood of emergency room visits and hospitalization with early interventions such as medication changes, etc., allow you to receive professional guidance so you can make informed decisions about your health, and keep the professional nurse up to date on any medication changes your physician has made.
How do In-Home Telemonitors work? • • • • •
•
Locally Owned & Operated
The monitor is placed in your home and connected to your telephone line. Transmission of data is securely sent to a 1-800 number at no cost to you. Specific questions are programmed in to be answered on a daily basis. Vital signs to be monitored along with parameters are programmed into the system (blood pressure, pulse, temperature, etc.). Patient follows prompts to obtain the vital signs and then, transmits to the information center and reviewed by the professional nurse. The professional nurse reviews the data, calls the patient if alerts are found, and notifies the attending physician if clinically indicated.
Who can benefit from daily in-home health monitoring?
Patients with chronic conditions such as hypertension, diabetes, heart failure or COPD, and patients who recently were discharged from the hospital and are on home health services. Tri County Home Health has partnered with Honeywell HomMED to provide comprehensive in-home health monitoring for patients who have hypertension, congestive heart failure or other medical conditions requiring close vital signs monitoring. Tri County Home Health has been serving our friends and neighbors in Kerr and surrounding counties since 1994. Kathy Dietert, RN, BSN, is Director of Health Services and Annabelle Lindner, RHIT, is the Administrator.
“The Hill Country Leader In Home Health” Call 830. 895.3100 or toll free 800-506-5557 117 Hugo St, Kerrville
“Over 40 skilled nurses, therapists, home health aides & other professionals provide personalized quality care to our Hill Country neighbors.”
Serving Bandera, Bexar, Edwards, Gillespie, Kendall, Kerr, Kimble, Medina and Real Counties for more than a decade. KCP │ July-August 2011 │37
Spring by Martha Kies Volunteer Auxiliary Coordinator Peterson Regional Medical Center
Peterson RMC held its annual celebration of
g n i l f
volunteer service on May 3rd at Riverhill Country Club. New officers were installed by Peterson RMC Chief Executive Officer, Pat Murray and Liz Murray presented beautiful bouquets of roses to them. Guest speaker, Kerrville Mayor David Wampler, presented an interesting and thought-provoking talk concerning the changes and challenges facing the City of Kerrville. It was a delightful evening of volunteer celebration with a delicious dinner and relaxing music by Ray Gutierrez. Photographer Ed Venghaus preserved our special event with photos.
New officers: Mary Simmons, Treasurer; Jo Ann Silberisen, Secretary; Nancy Olive, 2nd Vice President; Ronnie Woods, 1st Vice President; Beulah Huggins, President.
We appreciate the dedication of all our volunteers— they provide such valuable help to the hospital, patients, and patients’ families. We thank our out-going officers for their hard work and look forward to working with our new officers. We always have room for you in our volunteer family at PRMC. If you have a little time on your hands that you’d like to do something worthwhile and rewarding with, please stop by to visit with me and let’s find just the right spot for you!
Joyce Eilerman, Dawn Wollney and Gwen Katzenberger
Martha Kies, Volunteer Auxiliary Coordinator for Peterson Regional Medical Center, brings to PRMC her love of helping people, as well as expertise in volunteer coordination from serving 11 years as Asst. Volunteer Coordinator of Community Relations with Kerrville State Hospital. You may call Martha at 258-7495 or email her at mkies@petersonrmc.com.
Mayor David Wampler
Mr. & Mrs. Jack Dempsey
Sally Jackson, Renie Cooper 38│ KCP │ July-August 2011
Doris Stallings, Beverly Bond Buddy and Mary Volpe and Bob Walther
Veteran Physician continues to serve William R.Thornton, MD, FACS William R. Thornton, MD, FACS, served as USAF Flight Surgeon from 1972-1975 during the Viet Nam War. His duties were with the 43rd Fighter Squadron, F-4 Phantoms, and the 123rd Medi-Vac Squadron for civilian and military casualties. He was honored for his medical service under extreme circumstances with nomination for Flight Surgeon of the Year in 1974. As a Board Certified Ophthalmologist and Ophthalmic Plastic and Reconstructive Surgeon, Dr. Thornton has worked with patients with facial, eye, and eyelid injuries for over 30 years, and will continue to work with Veterans with these conditions by accepting insurance assignment, including Medicare and TriCare. Serving The Hill Country, his office is located at 244 Wesley Drive, Kerrville. In the greater San Antonio area, his office is located at 15316 Huebner Road, Suite 101. There he also serves as an eye and facial war injuries consultant to the U.S. Army Institute of Surgical Research at BAMC. His practice is open to all patients including dedicated time for the “walking wounded troops� from the Iraq and Afghanistan Wars.
To schedule an appointment for either office, please call:
Facial Surgery of South Texas 210.633.6106 or 210.576.5150 244 Wesley Drive, Kerrville
PLASTIC AND RECONSTRUCTIVE EYE SURGERY
F O R D – L I N CO L I N
830-257-5553 877-237-FORD
www.stoepelford.com Certified Pre-Owned ford.com/certified-used
400 Sidney Baker S, Kerrville TX 78028 Open until 7pm Mon. - Fri. and 5pm Sat.