Exceptional Kids

Volume 5 Issue 3

FREE

Resources for Transitioning to Adulthood

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Before her baby, Amber, was born four months early, Adriana Zepeda had never heard of the clinical trials that would save her daughter’s life. But thanks to the expertise and relentless care of University Health System’s Level IV NICU team, Amber was one of the first babies in the country to benefit from a new medication that would correct her life-threatening digestive problem.

In partnership with UT Health San Antonio, we are always thinking beyond conventional medicine, so that we can find new ways to save lives and restore health.

See Amber’s story at thinkingbeyond.net

Thinking beyond

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Improving Healthcare for Children

Pediatric Respiratory Home Medical Equipment Improving Healthcare for Children wavehealthcare.com • 866-935-WAVE (9283)

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Our Mission “Clinical excellence, extraordinary service and compassionate care is our foundation for improving the quality of life for those we serve.”

Enteral Products & Services

Respiratory Products & Services

Registered Dietitians, Customer Service Technicians are available 24 hours a day/365 days per year to service your needs.

Alliance Medical Supply’s Respiratory Therapists are on call 24/7 for emergencies for on-going support to assure the finest experience possible.

210-737-2444

www.alliancemedicalsupply.com

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Volume 5, Issue 3 CONTENTS Exceptional Kids, LLC P. O. Box 34062 San Antonio, TX 78265 Cell 210-867-7202 Fax 1-866-533-0923

7 9 25

Kameron Chicoine Owner, Publisher, Mom kameron.exceptionalkids@gmail.com www.ExceptionalKidsTexas.com

26 27 28 31

What are Life Care Planning Steps?

We’ve Got a Problem…A GrownUp Problem.

Adulting: Encourage your kids to be their own health advocates Eco-Impressionist – Grant Maniér I’m an ADULT!...Am I ready for this?

Supported Decision Making Agreements, Powers of Attorney, Guardianship, Oh My! Be Prepared for Flu Season

Dear Readers, I attended the Texas Parent to Parent Conference and had an opportunity to meet a very talented young man, Grant Maniér and his Mom, Julie Coy Maniér. Grant is a young talented Eco-Artist combining his art form and autism . They have also co-authored their first children’s book; Grant the Jigsaw Giraffe ~Different is MORE. Please read their amazing story on pages 26 & 27.

Transitioning from a teenager to an adult can be very overwhelming. Once your child turns the age of 18 they will have a change in physicians, benefits from insurance to social security and/or disability benefits to name a few. And, for parents, planning for the future, what happens if I am no longer able to take care of my son or daughter. Is a life care plan set up?

We have physicians and professionals who have written some very informative articles to address many of these concerns for both you and your adult child.

If you are looking for a Pediatrician check out our website at www.ExceptionalKidsTexas.com. We could not publish Exceptional Kids without our wonderful advertisers. Please let them know you saw them in Exceptional Kids.

Kameron Chicoine, Publisher Exceptional Kids Magazine is published periodically. Exceptional Kids® is registered in US Patent & TM Office., Exceptional Kids, LLC, San Antonio, TX 78265, (210) 657-2665. No part of this magazine may be reproduced without the express written consent of Exceptional Kids, LLC. Neither the publisher nor the advertiser are responsible for errors, misprints, omissions or any misinformation

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Please Say You Saw Us In Exceptional Kids

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Private Duty Nursing and Therapy The support

team you have been looking for!

•24/7 RN on Call •Meet and Greets Between Families and Nurses •Clinical and Office Support

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Celebrating Children of All Abilities, Treating Them As Our Own Work for a family owned business with career opportunities and great benefits.

Apply now at: http://texaskidshometherapy.com/careers

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Contact Us: 210-360-1662 Se Habla Español 24/hr nursing line 210-618-7476

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Special needs require SpecialCare.

When you’re ready, we’re here to help. MassMutual’s SpecialCare program provides access to information, specialists and financial products and services to help families facing the financial responsibilities of raising a child with a disability or other special needs. To learn more about how a financial professional can help your family, visit MassMutual.com/SpecialCare MassMutual South Texas Special Care Planning Team 210-660-3992 www.SouthTexas.MassMutual.com DScrimpshire@financialguide.com

A general agency of Massachusetts Mutual Life Insurance Company (MassMutual), Springfield, MA 01111-0001. Local firms are sales offices of MassMutual, and are not subsidiaries of MassMutual or its affiliated companies. Insurance products issued by MassMutual, Springfield, MA 01111, and its subsidiaries, C.M. Life Insurance Co. and MML Bay State Life Insurance Co., Enfield, CT 06082. Securities offered through MML Investors Services, LLC, Member SIPC and a MassMutual subsidiary. Supervisory Office: 10101 Reunion Place, One Union Square, Suite 300, San Antonio, TX 78216-4157.

210-342-4141. CRN202106-249425

What are Life Care Planning Steps?

A Special Care Planner specializes in working with caregivers to provide counsel, direction, and solution’s for special needs caregivers to ensure that both the current and future sustainable needs of the dependent are met. These professional advisors do this by: • Identifying and addressing the primary issues that special needs caregivers have with regards to sustainable care for the child/dependent • Create a life care plan vision by discussing goals, dreams, wishes and visions for the future care of your loved one.

• Discussing guardianship and alternatives. Because this is such a personal decision it is critical that the entire support group/family be included in these discussion • Identifying available resources that will be available to perpetuate the funding of the child/dependent • Determining the cost of life care! Because dependents will often times outlive a caregiver, it is critical that the quantification of future costs be assessed so that the assets left behind to help supplement the ongoing need is sufficient to cover these supplemental needs.

• Preparing a Letter of Intent that essentially provides a set of ‘instructions’ to offer the custodian/caregiver a set of intimate insights to the child/dependent’s

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needs, desires, limits, expectations, etc. This document is a living, breathing, liquid document that provides any future caregiver guidance on how best to meet the dependents needs.

• Helping to provide insight and guidance in setting up and preparing the legal documents necessary to help ensure the smooth transition at the passing of the primary caregiver. These documents will require the use of a qualified special needs planning attorney in setting up guardianship, last will and testament, and special needs trusts.

The effort in creating a life care plan for a loved one is a difficult journey. The benefits of creating one however ensure that those that we care for have the best possible chance for sustained care.

For more information on how the Special Care Planning Team can help you with your planning needs, contact Darren Scrimpshire, Special Care Planning Team leader, dscrimpshire@financialguide.com or 210-384-5366.

The Special Care Planning Team of MassMutual South Texas is an innovative outreach initiative. We have members of our team with the Chartered Special Needs Consultant (ChSCP) designation from the American College.

Local firms are sales offices of Massachusetts Mutual Life Insurance Company (MassMutual), and are not subsidiaries of MassMutual or its affiliated companies. Neither MassMutual South Texas nor any of its employees or agents are authorized to give legal or tax advice. Consult your own personal attorney legal or tax counsel for advice on specific legal and tax matters.

Please Say You Saw Us In Exceptional Kids

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We’ve Got a Problem.. A Grown-Up Problem.

Ruchi Kaushik, MD, MPH August 14, 2019 We’ve got a problem. A grown-up problem. It’s certainly a GOOD problem to have, but, nevertheless, still a problem, and similar to all problems, it needs a solution.

A grown-up solution.

Today’s medical knowledge and technology have allowed us to improve survival and quality of life for children with special health care needs. Fortunately, more than four out of five children born today with chronic conditions will live into adulthood.1 As of 2010, more than half of all individuals with cystic fibrosis were adults.2 And over the next decade, roughly 90,000 persons with congenital heart disease are expected to enter adulthood.3 Indeed, there are currently 18 million young adults 18-21 years of age, one in five of whom have a chronic condition.4 And, yet, pediatricians remain so attached to our patients. We are afraid to let go or afraid adult doctors will not be comfortable caring for our patients; similarly, our patients are afraid of moving on and not ready to trust a new provider.5 But it is time to face our fears. Evidence suggests that health outcomes for young adults with chronic conditions are improved when they have smoothly transitioned into an adult model of care.6 So, why can’t pediatricians just continue to see young adults with conditions that begin in the womb or early childhood? Well, while we are great at immunizing, developmental screening, and discussing safety topics, we may not be so great at recognizing signs of diseases of adulthood, discussing family planning, or recalling the timing of other important preventive screenings (eg mammograms, cholesterol tests). Certainly, these are all topics we can brush up on, but what’s more important than transferring to adult care is transitioning to the adult model of care.

Fortunately, the National Alliance to Advance Child Health has developed “Got Transition”7, a partnership with the Maternal and Child Health Bureau aimed to help young adults and families with health care transition via its website, www. gottransition.org. The site’s resources can assist with understanding their pediatrician’s transition policy, checking to see if your teen is transition ready, keeping a portable medical summary, and transferring care.

It’s helpful to keep a checklist. The Children’s Hospital of San Antonio Adolescent Transition and Adult Care Committee has created a list of the different aspects of health care transition:

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• Locating Adult Health Care Providers • Insurance and Care Coordination • Managing Appointments • Managing Medications • Managing Equipment and Therapies • Managing Medical Information/Record Keeping • Medical Decision-Making/Conservatorship This checklist and many other helpful resources are also available on our Transition Webpage, www. chofsa.org/transition. A great first step is to locate where you are in the process. Does your teen know the name of her specialist or the doses of her medicines? Can she find the phone number to her insurance company? Ask your teen to complete the Transition Survey (available in English and Spanish), which will highlight her strengths and her opportunities to learn.

Other Health Care Transition resources include Navigate Life Texas (www.navigatelifetexas.org) and Texas Parent to Parent Pathways to Adulthood Transition Program (www.txp2p.org).

You’ve been an advocate for your child for over a decade, and this has provided the greatest role modeling for her to now advocate for herself.

Encourage her to make an appointment and talk to her pediatrician today about the next step in her future.

Ruchi Kaushik, MD, MPH, FAAP Assistant Professor, Pediatrics Chair, Adolescent Transition and Adult Care Committee Medical Director, ComP-CaN (Comprehensive Peds for Complex Needs) Medical Director, Children's Hospital of San Antonio Blog (CHofSAblog.org) Baylor College of Medicine Children's Hospital of San Antonio 1) Reid GJ, Irvine MJ, McCrindle BW, Sananes R, Ritvo PG, Siu SC, Webb GD. Prevalence and correlates of successful transfer from pediatric to adult health care among a cohort of young adults with complex congenital heart defects. Pediatrics. 2004;113(3 Pt 1):e197-205.

2) Tuchman LK, Schwartz LA, Sawicki GS, Britto MT. Cystic fibrosis and transition to adult medical care. Pediatrics. 2010;125(3):566573.

3) Warnes CA, Liberthson R, Danielson GK, Dore A, Harris L, Hoffman JIE, Somerville J, Williams RG, Webb GD. Task force 1: the changing profile of congenital heart disease in adult life. Journal of the American College of Cardiology. 2001;37(5):1170-1175.

4) Transition of PSHCNs to adult medical care webinar series. NYMAC. http://aapdc.org/event/transition-of-pshcns-to-adult-medicalcare-webinar-series/2015-02-11/. Accessed March 15, 2019.

5) O’Sullivan-Oliveira J, Fernandes SM, Borges LF, Fishman LN. Transition of pediatric patients to adult care: an analysis of provider perceptions across discipline and role. Continuing Nursing Education. 2014;40(3):113-142.

6) Tuchman L, Schwartz M. Health outcomes associated with transition from pediatric to adult cystic fibrosis care. Pediatrics.

2013;132(5):e847-853.

7) Got Transition. gottransition.org. https://www.gottransition.org/ index.cfm?. Accessed March 15, 2019.

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RESOURCE DIRECTORY For our complete list of resources go online to www.ExceptionalKidsTexas.com uDonateu

ABA THERAPY

ADAPTIVE MUSIC EDUCATION/PERFORMANCE

ABA & Behavioral Services, LLC 210-885-3481

uDreams Fulfilled Through Music 210-771-5809 PO Box 40548 www.dftm.org

AdBance – Behavioral Health 844-568-2001 info@adbance.com www.AdBance.com

ADAPTIVE SPORTS

uKinetic Kids 210-748-5860 11931 Starcrest Dr info@kinetickidstx.org www.kinetickidstx.org

uAutism Treatment Center 210-590-2107 15911 Nacogdoches Rd Building 2 www.atcoftexas.org Behavioral Innovations Pg 30 855-782-7822 Serving San Antonio & surrounding area info@startaba.com www.behavioral-innovations Bloom Behavior & Educational Solutions 210-643-1119 www.bloom-aba.net Blossom Center for Children 210-415-9626 14235 Blanco Rd info@blossomcenterforchildren.com www.blossomcenterforchildren.com

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uAllergy & Asthma Network 800-878-4403 8229 Boone Blvd Suite 260, Vienna, VA www.allergyasthmanetwork.org

WaterWayBabies aka Wee Water Ways, LLC 512-422-3317 nancy@waterwaybabies.com www.waterwaybabies.com

ASSISTANCE DOGS

ADAPTIVE EQUIPMENT/MEDICAL SUPPLIES

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Blossom Center for Children 210-415-9626 14235 Blanco Rd info@blossomcenterforchildren.com www.blossomcenterforchildren.com

AQUATICS/SWIMMING & BATH AIDS

Empower Behavioral Health 210-447-0039 9314 Ryder Road, San Antonio, TX 78254 www.EmpowerBH.com

Stacy’s Sensory Solutions 972-599-1220 1220 Coit Road Suite 102, Plano, TX Stacy@stacysss.com www.stacysss.com

ADHD & AUTISM CONSULTANTS

ALLERGY AND ASTHMA GROUP Pg 30

Champion Pediatric Therapy 210-858-5006 20818 Gathering Oak Suite 106 www.championpediatrictherapy.com

Alliance Medical Supply 210-737-24444 10643 Sentinel St www.AllianceMedical Supply.com

(COMPETITIVE & RECREATIONAL)

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uCanine Companions for Independence 7710 Las Colinas Ridge, Irving, TX 214-259-4700 www.cci.org

AUTISM RESOURCES uAutism Lifeline Links (ALL) https://autismlifelinelinks.org/

CASE MANAGEMENT uAny Baby Can of San Antonio 210-227-0170 217 Howard St www.anybabycansa.org

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RESOURCE DIRECTORY For our complete list of resources go online to www.ExceptionalKidsTexas.com uDonateu

CHILDREN’S BLIND & VISION IMPAIRMENT SERVICES

GENERAL COMMUNITY RESOURCES

www.unitedwaysatx.org

uSan Antonio Lighthouse for the Blind & Vision Impaired 210-533-5195 2305 Roosevelt Ave www.salighthouse.org

2-1-1 Texas is a free, anonymous social service hotline available 24 hours a day, 7 days a week, 365 days a year.

Alamo Local Authority Intellectual & Disability Services (IDD) Phone: (210) 832-5020 Fax: 1-866-689-1843 8700 Tesoro Dr. Suite 160 iddservices@aacog.com http://www.aacog.com

City of San Antonio - Utility Assistance 210-207-7830

COUNSELING PROVIDERS Catholic Charities 210-377-1133 San Fernando Community Center 231 W Commerce

DRIVING AIDS Mobility Works 1-888-608-1659 6473 DeZavala Rd. 16262 IH35N www.mobilityworks.com

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DURABLE MEDICAL EQUIPMENT & SUPPLIES Alliance Medical Supply 210-737-2444 10643 Sentinel St www.AllianceMedicalSupply.com

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WAVE Healthcare 210-593-9283 (WAVE) 4204 Gardendale Suite 104 www.wavehealthcare.com

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EDUCATION ADVOCACY RESOURCES Allergy & Asthma Network 800-878-4403 8229 Boone Blvd Suite 260, Vienna, VA www.allergyasthmanetwork.org

EDUCATIONAL SERVICES Annie Creative Studio for Wellness 917-673-4665 anniecreativestudio@gmail.com www.gabrielagamez.com

FINANCIAL ASSISTANCE Catholic Charities 210-293-1009 202 W. French Place www.ccaosa.org

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Community First Health Plans 1-855-607-7827 cfhp.com

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uDown Syndrome Association of South Texas 210-349-4372 1127 Patricia info@dsastx.org www.dsastx.org

Hill Country MHDD Centers 358 Landa Street, Suite 300, New Braunfels 888-315-3277 http://www.hillcountry.org

Kerr County MH Center 955 Water Street, Kerrville 888-445-5232 https:www.hillcountry.org

Project Warm - Bexar County Dept of Community Assistance 210-335-3666 Salvation Army 210-226-2291 226 Nolan St San Antonio Food Bank 210-337-3663 5200 Old Hwy 90 West Society of St. Vincent de Paul 210-225-7837 WIC Program 210-207-4906

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RESOURCE DIRECTORY For our complete list of resources go online to www.ExceptionalKidsTexas.com uDonateu

INDIVIDUALS WITH INTELLECTUAL SPECIAL NEEDS AGES 14 & OLDER

uEva’s Heroes 210-694-9090 11120 Wurzbach Road, Suite 300 www.evasheroes.org

LEGAL/FINANCIAL SERVICES

LifeSpan Home Health 877-434-3153 6243 IH-10 W Suite 375 www.lifespantx.com

The Law offices of Matthew L Finch, PC 210-223-1123 1515 N St Mary's St mfinch@mfinchlaw.com www.mfinchlaw.com MassMutual South Texas pg 7 Special Care Planning Team 210-660-3992 10101 Reunion Place, One Union Square, Suite 300 DScrimshire@financialguide.com www.SouthTexasMassMutual.com Packard Law Firm Alison Packard 210-340-8877 1100 NW Loop 410 #100 alison@packardfirm.com www.packardfirm.com

MEDICAID WAIVER SERVICE PROVIDERS LifeSpan Home Health 877-434-3153 6243 IH-10 W Suite 375 www.lifespantx.com

American Red Cross 210-224-5151 Pg 28

LOCAL IDD AUTHORITY (LIDDA) FOR BEXAR COUNTY AACOG IDD Services - Alamo Area Council of Governments: Intellectual & Developmental Disabilities Services 210-832-5020 8700 Tesoro Drive Suite 160 https://www.aacog.com/66/Intellectual-Developmental-Disability-Se

MEDICAL CARE

Cerebral Palsy Foundation ucp.org 210-520-1686 Epilepsy Foundation 24/7 Helpline 1-800-332-1000 (en espanol 1-866-748-8008) www.epilepsy.com Muscular Dystrophy Association (MDA) 800-572-1717 National Alliance for Mental Illness (NAMI), SA 210-734-3349

National Down Syndrome Society 800-221-4602 www.ndss.org Scleroderma Foundation www.Sclerodema.org

Pediatric Orthopedic Associates of San Antonio 210-692-1613 4499 Medical Dr #235 www.poasa.com

MEDICAID WAIVER PROGRAMS CLASS - Medically Dependent Children's Program 877-438-5658

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Texas Home Living Waiver 210-832-5020

NATIONAL ORGANIZATIONS

Weisinger Law Firm, PLLC 210-308-0800 16016 N Evans Rd, Selma WeisingerLawFirm.com

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DBMD-Deaf/Blind Multiple Disabilities Program 877-438-5658

HCS - Home & Community-Based Services Program 210-832-5020 MDCP

- Medically Dependent Children's Program 877-438-5658

Spina Bifida Association Texas Chapter 972-238-8755 Williams Syndrome 800-806-1871 www.Williams-syndrome.org

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RESOURCE DIRECTORY For our complete list of resources go online to www.ExceptionalKidsTexas.com uDonateu

OCCUPATIONAL THERAPY

San Rafael Healthcare Inc 210-255-1466 400 N Loop 1604E #350 www.sanrafaelhealthcare.com

uAutism Treatment Center 210-590-2107 15911 Nacogdoches Rd, Building 2 www.atcoftexas.org

Texas Kids Home Therapy & Nursing Pg 6 210-441-9486 Serving San Antonio & the surrounding area www.texaskidshometherapy.com

Champion Pediatric Therapy 210-858-5006 20818 Gathering Oak Suite 106 www.championpediatrictherapy.com

PHYSICAL THERAPY Champion Pediatric Therapy 210-858-5006 20818 Gathering Oak Suite 106 www.championpediatrictherapy.com

Cole Pediatric Therapy 210-488-6521 19222 Stonehue #101 info@colehealth.com www.colehealth.com San Rafael Healthcare Inc 210-255-1466 400 N Loop 1604 #3350 www.sanrafaelhealthcare.com

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Cole Pediatric Therapy 210-488-6521 19222 Stonehue #101 info@colehealth.com www.colehealth.com

RiverKids Pediatric Home Health 210-888-0368 22211 IH 10 West, #1206 www.riverkidstexas.com

San Rafael Healthcare Inc 210-255-1466 400 N Loop 1604E #350 www.sanrafaelhealthcare.com

Texas Kids Home Therapy & Nursing Pg 6 210-441-9486 Serving San Antonio & the surrounding area www.texaskidshometherapy.com PEDIATRIC HOME HEALTH &

RiverKids Pediatric Home Health 210-888-0368 22211 IH 10 West, #1206 www.riverkidstexas.com

PEDIATRIC HOME HEALTH & PRIVATE DUTY NURSING

Adaptive Health Services 8700 Crownhill Blvd #300 210-824-5530 www.adaptivehealthservices.com AQTS - Corpus Christi Access Quality Therapy Services 361-336-2082 4646 Corona Dr Suite 260 accessqualitycare.com

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AQTS - San Antonio Access Quality Therapy Services 210-361-6867 5726 W Hausman Rd Suite 100 accessqualitycare.com

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Children's Home Healthcare 8418 Fountain Circle 210-530-1098 childrenshha.com

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uRISE Therapeutic Equestrian Center home of RISE Rehab 210-268-4558 23165 Bat Cave Rd, San Antonio info@riserehab.org RISErehab.org Texas Kids Home Therapy & Nursing Pg 6 210-441-9486 Serving San Antonio & the surrounding area www.texaskidshometherapy.com

RECREATION/LEISURE ACTIVITIES uEva’s Heroes 210-694-9090 11120 Wurzbach Road, Suite 300 www.evasheroes.org uKinetic Kids 210-748-5860 11931 Starcrest Dr info@kinetickidstx.org www.kinetickidstx.org

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RESOURCE DIRECTORY For our complete list of resources go online to www.ExceptionalKidsTexas.com uDonateu

RECREATION/LEISURE ACTIVITIES uRISE Therapeutic Equestrian Center home of RISE Rehab 210-268-4558 23165 Bat Cave Rd, San Antonio info@riserehab.org RISErehab.org San Antonio Parks and Recreation Department 210-207-3018

SCHOOL ADVOCACY Special Education Advocates of Texas and the Law Office of Karen Dalglish Seal 210-226-8101 202 East Park Ave Karen@kseallaw.com www.kseallaw.com SPECIAL NEEDS ADULTS uMarbridge Foundation 512-282-1144 2310 Bliss Spillar Road, Manchaca TX info@marbridge.org Marbridge.org uRMI (Reaching Maximum Independence) 210-656-6674 6336 Montgomery info@rmihomes.org www.rmihomes.org

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West Field Office 210-522-8010 5309 Wurzbach, Suite 102

South Field Office 210-927-8300 1011 Ada St

Division for Blind Services 210-785-2750 4241 Woodcock Dr A105 www.dars.state.tx.us

Department of State Health Services (DSHS) 210-949-2000

Champion Pediatric Therapy 210-858-5006 20818 Gathering Oak Suite 106 www.championpediatrictherapy.com Cole Pediatric Therapy 210-488-6521 19222 Stonehue #101 info@colehealth.com www.colehealth.com

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STATE ORGANIZATIONS

Crime Victims Compensation 512-936-1200 www.texasattorneygeneral.gov Customer Service Line (Ombudsman) 877-787-8999 www.hhsc.state.tx.us Department of Assistive & Rehabilitative Services NOW Texas Work Force www.twc.state.tx.us

Northeast Field Office 210-590-5740 10303 Nacogdoches

uAutism Treatment Center 210-590-2107 15911 Nacogdoches Rd, Building 2 www.atcoftexas.org

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Texas Kids Home Therapy & Nursing Pg 6 210-441-9486 Serving San Antonio & the surrounding area www.texaskidshometherapy.com

North Field Office 210-561-8600 12000 Network Blvd #210

SPEECH THERAPY

San Rafael Healthcare Inc 210-255-1466 400 N Loop 1604E #350 www.sanrafaelhealthcare.com

RiverKids Pediatric Home Health 210-888-0368 22211 IH 10 West, #1206 www.riverkidstexas.com

San Antonio Housing Authority 210-477-6262

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Social Security Administration 800-772-1213

Texas Department of Family and Protective Services (TDFPS) 800-252-5400 (24 hour hotline)

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PHYSICIAN DIRECTORY Physician

Phone #

Address

Office

CHILD & ADOLESCENT PSYCHIATRY Corey M Hough MD 210-616-0300 8535 Tom Slick Clarity Child Guidance Center Kenneth Lee Matthews MD 210-978-4341 4722 Shavano Oak #102 Dr Kenneth Matthews Steven Pliszka MD 210-567-7000 7703 Floyd Curl Dr # 7792 UTHSC Kacy D Reeves DO 210-616-0300 8535 Tom Slick ClarityChild Guidance Center Richard Stribley MD 210-358-1145 4502 Medical Dr University Health System Margarita Vasquez MD 210-358-1145 4502 Medical Dr University Health System CHILD & ADOLESCENT PSYCHOLOGY Beneza Marquez PsyD 210-704-4708 333 North Santa Rosa St Childrens Hospital of SA Andrew Martinez PhD 210-704-4708 333 North Santa Rosa St Childrens Hospital of SA Elena Mikalsen PhD 210-704-4708 333 North Santa Rosa St Childrens Hospital of SA NEONATAL/PERINATAL MEDICINE Jennifer Aguilar MD 210-358-1593 4502 Medical Dr. University Health System Kaashif Ahmad MD 210-541-8281 5430 Fredericksburg Rd #508 Pediatrix Medical Group Christine Aune MD 210-541-8281 5430 Fredericksburg Rd #508 Pediatrix Medical Group Isabel M Basaldu-Prado MD 210-541-8281 5430 Fredericksburg Rd #508 Pediatrix Medical Group Michael A Battista MD 210-541-8281 5430 Fredericksburg Rd #508 Pediatrix Medical Group Timothy Biela MD 210-541-8281 5430 Fredericksburg Rd #508 Pediatrix Medical Group Cynthia L Blanco MD 210-358-1593 4502 Medical Dr University Health System Pediatrix Medical Group Katherine Brandt MD 210-541-8281 5414 Fredericksburg Rd Cynthia E Casteel MD 210-433-0366 2515 Castroville Rd Ste 2 Aguirre Practice of Pediatrics Mark H Croley MD 210-916-4244 3851 Roger Brooke Dr SAMMC Heather Delaney MD 210-541-8281 5430 Fredericksburg Rd #508 Pediatrix Medical Group Clarissa DeLeon MD 210-541-8281 5430 Fredericksburg Rd #508 Pediatrix Medical Group Lindsay DeVries MD 210-541-8281 5430 Fredericksburg Rd #508 Pediatrix Medical Group Susan A Dotzler MD 210-541-8281 5430 Fredericksburg Rd #508 Pediatrix Medical Group Matthew Egalka MD 210-541-8281 5430 Fredericksburg Rd #508 Pediatrix Medical Group San Juanita Garza-Cox MD 210-541-8281 5430 Fredericksburg Rd #508 Pediatrix Medical Group Robert K Gillette MD 210-921-8620 7400 Barlite Blvd Southwest General Hospital Alice K Gong MD 210-358-1593 4502 Medical Dr University Health System Cody L Henderson MD 210-541-8281 5430 Fredericksburg Rd #508 Pediatrix Medical Group Antonio Hernandez MD 210-358-1593 4502 Medical Dr University Health System Bernd Holler MD 210-541-8281 5430 Fredericksburg Rd #508 Pediatrix Medical Group John Isaac MD 210-541-8281 5430 Fredericksburg Rd #508 Pediatrix Medical Group Katharine Johnson MD 210-541-8281 5430 Fredericksburg Rd #508 Pediatrix Medical Group Alexander B Kenton MD 210-541-8281 5430 Fredericksburg Rd #508 Pediatrix Medical Group David T Lam MD 210-541-8281 5430 Fredericksburg Rd #508 San Antonio Pediatric

Development Services Jaclyn M LeVan DO 210-541-8281 5430 Fredericksburg Rd #508 Pediatrix Medical Group Donald McCurnin MD 210-567-5225 7703 Floyd Curl Dr UTHSC Michelle Meza MD 210-541-8281 5430 Fredericksburg Rd #508 Pediatrix Medical Group Blanca C Molina MD 210-541-8281 5430 Fredericksburg Rd #508 Pediatrix Medical Group Alvaro G Moreira MD 210-358-1593 4502 Medical Dr University Health System Maribel Morgan MD 210-541-8281 5430 Fredericksburg Rd #508 Pediatrix Medical Group Cheryl Motta MD 210-541-8281 5430 Fredericksburg Rd #508 Pediatrix Medical Group Michael Odom MD 210-358-1593 4502 Medical Dr University Health System Amil Ortiz MD 210-541-8281 5430 Fredericksburg Rd #508 Pediatrix Medical Group Timothy Pappoe MD 210-541-8281 5430 Fredericksburg Rd #508 Pediatrix Medical Group Jeffrey V Paul MD 210-541-8281 5430 Fredericksburg Rd #508 Pediatrix Medical Group Jean A Petershack MD 210-358-1593 4502 Medical Dr University Health System Maria Pierce MD 210-541-8281 5430 Fredericksburg Rd #508 Pediatrix Medical Group Jean A Petershack MD 210-358-1593 4502 Medical Dr University Health System Maria Pierce MD 210-541-8281 5430 Fredericksburg Rd #508 Pediatrix Medical Group

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Page 15

8/19/19 8:18 AM

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Phone #

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Office

NEONATAL/PERINATAL MEDICINE George C Powers MD 210-541-8281 5430 Fredericksburg Rd #508 Pediatrix Medical Group Brent Reyburn DO 210-541-8281 5430 Fredericksburg Rd #508 Pediatrix Medical Group Amy R Quinn 210-358-1593 4502 Medical Dr University Health System Steven Seidner MD 210-358-1593 4502 Medical Dr University Health System Syed K Shah MD 210-358-1593 4502 Medical Dr University Health System Richard F Stribley MD 210-358-1593 4502 Medical Dr University Health System Margarita Vasquez MD 210-358-1593 4502 Medical Dr University Health System Vivek Vijayamadhavan MD 210-541-8281 5430 Fredericksburg Rd #508 Pediatrix Medical Group Mary E Wearden MD 210-541-8281 5430 Fredericksburg Rd #508 Pediatrix Medical Group Jean Woodman MD 210-541-8281 5430 Fredericksburg Rd #508 Pediatrix Medical Group PEDIATRIC ALLERGIST Edward Brooks MD 210-358-5437 903 W Martin St University Health System Araceli Elizalde MD 210-704-4708 333 North Santa Rosa St Childrens Hospital of SA Gordana Gligoric MD 210-807-3889 4242 Medical Drive #6100 Asthma Allergy Sinus Center Jesus Guajardo MD 210-358-5437 903 W Martin St University Health System Mark Stahl DO 210-704-4708 333 North Santa Rosa St Childrens Hospital of SA Hazel F Villa MD 210-358-5437 903 W Martin St University Health System Donna B Willey-Courand MD 210-358-5437 903 W Martin St University Health System PEDIATRIC AUDIOLOGY Adriana Cervantes AuD CCC-A 210-704-4708 333 North Santa Rosa St Childrens Hospital of SA Jennifer Frank AuD CCC-A FAAA 210-704-4708 333 North Santa Rosa St Childrens Hospital of SA Ashley Garcia AuD CCC-A FAAA 210-704-4708 333 North Santa Rosa St Childrens Hospital of SA Childrens Hospital of SA Yolanda Holguin AuD CCC-A 210-704-4708 333 North Santa Rosa St Richard Schmeling MS CCC-A 210-704-4708 333 North Santa Rosa St Childrens Hospital of SA PEDIATRIC BARIATRIC MEDICINE Suzanna Cuda MD 210-704-4708 333 North Santa Rosa St Childrens Hospital of SA PEDIATRIC BEHAVIORAL HEALTH Benza Marques PsyD 210-704-4708 333 North Santa Rosa St Childrens Hospital of SA Andrew Martinez PhD 210-704-4708 333 North Santa Rosa St Childrens Hospital of SA Elena Mikalsen PhD 210-704-4708 333 North Santa Rosa St Childrens Hospital of SA PEDIATRIC CARDIOLOGY Pediatric Cardiology Associates Kristy Borgman MD 210-614-3264 4499 Medical Dr #289 David Brennan MD 210-614-3264 4499 Medical Dr #289 Pediatric Cardiology Associates David Bush MD 210-614-3264 4499 Medical Dr #289 Pediatric Cardiology Associates Ashley Cooley MD 210-341-7722 1901 Babcock Rd #301 Childrens Heart Network Patrick F Glaslow MD 210-341-7722 1901 Babcock Rd #301 Childrens Heart Network Pediatric Cardiology Associates Brian Goldstein MD 210-614-3264 4499 Medical Dr #289 Teresa A Hospers MD 210-614-3264 4499 Medical Dr #289 Pediatric Cardiology Associates Pooja Kashyap MD 210-614-3264 4499 Medical Dr #289 Pediatric Cardiology Associates Catharine Kollars MD 210-614-3264 4499 Medical Dr #289 Pediatric Cardiology Associates Da-Hae Lee MD 210-402-0473 525 Oak Centre Dr #200 South Texas Perinatal Cardiology Camila Londono-Obregon MD 210-614-3264 4499 Medical Dr #289 Pediatric Cardiology Associates Richard Lorber MD 210-704-4708 333 North Santa Rosa St Childrens Hospital of SA Nitin Madan MD 210-704-4708 333 North Santa Rosa St Childrens Hospital of SA Elaine Maldonado-Campbell MD 210-341-7722 1901 Babcock Rd #301 Childrens Heart Network Steven R Neish MD 210-341-7722 1901 Babcock Rd #301 Childrens Heart Network Pediatric Cardiology Associates Olawale Olabiyi MD 210-614-3264 4499 Medical Dr #289 Mehul Patel MD 210-614-3264 4499 Medical Dr #289 Pediatric Cardiology Associates Mary E Porisch MD 210-614-3264 4499 Medical Dr #289 Pediatric Cardiology Associates Jose R Robolledo MD 210-222-2175 343 W Houston St #811 Jose R Rebolledo MD Harinder Singh MD 210-704-4708 333 North Santa Rosa St Childrens Hospital of SA Justin Weigand MD 210-704-4708 333 North Santa Rosa St Childrens Hospital of SA Rolando Zamora-Salinas MD 210-614-3264 4499 Medical Dr #289 Pediatric Cardiology Associates Page 16

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8/20/19 11:36 AM

PHYSICIAN DIRECTORY Physician

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Address

PEDIATRIC CARDIOTHORACIC SURGERY John H Calhoon MD 210-562-5378 4502 Medical Dr David Lehenbauer MD 210-562-5378 4502 Medical Dr Muhammad “Ali” Muntaz MD 210-704-4708 333 North Santa Rosa St Daniel Nento MD 210-704-4708 333 North Santa Rosa St PEDIATRIC CHILD ABUSE (REFERRAL ONLY) Nancy Kellogg MD 210-704-3800 903 W Martin St Natalie Kissoon MD 210-704-3800 903 W Martin St James Lukefahr MD 210-704-3800 903 W Martin St Laura Spiller MD 210-704-3800 903 W Martin St PEDIATRIC CRANIOFACIAL ANOMALIES Lisa Buckmiller MD 210-704-4708 333 North Santa Rosa St Alejandra Garcia MD 210-615-8757 4499 Medical Dr #347 Peter TH Wang MD 210-615-8757 4499 Medical Dr #347 PEDIATRIC CRITICAL CARE Elumalai Appachi MD 210-704-2011 333 North Santa Rosa St Veronica Armijo-Garcia MD 210-743-2100 903 W Martin St Utpal Bjalala MD 210-704-2011 333 North Santa Rosa St Maria Camacho MD 210-704-2011 333 North Santa Rosa St Candace K Campos MD 210-575-8000 7700 Floyd Curl Dr Jon Courand MD 210-743-2100 903 W Martin St Anh T Dinh MD 210-743-2100 903 W Martin St Rogelio Garcia-Jacques MD 210-704-2011 333 North Santa Rosa St Daniel Gebhard MD 210-743-2100 903 W Martin St Karen L Guillory MD 210-575-6919 4410 Medical Dr Punkaj Gupta MD 210-575-6919 4410 Medical Dr Michelle L Habash DO 210-743-2100 903 W Martin St Amy D Holder MD 210-575-6919 4410 Medical Dr Caroline Jones MD 210-575-6919 4410 Medical Dr Danny M Kofos MD 210-575-6919 4410 Medical Dr Kristina M Kypuros MD 210-575-6919 4410 Medical Dr Adriana M Lopez MD 210-575-6919 4410 Medical Dr Thomas C Mayes MD MBA 210-567-5200 7700 Floyd Curl Dr Andrew Meyer MD MS 210-743-2100 903 W Martin Abhishek Patel MD 210-704-0211 333 North Santa Rosa St Matei Petrescu MD 210-704-2011 333 North Santa Rosa St Clinton A Pietz MD 210-743-2100 903 W Martin St Joel A Reyes DO 210-704-2011 333 North Santa Rosa St Daniel J Sedillo MD 210-704-3718 315 N San Saba #1003 Minnette G Son MD 210-743-2100 903 W Martin St Neeraj Srivastava MD 210-704-2011 333 North Santa Rosa St Richard P Taylor MD 210-562-5816 7703 Floyd Curl Dr #7829 Patricia P Tenner MD 210-575-6919 4410 Medical Dr Timothy Tong MD 210-404-2011 333 North Santa Rosa St Kristi M Whitenton MD 210-656-4878 17323 IH 35 N #113 Clinton Woosley MD 210-704-2011 333 North Santa Rosa St Theodore T Wu MD 210-743-2100 903 W Martin St PEDIATRIC CYSTIC FIBROSIS Martha Morse MD 210-704-4708 333 North Santa Rosa St Felix Shardonofsky MD 210-704-4708 333 North Santa Rosa St Donna B Willey-Courand MD 210-743-8600 903 W Martin St PEDIATRIC & ADULT DENTAL ANESTHESIOLOGIST Ken Smith MD 855-717-2273 30745 US 281 N (Bulverde)

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Office University Health System University Health System Childrens Hospital of SA Childrens Hospital of SA University University University University

Health Health Health Health

System System System System

Childrens Hospital of SA San Antonio Pediatric Surgery San Antonio Pediatric Surgery Childrens Hospital of SA University Health System Childrens Hospital of SA Childrens Hospital of SA UTHSC University Health System University Health System Childrens Hospital of SA University Health System Pediatric Cardiac Critical Care Pediatric Cardiac Critical Care University Health System Pediatric Cardiac Critical Care Pediatric Cardiac Critical Care Pediatric Cardiac Critical Care Pediatric Cardiac Critical Care Pediatric Cardiac Critical Care UTHSC University Health System Childrens Hospital of SA Childrens Hospital of SA University Health System Childrens Hospital of SA Childrens Clinic University Health System Childrens Hospital of SA UTHSC Pediatric Cardiac Critical Care Childrens Hospital of SA Little Spurs Pediatric Urgent Care Childrens Hospital of SA University Health System Childrens Hospital of SA Childrens Hospital of SA University Health System Hill Country Special Care Dental Center Page 17

8/19/19 8:24 AM

PHYSICIAN DIRECTORY Physician

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Office

PEDIATRIC DENTISTS Kristopher Bennion DMD 830-625-1234 610 Landa St New Braunfels Childrens Dental Ark Carlen Palmer Blume DDS 210-614-3334 8366 N Loop 1604 West #108 Blume Pediatric Dentistry Nelly Gonzales DDS 210-679-4747 9910 W Loop 1604 N #122 Dentistry for Little Folks Sheila Hernandez-Dum DMD 210-694-2700 8202 N Loop 1604 Ste 104 Childrens Dentistry Jeffrey Mabry DDS 210-704-2206 333 North Santa Rosa St Childrens Hospital of SA Jennifer Ochoa DDS 210-679-4747 9910 W Loop 1604 N #122 Dentistry for Little Folks Cheryl Sellers DDS 830-625-1234 610 Landa St New Braunfels Childrens Dental Ark PEDIATRIC & ADULT DENTISTS Henry Chu DDS PA 210-877-0000 15900 La Cantera Pkwy # 20250 Chu Dental Group PEDIATRIC DERMATOLOGY Emily Becker MD 210-829-5180 3320 Oakwell Court TX Dermatology & Laser Spec John C Browning MD 210-829-5180 3320 Oakwell Court TX Dermatology & Laser Spec PEDIATRIC DEVELOPMENT Meena Chintapalli MD 210-490-8888 1314 E Sonterra Blvd #5102 A Thru Z Pediatrics Pediatrix Medical Group Mario A Fierro MD 210-614-5539 5430 Fredericksburg Rd Patricia M Harkins MD 210-692-3439 4118 Pond Hill Rd #200 Harkins & Associates PEDIATRIC EAR NOSE & THROAT Lisa Buckmiller MD 210-704-4708 333 N Santa Rosa Childrens Hospital of SA Mark Boston MD 210-704-4708 333 N Santa Rosa Childrens Hospital of SA Marisa A. Earley MD 210-358-6700 903 W Martin St Robert B Green Campus Taylor Fordham MD 210-704-4708 333 N Santa Rosa Childrens Hospital of SA Timothy McEvoy MD 210-358-0500 4502 Medical Dr University Hospital PEDIATRIC EMERGENCY MEDICINE Brian Bates MD 210-704-2011 333 North Santa Rosa St Childrens Hospital SA Maria Berkenkamp MD 210-293-6009 7700 Floyd Curl Dr Maria Berkenkamp MD Deborah L Callanan MD 210-704-4130 333 North Santa Rosa St Childrens Hospital SA Santos Cantu MD 210-704-2011 333 North Santa Rosa St Childrens Hospital SA Vivian Carlin MD 210-704-2011 333 North Santa Rosa St Childrens Hospital SA Alberto Carranza MD 210-704-2011 333 North Santa Rosa St Childrens Hospital SA Dale D DuBois MD 210-293-6030 7700 Floyd Curl Dr Dale D DuBois MD Maria Johnson MD 210-704-2011 333 North Santa Rosa St Childrens Hospital SA Jendi Haug MD 210-704-2011 333 North Santa Rosa St Childrens Hospital SA Mary Kirkeldall MD 210-704-2011 333 North Santa Rosa St Childrens Hospital SA Heather Kleczewski MD 210-704-2011 333 North Santa Rosa St Childrens Hospital SA Ashu Kumar DO 210-704-2011 333 North Santa Rosa St Childrens Hospital SA William Langston MD 210-704-2011 333 North Santa Rosa St Childrens Hospital SA Tracy McCallin MD 210-704-2011 333 North Santa Rosa St Childrens Hospital SA Farooq Mirza MD 210-704-2011 333 North Santa Rosa St Childrens Hospital SA Thomas R Nagel MD 210-704-2011 333 North Santa Rosa St Childrens Hospital SA David Newby MD 210-704-2011 333 North Santa Rosa St Childrens Hospital SA Megan O'Brien MD 210-704-2011 333 North Santa Rosa St Childrens Hospital SA Sebrina D Perkins MD 210-293-6009 7700 Floyd Curl Dr Sebrina D Perkins MD Edward A Porrata MD 210-293-6009 7700 Floyd Curl Dr Greater SA Emergency Kristine K Rittichier MD 210-704-2011 333 North Santa Rosa St Childrens Hospital SA Little Spur Pediatric Urgent Care Thomas S Spurgat MD 210-543-7334 11398 Bandera Rd #201 Cynthia J Thornton MD 210-543-7334 11398 Bandera Rd #201 Little Spur Pediatric Urgent Care Eric B Tomich DO 210-293-6009 8401 Datapoint Dr #500 Eric B Tomich DO Kellie Williams MD 210-704-2011 333 North Santa Rosa St Childrens Hospital SA Elizabeth Yust MD 210-704-2011 333 North Santa Rosa St Childrens Hospital SA PEDIATRIC ENDOCRINOLOGY Christus Santa Rosa-Med Center Mark M Danney MD 210-614-8612 5107 Medical Dr Elia Nila Escaname 210-358-5437 701 S Zarzamora St University Health System Eeten Hale MD 210-567-5283 7703 Floyd Curl Dr #533 F UTHSC Jane L Lynch MD 210-358-5437 701 S Zarzamora St University Health System Carrisse Orsi MD 210-358-5437 701 S Zarzamora St University Health System Page 18 Please Say You Saw Us In Exceptional Kids

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8/20/19 11:36 AM

PHYSICIAN DIRECTORY Physician

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Office

PEDIATRIC ENDOCRINOLOGY Christus Santa Rosa-Med Center Lauren A Pankratz MD 210-614-8612 5107 Medical Dr Maria S Rayas MD 210-358-5437 701 S Zarzamora St Texas Diabetes Institute Luisa Rodriguez MD 210-704-4708 333 North Santa Rosa St Childrens Hospital SA Rebecca Schaub MD 210-704-4708 333 North Santa Rosa St Childrens Hospital SA Christus Santa Rosa-Med Center Ann M Straight MD 210-614-8612 5107 Medical Dr PEDIATRIC GASTROENTROLOGY Naim Alkhouri MD 210-253-3426 607 Camden St Texas Liver Institute Cathrine L Brigman MD 210-575-6240 4410 Medical Dr #540 Pediatric Specialist of Texas Mark Gilger MD 210-704-4708 333 North Santa Rosa Childrens Hospital of SA Jaime Eckartea Gonzalez MD 210-704-4708 333 North Santa Rosa Childrens Hospital of SA Maan Khatib MD 210-575-6240 4410 Medical Dr #540 Pediatric Specialists of Texas Lucille McLoughlin MD 210-704-4708 333 North Santa Rosa St Childrens Hospital SA Naveen Mittal MD 210-358-5437 903 W Martin St University Health System Javier Monagas MD 210-704-4708 333 North Santa Rosa St Childrens Hospital SA James Noel MD 210-704-4708 333 North Santa Rosa St Childrens Hospital SA R Adam Noel MD 210-450-9000 8300 Floyd Curl Dr UTHSC Jay Shah MD 210-358-5437 903 W Martin St University Health System PEDIATRIC GENETICS Scott McLean MD 210-704-4708 333 North Santa Rosa St Childrens Hospital SA Elizabeth R Roeder MD 210-704-4708 333 North Santa Rosa St Childrens Hospital SA PEDIATRIC HAND Elizabeth Magnabosco MD 210-704-4708 333 North Santa Rosa St Childrens Hospital SA Alec Stall MD 210-704-4708 333 North Santa Rosa St Childrens Hospital SA PEDIATRIC HEMATOLOGY/ONCOLOGY Chatchawin Assanasen MD 210-743-2300 4502 Medical Dr University Health System Gregory J Aune MD 210-743-2300 4502 Medical Dr University Health System Nadia Cheek MD 210-704-2187 333 North Santa Rosa St Childrens Hospital of SA Jaime Estrada MD 210-575-6240 4410 Medical Dr #540 Pediatric Specialist of Texas Maria G Falcon-Cantrill MD 210-568-5850 4410 Medical Dr #540 Pediatric Specialist of Texas Melissa J Frei-Jones MD 210-743-2300 4502 Medical Dr University Health System Timothy Griffin MD 210-704-2187 333 North Santa Rosa St Childrens Hospital SA Allison Grimes MD 210-743-2300 4502 Medical Dr University Health System Anthony J InfanteMD PhD 210-567-0510 7703 Floyd Curl Dr UTHSC Anne-Marie Langevin MD 210-743-2300 4502 Medical Dr University Health System Darryl C Longee MD 210-614-7500 7922 Ewing Halsell Dr #360 A Thru Z Pediatrics Latha Prasannan MD 210-575-6240 4410 Medical Dr #540 Pediatric Specialist of Texas Gerardo Quezada MD 210-704-2187 333 North Santa Rosa St Childrens Hospital of SA Shafqat Shah MD 210-743-2300 4502 Medical Dr University Health System April Sorrell MD 210-704-2187 333 North Santa Rosa St Childrens Hospital of SA Aaron Sugalski DO 210-743-2300 4502 Medical Dr University Health System Gail E Tomlinson MD PhD 210-743-2300 4502 Medical Dr University Health System Adam Wolfe MD 210-704-2187 333 North Santa Rosa St Childrens Hospital of SA PEDIATRIC HOSPITALISTS/INPATIENT Michelle Arandes MD 210-358-1673 4502 Medical Dr University Health System Lisa Beckner MD 210-704-4708 333 North Santa Rosa St Childrens Hospital of SA Crystal Davenport MD 210-704-4708 333 North Santa Rosa St Childrens Hospital of SA Elizabeth Davis MD 210-704-4708 333 North Santa Rosa St Childrens Hospital of SA Sarah Denniston MD 210-704-4708 333 North Santa Rosa St Childrens Hospital of SA Amy Flores MD 210-704-4708 333 North Santa Rosa St Childrens Hospital of SA Haleema Harhara MD 210-704-4708 333 North Santa Rosa St Childrens Hospital of SA Vanessa Hill MD 210-704-4708 333 North Santa Rosa St Childrens Hospital of SA Haneme Idrizi MD 210-450-9000 8300 Floyd Curl Dr UTHSC Manog Napal MD 210-704-4708 333 North Santa Rosa St Childrens Hospital of SA Jeremy Perlman MD 210-358-1673 4502 Medical Dr University Health System Stephanie Reeves DO 210-358-1673 4502 Medical Dr University Health System

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8/19/19 8:31 AM

PHYSICIAN DIRECTORY Physician

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PEDIATRIC HOSPITALISTS/INPATIENT Maria Sandoval MD 210-704-4708 333 North Santa Rosa St Childrens Hospital of SA Leticia Shanley MD 210-704-4708 333 North Santa Rosa St Childrens Hospital of SA Kelsey Sherburne MD 210-358-1673 4502 Medical Dr University Health System Kelly Spence MD 210-871-4409 7700 Floyd Curl Dr Methodist Hospital Ellen W Sutherland MD 210-545-7581 19272 Stone Oak Pkwy#107 Night Light Pediatrics Mandy Svatek MD 210-358-1673 4502 Medical Dr University Health System Mandie Svatek Tibball MD 210-358-1673 4502 Medical Dr University Health System Dina Tom MD 210-358-1673 4502 Medical Dr University Health System Rose Walczak MD 210-704-4708 333 North Santa Rosa St Childrens Hospital of SA PEDIATRIC IMMUNOLOGY Edward Brooks MD 210-358-5437 701 S Zarzamora University Health System Dennis Conrad MD 210-567-5250 7703 Floyd Curl Dr UTHSC Areceli Elizalde MD 210-704-4708 333 North Santa Rosa St Childrens Hospital of SA Mark Stall MD 210-704-4708 333 North Santa Rosa St Childrens Hospital of SA Anthony Infante MD PhD 210-358-5437 701 S Zarzamora University Health System PEDIATRIC INFECTIOUS DISEASE Jane T Atkins MD 210-614-2828 7922 Ewing Halsel DR #270 Frederico R Ng MD Luis Castagnini MD 210-704-4708 333 North Santa Rosa St Childrens Hospital of SA Jonathan Crews MD 210-704-4708 333 North Santa Rosa St Childrens Hospital of SA Maria Fernandez Falcon MD 210-222-0333 343 W Houston St # 302 Caring for Kids Pediatrics PEDIATRIC INFECTIOUS DISEASE (Cont'd) Sylvia Leal-Castanon MD 210-567-7000 7703 Floyd Curl Dr UTHSC Charles Leach MD 210-704-4708 333 North Santa Rosa St Childrens Hospital of SA PEDIATRIC KIDNEY & LIVER TRANSPLANT Greg Abramian MD 210-567-5777 4502 Medical Dr University Health System Naim Alkhouri MD 210-567-5777 4502 Medical Dr University Health System Mazen Arar MD 210-358-8309 903 W Martin St University Health System Francisco Cigarroa MD 210-567-5777 4502 Medical Dr University Health System Robert Esterl MD 210-567-5777 7979 Wurzbach Rd #219 University Transplant Center Danielle M Fritze MD 210-567-5777 4502 Medical Dr University Health System Glenn A Halff MD 210-567-5777 4502 Medical Dr University Health System Naveen Mittal MD 210-358-5437 903 W Martin St University Health System Daniel Ranch MD 210-358-8309 903 W Martin St University Health System Ikuyo Yamaguchi MD PhD 210-358-8309 903 W Martin St University Health System PEDIATRIC LOW VISION

Stephanie Schmiedecke Barbieri OD 210-283-6800 9725 Datapoint Dr

Matt Valdez OD

210-283-6800 9725 Datapoint Dr

PEDIATRIC NEPHROLOGY Mazen Y Arar MD 210-358-8309 4502 Medical Dr Xavier R Musharaf MD 210-543-7334 11398 Bandera Rd # 201 Bandana Paudyal MD 210-704-4708 333 North Santa Rosa St Daniel Ranch MD 210-358-8309 4502 Medical Dr Janet L Rowe MD 210-490-0353 520 Madison Oak Dr Rachana Srivastava MD 210-704-4708 333 North Santa Rosa St Ikuyo Yamaguchi MD PhD 210-358-8309 4502 Medical Dr PEDIATRIC NEUROLOGICAL SURGERY John Floyd MD 210-358-8508 4502 Medical Dr Rosemaria Gennuso MD 210-575-6240 4410 Medical Dr# 540 David F Jimenez MD FACS 210-876-3876 502 Madison Oaks Dr #346 Patricia A Mancuso MD 210-354-0877 315 N San Saba #1210 Hatem Megahed MD 210-575-6240 4410 Medical Dr #540 Alexander Papanastassiou MD 210-358-8508 4502 Medical Dr Isabela Tarasiewicz MD 210-358-8508 4502 Medical Dr Kimberly D Terry MD 210-704-4841 315 N San Saba #1210 Micam W Tullous MD 210-704-4841 315 N San Saba #1210 Page 20 Please Say You Saw Us In Exceptional Kids

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UIW Eye Institute UIW Eye Institute University Health System Little Spur Pediatric Urgent Care Childrens Hospital of SA University Health System North Central Baptist Hospital Childrens Hospital of SA University Health System University Health System Pediatric Specialist of Texas David F Jimenez MD FACS Childrens Hospital of SA Pavilion Pediatric Specialist of Texas University Health System University Health System Childrens Hospital of SA Pavilion Childrens Hospital of SA Pavilion

8/19/19 8:32 AM

PHYSICIAN DIRECTORY Physician

Phone #

Address

PEDIATRIC NEUROLOGY Jose Aceves MD 210-358-5437 4502 Medical Dr Satish Agadi MD 210-358-8508 4502 Medical Dr Samiya Ahmad MD 210-704-4708 333 North Santa Rosa St Sidney Atkinson MD 210-358-5437 4502 Medical Dr Kelly Averill MD 210-358-5437 4502 Medical Dr Gary Bobele MD 210-704-4708 333 North Santa Rosa St Yaman Eksioglu MD 210-704-4708 333 North Santa Rosa St Linda D Leary MD 210-358-5437 4502 Medical Dr Yu-tze Ng MD 210-704-4708 333 North Santa Rosa St Carter Richards MD 210-249-5020 4114 Pond Hill Rd #102 John R Seals MD 210-615-2222 4410 Medical Dr #430 Melissa Svoboda MD 210-704-4708 333 North Santa Rosa St Jerry J Tomasovic MD 210-249-5020 4374 Lockhill-Selma #107 PEDIATRIC OPHTHALMOLOGY Susan M Berry MD 210-946-2020 Jefrey H Cohen MD 210-697-2020 Charles S McCash MD 210-340-6633 Sanford Roberts MD 210-226-6169 Martha P Schatz MD 210-358-5437 Johan T Zwann MD PhD 210-615-8474

Office University Health System University Health System Childrens Hospital of SA University Health System University Health System Childrens Hospital of SA Childrens Hospital of SA University Health System Childrens Hospital of SA Tx Pediatric Family Sleep Ctr John R Seals MD Childrens Hospital of SA Tx Pediatric & Family Sleep Ctr

11601 Toepperwein Rd Alamo City Eye Physicians 9157 Huebner Rd Medical Center Ophtalmogy 1314 E Sonterra Blvd #5201 Childrens Eye Center of SoTX 800 McCullough Ave San Antonio Eye Center 903 W Martin St University Health System 8030 Wurzbach Rd #520 Methodist Specialty & Transplant

PEDIATRIC OPTOMETRY Alisa Nola OD 210-490-9900 255 E Sonterra Blvd #100 Optometry Ctr for Vision Therapy Kara Tison OD 210-283-6800 9725 Datapoint Dr UIW Eye Institute PEDIATRIC ORTHOPEDICS & SURGERY Pediatric Orthopedic Assoc of SA Tina Creekmore MD 210-692-1613 4499 Medical Dr #235 John Edeen III MD 210-692-1613 4499 Medical Dr #235 Pediatric Orthopedic Assoc of SA Shawn Funk MD 210-704-4708 333 North Santa Rosa St Childrens Hospital of SA Grant Hogue MD 210-358-5437 903 W Martin St University Health System Rhianna Little MD 210-704-4708 333 North Santa Rosa St Childrens Hospital of SA William K Koeck MD 210-497-4186 18626 Hardy Oak Blvd #320 Pediatric Orthopedic Scoliosis Elizabeth Magnabosco MD 210-704-4708 333 North Santa Rosa St Childrens Hospital of SA Sekinat McCormick MD 210-358-5437 903 W Martin St University Health System Pediatric Orthopedic Assoc of SA Matthew R. Schmidt MD 210-692-1613 4499 Medical Dr #235 Alec Stall MD 210-704-4708 333 North Santa Rosa St Childrens Hospital of SA Pediatric Orthopedic Assoc of SA Raymond M Stefko MD 210-692-1613 4499 Medical Dr #235 Zachary Stinson MD 210-704-4708 333 North Santa Rosa St Childrens Hospital of SA Jeffrey R Warman MD 210-497-4186 18626 Hardy Oak Blvd #320 Pediatric Orthopedic Scoliosis Kaye Wilkins MD 210-567-7000 7703 Floyd Curl Dr UTHSC PEDIATRIC OTOLARYNGOLOGY Microtia-Congenital Ear Deformity Inst Arturo Bonilla MD 210-477-3277 9502 Huebner Rd #301 Juan A Bonilla MD 210-614-0171 16723 Huebner Rd Pediatric ENT Institute of South Texas Lisa Buckmiller MD 210-704-4708 333 North Santa Rosa St Childrens Hospital of SA William D Clark MD 210-704-4039 333 North Santa Rosa St Childrens Hospital of SA Taylor Fordham Jr MD 210-704-4708 333 North Santa Rosa St Childrens Hospital of SA Pediatric ENT Institute of South Texas Roderick D Moe MD 210-614-0171 16723 Huebner Rd PEDIATRIC PALLIATIVE CARE Glen Medellin MD 210-358-5437 903 W Martin St University Health System Rachel Vandermeer MD 210-358-5437 903 W Martin St University Health System Wisden Wu DO 210-358-5437 903 W Martin St University Health System PEDIATRIC PATHOLOGY South Texas Pathology Associates Teresa Hayes MD 210-575-4845 7700 Floyd Curl Dr #1 Kristen J Lancaster MD 210-575-4845 7700 Floyd Curl Dr #1 South Texas Pathology Associates Victor A Saldivar MD 210-225-3750 519 W Houston Dept of Pathology

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PHYSICIAN DIRECTORY Physician

Phone #

Address

Office

PEDIATRIC PULMONOLOGY Daniel A Deane MD 210-704-4708 333 North Santa Rosa St Childrens Hospital of SA Amanda M Dove MD 210-614-9300 5282 Medical Dr #540 Neurology & Sleep Specialist Jesus R Guajardo MD 210-358-5437 903 W Martin St University Health System Martha R Morse MD 210-704-4708 333 North Santa Rosa St Childrens Hospital of SA John Palmer MD 210-249-5020 4114 Pond Hill Rd #102 TX Pediatric Spec & Family Sleep Ctr Tarak J Patel MD 210-249-5020 4114 Pond Hill Rd #102 TX Pediatric Spec & Family Sleep Ctr Felix Shardonofsky MD 210-704-4708 333 North Santa Rosa St Childrens Hospital of SA Kelly J Smith MD 210-249-5020 4114 Pond Hill Rd #102 TX Pediatric Spec & Family Sleep Ctr Hazel R Villa F MD 210-358-5437 903 W Martin St University Health System Donna B Willey-Courand MD 210-358-5437 903 W Martin St University Health System PEDIATRIC REHABILITATION MEDICINE Donald Currie MD 210-704-2925 333 North Santa Rosa St Childrens Hospital of SA Nicolas Fleming DO 210-704-2925 333 North Santa Rosa St Childrens Hospital of SA PEDIATRIC RHEUMATOLOGY Edward Brooks MD 210-358-5437 4502 Medical Dr University Health System Joel L Cole MD 210-930-0440 8001 Broadway St Joel L Cole MD Mark Gorelik MD 210-704-2187 333 N Santa Rosa St Childrens Hospital of SA Anthony Infante MD 210-358-5437 4502 Medical Dr University Health System PEDIATRIC/ADULT SLEEP MEDICINE Samiya Ahmad MD 210-704-4708 333 North Santa Rosa St Childrens Hospital of SA Gary Bobele MD 210-704-4696 333 North Santa Rosa St Childrens Hospital of SA David Dubose MD 210-704-4708 333 North Santa Rosa St Childrens Hospital of SA Avie Grunspan MD 210-249-5020 4114 Pond Hill Rd #101 TX Pediatric Spec & Family Sleep Ctr Kelly Smith MD 210-704-4708 333 North Santa Rosa St Childrens Hospital of SA Tarak Patel MD 210-704-4708 333 North Santa Rosa St Childrens Hospital of SA Nagwa Lamaie MD 210-614-6000 5290 Medical Dr Sleep Therapy & Research Center Tarak J Patel MD 210-249-5020 4114 Pond Hill Rd #102 TX Pediatric Spec & Family Sleep Ctr Kelly J Smith MD 210-249-5020 4114 Pond Hill Rd #102 TX Pediatric Spec & Family Sleep Ctr PEDIATRIC SPORTS MEDICINE Karen Hetschal-Franks DO 210-358-5437 903 W Martin St University Health System Richard A Holcomb MD 830-816-5437 134 Menger Springs #1240 Holcomb Pediatric Sports Med Cathryn Mooney MD 210-358-5437 903 W Martin St University Health System Shaylon Rettig MD 210-704-4708 333 North Santa Rosa St Childrens Hospital of SA PEDIATRIC SURGERY Charles E Baldwin MD 210-481-3006 502 Madison Oak Dr #330 North Central Baptist Hospital Barry R Cofer MD 210-615-8757 4499 Medical Dr #347 San Antonio Pediatric Surgery John J Doski MD 210-615-8757 4499 Medical Dr #347 San Antonio Pediatric Surgery Joseph N Kidd MD 210-615-8757 4499 Medical Dr #347 San Antonio Pediatric Surgery Arthur S McFee MD 210-567-2164 7703 Floyd Curl Dr UTHSC Michael Megison MD 210-615-8757 4499 Medical Dr #347 San Antonio Pediatric Surgery Ian C Mitchell MD 210-615-8757 4499 Medical Dr #347 San Antonio Pediatric Surgery Tate Nice MD 210-615-8757 4499 Medical Dr #347 San Antonio Pediatric Surgery Robert Powell-Thomas MD 210-615-8757 4499 Medical Dr #347 San Antonio Pediatric Surgery Frank M Robertson MD 210-615-8757 4499 Medical Dr #347 San Antonio Pediatric Surgery Ryan Walk MD 210-615-8757 4499 Medical Dr #347 San Antonio Pediatric Surgery Peter Wang MD 210-615-8757 4499 Medical Dr #347 San Antonio Pediatric Surgery PEDIATRIC TRAUMA AND BURN Ramon Cestero MD FACS 210-358-5437 4502 Medical Dr University Health System Daniel Dent MD FACS 210-358-5437 4502 Medical Dr University Health System Brian Eastridge MD FACS 210-358-5437 4502 Medical Dr University Health System Lillian Liao MD MPH FACS 210-358-5437 4502 Medical Dr University Health System Ian Mitchell MD 210-704-4708 333 N Santa Rosa St Childrens Hospital of SA Deborah Mueller MD FACS 210-358-5437 4502 Medical Dr University Health System Mark Muir MD 210-358-5437 4502 Medical Dr University Health System John Myers MD FACS 210-358-5437 4502 Medical Dr University Health System Susannah Nicholson MD 210-358-5437 4502 Medical Dr University Health System Page 22 Please Say You Saw Us In Exceptional Kids

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PHYSICIAN DIRECTORY Physician

Phone #

PEDIATRIC TRAUMA AND BURN Ronald Stewart MD FACS 210-358-5437 PEDIATRIC UROLOGY Timothy Baumgartner MD 210-358-5437 Jessica Goetz DO 210-450-9600 Jeffrey A Leslie MD 210-615-8757 Timothy M Phillips MD 210-615-8757 Juan Carlos Prieto MD 210-615-8757 PEDIATRIC VISION THERAPY Russ Coates OD 210-283-6800 Briana Larson OD, FAAO, FCOYD, FNORA 210-490-9900 Yutaka Maki OD 210-283-6800 Erica O'Brien OD, FCOVD 210-490-9900

Address

Office

4502 Medical Dr

University Health System

4502 Medical Dr 903 W Martin St 4499 Medical Dr #360 4499 Medical Dr #360 4499 Medical Dr #360

University Health System University Health System San Antonio Pediatric Surgery San Antonio Pediatric Surgery San Antonio Pediatric Surgery

9725 Datapoint Dr 255 E Sonterra Blvd #100 9725 Datapoint Dr 255 E Sonterra Blvd #100

UIW Eye Institute Optometry Ctr for Vision Therapy UIW Eye Institute Optometry Ctr for Vision Therapy

To find a Pediatrician go to www.ExceptionalKidsTexas.com for a complete list.

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Supported Decision Making Agreement, Power of Attorney, Guardianship OH MY!

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Adulting: Encourage your kids to be their own health advocates Jackie Boyle, May 22, 2019 When we send kids off to college, or they leave home to experience life on their own, we expect them to attend class and get to work on time. We hope all that we taught them takes hold. For many, it’s the first time they have to balance a budget, go grocery shopping, do laundry, maintain a car, and so much more.

Before the big send-off, parents discuss a lot of do’s and don’ts. But all too often, we forget to teach them to take the lead in protecting their own health.

University Health System’s Teen Health Clinic, created in partnership with UT Health San Antonio, provides medical and educational services to those who are 10 to 25 years old. According to Medical Director, Dr. Kristen Plastino, it’s important for young adults to learn how to ask their own questions about their health.

“We encourage our patients to open up and talk about sensitive, personal health issues ID16957312 © Lightpoet Dreamstime that need to be addressed,” Dr. Plastino said. “I routinely ask parents or guardians to step out of the room so I can understand the real concerns of my patients.”

Experts recommend starting health discussions with youth in junior high or earlier. It’s helpful for parents to model how to interact with a doctor.

Show teenagers how to focus on key points during a doctor visit, such as: • Making a list of questions ahead of time so you don’t forget anything • Writing down what the doctor says and repeating it to confirm that you understand • Paying attention to details of test results, required therapy, and necessary medications • Asking for instructions on how to access digital medical records Part of adulthood is talking about uncomfortable topics and taking action. Teenagers are best served by doctors who aren’t afraid to tackle conversations about sexually transmitted diseases, binge drinking, unsafe driving, anxiety and depression, bad relationships, or anything else that may be troubling the young adult.

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Research published by the National Institutes of Health suggests that improving adolescent and young adult health is critical because the behaviors you start as a teenager build a foundation for future healthy or unhealthy lifestyle choices.

Surprisingly, almost 20% of adolescents have experienced some type of behavioral or mental health disorder.Young adults experience this at a greater level, particularly in the areas of substance abuse, sexually transmitted infections and mental health problems.

One way to promote good health is by being organized and having a plan for the unexpected. Dr. Plastino recommends young adults follow these healthy guidelines: • Schedule medical check-ups once a year and dental check-ups twice a year • Exercise, eat healthily and get at least seven to eight hours of sleep a night • Know your normal, physically and mentally • Before a crisis, establish a list of medical contacts • Have a trusted adult to go to for advice and support • Be aware of your own risky behaviors • Seek counseling services when needed The percentage of young Americans experiencing certain types of mental health disorders has risen significantly over the past decade, according to research recently published by the American Psychological Association.

The research suggests that a higher percentage of adolescents and young adults may be experiencing mood disorders partially due to the increased use of electronic communications and digital media.

Young adults are entering adulthood in a different technological culture compared to their parents.

You can help your adolescent grow into a healthier adult by encouraging them to value self-care and engaging in more face-to-face communication.

“Foster conversations, treatments, and preventive care that encourages healthy living for a lifetime,” Dr. Plastino said. “If you empower good decision making in your teenager, you’ll likely see good decision making as they become older.”

Your health, at any age, is worth protecting.

Dr. Kristen A. Plastino is Medical Director of the Teen Health Clinic. She also is a professor and Vice Chair of Clinical Operations for the Department of Obstetrics and Gynecology at UT Health San Antonio.

8/20/19 11:32 AM

I'm an ADULT! . . Am I ready for this?

It’s difficult to keep up in today’s world of technology and social media. It’s even far more challenging when you struggle with processing delays and autism.

But, being left behind was never an option in my house. I was raised by a strong, independent mother whose primary goal was to make sure, somehow, I would be ready to navigate this world when I aged out of school. She was not waiting until I turned 18 to teach me how to work and use my talents.

Being Independent Mom knew that being independent was a LEARNED BEHAVIOR; you’re not born with it. I was 13 years old when my mom heard Dr. Temple Grandin speak out to parents and young adults about building on talents and teaching them to work. She lives and breathes by what she calls “The Temple Grandin Golden Rules.”

Mom created a life for me that would allow me to use my skills ... especially, if something happened to her.

At an early age, it was obvious to people that I had a natural talent for art. My Mom could not afford formal art classes; instead, she would find affordable ways to help me develop my abilities. I attended free classes, discount classes, and even gathered recycled materials to stretch my imagination.

Art is My Therapy Art became my form of therapy for my anxieties.

Drawing, coloring, painting and even tearing paper for hours and days. Yes, it was an obsession; but it felt right.

It became obvious that I had talent, some said a “Great Talent!” Mom wasn’t waiting; she seized the opportunity and decided to take my art to the people. She knew very little about the art world.

But, she has courage and is very stubborn. She followed her heart, too.

My future is brighter because of her, Dr. Temple Grandin, and so many others.

A Lot Has Happened beyond the Art world....

Since starting my art career, a lot has happened. I have won and received honors for my artwork. We have built a successful Art and Literacy outreach program. I teach Eco-art using my techniques. Plus, we share our books, which feature an innovated dyslexie font for those struggling with reading.

In 2018, we launched our first children’s book, “Grant the Jigsaw Giraffe ~ Different is More.” A heartfelt book about a young giraffe born different, but who follows his passion for art and rises above his challenges. Yes, it’s my story, but with a twist ...

I am a giraffe!

Within one year, we have sold over 12,000 books, won an “Outstanding Media and Communication Award” from the Governor of Texas, and been recognized by the Barbara Bush Literacy Program.

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We’re currently writing books about other animals with disabilities or challenges: autism, dyslexia, epilepsy, bullying, and more. I’m creating new character art for these books.

My Mom reminds me often ... this is not the “typical” transition that most artists experience. It takes years, lots of years, to become famous and some artists aren’t recognized until after they die. I am fortunate to witness people, of all ages, enjoying my art and being inspired to save the planet by creating Eco-art.

I have a Plan B However, I do know that making a living as an artist comes with risks. So, I have a plan B ...

I have a part-time job at STAPLES. I do enjoy working outside the home. Plus, I need to take a break from art so that I don’t burn out.

I meet new friends, I’m developing job skills and I’ve learned to take Uber as I am also working on my driver’s license.

There’s a balance and peace in my life as I multitask and navigate my world of autism.

What's Next?

My friends on the spectrum are moving into their own apartments, buying homes, getting degrees, obtaining full-time jobs, having relationships, getting married, and having babies. For me, I think I will start with the apartment next ... onestep at a time.

-- Grant Maniér Age 24 “Over the years, I have watched Grant develop both artistically and as a person. Getting out and doing art shows has helped him develop both his art and social skills.”

-Dr. Temple Grandin “When Grant started working here, we were unsure where his best placement would be. Along the way, we discovered his strengths. He’s great with customers and his attention to details made him one of my best cashiers in the building.”

– Reyna Ybarra/STAPLES Manager

8/21/19 8:31 AM

Eco-Impressionists of today.. Grant Maniér Shredding with a Purpose Grant is not your typical artist. He took a compulsive habit, ripping paper, and turned it into something magical. Collaging is an “OLD” form of art, but now is a “NEW” art movement thanks to eco-friendly times and Eco-artists like Grant Maniér.

Grant sees a medium that can be brought to life through hours of work, intense focus abilities, and remarkable patience. He follows the same method for every art piece: a brush, recycle materials, tear, cut, glue, shade, glaze and repeat. The paper is expertly applied to canvas by the hands of a genius. “I never know how each one will turn out. I just keep going and see what happens, “stay-in-action”, is just one of my mottos,” Grant says.

Grant Maniér finds inspiration and ideas from nature, animals, academic subjects, friends, traveling, the World Wide Web and his greatest inspiration-his mother. Grant has coined his art “COOLAGES” because he says he uses cool colors, cool shapes, cool textures. His art has brought him peace and purpose. “Art is my meditation,” he explains, “When my anxieties get the best of me and I need to look for peace, all I have to do is come back to my art and I feel connected to something bigger.”

Grant has a garage full of puzzles and it’s no coincidence that the puzzle piece is the symbol for autism.

Recycled puzzles happen to be one of Grant’s greatest signatures marks. Grant not only recycles puzzles for his art, once he receives the box he proceeds to peel the print off of each puzzle piece, “I need the puzzle to be paper thin so I can apply it to the canvas easily, that’s why I need to peel the print off each piece,” Grant says. He is the only known puzzle artist to apply this painstaking puzzle process to his art. Although he teaches children and adults to recycle puzzles and create art, it takes a tremendous amount of patience and time to create the masterpieces that Grant does effortlessly.

Grant travels, makes appearances, and raises money for schools, galas, conferences, and other great causes. Exhibiting and teaching the importance of recycling and protecting our planet. With his beautiful and breath-taking Eco-Art masterpieces, Grant captures the attention of everyone around him and has created a following for his art. He has worked alongside Dr. Temple Grandin, the most well-known person with autism (HBO movie, Time Magazine “100 most influential people in the world). Grant has also raised thousands of dollars for great causes with his Eco-art and motivational message.

In 2017 Grant and his mother, Julie Coy Maniér, embarked on a new chapter in their lives and began writing and illustrating a series of children’s books that highlight special needs animals in a zoo. Their first book, Grant the Jigsaw Giraffe~Different is MORE, exceeded their expectations of acceptance

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by the special needs community.

Each animal has a special challenge and finds through their friendship with Grant the Jigsaw Giraffe they are Different… but MORE! Because they receive compassion and mentorship they are able to rise above their diversity and understand how to turn their challenge around and make it a greater purpose and message to share with others.

Topics such as Autism, Epilepsy, Bullying, Deaf, Dyslexia and other challenges will be addressed.

Grant and Julie are writing their books after individuals they have met along their own personal journey. These are real-life stories and circumstances. Grant and Julie are graciously giving proceeds to the person they create their story after. The most exciting and innovated aspect of their books is not just the stories they write, but each book is printed with a dyslexia friendly font. A font that allows the reader to enjoy and those with reading challenges to read comfortably. In less than a year they have sold over 14,000 books (Hardback and paperback).

The books success is due largely to the Barbara Bush Houston Literacy Foundation. In addition they received a children’s book award from the Governor of Texas for media and communication for people with disabilities.

Their books and toys can be found in area gift shops and on the website: www.JigsawGrant.com Each book is complimented with a plush toy that relates to the main character in the book; Grant the Jigsaw Giraffe, Tori the Red Panda, Macy the Zebra, Johnathan’s Ice Cream Truck, and more.

Grant Manier, stands for “Hope,” and for others, a “New Era.” As an Eco-artist, he’s protecting and teaching others to save the earth. As a person living with autism, he has become a voice for those who are not heard. He leads the way with his remarkable special talent and teaching the world, “It’s not what we can’t do... It’s what we can do, that makes the difference” www.JigsawGrant.com Social Media pages: Jigsaw Grant

8/21/19 9:40 AM

Supported Decision Making Agreements, Powers of Attorney, Guardianship, Oh My! As your child approaches age 18, the world of transition can be overwhelming. On their eighteenth birthday, your child becomes a legal adult whether they can function as such. One of the biggest challenges facing parents with children who have special needs is determining how best to support the child in adulthood. The Texas Legislature has placed some alternatives to guardianship, but the field is still murky and confusing. Let’s take and unpack the different options.

First, you can have your child sign a “Supported Decision-Making Agreement.” This is basically an agreement which puts doctors, financial institutions, and anyone else that your child does business with on notice that your child wants and needs assistance in making decisions. This document does not allow parents to act alone on behalf of their child but does allow them to be present for appointments with physicians and participate in ARD meetings. For your child to sign one of these documents, the child must be able to understand the ramifications of the document. While Supported Decision Making Agreements can be helpful, they don’t work for everyone.

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Second, there are Durable and Medical Powers of Attorney. Powers of Attorney are great documents, because they allow you to act for your child whether they are present or currently can answer questions.

However, like with the supported decision-making agreement, your now adult child must have the legal capacity to execute the documents. That means they must understand the document and the possible consequences of signing it. The biggest issue with both powers of attorney and supported decision-making agreements is that they do not provide any protection for your child in the case of others taking advantage of them.

This is where Guardianship comes in. Guardianship removes the ability of your child to enter into contracts on their own and instead gives that responsibility to the Guardian. Because this involves taking rights away from a person, the court must be involved and thus can be very costly. If you have a child approaching 18, you should discuss all options with an attorney who practices Guardianship and Estate Planning.

For more information contact Weisinger Law Firm, PLLC 210-308-0800

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8/21/19 8:14 AM

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8/21/19 8:07 AM

Be Prepared for Flu Season Influenza is a viral infection that can cause mild to severe illness and, at times, death. People who have the flu are contagious even 1 day before their symptoms develop and up to 7 days after becoming sick.

The most common type of flu is the seasonal flu. There are different strains of seasonal flu with the most common being Type A and Type B. Type A mutates rapidly while type B does not change much over time. Each year, a new form of the vaccine is developed to protect people against the strains that are expected to be most common that year.

According to the CDC, the estimated number of flu illnesses in the last season was 49 Million. That’s more than the population of Texas and Florida combined!

Flu Symptoms: • Fever • Cough • Sore Throat • Runny or stuffy nose • Muscle or body aches • Headaches • Fatigue • Vomiting / diarrhea Children and the Flu: Young children (under 5 years of age, and especially under 2 years old) are at high risk of serious flu-related complications.

Complications from flu among children in this age

group can include: o Pneumonia o Dehydration o Worsening of long-term medical problems o Brain dysfunction o Sinus problems and ear infections o In rare cases, death.

Prevention is key to decreasing the risk of influenza related illness. Be sure to make the time to get yourself and your children vaccinated. This will decrease the risk of your children getting the flu. The flu vaccine decreases the risk of severity of symptoms as well as hospitalizations and death in children.

As much as possible, keep yourself and your children away from people who are sick. If you get flu symptoms, avoid all preventable contact with other people. Cover your nose and mouth with a tissue when you cough or sneeze, and wash your hands often with soap and water.

If you are not near water, use an alcohol-based hand sanitizer. Try not to touch your eyes, nose and mouth as germs are often spread this way. Lastly, make sure to clean and disinfect the common areas around your home. As always, it is important to seek medical care as soon as possible. Your medical provider can provide medication to combat the infection as well as preventative medication for close family members living in the same household.

For more information contact San Rafael Healthcare, Inc. 210-255-1466

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