Thrive Health Guide 2021

Thrive Health Guide

2021

MENTAL HEALTH HEALTH PROS A list by specialty of area physicians, and experts P. 26

HIGHLIGHTED

BY PANDEMIC STRESS

PLUS,

Exercise, yoga, dental health, tips on food, and more INSIDE

S A publication of the Fredericksburg Standard

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Articles

Living Up to the Words ‘Hill Country Strong

Thrive 4

Exercise Helps Physical, Mental Health

Restoring Function

HCM Breast Center Encourages 20 Women to Monitor Breast Health

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Mental Health Highlighted

by Pandemic Stress

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Thrive Magazine

A product of Fredericksburg Publishing Company.

Publisher/Editor: Ken Esten Cooke

Design Editor Mike Skinner

Articles Joe Southern Madalyn Watson Samuel Sutton Sherrie Geistweidt

Advertising Director Kim Jung

21 Delayed Wellness Center 22 Expansion Taking Place

HCM Available Services

Instructors Share Physical, 14 Mental Health Benefits of Yoga Local Dentist Offers Tips To Keep Teeth Clean

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Healthy Eating: It’s About the Quality, Quantity of Food

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Fredericksburg and Surrounding Area Health Care Providers Fredericksburg Publishing Co. 712 W. Main St., | P.O. Box 1639 Fredericksburg, TX 78624 Phone 830-997-2155

Account Executives Kim Jung, Cindy G. Burdorf, Ann Duecker

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© 2021. 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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Advertisers

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Joseph Financial Partners 2

Glorious Medical Equipment 16

Hill Country Memorial Restore 29

Frantzen Kaderli Klier Insurance 3

Darin W. Holmes DDS 17

Roger Moblad Podiatry 30

Frontera Healthcare 4

Hill Country Memorial lmmediate Care 17

Gillespie County Urology 31

IAQ Experts Cleaning 5 Texas Hill Country Orthopaedics and Sports Medicine 5

Michael Walker MD 18 Hill Country Neurology 19

QRF Restoration 32 Majors Dermatology 33 Fredericksburg Vein Clinic 33

Knopp Retirement Center 6

Good Samaritan Center 21

Votive Hospice and Pallative Care 7

URBANherbal 22

Fredericksburg Medical Equipment 9

SEE Wellness 23

ValueMed Pharmacy 11

Cornerstone Clinic 23

Hardison Chiropractic & Wellness Center 35

Dr. Ron Rickerhauser 12

Creek Street Dental 24

Braden Dermatology 35

Yellow Door Studio 13

Fredericksburg Physical Therapy 25

Integrated Bodyworks 35

Prescription Laboratory 13

Mills & Associates Physical Therapy 26

SM&PT 35

Hill Country Memorial 13

Hoerster Family Dentistry 27

Friendship Lane Center for Cancer Care 36

Gail’s Apothecary 28

Solbrig Hearing Center 34 Fredericksburg Eye Associates 34

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Living Up to the Words ‘Hill Country Strong’ • Many did their best to support local businesses by ordering takeout, buying gift cards, or doing their Christmas shopping in May.

By John D. Willome Good Samaritan Center Executive Director

A friend of my dad’s always encouraged people to remember to celebrate when you experience success.

Friends, while there are still challenges and certain amounts of uncertainty ahead, I think all of us can look back on our community’s response to COVID-19 over the last year and a half and find a lot to celebrate.

In spring 2020, our community experienced a unique stress. It is one thing to have an enemy we can unite against — communists, the Axis Alliance in World War II, al Qaeda, etc. — but this was an invisible enemy, and the strategy called for more defense than offense. We closed everything from local businesses to the NCAA tournament. We quarantined to protect ourselves, our loved ones, and our medical system from overloading. Nearly everyone felt the financial ramifications. But here is a list of things I remember

John Willome

from this last year that shows the phrase “Hill Country Strong” was not just lip service: • Tens of thousands of homemade masks were created by locals and distributed to various members of the community, including first responders and hospital staff.

• People would gather in their cars in the Hill Country Memorial Hospital parking lot and sit for 30 minutes with their hazard lights flashing to show support for the providers and staff.

• Nonprofits like our clinic, The Good Samaritan Center, the Hill Country Community Needs Council, the Golden Hub, and the Fredericksburg Food Pantry experienced extraordinary donations as we continually meet the human needs of the most vulnerable.

• Grocery store personnel worked tirelessly to restock shelves and provide a safe place for us to purchase essential items.

• Fredericksburg Independent School District and other schools rose to the occasion, successfully delivering nearly an entire year of in-person education. That was no small task, and we owe every educator a debt of gratitude.

• Our first responders, both law enforcement and medical, helped people when they needed it, regardless of the risk

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to themselves. I’m especially thinking of the EMS who transported COVID patients and the hospital staff who treated them.

• Hill Country Memorial signed up to be the only vaccination hub in the Hill Country for the first few months of the Moderna vaccine.

At one point, our county had one of the highest vaccination rates in Texas, thanks to their efforts.

• Hundreds of volunteers stepped up to help Hill Country Memorial fully vaccinate well over 10,000 people.

• I will never forget the 2020 drive-in Easter service at Faith Baptist Church that I attended.

It was so great to corporately worship with others. I literally had tears in my eyes as the service started. Other churches

were equally creative, including embracing online streaming.

• The Fredericksburg StandardRadio Post offered advertising assistance and provided a list of restaurants that offered takeout and delivery.

• When people were diagnosed with COVID or had to quarantine because of close contact, friends and family would make sure their needs were met.

• In some instances, those who were fortunate enough to have surplus toilet paper in the spring of 2020 would share with those who did not. After all, human needs are human needs.

I could go on and on. There were literally countless ways in which our community rose to meet this challenge.

The Greatest Generation did not become that way because of how they responded to the Roaring ’20s. They became the Greatest Generation because of how they responded to the challenges of the ’30s and the ’40s. When they got squeezed, their circumstances not only revealed the good character in them, but they also refined out some of the dross.

As someone once said, “The hotter the heat, the harder the steel. No pressure, no diamonds.” I’m proud to have gone through the heat and pressure of this pandemic with our community. Thank you for loving your neighbors as yourselves.

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Thrive

Exercise Helps Physical, Mental Health

By Samuel Sutton

Standard-Radio Post Reporter

It’s no secret that exercise is important, but it not only helps physical health.

Moving for an hour every day can also improve mental health, according to Shannon Maenius, an American Council on Exercise (ACE)-certified personal trainer and Athletics and Fitness Association (AFAA)-certified group exercise instructor at the Hill Country Memorial Wellness Center.

“Moving every day helps the blood flow through the brain, which can make Alzheimer’s and dementia more manageable,” she said.

It’s still important, however, to address how exercise helps physical health.

Maenius said working out can improve the body’s physique greatly.

“Moving the body through full range of motion through cardiovascular or strength training will help you become more flexible,” she said. “It helps everything from posture, etc.”

She emphasized the importance of not only doing cardiovascular work, but also working on strength training by loading one’s muscles.

“You can accomplish this by walking, biking, running or mowing the lawn,” she said.

She also said it’s important to add in ground-based exercises, as hitting the pavement while running or walking can improve bone density.

Shannon Maenius teaches her Shape Up With Shannon class every Monday, Wednesday and Friday from 10-11 a.m. behind the SMPT Building on Texas 16 South. — Submitted photo

“Water exercises are good, but it’s not as effective as ground-based exercises are for improving bone density,” she said.

While working out an hour every day is important, Maenius said it’s crucial to vary intensity to ensure longevity and prevent injury.

To make exercise more fun, Maenius recommended doing it with a workout partner.

Working out is important for overall health, but it’s only one aspect.

“This not only helps add a social component, but it also makes it more fun, which means you’ll do it for life,” she added

“You can’t outrun a bad diet,” she said.

When training for something like a marathon, she said doing so with a partner can help with motivation.

“You are almost never going to hit that wall the same time as your training buddy,” she said.

“This means you can help motivate each other.”

She recommended filling the plate with color during meals, as this will provide a range of nutrients and phytochemicals.

“Eating the rainbow is a good saying,” she said.

And no, she doesn’t mean Skittles.

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“Getting a good mixture of healthy carbs and proteins is important,” Maenius said.

Maenius offered a list of classes being offered through the Wellness Center, including a master’s

“Moving every day helps the blood flow through the brain, which can make Alzheimer’s and dementia more manageable.”

She stressed the importance of eating as much non-processed, whole foods as possible.

“Absolutely limiting processed foods is the ticket to a healthy body,” she said.

At Tony Knopp Town Pool, a water aerobics class is being offered every Friday morning.

“It’s nice to be able to have something to do outside without getting heat stroke,” Maenius joked.

swim class at Lady Bird Johnson Municipal Park pool on Tuesdays and Thursdays. The class is offered to all age groups and levels.

Also at the Park Pool, Diane Patteson is hosting a boga class on Tuesdays and Thursdays, which is

To find out more information on the services, go to: www.hillcountrymemorial.org/services/wellness-center/

yoga balanced on a board in the water.

Outside of the water, group exercises are being offered behind the SMPT building, located at 1316 Texas 16 South. Examples of classes offered are rowing, cycling, yoga and more.

You can also visit the Wellness Center at 1006 Texas 16 South.

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Mental Health Highlighted

by Pandemic Stress even in those who had not experienced an anxiety disorder before, Rickerhauser said.

By Madalyn Watson

Standard-Radio Post Reporter

Since COVID-19 first started spreading, physical health has been at the forefront of concern of people in the United States.

Gross said people experienced anxiety and depression to an extent they never had in the past, and in some cases, led them to seek help.

However, those outside stressors helped shine a light another major concern: mental health.

Dr. Rhonda Gross, a licensed psychologist who works with the Hill Country Community Needs Council, said since the start of the pandemic, data suggests an increase in mental illnesses like anxiety, depression and insomnia.

Dr. Rhonda Gross

“People that have not previously felt like their anxiety was to such a degree that they needed to have support, this gave them permission to go ahead and seek counseling.”

They are described as “internalizing disorders” since they are rooted in distress. Feelings of sadness, worry and fear were heightened by the uncertainty associated with COVID-19.

During late June 2020, 40 percent of adults in the United States reported struggling with their mental health.

Conducted by the Centers for Disease Control and Prevention, the survey showed that 31% had symptoms of depression or anxiety and 26% had trauma or stressorrelated symptoms.

Dr. Ron Rickerhauser, a licensed professional counselor based in Fredericksburg, said the United States is seeing an increase in reports of anxiety and depression.

“I did find that, especially with my existing client base, particularly with anxiety.

There was a lot of alone time,” Rickerhauser said, “without the social interaction, either from not being able to go to work and working from home, or not being able to go to school.”

“I was getting a lot of questions from friends and acquaintances about resources, ‘Where could I go to get support?’” Gross said.

Dr. Ron Rickerhauser

Rickerhauser said the lack of socialization and isolation from others within the last year was especially taxing for those who drew their energy from being around people.

“It’s going to be very dependent on the person that we’re talking about because everyone has different personalities,” Rickerhauser said. “People who have a tendency to be more introverted might have actually flourished in this environment, enjoying spending a little more down time and quiet time with family.”

Social Distancing The uncertainty that affected people during the early days of the COVID-19 spread tended to “exacerbate feelings of anxiety”

Similar to surveys from years before the coronavirus pandemic, risk factors for reporting anxiety symptoms or suicidal ideation in the recent CDC survey included food insufficiency, financial concerns and loneliness.

“We had lots of people who lost jobs, stressed with losing homes and businesses,” Gross said. “And there was a lot of stress. But I think if you were socially isolated, that just compounded the issues.”

Proximity From August 2020 to February 2021, the percentage of adults with recent symptoms of anxiety or a depressive disorder increased from 36.4% to 41.5% according to more recent statistics released by the CDC. Rickerhauser said the increase at the start on 2020 is going to look different in Fredericksburg than it will in other parts of the United States.

“A lot of it has to do with proximity,” Rickerhauser said.

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About 40% of adults in the United States are struggling with mental health or substance abuse.

This graphic is based on a report from the Centers for Disease Control and Prevention.

“Fredericksburg as an area was hit with COVID-19 but at a lesser degree than what they might have experienced in San Antonio or Houston.”

Those who lived in larger cities and other COVID-19 hotspots were most likely to experience the increase. For example, Rickerhauser said, those in

the medical field and other essential workers would — in general — be experiencing more day-to-day trauma than those in Fredericksburg.

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Thrive Children Even though his current client base is mostly adults and teenagers, Rickerhauser had a background working as a school counselor and psychologist before going into private practice.

The lack of interaction with others their age while classes were online was the primary issue with children and high school-age kids, Rickerhauser said.

Gross has also worked in schools in addition to private practice before working with the Needs Council where she continues to work with children on occasion.

“We’re very fortunate here in our schools that the kids have gone back,” Gross said. “But still, you’re looking at very prescriptive social interactions, the social distancing, the masks. Think about how much children learn by seeing facial expressions, and that’s something that our kids have missed out on.”

Teletherapy During the pandemic, teletherapy became popular not only through virtual therapy sessions but programs such as Better Help and Talkspace.

Rickerhauser said he does a lot of teletherapy now since it was something he and his clients were exposed to early in the pandemic.

“There’s a learning curve in using it,” Rickerhauser said. “After you get a session going and the communication has opened up, it flows pretty much like a normal session would.”

Teletherapy and other forms of telemedicine are growing increasingly popular even as people are returning to in-person activities in other aspects of their lives.

“I think we’re always going to have a component of telehealth,” Gross said. “But I also think that there’s just a very essential part of the counseling relationship that you miss when you’re not with someone in person.”

Gross said she found it very difficult to have effective counseling sessions virtually, especially with children. She also said people can face problems who don’t have access to the internet or have limited knowledge of technology.

Stigma As more people struggle with mental illness and seek help, more people are talking openly about their personal struggles with others.

“We’ve heard a lot in the media about an increase in depression and anxiety and the need for mental health services,” Rickerhauser said.

“Is the stigma being eliminated?

No, I don’t think so. But I think it’s far more acceptable to have those conversations.”

Gross said it seems like people are more comfortable talking about their stressors, anxiety and depression since everyone has gone through such a dramatic change together.

“People can bond over the stress of trying to school your kids at home, and the stress of trying to work at home,” Gross said. “And I think it’s just kind of given us a common experience that can bind us together.”

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Instructors Share Physical, Mental Health Benefits of

By Madalyn Watson

Standard-Radio Post Reporter

Yoga is more than just stretchy pants, spiritual music and flexibility. In fact, local yogis find that the practice can benefit physical as well as mental health.

When Caroline Cone moved back to Fredericksburg during the coronavirus pandemic, she started doing yoga in order to build a community in her home town.

Although Cone had been involved in yoga for nearly ten years, she recently became a certified yoga instructor.

“I did the training and learned all about Nervous System Regulation and that’s what I’m interested in,” Cone said.

She teaches classes Mondays, Wednesdays and Thursdays at 8 a.m. and strongly emphasizes nervous system regulation in her lessons.

Yoga trains your body and mind to find a healthy balance within your nervous system, Cone said.

Cone described a breathing technique she teaches in her classes called “straw breathing,” where you breathe in through your nose and then out through your mouth “You just breathe in, and you hold your breath. That act of holding is similar to holding tension in your body. And then breathing it out with force, like you’re breathing through a straw or you’re blowing bubbles in a milkshake like you’re expelling tension,” Cone said.

Michael Perkola, founder of United Yoga Company, said many of the physical benefits of yoga

include increased flexibility and strength, more control of one’s body and an improved posture.

For more about Michael Perkola’s yoga classes, check out his website at www.unitedyoga.com.

“Many exercises that we do are in one plane, or it is one movement that is repeated,” Perkola said.

“Think of like running or cycling, you’re basically doing the same movement again and again.”

To ask about Caroline Cone’s classes, drop an email to her at caroline.eliz.cone@gmail.com.

Yoga can be beneficial for the entire body and depending on the type of yoga, it can avoid the repetition of exercising the same parts of your body over and over again, Perkola said.

“One of the best things about yoga is that it teaches you how to be in your body, and how to move from one position to the next in a fluid way, which really kind of changes the way you move in space,” Cone said. “They call that embodiment.”

Yoga teaches you how to regulate your emotions and how your nervous system and breathing responds to those outside of the yoga class setting, Cone said.

Traditional yoga – from hundreds of years ago – had more in common with meditation or religious practice than the modern focus on physical fitness. Yoga was created to be a form of moving mediation and to benefit the mind, Perkola said.

“Yoga becomes a moving meditation, in which you can experience your body in a new way, as well as expand its possibilities,”Perkola said.

“If you can integrate your mind and your body, your body becomes more aware and more alive, and your mind becomes a lot more stabilized,” Perkola said.

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Yoga

“One of the best things about yoga is that it teaches you how to be in your body, and how to move from one position to the next in a fluid way, which really kind of changes the way you move in space. They call that embodiment.”

Yoga instructor Michael Perkola is currently teaching an in-depth, 10-week Yoga course, but he also offers online yoga classes on Sundays and classes at Augsuta Vin on Sundays as well.

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Thrive

Local Dentist Offers Tips To Keep Teeth Clean there’s already a bigger problem like tooth destruction.”

By Samuel Sutton

Standard-Radio Post Reporter

Dental health is more than just sparkling teeth, according to Dr. Ericka McBrine, DDS, of Creek Street Dental. It affects your entire body.

“For some reason, the world wants to think to disconnect the head from the rest of the body,” McBrine said. “It’s all part of the circulatory system.”

She explained that if a person’s gums have bacteria, that bacteria could travel through the bloodstream and affect the heart and other organs.

Also, if people don’t take care of their teeth and start losing them, it could result in health problems in the future.

“Your body works best if it has all its parts,” she said. “If you’re missing teeth, you may not be chewing your food enough, which means you’re swallowing bigger bites. This could lead to problems with your esophagus, your stomach or your colon.”

McBrine recommends going to the dentist for a regular checkup every six months to ensure those

For those with weakened or no enamel, McBrine said dental maintenance should be more important.

Dr. Ericka McBrine, DDS

“It’s crucial to partner up with a dental health professional, or problems like big holes could occur,” she said. “There are things they can give you, like prescription toothpaste that can help.”

types of problems don’t get out of hand.

PREVENTATIVE MEASURES

“Regular maintenance is important because, if you do have something like a cavity or the beginning of gum disease, we can get to the problem earlier and head off any big problems,” she said.

Aside from brushing twice a day and flossing, there are other measures people can take to prevent dental problems. One main way is paying attention to diet.

Some people may think that since there’s no pain or any visual signs of problems, their teeth are perfectly health. McBrine explained this is not always the case.

“One thing people don’t think about is the things you put in your mouth,” she said. “Ice is a big problem because chewing on ice can fracture your teeth or weaken your enamel. If you’re going to chew ice, be an ice snob and only chew on thin ice like from Sonic.”

“Beginning stuff that’s simple to fix, like a tiny cavity, may not cause any pain,” she said. “If you feel pain, you should come see a dentist, but pain usually means

Another culprit she mentioned is sugar. In the summer time, she said people generally lean on sports

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drinks instead of water because of the increased amount of electrolytes.

“The number one ingredient in sports drinks is sugar, which is really bad for your teeth,” she said.

“When drinking a sports drink, you’re pretty much bathing your teeth in sugar. Over time, that can wear down your teeth.”

She also suggested avoiding acidic fruits as much as possible, since acid can also wear down teeth.

BRUSHING When it comes to brushing, McBrine said a good rule of thumb is “to brush the ones you want to keep.”

“If you want to keep them all, brush them all,” she said.”

She also stressed not to brush immediately after eating, as this could weaken enamel. According to the American Dental Association, it is recommended that people wait 30 minutes before brushing, especially after eating acidic foods like lemons, grapefruit or drinking soft drinks.

Another tool that can be added to enhance hygiene is fluoride rinses, which can be bought over the counter. However, this should not be a substitute for brushing.

“If you want healthy teeth and healthy gums, it’s important to do all the things,” she said.

“Truly brushing twice a day, flossing and really being careful about diet.”

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Thrive

Restoring Function Hill Country Memorial’s Restore Program has Orthopedic Specialists to restore life.

surgeons specializes in treating the entire musculoskeletal system.

This includes all 300 bones and joints, but also comprises tendons, muscles, nerves, ligaments and cartilage.

When is it time to schedule a visit with an orthopedic specialist?

The Restore Team of Orthopedic Specialists bring years of safe and proven evidence-based knowledge to the joint replacement program and are able to guide a patient on both surgical and non-surgical treatments.

Symptoms may develop gradually as stiffness or discomfort in a joint, or a shakiness when performing basic functions such as walking or standing up. Or, they may happen quickly, as a twist or sprain that does not improve after a couple of days.

Any of those conditions could be signs it is time to seek care from an orthopedic specialist.

Hill Country Memorial’s awardwinning team of orthopedic

COMMON SIGNS TO SCHEDULE AN APPOINTMENT: 1 Bone and joint discomfort that

makes it difficult to perform common activities, such as climbing stairs, walking or even getting up from a chair.

2 Joint or muscle pain that persists longer than 12 weeks.

3 Limited range of motion.

Increasing tightness in joints may indicate an underlying process, such as arthritis. Early treatment can keep it from getting worse.

4 Instability while walking or standing. A feeling of shakiness while standing, walking or sitting down is one sure sign there is something awry with joints.

5 A soft tissue injury — a strain, a twist or a sprain — that has not improved in 48 hours despite rest, ice, compression and elevation.

While none of these circumstances in itself might feel alarming, they could be

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signs of underlying conditions that an orthopedic specialist is trained to diagnose and treat. Some of the more familiar issues include: • Arthritis, including osteoarthritis and rheumatoid arthritis; • Bursitis; • Lateral epicondylitis (tennis elbow); • Medial epicondylitis (golfer’s or baseball elbow); • Fibromyalgia; • Fracture; • Carpal tunnel syndrome; • Torn meniscus; • Kyphosis; • Osteoporosis; • Scoliosis.

When choosing an orthopedic team, look for one that is trusted, award-winning, rated highly by patients and peers, and with resources to deliver a range of treatments, including: • Shoulder surgery.

• Arthroscopy and ligament repair.

• Carpal tunnel release.

• Repair of open and closed fractures; • Tendon repair; • Hand and foot surgery; • Sports medicine.

REPLACEMENT According to HCM, one of the most life-changing procedures orthopedic specialists provide is total joint replacement, usually of the hip, knee or shoulder. Their programs offer pre-operative group classes to reduce pain and anxiety, a strong support team with state-of-the-art imaging and operating equipment, and convenient follow-up care. HCM’s Restore Program offers a dedicated team for Restore patients that will be with the patient from the first visit to recovery.

Recovery is most rapid when the patient has ready access to physical therapy, personal and group coaching, and home care support nearby.

HCM’s goal is restoration of function, so the patient can return to as normal a life as possible and enjoy life in every dimension.

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Thrive

HCM Breast Center Encourages Women to Monitor Breast Health The Hill Country Memorial Breast Center, at 808 Reuben St., offers several resources to help women monitor their breast health.

help women that are working around their work schedule,” Bacon said. “For a screening mammogram, they’re usually not in here more than 20 to 25 minutes.”

In addition to regular breast self-exams, women have access to mammograms or breast ultrasounds at the “spa-like” Breast Center.

Bacon also said depending on the volume of patients at the HCM Breast Center, women can get the results of their exams within six hours, or at least by the next day.

By Madalyn Watson

Standard-Radio Post Reporter

Breast Center Director Susan Bacon said their policy is that anyone 35 or older can schedule their own screening mammogram — which means no symptoms or recent history of breast cancer — without a doctor’s order.

“Now, there’s always exceptions to the rules,” Bacon said. “There are a few doctors in the area that prefer their patients have a written order from them.”

Bacon suggests women talk with their primary care physician about their options with them as well as with the HCM Breast Center. If they have symptoms, they will need to get a referral from their doctor beforehand.

It is highly recommended that women over the age of 40 get an annual screening exam. Women under the age 40 should see their doctor for a referral if they have symptoms or a family history of breast cancer.

Bacon also said some women assume they can stop getting regular mammograms after the age of 60, but she still highly recommends it since that age range is still at a high risk for breast cancer.

“For women who have symptoms and are younger than 30, we normally start with an ultrasound just because when you’re that

Susan Bacon

young, the breast tissue is very, very dense,” Bacon said.

The breast ultrasound can also be complementary to an annual mammogram and regular selfexams.

Self-Exams When conducting a breast selfexam, women should look for unusual lumps, discharge from the nipples and skin changes. Bacon mentioned that irregular pain could be a symptom, but it is most likely not a sign of cancer.

Women should call the HCM Breast Center with any questions about the process, including questions about conducting their own self-exams at home.

“We have breast models that have lumps in them, so they can actually practice to see what a lump can feel like,” Bacon said.

Time Many women do not get regular breast screenings because of their busy schedules, Bacon said.

However, a regular screening mammogram is usually no longer than 20 to 25 minutes.

“A lot of people say they don’t have time but we do have early and late appointments so we can

“If you have your mammogram done in the morning, we’ll usually have that report ready for you in the afternoon. You come in the afternoon and it’s usually ready for you the next morning,” Bacon said.

“When they’re here for their diagnostic imaging, the radiologist reads it right away,” she said.

Pink Card An initiative that began at HCM Breast Center in 2015 is the Pink Card. After an annual screening mammogram, women receive a pink card that can be used for different discounts at local retailers.

Bacon said the Pink Cards motivate many women to care about their breast health and schedule their exams. The Pink Card expires within one year of the appointment, providing motivation, to return and take care of their breast health.

“The card is good for a year, they can use it up within that year and that’s their incentive to come back the following year, get another mammogram and another round of discounts,” Bacon said.

HCM Breast Center (830) 990-6181 www.hillcountrymemorial.org/ services/breast-care/

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HCM Available Services ER - 24/7 Emergency Care

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

Immediate Care Clinic

Offers quick, convenient and high-quality care for non-emergency issues and illnesses.

(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.

HCM Medical Group

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.

(830) 990-1404

Home Care

Skilled nurses, home health aides, therapists and social service professionals provide the care a patient needs.

(830) 997-1336 808 Reuben Street, Floor 2, Fredericksburg

Hospice

Provides safety and dignity for patients and comfort to families and caregivers during the most important time of life.

(830) 997-1335 808 Reuben Street, Floor 2, Fredericksburg

Imaging and Radiology

Orthopedics

State-of-the-art imaging including 3D mammography, ultrasound, MRI, CT, MRA scans and nuclear medicine.

(830) 997-1418 1020 S. State Hwy 16, Fredericksburg

Total knee, shoulder, and hip joint replacement surgery through the Restore program.

(830) 990-6134 1020 S. State Hwy. 16, Fredericksburg

Obstetrics

Sleep Lab

Hill Country parents and babies have a special place for delivery.

(830) 997-1253 Cailloux Birthing Center, 1011 S. Milam Street, Fredericksburg

Breast Center

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.

(830) 990-6181 808 Reuben Street, Fredericksburg

Lab

A comprehensive, full-service lab prioritizing rapid turnarounds and accurate results.

(830) 997-4253 1020 S State Hwy 16, Fredericksburg

Out Patient Rehab

Physical, occupational and speech therapies for adults and children plus cardiac and pulmonary rehab.

402 W Windcrest, Fredericksburg (830) 997-1357 (830) 997-1358 (cardiac & pulmonary) 511 US Hwy 281, Marble Falls (physical therapy) (830) 992-2830

Sleep is as important to a person’s health as diet and exercise. Primary care provider can provide referral for a sleep study.

(830) 992-2552 1002 N. Llano Street, Fredericksburg

Wellness Center

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.

(830) 997-1355 1006 S. State Hwy 16, Fredericksburg

Wound Care

Provides evaluation and treatment for complex and chronic wounds.

(830) 997-1265 1009 S. Milam, Suite 1, Fredericksburg

Infusion

A dedicated suite with specially trained infusion services staff.

(830) 997-1265 1009 S. Milam, Suite 2, Fredericksburg

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Delayed Wellness Center Expansion Taking Place The COVID-19 pandemic delayed the expansion of Hill Country Memorial’s Wellness Center last year but those plans are finally moving forward.

In the meantime, the services offered at the Wellness Center are temporarily relocated while the main facility undergoes renovation and expansion.

The Group Exercise Studio is at 1316 South State Highway 16 and the HCM Business Office/ Personalized Services is at 200 W. Windcrest, Suite 100.

Those services include nutrition and diabetes consultation, massage, and smoking cessation appointments.

The Good Health, First Aid, and CPR registration and classes have been moved to the Cailloux Birthing Center Classroom at the hospital.

The cardio room has been relocated to the Aerobic Floor.

The pool was temporarily shut down but will remain open during the construction. The Circuit and Strength Room remains open.

Members will be able to check in and reserve or cancel classes with a new app that is being tested and expected to go live in the fall.

• Aerobic/Exercise Classrooms will go from one small room to three flexible rooms with modern sound control systems.

During construction, members can park at the west side parking lot at Windcrest and Reuben streets.

This will allow them to offer 125 classes per week.

LARGER FACILITY

• Addition of an outdoor activity area.

When completed, the total size will increase more than 60% to 31,830 square feet.

NEW COMMUNITY SPACE

ADDED LOCKER ROOMS The two men’s locker rooms will be updated, and a new women’s locker room added, along with a new family locker room.

MORE EDUCATIONAL SPACE The center will now have three classrooms, up from one.

This will allow the center to accommodate up to 80 hours of weekly class time.

LARGER WORKOUT AREAS • Circuit Training will increase from 1,300 to 2,500 square feet.

• Cardio Room will add 400 square feet.

• Addition of an indoor track.

For the first time, the public will be able to enjoy indoor and outdoor spaces dedicated to community gatherings, including juice and snack bars.

INCREASED COMMUNITY OUTREACH Doubling the number of Community Outreach programs from 10 to 20.

Assisting and encouraging active lifestyles means an increase in the overall health of the community, resulting in fewer hospital stays and quicker recovery times from major procedures.

The Wellness Center Revitalization is one more way HCM can fulfill its mission to “Give Wellness.

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GIVE WELLNESS Community wellness has always been a priority for Hill Country Memorial, going back to 1992 when it established one of the first hospital-affiliated wellness centers in the nation.

Since that time, the Hill Country Memorial Wellness Center has been so successful that it has reached and gone beyond peak membership class capacity, even with later expansions.

This reflects the growth of the Texas Hill Country, and the increased awareness of the importance of maintaining a healthy and active lifestyle.

This article was prepared for the Fredericksburg Standard-Radio Post by Hill Country Memorial.

The floor plan shows the revitalization project underway at the Hill Country Memorial Wellness Center. — Submitted photo

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Healthy Eating: It’s About the Quality, Quantity of Food

By Joe Southern

Standard-Radio Post Managing Editor

The saying “you are what you eat” has never been truer.

The same goes for “variety is the spice of life.”

Kim Thornton, a registered dietician and certified diabetes educator at Hill Country Memorial Wellness Center, said most people do not understand how what they eat impacts their bodies.

“One of the first things you learn in dietician school is variety … you need different kinds of food on your plate,” she said.

To better understand healthy eating, it helps to define a key word that is often misunderstood in American culture — diet.

Thornton explained that diet is what one normally eats versus the notion that a diet is a program designed for weight loss, especially fad diets.

She said the secret to healthy eating is to control what kinds and how much food a person eats.

“You can’t get all the nutrition you need if you don’t have different kinds of food on the plate,” she said.

What to eat

What not to eat

“At least half the plate should be vegetable,” Thornton said. “And a quarter of the plate should be some kind of starch or fruit.”

In addition to white flour, Thornton said people should avoid processed sugar and anything that has been deep fried.

The remaining fourth should be a meat or protein. She said following that simple guideline is a start, but it must be followed by variety, such as eating different fruits and vegetables, alternating protein types, and considering healthier options for starches.

“Avoid anything that has been dunked down in fat and cooked,” she said.

“Acorn squash is a much more nutritious starch versus pasta or rice,” she said.

Instead of eating anything made with white flour, she suggests alternatives such as beans.

“They’re a lot healthier and they’re a very nutritious starch food,” she said.

She said eating whole grains is important to get the full nutritional value. Whole wheat, for example, is better for the body than white flour, which is basically the wheat starch with the nutritious portion stripped away.

That includes French fries, tater tots, chicken, fish, etc.

“The heat begins to break down the fat and it becomes toxic and inflammatory to your body,” she said.

She said one of the worst offenders is a donut because it is deep-fried and smothered in processed sugar.

Thornton said people should look at the ingredients list on the packaging of foods they buy. They should look for recognizable foods as ingredients and stay away from things that are largely chemicals and/or preservatives.

How much to eat Thornton said that even people who consume a healthy diet often overlook the amount of food they eat. She said controlling portions

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is critical. She suggests that if a person is in doubt how much they should eat at a meal, they should cup their hands together. The food that fits into that space is plenty.

She noted that people often struggle to understand what a serving is.

“One large banana is two servings. One large orange is two servings. Eight grapes are one serving, even though we like to eat 20,” she said.

Organics Not all healthy foods are equal.

Thornton said whenever possible, people should consider organics.

“We do have an issue in the food supply with pesticide residue on our food,” she said.

She said some foods, such as bananas that have thick skins that are not eaten, are less of a concern than foods like peaches, where the skin is eaten.

“Peaches can have a lot of pesticide residue so you need to wash them well,” she said.

Thornton said it’s important to be aware of chemically treated foods.

“If they knew what was happening in their body, they would more likely not eat it,” she said.

She said there is an advocacy group online that produces an

Kim Thornton, a registered dietician and certified diabetes educator at Hill Country Memorial’s Wellness Center, said people need to be aware of what they are eating and how much they eat. — Standard-Radio Post/Joe Southern

updated “dirty dozen” list of foods tested that have high levels of chemical residue on them. A simple Google search will find them.

Avoid fad diets Thornton said one of the worst things people can do is go on “a diet” rather than control their diet.

She said diets, as most people know them, are temporary and often the rebound once leaving the diet is worse than before the dieter started.

“Diets like keto or Atkins … don’t provide all the nutrition the body needs and they’re very hard to sustain,” she said.

She called them “short-term drastic measures” that will result in weight loss, but most certainly significant weight gain when the person resumes normal eating.

That’s why she recommends controlling weight with a permanent, healthy diet rather than a fad diet. Additionally, fad diets tend to reduce or eliminate food groups the body depends on.

“You need to meet the nutritional needs of the body,” she said.

Online: www.hillcountrymemorial.org/ services/wellness-center www.myplate.gov

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

Anesthesiology John D. Westfall, MD 830-997-4353 1020 Texas 16 South Fredericksburg, TX 78624 Michael F. Jones, MD 830-997-9507 703 S. Adams St. 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 104 Max Starke Dam Road, Ste. 100, Marble Falls, TX Matthew Jepson, DO 830-990-9994 830-997-4353 205 W. Windcrest St., Ste. 230 Fredericksburg, TX 78624 Michael B. Melucci, MD 830-997-0296 205 W. Windcrest St., Ste. 250 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 Fredericksburg, TX 78624

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

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Child and Adolescent Psychiatry 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

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

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

Foot and Ankle Surgery Bryce Karulak, DPM, FACFAS, FACFAOM 830-990-1404 205 W. Windcrest St., Ste. 130 Fredericksburg, TX 78624,

Gastroenterology Christopher A. Fincke, MD 830-990-1404 205 W. Windcrest St., Ste. 130 Fredericksburg, TX 78624 Kelly Seals, ACNP-BC 830-990-1404 205 W. Windcrest St., Ste. 130 Fredericksburg, TX 78624

General Surgery

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

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

John P. Ramsay, MD 830-997-0330 514 W. Windcrest St. Fredericksburg, TX 78624

Thomas Bening, MD, FACS 830-693-7248 2511 US Highway 281, Suite 800 Marble Falls, TX 78654

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

Lance Love, MD 830-997-6000 820 Reuben St., Ste. A Fredericksburg, TX 78624

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Thrive Jay S. Stauffer, MD 830-997-8833 1009 S. Milam St., Ste. 4 Fredericksburg, TX 78624 216 East College Ave. Mason, TX 76856

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

Gynecology

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

Michael G. Campbell 830-997-3038 816 Reuben St. Fredericksburg, TX 78624

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

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

Integrative and Holistic Medicine

2008 Nine Road Brady, TX 76825

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

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

Neurology Leigh Anne Bains, MD 830-997-3283 205 W. Windcrest St., Ste. 340 Fredericksburg, TX 78624

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 Michael G. Campbell 830-997-3038 816 Reuben St., Ste. C Fredericksburg, TX 78624 Jennifer Woerner Dulaney, MD 830-997-3132 816 Reuben St. Fredericksburg, TX 78624

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Obstetrics 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 Jennifer Woerner Dulaney, MD 830-997-3132 816 Reuben St. 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 Kristi A. Stafford, MD 830-997-0330 514 W. Windcrest St. Fredericksburg, TX 78624

Oculofacial and Reconstructive Surgery Emily M. Bratton, MD 512-458-2141 755 S. Washington St. Fredericksburg, TX 78624 3705 Medical Parkway, Ste. 120 Austin, TX 78705 Brett Davies, MD 512-458-2141 755 S. Washington St. Fredericksburg, TX 78624 3705 Medical Parkway, Ste. 120 Austin, TX 78705

Aliza E. Epstein, MD 512-458-2141 755 S. Washington St. Fredericksburg, TX 78624 3705 Medical Parkway, Ste. 120 Austin, TX 78705 David Gay, MD 512-462-5050 1102 N. Llano St. Fredericksburg, TX 78624 512-462-5050 4316 James Casey St., Bldg. F, Ste. 201 Austin, TX 78745 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

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Thrive Marie B. Somogyi, MD 512-458-2141 751 S. Washington St. Fredericksburg, TX 78624

Marie B. Somogyi, MD 512-458-2141 755 S. Washington St. Fredericksburg, TX 78624

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

3705 Medical Parkway, Ste. 120 Austin, TX 78705

3705 Medical Parkway, Ste. 120 Austin, TX 78705

Otolaryngology

Oncology

Oral Surgery

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

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

Ophthalmology

Orthopedics

Emily M. Bratton, MD 512-458-2141 755 S. Washington St. Fredericksburg, TX 78624 3705 Medical Parkway, Ste. 120 Austin, TX 78705 Charles D. Cohn, MD 830-997-6535 751 S. Washington St. Fredericksburg, TX 78624 David Gay, MD 512-462-5050 1102 N. Llano St. Fredericksburg, TX 78624 Sean Paul, MD 512-462-5050 1102 N. Llano St. Fredericksburg, TX 78624 Anne C. Pluenneke, MD 830-997-6535 751 S. Washington St. Fredericksburg, TX 78624

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 Christopher S. Hall, MD 830-693-7248 2511 US Highway 281, Suite 800 Marble Falls, TX 78654 Paul Phillips III, MD 830-990-0991 1305 N. Milam St. Fredericksburg, TX 78624 608 Gateway Central, Ste. 101 Marble Falls, TX 78654

Tracy A. Byerly II, MD 830-997-4000 205 W. Windcrest St., Ste. 210 Fredericksburg, TX 78624 500 Thompson Drive Kerrville, TX 78028 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 Jacob Kaleb Shaw, MD 830-220-5007 1005 Falls Parkway, Ste. 105 Marble Falls, TX 78654

Palliative Care Pamela D. Cantu, MD 830-997-2191 205 W. Windcrest St., Ste. 310 Fredericksburg, TX 78624 Yvonne K. Haug, MD 830-997-7626 1305 N. Milam St. Fredericksburg, TX 78624

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Pediatrics Andrea C. Bray, MD 830-992-3725 1426 E. Main St. Ste 300-400 Fredericksburg, TX, 78624 325-347-5926 216 East College Ave. Mason, TX 76856 Rick M. Dulaney, MD 830-997-3132 816 Reuben St. Fredericksburg, TX 78624 Felice Howard, MD 830-997-2191 205 W. Windcrest St., Ste. 310 Fredericksburg, TX 78624 Nancy K. Thompson 830-997-2191 205 W. Windcrest St., Ste. 310 Fredericksburg, TX 78624

Plastic Surgery

Leslie T. Rowe, DPM 830-693-8144 623 S. Washington St. Fredericksburg, TX 78624 1001 Marble Heights Dr. Marble Falls, TX 78654 E. Quinton Solomon, MD 830-693-8144 623 S. Washington St. Fredericksburg, TX 78624 1001 Marble Heights Dr. Marble Falls, TX 78654

Primary Care-Family Medicine Erika Benfield, RN, MSN, FNP 830-997-0330 514 W. Windcrest St. Fredericksburg, TX 78624 David D. Cantu, MD 830-997-7626 1305 N. Milam St. Fredericksburg, TX 78624

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

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

Podiatry

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

Bryce Karulak, DPM, FACFAS, FACFAOM 830-990-1404 205 W. Windcrest St., Ste. 130 Fredericksburg, TX 78624 830-997-1265 1009 S. Milam St., Ste. 1 Fredericksburg, TX 78624 1430 S. Main St., Ste. 111 Boerne, TX 78006 500 Thompson Drive Kerrville, TX 78028

Rebecca W. Daley, DO 830-992-7149 1308 Texas 16 South Fredericksburg, TX 78624 Mark D. Eden, MD 830-997-9497 820 Reuben St., Ste. B Fredericksburg, TX 78624

Maggie Gainer, MD 830-997-2181 1308 Texas 16 South Fredericksburg, TX 78624 Bertha Gaytan, MD 830-428-2345 1430 S. Main. St., Ste. 111 Boerne, TX 78006 Yvonne K. Haug, MD 830-997-7626 1305 N. Milam St. 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 Jeffery R. Holt, MD 830-997-2181 1308 Texas 16 South Fredericksburg, TX 78624 Jovawna D. Hubbard, FNP-C 830-868-7800 405 U.S. 281 South, Ste. 101C Johnson City, TX 78636 Shannon Klump, DO 830-997-7626 1305 N. Milam St. Fredericksburg, TX 78624 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

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Thrive 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 Rebecca S. Turbeville, MD 830-990-1404 205 W. Windcrest St., Ste. 130 Fredericksburg, TX 78624 John D. Weaver, MD 825 4th Street Blanco, TX 78606

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

Philip J. Maple, MD 830-997-2181 1308 Texas 16 South Fredericksburg, TX 78624 Jennifer K. Mayben, MD 830-997-2181 1308 Texas 16 South Fredericksburg, TX 78624 Nancy K. Thompson, MD 830-997-2191 205 W. Windcrest St., Ste. 310 Fredericksburg, TX 78624 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

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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

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

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

Radiation Oncology 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

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

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Thrive Sports Medicine

Uninsured/Community Health

Clint R. Beicker, 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

1430 S. Main. St., Ste. 111, Boerne, TX 78006 Richard Edeen, MD 830-997-4043 204 W. Windcrest St. Fredericksburg, TX 78624 Christopher S. Hall, MD 830-693-7248 2511 US Highway 281, Suite 800 Marble Falls, TX 78654 P. Charles Romanick, MD 830-997-4043 204 W. Windcrest St. Fredericksburg, TX 78624

Urology

Michael Jones, MD 830-997-9507 703 S. Adams St. Fredericksburg, TX 78624 Michael C. Speck, MD 830-304-1666 1892 U.S. 290 West Fredericksburg, TX 78624

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

Joseph F. Vinas, MD, FACS 830-990-1404 506 W. Windcrest St. Fredericksburg, TX 78624 500 Thompson Drive Kerrville, TX 78028

Wound Healing Claudia Ubinas Frias, MD 830-997-4353 1020 Texas 16 South Fredericksburg, TX 78624 Bryce Karulak, DPM, FACFAS, FACFAOM 830-990-1404 205 W. Windcrest St., Ste. 130 Fredericksburg, TX 78624 830-997-1265 1009 S. Milam St., Ste. 1 Fredericksburg, TX 78624 1430 S. Main. St., Ste. 111 Boerne, TX 78006

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