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July 2012

Health & Fitness A SPECIAL SUPPLEMENT TO

San Marcos Daily

Record

www.sanmarcosrecord.com Go Online to view this section!

AnyLabTestNow Austin ENT B&J Pharmacy Comfort Connections CommuniCare Health Center Corridor Medical Clinic CTMC Hospice CTMC Hospital Deer Creek of Wimberley Dentures & Dental Services Dermatology Laser Center & Spa Finesse Surgical Solutions H•E•B Hays Nursing & Rehab Center Health Training Services Ideal Weight Coach Anna Manning

J&R Gymnastics Live Oak Lone Star Oral & Maxillofacial Surgery Mariposa Apartment Homes MedPark Hearing Physical Therapy and Rehab Concepts Prescription Fitness Resolute Health Care Regent Care Center San Marcos Family Medicine Texan Nursing & Rehab Thorpe Lane Pharmacy Vitalogy Skin Care Wonder World Center for Cancer Care


MARIPOSA APARTMENT HOMES

Page 4 - HEALTH, FITNESS AND BEAUTY, San Marcos, TX., Sunday, July 22, 2012

A quality 55+ lifestyle: Where friends and lifestyle make the difference

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elcome to our family at Mariposa Apartment Homes at Hunter Road where friends and lifestyle make the difference. It is your active adult lifestyle which helps create the Mariposa way of life. A life that focuses on the very spirit of our foundation...our residents. And, one of the best secrets about living here is the affordability. You just have to see the rest. Mariposa Apartment Homes at Hunter Road is conveniently located to the Central Texas Medical Center, numerous restaurants, the San Marcos outlet malls, Target, JC Penny's and so much more. Residents are afforded interesting opportunities for continued personal growth and enjoyment of life in a

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home-like setting. Reserve one of three charming floor plans today that fits your 55+ lifestyle. At Mariposa Apartment Homes at Hunter Road you’ll see what we mean when we say "We have a new lease on an active adult lifestyle." Mariposa Apartment Homes at Hunter Road features five “Spanish Mission Style” buildings surrounding a central courtyard, set amidst lush landscaping. The grounds include a natural pond, community resident gardening, walking trails, picnic areas, park benches and pool. Residents are afforded interesting opportunities for continued personal growth and enjoyment of life in a home-like setting. Mariposa Apartment Homes at Hunter Road offers stateof-the-art facilities, a full-time

activity director, and a unique paring of onsite individual and social outlets. Transportation, provided by CARTS, is also available on a scheduled basis M-F picking residents up at the main entry of our community. Mariposa Apartment Homes at Hunter Road is simply not just a living space. It is a comfortable lifestyle with spectacular facilities, community events and a unique paring of onsite individual and social activities. • Fully appointed clubhouse • Resort style swimming pool • Movie theatre • Spacious activity room with dance floor and kitchen • Formal community living with fireplace • Business and computer

center • Full library and study • Coffee bar area • Card room with billiards • Fitness studio • Beauty and barber salon Come build a foundation for new friendships and community with friends just like you who are looking for comfortable, maintenance-free living. • Choice of three distinctive one and two bedroom floor plans • Full kitchen appliance package • Generous porches and/or balconies • Decorative lighted ceiling fans in living area and bedrooms • Color coordinated interior decorating • Spacious nine-foot ceilings

• Coat closets, generous pantry and linen storage • Walk-in showers and garden tubs available in most units • Full-size washer/dryer connections • Oversized walk-in closets • High speed Internet access and cable TV available How can a lifestyle like this be affordable? The financing for Mariposa Apartment Homes and other similar affordable communities around the country is structured through a unique Federal program. Through special allocation of tax credits through various state partners and nonprofit corporations, as well as commercial lending participants, the financing of these communities is facilitated by inducing bonds.

Putting your best face forward

Dermatology Laser Center and Spa can make you feel like a new person

he face is the most frequent place for skin cancer to appear. A more common type of skin cancer is basal cell carcinoma. If you are unfortunate to get it the good news is that it is typically the slowest growing and easiest to treat in the comfort of the physician's office. Other skin cancers are squamous cell carcinoma and malignant melanoma. Each are progressively more invasive so the key is to catch them early. Treating melanoma early can save your life. So if a new mole appears, changes, or a new sore won't heal, tell your dermatologist about it. Be sure and wear a sunscreen of SPF30 or higher. This will also help protect your skin from skin cancer and aging prematurely. As you age, the first place to show it is your face. Skin loses elasticity over time and sun damage wreaks havoc on the collagen in your skin. This causes your skin to

look older and not have the tone and texture you had when you were younger. Luckily, Dermatology Laser Center and Spa is located right across from Central Texas Medical Center on Wonder World Drive. Dr. Ana Rodriguez has been practicing medicine since 1978. She opened her office in San Marcos in 1987, and has been serving the community ever since. Wrinkles, skin discoloration, sun spots and skin laxity can be reduced or eliminated with the CO2 Fractional Laser Resurfacing with Smartxide DOT procedure in office with minimal downtime. This procedure immediately tightens skin and stimulates new collagen growth. Another procedure to combat sun damage is microdermabrasion. A procedure with minimal downtime that involves using a mild abrasive to remove the outer damaged layer of skin. Hydrafacial is the latest thing that ex-

foliates as well as hydrates the skin to keep it healthy. For cases where the lines and wrinkles are deeper and more stubborn, Dermatology Laser Center and Spa offers the MicroLaser Peel. The MicroLaser Peel provides an immediate and noticeable change in skins texture and tightness as compared to microdermabrasion, with real improvement in just a few days. This is not as deep as the resurfacing but still much deeper than a microdermabrasion. It is important to remember to always wear SPF if you are out in the sun as a good preventative measure, but when the damage is already done, there are options. To learn more about these procedures or to schedule an appointment, please call Dermatology Laser Center and Spa at 392-1411.

About Dr. Rodriguez Dr. Ana Rodriguez received her Doctor of Medicine degree from the Uni-

versity of California at Irvine in 1978. After earning her medical degree, she was commissioned by the United States Air Force and served her first tour of duty in Italy as a general medical officer. She was then accepted to the Wilford Hall Medical Center in Texas for a residency in dermatology. During her service of eight years in the Air Force as a flight surgeon and dermatologist, Dr. Rodriguez pioneered military usage of lasers in dermatology. After transferring to the Air Force Reserve, she returned to Texas. In 1987, she began her dermatology practice in San Marcos. Dr. Rodriguez is board-certified in dermatology, a fellow of the American Academy of Dermatology, a fellow of the American Society of Dermatologic Surgery, and a member of the American Society for Laser Medicine and Surgery. In addition, she has conducted Dermatologic Laser Surgery procedures since 1985 and holds numerous credentials in laser surgery.


BATH SALTS: A new and dangerous designer drug

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ath salts are a relatively new designer drug. They are also called Ivory Wave, Purple Wave, Vanilla Sky and Bliss. The effects of these compounds mimic amphetamines and cocaine, but on a much greater scale, James W. Schlotter, M.D., of Finesse Surgical Solutions, said Based on the effects that users experience, these compounds are acutely more toxic than the amphetamine and cocaine class drugs that they were designed to emulate. They also cause more issues for law enforcement in dealing with users who may have extreme paranoia and be very aggressive and dangerous to control. People on bath salts experience agitation, paranoia, hallucinations, chest pain and suicidality. A second concern is the ongoing suicidality in these patients, even after the stimulatory effects of the drugs have worn off. The DEA made the three compounds commonly used to make bath salts illegal by issuing an emergency ban last year in October. Drug design continues to evolve based on DEA regulations of the chemicals used to

AnyLabTestNow offers rapid drug screenings for parents and employers.

make the illegal product, as well as our ability to detect those compounds in a drug test. Since current drug tests are very specific (marijuana, cocaine, etc...), it makes the new drug harder to detect. AnyLabTestNow offers many rapid drug screenings for employers and parents. ALTN also offers many other types of drug testing (hair, nails, blood and saliva). AnyLabTestNow offers an expanded designer stimulant panel. It includes 21 synthetic stimulants and the seven drugs currently used in making bath salts, as well as ecstasy and its metabolites and other designer drugs. Any Lab Test Now is open Monday – Friday 7:30 a.m. - 6 p.m. and staff members are available for questions by phone (512) 754LABS.

Hearing, vision test may help with ʻbad behaviorʼ

HEALTH, FITNESS AND BEAUTY, San Marcos, TX., Sunday, July 22, 2012 - Page 5

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or some children a health problem could be to blame for acting up in class or even a drop in grades. Doctors at Baylor College of Medicine say what might look like a behavioral issue, could be a sign of hearing loss or even a vision problem. If a child cannot hear or see properly they cannot pay attention in class, Dr. James H. Bray said. “Children may not be cognitively mature enough to make the connection that they have a problem hearing or seeing, or they may even feel embarrassed to say they have a problem and a natural reaction is to withdraw,” he said. Bray said the child may not even realize there is an issue. They may think they

can hear what the teacher is saying but actually are getting the information wrong, so it looks like they aren’t paying attention or are being defiant. In some cases parents may think their child is showing the first signs of a learning disability, which is why Bray said it is important to see a doctor for a proper diagnosis. “Before a parent begins to worry, a family medicine doctor or pediatrician can conduct a basic hearing and vision test that can identify whether a hearing or vision specialist is needed, or if another problem is to blame,” Bray said. “They can keep an eye on these issues by making hearing and vision tests a part of their families annual check ups.”


Page 6 - HEALTH, FITNESS AND BEAUTY, San Marcos, TX., Sunday, July 22, 2012

Central Texas Medical Center CEO/President Sam Huenergardt (left) shows the new da Vinci® Si™ robotic-assisted surgery suite. It is the first to be used along the IH-35 corridor. Above, country singer Neal McCoy will entertain at CTMC’s “Stars of Texas Gala” on Oct. 7.

Robotic-assisted surgery comes to CTMC

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early 30 successful procedures have already been performed at Central Texas Medical Center since becoming the first operating room along the IH-35 corridor between Austin and San Antonio to implement a da Vinci® Si™ robotic-assisted surgery suite. The first da Vinci surgical procedure was a gynecological operation performed by Dr. Terry Irwin on May 22. Since then, the hospital has expanded da Vinci services to include urologic and general surgical operations. “Today, robotics is the fastest-growing, most advanced surgery type that is

setting an industry standard, and CTMC strives to stay on the leading edge,” CTMC CEO/President Sam Huenergardt said. “We made the investment in da Vinci because we believe our patients will benefit from the advantages of robotic-assisted surgery in Hays County for years to come.” The Fall issue of CTMC’s magazine, Hill Country Health, features an in-depth piece about da Vinci surgery. To subscribe to the publication, visit ctmc.org/news/hillcountryhealthmagazine.aspx. The da Vinci® Si™ advanced level of technology takes surgery beyond the limits of the human hand.

The system has several unique features designed to provide additional clinical benefits and efficiency in the operating room for the physicians who are utilizing the rapidly emerging technology. Many of the advances translate to patient benefits, including smaller incisions that lead to less stress on the body, reduced chances of infection and faster recovery times post surgery. This year, proceeds from CTMC’s upcoming Stars of Texas Gala will benefit and extend CTMC’s $2 million investment in da Vinci robotic surgical services. The gala is the premiere black-tie event in Hays

County and will take place Oct. 7 at the Embassy Suites Hotel, Spa and Conference Center in San Marcos. This year’s happening will honor local entrepreneur, developer and philanthropist Terry P. Gilmore, whose vision 20 years ago to embark on a new fundraiser for CTMC is still successfully supporting service and technology expansions that keep the hospital on the leading edge. In recent years, the Stars of Texas Gala has benefitted CTMC’s expanding cardiac services, a new chest pain center, an expansion of the Women’s Center and a Neonatal Intensive Care Unit (NICU). Country performer Neal

McCoy will provide entertainment at the event. McCoy has sold more than six million albums. The Stars of Texas Gala will once again feature gourmet dining, a truly unique silent auction and an opportunity to mix and mingle with nearly 500 of San Marcos’ finest. Stay up to date with the details of this year’s gala and auction items by visiting www.facebook.com/ctmcstarsoftexasgala. Tickets to the gala cost $200 and may be purchased by calling 753-3687. To become a sponsor or donate an auction item, visit ctmc.org, or email ctmfoundation@ahss.org.


B&J Pharmacy: Helping you on a path to wellness Page 8 - HEALTH, FITNESS AND BEAUTY, San Marcos, TX., Sunday, July 22, 2012

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&J Pharmacy is a wellnessoriented pharmacy that treats you as an individual. We deal with primary prevention and underlying causes instead of just the symptoms, from everyday illness to chronic disease. We offer wellness consultations, natural remedies and nutritional supplements and hormone saliva testing. B&J Pharmacy specializes in compounding for you and your pets. To ensure that you can get on your path to wellness we also offer custom fit therapeutic and diabetic shoes and inserts. We stock diabetic and nebulizer supplies too. Our pharmacy accepts all major insurance companies and we are Medicare and Medicaid DME approved. We are more than just a pharmacy and want to work with you as a whole person to achieve optimal wellness. We want you to live your

Left to right, are Stacy Peteson, Rebecca Cable, Ela Anderson and John Anderson.

best life. Come by and talk with us, we can’t wait to help you on your path to wellness. Wimberley Pharmacy B&J Pharmacy, Inc. – where service makes the difference. Your compounding and wellness specialists. • Wimberley Pharmacy @ (512) 847-2288 • B&J Pharmacy @ (512) 392-3301 • www.hillcountryrx.com

J&R Gymnastics keeps kids fit while having fun

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wonderful goal of every child is to have fun. Getting children into physical activities they enjoy is a key to keeping them involved and provides the foundation for their continued involvement in healthy physical activity. Kids like variety so look for a sport that provides this or possibly multiple sports to fulfill this important element. Gymnastics is a sport that offers a variety of fun challenges. Each apparatus has it own unique activities and skill sets. Women train on vault, uneven bars, balance beam and floor exercise. Men train on vault, high bar, parallel bars, rings, pommel horse and floor exercise. Most gymnastics clubs also utilize trampolines. The benefits of gymnastics training are broad. In vault, running skills are developed along with hand eye coordination. Skills at bars

develop hand and upper body strength. Balance beam and pommel horse enhance core strength while also improving balance in a variety of dynamic planes. Floor exercise with all the rolls, handstands, cartwheels and other fun skills aids in multiple areas of motor skill development. Trampoline provides an opportunity to enhance overall space awareness. Students may begin gymnastics at any age with the youngest students starting structured classes at 18 months. The majority of gymnastics clubs group students based on age and ability to provide an appropriate peer group. James Jeffers along with his wife Robin have owned and operated J&R gymnastics for more than 21 years. With operations in San Marcos, New Braunfels and Seguin they provide instruction to more than 1,200 students every week.


PTRC: Quality therapy for 25 years

HEALTH, FITNESS AND BEAUTY, San Marcos, TX., Sunday, July 22, 2012 - Page 9

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hysical Therapy and Rehab Concepts has been in business for 25 years serving San Marcos are area residents with a wide array of services in a large 5,000 square foot facility. Owners Melesa Yager, Duane Wieding, Vikki Hill and Kirk Painter are all physical therapists and have 16 other employees in various capacities assisting them in meeting client needs. “We treat many injuries and aide in recovery of many diseases and post surgical care,” Painter said. “Our goal is to remain a premiere therapy provider for Hays County.” PTRC offers many specialties including aquatic therapy, arthritis, back and neck pain, knee problems, inner ear and balance problems, neuropathies of the lower extremities, stabilization exercises for the spine, stroke and wound care among others. McKenzie treatment by a certified therapist in the areas of spinal derangements (discs), spinal dysfunctions (tissues) and postural dysfunctions (posture) are also avail-

PTRC offers many specialties including aquatic therapy, arthritis, back and neck pain, knee problems, inner ear and balance problems, neuropathies of the lower extremities, stabilization exercises for the spine, stroke and wound care among others.

able. In the area of before and after surgical procedures, PTRC works with patients having total knee replacement, ACL reconstruction, meniscus tears and repairs, ankle, rotator cuff repair and shoulder surgeries, total hip re-

placement, spinal fusion and laminectomy and carpal tunnel release. PTRC also works with industrial and corporate clients offering on-site Ergonomic evaluations, on-site exercise instruction, work conditioning, functional capacity evaluations, and

various drug testing panels and tests. Offering long hours to meet client needs, PTRC is open from 8 a.m. - 7 p.m. on Monday, Wednesday and Friday, and from 8 a.m. - 6 p.m. on Tuesday and Thursday. Located at 915 Hwy. 80 (next to Hastings), the toll free number is 800511-3080 or direct at 512-353-4575. More information is also available on the website, www.ptrc-tx.com.


CommuniCare: Quality, affordable care right here Page 10 - HEALTH, FITNESS AND BEAUTY, San Marcos, TX., Sunday, July 22, 2012

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ommuniCare Health Centers (CCHC) has been serving Bexar County since 1972, and Hays County since 2009. With now five service locations including San Marcos and Kyle, CommuniCare’s mission is to provide comprehensive, affordable, quality health care while responding to the changing needs of the community and respecting the dignity, values and culture of the individual. CommuniCare Health Centers has state of-the-art medical, dental and behavioral health facilities that enable CommuniCare to provide critically needed health services to children, individuals, and families in the Hays County and south Austin area. CCHC provides integrated healthcare services to enhance the coordination of care, while simultaneously increasing prevention, early detection, and continuity of care in the community. CommuniCare accepts most private

CommuniCare Health Centers has state of-the-art medical, dental and behavioral facilities that enable CommuniCare to provide critically needed health services to children, individuals, and families.

insurances, Medicaid/CHIP, Medicare, and offers adjustable fees to self-pay patients using a sliding fee scale based on the patient’s family size and income. In addition, CCHC offers a college student program which charges students a flat fee of $50 for their medical or behavioral health office visits, routine lab work, and some vaccinations with a valid student I.D. For information about CommuniCare Health Centers, or to make an appointment at one of our locations, visit www.communicaretx.org.

Donʼt fry! Childhood sunburns dangerous

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ummer — and all that outdoor summertime fun — is here. And with some simple measures, you can protect yourself and your family from the dangerous rays of the sun. The most deadly form of skin cancer is melanoma, and from 1985 to 2008, the number of new cases has been increasing by an average of 2.6 percent worldwide each year. In 2012, it is estimated that more than 76,000 new melanoma cases and 9,180 deaths will occur in the United States. So the National Council on Skin Cancer Prevention has designated the Friday before Memorial Day as “Don’t Fry Day” to raise awareness of skin cancer prevention. The council encourages everyone — children and adults — to protect their skin as they head outdoors this summer. Melanoma is rare in children and adolescents — less than 1 percent of total cases. However, this age group has seen an alarming increase in new cases, with the rate doubling in the last 20 years. There are 300 to 420 new diagnoses of melanoma in children under 18 in the United States each year, and frequent childhood sunburns can lead to skin cancer as an adult. Long-term sun exposure is the main risk factor for the development of melanoma in both children and adults. No one’s skin is immune to the deadly effects of the sun’s ultraviolet rays. However, children with light skin, hair and eyes and numerous moles are at the highest risk. But at least half of all melanomas in children develop with no identifiable predisposing risk factors. It is important to recognize the early signs of melanoma before the disease progresses. Parents should pay attention to changes in their child’s skin. Moles or pigmented spots should be checked monthly for the classic “ABCDE” danger signs: • Asymmetry — one side does not look like the other side • Border — an irregular, scalloped or poorly defined border • Color — color variation from one area to another, shades of tan, brown or black, but in children,

may also be white, red or blue • Diameter — usually greater than pea-sized but may be smaller in children • Evolving — any skin lesion that is changing in shape, size or color Other important warning signs include the appearance of a new bump or nodule, or a colored mole spreading into surrounding skin. Other signs include redness or swelling beyond the mole, pain, tenderness, itching, bleeding or a scaly appearance. To prevent melanoma, avoid frying in the sun. The American Academy of Pediatrics and the American Melanoma Foundation offer several important sun safety guidelines: • Keep infants younger than 6 months out of direct sunlight. • For children older than 6 months, apply a minimum of SPF 30 sunscreen 15-30 minutes before exposure and re-apply every 2 hours. • Limit sun exposure during the hours of highest UV index, typically 10 a.m.to 4 p.m. • Wear a hat with a brim and sunglasses with at least 99 percent UV protection. • Remember that sunburns happen even on cloudy days and UV reflection from sand, water, cement and snow doubles the amount of UV exposure. The best way to teach sun safety to children is to practice it yourself. Set good sun safety examples for your children. The National Council on Skin Cancer Prevention recommends “Slip! Slop! Slap! and Wrap” — slip on a shirt, slop on sunscreen of SPF 30 or higher, slap on a hat, and wrap on sunglasses. Parents should evaluate their child’s skin monthly and alert their pediatrician to any suspicious skin lesions. The best approach to early recognition of skin cancer is to know your child’s skin. The best approach to early prevention is to protect your child’s skin from the sun. So, protect your family and enjoy your summer. Dr. Austin is a scholar in the Comparative Effectiveness Research on Cancer in Texas (CERCIT) consortium.


Wellness efforts paying off for CTMC employees

HEALTH, FITNESS AND BEAUTY, San Marcos, TX., Sunday, July 22, 2012 - Page 11

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n ocean away from London, employees of Central Texas Medical Center (CTMC) began taking part in their own summer Olympics on July 15. Grouped in teams of six, participants are keeping track of the number of miles they walk, run, bike and swim through Aug. 25. Other types of exercise can also be converted into miles through an online activity calculator that converts various types of physical exercise into miles. At the end of the competition, gold, silver and bronze medals will be presented to the top three teams, and the top individuals who complete the most miles will be in the running for one of four $50 Academy gift cards. The initiative is part of CTMC’s ongoing effort to improve the overall wellness of

its workforce. The CTMC Healthy 100 program was launched last November. The program is designed to encourage employees to make healthy lifestyle choices that will keep them living well for 100 years. Each quarter, employees at CTMC have the opportunity to attend presentations, obtain free monthly glucose screenings and participate in various activities intended to encourage a healthier way of life. At the end of the quarter, points earned convert to dollars. The Healthy 100 concept is based on a faith-based lifestyle and wellness program called Creation Health that is unique to Adventist Health System, CTMC’s parent. A set of eight core principles help guide followers of the program to lead a healthier lifestyle that, in some parts of the world, have been shown to help humans reach the age of

A set of eight core principles in Creation Health help guide followers of the program to lead a healthier lifestyle that, in some parts of the world, have been shown to help humans reach the age of a healthy 100 and beyond.

a healthy 100 and beyond. The principles outlined in Creation Health can be viewed at www.creationhealth.com. “Our goal with CTMC’s Healthy 100 program is to help employees head off potentially serious medical conditions and help them finally end habits they already know

are unhealthy,” CTMC CEO/President Sam Huenergardt said. “The program is based on principles that have been studied worldwide to help people achieve their best health.” The Healthy 100 employee wellness program also provides employees with resources to help keep them on track throughout their journey to better health. A variety of tools are available on CTMC’s employee wellness website, ctmchealthy100.com, including digital coaching and a health risk assessment. Pam Foster, RN, MSN, FCN took one of CTMC’s health risk assessments in February and, based on the results, decided to make some changes. “I love that CTMC is really committed to providing opportunities for employees to develop healthier lifestyles,” Foster said. “I turned 50 this year so in January I decided I

want 50 more years out of this body, and I needed to make some changes in my lifestyle to achieve that goal.” Foster, who has lost 37 pounds, organized a Zumba class for employees at the hospital to attend three times a week. In addition to focusing on its own employees’ wellness, CTMC is expanding the Healthy 100 concept to the community by making upgrades to the walking trail that wraps around the hospital’s main campus and through ongoing outreach with a number of area businesses and manufactures that helps bring screenings and education to their employees at the worksite. For information about CTMC’s other wellness and health education programming, visit ctmc.org or call the CTMC Institute for Healthy Living at 753-3818.


MedPark Hearing Center listens to help you improve your hearing Page 12 - HEALTH, FITNESS AND BEAUTY, San Marcos, TX., Sunday, July 22, 2012

Medpark Hearing Center focuses on taking care of your entire ear and hearing needs. They offer earwax removal, middle ear infection treatment and full audiological evaluations to both children and adults. Medpark Hearing Center is physician owned and endorses seven different hearing aid brands, since each has its own special features. Both of these factors help keep the cost to the patient down, and put the patient first and foremost. Another convenience for the patient is that Medpark Hearing Center Service all makes and models of hearing instruments. Anthony Atencio, Hearing Instrument Specialist (H.I.S.), takes his clients’ needs to heart, recommending only what they need, and none of what they don't. Anthony listens to each clients problems and concerns, and recommends the hearing instrument that will best fit their lifestyle and budget, instead of recommend a cookie-

Pictured above, left to right, are Dr. Edward Tomaneng, Anthony Atencio, Connie Tomaneng, Beatriz Paiz, Nancy Walker and Dolores Gutierrez.

cutter hearing aid. Each patient at Medpark Hearing Center is treated like family. If you think you might have hearing loss, give Anthony a call to set up your free hearing evaluation at 393-8899.

Anna Manning: Coaching helps clients turn dreams into reality

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oes a lack of confidence keep you stuck? Does the word "diet" make you cringe? Anna Manning, owner of Ideal Weight Coaching and Ideal Life Coaching, understands how failed diets have all but destroyed many people's dreams of ever achieving their ideal weight and their ideal life. Through her proven coaching techniques, she helps her clients turn dreams into reality – permanently. "I don't use the concepts behind dieting or weight loss programs to help my clients achieve their ideal weight. Excess weight is a symptom, never the problem. I focus on finding and eliminating the problem. I work on rooting out the offending and sabotaging beliefs that created the weight or confidence issue, and then I help my clients create new beliefs that practically melts the excess weight off, but it is NOT an overnight process." Coaching is not therapy, which deals with the past. Coaching works

with the present and creates strategies for ensuring a better future. Her coaching keeps her clients focused on the present. "You can't change the past; you can only change the future, and that's what my clients do they change their future, one step, one day, and one pound at a time." Since Anna coaches over the phone, as well as in person, she has clients all over the United States. All coaching is based on the needs of the client, and she works with their schedules whenever possible. Anna has an MBA and an MS from UT Dallas, and she is a graduate of Coach University, Corporate Coach University and the Relationship Coaching Institute. Ideal weight coaching is her passion, but she also coaches in other areas, such as relationship issues, career planning, conflict in the workplace, and smoking cessation. For information, see her website www.idealweightcoach.com or www.annamanning.com or call her at 830-837-5940.


Comfort Connection

Page 14 - HEALTH, FITNESS AND BEAUTY, San Marcos, TX., Sunday, July 22, 2012

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Your alternative for aging loved ones designed to meet your needs with home, hospital, nursing home and retirement home care

n our mobile society, family members often live far away and cannot help their loved ones as much as they want to. Even for those who do live nearby, the demands of a family, career, and the need of an aging family member can be overwhelming. No matter what circumstances, Comfort Connection will work with all interested parties-whether one member or an entire family, to develop and coordinate a personalized care plan that ensures the highest quality and most cost-effective programs and services for loved ones. Lawyers, financial planners, or other interested parties may identify specific areas of concern, but do not always have available resources to coordinate multiple services for their elderly and disabled clients which may include extensive ongoing and advanced communication and coordination among family members, physicians and other health care

providers. Comfort Connection knows your goal is to allow your loved one to remain in their community living safely and comfortably in their home. The goal of Comfort Connection is to help your loved one to maintain their health, well being and quality of life so they may, whenever possible do just that. For questions, call 392-4663 for more information. Comfort Connection, a comprehensive Licensed Home Health and Personal Assistance Service is here to help you and you loved ones overcome this challenge. We provide the highest quality of healthcare services in the comfort of the home, while assisting with the goal of safety and independence. Comfort Connect currently provides home health care for portions of Hays, Blanco, Caldwell, Comal, Guadalupe, Travis and Bexar counties. Owned and operated by Gail Zavala, RN.

Comfort Connection offers Health Training Services

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ealth Training Services, LLC was founded in 2008 by Gail Zavala, RN and her husband Alex Zavala. The school provides classes to prepare individuals to become a nurse aide and medication aide. The mission of Health Training Services is to assist individuals who have the desire and heart to achieve basic knowledge and skills to care for individuals requiring assistance with activities of daily living. Health Training Services is committed to providing a quality educational experience and promoting basic care skills and education to individuals who are beginning their career in healthcare or who are continuing to pursue their career. The school is committed to having a working relationship with the communities in Central Texas by promoting a safe and effective environment for learning by which exemplary student performance results in

hiring and retaining skilled staff to work in the community.

Health Training Services is offering flexible classes: • The school offers American Heart Association Heart Saver and Health Care provider CPR/AED classes onsite and offsite CPR classes available •Prepare for the State Nurse Aide Copetency and Evaluation Exam with flexible day, evening and weekend classes. •Nurse Aide and Medication Aide Training • Flexible 0 percent financing options available for classes. The school accepts credit cards, checks and cash. This program is regulated and approved by the Texas Workforce Commission, Career Schools and Colleges, Austin. For information, call Gail Zavala, RN/Program Director at 754-9647.


Wisdom teeth: Good time for removal

HEALTH, FITNESS AND BEAUTY, San Marcos, TX., Sunday, July 22, 2012 - Page 15

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t is hard to believe that summertime is here, with family vacations, picnics in the park and hopefully a little time for some rest and relaxation. This season also provides an ideal opportunity to remove impacted or unerupted teeth while your schoolaged children are home during the summer. And, in fact, the American Association of Oral & Maxillofacial Surgeons considers removal during the teenage years timely. We, at LoneStar Oral & Maxillofacial Surgery, specialize in advanced surgical methods for the mouth, face and jaw. Our mission is to meet every patient’s unique needs and exceed their expectations by providing the highest quality care and personal service in a relaxed, safe and comfortable environment. Wisdom Teeth Third molars, also known as the “wisdom teeth,” are the last teeth to develop. They usually develop as an adolescent and attempt eruption be-

tween the ages of 17 and 22. Most people do not have enough room left in their jaws for the wisdom teeth to erupt, leaving them trapped in the jaw (impacted) to varying degrees. Others (10-20 percent) may have room for them to erupt into position, and while not very functional, they may choose to keep and maintain them. Most wisdom teeth, including erupted ones, will over a lifetime require removal for various reasons. These include pain, infection, decay, compromise or loss of the adjacent second molars, formation of pathology (cysts and tumors) and an adverse effect on the alignment of the remaining dentition. The various positions of unerupted wisdom teeth are the best indicator of their likelihood for causing problems, for example, those partially exposed through the gum tissue will eventually get infected. Completely impacted wisdom teeth are most likely to cause pathology, and erupted wisdom teeth are most likely to get decay. Most people will have four wisdom

teeth, but some have more and some have less. The same person may have wisdom teeth at several different stages of eruption, so that each tooth represents a distinct clinical situation. Your dental professional should assess your specific situation to help make decisions on the need for removal or periodic observation. The decision for wisdom teeth removal is also greatly affected by the age and health of the patient, the presence of symptoms such as pain or infection and the careful consideration of the benefits of treatment against the surgical risks and hardships. If judged that they will predictably cause problems, there should be consideration for their removal in a teenage patient since that will represent the maximum benefits over time, with the least surgical hardships and risk.

Wisdom tooth removal is typically effective in preventing: • Pain and infection, including low grade infections that can represent

general health risk to the heart, kidneys and other organs. • Gum (periodontal) disease in the second molars next to the wisdom teeth, due to difficulty accessing and cleaning the wisdom teeth. • Development of pathology (cysts and tumors) arising from the teeth tissue. • Orthodontic relapse or worsening of teeth crowding and alignment. • Decay and loss of tooth structure in the wisdom teeth and the second molars due to the difficulty in cleaning around the wisdom teeth. When any of these conditions arise, your dentist or healthcare provider may determine that wisdom tooth extraction is necessary and refer you to an oral and maxillofacial surgeon. For more information on wisdom teeth or “third molar” extractions, contact your general dentist. You can also visit our website at www.LoneStarOMS.com for more information on wisdom teeth extractions or any other services provided by LoneStar OMS.


School: Kids with communication disorders can succeed – with help Page 16 - HEALTH, FITNESS AND BEAUTY, San Marcos, TX., Sunday, July 22, 2012

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hildren with language and hearing disorders face many challenges when they enter the classroom. A lack of understanding could lead to poor academic performance and a sense of social isolation. But clinicians at UT Dallas’ Callier Center for Communication Disorders say parents, teachers and other children may minimize difficulties by following these tips: 1. Talk to such children face-toface and on their level. This not only helps them realize you are talking to them, but it also helps you better understand what they’re saying. 2. Slow your rate of speech, providing them with more time to process what you’re saying. 3. Simplify your language. Use shorter, simpler but grammatically correct phrases to help with comprehension. 4. Give only one or two directions at a time. This improves understanding and encourages participation. 5. Use visual information when

possible. Pictures, facial expressions, gestures and simple drawings all aid understanding. 6. Sit such children close to the teacher. This helps them pay attention better and also helps ensure they hear what is said. 7. Give children enough time to respond. After you ask a question or give a direction, wait five to 10 seconds because they sometimes need more time to process information. 8. Provide structure and routine as much as possible. This allows children to visualize and anticipate what is expected during the day. 9. Provide some forewarning before transitions. Physically approach a child and tell him or her that you are about to transition to another activity. 10. Give the child a job. Giving a child responsibilities helps with attention and compliance because all children thrive when they feel needed.

Seniors: Regent Care gives families a choice

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magine being faced with the fact that you must go to a senior care facility. We know that you are scared and concerned with what may lie ahead. Now for a moment imagine this: You have made your choice to go to Regent Care, one of the newest and most beautiful facilities in San Marcos. You are brought to the entrance of the building. There you see a warm patio environment with lots of room to converse with friends and family. You follow the red carpet through the door where you are greeted by warm smiles of the admissions staff. After speaking with them you are escorted to your room. There you find a hand written welcome letter along with a mint on your pillow. You begin to think how pleasant of an experience this may actually be. The more time you spend at Regent Care the more you find that there is always something to do.

Regent Care customizes itself for each resident, and our staff is dedicated to making you as comfortable and relaxed as possible.

From little things like Valentines king and queen crowning, to Friday happy hour where beer, wine and spirits are served. The ladies especially love our tea time where our antique tea cart is rolled out and hot tea is served to our residents in real china. Or maybe it is the candlelight dinners that you will love the most. Whatever it is, Regent Care dedicates itself to you by customizing itself for each resident, and our staff is dedicated to making you as comfortable and relaxed as possible.


Preschool: Teaching children independent living skills important

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on’t leave young children out of the back-to-school preparations – get a head start on giving them responsibilities that will teach them important skills for the future, says a Texas developmental pediatrician. “Teaching simple independent living skills at a young age can help a child learn how to take care of themselves on their own,” Dr. Adiaha SpinksFranklin, said. “Many parents do not realize that there are simple chores young children are capable of completing.” As the child grows older, he or she can accomplish bigger tasks, ultimately paving the way for a responsible self-sustaining adulthood, she said. Some of the skills parents can help their children learn and at what age include: Age 2 “Generally at age 2, a parent can show their child how to clean up,” Spinks-Franklin said. If a child drops a piece of paper, show them how to pick it up and put it in the trash, she said. When they play, have them put their toys away with adult assistance so that next time, the child can do it themselves. “This is a very simple way to teach the child responsibility,” she said. “From an early age, the child should learn age-appropriate responsibility for action. If you play, you clean up after yourself.”

Age 3 Many parents also do not realize that at age 3, a child can help with laundry, Spinks-Franklin said. “They can help put away laundry and eventually learn how to match socks,” said Spinks-Franklin. “Again, the key word is keeping the chore simple.”

Age 4 At four years, a child is perfectly capable of making a peanut butter and jelly sandwich, pouring their own bowl of cereal and even using the toaster, Spinks-Franklin said. “With adult supervision, these are perfectly appropriate tasks to give your child.”

Also, let them pick out their clothes, she said. “A parent may need to help button or zip clothes and tie shoes but give the child some responsibility in the dressing process.” Other skills they can learn include bathing, brushing their teeth and helping clean up their room. A 4-yearold can even help sort laundry by colors—whites versus darks.

Age 5 At age 5, when the child is approaching elementary school, they can help set the table. “Now this does not mean they can carry around the fine china,” said Spinks-Franklin. “But a parent can show them where the silverware goes on the table, for example, or how to sort the silverware in the drawer.” Importance of teaching both boys and girls Spinks-Franklin emphasized the importance of teaching these skills to both boys and girls versus reserving the household chores for girls. “Remember, these will build responsibility across the board. “If a parent does not start teaching these skills at a young age, and perhaps waits until adolescence, the child may resist,” said SpinksFranklin. “The child should be able to start helping wash and dry dishes at age 8, sweep the floor and clean their rooms by 9, and by middle school iron their clothes and clean the bathroom.” Allowing to problem solve Lastly, it is important for a child to learn how to problem solve, think critically and learn from their own mistakes, said Spinks-Franklin. “This can be taught at an early age as well,” she said. “For example, if you are telling them not to jump on the couch, and they continue to jump anyway and fall, try not to rush to rescue them if they are not seriously hurt. The child will learn that they can fall if they jump from the couch. If later in middle school, the child does not complete their homework assignment and gets a zero on the assignment, do not make excuses for them. Step back and let them learn from the consequences of their actions.

HEALTH, FITNESS AND BEAUTY, San Marcos, TX., Sunday, July 22, 2012 - Page 17


Austin Ear, Nose & Throat Clinic offers pediatric, adult care Page 18 - HEALTH, FITNESS AND BEAUTY, San Marcos, TX., Sunday, July 22, 2012

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he Austin Ear, Nose & Throat Clinic offers professional care to adults and children. It is located at 211 Elmhurst Dr., Suite E, in Kyle, (512) 268-5282.

Thomas Nowlin, MD

Dr. Nowlin is a graduate of the University of Texas Medical School at Galveston and completed his residency in Otolaryngology, Head and Neck Surgery at Tripler Army Medical Center in Honolulu, Hawaii. During this time he served as an officer in the United States Army. He continued his call of duty at Fort Hood, treating thousands of active duty and retired soldiers and their families. Dr. Nowlin served as Adjunct Assistant Professor of Surgery at F. Edward Herbert School of Medicine, Uniformed Services University of the Health Sciences. His memberships include the Texas Medical Association and the Travis County Medical Society. Dr. Nowlin is board certified by the American Board of Otolaryngology/Head and Neck Surgery. Dr. Nowlin’s scope of practice includes ear disorders, allergy, hearing

aids, facial plastic surgery, advanced sinus surgery and cancers of the head and neck. He enjoys treating both adult and pediatric patients. He is available in the South Austin office and the Kyle Office. He strives to stay abreast of the latest technological advances in medicine and works toward developing a trusting relationship with his patients. Dr. Nowlin is a native Texan, avid outdoorsman and hunter. He and his family enjoy exploring all the wonder Texas has to offer.

Amber Bass, Au.D, CCC-A

Dr. Bass finds great satisfaction in assisting her patients with hearing devices that allow them to vastly improve their communication skills. She has obtained experience working with pediatric patients at Arkansas Children’s Hospital, where she held a graduate assistantship. Dr. Bass is certified by the American Speech Language Hearing Association, a Fellow of the American Academy of Audiology and is licensed with the State Board of Hearing Examiners in the state of Texas. Her personal interests include running, traveling and playing the piano.

Heat and lunch box foods

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hen packing a school lunch during the extreme heat, parents need to be concerned not just with nutrition but with food safety as well. Some safe foods in the extreme heat include peanut butter and jelly sandwiches, fresh fruit and veggies – minus the ranch dip – and non-refrigerated milk that is packaged in a juice-box type container. Experts also recommended tuna or chicken “kits.” These come with

mayonnaise in a small packet that must remain unopened until it is mixed in at the lunch table. Health experts have some other advice that will keep lunches safe: • Don’t assume a cold pack is staying frozen until your child eats lunch. Ask your child if it is still frozen when he or she finally sits down for lunch or if it is soft and mushy. If it’s no longer frozen, avoid packing foods that must follow the golden hour rule.

• Freeze juice pouches and other drink containers overnight. They can serve as an extra cold pack and should thaw by lunchtime. • Make sure to buy insulated lunch boxes to provide extra protection from the heat. • Pay attention to where you buy items in the grocery store. For example, if you buy pudding from the cereal aisle, it is safe to eat. But if the pudding was purchased in the dairy section, it must follow the golden hour rule.


Hays Nursing and Rehab puts ʻcareʼ before all else

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ays Nursing and Rehab has been a part of the San Marcos community for over 22 years. Hays was founded by 7 Day Adventist’s and prides itself on making sure all its residents needs are met. Pastors from the 7 Day Adventist church and most denominations make routine visits to Hays Nursing and Rehab, making sure the resident’s religious and spiritual needs are met. “We proudly serve our residence with the utmost care and attention they deserve,” says Marketing Director Rosie Jimenez. “We pride ourselves in our close knit relationships between staff members, our residents’ and their families. We embrace family visits, giving residents freedom and the lifestyle they love and enjoy through interaction and the wide array of activities we offer,” Jimenez said. Activities include big screen TV in the living and dining rooms, Hays’

own bus which allows residents to take shopping trips, go sightseeing and to watch other entertainment events. The facility boast spacious outdoor sitting areas giving residents easy access to enjoy some sunshine when the need arises. “We not only assist with senior care; but are also a full rehabilitation facility. We have a variety of activities that promote healing, mobility and the well being of our residents,” Jimenez said. Hays Nursing and Rehab also has a specialized Golden Oasis (Secure Memory Care) Unit that offers special attention and expertise to those who are suffering from memory loss. “Our philosophy is to create a home like environment, maintain resident’s maximum level of functioning, maintain independence and self esteem, introduce individualized activities and provide emotional comfort,” Jimenez said. Come by 1900 Medical Parkway or call 396-1888 or (830) 491-9236.

HEALTH, FITNESS AND BEAUTY, San Marcos, TX., Sunday, July 22, 2012 - Page 19

HEB offers five screenings at pharmacy

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veryone knows that HEB is the place to go for groceries and prescriptions. But what a lot of people are unaware of are the health screenings HEB offers. We offer screenings to manage your health, time and budget. Stop by any HEB Pharmacy the second Saturday of the month from 9 a.m. to 2 p.m. Our certified screeners offer: Blood Glucose FREE Blood glucose tests are done to check for diabetes or hypoglycemia.

Blood Pressure FREE Many people have high blood pressure for years without knowing

“Know your numbers. Come see us on second Saturdays for screenings,” said Pam Dickens, HEB Pharmacy Manager. it. Uncontrolled high blood pressure can lead to stroke or heart attack. Cholesterol $3.99 If cholesterol levels are high, you probably won't have any signs or symptoms, so a cholesterol test is an important tool. High cholesterol levels are a risk factor for heart disease. Quarterly Diabetes (A1C) $29.99 This test provides you with the "big picture" view of your average blood sugar control over a period of several

months to help you manage your diabetes.

Complete Cholesterol $29.99 (fasting required) A complete, or total, cholesterol test measures all the cholesterols—including the "good" HDL cholesterol—and triglycerides in your blood. We'll also answer questions about medications and compliance. FSA Accounts accepted. Hours: Mon.-Fri. 9 a.m. - 9 p.m., Sat. 9 a.m. - 6 p.m. & Sun. 10 a.m. - 5 p.m.


Coping with cancer; new approach to fighting back Page 20 - HEALTH, FITNESS AND BEAUTY, San Marcos, TX., Sunday, July 22, 2012

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ince being diagnosed with Stage 4 metastatic breast cancer in 2004, Kimberli Herring has devoted her life to health and fitness. She had a plan to help cancer patients during and after treatment by coordinating with doctors and creating a fitness plan that helps prevent muscle wasting, combats depression and gets the patients active. That's where Prescription Fitness came from concept to reality. Kimberli went through the American College of Sports Medicine to get her personal training certification, and is currently pursuing her certification as a Cancer Exercise Trainer (CET). She started Prescription Fitness to help others achieve total wellness through a means of exercise and nutrition under your own doctors supervision.

Kimberli graduated from Southwest Texas State University in 1995 with a Bachelors Degree in Science and has remained active in the community ever since. Kimberli is the treasurer of Angel Drops, a charity devoted to promoting health and fitness for youth in Hays County, and works with the Healthy City Task Force who promotes nutrition and exercise in the Hays County Area. “It's important to realize health isn't chiseled abs or weighing a certain number,� Kimberli said. “Health is about you being active and living your best life starting now. Everything else falls into place once you have the fundamentals down.� To contact Kimberli about creating and implementing a total wellness plan, call her at (512) 970-1358 or send any questions to rxfitnesspt@gmail.com.

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ACSM Certified Personal Trainer CPR/FirstAid/AED Certified

(512) 970-1358 rxfitnesspt@gmail.com rxfitnesspt.com

Fitness Exercise is medicine

Thorpe Lane Pharmacy simplifies staying healthy

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Would you like to ensure that you use your prescription medications safely, and that theyâ&#x20AC;&#x2122;re as effective as possible? How about, having peace of mind knowing your local community pharmacy will have your refill prescriptions ready to be picked up and convenient to your schedule, with little to no wait time? If so, Thorpe Lane Pharmacy has programs available to help you. â&#x20AC;˘ Our customers enjoy the experience of our â&#x20AC;&#x153;Complimentary Refill Reminderâ&#x20AC;&#x153; program. Our pharmacy staff will contact automatically contact you prior to your prescription refill date to ensure no changes have been made, then schedule a convenient time and day for you to pick up your medications. If you have no refills, Thorpe Lane Pharmacy will gladly contact your provider for refills. â&#x20AC;˘ Our â&#x20AC;&#x153;Simplify My Medsâ&#x20AC;? program

will coordinate your regularly scheduled medications to be refilled on approximately the same day each month, to create consistency, minimize trips to the pharmacy, saving you time and money. â&#x20AC;˘ Our â&#x20AC;&#x153;Med Packâ&#x20AC;? program, provides specialized packaging to organize your medications for simple, morning, noon, evening and bed time doses. We take the time to personally pre-pack your prescription medications, providing you an easy visual reminder that you have taken your medication. Prescription medications can help us live better and longer lives however, if not managed properly can also cause problems. Count on Thorpe Lane Pharmacyâ&#x20AC;&#x2122;s dedicated staff to assist you in simplifying the personalized management of your prescription medications, ensuring safety and effectiveness, while saving you time and money.


36 years: Texan Nursing & Rehab provides 24/7 care for its residents

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exan Nursing & Rehab has been proudly serving San Marcos in the same location for 36 years now, and their staff of 70 professionals is one of the longest tenured in the area. Offering rehabilitation and long term care, they are fully staffed with RNs and LVNs as well as a psychia-

trist and psychologist on staff with Dr. Charles Anderson, medical director. “We also have a secure unit for Alzheimer’s patients,” M.J. Shipman, administrator of Texan Nursing & Rehab, said. Located at 1600 IH-35 North, the facility provides 24/7 care.

Food allergies should be managed

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ood packages often come with the caution, “Warning: may contain peanuts,” and for good reason. It’s estimated that more than 1 million Americans suffer from peanut allergies and their reaction if exposed can be life-threatening. Other common food allergies are to cow’s milk, tree nuts, fish and shell fish, egg and even some fruits and veggies. Symptoms of food allergies can

range from mild to severe and can affect various parts of the body, including the digestive system, the respiratory system and the skin. The best tactic is to avoid foods that cause allergies altogether. But in addition, medications such as antihistamines and corticosteroids are available to help manage symptoms. Allergy sufferers should wear a medical bracelet or necklace.

Corridor Primary Care: Always there to assist

HEALTH, FITNESS AND BEAUTY, San Marcos, TX., Sunday, July 22, 2012 - Page 21

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o parent ever wants to think about their child being ill, or needing care, but if you should ever find yourself in that position know that Corridor Primary Care will be there for you. Corridor Primary care has been serving the San Marcos area for more than 24 years. With locations in both Kyle and San Marcos, we are here with more than 40 employees to serve you. All physicians are board certified. Our pediatricians care for infants and children to 18 years of age and provide preventive care as well as care of all illnesses. Dr. Moore and his staff take care of adult illness, management of chronic conditions and adult preventive medicine, as well as women’s health issues.


SAN MARCOS FAMILY MEDICINE

Page 22 - HEALTH, FITNESS AND BEAUTY, San Marcos, TX., Sunday, July 22, 2012

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July is UV Safety Month

Safety Month is a great time to spread the message of sun, fun and UV safety to your community. Ultraviolet (UV) radiation is the main cause of skin cancer. UV rays can also damage your eyes. Anyone can get skin cancer, but the risk is greatest for people with: • White or light-colored skin with freckles • Blond or red hair • Blue or green eyes

You can take these steps to help prevent skin cancer: • Stay out of the sun between 10 a.m. and 4 p.m. • Use sunscreen with SPF 15 or higher. • Cover up with long sleeves and a hat. • Check your skin regularly for any changes.

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an Marcos Family Medicine is proud to introduce Dr. Vip Mangalick, their newest provider. Dr. Mangalick had his first interaction with San Marcos patients at this year’s CTMC HealthCheck where he read lab results for patients. “I am very excited to move to San Marcos and join the team at SMFM.” Dr. Mangalick said. “In searching for places to settle after my medical training, I found the people of San Marcos to be especially friendly and inviting and instantly fell in love with them and the greater Central Texas area. “I entered the medical field with the intention of helping people take control of their own health matters. To achieve this seemingly simple goal takes great effort from all involved. Having found a very strong and caring team at SMFM, and met so many friendly people in the surrounding area, I feel compelled and honored to bring you my very best.

Dr. Vip Mangalick

“Outside of work I enjoy traveling to learn about other cultures, languages, and... cuisines! It makes me not only appreciate other ways of doing things, but also makes me appreciate what we have at home.”

Meet Mia Painter, FNP-C, one of SMFMʼs great health providers!

SMFM brings An Orange a Day to CTMC HealthCheck

an Marcos Family Medicine joined with other vendors at the CTMC HealthCheck this year. Patient care coordinator Deborah Martinez (left) and office manager Fancy Green (right) welcomed hundreds of people through their booth this year, letting them know about all the services SMFM has to offer: • Preventative Health • Women’s Health Care • Acute Care: Injuries and Illnesses • Dermatology Care: Rashes, Acne, Moles, Skin Cancer Screening and Biopsy, etc. • Chronic Disease Management: High

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Dr. Mangalick joins SMFM

Blood Pressure, Cholesterol, Diabetes, etc. • Procedures • In-office Cardiac Testing, Lung Testing, & Allergy Testing • In-Office Laboratory for most labs • Workman’s Compensation Injuries • Helpful appointment reminder calls to your home • Electronic Prescriptions • Lab Results on your schedule through our Televox • After Hours On-call Physician for emergencies • Extended Hours- before work, evenings and Saturdays

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ertified Family Nurse Practitioner Mia Painter is one of San Marcos Family Medicine’s great health providers. Mia never had a question that she would end up in the medical field. She has always been drawn to the science behind medicine and how the human body functions. She just likes the fact that being a provider allows her to help people every day, whether through health promotion or disease treatment. Mia enjoys working at SMFM because of its staff; the physicians are all very supportive and truly care about their patients and providing the best care possible and the office staff makes the office more like a family environment. Mia's care and concern for patients shows in the office as well as out of the office. She recently returned from a medical mission trip to Honduras where she spent the week with a great group of volunteers from Cen-

tral Texas Medical Center, including six medical providers from the area. They were able to provide medical care to individuals and families who would not otherwise have access Mia with one of many to treatment. In total, 1,960 people sweet babies she cared for in Honduras. were cared for in four days. The trip was important to Mia because it shows a small group of people can make a difference by giving time and effort. Mia said it would be difficult to choose just one lasting memory from the trip. She will never forget the gratitude provided to the team by all the patients. Even something as simple as cleaning a wound or washing out ears resulted in a big smile and "muchas gracias."


Bedtime: Advised ʻScreen Timeʼ varies by individual Page 24 - HEALTH, FITNESS AND BEAUTY, San Marcos, TX., Sunday, July 22, 2012

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t’s the advice that we all know, but want to ignore – to get a good night’s sleep, no screen time before bed. A breaks it down for us, and says that screen time actually varies by person and by the type of screen. “Browsing the internet on a bright screen is not good for healthy sleep practices, and is worse than something like an eReader before bed,” Dr. Philip Alapat says. For good quality sleep, Alapat says you should have a scheduled bedtime, it should be at night, and for seven to eight hours. A bright computer, television or even an eReader doesn’t always fit into the equation. Alapat emphasizes the importance of sleep being nocturnal, because it falls within the normal circadian rhythm to be sleepy in dark, low light situations. Bright screens are intrusive and can disrupt the quality of sleep, particularly for those who are more prone to insomnia. Alapat says that within a routine, reading is fine before bedtime, even on an eReader. However, if you’re having difficulty falling asleep, reading in bed is counterproductive. “Your body perceives this as the

Bright computer screens are intrusive and can disrupt the quality of sleep, particularly for those who are more prone to insomnia.

norm, and it’s hard for your brain to shut off to get to sleep after lying in bed reading. Consider doing your reading elsewhere, such as the living room,” he said. Alapat also says that any behavior that activates your brain – anything that will keep you engrossed – is not conducive to maintaining nightly sleep. If you insist on watching television before bed, adjust the settings on the screen so that it’s less bright, and try not to sit right in front of a big television. “Research shows that circadian rhythm is disrupted by bright light exposure during night time, so any type of bright lights can interfere with your circadian rhythm,” said Alapat. The bottom line is that different routines work well for different people, so adjust nighttime screen time to fit what works best for you.

Ease your child back into school: Develop a plan; talk about fears

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stablishing a normal school routine can be hard for children of any age after the long lazy days of summer. Dr. James H. Bray, a family psychologist and associate professor of family and community medicine at Baylor College of Medicine, offers the following tips to help make going back to school a less stressful experience for children and parents.

• Get kids into the school mode early. Many

children have a summer schedule that includes staying up late and sleeping in. Kids need at least a week before school starts to get back into the schedule.

• Develop a plan. Doing things like buying supplies and clothes, and finding out about schedules and teachers in advance, rather than waiting to the last minute, helps reduce stress for parents and kids. • Talk with children

about their fears and concerns and do some advance problem solving and planning. • Get involved with your child's school by getting to know the teacher and discussing their expectations.

• Talk to your children about what they want to accomplish and get out of their school year. Discuss their academic and social goals, but emphasize balance.


Dentures and Dental Services

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entures and Dental Services offers general dentistry as well as same-day dentures, adjustments for dentures and many more options. We offer a great quality product for the lowest price. We have our own in house lab which allows us to make top quality dentures and allows us to make any adjustments in the office if needed. At Dentures and Dental Services we care about our patients and we do all that we can to ensure they are comfortable. Our friendly staff is here to serve our patients and all of their dental needs. We are conveniently located in Kyle in the Lowe's Shopping Center on Kyle Parkway off of exit 215 from IH-35.

Breakfast crucial to learning P

HEALTH, FITNESS AND BEAUTY, San Marcos, TX., Sunday, July 22, 2012 - Page 25

arents wouldn’t send their children to school without their pencils and notebooks, and they shouldn’t send them off to school without a nutritious breakfast either, according to a nutrition expert. “A healthy breakfast is important for several reasons,” Dr. Teresia O’Connor said. Research has shown that children who eat a nutritious breakfast in the morning have an easier time focusing on their schoolwork since they are not distracted by hunger, according to O’Connor. In addition, skipping breakfast can increase the risk of weight problems.

Incorporate food groups She suggests incorporating multiple food groups in the morning to ensure children are eating a healthy breakfast. This includes whole grains, which help you stay fuller for longer. Examples of good whole grain breakfast foods include oatmeal, whole wheat toast and whole grain cereals. Breakfast is also a good time to eat

fruit, said O’Connor. Although 100 percent juice can count toward a serving of fruit, whole fruit provides dietary fiber, which is a part of a healthy diet and can help prevent heart disease and cancer. Many schools now have free breakfast programs. O’Connor suggests that parents talk to their children about whether they would prefer to eat breakfast at home or at school and decide what would be best for the family. The important thing is to be sure that children eat one healthy breakfast everyday and not two breakfasts, which adds additional calories. Get children involved in choosing a lunch When it comes to packing a lunch, O’Connor suggests setting expectations for what can be packed. This could mean that parents and children agree to pack a sandwich, fruit, vegetable and drink each day, but have children pick out which fruit or vegetable they want to include in the lunch. Be sure to use a cool pack when packing a

lunch that includes cooked meats or dairy to ensure they are safe for eating, said O’Connor. If children are buying lunch at school, O’Connor suggests talking to children about what they are eating. ”It is good to encourage children to eat a variety of different foods, including lots of fruits and vegetables because different types of foods provide different types of nutrition,” she said. Parents can help by being aware of what foods their children are eating throughout the day and week and making fruits and vegetables available and ready to eat. It’s also important to teach children that treats can be a part of a healthy, balanced diet, but in moderation, said O’Connor. Parents and children can talk about which day of the week they want to include a treat in their lunch. Small treats are OK now and then, but not on a daily basis. O’Connor suggests that parents also check with their schools because many have restrictions as to what treats students are allowed to bring to school.


Centers for Cancer Care: Changing technology ... while changing lives C Page 26 - HEALTH, FITNESS AND BEAUTY, San Marcos, TX., Sunday, July 22, 2012

ancer. It's probably the scariest diagnosis a person can receive. It is a perceived death sentence, but cancer treatment has come quite a long way in the past decade. With a focus on patient education The Centers for Cancer Care is more than a cancer treatment center; it focuses directly on each person’s specific needs and treats them like family. With locations in San Marcos, Kyle, New Braunfels, Bastrop, Kerrville, Fredericksburg and Uvalde, its mission is “Helping cancer patients become cancer survivors.” Recently, the Wonder World Center for Cancer Care has undergone a top to bottom innovation to improve the experience of patients visiting the clinic for treatment. Starting in March, the Wonder World Center for Cancer Care began renovating its interior and upgrading equipment. After reopening July 9, the office welcomed back patients who were thrilled with the new look.

One of the new rooms at the Wonder World Center is a new and modern patient education resource center, which is used to educate people on the journey that they are about to embark on and how they can play an active role in their own cancer treatment. “We give our patients 110 percent effort and we want them to have the tools they need to do their part to come out on top!” Josh Swindle, team leader and board certified Radiation Therapist at the Wonder World location, said. “We don’t commute from out of town. We live here and we treat our patients like our own neighbors because they are!” Upon entering the office you can feel something different. It isn't the new furniture or the smell of fresh paint. You feel you are welcome. Dr. Lawson is warm, friendly, and always has a smile on his face. There's no uncomfortable clinical or sterile feeling, and there are always warm fresh cookies on the counter.

Back-to-school checklist should include eye exam

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reparing for the start of a new school year? Remember to get a new backpack, paper and pencils, and get your children's vision screened as part of their back-to-school checklist. “Poor vision can interfere with learning, school performance, participation in sports and other activities, as well as self esteem,” Dr. Kimberly Yen, assistant professor of ophthalmology, and an ophthalmologist at Texas Children's Hospital, said. Yen said if parents know that eye problems run in their family or if they suspect problems, it is especially important that their child receive eye exams reg-

ularly. All children should have their eyes examined, as part of their well-child check ups and children who exhibit no signs of visual problems should have their vision screened by age three. Good eye care should also include wearing protective eyewear during sports activities. Children who play basketball, baseball and racquet sports are more susceptible to eye injuries. Sports goggles can significantly reduce the likelihood of potentially sight damaging injuries. Good vision not only helps children develop in the classroom, but it teaches them the life-long value of regular vision screenings.

Every patient room has pictures celebrating survivors, including pictures from the annual picnic the centers host for its patients. The most memorable is a picture of Maisie Barry throwing the ball that sank Dr. Lawson at last years picnic when he offered the chance to let former and current patients take aim at him in an old-fashioned dunking booth. Along with the facelift to the building came upgraded equipment. In addition to the traditional form of Three-Dimensional Conformal Radiation Therapy (3-D - XRT), the Wonder World Center now hosts a newly installed digital Varian Linear Accelerator that offers Intensity Modulated Radiation Therapy (IMRT). Put in simple terms, IMRT treats cancer far more precisely by hitting the tumor from multiple different angles at different intensities to dramatically increase the dose delivered where it is needed while being more gentle than ever to nearby healthy tis-

Do kids need sports drinks?

Although children may request sports drinks, they offer little advantage over cool water, say nutritionists. Sports drinks are designed to benefit athletes engaged in continuous, high-intensity aerobic workouts that last for 90 minutes or more. But, if the availability of sports drinks encourages your kids to drink, consider making your own. Combine caffeine-free herbal tea, a little sugar, a pinch of salt, a few ounces of orange juice, and chill in individual bottles. Active kids need to fill up on fluids to prevent dehydration. Children should be encouraged to drink before heading outside and every 15 to 30 minutes during playtime activities.

sues. This machine also takes digital body scans before delivering each treatment so that the treated site is precisely mapped. This cuts down on unnecessary multiple appointments at the hospital for separate scans and saves the patient and their family many, many trips not to mention time and energy. That’s why IMRT capable linear accelerators can fight cancer with far less side effects than ever before! What this means for the patient is that they get to spend time living life instead of at the doctor's office. “Finally the days of our friends, neighbors and loved ones having to travel many miles into the gridlocked traffic of Austin and San Antonio for worldclass cancer care are over!” The Centers for Cancer care has three locations located in and around Hays County, the Hilltop Center for Cancer Care in Kyle, the Wonder World Center for Cancer Care in San Marcos, and the Sundance Center for Cancer Care in New Braunfels.

Student athletesʼ health starts off the field of play

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ven though it is students who will be taking the field as extracurricular school activities begin, doctors say parents play an important role in keeping their kids safe. Family health history, especially heart illnesses, is important information for doctors to know during an exam, Dr. John Rogers, professor of family and community medicine, said. A certain type of heart murmur and rapid heart beats can be detected during a physical, but the exam can't determine if past family members have heart problems or if anyone has died suddenly due to a cardiac problem. Being armed with that in-

formation helps doctors know whether the studentathlete should undergo an echocardiogram or ultrasound for a more in-depth examination. Parents’ knowledge of their child’s previous injuries can also be helpful. Teens may downplay an injury, because they don't want it to prevent them from taking part in their favorite sport. However, a parent might remember lasting effects that will help doctors determine the severity of the injury. Rogers said other issues that cannot be detected during a physical are lightheadedness or shortness of breath that is not proportionate to the exertion level of the activity.


Healthy skin starts with annual exam Vitalogy welcomes Dr. Carlos Gomez-Meade to San Marcos

The Summer Sun and Your Skin

As the summer heats up, Vitalogy Skincare warns of the risks of sun tanning. Underneath a lovely new tan, the sun is destroying skin tissue, breaking down elastin and collagen, and causing mutations that can lead to skin cancer. A tan may look nice for now, but prevention is the key to keeping skin beautiful, youthful, and healthy, says Dr. Eric Adelman, founder and medical director of Vitalogy SKINCARE. Wearing sunscreen is one of the easiest ways to protect skin and prevent skin cancer, but many people do not know the importance of wearing it daily, especially in Texas where the sun shines strongly nine months out of the year. “Preventive medicine has always made sense to me. When you find a skin cancer early it is has a very high cure

rate, but when found late and has progressed it can be much more difficult and even deadly.” he says The American Academy of Dermatology recommends an annual full body skin exam, but the general population often neglects this simple preventive ritual. While breast, prostate, lung and colon cancer rates are decreasing, skin cancer rates are increasing. The bottom line is that annual skin screenings save people’s lives.

Welcoming Dr. Carlos Gomez-Meade

Dr. Carlos Gomez-Meade, a Fellowship Trained Mohs Surgeon and Board Certified Dermatologist, is the newest addition to Vitalogy Skincare’s team. Dr. Gomez-Meade was born and raised in Brownsville, Texas and considers himself a culinary aficionado as well as a sports enthusiast.

HEALTH, FITNESS AND BEAUTY, San Marcos, TX., Sunday, July 22, 2012 - Page 27

Dr. Gomez-Meade has extensive training in Dermatology and Mohs micrographic surgery. Mohs surgery is an advanced surgical technique for the removal of skin cancer. It offers the highest cure rate for skin cancer with minimal scarring. If the need for surgery arises to remove a skin cancer, Dr. Gomez-Meade is well qualified. Not only is he highly trained, Dr. Gomez-Meade is passionate about his work and takes a personable approach to his patient’s care.

Comprehensive Care

Although Vitalogy’s main focus is medical dermatology, it also offers cosmetic options including Botox®, Juvederm® and Radiesse®, Innovative Medical Spa services are also available that include laser skin treatments, chemical peels, facials and home care product lines. Our San Marcos Medical Spa Aestheticians offer complimentary consultations to determine appropriate and customized treatments for a number of skin conditions.

After only four years, Vitalogy has eight locations and can be found in Georgetown, Cedar Park, San Marcos, Bastrop, Dripping Springs, Burnet, Horseshoe Bay and Marble Falls. The practice’s high rate of returning patients and word-of-mouth referrals made that kind of expansion

When children start piling their new school supplies into their backpacks, parents should be aware of how much weight they are carrying, according to an expert at Baylor College of Medicine. “Carrying a heavy backpack can be an issue, and parents should be sure children are carrying no more than 10 to 15 percent of their body weight in their backpacks,” Dr. Rubin Bashir at BCM said. “For example, a 100 pound child should not carry

a backpack that weighs more than 15 pounds.” Bashir said that research has shown some relation between increased backpack weight and an increase in back pain in children. As children get older, the books get heavier, so heavy backpacks are hard to avoid, acknowledges Bashir. If a child complains of back pain, parents are advised to look into how much weight they are carrying in their backpacks.

Dr. Carlos Gomez-Meade

possible. “Customer care, from the latest skincare treatment to patient waiting time, is our priority,” says Kimberly Burk, Marketing Manager. “A patient’s experience with Vitalogy SKINCARE is what brings them back along with their friends and family.”

Safety first: Back-to-school backpack reminders Bashir also makes the following suggestions:

• Be sure children are carrying backpacks on both shoulders • Make sure backpacks are not hanging low, but are snug and high on children’s backs • Use backpacks with a waist strap to help carry the load • Keep an extra copy of books at home so children aren’t carrying them to and from school


PHYSICIANS Aesthetician

DIRECTORY

Dentistry

Dentistry

Nataleigh Walling

Rajat Diwan

Irina Malakhova

Aesthetician

DDS

DDS

Dentures and Dental Services

Dentures and Dental Services

5695 Kyle Parkway Suite 250 Kyle, TX 78640 512-268-0333 www.kyledentures.com

5695 Kyle Parkway Suite 250 Kyle, TX 78640 512-268-0333 www.kyledentures.com

Dermatology Laser Center and Spa 1340 Wonder World Drive Suite 2301 San Marcos, TX 78666 512-392-1411 www.skinmagic.com

Dermatology

Dermatology

Dermatology

Eric Adelman

Carlos Gomez-Meade

Ana Rodriguez

DO, Fellowship Trained Mohs Surgeon

DO, Fellowship Trained Mohs Surgeon

MD

Vitalogy SKINCARE

Vitalogy SKINCARE

1320 Wonder World Dr. Suite 108 San Marcos • 512-393-DERM(3376) Dripping Springs • 512-829-4429 www.vitalogyskincare.com

1320 Wonder World Dr. Suite 108 San Marcos • 512-393-DERM(3376) Dripping Springs • 512-829-4429 www.vitalogyskincare.com

Dermatology

Dermatology

Dermatology Laser Center and Spa 1340 Wonder World Drive Suite 2301 San Marcos, TX 78666 512-392-1411 www.skinmagic.com

Dermatology

Gilbert Saenz, III

Amara Sayed

Emily Woodall

PA-C

DO

PA-C

Vitalogy SKINCARE

Vitalogy SKINCARE

1320 Wonder World Dr. Suite 108 San Marcos • 512-393-DERM(3376) Dripping Springs • 512-829-4429 www.vitalogyskincare.com

1320 Wonder World Dr. Suite 108 San Marcos • 512-393-DERM(3376) Dripping Springs • 512-829-4429 www.vitalogyskincare.com

ENT/Otolaryngology

Dermatology Laser Center and Spa 1340 Wonder World Drive Suite 2301 San Marcos, TX 78666 512-392-1411 www.skinmagic.com

Family Practice

ENT/Otolaryngology

Michael Blair

Edward Tomaneng

Charles P. Anderson

DO / ENT / Otolaryngology

MD / ENT / Otolaryngology

MD / Family Practice

Live Oak Health Partners 1340 Wonder World Drive Suite 4301 San Marcos, TX 78666 512-353-6400 http://liveoakhealthpartners.com

Medpark Hearing 2000 Medical Pkwy #B&C San Marcos, TX 78666 512-353-8899 www.medparkhearingcenter.com

Charles P. Anderson, MD 1400 North State Highway 123 San Marcos, TX 78666 512-396-3663


PHYSICIANS Family Practice

DIRECTORY

Family Practice

Family Practice

Eric Arhelger

Eric Price

A. Lane Lee

MD / Family Practice

MD / Family Practice

MD / MBA

Live Oak Health Partners

Live Oak Health Partners

177B Kirkham Circle Kyle, TX 78640 512-405-0077 http://liveoakhealthpartners.com

950 FM 2325 Suite B Wimberley, TX 78676 512-847-6795 http://liveoakhealthpartners.com

Family Practice

Family Practice

San Marcos Family Medicine 2406 Hunter Road Suite 106 San Marcos, TX 78666 512-396-7686 www.smfm.net

Family Practice

Richard R. Laue

Vip Mangalick

Patricia Mossburg

MD

MD

MD

San Marcos Family Medicine

San Marcos Family Medicine

San Marcos Family Medicine

2406 Hunter Road Suite 106 San Marcos, TX 78666 512-396-7686 www.smfm.net

2406 Hunter Road Suite 106 San Marcos, TX 78666 512-396-7686 www.smfm.net

2406 Hunter Road Suite 106 San Marcos, TX 78666 512-396-7686 www.smfm.net

General Surgery

General Surgery

General Surgery

Erik Anderson

Alcides Cairus

Robert Duran

MD / Surgury

MD / General Surgery

MD / General & Vascular Surgery

Live Oak Health Partners

Live Oak Health Partners

177B Kirkham Circle Kyle, TX 78640 512-405-0077 http://liveoakhealthpartners.com

1340 Wonder World Drive Suite 4301 San Marcos, TX 78666 512-353-6400 http://liveoakhealthpartners.com

General Surgery

Hearing Instrument Specialist

Charles Mathis

Anthony Atencio

MD / General Surgery

Hearing Instrument Specialist

Live Oak Health Partners 1340 Wonder World Drive Suite 4301 San Marcos, TX 78666 512-353-6400 http://liveoakhealthpartners.com

Medpark Hearing 2000 Medical Pkwy #B&C San Marcos, TX 78666 512-353-8899 www.medparkhearingcenter.com

Robert Duran, MD 1305 Wonder World Drive # 308 San Marcos, TX 78666 512-396-7300


PHYSICIANS Internal Medicine

DIRECTORY

Internal Medicine

Orthopedic Surgery

Janet Strickland

Gladys Weng

Stuart Shapiro

MD / Internal Medicine

DO / Internal Medicine

DO / Orthopedic Surgery

Live Oak Health Partners

Live Oak Health Partners

Live Oak Health Partners

1320 Wonder World Drive Suite 101 San Marcos, TX 78666 512-396-3911 http://liveoakhealthpartners.com

1320 Wonder World Drive Suite 101 San Marcos, TX 78666 512-396-3911 http://liveoakhealthpartners.com

1340 Wonder World Drive Suite 4301 San Marcos, TX 78666 512-353-6400 http://liveoakhealthpartners.com

Pediatrician

Orthopedic Surgery

Pharmacist

Amanda Ivy

Melinda Holliday

John Anderson

DO / Orthopedic Surgery

Pediatrician

R Ph / Owner

Live Oak Health Partners

Communicare Health Center

1340 Wonder World Drive Suite 4301 San Marcos, TX 78666 512-353-6400 http://liveoakhealthpartners.com

Physical Therapist

1340 Wonder World Drive Suite 4201 San Marcos, TX 78666 512-392-1718 www.communicaresa.org

Physical Therapist

B&J Pharmacy 2111 Hunter Road San Marcos, TX 78666 512-392-3301 www.hillcountryrx.com

Physical Therapist

Viki Hill

Kirk Painter

Melesa Yager

Physical Therapist / Owner

Physical Therapist / Owner

Physical Therapist / Owner

Physical Therapy & Rehab Concepts

Physical Therapy & Rehab Concepts

915 Hwy 80 San Mar Plaza San Marcos, TX 78666 512-353-4575 www.ptrc-tx.com

915 Hwy 80 San Mar Plaza San Marcos, TX 78666 512-353-4575 www.ptrc-tx.com

Scott Lawson

Hassan Alissa

MD

1340 Wonder World Dr San Marcos, TX 78666 512-396-2500 http://thecentersforcancercare.com

915 Hwy 80 San Mar Plaza San Marcos, TX 78666 512-353-4575 www.ptrc-tx.com

Rheumatology

Radiation Oncology

Wonder World Center for Cancer Care

Physical Therapy & Rehab Concepts

MD / Rheumatology

Hilltop Center for Cancer Care Hays Medical OďŹ&#x192;ce Building 1 1180 Seton Parkway, Suite 150 Kyle, TX 78640 512-504-0255 http://thecentersforcancercare.com

Sundance Center for Cancer Care 2020 Sundance Parkway New Braunfels, TX 78130 830-629-4200 http://thecentersforcancercare.com

Live Oak Health Partners 1340 Wonder World Drive Suite 4301 San Marcos, TX 78666 512-353-6400 http://liveoakhealthpartners.com



Health & Fitness July 2012