Thrive Fall-Winter 2022

Thr ve Fall/Winter 2022

Health and Wellness Magazine for Rural Central Texans

DIABETES

Prevention • Management • Risk Test

Kids In the Kitchen

THE SCOOP on Sugar & Sweeteners

How to Spot a Stroke JOIN THE

CLUB

HAMILTON HEALTHCARE SYSTEM

Committed to Quality Committed to Your Health S I LV E

R

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

Jennifer Armstrong, FNP-BC Wound 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

Anjenette Juracek, APRN, PMHNP-BC Behavioral Health

Penelope Hooks, MD Behavioral Health

Yvonne Joseph, APRN, PMHNP-BC Behavioral Health

Grant Ward, PA-C Hamilton Clinic Hico Clinic

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

Jacque Wellborn, FNP-BC Hico Clinic Wound Care

400 North Brown • Hamilton, TX 76531

(254) 386-1600

Care Runs Deep in the

www.hamiltonhospital.org Hamilton Healthcare System 10/22

Rural Healthcare Nationally Recognized

TOP

20

CRITICAL ACCESS HOSPITAL in PATIENT SATISFACTION

HAMILTON HEALTHCARE SYSTEM

Call to Schedule an Appointment

(254) 386-1600

400 North Brown • Hamilton, TX 76531

www.hamiltonhospital.org

contents

Fall/Winter 2022

6 HEALTH BITES 8 DIABETES

20 SAFETY

Kids in the Kitchen

Prevention and Management Support Close to Home Prediabetes Risk Test

10 ASK THE DOC

22 FITNESS

Get Fit and Have Fun Benefits of Aqua Aerobics Wellness Center Classes

24 CHALLENGE

Ozempic

The Heavy Lifting Club

12 SUPPORT

Navigating Grief 6 Stages of Grief 5 Things NOT to do When Grieving

16 DIETARY

The Scoop on Sugar & Sweeteners 4 Safe Sugar Substitutes Low Sugar Pumpkin Pie

18 NUTRITION

Chocolate Pomegranate Brownies Pork Pozole Guide to Common Peppers

ABOUT THE COVER Brittany Davis, wife of Nurse Practitioner Caleb Davis, and their children, Alice and Harvey, make memories in the kitchen.

H

26 MENTAL HEALTH

PTSD: Recovery & Healing

28 COMMUNITY

Perfect Timing How to Spot a Stroke

30 SPECIALISTS

Welcome Tyler Stewart, MD

32 OUR TEAM

Meet Anjenette Juracek, APRN

34 CELEBRATE

HGHH Foundation Celebration

36 AWARDS

Striving for Satisfaction

H

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

room at table for you!

there’s our

NOW ACCEPTING Scott & White

Health Plans!

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 An HHN publication

Hamilton Healthcare System | Thrive

5

health bites Unmasking visits o mask or not to mask is a valid question when visiting a Hamilton Healthcare System facility. While the facilities have unmasked, there may be times when masks are required. Per Centers for Disease Control guidelines, healthcare facilities must enforce universal masking based on COVID county transmission levels. "Think of it like a burn ban," said Infection Control Nurse Kim Edwards. When transmission levels are high, masking goes into effect. Edwards explains that transmission levels are based on many factors including vaccination statuses, COVID hospitalizations, community levels and county transmission. "It's not just how many in our community have it," she said. The best thing to do is be prepared and watch for the sign at the facility entrance. If it is green, masks are not required. If it is red or you have COVID symptoms, please wear a mask. Edwards asks visitors to remember that when masks are in effect, please comply to protect both healthcare workers and patients. "Who will take care of you if all of the employees are sick?" she said.

Fight Flu - Don't Let It Stop You! he Centers for Disease Control recommends an annual flu vaccine as the most important step in protecting against the flu this year.

Flu vaccine can prevent flu or reduce the severity of illness in people who get vaccinated but still get sick.

The vaccine is recommended for everyone 6 months or older, especially caregivers, older adults, young children, pregnant women and those who have chronic health conditions. A higher dose or adjuvanted

influenza vaccine is recommeded for people age 65 and older.

The flu often begins in October and can continue as late as May, so the CDC recommends getting the flu shot by the end of October. However, it is not too late.

It takes about two weeks after receiving the flu shot to build immunity, so it is important to get the flu shot as soon as possible.

In many cases, health insurance covers 100% of the cost of the flu vaccine.

State of the art monitoring services amilton Healthcare System Auxiliary Team offers installation services for Philips Lifeline, a round-the-clock monitoring system. With both at home and on-the-go options, Philips Lifeline medical alert services provide seniors independent living with peace of mind. At home, water-resistant buttons can be worn as a pendant or watch and offer two-way communication. On-thego options feature advanced GPS technology and include automatic fall detection that places a call for help in the event of a fall. Local installers are friendly faces that you know and trust. For more information, contact Kay Zschiesche at 254-485-9080 or Cindy Brooks at 512-618-0430.

6

Thrive |

Hamilton Healthcare System

An HHN publication

FREE Mammograms ne in eight women will develop breast cancer in her lifetime.

According to the American Cancer Society, the good news is when breast cancer is detected early, and is in the localized stage, the 5-year relative survival rate is 99%.

Early detection includes regular clinical breast exams and mammograms.

Moncrief Cancer Institute works with Hamilton Healthcare System to provide breast cancer screening for the uninsured and underinsured in Hamilton County. Through Moncrief, patients can conveniently access the state-of-the-art 3D mammography services at Hamilton General Hospital.

According to a study in the Journal of American Medical Association, 3D mammography detects 41 percent more invasive breast cancers than a standard 2D mammogram and reduces the rate of false positives by up to 40 percent – leading to greater peace of mind.

To schedule a mammogram at Hamilton General Hospital call 254-386-1600. For more information about free mammography services through Moncrief Cancer Institute, call 800-405-7739 or visit moncrief.com.

a e l u d e Sch ! m a r g o amm MG

Focus on eye health

laucoma is the leading cause of vision loss and blindness in the United States.

According to the National Eye Institute, nearly 3 million Americans have glaucoma. Half don’t

know it.

Glaucoma often has no early warning signs. No pain.

No discomfort. No blurry vision. Vision changes only occur during advanced stages.

African Americans over 40, adults over 60 - especially Hispanics/Latinos and people with a family history of glaucoma - are at higher risk. Getting a comprehensive dilated eye exam is the only way to find out if you have glaucoma.

There’s no cure for glaucoma, but early treatment can often stop the damage and protect vision.

Call 325-648-2040 to schedule your eye exam.

Upgrade your Financial Health with MCBank!

With MCBank, your banking is easy and stress-free!

Visit us in person or online!

It’s banking for the way you www.mcbanktx.com An HHN publication

live.

Member FDIC

Hamilton Healthcare System | Thrive

7

prevention Prediabetes Risk Assessment 1. How old are you?

Younger than 40 years (0 points) 40–49 years (1 point) 50–59 years (2 points) 60 years or older (3 points) 2. Are you a man or a woman?

Man (1 point)•Woman (0 points) 3. If you are a woman, have you ever been diagnosed with gestational diabetes?

Yes (1 point) • No (0 points) 4. Do you have a mother, father, sister, or brother with diabetes?

Yes (1 point) •No (0 points) 5. Have you ever been diagnosed with high blood pressure?

Yes (1 point) •No (0 points) 6. Are you physically active?

Yes (0 points)•No (1 point) 7. What is your weight category?

(See chart below) Height

ore in low

Weight (lbs.)

4'10"

119-142

143-190

191+

4'11"

124-147

148-197

198+

5'0"

128-152

153-203

204+

5'1"

132-157

158-210

211+

5'2"

136-163

164-217

218+

5'3"

141-168

169-224

225+

5'4"

145-173

174-231

232+

5'5"

150-179

180-239

240+

5'6"

155-185

186-246

247+

5'7"

159-190

191-254

255+

5'8"

164-196

197-261

262+

5'9"

169-202

203-269

270+

5'10"

174-208

209-277

278+

5'11"

179-214

215-285

286+

6'0"

184-220

221-293

294+

6'1"

189-226

227-301

302+

6'2"

194-232

233-310

311+

6'3"

200-239

240-318

319+

6'4"

205-245

246-327

328+

1 Point

2 Points

3 Points

You weigh less than the 1 Point column (0 points)

TOTAL SCORE:

Adapted from Bang et al., Ann Intern Med 151:775-783, 2009. Original algorithm was validated without gestational diabetes as part of the model.

If you scored 5 or higher... You are at increased risk for having prediabetes and are at high risk for type 2 diabetes. However, only your doctor can tell for sure. Talk to your doctor to see if additional testing is needed.

8

Risk Test provided by the American Diabetes Association and the Centers for Disease Control and Prevention.

Thrive |

Hamilton Healthcare System

Diabetes Prevention & Management

iabetes is a long-lasting, chronic disease that affects how your body turns food into energy.

When the body breaks food down into sugar, the pancreas releases insulin to allow the blood sugar into the cells for energy. With diabetes, the body doesn’t produce enough insulin or utilize it efficiently so sugar remains in the blood stream where it can cause serious problems like heart disease, vision loss and kidney disease.

There is no cure for diabetes; however, it can be managed through medication and healthy lifestyle changes.

There are three main types of diabetes: Type 1, Type 2, and gestational diabetes.

Type 2 is the most common type of diabetes.

Before developing Type 2 diabetes, many people develop prediabetes, elevated blood sugar that is not yet high enough for a diabetes diagnosis.

According to Centers for Disease Control, prediabetes is really common – 96 million US adults have it, though more than 80% of them don’t know they do.

Prediabetes can be reversed.

Take these steps to prevent diabetes: • Create a starting point. Pinpoint the motivation for this journey and keep it in focus.

• Set a weight loss goal. If you are overweight and have prediabetes, shedding just 5% of your weight can help lower A1C and reverse prediabetes.

• Make a healthier eating plan. Whether it is cutting back on sugar, eating more protein, adding extra fruits or vegetables or reducing portion sizes, eating better not only helps shed pounds, it helps you feel and think better.

• Move. Set an activity goal and gradually work up to moderate intensity exercise, like a brisk walk, at least 150 minutes per week - that’s 30 minutes five days per week.

• Track your progress. Research shows that people who keep track of their food, activity and weight reach their goals more often than people who don’t.

• Prepare for the long run. Share your goals with your friends, family and medical team. Having their support and encouragement can help you stay on track.

Diabetes Support Close to Home Diabetes Education

Hamilton Healthcare System offers comprehensive diabetes education led by certified diabetes care and education specialists. Through individual sessions or televisits, patients learn daily selfmanagement through healthy food choices, physical activity, blood sugar monitoring, medication management and insulin pump training in an American Diabetes Association-accredited program.

Diabetic Retinal Screening

Diabetes can be hard on vision creating problems like macular edema and retinopathy that can lead to vision loss.

Hamilton Healthcare System offers Diabetic Retinal Screening through Intelligent Retinal Imaging Systems. Closely monitoring the retina through screenings can catch changes early before symptoms are present and slow the progress of vision loss.

Nutrition Counseling and Weight Loss

Gain the guidance and support you need to embark on a healthier lifestyle. A registered dietitian tailors a meal plan unique to your goals. The program includes education in healthy choices, portion control, nutrition labels, heart-healthy fats, complex carbohydrates, plant-based proteins and meal planning. If you have Medicare Part B or a BMI greater than 30, insurance may cover the cost of the program.

Wound Care

Diabetes can make wounds detrimental.

Hamilton Healthcare System’s Wound Care Clinic offers a comprehensive outpatient program designed to provide ongoing medical management of problematic wounds. Knowledgeable professionals take steps to ensure that a wound such as a foot ulcer heals correctly.

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.

ask the doc

Ozempic

®

or many central Texans the struggle to manage blood sugar levels and lose weight is an ongoing battle. Local physician Shalor Craig, MD, has seen some promising W. Shalor results in the treatment Craig, M.D. of Type 2 diabetes and Hamilton Family Practice Clinic weight loss with a new and Hico Clinic injectable medication called Ozempic®.

Semaglutide, the active ingredient in Ozempic®, Victoza® and Wegovy®, was invented in 2012, went into clinical trials in 2015, and Ozempic® was approved for medical use in the U.S. in Dec. 2017.

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.

How does Ozempic® work?

Ozempic® blocks glucogen receptors.

Glucogen works the opposite of insulin to make blood sugar go up. When we block glucogen, it prevents blood sugar from going high. Ozempic® also slows GI motility, which makes people stay full longer.

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.

Is it designed for short-term or long-term use?

Long-term to treat Type 2 diabetes

Hico Clinic

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

What results have you seen in your patients?

Dramatic improvement in diabetes control in most patients. The advertisement for Ozempic® says it decreases A1C by 2.0.

I’ve seen cases higher than that. I’ve seen people lose a significant amount of weight – 10-20 percent of their body weightdepending on many factors: how hard they work, their dosage and other things.

What are advantages to taking it?

• Typically, significant improvement in blood sugar control.

• Weight loss.

• Once-a-week dosing versus multiple times per day of insulin.

• Decreased risk of cardiac events like stroke and heart attack.

What are disadvantages?

I have to stress the cost. If insurance won’t cover it, Ozempic® cost anywhere from $800 to $1000 per month. If you are diabetic, there’s a pretty good chance insurance will cover it, but a lot of plans don’t cover it. Compared to gastric bypass, it's not as expensive or life changing; you can always stop taking this, but you can’t reverse gastric bypass.

Relieve pain.

Repair injury.

Retain activity.

W.S. Craig, MD Medical Director

C. Johnson, MD

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.

G. Ward, PA-C

K. Davis, APRN, FNP-C

J. Wellborn, FNP-BC

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

10

Thrive |

Hamilton Healthcare System

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

www.OmniTherapyByTyler.com

Tyler Vandermeer BSN, RN

An HHN publication

A new medication for diabetes management and weight loss Are there any side effects?

• One side effect is nausea. It’s usually tolerable. Sometimes we’ll give patients Zofran. It’s usually after an increase in dosage and happens a day or two after the injection, not immediately. If you stick with it, it gets better.

• Some patients have reported constipation.

• Some have reported acid reflux, but that is usually tolerable.

Should it be the first option for someone trying to manage diabetes?

Normally, we try Metformin first. Most insurance companies make patients try Metformin. It’s common that diabetes is not controlled by Metformin alone; then we try Ozempic® especially for those patients who are overweight and have a desire to lose weight.

Who is the ideal candidate for Ozempic?

Type 2 diabetic is overweight with blood sugar not under control with Metformin or can’t tolerate Metformin.

Is it approved for kids?

No. It is not approved for kids or adolescents. There are similar medications,

– Victoza® a n d Tr u l i c i t y ® .

Trials are currently underway for both managing diabetes and weight loss.

Is it safe to use for weight loss?

I think it is very safe for weight loss for those who are not diabetic. The down side is the cost. The main hold up there is whether patients can afford it. There is some hope that after the first of the year insurance might start covering it better. Wegovy® is the same thing but was released for overweight patients. We hope to see more availability.

Is it FDA approved?

Yes, for weight loss and Type 2 diabetes.

Does it work alone or should you continue to incorporate exercise, a healthy diet and other diabetes management/weight loss practices?

It certainly works better if combined with exercise and a healthy diet. You typically feel full with less food. Like if I normally order a sliced barbecue sandwich and eat the whole thing, I might feel very full.

With Ozempic® I might eat only half that

sandwich and feel fuller longer.

Does the body build resistance to it?

The body will build some resistance as far as weight loss goes. Even after the 10 to 20 percent body weight loss, Ozempic® still helps control appetite.

Are there alternatives that work as well?

There are several similar drugs on the market. This is the one I’ve had the best experience with and am most confident using.

If someone thinks this might be a fit for them, what should they do?

Make an appointment with one of our providers.

A Hamilton native, Dr. William Shalor Craig received his M.D. from the University of Texas Health Science Center Houston in 2005 and specializes in family medicine. Dr. Craig is the Hico Clinic Medical Director and sees patients in Hamilton, too. He and his wife, Melissa, live in Hamilton with their three boys.

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 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 sammie@mcmahanpharmacy.com

Hamilton Healthcare System | Thrive

11

support

6 Stages of Grief

Hamilton City Drug

No matter what the loss, most of us will experience the following sequential stages of grief, although these can certainly vary in some people. Remember these stages are not always the same with all people. Don’t think that you are wierd just because you are not experiencing all stages.

Stage 1: Shock

The emotional shock of losing someone or something dear to us is really no different than the state of shock after physical trauma, in both we shut down. Shock protects our bodies/psyches from what we are not yet ready to feel, a protective “timeout.” Shock is of short duration, measured in hours, days.

Hometown Drug Stor e Your

Stage 2: Denial

Danny and Suzanne Ray, 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 • Saturday 8 am - Noon

We tell ourselves this can’t be true, can’t be happening, can’t be real, there must be some mistake. Denial, like shock, is usually of short duration.

Stage 3: Bargaining

Often, we tell ourselves that if we just do this or that, we won’t have to suffer this horrible loss, feel this pain.

Bargaining is usually a relatively short grief stage unless we get stuck there by telling ourselves we can do something to avoid the pain of the next stages of grief.

Stage 4: Anger

We may get angry at the doctors who could not save our loved one, angry at God, angry at ourselves for not doing something that might have prevented this loss, even angry at the one who died for leaving us. We may even displace our anger onto some innocent friend or family member.

In anger, we often utter the words, WHY ME? The anger stage is not normally a lengthy process.

Stage 5: Depression Solutions Behavioral Health Medication Management • Individual & Group Therapy

We may not be able to sleep, have changes in appetite, not want to engage in activities with others, have no energy, have overwhelming feelings of sadness, cry a lot and sometime even feel hopeless. Depression is usually the longest and most difficult stage of grief. Ironically, what brings us out of our depression is finally allowing ourselves to experience our very deepest sadness.

Stage 6: Acceptance 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

Finally, we come to the place where we accept the loss, make some meaning of it for our lives and are able to move on. If we have lost a loved one, we often transition from a physical relationship to a spiritual one with that person and are able to remember and be thankful for the good times.

If there has been a tragic loss, either from some horrible disease or an accident, people often find a way to reach out to others who are experiencing the same type of loss and give help and comfort. In this way we are able to make meaning of the loss for our lives.

www.hamiltonhospital.org

12

Thrive |

Hamilton Healthcare System

An HHN publication

GRIEF

BY MARIA WEAVER

"Grief demands a witness.

People can’t go through grief by themselves.

You have to have community; you have to have people."

Alicia Saldana-StePHens

An HHN publication

rief is part of life, an emotional process we all experience after a significant loss.

It can be triggered by the death of a loved one, isolation, job loss, divorce, empty nest, death of a pet or even the COVID-19 pandemic.

Hamilton nurse Alicia Saldana-Stephens said she looked up one day and it seemed everyone was grieving. She also was grieving, so she wanted to do something about it. So, she started a grief support group. It meets on the second Wednesday of every month at noon at the Hamilton Community Center.

Alicia explains that an event in January 2020 caused the loss of a relationship in her life.

“A divorce can be similar to losing a person, and with that came a loss of relationship with family and friends,” she says. “I found myself all of a sudden mostly alone with only a few people standing with me.

“At that moment, I began to experience grief. I didn’t know what it was at first, but I knew it made me start having emotions I was not used to feeling.”

At that point, COVID-19 had become a pandemic, and Alicia felt isolation and depression.

“When I looked up, life no longer looked the same as it used to,” she says.

“Going through COVID, I encountered many people that were having the same experience but maybe their experience looked different from mine. They lost a job. They moved to

Navigating loss with community a new state and all of a sudden they were working from home and therefore unable to make new friends and plug into their local community.

“Because of COVID and the devastating effects of the illness, many people lost loved ones. They lost contact with loved ones.

They couldn’t go see family. We missed Thanksgiving and Christmas, birthdays, weddings, births, many life events.

“And there was just this sense of grief everywhere.

“I’m a nurse,” says Alicia, who works for Solaris Hospice. “Being a nurse, I encounter people, and people everywhere were hurting and there wasn’t an outlet for it.

“Grief demands a witness. People can’t go through grief by themselves. You have to have community; you have to have people.

“So I got this bright idea to start a grief support group in my home.”

Alicia held the meetings in her living room, which she felt was a neutral space for folks who didn’t want to go to a church or a healthcare setting or worry about being judged.

“It was just my living room, comfortable and friendly,” she says. “People came. Most of the time just one at a time, but it was beautiful to have the one-onone experiences with the people who came in.”

As the group progressed, Alicia got calls

Hamilton Healthcare System | Thrive

13

5 things

OT to do NZ

when grieving v 1 Do not try to self-medicate your

emotional pain away.

v 2 Do not avoid the pain you feel.

v 3 Do not hide

yourself away from friends and family.

v 4 Do not focus on

regrets, choices you’ve made or past actions you’ve taken.

v 5 Do not

make major, life-changing decisions. drjeffcaster.com

about people who wanted to come but maybe didn’t have a ride, or maybe they were homebound and could go to the Hamilton Community Center but really couldn’t get out otherwise.

“In my community, people are hurting,” she says. “Caregivers struggle with caregiver’s strain and stress and compassion fatigue. People struggle with grief over the loss of a loved one or a job relationship. All of these create that same overwhelming sad, confusing emotion that we call grief.”

Grief can cause a variety of effects on the body including increased inflammation, joint pain, headaches and digestive problems, according to the National Council on Aging. It can lower your immunity, making you more susceptible to illness. Grief also can contribute to cardiovascular problems, difficulty sleeping and unhealthy coping mechanisms.

“Grief causes chemical reactions in our body,” Alicia says. “Anxiety, fear and depression all can have negative impacts on our health.”

Depression is usually the longest and most difficult stage of grief, according to the NCA. Ironically, what brings us out of our depression is finally allowing ourselves to experience our very deepest

sadness. We come to the place where we accept the loss, make some meaning of it for our lives and are able to move on.

“Grief is normal,” says Alicia. “Grief is part of life. It means that somewhere along the way you have loved and you have cared.”

Alicia felt compelled to do something about all the hurting people she encountered, and the support group was born.

She reached out to chaplains, mentors and other people she knew who had a knack for connecting other folks and asked them what they thought was the most important thing for a grief support group.

“The answers were mostly the same,” she says. “It’s not the program, not the place, it’s just people with something in common in a safe place to talk about it.”

Alicia is using Griefshare to give the meetings structure, but mostly facilitates discussion.

“We’re all on this journey together,” she says. “Mostly it’s just a safe place for people to share. Grief demands a witness; we need people. Grief is normal, and it’s OK. Our journeys look different but if we can be here together, we can all come out on the other side OK.”

Proudly serving Central Texans since 1991

(254) 386-8971 leehealthcare.com 14

Thrive |

Hamilton Healthcare System

An HHN publication

dietary 4 Safe Sugar Substitutes for Diabetics Monk fruit extract

Monk fruit naturally contains mogrosides, an antioxidant responsible for the sweet taste of this treat. Manufacturers extract this antioxidant to produce a sugar-free sweetener that does not contain calories and does not affect blood sugar levels.

Stevia

The leaves of the Stevia rebaudiana plant are harvested and processed into fine crystals to create this sweetner. Stevia is low in calories and retains its flavor when heated, making it an ideal sweetener for baking or hot drinks.

Erythritol

A sugar alcohol derived from the fermentation of cornstarch or wheat, erythritol has few calories and no impact on blood sugar. Sugar alcohols are notorious for causing upset stomach, but erythritol is less likely to do so. Start with small amounts and discontinue if it causes discomfort.

Fresh fruit

Fresh fruit can be a great way to naturally sweeten recipes, as fruits contain fiber that helps slow down sugar absorption and thus reduce the impact on blood sugar levels. Try using mashed bananas, unsweetened applesauce or date paste in your next recipe.

The Scoop on

Sugar & Sweeteners Is sugar bad for you?

A high sugar diet can support weight gain and may increase the risk for cavities, type two diabetes, high blood pressure and fatty liver disease.

How much sugar is too Krista Lindley, MS, RD, LD, CDCES much?

16

Thrive |

Hamilton Healthcare System

When compared to sugar, artificial sweeteners have a significantly less impact on blood sugars, have negligible calories and are better for oral health.

Do artificial sweeteners pose any health concerns?

Diabetes The American Heart Coordinator Association recommends no more than 36 grams of added sugar for men and no more than 25 grams of added sugar for women daily. For comparison, one 12 oz. can of soda has about 40 grams of added sugar.

The FDA has approved the use of several sugar alternatives, such as Sucralose and Stevia. Research suggests these nonnutritive sweeteners may have health benefits but could also come with a downside. Sugar alternatives have the potential to cause GI issues and heighten cravings for sugary foods.

When reading food labels, what sugary ingredients should be watched for?

What are some healthy ways to reduce sugar intake?

Sugar has many different names so navigating the ingredients list can be tricky.

Some common names for sugar are sucrose, lactose, glucose and high fructose corn syrup. The ingredients are listed by weight in descending order, meaning that ingredients present in larger amounts are listed first on food labels.

Are some sugars worse than others?

It’s important to recognize the difference between natural sugars and added sugars.

The negative health effects of too much sugar are linked to processed foods and sugary drinks. Fruits and vegetables contain natural sugars but they’re also rich in vitamins, minerals, and fibers.

Are natural sugars like honey, molasses, and fruit juices healthier than refined cane sugar?

stlukeshealth.org

Which is worse – sugar or artificial sweeteners?

Honey and molasses have antiinflammatory benefits and contain some vitamins and minerals but are still high in calories from sugar and may cause blood sugars to rise depending on how much is consumed. I don’t recommend processed fruit juices; it’s more nutritious to eat fruits in their whole form.

Cut the sodas out first and foremost! They are usually the number one culprit for excessive added sugars in the diet. To reduce sugar intake, eat more whole foods and limit processed foods.

How can a dietitian help those needing to reduce sugar intake to manage diseases like diabetes?

By teaching healthier preparation or substitutions in recipes and how to build balanced meals to meet individualized nutrition needs and support weight management goals.

When you want something sweet, what are your favorite low-sugar or sugar-free treats?

One of my usual sweet snacks is cream cheese strawberries because it’s easy to make and not loaded with sugar. Mix 1/4 c. low fat cream cheese, 1/4 c. light Greek yogurt, 1 tsp. vanilla extract and 2 tsp.

Stevia. Slice up some strawberries, layer with the mixture and crumble a little graham cracker on top.

An HHN publication

Low Calorie & Low Sugar

Pumpkin Pie Serves 8

INGREDIENTS:

1 whole wheat pie crust 1 can 15 oz pureed pumpkin or 2 cups fresh pumpkin ½ cup milk (I used 1% milk) 4 beaten eggs ½ tsp salt 2 tsp vanilla extract 2 tsp pumpkin spice or mix together nutmeg, cinnamon, cloves 1 tsp vanilla liquid stevia

INSTRUCTIONS:

Per serving:191 calories 5+ Weight Watcher points 26 g carbohydrates, 6 g protein, 7 g total fat, 71 mg cholesterol, Place pie plate onto a baking sheet. 231 mg sodium, Bake the crust for 10 minutes, remove 5 g fiber, 1 g sugar. the foil and beans and bake another 10 minutes.

Lay aluminum foil over the pie crust and add pie weights or raw dry beans, about 2 pounds. Spread beans over the bottom of the pie on foil.

While the crust is baking, mix filling ingredients in a bowl.

HAMILTON HEALTHCARE SYSTEM

Pour filling mixture into the crust.

Cardiac Rehabilitation Program

Bake for 45 minutes -1 hour or until center is set.

Prepare whole wheat crust.

Cool to room temperature on wire rack.

Preheat oven to 350 degrees.

Refrigerate until ready to serve.

Whole Wheat Pie Crust INGREDIENTS:

2 ¾ -3 cups 1 tsp ½ cup 1 cup

whole wheat pastry flour salt oil milk

INSTRUCTIONS:

Mix flour and salt together in a bowl.

Pour milk and oil into a bowl, do not stir.

Add all at once to flour. If using whole wheat pastry flour and dough is sticky, add ¼ cup more flour.

Stir until mixed and shape into 2 flat balls. Wrap in plastic wrap and chill for ½ an hour.

Lay one dough onto plastic wrap,

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 254-386-1894.

CERTIFIED BY THE AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION

sprinkle some flour on plastic wrap and on top of dough and lay another piece on top. Roll out with a rolling pin as large as your pie dish.

400 North Brown, Bldg IlI Hamilton, Texas 76531

Ph: (254) 386-1651 Fax: (254) 386-1698

Located inside the Wellness Center

hamiltonhospital.org

Spray your pie plate with nonstick cooking spray, take the top piece off and flip over into the pie dish, pressing dough all around.

Take Back Your Life

Prick the bottom of the dough with a fork. Cut off the excess so the crust is flush with the rim.

Chronic Care Management Services

Save your second dough in the refrigerator wrapped in plastic wrap to use within a few days or roll out into a pie dish following same procedure as above and freeze in a Ziploc freezer bag for another day

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.

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

sugarfreemom.com Brenda Bennett

Hamilton Healthcare System | Thrive

17

Health Benefits of

Chocolate Pomegranate

brownies

Pomegranates are juicy, sweet fruits with edible seeds called arils packed tightly inside. They’re rich in fiber, vitamins and minerals and even contain some protein.

They’re also full of antioxidants and anti-inflammatory compounds such as punicalagins. These have been studied for their protective benefits for heart, urinary, brain, digestive and prostate health.

Serves 16

Rich in antioxidants

Packed with antioxidants, this decadent brownie recipe is a heart healthier version of it store-bought cousins with less fat, sodium and carbohydrates and more fiber.

INGREDIENTS:

2 ¼ cup ⅓ cup

1 cup

black beans, drained and rinsed ¼ cup canola oil 3 ounces prune puree

½ cup ½ tsp ½ tsp ¾ cup

(find this in the baby food aisle)

1/3 cup sugar 1 tsp vanilla extract 1 large egg

egg whites unsweetened cocoa powder semi-sweet chocolate baking bits (mini chips work best) white whole wheat flour baking powder sea salt pomegranate seeds

INSTRUCTIONS:

1. Preheat oven to350 degrees F. Spray 9x9 inch square pan with cooking spray. In a blender, puree the beans with the oil and prune puree. Add the eggs, cocoa powder, sugar and vanilla extract.

2. Melt half the chocolate chips in the microwave in a microwave-safe bowl. Add to the blender. Blend on medium high until smooth.

3. In a small bowl whisk together the flour, baking powder and salt. Add to the blender and pulse until just incorporated.

4. Stir half the pomegranate seeds into the batter.

Pour batter into the prepared pan.

234 5. Sprinkle with the remaining chocolate chips and CALORIES pomegranate seeds. Bake for 20 to 25 minutes or 1 FRUIT until a toothpick inserted comes out clean. Sprinkle brownies with ¼ teaspoon sea salt.

6. Cool for at least 15 minutes before cutting.

27%

38.6g SUGAR

FOLATE

32% 52 g

18

Pomegranates

CARBS

Thrive |

VITAMIN C

Per serving:130 calories, 6 g total fat, 1 g saturated fat, 10 mg cholesterol, 120 mg sodium, 18 g carbohydrate, 2 g dietary fiber, 10 g sugars, 3 g protein, 20 mg calcium, 1 mg iron, 136 mg potassium.

Pomegranates are rich in antioxidants and polyphenolic compounds, which may boost exercise endurance. There is evidence that fruits rich in polyphenolic compounds, such as pomegranate, may benefit heart health.

Kidney stone reducer

Studies have found that pomegranate extract may help reduce the formation of kidney stones, a benefit that’s largely attributed to its antioxidant activity. Pomegranate compounds may help fight harmful microorganisms such as certain types of bacteria, fungi and yeast.

Brain booster

Pomegranates contain compounds called ellagitannins, which act as antioxidants and reduce inflammation in the body. As such, they also offer protective benefits for your brain against conditions that are influenced by inflammation and oxidative stress. Some studies have found that ellagitannins may help protect the brain from developing Alzheimer’s disease and Parkinson’s disease by reducing oxidative damage and increasing the survival of brain cells.

Submitted by

Christie Keay

County Extension Agent

An HHN publication

nutrition

Guide to common

Peppers Chili peppers (Capsicum annuum) are the fruits of Capsicum pepper plants, notable for their hot flavor. Many varieties exist and are primarily used as a spice. They can be cooked or dried and powdered.

Powdered, red chili peppers are known as paprika. Capsaicin is the main bioactive plant compound in chili peppers, responsible for their unique, pungent taste and many of their health benefits.

BELL PEPPER

Heat level: None!

Green, yellow or red, bell peppers are chiles that are never spicy and can be sweet and fruity when ripe.

They score a zero on the Scoville scale.

POBLANO

Heat level: A little spicy These deep green peppers are a key ingredient in chile relleno. When picked red, they can be dried and sold as ancho peppers.

These relatively mild peppers score less than 1,000 on the Scoville scale.

HATCH OR ANAHEIM

Heat level: A little spicy These long, smooth peppers are typically light green.

They are generally similar in spiciness to poblanos, at around 1,000 SHUs, but some species can get to 3,000 SHUs.

Pork

pozole

6

CALORIES PER TSP

Red chile and pork come together with hominy to warm the belly and palate in this traditional Mexian stew. Serve with tortillas or corn bread.

Serves 12

INGREDIENTS:

2 Tbsp 1lb 1 2

olive oil pork shoulder cubed onion, diced guajillo or ancho peppers, diced 2 cloves garlic 2 tsp dried oregano 1 tsp cumin 3 tsp black pepper 2 cups low sodium chicken broth 1 15-oz can golden or white hominy, drained 1 4-oz can diced green chilies

GARNISHES

INSTRUCTIONS:

1. Wash your hands and clean your cooking area. In a large saucepan, heat olive oil on high heat. Add pork and sear on all sides. Continue to cook pork until internal temperature reaches at least 160 degrees.

2. Add onion, peppers, garlic, oregano, cumin and black pepper. Cook until the onions are translucent.

3. Add chicken broth. When broth starts to boil, turn down the heat and simmer for 30 minutes.

4. Stir in hominy and green chilies; cook until pork meat is tender and stew thickens, about 30 more minutes.

5. Serve soup hot with garnishes.

Per serving: 150 Calories, 8g total fat, 2g saturated fat, 0g trans fat, 200mg sodium, 11g total carbohydrate, 3g dietary fiber, 2g sugars, 9g protein and 10% vitamin A.

Sliced avocado Chopped cilantro Diced onions Sliced radishes

JALAPEÑO

Heat level: Pretty spicy!

Typically found green, jalapenos are closely related to bell peppers but can be quite hot at 2,500–10,000 SHUs. A chipotle is a fully ripe, red jalapeño that’s smoked and dried, with a spiciness similar to that of a green jalapeño.

SERRANO

Heat level: Likely to be hot!

Although closely related, serranos can score much higher on the Scoville scale, from jalapeños’ upper limit of 10,000 SHUs all the way up to 25,000 SHUs.

HABANERO

Heat level: Scorching!

Shaped like little lanterns, habaneros are some of the world’s spiciest peppers with scores 100,000–400,000 SHUs. Aside from the spice, they have a sweet, fruity flavor .

An HHN publication

Health Benefits of Chili Vitamin C

Peppers

Chili peppers are very high in this powerful antioxidant, which is important for wound healing and immune function.

Potassium

An essential dietary mineral that serves a variety of functions, potassium may reduce your risk of heart disease when consumed in adequate amounts..

Vitamin B6

Copper

Vitamin K1

Vitamin A

A family of B vitamins, B6 plays a role in energy metabolism.

Also known as phylloquinone, vitamin K1 is essential for blood clotting and healthy bones and kidneys..

Often lacking in the Western diet, copper is an essential trace element, important for strong bones and healthy neurons.

Red chili peppers are high in beta carotene, which your body converts into vitamin A. Hamilton Healthcare System | Thrive

19

Kids in the Kitche etting kids involved in meal preparation is not only a great way to teach kitchen safety and food preparation skills but also a wonderful time to create family memories and establish healthy nutrition habits.

Try these tips for cooking safely with children:

v 1 Always supervise kids in the kitchen.

While younger, inexperienced children need direct assistance, it’s still a good practice to know when more experienced, independent children are cooking and be available nearby.

Teach good kitchen hygiene. v 2

Remind kids that clean hands are a big part of food safety.

Wash hands with soap and water often. Tie back long hair.

Wear shoes to help avoid burns, spills and wounds from dropped items.

with clean surfaces and cooking v 3 Start tools and wipe up spills immediately.

Avoid contamination by keeping surfaces clean. Teach kids that spills are a part of working in the kitchen but it is important to clean up messes as soon as possible.

v 4 Explain safe food handling.

Rinse produce. Handle raw meat and eggs with special care to avoid cross contamination. Teach kids the importance of cooking certain foods to proper temperatures. Food handling continues through storage. Explain the dangers of leaving food on the counter too long and demonstrate proper ways to store ingredients and leftovers.

v 5 Be prepared.

Following instructions, listening and reading through the recipe are important life skills to reinforce in the kitchen.

Gather ingredients and tools before getting started to set children up for success.

v 6 No licking.

It’s hard not to lick fingers or spoons while cooking, but to prevent illnesses from uncooked foods and spreading germs, children must learn to resist the urge to lick.

knife, appliance and stove safety. v 7 Teach Knife safety

– Beginners can learn to slice, chop and dice first with a plastic knife on softer foods like a peeled banana or watermelon. Teach kids to peel away from themselves, keep knuckles clear of the grater and use the bear claw method to avoid cutting fingers. Progress to adult knives as children gain experience and motor control.

20

Thrive |

Hamilton Healthcare System

An HHN publication

sen

safety Appliance safety

– Model small appliance safety for children. Start by allowing them to push buttons with your supervision. As they gain experience and demonstrate safe operation, allow more operating freedom. Don’t forget to teach them how to use electrical plugs safely and unplug appliances after use.

Stove safety – With proper supervision, children can learn to use the stovetop and oven safely. Strict lessons on turning burners on and off, adjusting heat and properly putting food in the oven are a must. Remind children to point handles to the side or back.

Use mittens for hot pots and pans. Make sure the stovetop and oven are off when cooking is complete.

v 8 Clean up!

Cooking isn’t complete until the kitchen is clean. Teach kids to put away ingredients, load the dishwasher or wash tools, wipe down counters, sweep and mop floors, unplug and store appliances and double check that the stove is off.

Age appropriate cooking tasks Preschool

Preteen

Early elementary

Teenager

(2 -5 years) • Pour, stir and mix ingredients.

• Rinse fruits and vegetables.

• Snap green beans.

• Spread butter.

• Mash soft foods.

• Roll dough and use cookie cutters.

• Tear lettuce.

• Wrap potatoes in foil.

(6 to 8 years) • Grate cheese.

• Use a can opener.

• Peel vegetables.

• Break eggs.

• Knead dough.

• Measure ingredients.

• Set the table.

(9 to 12 years) • Plan and prepare basic lunches, meals and snacks.

• Cook soup and make salad.

• Use small appliances.

• Load and unload the dishwasher.

• Transfer food to and from the oven.

• Bake quick breads and muffins.

• Use larger knives safely.

(13 to 16 years) • Plan menus and shop for groceries.

• Sauté, pan-fry and grill foods.

• Efficiently chop, dice and mince.

• Bake yeast breads and pastries.

• Safely handle and clean appliance parts including blades.

Since every child is different, take your child's skill level and abilities into consideration.

Care Runs Deep & Close to Home

HICO CLINIC

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

SAN SABA

LAMPASAS

Three Primary Care Clinics Proudly Serving Hamilton 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 LLANO

Hico Clinic (254) 796-4224 Family Practice Clinic of Mills County (325) 648-2850

An HHN publication

Hamilton Healthcare System | Thrive

21

fitness Early Bird

Spin Group Mon. & Wed. Body Works Tues. & Thur.

4:45 a.m.

4:45 a.m.

Morning

Arthritis Aerobics (aquatic) Mon., Wed. & Fri. 8:00 a.m.

Aqua Fitness Mon., Wed. & Fri. 9:00 a.m.

Tai Chi Tues., Wed. & Thur. 10:00 a.m.

Lunch Break

Arthritis Exercise Program Tues. & Thur.

11:00 a.m.

Yoga Mon., Wed. & Fri. 12:00 p.m.

Clogging Mon. & Thur.

1:00 p.m.

Afternoon

Clogging Mon.-Fri. Aqua Aerobics Mon. & Wed.

2:00 p.m.

4:30 p.m.

After Work

Aqua Aerobics Mon. & Wed. Body Works Tues. & Thur.

5:30 p.m.

Get Fit and

BY KYMBIRLEE JESCHKE amilton Wellness Center is excited to add aqua aerobics and bodyworks classes to their fitness class lineup.

Instructor Jessica Rushing, who also serves the system as Employee Fitness Coordinator, is vivacious and energetic.

She began teaching fitness classes in 2018 after an instructor at LA Fitness picked her out of class and encouraged her to get her group fitness certification.

“She told me, ‘you’ve got something; you’d inspire people,’” said Jessica, who began teaching classes in aqua aerobics, kick boxing, bodyworks and Pilates.

She brings her energy and excitement for fitness to her classes.

Aqua aerobics is offered on Mondays and Wednesdays at 4:30 p.m. and 5:30 p.m., and bodyworks classes are Tuesdays and Thursdays at 4:45 a.m. and 5:30 p.m.

“Classes are upbeat, positive, challenging and fun,” said Jessica, who encourages attendees to make the workout their own through modifications.

“I guide the class and show how to modify for your limitations. Maybe it is slowing down the movement or shortening the range of motion. When you are ready to intensify, we can add weight, noodles or a board.”

Aqua aerobics is in the heated fitness pool in the Wellness Center.

The pool is kept at a

comfortable 86 degrees year-round.

Water creates its own resistance, which makes it great for toning and building strength.

It supports the body, lessening the impact on joints and making aqua aerobics an ideal activity for those managing arthritis, joint injuries or just getting started on their fitness journey.

Since the fitness pool at the Wellness Center is 4’6” at its deepest, participants don’t have to be swimmers.

“The good news is your feet can touch the ground,” said Rushing, who adds that the class is great for core stability, which translates to improved balance.

Aqua aerobics classes are limited to 10 people but signup is available at the front desk a week in advance.

Rushing’s bodyworks classes focus on light weight and high repetition.

“The class is intense, but I make it fun with music and energy,” she said.

In addition to getting fit while having fun, Rushing says she loves that her classes build confidence.

Attendees start to notice toner muscles, an increase in range of motion and speed. She says these are great motivators and build self-esteem.

Participants in Rushing’s classes range in age from 28 to 86.

“In Austin, my oldest was 86, and she killed it,” said Rushing.

Originally from California, she and husband Kenneth moved to Hamilton from Austin.

5:30 p.m.

Hamilton Wellness Center 400 N. Brown • Hamilton, TX

254-386-1670

Monday -Thursday 7 a.m. - 6 p.m.

Friday 7 a.m. - 4 p.m.

24-hour access for members

22

Thrive |

Hamilton Healthcare System

An HHN publication

! n u F e d hav "There have been lots of changes in that big city, but I’ve always been a small-town girl at heart,” she said.

Aqua aerobics and bodyworks join instructor-led tai-chi, clogging, yoga and arthritis exercise program classes offered throughout the week at the Wellness Center. A group spin class meets Mondays and Wednesdays at 4:45 a.m.

Fitness on Demand offers all types of virtual workouts 24/7 in a wide range of levels and durations.

All classes are included in Wellness Center memberships.

Daily passes are available for $5.

Free or discounted memberships are available through SilverSneakers and Silver & Fit.

Benefits of aqua aerobics • Relieves stress on joints and muscles • Aides in recovery after injuries • Builds strength through resistance from water • Improves balance and coordination • Increases range of motion due to less gravity • Helps with weight loss • Reduces chance of overheating • Relieves stress and may improve sleep swimming.org

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

An HHN publication

Hamilton Healthcare System | Thrive

23

THE Heavy Lifting CLUB

n October, Hamilton Wellness Center announced new challenges.

With a focus on strength building, the 500-pound and 1000-pound clubs acknowledge the physical achievement and dedication of fitness center members.

To complete a challenge and become a club member, lifters must perform one successful squat, bench press and deadlift. The total of the three successful lifts must be at least 500 pounds or 1000 pounds.

Heavy Lifting Club members receive a T-shirt, certificate and their successful lift archived on the board at the Wellness Center.

On October 4, Nik Adams, a sophomore at Hamilton High School, became the first member of

Darryl Moore

Buck Long

With the barbell horizontal across the shoulders and hands gripping the bar, bend the knees and lower the body until the top surface of the legs at the hip joint is level to the top of the knees. Power up through the glutes to a standing position.

Ben

Squat 24

Thrive |

Hamilton Healthcare System

An HHN publication

the 1000-pound club. Adams bench pressed 225 pounds., squatted 405 poumds. and deadlifted 405 pounds for a total lift of 1035 pounds.

On October 31, Darryl Moore, a veteran and retired law enforcement officer, became the first member of the 500-pound club.

"I'm older and this is a great way to stay in shape," said Moore, who uses strength training to manage stress and heal an injury. "I want to challenge my veteran buddies out there to up their game. Even though we are retired we can still take care of ourselves."

MacKenzie Suggs became the first woman on the board in November with a total lift of 705 pounds.

To participate, members should call Joey Richardson at 254-386-1670.

Nik Adams

challenge 1000# CLUB 500# CLUB Nik Adams

1035

Darryl Moore

540

Wyatt Sellers 1035

Andrew Chorenziak 745

Buck Long

1210

Wes Grant

715

Tyler Moore

1100

MacKenzie Suggs

705

Tyler Moore

MacKenzie Suggs Joey Richardson

nch Press

Lie on the back with head, shoulders and buttocks in contact with the bench. Feet flat on the floor. With the bar overhead at arms length distance, grip the bar by wrapping the thumbs around. Lower the bar to the chest then press the bar back to straight arm length.

An HHN publication

Deadlift

With the barbell laid horizontally at the lifter's feet, assume a shoulder width stance. Squat and grip the barbell so the inner forearms touch the outside of thighs and shins lightly touch the bar. Push through the feet to standing, bringing the bar and weight to about the midway position of the upper thigh.

Hamilton Healthcare System | Thrive

25

healthy mind 3 in 50 Americans

will have suffered from PTSD at some point in their life U.S. Department of Veterans Affairs.

PTSD can be caused by trauma, such as: • Sexual Assault • Physical Abuse • War and Combat • Natural Disasters • Physical Injury or Major Medical Event • Childhood Trauma • Unexpected Death of a Loved One • Witnessing an Accident or Traumatic Event 6 weeks of cognitive behavioral therapy can help ease PTSD symptom severity by up to 50%

Solutions Behavioral Health 400 N. Brown, Hamilton, TX

254-386-1800

Monday -Friday 8 a.m.- 4:30 p.m.

26

Thrive |

Hamilton Healthcare System

PTS

ccording to research, an estimated 70 percent of adults in the United States have experienced a traumatic event at least one time in their lives. Of these people, up to 20 Elizabeth percent go on to develop Bays, Post-Traumatic Stress MS, LPC, NCC, CFRC Solutions Disorder (PTSD), but what Behavioral Health is it?

The stress caused by a traumatic event can often affect a person mentally, emotionally and physically. Research suggests that extended trauma may even interrupt and change the brain’s chemistry.

A traumatic event can often change a person’s views about themselves and the world around them, which may increase the likelihood of developing PTSD. Understanding typical responses to traumatic events can help you cope effectively with your feelings, thoughts and behaviors, and help you along the path to recovery.

Common responses can be: • Intense or erratic feelings.

• Changes to thoughts and behaviors.

• Sensitivity to noises, smells and environmental factors that can be a reminder of the traumatic event.

• Strained relationships with others • Stress-related physical symptoms.

• Re-living the event through nightmares or other disturbing images.

• Avoiding reminders of the event or talking about the event.

• Being on guard or hyper-aroused.

Luckily, research also shows that most people are resilient and are able to bounce back from a traumatic event over time.

Immediately after a trauma, most people experience stress.

Within a few weeks or months, most people are able to continue functioning as they did before the trauma.

Thankfully, resilience and recovery are

the norm, not prolonged distress.

There are several steps you can take to build emotional resilience and regain a sense of control following a traumatic event including: • Give yourself time to adjust.

• Ask for support from people who care about you and who will listen and empathize with you.

• Attend local or online support groups led by appropriately trained and experienced professionals.

• Engage in healthy lifestyle choices to enhance your ability to cope with excessive stress.

• Establish or reestablish routines in your daily life.

• Avoid making major life decisions during times of stress.

If symptoms continue for one month or longer or reappear over time, it could be a sign to seek professional help.

According to research compiled by the National Center for PTSD, several types of psychotherapies have been proven to help decrease or eliminate PTSD symptoms including, Eye Movement Desensitization and Reprocessing (EMDR), Prolonged Exposure (PE) and Cognitive Processing Therapy (CPT). You may also choose to consult your physician, because medication can be an effective option, however, therapies have been proven to be more effective than medications.

Consider your mental health to be just as important as your physical health. You would get help with heart issues, a broken bone, diabetes, etc., but often choose not to get help for PTSD. Choosing to get help for PTSD symptoms is important, because only a small percentage people who choose to do nothing about their PTSD symptoms end up eliminating PTSD symptoms. Since PTSD is linked to extremely high rates of medical and mental health costs and it is possibly the highest per-capita cost of any psychological condition, it is important to seek help from trained professionals.

An HHN publication

SD

Recovery and healing after trauma

Elizabeth Bays completed her Master’s degree in Counseling Psychology from 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. Her passion and expertise are working with survivors of trauma. She uses an eclectic approach to therapy and utilizes a blend of cognitive behavioral therapy, solution focused, reality based, and psycho-education. She has also been trained in Eye Movement Desensitization and Reprocessing (EMDR). Elizabeth is invested in an approach emphasizing a more integrative, dynamic and holistic approach to mental health.

She is particularly concerned with the impact of trauma and improving intervention to support trauma recovery for better emotional, physical and relationship health.

The leading cause of PTSD is sexual violence.

U.S. Department of Veterans Affairs.

Solutions Behavioral Health offers therapy and treatment for PTSD call 254-386-1800 to begin healing today. ► 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 Qualified • Accurate • Convenient

When you absolutely want to feel better...

We are here to fill Your Prescription

Z ...and we are really good at it!

Ask about supplements to help manage Parkinsons, arthritis, IBS, MS and other autoimmune diseases naturally.

254-386-3111 ♦ 107 North Rice Street, Hamilton ♦ jordanpharmacy@ embarqmail.com

An HHN publication

Hamilton Healthcare System | Thrive

27

SPOT A STROKE

Perf

Learn the warning signs and act fast

BALANCE

Sudden loss of balance, headache or dizziness

EYES

Blurred vision or trouble seeing in one or both eyes

FACE

Face drooping - ask the person to smile

ARMS

Numbness, tingling or weakness in the arms or legs

SPEECH TIME Trouble speaking or slurring

Call 911 - do not drive yourself to the hospital American Stroke Association

Sports Injuries

Back or Neck Pain

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

28

Thrive |

Hamilton Healthcare System

Post-Operative Surgical Recovery

(325) 648-2333

1503 1/2, W Front St • Goldthwaite An HHN publication

rfect Timing

community

Local nurse's experience with a stroke and the guy with perfect timing

BY MARIA WEAVER ou never know when illness will strike or just how hard the blow will be.

Lucy Lee was both fascinated and terrified when she had a stroke in October.

On that morning, she was working at her computer in her dining room when she heard trucks in her driveway. Workers were coming to restore the power in her barn after an electrical fire.

It was about 8:15 when she heard Justin Cozby in her driveway. She rushed to her room to get dressed and had a little trouble putting on her pants and shirt.

“As a nurse, I was thinking, ‘This is so cool.’ I was wobbling and hitting the wall,” she says. “I felt clumsy.”

She thrust her feet into her shoes and went into the bathroom for lipstick.

“I couldn’t get my hand to go to my lips,” she says. She knew then she was having a stroke.

“I was observing and experiencing it on two different levels,” Lucy says. “As a

nurse, that’s really cool.”

She wobbled to the door and in a slurred voice asked Justin to take her to Hamilton General Hospital.

“When she came to the door, I was a little freaked out,” Justin said. “She said, ‘I’m having a stroke.’

“I said, ‘Sh--!’ We piled into her car and headed to town.”

“I felt totally normal by 9 a.m.,” Lucy says. “I could tell it was resolving.

“Justin is such a thoughtful person. He stayed there with me and even ran my errands while I was in the emergency room.”

Lucy was home by noon and is now doing well.

Her three sons, Chris, Michael and Jason, called and texted, worried about their mom. Chris was on a flight from Geneva to New York but called as soon as he landed.

“He is on the board at Baylor College of Medicine and emailed a contact and got me an appointment with a neurologist.

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

(254) 386-1700 www.hamiltonhospital.org

Randy Lee, MD Chief of Staff Hamilton Clinic

Robbye Lengefeld, MD Hamilton Clinic

“Michael is in Round Rock and took me to Houston to Jason’s, and the next day I saw the doctor and had an MRI and MRA. “My first thought was, my mom had a stroke at 69.”

Lucy learned her brain had shrunk a little, and there were signs of ischemia.

She also has developed a non-essential tremor, but other than that, there are no after-effects.”

No medication?

“Baby aspirin,” she says with a smile.

“And my sons wanted me to get one of those necklaces so I could push the button if it happens again. But instead, I got this cool Apple watch.”

“Talk about perfect timing,” Justin says.

“I’m glad she is all right.”

“It definitely made me thankful for my village,” Lucy says. “A lot of people have been there for me. God is love, and my experiences have been perfect examples of that love.”

Emergency Care you can

Trust

Gerald Snyder, MD Hamilton Clinic

Brad Bartels, MD Hamilton General Hospital ER

W. Shalor Craig, MD Hamilton Clinic Hico Clinic

Shelly Lengefeld, PA-C Hamilton Clinic

Charles Johnson, MD Hamilton Clinic Hico Clinic

Shelly Boyle, PA-C Hamilton Clinic

Grant Ward, PA-C Hamilton Clinic Hico Clinic

Kaleb Davis, APRN, FNP-C Hamilton Clinic

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

An HHN publication

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

400 North Brown • Hamilton, TX 76531

(254) 386-1600

www.hamiltonhospital.org Hamilton Healthcare System | Thrive

29

specialists

welcome Tyler Stewart M.D. General Urology

Specializing in the treatment of • kidney stones • incontinence or urinary difficulties • urological cancers of the kidneys, prostate and bladder • prostate screenings

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.

30

Thrive |

Hamilton Healthcare System

BY KYMBIRLEE JESCHKE or many years, rural central Texans have relied on the services of Central Texas Urology. Dr. Mark Story saw many patients at Hamilton’s Family Practice Rural Health Clinic. With his retirement this summer, Hamilton Healthcare System is excited to welcome Tyler Stewart, M.D. to its team of courtesy specialists.

Dr. Stewart joined Central Texas Urology in August after completing his training in July. He finished his undergraduate degree at Texas A&M and completed his surgical internship and urologic specialization at the top of his class at the UT Health Science Center in San Antonio.

Dr. Stewart grew up in Lorena and has always wanted to become a urologist.

“My mom found a kindergarten project where I drew a picture of a doctor and said, ‘I want to be a bladder doctor,’” said Stewart. “My dad is also a urologist. I joined his practice. It’s fun to practice with my dad and his partners.”

Stewart is enjoying learning from the experienced doctors that he has known for much of his life and sharing the latest techniques with them.

At the forefront of technology, Dr. Stewart is trained in robot-assisted surgery, which gives surgeons more precision, flexibility and control and results in smaller incisions and faster recovery times for patients.

“We are just starting in Waco,” he said.

For those with non-cancerous enlarged prostate, Dr. Stewart offers Rezum, water vapor therapy, instead of resection.

“We inject steam that allows the tissue to dissolve over time without removing tissue with a knife,” he said.

The procedure take less than 10 minutes with fairly long-term results.

Dr. Stewart sees patients twice per month at Hamilton Rural Health Clinic, where he performs clinical exams, small clinic procedures and has surgical privileges at Hamilton General Hospital.

As a general urologist, he treats patients

experiencing kidney stones, incontinence or urinary difficulties, urological cancers of the kidneys, prostate and bladder and provides prostate screening.

Dr. Stewart sees adults and children.

“There is no one I won’t see,” he said.

“I love hearing people’s stories and love teaching people about their body.

Urological subjects can make us feel alone or isolated. If you live long enough, you will need a urologist. I can help you feel better.”

Some of the most common ailments that urologists in Central Texas see are kidney stones, incontinence and urinary tract infections.

“Central Texas is ripe for kidney stones,” said Dr. Stewart. “We are actually in a stone belt.”

For those who live long enough and/ or have multiple children, incontinence is a common issue, but one that doesn’t necessarily require surgery, says Dr. Stewart.

Pelvic floor therapy and devices are treatment options as is a minimally invasive outpatient surgery.

Dr. Stewart says there are a lot of new cases of prostate and kidney cancers probably due to gaps in screenings during the COVID pandemic.

He stresses the importance for men ages 50 to 75 to have a PSA blood test every two years through their family doctor or more frequently for those with family history.

While Dr. Stewart is happy to accept referrals from family doctors, patients can call and make an appointment without a referral.

He looks forward to continuing to serve Hamilton and its surrounding communities.

“I’m a small town guy. I love Hamilton and its people. When patients come to see me, they can expect to talk to someone a lot like them,” said Dr. Stewart, who loves hunting, fishing and the great outdoors.

When he’s not working, he enjoys spending time with his wife and children, being outside or watching football.

An HHN publication

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 refer your patients to Texas Oncology, you can be confident they’re getting leading edge cancer care, right here in Waco. Our physicians provide compassionate, comprehensive care, offer the latest treatment innovations, and share one goal: to make sure every Texan can receive recognized cancer care — and stay close to loved ones.

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.

TexasOncology.com

meet

Anjenette J

BY KYMBIRLEE JESCHKE or more than a year, Anjenette Juracek has been part of the Hamilton Healthcare System psychiatry team at Solutions Behavioral Health.

A board-certified psychiatric mental health nurse practitioner, Juracek works with doctors and therapists to develop patient treatment plans that promote healthy behavior and healing in the lives of her patients.

She began her healthcare journey as a nurse. While working with patients in the emergency room, surgery and trauma, she began to notice a very real need for mental health resources and providers.

“It doesn’t matter what you do in nursing, you are going to run into some aspect of

mental health, and there are not enough people to provide it,” said Juracek.

With this realization, she went back to school to become a mental health nurse practitioner.

“All of us have someone in our life – a friend, family member or both – that suffers from mental health issues,” said Juracek.

At Solutions Behavioral Health, Juracek’s expertise is in medication management.

She works with patients of all ages but her favorite populations are children and adolescents.

“Kids tell you exactly what they are thinking,” she said. “They don’t hold anything back. They want to have friends, be happy and not be in trouble all the time – which is what anyone wants.”

Juracek works closely with therapist Kayelen Helton, even traveling regularly to Goldthwaite to treat patients.

“Often with kids, we use therapy before medication,” she said.

Family Practice Clinic of Mills County Call to Schedule an Appointment

(325) 648-2850

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

K. Stegemoller, MD

J. Seth, APRN, FNP-C

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

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

32

Thrive |

Hamilton Healthcare System

An HHN publication

Juracek

providers Nurse Practitioner at Solutions Behavioral Health

Juracek says children express their needs differently than adults.

Clues that a child may need treatment include mood disturbances over a long period of time, drastic changes, experiencing a traumatic event – even if they are acting like they are doing OK, expressing suicidal thoughts, increased anger or instability, disruptive relationships at home or school and dropping grades.

“One of the most important things we can do is normalize treatment for mental health,” said Juracek. “It is just as important as physical health. When left untreated, it leads to chronic medical conditions.”

Through Solutions Behavioral Health, rural central Texans have access to mental health resources including individual counseling, an intensive outpatient program for seniors, couples and family counseling, suicide risk assessment and reduction, PTSD treatment, play therapy for children and psychiatric medication management.

Juracek is impressed by the resources available through Solutions Behavioral Health and says in many other areas mental health resources like these are hard to access.

“People come from Waco, Marble Falls, Brownwood, even Arlington and the Fort Worth area to get care here,” she said.

“It’s hard to find the psychiatric model we have here. It’s a pretty big deal.”

In addition to doctors and therapists who specialize in different modalities, Juracek praises the great support staff that helps patients navigate the process.

“People get overwhelmed and don’t know where to start,” she said. “A friendly voice on the phone greets them and guides them through the steps.

“I’m proud to work here.”

When she’s not working, Juracek enjoys spending time with her children, dogs and enjoys rucking, hiking with weighted backpacks.

"One of the most important things we can do is normalize treatment for mental health."

anjenette juracek aprn, pmhnp-bc

Solutions Behavioral Health 400 N. Brown, Hamilton, TX

254-386-1800

Monday -Friday 8 a.m.- 4:30 p.m.

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

33

celebrate

Celebration '22 Hamilton General Hospital healthcare Foundation

34

Thrive |

Hamilton Healthcare System

An HHN publication

amilton General Hospital Healthcare Foundation hosted Celebration '22 on Sept. 14 at J. Waddy Bullion Pavilion at Texas Botanical Gardens in Goldthwaite.

The celebration was the Foundation's first fundraiser since Celebration '19 and was met with much enthusiasm with approximately 220 people in attendance.

Attendees enjoyed a fajita dinner catered by Diamond R, auction, wine pull, stretch drawing and dancing to the Tejas Brothers.

The main fundraiser for the Foundation, Celebration '22 raised more than $68,000 for healthcare services in Hamilton and Mills counties.

"We appreciate everyone who came

out and donated," said HGHH Foundation President Robert Witzsche. "Your support helps with projects like purchasing 3D mammography equipment to improve the healthcare services for our families, friends and neighbors in Hamilton, Hico and Goldthwaite."

Give a gift that makes a difference.

Now more than ever, Central Texans are reminded of how grateful we are to have outstanding healthcare professionals and facilities in Hamilton, 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.

Join us in supporting the healthcare team that cares for you.

An HHN publication

HAMILTON GENERAL HOSPITAL HEALTHCARE FOUNDATION Providing excellence in rural healthcare

P.O. Box 788 • Hamilton, Texas 76531 Donate online at hamiltonhospital.org/hghh-foundation Hamilton Healthcare System | Thrive

35

awards

Striving for

Satisfaction

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

Hamilton Healthcare System Surgery Suite

William Moore, MD Pain Management

Keith Ellison, MD Orthopedic Surgeon

Ryan Adams, MD General Surgeon

Together We Stand For Rural Healthcare Hamilton Healthcare System’s surgery suite is home to our three highly skilled surgeons! Dr. Keith Ellison, Orthopedist, Dr. Ryan Adams, General Surgeon, and Dr. William Moore, Interventional Pain Management.

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 09/22-REV

36

Thrive |

Hamilton Healthcare System

amilton General Hospital has been awarded the prestigious honor of Top 20 Critical Access Hosptial in Patient Satisfaction from the National Rural Health Association.

Of the 1360 critical access hospitals in the United States, HGH was the only Texas hospital to receive the award, which was based on Hospital Consumer Assessment of Healthcare Providers and Systems information gathered through patient satisfaction surveys.

“It’s important to fill out the survey and give us feedback,” said Director of Quality Tracey Karasek, MSN, RN. “The more surveys we receive, the better perspective we get. We want the positive as well as the didn’tgo-as-well-as-we -wanted answers.”

Surveys are collected and tabulated by a third party vendor then uploaded to the Centers for Medicare and Medicaid Services to ensure patient confidentiality.

HGH strives to maintain a 5-star overall rating for patient satisfaction from CMS. “We are competitive within ourselves,” said Karasek. “We have a volunteer committee made up of frontline, staff and directors that closely monitor quality. We set quarterly goals and send a weekly score update to staff. ”

Tracey Karasek and Janice Lewis accept the award for Top 20 Critical Access Hospital in Patient Satisfaction at the National Rural Health Association Convention in Kansas City, Missouri.

In addition to being named a Top 20 Critical Access Hospital, HGH has also been recognized with a 2022 Performance Leadership Award for excellence in Outcomes and Perspective.

Compiled by The Chartis Center for Rural Health, the Performance Leadership Awards honor top quartile performance among rural hospitals in Quality, Outcomes and Patient Perspective.

In a rural community, the caregivers and patients know one another.

“We have a close connection with our patients,” said Karasek.

That connection is the driving force for providing the best patient care.

HAMILTON HEALTHCARE SYSTEM

Pulmonary Rehabilitation Program 400 North Brown, Bldg IlI Hamilton, Texas 76531

Ph: (254) 386-1651 Fax: (254) 386-1698

Located inside the Wellness Center

hamiltonhospital.org

An HHN publication

Swing Bed Services at Hamilton General Hospital

Do you need care close to home after a hospitalization? We’ve got you covered.

Hamilton General Hospital offers 24-hour skilled nursing and rehabilitation to recover and treat a wide range of conditions.

Benefits Include: • Physical Therapy, 5 days per week • Occupational and speech therapy • Regular Physician visits weekly • RN staffing • Low nurse to patient ratio • Respiratory therapist available 24/7 • Emergency Department on site • IV medication therapy, TPN

• Specialized wound care with dedicated wound physician and certified wound care nurses • Clean Private Rooms & Bathrooms • Room Service and gourmet dietary choices • Reduce relapse/readmit to hospital • Covered by Medicare and most insurances

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

COME HOME TO HAMILTON FOR YOUR POST ACUTE NURSING AND REHAB

For more information call:

(254) 386-1600

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

10/22

directory ADVERTISERS

4 WACO CARDIOLOGY ASSOCIATES

254-399-5400 wacocardiology.com

5 FOCUSED CARE 254-386-3171 fpacp.com

SERVICES

2 PROVIDERS

3 TOP 20 HOSPITAL 10 HICO CLINIC

INSTITUTE

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

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

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

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

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

31 TEXAS ONCOLOGY 888-864-4226 TexasOncology.com

35 HGHH FOUNDATION

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

40 CAREFLITE

17 CHRONIC CARE 21 CARE CLOSE TO HOME 23 SLEEP CENTER 28 PHYSICAL THERAPY 29 RURAL HEALTH CLINIC 29 EMERGENCY CARE 32 CARE RUNS DEEP 32 FAMILY PRACTICE CLINIC 33 HAMILTON GENERAL

888-3SOLARIS solarisfamily.com

877-DFW CARE (membership) careflite.org

HOSPITAL

36 SURGERY 36 CENTRAL TEXAS EYE CARE

36 CARDIAC REHAB 37 SWING BED 39 5 STAR RATING

Be a part of the Spring issue of

Thr ve Health and Wellness Magazine for Rural Central Texans

Call Kym at Hamilton

Herald-News

254-386-3145 or kym@hhnpaper.com 38

Thrive |

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

Hamilton Community Center

OF MILLS COUNTY

15 SOLARIS

Texas Health & Human Services Office

17 CARDIAC REHAB MANAGEMENT

888-233-8620 moncrief.com

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

Hamilton Co. United Care

BEHAVIORAL HEALTH

9 MONCRIEF CANCER

General Assistance

211 Texas

12 SOLUTIONS

7 MC BANK

800-285-2216 mcbanktx.com

COMMUNITY RESOURCES

Hamilton Healthcare System

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

Long Term Care Services 1-855-937-2372

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

Area Agency on Aging | Aging & Disability Resource Center

Early Childhood Intervention 254-773-6787

Hamilton Early Head Start

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

We’re coming to Hamilton!

Jan. 5 • March 16

12-6 p.m. @ HGH Parking Lot

February 7

@ Hamilton High SChool Sign up at carterbloodcare.org An HHN publication

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

S I LV E

Critical Access Hospital & EMS • Surgery, Swing Bed and Acute Care • 3 Rural Health Clinics (Primary Care) • Surgical, Behavioral, Eye Care and Wound Clinics • Regional EMS Coverage Areas:

R

HICO

•

HAMILTON

MILLS

Hamilton, Mills, San Saba, Lampasas, Llano

Wellness Center • Level 4 Trauma ER • Sleep Center • Cardiopulmonary Rehabilitation • 24 Hour Laboratory and Radiology • Diabetic Education • Nuclear Medicine •

SAN SABA LAMPASAS

Regional EMS Coverage Areas LLANO

Hospital Clinics EMS

Call to Learn More or Schedule an Appointment

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

www.hamiltonhospital.org

10/22

PROTECT YOUR FAMILY & FINANCES WITH A CAREFLITE MEMBERSHIP JUST $49 / YR / HOUSEHOLD OR LESS All Aircraft Equipped with Blood Products and Chest Compression Machines

Join Today: www.careflite.org or (877)339-2273 Membership Includes CareFlite’s Fixed Wing Air Ambulance

Photos Courtesy of Sheldon Cohen

Photos Courtesy of Sheldon Cohen

CareFlite is a 501(c)3 not for profit air & ground ambulance service sponsored by:

In all emergencies call 911. See www.careflite.org for complete details and rules. Membership program approved by Tx Dept of State Health Services.