¡Viva Fiesta!
The smell of flowers is in the air and the Battle of Flowers Parade is on our mind. We want our patients to experience the sights, sounds and smells of Fiesta. When mobility is hard, we use the small, light Vivo 45 to make it easier to for our patients to celebrate. Contact us today to see how we can create a unique solution for your family.
We provide ventilator-based care in the home for pediatric patients, as well as nutritional supplies and support.
The Smile That Spoke Volumes: Zachary Wiederhold’s Legacy of Love and Strength
Over the past decade, we've shared countless stories of resilience—of children and adults with special needs defying the odds, touching hearts, and teaching us what it truly means to live with purpose. One such story is that of Zachary Wiederhold, a young man who inspired everyone he met. Born with semi-lobar holoprosencephaly (HPE)—a rare brain malformation where survival beyond infancy is uncertain—Zachary lived an incredible 30 years, full of love, laughter, and unwavering strength.
When Zachary was just three months old, his parents, Erich and Joan, were given devastating news. Doctors advised institutional care, saying Zachary would never thrive at home. But Erich and Joan chose a different path— one of hope, commitment, and deep love. They refused to let a diagnosis define their son’s life.
To keep Zachary at home, Erich made the life-changing decision to leave the military because it would be too difficult to move every three years and pursue nursing. As a parent of a child with severe disabilities, he spent years learning about community resources and the challenges families face. With both professional and personal insight, Erich is uniquely equipped to help families transition to in-home
care. Today, he continues supporting patients and families as Branch Director at Entrusted Pediatric Home Care.
At home, Zachary was surrounded by love. His younger sisters became his joyful companions and “mini nurses,” always finding ways to make him smile. He made an impact with his sisters; Isabella is an RN working with special needs children and Liliana teaches in special education. Despite his challenges, Zachary thrived in his own way—attending school, graduating, walking the stage with his sister Miranda in 2014, and bringing joy into every room he entered. His smile was more than a facial expression; it was a connection to the hearts of others. Though he never spoke a word, he communicated in the most powerful language of all—Love.
Zachary found delight in everyday life. He adored the “Happy Birthday” song and lit up during family celebrations. He loved his nieces and nephews, and being included in the rhythm of family life. To know him was to witness pure, unfiltered joy. To care for him was to learn patience, compassion, and what it means to love without limits.
Zachary's journey reminds us that those with complex medical needs are not defined by their conditions; they are teachers, healers, and quiet warriors. His life was a gift, and his legacy is a beacon of hope for families told “there is no hope.”
Zachary Thomas Wiederhold May 13, 1994 – May 29, 2024
To know any child with a disability is to be changed forever. Zachary changed us all.
Publisher: Exceptional Kids, LLC
Owner &
Managing Editor: Kameron Chicoine
Graphic & Art Design:
Valor Design, Inc.
Website & Logo Design: Red Rattler Creative
Ranch Snack Mix
Prep/Total Time: 15 Min.
Yield: 32 Servings (6 Quarts)
Ingredients
1 package (12 ounces) miniature pretzels
16 cups Bugles (about 12 ounces)
1 can (10 ounces) salted cashews
1 package (6 ounces) Goldfish cheddar crackers
1 envelope ranch salad dressing mix
3/4 cup canola oil
Directions
In 2 large bowls, combine the pretzels, Bugles, cashews and crackers. Sprinkle with dressing mix; toss gently to combine. Drizzle with oil; toss until well coated. Store in airtight containers.
Nutrition Facts
3/4 cup: 185 calories, 11g fat (2g saturated fat), 2mg cholesterol, 357mg sodium, 19g carbohydrate (1g sugars, 1g fiber), 4g protein.
This is a wonderful fast-to-fix munchie. The recipe makes tons and doesn't involve any cooking. It's a cinch to package in individual snack bags, it keeps its crunch and it's a savory alternative to the cakes and pies usually offered at bake sales. Linda Murphy, Pulaski, Wisconsin
What do you do if your child has trouble with food or meals?
Making Mealtimes Fun: Helping Kids with Eating Challenges
If your child has trouble with eating, you’re not alone—and you’re definitely not failing. Many children with disabilities or special health needs face food struggles. Whether it's eating too little, too much, or not being able to eat at all, feeding issues can feel overwhelming for parents. Mealtimes can quickly become stressful. It’s exhausting when every bite becomes a battle. But remember—your relationship with your child matters more than the number of chicken nuggets they eat. Helping them enjoy food is possible, one creative step at a time.
Why Eating Can Be Tricky
Feeding challenges don’t look the same for every child. Some kids refuse food altogether or eat only certain colors, textures, or brands. Others might struggle with weight—either gaining too much or too little. A few may need feeding tubes or medical support. And sometimes, the cause isn’t clear at all.
Eating issues can be tied to:
• Sensory sensitivities
• Low muscle tone
• Reflux or motor coordination issues
• Medication side effects
• Anxiety or body image struggles
Even if you don’t know why it’s happening, if you’re concerned—or if your doctor is—it’s okay to ask for help.
Team Up with the Right Experts
There’s no one-size-fits-all fix, but building a team makes a big difference. Here’s who can help:
• Doctors and pediatricians – Start here for a medical checkup and referrals.
• Nutritionists – Review your child’s diet and suggest supplements or alternatives.
• Speech or occupational therapists – Help with chewing, swallowing, and texture sensitivities.
• Your child’s care team – Keep track of everything in a care notebook and look for a “medical home” provider to coordinate support.
Creative Solutions from Real Families
You don’t have to do this alone. Here are fun, flexible strategies that other parents swear by:
q Sneak it in. Hide spinach in smoothies or tuck veggies under melty cheese. Get creative with food combos!
q Make it fun. Rename foods (“superhero bites,” “power pizza”) or invent silly food games.
q Try new textures. Some kids love crunchy, others prefer soft. Explore warm, cold, smooth, or even frozen options.
q Think beyond the plate. A smoothie, milkshake, or fortified drink can be a full meal. Try PediaSure or protein powder if recommended.
q Show, don’t tell. Use measuring cups to show portion sizes in a fun way—make it a science experiment!
q Ditch the clock. Forget traditional mealtimes. Let your child eat when they feel ready.
q Let them lead. Give choices and avoid pressure. Let your child have a say—even if it’s just which plate to use.
Smart Tips for Saving Money
Feeding challenges can be costly—but there are ways to save:
• Buy in bulk—stock up on go-to favorites when they’re on sale.
• Use coupons and discount programs.
• If eligible, apply for WIC for formula and supplements.
• G-tube feeding? You can make nutrient-rich blends at home from everyday grocery items.
You’ve Got This
Supporting a child with feeding challenges takes patience, creativity, and a whole lot of deep breaths. Some days will feel like a win, others might not. But progress isn’t a straight line—and you're doing better than you think.
Your child’s eating issues aren’t your fault. Keep trying, keep adapting, and keep celebrating the little victories—because one day, they add up.
RESOURCE DIRECTORY
For our complete list of resources go online to www.ExceptionalKidsTexas.com
ABA THERAPY
◆Autism Treatment Center
210-590-2107
15911 Nacogdoches Rd Building 2 www.atcoftexas.org
Mindcolor Autism
833-646-3222
8507 Culebra Rd Suite 101 info@mindcolorautism www.mindcolorautism.com
Shelby May Behavioral Consulting 210-239-7181 shelbynunn@maybehavior.com www.maybehavior.com
ACUTE/SKILLED CARE
LifeSpan Home Health Pg 2
877-434-3153
6243 IH-10 W Suite 375 www.lifespantx.com
ADAPTIVE SPORTS (COMPETITIVE & RECREATIONAL)
◆Kinetic Kids
210-748-5860
11931 Starcrest Dr info@kinetickidstx.org www.kinetickidstx.org
BEHAVIORAL HEALTH
◆Pathways Youth & Family Services 210-733-7117
1919 NW Loop 410 Suite 201 www.pathway.org
CHILDREN'S MENTAL HEALTH SERVICE
Clarity Child Guidance Center 210-616-0300
8535 Tom Slick info@claritycgc.org www.claritycgc.org
COUNSELING PROVIDERS
Catholic Charities 210-377-1133
San Fernando Community Center 231 W Commerce
DENTAL CARE
Dentistry for Little Folks
Nelly Gonzales, DDS 210-679-4747
9646 W Loop 1604 N
Dentistry for Little Folks
Jennifer Ochoa, DDS 210-679-4747
9646 W Loop 1604 N
RESOURCE DIRECTORY
For our complete list of resources go online to www.ExceptionalKidsTexas.com uDonateu
DURABLE MEDICAL EQUIPMENT & SUPPLIES
Wave Healthcare Pg 3
866-935-9283
121 Interpark Blvd #300 www.wavehealthcare.com
EDUCATION ADVOCACY RESOURCES
101 ADVOCACY, LLC
210-722-9974
www.101advocacy.com
EDUCATIONAL SERVICES
A.I.M. Educate
210-838-5351
10127 Morocco St #202 privateclinic@aimeducate.com aimeducate.com
Texas School, Community & Public Policy Liaison TBI SOS 4 Kids Project Center on Brain Injury Research and Training (CBIRT)
University of Oregon cmagrane@uoregon.edu
FINANCIAL SERVICES
Catholic Charities
210-293-1009
202 W. French Place
www.ccaosa.org
GENERAL COMMUNITY RESOURCES
www.unitedwaysatx.org
2-1-1 Texas is a free, anonymous social service hotline available 24 hours a day,
7 days a week, 365 days a year.
City of San Antonio - Utility Assistance
210-207-7830
Hill Country MHDD Centers
358 Landa Street, Suite 300, New Braunfels 888-315-3277
http://www.hillcountry.org
Kerr County MH Center 955 Water Street, Kerrville 888-445-5232 http://www.hillcountry.org
RESOURCE DIRECTORY
For our complete list of resources go online to www.ExceptionalKidsTexas.com uDonateu
GENERAL
COMMUNITY RESOURCES
Project Warm - Bexar County Dept of Community Assistance 210-335-3666
Salvation Army 210-226-2291
226 Nolan St
San Antonio Food Bank 210-337-3663
5200 Old Hwy 90 West
Society of St. Vincent de Paul 210-225-7837
WIC Program 210-207-4906
MEDICAID WAIVER PROGRAMS
CDS in Texas Pg 2 210-798-3779 Toll Free 866-675-7331 www.cdstexas.com
CLASS - Medically Dependent Children's Program 877-438-5658
DBMD-Deaf/Blind Multiple Disabilities Program 877-438-5658
Disability Services of the Southwest 210-798-0123
6243 IH-10 West Suite 114 www.dsswtx.org
HCS - Home & Community-Based Services Program 210-832-5020
MDCP - Medically Dependent Children's Program 877-438-5658
LifeSpan Home Health Pg 2 877-434-3153 6243 IH-10 W Suite 375 www.lifespantx.com
Texas Home Living Waiver 210-832-5020
NATIONAL ORGANIZATIONS
American Red Cross 210-224-5151
Cerebral Palsy Foundation ucp.org 210-520-1686
Muscular Dystrophy Association (MDA) 800-572-1717
National Alliance for Mental Illness (NAMI), SA 210-734-3349
National Down Syndrome Society 800-221-4602 www.ndss.org
RESOURCE DIRECTORY
For our complete list of resources go online to www.ExceptionalKidsTexas.com uDonateu
NATIONAL ORGANIZATIONS
Scleroderma Foundation www.Sclerodema.org
Spinal Bifida Association Texas Chapter 972-238-8755
Williams Syndrome 800-806-1871 www.Williams-syndrome.org
OCCUPATIONAL THERAPY
uAutism Treatment Center
210-590-2107
15911 Nacogdoches Rd, Building 2 www.atcoftexas.org
CHCS-ECI (Early Childhood Intervention)
Specializing in Infants & Toddlers, Birth to 36 Months Easy to refer, no medical referral needed Call 210-261-3300 or visit www.chcs-eci.org Medicaid, CHIP, Private, all insurances accepted Sliding scale available
San Rafael Healthcare Inc Pg 15 210-255-1466
4203 Gardendale St #C105 www.sanrafaelhealthcare.com
PEDIATRIC
HOME HEALTH & PRIVATE DUTY NURSING
Entrusted Pediatric Home Care Pg 16 512-532-4800
2921 Steck Ave A-120, Austin www.entrustedphc.com
Entrusted Pediatric Home Care Pg 16 210-447-1650
4502 Centerview Dr, Suite 233, San Antonio www.entrustedphc.com
Entrusted Pediatric Home Care
16 254-935-0450 2027 S 61st Street, Suite 121, Temple www.entrustedphc.com
Entrusted Pediatric Home Care Pg 16 469-827-7500
275 W Campbell Rd, Richardson www.entrustedphc.com
Entrusted Pediatric Home Care Pg 16 713-829-7149
24624 Interstate 45 N Suite 241, Spring www.entrustedphc.com
Entrusted Pediatric Home Care
16 915-343-7744
1790 Lee Trevino Dr Ste 202, El Paso www.entrustedphc.com
San Rafael Healthcare Inc
15 210-255-1466
4203 Gardendale St #C105 www.sanrafaelhealthcare.com
PHYSICAL THERAPY
CHCS-ECI (Early Childhood Intervention)
Specializing in Infants & Toddlers, Birth to 36 Months
Easy to refer, no medical referral needed Call 210-261-3300 or visit www.chcs-eci.org
Medicaid, CHIP, Private, all insurances accepted Sliding scale available
RESOURCE DIRECTORY
For our complete list of resources go online to www.ExceptionalKidsTexas.com uDonateu
PHYSICAL THERAPY
San Rafael Healthcare Inc Pg 15
210-255-1466
4203 Gardendale St #C105 www.sanrafaelhealthcare.com
San Antonio Parks and Recreation Department
210-207-3018
PRESCRIBED PEDIATRIC EXTENDED CAR CENTER (PPECC)
Health Care for Kids
210-951-4840 16019 Nacogdoches Rd Suite 119 www.healthcareforkids.com
SPECIAL
NEEDS ADULTS
uMarbridge Foundation 512-282-1144
2310 Bliss Spillar Road, Manchaca TX info@marbridge.org Marbridge.org
SPEECH THERAPY
CHCS-ECI (Early Childhood Intervention)
Specializing in Infants & Toddlers, Birth to 36 Months Easy to refer, no medical referral needed Call 210-261-3300 or visit www.chcs-eci.org
Medicaid, CHIP, Private, all insurances accepted Sliding scale available
San Rafael Healthcare Inc Pg 15 210-255-1466
4203 Gardendale St #C105 www.sanrafaelhealthcare.com
STATE ORGANIZATIONS
Customer Service Line (Ombudsman) 877-787-8999
www.hhsc.state.tx.us
Department of Assistive & Rehabilitative Services NOW Texas Work Force www.twc.state.tx.us
North Field Office 210-561-8600 12000 Network Blvd #210
West Field Office 210-522-8010 5309 Wurzbach, Suite 102
Northeast Field Office 210-590-5740 10303 Nacogdoches
South Field Office 210-927-8300 1011 Ada St
Fresh Strawberry Breakfast Tacos
TOTAL TIME: Prep/Total Time: 30 min.
YIELD: 6 servings.
Ingredients
• 2 tablespoons butter
• 6 flour tortillas (6 inches)
• 1/3 cup cream cheese, softened
• 1 tablespoon honey
• 1/2 teaspoon ground cinnamon
• 1/3 cup vanilla yogurt
• 1-3/4 cups quartered fresh strawberries
Directions
1. In a large skillet, heat 1 teaspoon butter over medium-low heat. Add 1 tortilla; cook each side until light golden, 1-2 minutes. Transfer to wire rack. Repeat with remaining butter and tortillas.
2. Beat together cream cheese, honey and cinnamon; slowly mix in yogurt until blended. Spread tortillas with cream cheese mixture; top with strawberries.
Nutrition Facts
1 taco: 225 calories, 12g fat (6g saturated fat), 24mg cholesterol, 280mg sodium, 25g carbohydrate (8g sugars, 2g fiber), 4g protein.
When our son was growing up, this was one of his favorite breakfasts. I've used low-fat ingredients in the past with good results, too.—Joan Hallford, North Richland Hills, Texas
San Rafael: Delivering Hope for San Antonio
For parents of children with complex medical needs, every day can feel like an uphill battle. San Rafael Healthcare, San Antonio’s trusted home health provider, is here to ease that journey. Specializing in high-acuity pediatric care, San Rafael brings expert nursing services and compassionate support directly into the homes of families, where it’s needed most.
One father shared his heartfelt experience: “When we rst started with San Rafael Healthcare, we were overwhelmed by my daughter’s medical challenges. e nurses quickly became part of our family, providing not just care but reassurance and hope. ey’ve made an impossible situation manageable.”
San Rafael understands the unique challenges of high-acuity care. eir specialized team works closely with families to create customized care plans tailored to each child’s needs. From ventilator management to feeding tube care, their skilled nurses deliver life-sustaining treatments with unmatched dedication and expertise.
Have you ever wished for a partner to help carry the weight of your child’s medical needs? at’s exactly what San Rafael provides. eir team doesn’t just o er care – they o er connection, understanding, and a steadfast commitment to improving the quality of life for their patients and their families.
Every child’s story is di erent, but the mission remains the same: to ensure children with complex medical needs receive the highest standard of care in the comfort and familiarity of their own homes. For parents, this means peace of mind knowing their child is in capable hands, surrounded by love and family.
San Rafael Healthcare isn’t just a home health provider – it’s a source of strength for families navigating life’s toughest challenges. With their expert support, parents can focus less on the stress of medical logistics and more on cherishing the moments that matter most.
Let San Rafael Healthcare be your partner in care. Visit their website today to learn how they can help your family on this journey.
Providing Private Duty Nursing Services for infants, children, and adults across Central Texas.
Entrusted Pediatric Home Care is the leading provider of pediatric nursing services in Texas. Our clinical team works with physicians and case managers to ensure children transition safely home from the hospital.
Whether it is 24 hours a day, 7 days a week, or a few &hour shifts per week, we have you covered.
Our comprehensive approach to care includes coordinating with your team of medical professionals to implement the best possible outcomes for your child.
"You guys make an amazing team and are changing families' lives for the good! We could not be more thankful for all the e ort you put in to making the transition to Entrusted go so smoothly. Not only that, but y'all hit the ball WAY out of the park finding us excellent nursing sta . Thank you for all of the many hours in the o ce and on call that it takes to make our lives better. We couldn't be happier to call Entrusted our family."
-Erica S
