Thrive Summer 2022

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Thr ve Summer 2022

Health and Wellness Magazine for Rural Central Texans

Journey to Peace

Grill Mates meet dr. rowe with Real Skin

Total Body Suspension

WORKOUT

Healthy Aging


HAMILTON HEALTHCARE SYSTEM

Committed to Quality Committed to Your Health S I LV E

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Randy Lee, MD Chief of Staff Hamilton Clinic

Robbye Lengefeld, MD Hamilton Clinic

Luke Killian, MD Hamilton General Hospital ER

Tim Rudolph, MD Hamilton General Hospital ER

Brad Bartels, MD Hamilton General Hospital ER

Gerald Snyder, MD Hamilton Clinic

W. Shalor Craig, MD Hamilton Clinic Hico Clinic

Charles Johnson, MD Hamilton Clinic Hico Clinic

Thomas Aycock, MD Wound Care

Ryan Adams, MD General Surgery Specialty Services

Keith Ellison, MD Orthopedics Specialty Services

William Moore, MD Interventional Pain Management Specialty Services

Kristen Stegemoller, MD FPC Mills County

Jim Davis, OD, FAAO Central Texas Eye Care

Shelly Lengefeld, PA-C Hamilton Clinic

John Seth, APRN, FNP-C FPC Mills County

Kayla Routh, APRN, FNP-C FPC Mills County

Trevor Watson, APRN, FNP-C FPC Mills County

Shelly Boyle, PA-C Hamilton Clinic

Jacque Wellborn, FNP-BC Hico Clinic Wound Care

Jennifer Armstrong, FNP-BC Wound Care

Grant Ward, PA-C Hamilton Clinic Hico Clinic

Kaleb Davis, APRN, FNP-C Hamilton Clinic

400 North Brown • Hamilton, TX 76531

(254) 386-1600

Yvonne Joseph, APRN, PMHNP-BC Behavioral Health

Anjenette Juracek, APRN, PMHNP-BC Behavioral Health

Care Runs Deep in the

www.hamiltonhospital.org Hamilton Healthcare System


Hamilton General Hospital FIVE Star OVERALL Rating by the Centers for Medicare and Medicaid Services

S I LV E

Critical Access Hospital • Surgery, Swing Bed and Acute Care • 3 Rural Health Clinics (Primary Care) • Surgical, Behavioral, Eye Care and Wound Clinics • Regional EMS Coverage Areas: Hamilton, Mills, San Saba, Llano • Wellness Center • Level 4 Trauma ER • Sleep Center • Cardiopulmonary Rehabilitation • 24 Hour Laboratory and Radiology • Diabetic Education • Nuclear Medicine

R

HICO

HAMILTON

MILLS

SAN SABA

Regional EMS Coverage Areas

Hospital Clinics LLANO

Call to Learn More or Schedule an Appointment

(254) 386-1600 400 North Brown Hamilton, TX 76531 •

www.hamiltonhospital.org



contents

Greetings Thr ve readers! appy Summer! With warm weather upon us, it’s time to enjoy outdoor activities, travel and get back to some of your health regiments and routines. This edition of Thrive highlights some of our current services and providers who can help you achieve your health and fitness goals moving forward. Be sure to include dermatology and ophthalmology surgery Grady to your healthcare check list. These services are Hooper, CEO available to you at our Hamilton Family Practice Hamilton Rural Health Clinic, located on our hospital campus. Healthcare System Summer also brings our Employee Summer Health Fitness Challenge! Our employees and medical team have been busy working on their own health and fitness goals. This issue features some of our staff showing us how they have started or are continuing their own fitness challenges. We encourage everyone to find the fitness routine that is right for you. Check out our Wellness Center with group classes, personal training and more, as well as other outpatient services for physical therapy, nutrition, diabetes, weight loss and mental health. It’s a great time to meet the health challenge, get moving, get healthy and catch up on self-care and wellness visits that have been put aside. Special recognition goes out to our long-time, well-loved, nurse practitioner Stephanie Shepherd, who has dedicated many years to serving the Hico community. We wish her the very best in her retirement and are grateful for the care she has provided to our patients. Hamilton Healthcare System is proud to serve in Hamilton and our surrounding communities of Hico, Meridian, Goldthwaite, San Saba and Llano, where we bring quality care closer to home. Have a safe and healthy summer! We are always here to serve you!

Summer 2022

6 SUMMER TIPS

26 RECOVERY

8 NUTRITION

30 SAFETY

Jump Into Summer Protect Your Account

Let’s Get Physical Meet Our Therapy Team

Grill Mates Got Milk? Allergy vs. Intolerance Dairy-Free Ice Cream

12 HEALTHY MIND

Stroke vs Heart Attack Call 9-1-1

32 VISION

Care for Your Eyes Meet the Surgeons

Journey to Peace

14 PREVENTION

34 OUR TEAM

Healthy Aging

Kayla Routh, FNP Farewell Stephanie Shepherd

20 WHAT’S NEW

Real Skin Comes to Hamilton Mohs Surgery Summertime Skin Care

22 TRAINING

Get Fit with Joey Richardson

24 FITNESS

Total Body Suspension Workout

H

36 SPOTLIGHT

Stronger Together

ABOUT THE COVER Clayton, Claire, Cooper and Carolina DeLaGarza prepare for summer fun.

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amilton erald-News Published by 101 N. Rice Street | Hamilton, TX 76531 254-386-3145 | hhnpaper.com

Support the team that cares for you. One of the trademarks of a progressive community is strong 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. Join us in supporting the healthcare team that cares for you. Donate today.

HAMILTON GENERAL HOSPITAL HEALTHCARE FOUNDATION Providing excellence in rural healthcare

P . O. B ox 7 8 8 • Ham i l t on , T ex as 7 6 5 3 1 Donate online at hamiltonhospital.org/hghh-foundation. An HHN publication

Hamilton Healthcare System | Thrive

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health tips Jump into Summer

with these health tips

taying healthy during the summer can be a difficult task due to vacations, summer camps and busy schedules. Here are some tips for you to stay healthy this summer season.

Rest When the days are longer, you may find yourself staying up later. The average person needs seven to nine hours of sleep a night. Studies have also shown that people who do not get enough sleep have a higher risk of obesity and food cravings.

Hydrate

Higher temperatures make our bodies work harder to stay cool by perspiration, or sweating. To prevent dehydration, drink a minimum of 64 oz. of water each day.

Stay Cool

Try swimming or any other water sport of your liking. If you are exercising outdoors, remember to wear light clothing that allows you to stay dry and cool to prevent heat exhaustion.

Eat Summer Foods Lots of great fruits and vegetables are currently in season. Add zucchini, tomatoes, cantaloupe and watermelon as side dishes to your meals. These foods are low-calorie, which may help you eat less while keeping you full. They also have high water content, which will help keep you hydrated.

SLIDE intofun withUS! 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 • www.fpacp.com 6

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travel

Protect your account when you are out hether you are traveling far this summer or just taking a weekend road trip, keep the trip stress free by protecting your bank account with these tips from MC Bank. • Use real time debit card transaction alerts via mobile app • Use off/on debit card controls via mobile app. Treat your card as if it were cash • Protect your pin number • Only use trustworthy websites • Report your card lost/stolen immediately

Care Runs Deep & Close to Home HICO CLINIC

HAMILTON FAMILY PRACTICE RURAL HEALTH CLINIC FAMILY PRACTICE CLINIC OF MILLS COUNTY

SAN SABA

Three Primary Care Clinics Proudly Serving Hamilton County and Our Surrounding Communities. Extended Hours Offered for Your Convenience. Hamilton Healthcare System, Always Here to Serve You.

Hamilton Family Practice Rural Health Clinic (254) 386-1700 Hico Clinic (254) 796-4224 LLANO

An HHN publication

Family Practice Clinic of Mills County (325) 648-2850

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Grill mates Health Benefits of Tomatoes

Reduces risk of heart disease

Tomatoes are the major dietary source of the antioxidant lycopene, which has been linked to many health benefits, including reduced risk of heart disease and cancer. Increasing evidence from clinical trials suggests that supplementing with lycopene may help lower LDL (bad) cholesterol. An essential mineral, potassium found in tomatoes is beneficial for blood pressure control.

Summer Salad

Decreases diabetes complications

SALAD INGREDIENTS:

Aides in fetal development

Looking for a great grilling side dish? Check this refreshing salad with south-ofthe-border "flare!" Serves 6 2 cups frozen corn kernels, thawed and drained 4 medium Roma tomatoes, seeded and diced 1 cup jicama, diced 4 medium tomatillos, diced 2 medium jalapenos, seeded and diced ¼ cup green onion, sliced ½ cup cilantro chopped

DRESSING INGREDIENTS:

1 avocado, sliced ¼ cup water 3 Tbsp. lime juice 2 Tbsp. vegetable oil 2 tsp chipotle peppers in adobo sauce, minced 1 clove garlic, minced

INSTRUCTIONS:

Studies have found that tomatoes, fresh or cooked, may reduce inflammation atherosclerosis and tissue damage commonly associated with diabetes.

One of the B vitamins found in tomatoes, folate is important for normal tissue growth and cell function. It’s particularly important for pregnant women.

Submitted by

1. Clean your preparation area and wash your hands. Wash your vegetables. 2. Combine all dressing ingredients into a blender or food processor and blend until smooth.

Christie Keay

County Extension Agent

3. Set aside while preparing the salad or refrigerate until ready to serve. 4. Combine all salad ingredients and gently toss. 5. Drizzle with dressing and toss until evenly coated. Per serving: 150 calories, 9 g total fat, 1 g saturated fat, 0 mg cholesterol,20 mg sodium, 19 g carbohydrate, 5 g dietary fiber, 5 g sugars, 3 g protein, 25 mg calcium, 567 mg potassium.

A tomato is technically a fruit, because it is seed-bearing and develops from the ovary of a flowering plant. 8

22 CALORIES

3.2g

PER 2 ½" FRUIT

SUGAR

28% VITAMIN C

1.5g FIBER

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4.8g CARBS

An HHN publication


1.6g FIBER

nutrition

14.4g CARBS

72%

60

CALORIES PER CUP

VITAMIN C

33% VITAMIN A

Health Benefits of

Cantaloupe Prevents dehydration

Low-calorie cantaloupe is high in water, which makes it a hydrating fruit. It provides moderate amounts of the mineral potassium, a crucial electrolyte in body fluids, cells and muscles. Because potassium helps maintain blood flow throughout the body, including to muscles, it is especially important for physically active people such as athletes. By helping to relax the blood vessels, cantaloupe contributes toward oxygen and nutrient supply to the muscles. It also helps in the transportation of waste such as lactic acid from the muscles, thereby preventing muscle cramps.

Grilled Fruit Kabobs

Grilling weather doesn’t have to be set on BBQ. Add a water-filled fruit to the grill to add a new “flare” to your plate this summer. Serves 6

INSTRUCTIONS:

INGREDIENTS:

5. Leaving fruit on the skewers, use a basting brush to glaze over fruit. Sprinkle kosher salt and mint leaves over the grilled fruit skewers.

g saturated fat, 0 mg cholesterol,95 mg sodium, 29 g carbohydrate, 3 g dietary fiber, 24 g sugars, 2 g protein, 24 mg calcium, 462 mg potassium.

1. Wash your hands and clean your countertops. Rinse 1 tsp mint leaves produce under cool running water before slicing. 1 ½ Tbsp. honey 2 Tbsp. water 2. Prepare the grill. 3 cups watermelon, diced 3. Using a medium saucepan, simmer water and honey until 2 cups peaches, sliced combined. Infuse honey water by simmering with mint leaves 3 cups cantaloupe, diced for 1 minute. Remove mint leaves. Pour the liquid into a jar 2 cups pineapple, diced and let infused honey water glaze cool in the refrigerator. ¼ tsp kosher salt mint leaves, chopped 4. Prepare sliced and diced fruit on 6 wooden or metal 1 tsp skewers. Grill for 30 – 60 seconds on each side. Per serving: 110 calories, 0 g total fat, 0

Supports eye health

Besides vitamins A and C and carotenoids, cantaloupe also contains an antioxidant called zeaxanthin, which together with another antioxidant called lutein has immense benefit to the eyes. Zeaxanthin has been found to filter out a type of radiation-producing light called blue light. Blue light causes damage to the eye and is one of the factors that lead to macular degeneration. Studies have found that eating three or more servings of cantaloupe fruit per day decreases the risk of developing macular degeneration.

Helps heal sunburn

Like carrots, sweet potatoes and pumpkin, cantaloupe contains carotenoids that help to prevent infections and boost the immune function. Those powerful carotenoids reduce the risk of developing skin cancer. Some studies also suggest that betacarotene can help to reduce the effects of sunburn. An HHN publication

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dietary Which milk is right for you? Whole milk

While whole milk contains 149 calories per cup and more than half of the 8 grams of fat in milk is saturated fat, it packs a whalloping 8 grams of protein per cup with all nine essential amino acids. For those concerned about hormones and antibiotics, organic milks are available.

Skim milk

All of the protein and nutrients with none of the fat, skim milk is considered to be the healthier version of its whole milk counterpart.

Goat milk

At 168 calories per cup and 10 grams of fat, goat milk is the most calorie-dense milk and also the most protein rich at 9 grams per cup. Due to the ease of keeping goats, goat milk is the most globally consumed milk. Some people with milk allergies or intolerances have found goat milk to be more easily digestible, but this is individualistic. Those with milk allergies should consult with a doctor before trying goat milk.

Almond milk

A great low-calorie option, almond milk contains 39 calories compared to skim milk's 84 calories per cup. However, with only 1 gram of protein per cup, almond milk lacks the protein punch. Look for varieties with added protein. Those with nut allergies should avoid almond milk.

got milk? allergy or intolerance

What is lactose?

The sugar found in milk.

What is the difference in a milk allergy and lactose intolerance?

A milk allergy is the body’s abnormal immune response to milk proteins whereas a Krista Lindley, LD, CDCES lactose intolerance does MS, RD, Diabetes not involve the immune Coordinator system. Rather, the enzymes needed to digest dairy are insufficient, causing digestive issues such as nausea, gas and diarrhea that typically occur within two hours after consuming dairy.

How do you know if you have an allergy or are intolerant?

A milk allergy can trigger mild to severe allergic reactions such as hives, itching and swelling of the tongue, lips and mouth, trouble breathing and could be potentially life-threatening. Your doctor may order a skin or blood test to confirm a milk allergy. Food journaling while tracking symptoms and an elimination diet can help identify lactose intolerance.

What is the best way to manage a food allergy or intolerance?

To treat a milk allergy, it is recommended to avoid milk and other products that contain milk proteins to prevent an allergic reaction. Those who are lactose intolerant may still be able to enjoy certain milk products. For example, Greek yogurt, kefir and hard cheeses have less lactose and may be tolerated depending on the person’s sensitivity to lactose.

How can working with a dietitian help you or your child better manage food allergies/intolerances? A dietitian can develop a meal plan that addresses food intolerances or allergies, while still making sure key nutrients are not missing from the diet.

Can you build up your tolerance, outgrow or “cure” milk allergy/ dairy intolerance?

Yes, some children can outgrow a milk allergy. But those who don't may need to continue to avoid milk products.

Are all milk substitutes equal?

There are many milk substitutes on the market and they are not all equal. Some common alternatives are soy, almond, rice, oat, pea and coconut milks. They all vary a bit in their nutritional profile. For example, unsweetened almond milk is low in calories but also low in protein. Coconut milk is higher in fats and has a texture more similar to whole milk. Most milk substitutes are fortified with calcium and vitamin D.

What are good substitutions for nutrients like calcium found in dairy products?

Calcium can also be found in nondairy foods like green leafy vegetables, broccoli, okra, white beans, almonds, seeds and other fortified foods. And if you like canned sardines, they are a high in calcium too. 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.

Coconut milk

Not to be confused with coconut water or cream, coconut milk is actually made from grated and pressed coconut meat. It is usually consumed in small amounts. One tablespoon contains 30 calories, mostly from saturated fat, and a minimal 0.3 grams of protein.

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Dairy-Free ice cream INGREDIENTS:

2 cans ½ cup 1 ½ tsp. 2 ¼ tbsp.

full fat coconut milk honey vanilla cornstarch

INSTRUCTIONS:

1. Mix ingredients in a bowl and add to a small pot on medium heat until thickened. 2. Allow mixture to cool and add to frozen ice cream maker bowl. 3. Churn the mixture until smooth and thick. 4. Add desired toppings like strawberries, cookie crumbles, etc.

Soymilk

One cup of soymilk contains 105 calories, 12 grams of carbs and 6.3 grams of protein, however, this varies based on brand and additives. According to the American College of Allergy, Asthma and Immunology, soy is one of the most common allergies in children. Women who have had a breast cancer diagnosis or those at high risk should discuss consumption of soy products with their doctor.

Oat milk

A dairy-free option nearly devoid of saturated fats, oat milk is safe for those with nut allergies. A 3 grams per cup, oat milk contains more protein than most nut milks but considerably less than cow's milk. Oat milk contains more fiber than other milks but that fiber does increase the carb count to 16 grams per cup.

Milk allergy is the most common allergy in children and is often outgrown by adulthood.

When you absolutely want to feel better... ► Friendly Attentive Team ► Medicare Part D Assistance ► Vaccinations - Shingles, Flu, Pneumonia ► Rx Sync Program - We can help you manage your prescriptions!

► Specialty Wellness Products and Supplements ► Compounding - Medication not available?

Need another dosage form? We will make it in our compounding lab with superior ingredients.

Your prescription is our #1 priority Quality • Accuracy • Convenience 254-386-3111 ♦ 107 North Rice Street, Hamilton ♦ jordanpharmacy@ embarqmail.com An HHN publication Hamilton Healthcare System | Thrive

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Peac

Journey to

Finding Your Ce

e are all familiar with the word “peace” and understand that it refers to a state of tranquility. The term “finding your center” is often used in meditation and yoga practices. Brittany This essentially refers to Nichols, LCSW Solutions emotional and spiritual balance and peace. Behavioral Health This concept alludes to understanding and accepting that we live in an ever-changing world, full of highs and lows and that we can always return to our “center” to feel grounded and peaceful. As we continue to face the effects of the COVID-19 pandemic, learning to find peace, balance and wellness is perhaps more critical than ever. There are many ways to engage in this pursuit. Your journey may not look exactly like someone else’s journey. If you’re uncertain where to start, here are some helpful practices to help you along your journey to mental, emotional and spiritual peace.

Present Moment Awareness

Developing the ability to be presently aware of our emotions, thoughts and experiences is important for many reasons. Being mindfully aware helps us switch from being on “autopilot” to savor the experience of what is happening right now. When we are more in

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tune with ourselves, we can better manage our thoughts and emotions. Start by simply taking time to pause, limit distractions and focus on breathing. This may be achieved through a dedicated morning quiet time, engaging in meditation or simply through intentionally being present-focused while engaging in routine tasks, i.e. showering, household chores, eating a meal, etc. The goal is to bring your attention to the sights, sounds and other sensations present in the moment.

how we want to relate to the world. Having a clear understanding of your values is a crucial part of feeling centered and at peace. Living according to our values helps us to lead authentic, purposeful and fulfilling lives. Some examples of values might include connection, humor, creativity, spirituality, independence and compassion. There are many more. Have you taken time lately to reflect on your values?

Breathing Practices

Once you’ve identified your core values, you’re ready to set an intention for how you want to respond to situations and what thoughts and actions you want to cultivate and nurture. Intentions differ from goals, in that, intentions are more focused on your state of being in the moment, rather than being future focused. You can begin practicing daily intention-setting by stating “Today, I intend to…” You might finish your intention with practice mindful living, be forgiving, show myself unconditional love, live gratefully, choose optimism or encourage others around me. Revisit this intention throughout the day and allow it to serve as a grounding and gentle reminder of who you want to be.

Pausing to focus on your breathing is a key element of developing present moment awareness. Mindfully breathing helps shift attention to the present moment and creates a calming effect on your body, brain and nervous system, which can help with stress. One way to practice this is through belly breathing. Place one hand on your chest and the other on your belly. Sowly breathe in through your nose. Notice your belly expand then contract as you slowly exhale. Try to keep the hand on your chest as still as possible. Another simple breathing exercise is four square or box breathing technique. Slowly inhale to the count of 4, hold to the count of 4, exhale to the count of 4 and hold to the count of 4 before repeating the process.

Tap Into Your Values

Values are what we find to be most important in life. Our values serve as a compass, guiding us toward what we want to be doing and

Set an Intention

Look For the Good and Practice Gratitude

“Acknowledging the good that you already have in your life is the foundation for all abundance.” -Eckhart Tolle. As humans, we have a propensity to focus on negative An HHN publication


ce

healthy mind sensations present in nature while on a walk, gardening or simply sitting outside can help alleviate stress, cultivate gratitude and ground you in the moment.

Yoga or Other Physical Exercise

Center

Physical movement has a way of helping us to rebalance and connect with ourselves. Walking, jogging, weightlifting, swimming and yoga are all options for physical movement. Yoga practices promote physical and mental well-being and incorporate many of the above-mentioned points, including mindful breathing and intention-setting. The Wellness Center offers yoga classes every Monday, Wednesday, and Friday at noon. Non-members can attend the class with the purchase of a day pass for $5. Contact the Wellness Center at 254-386-1670. The Hamilton Public Library offers a free yoga class outdoors on Thursdays at 9 a.m. Contact the library at 254-386-3474.

events, which is a psychological phenomenon often referred to as the negativity bias. This can impact our outlook, emotional state, relationships and ability to make effective decisions. Taking time to bring your attention to the good in your life can help you combat this bias toward negativity. Practicing gratitude regularly can help in this process. Make a point to express gratitude to others or regularly journal all the things you are grateful for from your day.

It’s easy to become caught up in the stress of life, particularly with all the challenges we have faced over the past two years. Rather than slipping into “auto-pilot” mode, in which we simply go through the motions, I invite you to welcome peace and emotional wellness by starting to direct your focus back to your center.

Engage with Nature

Being in nature is a great way to practice mindful and presently aware living. Many find that connecting with nature allows them to feel grounded and centered. Taking time to notice

Brittany Nichols is a Licensed Clinical Social Worker with over ten years’ experience. She received her Bachelor of Social Work from the University of North Texas and Master of Social Work from Texas A&M University-Commerce. Brittany joined the Solutions Behavioral Health team in November 2021 where she conducts group and individual therapy. She is passionate about helping others know their worth and learning to lead happy and fulfilling lives.

Solutions Behavioral Health Medication Management • Individual & Group Therapy

Kayelen Helton, Brittany Nichols, Anjenette Juracek, Penelope J M.Ed, LPC, NCC LCSW APRN, PMHNP-BC Hooks, MD

Elizabeth Bays, MS, LPC, NCC, CFRC Clinical Director

Yvonne Joseph, APRN, PMHNP-BC

Depression • Anxiety Disorders • Stress Management • Mood Disorders Teen Issues & Peer Pressure • Grief and Loss • Chronic Mental Illness Post Traumatic Stress Disorders • Substance Use Disorders Accepting patients of all ages, and most insurances accepted. For an appointment, call (254) 386-1800 today!

Clinic Hours

Monday, Friday 8:00am - 4:30pm Tuesday, Wednesday 8:00am - 6pm • Thursday 7:00am - 6:00pm 400 North Brown Hamilton, TX 76531 •

(254) 386-1800 www.hamiltonhospital.org

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Care Runs Deep in Rural Hamilton

At Hamilton Healthcare System our care runs deep for you and your family. While visiting our hospital, outpatient services and our caring providers, take time to experience Rural Hamilton. Great places to eat and stay, while hunting and fishing, and enjoying the ranch and wildlife. Sip and shop as you explore historic architecture and more. It’s small town charm in the big Texas Hill Country. We look forward to seeing you soon! Hamilton Healthcare System 400 North Brown • Hamilton, TX

Family Practice Clinic of Mills County 1501 W Front St • Goldthwaite, TX

Family Practice Rural Health Clinic 400 North Brown • Hamilton, TX

Hico Clinic 104 Walnut St • Hico, TX

(254) 386-1600 (254) 386-1700

(325) 648-2850

(254) 796-4224

Hamilton Healthcare System • 400 North Brown Hamilton, TX • www.hamiltonhospital.org

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prevention

Healthy Aging By Kymbirlee Jeschke

ging is often synonymous with decline, but it doesn’t have to be. Personal trainer Fay Morris is passionate about helping people live healthy, independent lives. Morris, who works at Hamilton Wellness Center, became a Senior Fitness Specialist through the American Council on Exercise this spring. “What I didn’t know, was that once you start losing strength with age, you can get it back,” she said. “You can train and improve rather than continue to decline. “When you are strong, you can live independently much longer than being weak.” Morris said that women are often afraid of bulking up, which will not happen.

CARE in your own home

Home care can benefit a wide variety of seniors Companion In-Home Senior Care offers services aging in place. Whether your aging loved one to help with daily needs including: • Companionship needs more social interaction to reduce loneliness • Transportation or requires more specialized assistance, we can • Assistance dressing, bathing and grooming help. Companion In-Home Senior Care offers • Meal preparation varied levels of care to help your loved one stay • Medication management and reminders home. Our caregivers are screened, boneded • Cleaning and organizing and thoroughly trained. Locations in Hamilton and Gatesville

254-736-0294 www.companioninhomeseniorcare.com

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Fay Morris

“Reach your goals, transform your life! Let’s get started! ”

Fay is a Certified Personal Trainer through the American Council on Exercise and holds a Pain-Free Performance Specialist Certification. Fay has a passion for health, fitness and overall wellness for all her clients. She is a native-born Texan with deep family ties in Central Texas. Fay trains everyone from all walks of life and desires to help everyone feel welcome and gain confidence in the gym. Fay offers training options for those clients who need non-traditional approach with heavy schedules. Fay’s passion is to facilitate others to discover the benefits of regular exercise, whether you are new to fitness programs or are a long-term veteran. Fay provides personal evaluations and custom fitness plans to everyone! Get transformed for life! Let’s get started!

• Customized Fitness and Nutrition Tips • Evaluating individuals of all ages and levels of

fitness • Helping you set realistic goals and benchmarks • Assisting you with proven programs sustainable for life • Designed programs for clients with sports injuries • Weights, kettlebells and floor exercise plans • Designing a stronger, healthier you

Make the Commitment to a Healthier You! Sign up today with our Personal Trainers!

(254) 386-1670

400 North Brown • Hamilton, Texas 76531 • www.hamiltonhospital.org



“That’s like being afraid that driving will turn you into a NASCAR driver,” she said. “It doesn’t happen by accident.” The benefits of exercise on aging are endless. Morris notes that exercise improves strength, balance, joint mobility, agility, cognitive decline, depression and reaction time. Exercise improves cognitive abilities. “Exercise increases blood flow, which carries impurities out and brings nutrients in,” said Morris. The brain can respond and change to experiences even into late adulthood meaning that exercise and diet have been shown to modify the trajectory of the brain. What Morris wants the aging population to know is that it is never too late to start exercising, and Hamilton Wellness Center is a great place to begin. Personal trainers are available to give guidance, encouragement and support. When potential clients come to Morris, she takes a basic assessment of their abilities like sitting-to-stand, watching their gait for balance, strength of back in pulling, stepping

"Let’s not let old age call the rules." up or over, mobility and strength in the ankles. “The ankles are the first line of prevention in a fall,” said Morris. According to the National Council on Aging, falls are the single largest cause of death and injuries in older Americans. Falls can be a vicious cycle, says Morris. Once a person has fallen, they can be fearful or overly cautious about another fall. That tends to lead to a decrease in activity, which makes the problem worse. When you are weaker, you are more likely to fall. Morris customizes workouts to the fitness level and abilit y of

Fay Morris Personal Trainer Hamilton Wellness Center

Upgrade your Financial Health with MCBank! With MCBank, your banking is easy and stress-free! Visit us in person or online!

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Member FDIC

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1 in 4 Americans age 65+ fall each year.

Improving balance, strength and mobility can help prevent falls and fall-related injuries.

Central Texas Eye Care Your Eye Health Matters We Focus on You

Now Accepting New Patients and Medicaid Comprehensive Eye Examinations • Pediatric Eye Exams • Contact Lens Fitting •

• •

Diabetic Eye Care Optical Shop • Eyeglasses • Sunglasses

Local care here for you, schedule an appointment today.

(325) 648-2040

1020 Fourth Street • Goldthwaite, TX 76844

We look forward to seeing you soon! www.centexeyecare.org

the client. She encourages cardiovascular exercise and focuses strength programs for aging adults on preventing falls, reducing pain and performing everyday activities with ease. She usually works with her clients twice a week starting with 30 minutes and working up to an hour. “I tell the people I work with that we can work with discomfort, but pain is a signal that we need to find out what is going on,” she said. “We can live with discomfort but stop when there is pain.” Many seniors can get memberships to the Wellness Center at low or no cost to them through insurance programs like Silver and Fit, Silver Sneakers and Active Renew. All members receive two free sessions with a personal trainer when they join the Wellness Center. “There really are no excuses,” she said. “We are whittling them all down. “It’s painful to watch a loved one deteriorate,” said Morris, who watched her mom battle degenerative disease. “For those who can, let’s not let old age call the rules.”

YOU have the potential to

save 8 lives restore sight to 2 people improve the quality of life to as many as 75 others through organ and tissue donation.

Judy Whaley, Director P.O. Box 161, Hamilton, TX 76531 judy@theultimategiftoflife.com 575-430-3671

a time of loss Turn into a ti me of hope. . . Register to be an ALL adults can register organ donor! regardless of age or medical history.

Do You Have a Sleep Disorder? Our Sleep Center is Here For You The Sleep Center at Hamilton General Hospital specializes in the diagnosis and treatment of sleep disorders in adults and children ages 14 and above for the treatment of:

Obstructive Sleep Apnea • Snoring • Insomnia Restless Leg Syndrome • Daytime Sleepiness The sleep study is done in a comfortable, private room. Our objective is to provide a natural sleeping environment with hotel-like accommodations.

Schedule a Sleep Study by Calling

(254) 386-1887

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An HHN publication


FIGHT CANCER RIGHT HERE IN WACO

When you’re treated at Texas Oncology, you can be sure you’re getting leading edge cancer care right here in Waco. Our physicians provide compassionate patient care, offer the latest treatment innovations and share one goal: to be the best at what they do. With more than 220 locations and 525 physicians throughout the state, every Texan can receive recognized cancer care in their community. MEDICAL ONCOLOGY & HEMATOLOGY Carl G. Chakmakjian, D.O., FACP • Carlos A. Encarnación, M.D., FACP Thomas J. Harris, M.D. • Ofobuike N. Okani, M.D., FACP • Tyler W. Snedden, M.D. Rachel Ramsey, NP, AOCNP • Dawn Turner, RN, FNP-C, AOCNP

RADIATION ONCOLOGY Justin W. Wray, M.D., Ph.D. • Katie Bone, MSN, APRN, FNP-BC 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 Clifton, Gatesville, Groesbeck, Hamilton, Hillsboro and Mexia.

1-888-864-4226 • TexasOncology.com


Derm

what's new Mohs surgery

Real Skin

Precision and effectiveness

The Skin Cancer Foundation calls Mohs surgery the “Gold Standard” and the treatment of choice for basal cell and squamous cell carcinoma due to its precision and effectiveness. During the procedure, a surgeon injects local anesthesia then removes the thinnest possible layer of visible cancerous tissue with a scalpel. The tissue is then color-coded with ink and placed on slides. If upon examination, the surgeon finds remaining cancer cells, another precise layer of tissue is removed only from the location where cancer cells remain. The process is repeated until all of the tissue samples are cancer-free. According to SCF, 100 percent of tissue margins are examined during Mohs procedure compared to only 1 percent during a standard surgical excision. With a focus on conserving healthy tissue, it results in the smallest scar possible. Since the procedure is done in one visit, costs are minimalized, and the SCF says the cure rate is up to 99 percent. Skin cancers best treated with Mohs are: • large cancers in normally low-risk areas. • those with difficult-to-see borders. • those with certain microscopic growth patterns. • those that have recurred after initial treatment. • those that could not be completely removed.

1 in 5 Americans will develop skin cancer by age 70

Skin Cancer Foundation

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Hamilton Healthcare System

By Wyndi Veigel aking care of your skin should be a focus of everyone, especially during the summertime. Hamilton Healthcare System has two new weapons in its fight against skin cancer – Dr. Rusty Rowe and Physician Assistant Nicolas Hagood from Real Skin Dermatology. The duo will be coming to Hamilton on the second and fourth Tuesday of each month to the Hamilton Family Practice Rural Health Clinic to help local patients get the best dermatological care possible. Dermatologists like Dr. Rowe typically handle issues with skin, hair and nails and skin cancer screening and surveillance. They also handle acne, allergic reactions, cold sores, psoriasis and a wide variety of other problems. Real Skin Dermatology has rural clinics in Clifton, Comanche, Gatesville, Hillsboro and Marlin, with its main location in Waco. Having a military background and being familiar with setting up medical clinics in small villages in foreign countries, Dr. Rowe’s experience helps in establishing rural clinics. Attending Texas A&M University in 1990 and then Baylor College of Medicine in 1993, Rowe initially joined the U.S. Army as a way to pay for his education. He completed his internship at Tripler Army Medical Center in 1994 and then completed his family medicine residency at Martin Army Community Hospital in 1999. In 2009, he earned his Master of Business Administration. “I owed three years of military service and served for 22 years,” he said, laughing. “Obviously, I’m not real strong at math.” He served in the Army from 1993 to 2015 as an Airborne Army Office and Navy diver who took care of soldiers on deployments to South America, Sub-Sahara Africa, Iraq

and Afghanistan. Of those 22 years, 16 were in primary care family medicine, but Dr. Rowe felt like something was missing. In 2012, Lowe completed his second residency in dermatology while in his 40s at National Capital Consortium at the Walter Reed Army Medical Center. “It wasn’t easy,” he said. “Residencies are typically for younger people. “I love seeing patients on a one-onone basis, and dermatology has always fascinated me,” he said. After passing his boards, he served from 2012 to 2015 as the Chief of Dermatology at Fort Hood, retiring from the military at that point. Joining a large corporation, he learned it wasn’t for him and opened Real Skin Dermatology, with an emphasis on rural dermatology in 2019. “Before retiring from the Army, I learned the advantage of caring for our nation’s men and women where they were instead of bringing them back to the big military medical centers. I believe that same model works well to serve the wide-open spaces in Texas,” he said. Starting out, the practice only had three employees, including his wife Susie Rowe, who helps with scheduling. They have now hired 22 employees and continue to grow and expand.. Dr. Rowe expressed excitement at working with HHS. “Hamilton has an incredibly strong rural medical practice,” he said. “We are excited to bring an exceptional dermatology practice close to home.” A technology that Dr. Rowe can bring to Hamilton patients is Mohs micrographic surgery. Mohs is a surgical technique used to treat skin cancer where thin layers of cancer-containing skin are progressively removed and examined until only cancerfree tissue remains. “It is truly a tissue-sparing procedure,” Rowe said. “It has a higher cure rate and leaves a smaller defect.” It is a procedure they are looking to bring to Hamilton in the future, he said. An HHN publication


matology

n comes to Hamilton When Dr. Rowe is not busy with work, he enjoys spending time with his family and traveling with his daughters Meredith, Elinor and Caroline along with his wife. Coming into HHS with Dr. Rowe is Hagood, who is originally from Comanche. Growing up, he knew he wanted to go into the medical profession as a nurse. Earning his Bachelor of Science degree in Nursing from University of Texas at Arlington, he moved on to Stamford University to earn his physician assistant/Master of Public Health degree. After completing his training, Hagood spent about a decade working in an ENT practice with Dr. James Fowler. With his ENT work, Hagood began to develop an interest in dermatology and enjoyed assisting in surgical procedures. Deciding he wanted to move toward

dermatology, he began researching doctors. After hearing about Dr. Rowe’s reputation of being an ethical and terrific physician, he decided to join the practice in September 2021. “He’s a really great person who cares about the patient and is not in it for the dollars,” he said. With a rural portion of the practice opening in Hamilton, Hagood is excited to treat those who he grew up with in a small, hometown community. When he isn’t seeing patients, he enjoys spending time with his wife, Stacy, and two sons, Johnathan and Luke. To make an appointment in Hamilton, call the Real Skin office number at 254265-7100 or talk to your doctor about a referral.

Summertime Skin Care • Wear sunscreen, SPF 50 or higher with zinc oxide • Cover up with sunshirts or hats • Reapply sunscreen after you get wet • Get annual skin checks

It’s never too late to begin good sun protection habits.

400 North Brown • Hamilton, TX 76531

(254) 386-1600 www.hamiltonhospital.org

24-Hour Emergency Care • Ambulance Service • General Surgery Orthopedics • Radiology • Laboratory Services • Diabetes Education • Physical Therapy CHF • Sleep Lab • Wound Care • Cardiac & Pulmonary Rehabilitation • Endoscopy Infusion Therapy • Swing Bed • Solutions Behavioral Health • Wellness Center Rural Health Clinics in Hamilton, Hico and Goldthwaite

An HHN publication

Hamilton Healthcare System | Thrive

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Get Fit!

training

Joey Richardson

Hamilton Wellness Center Personal Trainer By Wyndi Veigel

Relieve pain. Repair injury. 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.

803-389-7480 108 W 1st Street in Hico

www.OmniTherapyByTyler.com

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Tyler Vandermeer BSN, RN

Hamilton Healthcare System

hose walking into the Hamilton Wellness Center may notice a new face with personal trainer Joey Richardson. Joey began working for the center in April and is really enjoying getting to know Hamilton citizens. Joey and his wife live near Fort Hood, but are remodeling a place south of Hamilton, hoping to relocate soon. “I’m glad to be here and look forward to living near Hamilton,” he said. With a background in fitness through a career in military and law enforcement, Joey enjoys working with the dedicated folks at the Hamilton Healthcare System. Serving in the Marine Corps for four years, Joey then moved into a career as a State Trooper in Mississippi. While serving in DPS, he specialized in physical training. “It was a wide range, but I loved it,” Joey said. He officially retired from DPS in 2014 and decided to follow his dream of traveling. “It was my dream to hitch up a trailer, travel and work at national parks,” he said. As dreams and luck would have it, he made it as far as Big Bend National Park and began working with the Army Corps of Engineers where he met his wife. He retired from that job in May 2021. As a personal trainer with the Wellness Center, Joey can help tailor programs for individuals, aiding in clients achieving their fitness goals. New clients with a general Wellness Center membership receive two free orientation sessions, allowing them to establish a baseline program. “We also show them how to use the weights and equipment safely and successfully,” Joey said. Individual personal training sessions are available at the Wellness Center for a reasonable cost. “We have every level of fitness program,” he said. At the Wellness Center, cardio is offered in a variety of ways with treadmills, ellipticals and bikes as well as a heated swimming pool. “We really try to focus on what fitness goals they have and what they are wanting to achieve,” he said. Whether a client wants to slim down, work on cardio or get their core stronger after physical therapy, a variety of programs are available. “It’s very beneficial for someone to have a trainer,” he said. When not training or working out, Joey enjoys working on his ’65 black Mustang named Peruna. Those interested in personal training at the Wellness Center are welcome to drop by at 400 N. Brown St. or call 254-386-1670. An HHN publication


WE’RE ALL FIGHTING CANCER A FREE Test Could Save Your Life. Call 888.223.8620 TO QUALIFY FOR A FREE AT-HOME COLORECTAL CANCER SCREENING TEST YOU MUST: Be between the ages of 45 and 74 Have no personal history of colorectal cancer or colon surgery Have not completed a stool-based test in the last year or colonoscopy in the last 10 years Colorectal cancer screenings for those who qualify provided by Cancer Prevention and Research Institute of Texas (CPRIT).

MONCRIEF.COM Other cancer screening and survivor services available. Call 888.233.8620 for details.


fitness

START

Total Body

WORKOUT

Suspension

Try this go-anywhere full-body workout while on vacay, at home or the gym Torch your core while getting a full-body strengthening workout using your own body weight and gravity. Suspension training is a portable workout that builds strength, balance, coordination, flexibility, core and joint stability. You control the angles and movements, which makes suspension training great for all fitness levels; simply modify or amplify based on your needs. If you are new to exercise, try the movements without the suspension trainer and build up. Make sure to anchor the trainer above your head to a sturdy base before you start. To avoid injury, keep your core tight, the suspension straps taut, move slowly and modify to build up to the full exercise.

Try this workout with the TRX® band at Hamilton Wellness Center.

Lunge With your feet hip distance apart, grip the handles palms facing, and engage your core. Balance on one leg as you step back with the other. Bend the front knee over the ankle and drive through the heel to return to standing. Alternate legs. MAKE IT SIDE LUNGES by stepping feet wide and sitting the seat back as you shift over one leg. Press through the heel to return to standing. Alternate legs. MAKE IT A CROSS LUNGE by stepping the right foot behind the left leg then the left behind the right.

START

Chest Press

With your feet hip distance, grip the handles and engage Not a member? Day passes your core. Lean forward away from the anchor. Bend at the are available for $5. elbows, keeping them close to your body, and lower chest until fists are below the shoulder then push back to straight arms, careful not to lock elbows. Be sure to engage the muscles around the shoulder and move slowly with control. MODIFY by stepping feet farther away from the anchor and DEMONSTRATED BY BRET PARTIN reducing the angle or staggering feet. PHOTOS BY KIM HINTON AMPLIFY by stepping feet closer together or balancing on one leg.

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An HHN publication


Plank

Adjust the straps to hang about six inches above the ground. Place your feet in the straps and walk out until your wrists are under your shoulders. Engage your core, keep back straight and hips tucked. AMPLIFY drop to your forearms to work the core even more. MAKE IT MOUNTAIN CLIMBERS by keeping one leg extended while you bring the other one knee toward your chest. Switch legs. Continue to alternate. Be careful not to drop your hips.

Squat to Calf Raise

Face the anchor point with feet shoulder width apart and hands on handles. Relax shoulders and engage core as you bend your knees sitting back into a squat position. Press back to standing slowly to a three count. ADD A CALF RAISE by coming up onto toes from standing. MAKE IT A SUMO SQUAT by widening the stance and turning toes out. AMPLIFY by exploding from the squat into a jump.

Bicep Curls

Face the anchor point with feet shoulder width apart and hands on handles palms facing you. Walk feet toward the anchor point. Bend elbows above the shoulders and curl your hands toward your forehead. Maintain a plank while you slowly lower your body, straightening your arms. Bend your arms with control back to start. AMPLIFY by bringing feet closer together or balancing on one leg. MODIFY by staggering the feet or lengthening the straps to allow you to do the movement from a seated position on the floor.

Before starting any fitness program, consult your physician.

An HHN publication

Hamilton Healthcare System | Thrive

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Savannah Dixon

MacKenzie Parish

Let's get phy Get back to living with

HaMiltOn HealtHcare SySteM PHySical tHeraPy

Meet Our teaM MacKenzie Parish

MacKenzie Parish is a part-time Occupational Therapy Assistant who started in June 2021 with the Hamilton Healthcare System. She graduated from Weatherford College with her OTA certification. Starting at Eastland hospital with a part-time position, she became familiar with the swing bed program. After going through COVID-19 and an hour commute since she lives in Stephenville, she is excited to be a part of HHS. Through a mutual friend, she discovered HHS, and she loves it. As a parttime OTA, she hopes to one day have a full-time position as the occupational therapy program grows. Parish became interested in OT after working at a special needs camp in high school where she saw first-hand how much the therapy can benefit kids and adults. “One of my buddies was a girl who had Down’s Syndrome,” she said. “She constantly talked about how she learned this in OT, or how OT taught her that. I realized how much of an impact it had on her life and thought that’s pretty cool.” After further research, she decided it might be the perfect fit though her initial career path took her to Tarleton State University for ag education. With only a single semester completed, she knew that OT was what she wanted and switched to earn her bachelor’s degree in kinesiology from Tarleton. Parish then went to the OTA program at Weatherford College.

By Wyndi Veigel hysical therapy can make so much difference in returning a patient back to their way of life, and Hamilton Healthcare System offers myriad ways to help. The HHS physical therapy department is led by Dr. Tye Moseley, Director of Physical Therapy, along with three physical therapy assistants, Kamryn Lock, Savannah Dixon and Allisyn Roglin. On the occupational therapy side of things, PRN-OT Kelly Bradshaw and Occupational Therapy Assistant MacKenzie Parish are there to help. In Goldthwaite, PT is overseen by Garrett Schwartz, DPT, at Mills County Physical Therapy.

Physical therapy is the treatment of disease, injury or deformity by physical methods such as exercise, heat treatment or massage rather than by drugs or surgery. Physical therapy is offered on inpatient and outpatient basis at HHS. Inpatient care is hospital-based, Moseley said, while outpatient care is completed at the Wellness Center. So how does the process of physical therapy start? If a patient is hospitalized in Hamilton and their doctors believe they would benefit from physical therapy, Moseley is contacted to complete an initial evaluation. This evaluation helps physical therapy staff know which treatment plan

Hamilton Healthcare System Surgery Suite

William Moore, MD Pain Management

Keith Ellison, MD Orthopedic Surgeon

Ryan Adams, MD General Surgeon

Savannah Dixon

Savannah Dixon is a full-time Physical Therapy Assistant who has worked for HHS about a year. Dixon earned her PTA from McLennan Community College in Waco. After COVID-19 presented difficulties in finding employment, she began working in Clifton, becoming familiar with their swing bed program. Since she had completed observation hours with HHS, Dixon was familiar with Director of Physical Therapy Tye Moseley and the work being done at the hospital. “I really wanted to be here the whole time,” she said, “so I reached out to him and asked if he had any openings.” Meanwhile, Dixon worked at Focused Care until a full-time position opened with HHS. “I love it,” she said. “It’s exactly where I wanted to be.” Dixon knew from an early age she wanted to go into a medical career and originally thought nursing might be the best fit. After more research, Dixon decided that nursing or radiology weren’t for her, but the PT program began drawing her attention. “I started it and really ended up loving it,” she said.

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Hamilton Healthcare System

Together We Stand For Rural Healthcare

Hamilton Healthcare System’s surgery suite is home to three highly skilled surgeons! Dr. Keith Ellison, Orthopedist, Dr. Ryan Adams, General Surgeon, and Dr. William Moore, Interventional Pain Management. Together our physicians have the knowledge and dedication needed to care for your families’ surgical needs. A wide range of surgical options and treatments are available right here in your local community!

Call us today!

(254) 386-1524 400 North Brown • Hamilton, TX 76531 www.hamiltonhospital.org An HHN publication


ysical! would work best for the patient. After the initial evaluation, assistants within the physical therapy department perform the day-to-day work and report back to Moseley and a patient’s team of doctors on the progress that is being made. After a round of physical therapy is completed, several things may occur. A patient may return home not in need of any more PT. A patient may need to continue physical therapy on an outpatient basis to get stronger to avoid reinjury, or a patient may need to be transferred to a rehab/ skilled nursing facility. For those who need a bit more time before returning home and not wanting to transfer to a skilled nursing facility, HHS offers the swing bed program. With the swing bed program, patients can remain in the hospital for physical and occupational therapy surrounded by the

Sports Injuries

recovery same medical professionals and services to which they are accustomed. “I’m proud of the staff we have,” Moseley said. “The girls over at the swing bed are terrific, and I am extremely comfortable having them work with our patients.” One benefit of the swing bed program is patients receive three times as much physical therapy as they might in a skilled nursing facility, Moseley said. In the swing bed program, there are seven to 10 beds available, and on the outpatient side, the physical therapy department can see about 20 to 24 patients in a single day. Occupational therapy aids patients with rehabilitation and transfers what they have learned through physical therapy into functional goals. Through OT, patients can relearn

Back or Neck Pain

how to safely complete basic tasks such as showering, dressing and managing household chores. “It’s amazing how many patients who have completed all of their physical therapy will tell us how much work it takes simply to take a shower,” Parish said. As an OTA, Parish is responsible for aiding patients under the direction of Bradshaw. Whether it is from a physical therapy point of view or from occupational therapy, one thing is clear: The medical staff is happy to see them no longer need their services, though they do miss them. “We all enjoy the one-on-one interaction and love helping them,” Moseley said. “We love seeing them get better."

Hamilton Healthcare System now offering Physical Therapy services in two locations to better serve our patients. With locations in both Hamilton and Goldthwaite, we look forward to serving our rural Central Texas communities.

Don’t Wait! Call now to schedule an appointment! Hamilton Physical Therapy

(254) 386-1894

400 N Brown • Hamilton Mills County Physical Therapy

Balance & Strengthening / Range of Motion An HHN publication

Post-Operative Surgical Recovery

(325) 648-2333

1503 1/2, W Front St • Goldthwaite Hamilton Healthcare System | Thrive

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Swing Bed at Hamilton General Hospital Have you ever pictured a Swing Bed? What is Swing Bed? Swing Bed is skilled nursing and rehabilitation services provided within the hospital. Why Swing Bed? When you are in need of nursing care or rehab to recover from a surgery or hospitalization, you may benefit from staying at Hamilton General Hospital. Our Swing Bed program offers skilled nursing care and therapy services to treat a wide range of conditions.

Benefits Include:

• Low nurse to patient ratio

• Private rooms

• RN staffing

• Daily physical therapy

• Respiratory therapist available 24/7

• Occupational and speech therapy

• Emergency Department on site

• Room service and dietary menu

• Physician visits three times weekly

• Quiet hours

For more information call: 400 North Brown

(254) 386-1600 •

Hamilton, Texas 76531

www.hamiltonhospital.org


Joey Richardson

“ Train Smarter, Get Results! Bring it!”

Joey is a former U.S. Marine and a retired Mississippi DPS trooper. He holds a Personal Trainer certification and a Master Fitness certification, both from the Cooper Institute in Dallas. Joey boxed in the Marines and taught boxing and defensive tactics for seven years at the law enforcement training academy. He created and executed a fitness competition for the training academy called “The Total Package.” Joey has trained hundreds of law enforcement candidates and officers. He is a former National Champion for the Lawfit Troopers Challenge. His classes include: calisthenics, strength, and circuit weight training at your own pace. If you are searching for a customized program based upon your abilities and goals, this former marine is ready to Bring It!

• • • • • •

Customized Fitness and Nutrition Tips Evaluating individuals of all ages and levels of fitness Helping you set realistic goals and benchmarks Individual programs based upon abilities and goals Assisting you with proven programs sustainable for life Upper body workout secrets for a stronger you

Make the Commitment to a Healthier You! Sign up today with our Personal Trainers!

(254) 386-1670

400 North Brown • Hamilton, Texas 76531 • www.hamiltonhospital.org


safety Help us, help you s an emergency room nurse for 20 years, I’ve seen how patient care has changed, improved and how we as medical professionals have improved the care we provide. We need your help to improve that care. From Oct. 1, 2021 thru April 30, of this year, 21 patients were diagnosed with a stroke or transient ischemic attack (TIA) in our emergency Becky room; 76% of those patients arrived by private Thompson, RN Trauma vehicle. During that seven-month period, 110 Coordinator patients came to the emergency room with chest pain and were diagnosed with heart attack, angina, or ischemia; 68% of those patients arrived by private vehicle. All of these patients missed out on potentially lifesaving treatments - including cardiac or neuralgic assessments, oxygen, EKG’s, IV fluids, medications and consulting with the emergency room medical staff - that could have been started sooner if they had called 9-1-1. When you call 9-1-1, EMS notifies the emergency room staff ahead of time, allowing the staff to prepare by having extra staff available and lab and X-ray waiting so there is not a delay in treatment. The EMS crew has the training and ability to perform lifesaving treatments such as cardiac defibrillation, intubation and CPR. Sometimes EMS crews determine that bypassing our local hospital and transporting the patient directly to a cardiac or stroke care hospital is the best treatment for them. That lifesaving transfer may be by our local ambulance or by a helicopter. You can help us improve your medical care by calling 9-11 when it's necessary. Please do not bring people with life threatening problems to the hospital by private vehicle. Even if you are only a few blocks away, it physically stresses patients to move them into a vehicle. What happens if during the trip they get worse? Our goal at Hamilton General Hospital and Hamilton County EMS is to do what is best for our patients because our patients are also our family members, friends, church congregations, neighbors and part of our community. We only want the best for you. Help us, help you.

Call 9-1-1

to begin immediate lifesaving treatment.

What is a

stroke?

A stroke is an interruption in the flow of blood to an area of your brain. It can be caused by a clot in a blood vessel, known as an ischemic stroke, or by a blood vessel rupturing causing bleeding into the brain, known as a hemorrhagic stroke. A transient ischemic attack (TIA) is a temporary blockage and could be a precursor to a stroke.

Emergency Care you can

Trust

Brad Bartels, MD Hamilton General Hospital ER

Luke Killian, MD Emergency Department Medical Director

Tim Rudolph, MD Hamilton General Hospital ER

Nationally Recognized Care You Can TRUST Close to Home

We met the highest standards Ranked in the top 10% of Feel confident in choosing for Emergency Care. hospitals nationwide. the best care available. HAMILTON HEALTHCARE SYSTEM

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Hamilton Healthcare System

400 North Brown • Hamilton, TX 76531

(254) 386-1600

www.hamiltonhospital.org An HHN publication


How do you know if you’re having a stroke or a heart attack?

Call 9-1-1 if you think you are having a heart attack or stroke.

The simple, honest answer is you really don’t know. That takes a medical evaluation, EKGs, CT scans and lab results to determine. However, there are some common signs and symptoms that should have you going to the emergency room for evaluation.

Stroke symptoms:

• Confusion as to the day, a

family member's name or the word of a common object

• Difficulty understanding what others say

• Dizziness, loss of balance or trouble walking

• Numbness in areas of the

body like the hands, face arms and/or legs

• Sudden severe headache • Sudden vision changes • Trouble speaking: slurring

Heart attack symptoms: • Difficulty breathing:

shortness of breath, feeling like you can’t take a deep breath or tightness in your chest. Women sometimes say they feel like their bra is too tight.

• Pain or pressure in the chest,

arms, neck, jaw, center of the back

• Nausea/vomiting • Dizziness/weakness • Irregular heartbeat: racing, skipping, going too slow

What is a

heart attack?

A heart attack is the interruption in the flow of blood to an area of your heart. It is caused by an obstruction in a coronary artery, the arteries that feed the heart muscle. Symptoms can depend on the area of the brain or heart affected and the severity The obstruction can be caused by a blood clot in the of the damage. Treatment needs to begin as soon as symptoms are recognized. vessel or a buildup of cholesterol plaque in the vessel. words, using the wrong word or running random words together

The longer the delay in treatment the more severe and/or permanent the damage.

911 Emergency Air Ambulance

24 hours-a-day, seven-days-a-week, our experienced flight crews are ready to assist local EMS providers to help you in an emergency.

Interfacility Transportation Our flight crews are able to respond from multiple locations near Hamilton County to assist in timely and safe transport of patients from one healthcare facility to another.

AMCN Membership

AirMedCare Network is America's largest air medical membership network. An AMCN membership ensures no out-of-pocket expenses for transports if flown by any network provider.

To learn more, visit www.lifeteam.net

Proudly serving Hamilton County for over 20 years An HHN publication

Hamilton Healthcare System | Thrive

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vision Your Hometown Drug Store

Hamilton City Drug

Car

Peter Bealka, M.D.

Neil Bealka Jr. , M.D.

Friendly Faces • Quality Care

Danny and Suzanne Ray, owners, Cindy Kinsey RPh/PIC, David Cleveland RPh, John Opryshek RPh

Gifts • Seasonal Decor • Circle E Candles 105 E Henry St in Hamilton • (254) 386-3121 Monday - Friday 8 am - 5:30 pm • Saturday 8 am - Noon

Take Back Your Life

Family Practice Clinic of Mills County

Chronic Care Management Services

Call to Schedule an Appointment

(325) 648-2850

K. Stegemoller, MD

J. Seth, APRN, FNP-C

We offer Chronic Care Management Services to coordinate your healthcare needs for chronic conditions. If you have any of the following conditions you may be eligible with little to no cost for your care. Call today to learn more.

Accepting patients of all ages, and most insurances accepted. Clinic Hours: Monday & Thursday 8am – 7pm

T. Watson, APRN, FNP-C K. Routh, APRN, FNP-C

Tuesday, Wednesday, Friday 8am – 5pm

1501 W. Front St • Goldthwaite, TX facebook.com/FPCMillsCounty

www.hamiltonhospital.org

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Alzheimer’s and 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 information: Hamilton Family Rural Health Clinic • (254) 386-1700 Hico Clinic • (254) 796-4224 Family Practice Clinic of Mills County • (325) 648-2850

An HHN publication


re for Your Eyes! Cataract surgery comes to Hamilton General Hospital amilton Healthcare System is excited to welcome Dr. Neil Bealka, Jr. and Dr. Peter Bealka. The father-son eye care team of Bealka Eye Surgery in Gatesville is bringing skills and advanced technology in cataract surgery to Hamilton General Hospital. Cataracts are a clouding of the natural clear lens of the eye that typically begin to form as individuals venture into their 40s and 50s. Cataracts can cause foggy or blurry vision, faded looking colors, light sensitivity, double vision and trouble seeing at night. Diminished vision from cataracts often happens so gradually that people don’t realize how much their vision has been affected. According to the National Eye Institute, more than half of all Americans age 80 or older either have cataracts or have had them removed. Risk factors for cataracts include spending time in the sun, family history, health issues like diabetes, steroid medications used in treating arthritis and rashes, eye

injury, smoking and excessive alcohol consumption. Surgery is required to remove cataracts. It is safe, effective and can now be done at Hamilton General Hospital. The Bealkas offer standard cataract surgery and laser-assisted cataract surgery. The surgery is minimally invasive with no stitches and utilizes a state-of-the-art ultrasound technique. The lens is replaced with a patient-specific lens implant. A full range of lens options custom tailored to the individual’s lifestyle, needs and hobbies is available including options that minimize the need for glasses at all distances. In addition to cataracts, the Bealkas specialize in the treatment of glaucoma and retinal disease. They also offer blepharoplasty, an eyelid lift that can improve vision and give a more youthful appearance. To make an appointment or learn more about cataract treatment options, contact Bealka Eye Surgery at 254-865-4267. Be sure to schedule your surgery in Hamilton.

Meet the SurgeonS

Dr. Neil Bealka, Jr.

The founding ophthalmologist of Bealka Eye Surgery, Dr. Neil Bealka, Jr. has practiced in Central Texas for 25 years. He completed his medical degree from the University of Minnesota and his residency training at the University of South Florida. He completed three years of specialty ophthalmology training beyond the required residency training and is certified by the American Board of Ophthalmology. He is a comprehensive ophthalmologist with special interests in cataract surgery.

Dr. Peter Bealka

A native of Central Texas and valedictorian from Midway High School in Waco, Dr. Peter Bealka graduated summa cum laude from Baylor University and top of his class at Texas A&M College of Medicine. He completed his medical internship at the University of Texas at Austin Dell Medical Center followed by his ophthalmology residency at the University of Texas Southwestern Medical Center in Dallas, the largest and one of the busiest ophthalmology training programs in the country. Dr. Peter Bealka is fluent in Spanish.

Proudly serving Central Texans since 1991

(254) 386-8971 leehealthcare.com An HHN publication

Hamilton Healthcare System | Thrive

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our team Kayla

Routh, FNP By Wyndi Veigel

Family Practice Rural Health Clinic 400 N. Brown, Bldg II Hamilton, TX

254-386-1700

Monday -Thursday 7 a.m. - 7 p.m. Friday 7 a.m. - 5 p.m.

Hico Clinic

104 Walnut Hico, TX

254-796-4224

Monday 8 a.m. - 7 p.m. Tuesday, Thursday, Friday 8 a.m. - 5 p.m. Wednesday 9 a.m. - 5 p.m.

Family Practice Clinic of Mills County

1501 W. Front Street Goldthwaite, TX

325-648-2850

Monday and Thursday 8 a.m. - 7 p.m. Tuesday, Wednesday and Friday 8 a.m. - 5 p.m.

ixing the love of her hometown and nursing, Kayla Routh serves as a family nurse practitioner at the Family Practice Clinic of Mills County in Goldthwaite. Growing up, Kayla knew she wanted to be a nurse; it has been her dream since kindergarten. “It’s my personality type, I’m helperdriven,” she said. “I’ve always thought, ‘How can I help people?’” Training for her dream career started with her associate’s degree from Angelo State University in 2008. She continued to work toward her Bachelor of Nursing degree while working as a nurse in the ICU at Shannon Medical Center in San Angelo. In February 2015, Kayla earned her Master of Nursing from South University in Savannah, Georgia. She also began working part time at the Hamilton General Hospital Emergency Department. Kayla began to work at the clinic in 2016, returning to her hometown. “I get to use my education to serve. I get to help take care of those who have helped me. I love being able to return that support,” she said. “I have a deep connection with a lot of my patients. It’s what keeps me going.” As an FNP, Kayla helps patients in a variety of ways including diagnosing, treating and

managing acute and chronic conditions. But perhaps the greatest skill that she possesses is compassion. “There really is an art to compassion. I’ve loved that part ever since the beginning,” she said. When Kayla is not busy at work, she enjoys spending time with her husband, Justin Routh, and twin girls, Lanie and Landry. With Justin in the ag industry, Kayla said she is an advocate for agriculture. She is also a certified enneagram coach, a personality assessment test that helps individuals with selfconfidence and relationships. “It has always been important for me to have meaningful relationships with those I love,” she said. Kayla is training to be a certified nurse coach.

COMPOUNDING EXCELLENCE

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.

CHRONIC CARE MANAGEMENT

Individually tailored

SERVICES healthier, happier YOU. for a

1503 W. Front St, Goldthwaite, Texas

325.648.2484

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

mcmahanpharmacy.com 34

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Hamilton Healthcare System

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 sammie@mcmahanpharmacy.com

An HHN publication


farewell Hico Clinic won’t be the same without Stephanie Shepherd dvanced Practice Family Nurse Practitioner Stephanie Shepherd has retired from Hico Clinic after almost half a century of helping her neighbors and friends. A Hico native, Stephanie began her nursing career as a nurse aide at Hico Hospital in 1973, just a year after graduating Hico High School. She obtained a bachelor’s degree from Texas Christian University in 1976, a Master’s of Pediatrics and Obstetrics in 1994 from Texas Woman’s University and certification as an FNP in 1996 from Abilene Christian University. She taught in the nursing department at Tarleton State University for eight years, then joined Hico Clinic as its first FNP. Hamilton Healthcare System acquired the clinic in 2008. Stephanie is the daughter of the late Bettye and Harold Walker, longtime Hico residents, and is married to retired District Attorney BJ Shepherd. They have two married sons, Brian and wife Gracie of Austin and Jack and wife Frances of Midland. She said now that she is retired, she plans to travel and pester her husband.

Hico Clinic

104 Walnut St • Hico, TX facebook.com/hicoclinic

Hamilton Family Practice Rural Health Clinic 303 North Brown • Hamilton, TX 76531

(254) 386-1700 www.hamiltonhospital.org

W.S. Craig, MD Medical Director

G. Ward, PA-C

C. Johnson, MD

K. Davis, APRN, FNP-C

J. Wellborn, FNP-BC

Randy Lee, MD Chief of Staff Hamilton Clinic

Robbye Lengefeld, MD Hamilton Clinic

Gerald Snyder, MD Hamilton Clinic

W. Shalor Craig, MD Hamilton Clinic Hico Clinic

Charles Johnson, MD Hamilton Clinic Hico Clinic

Grant Ward, PA-C Hamilton Clinic Hico Clinic

Shelly Lengefeld, PA-C Hamilton Clinic

Shelly Boyle, PA-C Hamilton Clinic

Kaleb Davis, APRN, FNP-C Hamilton Clinic

Call to Schedule an Appointment

(254) 796-4224

Accepting patients of all ages, and most insurances accepted.

Clinic Hours: Monday & Thursday: 8am – 7pm Tuesday - Wednesday, Friday: 8am – 5pm www.hamiltonhospital.org An HHN publication

Accepting patients of all ages, and most insurances accepted. For an appointment, call (254) 386-1700 today!

Clinic Hours

Monday - Thursday 7:00am - 7:00pm • Friday 7:00am - 5:00pm

Hamilton Healthcare System | Thrive

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Brandi Gant

Medical Laboratory Technologist - Laboratory These are the DC Wonder Woman 5k and Obstacle Bounce House 5K. We enjoy doing them as a family. I also stay active by doing Crossfit and Zumba.

Janice Lewis

Grady Hooper

CEO Enjoys pedaling away stress with his kids.

Rebecca Johnston

Medical Records Coder HIM A 300-mile bike ride across the EmiliaRomagna region of Northern Italy and running Gruene 10K.

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Hamilton Healthcare System

Director of Patient Financial Services - Business Office "Stay Active! Walk, jog and exercise. Keeping fit is a lifetime commitment regardless of your age, which helps me when playing kickball and softball. We won first place in our Kickball Tournament! The rewards for staying fit are endless!" Janice serves on a kickball and a softball team.

Bridget Bruce

and

LaShea Ratliff

Admissions Clerk- Patient Access Human Resources Generalist Our family loves to stay active by going hiking! We love hiking the state parks as often as we can! Bridget, daughter LaShea and son Michael-Isaac on a hike. -

An HHN publication


spotlight

Miranda Stephens

Training Manager - Patient Access My fitness journey started in 2015 when I completed my first Spartan Trifecta- Sprint 3+Miles & 20 Obstacles, Super 8+ and Beast within that year. I was hooked on Spartan Races! I trained at Hamilton Wellness Center during lunch and late-night sessions on the elliptical and stair master and ended up losing up to 100 lbs from 2015-2021. My goal is to complete my second Trifecta by October 2022. 24-hr access and fitness on demand is amazing at the Wellness Center. The trainers help you stay on track and motivated.

STRONGER together Becky McKee

EmployEE SummEr HEaltH FitnESS CHallEngE

Surgery Director First place in my age division at the Gustine 7K Run.

Tye Moseley

Physical Therapy Director

It is very important to set personal fitness goals. They help you hold yourself accountable, encourage you to push through barriers and temporary discomfort, allow you to monitor your progress and give you something to work toward. Some of my goals include: • Engage in some type of cardiovascular exercise (running, stair stepper, cycling or swimming) three days a week for 10-20 minutes each time. • Strength/Resistance training five days a week. • Increase my daily water intake. (Gallon/day) • Incorporate stretching post-workout for ~10 minutes. • Increase my daily vegetable intake. • Shoot for 7-9 hours of sleep.

Dr. Robbye Lengefeld

Physician - Hamilton Rural Health Clinic Fitness is very important to me. I try to stay as active as I can and try to workout 5-6 days a week with combination of 2030 minutes of cardio and 20 minutes of strength training. Exercise helps reduce my stress level and gives me energy.

Kyle Morgan

Human Resource Director I started my fitness journey for myself, but also for my family. I have rheumatoid arthritis and I knew it would just be harder to get fit the older I got. I decided to take my health seriously and after losing 30 lbs of fat, I’m feeling better than I ever have. An HHN publication

Hamilton Healthcare System | Thrive

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directory ADVERTISERS

4 WACO CARDIOLOGY ASSOCIATES

254-399-5400 wacocardiology.com

5 HGHH FOUNDATION

PO Box 788, Hamilton, TX 76531 hamiltonhospital.org/hghh-foundation

SERVICES

2 PROVIDERS

3 5-STAR RATING 7 CARE CLOSE TO HOME

7 HAMILTON EDC hamiltontexas.com

11 JORDAN PHARMACY 107 N. Rice, Hamilton 254-386-3111

14 COMPANION IN-HOME SENIOR CARE

254-736-0294 companioninhomeseniorcare.com

16 SOLARIS

888-3SOLARIS solarisfamily.com

17 MC BANK

800-285-2216 mcbanktx.com

18 ULTIMATE GIFT OF LIFE 575-430-3671 judy@theultimategiftoflife.com

19 TEXAS ONCOLOGY 888-864-4226 TexasOncology.com

22 OMNI THERAPY BY TYLER 803-389-7480 OmniTherapyByTyler.com

23 MONCRIEF CANCER INSTITUTE

888-233-8620 moncrief.com

31 AIR EVAC LIFETEAM lifeteam.net

32 HAMILTON CITY DRUG 105 E. Henry, Hamilton 254-386-3121

33 LEE HEALTHCARE & MEDICAL SUPPLY 254-386-8971 leehealthcare.com

34 MCMAHAN PHARMACY 1503 W. Front, Goldthwaite 325-648-2484

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

Hamilton Community Center

15 FAY MORRIS 18 CENTRAL TEXAS EYE CARE

18 SLEEP CENTER 21 HAMILTON GENERAL

Help w/ food & clothing 254-206-7371 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

Crisis Text Line

www.crisistextline.org Text HOME to 741741 to connect with a Crisis Counselor

Free 24/7 support at your fingertips

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)

Texas Health & Human Services

Texas WIC

26 SURGERY

Long Term Care Services 1-855-937-2372

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

27 PHYSICAL THERAPY

Area Agency on Aging | Aging & Disability Resource Center

Early Childhood Intervention 254-773-6787

Hamilton Early Head Start

HOSPITAL

28 SWING BED 29 JOEY RICHARDSON 30 EMERGENCY CARE 32 FAMILY PRACTICE CLINIC OF MILLS COUNTY

32 CHRONIC CARE MANAGEMENT

35 HICO CLINIC 35 RURAL HEALTH CLINIC

Be a part of the Fall/Winter issue of

Thr ve

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

Hico Senior Center 254-796-4488

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

Transportation

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 •••

Mental Health

Texas Health & Human Services

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

254-386-8936 •••

Domestic Violence

HOPE – Tri-Rivers Domestic Violence Emergency Shelter

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 Texas Department of Insurance 1-800-252-3439 Texas Dept. of Protective & Regulatory Svcs. ABUSE & NEGLECT HOTLINE 1-800-252-5400

Health and Wellness Magazine for Rural Central Texans

We’re coming to Hamilton!

Hamilton Herald-News

July 14 September 8 November 3

Call Kym at

40 CAREFLITE

254-386-3145 or kym@hhnpaper.com

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13 CARE RUNS DEEP

BEHAVIORAL HEALTH

254-785-3278 usapathway.com

38

Help finding services/resources www.211texas.org 211 or 1-877-541-7905

Hamilton Co. United Care

39 PATHWAY

877-DFW CARE (membership) careflite.org

General Assistance

211 Texas

13 SOLUTIONS

6 FOCUSED CARE 254-386-3171 fpacp.com

COMMUNITY RESOURCES

Hamilton Healthcare System

12-6 p.m. @ HGH Parking Lot Sign up at carterbloodcare.org An HHN publication


Live, local team dedicated to serving YOU!

INTERNET - PHONE

254-785-3278

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