Tex Appeal Magazine | October & November 2018

Life and Style in Central Texas

Eat food, not chemicals

GUT GURU ADVOCATES HEALTHY CHOICES

Building patient connections THE ART OF LISTENING

October / November 2018

LORENZO THE AMAZING THERAPY DOG

Bringing smiles to sick children

Chef Katie’s convenient culinary creations

Acting sick MODELS MIMIC DISEASE FOR MED STUDENTS

IN THE SPOTLIGHT

Seton Medical Center Harker Heights & Wellstone Health Partners

HEALTHCARE PROFESSIONALS

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OCTOBER & NOVEMBER 2018 | TEX APPEAL

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Features 20 46

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BAYLOR SCOTT & WHITE • Dr. Dawn Sears • Executive healthcare • McLane Children’s Medical Center • Dr. Dominic Lucia • Lorenzo the facility dog • Physician Finder

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SETON MEDICAL CENTER HARKER HEIGHTS • Heidi Cantrell • Physician Finder

CARL R. DARNALL ARMY MEDICAL CENTER

PROFILES OF HEALTHCARE PROFESSIONALS BODY OF CHRIST COMMUNITY CLINIC • Dr. Billy Ligon

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METROPLEX HOSPITAL • Esteban Cortez • Physician Finder

6 Life and Style in Central Texas

Eat food, not chemicals

GUT GURU ADVOCATES HEALTHY CHOICES

Building patient connections THE ART OF LISTENING

October / November 2018

LORENZO THE AMAZING THERAPY DOG

Bringing smiles to sick children

Chef Katie’s convenient culinary creations

Acting sick MODELS MIMIC DISEASE FOR MED STUDENTS

IN THE SPOTLIGHT

Seton Medical Center Harker Heights & Wellstone Health Partners

HEALTHCARE PROFESSIONALS

ON the COVER

Ashley Blackmon, Leah Woodward and Lorenzo make the rounds at Baylor Scott & White McLane Children’s Medical Center in Temple | 30 Photograph by RUSTY SCHRAMM, courtesy of Baylor Scott & White 4

OCTOBER & NOVEMBER 2018 | TEX APPEAL

EDITOR’S LETTER

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CONTRIBUTORS

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NEIGHBORS: Katie Hermann

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SCENE: Harker Heights Food, Wine & Brew Fest

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IN THE SPOTLIGHT: Seton Medical Center Harker Heights and Wellstone Health Partners

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TEMPLE COLLEGE • Clinical Simulation Center

CALENDAR: Upcoming events

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CENTRAL TEXAS FREE CLINICS

17 WELL-FED HEAD: THE 1913

MCKINNEY STORE COLLAPSE

80 TEX ADVENTURES: Texas Capitol and Visitors Center

82 ADVERTISER’S INDEX JOIN OUR TEAM

Tex Appeal magazine is looking for photographers and freelance writers with experience photographing and/or writing features for a newspaper or magazine.

We are seeking candidates from the Central Texas area. Candidates must be detail- and deadline-oriented and good storytellers—familiarity with AP style is a plus. Those interested may send a resume and three to five recent published stories for consideration to stacym@ texappealmag.com.

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From the Editor

Tex Appeal Life & Style in Central Texas

Dear Readers,

Welcome to the 2018 Healthcare Professionals edition of Tex Appeal magazine. As the new editor here, I was excited to meet so many extraordinary doctors, nurses and other medical professionals all over Bell County as we worked to bring you their stories in this issue.

Catherine Hosman, who has served as Tex Appeal’s editor for the last four years, introduced me to the county’s wealth of hospital systems as she handed me the reins to the magazine. It’s clear that healthcare professionals move here for the opportunity to work in the region’s premiere medical facilities. We are lucky to have such fine healthcare systems in our own neighborhoods.

And speaking of being lucky, the children who receive healthcare at McLane Children’s Medical Center now have the opportunity to snuggle with a canine caregiver, the new therapy dog in residence, Lorenzo. This amazing dog makes the rounds every day with his handlers, Ashley Blackmon and Leah Woodward, visiting patients in need of some TLC. Lorenzo was gracious enough to patiently pose for our cover photo, even though it was on one of Temple’s hottest summer days (story on page 30).

Read up on other updates from McLane Children’s on page 26.

McLane Children’s pediatric emergency department is overseen by Dr. Dominic Lucia, who charms his pint-sized patients with a sense of humor and a wardrobe filled with superhero T-shirts. His youth was spent traveling the rodeo circuit with his parents, and he was drawn to medicine by several tragedies he witnessed in the ring (story on page 28).

Metroplex Health System has welcomed a new CEO, Kevin Roberts, who recently assumed the position previously held by Carlyle Walton. Metroplex is also going through a name change and, in January, will be known as Advent Health System (story on page 68). On page 70, read about Esteban Cortez, Metroplex’s new clinical mission integration manager, whose goal is to encourage doctors to connect with patients on a spiritual level.

Seton Medical Center Harker Heights continues to thrive and recently was granted several awards and certifications in the fields of joint and hip replacement and stroke care (story on page 40). Heidi Cantrell, Seton’s director of women’s services, gave us a peek inside the hospital’s birthing rooms and explains her role in keeping moms-to-be healthy and happy (story on page 42).

In his second year as commander at the Carl R. Darnall Army Medical Center on Fort Hood, Col. David Gibson is pleased to announce that CRDAMC was recognized for exemplary surgical safety outcomes by the American College of Surgeons National Surgical Quality Improvement Program (story on page 46).

Baylor Scott & White Medical Center–Temple is not only adding new surgical suites to its campus, but has attracted the attention of visiting physicians from as far away as Japan this year (story on page 20). The hospital is home to much-sought-after physicians like Dr. Dawn Sears, the chief of gastroenterology. She works tirelessly to advocate a healthy lifestyle to her colleagues and patients, and she is mom to three children, one of whom is challenged by global developmental delay and autism (story on page 22). The doctors of Baylor Scott & White’s Executive Healthcare Program allowed us to visit this month, explaining how their concierge-style medical program benefits everyone, from busy executives to millennials in search of personal, convenient healthcare (story on page 24).

Ever wonder how doctors learn to deal with real human bodies before they actually work on patients? Check out our story on page 74 detailing the Clinical Simulation Program, which makes use of actors, offered to medical students on the Temple College campus.

We visited Belton’s Body of Christ Community Clinic to chat with Billy Ligon, one of its co-founders. His enthusiasm and empathy for the clinic’s clients was obvious as he gave us a tour and explained how the clinic offers care for the county’s underserved population (story on page 76). For a list of other free clinics in our region, turn to page 78.

And, on a delicious note, meet Katie Hermann, owner of RoseJo’s Meals and Classic Catering in Temple. Her penchant for cooking inspired her to train as a chef at the Culinary Institute of America in New York and open her own catering businesses here.

Read her story and enjoy her tasty hummus recipe for a healthy fall snack (story on page 8).

I hope you’ll enjoy this issue as much as we enjoyed putting it together. It’s been a pleasure to join the staff of Tex Appeal—I look forward to hearing more fascinating stories about area residents and bringing them to you in the next edition.

Stacy Moser

Tex Appeal Editor | stacym@texappealmag.com | 254-774-5266 6

OCTOBER & NOVEMBER 2018 | TEX APPEAL

Published by FRANK MAYBORN ENTERPRISES, INC. KILLEEN DAILY HERALD 1809 Florence Rd., Killeen, TX 76540

TEMPLE DAILY TELEGRAM 10 S. Third St., Temple, TX 76501

Publisher SUE MAYBORN Editor STACY MOSER Staff Writer CATHERINE HOSMAN Graphic Designer

M. CLARE HAEFNER Contributors FRED AFFLERBACH JUSTIN BORJA NAN DICKSON RUSTY SCHRAMM BECKY STINEHOUR Advertising 254-778-4444 254-501-7500

Tex Appeal Magazine is published monthly by Frank Mayborn Enterprises, Inc. 10 S. Third St., Temple, TX 76501. The cover and content of Tex Appeal Magazine is fully protected by copyright and cannot be reproduced in any manner without prior permission.

SUBSCRIPTIONS: For the United States, $24 per year, 12 issues.

Mail check to P.O. Box 6114, Temple, TX 76503-6114.

Questions about subscriptions, call 254-778-4444.

POSTMASTER: Send address changes to: Tex Appeal Magazine, P.O. Box 6114, Temple, TX 76503-6114.

HOW TO CONTACT US: Advertising: Call 254-778-4444 or 254-501-7500.

Editorial: Contact Stacy Moser at 254-774-5266 or email stacym@texappealmag.com.

Contributors FRED AFFLERBACH literally took the long road to a journalism career. For more than 20 years, he owned a small trucking business, which included traversing the contiguous 48 states and several Canadian provinces. After graduating from Texas State University with a journalism degree in 2007, he wrote for the Temple Daily Telegram and numerous other newspapers. Drawing on experiences from his long-haul trucking days, he has published two novels. He now lives in Cedar Park.

JUSTIN BORJA is a proud service member in the Air Force Reserve. He’s a Texan who fell in love with photography in 2013 when he first picked up a DSLR camera. He loves to travel and explore cities, connecting with people and enjoying what he does best.

NAN DICKSON is a fourth-generation Texan, educated at universities in Tennessee and Texas. She combines a trained eye with technical skills, experience in public relations and a growing knowledge of people and life. She exhibits her black-and-white photography at various galleries in Texas and Colorado.

RUSTY SCHRAMM lives in Salado, Texas, with his wife, son and rescue dog. Drawn to the art of photography from an early age, he pursues that interest by shooting product and commercial images since 2001. Images in his portfolio have gained national and international attention and have been published by news organizations worldwide. Rusty has served as the senior photographer for Baylor Scott & White Healthcare System since 2017.

BECKY STINEHOUR is a portrait/wedding photographer who has lived in Central Texas since the early 1980s after having grown up on several military bases. She has two grown sons, is active in her church and enjoys gardening.

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Katie Hermann keeps delicious, nutritious dips readily available for afterschool munchies. “I like to keep this hummus in the fridge for a healthy snack that everyone in my household enjoys. I love the sweet mellowness of roasted garlic, so I combined it with cilantro to give this hummus a hearty depth of flavor. It works well with fall veggies like broccoli, cauliflower, carrots, radishes and peas.�

ROASTED GARLIC AND CILANTRO HUMMUS 28 ounce can chickpeas, drained and rinsed Juice of 4 large lemons (more if you like) 2 tablespoons tahini 3/4 cup olive oil 1 bunch cilantro 1/4 cup whole garlic cloves, skins removed Salt to taste Place garlic cloves in a heavy-bottomed saucepot. Cover them with olive oil and simmer for 30 minutes. Put the garlic cloves and 3/4 cup of the oil from the pan into a food processor. Add the rest of the ingredients and blend to desired consistency. Serve with pita toasts or slices of your favorite vegetables.

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OCTOBER & NOVEMBER 2018 | TEX APPEAL

neighbors TexTalk

Culinary entrepreneur takes her show on the road

By STACY MOSER Photograph by JUSTIN BORJA

K

atie Hermann has always known what her life’s pursuit would be. “I absolutely love to cook, no doubt about it,” she says emphatically. “What a blessing it’s been to know exactly what I wanted to do ever since I was really little.”

As the owner of two successful food-oriented businesses, Katie marvels at the journey that brought her here. It all started in her family’s kitchen—she grew up in a household where everyone was involved in preparing meals together. She attributes her love of all things culinary to the bond she felt with her parents and grandparents as they broke bread at the table.

Her penchant for sharing the joy of cooking started early and her parents encouraged their daughter’s budding entrepreneurship. She held cooking classes at home during the summers, enticing younger kids to join her in the kitchen, armed with her mom’s tasty recipes. At just 12 years old, she was featured in an article in the Temple Daily Telegram, accompanied by a photo of her serving fruit punch and appetizers on a tray.

She grins at the camera, clearly proud of a dinner she has prepared for friends.

“My professional cooking career started at the Wildflower Country Club,” she recalls. “I was in high school here in Temple when they first opened, so I worked there on weekends. It was a great experience, but I learned that it’s a very male-dominated profession—there might’ve been one other female working in the kitchen. The guys told me over and over, ‘You’re never gonna make it. It’s too hard, it’s too physical, it’s too much work,’” she says. “But that lit my fire. When somebody tells me I can’t do something, that’s when I work harder,” she laughs. “That’s my personality.”

Katie dreamed of attending culinary school, setting her sights on New York’s Culinary Institute of America (CIA). She says her parents wisely steered her toward a bachelor’s degree before she focused solely on culinary school, so she attended Southwestern University in Georgetown, graduating with a degree in sociology, minoring in economics. Even during those years in college, though, her yearning to cook led her down an entrepreneurial path. She partnered with a friend to build a catering business in their spare time, cooking for professors’ dinner parties and fraternity events.

Soon after graduation, Katie packed her bags and headed to New York. “It was an amazing experience at the CIA,” she recalls. In typical fashion, Katie excelled in the program and was granted a presidential scholarship, reserved for the student with the highest grade-point average in the school.

“After going through the CIA’s two-year program, I stayed for a year afterward and did a fellowship in seafood cookery. I taught students fish fabrication and all kinds of good stuff. It went by so fast. I ended up doing very well and graduated first in my class. I think it’s because I truly loved what I was doing, and I wanted to get as much out of it as I possibly could.”

She met and later married a fellow CIA student, Dave Hermann, and the couple traveled to the food mecca of Napa Valley, California, to soak up experience in the restaurant industry. “It was awesome,” she says, “but I think of Texas as a ‘boomerang state’ somehow. People leave, but they end up returning—like we did. There’s just something about this place that draws you back.” She and Dave fulfilled a dream by opening their own restaurant, The Range in Salado, which became a fixture in the community for the next 17 years.

Their marriage didn’t fare as well as the restaurant did, however, and in 2011 the couple split up. Katie turned her attention to raising her four children—three sons and a daughter.

She answered an ad looking for a substitute teacher at Christ Church School and ended up joining the staff permanently as a pre-K teacher. The lure of the food industry even followed her there—she says she couldn’t resist using cooking in her classroom, “We made things like alphabet pancakes and I taught them how to measure ingredients.”

One day Katie spied a for-sale sign outside the door of Classic Catering in Temple. “I said to myself, ‘Ohhh! That’s what I really want to do,’” she remembers. She took a leap of faith and bought the business, rebranding it as Classic Events, which caters events all over Bell County. She is proud to tell her clients that many of her menu items are based on recipes passed down from her mom.

Katie turned to exercise to help her manage the stress of single parenthood and business ownership after her divorce.

“I had two friends who opened CrossFit CenTex in Belton. I started working out with them there and loved it.”

Never one to ignore an entrepreneurial opportunity, Katie soon began delivering healthy culinary concoctions to CenTex gym members in need of on-the-go snacks and dinners. “That’s when RosieJo’s Meals, my meal-delivery business, was born,” she explains. “The name is a blend of two words that are happy for me—rosie—and my mom’s middle name, Jo.” Opened in 2015, RosieJo’s offers pre-packaged dinners from her storefront in Temple and also ships them to clients all over the United States.

As Katie’s businesses grew, she became more involved in the broader CrossFit community, having been asked to cater for the crowds at large fundraisers and events. “Through that, I’ve met people from all over the world, like athletes who’ve competed in the Olympics in all different sports. Now I get to go to events like the CrossFit Games and feed people. It’s opened doors for me to get to travel and cook for elite athletes who, by the way, are just about the most appreciative consumers ever! They’re so excited to have food that’s healthy but really tastes good,” she says.

Katie keeps a watchful eye on both of her businesses, though, wary of pushing herself to grow them too fast and risk losing the joy she finds in the kitchen. “When I just come in and cook and don’t worry about the logistics of running my businesses, I’m the happiest person,” she laughs. “I love my business, but I really love to cook.”

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TexTalk scene

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Harker Heights Food, Wine & Brew Fest delights visitors 2 3

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1. From left, Elke Miller, Les Miller, Diane Cline and Chuck Benedict join the crowd at the 10th annual Harker Heights Food, Wine & Brew Fest on Sept. 8.

2. Raul and Bella Garcia with their daughter Lila 3. From left, Cathie Kornacki, Erin Kornacki, Russell Fetzer and Janie Seiler 4. Shelby and Brandon Moore OCTOBER & NOVEMBER 2018 | TEX APPEAL

5. Garson Skelton and Ashlee Pittman 6. Tina Atkins and Emy Nasiotis 7. From left, Skylar Stice, Dallas Johnston and Sommer Johnston 8. Cindy Marsh and Lisa Gomez 9. Kevin Gillinslopez and Stephanie Morton 10. Vincent and Kimberly Hicks 11. Ann and Edward Perkins Photographs by Becky Stinehour

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scene TexTalk

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“I regret taking such good care of my skin”

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- said no one ever

Laser Skin Treatments

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• Reduce wrinkles, fine lines and acne scars • Fade age spots and reverse sun damage • Tighten skin and improve firmness

2919 S. Market Loop, Temple • 254-541-7837 Z Me d i c a l Ae s t h e t i c s . c o m TEXAPPEALMAG.COM

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IN THE SP

YOUR LOCAL HEA

Calee Travis Chief Nursing Officer at Seton Medical Center Harker Heights Calee Travis has had leadership positions in some of largest, busiest hospitals in Texas. Now she is bringing that experience and insight to Bell County as the new Chief Nursing Officer of Seton Medical Center Harker Heights.

Calee joined Seton Medical Center Harker Heights on September 10. She comes to Central Texas from the Dallas Metroplex, where she was the CNO at Baylor Scott & White – Centennial Medical Center in Frisco.

“I feel like I’m giving back to nursing,” Calee says. “I can do that in a smaller, growing hospital.” Calee says she is impressed by the quality of nursing care at Seton Medical Center Harker Heights, citing the high scores the facility receives and, most importantly, the positive outcomes as a result of the care patients receive.

“I want to be someplace where I’m contributing to the nursing outcomes. I’ve done the big hospital and I’ve been successful. Harker Heights is a diamond in the rough. It brings me back to my roots,” Calee says.

Calee is an accomplished leader with an impressive resume. She earned a bachelor’s degree in nursing as well as

an MBA from Texas Woman’s University in Denton. She also received a Johnson & Johnson Wharton Fellowship for Nurse Executives from the Wharton School of Business at the University of Pennsylvania and is a board certified Nurse Executive Advanced (NEA-BC).

Calee started her nursing career in the trauma center and operating rooms at Parkland Hospital in Dallas, where she honed her nursing and leadership skills. She moved to the Medical City of Dallas where she became Director of Surgical Services. Later moving to Medical Center of McKinney where she was promoted to Chief Nursing Officer/Senior Vice President responsible for more than 200 nurses.

She was responsible for 300 to 400 nurses as the Chief/ VP of Peri-operative Services at Memorial Hermann-Texas Medical Center in Houston, which was the busiest trauma center in the country. There were more than 22,000 surgeries at the hospital during Calee’s first year. Calee returned to the Dallas area in 2011 for the Chief Nursing Officer position at Centennial Medical Center. Licensed for 83 beds, the Seton Medical Center Harker Heights has a young nursing leadership team that has established a good foundation, Calee says, adding the facility’s emergency room saw more than 54,000 people last year. “That shows the potential.”

Calee, who calls herself a “Texas cowgirl,” had traveled to Bell County regularly to show and ride horses. She says the move to Central Texas and the new opportunity to lead the Seton Medical Center Harker Heights nursing staff, “Feels good. Feels right.”

setonharkerheights.net • 254-690-0900 12

OCTOBER & NOVEMBER 2018 | TEX APPEAL

POTLIGHT

ALTHCARE TEAM

Specialties Include: Wellstone Health Partners has grown rapidly to meet the healthcare needs of Central Texas residents since its founding in 2012. And it isn’t finished yet.

The vision of Wellstone is to offer an alternative in healthcare choices, serve patients with compassion and good old fashioned manners and do so with a focus on employees.

A multi-specialty physician’s group, affiliated with Seton Medical Center in Harker Heights, it has primary care offices in Killeen, Harker Heights and Belton.

The group consists of family practice, internal medicine, OB/GYN, orthopedics, ENT, GI, general surgery, neurology, audiology, occupational/industrial medicine, urology and neurology. Nurse practitioners and a registered dietitian are also on staff. Many offices are conveniently located in the Medical Pavillion next to Seton Harker Heights.

“I love the culture of the hospital. I love the culture of the group,” says Don McKay who was with the group since its inception in 2012. He explains the hierarchy is God, family and then business. He says that when “you do the right thing” the business takes care of itself.

“Life today can be challenging and stressful, especially doing what we do. But, here, we have a good time doing it... we really are treated like a family and we all have a voice. It helps with collaboration and problem-solving to better care for our patients” says clinic manager, Faith Losiewitz.

The focus in the near term is to expand their footprint by adding clinics across the region, with another primarycare office soon to open in Bell County. “We recognize

•Ear, Nose and Throat •Family Medicine •Gastroenterology •General Surgery •Internal Medicine •Lactation Consultation •Neurology •Nutrition Services •OB/GYN •DOT & Non-DOT Physicals •Orthopedic Surgery •Urology patients have a choice. We want to be a viable alternative,” says Mr. McKay. Seton Harker Heights is also the first hospital in the region to earn an the Joint Commission’s Advanced Certification in Total Hip and Knee Replacements, lead in big part by Wellstone Orthopedic Surgeon, Dr. Lovria.

Serving the region with greater access to physicians, patients can visit the Wellstone After-Hours clinic in Harker Heights most weekdays and on Saturdays. It accepts most insurance plans including Scott & White Health Plan.

wellstonepartners.org • 254-618-1020 TEXAPPEALMAG.COM

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TexTalk calendar ONGOING

“Comfort is our logo, compassion is our business card, and how we leave families feeling after having their services with us is our trademark.”

-Jarrah Crotty

Family Owned & Operated 5431 West Hwy 190 • Belton, TX 76513

crottyfh.com • 254.933.0900

Coney Island: Visions of an American Dreamland Now through Oct. 20 Tuesdays through Saturdays, 10 a.m. to 4 p.m.

Included with regular admission to museum: $4 (ages 13–59); $3 (ages 60+); $2 (ages 5–12); under 5 free Once a playground for the wealthy, Coney Island became an entertainment venue for everyone.

Temple Railroad and Heritage Museum 315 W. Avenue B., Temple 254-298-5194; www.TempleRRHM.org Pumpkin Patch Now through Nov. 4 Weekends, 10 a.m. to 6 p.m. $10 wristband; kids 2 and under free Hayrides, bounce pad, corn cannons, barrel trains and barnyard games.

Enjoy food, a gift shop and a variety of pumpkins.

Robinson Family Farm 3780 White Owl Lane, Temple 254-931-9564 www.TheRobinsonFamilyFarm.com Terror in the Theater: Fifties Fears Oct. 27 through Jan. 5 Tuesdays through Saturdays, 10 a.m. to 4 p.m.

Included with admission to museum: $4 (ages 13–59); $3 (ages 60+); $2 (ages 5-12); kids under 5 free Films of the ’50s commonly expressed fear of technology, invasion by aliens and atomic radiation. See posters and photos from 1950s movies contrasted with science fiction classics such as King Kong.

Temple Railroad and Heritage Museum 315 W. Avenue B., Temple 254-298-5194; www.TempleRRHM.org A Classic Science Fiction film series complements this exhibit.

Oct. 24, “Invasion of the Body Snatchers” Nov. 14, “20,000 Leagues Under the Sea” Free; films begin at 6 p.m.

Beltonian Theatre 219 E Central Ave., Belton 254-831-3161; TheBeltonianTheatre.com

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OCTOBER & NOVEMBER 2018 | TEX APPEAL

Harker Heights Farmers Market Saturdays through October 2018, 8 a.m. to 1 p.m.

Oct. 6, Local Hero Appreciation: Firefighters, EMTs and police officers receive a 10% discount Oct. 27, Fall Festival: Activities and trick-or-treating Shop for fresh, local produce, honey, meat, jams, jellies, pickles, baked goods and hand-crafted items.

Seton Medical Center Harker Heights 850 W. Centex Expressway 254-953-5493 www.ci.harker-heights.tx.us/parks Temple Farmers Market Tuesdays and Thursdays, 7 a.m. to noon Off West Adams, behind Temple Fire Station #7 Contact Mary Coppin at 254-778-2104 TITANIC: The Artifacts Exhibition Jeanes Discovery Center Mayborn Museum Through Jan. 6, 2019, times vary Admission includes access to other museum exhibits: $6 member; $19 adult; $13 children ages 2–12; $16 seniors (65+) Group discounts available with advance reservations.

Journey back in time and experience the legend of the Titanic. More than 200 authentic artifacts recovered from the ocean floor along with room re-creations and personal stories each highlighting a chapter in the compelling story of Titanic’s maiden voyage.

1300 S. University Parks Dr., Waco 254-710-1110; www.Baylor.edu/Mayborn/ Harker Heights Annual Coat Drive Oct. 1 to 31 Donate new and gently used coats to benefit the Killeen ISD Homeless Awareness Response Program.

Drop box locations: City Hall, 305 Miller’s Crossing; Rec Center, 307 Miller’s Crossing; Activities Center, 400 Indian Trail, Harker Heights Belton Senior Center Country Western Dance $5. Attendees are encouraged to bring a dish to share.

Oct. 4, 6:30 to 9:30 p.m. Backroads Oct. 18, 6:30 to 9:30 p.m. Out of the Blue

calendar TexTalk Oct. 22, 5:30 p.m. Potluck dinner featuring Mike Anderson Nov. 1, 6:30 to 9:30 p.m. Good Ol’ Boys Nov 15, 5:30 to 9:30 p.m., Old Friends Nov. 26, 5:30 p.m. Potluck dinner featuring Denim & Diamonds Seniors line dance group 842 Mitchell St., Belton 254-939-1170

OCTOBER Bell County Heart Walk The American Heart Association Oct. 6, 8 a.m. check in; 9 a.m. race begins Fee: Donation suggested Join a team or walk individually in this 5K or 3.1-mile walk Confederate Park, 700 Confederate Park Dr., Belton www2.Heart.org to register Super Secret Spy Day Oct. 6, 11 a.m. to 1 p.m.

Free Put your super spy skills to the test.

Temple Railroad and Heritage Museum 315 W. Ave. B., Temple 254-298-5194; www.TempleRRHM.org Salado Chamber of Commerce Ladies Auxiliary Christmas in October Oct. 12 and 13 9 a.m. to 5 p.m.

Get an early start on holiday shopping at the Salado Chamber of Commerce Ladies Auxiliary Christmas in October.

$3 per adult Unique Christmas decorations, fall fashions from local merchants, jewelry, children’s clothing, food, gifts, home décor specialty items and goodies at the Ladies Auxiliary Bake Sale The Venue, 306 College St., Salado 254-947-5040 www.Salado.com/Calendar Tickets on Eventbrite.com or at the door

Mayor’s Fitness Council’s 9th Annual Temple Trail Blazers Challenge Glow-Stick Walk Oct. 13, 7:30 p.m.

Free—bring a canned good for the food drive Friars Creek 2 Trail, Building 22, Mental Health Bldg., Scott & White Blvd. (behind BSW) 254-298-5403; www.GetFitTemple.com

Tablerock’s Fright Trail Oct. 20 and 27 6:30 to 9:30 p.m. $5 adults, $3 children 12 and under Half-mile trail offers thrills and chills.

Skits from classic tales, drinks and snacks.

Tablerock Amphitheater, Royal St., Salado 254-947-9205; www.Tablerock.org 8th Annual Halloween Splash Bash Oct. 26, 6:30 to 8:30 p.m. $5 Put on a costume and bring your swimsuit for a fun night out at the pool.

Sammons Indoor Pool, 2220 W. Ave. D, Temple 254-298-5930; www.CI.Temple. tx.us/1186/Sammons-Park-Indoor-Pool Continued

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TexTalk calendar

Saturday, October 13th 9am-3pm LOCAL PRODUCE • HAND CRAFTED MEAD • JEWELRY PLANTS • ARTS & CRAFTS • PUMPKIN PATCH

FACE PAINTING • SALSAS • JELLIES BAKED GOODS • SOAPS & MORE Sponsored by

Trunk or Treat 2018 Oct. 27, 5 to 8 p.m.

Free Harker Heights Parks & Recreation and Vintage Church host a familyfriendly evening featuring themed trunks, games, inflatables, food trucks, local vendors and candy for each trunk-ortreater. Call to register to participate in trunk competition. In case of inclement weather, call 254-953-5660 Harker Heights Community Park, 1501 E. FM 2410 254-953-5657 www.VintageChurch.cc/TrunkOrTreat Haunted Hayride Oct. 27 3 to 5 p.m. Family-friendly rides $5 6 to 10 p.m. Haunted hayrides, $7 in advance; $9 gate Reuben D. Talasek Bend O‘ the River 7915 S. General Bruce Dr., Temple 254-298-5733; www.TempleParks.com

8060 E US HWY 190 • Rogers, TX

NOVEMBER

254-983-2899 • walkerhoneyfarm.com

City of Temple Holiday Craft Bazaar Nov. 3, 9 a.m. to 3 p.m.

Free Get a head start on your holiday shopping. All items are handmade or original.

Gober Party House 1516 W. Avenue H., Temple 254-298-5733; www.TempleParks.com Día de los Muertos Celebration Nov. 3, 1 to 6 p.m.

Free Enjoy food, music, games, dancing, crafts and a community ofrenda (ritual altar where objects are placed to honor ancestors during Mexico’s Día de los Muertos Day of the Dead celebration).

Wilson Recreation Center 2205 Curtis B. Elliott Dr., Temple Call Miranda Lugo at 254-298-5740.

Mad Science Day Nov. 3, 11 a.m. to 1 p.m.

Free Try out some fun experiments and make crazy things.

Temple Railroad and Heritage Museum 16

OCTOBER & NOVEMBER 2018 | TEX APPEAL

315 W. Avenue B., Temple 254-298-5194; www.TempleRRHM.org

St. Luke Catholic Church Craft Show Nov 3, 9 a.m. to 3 p.m.

Free Crafts including woodworking, stained glass, floral, candles, jewelry, garden art, quilts, fashion accessories, holiday gifts are showcased. Homemade baked goods and lunch available.

St Luke Parish Hall 2807 Oakdale Dr., Temple 254-773-1561; www.SLParish.org City of Harker Heights and Harker Heights Veterans Council Veterans Ceremony Nov. 8, 6 to 7 p.m.

Features the traditional laying of the wreath honoring those who gave their lives.

Harker Heights Recreation Center 307 Miller’s Crossing, Harker Heights 254-953-5465 www.CI.Harker-Heights.tx.us 57th Scottish Gathering & Highland Games Nov. 9, 6 p.m. Calling of the Clans Nov. 10, 9 a.m. to 5 p.m.; noon opening ceremonies and parade Nov 11, 9 a.m. to 3 p.m.; 9 a.m. Kirkin’ o’ the Tartan Sponsored by the Salado Museum.

Bagpipe band competitions, Scottish athletics, clan tents, pet parade, Highland dancing, Celtic music and Scottish market. The Clan Village hosts more than 40 Scottish clans and societies who share info about Scottish history and genealogy.

Salado Civic Center Grounds 601 N. Main St., Salado 254-947-5232 www.SaladoScottishFestival.com Tablerock Amphitheater’s 26th Annual “A Christmas Carol” Nov. 30 and Dec. 1, 7 and 8 6:30 p.m. concessions, 7 p.m. show $10 adults; $5 students; $3 children 12 and under Tablerock Amphitheater, Royal St., Salado 254-947-9205; www.Tablerock.org Email events in December and January to stacym@texappealmag.com by Nov. 10 for possible inclusion in the next issue.

well-fed head TexTalk

Book chronicles a day of destruction in Texas town

By CATHERINE HOSMAN

T

he afternoon of Jan. 23, 1913, was unusually busy for the shops on the square in McKinney, Texas, especially at the Cheeves Brothers Mississippi Store where a sale was in progress.

Customers flowed in and out throughout the day. Nine employees were on staff to serve the mostly female customers who were shopping for intimate apparel on sale.

The Mississippi Store occupied the first two floors of a three-story building owned by the local chapter of the Odd Fellows. The store also shared a wall with its neighbor to the west, the two-story Tingle Implement Store owned by Thomas Jefferson Tingle.

“Tingle, who advertised himself as the ‘Implement Man,’ moved to McKinney in 1911 from Childress, Texas,” writes Carol O’Keefe Wilson, author of The 1913 McKinney Store Collapse, published by Arcadia Press and The History Press. “He rented both floors of the building, operating his farm implements store on the lower level and using the upper floor for storage.”

Around 3:40 p.m. the crowd in the Mississippi Store began to thin. Employee Annie Curts watched as the last few customers were being taken care of; but something wasn’t right. Suddenly she felt a shift in the three-story building.

“The wall seemed to bulge slightly, and a menacing noise, like a muffled chorus of squeaks, set off an alarm in her mind,” writes Wilson. “As quickly as her body could react to the signal of danger, Annie dove to the floor behind the counter, covering her head. In an instant, the walls and floors above came crashing down around her with a thunderous roar she later compared to the sound of a cyclone.”

Wilson, who has written two other books on Texas history, was researching the Cheeves brothers for her next book, when she heard of the McKinney store collapse. The Cheeves family had several stores in Central Texas, including a store in downtown Temple that operated for 70 years. “When I was looking for an idea to do a book, I came to this story,” she says.

She visited the McKinney museum and shared her idea for the book with the staff. “They felt it would be well received,” she says.

It took Wilson a year to research and write the story. It took another seven months for the book to be published. Through her diligent research and carefully sourced illustrations, she takes you through every moment leading up to the collapse of the two connected buildings on the square. Her description of the collapse and the people who perished or escaped gives you the sense that you are present on the square, standing on the opposite side of the street from the disaster. You can feel the rumble of the earth before the buildings came crashing down, hear the cries of the people trapped inside and feel the effects of the dust as the cloud of debris settled in the street.

Five women, two men and one child died, including Robert Norman Presley, a young clerk. Fifteen people were injured.

When Wilson decided to shift gears away from her original idea about the Cheeves brothers and write this historical book, she says her goal was to emphasize the victims. “They are not props in this story. The other emphasis is on the history,” she says. “I’m not trying to sensationalize this tragedy; I’m using it as a vehicle to bring attention to these people.”

She dedicated her book to Presley, who left behind a wife and young daughter when he perished in the collapse. “In the initial news stories after the accident they printed a picture of six of the victims. He was one of them, but his photo never appeared in the paper,” Wilson explains. “He suffered the most.

He was the saddest case.”

Wilson’s book captures the essence of this historic event that occurred at the dawn of the 20th century to share with readers in the second decade of the 21st century. Wilson’s writing makes you feel as if you were there. She talks about the prehistory of that deadly day and the aftermath of the suffering so many families endured in this close-knit town where everybody knows their neighbor or are related.

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Baylor Scott & White Medical Center–Temple:

Making great strides in

By STACY MOSER Photograph courtesy of BAYLOR SCOTT & WHITE HEALTH

B

aylor Scott & White Medical Center–Temple is considered by many to be the proverbial rolling stone. It’s not gathering any moss when it comes to bringing technological advancements to its patients.

The hospital has become a destination for physicians from around the world who seek models of the latest innovations in a hospital setting. Dr. Kirby Hitt, the medical center’s director of joint replacement, was recently invited to speak at a meeting in Japan related to joint-replacement techniques and implant designs. As a result of that meeting, several doctors traveled to Temple from Japan to collaborate with the hospital’s joint-replacement program.

“It was an honor to have many of the most influential joint surgeons from Japan spend time observing various replacement cases, sharing an international

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perspective on healthcare reform and discussing techniques to improve knee- and hip-replacement surgery for our patients,” says Hitt. “This collaboration has resulted in monthly symposiums in order to continue the education process and create opportunities to work together on research projects.”

While the hospital wraps up its construction of a new surgical sciences facility, adding 11 large, high-tech operating rooms, advances are occurring within the hospital’s walls, too.

For example, the structural heart failure clinic continues to address a common medical condition, aortic stenosis of the heart (narrowing of the main valve), which affects nearly 1.5 million people in the United States. The condition impedes blood flow from the heart and, traditionally, open-heart surgery was the best remedy. Now, though, surgeons at Baylor Scott & White are performing transcatheter aortic valve replacements (TAVR), an exciting new alternative treatment. TAVR sends a catheter to repair the heart’s valve through a small needle puncture, usually in a blood vessel in the leg. The big plus with this type of surgery is the reduced down time for patients as they recover—and a faster return home.

Surgeons at Baylor Scott & White in Temple were instrumental to the success of the clinical trials for this new surgery and recently performed their 500th TAVR procedure. “TAVR made it possible for even the frailest of patients to improve their overall heart function,” explains Mark Lawrence, MD, an interventional cardiologist.

“We’ve given our patients an opportunity to recover faster and with less risk.”

Another innovative procedure pioneered at the medical center,

community healthcare holmium laser enucleation of the prostate (HoLEP), provides much-needed relief for men with benign prostatic hyperplasia (BPH), a condition that can prevent the bladder from emptying properly and, in severe cases, can cause urinary retention, leading to catheter dependence. Dr. Marawan El Tayeb, a urologist at the medical center, averages almost 200 HoLEP procedures a year, the highest number in Texas. “It’s a very good feeling to provide this procedure to patients who otherwise don’t have a lot of options available,” he says.

“This procedure has had a tremendous impact for men,” reports Dr. Erin Bird, director of urology at Baylor Scott & White. “Many patients with especially large prostates had catheters for years because they believed nothing else could be done. Our medical team of doctors, nurses, clinicians and staff work together to ensure these patients recover and enjoy activities they may not have been able to do previously.”

One other example of life-saving surgery at the hospital is the kidney-transplantation program in which a record 153 abdominal organ transplants were performed in one year, surpassing the previous record of 87. “This accomplishment is a result of our team’s commitment to providing exemplary care for patients in need of a kidney transplant,” says Abbie Dawson, BSN, RN, nurse supervisor of the transplant program. “Every member of the transplant team has a significant role and, through diligent work and dedication, we continue to provide quality and compassionate care for patients in need of a life-saving organ.”

The transplant team now offers many options to patients in need of an organ, including a living-donor program, paired kidney donor program and a relatively new patient program, Training for Transplant. This program gives potential transplant patients a way to improve their risk factors through careful planning and care coordination. The program also has affected the methodology for kidney evaluation, allowing for the acceptance of more kidneys for transplantation at the hospital. “This is just another example of our multi-disciplinary approach to care,” says Erin Stanley, director of nursing, renal and pancreas transplant.

And for those patients needing a diagnosis for specific minor conditions, the medical center has rolled out a new way to receive help, the E-Visit program. Patients can establish an

online account, log in and list their symptoms. A clinician then reviews the information and returns a diagnosis and treatment plan to the patient by way of a secure online portal. This way, patients seeking convenience and ease of access, or who cannot make an appointment immediately with their doctor (and who might otherwise look for care in the emergency room) can avoid unnecessarily expensive and time-consuming visits to the ER. The hospital’s involvement in important community health initiatives continued this year with a new, headline-grabbing program designed to train Bell County sheriff’s deputies to administer Narcan injections to opioid overdose victims.

“Narcan reverses toxic effects of the opioid,” Baylor Scott & White Medical Center–Temple emergency room physician Dr. Taylor Ratcliff explains. He says that opioids cause respiratory depression, where people don’t breathe adequately and go into cardiac arrest. Because deputies are typically first-responders on the scene, especially in rural locations, they can now recognize an opioid overdose and reverse its effects quickly.

Justin Regner, trauma medical director at Baylor Scott & White, discusses the hospital’s participation in the national Stop the Bleed awareness campaign, which trains the public to recognize life-threatening bleeding and stop it before it becomes fatal. “The American College of Surgeons, in conjunction with the U.S. military and National Security Council, created the Hartford Consensus, a response to active-shooter events in 2012.

This study found that the number-one cause of potential lives lost is preventable bleeding,” he says. “Stop the Bleed training teaches people to save lives both in mass-casualty situations or everyday traumatic events where they might be required to assist victims before medical help arrives. There’s nothing to be afraid of. All ages need to learn these skills in today’s world. Any of us could be at home or on the road when a catastrophic event occurs. With the Stop the Bleed skill set, you’d be prepared to save a family member right there.”

“This hospital is not just about helping the patients who come here, it’s about training the physicians of tomorrow and pioneering treatment options for patients of the future,” says Harry Papaconstantinou, MD, chair of the department of surgery at Baylor Scott & White Medical Center–Temple.

“Technology allows us to change the outcomes of patient procedures for the better. We are working hard every day to harness that potential and be the best hospital we can be.”

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Spreading the healthy lifestyle gospel—one water bottle at a time

By STACY MOSER Photography by RUSTY SCHRAMM, courtesy of BAYLOR SCOTT & WHITE HEALTH

“One of my first rotations was gastroenterology. I’d seen a gastroenterologist once and thought, ‘Why would you ever do this? This is gross!’ I wasn’t interested at all. But I loved working in the intensive care unit, dealing with people teetering on the edge he term fast forward comes to mind when you speak of life. There was something magical happening. There would with Dr. Dawn Sears. The clip of her speech is be a bleeder at 3 a.m. and the gastroenterologist would come in rapid, her mannerisms are swift and graceful and and close the curtain,” Dawn pantomimes a dramatic flourish of her demeanor is quick and perceptive. This is a the curtain around a patient’s bed. “Then he’d do something— woman who moves through her day at full speed, then swish! The curtain would open. And the patient’s pulse making the most of every moment. and blood pressure stabilized, she no longer needed a blood Her trajectory of achievement in the medical profession, transfusion. I wanted to know what happened behind that curtain? fueled by a drive instilled in her by her hard-working parents, What was the magic? That’s why I chose this field.” has earned her a stellar reputation as chief of gastroenterology at After years of diagnosing thousands of patients’ ailments, Baylor Scott & White Medical Center–Temple. She has already she began to observe patterns. “I saw that nutrition and lifestyle accomplished a great deal in life, but one senses that she is only were 80 percent of the cause of their problems. They came to beginning to make her mark in the world. me with cirrhosis, fatty liver, reflux or irritable bowel. I saw over Dawn reflects on her decision and over that the culprit was their to become a doctor, and she recalls a lifestyle. It was sodas, fast food, not pivotal moment when she was a teen, walking, staring at a computer—it was not long after her family relocated from lifestyle! I dove into the literature so I Vermont to Melbourne Beach, Florida, could explain why these things are bad 20 miles south of Cape Canaveral. for you. I developed a talk that I give “I remember reading about the at conferences. I call it my soda-hating space shuttle and then we moved right talk, ‘Eat Food, Not Chemicals.’ When by the Cape. That was really exciting.

I’m invited to a conference, I’m often Several of my classmates’ parents asked to give the speech on Day One, worked at NASA and we got to see all because the conference’s soda expense the space shuttles go up. I was sure drops in half when everybody has water I was going to be an astronaut. One for the rest of the time,” she laughs. day, though, I was at school when Dawn admits that a difficult part the Challenger blew up and we went of her job is delivering bad news to outside and saw pieces of it fall from her patients. “I’ve found that I have — Dr. Dawn Sears the sky. It just kept exploding and a real gift for walking people through exploding,” Dawn’s voice trails off as death and dying,” she explains. she recalls the emotions of that day. “It “I’m not afraid of dying. I became a was a shock. I realized that space is not where I wanted to serve.

Christian through all of this. I’m privileged to walk families and But the experience convinced me to do something in science, patients through the natural cycle of life. Having those intimate, something that’s relevant.” incredible relationships is an honor that I do not take lightly.”

Dawn attended Texas A&M Medical School after graduating Her challenges don’t stop with her professional life. She is from Texas Women’s University. “I decided to do family the mother of three children—her youngest daughter is afflicted medicine; I thought I could be the woman’s woman, deliver with global developmental delay, which is an intellectual babies, taking care of women cradle to grave.” As the time came disability; autism spectrum; ADHD and also cyclic vomiting to make a final choice about her residency, though, she found syndrome. “If she gets too happy, too sad, too excited, too mad, herself unsure. she starts vomiting and won’t stop. Usually I can give her drugs “I’d see the internal medicine docs hanging around—who at home that stop the vomiting. But sometimes we end up in the are complete nerds—they’re mad scientists. And I realized, dang hospital, where I need to be the mom and not her doctor. It’s a it, I’m a nerd too.” Dawn called her fiancé, Will Sears, to discuss tough balancing act.” her last-minute decision before the time expired for her to make Dawn is acutely aware of the moments of self-doubt that a change. “I said, ‘Honey, I’ve changed my mind.’ He answered, plague her and other women around her. She is a tireless, self‘You don’t want to get married?!’ I said, ‘No! I want to get appointed advocate for her young colleagues, especially female married, but I want to switch to internal medicine.’” doctors like herself, who strive to be both mothers and high-

T

“I saw that nutrition and lifestyle were 80 percent of the cause of their problems. … It was sodas, fast food, not walking, staring at a computer—it was lifestyle!”

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achievers. She feels strongly that those goals, while admirable, can be destructive to their quality of life.

“A person who goes to medical school, by definition, is almost always a ‘Type A,’ a perfectionist. But you must become a ‘Type A minus’ so you don’t drive yourself crazy,” she says. “I was told to work hard, focus on my dreams and I can have it all.

That is absolutely false. Everything suffers if you try to do it all perfectly. There is no Superwoman! That’s the constant daily tension for doctors who are mothers.” She pauses as she explains her deepest concern. “Women physicians have the highest rate of suicide of any occupation,” she says ruefully. “I’m starting to call it Impossible Syndrome. We can’t do it all.”

Excitement returns to Dawn’s voice, though, as she describes her latest passion. “There was a huge study showing that in bad health outcomes in children, like cancer, asthma, early death or behavior issues—the highest prevalence occurred when a child’s nuclear family was broken. So keeping a nuclear family intact can decrease all of these negative outcomes for kids.”

“Often the last time teenaged boys have a person in their

life that they respect and who is invested in them is their coach,” she says. “So I felt called to go to Temple High School to talk to the football team about the importance of health and forming permanent, positive relationships with women.” She approached the school’s football coach, Scott Stewart, with the idea three years ago and, to her surprise, he upped the ante. “He asked me to come every week, all summer!”

She brings food to her talks (“How else do you get boys to show up? Bring food!” she chuckles). “We talk about real nutrition and the effects of video games on sleep. Eighty sweaty boys on the locker room floor are asking me all sorts of questions about STDs or asthma, addiction, surgery, porn—and I’m just able to be real with them.”

Dawn leans back in her seat, proudly grinning. “Temple High wasn’t supposed to go to the playoffs over the last few years, but they did! This is how we change our next generation.

And if we can keep these boys united with their ladies, their healthcare issues will improve. And that’s how you change things.”

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Healthcare innovation

Concierge-style medicine under one roof

By STACY MOSER Photography courtesy of BAYLOR SCOTT & WHITE HEALTH

A

s far as Dr. Jack Myers, Dr. Barbara Weiss and Dr. Curtis Mirkes are concerned, they’ve landed on a dream team. These are the doctors at Baylor Scott & White Medical Center–Temple who run the Executive Healthcare Program, a concierge-type service providing health and wellness care for busy executives whose jobs require them to make the most of every minute in their day.

Patients who’ve joined this program receive one-stop shopping, essentially, where almost every medical test or procedure can be completed under one roof—and most in one day—at the medical center.

When a patient arrives for an appointment, he or she visits the lab for any necessary tests, imaging or blood work, freeing them from running all over town for individual tests. After those tests are completed, the patient is escorted to meet their program doctor who, in many cases, already has the test results even before the patient walks down the hall and in the office door. If other healthcare services are indicated during that consultation, the patient visits a specialist in the hospital, usually within a few minutes. If a minor wait is required, they are ushered into the program’s luxe VIP suite, where they can relax in the comfortable, intimate surroundings or whip open their laptop, pour a cup of coffee and squeeze in a few emails while they wait.

“These are really busy people,” says Dr. Myers, director of the program. “They don’t want to take time off from work to do tests, then go through their primary doctor at one end of town and be

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referred to yet another doctor on the other end of town, missing even more days of work. We try to compress the entire process into one or two days in one spot to address their overall wellness.”

Dr. Myers describes a pre-appointment questionnaire patients are asked to complete. “We ask what medical issues they have, what medications are they on, what health-maintenance issues they have. Based on that, we usually can get a patient in and out of here in a day or less. It just depends on what they want to accomplish with their appointment.”

Dr. Mirkes describes the practice’s clientele, “Some live here in Texas, but we also see patients who travel here from places like Arkansas, Oklahoma, New Mexico or Louisiana. Patients fly here from all over.” Dr. Weiss explains that most of her patients have one thing in common. “They’re just in a hurry. They want to make time for themselves and they want to maintain their own health. But they don’t want to take a long time doing it.

And they want high-quality healthcare.”

As part of this program, a patient has 24/7 access to these doctors in the office, online or over the phone, as well as expedited appointments and ample one-on-one time to discuss any medical issues they have.

So how does a program like this manage to care for its busy clients so efficiently? “We have ample staff to get them through the clinic in a timely manner, so they can go about their week and get things done,” Dr. Myers says. He explains that the team utilizes the strength of the Baylor Scott & White system to provide almost every type of healthcare imaginable. “Here, all the physicians work together to provide excellent healthcare.

Our team knows the doctors and staff at the hospital really well.

We can communicate by chart online or we can email and talk

ABOVE: The executive healthcare team: front row, from left, Dr. Jack Myers, Dr. Barbara Weiss, Dr. Curtis Mirkes; back row, from left, Rebecca Hunt, Laci Grizzell, Sandra Powell, Emily Campos, Jessica Silva. OPPOSITE PAGE: The VIP lounge offers executive healthcare program patients a place to relax in comfort between appointments.

on the phone.”

He is quick to compliment the program’s support staff, too.

“Our front desk staff and nurses are outstanding. They really go above and beyond to make sure patients are taken care of. We work miracles sometimes to get patients in and get things done, which is fantastic.” While a normal medical practice oversees the care of an average 2,500 patients at any one time, this program’s doctors keep their patient load at about 600, allowing them the luxury of spending more time with their patients.

The hospital has offered this program for more than 50 years to companies in the United States and Mexico—companies that use it as an attractive perk in their executive benefits packages.

Now, though, the hospital has turned its attention to the equally busy non-executive population—those seeking an alternative to the traditional time-consuming healthcare routine. Weiss, Mirkes and Myers concur that people want access to their doctor in new, more-convenient ways. “This is just part of the evolution of healthcare,” Dr. Mirkes says. While the original intent of this program was to make healthcare access convenient for executives, now the doctors feel that the program can pioneer delivery of healthcare to any patient who desires this level of efficiency.

“I think people just want to see their doctor when they want to see him or her. They want that level of convenience, particularly with the millennial generation. So we’re using technology to enhance patients’ experience here. We know they want options, so we offer things like online scheduling and video visits,” Dr. Mirkes comments. “I just had one recently with a

patient who lives in south Texas. We resolved her medical issue during a video call so she didn’t have to travel all the way here.”

The team talks about creating “touch points” in their practice—extra ways to reach out and show their patients that they really care, including nurses’ follow-up phone calls to patients who might benefit from a little extra TLC. Dr. Mirkes uses text messaging to motivate his clients who struggle with issues like weight loss or smoking cessation. “These are a handful of my patients and we text each other,” he says.

“I’ll say, ‘I want you to text me your weight every week,’ so there’s some accountability. So on Mondays I picture them saying to themselves, ‘Oh crap, I’ve got to text Dr. Mirkes my weight,’” he laughs. “And I’ll text back and say, ‘Man, you’re doing great!’ Or ‘Hey, this was a rough week. Let’s get back to it next week. How many times did you work out? What has your diet been like?’ It’s one more of those touch points we talk about.”

“I heard somebody say this is the best healthcare program he’d ever seen,” Dr. Weiss says proudly. “And it’s when a patient sends their mother or family members to us, that’s when you know you’ve made a difference. They trust us.”

“We focus on wellness and preventive healthcare here,” Dr. Myers says. “We want to make sure our patients don’t get the chronic diseases that we are used to seeing every day. We’re really active about promoting healthy lifestyles, good diets and exercise.”

“This integrative practice is just what we wanted,” Dr. Weiss says. “Most doctors dream of having a practice like this. I’m lucky to get to do this every day. It’s fun to make people healthy.”

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Unique, kid-friendly facility McLane Children’s Medical Center strives for innovation

By STACY MOSER Photograph courtesy of BAYLOR SCOTT & WHITE HEALTH

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obody wants to spend time with their children in a hospital setting, but when the need strikes, access to a top-notch pediatric medical center in your community can be, quite literally, a life saver. Since 2011, Baylor Scott & White McLane Children’s Medical Center has been that life saver for Bell County and communities far beyond its borders.

Patients and their families are known to travel from places as far away as Houston, San Antonio and Abilene to receive the high-quality care offered here. It’s very unusual for a city the size of Temple to be able to offer its residents a healthcare resource like this premiere hospital.

“The staff here is keenly aware of the value they offer this community,” says Dr. John Boyd, president and chief medical officer at McLane Children’s. “We all go to work every day knowing that we not only save children’s lives, but we have the opportunity to positively affect the lives of entire families all over Central Texas. It’s really a matter of pride for us.”

One of the first things patients see when they drive to the medical center campus is the colorful 10,000-square-foot playground out front. This isn’t your average playground,

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though—a multitude of swings, slides and shaded play equipment have been placed side by side with full-sized bells, chimes and drums. Donations from the Grimes family in honor of a local music teacher and donations raised from the staff themselves through their Employee Giving Campaign funded the “musical playground.” A University of Mary Hardin-Baylor music professor designed the musical instrument layout to feature this unique aspect of the playground. The play equipment is designed to accommodate children with any level of mobility, so even children in wheelchairs can enjoy some well-deserved playtime.

Visitors to the medical center will also note that the facility is undergoing construction, even though it’s only seven years old. Due to the rapid growth in patient demand for services at the medical center, the decision was made to add a $14 million, two-story expansion adjacent to the current emergency department. This will provide five additional ED rooms to meet current demand, like that experienced during 2017’s crushing flu epidemic, and it will double the size of physical and occupational therapy and create four private rooms in the special procedure unit. Construction will be completed by the end of summer 2019. The organization also invested in state-of-the-art infrastructure for the expansion with construction of a new central utility plant, completed in May. “One area of our emergency department’s expertise is

resuscitation,” says Dr. Dominic Lucia, medical director of the emergency department. “We strive to provide these children with the very best chance of survival here” (see his story on page 28).

The medical center is adding equipment to make treatment much less invasive for patients. For instance, vein finders that implement LED-infrared light reduce the guesswork involved in blood draws from tiny arms. A 3T MRI machine creates extremely in-depth studies of the brain and heart, and special goggles allow kids to watch movies during their MRI. A Flash CT Scanner creates images in seconds, so children don’t have to be sedated to have scans done. “They hardly know what happened, so it really reduces the fear factor,” Dr. Lucia explains.

Aside from advances that have been made in caring for pediatric trauma patients who are rushed to the medical center’s emergency department, McLane Children’s has also made strides in injury and death prevention for children.

In the United States, over 3,500 infants accidentally die each year due to unsafe sleep environments. Sudden Infant Death Syndrome (SIDS) claims the lives of around 2,500 infants a year in children one month to one year of age. The national Cribs for Kids organization certifies hospitals that prove their commitment to reducing sleep-related deaths in children.

McLane Children’s became the first hospital in Texas to earn a Gold Certification as a National Safe Sleep Champion, due to their implementation of a safe-sleep policy, including staff trained to teach parents how to keep their babies safe while they sleep.

“Through this program, we encourage ‘safe sleep,’” says Kayla Cehand, trauma and injury prevention coordinator for McLane Children’s. “This helps our community decrease the causes of accidental deaths.”

“Babies deserve our very best,” says Ellen Hansen, McLane Children’s chief nursing officer. “Our prevention team, in

collaboration with the neonatal intensive care, pediatric intensive care and medical surgical units, has worked tirelessly to ensure McLane Children’s meets the highest standards of education for parents. We want them to know what to do to ensure that their babies sleep safely. Our goal is to prevent SIDS in our community.” Key guidelines to the program include teaching parents that babies should sleep on their backs on firm mattresses without blankets, toys or hats in the crib.

Another way the medical center keeps an eye out for the welfare of children in the community is through its “Stand Up Against Child Abuse” program. The medical center treated nearly 1,000 child abuse cases in 2017 and established this program to combat the problem. Dr. Boyd says that the medical center’s goal is “to help people with challenges find resources so we can decrease the number of children who suffer,” referring to children who experience abuse or neglect at home.

On the lighter side, McLane Children’s Medical Center’s pediatric patients have recently been introduced to a new type of caregiver—Lorenzo, the facility dog. This cute canine, a Golden Retriever/Labrador mix who is about to celebrate his third birthday, was awarded to two of the medical center’s child-life specialists, Leah Woodward and Ashley Blackmon. Woodward and Blackmon participated in extensive training through the Canine Companions for Independence facility-dog program in Irving, Texas, and are now Lorenzo’s handlers. They visit patients’ rooms with Lorenzo to provide emotional support— whether it’s to jump in a child’s bed to cuddle for a quick nap or to be available to pet during a scary procedure.

“Patients who are here for long periods of time really miss their pets at home,” Woodward says. “Seeing Lorenzo is so comforting to them.” The dog works full-time at the medical center and is much beloved by patients, parents and the staff (see their story on page 30).

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McLane’s own superhero Dr. Dominic Lucia connects with his pint-sized patients

By STACY MOSER Photography by RUSTY SCHRAMM, courtesy of BAYLOR SCOTT & WHITE HEALTH

Dr. Lucia says that when he enters a hospital room with a cartoon character like Superman emblazoned on his shirt, it automatically connects him with his young patient. He says that they relax a little and even smile when they see that he has r. Dominic Lucia knows that most of his pint-sized a sense of humor about what he wears. The walls and doors of patients are having a terrible day. Many have traveled the pediatric ER are also wearing superheroes; colorful murals long distances, are in a lot of pain and would rather sporting characters like Teenage Mutant Ninja Turtles and be anywhere else than the emergency department at Spider-Man are everywhere.

McLane Children’s Medical Center in Temple.

His characteristic sense of humor is probably partially the Dr. Lucia is something of an expert, though, on deflecting result of Dr. Lucia’s unusual childhood. “My dad was a rodeo the anxiety he encounters in those children—using kids’ clown who then began training animals for specialty acts,” he fascination with cartoon superheroes to connect with them and says. “Part of his act was performed with our dog and a monkey ease their fears. named Whiplash, who rode the dog.”

“I started wearing T-shirts with superheroes on them instead His parents traveled from rodeo to rodeo for nine months of scrubs back when I was doing my fellowship,” he says. “I hoped out of every year, taking Dr. Lucia and his siblings everywhere they my fellowship director wouldn’t mind went. He says that it became almost and I could get away with it. I figured it impossible for him to stay enrolled in was a way that I could let kids know we school as a kid, so his dad decided he had something in common because I would be home-schooled, beginning love those superhero characters too. She when he was a sixth-grader. “My dad saw right away how well it worked. So would mail-order textbooks every now it’s kind of my uniform.”

August in all subjects,” Dr. Lucia recalls.

Dr. Lucia knows a thing or two “I would read them cover to cover as we about children. Not only does he see drove all over the United States. I was dozens of them every day in his work really driven to learn,” he laughs at the as the pediatric emergency medicine pun. “I’d go find a quiet spot wherever attending physician, but he and his we were and absorb those textbooks.” wife, Marisa, are parents to five kids of The fact that he was able to their own. graduate from high school by earning “I feel at home with kids,” he his GED without attending a brickexplains. “Because I’m a parent, I think and-mortar institution is evidence of that helps make me a much better Dr. Lucia’s desire to succeed. After — Dr. Dominic Lucia doctor. I can relate to children and also graduating and working odd jobs, to their parents. Because I love my own he was hired as a physical-therapy kids so much, I can really relate to how technician, and his interactions with parents feel when their child is in trouble. Since I know how it other healthcare professionals sparked his curiosity about the field feels when your kid is in pain, I can help parents get through it.” of medicine. “My interest in being a doctor probably first started In fact, Dr. Lucia says that if any one of his residents in after I experienced some tragedies firsthand as a kid,” he says. training is not a parent, he recommends that he or she volunteer “One of the first times I really considered saving lives as a with their church, a local school or an organization that helps career was when a bull rider was crushed to death right in front kids, like Big Brothers Big Sisters of America. “There’s nothing of me at a rodeo when I was 14. I felt so helpless. I couldn’t do like real experience to help non-parents learn how a parent anything to save him. Another time, I saw a friend die when might feel in a crisis,” he says. “At our house, my kids have he fell from a high-wire trapeze to the ground, 40 feet below. I had some minor injuries—thank goodness nothing too serious, couldn’t do anything to be useful in that moment.” From his despite a few ER visits—but that fear you experience as a parent perch on the sideline’s fence, Dr. Lucia watched with fascination with a sick child, it’s one of the scariest feelings in the world.” as medical professionals worked on the victims both times. “It An important part of Dr. Lucia’s job is to train his staff to opened my eyes to a career I’d never considered.” communicate with pediatric patients and their families. “These Dr. Lucia enrolled at Texas Women’s University (“Yes,” he days there is a range of treatment options for most situations. I says, “men enroll there too!”), where he graduated summa cum think it’s really important to involve not only the parents, but laude in 2001. He met and married Marisa during that time and the child in the decision-making process.” together they agreed he was meant to be a physician.

D

“Because I’m a parent, I think that helps make me a much better doctor. ...

Because I love my own kids so much, I can really relate to how parents feel when their child is in trouble.”

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OCTOBER & NOVEMBER 2018 | TEX APPEAL

“Without a doubt, she helped me. What really motivated me was wanting to impress her!” he chuckles. “I’m a person who, once I throw myself into something, I just go full speed.” Dr. Lucia pushed on with his education and was accepted at Texas A&M Medical School, graduating in 2006.

Dr. Lucia came to Scott & White Medical Center–Temple as a resident and was immediately drawn to emergency medicine.

He became chief resident in his third year, but then another opportunity presented itself. He and Marisa traveled to Georgia, where he pursued his interest in pediatric emergency medicine

with a fellowship at Children’s Hospital of Georgia in Augusta.

“We always knew we wanted to come back to Central Texas, though,” Dr. Lucia says. So the couple was thrilled when he was named director of emergency medicine for the brand-new McLane Children’s Medical Center in 2011 and they could return to Temple to raise their family. “It’s been such a fun ride, this last seven years here,” he says.

“My true north is helping kids,” Dr. Lucia adds, smiling.

“I’m proud to be here, helping kids have the very best chance to survive and thrive.”

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Canine approach to care Lorenzo makes rounds at McLane Children’s Medical Center

By STACY MOSER Photography by RUSTY SCHRAMM, courtesy of BAYLOR SCOTT & WHITE HEALTH

needed to be the first Texas children’s hospital to have a dog from Canine Companions.”

Detailed applications were completed and in-person interviews were performed. Then Leah got the call from Canine eah Woodward and Ashley Blackmon spend their Companions—she and Ashley had been approved to come to their days safeguarding children who face some of life’s campus and train to receive a facility dog for McLane Children’s. scariest situations.

When Ashley is asked about their reaction to the news, she smiles Leah and Ashley are child life specialists at at Leah. “Leah cried a lot,” she teases. “We were ecstatic.”

Baylor Scott & White McLane Children’s Medical The two ladies traveled to Dallas to the Canine Companions Center—they come to the rescue whenever hospitalized kids need center, where dogs are trained and ultimately matched with a smile, an explanation about what’s happening or just a plain someone with a disability or a facility that has applied for a old hug. “Our job is to support the children,” Leah explains, dog. Ashley enthusiastically describes her two-week experience “whether that’s prepping or coping with training to work with the dogs. “You procedures or talking with kids and go there not knowing what dog you’re their families about a medical diagnosis. going to get. There were other groups We do everything we can to normalize of people along with us who were the environment for a child who’s here learning commands with 10 different for a long time. We want to make the dogs. So Leah and I would go back to hospital a less scary place.” our room every night and talk about Leah recalls how she landed the dogs, ‘Which one do you think here as a child life specialist. “I love it will be?’ It was cool because, after working with children and the hospital the first week, we got to see everyone environment. It made sense to me receive their dog. We sat on the floor that child life would be a good career in a circle and they brought each path for me since my dad worked at training group’s dog out and we were Scott & White for years in hospital crying with happiness for everyone administration. This was my first choice because we got to know all the dogs where I wanted to work.” and people so well.

Ashley says she feels lucky to work “It’s amazing to see how they in this field, too. “At first I looked into train the dogs,” she says. “They have medicine, but I was more interested in a kennel area, play area and multiple — Ashley Blackmon the psychology behind it than the actual rooms—you’d walk by doors and see medical side. When I found out you trainers with things like wheelchairs could combine working with kids and the medical aspect, this set up to familiarize the dogs with and tables so dogs could learn job rolled everything I wanted to do into one.” how to jump on and off. They have different toys and activities, For these two ambassadors of comfort, the job of relieving and all those cute little Lorenzos are learning to do things like patients’ stress just got a lot easier. Lorenzo, a 3-year-old deliver objects and obey commands.”

Labrador/Golden Retriever mix, has joined the staff at the “The trainer told us that Lorenzo really loves small hospital and is making the rounds, visiting young patients with children,” Leah says. “His love for kids is obvious. When you see Leah and Ashley every day. him go in a room, his tail is wagging, especially when he sees the The idea to adopt Lorenzo, known as a trained facility dog, little ones. So I do think his strong love for children made him a was a team effort at the hospital. “We knew other hospitals good candidate for life in a hospital.” in Texas had facility dogs, so we looked into it to see if it was Lorenzo went home with Leah, also adjusting to life as a something we could manage,” Leah says. “Our manager and member of a family with other dogs. At first, Leah’s Shih Tzu and director went to a ‘facility dog summit’ where hospitals that Dachshund weren’t terribly fond of Lorenzo, but he eventually already had these types of dogs introduced the idea to others won them over. He spends time with Ashley in her home in who didn’t have one yet. Coincidentally, the president of our Georgetown, too, where Ashley’s Golden Retriever has apparently hospital, Dr. John Boyd, heard about Canine Companions for fallen head over heels for Lorenzo. “He plays with her, but when Independence, which has a large training center on the Baylor he tries to signal her that he’s tired, she won’t leave him alone.

Scott & White–Irving campus. That was the motivation we She’s in love,” Ashley smiles as she rolls her eyes.

L

“He makes my job so much better. ... More patients are open to seeing me. The teenagers, they didn’t want to see a child life specialist— that wasn’t cool. But now I have a dog and they can’t wait for us to come in.”

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OCTOBER & NOVEMBER 2018 | TEX APPEAL

Lorenzo walks the halls with child life specialists Ashley Blackmon, left, and Leah Woodward.

“The trainers told us one of the reasons they picked Lorenzo like I reach a wider variety of patients now. More patients are open was because of his calm nature. He does things slowly—they to seeing me. The teenagers, they didn’t want to see a child life referred to him as an ‘old soul.’ We’d see some dogs and when specialist—that wasn’t cool. But now I have a dog and they can’t you’d say the command ‘Sit!’ they’d be wait for us to come in. And there’s a sitting even before you stopped talking. noticeable difference during painful But Lorenzo takes his time and is a procedures when Lorenzo is there for little bit slower, he’s very thoughtful. a child to hold. The child’s demeanor He’s really comfortable with crowds, is calm, the staff’s attitude is happier, too. So when he’s with media or getting the family is calmer. Everything I do his picture taken, it doesn’t cause him has now been made easier and better stress,” Ashley says. because we have him with us.”

“It’s funny because in the morning Leah nods in agreement. “People when he hears me get his collar and his tell us we officially have the best job in vest, he gets excited and his tail starts the hospital, without a doubt, having wagging because he knows where we’re Lorenzo. A big part of our job is to — Leah Woodward going,” Leah laughs. “He will have a little establish rapport with patients quickly, pep in his step, this little bounce, because so we can provide support. He makes he knows we’re off to the hospital.” that almost instantaneous. His sweet, Both ladies agree that Lorenzo has made a huge difference gentle nature makes it so easy to go in and start a conversation. in the attitudes of patients he visits. “He makes my job so much I had a patient this morning say, ‘I feel so much better now that better,” says Ashley. “Before Lorenzo, it was totally different. I feel he’s here.’ He genuinely makes a difference.”

“Lorenzo’s love for kids is obvious. When you see him go in a room, his tail is wagging, especially when he sees the little ones.”

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BAYLOR SCOTT & WHITE PHYSICIAN FINDER ADOLESCENT MEDICINE Meera S. Beharry, MD BSW McLane Children’s Specialty Clinic ADVANCED HEART FAILURE AND TRANSPLANT CARDIOLOGY Ebere O. Chukwu, MD BSW Clinic - Temple Hari K. Dandapantula, MD BSW Clinic - Temple Salman Gohar, MD BSW Clinic - Temple Robert C. Scott, III, MD, PhD, FACC BSW Clinic - Temple ALLERGY/ASTHMA/IMMUNOLOGY Mercedes Arroliga, MD S&W Center for Diagnostic Medicine John E. Dvoracek, MD S&W Center for Diagnostic Medicine John C. Starr, MD BSW Medical Center - Temple ANATOMIC & CLINICAL PATHOLOGY Robert S. Beissner, MD, PhD BSW Clinic - Temple Kathleen A. Jones, MD BSW Clinic - Temple William Koss, MD BSW Clinic - Temple Lisa M. Lopez, MD BSW McLane Children’s Medical Center Felix A. Olobatuyi, MD BSW Medical Center - Temple Lubna Sayage-Rabie, MD, FCAP BSW Clinic - Temple V.O. Speights, Jr, DO BSW Clinic - Temple ANATOMIC PATHOLOGY Michelle Rodriguez, MD BSW Medical Center - Temple Riyam T. Zreik, MD BSW Medical Center - Temple ANESTHESIOLOGY Lisa Baggett, MD BSW Clinic - Temple Brent T. Bartz, MD BSW Medical Center - Temple Jolene D. Bean Lijewski, MD, PhD BSW McLane Children’s Medical Center Tim M. Bittenbinder, MD BSW Clinic - Temple Adam C. Bossen, MD Metroplex Health System - Killeen Laura L. Brinkley, MD BSW Clinic - Temple Christopher J. Burnett, MD S&W Clinic - Temple Pavilion John C. Cargile, MD BSW Clinic - Temple Dair T. Chevalier, MD BSW McLane Children’s Medical Center David P. Ciceri, MD BSW Clinic - Temple Julie Xindaris Colvin, MD BSW Clinic - Temple David M. Cousineau, MD BSW Medical Center - Temple David A. Cross, MD BSW Clinic - Temple William C. Culp, Jr., MD BSW Clinic - Temple

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Don J. Daniels, MD Metroplex Health System - Killeen Paul L. Dillon, MD BSW McLane Children’s Medical Center Xiaobo Eric Dong, MD BSW Medical Center - Temple Kent F. Elliott, MD BSW Clinic - Temple Jeff Ray Gibson, Jr, MD BSW Clinic - Temple David F. Gloyna, MD BSW Clinic - Temple Joshua A. Good, MD Metroplex Health System - Killeen Michael Hofkamp, MD BSW Clinic - Temple Larry R. Hutson, Jr, MD BSW Clinic - Temple Stavroula Ikonomakou-Nikolaidis, MD BSW Medical Center - Temple William E. Johnston, MD BSW Clinic - Temple Gary W. Latson, MD BSW Clinic - Temple Navin Lavu, DO BSW Clinic - Temple Jack F. Lay, MD, MBA BSW Clinic - Temple Craig J. Lilie, MD BSW Medical Center - Temple Vanessa L. Martin, MD BSW Clinic - Temple Russell K. McAllister, MD BSW Medical Center - Temple David V. Paolino, MD BSW Medical Center - Temple Michael G. Parisi, DO Metroplex Health System - Killeen Taylor L. Pohler, MD BSW Clinic - Temple Barbara L. Pollock, MD BSW Clinic - Temple Jana L. Rivera, MD BSW McLane Children’s Medical Center Rick Roberson, MD BSW Medical Center - Temple Bryan J. Rondeau, MD BSW Medical Center - Temple Garrett D. Starling, MD BSW Medical Center - Temple J. Clint Tippett, MD BSW Clinic - Temple Benjamin B. Vacula, MD BSW Medical Center - Temple Frank J. Villamaria, MD, MPH BSW Clinic - Temple ANESTHESIOLOGY/PAIN MANAGEMENT Brooke A. Bauer, MD BSW Specialty Clinic - Killeen Hemingway Pain Clinic Emily Garmon, MD BSW Clinic - Temple Rodney R. Lange, MD BSW Clinic - Temple Keller Matthews, MD BSW Medical Center - Temple Hiep Tran, MD BSW Specialty Clinic - Killeen Hemingway Pain Clinic

OCTOBER & NOVEMBER 2018 | TEX APPEAL

AUDIOLOGY Alanna Birdwell, AuD BSW Clinic - Temple Tressa M. Mann, AuD BSW Clinic - Temple Esther McCormick, AuD BSW McLane Children’s Medical Center Elizabeth Pasichnyk, AuD BSW Clinic - Temple Brett Shonebarger, AuD BSW McLane Children’s Medical Center George Whitaker, Au.D., CCC-A BSW Clinic - Temple Aimee L. Woolard, AuD BSW Specialty Clinic - Killeen Hemingway BARIATRIC SURGERY Robert O. Carpenter, MD, MPH BSW Clinic - Temple David A. Provost, MD BSW Medical Center - Temple CARDIAC ELECTROPHYSIOLOGY AND PACING James N. Black, MD BSW Clinic - Temple Peter Cheung, MD, FACC, FHRS BSW Clinic - Temple CARDIOTHORACIC SURGERY ADULT CARDIAC Daniel Lee, MD BSW Medical Center - Temple Chittoor Bhaskar Sai-Sudhakar, MD BSW Clinic - Temple CARDIOTHORACIC SURGERY GENERAL THORACIC Ugo C. Ogwudu, MD BSW Medical Center - Temple Prashant C. Shah, MD BSW Clinic - Temple CARDIOVASCULAR DISEASE Umad Ahmad, MD, MBA BSW Specialty Clinic - Killeen Hemingway Cardiology Javier E. Banchs, MD, FACC, FHRS BSW Clinic - Temple Christopher D. Chiles, MD, FACC BSW Clinic - Temple Steven M. Costa, MD, FACC BSW Clinic - Temple Srikala M. Devabhaktuni, MD BSW Medical Center - Temple Elizabeth Ebert, MD, FACC, FASE BSW Clinic - Temple John P. Erwin, III, MD, FACC BSW Clinic - Temple D. Scott Gantt, DO, FACC, FSCAI BSW Clinic - Temple Dan W. Giebel, MD, FACC, FASE BSW Clinic - Temple Margaret Happel, MD BSW Clinic - Temple Evan L. Hardegree, MD, FACC BSW Clinic - Temple Albert J. Hicks, III, MD, MPH BSW Clinic - Temple Philip D. Houck, MD, FACC BSW Clinic - Temple Billy Don Jones, MD, FACP, FACC BSW Clinic - Temple

Jason K. Lange, MD BSW Specialty Clinic - Killeen Hemingway Cardiology Mark E. Lawrence, DO, FACC BSW Clinic - Temple Jeffrey B. Michel, MD, FACC BSW Clinic - Temple Jonathan D. Mock, MD BSW Specialty Clinic - Killeen Hemingway Sunil S. Naik, MD BSW Specialty Clinic - Killeen Hemingway Lazaros A. Nikolaidis, MD BSW Clinic - Temple Carl W. Tong, MD, PhD BSW Clinic - Temple CHILD DEVELOPMENT Jerry A. Hall, MD BSW McLane Children’s Specialty Clinic Nhung Tran, MD, FAAP BSW McLane Children’s Specialty Clinic CLINICAL CARDIAC ELECTROPHYSIOLOGY Gregory D. Olsovsky, MD BSW Clinic - Temple Larry D. Price, DO BSW Clinic - Temple CLINICAL PATHOLOGY Robert Fader, PhD BSW Clinic - Temple A. Mike Spiekerman, PhD BSW Clinic - Temple COLORECTAL SURGERY Rahila Essani, MD BSW Clinic - Temple Harry T. Papaconstantinou, MD, FACS BSW Clinic - Temple J. Scott Thomas, MD, FACS BSW Clinic - Temple Rajalakshmi Nair Warrier, MD BSW Clinic - Temple CRITICAL CARE MEDICINE D. Mike Anderson, MD BSW Clinic - Temple Edgar J. Jimenez, MD, MCCM BSW Clinic - Temple Bhupinder S. Sangha, MD BSW Medical Center - Temple CRITICAL CARE SURGERY Randall W. Smith, MD, FACS BSW Clinic - Temple CYTOGENETICS Sheila Marcks Dobin, PhD BSW Clinic - Temple DERMATOLOGY Kirstin Altman, MD Temple Dermatology - Bldg. 27 Lindsay M. Bicknell, MD Temple Dermatology - Bldg. 27 Shannon C. Brown, MD BSW Medical Center - Temple Katie Fiala, MD Temple Dermatology - Bldg. 27 Ronald E. Grimwood, Jr., MD BSW Clinic - Temple

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BAYLOR SCOTT & WHITE PHYSICIAN FINDER DERMATOLOGY Chad D. Housewright, MD Temple Dermatology - Bldg. 27 Natalie B. Lane, MD Temple Dermatology - Bldg. 27 Palak Parekh, MD Temple Dermatology - Bldg. 27 DIAGNOSTIC RADIOLOGY Krista L. Birkemeier, MD BSW McLane Children’s Medical Center Matthew B. Crisp, MD BSW McLane Children’s Medical Center Whitney B. Edmister, MD, PhD BSW Medical Center - Temple Ricardo Garza-Gongora, MD BSW Medical Center - Temple Clint M. Gerdes, MD BSW Medical Center - Temple Ashley Kallina Gist, MD BSW Clinic - Temple Christopher S. Gouner, MD BSW Clinic - Temple Rodney Lewis Hajdik, MD BSW Clinic - Temple Ian Hamilton, PhD, CHP, DABR(D) BSW Medical Center - Temple Barrett N. Luce, MD BSW Clinic - Temple Paul Metzger, MD BSW Clinic - Temple Debra L. Monticciolo, MD BSW Clinic - Temple L. Gill Naul, MD BSW Clinic - Temple Michael L. Nipper, MD BSW Clinic - Temple Linda Parman, MD BSW Clinic - Temple Michael J. Phillips, MD BSW Clinic - Temple Jose M. Santiago, MD BSW McLane Children’s Medical Center James B. Schnitker, MD BSW Clinic - Temple Spencer Travis Sincleair, MD BSW Clinic - Temple Natalie Sivak, MD BSW Clinic - Temple Connie C. So, MD BSW Clinic - Temple Tim D. Truitt, MD BSW Clinic - Temple James V. Vasek, Jr, MD BSW Clinic - Temple EMERGENCY MEDICINE Heidi L. Alvey, MD BSW Medical Center - Temple Brandon M. Barth, MD BSW Medical Center - Temple Mark A. Basso, MD BSW Medical Center - Temple Michael D. Benham, MD BSW Medical Center - Temple Bruce C. Bollinger, MD BSW Clinic - Temple C.J. Buckley, MD, MBA BSW Clinic - Temple Jason N. Collins, MD, FACEP BSW Clinic - Temple Dorian F. Drigalla, MD, FACEP BSW Clinic - Temple

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Matthew W. Fannell, MD BSW Medical Center - Temple David A. Fritz, MD BSW Clinic - Temple Robert D. Greenberg, MD, FACEP BSW Medical Center - Temple Shawn D. Horrall, MD BSW Clinic - Temple Jeffrey Jarvis, MD BSW Medical Center - Temple T. Russell Jones, MD BSW Medical Center - Temple Andrew L. Juergens, MD BSW Medical Center - Temple Victoria D. Klovenski, MD BSW Medical Center - Temple Scott A. McAninch, MD, FACEP BSW Medical Center - Temple Ryan P. Morrissey, MD BSW Medical Center - Temple Pratiksha Desai Naik, MD BSW Medical Center - Temple Taylor K. Ratcliff, MD BSW Medical Center - Temple Sierra E. Read, MD BSW Medical Center - Temple Timothy C. Stallard, MD BSW Medical Center - Temple C. Keith Stone, MD BSW Medical Center - Temple Margaret K. Strecker-McGraw, MD, FACEP BSW Clinic - Temple J. Scott Wieters, MD BSW Medical Center - Temple Nicole D. Zadzilka, MD BSW Medical Center - Temple ENDOCRINOLOGY Mohini V. Bollineni, MD S&W Center for Diagnostic Medicine Sabita Challagulla, MD S&W Center for Diagnostic Medicine Gary W. Chune, MD S&W Center for Diagnostic Medicine Keith Cryar, MD S&W Center for Diagnostic Medicine Veronica K. Piziak, MD, PhD, FACP S&W Center for Diagnostic Medicine David Wenkert, MD, PhD S&W Center for Diagnostic Medicine FAMILY MEDICINE William M. Averitt, DO BSW Clinic - Killeen Sharon L. Barber, MD BSW Clinic - Temple Santa Fe W. George Bartels, MD BSW Clinic - Belton Amanda K. Beretta, DO BSW Clinic - Killeen Tiffany Berry, MD BSW Clinic - Temple Frank Betanski III, MD BSW Clinic - Killeen Lezli Braswell, MD BSW Clinic - Copperas Cove Glen R. Couchman, MD BSW Clinic - Temple Daniel W. Elliott, MD BSW Clinic - Temple Northside Judy Embry, PhD BSW Clinic - Temple Santa Fe Brooke Ersland, MD BSW Clinic - Temple Santa Fe

OCTOBER & NOVEMBER 2018 | TEX APPEAL

Edward Fasolino, MD BSW Clinic - Belton South Clinton Fatter, MD BSW Clinic - Belton Justin A. Feeney, DO BSW Clinic - Killeen West Sarah Ferrero, MD BSW Clinic - Temple Westfield M. Brazos Fielder, MD BSW Clinic - Salado Jennifer Flory, MD BSW Clinic - Temple Westfield Samuel N. Forjuoh, MD BSW Clinic - Temple Santa Fe Jed S. Fritz, MD BSW Clinic - Killeen Paul D. Gerdes, MD BSW Clinic - Killeen Tove M. Goldson, MD, PhD BSW Clinic - Temple Santa Fe Marlow R. Griggs, MD BSW Clinic - Temple Westfield Michael P. Hagen, MD BSW Clinic - Belton Jeffrey A. Hall, DO BSW Clinic - Harker Heights Sharon Hall, MD BSW Convenient Care Clinic - Killeen Karen P. Harrison, MD BSW Clinic - Copperas Cove Penelope Holland-Barkis, MD BSW Clinic - Belton Sarah Hovland, MD, MPH BSW Clinic - Belton South Jeffrey K. Hubert, DO BSW Convenient Care Clinic - Killeen John A. Joseph, II, MD BSW Clinic - Killeen Sheikh Rizwan Karim-ud-Din, MD BSW Clinic - Temple Westfield Cameron Kielhorn, DO BSW Clinic - Harker Heights Joshua C. Kilpatrick, MD BSW Clinic - Harker Heights Yoon Sin Kim, DO BSW Medical Center - Temple Kenneth R. Kindle, DO BSW Clinic - Harker Heights Michael O. Kirkpatrick, MD BSW Clinic - Killeen West Billy Ligon, MD BSW Clinic - Salado John L. Manning, MD BSW Clinic - Temple Santa Fe Shane R. Maxwell, MD BSW Convenient Care Clinic - Killeen Darin K. McDonald, MD BSW Clinic - Belton Jeffrey R. McKissick, MD BSW Clinic - Belton South Melissa J. Nieland, MD BSW Clinic - Belton South Jacinto A. Obregon, MD BSW Clinic - Gatesville Joyce C. Odigboegwu, MD BSW Clinic - Killeen E. Don Parker Jr, MD BSW Clinic - Belton Krupapen C. Patel, MD BSW Clinic - Copperas Cove Dallas E. Peterson, MD BSW Clinic - Belton South Jason D. Ramm, MD BSW Clinic - Killeen

Terry G. Rascoe, MD BSW Clinic - Temple Northside Stephanie D. Redding, MD BSW Convenient Care Clinic - Belton Michael D. Reis, MD BSW Clinic - Temple Santa Fe Candace Ripperda, MD BSW Clinic - Temple Santa Fe Charles A. Rismyhr, MD BSW Clinic - Gatesville Linu V. Samuel, MD BSW Convenient Care Clinic - Belton Ernesto Sanchez, MD BSW Convenient Care Clinic - Killeen Vivek-Thomas Sankoorikal, MD BSW Clinic - Killeen West Stephen J. Sewell, MD BSW Clinic - Belton South Paul Smith, DO, M.Arch BSW Medical Center - Temple Preetinder K. Soto, MD BSW Clinic - Killeen Lorry Thornton, DO BSW Clinic - Harker Heights Joel Today, DO BSW Clinic - Temple Westfield R. Marc Via, MD BSW Clinic - Temple Santa Fe Thu P. Vo, DO BSW Convenient Care Clinic - Killeen Cheryl L. Warren, MD BSW Clinic - Salado Elena V. Wilson, MD BSW Clinic - Killeen West Jocelyn Mary-Estelle Wilson, MD, MPH BSW Clinic - Temple Northside FEMALE PELVIC MEDICINE AND RECONSTRUCTIVE SURGERY Bob L. Shull, MD BSW Clinic - Temple Paul M. Yandell, MD BSW Clinic - Temple FOOT AND ANKLE SURGERY Scott M. Munroe, MD BSW Roney Bone and Joint Institute Naohiro Shibuya, DPM, MS, FACFAS Central Texas Veterans Healthcare Services, V.A. Hospital - Temple GASTROENTEROLOGY Andrejs E. Avots-Avotins, MD, PhD BSW Clinic - Temple Phillip L. Chaney, MD BSW Clinic - Temple Raymond G. Duggan, DO BSW Clinic - Temple Richard A. Erickson, MD BSW Clinic - Temple Mark A. Jeffries, DO BSW Clinic - Temple Christopher M. Johnson, MD, PhD BSW Clinic - Temple Christopher R. Naumann, MD BSW Clinic - Temple Vani Paleti, MD BSW Specialty Clinic - Killeen Hemingway Gastroenterology Jonathan C. Ramirez, MD BSW Clinic - Temple Don Rawls, MD BSW Clinic - Temple

BAYLOR SCOTT & WHITE PHYSICIAN FINDER Dawn Sears, MD BSW Clinic - Temple James (Tommy) Sing, Jr., DO BSW Clinic - Temple Jennifer L. Vincent, DO BSW Clinic - Temple Duc H. Vu, MD BSW Clinic - Temple Joseph G. White, MD BSW Clinic - Temple GENERAL SURGERY Stephen W. Abernathy, MD, FACS BSW Clinic - Temple Debra Doherty, MD BSW Clinic - Temple Jacqueline A. Lappin, MD, FACS, FRCSI BSW Clinic - Temple Maria A. Provost, MD Metroplex Health System - Killeen Joaquin A. Rodriguez, MD BSW Clinic - Temple Richard E. Symmonds, Jr, MD, FACS BSW Clinic - Temple GERIATRIC MEDICINE Nadia Ali, MD BSW Clinic - Temple Aval-Na’Ree S. Green, MD BSW Clinic - Temple Katya Maillard-Gonzalez, MD BSW Clinic - Temple GYNECOLOGIC ONCOLOGY Charles V. Capen, MD BSW Clinic - Temple Timothy C. McCormick, DO BSW Clinic - Temple HEADACHE MEDICINE Jennifer M. Padilla, MD BSW Clinic - Temple D. Michael Ready, MD BSW Clinic - Temple HEMATOLOGY/ONCOLOGY Mohit Bansal, MD S&W Vasicek Cancer Treatment Center Ashwini Bhat, MD S&W Vasicek Cancer Treatment Center Christian T. Cable, MD, MHPE S&W Vasicek Cancer Treatment Center A. Clay Gowan, DO S&W Vasicek Cancer Treatment Center Kathleen G. Halka, MD S&W Vasicek Cancer Treatment Center Mark Holguin, MD S&W Vasicek Cancer Treatment Center Vinit G. Karur, MD, PhD, FACP S&W Vasicek Cancer Treatment Center Derrick D. Nguyen, MD BSW Cancer Center - Killeen Sripriya Santhanam, MD BSW Cancer Center - Killeen HISTOCOMPATIBILITY AND IMMUNOLOGY Marcelo J. Pando Rigal, PhD BSW Medical Center - Temple HOSPICE & PALLIATIVE MEDICINE Laurel Kilpatrick, MD BSW Clinic - Temple

George B. Nguyen, DO BSW Medical Center - Temple Patrick Guy Robinson, MD BSW Medical Center - Temple Autumn H. Stratton, MD Temple Home Health Hospice

Metroplex Health System - Killeen Sadia Kanwal, MD BSW Medical Center - Temple Baljit Kaur, MD BSW Medical Center - Temple Scott M. Keeney, DO Metroplex Health System - Killeen HYPERBARIC & WOUND CARE Durreshahwar Khursheed Khan, MD Robert Plemmons, MD, FACP, CWS, FAPWCA BSW Medical Center - Temple BSW Clinic & Dialysis Center - Temple Aliya R. Laeeq, MD South Loop BSW Medical Center - Temple Mudassar Malik, MD INFECTIOUS DISEASE BSW Medical Center - Temple Iba Al Wohoush, MD Paul Mansour, MD BSW Clinic - Temple BSW Medical Center - Temple Karen Brust, MD Renee L. Martinez, MD BSW Clinic - Temple BSW Medical Center - Temple Lizbeth J. Cahuayme-Zuniga, MD Tresa McNeal, MD BSW Clinic - Temple BSW Medical Center - Temple Alan Howell, MD Austin Metting, MD BSW Clinic - Temple S&W Center for Diagnostic Medicine Richmond L. Hunt, MD Curtis Mirkes, DO, FACP BSW Clinic - Temple BSW Medical Center - Temple John Midturi, DO, MPH Jennifer D. Moran, MD BSW Clinic - Temple BSW Medical Center - Temple Sangeetha Ranganath, MD Megan Greene Newman, MD BSW Clinic - Temple BSW Medical Center - Temple James Onorato, MD, PhD INPATIENT MEDICINE - HOSPITALIST BSW Medical Center - Temple Sonal Admane, MD, MPH Mahire Ozlem Ozcan, MD BSW Medical Center - Temple BSW Medical Center - Temple Elizabeth Aguirre, MD Kartik N. Patel, DO BSW Medical Center - Temple BSW Medical Center - Temple Hameed Ali, DO Neil A. Patel, MD BSW Medical Center - Temple Metroplex Health System - Killeen Robert L. Anderson, MD Sabitha Rajan, MD, MSc, FHM BSW Medical Center - Temple BSW Medical Center - Temple Sofia Blinchevsky, MD Bindu Raju, MD BSW Medical Center - Temple Metroplex Health System - Killeen Karla P. Bolanos, MD Hemalkumar Chandulal Ramani, MD BSW Medical Center - Temple Metroplex Health System - Killeen Fernando A. Bolanos Cruz, MD Brian Reasoner, MD BSW Medical Center - Temple BSW Medical Center - Temple Luis C. Camarillo, MD Chaitanya C. Reddy, MD BSW Medical Center - Temple BSW Medical Center - Temple Jose Cesani, MD Erin C. Reed, MD BSW Medical Center - Temple Metroplex Health System - Killeen Kevin Chang, MD, MS Ismail Salejee, MD BSW Medical Center - Temple BSW Medical Center - Temple Salmann I. Chaudry, DO Tanuja Salim, MD BSW Medical Center - Temple BSW Medical Center - Temple Mallory A. Clark, DO Venkata Sami, MD BSW Medical Center - Temple Metroplex Health System - Killeen Divya R. Danda, MD Christopher W. Sartin, MD BSW Medical Center - Temple BSW Medical Center - Temple Robin L. Dauterive, MD Aubrey N. Schmidt, MD BSW Medical Center - Temple BSW Medical Center - Temple Ahutiben J. Desai, MD Monish A. Sheth, MD BSW Medical Center - Temple BSW Medical Center - Temple Cindy Lynn Douglas, MD Minesh P. Sheth, MD BSW Medical Center - Temple Metroplex Health System - Killeen Angela R. Eklund, MD Asmat Q. Siddiqi, MD BSW Medical Center - Temple Metroplex Health System - Killeen Asfia Fatima, MD Rubin M. Simon, MD BSW Medical Center - Temple BSW Medical Center - Temple Jayne M. Garcia, MD Lydia A. Sutherlun, MD BSW Medical Center - Temple BSW Medical Center - Temple Srikanth Gogineni, MD Ashley J. Thomas, DO BSW Medical Center - Temple BSW Medical Center - Temple Lisa Rose Inchani, MD, MPH Sunita E. Varghees, MD, PhD BSW Medical Center - Temple BSW Medical Center - Temple Mary Gaines Irish, MD Adam Wood, MD BSW Medical Center - Temple BSW Medical Center - Temple Jenny T. Jacob, MD

INTERNAL MEDICINE Roberto I. Aguirre, MD S&W Center for Diagnostic Medicine Veronica Broadnax, MD BSW Clinic - Temple Adam L. Brown, DO S&W Center for Diagnostic Medicine Charis G. Durham, MD BSW Medical Center - Temple Lisa D. Forrester, MD, PhD S&W Center for Diagnostic Medicine Jessica E. Garza, MD BSW Medical Center - Temple Rafael Gonzalez-Ayala, MD S&W Center for Diagnostic Medicine Beatriz M. Hall, MD BSW Roney Bone and Joint Institute Raymond J. Harrison, MD, MBA BSW Clinic - Copperas Cove Andrew M. Hawrylak, MD BSW Medical Center - Temple Vernon D. Holleman, MD S&W Center for Diagnostic Medicine Cassie Huynh, MD, FACP, CMD S&W Center for Diagnostic Medicine Richard H. Jesse, IV, MD S&W Center for Diagnostic Medicine Raagsudha Jhavar, MD S&W Center for Diagnostic Medicine Kristina Jones, MD S&W Center for Diagnostic Medicine Shamyal H. Khan, DO BSW Clinic - Temple Kathy Kimmey, MD S&W Center for Diagnostic Medicine Maybelline V. Lezama, MD S&W Center for Diagnostic Medicine Kirill Lipatov, MD S&W Center for Diagnostic Medicine Darla Lowe, MD BSW Clinic - Temple Michael P. Martin, MD S&W Center for Diagnostic Medicine Catherine J. McNeal, MD, PhD BSW Clinic - Temple Michael McNeal, MD S&W Center for Diagnostic Medicine Melanie N. Miller, MD S&W Center for Diagnostic Medicine John David Myers, MD S&W Center for Diagnostic Medicine Cathleen M. Rivera, MD, MS S&W Center for Diagnostic Medicine Emran Rouf, MD, MBA, FACP S&W Center for Diagnostic Medicine Sam E. Sawaya, MD BSW Medical Center - Temple Stephen Sibbitt, MD BSW Medical Center - Temple Daniel J. Smith, MD S&W Center for Diagnostic Medicine Noah Stratton, DO S&W Center for Diagnostic Medicine Holly A. Van Cleave, MD S&W Center for Diagnostic Medicine Juvencio Velasquez, Jr, MD S&W Center for Diagnostic Medicine Stephen C. Walker, MD S&W Center for Diagnostic Medicine Shannon Ward, DO S&W Center for Diagnostic Medicine Barbara A. Weiss, MD BSW Clinic - Temple Thomas J. Westwick, MD S&W Center for Diagnostic Medicine TEXAPPEALMAG.COM

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BAYLOR SCOTT & WHITE PHYSICIAN FINDER INTERVENTIONAL CARDIOLOGY Timothy A. Mixon, MD, FACC, FSCAI BSW Clinic - Temple Interventional Radiology Bradley T. Dollar, MD BSW Clinic - Temple Douglas McDonald, MD BSW Clinic - Temple Mark Montgomery, MD BSW Clinic - Temple Steven Ruiz, MD BSW Clinic - Temple Anastacio Saenz, Jr, MD BSW Clinic - Temple JOINT REPLACEMENT Bryce Allen, MD BSW Roney Bone and Joint Institute Clint D. Barnett, MD BSW Roney Bone and Joint Institute Kirby D. Hitt, MD BSW Roney Bone and Joint Institute MATERNAL & FETAL MEDICINE Steven R. Allen, MD BSW Clinic - Temple Richard O. Jones, MD BSW Clinic - Temple MAXILLOFACIAL PROSTHODONTICS Byung Joo Lee, DDS BSW Medical Center - Temple MEDICAL GENETICS Maria Blazo, MD BSW Clinic - Temple Colleen Forsyth Macmurdo, DO BSW McLane Children’s Specialty Clinic MEDICAL ONCOLOGY Sherronda M. Henderson, MD S&W Vasicek Cancer Treatment Center Lucas Wong, MD, FACP S&W Vasicek Cancer Treatment Center MEDICAL ORTHOPEDICS Bryan L. Lane, DO BSW Roney Bone and Joint Institute Neonatal - Perinatal Medicine Madhava R. Beeram, MD, MBA, CPE, FAAP BSW McLane Children’s Medical Center Vinayak Govande, MD BSW McLane Children’s Medical Center David R. Krauss, MD BSW McLane Children’s Medical Center Ashita Shetty, MD BSW Medical Center - Temple NEONATOLOGY Greg S. Miller, MD, PhD, MBA BSW Medical Center - Temple Vishwanath G. Prabhu, MD BSW Medical Center - Temple M. Nasir Uddin, PhD, FAHA BSW Clinic - Temple Niraj Vora, MD BSW Medical Center - Temple NEPHROLOGY Luis A. Concepcion, MD BSW Clinic & Dialysis Center - Temple South Loop

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Paula A. Duran, MD BSW Clinic & Dialysis Center - Temple South Loop Nimrit Goraya, MD BSW Clinic & Dialysis Center - Temple South Loop John W. Idoux, MD BSW Clinic & Dialysis Center - Temple South Loop Tony Issac, MD BSW Clinic & Dialysis Center - Temple South Loop Caroline Johnson, MD BSW Clinic - Temple Bruce Kaplan, MD BSW Clinic - Temple Faiza Khan, DO BSW Medical Center - Temple Luciana B. McLean, MD BSW Clinic & Dialysis Center - Temple South Loop Charles E. Moritz, MD BSW Clinic - Temple Nidhi Mattoo Munshi, MD BSW Clinic & Dialysis Center - Temple South Loop Mohanram Narayanan MD, FACP, FASN, FNKF,FRCP(C) BSW Clinic & Dialysis Center - Temple South Loop Donald E. Wesson, MD BSW Clinic - Temple

Richard A. Phenis, PsyD BSW Clinic - Temple Sabra Ashley Rosen, PsyD BSW Medical Center - Temple

NEUROLOGY Sally Borucki, MD BSW Clinic - Temple Cristina M. Cabret-Aymat, MD BSW Clinic - Temple Jeffrey W. Clark, DO BSW Clinic - Temple George B. Creel, MD, MBA BSW Specialty Clinic - Killeen Hemingway Ekokobe Fonkem, DO S&W Vasicek Cancer Treatment Center Judy J. Jia, MD BSW Medical Center - Temple Sowmya Katragadda, MD BSW Medical Center - Temple Dan L. Keyser, MD BSW Clinic - Temple Richard P. Lenehan, MD BSW Clinic - Temple Sai K. Mula, MD BSW Clinic - Temple Claude B. Nguyen, MD, M.Ed BSW Medical Center - Temple Arpita Patel, MD BSW Clinic - Temple Jennifer E. Rasmussen, MD BSW Clinic - Temple J. Terry Wilkinson, MD BSW Clinic - Temple

NUCLEAR MEDICINE Michael L. Middleton, MD BSW Clinic - Temple Mark D. Strober, MD BSW Clinic - Temple Bradley R. Trotter, MD BSW Clinic - Temple

NEUROPSYCHOLOGY Jared Benge, PhD, ABPP-CN BSW Medical Center - Temple Daniel Cruz-Laureano, PsyD BSW Clinic - Temple Crystal Lantrip, PhD BSW Clinic - Temple Kerry O’Mahar, PhD, ABPP-CN BSW McLane Children’s Specialty Clinic

OCTOBER & NOVEMBER 2018 | TEX APPEAL

NEURORADIOLOGY Gordon W. Calderwood, MD BSW Clinic - Temple Srilatha Joglekar, MD BSW Clinic - Temple Walter S. Lesley, MD, MBA, CPE, FACR BSW Clinic - Temple Harold Sonnier, MD BSW Clinic - Temple David H. Uhrbrock, MD BSW Clinic - Temple Kenneth D. Williams, MD BSW Clinic - Temple NEUROSURGERY Ethan A. Benardete, MD BSW Clinic - Temple Kevin Cooper, MD BSW Clinic - Temple Dongxia Feng, MD, PhD BSW Medical Center - Temple David Garrett, Jr., MD BSW Clinic - Temple Frank S. Harris, MD BSW Clinic - Temple Jason H. Huang, MD, FACS BSW Clinic - Temple

OBSTETRICS AND GYNECOLOGY Eric Allerkamp, MD BSW Specialty Clinic - Killeen Hemingway OB/GYN Christopher J. Birkholz, MD BSW Clinic - Temple Cedric T. Day, Jr, MD BSW Specialty Clinic - Killeen Hemingway OB/GYN Aleigha A. DeLukie, DO BSW Clinic - Temple Prof Plaza II Nathan S. Drever, MD BSW Clinic - Temple Russ Fothergill, MD BSW Clinic - Temple Prof Plaza II Alisa A. Furman, MD BSW Clinic - Temple Prof Plaza II Pamela Sue Greene, MD BSW Clinic - Temple Kevin P. Huddleston, MD BSW Clinic - Temple Kelsey R. Kelso, MD BSW Clinic - Temple Prof Plaza II Belinda M. Kohl-Thomas, MD BSW Clinic - Temple Nathan A. Kwan, MD BSW Specialty Clinic - Killeen Hemingway OB/GYN Jessica L. Langsjoen, MD BSW Clinic - Temple Santa Fe F. Lurry Leavelle, MD BSW Medical Center - Temple

April A. Schiemenz, MD BSW Specialty Clinic - Killeen Hemingway OB/GYN Lauren Q. Smith, MD BSW Clinic - Temple Joanna Stacey, MD BSW Clinic - Temple Patricia J. Sulak, MD BSW Clinic - Temple Paul M. West, MD BSW Specialty Clinic - Killeen Hemingway OB/GYN OCCUPATIONAL & ENVIRONMENTAL MEDICINE Don A. Mackey, MD BSW Clinic - Temple James E. Madsen, MD BSW Clinic - Temple OPHTHALMOLOGY Glen O. Brindley, MD S&W Clinic - Temple Pavilion J. Paul Dieckert, MD S&W Clinic - Temple Pavilion Calvin G. Eshbaugh, MD S&W Clinic - Temple Pavilion Derrick S. Fung, MD S&W Clinic - Temple Pavilion Kenneth Lao, MD S&W Clinic - Temple Pavilion Michael A. Magee, MD S&W Clinic - Temple Pavilion Richard B. Moore, MD S&W Clinic - Temple Pavilion Mark A. Morgan, MD S&W Clinic - Temple Pavilion Joseph Newman, MD S&W Clinic - Temple Pavilion Robert H. Rosa, Jr., MD S&W Clinic - Temple Pavilion Jonathan H. Tsai, MD S&W Clinic - Temple Pavilion OPTOMETRY Brian M. Knieriem, OD S&W Clinic - Temple Pavilion Joshua Morrison, OD S&W Clinic - Temple Pavilion William White, OD S&W Clinic - Temple Pavilion ORAL & MAXILLOFACIAL SURGERY Justin D. Bonner, DDS BSW Clinic - Temple Lance A. Read, DDS BSW Clinic - Temple Philip W. Vance Jr., DMD, OMS BSW Medical Center - Temple ORTHOPEDIC SURGERY Travis L. Anthony, MD BSW Specialty Clinic - Killeen Hemingway ORTHOPEDICS Sandy M. Bidner, MD BSW Specialty Clinic - Killeen Hemingway Kindyle L. Brennan, PhD, PT BSW Roney Bone and Joint Institute Charles F. Kallina, MD, MS BSW Roney Bone and Joint Institute

BAYLOR SCOTT & WHITE PHYSICIAN FINDER Robert A. Probe, MD BSW Roney Bone and Joint Institute Daniel L. Stahl, MD BSW Roney Bone and Joint Institute Russell A. Ward, MD BSW Roney Bone and Joint Institute

Judith Lazol, MD BSW McLane Children’s Specialty Clinic John E. Pliska, MD BSW McLane Children’s Specialty Clinic Saradha Subramanian, MD BSW McLane Children’s Specialty Clinic

ORTHOPEDIC TRAUMA Michael L. Brennan, MD BSW Roney Bone and Joint Institute

PEDIATRIC CRITICAL CARE MEDICINE Richard B. Bonner, MD BSW McLane Children’s Medical Center Manish Desai, MD BSW McLane Children’s Medical Center Deborah R. Douty, MD BSW McLane Children’s Medical Center Sowmya Kallur, MD BSW McLane Children’s Medical Center Lori L. Wick, MD BSW McLane Children’s Medical Center Abel R. Yarrozu, MD, MPH BSW McLane Children’s Medical Center

ORTHOPEDICS - HAND AND UPPER EXTREMITY SURGERY Douglas S. Fornfeist, MD BSW Roney Bone and Joint Institute OTOLARYNGOLOGY Thomas G. Brammeier, MD BSW Clinic - Temple David W. Clark, MD S&W Clinic - Temple Pavilion Gerhard ‘Trey’ Hill, III, MD BSW Clinic - Temple Lewis R. Hutchinson, MD, FACS BSW Clinic - Temple Alan J. Johnson, MD, MPH BSW Clinic - Temple Yael Kreitman, MD BSW Specialty Clinic - Killeen Hemingway Melissa G. Kress, DO BSW McLane Children’s Specialty Clinic Douglas W. Martin, MD BSW Clinic - Temple Bryan S. Newbrough, MD BSW Medical Center - Temple D. Randall (Randy) Pinkston, MD BSW Clinic - Temple Ryan P. Raju, MD BSW Clinic - Temple Kyla C. Sherrard, PhD BSW Clinic - Temple PATHOLOGY Martin P. Fernandez, MD BSW Medical Center - Temple Bing Leng, MD BSW Medical Center - Temple Walter J. Linz, MD, MBA BSW Clinic - Temple Lina Liu, MD BSW Clinic - Temple Debby Rampisela, MD BSW Clinic - Temple Arundhati Rao, MD, PhD BSW Medical Center - Temple Edward S. Rappaport, MD BSW Clinic - Temple Frank Shan, MD, PhD, FACP BSW Clinic - Temple Pediatric Anesthesiology Jeramie B. Hanson, MD BSW McLane Children’s Medical Center Rebecca L. Laurich, MD BSW McLane Children’s Medical Center Katie B. Reding, MD BSW McLane Children’s Medical Center PEDIATRIC CARDIOLOGY Ashish V. Banker, DO BSW McLane Children’s Specialty Clinic Soi-Yu Chan, MD BSW McLane Children’s Specialty Clinic

PEDIATRIC EMERGENCY MEDICINE Robin N. Boeck, MD BSW McLane Children’s Medical Center Aleta B. Bonner, MD BSW McLane Children’s Medical Center Dominic J.T. Lucia, MD, FACEP, FAAP BSW McLane Children’s Medical Center Kellie L. Quinn, DO BSW McLane Children’s Medical Center PEDIATRIC ENDOCRINOLOGY William P. Bryant, MD BSW McLane Children’s Medical Center Stephen W. Ponder, MD, FAAP, CDE BSW McLane Children’s Medical Center Matthew D. Stephen, MD BSW McLane Children’s Medical Center PEDIATRIC GASTROENTEROLOGY Ashis Barad, MD BSW McLane Children’s Specialty Clinic Muralidhar Jatla, MD, MBA BSW McLane Children’s Specialty Clinic Suma N. Raju, MD BSW McLane Children’s Specialty Clinic Jonathan Ramprasad, MD BSW McLane Children’s Specialty Clinic PEDIATRIC HEMATOLOGY/ ONCOLOGY Guy Grayson, MD BSW McLane Children’s Medical Center Javier R. Kane, MD BSW McLane Children’s Medical Center Nicholas W. McGregor, MD BSW McLane Children’s Medical Center PEDIATRIC INFECTIOUS DISEASE James H. Brien, DO BSW McLane Children’s Specialty Clinic George Dubrocq, MD BSW McLane Children’s Specialty Clinic Manjusha (Manju) Gaglani, MD BSW McLane Children’s Medical Center PEDIATRIC INPATIENT MEDICINE HOSPITALIST Sheeba A. Alexander, MD BSW McLane Children’s Medical Center Stephanie Blasick, DO BSW McLane Children’s Medical Center Amber L. Davis, MD BSW McLane Children’s Medical Center

Amanda Farris, DO BSW McLane Children’s Medical Center Jeremy L. Gibson, MD BSW McLane Children’s Medical Center Pamela Gregerson, MD BSW McLane Children’s Medical Center Larry Herrera, MD BSW McLane Children’s Medical Center Sarah M. McCormick, DO BSW McLane Children’s Medical Center Netochukwu Neto Okafor, MD MPH Metroplex Health System - Killeen Paulina A. Saenz, MD BSW McLane Children’s Medical Center PEDIATRIC MEDICINE/INTENSIVE CARE Julia Ruiz, MD BSW McLane Children’s Medical Center PEDIATRIC NEPHROLOGY Faris Q. Hashim, MD BSW McLane Children’s Specialty Clinic PEDIATRIC NEUROLOGY Mazen A. Almidani, MD BSW Medical Center - Temple Paras Mani Bhattarai, MD BSW McLane Children’s Medical Center Tricia Ritch, MD, PhD S&W Sleep Institute PEDIATRIC OPHTHALMOLOGY Matthew S. Recko, MD S&W Clinic - Temple Pavilion PEDIATRIC OTOLARYNGOLOGY Rosser K. Powitzky, MD BSW McLane Children’s Specialty Clinic PEDIATRIC PODIATRY Hannah K. Park, DPM BSW McLane Children’s Specialty Clinic PEDIATRIC PULMONARY MEDICINE Arthur Chester Ogborn, Jr., MD BSW McLane Children’s Medical Center Malvika Sagar, MD BSW McLane Children’s Specialty Clinic PEDIATRIC SURGERY Danny Little, MD BSW McLane Children’s Specialty Clinic Kelly D. Mattix, MD BSW McLane Children’s Specialty Clinic Lena Perger, MD BSW McLane Children’s Specialty Clinic Hayden W. Stagg, MD BSW McLane Children’s Medical Center PEDIATRIC UROLOGY James Christopher Sander, MD BSW Medical Center - Temple PEDIATRICS Jamie Avila, MD McLane Children’s Clinic - Killeen Katrina May Baca, MD McLane Children’s Clinic - Belton Matthew B. Bierwirth, MD BSW Clinic - Temple John K. Blevins, MD McLane Children’s Clinic - Killeen

John L. Boyd, III, MD, MBA, CPE, FAAP BSW McLane Children’s Medical Center Rachel A. Cardo-Hunter, DO BSW McLane Children’s Specialty Clinic Katie Kuan-Ting Carlin, MD BSW McLane Children’s Specialty Clinic Jessica Choe, MD McLane Children’s Clinic - Belton Melissa Colbath, MD McLane Children’s Clinic - West Temple Tinku Davis, MD McLane Children’s Clinic - West Temple Melissa R. DeLario, MD BSW McLane Children’s Specialty Clinic David J. Dickinson, MD McLane Children’s Clinic - Killeen Jessica W. Drigalla, MD McLane Children’s Clinic - Belton Andrew G. Faniku, MD Metroplex Health System - Killeen Rebecca E. Freeman, MD McLane Children’s Clinic - Belton Allie M. Fuller, MD McLane Children’s Clinic - West Temple Christopher B. Hovland, MD BSW McLane Children’s Specialty Clinic Randy R. Kastner, MD McLane Children’s Clinic - West Temple Linda J. Kirby-Keyser, MD BSW Clinic - Temple Kathleen T. Kirksey, MD BSW Specialty Clinic - Killeen Hemingway Neelam Konnur, MD BSW McLane Children’s Specialty Clinic Lance Kunz, DO BSW Specialty Clinic - Killeen Hemingway Fahad M. Malik, MD BSW McLane Children’s Specialty Clinic Elena I. Meza, MD BSW McLane Children’s Specialty Clinic Lisa A. Minsloff, MD McLane Children’s Clinic - Killeen Trichelle A. Newman, MD BSW McLane Children’s Medical Center Thu Nguyen, MD BSW Specialty Clinic - Killeen Hemingway Susan P. Nickel, MD McLane Children’s Clinic - Killeen Sarah B. Nickerson, MD McLane Children’s Clinic - West Temple Robert Jean-Luc Organ, MD BSW Specialty Clinic - Killeen Hemingway Neha Patel, DO BSW McLane Children’s Medical Center Shanti Baireddy Reddy, MD BSW McLane Children’s Medical Center Sharyl Santema, MD McLane Children’s Clinic - West Temple Michael C. Smith, MD BSW McLane Children’s Medical Center Erica L. Ward, MD BSW McLane Children’s Medical Center Charlie D. Williams, MD McLane Children’s Clinic - West Temple

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BAYLOR SCOTT & WHITE PHYSICIAN FINDER PHYSICAL MEDICINE & REHABILITATION James H. Albers, MD BSW Roney Bone and Joint Institute Paul A. Friedman, MD BSW Roney Bone and Joint Institute Mounir F. Khalil, MD BSW Roney Bone and Joint Institute Fouzia S. Khan, DO BSW Medical Center - Temple Jill M. McGowan, MD BSW Roney Bone and Joint Institute Taras Ploskanych, MD BSW Roney Bone and Joint Institute John David R. Seno, MD BSW Roney Bone and Joint Institute Hejun Yuan, MD, PhD BSW Roney Bone and Joint Institute PLASTIC & RECONSTRUCTIVE SURGERY Andrew M. Altman, MD BSW Clinic - Temple Sebastian M. Brooke, MD BSW Medical Center - Temple Marcin Czerwinski, MD, PhD, FRCS(C) BSW Clinic - Temple Wendy L. Czerwinski, MD, PhD, FRCS(C) BSW Roney Bone and Joint Institute Michel H. Saint-Cyr, MD, FRCS(C) BSW Clinic - Temple Charles N. Verheyden, MD, PhD, FACS BSW Cosmetic Surgery Center - Temple Robert A. Weber, MD BSW Roney Bone and Joint Institute

Rebecca Frost, MD S&W Mental Health Center - Temple Pamela Mathews, MD BSW Clinic - Temple Randall F. Moore, MD, JD S&W Mental Health Center - Temple Kyle Morrow, MD BSW McLane Children’s Specialty Clinic Julia Najara, MD BSW McLane Children’s Medical Center Chinonyerem J. Okwara, MD S&W Mental Health Center - Temple Tarik Shaheen, MD BSW McLane Children’s Medical Center Ilaina Shook, DO S&W Mental Health Center - Temple Joachim A. Sullivan, MD BSW Medical Center - Temple Akemi Watkins, MD BSW Medical Center - Temple Benjamin L. Wiseman, MD BSW McLane Children’s Medical Center

PSYCHOLOGY Amy O’Neil Adcock, PhD BSW Clinic - Temple Santa Fe David Blackburn, PhD BSW Clinic - Temple Cynthia Brown, PhD BSW Clinic - Belton South Michael P. Carey, PhD BSW McLane Children’s Specialty Clinic Tracy C. Carey, PhD BSW McLane Children’s Specialty Clinic Julienne A. Clowney, PsyD BSW Clinic - Killeen PODIATRIC SURGERY Jessica R. Crespo, PsyD Richard N. Goad, DPM, MA BSW Medical Center - Temple BSW McLane Children’s Specialty Clinic Louis A. Gamino, PhD, ABPP, FT Dale Lane, DPM S&W Mental Health Center - Temple BSW Specialty Clinic - Killeen Hemingway Benjamin Joseph Klein, PsyD BSW Clinic - Temple Northside PODIATRY Eric C.Meyer, PhD Christopher G. Browning, DPM, FACFAS, S&W Mental Health Center - Temple CWS Dean K. Paret, PhD BSW Clinic & Dialysis Center - Temple BSW Clinic - Killeen South Loop Ryne A. Pulido, PhD John Brust, DPM BSW McLane Children’s Specialty Clinic BSW Specialty Clinic - Killeen Cinamon C. Romers, PhD Hemingway Podiatry S&W Mental Health Center - Temple J. Marshall Devall, DPM Jae L. Ross, PsyD BSW Clinic & Dialysis Center - Temple S&W Mental Health Center - Temple South Loop Michael T. Strand, PsyD Donald M. Lynch, DPM BSW Clinic - Temple Westfield BSW Clinic & Dialysis Center - Temple South Loop PULMONARY MEDICINE Douglas P. Murdoch, DPM Alejandro C. Arroliga, MD, FCCP, FACP BSW Clinic & Dialysis Center - Temple BSW Clinic - Temple South Loop Richard C. Beckendorf, MD David Sadoskas, DPM BSW Clinic - Temple BSW Clinic & Dialysis Center - Temple Carl D. Boethel, MD, FCCP, FAASM, D’ABSM South Loop BSW Clinic - Temple Veronica Brito, MD PSYCHIATRY BSW Clinic - Temple Jim B. Airhart, MD Shekhar A. Ghamande, MD, FCCP, FAASM BSW Clinic - Temple S&W Sleep Institute Phillip Wayne Antunes, MD Jeana D. O’Brien, MD, FCCP, MMI BSW Clinic - Temple BSW Clinic - Temple James A. Bourgeois, MD Francisco Perez-Guerra, MD, FCCP S&W Mental Health Center - Temple BSW Clinic - Temple V. Maxanne Flores, MD Whitney S. Prince, MD, FCCP, FACP S&W Mental Health Center - Temple BSW Medical Center - Temple Scott A. Francis, MD Juan F. Sanchez, MD S&W Mental Health Center - Temple BSW Clinic - Temple

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OCTOBER & NOVEMBER 2018 | TEX APPEAL

Alfredo Vazquez-Sandoval, MD, FCCP BSW Medical Center - Temple Jorge F. Velazco, MD, FCCP BSW Medical Center - Temple Heath D. White, DO, MS, FCCP BSW Clinic - Temple Peter Yau, MD, FCCP BSW Medical Center - Temple RADIATION ONCOLOGY Sunita Boddu, PhD BSW Clinic - Temple Heeteak Chung, PhD BSW Medical Center - Temple Niloyjyoti Deb, MD BSW Clinic - Temple Moataz N. El-Ghamry, MD S&W Vasicek Cancer Treatment Center Jian Fang, PhD BSW Medical Center - Temple Sameer G. Jhavar, MD, PhD BSW Medical Center - Temple Niraj H. Pahlajani, MD BSW Medical Center - Temple Geethpriya Palaniswaamy, PhD BSW Clinic - Temple Gregory P. Swanson, MD BSW Clinic - Temple Anne W. Tann, MD, PhD BSW Medical Center - Temple Mike Wolski, MD Metroplex Health System - Killeen RADIOLOGICAL PHYSICS Rajesh Gutti, PhD BSW Clinic - Temple RADIOLOGY Stefan J. Friemel, MD BSW Clinic - Temple REPRODUCTIVE ENDOCRINOLOGY AND INFERTILITY Thomas J. Kuehl, PhD BSW Clinic - Temple Jose F. Pliego, MD BSW Clinic - Temple Thomas J. Wincek, MD, PhD BSW Clinic - Temple RHEUMATOLOGY Bruce Baethge, MD SW Center for Diagnostic Medicine Marilyn K. Clark, MD SW Center for Diagnostic Medicine Robert A. Kimelheim, DO, FACP, FACR S&W Center for Diagnostic Medicine Montu K. Parekh, MD SW Center for Diagnostic Medicine Beth Ann Scholz, MD SW Center for Diagnostic Medicine SLEEP MEDICINE Shirley F. Jones, MD, FCCP, FAASM S&W Sleep Institute SPINAL SURGERY Christopher D. Chaput, MD BSW Roney Bone and Joint Institute Mark D. Rahm, MD BSW Roney Bone and Joint Institute

SPORTS MEDICINE Bill Hamilton, MD BSW Roney Bone and Joint Institute Rodolfo R. Martinez, DO BSW Roney Bone and Joint Institute Benjamin J. May, MD BSW Roney Bone and Joint Institute Robert E. Reeve, MD BSW Roney Bone and Joint Institute Brett N. Robin, MD BSW Roney Bone and Joint Institute SURGICAL ONCOLOGY Matthew R. Bower, MD BSW Clinic - Temple Courtney M. Edwards, MD BSW Medical Center - Temple Sarah C. Kimball, MD BSW Medical Center - Temple Terry C. Lairmore, MD, FACS S&W Vasicek Cancer Treatment Center Stacey A. Milan, MD BSW Medical Center - Temple TRAUMA SURGERY Richard C. Frazee, MD, FACS BSW Clinic - Temple Claire Larson Isbell, MD, MSCI BSW Medical Center - Temple Travis Isbell, MD BSW Medical Center - Temple Stanley Kurek, DO, FACS BSW Medical Center - Temple Justin L. Regner, MD, FACS BSW Clinic - Temple Scott G. Sagraves, MD BSW Medical Center - Temple UROLOGY Erin T. Bird, MD, MBA BSW Clinic - Temple King Scott Coffield, MD BSW Clinic - Temple Jill McHenry Danford, MD BSW Clinic - Temple Marawan El Tayeb, MD BSW Clinic - Temple Stephanie E. Harris, MD BSW Specialty Clinic - Killeen Hemingway

Patrick Lowry, MD BSW Clinic - Temple Belur J. Patel, MD, MPH BSW Medical Center - Temple T. Philip Reilly, MD, FACS BSW Clinic - Temple Kristofer R. Wagner, MD BSW Clinic - Temple Jeffrey A. Waxman, MD BSW Clinic - Temple VASCULAR SURGERY William T. Bohannon, MD, FACS BSW Clinic - Temple J. Leigh Eidson III, MD V.A. Hospital - Temple Robert S. Smith, MD BSW Medical Center - Temple Thomas R. Warren, II, MD BSW Clinic - Temple WOUND CARE Liza De Olazo Banaag, MD, CWS, UHM/ABPM BSW Clinic - Temple Rita Haws, MD BSW Clinic - Temple South Loop

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39

Continued growth for Seton Medical Center Harker Heights

By CATHERINE HOSMAN Contributed photo

N

ow in its sixth year, Seton Medical Center Harker Heights (SMCHH) has garnered a long list of achievements, including: • Becoming the first hospital in the area to earn The Joint Commission’s Gold Seal of Approval for Advanced Certification for Total Hip and Total Knee Replacement; • Receiving advanced certification as a Primary Stroke Care Center and Accredited Chest Pain Center; • Becoming an in-network provider for Scott & White Health Plan; • Naming a new physical therapy director for their physical therapy program at the Armed Forces YMCA. The certifications are significant and are a recognition of the quality of care SMCHH has developed in a short period. “These certifications enhance the care we are providing to both stroke and joint replacement patients,” says CEO Zach Dietze.

“The Joint Commission said that the main purpose to get certification is to actually improve the functioning of the hospital regarding the care of specific diseases,” adds Priscilla Flake, quality management director for SMCHH. Patients requiring joint replacement attend the Active Again Total Joint Camp before surgery. They have the opportunity to meet with medical professionals who help them prepare for their surgery. “Joint replacement can return patients to a quality of life and certain activities that they may be missing,” Dietze says. “Our comprehensive joint replacement program ensures patients are going to achieve the best possible outcomes.”

Prior to joint replacement surgery, patients are assessed for their health and physical condition. If a health-improvement program is advised, patients must follow through with any prescribed exercise. “Participating in a structured physical therapy program is an essential part of recovery,” Dietze explains.

And, when it comes to strokes, Dietze says timing is critical.

“Our stroke certification ensures that our stroke care is delivered in the timeliest manner,” he says. “Time is incredibly valuable with strokes. Throughout the hospital, the team is trained to identify and immediately respond to a patient with stroke-like symptoms.”

Flake explains that any certification a hospital gets will help to improve the process of providing care. “There are many evidencebased practices. As a result of both certifications, we are meeting the higher standards for these specific diseases. It is a disease, to a degree, when you need a hip or knee replacement.”

Best-practice is basically evidence-based research and practice done on all different diseases that are available to hospitals, Flake says. Best practices are constantly changing in medical care.

“It’s not a static thing. We need to keep looking at every evidence-based practice out there and need to maintain that level of care,” she says. “The hospital keeps up with the very latest in best practice. Since doing the joint camp, we are seeing great 40

OCTOBER & NOVEMBER 2018 | TEX APPEAL

Seton Medical Center Harker Heights, led by CEO Zach Dietze, is a joint venture between the Austin-based Seton Healthcare Family and Nashville-based Ardent Health Services.

improvement in patient response. Their outcomes have much improved since we started that program. We can see a difference in those patients; we try and encourage them. You can see the difference in patients who don’t go to joint camp.

“As a result of the certification, it really does help to move the hospital in that direction and make sure they meet those standards (of care).”

In January, SMCHH became an in-network provider for the Scott & White Health Plan for both the hospital and the Wellstone Physician Group. “For the community, this allows those with Scott & White Health Plan insurance a broader network of doctors and hospitals,” says Dietze. “It expands access.”

This past year, Dietze says that Freedom Urgent Care centers continued to see growth. “During flu season, we saw a record number of visits in our ER and urgent-care centers,” Dietze says.

“Our newest urgent-care location on W.S. Young just celebrated its first anniversary and continues to see an increase in patient visits.”

Dietze says SMCHH has focused on delivering high-quality care since the hospital opened six years ago, and this includes their physical therapy program at the Armed Services YMCA. “We are excited that Christopher Egizio, PT, MPT, has joined our team as the new physical therapy director,” Dietze says. He adds that Egizio’s leadership has enhanced the program that is located within the ASYMCA Wellness Center in Harker Heights.

“We continue to grow into areas where there is a need for new and expanded services,” he says.

SMCHH continues its collaboration with the Greater Killeen Community Clinic for patients who suffer from a chronic illness but have limited access to care.

“The program is effective and makes an incredible impact on the lives of patients,” Dietze says. “It’s so rewarding to hear the success stories of the patients in the program and how it has allowed them to better achieve their goals in life.”

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Nurturing newborns

Heidi Cantrell directs women’s services at Seton Harker Heights NURTURING THE INTERNAL NERD Heidi, 52, was born in Bogalusa, Louisiana, to an Army family. She and her two brothers spent their growing-up years on Army bases in Louisiana, Germany, San Diego and Fort Sam eidi Cantrell has a twinkle in her eye and an Houston. impish smile when she speaks. She enjoys her job “Being a military brat, everyone in the neighborhood was in helping moms bring their new babies into the the same socioeconomic group. We were all alike,” she says. world. She’s been doing it since 1995.

Of all the places her family lived when her father was active Heidi is the director of women’s services at Army, she said Fort Sam Houston was her favorite. “Whenever we Seton Medical Center Harker Heights. Since January 2017 she has lead a facility with eight labor, delivery, recovery, postpartum had family come, we went to the Quadrangle. There were tanks we could climb on, ducks and geese we could feed,” she says. rooms (LDRPP) and 10 post-delivery rooms. There is also a Her father retired from the military after 26 years of three-bed triage area and an emergency nursery. service and moved his family to Brownsboro, his hometown.

LDRPP rooms are equipped with everything a doctor or nurse would need, strategically placed in the room for immediate “There were 476 people in the town,” she says. “Everyone knew everybody or was related. I went to school with the same people access, Heidi says. Since these are birthing rooms, there is also from sixth grade to (high school) graduation.” a radiant warmer for the babies. Unless an emergency presents High school football games were itself, newborns get to stay in the room the place to be on Friday nights, but with their mothers. basketball was the big game in this “We take care of the mother tiny East Texas town. Cantrell says she throughout the pregnancy and we take played on the junior high-school team, care of newborns after the delivery,” but wasn’t very good. she says.

“They made me the manager.

Finding the right staff is essential They make you the manager when you to the care mothers receive. Heidi also are not very good,” she says. researches best practices, assists and Heidi was a nerd before it became implements those practices and works fashionable. She loved all things with physicians. science and biology. In high school “We do whatever it takes to give she was a member of the science and care to the moms and babies who come math club. She graduated from Trinity here,” she says.

Valley Community College with her Heidi keeps up with the latest associate’s degree, and worked as a innovations in obstetric care by reading medication clerk at a local nursing the Physician Guidelines and Reports from — Heidi Cantrell home. She hadn’t thought about going the American College of Obstetrics and back to school. But she knew she Gynecologists (ACOG) and attending needed to do something else. meetings of the Association of Her late father encouraged her to go to nursing school. “‘Go Women’s Health, Obstetrics and Neonatal Nurses (AWHONN), be a nurse,’ he told me. ‘You are always taking care of animals a nonprofit organization that promotes the best practice in the and people. Go be a nurse.’” But her free spirit wasn’t quite care of women’s health to neonatal nurses. ready to make the commitment. She was enjoying life in her 20s She traveled 90 minutes to south Austin for AWHONN and even owned her own home. meetings until the State Section President, Shellie Nelson, Eventually she found her way to the University of Texas suggested she start a chapter in Harker Heights. at Tyler to pursue her degree in nursing science. “I was really “I’ve been the chapter president since October 2017, independent and nursing school is intense,” Heidi says. “The covering Killeen, Waco, Temple and Belton,” she says. “For my further I went into my nursing studies, the harder it got.” first meeting, only four people showed up. The second meeting, When her father asked her to move back home so she could 13 people showed up.” finish school, she had a moment of uncertainty. It meant selling The chapter donates baby items to the community where her house and living under her parents’ roof again. It also meant meetings are held. At a recent meeting in Waco diapers were no mortgage. “I would have my old room,” she says. She took donated to a local organization. “It’s good for babies,” Heidi her dad up on his offer, sold her house and moved back home says. “It’s good for nurses who want to improve the care of to finish school. “I didn’t have to worry about a house payment mothers in Central Texas.”

By CATHERINE HOSMAN Photography by BECKY STINEHOUR

H

“A large part of my job is to make sure nurses have the tools they need to be successful. Being a nurse is so important. What you do affects lives. You touch people.”

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OCTOBER & NOVEMBER 2018 | TEX APPEAL

and went from working 40 hours a week to 16. Overcoming independence in a structured environment was one of the hardest things I had to do.”

One morning during her last year in nursing school she ran into an old childhood friend, Gary Cantrell, at a gas station.

He asked Heidi if she was seeing anyone. She replied, “No.” That night they met for dinner and one year later, in 1994, they married during her last semester. “I didn’t live by myself anymore,” says Heidi, who married at 28.

Now she is the mother of two daughters, Rebecca, 12, and Rachel, 23. Next March she and Gary, a retired LVN and veteran, will celebrate their 25th wedding anniversary. Heidi continued her education to earn a master’s degree in health administration and is currently working on her master’s degree in nursing.

Except for a stint as the director of women’s services at Fairview Park Hospital in Dublin, Georgia, Heidi spent 19 years working at the East Texas Medical Center in Athens. She began her career in medical surgical telemetry, but soon learned that obstetrics was her medical calling. She worked as a director and manager of women’s services at various hospitals before accepting her current position at SMCHH. Heidi admits that she misses being at the patient’s bedside as much as she once was. However, in her current position she says she enjoys helping nurses stay current with the latest information in obstetrics.

“A large part of my job is to make sure nurses have the tools they need to be successful. Being a nurse is so important. What you do affects lives. You touch people,” Heidi says. “I find it rewarding when I see a nurse find what gives them passion.”

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SETON MEDICAL CENTER HARKER HEIGHTS PHYSICIAN FINDER CARDIOLOGY Paul Coffeen, MD 7800 Shoal Creek Austin 512-206-3600 Frederick Dixon, MD 800 W. Central TX Expy, Ste. 355 Harker Heights 254-526-2085 Heather Gage, MD 1905 SW HK Dodgen Loop Temple 254-298-2571 Kevin Gallagher, MD 800 W. Central TX Expy, Ste. 355 Harker Heights 254-526-2085 Adolph Mares, MD 800 W. Central TX Expy, Ste. 355 Harker Heights 254-526-2085 Randy McCollough, MD 800 W. Central TX Expy, Ste. 355 Harker Heights 254-526-2085 Richard Olstein, MD 800 W. Central TX Expy, Ste. 355 Harker Heights 254-526-2085 Paul Pagley, MD 800 W. Central TX Expy, Ste. 355 Harker Heights 254-526-2085 Sanjay Pandya, MD 800 W. Central TX Expy, Ste. 355 Harker Heights 254-526-2085 Larry Price, DO 800 W. Central TX Expy, Ste. 250 Harker Heights 512-807-3150 Norman Risinger, MD 800 W. Central TX Expy, Ste. 355 Harker Heights 254-526-2085 Javier Sanchez, MD 3000 N IH35, Ste. 700 Austin 512-807-3150 Stanley Wang, MD 800 W. Central TX Expy, Ste. 355 Harker Heights 254-526-2085 Jason Zagrodzky, MD 3000 N IH35, Ste. 700 Austin, TX 78705 512-807-3150 DERMATOLOGY Sulochana Bhandarkar, MD 800 W Central TX Expy, Ste. 200 Harker Heights 254-213-0766 Lenore Chiles, MD 1300 E. 6th Ave. Belton 254-778-5400 Leo Conger, MD 1300 E. 6th Ave. Belton 254-778-5400 Jordan Ilse, MD 1300 E. 6th Ave. Belton 254-778-5400 Weilan Johnson, MD 1300 E. 6th Ave. Belton 254-778-5400

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Russell Rowe, MD 300 Richland W Circle, Ste. 2C Waco 254-340-6000 DENTISTRY Stephen Brandt, MD 1201 S WS Young Drive, Ste. D Killeen 254-690-3380 FAMILY MEDICINE Allen Barkis, DO 1905 SW HK Dodgen Loop Temple 254-298-2880 Jerry Baskerville, MD 2003 W Avenue H Temple 254-774-1880 James Cain, MD 187 PR 4060 Lampasas 512-556-3621 Matthew Furman, MD 1905 SW HK Dodgen Loop Temple 254-298-2880 David Go, MD 2401 Walker Place Blvd Copperas Cove 254-547-7777 Vanna Gold, DO 187 PR 4060 Lampasas 512-556-3621 Robin Gruen, MD 187 PR 4060 Lampasas 512-556-3621 Arturo Guajardo, MD 101 E. 24th Ave Belton 254-415-7598 Georgia Hay, MD 187 PR 4060 Lampasas 512-556-3621 Barry Holdampf, MD 2851 North Main Belton 254-939-1844 Thikra Kadhim, MD 4520 E. Central TX Expy Ste. 101 Killeen 254-298-9355 Roger Kylberg, MD 1905 SW HK Dodgen Loop Temple 254-298-2880 Mark Lane, MD 187 PR 4060 Lampasas 512-556-3621 Elizabeth Matson, MD 1905 SW HK Dodgen Loop Temple 254-298-2880 Dave Webster, DO 5610 E. Central TX Expy Killeen 254-690-8887 Morris Patteson, MD 187 PR 4060 Lampasas 512-556-3621 Robert Perry, MD 880 Prospector Trail, Ste. 200 Harker Heights 254-519-8922 Cheryl Polkowski, MD 800 W. Central TX Expy, Ste. 125 Harker Heights 254-618-1050 Edward Spencer, MD 502 W. Jasper Drive Killeen 254-526-6300

OCTOBER & NOVEMBER 2018 | TEX APPEAL

Jeremy Swain, DO 300 W. Central TX Expy, Ste. 117 Harker Heights 254-618-4920 Helmut Rauch, MD 800 W Central TX Expy Ste 125 Harker Heights 254-618-1050 GASTROENTEROLOGY Conway Huang, MD 800 W. Central TX Expy, Ste. 290 Harker Heights 254-618-1151 Jagbir Ahuja, MD 800 W. Central TX Expy, Ste. 290 Harker Heights 254-618-1151 Richard Tay, MD 1717 SW HK Dodgen Loop, Ste. 103 Temple 254-298-2536 Xiaotuan Zhao, MD 2301 S. Clear Creek Rd. Ste. 102 Killeen 254-519-8490 GENERAL SURGERY Nancy Marquez, MD 301 Seton Parkway, #102 Round Rock 512-498-4860 Senthil Sankaralingam, MD 800 W. Central TX Expy, Ste. 370 Harker Heights 254-618-4320 HEMATOLOGY/ONCOLOGY Thomas Aung, MD 800 W. Central TX Expy, Ste. 295 Harker Heights 512-421-4100 Vivian Cline-Burkhardt, MD 800 W. Central TX Expy, Ste. 295 Harker Heights 512-421-4100 David George, MD 800 W. Central TX Expy, Ste. 295 Harker Heights 512-421-4100 Courtney Yau, MD 800 W. Central TX Expy, Ste. 295 Harker Heights 512-421-4100 INTERNAL MEDICINE Yetunde Olusanya, MD 850 W. Central TX Expy, Ste. 390 Harker Heights 254-618-4330 Sarla Patil, MD 1905 SW HK Dodgen Loop Temple 254-298-2860 Latha Sukumar, MD 2301 S. Clear Creek Rd. Ste. 112 Killeen 254-519-3131 Sundaram Sukumar, MD 2301 S. Clear Creek Rd. Ste. 112 Killeen 254-519-3131

NEUROLOGY Hector Colon, MD 2105 S. Clear Creek Rd. Ste. 106 Killeen 254-526-2343 Karthi Kathiresian, MD 2105 S. Clear Creek Rd. Ste. 106 Killeen 254-526-2343 NEPHROLOGY Habib Bahar, MD 625 Central TX Expy Harker Heights 254-690-0613 Richard Gibney, MD 625 Central TX Expy Harker Heights 254-690-0613 Biresh Kumar, MD 625 Central TX Expy Harker Heights 254-690-0613 Abraham, Rajan, MD 625 Central TX Expy Harker Heights 254-690-0613 OPHTHALMOLOGY Austin Chang, MD 1815 SW HK Dodgen Loop Temple 254-773-7785 John Esters, MD 800 W. Central TX Expy, Ste. 150 Harker Heights 254-519-2020 Todd Gorden, MD 1618 Canyon Creek Dr. Ste. 120 Temple 254-791-2020 Gerard Marten-Ellis, MD 2301 S. Clear Creek Rd. Ste. 116 Killeen 254-526-5505 OTOLARNYGOLOGY Jacob Minor, MD 800 W. Central TX Expy, Ste. 205 Harker Heights 254-618-1080 Evan A. Longfield, MD 800 W. Central TX Expy, Ste. 205 Harker Heights 254-618-1080 Kimberly Caperton, MD 1905 SW HK Dodgen Loop Temple 254-289-2615 ORTHOPEDICS Albert Bartschmid, MD 1904 Railroad Street Georgetown, TX 78626 512-863-4563 Ryan Bergeson, MD 301 Seton Parkway, Ste. 305 Round Rock, TX 78758 512-388-2663 Kevin Caperton, MD 1905 SW HK Dodgen Loop Temple 254-298-2546 John Duggan, MD 800 W. Central TX Expy, Ste. 175 Harker Heights 254-618-1095

SETON MEDICAL CENTER HARKER HEIGHTS PHYSICIAN FINDER Christopher English, MD 301 Seton Parkway, Ste. 305 Round Rock, TX 78758 512-388-2663 Robert Hansen, MD 2301 S Clear Creek, #204 Killeen 254-519-1313 Erik Lovria, MD 800 W. Central TX Expy, Ste. 175 Harker Heights 254-618-1095 Charles Schwertner, MD 1904 Railroad Street Georgetown 512-863-4563 OCCUPATIONAL & ENVIRONMENTAL MEDICINE Matthew Altman, MD 3800 South W.S Young Dr. Ste. 402 Killeen 254-618-4960 OB/GYN Marisol Carpio-Solis, MD 2025 Memory Lane, Ste. 500 Harker Heights 254-220-4833 Mark Lobaugh, MD 800 W. Central TX Expy, Ste. 200 Harker Heights 254-519-2229 Cynthia Shirley, MD 800 W. Central TX Expy, Ste. 255 Harker Heights 254-618-1060 Marcos Sosa, MD 2025 Memory Lane, Ste. 500 Harker Heights 254-220-4833 PAIN MANAGEMENT Bradley Carpentier, MD 716 Indian Trail, Suite 120 Harker Heights 254-393-2114

Jerome Doyen, MD 3800 S. WS Young Dr. Killeen 254-245-9176 Brian Forzani, MD 4100 Duval Road, Bldg. 3, Ste. 200 Austin 512-475-7200 Scott Irvine, MD 3800 S. WS Young Dr. Killeen 254-245-9175 Benjamin Lowry, MD 3800 S. WS Young Dr. Killeen 254-245-9175 Vivek Mahendru, MD 4100 Duval Road Bldg. 3, Ste. 200 Austin 512-475-7200 William Marsh, DO 2300 S. Clear Creek Rd. Ste. 103 Killeen 254-519-1900 Andrew McDavid, MD 3800 S. WS Young Dr. Killeen 254-245-9175 Pankaj Mehta, MD 4100 Duval Road Bldg. 3, Ste. 200 Austin 512-475-7200 PEDIATRICS Yasmeen Ali, MD 200 Nola Ruth Blvd Harker Heights 254-698-6629 Ashley Chamberland, MD 187 PR 4060 Lampasas, TX 76550 512-556-3621 Omar Homsi, MD 2301 S. Clear Creek Rd. Ste. 222 Killeen 254-526-8300 Rebecca Riser, MD 1905 SW HK Dodgen Loop Temple 254-298-2822 Jacqueline Sosa, MD 1905 SW HK Dodgen Loop Temple 254-298-2822

Daphne Wright, MD 581 Pan American Dr., Ste. 1 Harker Heights 254-213-4052

Freddie Morales, MD 2301 S. Clear Creek Rd, Ste. 126 Killeen 254-554-3003 Shantanu Naik, MD PLASTIC SURGERY 800 W Central TX Expy, Ste. 295 Charles Day, MD Harker Heights 800 W. Central TX Expy, Ste. 100 254-618-1090 Harker Heights Rajesh Shetty, MD 254-526-5106 800 W Central TX Expy, Ste. 275 Harker Heights PODIATRY 254-618-1090 H. Ashley Ledger, DPM Said Soubra, MD 800 W Central TX Expy, Ste. 155 800 W Central TX Expy, Ste. 295 Harker Heights Harker Heights 254-519-3668 254-618-1090 Thomas Madden, DPM Abhishek Vedavalli, MD 2207 S Clear Creek Rd., Ste. 205 Killeen 800 W Central TX Expy, Ste. 295 254-634-3668 Harker Heights Edward McCaffrey, DPM 254-618-1090 1717 SW HK Dodgen Loop, Ste. 103 Temple RHEUMATOLOGY 254-298-2894 Jeffrey Jundt, MD Hope Murray, DPM 800 W. Central TX Expy, Ste. 250 1007 W 190, Ste. B Copperas Cove Harker Heights 254-542-8637 254-628-5454 William Rediske, DPM 2201 S Clear Creek Road Killeen UROLOGY 254-634-2857 Bernard Morris, MD 800 W. Central TX Expy, Ste. 370 PULMONOLOGY Harker Heights Harsh Babbar, MD 254-618-4320 800 W Central TX Expy, Ste. 295 Harker Heights WOUND CARE 254-618-1090 Glennon Einspanier, DO Naomi Mathew, MD 2300 S. Clear Creek Rd. Ste. 101 800 W. Central TX Expy, Ste. 295 Killeen Harker Heights 855-963-4325 254-618-1090 Horatio Taveau, DO Frank Mazza, MD 2300 S. Clear Creek Rd. St. 101 800 W Central TX Expy, Ste. 295 Killeen Harker Heights 855-963-4325 254-618-1090 Ellen Middleton, MD 800 W Central TX Expy, Ste. 295 Harker Heights 254-618-1090

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Darnall Army Medical Center: A focused strategy

By CATHERINE HOSMAN Contributed photos

W

e’re No. 1!”

That’s the chant that can apply to Carl R. Darnall Army Medical Center (CRDAMC), which this year was named the No. 1 hospital in the U.S. Department of Defense (DOD) and No. 7 out of more than 700 hospitals nationally that participated in a rigorous assessment.

CRDAMC was cited for exemplary surgical quality outcomes by the American College of Surgeons’ National Surgical Quality Improvement Program.

“Last year, we were in the 40 percent range for surgical safety. This year we are No. 1 in the DOD and No. 7 in the nation among all hospitals (that

“

46

participated),” says Col. David R. Gibson, now in his second year of command at CRDAMC. “We are among the best hospitals in the country to get a procedure done. To go from the top 40 percent to No. 1 in the DOD and No. 7 in the nation, that outcome measure speaks for itself.”

CRDAMC also received the Top 25 Environmental Excellence Award from Practice Greenhealth, the nation’s leading organization dedicated to environmental sustainability in healthcare.

The Practice Greenhealth Award is based on 32 different criteria in eight categories, ranging from nutritional efforts to renewable energy use to green operating rooms to recycling. Hospitals are scored and receive a report card. The top 25 are considered the industry leaders

OCTOBER & NOVEMBER 2018 | TEX APPEAL

and stand as examples of best practices for other organizations.

To be considered in the top 25 in the nation, Gibson says, the hospital is judged on certain criteria: being in a Leadership in Energy and Environmental Design (LEED)-certified building, procurement practices and hazardous materials handling, among others.

“The Top 25 Award is given to hospitals that are innovative in their sustainability,” says Gibson. “Being among the top 25 shows that CRDAMC has a culture of sustainability. For external organizations on the level of Practice Greenhealth and the American College of Surgeons to acknowledge the efforts of the team is amazing. The recognition of a superior culture of safety and commitment to sustainability

is exciting because it actually reinforces our organizational ethos—an exceptional patient experience every single time.”

When Gibson was assigned to CRDAMC in 2017 he made a commitment to conduct a complete assessment of the medical center’s operations and the 95 buildings in his command at Fort Hood to see what was working and what wasn’t.

“A medical center this size offers opportunities for process improvements across the board,” he says. Not only did he follow through on his promise to bring the new hospital into the 21st Century, he surpassed it.

Gibson is proud of the accomplishments CRDAMC has made in the last year. However, he is quick to point out that the progress is a total team effort by his staff.

AN IMMEDIATE CHALLENGE Gibson’s enthusiasm for his work is infectious.

He speaks quickly, is animated and excited as he describes the strategies used to meet his goals. He’s a motivator that inspires his team.

When he assumed the command at CRDAMC, the hospital had a $20 million deficit. “In nine months, we made up that $20 million and added another $36 million over our performance plan. That is the first time in the history of this hospital that we’ve had that level of success.”

How was it accomplished? “It all begins with a strategy and a mindset,” Gibson says. “There were challenges across the system. We did a comprehensive study asking the executive committee to assess the status of their areas as it relates to the seven domains in the McKinsey 7S Model: Structure, Systems, Strategy, Skills, Staff, Style and Shared Values.”

The next step was to introduce his team to “Outward Mindset: Seeing Beyond Ourselves,” based on the book from The Arbinger Institute. “With all the assessments done, we came together as

an executive body with ‘meet to learn’ and ‘meet to give’ meetings,” he says.

Gibson explains that the departmental assessments allowed leaders to see problems through the eyes of others. “It put a face on the climate and culture. Now we could bring in people to address our challenges.”

BECOMING SOLVENT Closing the $20 million deficit took a group of committed leaders and a larger strategy.

“It’s the means, ways and ends,” Gibson says. “Means is the understanding of current state and resources available before thinking about the ‘to be’ state.”

The “ways” is a strategy for achieving the ends, he says.

“Based on resources and the current state, what is the plan, what are the objectives, methods and programs and how will they be applied to achieve the desired ends?

What do we use to get it into place?”

Gibson asks.

The “ends” is the quadruple aim: Providing better health, better care, lower costs and improved readiness for the troops. “Our troops are ready to deploy on a moment’s notice,” Gibson says, adding that more than 90 percent of troops of the III Corps are deployable. Gibson says a lot of the good work is already done but is a constant challenge.

CRDAMC serves more than 100,000 active-duty soldiers, their families and retirees. Primary care, behavioral health and medical specialties are its core disciplines. “We have a lot of young soldiers,” he says.

Gibson has one mission: To help people succeed. “Leadership is about your ability to influence. It’s not about rank, title, position or formal relationships.

Success is a collection of positive habit patterns,” he says. “There are multiple success stories in this organization. I have a small role in all this success.”

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CENTRAL TEXAS HEALTHCARE PROFESSIONALS 48

AYADD Outreach Center 1109 Dogwood Blvd, Killeen, TX 76543 254-285-4284 alcoholabusecounselinginkilleentx.com

It can be tough being a young person, with many different influences out there.That’s the reason the AYADD Outreach Center opened its doors in Killeen more than 6 years ago to counsel young people about drug and alcohol abuse.

All of its services are free: interventions, counseling for minors caught with alcohol, support groups for youth and their parents, drug use assessments for minors, alcohol education resources and sober recreational activities and community service.

“Our mission is to raise awareness about young adults facing alcohol and drug abuse issues,” said founders Carl and Sandra Minor. “We focus primarily on young people who drink and drive by providing free screening and referrals for individuals, families and communities.”

Dr. Jason A.

Megens

Providing compassionate, individualized care for patients is the top priority for Dr. Jason A. Megens, DMD, FAACP of Legacy Dental in Temple.

“Understanding our patients and their needs” has been the key to the business’s success, Dr. Megens says. “We tailor and personalize the care that’s best for that patient.”

Dr. Megens earned his doctorate of Dental Medicine from the Boston University Goldman School of Dental Medicine. He furthered his training at the Dawson Academy and the Spear Education Center and was a resident at the American Academy of Craniofacial Pain. His education and experience along with his dedication to providing the best service possible to each and every patient, have helped to make him one of the most respected dentists in the area.

Young people ages 13-24 may use the services.

“We offer advanced dental services and cosmetic procedures with a high attention to detail,” says Dr. Megens, who purchased the practice in 2013. “We offer a ‘whole health’ approach to dentistry.”

“We go within the community and listen to young people so we can serve their needs,” the founders said. “We’re committed to making a difference.”

In addition to family and general dentistry, Dr. Megens and his team offer jaw pain (TMJ) relief.

Several events are coming up: in October, Career Month for Youth; in February, the Youth Summit; in March, Safe and Fun Spring Break; and in May, the Annual Gala.

The AYADD Outreach Center is located at 1109 Dogwood Blvd. Killeen. Call 254-2854284 for more information. Learn more at ayaddoutreach.org.

Dr. Megens is supported by a well-trained, professional staff. “They have been crucial in supporting me and the office.”

OCTOBER & NOVEMBER 2018 | TEX APPEAL

Dr. Megens uses a low-stress, minimal pain approach to dentistry that will helps keep patients comfortable and at ease while in the dentist's chair.

Legacy Dental 1109 S. 31st Street, Temple 76504 254-774-8181 legacydentaltemple.com

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The Professionals at

Visiting Angels

This year marks the 15th Anniversary that Visiting Angels has been lovingly caring for those in need in Central Texas.

Friends since pre-school, owners Brent Wilson and Michael Hillman, went in to business together due to the struggles that each of their families had finding trustworthy and dependable care for their own aging loved ones. With love for their own families, they resolved to build a business which focuses on consistent and superior customer service and making these virtues accessible to as many people as possible. With Visiting Angels you have one, or the same few, “Angels” consistently…you’ll get to know them and they’ll learn your unique needs. This offers a truly superior level of care as this Angels’ sole focus is on you or your loved one…offering a unique level of accountability and responsiveness.

This responsiveness carries into the office staff, as well.

The structure of the company is designed to be lean…to keep rates low. And while intentionally not top-heavy, the main focus is to support the caregiving Angel with his or her client -- increasing responsiveness between the Angel and the office. It also ensures you get to talk to a real person, in the local office, when you need help. Director of Community Relations, Sarah Davison, explains with a catch of compassion in her voice, “We all need assistance at times, and respect all the time. This is the moral compass of what we do. We exist to help people stay in their homes with safety and with as much independence as possible.”

Angels provide transportation to appointments, church, social get-togethers, etc. They help with grocery shopping, housekeeping, hygiene, meal prep, medication reminders, etc. Any manager can speak with you about your needs and assist you with Long Term Care insurance and/or veterans benefits. With a company of trust behind you, an Angel is just a phone call away.

VISITING ANGELS 2213 Birdcreek Terrace,•Temple, 76502 254-899-9400 visitingangels.com

Dr. Steve

Piña

Dr. Terry

Proctor

It’s not surprising that Forest Trail Dental Care has been voted The Best in the annual Readers Choice awards. The two dentists who own the practice, Dr. Terry Proctor, DDS, and Dr. Steve Piña, DDS have a reputation for providing excellent care for people of all ages. “A Beautiful Smile for Every Budget” is the Forest Trail Dental Care slogan.

Dr. Proctor and Dr. Piña are two of the area’s most experienced dentists. Graduates of the renowned Baylor College of Dentistry in Dallas, together they have provided quality dental care for more than 50 years. “We work harder to provide our patients with a fantastic dental experience every time,” Drs. Proctor and Piña said. “We have set the standard of care in a relaxing, state-of-the-art facility.”

In 2015, Dr. Proctor and Dr. Piña moved the Temple practice to a modern office on Lowes Drive where they provide general and cosmetic dental services as well as Invisalign. The practice is noted for its customer service, including being open early and late, Saturdays and during lunch hours. It accepts most insurance plans and participates in many preferred provider organizations. The Forest Trail Dental Care SAVE program includes savings for patients without insurance.

As a family-owned business, Dr. Steve and Marie Piña, Dr. Terry and Susan Proctor believe in giving back to the community. As recent example is providing more than 125 local athletes free, custom-fitted mouth guards for better protection.

4206 Lowes Drive, Temple 76502 254-778-5070 foresttraildental.com TEXAPPEALMAG.COM

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Dr. Josh

Knowles Josh Knowles, DDS, MSD, makes smiles. Dr. Knowles is the orthodontist, owner and leader at Smile at the World Orthodontics – where Central Texas residents go to improve their smiles. Dr. Knowles purchased the practice in 2015 from Dr. Barron. It was founded in 1980 by Dr. Muirhead. “Our mission is to provide the highest quality care while staying on the cutting edge of technology,” Dr. Knowles says.

Dr. Knowles’s first job was for his orthodontist while in high school. It was there he witnessed the positive impact that a beautiful, healthy smile has on a person’s outlook. To him, orthodontics is much more than just straightening the teeth; it is about cultivating confidence through their smile. He considers it an honor to provide orthodontic treatment to his patients and get to know them and their families on a personal level. “We pride ourselves in getting to know each patient,” Dr. Knowles says. “Everyone in the office is treated like family. We believe in treating every patient in the same way that we would want to be treated.”

Dr. Knowles was born in Tyler, went to high school in Arlington, and then graduated from Texas Christian University in Fort Worth with a Bachelor of Science in biochemistry. Dr. Knowles married his high school sweetheart, Katherine, before moving to Houston to attend The University of Texas Dental Branch, where he first received a degree in dentistry and then a master’s degree in dentistry after more than two additional years’ specialty training in orthodontics. He then gained valuable experience working in a private practice in the greater Houston area before moving to Central Texas, where he is the only board-certified orthodontist serving Bell County.

Smile at the World Orthodontics provides a full range of orthodontic services, including braces and Invisalign for all ages. “As a specialist, my practice focuses on straightening teeth, most of the time without having to take out any permanent teeth,” Dr. Knowles says.

Dr. Knowles leads a staff of trained professionals who are dedicated to improving their patients’ smiles and their lives. “We all work together as a team. Everyone plays an integral role in providing exceptional care.”

As the only orthodontist in the practice, Dr. Knowles says it is important to him that he sees “every patient at each appointment. A single-doctor practice translates to a coordinated, more efficient treatment.”

The practice’s name is reflected in its slogan: “There are hundreds of languages around the world, but a smile speaks them all.”

Smile at the World Orthodontics 2027 S. 61st Street #111 Temple, Texas 76504

254-773-8028 smileattheworld.com 50

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Interim Healthcare

Dr. Barbara

Procter

For chiropractor Dr. Barbara Procter “born and raised here” takes on special meaning, especially these days, with the area’s growth exploding with newcomers.

She was born and raised here and so was her passion for the healthcare field. Her mother worked at Scott & White for 37 years. “Mom’s 8 to 5 job often became an 8 to midnight job so I spent many nights in those corridors” says Dr. Procter. It was in those corridors she was awed by the important work being done by the doctors and nurses.

Fascinated with the atmosphere she knew that she, too, wanted to help ease the pain of her own patients someday.

The seed was planted.

Shortly after receiving a Master’s in biology education, intent on becoming a pharmacist, she became disillusioned seeing drugs treat symptoms but not the root of the problem.

“A wise man once told me that the Power that made the body heals the body…and it’s true!” she says with a sparkle in her eye. “It’s amazing how the body works.” It was then that her aspirations shifted and she knew her role was to help people heal themselves. “I help my patients clear the interference between the brain and their body” so it can function optimally.

For inspiration, a painting of Michelangelo’s The Creation of Adam hangs in her new office. Our bodies need routine maintenance just as our tires need rotating and she’s here to help us do that.

Dr. Procter’s mission is to keep fees low for real people with real lives. $20 a visit. No appointment necessary.

Walk-ins welcome. No insurance. No contracts. No hassles.

She's also a wife to Ken, mother to Hannah and two furbabies Aggie and Raider.

JUST CHIROPRACTIC 1915 W. Avenue M,•Temple (near Sojourn Realty) 254-791-5045 justchiropractictemple.com

6428 South General Bruce Drive, Temple Home Health: 254-771-4131 | Hospice: 254-598-7297 interimhealthcare.com Jim and Jennifer Bullard are the proud owners of their home healthcare and hospice business and they want to make a difference in patients’ lives. The business has been open for over 50 years.

“Interim Healthcare exists to serve patients and families, our employees, and our communities. We strive to do the right thing every time for those we serve. We provide exceptional bed-side care that focuses on patient comfort. We are often remembered with kind words from families who tell us we had a profound effect on their lives, with each service we learn and are blessed to earn our patients trust. They know our commitment is genuine.

Our high standard of excellence is achieved by our confidence in one another. It’s all about having one team, one dream. We would love to make a difference in your life when you are facing even the most challenging times,” Jim and Jennifer said.

Hospice is funded by all major insurances and Interim tries to make sure that no patient is turned away due to the lack of ability to pay. Interim has contracts with all local nursing homes.

The business offers a continuum of care for people in need of home health or hospice, providing personal and nursing care at the most comfortable place possible: home. Jim and Jennifer are proud of the quality of care, as seen by their low re-admission rate, keeping folks out of the hospital.

The company uses a team approach, which includes Dr. Siegfried Kreis; Dr. Bodie Correll; Lisa Brown, RN; Teresa Gaines, RN; Kris Milam, RN; certified nursing assistants Stacey Johnson, Angela Mosby and Nakeisha Howard; Naomi Hernandez, Sr. Hospice Community Liason; and Ron Misercola, Sr. Business Development Specialist.

Interim is located at 6428 South General Bruce Drive, Temple.

For more information about home healthcare, call 254-771-4131.

For more information about hospice care, call 254-598-7297. Visit their website at www.interimhealthcare.com.

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with

It's not easy to pick the right dentist for you and your family, with many choices, but one family and cosmetic dentist aims to make a difference in her patients' lives by going above and beyond.

Dr. Rohini Singh, DMD, MS, owner of Clear Creek Family & Cosmetic Dentistry with FASTBRACES, has been in the dental field for over 18 years and is a member of the American Dental Association and the American Academy of Facial Esthetics.

Clear Creek Family & Cosmetic Dentistry has provided high-quality dental care for people of all ages since opening its doors in 2015. The office is friendly, knowledgeable, clean, organized and offers the highest-quality dental care using the finest materials, the very latest in cutting-edge technology, and the most advanced skills and services in a private-office atmosphere made to feel like home.

"By providing a team of professional, highly-educated, highly-skilled, honest, compassionate and committed employees, we aim to improve our patients' health, appearance, self-confidence and overall quality of life," said Dr. Singh. "It's about more than treating patients: We identify what caused the health concern in the first place. This approach puts people on the road to recovery and excellent long-term oral health."

Dr. Singh uses quality materials and cutting-edge technology to provide a variety of services for patients, including preventative care, restorative solutions, cosmetic dentistry, smile makeovers, sedation, implants, braces, help with TMJ facial pain, Botox, Dermal filler and more.

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Top reason most folks avoid going to the dentist, risking their overall health, is because they fear the price tag or they don't have insurance or good credit. But at Clear Creek, patients are not shocked by huge dental bills.

Clear Creek Family & Cosmetic Dentistry is offering several special sales, including discounts on FASTBRACES, Glo Whitening, Lumineers, Botox, Dermal fillers and smile makeovers.

New patients with PPO insurance are eligible for other specials, such as free teeth whitening after completion of an X-ray, exam and cleaning.

"We believe patients should be involved in decisions about their care so there are no surprises," Dr. Singh said. "Many Central Texas families now receive dental care that otherwise would have been very difficult financially."

She believes everyone should have access to dental care, regardless of insurance or credit, which is why staff members are always ready to discuss financing and payment options. There are several financing options to choose from but no credit check and low monthly payment options are most commonly asked for.

"We are determined to provide quality care that is in the our patient's best interest and overall health and well-being and not focused on revenue generation." she said.

“

Many Central Texas families now receive dental care that otherwise would have been very difficult financially.

- Dr. Rohini Singh

"Our slogan says it all: 'Taking smiles from ordinary to extraordinary," Dr. Singh said.

"This business is about providing compassionate, affordable and quality dentistry for the entire family."

�

Clear Creek Family & Cosmetic Dentistry is conveniently located opposite to Metroplex hospital in Killeen, right outside Fort Hood base off of Hwy 190/I-14, quick to get to from Harker Heights, Copperas Cove and other Central Texas towns at 2710 S. Clear Creek Road, Suite 118, Killeen, TX 76549.

CLEAR CREEK FAMILY & COSMETIC DENTISTRY 2710 S Clear Creek Road Suite 118, Killeen, Texas 76549 254-200-1893 | ClearCreekFamilyDentistry.com

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THE PROFESSIONALS AT

PAZMINO DENTISTRY 3013 Scott Blvd., Temple, Texas 76504 254-778-3587 pazminodentistry.com

Smart people work at Pazmino Dentistry. Smart patients choose to go there for “Personal care … Phenomenal service,” which is the practice’s slogan.

Manuel Pazmino, Jr. DDS, leads the Pazmino Dentistry team of professionals. A graduate of the New York University College of Dentistry, Dr. Pazmino wasn’t born a dentist, but it was his destiny. His mother was pregnant with him during her last year of dental school, and he grew up in a world of dentistry - his mother is a dentist and his father is a master dental technician. He worked in his mother’s office as a teen and as a dental lab technician as an undergraduate.

“With the exception of dental hygienist, I have been in almost every position in the dental office,” said Dr. Pazmino.

Dr. Pazmino met his wife, Breya, while at NYU where she earned a Doctor of Dental Surgery Degree. She is from Maypearl (near Waxahachie). Drs. Manuel and Breya Pazmino came to Temple in May 2016 when they purchased Dr. Gustav Gates’ practice, continuing the tradition of service built over decades.

“Our mission is to serve our patients’ dental needs with personalized care, professional service and high quality dentistry,” Dr. Manuel Pazmino said. “Patients love our warm, friendly and caring atmosphere. Our patients are treated like a member of our family.”

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Pazmino Dentistry services include General Dentistry, Esthetic Dentistry, Restorative and Implant Dentistry, Endodontics, Clear Correct, Whitening, Conscious Sedation, and extractions.

“We provide full-mouth, comprehensive dental care that is much more than ‘single tooth dentistry’ of today, and we treat our patients like family and only perform dental treatments that will be long lasting.” Pazmino Dentistry is dedicated to exceeding “even the highest patient expectations,” Dr. Pazmino said. “We use only the best materials and the newest technology, including Cerec Scanning, lasers and 3D printing.”

In addition to the investment in the best dental technologies, Pazmino Dentistry staff devotes countless hours annually to continuing education. Treatments are never recommended, “unless we’re completely confident in our ability to offer superior results,” Dr. Pazmino said.

The Pazmino team members are highly skilled, experienced and care a great deal about their patients. Hygienists Celestia and Sherri help patients improve their oral health.

“They take great pride in caring for each and every patient,” Dr. Pazmino said.

“We have helped many Central Texas residents to be pain free with beautiful smiles,” Dr. Pazmino said. “In everything we do, we pour all of our love and enthusiasm.”

SPECIAL ADVERTISING SECTION

From left to right: Ronny Payne, Danny Bass, Homer Vergara, Eric Martinez, Michael Mahler, Micki Greeson, DeeAnn Griffin, Virginia Vergara, Kym Thomas

MedPro Homes

254-313-3121 | MedProHomes.com

William G Louis, MD

2301 Clear Creek Road, Suite 206, Killeen 254-634-1500 Ask anyone with a full-time job, and it is likely that they are just counting down the time to the weekend or their next day off. For Dr. William Louis, though, the weekend does not mean time off. In fact, almost nothing means time off for him.

Dr. Louis is an obstetrician/gynecologist using Metroplex Hospital. As a solo practitioner, he prides himself on being constantly available to his patients.

“Solo practitioners are becoming an ancient dinosaur in medicine,” Dr. Louis said. “It’s a practice that is truly being abandoned.” He explained that many hospitals and clinics focus on volume, housing large staffs of doctors so that more patients, and more money, can be brought in. “Medicine is becoming a business. The system is there to make money,” he said.

His tone of voice changed when he continued on about how patients are often rushed through formalities and ushered out. Patients with multiple problems have to reschedule for each one versus caring for the total patient at one visit. “Solo practitioners don’t refer to other doctors for each ailment,” he said. “We are able to take the time to get to know the patient and treat them for multiple things in one visit. With a caveat: unless their insurance companies require that they go to their Primary Physician to obtain further testing or referrals.

He went on to explain how many other doctors got in to the profession as a lifestyle, not as a life passion. “I don’t need to know if my patient can afford treatment. I need to know what they need and how to help them.” With more and more Americans reporting experiencing stress in the workplace every day, it’s becoming increasingly rare to find someone who is just as happy to go to work after decades in the same career as they were on day one. Sitting with Dr. Louis, it is easy to see that he loves what he does.

“Women are delivering babies; who wouldn’t be happy?” he said with a joyous smile. “No matter what, my job ends with a happy outcome.”

Dr. Louis attributes his success and satisfaction with his job to the relationships he builds with his patients. As a solo practitioner, he is able to be there for every step of a patient’s pregnancy, and can provide the security of knowing that it will be him in the delivery room; a security that not all doctors can provide. With more than four decades in the field, Dr. Louis has delivered more than 14,000 babies, a number he takes so much pride in, he put it on his business card. It is a number that is certain to grow even more, as Dr. Louis shows no sign of slowing down. “What I do is gratifying,” he said. “I haven’t lost the fun.”

It’s no secret that Central Texas is a hot spot for the medical industry.

MedPro Homes, based in Belton, opened in January and is fast becoming the place for licensed medical professionals to go when they want to buy or sell real estate. Michael Mahler, Broker, and his sister, Micki Greeson, Realtor, co-own the business.

“We realized how vital our medical professionals are to the success of our area so we created a company just to serve their real estate needs. So many job descriptions in our area require licensing, such as medical doctors, nurses, dentists, veterinarians, therapists, counselors, technicians, licensed assistants and aides in all related medical fields.”

IT PAYS TO GO MEDPRO is more than a catchy motto. “MedPro Homes’ clients get paid in the form of rebates for buying homes or receive significant commission reductions when selling their home,” they explained.

MedPro Homes also assist medical facilities with the recruitment of new personnel by making sure their prospects understand the advantages of living and working in Central Texas.

“We have a great lifestyle right here for people who need a great place to work and raise their families,” Michael and Micki said.

MedPro agents also have expertise buying and selling land as well as homes with acreage.

“Our clients appreciate having a Realtor that understands how to handle the special needs that arise when moving as it relates to their job commitment,” they said.

For more information on MedPro Homes, call 254-313-3121, visit their website at MedProHomes.com or email info@ medprohomes.com.

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Ryan

Holler Under Ryan Holler’s leadership, Cornerstone Gardens Healthcare and Rehabilitation in Temple has been listed as one of the top facilities in Texas for six consecutive years. It has also been rated “Five Stars” by the Center for Medicare and Medicaid Services (CMS) more often than any other Bell County facility of its kind. And it is regularly voted “Best” in Bell County in surveys.

Cornerstone is the most referred facility by doctors at Baylor Scott & White, Holler says, and it receives many referrals from former patients/residents – another testament to its quality.

“We are fortunate to have such a beautiful, clean, homelike facility,” Holler says. “But that is just all brick and mortar.

Those things are nothing without the quality of care Cornerstone has become synonymous with.” Cornerstone’s outstanding reputation has been built in a relatively short time. The facility soon will celebrate 10 years of providing quality skilled nursing, rehab and long-term care in Temple. Holler has been the administrator for seven of those 10 years.

Holler grew up near Houston and managed a facility in Frisco before moving to Temple. His wife, Casey, teaches second grade at Kennedy-Powell Elementary School. They have two children – one at Kennedy-Powell and one at North Belton Middle School.

While Cornerstone, which is licensed for 130 beds, provides long-term care for many area residents, it is best known for its rehab services. “We use a whole team approach to provide individualized care, specializing in getting our patients well and back home fast,” Holler says.

The focus is on “quality outcomes, not quantity,” Holler says, adding that Cornerstone is privately owned by native Texans and not part of a large corporation or investment group, which allows decisions to be based on resident needs first and not primarily on the bottom line.

Being involved in the community is important to the company and to Holler. “We have been heavily involved with multiple civic and non-profit organizations for years … not only through monetary donations but with our time as well.”

Holler credits the Cornerstone staff for the facility’s success. “We are blessed to have a staff with caring hearts. We strive to continue to be the absolute best in Bell County and beyond because that is what people have come to expect from Cornerstone. Above all, that is what our residents deserve.”

Cornerstone Gardens Healthcare and Rehabilitation 763 Marlandwood Road, Temple 76502 254-771-5950 cornerstonegardensllp.com 58

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Dr. Lance Ellis, D.O.

Board Certified Orthopedic Surgeon 1507 West Main St., Building 1 Gatesville, TX 76528 (254) 865-2166 | coryellhealth.org 1007 W Hwy 190, Suite B Copperas Cove, TX 76522 (877) 401-6365 | coryellhealth.org 5100 Franklin Ave. Waco, TX 76710 (254) 865-2166 | coryellhealth.org Specializes in orthopedic spine surgery, minimally invasive treatments for bone and joint pain, hip replacement and reconstruction.

Dr. Lance Ellis, board-certified orthopedic surgeon, is a proud Texan and Baylor University alumnus. He graduated Magna Cum Laude from the University of Medicine and Biosciences College of Osteopathic Medicine in Kansas City, Missouri in 2001.

He completed his residency training at Ohio University, St. Vincent Mercy Medical Center in Toledo, Ohio, where he served as Chief Resident. He is dual fellowship trained, having completed a Spine Surgery Fellowship at the Texas Back Institute in Plano, Texas in 2007 and an Orthopaedic Trauma Fellowship at Baylor University Medical Center in Dallas, Texas in 2008.

Dr. Richard Hurley, M.D.

Board Certified Pain Management Specialist 1507 West Main St., Building 1 Gatesville, TX 76528 (254) 865-2166 | coryellhealth.org Dr. Richard Hurley was raised in West Texas and has been a Pain Management Specialist for over thirty five years. He attended Stephen F. Austin State University and University of Texas Medical Branch Galveston. He completed internship and residency programs at Scott & White Hospital in Temple and has been in private practice since 1980. He is currently a Regional Consultant for Boston Scientific Spinal Cord Stimulation and President of the Texas Pain Society.

Dr. Hurley treats all modalities of chronic pain in Coryell Health Medical Clinic and performs spinal cord stimulator implants at Coryell Memorial Hospital. His services also include, but are not limited to; • spinal cord stimulators trials and implants • facet nerve injections • epidural injections • peripheral nerve blocks • trigger point injections • Botox injections for spasticity • Medical management of chronic pain, • including cancer pain.

Cultural Activities Center In 1958 the CAC was established as one of the first arts councils in the nation to be combined with facilities for the performing and visual arts. The Cultural Activities Center, in Temple, Texas, believes in the power of creation!

We want to enrich the lives of all Central Texas residents by inspiring exploration, involvement, and enjoyment in the arts. The CAC is a community funded not-for-profit arts center with the goal of encouraging and cooperating with other area arts institutions, supporting the arts in education, and providing resources to get active.

What makes the CAC successful is the community, members support, and participants that love supporting the art, entertainment, and activities the CAC has to offer.

The CAC has been in the community 60 years and has impacted many lives from its offering of programs on stage, year round classes, summer camps, Contemporaries, organization, hands-on filed trips, Arts in Education, and more.

The CAC has Singer-Songwriter performances, Central Texas Orchestral Society concerts, new exhibits, classes for kids and adults, Central Texas Art League pop-up galleries, event rentals and more. We welcome both businesses and individuals to become a member today.

3011 North 3rd Street, Temple 254-773-9926 | cacarts.org TEXAPPEALMAG.COM

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Pain Specialists of Austin Pankaj Mehta, MD, DABA, DABPM Board Certified in Anesthesiology, Board Certified in Interventional Pain Medicine Dr. Mehta is a Board Certified Anesthesiologist trained at Harvard Medical School and Massachusetts General Hospital, Boston. He then completed an interventional pain fellowship at the prestigious Cleveland Clinic. Dr. Mehta has gained national recognition for his contributions to Interventional Pain Medicine.

During his training, Dr. Mehta was awarded a Harvard fellowship for NIH-sponsored research exploring the usefulness of drugs such as ketamine in chronic opioid therapy. His research on postwar chronic pain was highly acclaimed and published as a review article in a leading national journal.

His goals are to help people suffering from pain, optimize pain control, enhance their abilities to function, improve physical and psychological well being. His practice focuses on a multidisciplinary approach that closely meets individual needs, (PERSONALIZED MEDICINE) technologically advanced treatment modalities, alternative and complementary therapies, and REGENERATIVE MEDICINE. Dr. Mehta is considered a key opinion leader in the field of pain management and is committed to partner with the community to manage pain in an optimal way. He runs a headache program in collaboration with local neurologists which encompasses multiple interventional strategies for chronic headaches and PTSD. Dr. Mehta's main focus is on SPINE PAIN, HEADACHES, ABDOMINAL, PELVIC PAIN, CRPS/ RSD with a prime interest in neuromodulation.

He is also one of the first proctors for DRG-spinal modulation in Texas. He is considered a leading neuromodulation specialist in Texas and is referred patients from all corners of the state.

He lectures all over the country on the latest breakthroughs of interventional pain and has numerous publications to his credit. He is an educator and instructor for several companies who research and develop treatments for chronic pain including St. Jude Medical/ Abbott Medical.

Dr.. Mehta is an active member of most leading professional organizations including the North American Neuromodulation Society, International Neuromodulation Society and American Society of Interventional Pain Physicians. psadocs.com Toll-Free: 855-876-7246 (PAIN) 806 East Avenue D, Suite E Copperas Cove, TX 76522

2701 East Stan SchlueterLoop, Suite 100, Killeen, TX 76542 1507 West Main Street Gatesville, TX 76528

Pain Specialists of Austin and Central Texas Pain Center are Proud Practice Partners of Pain Specialists of America.

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NURSING Licensure pass rates are consistently above the national and state average for CTC nursing graduates.

As a registered nurse (RN), you will provide and coordinate patient care, educate patients and the public and provide guidance and emotional support to patients and their family members.

As a licensed vocational nurse (LVN) you will provide basic nursing care and work alongside registered nurses and doctors.

Students are taught how to care for senior citizens in CTC’s simulation lab as part of health care related programs.

“

Nurses represent the largest group of healthcare workers in America. Job openings from now until 2024 is a projected 1.09 million.

REGISTERED NURSE Potential Earnings: $70,000 annually Market Growth Rate: 15% faster than all other occupations

”

Tammy Samarripa, EMT-LP, BA, MPH Department Chair, Nursing & Allied Health

LICENSED VOCATIONAL NURSE Potential Earnings: $43,000 annually Market Growth Rate: 20% faster than other occupations Bureau of Labor statistics, 2017

In addition to our traditional LVN course tracks, beginning every Fall, the department will offer a night/weekend Licensed Vocational Nursing (LVN) track and in Spring 2019, our Combat Medic Specialist (68W) to LVN track.

CTC’s nursing programs prepare students with the knowledge, skills and hands-on training to work in a variety of settings including hospitals, physicians’ offices, home healthcare services and nursing care facilities. With experienced faculty, state of the art equipment and a simulation hospital, students are exposed to many avenues of learning. Courses are offered in lecture, online and blended formats with hands-on patient care led by dedicated clinical faculty.

EMERGENCY MEDICAL TECHNOLOGY CTC’s simulation lab has ambulances which allow students to train to handle emergency cases.

EMT Potential Earnings: $33,380 annually Market Growth Rate: faster on average, than other occupations (15%) PARAMEDIC Potential Earnings: faster on average than other occupations (24%) Market Growth Rate: $38,936-53,550 annually FIREFIGHTER/EMT Potential Earnings: $49,080 annually Bureau of Labor statistics, 2017

The Emergency Medical Technology (EMT) program is designed to prepare students to deliver emergency patient care in the pre-hospital setting. Central Texas College has been preparing individuals to enter the field of pre-hospital care since August 1983. CTC Offers one of only 56 accredited EMT programs in the state of Texas. Our graduates work around the world and make valuable contributions to the quality of pre-hospital care. Some graduates have continued the training in the medical profession and are now RNs and even some are physicians. Our program prepares students to work in a variety of settings including fire departments, city-based EMS services, county-based EMS services, 911 EMS services, EMS transfer services, flight-based EMS services, hospitals and various other medical facilities. Our courses are offered in a lecture or online format as well as hands-on patient care led by dedicated EMS faculty.

The EMT program is offered to qualified candidates seeking a career in the EMS profession. Upon successful completion, students are eligible to take the exam to become certified as an emergency medical technician, advanced EMT or paramedic through the National Registry of EMTs (NREMT) and/or the Texas Department of State Health Services. Central Texas College offers the EMT, advanced EMT and the paramedic as certificates of completion and/or an Associate of Applied Science degree in paramedicine.

Emergency Medical Technology includes Emergency Medical Technician (EMT), Advanced Emergency Medical Technician (AEMT) and Paramedic tracks. Our newest course offerings include our Combat Medic Specialist (68W) to Paramedic track and our High School EMT tracks. We also offer EMT and Paramedic courses in the evening in Burnet, Texas.

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MEDICAL OFFICE TECHNOLOGY With projected employment growth of 36 percent in the medical office technology fields, the CTC Office Technology department is excited to help prepare students to enter this industry. Whether your goal is to be knowledgeable in a variety of medical office skills or to focus on a specific skill set like medical coding and billing, an exciting career awaits!

It takes as few as six courses to complete a medical office technology certificate program and 14 courses to complete our medical coding and billing certificate program. Our certificates of completion are stackable, which means they are linked and the completion of each one draws you a semester closer to completion of an associate degree.

The Medical Coding and Billing program prepares students to test to become Certified Coding Specialists, Certified Professional Coders, Certified Professional Billers, and Certified Office Managers for employment as medical coders, billers, and/or professionals.

abundance of “ The health care employers in our area and across the nation makes this program highly transportable and ensures excellent employment opportunities.

”

Eva Hearn Medical Program Coordinator, Office Technology

MEDICAL OFFICE ADMINISTRATIVE SUPPORT Median Wages: $32,430 annually Projected Growth Rate: 29% from 2012 to 2022, much faster than average for all occupations.

MEDICAL CODING AND BILLING AND MEDICAL DOCUMENTATION SPECIALIST Median Wages: $39,180 annually Projected Growth Rate: 13% from 2012 to 2022, much faster than average for all occupations

The Medical Office Technology and Medical Coding and Billing certificates and Associate of Applied Science degree can be completed entirely online (including internship and clinical) or with a combination of online courses including traditional or blended classroom courses on central campus each semester through open-entry courses (start anytime) or weekend courses in our campus Career and Technology Education (CATE) Center.

PHLEBOTOMY As a phlebotomist, you can serve a vital role in the relationship between patients and their treatment teams. A phlebotomist serves patients by identifying the best method for retrieving specimens, preparing specimens for laboratory testing and performing screening procedures. Without a phlebotomist to ensure proper collection, test results can be altered and the clues doctors need to treat patients can be missed. Hospitals, diagnostic laboratories, blood donor centers and other locations will need phlebotomists to perform bloodwork.

The Phlebotomy program will be a 2-semester, 19 credit hour certificate program. The program focuses on classroom courses the first semester and includes clinical experience the second semester. Completion of the program qualifies students to take the ASCP PBT Board of Certification test for national certification.

“

If you have patience and people skills, phlebotomy is a great way to begin a health care career.

PHLEBOTOMIST Potential Earnings: $10-16 hourly

”

Market Growth Rate: faster on average than other occupations (25 %)

www.ctcd.edu/explore

HISTOLOGY Histology Technicians (HT) focus on the detection, diagnosis, and treatment of diseases related to abnormal cells and tissues within the body. Successful histotechnology students should have a strong interest in science, anatomy & physiology, genetics, excel at tasks requiring attention to detail and problem-solving, and be interested in working a vital role in research and patient care.

HT classes cover a variety of subjects including tissue processing, fixation, tissue embedding, microscopic slide preparation (microtomy), tissue staining, immunohistochemistry, cytology, and molecular genetic testing. The program includes extensive clinical experience rotations at multiple histology laboratories to give students hands-on experience in the field of histology.

Upon successful program completion, students will graduate with an Associate of Applied Science in Histology.

HISTOLOGICAL LABORATORY TECHNICIAN Median Wages: $28.57 hourly Projected Growth Rate: 29.7%

a fifth of the histology “ Almost workforce will retire in the next 5-10 years. We’re training the next generation of experts.

”

Neil Moody, BS, MLS(ASCP)CM Program Director/Professor – Histology

MEDICAL LAB TECHNICIAN Clinical laboratory testing plays a crucial role in the detection, diagnosis, and treatment of disease and as a laboratory professional you will be instrumental in this process. Research has shown that at least 70% of all medical decisions rely on laboratory data.

As a laboratory professional, you will play a huge role in this process. CTC’s Medical Lab Technician (MLT) program is NAACLS accredited which means you can transfer your credits to any other NAACLS program if you ever have to move. We have a 100% hire rate upon graduation for students staying in Central Texas, as well as a 100% pass rate for the ASCP board of certification exam.

Successful clinical laboratory students should have a strong interest in science, chemistry, or biology, and excel at tasks that require attention to detail and problem solving capacity. MLT classes cover a variety of subjects from introduction to clinical laboratory science, clinical chemistry, clinical microbiology, hematology, urinalysis, immunology, molecular, parasitiology, transfusion services as well as 760 clinical hours, which will help our students master the field of clinical laboratory science. Upon successful program completion, students will graduate with an Associate of Applied Science in Medical Lab Technology.

MEDICAL LAB TECHNICIAN Potential Earnings: $18-23 per hour Market Growth Rate: 29.7% before 2022

is such a huge “ There need in the hospitals for medical lab technicians.

”

Angela Lester Program Director, MLT and Phlebotomy

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CLINICAL MEDICAL ASSISTANT Non-credit program, offered through CTC Continuing Education.

“

Certified Medical Assistant is a growing field.

Our program prepares students to take their national certification exam and start working in the healthcare field within six months.

”

Wanda Fox Instructor, Clinical Medical Assistant Instructor, Continuing Education

MEDICAL ASSISTANT POTENTIAL EARNINGS $15.71 hourly, $31,540 annually Market Growth Rate (2016-2026): much faster than average (29% or higher)

As a Clinical Medical Assistant, the student will be trained to help the physician carry out procedures, care for patients, perform basic lab tests and administer medications. The Clinical Medical Assistant works in a physician’s office or a clinic setting. This course consists of 260-hours of accelerated classroom training with emphasis on skills mastery through hands-on practice and supervision and an 80-hour clinical. (Total 340 hours) Upon successful completion of the course and clinical, students will receive a certificate of completion. Additionally, students will qualify to take an optional certification examination offered by the National Healthcareer Association (NHA).

ADMINISTRATIVE MEDICAL ASSISTANT Non-credit program, offered through CTC Continuing Education.

“

Stocking certifications is trending. Our newest health career program will make our Medical Assistants more qualified and better candidates for the available jobs.

”

Morgan Matlock Coordinator, Professional Development Programs , Continuing Education

ADMINISTRATIVE MEDICAL ASSISTANT Potential Earnings: $16.71 hourly, $34,760 annually Market Growth Rate (2016-2026): much faster than average (29%)

NURSING ASSISTANT Potential Earnings: $12.78 hourly, $26,590 annually

“

As Baby Boomers retire the need for CNAs will continue to increase.

Our program thoroughly prepares students to fill that employment need.

”

Mary Ellen Knox Program Director, Nurse Aide, Continuing Education

As an Administrative Medical Assistant, the student will be trained to perform administrative work using specific knowledge of medical terminology and hospital, clinic, or laboratory procedures.

Enjoy a rewarding career in healthcare where your responsibilities may include scheduling appointments, billing patients, and compiling and recording medical charts, reports, and correspondence. This course consists of 130-hours of accelerated classroom training with emphasis on skills mastery through hands-on practice and supervision plus a 50-hour clinical. (Total 180 hours) Upon successful completion of the course and clinical, students will receive a certificate of completion. Additionally, students will qualify to take the optional Medical Administrative Assistant (CMAA) certification examination offered by the National Healthcareer Association (NHA).

CERTIFIED NURSE AIDE Non-credit program, offered through CTC Continuing Education.

Market Growth Rate (2016-2026): much faster than average (14% or higher)

Certified Nurse Aide training provides students with the knowledge, skills and abilities essential for providing basic care to long term care residents.

HOME HEALTH AIDE Potential Earnings: $10.87 hourly, $22,600 annually

This 116-hour course includes 68 hours of classroom instruction (including skills lab) and 48 hours of clinical practice in a long term care facility.

Market Growth Rate (2016-2026): much faster than average (14% or higher)

Upon successful completion, graduates will receive a certificate of completion within 2-3 weeks after class ends. Additionally, graduates will be qualified to take the required state exam.

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PHARMACY TECHNICIAN Non-credit program, offered through CTC Continuing Education.

As a Pharmacy Technician you will help the pharmacist package or mix prescriptions, maintain client records, refer clients to the pharmacist for counseling, assist with inventory control and purchasing, as well as collect payment and coordinate billing.

This course consists of 200 hours of accelerated classroom training with emphasis on skills mastery through hands-on practice and supervision.

Upon successful completion, graduates will receive a certificate of completion within 2-3 weeks after class ends. Students are then eligible to apply for registration as a Pharmacy Technician in their state and be prepared to take the national Pharmacy Technician Certification Board (PTCB) exam.

Optional Clinical Experience: Explore the fundamentals of the diverse roles and practice of pharmacy technicians in an institutional pharmacy setting.

Course includes an in-depth coverage of hospital pharmacy organization, work flow and personnel, safety techniques, data entry, packaging and labeling operations, inpatient drug distribution systems including investigational drugs, continuous quality improvement, and inventory control.

PHARMACY TECHNICIAN Potential Earnings: $14.86 hourly, $30,920 annually Market Growth Rate (2016-2026): faster than average (12%)

students have a 96% pass rate of “ Our the PCBT exam; the national pass rate

is less than 60%. There is a state-wide shortage of Pharmacy Technicians and our program prepares students to be the best job candidates.

”

Teresa Chavez Director, Continuing Education

LICENSED MASSAGE THERAPY Non-credit program, offered through CTC Continuing Education.

A career in massage therapy gives you freedom and flexibility.

Massage therapists work through all stages of life from pre-natal and infant massage to geriatric and hospice massage and even to animal massage. Massage therapy is found in many healthcare settings – hospitals, chiropractic offices, wellness centers, and nursing homes. They also work in a wide variety of venues from spas to cruise ships. Massage therapy pairs well with several other professions from nursing to personal fitness trainers, to social workers and counselors, sports medicine and physical therapy.

Use massage therapy as a stand-alone profession or as a foundation for or addition to other specialties.

At CTC, a dedicated team of licensed massage therapy Instructors, representing more than 60 years of massage therapy experience, bring students a broad spectrum understanding of the massage profession and strong basic skills. In addition to the basics of massage therapy, instructors emphasize massage therapy in healthcare settings such as chiropractic, hospital and behavioral health.

Students learn mindfulness, mind-body skills and self-care techniques to prepare them for a career as a massage therapist.

Once licensed, graduates return to take continuing education requirements and further their knowledge and skills.

LICENSED MASSAGE THERAPIST Potential Earnings: $19.17 hourly, $39,860 annually Market Growth Rate (2016-2026): much faster than average (26% or higher) CLINICAL/MEDICAL MASSAGE THERAPIST Potential Earnings: $19.17 hourly, $39,860 annually Market Growth Rate (2016-2026): much faster than average (14 % or higher) SPA MANAGER Potential Earnings: $17.65 hourly, $36,700 annually Market Growth Rate (2016-2026): much faster than average (9 – 13 %)

Therapy is more “ Massage a vocation than a job.

There’s a huge movement in healthcare toward selfcare. Massage therapy is part of what is called integrative healthcare.

”

Viola Crowder-Moger MBA, LMT, LMTI Director, Licensed Massage Therapy Program

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A new CEO, a new name

Continued growth for Metroplex Health System in Central Texas

By CATHERINE HOSMAN Contributed photos

when the AHS cabinet came together to discuss the future of the organization.

“It wasn’t functioning as one system,” Riley said. ith a new CEO announced in “Now it’s shared services: Accounting, materials September and a new name management, human resources. Whatever Advent planned early next year, growth Health facility a patient uses, it is operating with the continues at Metroplex Health same standards.”

Systems in Killeen.

With 80,000 employees company-wide, the new After a national search, Kevin Roberts was named brand brings everyone together. “It was important the new CEO for Metroplex Health System, which that we gave it a name, that we are unified behind the Kevin Roberts includes Metroplex Adventist Hospital and Rollins scenes,” Riley said. “We are greater as a whole. Our Brook Community Hospital. The position was previously hospitals are greater when we all work together. The health held by Carlyle Walton, who left Metroplex Health Systems to system is greater when we all work together. It gives us a way to become president of the Adventist Health Policy Association. be a leader in industry because we are able to better leverage best Roberts, who has more than 20 years of service with Adventist practices.”

Health, comes to Metroplex Health System from Los Angeles.

To ensure the health system’s best practice, all employees “Kevin’s wealth of experience and familiarity with the attend Service Standard Training. Robin Bodkin, executive Adventist healthcare ministry, combined with his exceptional director of marketing and patient experience, said 99 percent of track record of hospital leadership, will be very beneficial in Metroplex’s 1,100 employees have received the training. leading Metroplex Health System,” said Ken Finch, president CARING FOR THE WHOLE PERSON and CEO for Adventist Health System’s Southwest Region and One of the mantras of Metroplex is CREATION Health.

Texas Health Huguley Hospital Fort Worth South. “We are Each letter of the acronym represents a value in the excited to have him join our organization and confident the care of patients: Choice, Rest, Environment, Activity, Trust, hospitals will thrive under his leadership and direction.”

“It is a tremendous honor and opportunity to join Adventist Health System and lead Metroplex Health System,” said Roberts.

“I am excited to begin working with the hospitals’ leadership and care teams to advance Christ’s healing ministry in Central Texas.”

W

A NEW NAME Beginning in January 2019 Metroplex Health System will be known as Advent Health Central Texas, one of 46 healthcare facilities Adventist Health System (AHS) is bringing together under one umbrella, all known as Advent Health.

“The biggest piece with the rebrand is that we are still the same healthcare system,” said Erin Riley, public relations specialist for Metroplex Killeen. “Our system is coming together under one set of service standards: same mission, same service standards. No matter where you go, you know the kind of service you are going to receive.”

The idea to bring all of the Advent Health System hospitals and clinics under the same brand began a couple of years ago

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Interpersonal Relationships, Outlook and Nutrition. The This makes it easy for patients to get the care they need.”

Service Standard Training for medical professionals ensures that everyone who walks through the doors of an Advent Health KEEPING THE GOLD STANDARD facility receives the same care.

Helping patients get the care they need got a little easier in “It is a holistic mind, body, spirit experience,” Bodkin said.

2018, thanks to donations at the annual Metroplex Gold Star “We stay connected to our patients. We don’t discharge, we Gala held each November. Last year’s event raised money for two transition patients. When a person leaves our care, we transition tissue processors that are up and running. Now patients who them home or to a rehabilitation center.” have biopsies performed at the hospital can get their results in With the new name, Bodkin said the hospital’s 24 to 48 hours. mission stays the same, but now they can provide even “They provide biopsy results in a timely manner,” better service to the community. said TaNeika Driver-Moultrie, foundation manager.

“People see us as a small community hospital in “For cyst, cancer cells, any type of tissues that are being Killeen,” said Riley. “We are, and still will be, but we tested—the pathology department was excited to get will have access to a greater system.” them (the machines).”

“That’s what people love about us,” added Bodkin.

Driver-Moultrie said the foundation wants to “We are small, but friendly, and we have a $10 billion do “anything we can do health-wise to help the company behind us making healthcare better overall.” community, provide for community needs or assist the Bodkin said making healthcare affordable is community. We want to put our patients at ease and Robin Bodkin another Advent Health standard for patients. offer support. We have the funding to provide these “One problem in healthcare today is that it is too services to our community.” expensive,” Bodkin said. “It’s not something we’ve mastered, but In previous years Metroplex Health System-Killeen provided we are working on helping people without insurance.” more than 200 mammogram screenings for uninsured male Keeping the hospital viable is another standard that helps to and female patients, provided chemotherapy to those with provide the care their patients need. breast cancer and are uninsured, and offered follow-up care, “If we are not making money, we cannot put the money Driver-Moultrie said. This year the hospital plans to offer free back into the community,” Bodkin said. “As a nonprofit mammogram screenings every Friday during the month of organization, all of the money we make goes into the community October. to buy equipment, new buildings, put on a new roof.”

Driver-Moultrie said revenue generated at the 2018 Gold “We have put more than $1 billion back into the Star Gala on Nov. 1 at the Killeen Civic Center will go toward a community nationwide,” said Riley. “Millions of dollars have new wellness center for the community. “We now offer 11 free gone back into our own community. Nationwide, we’re a wellness classes to the community,” she said. “Once the new collective power. We want to fix our system and make it better center is built it will house those 11 free classes and provide for our patients and community.” wellness activities for the community, staff and physicians. All of One of the ways the system helps patients is through its this is to promote better health and a better lifestyle.”

Care Navigation Program.

The building will be constructed on the Metroplex Health “It’s for people who don’t have a primary care doctor,” System’s campus in the back of the hospital. said Bodkin. “The navigator makes sure the patient has an “This will allow for easy access to staff, physicians and the appointment with a doctor before they leave. We want them community who already attend the wellness classes,” she said. to get well and have what they need. If a patient has to find a The project cost is $300,000. “With this generous donation doctor and make the appointment, they are less likely to do it. from our foundation, we will be able to expand our current free wellness classes and health screenings and add additional services. It’s a win for everyone,” Bodkin said.

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Blending faith & psychology Esteban Cortez helps Metroplex staff connect with patients

AN UNLIKELY FUTURE Cortez, 35, grew up on the mean streets of East Palo Alto, California, where the weather was beautiful and the grass was are is the person who walks into a room and radiates always green. It was also known as the murder capital of the nation. He was one of four siblings born to Saul and (the late) a kind of light generated from genuine caring and Arcelia Cortez. kindness.

“East Palo Alto is a small subdivision,” he says. “Most people Esteban Cortez is one of those people. were from lower middle class to poverty.”

Cortez is the Clinical Mission Integration As children, they were allowed to go outside and play, but Manager (CMI) at Metroplex Health System Killeen, part of the only while supervised. He remembers an incident when he was Adventist Health System. outside with his older brother, Zuri, who was riding a bicycle.

The major tenet of Adventist Health System is to extend the “Two kids came up to Zuri, knocked him off his bike and stole healing ministry of Christ throughout all of its medical facilities it,” says Cortez.

The bike was later reclaimed by a neighbor who in the nation. In an effort to encourage medical professionals knew the thief and returned the bike. to connect to their patients on a spiritual level and provide a Drive-by shootings were also a hazard. One evening as the holistic approach to healthcare, the organization created the Cortez family slept, a car drove by, shooting at the house across CMI position. the street.

“The house had bullet In this position, Cortez meets with holes,” he says. “We only saw the medical professionals individually and aftermath when we woke up. Those teaches them how to connect with their were the kinds of things that happened patients on a spiritual basis. at that time.”

“It’s about self-denial, taking Raising four children with oneself out of the picture and focusing Christian values in East Palo on their patient’s needs,” says Cortez, Alto was challenging for Cortez’s who holds a bachelor’s degree in working parents who understood the psychology from Pacific Union temptations of the outside world.

College in Angwin, California, and “The most they could do was a medical missionary certificate from instill values based on Christian the Wildwood College of Health beliefs; to do the right thing,” he says.

Evangelism in Wildwood, Georgia. “If I It was these values that inspired go to you, I want something for myself.

Cortez to serve his community and But if I come to you and give you my be a part of the solution, not the full attention, it’s all about you.” problem.

As the CMI for Metroplex Health From the age of 18 to 23, Cortez System, Cortez also helps medical worked in childcare at the local professionals meet some of their own YMCA, taking care of children from spiritual needs.

3 months to 5 years old, and later at “I help patients by proxy. As I visit — Esteban Cortez the Boys & Girls Club of America as staff members and doctors I tend to ask an after-school teacher. It taught him them if they have a need for prayer or if patience, how to deal with children of different ages and how to they need a listening ear,” says Cortez, a member of the Seventh balance the needs of everyone—skills that would serve him well Day Adventist Church. “CMIs are more of a catalyst to doctors in his career. and staff. By being loving and supporting to staff and doctors, “I would be feeding one child, have a child crying here, now they can go help their patients.” holding a 3-month-old here—how do I delegate? How do I find a Caring for the whole person—mind, body and spirit—has solution?” he says. been a value of Adventist Health System since its inception He says that he learned patience and empathy when caring in 1866 in Battle Creek, Michigan. The Spiritual Wholeness for the children at the YMCA. Screening Cortez shares with practicing medical professionals “If I see a child in trouble, I ask myself what can I do to help today teaches them how to ask their patients leading questions, them.” such as: Do you have someone who loves you and cares for you?

At the Boys & Girls Club, however, older children Do you have a source of joy in your life? Do you have a sense of presented a different kind of challenge. peace today?

By CATHERINE HOSMAN Photography by JUSTIN BORJA

R

“I help patients by proxy.

As I visit staff members and doctors I tend to ask them if they have a need for prayer or if they need a listening ear. ... By being loving and supporting to staff and doctors, now they can go help their patients.”

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“Some kids talk, others are resistant,” Cortez says. “Some are too smart for the curriculum. How could I be a challenge to them, find out what makes them engage, what do they love to do? It’s not only about having fun but learning something at the same time.

“I gained an understanding of the different personality types. Fourth graders are finding out who they are and how to get away with something. Most of my students lacked discipline because of their home life. It’s because of this that most acted out,” he says. “I didn’t want to be another adult that raised their voice at them but wanted to be one that loved and took the time to understand them. It’s about finding balance between being authoritative and showing them love, compassion and grace.”

BOUND FOR TEXAS One by one the Cortez family relocated to Texas. Older brother Zuri, a veteran who served two years in Iraq, lives in Pflugerville with his family. His younger sister, Priscilla, lives in Austin and his youngest brother, Amisadai, lives in Round Rock.

His father, Saul, lives in Elgin in the home he shared with his wife, Arcelia.

Keeping the family together is a legacy to his mother, who

passed away in October 2017.

Cortez moved to Texas in 2012 and worked in various teaching positions where he was able to use his psychology and pastoral skills. In 2016 he became the assistant dean at Ozark Adventist Academy in Gentry, Arkansas. When his mother became ill in the summer of 2017 he came back to Texas to care for his parents.

He chose to stay in Texas, close to his family, but finding a new position that fit his qualifications was difficult, which made times trying. One day while attending church he learned about a new position from former Metroplex Hospital CEO Carlyle Walton. Cortez believes it was divine intervention.

“We attended the same church. He was sitting in the pew in front of me one Saturday when he turned around and spoke,” says Cortez, who shares his life with his wife, Catherine, and infant son, Micah. “He said he had a great fit for me at the hospital.”

Cortez sent his resume to Walton and was granted an interview.

“I asked him what he saw in me and he said, ‘The values you hold, by how you behave, how you treat your family, your wife, patience with your son,’ he saw those qualities,” Cortez says. “It was a miracle.”

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METROPLEX PHYSICIAN FINDER WOUND CARE CARDIOLOGY Umad Ahmad, M.D. Jason Lange, M.D. 254.618.1600 2405 S. Clear Creek Road, Suite 250 • Killeen George Rebecca, M.D. 254.526.9766 4200 W. Stan Schlueter Loop, Bldg.

C • Killeen CARDIOLOGY, INTERVENTIONAL Jonathan Mock, M.D. Sunil Naik, M.D. 254.618.1600 2405 S. Clear Creek Road, Suite 250 • Killeen CARDIOLOGY, ELECTROPHYSIOLOGY James Black, M.D. 254.618.1888 2405 S. Clear Creek Road, Suite 250 • Killeen Paul Coffeen, M.D. Adolph Mares, M.D. 254.526.2085 800 W. CenTex Expwy., Suite 355 • Harker Heights Larry Price, D.O. 512.807.3150 800 W. CenTex Expwy Suite 250 • Harker Heights EAR, NOSE & THROAT Yael Kreitman, M.D. 254.618.1888 2405 S. Clear Creek Road • Killeen Shrikant Rishi, M.D. 254.634.0145 2207 S. Clear Creek Road, Suite 203 • Killeen FAMILY MEDICINE PRIMARY CARE PHYSICIANS Paul Gerdes, M.D. 254.680.1100 3801 Scott & White Drive • Killeen Ashley Chamberland, M.D. David Go, M.D. Jesse Sheffield, D.O. 254.547.7777 2401 Walker Place, Suite 300 • Copperas Cove James Cain III, M.D. Vanna Gold, M.D. Georgia Hay, M.D. Mark S. Lane, M.D. Morris K. Patteson Jr., M.D. 187 PR 4060 • Lampasas 512.556.3621 Esther De La Torre, M.D. 254.526.8890 1010 W. Jasper Drive, Ste. 1 • Killeen Bola Elemuren, M.D. 254.699.8521 813 S. Amy St., Ste. 101 • Harker Heights Robin Gruen, M.D. 187 Private Road 4060 • Lampasas 512.556.3621

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Jeffrey Hall, D.O. Joshua Kilpatrick, M.D. 254.953.7700 907 Mountain Lion Circle • Harker Heights Thikra J. Kadhim, M.D. 254.200.9355 4520 E. Central Texas Expwy., Suite 101 • Killeen Cheung Kim, M.D. 254.554.8668 3106 S. W.S. Young Drive, Suite B203 • Killeen Michael Kirkpatrick, M.D. Elena Wilson, M.D. 254.501.6400 4501 S. Clear Creek Road • Killeen Ernesto Malave, M.D. 254.432.5735 2301 S. Clear Creek Road, Suite 108 • Killeen Robert Perry, M.D. 254.519.8922 880 Prospector Trail, Suite 200 • Harker Heights Edward Spencer, M.D. 254.526.6300 502 W. Jasper Drive • Killeen Dave Webster, D.O. 254.690.8887 5610 E. Central Texas Expwy., Suite 1 • Killeen GENERAL PRACTICE PRIMARY CARE Charles Mitchell, M.D. 254.554.8773 3816 S. Clear Creek Road, Suite E • Killeen GASTROENTEROLOGY Christopher Naumann, M.D. James Sing, D.O. Apurva Trivedi, M.D. Jonathan Ramirez, M.D. Duc Vu, M.D. 254.618.1400 2405 S. Clear Creek Road, Suite 290 • Killeen Xiaotuan Zhao, M.D. 254.519.8490 2301 S. Clear Creek Road, Suite 102 • Killeen GENERAL SURGERY Monty Gohl, M.D. 254.634.2857 2300 S. Clear Creek Road, Suite 203 • Killeen Daniel McLaughlin, M.D. 254.519.8901 2207 S. Clear Creek Road, Suite 203 • Killeen Maria Provost, M.D. 254.618.1444 2405 S. Clear Creek Road, Suite 350 • Killeen Senthil Sankaralingam, M.D. Gillian Stuart, M.D. 254.618.4320 800 W. CenTex Expwy., Suite 370 • Harker Heights

OCTOBER & NOVEMBER 2018 | TEX APPEAL

Griffith Thomas, M.D. 325.247.3138 102 E. Young Street • Llano INTERNAL MEDICINE PRIMARY CARE PHYSICIANS Jacquelene Adiele, M.D. 254.200.2748 3816 S. Clear Creek Road, Suite A • Killeen Karen P. Harrison, M.D. Raymond J. Harrison, M.D. 254.542.9000 239 W. Highway 190 • Copperas Cove Pablo Leonardo, M.D. 254.526.0404 2301 S. Clear Creek Road, Suite 202 • Killeen Stephen Ralph, M.D. 254.554.8773 3816 S. Clear Creek Road, Suite F • Killeen Sundaram Sukumar, M.D. 254.519.3131 2301 S. Clear Creek Road, Suite 112 • Killeen Precha Suvunrungsi, M.D. 254.526.6604 2109 S. Clear Creek Road • Killeen NEPHROLOGY Habib Bahar, M.D. Biresh Kumar, M.D. Abraham Rajan, M.D. 254.690.0618 625 W. Central Texas Expwy. • Harker Heights NEUROLOGY Hector Colon, M.D. Karthikeyani Kathiresan, M.D. 254.526.2343 2301 S. Clear Creek Road, Suite 106 • Killeen George Creel, M.D. 254.618.1412 2405 S. Clear Creek Road, Suite 210 • Killeen Shamsuddin Khwaja, M.D. 254.554.3377 2105 S. Clear Creek Road • Killeen OBSTETRICS & GYNECOLOGY Eric Allerkamp, M.D. Cedric Day, M.D. Nathan Kwan, M.D. April Schiemenz, M.D. Paul West, M.D. 254.618.1800 2405 S. Clear Creek Road, Suite 370 • Killeen William G. Louis, M.D. 254.634.1500 2301 S. Clear Creek Road, Suite 206 • Killeen Arturo Romero, M.D. 254.519.8907 2301 S. Clear Creek Rd., Suite 208 • Killeen

OBSTETRICS & GYNECOLOGY Marisol CarpioSolis, M.D. 254.220.4833 2025 Memory Lane, Suite 500 • Harker Heights Luis Castellanos, M.D. Cynthia Shirley, M.D. 254.618.1060 800 W. CenTex Expy Suite 255 • Harker Heights GYNECOLOGY Mark Lobaugh, M.D. 254.519.2229 800 W CenTex Expy Suite 200 • Harker Heights Marcos Sosa, M.D. 254.220.4833 2025 Memory Lane, Ste 500 • Harker Heights ONCOLOGY, HEMATOLOGY Christian Cable, M.D. Sherronda Henderson, M.D. Kathleen Halka, M.D. Derrick Nguyen, M.D. Sripriya Santhanam, M.D. Michal Wolski, M.D. 254.200.3200 2207 S. Clear Creek Road, Suite 101 • Killeen ONCOLOGY, RADIATION Niloyjyoti Deb, M.D. Mehul Patel, M.D. Jhavar, Sameer, M.D. Gregory Swanson, M.D. Anne Wen Ju Tann, MD 254.200.3200 2207 S. Clear Creek Road, Suite 101 • Killeen OPHTHALMOLOGY John R. Esters, M.D. 254.519.2020 800 W. CenTex Expwy., Ste 150 • Harker Heights Gerard MartenEllis, M.D. 254.526.5505 2301 S. Clear Creek Road, Suite 116 • Killeen ORAL SURGERY Andrew Campbell, D.D.S. 254.526.5667 2804 S. W.S. Young Drive, Suite 100 • Killeen ORTHOPEDICS Terry J. Beal, M.D. 254.526.0188 2117 S. Clear Creek Road • Killeen Sandy Bidner, M.D. 254.618.1555 2405 S. Clear Creek Road, Suite 290 • Killeen Robert Hansen, M.D. 254.213.7843 401 Jasper Drive • Killeen

METROPLEX PHYSICIAN FINDER PAIN MANAGEMENT Bradley Carpentier, M.D. 254.340.4314 1711 Central Texas Expwy • Killeen Scott Irvine, D.O. Benjamin Lowry, M.D. 254.245.9175 3800 S. WS Young Drive, Suite 201 • Killeen Steve Marsh, D.O. 254.519.1900 2300 S. Clear Creek Road, Suite 103 • Killeen Hiep Tran, M.D. 254.618.1777 2405 S. Clear Creek Road, Suite 102 • Killeen

PEDIATRIC DENTISTRY Stephen Brandt, D.D.S. 254.690.3380 1201 S. W.S. Young Drive • Killeen Todd Bushman, D.D.S. Sarah Carpenter, D.D.S. 512.206.2929 412 Lake Road • Belton Andrew Heaton, D.D.S. 254.698.0641 701 Indian Trail, Suite C • Harker Heights

PHYSICAL MEDICINE & REHABILITATION Steve Marsh, D.O. 254.519.1900 2300 S. Clear Creek Road, Suite 103 • Killeen

PEDIATRIC PODIATRY Richard Goad, D.P.M. 254.618.1888 2405 S. Clear Creek Road, Suite 350 • Killeen

PEDIATRICS Jamie Avila, M.D. 254.680.1120 3801 Scott & White Drive • Killeen Manzoor Farooqi, M.D. Renee Friday, M.D. 254.634.7337 3004 S. W.S. Young Drive • Killeen Robert Organ, M.D. Sarah Nickerson, M.D. 254.618.1704 2405 S. Clear Creek Road, Suite 310 • Killeen Omar Homsi, M.D. Daphne Wright, M.D. 254.526.8300 4102 S. Clear Creek Road., Suite 107 • Killeen Ricky Mitchell, M.D. 254.554.8773 3816 S. Clear Creek Road, Suite F • Killeen

SPECIAL NEEDS DENTISTRY Michael Harris, D.D.S. 254.307.8515 4903 Creekside Drive • Killeen

PODIATRY John Brust, D.P.M. Dale Lane, D.P.M. 254.618.1444 2405 S. Clear Creek Road, Suite 350 • Killeen H. Ashley Ledger, D.P.M. 254.519.3668 800 W CenTex Expy, Suite 155 • Harker Heights Thomas Madden, D.P.M. 254.634.3668 2301 S. Clear Creek Road, Suite 220 • Killeen William Rediske, D.P.M. 254.519.3338 2301 S. Clear Creek Road, Suite 204 • Killeen Hope Murray, D.P.M. 254.542.8637 1007 W. Highway 190, Suite B • Copperas Cove

PLASTIC SURGERY Charles R. Day, M.D. 254.526.5106 800 W. CenTex Expwy., Ste 100 • Harker Heights Susan Pike, M.D. 512.509.3963 425 University Blvd • Round Rock PSYCHIATRY, ADULT Phillip Leon, M.D. 254.519.8803 2407 S. Clear Creek Road • Killeen PSYCHIATRY, CHILD/ ADOLESCENT Vijay Jampala, M.D. 254.628.0246 Kenyatta Jones, M.D. 254.519.8803 2407 S. Clear Creek Road • Killeen Metroplex Integrated Health Clinic Wendy Johnson, PMHNP, FNP 254.519.8803 2301 S. Clear Creek Road Suite 216 • Killeen PULMONARY MEDICINE Freddie M. Morales, M.D. 254.554.3003 2301 S. Clear Creek Road, Suite 126 • Killeen Alfredo VazquezSandoval, M.D. 254.518.1904 2405 S. Clear Creek Road, Suite 210 • Killeen RHEUMATOLOGY Jeffrey W. Jundt, M.D. 254.628.5454 2301 S. Clear Creek Road, Suite 206 • Killeen

SLEEP MEDICINE Freddie M. Morales, M.D. 254.554.3003 2301 S. Clear Creek Road, Suite 126 • Killeen UROLOGY Erin Bird, M.D. Stephanie Harris, M.D. Patrick Lowry, M.D. Belur Patel, M.D. T. Philip Reilly, M.D. Marawan El Tayeb, MD Kristofer Wagner, M.D. Jeffrey Waxman, M.D. 254.618.1444 2405 S. Clear Creek Road, Suite 350 • Killeen Bernard Morris, M.D. 254.618.4320 800 W CenTex Expy Suite 370 • Harker Heights WOUND CARE & HYPERBARIC MEDICINE Heather Aguirre, DO Thomas Aycock, M.D. Katherine Lincoln, D.O. Rolland Reynolds, M.D. Charles (Tad) Stiles, M.D. H. Sprague Taveau, D.O. David Turner, M.D. 254.634.4325 2300 S. Clear Creek Rd, Suite 101 Killeen 254.519.8980 5610 E. CenTex Expy, Suite 5 • Harker Heights 512.556. 8700 608 N Key Avenue • Lampasas

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TEXAPPEALMAG.COM

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Scripted illness

Live ‘patients’ help teach future doctors at Temple College

By CATHERINE HOSMAN Photos by NAN DICKSON

M

acy Petru escorts “patient” Judy Riess into one of the examination rooms at the Clinical Simulation Center on the Temple College campus.

Riess has donned a hospital gown and sits on top of the examining table. She doesn’t feel well. She has had abdominal pain for two months, roller-coaster blood pressure and fatigue.

But Riess, 72, who is a retired nurse, isn’t really sick. She is one of several standardized patients (SPs) who act out a part to help third-year medical students pass their Objective Structured Clinical Evaluation (OSCE).

Petru, educator for the Standardized Patient Program with Baylor Scott & White, coaches Riess on her illness. “Hold your stomach, droop down some, move slowly. Your stomach hurts, it’s a dull pain.”

Petru steps aside when medical student Chad Smith walks into the room. He introduces himself to Riess before he begins the exam. “Is anyone else sick at home? Have you had a change in diet? Are there any bowel changes?” Smith asks.

Based on his observation and her presentation of illness, Smith continues to ask the same questions a doctor would in an attempt to point to a specific illness. After talking with her, he places a stethoscope to her heart and lungs. “Everything sounds good,” he says.

Lying back on the table he asks her to take a deep breath while he presses gently on her abdomen, feeling for anything unusual. He senses some tenderness. She reacts with a wince.

It’s hard to discern this teaching medical facility from an actual clinic or hospital. Each examination room and surgery suite is complete with the same equipment and tools one might find in a clinic or hospital setting.

Neil Coker, director of the Clinical Simulation Center, a partnership between Texas A&M University, Baylor Scott & White Medical Center–Temple and Temple College, says the Center has used standardized patients since it opened in 2004. “(Student) activities from the medical school began almost immediately,” he says, “including exams done after clerkships— courses the medical students take their third and fourth year.”

Student doctors get to practice on both mannequins and people. Coker says simulation with SPs assures medical students are able to see things and do things in a clinic environment with patients.

“Think of simulation as medical theater,” Coker explains.

“Kim Alssup (clinical simulation coordinator) and I are the stage managers. We listen to what the faculty wants to see happen.”

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MANNEQUINS OR PEOPLE Petru says their clinical simulation mannequins can do everything a human can do except roll out of bed and walk.

Coker adds that there are some things students need to see and be able to do that don’t always present themselves in mannequin simulations.

“A mannequin cannot express nonverbal pain,” Riess says, following her scripted performance. “A human can provide verbal feedback to enhance the learners’ communication skills, as well as show facial expressions.”

However, there are procedures that can be done on a mannequin that cannot be done on a person. For example, Petru says, “You cannot intubate Judy. But she can be a distraught family member.”

“And I have been,” chimes Riess.

In that scenario, Riess’ husband was coding out. “I was the distraught wife,” she says. “One student had to take me out of the room and bring me back in.”

Standardized patients come from all walks of life. They are retired physicians and people with medical experience (Riess is a retired psychiatric nurse).

“To be a strong SP, you have to have good memorization skills, be teachable, relatable, professional, punctual and reliable,” Riess says. “We are providing a service for future healthcare professionals.”

SPs also need to have a strong sense of confidentiality.

“We have to be able to keep things confidential,” Riess says.

“We can’t talk about it in the community.”

Both simulation mannequins and standardized patients offer learning opportunities in whatever objective skills the learner (student) is trying to perfect, Petru says—with two exceptions: SPs offer learners an opportunity to work on a live patient and they are someone who can offer immediate feedback.

“A lot of things go into it. Judy, being a psyche nurse, is aware of what some of those illnesses look like. I can trust Judy based on her experience,” Petru says.

“SPs help medical students prep for their OSCE and Step II clinical skills test for their medical license to become a doctor,” adds Riess.

“The part of what everyone stresses to us is the safety of the patient and to do things in ways that maximize patient safety,” Coker says. “This ensures that every student sees every situation they need to see to become a competent, safe practitioner.”

A DIFFERENT KIND OF TEACHER Petru is a Bell County native who grew up in Temple.

Her desire to teach came to her early in life. She graduated college with a degree in elementary education from Texas State

Retired psychiatric nurse Judy Riess mimics disease symptoms for Texas A&M University med student Chad Smith to diagnose in Temple College’s Clinical Simulation Center.

University in San Marcos.

“I felt a need to teach and educate,” she says. But she came from a family of nurses. Her mom and grandmother were nurses and her sister is currently a nurse.

“I didn’t go into elementary education, but I still wanted to go into education. I wanted to build relationships with people, grade them and teach them,” she says.

When the opportunity to become an educator for the Standardized Patient Program was presented, she didn’t hesitate.

“The job fell into my lap,” she says. “I am educating and training individuals within the community to consent to act a part of a medical condition. I also educate them to evaluate, learn and present their verbal feedback and written feedback as well (to the medical student performing the exam).”

Working with people and building relationships is natural to Petru. From age 16 to 26 she worked at H-E-B. “It was time I spent investing in the community,” she says. “I continued to work part-time while working at Scott & White. I started as a bagger and worked my way up to a lead position in the floral department.”

Today Petru shares her life with her husband, Anson, and their 3-year-old daughter, Kinsley.

“My husband and I showed pigs together in middle school with the Oenaville 4-H,” she says. “He lived in Troy and I lived in Temple.” Although they went their separate ways in high school, they were reunited in 2008 in Temple. The pair started hanging out, fell in love and married.

PRETENDING TO BE SICK There are different levels of standardized patients and they all require hands-on examination from student doctors, explains Petru.

“Level I is 90 percent of our SP pool. Actors present basic illness, like chest pain. Level II actors are classified as models.

They allow student doctors to do things on their bodies,” she explains. “Performing a real exam is different on a human being than on mannequins.”

Petru and Riess have worked together for six years. Riess says she admires Petru’s ability to be friendly, but also her ability to “run a tight ship.”

“She keeps us SPs together. Because of her training and direction to us we are always where we are supposed to be when we are supposed to be there, and know what we are supposed to say and how we are supposed to act,” says Riess.

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Miracles do happen

Dr. Ligon puts faith into practice at Body of Christ Community Clinic

By STACY MOSER Photography by JUSTIN BORJA

evenings to provide basic healthcare services to the underserved population in the Belton and Salado area. The clinic is supported by 15 local churches. More than 100 volunteers serve r. Billy Ligon says he’s no stranger to witnessing there on a regular basis, including at a dental clinic recently miracles. For him, they mostly seem to happen established nearby. “We care for people who are affected by on Thursday nights, when he volunteers as the diabetes, hypertension, asthma or even heart disease,” he says. medical director at the Body of Christ Community “Patients can see counselors here or talk to social workers who Clinic in Belton. help them find other resources in the community. We’re not an “I’ll have a long day at work at my day job and I’ll be tired, emergency room, though, and we’ll send people to the ER if they but I come in here on Thursday night and, at the end of my need urgent care. shift, I leave so energized. As a physician, you help people all day, “While we got this running, I was the director at the Baylor but here I get to help people who don’t have healthcare access, Scott & White Salado Clinic, too, where I’ve been practicing for and that’s just all the more special.

10 years. People don’t really know how That’s really the miracle for me.” much that hospital system does for He was a reluctant participant in people. They run a lot of lab tests for starting the free clinic back in 2008, us for free, for example. I’m impressed when he was a busy Baylor Scott & and proud to be part of their team and White Salado Family Medicine Clinic what they have done for people who director and father to three teenagers, can’t afford healthcare.” raising them with his wife, Melissa.

When asked about the journey “The Belton High School assistant that lead him to the field of medicine, principal, Herb Cox, was seeing a lot he explains that he was the first from of students struggle with their school his family to attend college and he work due to absences from illnesses wasn’t sure how he would afford and medical problems,” Billy explains. medical school. “I was just a poor “Many of their families didn’t have country boy—I didn’t know how I was sufficient access to healthcare. So Herb ever going to do it. When I graduated talked to the pastor of First Baptist from college, my father-in-law, who was Church in Belton, Andy Davis, about active-duty Air Force, suggested that I the problem.” talk to a military recruiter.”

The solution, according to Billy took advantage of the Air a committee formed within the Force’s health profession scholarship community, was to build a clinic in program, attending medical school at — Dr. Billy Ligon Belton to address the underserved Baylor University School of Medicine population and help families stay in Houston and then working off his healthy, enabling their kids to succeed in school. tuition by serving as a flight surgeon for a C-130 transport crew “Andy approached me about getting this clinic project in the 772nd Air Lift Squadron. “That was an exciting time started and my response was, “Ehhh … I’m super busy,” Billy for me. I saw patients while wearing a flight suit, like in a Tom smiles. “I said, ‘I’ll be happy to volunteer when you all get that Cruise movie,” he reminisces, chuckling. “We’d get on a plane going.’ I didn’t think I could spare time for it. But I got sucked and fly somewhere in the desert of the Middle East and I’d in!” he laughs. “And I’m so glad I did. think, ‘What in the world am I doing here?’ During that time, “We had no idea how to establish this clinic, what to do Scud missiles were whizzing overhead.” or how to do it. And God just—boom—laid it out for us. We’d He reflects on his time as a flight surgeon during Operation worry about what to do next and—boom—there was a solution.

Desert Storm, “Without a doubt, I think you grow through seeing For instance, Helping Hands Ministry donated a portion of hard things, like I did during those years. You work through hard this building for the clinic. This whole place, all the computers, situations and, as a physician, you hope to affect people, but they medical equipment, cabinetry, countertops, everything you see end up affecting you.” He says that those experiences taught him here, there was no fundraising. It just happened. People heard how lucky he was when he returned to civilian life. about it and came to donate things and help out. As word of This summer, Billy stepped down from his administrative mouth spread, God provided. It’s been a miracle.” role at the Baylor Scott & White Clinic in Salado, concentrating Now, the clinic is open on Tuesday mornings and Thursday on his full-time medical practice there, just in time to see his

D

“This whole place, all the computers, medical equipment, cabinetry, countertops, everything you see here, there was no fundraising. It just happened. ... As word of mouth spread, God provided.

It’s been a miracle.”

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OCTOBER & NOVEMBER 2018 | TEX APPEAL

youngest child, Chet, off to college. “We have three kids— Trevor, who’s 28 and a physical therapist; Kelley, who’s 26 and a missionary; and Chet, who’s 19. Back when Trevor and Kelley were getting older, Melissa and I thought, ‘They’re getting so big!’ So we had our just-for-fun kid, and that’s Chet.

“In August, Melissa and I dropped Chet off at college. We took a trip right afterward, but we came home and, that first night back, we both broke into tears,” he says wistfully. “We’re not sad, though. We’re happy—it’s joyful, it’s a blessing. We decided we don’t like the term ‘empty nest’ because we’re not empty, we’re free birds. Now we come home at the end of the day and say, ‘Hey, it’s just you and me!’ Like a lot of our friends, we’re ‘dating’ each other and having a lot of fun.”

Billy ponders the future mission of the Body of Christ Community Clinic and becomes animated when he discusses a

new project that’s near and dear to his heart.

“Diabetes is the number-one cause of blindness in America,” he states. “Poorly controlled diabetes affects the blood vessels of the eye. If you don’t diagnose and treat that, a patient may be at risk for progressive vision loss. Right now, at the clinic, we don’t have a dependable way to screen for diabetic retinopathy. So we’re looking at acquiring equipment that can monitor changes at the retinal arteries so an ophthalmologist can recommend early therapy. The exciting thing for me personally is that my wife also wants to volunteer and be part of this project.

“I have no doubt that, just like when this clinic was built, we shouldn’t stress about where we’ll find the resources for the new equipment—we’re just praying about it. We have the idea and we’ll take that first step, take the second step, then something wonderful will happen. We have faith.”

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BODY OF CHRIST COMMUNITY CLINIC By appointment only Medical Clinic, 8 a.m. to noon Tuesdays and 6 to 9 p.m. Thursdays 2210-B Holland Road, Belton 254-939-9500 Dental Clinic, 1 to 5 p.m. Tuesdays, 6 to 9 p.m. Thursdays 1508 Oleta St., Belton 254-613-5052 | BodyOfChristClinic.org Eligible families are uninsured, lowincome or unemployed, don’t have Medicaid, Medicare or aren’t eligible for VA services. Serves patients in the Belton and Salado Independent School Districts.

MARTHA’S HEALTH CLINIC Thursdays, 6 to 8 p.m.

1402 W. Avenue H, Temple 737-808-3320 | https://medicine.tamhsc. edu/student-organization/marthasclinic/index.html Staffed by Texas A&M medical students, this clinic serves the homeless and indigent population in Bell County.

Provides basic healthcare needs, helps with referrals to Scott & White Medical Center–Temple and offers social services resources. Prospective patients can call the number listed above and the clinic will return their call with appropriate information.

FEED MY SHEEP CHILDREN’S FREE CLINIC No appointment required Every third Saturday, 10 a.m. to noon 9:30 a.m. registration 613 S. Third St., Temple 254-239-9863 | FeedMySheepTemple.org Serving uninsured or homeless children, newborn to age 18. Patients don’t have to complete prequalification process to receive most services. The clinic offers well- and sick-child visits, vaccinations, hearing, vision and dental screenings for children. Specialty doctors regularly offer their services at the clinic, including dentistry, podiatry and dermatology.

Prescription assistance is available.

TEMPLE COMMUNITY CLINIC Monday through Friday 8 a.m. to 4 p.m.

1905 Curtis B. Elliott Dr., Temple 254-771-3374 TempleCommunityClinic.org The clinic is a resource for wellness, education and health services to qualified Bell County residents.

Offers chronic and acute illness care, prescription assistance and specialty clinics, such as cardiology, GI, podiatry, vision, dental, women’s health, dermatology, mental health and diagnostic testing. If the clinic can’t meet a patient’s needs, they utilize a network of community resources to locate the best option for care.

GREATER KILLEEN COMMUNITY CLINIC Open Mondays and Thursdays 8 a.m. to 7 p.m., Tuesdays and Wednesdays, 8 a.m. to 4 p.m., closed Fridays Mondays and Thursdays walk-in acute care — check in at 3:30 p.m.

Tuesdays walk-in acute care — check in at 8:30 a.m.

Other services by appointment only 718 N. Second St., Suite A, Killeen (inside the Killeen Arts & Activities Center) 254-618-4211 | GKFClinic.org Open to children and adults who are low-income and uninsured. Serves patients in Killeen and surrounding communities. Services include acute and chronic care, medications, mental health by referral, limited dental care, case management and health education. The clinic refers patients to an appropriate agency for any services it cannot provide.

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THE COVE HOUSE FREE CLINIC No appointments Tuesdays only; line forms at 2:30 p.m.

806 E. Avenue D, Ste. H, Copperas Cove 254-298-9817 — call to leave a message CoveHouse.org/Need-Help/Free-Clinic Serves uninsured adults and children in Killeen, Copperas Cove and Lampasas — no residency requirement. Volunteer medical professionals from Metroplex Health System, Family Medicine Clinic in Copperas Cove and Lampasas, Fort Hood, Baylor Scott & White Clinic in Copperas Cove and private practices staff the clinic. General medical services are available, including dental extractions through referral; prescriptions and assistance with labs and X-rays by referral. Clinic doesn’t make appointments and doesn’t offer emergency care.

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TexAdventures

Politics at Work: Texas State Capitol and Visitors Center

By FRED AFFLERBACH

T

exans like to brag. We do it. We like it. We’re good at it.

For example, most of us are happy to point out that the Texas Capitol is 14 feet taller than the U.S. Capitol. But a visit to that unmistakable landmark in downtown Austin reveals a surprising backstory. A monumental land swap, a stubborn governor who insisted on native Texas building materials and a labor strike all factored into construction of what was in 1888 the seventh-largest building in the world.

But most surprising about the Texas Capitol construction is probably the price tag: Zero. Zilch. Nada.

“One thing that people find amazing is that no taxpayer dollars were used to build the Capitol,” says tour director Elizabeth Garzone. “We traded land for it. We traded some 3 million acres of land to some developers from Chicago. And they spent their money to build the Capitol.”

About 1.3 million folks tour the Capitol annually. That includes native Texans, newcomers, tourists from Europe, Africa, Asia. Many use the brochures available at the south entrance and venture out on their own. But even with a map, it’s easy to get lost in the cavernous maze of hallways and staircases and arches— and an underground extension larger than the original building. To keep from getting overwhelmed and to gather further insight, you can take a 45-minute tour.

“The tour is going to give them the history of the building, a little bit about architecture and art and Texas history,” Garzone explains.

Guided tours begin every half hour to 45 minutes, seven days a week. Like construction costs from 130 years ago, they cost nothing. And that Texas hospitality we are so proud of is manifest in docents such as native Austinite Sarah Garcia.

“Everyone who works here as a tour guide is here because they want to be,” Garcia says. “And we have all walks of life. We have ladies in their 70s; and we have students.”

Many historical monuments can be found on the grounds of the Capitol complex.

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Visitors can take a look at the House chambers during a tour of the Capitol in Austin.

Inside the rotunda, recent Texas governors’ portraits look down on visitors. Ann Richards, George W. Bush and Rick Perry peer down at you from the circular limestone walls on the first floor while earlier governors’ portraits, such as Dan Moody and Miriam, “Ma,” Ferguson of Temple, hang upstairs.

Looking up from the art deco, terrazzo tile floor to the highest point of the dome interior may require a set of binoculars.

From the Lone Star Seal on the floor to the Lone Star Seal affixed to the inside of the dome is 218 feet. Garcia says the Statue of Liberty without her pedestal would fit snugly inside the rotunda.

The two largest rooms in the capitol— House and Senate chambers—are living Texas history museums. Historic paintings of the Battle of the Alamo and San Jacinto, vintage wagon-wheel chandeliers and century-old walnut desks take you back to a time when horses and buggies rolled down Congress Avenue. Because the Capitol is a working office building, these rooms are off limits when the Senate and House are in session. (But the lawmakers meet for only 140 days on odd-numbered years.)

The 302-foot high Capitol sits on an emerald-green, 22-acre preserve in the heart of downtown. On a warm August morning, runners, bicyclists and a woman pushing a baby stroller crisscross the grounds on various sidewalks. A young couple poses under a mighty live oak for what looks like an engagement photo.

Another woman has thrown a blanket on the lush grass and is reading a paperback. Among the towering pecans, oaks and elms, 21 statues help illuminate the Texas experience. From the early Spanish conquistadores, through the first Anglo settlements, to the Civil War and an African American History Memorial, Texas history comes to life through these bronze statues. A brochure for a self-guided tour of the Capitol grounds

The Texas State Capitol is at 1100 Congress Ave. in downtown Austin. The unmistakable landmark has a remarkable history you can discover while visiting the complex.

is available inside the south entrance.

out of business after 27 years when the owners had to begin selling parcels to pay creditors.

CAPITOL VISITORS CENTER OFFERS MORE TEXAS HISTORY Another interesting exhibit chronicles how the deal between Adjacent to the Capitol grounds sits a medieval, castle-style the state and the Chicago developer was rife with controversy building that housed the Texas General and clouded with layers of dubious deals.

Land Office in the 1880s when noted After Governor John Ireland insisted on IF YOU GO author O. Henry worked there. Today it using Texas building materials, red granite Texas State Capitol: 1100 is home to the Capitol Visitors Center, a quarried near Marble Falls was selected Congress Ave., Austin, TX 78701 fascinating museum that serves as a worthy over an earlier choice, Indiana limestone, The building is open to the companion to the Capitol. (After touring and construction was apparently ready to public weekdays from 7 a.m. to 10 the Capitol, your friendly tour guide will commence. But in a cost-cutting strategy, p.m. and weekends from 9 a.m. to 8 point you toward the Visitors Center.) the Chicago developer demanded that p.m.

Here you will find a fascinating exhibit cheap labor from a nearby prison be Free guided tours begin every that details how a Chicago development used. The state agreed to provide 500 30 to 45 minutes: Monday–Friday company built the capitol with its own convicts at 65 cents a day per man. A 8:30 a.m. to 4:30 p.m.; Saturday funds, about $3.7 million, in exchange for public protest then ensued with claims of 9:30 a.m. to 3:30p.m.; Sunday noon 3 million acres in the far reaches of the using slave labor. But, according to the to 3:30 p.m. Check in at the south Panhandle. But in the1880s, the land was exhibit, “the real opposition came from a entrance. Teachers can book tours for worth only about 50 cents an acre. Rather prolonged and bitter campaign launched their classes by calling ahead. Foreign than selling it at a loss, the developers by the Granite Cutters National Union. language tours, large group tours also enlisted a successful cattle breeder and The controversy extended from Texas to available. Call 512-305-8402 rancher, Burton, “Barbecue,” Campbell Scotland to New York and provided a Free parking for the first two and founded the XIT Ranch. test for the newly enacted Alien Contract hours at the visitor parking garage: Fencing the ranch was a monumental Labor Law.” The labor union eventually San Jacinto and 13th Street. project. When all 240 railroad cars of won a court battle in New York and Information for special tours, barbed-wire were stretched from post construction resumed. such as Women in Texas History and to post, the fence ran 150 miles south Regardless of whether you’re from the Rest in Peace (for Halloween) can be along the New Mexico state line, then Lone Star State or one of the other 49, the found at tspb.texas.gov/plan/tours/ back east a short distance and160 miles friendly folks down in Austin are glad to tours.html northwest in a jigsaw route. The XIT at point out the art, the history, the politics its zenith employed 130 men and owned and architecture of our Capitol. But more nearly 1,900 horses. But low cattle prices, predators and rustlers importantly, they embody the true spirit of Texas—friendliness. hampered the operation. The XIT never turned a profit. It went Now that’s something to really brag about.

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ADVERTISERS INDEX A.Y.A.D.D. Outreach.....................................................................48 AFC Urgent Care.............................................................................7 American Foundation.................................................................... 11 Atmos Energy..................................................................................39 Bell County Museum......................................................................79 Bellah Therapies.............................................................................52 Bellezza Medical Aesthetics.............................................................33 Budget Blinds..................................................................................39 Central Texas College................................................................ 62-67 Central Texas Exposition................................................................ 16 Choices Fitness Studio...................................................................78 Clear Creek Family Dental........................................................54-55 Cornerstone Gardens.....................................................................58 Coryell Memorial Hospital.............................................................59 Crotty Funeral Home..................................................................... 14 Cultural Activities Center..............................................................59 Curtis Cook Designs......................................................................79 Document Solutions.......................................................................15 Dr. William Louis...........................................................................57 Dubois Furniture............................................................................83 Ellis Air Systems..............................................................................45 English Maids.................................................................................39 Extraco Banks,Temple/Local............................................................2 Fitness Beyond Training.................................................................33 Forest Trail Dental..........................................................................49 Garden Estates..................................................................................5

Interim Healthcare..........................................................................53 Just Chiropractic.............................................................................53 Killeen Vision Source.....................................................................47 Lastovica Jewelers............................................................................73 Legacy Dental..................................................................................48 MedPro Homes...............................................................................57 Metroplex..........................................................................................3 Metroplex Clinic............................................................................. 51 Metroplex Foundation....................................................................79 Omega Builders.............................................................................. 41 Pain Specialists................................................................................60 Pazmino Dentistry..........................................................................56 Precious Memories.......................................................................... 61 Premier ER & Urgent Care...............................................Back cover Seton Medical Center Harker Heights...................................... 12-13 Smile At The World Orthodontics...........................................33,50 Temple College............................................................................... 14 Temple Railroad & Heritage Museum...........................................78 Tex Appeal .....................................................................................47 Total Retirements Wealth Management Firm................................82 University of Mary Hardin-Baylor............................................. 18-19 Visiting Angels................................................................................49 Walker Honey Farm........................................................................ 16 Z Medical Aesthetics....................................................................... 11

The Advertisers Index is published for reader convenience. Every effort is made to list information correctly. The publisher is not responsible for errors or omissions.

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OCTOBER & NOVEMBER 2018 | TEX APPEAL

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