Thrive: 2022 Health Guide by Fredericksburg Publishing

Thrive Health Guide

2022

! E R E H T T U O F L E S R U GET YO

14: Positive Image > Mental Health

4: Combining Calm & Energy

8: Running, Cycling Groups

A publication of Fredericksburg Standard Radio Post

PLUS: Cognitive Health, HCM Updates, and More

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Articles

Combining Energy and Calm

Cycling, Running Groups Make Fitness More Fulfilling

FISD Announces Summer Food Service Program

Farmer’s Market Serves Fresh Items Weekly

Wellness Center Updates

“Return to Function” Goal of HCM Outpatient Rehab

Positive Image of Physical Self Can Help Mental Health

HCM Offers Safe, Family-Friendly Birthing Options

Cognitive Health

HCM Available Services

30 Years of Ministry Started With a Simple Phrase

Fredericksburg and Surrounding Area Health Care Providers

Thrive Magazine Proudly provided by:

Fredericksburg Publishing Company 712 W. Main St., | P.O. Box 1639 Fredericksburg, TX 78624 Phone 830-997-2155 Publisher/Editor Ken Esten Cooke

Design Director Michael Skinner

Articles Samuel Sutton Brent Burgess Brooke Nevins

Advertising Director Kim Jung Account Executives Kim Jung Cindy G. Burdorf Ann Duecker

© 2022. Fredericksburg Thrive Magazine is published by the Fredericksburg Publishing Company. No portion may be reproduced in whole or in part by any means including electronic retrieval systems, without permission of the publisher. Editorial content does not reflect the opinions of the publisher. Editorial and advertising does not constitute advice or endorsement, but is considered informative.

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Combining Energy and Calm

Morning can be a challenge for many who find themselves anxious about the responsibilities of the day while also wanting a motivational jumpstart to face those tasks. Good Foundation, a new coffee house and yoga studio at 613 West Main in Fredericksburg, has created a solution to that unique dilemma. Owner, Shelby Perkins, created a space where people could access the calming benefits of yoga alongside the energy boost of a coffee beverage.

By Brent Burgess Standard-Radio Post reporter

“When you start your day with coffee and yoga, you have a ‘good foundation’ to your day,” said Perkins. “But coffee plays into this balance of calm and energized.” Perkins named the hybrid business Good Foundation as a play on words. The location of the business also features a hardwood floor that suited Perkins’ vision for a yoga studio. “I quite literally like the foundation, as a good foundation,” said Perkins. Coffeehouses also often serve as gathering places for relationships and conversation. “A coffee shop is a community-based thing. You sit and talk and build a community. And yoga does that, as well,” said Perkins. One final benefit Perkins mentioned for the blending of coffee and yoga is the welcoming aspect of a coffee shop. While some may find a yoga studio intimidating, a coffee house presents a more inviting atmosphere. Shelby Perkins is the founder and owner of Good Foundation, a combination yoga studio and coffee shop on West Main Street in Fredericksburg. – Photos by Edit Crabtree at Florianfred

For Perkins, the practice and benefits of yoga came at a young age. “In high school, I played basketball a lot and my mom was always nagging me to

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started. Yoga, while relaxing, is a strenuous practice that requires stretching and strength with muscles often neglected and It was during college where ignored. Perkins addresses the Perkins learned about a yoga expectation early for her yoga certification course and decided she students. wanted the practice to play a larger “There’s a basic beginning-of-class role in her life. idea; it’s okay to be uncomfortable. “It’s just the connection it brings It’s not okay to be in pain,” said to your body, and self-awareness,” Perkins. said Perkins about her motivation “Ask (yourself), ‘Am I really in to pursue yoga on a more serious pain right now or am I just doing scale. something I’ve never done before?’” During her certification training, Perkins mentioned that men tend Perkins felt yoga was helpful throughout a trying time of life and to approach yoga with different a struggle with depression. Perkins’ challenges and are usually tighter regular yoga practice helped her to and more restricted in their movements, whereas female yoga process emotions more efficiently. clients are more aware of their Regarding her students, Perkins flexibility, even if their flexibility is told the story of one of her students not as good as it could be. who had a significant decrease in The benefits of yoga, according their cholesterol count due to the to Perkins, are equal regardless regular practice of yoga twice a of the various ability levels of the week. students. Perkins believes that yoga, and “My ability to touch my toes fitness in general, should improve doesn’t take away from your ability life in practical ways. to get halfway to your toes,” said “I’m a big fan of functional Perkins. “They are the exact same fitness,” said Perkins. “There’s no benefit.” sense in being able to pick up a ton Occasionally, Perkins will of weight if you can’t touch your interact with people who have a toes and get back up.” religious objection to the practice For many of Perkins’ students, of yoga. Perkins recognizes the the biggest challenge is just getting spiritual origins of yoga, but also go to the gym,” said Perkins. “So, I’d go to the gym and go to a yoga class, instead.”

The yoga studio and coffee house environment of Good Foundation is designed to make the transition into yoga less intimidating to those who might be resistant or skeptical.

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cites that “yoga” is a Sanskrit word meaning “to bind,” referring the alignment of body and mind, and that Sanskrit is a language and not a religion. “Then moving into the more modern version of yoga,” said Perkins, “you have a physical practice leading to a spiritual practice.” Because yoga has evolved into being first and foremost a physical practice, Perkins invites her students to develop their spirituality in whatever way resonates with them. Perkins also emphasized that all her class participants are free to choose what parts of the practice they want to use according to their own comfort-level and tradition.

Good Foundation offers memberships to practitioners who want to attend classes regularly. For clients who want to participate on a day-to-day basis, Perkins takes payment on donation rather than charging a set fee. “I don’t like money and yoga going together,” said Perkins. “I don’t want money to ever stop somebody from making space for themselves to relax.” For those interested in yoga who feel they are physically unable to pose, Perkins emphasized that everyone is capable of participation on some level, and that poses can be adjusted according to the abilities of the individual.

Good Foundation provides all the equipment needed to participate in a class, so no equipment is required by the students. “Even though it’s hard to show up, just show up,” said Perkins. Everything else will fall into place.”

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Cycling, Running Groups Make Fitness More Fulfilling Anybody who has attempted to launch an exercise routine knows how easy it is to dismiss the summoning 6 a.m. alarm clock before a morning run. When that tiny device violates the peace and quiet of the early morning, the internal voice can cause someone to ask if it’s worth it. In those moments, knowing there are others gathered and committed to the same goals can make the difference between a morning sleep-in and a successful workout. Opportunity exists in Fredericksburg for both, runners and cyclists, to help them build community and accountability in those disciplines in just such a way.

Jack & Adam’s Bicycles Josh Allen moved to Fredericksburg in January of 2014. But his roots to Fredericksburg run deeper than his arrival date. “We have a family ranch that’s been in the family for 100 years here,” said Allen. “But our connection is the Sauer family. My grandmother was a Sauer.” Allen had been living in Austin but wanted to live on the family ranch. In July of 2014 he opened Jack & Adam’s Bicycles at 206 South Lincoln Street after buying the building six months earlier. Jack & Adam’s had been a shop in Austin, and Allen had been one of their first employees. After almost four years of employment with the Austin shop, Allen brought the brand to Fredericksburg. Fredericksburg is a cycling destination, so Allen already knew many local cyclists through the Austin shop.

Allen has participated in both road cycling and mountain biking as well as triathlon.

By Brent Burgess Standard-Radio Post reporter

The environment around the bike shop makes it feel like home. There is a large porch with chairs and a swing. “We don’t market,” said Allen. “Our whole idea is to build a culture where people want to come hang out, and then the rest will follow.” Eight years of success is evidence that Allen’s strategy has been effective. “We are a full-service bike shop. We sell bikes, we repair bikes,” said Allen. “(We sell) any accessories. “Once again, we just want to be a place to hang out.” Creating that kind of culture is what motivated Allen to start the Saturday morning group rides. “In the fall and spring, we leave around 9 a.m. when it’s not too hot,” said Allen. “Then in summertime, we leave at 8 a.m. on Saturday mornings.” The organized group rides go as slow as the slowest person so that nobody is left behind. “It’s not really a club,” emphasized Allen. “Show up and if you want to ride, great. You don’t have to join. Just show up.”

Josh Allen has owned and operated Jack & Adam’s Bicycles for eight years in Fredericksburg. – Standard-Radio Post/Brent Burgess

In addition to the Saturday morning road rides, Allen also hosts beer at the bike shop. Participants a Tuesday evening casual ride that are invited to donate during the ride, and all proceeds go to the he calls the No Spandex Ride. Hill Country Community Needs “You bring your bike and we ride Council to help give bicycles to about seven miles around town for kids in the community. about an hour,” said Allen. When it comes to the benefits of The casual ride begins at 6 p.m. cycling, Allen said the best form of roughly and ends with pizza and exercise is any form.

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“If you’re swimming great, if you’re running great,” said Allen. (Cycling) had a big impact on my life with fitness. I just liked it.” To avoid injury, Allen recommends cyclists be sure to fit their bike to their body type for saddle height and frame.

but respect the cars and they will respect you back.” Lastly, Allen encourages people to ride with helmets at all times. “I always tell people, a $60 helmet is better than a $60,000 doctor’s bill,” said Allen.

Running group Aaron Kolterjahn and Kaleb Dale are the founders and flagship members of Fredericksburg’s running group. The two friends faithfully meet every Thursday morning at Jack & Adam’s Bicycles on South Lincoln Street.

Jack & Adam’s Bicycles sells road and mountain bikes, as well as kids’ bikes and bike accessories. The shop also stocks gear for swimming and skateboarding – Standard-Radio Post/ Brent Burgess

Sitting too short or too tall on the saddle can lead to knee pain. “The big issues are when you fall off your bike,” said Allen. “If you’re riding across low water crossings around here, we just suggest you get off and walk.

Allen knows training for a race or competition of any kind can be grueling physically but also psychologically. An emotional motivation often makes the difference between those who quit and those who push forward.

Kolterjahn began running as a young teenager while living in Wisconsin. “In sixth grade, my dad was overweight and out of shape and decided to run a 10K, and we trained on a track for the 10K,” said Kolterjahn.

“Find your why,” said Allen. “We try to encourage people to get “If you figure out the reason why on the back roads. Cars are bigger “I got to spend a lot of time you’re doing it, and not just doing it, than you, so just get out of the way. with my dad, and so it was it makes the training a whole You have the right to be on the road fun. Ever since then, I have lot easier.” enjoyed running.”

Dale grew up in Loyal Valley in Mason County and currently resides in Fredericksburg with his wife and children. After many years as a top competitor in high school and college soccer, running was a natural transition for him.

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by yourself, and you’re not tied to anything else.”

running form is another benefit of participation in the group.

Despite the strain on the Running is also very accessible and has a low-level of investment to body, both Kolterjahn and Dale participate. Almost no equipment is emphasize the psychological and social benefits of running that needed. make it a positive experience. Neither Dale or Kolterjahn like After becoming a father of his In February, Kolterjahn lost his to spend more than $100 on first child, Dale took running more running shoes, and often shop them father to cancer. This gave him an seriously due to the flexibility and emotional drive to push himself in secondhand on eBay. freedom around the demands of his running. fatherhood. Because of these factors, almost Kolterjahn returned to Wisconsin anybody can run. And almost While working at the hospital, and ran a marathon 11 minutes anybody can join the running Kolterjahn received a text message faster than the qualifying time for group. from Josh Allen, owner of Jack & the Boston Marathon. During the Adam’s, suggesting that they should The Thursday morning runs will race, he wore his father’s running start a local running club. Kaleb adjust the route to accommodate clothes to honor the man who Dale had been talking to Allen the shortest distance runner so that brought him into running. about organizing a run. By the nobody is left behind. In this way, following Thursday, a small group fellowship and comradery outweigh “It’s not really the physical part. of four runners embarked on the the distance goals of the individual. It’s the mental struggle. That’s what first organized run. I most enjoy and pushing through Due to the repetitive and the barriers,” said Kolterjahn. “Josh was kind of the one that strenuous nature of running, connected all the pieces,” said Dale. overexertion can lead to injury for Better Together runners. Since then, the running group Whether running or cycling, has seen a variety of runners come “There are a lot of arguments pursuing fitness goals with a and go. Runners will often commit about running injuries coming community can make training for a time or to train for predominantly from poor form,” more fulfilling and fun. Group an upcoming race. said Dale. training gives fitness enthusiasts Many of the connections for Dale emphasized the importance an opportunity to help each other and experience the ups and downs the runners have come through of cross-training and conditioning together. word of mouth or through Strava, to help prevent running injuries. an internet and app-based social “It can be inspiring to somebody “You should be doing the strength network that helps people track else,” says Allen. “It can help work, as well,” said Dale. “And if their fitness goals. them with their hurt or their pain. you don’t, then you will pay for it. “Part of the trick is the nature of So be cautious. Take it easy. Listen That’s the beauty of exercise, just essentially being able to love on most runners,” said Dale. “They to your body.” people in a way that you don’t even run instead of going to the gym Dale mentions that advice from know you’re able to love on them.” because you do it on your own time other runners to help polish good

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Wellness Center Updates Just as the Hill Country Memorial Wellness Center endeavors to vitalize locals of all ages, the center itself is undergoing its own revitalization process to further meet community needs. Construction began in the summer of 2021, and services and exercise facilities were transitioned to multiple places across town. The adaptability of the HCM team and Wellness Center members has allowed the center to function and continue its purpose until its main doors reopen. John Phelps, Director of the HCM Wellness Center, is hopeful that the construction end date is in sight. He’s excited to welcome members and the community to the Perry and Ruby Stevens Wellness Center this fall. “The revitalization has been a team effort, from HCM team members, contractors and designers, each are actively working to source materials, supplies and equipment to ensure the wellness center is state-ofthe art and ready to welcome members,” he said. Phelps shared that the timeline has adjusted from the initial plan; however, the Wellness Center is expected to open in late 2022. “When construction began, our team and members created a tagline, ‘we keep you moving why we move,’” he said. “Our hope is that members looking for group classes, nutritional education, first aid education, massage therapy or a fitness center consider the HCM Wellness Center.” Until then, those looking for a variety of group classes, a fitness center for exercising on a personal schedule, or nutritional, first aid and other services can participate at the following locations.

The HCM Wellness Center Business Office, located at 200 W. Windcrest Drive, Suite 100, handles payments and houses massage therapy, first aid and CPR services, its Nutrition and Diabetic Education and other educational classes. By Brooke Nevins Standard-Radio Post Reporter

Individual exercisers can find the Fitness Gym at 209 S. Llano St. Phelps said the center “worked really hard” to find a temporary location that could accommodate the unique needs of self-directed exercise enthusiasts. Group exercise classes are held at the Group Fitness Studio, located at 1316 Texas 16 South behind the Sports Medicine & Physical Therapy building. The Fitness Pool and nearby changing rooms and showers remain open and available for members.

New Amenities When HCM’s Perry and Ruby Stevens Wellness Center opens later this year, members can expect to enjoy a more expansive, modern and accommodating facility, Phelps said.

“We are thankful to our community for participating in focus groups, interviews and surveys. The feedback we received help create the new look and feel of the Wellness Center,” he said. “During the planning phase, we asked our community to share their top wishes for the revitalization and we are committed to having three things.”

Fitness Gym Hours: • 5 a.m.-8 p.m. Monday-Thursday • 5 a.m.-7 p.m. Friday • 7 a.m.-12 p.m. Saturday

Fitness Pool Hours: • 6:30 a.m.-7 p.m. Monday-Friday • 7 a.m.-12 p.m. Saturday

HCM Business Office: • 8 a.m.-5 p.m. Monday-Thursday

The first of those commitments, he said, is providing 24-hour-access to fitness equipment for members to “come in anytime of day,” not including the pool. The second feature will be what Phelps calls “dry locker rooms,” because previously, the only locker rooms available were in the pool area.

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“Air conditioned locker rooms for men and women will be equipped with showers and spacious changing areas will be available so people can come and change after work and before work, which is something we didn’t have before,” Phelps said. Lastly, the new center will feature multiple classrooms for group exercises and education for simultaneous hosting of classes or events. Previously, only one group class could be held at a time, causing limited scheduling.

According to Phelps, the revitalization project has been the “largest fundraising campaign” in the history of Hill Country Memorial, meeting a goal of $5.1 million. “Hill Country Memorial is committed to raising the bar on the quality of the wellness facilities and educational offerings for those we serve,” said Phelps. “We are grateful to the Sevens Foundation for their vision to make this a reality and to the generous support of this community as we create healthy together.

Promising a more expansive, modern and accommodating facility, the Perry and Stevens Wellness Center is expected to open in late 2022. – Standard-Radio Post/Brent Burgess

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Positive Image of Physical Self Can Help Mental Health • Focus on the positive aspects of Body image is defined as how yourself, but learn to love every people feel about the way they part of your body. look. The Office on Women’s Health says a healthy body image makes • Maintain a healthy routine, a person feels comfortable in his promoting physical and mental or her body, while a negative body well-being. image can put a person at higher risk of depression and eating • Set realistic expectations. disorders. • Participate in activities you enjoy Mental health experts say that and surround yourself with a person’s thoughts about his or supportive people. her appearance can affect how Working with a therapist also that person feels about himself can help improve body image and or herself, which can affect selfself-esteem. esteem. A positive body image can result in high levels of self-esteem, fostering confidence and inspiring an individual to prioritize self-care. Conversely, a negative body image can result in lower selfesteem. Harsh criticism of oneself may lead to antisocial behavior or even disregard for one’s personal health. Fostering a positive body image and increasing self-esteem can involve a few strategies. InnerBody Research, a home health company, offers these tips: • Avoid comparisons to social media and magazine images.

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Cognitive Health

SOCIALIZING

Socialization in midlife can have a profound impact on individuals as they approach their golden years. A 2019 study led by researchers at University College London found that being more socially active in your 50s and 60s predicts a lower risk of developing dementia later in life. The study used data from a previous study that tracked more than 10,000 participants between 1985 and 2013. Participants in the study completed cognitive testing from 1997 onwards. Researchers found that someone who saw friends almost daily at age 60 was 12 percent less likely to develop dementia than someone who only saw one or two friends every month.

Using your noggin, socializing can help maintain mental health. If asked to describe how they envision middle age and retirement, many professionals might reference travel, time spent with grandchildren and various recreational pursuits. Few, if any, would mention cognitive decline. However, cognitive decline poses a significant threat to aging men and women, especially during retirement. Researchers have long since recognized that certain cognitive abilities begin to decline with advanced age, even among elderly individuals who are healthy. But despite that decline, the Centers for Disease Control and Prevention notes that dementias like Alzheimer’s disease are not an inevitable part of aging.

embrace some strategies to stay mentally sharp in retirement. • Consider delaying retirement. Even if early retirement is a dream, it might be better to work a little longer than you had planned. A 2021 study published in the journal SSM - Population Health found that postponed retirement is beneficial to cognitive function for all genders, races/ethnicities, educational levels, and professional status. The study reported that individuals who waited until age 67 to retire experienced less cognitive decline than those who retired prior to turning 67.

• Make exercise part of your retirement routine. A lack of structure may seem enticing to individuals who have spent In fact, the CDC estimates that as decades working. However, many many as 40 percent of dementia retirees find that little structure cases may be prevented or delayed. In addition, the CDC reports that it’s loses it appeal quickly after not uncommon for routine memory, calling it quits. When creating a new routine in retirement, include skills and knowledge to stabilize or regular exercise. even improve as the brain ages. That’s good news for retirees who want to spend their postwork life pursuing their passions and hobbies. Individuals also can

According to the Mayo Clinic, studies indicate that people who are physically active are less likely to experience a decline in their

Strong associations between social contact at age 50 and subsequent dementia were also uncovered. The study supports the idea that remaining socially active in one’s 50s and 60s can benefit long-term cognitive health.

mental function. So daily exercise not only gives retirees something to do, but also benefits their brains. • Enroll in an adult education course. A 2014 study published in the journal JAMA Neurology examined the association between lifetime intellectual enrichment and cognitive decline in the older population. The study’s authors found that higher levels of late-life cognitive activity were associated with higher levels of cognition. The study’s authors concluded that lifetime intellectual enrichment might delay the onset of cognitive impairment. Retirees can look into adult learning programs at local colleges and universities to see if anything piques their interest. Retirement can be everything professionals hope it will be, especially for those who make a concerted effort to maintain optimal cognitive function after they call it a career.

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30 Years of Ministry Started With a Simple Phrase “People here need help, too.” There is something about the modern American Christian that sees mission work as something that is to be done over there. We often miss the need right in our own backyard. Thirty years ago, Sara Allerkamp, in addition to being a nurse for Hill Country Memorial, was leading medical mission trips to northern Mexico across the Rio Grande River from Big Bend National Park when God nudged her to open her eyes to the needs in her own community. By John D. Willome A pastor speaking at a conference The Good Samaritan Center she attended in Dallas encouraged Executive Director the crowd to plug in and serve where God had them planted, and that is when Sara heard the Holy High uninsured rates are nothing Spirit whisper those words to her: new to the United States or to “People here need help, too.” Texas, which currently leads the Sara returned home and recruited nation in percentage of uninsured. doctors, nurses and nonmedical In fact, while Texas has a high people to establish a one-night-auninsured rate, Gillespie County’s week free clinic for those in need. rate is even higher due to the Initially, they borrowed some space lack of large employers that can from Hill Country Memorial, but by offer employer-sponsored health the end of the year, they were at St. insurance. Therefore, even in 1992, Barnabas Episcopal Church. And there were a lot of people to help, the people came. People here did but due to the loving, neighborly indeed need help, too. spirit of our community, there were

a lot of people lining up to help Sara help those in need. Now, 30 years have passed. In that time, God has taken the mustard seed Sara planted and blessed it to grow into the medical home for thousands of people in our area, which includes Gillespie, Blanco, Kimble and Mason counties as well as the towns of Brady and Comfort. The biggest shift in our growth happened in 2004 with the completion of our facility which they named The Good Samaritan Center (in the spirit of neighbors loving neighbors). Having our own facility enabled us to fulfill Sara’s vision of a medical home for those among us who are low-income and have no insurance. Our current programs include medical care (including prescription assistance and chronic disease management), dental appointments for cleanings, extractions, and fillings, mental health counseling, and public health screenings. And more than being a critical resource for our patients — we are a vital component in our overall community’s healthcare system. We help keep our patients from

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The Good Samaritan Center’s original board members, including, from left, Sara Allerkamp, Judy Hutcherson, director John Willome and John Benson, celebrated the organization’s 30th anniversary recently, remembering its mission of “serving where God planted you.” – Submitted photo

going to the ER, being admitted to the hospital and missing work due to illness. Through partnerships with nearly every local specialist, which includes a sustainable financial model for them to provide care, and a relationship with Methodist Healthcare Ministries, we also enable patients to access specialty care that would otherwise be difficult for them to get. Chuck Colson, the founder of Prison Fellowship and a nationally known Evangelical leader, once said, “Our hope is in the power of God moving through the hearts of people.” That’s what happened 30 years ago when God moved through a nurse and touched tens of thousands of lives. He still moves today through the hundreds of people who partner with us each year to help our neighbors in need. What a great thing to celebrate!

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FISD Announces Summer Food Service Program The Fredericksburg Independent School District will be offering free meals for all children aged 18 and under through the Summer Food Service Program during June and July. Breakfast will be available from 8:30-9 a.m. and lunch will be available from 11:30 a.m.-12 p.m at the following two locations: • Fredericksburg Primary School, located at 1110 South Adams Street, from June 6-30;

• Boys & Girls Club, located at 208 East Park Street, Monday through Friday from June 1-July 3 and from July 5-15. Fredericksburg Elementary School, located at 1608 North Adams Street, will serve meals Monday through Thursday from June 6-16 at slightly different hours. Free breakfast will be available from 8-8:30 a.m. and lunch will be available from 11-11:30 a.m.

Those with questions are encouraged to call FISD Director of School Nutrition Joyce Fox at 830-997-9551, Ext. 1027.

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Farmer’s Market Serves Fresh Items Weekly Fredericksburg Farmer’s Market’s (FFM) seven-month-long schedule of bringing locally grown and produced foods to downtown Fredericksburg is underway. The market is celebrating its 15th year of operation and takes place at the Adelsverein Halle at Marktplatz. Every Thursday, rain or shine, from 4-7 p.m. until Aug. 11, shoppers can meet farmers and producers, while shopping for fresh produce at Marktplatz. The producer/grower market consists of farmers, ranchers and wineries located within the geographic neighborhood of Gillespie and adjacent counties, offering a wide variety of tomatoes, vegetables, peaches, blackberries and other fruits, mushrooms, meats, goat cheese, eggs, Gulf seafood, baked goods, wine, vinegar and herbs, as well as flowers.

According to the Fredericksburg Farmer’s Market website, vendors include: - Bakery Joju (bread and pizza); - Beans and Greens; - Butter Me Sweet; - Bridget’s Basket; - CKC Cheese; - Dumpling Diva; - Enchanted Mushrooms; - Engel Orchards; - Frisch Juicerie; - Harvest Hill; - Jenschke Orchards; - Mikey’s Garden; - Nury’s Restaurant; - Orobianco Milk; - Other Mother Vinegar; - Piccolina; - Roam Ranch; - Rocky Top Sauces;

- URBANherbal; - Wahoo Fish; - West Texas Beef Company; - Wild and Well Kombucha; - Windmill Meadow Farm (flowers); - Zanzenberg Farm; - Texas Wine Collective; - William Chris Vineyards; - Texas Hill Vineyards; - Pontotoc Vineyards. Shoppers are invited to come for the food and stay for the atmosphere where they can purchase meals and snacks while listening to live music. Pizza baked in a wood burning oven, various dishes, including soups, salads, sliders and pastries are all made with local ingredients and can be enjoyed picnic-style under the pavilion.

Thrive Fresh produce can be found every week at Fredericksburg Farmer’s Market, held Thursdays at the Adelsverein Halle at Marktplatz. – Standard-Radio Post file photo Pizza baked in a wood-burning oven is also typically served at Thursday’s market each summer. – Standard-Radio Post file photo

Wine from local wineries can be purchased by the glass or bottle and non-alcoholic iced beverages are also served. Desserts and ice cream are also available. Support local agriculture and viticulture in Fredericksburg, the community way to shop for great food. For more information, go to www. fredericksburgtxfarmersmarket. com.

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‘Return to Function’ Goal of HCM Outpatient Rehab Post-acute care patients can continue to rely on needed services provided by Hill Country Memorial. Such is the case with Outpatient Rehab, according to Mindy Eckert, Physical Therapy, Manager of Therapy Services for HCM. “Our facility has been here since 2005,” said Eckert. “People associate health care as being only inside the walls of a hospital. However, many teams and members provide remarkable care outside the hospital walls.” What “goes on” at Outpatient Rehab? The teams offer a complete program with all three types of therapy under one roof, including:

1 Physical Therapy, including Post-Op Care for the Hip, Knee, and Shoulder; Sports Therapy, Spinal, Stroke, and Oncology Rehabilitation; Management of Lymphedema, Incontinence, and Women’s Health; and programs for Balance, Aquatics, and Dry Needling.

2 Occupational Therapy, including Joint Protection, Low Vision Therapy, Prosthetics, Activities of Daily Living, and Driving Fitness.

3 Speech Therapy, including Swallowing , Dementia, and Stroke Rehab for Adults; and treatments for Language Disorder, Phonological Disorder, Speech Development, Developmental Dyslexia, and Developmental Disorders of Scholastic Skills for Children. There are numerous benefits of offering this complete mix of rehabilitation options in a shared space. For one, it accommodates those who might need overlapping therapies. Another positive aspect is the professional rehab team can call on the resources offered by HCM, when needed. “Our therapists are highly specialized,” Eckert noted. “Most have doctorates and special certifications on top of that. We can treat oncology patients, pelvic floor patients, spinal rehab, aquatics, stroke, and dry needling, for example, all in-house here in Fredericksburg.” Patients are able to directly access the resources of the HCM Rehab Center. They can self refer for therapy. A therapist with a doctorate can treat a patient for

up to 10 days. If the treatment needs to go longer, the therapist will write up a plan of care for approval by a specialist or primary care physician. That complete service is another benefit the HCM Rehab Center offers, according to Eckert. “When we receive a referral, we start with an evaluation to address your needs. We determine your level of function and limitations. Then we design a plan of care specifically for you and any deficits you might have. We even look at the insurance to make sure you get the benefits coming to you.” The length of treatment depends on the acuity of the issue. Eckert notes the average patient will make 8 to 10 visits. From that point, the staff can tailor a home program that can be carried out through Home Care or other HCM Supportive Care programs. “Our goal is always to address the specific issue, to help manage pain, and provide patients the tools they need to live life independently,” she said. Eckert noted the “seamless interaction” they enjoy with HCM. All therapy patients receive complimentary access to the

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Wellness Center, including aquatic therapy, to encourage them to continue living a healthy lifestyle in a safe environment. “Our integration with the HCM Supportive Care team ensures patients transition out of our facility while we are there to help them.” Another benefit of the relationship with HCM is that therapists can provide inpatient therapy to patients while they are admitted in the hospital, including same-day joint replacements. “It is nice to be able to see a patient post-op a few hours after surgery. That helps us get an early start on making sure they transition back into their home environment and see a more rapid return to function.” “Return to function” is the goal of Outpatient Rehab and one that brings satisfaction to the entire care team. “The most satisfying thing about therapy is that you can see a patient at their worst, and then help them get to their best,” Eckert said. “We have a hand in their progression every step of the way. To see someone come in in a wheelchair and then see them leaving running, there is nothing more satisfying than knowing we have the opportunity to make a difference.” To learn more about HCM Outpatient Services, call 830.990.1404.

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HCM Offers Safe, FamilyFriendly Birthing Options Parents-to-be have many choices in where to deliver their newborn. There is also a range of birthing styles and preferences today’s mothers desire. That’s why Rene Griffin, RN, invites prospective parents to visit the Cailloux Birthing Center at Hill Country Memorial. “We have the facilities available here to help you birth in whatever manner you want,” said Griffin, Interim Director. “Our teams support every mom’s idea of labor.” To accommodate such a range of options, HCM recently renovated all the rooms in the Cailloux Birthing Center to include eight LDRP (Labor Delivery Recovery Post-Partum) rooms. That means the entire birthing process can take place without the need to move the mother, from labor through delivery and follow-up care for both baby and mom. “You never need to leave the designated room,” Griffin said. “The baby rooms with you, and we have fold-out couches for dad or a support person to sleep on.”

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Comfort is paramount. HCM’s rooms are painted in warm, comforting colors, with dimmable lighting, bright artwork, and lots of cabinet space for stowing luggage and baby things.

The professional team is ready to support moms who want a more natural birthing experience. Team Members are trained in Spinning Babies, for example, a physiological approach to preparing for birth that helps manage fetal rotation for a more comfortable birth. Birthing balls are available upon request and four rooms feature a jacuzzistyle labor tub. In addition, the team welcomes birthing assistants such as doulas to come in to support moms in labor. “We try hard to accommodate the feel of a home birth, while doing it within the safety of our hospital,” Griffin said. “We welcome you and family to join ours and our team is ready to help you welcome your little one into this world in whatever manner you want.” Griffin recognizes that, despite best intentions, not all births are as easy and simple as families expect. “That’s why it is comforting to know we have our own Operating Room Suite,” she said. “We have anesthesiologists and access to emergency care should it be needed. At any time, we can provide the safest care for both mom and baby. We are trained, we do simulations, and we really work hard to provide that safe environment.”

At this pivotal time in a family’s life, HCM’s mission remains to be Remarkable Always. “When moms come in to have a baby, that is the level of care they get–truly remarkable,” Griffin said. “We are family-centered. We are mom-centered. We make sure mom, dad, the grandparents, and everyone involved leaves knowing they get the very best care for themselves and their babies.” HCM offers a childbirth class on the second Saturday of each month, followed by a facility tour and open house. Anyone interested is invited to call (830) 997-1253 or visit hillcountrymemorial.org/hcm-baby/ “Even if it’s not your first baby, we invite you to join to see our department and pre-register,” Griffin said. “You will meet our nurses and really get a feel for the loving, kind reception you will get.” Griffin believes HCM provides “the best care in the hill country.” “I am biased, but it is our desire. It is our passion. And from every one of the people they touch here– our nurses, our physicians, our anesthesiologists–they are going to get remarkable care, truly.”

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HCM Available Services ER - 24/7 Emergency Care

Home Care

Obstetrics

(830) 997-4353 1020 S. State Hwy 16, Fredericksburg

(830) 997-1336 808 Reuben Street, Floor 2, Fredericksburg Skilled nurses, home health aides, therapists and social service professionals provide the care a patient needs.

(830) 997-1253 Cailloux Birthing Center, 1011 S. Milam Street, Fredericksburg Hill Country parents and babies have a special place for delivery.

Immediate Care Clinic (830) 992-2820 1031 S. State Hwy 16, Fredericksburg Open 7 days a week. Mon-Sat 8 a.m.-8 p.m. Sun 10 a.m.-6 p.m. Offers quick, convenient and high-quality care for non-emergency issues and illnesses.

HCM Medical Group (830) 990-1404 From primary care to specialty physicians, HCM Medical Group works together for the health care needs of the communities it serves. Medical offices in Fredericksburg, Kerrville, Johnson City, Llano, Marble Falls and Boerne.

Hospice

Breast Center

(830) 997-1335 808 Reuben Street, Floor 2, Fredericksburg Provides safety and dignity for patients and comfort to families and caregivers during the most important time of life.

(830) 990-6181 808 Reuben Street, Fredericksburg The best defenses against breast cancer is early detection, and the HCM Breast Center’s 3D digital mammography unit is an important first step in discovering a breast tumor early.

Imaging and Radiology

Lab

(830) 997-1418 1020 S. State Hwy 16, Fredericksburg State-of-the-art imaging including 3D mammography, ultrasound, MRI, CT, MRA scans and nuclear medicine.

(830) 997-4253 1020 S State Hwy 16, Fredericksburg A comprehensive, full-service lab prioritizing rapid turnarounds and accurate results.

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Out Patient Rehab

Sleep Lab

Wound Care

402 W Windcrest, Fredericksburg (830) 997-1357 (830) 997-1358 (cardiac & pulmonary)

(830) 992-2552 1002 N. Llano Street, Fredericksburg Sleep is as important to a person’s health as diet and exercise. Primary care provider can provide referral for a sleep study.

(830) 997-1265 1009 S. Milam, Suite 1, Fredericksburg Provides evaluation and treatment for complex and chronic wounds.

511 US Hwy 281, Marble Falls (physical therapy) (830) 992-2830 Physical, occupational and speech therapies for adults and children plus cardiac and pulmonary rehab.

Orthopedics (830) 990-6134 1020 S. State Hwy. 16, Fredericksburg Total knee, shoulder, and hip joint replacement surgery through the Restore program.

Wellness Center (830) 997-1355 1006 S. State Hwy 16, Fredericksburg More than 20,000 square feet of fitness area devoted to strength training, cardiovascular fitness equipment, and two indoor pools, plus nutrition counseling and diabetic education.

Infusion (830) 997-1265 1009 S. Milam, Suite 2, Fredericksburg A dedicated suite with specially trained infusion services staff.

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Fredericksburg and Surrounding Area Health Care Providers Health care providers and specialists, from family practice to specialists to general surgeons. Allergy

Breast Center

Tracy A. Byerly II, MD 830-997-4000 205 W. Windcrest St., Ste. 210 Fredericksburg, TX 78624

Gregory D. Andreassian, MD 830-990-1404 506 W. Windcrest St. Fredericksburg, TX 78624

500 Thompson Drive Kerrville, TX 78028

Thomas Bening, MD, FACS 830-992-2830 801 Steve Hawkins Parkway Marble Falls, TX 78654

Michael L. Walker, MD, FACS 830-997-0252 206 W. Windcrest St. Fredericksburg, TX 78624

Anesthesiology Christopher T. Davis, MD 830-997-4353 751 S. Washington St. Fredericksburg, TX 78624 John D. Westfall, MD 830-997-4353 1020 Texas 16 South Fredericksburg, TX 78624

Audiology Tracy A. Byerly II, MD 830-997-4000 205 W. Windcrest St., Ste. 210 Fredericksburg, TX 78624 500 Thompson Drive Kerrville, TX 78028

Lance Love, MD 830-997-6000 820 Reuben St., Ste. A Fredericksburg, TX 78624 Jay S. Stauffer, MD 830-997-8833 1009 S. Milam St., Ste. 4 Fredericksburg, TX 78624 216 East College Ave. Mason, TX 76856 2008 Nine Road Brady, TX 76825

Cardiology Kevin M. Gallagher, DO, Ph.D. 830-990-9994 830-693-0040 205 W. Windcrest St., Ste. 230 Fredericksburg, TX 78624

216 East College Ave. Mason, TX 76856 2008 Nine Road, Brady, TX 76825 104 Max Starke Dam Road, Ste. 100, Marble Falls, TX Noah Greene, MD 830-990-9994 830-693-0040 205 W. Windcrest St., Ste. 230 Fredericksburg, TX 78624

Kimberly Hopkins, NP 830-990-9994 205 W. Windcrest Street, Ste. 230 Fredericksburg, TX 78624 Jennifer Shelden, MSN, FNP-C 830-990-9994 205 W. Windcrest St., Ste. 230 Fredericksburg, TX 78624

Jeffery N. Whitehill, MD, FACC 830-990-9994 205 W. Windcrest St., Ste. 230 104 Max Starke Dam Road, Ste. Fredericksburg, TX 78624 100, Marble Falls, TX

Chief Medical Officer

Manuel Garcia, MD 830-997-0296 205 W. Windcrest, Ste. 250 Fredericksburg, TX 78624

James R. Partin, MD 830-997-4353 1020 Texas 16 South Fredericksburg, TX 78624

Matthew Jepson, DO 830-990-9994 830-693-0040 205 W. Windcrest St., Ste. 230 Fredericksburg, TX 78624

Child and Adolescent Psychiatry

104 Max Starke Dam Road, Ste. 100, Marble Falls, TX 78654

Susan K. Wynne, MD 210-615-8900 205 W. Windcrest St., Ste. 310 Fredericksburg, TX 78624 222 Sidney Baker South, Ste. 500, Kerrville, TX 78028

Thrive Colonoscopy Gregory D. Andreassian, MD 830-990-1404 506 W. Windcrest Street Fredericksburg, TX 78624 Thomas Bening, MD, FACS 830-992-2830 801 Steve Hawkins Parkway Marble Falls, TX 78654 Christopher A. Fincke, MD 830-990-1404 205 W. Windcrest Fredericksburg, TX 78624 Jeffrey R. Holt, MD 830-997-2181 1308 Texas 16 South Fredericksburg, TX 78624 Lance Love, MD 830-997-6000 820 Reuben St., A Fredericksburg, TX 78624 Jay S. Stauffer, MD 830-997-8833 1009 S. Milam St., Ste 4 Fredericksburg, TX 78624 216 E. College Ave Mason, TX 76856 2008 Nine Road Brady, TX 76825

Cosmetic Surgery Ernest Layton, MD 830-792-3702 251 Cully Drive, Ste. A Kerrville, TX 78028

Michael L. Walker, MD, FACS 830-997-0252 206 W. Windcrest St. Fredericksburg, TX 78624

Dermatology Michael W. Braden, MD 830-995-3376 641 High Street, Comfort, TX Cynthia Olfers Clegg, MD 830-997-0898 95 E. Highway St. Fredericksburg, TX 78624 John J. Ghidoni, MD 830-997-0898 95 E. Highway St. Fredericksburg, TX 78624 Michael J. Majors, MD 830-992-3396 753 S. Washington St. Fredericksburg, TX 78624

Ear, Nose and Throat Tracy A. Byerly II, MD 830-997-4000 205 W. Windcrest St., Ste. 210 Fredericksburg, TX 78624 500 Thompson Drive Kerrville, TX 78028 James Sorce, MD Otolaryngology 830-992-2830 830-798-1821 801 Steve Hawkins Parkway Marble Falls, TX 78654 204 Gateway North, Ste B Marble Falls, TX 78654

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Michael L. Walker, MD, FACS 830-997-0252 206 W. Windcrest St. Fredericksburg, TX 78624

Nancy M. Rickerhauser, MD 830-995-5633 815 Front Street Comfort, TX 78013

Jay S. Stauffer, MD 830-997-8833 1009 S. Milam St., Ste. 4 Fredericksburg, TX 78624

Endocrinology

Kristi A. Stafford, MD 830-997-0330 514 W. Windcrest St. Fredericksburg, TX 78624

216 East College Ave. Mason, TX 76856

Jennifer Woerner Dulaney, MD 830-997-3132 816 Reuben St. Fredericksburg, TX 78624

Gynecology

Mary Jeanne de Leon, MD 830-990-1404 205 W. Windcrest, Ste 130 Fredericksburg, TX 78624

Facial Plastic Surgery Michael L. Walker, MD, FACS 830-997-0252 206 W. Windcrest St. Fredericksburg, TX 78624

Family Medicine/OB Karen G. Cornett, MD 830-997-0330 514 W. Windcrest St. Fredericksburg, TX 78624 830-995-5633 815 Front Street Comfort, TX 78013 Kellie Flood-Shaffer, MD, FACOG 830-990-1404 506 W. Windcrest Street Fredericksburg, TX 78624 John P. Ramsay, MD 830-997-0330 514 W. Windcrest St. Fredericksburg, TX 78624 830-995-5633 815 Front Street Comfort, TX 78013

Gastroenterology

2008 Nine Road Brady, TX 76825

Kellie Flood-Shaffer, MD FACOG 830-990-1404 506 W. Windcrest Street

Christopher A. Fincke, MD 830-990-1404 205 W. Windcrest St., Ste. 130 Fredericksburg, TX 78624

John V. Sherman, MD 830-798-1821 204 Gateway North, Suite B Marble Falls, TX 78654

Kelly Seals, ACNP-BC 830-990-1404 205 W. Windcrest St., Ste. 130 Fredericksburg, TX 78624

Vincent Sherman, MD 830-798-1821 204 Gateway North, Suite B Marble Falls, TX 78654

General Surgery Gregory D. Andreassian, MD 830-990-1404 506 W. Windcrest St. Fredericksburg, TX 78624 Thomas Bening, MD, FACS 830-992-2830 2511 US Highway 281, Ste. 800 Marble Falls, TX 78654 Lance Love, MD 830-997-6000 820 Reuben St., Ste. A Fredericksburg, TX 78624

Jennifer Woerner Dulaney, MD 830-997-3132 816 Reuben St. Fredericksburg, TX 78624

HCM Lab Shari L. Addington, MD 830-997-1327 1006 Texas 16 South, Ste. G Fredericksburg, TX 78624

Hematology Alyssa G. Rieber, MD 830-990-0255 506 W. Windcrest Street, Ste. 300 Fredericksburg, TX 78624

Hospice Pamela D. Cantu, MD 830-997-2191 205 W. Windcrest St., Ste. 310 Fredericksburg, TX 78624 205 W. Windcrest, Ste 310 Fredericksburg, TX 78624 Yvonne K. Haug, MD 830-997-7626 1305 N. Milam St. Fredericksburg, TX 78624 Jeffery R. Holt, MD 830-997-2181 1308 Texas 16 South Fredericksburg, TX 78624

Immediate Care Clinic James Crawford, PA 830-992-2820 1031 Texas 16 South Fredericksburg, TX 78624 Maggie Klein, PA-C 830-992-2820 1031 Texas 16 South Fredericksburg, TX 78624 Troy Lischka, PA-C 830-992-2820 1031 Texas 16 South Fredericksburg, TX 78624 Rolan Wilke, NP 830-992-2820 1031 Texas 16 South Fredericksburg, TX 78624

Thrive Integrative and Holistic Medicine Christa O’Leary, DO 830-992-3042 1603 East Main Street, Ste. A Fredericksburg, TX 78624

Neurology Matthew Stotz, MD 830-990-0064 108 N. Edison St. Fredericksburg, TX 78624 Ronald A. Stotz, MD 830-990-0064 108 N. Edison St. Fredericksburg, TX 78624 Theresa S. Wiginton, MD 830-990-9101 500 Thompson Drive Kerrville, TX 78028

OB/GYN Kellie Flood-Shaffer, MD FACOG 830-990-1404 506 W. Windcrest Street Fredericksburg, TX 78624 John V. Sherman, MD 830-798-1821 204 Gateway North, Suite B Marble Falls, TX 78654 Vincent Sherman, MD 830-798-1821 204 Gateway North, Suite B Marble Falls, TX 78654

Jennifer Woerner Dulaney, MD 830-997-3132 816 Reuben St. Fredericksburg, TX 78624

David Gay, MD 512-462-5050 1102 N. Llano St. Fredericksburg, TX 78624

Obstetrics

Oculofacial and Reconstructive Surgery

Sean Paul, MD 512-462-5050 1102 N. Llano St. Fredericksburg, TX 78624

Michael G. Campbell 830-997-3038 816 Reuben St., Ste. C Fredericksburg, TX 78624 Karen G. Cornett, MD 830-997-0330 514 W. Windcrest St. Fredericksburg, TX 78624 830-995-5633 815 Front Street Comfort, TX 78013 John P. Ramsay, MD 830-997-0330 514 W. Windcrest St. Fredericksburg, TX 78624 830-995-5633 815 Front Street Comfort, TX 78013 Nancy M. Rickerhauser, MD 830-995-5633 815 Front Street Comfort, TX 78013 Kristi A. Stafford, MD 830-997-0330 514 W. Windcrest St. Fredericksburg, TX 78624

Emily M. Bratton, MD 512-458-2141 755 S. Washington St. Fredericksburg, TX 78624 3705 Medical Parkway, Ste. 120 Austin, TX 78705 Sean Paul, MD 512-462-5050 1102 N. Llano St. Fredericksburg, TX 78624 4316 James Casey St., Bldg. F, Ste. 201 Austin, TX 78745 512-642-5050 Marie B. Somogyi, MD 512-458-2141 751 S. Washington St. Fredericksburg, TX 78624 3705 Medical Parkway, Ste. 120 Austin, TX 78705

Oncology Alyssa G. Rieber, MD 830-990-0255 506 W. Windcrest St., Ste 300 Fredericksburg, TX 78624

Ophthalmology Emily M. Bratton, MD 512-458-2141 755 S. Washington St. Fredericksburg, TX 78624

Michael C. Speck, M.D. Board Certified Urologist

1892 West US Highway 290, Fredericksburg, TX

830-304-1666 Check our website for more information:

www.gillespiecountyurology.com

3705 Medical Parkway, Ste. 120 Austin, TX 78705 Charles D. Cohn, MD 830-997-6535 751 S. Washington St. Fredericksburg, TX 78624

Anne C. Pluenneke, MD 830-997-6535 751 S. Washington St. Fredericksburg, TX 78624 Marie B. Somogyi, MD 512-458-2141 755 S. Washington St. Fredericksburg, TX 78624 3705 Medical Parkway, Ste. 120 Austin, TX 78705

Oral Surgery James D. Lussier, DDS 830-895-3494 501 Jefferson St., Suite 2 Kerrville, TX 78028

Orthopedics Clint R. Beicker, MD 830-997-4043 204 W. Windcrest St. Fredericksburg, TX 78624 1430 S. Main St., Suite 111 Boerne, TX 78006 Richard Edeen, MD 830-997-4043 204 W. Windcrest St. Fredericksburg, TX 78624 325-247-9355 1310 Ford St. Llano, TX, 78643 Paul Phillips III, MD 830-990-0991 1305 N. Milam St. Fredericksburg, TX 78624 608 Gateway Central, Ste. 101 Marble Falls, TX 78654

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P. Charles Romanick, MD 830-997-4043 204 W. Windcrest St. Fredericksburg, TX 78624

Yvonne K. Haug, MD 830-997-7626 1305 N. Milam St. Fredericksburg, TX 78624

Michael L. Walker, MD, FACS 830-997-0252 206 W. Windcrest Fredericksburg, TX 78624

Karen G. Cornett, MD 830-997-0330 514 W. Windcrest St. Fredericksburg, TX 78624

Otolaryngology

Pediatrics

Podiatry

Tracy A. Byerly II, MD 830-997-4000 205 W. Windcrest St., Ste. 210 Fredericksburg, TX 78624

Andrea C. Bray, MD 830-992-3725 1426 E. Main St. Ste 300-400 Fredericksburg, TX, 78624

Leslie T. Rowe, DPM 830-693-8144 623 S. Washington St. Fredericksburg, TX 78624

830-995-5633 815 Front Street Comfort, TX 78013

500 Thompson Drive Kerrville, TX 78028

325-347-5926 216 East College Ave. Mason, TX 76856

1001 Marble Heights Dr. Marble Falls, TX 78654

Rebecca W. Daley, DO 830-992-7149 1308 Texas 16 South Fredericksburg, TX 78624

E. Quinton Solomon, MD 830-693-8144 623 S. Washington St. Fredericksburg, TX 78624

Mark D. Eden, MD 830-997-9497 820 Reuben St., Ste. B Fredericksburg, TX 78624

1001 Marble Heights Dr. Marble Falls, TX 78654

Maggie Gainer, MD 830-997-2181 1308 Texas 16 South Fredericksburg, TX 78624

James Sorce, MD 830-992-2830 801 Steve Hawkins Parkway Marble Falls, TX 78654 830-798-1821 204 Gateway North, Suite B Marble Falls, TX 786544 Michael L. Walker, MD, FACS 830-997-0252 206 W. Windcrest St. Fredericksburg, TX 78624

Pain Management Ralph G. Menard, MD 830-990-1404 205 W. Windcrest St., Ste. 350 Fredericksburg, TX 78624 844-362-7426 500 Thompson Drive Kerrville, TX 78028

Palliative Care Pamela D. Cantu, MD 830-997-2191 205 W. Windcrest St., Ste. 310 Fredericksburg, TX 78624

Rick M. Dulaney, MD 830-997-3132 816 Reuben St. Fredericksburg, TX 78624 Bertha Gayton, MD 830-428-2345 1430 S. Main St, Suite 111 Boerne, TX 78006 Felice Howard, MD 830-997-2191 205 W. Windcrest St., Ste. 310 Fredericksburg, TX 78624 Nancy K. Thompson, MD 830-997-5668 205 W. Windcrest, Suite 310 Fredericksburg, TX 78624

Plastic Surgery Ernest Layton, MD 830-792-3702 251 Cully Drive, Ste. A Kerrville, TX 78028

Primary Care-Family Medicine Erika Benfield, RN, MSN, FNP 830-997-0330 514 W. Windcrest St. Fredericksburg, TX 78624

Bertha Gaytan, MD 830-428-2345 1430 S. Main. St., Ste. 111 Boerne, TX 78006

David A. Cantu, MD 830-997-7626 1305 N. Milam St. Fredericksburg, TX 78624

Yvonne K. Haug, MD 830-997-7626 1305 N. Milam St. Fredericksburg, TX 78624

Rodrigo David Cantu, MD FAAFP 830-990-1404 205 W. Windcrest, Suite 310 Fredericksburg, TX 78624

Matthew J. Hoermann, MD 830-997-0330 514 W. Windcrest St. Fredericksburg, TX 78624 830-995-5633 815 Front Street Comfort, TX 78013

Thrive Jeffery R. Holt, MD 830-997-2181 1308 Texas 16 South Fredericksburg, TX 78624

Kristi A. Stafford, MD 830-997-0330 514 W. Windcrest St. Fredericksburg, TX 78624

Jovawna D. Hubbard, FNP-C 830-868-7800 405 U.S. 281 South, Ste. 101C Johnson City, TX 78636

Rebecca S. Turbeville, MD 830-990-1404 205 W. Windcrest St., Ste. 130 Fredericksburg, TX 78624

Shannon Klump, DO 830-997-7626 1305 N. Milam St. Fredericksburg, TX 78624

John D. Weaver, MD 825 4th Street Blanco, TX 78606

830-258-7654 203 U.S. 87 North, Ste. 204 Comfort, TX, 78013 J. Rad Kothmann, MD 830-997-2181 1308 Texas 16 South Fredericksburg, TX 78624 John P. Ramsay, MD 830-997-0330 514 W. Windcrest St. Fredericksburg, TX 78624 830-995-5633 815 Front Street Comfort, TX 78013 Nancy M. Rickerhauser, MD 830-995-5633 815 Front Street Comfort, TX 78013

Primary CareInternal Medicine Pamela D. Cantu, MD 830-997-2191 205 W. Windcrest St., Ste. 310 Fredericksburg, TX 78624 Julian R. Falla, MD 830-990-1404 205 W. Windcrest St., Ste. 130 Fredericksburg, TX 78624 Melissa A. George, MD 830-997-2745 1009 S. Milam St., Ste. 3 Fredericksburg, TX 78624 Felice H. Howard, MD 830-997-2191 205 W. Windcrest St., Ste. 310 Fredericksburg, TX 78624

Michael M. Johnson, MD Michael Shaffer, DO 830-997-2181 830-868-7800 1308 Texas 16 South 405 U.S. 281 South, Suite 101C Fredericksburg, TX 78624 Johnson City, TX 78636

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Philip J. Maple, MD 830-997-2181 1308 Texas 16 South Fredericksburg, TX 78624

Susan K. Wynne, MD 210-615-8900 205 W. Windcrest St., Ste. 310 Fredericksburg, TX 78624

Jennifer K. Mayben, MD 830-997-2181 1308 Texas 16 South Fredericksburg, TX 78624

222 Sidney Baker South, Ste. 500 Kerrville, TX 78028

Nancy K. Thompson, MD 830-997-2191 205 W. Windcrest St., Ste. 310 Fredericksburg, TX 78624

Dure Fernandez, MD 830-990-1404 506 W. Windcrest St. Fredericksburg, TX 78624 500 Thompson Drive Kerrville, TX 78028

Leo C. Tynan III, MD 830-997-2181 1308 Texas 16 South Fredericksburg, TX 78624

Psychiatry Michelle L. Cantu, MD 830-997-2191 205 W. Windcrest St., Ste. 310 Fredericksburg, TX 78624 210-615-5320 14603 Huebner Rd., Ste. 3505 San Antonio, TX 78230

Pulmonology

Brittany Scribner, NP 830-990-1404 506 W. Windcrest St Fredericksburg, TX 78624 500 Thompson Drive, Kerrville, TX 78028 1430 S. Main St., Suite 111 Boerne, TX 78006

QuickDraw/LifeScreen

Sleep Disorders

Shari L. Addington, MD 830-997-1327 1006 Texas 16 South, Ste. G Fredericksburg, TX 78624

Tracy A. Byerly II, MD 830-997-4000 205 W. Windcrest St., Ste. 210 Fredericksburg, TX 78624

Radiation Oncology

500 Thompson Drive Kerrville, TX 78028

Robert Eberling III, MD 830-990-4800 753 S. Washington Fredericksburg, TX 78624

Rheumatology Michael Abel, MD 830-990-1404 506 W. Windcrest St. Fredericksburg, TX 78624 500 Thompson Drive Kerrville, TX 78028

Restore Clint R. Beicker, MD 830-997-4043 204 W. Windcrest Fredericksburg, TX 78624 1430 S. Main St., Suite 111 Boerne, TX 78006

Dure Fernandez, MD 830-990-1404 506 W. Windcrichrest St. Fredericksburg, TX 78624 500 Thompson Drive Kerrville, TX 78028 Kevin M. Gallagher, DO, Ph.D. 830-990-9994 205 W. Windcrest St., Ste. 230 Fredericksburg, TX 78624 216 E. College Ave. Mason, TX 76856 2008 Nine Road Brady, TX 76825 1800 Mormon Mill Road Marble Falls, TX 78654

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Brittany Scribner, NP 830-990-1404 506 W. Windcrest St Fredericksburg, TX 78624

Michael Shaffer, DO 830-868-7800 405 U.S. 281 South, Ste. 101C Johnson City, TX 78636

Michael Jones, MD 830-997-9507 703 S. Adams St. Fredericksburg, TX 78624

Ronald A. Stotz, MD 830-990-0064 108 N. Edison St. Fredericksburg, TX 78624

P. Charles Romanick, MD 830-997-4043 204 W. Windcrest St. Fredericksburg, TX 78624

Michael C. Speck, MD 830-304-1666 1892 U.S. 290 West Fredericksburg, TX 78624

Theresa S. Weber, MD 830-990-9101 500 Thompson Drive Kerrville, TX 78028

Supportive Care

Urology

Trace A. Doerre, AANP 830-997-1336 808 Reuben St. Fredericksburg, TX 78624

David Greenwell, MD 830-693-5949 2503 U.S. 281, #400 Marble Falls, T X 78654

Uninsured/Community Health

Michael C. Speck, MD 830-304-1666 1892 U.S. 290 West Fredericksburg, TX 78624

Sports Medicine Clint R. Beicker, MD 830-997-4043 204 W. Windcrest St. Fredericksburg, TX 78624 1430 S. Main. St., Ste. 111, Boerne, TX 78006 Richard Edeen, MD 830-997-4043 204 W. Windcrest St. Fredericksburg, TX 78624

Good Samaritan Center 830-990-8651 140 Industrial Loop, Ste. 140 Fredericksburg, TX 78624 Urology

Vascular Andrew N. Bowser, MD, FACS 830-990-1404 506 W. Windcrest St. Fredericksburg, TX 78624 500 Thompson Drive Kerrville, TX 78028 1430 S. Main. St., Ste. 111 Boerne, TX 78006

Wound Healing Whitney Brown-Thompkins, FNP, MSN, RN 830-997-1265 1009 S. Milam St., Suite 1 Fredericksburg, TX 78624 Claudia Ubinas Frias, MD 830-997-4353 1020 Texas 16 South Fredericksburg, TX 78624

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Advertisers Michael Braden, MD 37 Cornerstone Clinic 20 Creek Street Dental 30 European Day Spa 18 Frantzen, Kaderli And Klier Insurance Agency 3 Fredericksburg Eye Associates 20 Fredericksburg Farmer’s Market 15 Fredericksburg Functional Medicine 21 Fredericksburg Home Care, LLC 14 Fredericksburg Medical Equipment 11 Fredericksburg Physical Therapy 13 Frisch Juicerie 26 Gillespie County Urology 33 Glorious Medical Equipment 34 Good Samaritan Center 5 The Grace Center 12 Hill Country Healthcare Liaison 31 Hill Country Memorial 21, 25, 31 Hoerster Family Dentistry 27 Darin W. Holmes DDS 14

Honor Veterans Now 35 Hydramedics 19 Joseph Financial Partners 23 K- Air & Ventilation 35 Knopp Nursing Home 10 Majors Dermatology 28 Mills And Associates Physical Therapy 32 Prescription Lab 37 Ron Rickerhauser Counseling 38 SM&PT 28 Solbrig Hearing Center 28 Keith Stehling, Insurance 36 Texas Hill Country Orthopaedics & Sports Medicine 2 Texas Oncology 17 The Centers For Cancer Care 40 Valu-Med Pharmacy 6 Votive Health Care 11 Kathy Wilson, MD 7 Yellow Door Studio 20

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