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Thr ve Fall/Winter 2023

Health and Wellness Magazine for Rural Central Texans

Bringing Quality Care to You!

Tired of being tired? Take Dave’s Quiz!

or not?


Squat into

Apple Pickin’


Brad Bartels, MD Luke Killian, MD Hamilton General Hospital Hamilton General Hospital Hospital ER Hospital ER

Gerald Snyder, MD Hamilton Clinic

Randy Lee, MD Chief of Staff Hamilton Clinic

Robbye Lengefeld, MD Hamilton Clinic

Tim Rudolph, MD Hamilton General Hospital Hospital ER

Charles Johnson, MD Hamilton Clinic Hico Clinic

Shalor Craig, MD Hamilton Clinic Hico Clinic

Shelly Lengefeld, PA-C Hamilton Clinic

Ryan Adams, MD General Surgery Specialty Services

Kristen Stegemoller, MD FPC Mills County

Jim Davis, OD, FAAO Central Texas Eye Care

Jacque Wellborn, FNP-BC Hico Clinic Wound Care

Jennifer Plumlee, FNP-BC Wound Care

John Seth, APRN, FNP-C FPC Mills County

Trevor Watson, APRN, FNP-C FPC Mills County

Kayla Routh, APRN, FNP-C FPC Mills County

Anjenette Juracek, APRN, PMHNP-BC Behavioral Health

Shelly Boyle, PA-C Hamilton Clinic

Kaleb Davis, APRN, FNP-C Hamilton Clinc Hico Clinic

Grant Ward, PA-C Hamilton Clinic Hico Clinic

Penelope Hooks, MD Behavioral Health

400 North Brown | Hamilton, TX 76531

(254) 386-1600

William Moore, MD Interventional Pain Management Specialty Services

Keith Ellison, MD Orthopedics Specialty Services

Committed to Real Rural Care


Fall/Winter 2023



Squat into Leg Day Meet the Trainer



Fall for Fiber Health Benefits: Beets & Apples Apple Picking Guide

10 DIETARY amilton Healthcare System is proud to serve rural Central Texans. On Nov. 16, Hamilton Healthcare System joins communities across America in celebration of National Rural Health Day. The National Organization of State Offices of Rural Health and rural-focused organizations throughout the United States set aside the third Thursday of November to celebrate the “Power of Rural” and honor the individuals and organizations dedicated to addressing the unique healthcare needs of nearly 61 million people living in rural America. “It is of vital importance that we ensure all rural Central Texans have the opportunity to be healthy and have access to affordable, quality health care regardless of where they call home,” said Hamilton Healthcare System CEO Grady Hooper. “Hamilton Healthcare System is proud to recognize the incredible work of health professionals and volunteers in our community on National Rural Health Day and throughout the year.” Hamilton Healthcare System and its community partners gather for a community-wide health fair each year on National Rural Health Day to showcase the many services available to its rural communities. Many of these services are showcased in this issue of Thrive and conveniently accessible every day to residents and visitors of the communities served by Hamilton Healthcare System. “We exist to provide compassionate care with dignity and respect, promote wellness in the community, progress into the future with financial stability and state-of-the-art technology and pursue excellence in our quest to be the best rural hospital in Texas,” said Hooper.


Tired of Being Tired


Oncology Close to Home


New Wellness Screenings

Making Happier Holidays


Making the Most of Roth IRA

Understanding Food Labels Fat Free or Not?




What You Can Do to Fight Flu


Understanding the Winter Blues


Getting Physical Therapy


New Clinic in the Works

20 RURAL HEALTH Bless Your Heart Our Why


Boots on the Ground


Run to Win

ABOUT THE COVER Hamilton EMTs participate in National Night Out. Learn more on page 22. Photo by Kim Hinton


amilton erald-News Published by 101 N. Rice Street | Hamilton, TX 76531 254-386-3145 | An HHN publication

Hamilton Healthcare System | Thrive


ask the doc

Explore More Diabetic Services Diabetes Education

Comprehensive diabetes education classes focusing on disease management and education taught by a Certified Diabetes Care and Education Specialist through the National Certification Board for Diabetes Educators. The program is accredited by the American Diabetes Association.

Chronic Care Management

An experienced team to coordinate care for those managing two or more chronic conditions.

Central Texas Eye Care

Experienced eye doctor offers comprehensive vision examinations and specializes in the diagnosis and treatment of a wide array of eye diseases, conditions and problems.


What’s the difference between Type 1 and Type 2 diabetes? TYPE 1 - With type 1

initially and may notice urinating more.

diabetes, your body doesn’t make insulin. In that respect, it is kind of an autoimmune disease. You Kristen have to have insulin to live. Stegemoller, M.D. TYPE 2 - Type 2 diabetes FPC of Mills usually presents as we get County older. It can occur with weight gain, poor diet and lack of physical activity, but it’s not just one thing. Type 2 diabetes can also be genetic.

Who is at risk for diabetes?

Wound Care Clinic

Those who are overweight, sedentary and/or have a family history of diabetes are more at risk for type 2 diabetes. Type 1 diabetes just kind of pops up. Often we see people diagnosed with it at a younger age.

Personal Trainers

What symptoms do patients with undiagnosed diabetes often present with during a visit?

Team of physicians and nurses provide comprehensive outpatient care for wounds that are difficult or slow to heal. Joey Richardson and Henley Dean customize workout programs to help people of all ages and abilities safely incorporate movement into their lives.

Often people present with polyphagia or hyperphagia, which is being hungry all the time or thirsty all the time. You can have weight loss

When should a person be concerned about diabetes and what should they do if they have concerns?

Talk to your doctor. It’s very important to keep up with your wellness checks and get your screenings. You should be seen at least once per year to have your blood pressure checked, sugar levels and hemoglobin.

How do you test for diabetes?

It could be as simple as a finger stick or a blood draw. There is a test called hemoglobin A1C which gives us a snapshot of your blood sugar levels over the last three months.

What should blood sugar be?

This will be different for those with diabetes and those without. If your fasting blood sugar is 106 or higher, that is elevated. It does NOT necessarily mean you have diabetes but does indicate that we need to take a closer look. If it is greater than 200 and you are presenting with symptoms like excessive hunger or thirst, you could have diabetes.

What is the difference in prediabetes and diabetes?

Best Footof Forward Hamilton County Providing in home foot care for Hamilton and surrounding areas

Owned and Operated by a Registered Nurse 20+ years experience • Foot and Nail Institute certified

Benefiting those with:

Wound Care Hamilton Healthcare System Wound Care is here to prov provide eatment individualized care to all patients. With advanced treatment d staff is plans and specialized wound products, our experienced committed to your healing process. Our clinic is excited to announce the addition of Dr. Ryan Adams to our team as our clinic Medical Director. With a background in general surgery, Dr. Adams' experience w will provide a continuum of care for wound patients. Contact the clinic today for more information about keeping your wound care needs close to home!

(254) 386-1895 400 North Manning | Hamilton, TX 76531


Thrive |

Hamilton Healthcare System

Ryan Adams, MD

Diabetes Neuropathy Arthritis Parkinson’s Limited Mobility Poor Vision Cognitive Changes

Routine Foot Care includes:

• Thorough assessment of each foot • Nails trimmed, thinned and filed • Corns and callouses buffed smooth In the comfort of your own home!

Quality Foot Care improves Quality of Life

Call 254-413-9009 for pricing and appointment availability

An HHN publication


Prediabetes is when your sugar is higher than it should be, but you haven’t reached those diabetic numbers yet.

work with you to find what treatment is best for you. It does not necessarily mean that you have to take something daily.

If you are diagnosed with prediabetes, is diabetes preventable at this stage and what can be done to prevent diabetes?

Once you are diagnosed with diabetes. We recommended an annual foot exam and eye exam. We watch for strain on kidneys and keep blood pressure in check because diabetes does raise your risk of coronary artery disease.

Yes. Lifestyle changes are number one. Become more active. Improve your diet. There are some new diabetes medications available like Ozempic, or Wegovy for weight loss, that may help. We have an amazing diabetic educator and nutritionist on staff. She is an excellent resource for anyone trying to make a lifestyle change.

Why is it so important to manage diabetes? What health problems or complications does it cause?

What is gestational diabetes and can it turn into type 2 diabetes?

Diabetes increases your risk of heart disease and stroke. Kidney function should be monitored because it can cause you to need dialysis. Diabetes is the number one cause of blindness thus an annual eye exam is recommended.

How is diabetes treated/managed?

Kristen Stegemoller, M.D. joined Hamilton Healthcare System in 2012. A graduate of the University of Texas Medical School at Houston, she completed her residency at John Peter Smith Hospital in Fort Worth in June 2012. Dr. Stegemoller specializes in family medicine at the Family Practice Clinic of Mills County.

Gestational diabetes is when diabetes occurs during pregnancy. Sometimes we control it with insulin; sometimes diet and exercise works. Yes, it can put you at risk for developing diabetes later on in life. Diabetes is managed with a combination of diet, exercise and medication. Those with type 1 diabetes must take insulin. For those with type 2 diabetes, we have a lot of options. We


1.4 million Americans are diagnosed with diabetes every year.


Diabetes is the


leading cause of death in the U.S.

American Diabetes Association


Hop in the saddle with Your Hometown pharmacy.

At locally-owned Jordan Pharmacy, we are here when you need us, just like your favorite horse. You can depend on us for quality, accuracy and convenience.

254-386-3111 ♦ 107 North Rice Street, Hamilton ♦ jordanpharmacy@ ♦ An HHN publication

Hamilton Healthcare System | Thrive


Fall F


Clafoutis A baked French dessert, this clafoutis is a delicious healthier dessert lower in calories, added sugar and fat than the typical pie. Use seasonal fruits for a versatile dessert that can be enjoyed all year long.


1 2 cups

1 cup 3 1 tsp ¼ cup ½ cup



95 1. In a 9x9 round baking pan, CALORIES place the pre-made pie crust and MEDIUM APPLE press down to mold it to the pan. 2. Place your fruit of choice evenly around the bottom of the pan. For fruit like apples, pears and plums, you will want to wash, core, slice and peel the fruit, if you prefer. For fruit like blueberries, blackberries, raspberries and cherries, just rinse and dry the fruit. 3. In a large bowl, mix the milk, eggs, vanilla, sugar and flour together. Then pour evenly over fruit and crust. 4. Bake in the oven at 375 degrees for 35 to 40 minutes or until an inserted fork comes out clean.

pie crust, pre-made apples or your favorite fruit (blueberries, blackberries, cherries, pears, apples, raspberries, apricots, peaches and plums work best) 2% milk eggs vanilla extract sugar all-purpose flour



Apples ripen 10 times faster at room temperature than when refrigerated.





The U.S. grows about 2,500 different apple varities.

Apple Pickin' Guide SNACKING

Sweet and thinned skinned, these apples are great for snacking: Gala, Golden Delicious, Honeycrisp, Fuji, Red Delicious, Braeburn, Pink Lady and Crispin/Mutsu.


Crunchy and tart, some snackers prefer these apples, but they are excellent for baking: Granny Smith, Goldrush, Paula Red and Northern Sky.


Tender and sweet, these apples are great for snacking if you don’t like crisp apples, but they also make great sauces: Cortland and Jonamac.


Tender tart apples are great for apple sauce; try these: McIntosh, Macoun, Jonathan and Mollies Delicious.




FUJI Thrive |



Hamilton Healthcare System





An HHN publication

Fiber Health Benefits of


Submitted by


One of the most popular fruits in the world, apples are rich in fiber and antioxidants

Boost gut health

Containing approximately 16% of the daily fiber value, apples are filling and can slow digestion, which may aid in weight loss. The soluble fiber in apples promotes the growth of "good bacteria" in the gut. To get the most benefit, eat the skin, too.

Lower blood sugar

Some evidence suggests that flavanoids in apples may protect cells from damage in the pancreas, helping to lower blood sugar levels and protecting against diabetes. They’re rich in simple sugars such as fructose, sucrose and glucose. Despite their high carb and sugar content, their glycemic index is low, ranging from 39-44.

Health Benefits of


Packed with essential nutrients, beets are a great source of fiber, folate, manganese, potassium, iron and vitamin C.

Christie Keay

AgriLife Extension Agent

Beet and Butternut Squash Roasted


Beautiful and nutritious this salad packs a powerful punch as a healthy side dish or add grilled chicken or steak, leftover turkey or pork loin for a main course.


3 cups

Promote the beat

Beets get their jewel-toned hue from betalains which has anti-inflammatory and antioxidant properties, making beets great for heart and cardiovascular health.

butternut squash peeled and cubed 6 medium beets, peeled and cubed 1 cup pecans chopped

Vitalize vision health Beet greens are an excellent source of beta-carotene, lutein and zeaxanthin for eye and vision health. Try them sauteed or tossed in a salad.

An HHN publication




9.2g SUGAR

balsamic vinegar maple syrup arugula goat cheese crumbles


Regulate blood pressure

Beets contain nitrates which open blood vessels to help improve blood flow, lower blood pressure, increase exercise performance and promote healthy brain function. Not crazy about the root? Try it in juice.

1 cup 2 Tbsp. 3 cups ⅓ cup

1. Preheat oven to 400 degrees. 2. On a foil-lined baking sheet, spread the squash and beets in a single layer. Bake in the oven for 20-25 minutes or until the beets and squash are soft. 3. On a separate baking sheet, spread the chopped pecans and bake for 3-4 minutes or until fragrant. Take care not to burn. 4. While the squash and beets are roasting in the oven, in a small saucepan begin to heat the balsamic vinegar and maple syrup together. Stir frequently and bring to a slight simmer to reduce. 5. Fill a large bowl with arugula, place the roasted squash and beets on top of the arugula, drizzle with balsamic reduction. Top with toasted pecans and goat cheese. Serve warm. 3.8 mg FIBER

Hamilton Healthcare System | Thrive



Why is reading food labels helpful for making good food choices?

The nutrition label breaks down the amount of calories, carbohydrates, fats, fiber, protein and vitamins per serving of a food, making it easier to compare the nutritional quality of similar products.

Diabetes Coordinator

What are the most important areas to look at on a food label?

This really depends on your nutritional goals, but the most important place to start on a food label would be the “serving size.” All label information is based on this portion, so it’s important to compare what you are actually eating to the listed serving size. If your portion is larger, you would need to adjust accordingly for total calories, carbohydrates, fats and so on.

Are high calorie foods automatically bad?

or not? Fat free, reduced sodium and no sugar added are proclaimed on food items down the grocery store aisle but do the products live up to the hype? The government has defined some claims that can be used on food packaging. Here’s what they mean: CALORIES Calorie free: less than 5 calories per serving Low calorie: 40 calories or less per serving FAT Fat free: less than 0.5 grams of fat Trans fat free: less than 0.5 grams of trans fat Low fat: 3 grams or less of total fat Reduced fat or less fat: at least 25% less fat than the regular version SODIUM Sodium free or salt free: less than 5 mg of sodium per serving Low sodium: 140 mg of sodium or less Reduced sodium or less sodium: at least 25% less sodium than the regular version CHOLESTEROL Cholesterol free: less than 2 mg per serving Low cholesterol: 20 mg or less SUGAR Sugar free: less than 0.5 grams of sugar per serving No sugar added or without added sugars: no sugar or sugar-containing ingredient is added during processing FIBER High fiber: 5 grams or more of fiber per serving Good source of fiber: 2.5 to 4.9 grams of fiber per serving American Diabetes Association


Thrive |

Hamilton Healthcare System

No, absolutely not. The quality of calories matters, too. For example, avocados are a higher calorie food but very nutrient dense; rich in unsaturated fats, fiber, potassium and many vitamins. However, if total calorie intake regularly exceeds a person’s needs, no matter the food source, this can result in weight gain.

Under the fat and carbohydrate areas, the food label lists subcategories like saturated, unsaturated, trans fat, sugars and fiber. What do these mean, and how can this information help us make healthier choices? Choosing foods higher in unsaturated fats, rather than saturated, is more heart healthy and antiinflammatory. Opting for carbohydrates rich in fiber may help blood sugar control and improve gastrointestinal (GI) issues.


Krista Lindley, MS, RD, LD, CDCES

can tell you if a serving of a food is high or low in a particular nutrient.

Sometimes items in the ingredient list are hard to read or pronounce. What are some of the most common items, and should they be avoided?

Just because an ingredient is hard to read or pronounce does not automatically mean it’s bad. For example, "cyanocobalamin" may look intimidating, but this is actually just a vitamin. On the other hand, there are many hidden names for “sugar” such as corn syrup, sucrose, maltodextrin and dextrose. Added sugars should be limited because excessive intake has been linked to type two diabetes, heart disease and obesity.

Krista Lindley has worked as a registered dietitian and certified diabetes educator since 2012 at Hamilton Healthcare System. In addition to diabetes education, Krista also conducts nutrition and weight loss counseling. If you have a BMI of greater than 30, insurance may cover the cost of the program. For more information, call Krista at 254-386-1531.

Take Back Your Life!

What is trans fat, and why should it be avoided?

Trans fats can raise "bad" cholesterol, lower "good" cholesterol and may increase the risk of heart disease. Trans fats can be found in some baked goods, fried foods, frozen pizzas, shortening and margarines.

What does % Daily Value mean, and how can it help us choose healthier food options?

Daily Values are reference amounts of different nutrients to consume or not to exceed in a day. The percent daily value

Chronic Care Management Services

We offer services to coordinate your healthcare needs for chronic conditions. We care for: Alzheimer's & Dementia Arthritis Asthma Atrial Fibrillation Cancer

Cardiovascular Disease COPD Depression Diabetes Hypertension

Eligible to Rural Health Clinic patients with two or more chronic conditions. Contact your doctor for more information:

Family Practice Rural Health Clinic

(254) 386-1700

Hico Clinic

(254) 796-4224

Family Practice of Mills County

(325) 648-2850 An HHN publication


nderstanding food


Nutrition Counseling and Weight Loss

SERVING SIZE - Start here. All of the

information is based on this number. Pay attention to the serving size, especially how many servings there are in the food package.

A registered dietitian tailors a meal plan to your unique goals plus education in:

CALORIES - This is a measure of how much energy is provided from a serving of this food. Learn your estimated calorie needs at myplate. gov/myplate-plan or speak to your doctor.

• Healthy Choices • Portion Control • Learn the Label • Heart Healthy Fats • Complex Carbs • Plant-Based Proteins • Meal Planning

NUTRIENTS - The nutrient section contains key nutrients, like fats, carbohydrates and proteins required for optimal health. Watch amounts of saturated fat, sodium and added sugars that may be associated with adverse health effects. % DAILY VALUE - The % DV shows how the

amount of a nutrient in a serving of a food contributes to a total daily diet and helps in determining if a food is high or low in a nutrient.

INGREDIENT LIST - Packaged foods are

Dextrose, Enriched Flour (Wheat Flour, Niacin, Reduced Iron, Thiamin Mononitrate [Vitamin B1], Riboflavin [Vitamin B2], Folic Acid), Sugar, Palm and Soybean Oils with TBHQ and Citric Acid to protect flavor, Palm and Palm Kernel Oil, Water.

required to list the ingredients in order of predominance by weight with the first ingredient being the highest amount in the food.

If you have Medicare Part B and/ or have a BMI of greater than 30,insurance may cover the cost of the program. Ask your doctor or call 254-386-1531.

Wellness Center Lab Panels Hamilton Healthcare System now offers Wellness Labs with no referral needed. Our Wellness Labs can give you a snapshot of your current health and overall wellness. There are 4 different Wellness Lab Panels available:

Bronze Level Am I Healthy?

Silver Level

Vitamin Studies

Gold Level

Cortisol, Amino Acid, & Lipoprotein

Galleri Cancer Panel Early Detection Cancer Screening

Results are reviewed by Wellness Center Medical Director Dr. Luke Killian. The Wellness Center Lab Panels are available Monday through Friday. Labs are self-pay and Flexible Spending or Health Savings Accounts accepted.

For information on Wellness Center Lab Panels call

(254) 386-1670 American Diabetes Association

An HHN publication

Hamilton Healthcare System | Thrive



Tired of being tired!


Take Dave's Quiz

How likely are you to doze off or fall asleep in the following situations, in contrast to feeling just tired? This refers to your usual way of life in recent times. Even if you have not done some of these things recently, try to choose how they would affect you. Use the following scale to rank each situation: 0 = no chance of dozing 1 = slight chance of dozing 2 = moderate chance of dozing 3 = high chance of dozing

Sitting and reading ____ Watching TV ____ Sitting inactive in a public place ____

(e.g. a theater or a meeting)

As a passenger in a car

for an hour without a break


Lying down to rest in the afternoon when circumstances permit


Sitting and talking to someone ____ Sitting quietly after a lunch ____ without alcohol In a car, while stopped for a few minutes in traffic


____ ____

Check your sleepy score :

6+ points = 10+ points = 16+ points =

Sleepy Very sleepy Dangerously sleepy

If your score doesn’t improve after 2 weeks of 8 hours of sleep a night, it is recommended that you consult your doctor or visit with Dave at 254-386-1699.


Thrive |

Hamilton Healthcare System

I’ve been tired my whole life,” said Ric John, “But the last half, I’ve been absolutely exhausted.” A retired electrical engineer with an affinity for Harley Davidsons, Ric and his wife moved to Hamilton about six years ago. He attributed his fatigue to normal aging. “It probably began when I started putting on a little weight,” he said. “I had good doctors trying to find the problem.” They put him on Ritalin and testosterone. “About a year ago, I walked into City Hall at the wrong time,” he said. Now, he holds the Building Inspector/Code Enforcement title. While that changed his trajectory, a chance meeting at Lions Club one Wednesday made perhaps the greatest impact on his life. “I was sitting across from Dave telling him how tired I was, and he handed me a questionnaire,” said Ric. Fellow Lion David Rodriguez is the Sleep Lab Coordinator at Hamilton General Hospital with more than 30 years experience. With a phone call to Ric’s doctor, Dave scheduled Ric for an at-home sleep study. “It was very simple,” said Ric. When the results were in, Dave’s suspicions were confirmed. The cause of Ric’s chronic fatigue was sleep apnea. He had 40 episodes where he quit breathing in one hour. His oxygen level was in the mid to high 70s and his heart rate dipped down to 30 at its lowest. "That’s enough to make any doctor worry,” said Dave. Ric’s body was waking him up constantly. “It was like I was never getting any sleep,” he said. "I felt like I was ready to die." Dave and Dr. Shalor Craig immediately went to work getting Ric a CPAP ASAP. At the time, the machines were in short supply, but his condition moved him to the top of the waiting list. “It took a week to get in,” he said. “By the end of the second night, I felt 20 years younger. It’s that quick. I feel so much better and got off all those meds. There is a learning curve to get into but after two months, I didn’t even have to think about it. If I get up in the middle of the night, I just snap it off and then

snap it back on.” Ric calls his CPAP a magic cure. “It’s so simple,” he said. “The only bad side is that I literally probably lost 20 years of feeling good. I should have done this 20 or 30 years ago.” “Most people begin to exhibit symptoms around age 35 to 45,” said Dave. While those with large tonsils and thick necks are often predisposed to sleep apnea, there is no set profile, said Dave. According to the National Institutes of Health, sleep apnea can be inherited. Face, tongue and airway shape can predispose a person to sleep apnea. Men are more prone to it than women. The risk increases with age. Alcohol consumption, smoking and weight gain can also increase risk. Sometimes weight gain can be attributed to sleep apnea. “People think, ‘If I just lose weight, I can get rid of it.’ When you have profound fatigue, your brain tells you that you are hungry, so you snack a lot and gain weight, which makes it worse,” said Dave. “The best thing to do is get evaluated. Talk to your doctor for a referral.” Testing for sleep apnea can be done at home, so it is easy and convenient. “You pick it up and return it the next day,” said Dave. The treatment is easy, too, Ric said. “The mask is so soft and comfortable. It molds to my face. I use mine religiously. It’s very quiet, and my wife says I don’t snore.” Medicare and most insurances cover the cost of the CPAP. “I pay for my supplies,” said Ric. “There are very small percent of people that can’t get comfortable in a CPAP,” said Dave. The Inspire surgical procedure may be an option in those unable to wear a CPAP. During the procedure a small pacemakerlike device is implanted in the neck to stimulate throat muscles allowing the airway to open during sleep. However, there are requirements. The surgery is not available to those who are significantly overweight. “If you think you might have it, go get tested," said Ric. An HHN publication

There’s no place like

HOME You built it. You worked for it.

We are dedicated to helping you stay at home.

Veteran Personal Care Services Program Now Available We know how much you value your independence. Companion Senior Care offers services You want to be on your home place -- your land to help with daily needs including: -- surrounded by what you’ve worked for your • Companionship whole life. We offer personalized support to help • Assistance dressing, bathing and grooming you stay at home on your terms. Our goal is to • Meal preparation provide the care you need to age at home safely • Medication reminders while maintaining your physical and mental well• Shopping being. Our caregivers are screened, bonded and thoroughly trained. We come to you. • Cleaning and organizing

Located in Hamilton and surrounding counties


Carl G. Chakmakjian, D.O., FACP • Tyler W. Snedden, M.D. • Thomas J. Harris, M.D. • Rachel Ramsey, NP, AOCNP Carlos A. Encarnación, M.D., FACP • Ofobuike N. Okani, M.D., FACP • Katie Bone, MSN, APRN, FNP-BC Dawn Turner, RN, FNP-C, AOCNP • Justin W. Wray, M.D., Ph.D.

When you’re treated at Texas Oncology, you’re getting leading edge cancer care right here in Waco. Our skilled physicians fight cancer with breakthrough clinical trials and the latest treatment innovations — so Texans everywhere can receive recognized cancer care in their own community.

Texas Oncology–Waco 1700 W. State Hwy. 6 Waco, TX 76712 • 254-399-0741

Texas Oncology–Horizon Circle 6520 Horizon Circle Waco, TX 76712 • 254-755-4460

Additional locations in Clifton, Gatesville, Groesbeck, Hamilton, Hillsboro and Mexia.



or rural Texans, a cancer diagnosis often means traveling long distances into a big metropolis to find an oncologist for evaluation and treatment. Carlos Encarnacion, M.D. FACP with Texas Oncology, brings more than 30 years of experience in oncology, breast oncology, hematology and internal medicine to Hamilton each month. “I treat most types of malignancies and blood disorders,” said Dr. Encarnacion. A lot of what he treats in Hamilton is anemia and minor blood disorders, but for his those with cancer, he is a lifeline. Through Texas Oncology, an independent, physician-led practice, Dr. Encarnacion offers his cancer patients leading-edge technology, treatment options closer to home and access to a strong, innovative research program with clinical trials. “Texas Oncology makes sure that people don’t have to run to the metroplex

Close to Home

for quality treatment,” he said. “Most patients are treated locally or regionally. Our goal with outreach is to facilitate the life of the patient.” While Hamilton patients do go to Waco for treatments like chemotherapy, Dr. Encarnacion utilizes the facilities in Hamilton whenever possible including surgical, laboratory and screening services. “Some oral medications and some shots can be done in Hamilton,” said Dr. Encarnacion. “The local doctors are excellent and very supportive.” Ryan Adams, M.D. is a general surgeon at Hamilton General Hospital with specialized training in biliary disease as well as disease of the colon and

November is Lung Cancer Awareness Month What are common symptoms of lung cancer and can it be prevented?

Common symptoms of lung cancer are chest pain made worse with deeper breathing, coughing or laughing, persistent coughing and breathing trouble. Lung cancer can be treated and is often preventable. Do not smoke, avoid secondhand smoke, take precautions at work with exposure to certain fumes and chemicals and test your home for radon.

Texas Oncology–Waco 1700 W. State Highway 6• 254-399-0741 • An HHN publication

small intestine, however he is proficient in many types of surgeries including surgical options for breast care and skin cancers. “Dr. Adams is great,” said Dr. Encarnacion. “We have a good relationship and communicate well. Patients are in good hands with Dr. Adams.” Genetic testing and counseling can be done in Hamilton. Dr. Encarnacion brings a special kit with him, and the Hamilton lab performs the testing. “It’s important to know your risks,” said

The Best Protection is Early Detecti n! Schedule Your 3D Mammogram Today!

(254) 386-1536

Love Your He rt Local Heart Care Here For You! Exercise & Nuclear Stress Tests Echocardiograms & EKGs Cardiac Rehabilitation Congestive Heart Failure Program Visiting Cardiologists

Call for more information!

(254) 386-1600

Hamilton Healthcare System | Thrive


General Surgery

Dr. Encarnacion. its-kind multi-cancer early detection test, While there are standard screening which can detect 50 types of cancers. RYAN ADAMS, MD guidelines, like beginning colon screening Dr. Encarnacion stresses the importance Dr. Adams provides general at age 45, each person is unique. Factors of improved diet, smoking cessation and surgical services at Hamilton like family history may warrant earlier incorporating daily activity to reduce General Hospital. He treats screening. Genetic testing can help modify cancer risk. a broad range of conditions screening to better fit an individual’s risk. According to the World Health through surgery including For those interested in genetic testing, Organization, up to half of cancer cases colonoscopies, gallbladder Dr. Encarnacion recommends talking to could be prevented with lifestyle changes. and appendectomies, skin your family doctor as certain criteria must Smoking causes 20 percent of all cancers cancers and grafting, hernia repairs and surgical be met. and about 80 percent of lung cancers, options for breast care. “If you are high risk, we are happy to according to the American Cancer see you,” he said, “not because you have Society. disease, but to prevent it.” “I’d rather not see you because you KEITH ELLISON, MD Screening is an important part of never get cancer than see you because Orthopedic surgeon Dr. Keith Ellison takes a multiprevention and even treatment. When you have cancer,” said Dr. Encarnacion. disciplinary approach to cancers are detected early through However, when the need arises, Central prevent, diagnose, treat routine screening, they may be easier to Texans can rest assured in having access and rehabilitate orthopedic treat. to quality care and a knowledgeable concerns and conditions. In “We really emphasize screening,” said oncologist. addition to fracture care and Dr. Encarnacion. “The doctors in Hamilton “Our patients are valuable individuals, surgeries, he specializes in sports injuries, rotator are good at emphasizing screening.” not numbers,” said Dr. Encarnacion. “I cuff repair and shoulder and knee replacement. Dr. Encarnacion recommends using the will always respect a patient’s decision. screenings available in Hamilton. I believe that patients are intelligent and Hamilton General Hospital offers 3D are fully able to make decisions if they are WILLIAM MOORE, MD digital mammography for prevention as given the proper information.” Dr. Moore provides pain well as diagnostic mammograms and Carlos Encarnacion, M.D., FACP serves as Site management services at HGH. ultrasounds. Colonoscopies also Research Leader and Area Medical Director Interventional Pain can Management He treats many spine and Born in Laredo, TX, Moore earned his medical degree at family the University of Texas Health Science be done HGH. Providers in the for the Waco locations of Texas Oncology. He Center at San Antonio, followed by a residency in Anesthesiology at Ochsner Clinic Foundation nerve conditions and performs Hospital in New Orleans. completed hisHico fellowship trainingparticipates in Pain Medicine and practice clinicsDr. Moore in Hamilton, and in the US Oncology Network/ epidurals, nerve blocks, joint Interventional Pain Management at Texas Tech University Health Sciences Center in Lubbock. Goldthwaite perform routine screenings Texas Oncology and back injections and We proudly welcome William Moore, MD to our Medical Staff! Genetic Risk Evaluation and forDr.cervical and the prostate cancers. Lung new Treatment vertebral augmentation. Dr. Moore treats following and is taking patients: program and is a member of the cancer screening is also available locally. Texas Oncology Board of Directors. He enjoys Moore’s surgical offerings CONDITIONS TREATED PROCEDURES Dr. Moore of the SpineWellness causing Pain Center• Epidurals Hamilton now offers reading, traveling, eating out, beekeeping, and include implants, spinal cord stimulators, sacroiliac • Diseases will be here the • Paresthesias or Weakness • Nerve Blocks fusion and lumbar endoscopic decompression. playing guitar. the Galleri cancer screening, a first-of-Ablations nd rd th including Disc Bulges • Radiofrequency 2 ,3 &4

Orthopedic Surgery

Pain Management

William Moore, MD

Thursdays of each month! To schedule an appointment, please call.

• Herniations • Joint Injections • Nerve Impingement • Kyphoplasty or Vertebral Augmentation • Stenosis SURGERIES • Radiculopathies • Lumbar Endoscopic Decompression • Facet Arthritis • Discectomy • Spondylosis • Posterior Spinal Fixation Implants • Spondylolisthesis and • Sacroiliac Fusion Compression Fractures • Spinal Cord Stimulator • Chronic Neuropathic Pain following Surgery • Implants to the Spine or Joints • Intrathecal Pumps

Give a gift that makes a difference.

Specialty Services Building (254) 386-1524 PCP referral required

One of the trademarks of a progressive community is strong 400 North Brown • Hamilton, Texas 76531 commitment and support of high quality healthcare services. Central Texans are fortunate to have outstanding healthcare professionals and facilities in Hamilton, Hico and Goldthwaite, thanks to the foresight, tenacity and stewardship of many of our citizens over the years. The Hamilton General Hospital Healthcare Foundation, 501(c)3 organization, maintains the legacy of ensuring vital healthcare services now and for the future for Hamilton County and surrounding areas. Thanks to the generosity of our donors, the Foundation has been instrumental in providing grants for needed equipment and services like the new 3D digital mammography machine and annual community health fair.

As you plan your end-of-the-year gifts, please consider the

HAMILTON GENERAL HOSPITAL HEALTHCARE FOUNDATION Providing excellence in rural healthcare

P.O. Box 788 • Hamilton, Texas 76531 Donate online at


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or those interested in monitoring their overall health and wellness, Hamilton Healthcare System now offers tiered lab panels with indepth focus on vitamins, cortisol, amino acids, lipoproteins and even early detection cancer screenings. The self-pay panels are available in three tiered levels upon request instead of being ordered by a physician. An optional Galleri Cancer Panel is also available for early detection cancer screening. Panel results are reviewed by Wellness Center Medical Director Luke Killian, M.D. An avid fitness enthusiast, Dr. Killian sees this as an opportunity for people to gain a more comprehensive view of their health. “I am super excited about the idea of trying to build a health-conscious community almost like the Blue Zone in the Mediterranean where people lived to be a century or older,” said Dr. Killian. “We have a close-knit community with access to quality healthcare. Our practitioners are looking at what they can do to help you

live to a ripe old age.” While some of the information overlaps with that gleaned through a regular checkup, these panels provide a more complex look into the body’s systems, says Dr. Killian. The bronze level is a standard look at metabolic systems and organs. The silver incorporates a deeper look at vitamins while the gold level incorporates more hormone levels. Each level builds on the level below it. The Galleri cancer panel screens for 50 types of cancers. “It’s expensive but a good one,” said Dr. Killian. “It’s the first of its kind and screens for 45 types of cancers that we don’t screen for routinely.” Current screening typically includes mammography for breast cancer, colonoscopy for colon cancer, pap smears for cervical cancer, prostate specific antigen (PSA) test for prostate cancer and, for smokers, low-dose computed tomography (LDCT) for lung cancer, or of which are available locally through

Hamilton Healthcare System. The Galleri blood test checks more than 100,000 DNA regions. If cancer is detected, Galleri has an 88 percent accuracy of predicting the tissue or organ type associated with the cancer. In addition to the five cancers currently screened for, it can detect liver, kidney, bone, lymphoma, melanoma of the skin, oral, ovarian, pancreatic, stomach, intestinal and esophageal cancers, to name a few. Because it is new, it is expensive, but Dr. Killian hopes that this technology will become mainstream sooner rather than later. “The earlier we find cancer, the better the prognosis,” he said. “That’s where I think this will help.” The Galleri test is recommended for adults with an elevated risk of cancer, such as those ages 50 and older. However, it is available to anyone through the Wellness Center. For more information about lab panels and Galleri screening through the Wellness Center, call 254-386-1670.

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rural health

Bless Your Heart s fall fades into winter, I’m always thankful for the chance to live and work in a largely rural area. The slight chill in the air on Friday nights at the game, the flash of a whitetail through the trees taking his chances in the rut, and watching Tyler a thunderhead rolling in on the horizon are Stewart, M.D. special moments I particularly enjoy. Urologist Many of my buddies from medical school Hamilton Family and surgical training are from the big city: Practice Clinic Chicago, Boston, Atlanta, Philadelphia. They usually don’t seem to understand the wonderful benefits of life in a small town. And one of their main arguments always tends to be: “but what do people do when they need to go to a good doctor?” People often assume that living in a rural place means that opportunities to access high quality healthcare are limited. But I can tell you that in Hamilton, this is about as far from the truth as possible. In my first year traveling to Hamilton, I have been extremely impressed by the healthcare team here and in Hico. The family practice docs and PAs/NPs here are excellent; I am continually impressed by the phenomenal care they provide. They also are wonderful advocates for their patients, and I never once have thought that a patient was not getting the care they needed and deserved. The nurses and front office staff in the clinic are friendly and caring, and they’re always good for a smile. And don’t forget the specialists and surgeons performing the procedures you need with skill and speed! The facilities here are also outstanding. The vast majority of labwork and scans that most patients need are available here, and thankfully those scans can get sent all the way to Waco for docs like me to review. And if the time comes and you need a surgery or scan that is not available in Hamilton, please know that we are honored to visit with you (and care for you) over in Waco. Some of the most modern, up-to-date technologies are available at Providence Hospital (including the Da Vinci robot), but we’ll do our best to do as much as we can in Hamilton to keep you happy and healthy. Every patient in Hamilton should be proud of their healthcare system. It really is a shining jewel, and I’m honored to be allowed to play a very small part in it. So the next time a cityslicker implies your small town isn’t a good place to get cared for, give ‘em a “bless your heart” and a copy of this article, and come see us at the clinic in Hamilton! Happy Thanksgiving, Merry Christmas and Happy New Year! Dr. Tyler A. Stewart is a Urologist with Ascension Medical Group Providence Urology in Waco. He graduated at the top of his class at the UT Health Science Center in San Antonio. Dr. Stewart has received multiple awards such as the Endoscopic Excellence Award, the Preston Littrell "Best Resident" Award and multiple UTHSCSA Urology Department awards among others. He treats men and women of all ages and sees patients at the Family Practice Rural Health Clinic in Hamilton.


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Our W

eeping people at their optimal health is our goal. We follow “The Momma Rule” at the Hamilton Healthcare System. That is, treat others like you would treat your momma. Everyone in the system does their team task as if doing it for a family member. The clinics are a true medical home for the communities we serve. I am proud of what we have accomplished and look forward to the future."

James "Randy" Lee, M.D.

Chief of Staff Hamilton Family Practice Clinic

believe the Hico clinic has provided quality healthcare for the residents in and around Hico for the last 15 years. I feel like most of them are very appreciative of having access to high-quality healthcare. W. Shalor Growing up in Hamilton, I really did not Craig, M.D. know anyone to speak of from Hico and Medical Director Hico Clinic have really enjoyed all the relationships I have made over here. The people of Hico are great people just like the majority of people in and around Hamilton. They are constantly complimenting me on what good care they have received at our hospital. Most of my patients enjoy being able to get good health care locally without having to travel a great distance to a larger facility in a large city." e take care of an aging population. It's harder and harder to travel to see specialists over an hour away. Some of our patients don't have the transportation to do that. We are blessed to Kristen bring in surgeons, Dr. Ryan Adams and Dr. Stegemoller, M.D. Keith Ellison, as well as physical therapists, Medical Director Family Practice a dietitian and diabetic educator and even Clinic of behavioral health therapists. Having Mills County mental health care in a small community is a big deal. That is a vastly underserved need. With the nearest hospital 35 miles away, we are the only source of health care. At the end of the day, we want people to feel like they are taken care of." An HHN publication


Providing quality healthcare to rural Central Texans

A Brief History

amilton Healthcare System has a rich history steeped in its community. Efforts to build a hospital in Hamilton began in 1955. Citizens George Golightly, Bill Manning, Floyd Campbell, Haskell Harelik, Guffie Barkley, C.M. Hatch, W.P. Lawson and Dr. C.C. Cleveland held the first planning and development meeting in the basement of the First Baptist Church in January 1957. Chartered July 1, 1957, the Hamilton County General Hospital admitted its first patient on Sept. 1, 1958. The 20-bed facility was built in seven months by Herman H. Tomlinson on land donated by Haskell Harelik with funding from 465 shareholders. In 1982, Harris Methodist of Fort Worth bought out shares, and the hospital became Harris Methodist Hamilton Hospital. Harris Methodist closed the doors of the hospital on Sept. 30, 1987. A group of citizens including Ken Gardner, Jane Crouch, Andy McMullen, Tom White, Ramon Haile, Bill Craig, David Lengefeld, Jim Soules, Fay Schrank, Jack Davidson, Bill Snell, T.P. Medlock, Slim Witzsche, Roger Miller and Marge Jordan formed a non-profit corporation to take back the assets and began an effort to reopen the hospital. Because of state regulations, they only had 12 months to save the hospital.

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In May 1988, the Hamilton community pulled together to begin raising $259,000 and Hamilton General Hospital (HGH) reopened on Sept. 12, 1988. To secure long-term financial security, the board began exploring forming a hospital district. After a failed attempt and numerous, often hotly contested community meetings, an election to approve the district was held in Hamilton County Precincts 1, 2 and 4 on May 4, 1990, and the vote passed. HGH transferred to the Hamilton County Hospital District on May 29, 1990. A 34-bed, 39,000 square foot $7.5 million replacement facility was built in 2004, admitting its first patient on Jan. 2, 2005. The financing was accomplished with revenue bonds, not requiring tax-backed bonds. In 1997, James R. “Randy” Lee, M.D. returned to his hometown to practice medicine and began the Family Practice Associates. A new era in Hamilton’s healthcare was born. Hamilton Healthcare System opened a Rural Health Clinic and lab in December of

1997. On May 1, 2004, the system purchased Fitness on the Square adding a fitness center to the growing system, and its state-of-the-art Wellness Center opened June 30, 2008. The Hico Clinic was purchased on Oct. 1, 2008, and on Sept. 8, 2009, Hamilton Healthcare System partnered with the Mills County Rural Health, Inc. to open the Family Practice Clinic of Mills County. In 2018, HGH transitioned to a 25-bed Critical Access hospital. A debt of gratitude is owed to the citizens of our community who have worked for and supported Hamilton Healthcare System from its inception to today. Their tireless effort and dedication ensured healthcare facilities in Hamilton and surrounding communities for future generations.

Hamilton Healthcare System | Thrive



econds matter in an emergency, which makes an EMS service in a rural area of utmost importance. Longer distances between hospitals, difficult terrain, weather conditions and even staffing are unique drawbacks that can affect response and transport times and ultimately treatment, making serving rural areas difficult. Hamilton County Hospital District EMS (HEMS) has become a model for rural emergency medical services. Under the direction of Chief Patrick Cobb, HEMS became the first and only EMS system in Texas designated as a Critical Access EMS Provider, meaning it can be reimbursed 100 percent on Medicare patients as opposed to 28 cents on the dollar. All ambulances carry the highest level of licensing, Mobile Intensive Care Unit (MICU), which means each truck is staffed with a paramedic and at least an EMT. Trucks are equipped with LUCAS devices,


HAMILTON T-1 ventilators and IV pumps. A battery-operated automatic chest compression device, the LUCAS device improves the quality of CPR and outcomes of resuscitation. It ensures consistent compressions while allowing providers to focus on decision-making and administer other life-saving treatments. Immediate CPR is crucial to saving lives. “LUCAS provides the most efficient, effective and safest chest compression for patients and our crew," said Cobb. LUCAS devices run about $17,000 apiece, but their benefits are so great that not only are HEMS ambulances equipped with them, but Hamilton General Hospital’s ER is too. HAMILTON T-1 ventilators are ICU-level ventilators also used in HGH, meaning EMTs, respiratory therapists and doctors are all familiar with the device for seamless transitions of care. Some helicopters that service the area use these, too.


“Scientific statistics have proven it is safer and more effective to use mechanical vents than bagging by hand, especially long term,” said Cobb. Equipment is not the only advancement on HEMS’s MICU ambulances, they are also equipped with medicines that are not on most trucks, like liquid nitroglycerin. These medicines help offset the obstacles faced in rural emergency situations and improve treatment for patients. Some of these medicines require IV pumps, so trucks are stocked with those, too. “Only 25 percent of the ambulances across the country have these,” said Cobb. Equipment and medicines are useless without the knowledge and training to use them. HEMS raises the bar there, too, making it an attactive place to work. Skilled EMTs travel from neighboring urban areas to pull shifts. In addition to computer-based and hands-on management-driven training,

Emergency Care You Can Trust

Tim Rudolph, MD Hamilton General Hospital ER

(254) 386-1600

Brad Bartels, MD Hamilton General Hospital ER Luke Killian, MD Emergency Department Medical Director

400 North Brown St | Hamilton, TX 76531


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on the Ground

crews often review scenarios independently. In San Saba and Llano counties, crews train for the austere environments of Colorado Bend State Park, Inks Lake, Valley of the Eagles, Lake LBJ and Enchanted Rock. They train jointly with local fire departments for water rescues and extrications from rugged terrain. “It’s a different world down there,” said Cobb. Each quarter, HEMS crews train alongside Careflite crews at UT Southwestern’s cadaver lab. “It’s difficult training to get,” said Cobb. “We are constantly educating or training.” Cobb gives Medical Director Tim Rudolph, M.D. credit for raising the bar with advanced training, equipment and medicine. “He’s going to extend the ER to your living room,” said Cobb. “Just because

you live 50 miles off the interstate doesn’t mean your healthcare looks like it. “I don’t think you’ll find an ambulance protocol in a community of less than 5,000 people as aggressive as ours.” HEMS serves Hamilton, Mills, San Saba, Llano and Lampasas counties.


EMT Paramedic Matthew Green and EMT-B Anna Elkins demonstrate the LUCAS device on an HEMS ambulance.

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’m not a runner and have only ever entered two races in my life. The only thing I can say is that I finished both of them and lived to tell about it. I wasn’t running either of them to win; I was just trying to finish! However, when it comes to being a Christian in this world and living a Christian life, the Dr. Drew Bible says, in 1 Corinthians 9:24, “Don’t you Dabbs First Baptist realize that in a race everyone runs, but only Church one person gets the prize? So run to win!” of Hamilton When it comes to living as a Christian in this world, are we running to finish or running to win? If we want to “run to win,” it’s going to require discipline. In 1 Corinthians 9:25, it says, “All athletes are disciplined in their training.” That makes perfect sense. The more disciplined we are in our training, the more likely we are to win. I have a friend who says, “Discipline trumps motivation,” and he’s right. If we wait for motivation, we may never do anything! That’s true for physical fitness, as well as spiritual fitness. If I only ever read the Bible, pray or worship when I feel motivated, I’m only ever going to grow spiritually in fits and starts. Yet, if I take a steady, disciplined approach to spiritual fitness, I’m going to see those steady, incremental gains in spiritual development. Running to win takes discipline, and it also requires focus. Verse 25 goes on to say, “They [disciplined athletes] do it to win a prize that will fade away, but we do it for an eternal prize.” If the Christian life is like a race, and we’re running to win, then we need to make sure we’re focused on the right things, as we go through this life. We’re reminded in 2 Corinthians 4:18, “What is seen is temporary, but what is unseen is eternal,” and in Colossians 3:2, “Set your mind on things above, not on earthly things.” I’ve heard that some people are “so heavenly-minded they’re no earthly good,” but C.S. Lewis had a different take: “A continual looking forward to the eternal world is not a form of escapism or wishful thinking, but one of the things a Christian is meant to do. It doesn’t mean that we’re to leave the present world as it is. If you read history you’ll find the Christians who did the most for the present world were just those who thought most of the next… It is since Christians have largely ceased to think of the other world that they have become so ineffective in this one.” Friends, if we know Christ, we’re going to finish the race. The moment we gave our hearts to Christ, finishing the race was guaranteed. Here’s my encouragement to you: run to win. Pour every ounce of your being into living as a Christian in this world, be disciplined, stay focused, and run to win. Dr. Drew Dabbs and his wife Emily were both raised in Meridian, MS, but he says, “We got to Texas as fast as we could.” Dr. Dabbs has been pastoring for nearly 20 years, and he’s been at FBC Hamilton since 2015. He and Emily have five children: Evangeline, Trey, Annabelle, Emma Faith and Collin. An HHN publication


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fitness Meet the Trainer


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3-4 SETS OF 10 Front load a dumbell like a goblet. Stand with feet shoulder width apart. Sit with chest up and stand back up pressing through the heels.

r t knees go Do not le over toes.

Front Foot Elevated

Squat int


Use a bench make it harde

Split Squat


3-4 SETS OF 10 Use a plate or step. Hold one weight to the inside of the front leg or hold weights on both sides. With one foot on the raised surface and one foot behind you on the floor, take the hips toward the ground then return to standing. Keep a big chest and slight bend in the front knee. Once mastered, try

Bulgarian Squat

Rest the top of one foot on a bench, step out with the other foot. Adjust the placement and spacing of the feet for balance and form. Then use the same movement as the Front-Foot Elevated Split Squat to lower the hips toward the floor and return to standing.


Kinesiology major at Tarleton State University studying exercise and sports medicine, Henley Dean is now offering personal training services at Hamilton Wellness Center. “I want to be a strength and conditioning coach,” said Dean, who is already working with athletes in Tarleton’s football and sand volleyball programs. “I’ve also worked with women’s basketball players and the dance team.” Dean started lifting weights in high school, but the level of fitness that she was required to keep in the Marine Corps helped shape her focus. “I graduated in 2018 and thought about being an English teacher. I joined the Marines because I didn’t know what I wanted to do,” she said. Dean served four years and began pursuing her degree last spring. To achieve her coaching goals, she will earn her Masters. She is gaining an in-depth look at the science behind training the human body. It’s not as simple as nutrition, cardio, weights and recovery but delving deeper into body mechanics and the nervous system to develop just the right program to get an athlete to peak performance at just the right time. “The body can only go so long under stress,” said Dean. She’s created programs for her own fitness goals and is competing in her first powerlifting meet in November. Aside from college athletes, most of Dean’s clients are interested in weight loss and general physical fitness. However, she has some clients with unique goals like building muscle back after illness and teens with sport-specific goals. Dean typically works up a six-week training plan for her clients, building in modifications as needed. A stickler for proper technique, she watches their progress, evaluates changes and adjusts the plan for growth. She helps them track weight and is always available with knowledgeable advice to help clients achieve their goals. Since she is a student, Dean’s training schedule fluctuates each semester. Call Hamilton Wellness Center 254-3861670 to set up an appointment and start your fitness journey.

Goblet Squat

Keep the knee over the ankle.

An HHN publication

Smith Machine

oser the Squat Variation Easier the cl bo dy. Super Set r u o y to s i r ba 2 SETS OF 15


Step under the bar placing it at mid-back behind the shoulder, "the meaty part." Step forward and lean back into the bar. With feet together, lower hips toward the ground then stand up. When finished with reps, step feet hip width and repeat. Do both versions back to back.

Romanian Deadlift (RDL)

3-4 SETS OF 10 Try it with a barbell or dumbells. With hands outside of thighs and feet shoulder width apart, take the bar or dumbells to the knees and back up. Keep shoulders back.



the Step out from . back bar and lean


nch to arder.

pad Try using the on the Smith t and o o f r o f e n i h c ma ankle comfort.

An HHN publication

Squat Matrix

2 SETS OF 15 No weight needed with this one. With feet hip width apart, lower hips toward ground, step one foot back into lunge then back to squat position then lunge the opposite foot back, step up to the squat and stand up. That's one! Only count the squat. Keep a flat back, big chest and knees over ankles.





g Day

Turn feet out to keep knees happy.

Keep chest lifted.

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holiday health Making Happier Cardiac & Pulmonary Rehab With a healthy heart, you can do more of what you love. Goals After Pulmonary Rehabilitation

Goals After Cardiac Rehabilitation

Better Quality of Life

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Healthy Lifestyle Changes

Increased Strength & Endurance

Education to Reduce Risk Factors

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Detection of Irregular Heart Beats

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To Find Out More Call

(254) 386-1675

Connecting You to the World!

he holiday season can be a time for BIG emotions. Many of them are positive, but it is important to be aware of negative emotions that can be triggered and how to avoid them. Some of these negative emotions include fear, regret, guilt, shame and sadness. These emotions can be triggered by often seemingly innocent stimuli including certain sounds or smells. Cathy Trauma triggers are defined as psychological Kolodziej, stimuli that prompt involuntary recall of a previous M.Ed, LPC, CSC, traumatic experience. Just as most adults can be LCDC, NCC taken back to a happy high school memory by the Hamilton ISD sound of a song they haven’t heard in many years, we can also be triggered and taken to dark places full of negative emotion. It is often helpful to try and replace negative emotions with positive ones that may include happiness, hope, love, joy and faith. Taking care of your mental health during the holiday season is important. Here are some tips to follow:

• Take a minute to be mindful and focus on the world around you. What do you see? What do you hear? What do you smell? What do you feel? What do you taste? Take one minute to do an emotional full body scan. Concentrate and make mental notes about your immediate surroundings and what is happening right now. Feel the stress leave your body and visualize peace flooding your veins.

• Take care of yourself. Don’t feel pressured to attend or host

social functions that you feel may overtax you or cause undue stress. Don’t feel that you need to make up excuses to defend your absence. Your first obligation is to yourself, and simply saying that you will not be in attendance is all that is required. You do not have to provide a reason. Be honest with yourself and feel free to be honest with others, but be mindful that you are not required to divulge anything. Make efforts not to let social engagements be a source of guilt.

• Skip the drama! Stay away from places and people who

are known to be anxiety inducing. This can be difficult because it often involves distancing yourself from family and/or co-workers. It is okay for you to put your own mental health before social “obligations.” Focus on what you know and try not to obsess on situations beyond your control.

• Maintain healthy routines. Avoid alcohol and overeating. The holidays are full of decadent treats and social gatherings that revolve around food. Practice moderation in all things. Make an effort to get plenty of sleep and maintain an active lifestyle. Healthy lifestyle choices greatly contribute to mental wellbeing.

• Don’t overspend! It so easy to do during the holiday season

when gift giving and socializing are a part of tradition. Make an effort to maintain a healthy budget and resist the urge to overspend. Buyer’s remorse can have an obvious negative impact on mental health.

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• Ask for help when you need it. There is no shame in needing help, and this is especially true when your mental health is suffering. If you were having a heart attack you would almost certainly seek medical attention. You would probably call a friend or loved one to help you. You should feel no shame in asking for the same help if you are suffering from a mental health issues. Depression and anxiety can easily be triggered during the holiday season. An HHN publication

Holidays According to the National Alliance of Mental Health, “No matter our diagnosis, appearance, socioeconomic status, background or ability, we want every person out there to know that if all you did was wake up today, that’s more than enough. No matter what, you are inherently worthy of more than enough life, love and healing. Showing up, just as you are, for yourself and the people around you is more than enough.” No matter where you live or what day or time it is, help is available. You can call or text 988 for mental health help 24/7. The 988 Lifeline Chat and Text is a service of the 988 Suicide and Crisis Lifeline, formerly known as the National Suicide Prevention Lifeline. This service connects individuals with crisis counselors for emotional support. You can also visit your local Emergency Room. It is never necessary, or even a good idea, to suffer alone.

“The strongest people are not those who show strength in front of the world, but those who fight and win battles that others do not know anything about.”

Johnathan Harnisch

Cathy Kolodziej received her Masters degree in counseling from Tarleton State University in 2011. She is a Licensed Professional Counselor at Hamilton ISD. Cathy is passionate about helping others discover their inner strength in order to achieve a better quality of life.

Call or text 988 for 24/7 Crisis Support

room at table for you!

there’s our

Focused Care residents enjoy: • activities such as painting games and bingo bible study scenic country drives music • weekly outings • in-house beauty shop • spacious rooms • community involvement sponsoring activities like Dove Festival and Christmas on the Square

Short Term Rehabilitation • 24-hr Skilled Nursing Care • Assisted Living 1315 E Hwy 22 • Hamilton, TX 76531 • 254-386-3171 •

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Consider the benefits and limits associated with making post-tax contributions to an individual retirement account.


Consider the positives. The key benefits of Roth IRAs include:

Melanie J. Housden, AAMS Melanie J. Financial

• All distributions from the account can be tax free. Although contributions to a Roth IRA are not tax deductible, earnings grow free of taxes. When you reach age 59 1/2, if the Roth IRA has been in place for at least five years, any withdrawal from the contributions and earnings is tax free. Avoiding the tax bite at the time of withdrawal in retirement can be attractive – particularly for investors who anticipate having a higher marginal income tax rate at the time of withdrawal than they do at the time of contribution.

• No required minimum distributions distributions. While traditional IRAs have a required beginning date for which required minimum distributions (RMDs) must be taken, there is no similar requirement for Roth IRA owners.

Please note that changes in tax laws or regulations may occur at any time and could substantially impact your situation. While familiar with the tax provisions of the issues presented herein, Raymond James financial advisors are not qualified to render advice on tax or legal matters. You should discuss any tax or legal matters with the appropriate professional. Material created by Raymond James for use by its advisors.

• No age limit on contributions. You can continue contributing to your IRA – Roth or traditional – as long as you have earned income. • Withdrawals may be made without penalty for a first-time home purchase. As with a traditional IRA, you can withdraw funds from your Roth IRA (up to a lifetime maximum of $10,000) to make a down payment on a first-time home purchase. A first-time homebuyer is defined as someone who has not owned a home for two years prior to the purchase of the new home.

Learn your Roth limits.

In 2023, an individual may contribute up to $6,500 to their IRA – $7,500 if they are 50 years of age or older. Keep in mind that modified adjusted growth income (MAGI) phase-out limits apply. Single filer or head of household: The full Roth contribution limit is available to individuals filing as single or head of household with a MAGI of less than $138,000. The amount is phased out for MAGIs between $138,000 and $153,000.

Making the most of a

Married filing jointly: The full Roth contribution limit is available to married individuals filing joint returns with MAGIs of less than $218,000. The amount is phased out for MAGIs between $218,000 and $228,000. Married filing separately: If you have not lived with your spouse at any point during the year and file separately, MAGI limits mirror those for single filers and heads of household. If you lived with your spouse at any time during the year and file separately, no Roth contribution is allowed unless MAGI is less than $10,000. Your financial advisor can answer any questions you may have about the features and benefits of IRAs and help determine which type may be appropriate for addressing your retirement needs. Melanie J. Housden, AAMS® is both founder of Melanie J Financial, LLC, an independently owned and operated financial planning and investment advisory practice located in Hamilton, and a Wealth Management Advisor with Raymond James Financial Services. She and the team at Melanie J Financial bring more than two decades of financial planning experience to Central Texas.


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Hamilton Healthcare System

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prevention Ray’s City Drug

What you can do to

preven nfluenza is the second most frequent cause of death from a vaccine-preventable disease in the United States. While the timing and severity of flu season is unpredictable, there are ways to help prevent infection.

• Get your flu shot! The first Jeff and Nikki Alsabrook, owners • Cindy Kinsey RPh/PIC • David Cleveland RPh

Friendly Faces • Quality Care

Come see us for Christmas gifts and more! 105 E Henry St in Hamilton • (254) 386-3121 Monday - Friday 8 aM - 5:30 pM

Kim Edwards, RN CIC

and most important step to protect Infection Control Employee Health yourself against flu viruses is to get a flu vaccine each year. The Centers for Disease Control (CDC) recommends all persons six months of age or older should get a flu vaccine, idealy before the end of October, or as soon as possible. Flu shots are available at all Hamilton Healthcare System clinics.

• Wash your hands frequently or use alcohol-

based hand sanitizer, especially after touching surfaces that may be contaminated. Viruses can live on surfaces for 24 hours!

• Avoid touching your eyes, nose and mouth. This is how germs spread. • Routinely clean and disinfect frequently


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nt flu Cover Cough

Stop the spread of germs that make you and others sick!


touched objects like doorknobs, keyboards and phones. Viruses can live on surfaces for 24 hours!

• Avoid close contact with people that are sick. • Stay home if you are sick! If you are sick, limit

contact with others to keep from infecting others. Wear a mask around others, if possible. People infected with flu may be able to infect others beginning one day before symptoms develop and up to five to seven days after becoming sick. Stay home until you have been fever free for 24 hours without using fever-reducing medications.

• Cover your nose and mouth if you cough or sneeze. Cough or sneeze into a tissue and

Cover your mouth and nose with a tissue when you cough or sneeze or cough or sneeze into your upper sleeve, not your hands

Put your used tissue in the waste basket.

You may be asked to put on a surgical mask to protect others.

discard it afterward. If a tissue isn't available, cough or sneeze into your inner elbow. Wash your hands often!

• See your doctor if your symptoms can't be controlled with over-the-counter medications or your condition worsens. Antiviral drugs can alleviate flu symptoms, shorten the duration of the illness and help prevent severe flu complications, such as pneumonia.

Kim Edwards, RN CIC, is the infection control nurse for Hamilton Healthcare System. With 27 years of nursing experience, she is dedicated to educating others and promoting illness prevention.

Volunteers Making a Difference in Healthcare

Clean your Hands

Wash with soap and water

or clean with alcohol-based hand sanitizer.

after coughing or sneezing.

Infectious Disease Epidemiology, Prevention and Control PO Box 64975, St. Paul, MN 55164 651-201-5414 or 1-877-676-5414 3/2020

You’re never truly alone with

Hamilton Healthcare System

Hospital Auxiliary Team Because we care, Hamilton Healthcare System Hospital Auxiliary Team is committed to making a difference in the lives of our visitors and healthcare team by furnishing requested items, hosting employee appreciation events, coordinating Lifeline and providing scholarships for youth pursuing medical careers.

Join us in making a difference

2nd Monday at 11:30 a.m. in the HGH Board Room Tax deductible donations can be sent to P.O. Box 93, Hamilton, Texas 76531. An HHN publication

Live independently with the confidence of state-of-the-art medical alert services at home and on-the-go. Be prepared for any emergency with 24/7 monitoring installed by the familiar faces of Hamilton Healthcare System Auxiliary Team. Give us a call today!

Kay Zschiesche 254-485-9080  Cindy Brooks 512-618-0430

Hamilton Healthcare System | Thrive


healthy mind easonal Affective Disorder (SAD), also known as the “winter blues,” is a type of depression that occurs seasonally. It can have a negative impact on an individual’s overall well-being and mental health. Individuals most often experience SAD during the fall and winter months when there is less sunlight. Symptoms tend to get better in spring and summer months. However, Elizabeth some people can experience SAD during the spring and Bays, summer months. In both cases, symptoms often start out MS, LPC, NCC, CFRC mild and increase as the season goes on. Solutions The exact cause of SAD is not fully understood, but Behavioral Health it may be related to the changes in light exposure that occur with the seasons. Decreased exposure to sunlight can disturb the body’s internal clock and affect the production of certain chemical messengers in the brain, including serotonin and melatonin, which play critical roles in regulating mood and sleep.



According to the Mayo Clinic, signs and symptoms of SAD may include:

• Feeling lethargic, sad or depressed most of the day • Losing interest in activities you once enjoyed • Having low energy or feeling sluggish • Sleeping too much or too little • Craving carbohydrates, overeating and weight gain • Having difficulty concentrating • Feelings of hopelessness, worthlessness or guilt • Having thoughts of not wanting to live


Symptoms common in winteronset SAD may include: • Oversleeping • Appetite changes, especially a craving for foods high in carbohydrates • Weight gain • Tiredness or low energy


Symptoms common in summeronset SAD may include: • Trouble sleeping (insomnia) • Poor appetite • Weight loss • Agitation or anxiety • Increased irritability

Risk Factors

Certain factors increase the risk of developing SAD:

• Geographical Location: SAD is more common in locations

with shorter daylight hours and less sunlight exposure during the winter. It is often seen in people living farther away from the equator.

• Gender: Women are more likely to experience SAD. • Age: SAD often begins in young adulthood and is less common in older adults.

• Family History: A family history of SAD or other forms of depression increases the chances of developing the disorder.

Solutions Behavioral Health Clinic Individual & Group Therapy

• Mental Health Diagnoses: People who already experience depression or bipolar disorder are more likely to experience SAD.

Medication Management

Clinic Hours Monday, Friday 8:00am-4:30pm Tuesday, Wednesday 8:00am-6:00pm Thursday 7:00am-6:00pm

(254) 386-1800 34

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An HHN publication

Understanding the


Treatment Options Coping Strategies

• Light Therapy: Exposure to a bright

light that mimics natural sunlight can help alleviate symptoms. Light therapy is often used in the morning and is thought to help regulate circadian rhythms.

• Psychotherapy:

Cognitivebehavioral therapy (CBT) is effective in treating SAD. It helps individuals identify, challenge and change negative thinking patterns and behaviors.

• Medication: Talk with a doctor about medication options.

• Lifestyle

Changes: Regular exercise, maintaining a sleep schedule and spending time outdoors during daylight hours can be beneficial.

• Maximize Natural Light Exposure: Spend time outdoors during daylight hours, especially in the morning. Open curtains and blinds to let in natural light at home or work.

• Stay Active: Engage in regular physical activity, as exercise is known to boost mood and alleviate symptoms of depression.

• Socialize:

Maintain social connections and engage in activities with friends and family. Social support is crucial for emotional wellbeing.

• Healthy Diet: Eat a balanced

diet with a focus on whole foods to support overall health.

Seasonal Affective Disorder is a form of depression that individuals can experience during specific times of the year. Recognizing the symptoms and seeking appropriate treatment can significantly improve mood, sleep and the overall welbeing for those affected. Whether through light therapy, psychotherapy or lifestyle adjustments, there are effective strategies to manage and ease the impact of SAD on mental health. If you or someone you know is experiencing symptoms of SAD, it is important to talk with a healthcare professional for an evaluation and to discuss treatment options. Elizabeth Bays completed her Master’s degree in Counseling Psychology at Tarleton State University. She has been a member of the Solutions Behavioral Health team since 2015 and serves as clinical director while seeing a wide range of client populations. She is particularly concerned with the impact of trauma and improving intervention to support trauma recovery for better emotional, physical and relationship health.

Our Sleep Center is Here for You The Sleep Center at Hamilton Healthcare System specializes in the treatment of sleep disorders in adults and children 14 and older for sleep apnea, snoring, insomnia, restless leg syndrome, and more.

814 East Boynton St. Hamilton, Texas 76531

(254) 386-1699 An HHN publication

Call Today to Schedule Your Sleep Study!

We offer sleep studies at our facility in a comfortable, private room or in the comfort of your own home!

Hamilton Healthcare System | Thrive


Meet Riley


Hamilton Healthcare System celebrates the grand opening of Hico Physical Therapy at 605 Cedar Street, Suite 100 on Sept. 15.


iley Ripley is the newst physical therapist on the Hamilton Healthcare System staff. He came on board to open the system’s physical therapy clinic in Hico. Riley is from Winters, and he and wife Karen have two children, Rhett and Raci. While attending Texas Tech University, Karen encouraged her husband to pursue a career in the medical field. Having been through physical therapy and being interested in sports, Riley thought PT might be the best option for him. “The reward of seeing someone succeed in achieving their goals and improving their quality of life is the best part,” he said. “It’s about living the highest quality of life possible.” A physical therapist since 2019, Riley offers sports and orthopedic-specialized treatment and assessment. He also is certified in Dry Needling Level 3, which is the highest available certification in dry needling.


Relieve pain. Repair injury.

Physica Hico Clinic

Retain activity. Rejuvenate skin. Revitalize life.

Microcurrent therapy with Acuscope Myopulse is an advanced solution for chronic pain and injury recovery. Sessions are noninvasive, painless and specific to your body and your condition. Enjoy high quality of life and get back to doing the things you love. Call for a free phone consult to see if this is an option for you.

Jacque Wellbourn, FNP, BC Hico Clinic Charles Johnson, MD Hamilton Clinic Hico Clinic

Kaleb Davis, APRN, FNP-C Hamilton Clinic Hico Clinic

Grant Ward, PA-C Hamilton Clinic Hico Clinic

W. Shalor Craig, MD Hico Clinic Medical Director Hamilton Clinic

Your Hometown Providers 803-389-7480

Clinic Hours Monday 8:00am - 7:00pm

108 W 1st Street in Hico


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Wednesday 9:00am - 5:00pm

Tyler Vandermeer BSN, RN

Hamilton Healthcare System

Now Accepting Patients!

(254) 796-4224

Tuesday, Thursday, & Friday

104 Walnut St | Hico, TX

8:00am - 5:00pm

An HHN publication

our team Meet Andrew

al Therapy

Hamilton Healthcare System Physical Therapists Garrett Schwartz, Tye Moseley, COO Melissa DeLaGarza, Riley Ripley and Andrew Craig serve Hamilton and Mills counties.


ndrew Craig didn’t set out to be a physical therapist. He initially went to Texas A&M University to study mechanical engineering. “Then I realized that I enjoyed working with people more, so I transferred to Hardin-Simmons University and began studying physical therapy,” he said. He received his degree in 2021. Born and raised in Goldthwaite, Andrew got married in January, and he and wife Rachel live in Hamilton. He works in the PT Department on the Hamilton campus of Hamilton Healthcare System. The best part of his job, he said, is “making connections with patients and helping them feel better.” When he’s not working, he enjoys hunting on his family ranch, playing golf and spending time with family and friends.


Our state-of-the-art prescription compounding facilities, experience in veterinary compounding, and warmly holistic approach truly set us apart. At McMahan Pharmacy Services, Inc., our reputation has been built by using the purest pharmaceuticals combined with the latest technology. Our dedication to providing customers with continued excellence is inherent in our service and preparations.

PHARMACOGENOMICS TESTING Coming Soon! Individually tailored

SERVICES healthier, happier YOU. for a

1503 W. Front St, Goldthwaite, Texas


Mon-Fri: 8:30-5:30pm • Sat: 8:30am-12pm An HHN publication


Chronic Care Management is care coordination for patients with two or more chronic medical conditions. Chronic Care Management helps the patient reach better health outcomes and quality of life. By focusing on your chronic care conditions more often, you decrease the risk of trips to the emergency room, hospital, and declining health status.

• Chronic disease education and support to reach health goals. • Preventive care (ie. Immunizations, lab work) • Medication Reconciliation • Regular communication • Personal attention for your health care needs • Provide 24/7 access to care For more information contact

Sammie Montgomery, Pharm.D.

at 325-648-2484 or

Hamilton Healthcare System | Thrive




211 Texas





























PO Box 788, Hamilton, TX 76531


105 E. Henry, Hamilton 254-386-3121


PO Box 93, Hamilton, TX 76531

108 E. Henry • Hamilton, TX 76531


Help finding services/resources 211 or 1-877-541-7905

Texas Health & Human Services Office

Medicaid, Food Stamps, Medicare Savings Programs (254) 386-8965

Hamilton Co. United Care Help w/ food & clothing 254-206-7371

Hamilton Community Center Daily free lunches 254-784-3358

Hill Country Community Action 1-866-372-5167

Hamilton TX Helping Hands find them on Facebook •••

Aged & Disabled, Veterans

1503 W. Front, Goldthwaite 325-648-2484




















Call Kym at 254-386-3145 or

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Mental Health & Developmental Disabilities Central Counties Services 254-386-8179 Crisis Hotline 1-800-888-4036 •••

Adult Substance Abuse

Texas Health & Human Svcs Bluebonnet Trails 1-800-841-1255 (Crisis) 1-844-309-6385 (Main) •••

Women & Children

Women & Children Texas Health Steps

Services for Pregnant Women, Children on Medicaid Birth-20 yrs 1-877-THSTEPS (1-877-847-8377)

Area Agency on Aging |

Early Childhood Intervention 254-773-6787


Hamilton Early Head Start

Hico Senior Center

HOPE – Tri-Rivers Domestic Violence Emergency Shelter

Long Term Care Services 1-855-937-2372

Services, Info & Referral for Aged, Disabled & Veterans 254-770-2330 or 1-800-447-7169

Mills County Senior Center 325-648-3122 •••


Texas Medicaid Transportation

1-877-MED-TRIP (1-800-633-4227)

The Hop Rural Transit

254-933-3700 ext. 5005 or 1-800-791-9601 ext. 5005 •••

Women, Infants, Children 1-866-907-0080 254-216-9211 Hamilton

254-386-8936 •••

Domestic Violence

Emergency Shelter & Assistance for DV Survivors 254-865-2151

Social Security Administration 1-800-771-1213 MEDICARE HOTLINE 1-800-MEDICARE (1-800-633-4227) MEDICAID HOTLINE 1-800-335-8957

Mental Health

Texas Department of Insurance 1-800-252-3439

COVID 19 Mental Health Support Line 1-833-986-1919

Texas Dept. of Protective & Regulatory Svcs. ABUSE & NEGLECT HOTLINE 1-800-252-5400

Texas Health & Human Services


Be a part of Thr 38

Free 24/7 support at your fingertips

Texas WIC


24 CENTRAL TEXAS Text HOME to 741741 to connect with a Crisis Counselor

Texas Health & Human Services


Crisis Text Line

Hamilton Healthcare System

We’re coming to Hamilton!

Jan. 11 • March 14

12-6 p.m. @ HGH Parking Lot

Feb. 13

@ Hamilton High School Sign up at An HHN publication

what’s new

New clinic in the works BY MARIA WEAVER

amilton County Hospital District board of directors recently accepted the bid from Huband-Mantor Construction for construction of a specialty clinic on the Hamilton General Hospital campus. The board received seven initial bids, but only two were submitted complete

and on time. HMC also was awarded the bid for the previous building project, which was halted by the COVID-19 pandemic. The new construction will include offices for surgeons Dr. Keith Ellison and Dr. Ryan Adams as well as visiting doctors’ space, an eye clinic and physical therapy. Building time will be approximately 420 days.

Surgical Specialties

William Moore, MD Pain Management

Back Injections Kyphoplasty or Vertebral Augmentation Nerve Impingement Implants Spinal Cord Stimulator

Call to find out more about how our surgeons can care for you!

(254) 386-1524 An HHN publication

Keith Ellison, MD

Ryan Adams, MD

Orthopedic Surgeon

General Surgeon

Knee Replacement Shoulder Replacement Rotator Cuff Repair Sports Injuries Fracture Care & Surgeries

Colonoscopy Gallbladder & Appendectomy Skin Cancers & Grafting Hernia Repairs Surgical Options for Breast Care

*PCP Referral Required* 400 North Brown St. | Hamilton, Texas 76531 Hamilton Healthcare System | Thrive


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