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BAylor Scott & White directory
Scott & White transplant team helps make life easier while patients wait.
Chief nursing officer of McLane Children’s Hospital stays inspired.
Striving to survive
13 Baylor Scott & White continues
16 The many forms of liver disease
to grow, expand modern medicine
Lifetime of patient care
23 Ruthie Davis provides family-
centered care for McLane patients
Seton medical center directory
In the SPOTLIGHT: Express ER
Metroplex brings new services and technology to Central Texas.
Seton Medical Center celebrates five years in Harker Heights.
Caring for the community
43 CNO Tammy Rodriguez fills key
54 Dr. Maggie Landes relishes
Carl R. Darnall Army Medical Center takes care of soldiers and their families across Central Texas.
Free clinics provide a variety of services to uninsured residents in their communities.
role at Metroplex Health System
ON the COVER
From left, CNO Ellen Hansen, Dr. Jacqueline A. Lappin, Dr. Maggie Landes and CNO Tammy Rodriguez Photographs by MITCHEL BARRETT & JULIE NABOURS
AUGUST 2016 | TEX APPEAL
Caring for Central Texans
role treating young patients
Bridging the gap
Contributors MITCHEL BARRETT is an award-winning photographer and owner of Mitchel Barrett Photography. Although originally from the British Virgin Islands, for the past 12 years he has come to call the city of Killeen his home. He developed his love of photography while attending high school and the KISD Career Center, and has enjoyed life behind the lens ever since. When not busy taking photos, you can probably find him at the movies with friends or at home with his family and two dogs.
DANIELLE EVERETT is a military spouse and award-winning journalist. Before coming to Tex Appeal, she was a reporter and fill-in anchor at KWQC-TV, the NBC affiliate in Davenport, Iowa. She has a bachelor’s degree in economics from the University of Missouri and a bachelor’s in radio and television journalism from the Missouri School of Journalism. While attending school she also reported, anchored and produced shows for the NBC affiliate in Columbia, Mo., KOMU-TV. Danielle is from the Chicago suburbs. In her free time, she enjoys exploring Texas with her husband and spending time with friends and family.
Mandy Shelton is a fifth-generation Texan and a graduate of Florence High School. She attended Southwestern University as an undergraduate and earned a master’s degree at the National University of Ireland, Galway. Shelton works at Central Texas College, where she publishes curriculum for the Online High School. She was named Young Professional of the Year in 2015 by the Greater Killeen Young Professionals. Her writing and photos have appeared in several newspapers, magazines and literary websites. She enjoys volunteering at the Florence library and hanging out with her dog, Biscuit.
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AUGUST 2016 | TEX APPEAL
candidates from the Central Texas area. Candidates must be detail- and deadline-oriented and good storytellers, and must be familiar with AP style. Ability for writers to take photos is a plus, but not required. Interested candidates may send their resumes and three to five recent stories and/or photographs for consideration to firstname.lastname@example.org.
From the Editor
Tex Appeal Life & Style in Central Texas
As the population of Bell County grows, so do the services offered by the medical centers serving the Central Texas area. Shahin Motakef, president of Scott & White Temple and Central Region said a neurosurgical suite and new neurosurgery program implements advances the quality of care for patients dealing with neurological disorders and conditions. In December, Baylor Scott & White Health Care breaks ground on a new Surgical Science Building. The facility will feature 10 operating room suites, Page 13. Scott & White Medical Center in Temple recently opened its new transplant services suite. Director of Transplant Services Nance Conney takes us on a tour through the new facility that has eight patient exam rooms. Working closely with transplant surgeon, Dr. Jacqueline Lappin, patients waiting for an organ transplant receive support and education to prepare for their life-changing surgery, Page 11. With all the talk about hepatitis C, primarily in the baby boomer generation, many other forms of potentially deadly liver disease are underrepresented. Dr. Dawn Sears, chief of hepatology section and GI fellowship program director at Scott & White in Temple gives us a breakdown on the different types of liver disease that can affect people of all ages and ethnic backgrounds, Page 16. Scott &White McLane Children’s Hospital takes care of the smallest patients. Chief Nursing Officer and COO Ellen Hansen talks about her 34-year career as a nurse and the efforts she and her staff make to ensure the care of their pediatric patients, Page 19. Working closely with CNO Hansen is Ruthie Davis, manager, Child Life Program. She and her staff work closely with entire families to allay a child’s fears of procedures. She also makes sure patients and their families have plenty of together time in one of the child life activity centers, Page 23. This year Metroplex Health System celebrates 150 years of Adventist care. Founded in 1866 in Battle Creek. Mich., Adventist Health System now serves more than 4.5 million patients and manages 45 hospitals across the country. President and CEO Carlyle Walton takes us through the changes and additions at Metroplex Health System in Killeen, Page 37. Tammy Rodriguez is the CNO and vice president at Metroplex. She’s passionate about her position, is always ready to help her nurses and said nurses play a crucial role in a patient’s healing, Page 43. This year Seton Medical Center celebrates five years of service in Central Texas. It recently opened an occupational and speech therapy facility at the new Armed Services YMCA in Harker Heights. In addition, they have a wound care facility planned and have added The Occupational and Environmental Medicine Center, a Wellstone Health Partner facility, Page 51. Seton Medical Center’s Director of Pediatrics, Dr. Margaret “Maggie” Landes, was inspired to become a pediatrician while in medical school when she worked with pediatric cancer patients, kids with cancer, recipients of organ transplants and congenital syndromes, Page 54. The new Carl R. Darnall Army Medical Center at Fort Hood opened its doors this year. Col. Mark Thompson takes us on a tour of this new state-of-the-art facility that serves active military and their families, Page 59. We live in an area that offers world-class medical care. As the community grows, so do the services that give people the opportunity to stay close to home for their medical needs.
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AUGUST 2016 | TEX APPEAL
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Director of Transplant Services Nance Conney, left, and transplant surgeon Dr. Jacqueline Lappin are part of the transplant team at Scott & White Memorial Hospital in Temple.
AUGUST 2016 | TEX APPEAL
Striving to survive
Scott & White transplant team helps make life easier for waiting patients Story by CATHERINE HOSMAN Photos by MITCHEL BARRETT and contributed by BAYLOR SCOTT & WHITE HEALTH CARE SYSTEM
ransplant surgeon Dr. Jacqueline Lappin and Director of Transplant Services Nance Conney stand in one of the eight patient rooms in Scott & White Memorial Hospital’s new transplant services suite completed earlier this year. The program was well under way while the suite on the first floor was still a work in progress when Conney came on board in 2013. The exam rooms give Conney, Lappin and their team the ability to counsel and prepare patients for organ transplantation. Through the transplant services at Scott & White, patients can receive a new kidney, pancreas, heart, cornea, bone marrow or have a ventricular assistance device implanted. “Last year we did six heart transplants, 14 VADs, and 15 living donor kidney transplants,” Conney said. Patients are also able to schedule dialysis treatments from the clinic at one of Scott & White’s outpatient dialysis facilities. “People on dialysis are just staying alive,” Lappin said. “As a surgeon, you see what we take for granted, what we have, until we don’t have it. You see how these people are just existing, not really living. But there is another way and option to get them to that place.” Conney said there are over 100,000 people waiting for a kidney. As a member of the Alliance for Paired Donation, Scott & White patients waiting for a life-saving kidney transplant could have a shorter wait time as living kidney donors become available. The program matches an incompatible donor/recipient pair with another pair in the same situation. It’s another way Scott & White helps transplant candidates find a match faster
One of eight transplant services exam rooms in Scott & White Memorial Hospital’s transplant services suite.
— sometimes before having to undergo dialysis, according to www.sw.org. “Through the living donor program we are able to expand our services,” Conney said. “Waiting recipients can be on a list anywhere from three to four years. Paired kidney donation has taken kidney donation to a different level.” Lappin said being a transplant surgeon is a privilege. “It’s rewarding to see your patients feel good,” she said. “You develop a great camaraderie, and get close to your patients. It’s very much a team effort.” When Lappin goes into a surgery room, she is surrounded by a team that includes an anesthesiologist, surgical nurse, technician and first assistant. A minimum of four medical professionals are in the surgical suite with her; however, depending on the complexity of the transplant there could be as many as 10 people in the room. “Everybody’s case is complex,” Lappin said. “There are no easy transplants. They are technically challenging. A transplant procedure is dependent on people
taking their meds, showing up to their appointments, and keeping themselves hydrated.” But not all patients are candidates for transplant. People who are obese and needing a kidney and/or a pancreas transplant need to take steps to get themselves to a safe weight. People who are ill, frail and underweight need to rebuild their strength and appropriate weight to become transplant candidates. Conney understands that needing a transplant can be scary, especially for those who need the surgery but for one reason or another are not good candidates. To mitigate their fear, there are organ transplant support groups and educational programs. One of those programs, to make patients candidateready, is Training 4 Transplant. “Training 4 Transplant is primarily for kidney and pancreas patients,” Conney said. “It’s geared toward the overweight/obese patients who need to lose weight before receiving an organ, and also for a patient who is sickly and frail.” Continued TEXAPPEALMAG.COM
Graduates of the Training 4 Transplant program received their long-awaited organ transplants.
Training 4 Transplant can be a twoyear program where patients are seen every three months by a nurse, surgeon and dietitian. It is a partnership between a patient and their team and includes diet, exercise and following a healthy life plan. “It’s in their best interest,” Conney said. “The program helps to make patients better candidates for their transplant,” Lappin added. “You have to train to optimize yourself for a transplant.” Many patients waiting for a transplant suffer depression and social isolation, Lappin said. They are unable to eat or drink what they would like, and they feel tired most of the time. Patients who need a little help to stay on track for their transplant would benefit 12
AUGUST 2016 | TEX APPEAL
“The program helps to make patients better candidates for their transplant.”
Dr. Jacqueline Lappin
from having an advocate. “Someone who could hold them accountable to show up to their clinic sessions and help them become better candidates,” Lappin said. Also, exercise is important for all patients preparing for transplant. “They may not feel like it, but they have to push themselves. They need an advocate to
help them be creative for their particular situation. The less you do, the less you do.” To help organ recipients and their families who come from a distance and need a place to stay while their loved ones are undergoing a transplant, the hospital has a recreational vehicle park behind the hospital. People can park their RVs and stay at the hospital while their family member is recovering. This year, one RV was donated to the hospital for a family who doesn’t have a RV or are not able to stay in a hotel. “This is where they can stay,” Conney said.
SCOTT & WHITE MEMORIAL HOSPITAL 2401 S. 31st St., Temple 254-724-2111 www.sw.org
Baylor Scott & White Health Care System continues to grow Story by CATHERINE HOSMAN Photos courtesy of Baylor Scott & White HEALTH CARE SYSTEM
cott & White Memorial Hospital in Temple continues to bring the latest in 21st century medical technology to the community. From breaking ground for a new Surgical Science Building in Temple, opening a cancer center in the Round Rock-Austin area and purchasing a hospital in Austin, Baylor Scott & White is expanding its services in the Central Texas market. One of the major areas of growth is neurosciences, and Scott & White Memorial Hospital is adding a new neurosurgical suite within the current operating room. “There has been a substantial growth in neurosciences,” said Shahin Motakef, president of Scott & White Temple and Central Region. “There are two major components: the number of providers and services. Neurosurgery has added many neurosurgeons.” Motakef said there is an increase in neuro-interventional cases through the use of high-tech equipment, and surgeons are able to do less invasive procedures than before. “In December, we will dedicate a neuro-interventional suite in the current operating room,” Motakef said. In addition, Motakef said a new on-campus urology clinic will offer a state-of-the-art facility and equipment to promote contemporary and leading-edge diagnostic testing and procedures that in some cases may have been conducted in a surgical suite. By the end of 2016, the dermatology clinic, currently located on Adams Avenue in Temple, will move to the main hospital campus. New medical advances in neurology and cardiology will allow for less invasive treatments. “A MitraClip heart procedure to repair the mitral valve and Transcatheter Aorta Valve Replacement (TAVR) can
The check-in and waiting room in the new Surgical Sciences Building will offer a comfortable setting for visitors.
now be done under conscious sedation through the femoral artery in the leg,” Motakef said. “Patients not eligible for open heart surgery can now get a valve replacement. It’s cool technology.”
Surgical Science Center In August, the hospital broke ground on its new Surgical Science Building. This three-story structure will take two years to build at a cost of $60 million. “It will provides us the facilities Motakef and equipment for current and advanced surgery,” Motakef said. The new facility, scheduled to open in summer 2018, will be adjacent to the hospital and will increase the operating room suites from 26 to 32, he said. Existing operating rooms within the hospital will be expanded and refreshed. Dr. Harry Papaconstantinou, chairman for the department of surgery at Scott & White Memorial Hospital
said the new Surgical Sciences Building is a necessity. “Our surgical volumes are growing,” Papaconstantinou said. “The additional operating room space will accommodate the community’s needs and the advanced surgical technology will expand our services for patients.” “The new surgical sciences facility will have 10 surgical suites, each 750 square feet, which are large enough for surgical teams to incorporate additional technology directly into their surgeries and monitor patients in real time as they undergo procedures,” said Deke Jones, Baylor Scott & White Health media relations manager. Scott & White Memorial Hospital is the only Level I trauma center between Austin and Dallas. It is a 636-bed teaching hospital with the adjacent Brindley Circles medical clinic, and is the professional home of 700 senior staff physicians, 450 residents and fellows and 450 advanced practice professionals. Continued TEXAPPEALMAG.COM
The new Surgical Sciences Building will stand adjacent to Scott & White Memorial Hospital in Temple, increasing the hospital’s number of operating room suites from 26 to 32.
Its state-of-the-art equipment includes a daVinci robot, used for various types of surgeries, including urology, obstetrics and gynecology. Last year the hospital acquired a Cardio MEMS, an implantable device that monitors a patient’s pulmonary artery pressure and heart rate away from the hospital. Other areas of technology at Scott & White include the use of LVADs or RVADs, Left or Right Ventricular Assist Devices that help support patients with failing hearts while they are waiting for a transplant; a S/B Anti-Gravity machine for the rehabilitation of sports injuries, and an EOS upright 3-D Imaging scanner that uses just one-fifth the radiation of traditional scanners. Telestroke technology allows physicians to care for patients in underserved areas and uses electronic communication methods, such as telephone, internet and videoconferencing to exchange medical information from one geographic site to another. Scott & White also has advanced imaging featuring Dual Definition 128-slice CT, 64-slice CT, fixed PET CT, 3T, MRI and IMRT. Its neonatal intensive care unit ranks among the top in survival for fragile newborns. Baylor Scott & White – Central Division covers nearly 29,000 square miles in more than two dozen counties in Central Texas. In addition, it collaborates with the Temple veterans’ medical center to provide services and staff support. “As the Scott & White Health Plan and Baylor Scott & White Quality 14
AUGUST 2016 | TEX APPEAL
Privacy curtains will separate patients waiting for procedures in the new day surgery suites.
“We are setting up to take care of the community for decades. We are preparing for the future of health care.”
Shahin Motakef, president Scott & White Temple and Central Region
Alliance grow, we need to expand our services to care for the needs of the population across the state,” Motakef said. Baylor Scott & White strives to fulfill its mission to bring the best quality health care to the community. “Regardless of the political environment we plan to make sure we provide the
best care at the lowest cost to our community,” he said. Ultimately, as they look for areas of strength in their system, Motakef said the patient remains the center of what they do. “It needs to be seamless,” he said. “We are setting up to take care of the community for decades. We are preparing for the future of health care.”
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The many forms of liver disease A conversation with Dr. Dawn Sears, chief of hepatology section and GI fellowship program director
his year, the American Liver Foundation celebrates its 40th anniversary in its quest to bring the seriousness of liver disease to the forefront. Liver disease comes in many forms and can carry an unwelcome stigma to it. Its goal is to raise awareness and funding for further research and continue to find better medicines to help patients live with their form of the disease. “The liver is a large organ that lives under our right rib cage, about footballsize and it filters everything that comes into our bodies,” said Dr. Dawn Sears chief of hepatology section and GI fellowship program director at Scott & White in Temple. “You won’t know (if you have a form of liver disease) unless you get a specific test for it. It’s not found in routine labs. “It’s the largest factory in our body. It makes protein, which we need for antibodies and bodily functions to heal, and keeps our other organs in the right place.” The liver is the only organ that can regenerate, she said, adding that it could grow itself back to the same size and shape within two years. “You could have 90 percent of your liver destroyed before you show symptoms or have abnormal labs. So if we have 50 percent removed or taken over by disease, you may feel fine. Then at 91 percent, you may think you are getting sick quickly, but the disease was actually progressing for a long period of time.” The American Liver Foundation estimates 5.5 million Americans are living with some form of chronic liver disease or cirrhosis. Approximately 4.4 million Americans are living with hepatitis B or hepatitis C, and most do not know that they are affected. Veterans enrolled in VA health care have higher rates (5.4 percent) of HCV infection than the general U.S. population (1.8 percent), according to www.liverfoundation.org. One form of chronic liver disease is nonalcoholic fatty liver disease. 16
AUGUST 2016 | TEX APPEAL
have a serious discussion because of the same progression onto cirrhosis, liver cancer and liver failure as if we were dealing with someone with alcoholic liver disease.” Other risks attributed to NAFLD are heart attack or stroke. “Fatty liver disease is 100 percent reversible if people start exercising with serious aerobic exercise,” Sears said. “Just 40 minutes of walking every day. That’s all you need to do. You don’t need special equipment. Just 40 minutes a day and you can walk your way out of fatty liver disease.”
Dr. Dawn Sears
NAFLD is now taking over the world, Sears said. In population studies, 30 to 70 percent of people are affected and most likely don’t know it. “NAFLD mirrors obesity and diabetes,” she said. “It’s a disease of lifestyle.” As our society becomes more sedentary with its dependence on technology, instead of walking down the hall at work to talk to someone, Sears said people text them. “Our lifestyle has changed from going home and making chicken and peas, to driving through the drive-thru and getting a burger and fries. This has poisoned our body.” Because of the sedentary lifestyle, our livers are not getting relief through physical activity, she said. Because cirrhosis is the end result of all forms of liver disease, a liver with too much fat in it begins to look exactly the same as someone with alcoholic liver disease. “Under the microscope, it’s hard to tell the difference,” she said. “For both types, 10 percent will go into cirrhosis. “It’s easy to tell an alcoholic, ‘OK, you have damage, you have to stop drinking, and they understand that. But when you have someone with fatty liver disease, you can’t say to them to never eat food or drink again. But we have to
Viral Hepatitis Hepatitis is the inflammation of the liver which could be caused by one or more of several viral or genetic forms of liver disease. Hepatitis C (HCV) is one of several forms of liver diseases affecting people today, and this life-threatening illness seems to be epidemic in the baby boomer generation, people born between 1946 and 1964. The ALF said more than 3 million people born during those years, or 75 percent of adults, have HCV, a disease that can live inside a person for decades before showing any symptoms. When the symptoms do finally surface, it is often too late to control the disease. “Seventy percent of HCV is found in baby boomers,” Sears said. “The Center for Disease Control said 100 percent of baby boomers need to be screened for HCV regardless of symptoms, risk factors and regardless of any known position of how their liver is doing or not doing.” Hepatitis C is considered a lifestyle disease, with the virus often spread through drug abusers sharing needles, getting tattoos, or having high-risk sexual activity with someone who had the virus. “If you look back at IV drug users of the ‘70s, basically 80 to 100 percent of them got infected with hepatitis C,” she said. But Sears said the virus also was spread through other avenues like blood transfusions, medical devices and
health care services because at that time, equipment didn’t have the stringent sterilization policies in place today. “It spread during the 1970s in ways that were not understood prior to that year. The medical community didn’t realize how these microscopic organisms could spread in that way,” she said. Sears said HCV is curable, but the past therapy, a combination of oral ribavarin and interferon injections administered for nearly a year, caused debilitating side effects for the patient. “Patients had to give themselves injections every day. It was a horrible regimen. Many people were not able to work full-time on the therapy and it had a lot of side effects. It was life-changing and the cure rate was about 50 percent.” A new therapy released in 2015 is more costly but touts a 12-week cure for patients without serious symptoms, like end-stage cirrhosis. “The most exciting thing in the last three years for us in the world of hepatitis C is now we have an oral cure. Most of the cures are one pill a day for as short as three months. We’re looking at a 95 percent cure rate with virtually no side effects.” Hepatitis B, (HBV) contracted through many of the same avenues as hepatitis C, is not chronic but it is curable. “If you contract it as an adult you can fight it off and usually get over it. It’s not a chronic infection, usually a six month infection,” she said. Sears said HBV is common in Asian, African and South American countries and recommends people coming to America from one of those areas be screened. HBV is usually transmitted from mother to baby and Sears said it can be caught early. However, for people who are born with the virus embedded in their DNA and who do not realize it, because again, there are no symptoms, it can lead to the No. 1 cancer in the world, liver cancer. “You don’t see as much liver cancer in the U.S. because we don’t have as much hepatitis B in the U.S., but many parts of the world have over 10 percent incidence of chronic HBV.” Sears said if you contract hepatitis B as an adult you can fight it off with treatment and will recover from it. She said the treatment lowers the level of the virus and can decrease the risk of it going into liver cancer.
“(The liver is) the largest factory in our body. It makes protein, which we need for antibodies and bodily functions to heal, and keeps our other organs in the right place.”
Dr. Dawn Sears
Hepatitis A (HAV) is food-poisoning related and occurs when a person eats a contaminated (usually) raw food product that contains micro-bacterial fecal organisms from shellfish farmed in contaminated waters, raw produce, food contaminated by people handling the food who have the virus and don’t wash their hands properly after using the bathroom. However, it is curable and preventable. The CDC recommends a hepatitis A vaccine for all children and travelers
to certain countries, and for people at high risk for infection with the virus. Frequent handwashing with soap and warm water after using the bathroom, changing a diaper, or before preparing food can help prevent the spread of hepatitis A.
Genetic Hepatitis Because most, if not all, forms of liver disease are slow moving, a person can go through 20 or more years of his or her life with no symptoms, then wham! — they are very sick, on the brink of death, or needing to be on a liver transplant list. While some people contract a viral, alcoholic or fatty liver form of liver disease, others are born with it. Some forms of genetic liver disease can be discovered in infancy, e.g., Tyrosinemia Alpha 1, Antitrypsin Deficiency, Wilson’s Disease and Glycogen Storage Disease, but symptoms may not show up until later in life. Hemochromatosis, although not a liver disease, affects the liver when excessive iron is absorbed out of a person’s diet and stored in the liver. “The treatment for that is Continued TEXAPPEALMAG.COM
phlebotomy,” Sears said. “In the old days, leeches were used. Today a patient donates blood once a month which helps to build up our blood banks with super blood. Most people feel better after phlebotomy.”
Autoimmune Liver Diseases Autoimmune liver diseases primary biliary cholangitis (PBC), primary sclerosing cholangitis (PSC) and autoimmune hepatitis (AIH) occur when the body’s immune system attacks the liver or bile ducts causing inflammation and scarring which leads to a progressive form of liver disease, according to www. liver.ca. PSC and PBC are autoimmune liver diseases where the autoimmune antibodies attack the bile ducts of the liver that feed to the gall bladder. PSC is more common in men. PBC is when the autoimmune antibodies attack the small bile duct and is more common in females. Symptoms include fatigue. “Blood work can help determine this,” Sears said. “It can be treated with ursodeoxycholic acid therapy (URSO) that a patient takes for life. With URSO,
AUGUST 2016 | TEX APPEAL
she said the survival rate is the same as if you didn’t have the disease at all. Autoimmune hepatitis is the same as the other autoimmune diseases — it’s a lot of mystery. “We do see there is a higher propensity of autoimmune diseases of all kinds in women, rather than men,” Sears said. “There is a lot of speculation about what makes this happen and there seems to be a genetic and gender component.” It’s very frustrating from a patient’s point of view, she said. But these mysterious forms of liver disease are just as serious as the others and if left unrecognized and unchecked can have a premature deadly effect on the patients who suffer from it. Sears said treating people with autoimmune hepatitis presents one of her favorite medical challenges because she can “take the liver on the edge of death and pull it back very quickly.” Her advice to doctors who may suspect their patient has this disease is “don’t ever miss AIH. Don’t miss it. If you suspect it (in a patient) you need to get specific blood tests to confirm, and possibly a liver biopsy.”
Immediate treatment involves a course of steroids and immunosuppressants. Once AIH is under control, better long-term medications can be prescribed. “You can save a life if you are looking for this,” Sears said. “I love being able to take people away from the grip of death. You can snatch them away and say “no, not today.”
No. 1 killer Sears said liver disease now beats out heart disease as the No. 1 killer of baby boomers. “That’s because many baby boomers have a combination of hepatitis C, NAFLD (fatty liver disease) and ALD (alcoholic liver disease). If you mix all of these up you end up with a serious liver disease.” The irony about liver disease is that it doesn’t matter what form a person has or how they contracted it. Except for viral hepatitis A, which is temporary and curable, all other forms of liver disease could, and often do, lead to cirrhosis, and ultimately liver cancer. For more information, visit www. liverfoundation.org.
Ellen Hansen, chief nursing officer and chief operations officer of McLane Children’s Hospital in Temple keeps a curio cabinet filled with vintage medical artifacts in her office.
A lifetime of patient care Chief nursing officer of McLane Children’s Hospital stays inspired
Story by CATHERINE HOSMAN Photos by JULIE NABOURS
hief Nursing Officer and Chief Operations Officer Ellen Hansen’s office at McLane Children’s Hospital is full of memories from her 34-year career in nursing. Along one wall are bookshelves filled with tomes about pediatrics and neonatal intensive care, and a curio cabinet filled with medical supplies
that represent a history of nursing. The artifacts illustrate the early days of surgery, nutrition, lab, NICU, pharmacy, nursing and respiratory. On the top shelf of her bookcase is a collection of vintage bed pans and urinals. But of all of her collections and memories, Hansen’s favorite is the golden diaper pin that hangs from the lanyard around her neck that holds her work identification. Back in the 1980s, when cloth diapers
were still used and fastened with a diaper pin, Hansen was a student nurse working the night shift in the neonatal ICU at Children’s Healthcare in Atlanta, where she spent the first 22 years of her career. “I was pregnant with pigtails,” said Hansen, a young wife at the time and now the mother of two daughters, and grandmother to three. “NICU is very detail oriented. One decimal point error can kill a baby,” she said. Continued TEXAPPEALMAG.COM
The hospital where she worked was family-centered and practiced a “holistic kind of nursing.” “You really have to be in tune with what is going on with the baby,” she said. There was a baby in the NICU who was born with severe lung problems. It was the family’s first child. After six weeks, the baby developed complications and she said things went downhill quickly. The family wasn’t able to get there in time, so Hansen stayed with the infant until it died. Later, while Hansen was working the NICU one night, the baby’s father walked in and handed her a gold safety pin for the care she gave to his daughter. It’s been 33 years since that event, and Hansen said she has kept Annie Laura in her thoughts and the golden diaper pin on her ID. “This steered my career,” she said. “It was the realization, the importance of having a child impact you.” “Ellen is one of the most dedicated and passionate colleagues I have had the privilege to work with in my entire career,” said Dr. John Boyd, president and chief medical officer of McLane Children’s Hospital. “She not only talks the talk of patients first, she walks the walk.”
A lifetime nurse Hansen chose nursing as an occupation because she wanted a career she knew would carry her through her working life. Growing up in a military family, she moved around a lot, and was inspired by stories of her grandmother who worked as a physical therapist in the 1930s. “Nursing seemed like a good option,” she said. “I knew I’d always need to work.”
Ellen Hansen’s office curio cabinet is a museum of vintage medical artifacts that reflect nursing through the ages.
“Ellen is one of the most dedicated and passionate colleagues I have had the privilege to work with in my entire career. She not only talks the talk of patients first, she walks the walk.”
Dr. John Boyd
She evolved in her career and established herself at Atlanta Children’s Healthcare where she became the director of medical surgery units, clinics, pediatrics and dialysis. “All the things I ever did before (as a bedside nurse),” Hansen said. After 22 years in Atlanta, she spent four years at the Phoenix Children’s Hospital as director for multiple departments and also as a life coach for her staff. “My best day was when someone I
When Ellen Hansen was a young nurse in the neonatal intensive care unit at Atlanta Children’s Healthcare, she cared for an infant who was not going to survive. The child’s father gave her this gold diaper pin as a thank you for her care. 20
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was coaching and developing surpassed me,” she said. “They have talent, but didn’t know they had the talent.” As the CNO for McLane Children’s Hospital, Hansen said she doesn’t have much one-on-one time with patients anymore, but she supervises the day-to-day activities of the nursing staff. “I don’t live on the details,” she said, adding that if a nurse has an issue, her first line of protocol is the supervisor. If the supervisor is unable to find a solution, she brings in the manager, who reports to the department director. If all efforts fail, then Hansen is brought in to mitigate, with Dr. Boyd, the final tier of the ladder. Hansen relies on 10 directors to run the hospital’s operations. When needed, she will meet with her directors to discuss patients or other issues that arise. “It’s like looking at a puzzle. If we bring in a new service, what kind of staff will we need, what kind of equipment?” she asked. Having worked the floors herself, she said she has a lot of respect for staff who work bedside. “I like taking care of the
From left, Lisa Taylor and her son, Logan, 3, stopped by McLane Children’s Outpatient Pediatric Dialysis treatment room and visited with Dr. Faris Hashim and Dr. Elie Firzli.
people who take care of the patients,” she said. “Ellen has set the standard that all of our nursing staff are striving to attain,” Boyd said. “She has brought the shared governance concept to McLane Children’s, not only for nurses but for all disciplines that help to care for our families and children.” According to nursingworld.org, shared governance is a model of nursing practice designed to integrate core values and beliefs that professional practice embraces, as a means of achieving quality care. Shared governance models were introduced to improve nurses’ work environment, satisfaction and retention. “When faced with nursing recruitment challenges she brought forth our international nurses program, where we have been able to retain approximately 90 percent of those recruited as permanent staff,” Boyd continued.
Advancing children’s care This year, the hospital will add a sleep clinic for children who will be housed
during the night in the day surgical unit. Hansen said a pediatric sleep study will help diagnose children who suffer seizures, snore and have problems with tonsils. “Kids who are diagnosed with attention deficit hyperactivity disorder (ADHD) and have other disorders that create problems with sleep can get off their medications once they can sleep better,” she said. Another new initiative at McLane Children’s Hospital is the pediatric Dialysis Unit. “We partnered with the Temple Dialysis Center down the loop from us that only treated adult patients,” said Ruthie Davis, manager of the Child Life Program. “Now they are seeing pediatrics. We built a room and reconfigured it with new chairs, dialysis equipment and a mural on the wall to symbolize kids crossing a bridge from dialysis to transplant.” The clinic opened Aug. 21, and has the capacity to serve six children a day, Monday through Saturday. For children
whose school life is interrupted during treatment, a Temple ISD teacher visits the clinic to help kids keep up with class work. Also new this year is the hospital’s purchase of a second mobile intensive care ambulance, smaller than the one they have now, but with the same life-saving equipment. “It will be used for shorter distance emergencies, keeping the original ambulance available for the long-distance runs,” Davis said. The hospital is also planning for a transplant and complex cardiology building that will perform bone marrow and solid organ transplants, as well as kidney transplants for children. “We are putting programs together because of the community,” Hansen said. “If they (the community) need something, we will make it happen.”
McLane children’s Hospital 1904 SW H.K. Dodgen Loop, Temple 254-724-5437 www.swchildrens.org TEXAPPEALMAG.COM
Ruthie Davis, manager of the Child Life Program at McLane Childrenâ€™s Hospital Scott & White. 22
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Ruthie Davis works to ease patient stays at McLane Children’s Story by CATHERINE HOSMAN Photos by JULIE NABOURS
cLane Children’s Hospital, part of the Baylor Scott & White Health System in Temple, continues to grow into the 21st century and strives to make a child’s hospital stay easier. Ruthie Davis, manager of the Child Life Program, keeps that momentum going with the hospital’s family-centered approach to pediatric care. “Parents focus on the child who is sick or hurt and siblings often don’t know what is going on and they are left scared,” she said. Davis said even adults get nervous and anxious if they have to be hospitalized for a serious medical event. “For a child it is compounded,” Davis said. “Kids have vivid imaginations. We don’t know what they see on TV, we don’t know what kind of knowledge they have.” By being family-focused, Davis said the entire family can be included in the process from diagnosis to treatment.
Knowing what’s wrong When a family walks through the doors of McLane Children’s Hospital, some kids will know why they are there, others will not. Parents may not know what to tell their child and the child is scared. Some parents think “maybe it’s best not to tell them (the child),” Davis said. “Parents, for a variety of reasons, may choose to withhold information from their child. Sometimes it’s out of fear, sometimes it’s because they don’t know what to say or because they think their child already knows.” Once a child is admitted, Davis and her staff do everything they can to make that child’s experience less traumatic. First, with parental approval, they explain to the child why they are at the hospital. Some children will know everything about their illness, others may not know anything,
“It’s a place where children can play freely and parents can watch their children be children.”
Davis said. “We provide the child with accurate information, we educate them and prepare them in an honest way to gain the trust of the child,” Davis said. “Trust is the basis of any therapeutic, supportive relationship. If you don’t have the child’s trust, you won’t get very far.” To help support the developmental needs of children, the hospital has two Child Life Activity Centers, one for teens and one for all ages. Each room is filled with floor-to-ceiling shelves that hold toys, books and games. There are tables and chairs where kids can sit and color, and enough room for parents and siblings to play, too. “It’s a place where children can play freely and parents can watch their children be children,” she said. Outside is the healing garden that is a peaceful place filled with sculptures, benches and a walking trail for kids where they can identify animal statures hidden in the underbrush. The flora and fauna of the garden is maintained by volunteers of the Bell County Master Gardener’s Association. “The focus on family-centered care is a big component of our work. Parents know their child best and we want to work alongside the family in providing care,” Davis said. To decrease stress and trauma for children, Davis explains the procedure in developmentally appropriate terms, whether it’s as simple as a blood draw to having an IV or PICC line inserted, and
she often demonstrates that procedure on a medical doll. “We tell them if it will hurt. It probably does hurt, and we want to be honest with them,” Davis said. By using a doll, Davis said the staff can teach the child and show them why they need to have that line put in, or how blood will be drawn. “We’re not just doing procedures because we want to. Children need information to help them cope with and anticipate what will happen. We give them a sequence of events and what sensations they may feel. We show them on the doll so they are not caught off guard. In a way, it is giving the control back to them. They have a choice to watch or look away. This is a way of offering very simple choices and it empowers the kids to have control.”
Trained to interact with children Empowering children carries over to the volunteers who spend time with the children, playing games or sometimes just talking. Volunteers will knock first, before entering a child’s room. After introducing themselves, they offer to play a game. If the child says no, they respect that. “This may be the only time a child has a choice. They don’t have choices in most (hospital) situations. We show them respect,” Davis said. Davis has been a child life specialist since 2003, and has been with McLane Children’s Hospital since 2014. She has seen the 21st century come to McLane’s in the way of technology. “There are a lot more electronics available for us now. We didn’t have iPads, or any of the electronics we have now. Kids are tech savvy and we need to keep up with them, keep it relevant for them. Imaging apps transport a child to a beach or mountains, and there are games to distract them while undergoing a procedure, such as a medical education app with images of a child receiving a PICC line. “This is one of the biggest things for the profession that has changed,” Davis said. TEXAPPEALMAG.COM
MEET THE DOCTORS Adolescent Medicine
Meera S. Beharry, MD 254-724-5437 McLane Children’s Scott & White Clinic - Temple 1901 SW H K Dodgen Loop, Temple
Adult Mental Health
Ilaina Shook, DO Louis A. Gamino, PhD, ABPP, FT 254-724-2585 Scott & White Mental Health Center - Temple 2401 S. 31st St., Temple Jim B. Airhart, MD Phillip Wayne Antunes, MD David Blackburn, PhD 254-724-2150 Scott & White Clinic - Temple 2401 S. 31st St., Temple
Mercedes Arroliga, MD John E. Dvoracek, MD 254-215-0100 Scott & White Center for Diagnostic Medicine 1605 S. 31st St. #19, Temple
Anatomic & Clinical Pathology
Felix A. Olobatuyi, MD 254-724-2111 Scott & White Memorial Hospital - Temple 2401 S. 31st St., Temple Kathleen A. Jones, MD Lisa M. Lopez, MD Robert S. Beissner, MD, PhD William Koss, MD Lubna Sayage-Rabie, MD, FCAP V.O. Speights, Jr, DO 254-724-2150 Scott & White Clinic - Temple 2401 S. 31st St., Temple Douglas A. Larsen, MD 979-207-0100 Baylor Scott & White Medical Center - College Station 700 Scott & White Drive, College Station Constance Cleaves, MD 251-509-0100 24
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Baylor Scott & white Health Care Baylor Scott & White Medical Center - Round Rock 300 University Blvd., Round Rock
Michelle Rodriguez, MD 830-201-7100 Scott & White Specialty Clinic - Marble Falls 800 West Hwy 71, Marble Falls Riyam T. Zreik, MD 254-724-2111 Scott & White Memorial Hospital - Temple 2401 S. 31st St., Temple
Todd H. Martin, MD 325-247-5040 Baylor Scott & White Medical Center - Llano 200 W Ollie St., Llano Dair T. Chevalier, MD Jolene D. Bean Lijewski, MD, PhD Paul L. Dillon, MD Jana L. Rivera, MD 254-724-5437 McLane Children’s Scott & White Hospital - Temple 1901 SW H K Dodgen Loop, Temple David P. Ciceri, MD John C. Cargile, MD Emily Garmon, MD Catherine Scholl, MD Navin Lavu, DO Lisa Baggett, MD Tim M. Bittenbinder, MD Laura L. Brinkley, MD Julie Xindaris Colvin, MD David A. Cross, MD William C. Culp, Jr., MD Kent F. Elliott, MD Jeff R. Gibson, Jr, MD David F. Gloyna, MD Michael Hofkamp, MD Larry R. Hutson, Jr, MD William E. Johnston, MD Jack F. Lay, MD, MBA Vanessa Lynn Martin, MD Taylor L. Pohler, MD Barbara L. Pollock, MD J. Clint Tippett, MD Kenneth Tobler, MD Frank J. Villamaria, MD
Gary W. Latson, MD Christopher Foster, MD 254-724-2150 Scott & White Clinic - Temple 2401 S. 31st St., Temple Christopher J. Burnett, MD 254-724-2111 Scott & White Clinic - Temple Pavilion 1815 S 31st St., Temple Benjamin B. Vacula, MD Russell K. McAllister, MD Brent T. Bartz, MD Xiaobo Eric Dong, MD Stavroula IkonomakouNikolaidis, MD Keller Matthews, MD Rick Roberson, MD Bryan J. Rondeau, MD 254-724-2111 Scott & White Memorial Hospital - Temple 2401 S. 31st St., Temple James (Jim) J. Konvicka, MD 254-202-2000 Baylor Scott & White Medical Center - Hillcrest 100 Hillcrest Medical Blvd., Waco Joshua A. Good, MD Don J. Daniels, MD Adam C. Bossen, MD Michael G. Parisi, DO 254-526-7523 Metroplex Health System - Killeen 2201 S. Clear Creek Road, Killeen Christopher A. Hartmann, MD Gary E. Shanks, MD 830-201-8000 Baylor Scott & White Medical Center - Marble Falls W. 810 Texas 71, Marble Falls
Anesthesiology/ Pain Management
Kelsey R. Pohler, MD Hiep Tran, MD 254-618-1888 Killeen Pain Clinic at Hemingway 2405 S. Clear Creek Road, Killeen Rodney R. Lange, MD 254-724-2150 Scott & White Clinic - Temple 2401 S. 31st St., Temple
2016 DIRECTORY Audiology
Margaret S. Gillihan, PhD 830-201-7100 Scott & White Specialty Clinic - Marble Falls 800 West Hwy 71, Marble Falls Tressa M. Mann, AuD Alanna Birdwell, AuD Elizabeth Pasichnyk, AuD George Whitaker, AUD, CCCA 254-724-2150 Scott & White Clinic - Temple 2401 S. 31st St., Temple Esther McCormick, AuD 254-724-5437 McLane Children’s Scott & White Hospital - Temple 1901 SW H K Dodgen Loop, Temple Aimee L. Woolard, AuD 254-618-1888 Scott & White Specialty Clinic - Killeen Hemingway 2405 S. Clear Creek Road, Killeen
Robert O. Carpenter, MD, MPH 254-724-2150 Scott & White Clinic - Temple 2401 S. 31st St., Temple David A. Provost, MD 254-724-2111 Scott & White Memorial Hospital - Temple 2401 S. 31st St., Temple
Rashad Daker, MD 254-724-2111 Scott & White Memorial Hospital - Temple 2401 S. 31st St., Temple
Cardiac Electrophysiology and Pacing James N. Black, MD Peter Cheung, MD, FACC, FHRS 254-724-2150 Scott & White Clinic - Temple 2401 S. 31st St., Temple
MEET THE DOCTORS Cardiothoracic Surgery - Adult Cardiac
Daniel Lee, MD Emmanuel A. Amulraj, MD 254-724-2111 Scott & White Memorial Hospital - Temple 2401 S. 31st St., Temple Chittoor Bhaskar Sai-Sudhakar, MD 254-724-2150 Scott & White Clinic - Temple 2401 S. 31st St., Temple
Cardiothoracic Surgery - General Thoracic
Ugochukwu C. Ogwudu, MD 254-724-2111 Scott & White Memorial Hospital - Temple 2401 S. 31st St., Temple Prashant C. Shah, MD 254-724-2150 Scott & White Clinic - Temple 2401 S. 31st St., Temple
Umad Ahmad, MD Jonathan D. Mock, MD Sunil S. Naik, MD Jason K. Lange, MD 254-618-1888 Scott & White Specialty Clinic - Killeen Hemingway 2405 S. Clear Creek Road, Killeen Dave Chawla, MD, PhD, FACC 830-201-7100 Scott & White Specialty Clinic - Marble Falls 800 West Hwy 71, Marble Falls Evan L. Hardegree, MD Billy Don Jones, MD Jeffrey B. Michel, MD, FACC Robert C. Scott, III, MD, PhD, FACC Philip D. Houck, MD, FACC Allan L. Anderson, MD, FACC, FAHA Christopher D. Chiles, MD, FACC Steven M. Costa, MD, FACC Gregory J. Dehmer, MD, MACC, MSCAI, FAHA, FACP Elizabeth Ebert, MD, FACC John P. Erwin, III, MD, FACC
Baylor Scott & white Health Care D. Scott Gantt, DO, FACC, FSCAI Dan W. Giebel, MD, FACC Margaret Happel, MD Mark E. Lawrence, DO, FACC Lazaros A. Nikolaidis, MD Carl W. Tong, MD, PhD Javier E. Banchs, MD, FACC, FHRS 254-724-2150 Scott & White Clinic - Temple 2401 S. 31st St., Temple Srikala M. Devabhaktuni, MD 254-724-2111 Scott & White Memorial Hospital - Temple 2401 S. 31st St., Temple Anitha Yarlagadda, MD 830-201-8000 Baylor Scott & White Medical Center - Marble Falls W. 810 Texas 71, Marble Falls
Child & Adolescent Mental Health
Clinical Cardiac Electrophysiology
Gregory D. Olsovsky, MD 254-724-2150 Scott & White Clinic - Temple 2401 S. 31st St., Temple
Robert Fader, PhD A. Mike Spiekerman, PhD 254-724-2150 Scott & White Clinic - Temple 2401 S. 31st St., Temple
Rahila Essani, MD Harry T. Papaconstantinou, MD, FACS J. Scott Thomas, MD, FACS, FASCRS Rajalakshmi Nair Warrier, MD 254-724-2150 Scott & White Clinic - Temple 2401 S. 31st St., Temple
Michael P. Carey, PhD Tracy C. Carey, PhD 254-724-5437 McLane Children’s Scott & White Clinic - Temple 1901 SW H K Dodgen Loop, Temple
Critical Care Medicine
Child & Adolescent Psychiatry
Randall W. Smith, MD, FACS 254-724-2150 Scott & White Clinic - Temple 2401 S. 31st St., Temple
Kyle Morrow, MD 254-724-5437 McLane Children’s Scott & White Clinic - Temple 1901 SW H K Dodgen Loop, Temple Joachim A. Sullivan, MD 254-724-2111 Scott & White Memorial Hospital - Temple 2401 S. 31st St., Temple
Nhung Tran, MD, FAAP Jerry A. Hall, MD 254-724-5437 McLane Children’s Scott & White Clinic - Temple 1901 SW H K Dodgen Loop, Temple
D. Mike Anderson, MD Edgar J. Jimenez, MD 254-724-2150 Scott & White Clinic - Temple 2401 S. 31st St., Temple
Critical Care Surgery
Sheila Marcks Dobin, PhD 254-724-2150 Scott & White Clinic - Temple 2401 S. 31st St., Temple
Kyle Frazier, DDS Ace Jovanovski, DMD 254-724-2150 Scott & White Clinic - Temple 2401 S. 31st St., Temple
Brian Ransdell, MD 830-201-7100 Scott & White Specialty Clinic - Marble Falls 800 West Hwy 71, Marble Falls
2016 DIRECTORY Lindsey Dailey Hicks, MD 512-509-0200 Scott & White Clinic - Round Rock 425 University Blvd., Round Rock Kirstin Altman, MD Ronald E. Grimwood, Jr., MD Chad D. Housewright, MD Natalie B. Lane, MD Erica A. Tillman, MD Palak Parekh, MD Katherine Fiala, MD Morgan J. McCarty, DO 254-742-3700 Scott & White Clinic - Temple Northside 409 W. Adams Ave., Temple
John F. Greene, Jr, MD 254-724-2150 Scott & White Clinic - Temple 2401 S. 31st St., Temple
James J. Whyburn, MD Barrett N. Luce, MD 251-509-0100 Baylor Scott & White Medical Center - Round Rock 300 University Blvd., Round Rock Krista L. Birkemeier, MD Matthew B. Crisp, MD Jose M. Santiago, MD 254-724-5437 McLane Children’s Scott & White Hospital - Temple 1901 SW H K Dodgen Loop, Temple Ricardo Garza-Gongora, MD Clint M. Gerdes, MD Ian Hamilton, PhD, CHP, DABR(D) 254-724-2111 Scott & White Memorial Hospital - Temple 2401 S. 31st St., Temple William Larkin, MD 979-207-0100 Baylor Scott & White Medical Center - College Station 700 Scott & White Drive, College Station
MEET THE DOCTORS
Baylor Scott & white Health Care
David M. Watkins, MD 512-509-0200 Scott & White Clinic - Round Rock 302 University Blvd., Round Rock John W. Calder, MD 830-201-8000 Baylor Scott & White Medical Center - Marble Falls W. 810 Texas 71, Marble Falls James B. Schnitker, MD Ashley Kallina Gist, MD Christopher S. Gouner, MD Rodney Lewis Hajdik, MD Paul Metzger, MD Debra L. Monticciolo, MD L. Gill Naul, MD Michael L. Nipper, MD Linda Parman, MD Michael J. Phillips, MD Spencer Travis Sincleair, MD Natalie Sivak, MD Connie C. So, MD Tim D. Truitt, MD James V. Vasek, Jr, MD 254-724-2150 Scott & White Clinic - Temple 2401 S. 31st St., Temple
Bruce C. Bollinger, MD Jason N. Collins, MD, FACEP Dorian Drigalla, MD, FACEP David A. Fritz, MD Margaret K. Strecker-McGraw, MD, FACEP 254-724-2150 Scott & White Clinic - Temple 2401 S. 31st St., Temple Jeffrey Jarvis, MD David A. Smith, MD Mark Basso, MD Matthew W. Fannell, MD T. Russell Jones, MD Ryan Morrissey, MD Timothy C. Stallard, MD Eric W. Stern, MD J. Scott Wieters, MD Nicole Denise Zadzilka, MD Jon E. Jaffe, MD Andrew L. Juergens, II, MD Scott A. McAninch, MD, FACEP Pratiksha Desai Naik, MD Taylor K. Ratcliff, MD 254-724-2111 Scott & White Memorial Hospital - Temple 2401 S. 31st St., Temple
Robert D. Greenberg, MD, FACEP Clifford J. Buckley II, MD, MBA Shawn D. Horrall, MD C. Keith Stone, MD
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David Wenkert, MD, PhD 254-724-2150 Scott & White Clinic - Temple 2401 S. 31st St., Temple Seema L. Sidhwani-Chawla, DO, FACE
512-509-0200 Scott & White Clinic - Round Rock 425 University Blvd., Round Rock Sabita Challagulla, MD Keith Cryar, MD Veronica K. Piziak, MD, PhD 254-215-0100 Scott & White Center for Diagnostic Medicine 1605 S. 31st St. #19, Temple
Benjamin L. Smith, MD 254-260-6100 Baylor Scott & White Clinic - Cedar Park 910 E Whitestone Blvd., Cedar Park Justin A. Feeney, DO Michael O. Kirkpatrick, MD Elena V. Wilson, MD 254-501-6400 Baylor Scott & White Clinic - Killeen West 501 S. Clear Creek Road, Killeen Randall J. Grimshaw, MD 325-247-5040 Baylor Scott & White Medical Center - Llano 200 W Ollie St., Llano W. George Bartels, MD Clinton Fatter, MD Michael P. Hagen, MD Penelope Holland-Barkis, MD Darin K. McDonald, MD
2016 DIRECTORY E. Don Parker Jr, MD 254-933-4000 Scott & White Clinic - Belton 1505 N Main St., Belton Edward Fasolino, MD Sarah Hovland, MD, MPH Melissa J. Nieland, MD Stephen J. Sewell, MD 254-831-2000 Scott & White Clinic - Belton South 1001 Arbor Park, Belton Rachel R. Myers, MD 512-756-7510 Scott & White Clinic - Burnet 101 E Jackson St, Burnet, TX 78611 Jeffrey A. Hall, DO Joshua C. Kilpatrick, MD Kenneth R. Kindle, DO 254-953-7700 Scott & White Clinic - Harker Heights 907 Mountain Lion Circle, Harker Heights Jack Franklin, MD 830-598-4405 Scott & White Clinic - Horseshoe Bay 100 Pecan Crossing, Horseshoe Bay William M. Averitt, DO Amanda K. Beretta, DO Frank Betanski, MD Christine A. Bridges, MD Jed S. Fritz, MD Paul D. Gerdes, MD
MEET THE DOCTORS John A. Joseph, II, MD 254-680-1100 Scott & White Clinic - Killeen 3801 Scott & White Drive, Killeen Kimberly A. Russell, MD Grady Franklin Miller, DO Chrisanne Kuczmarski, MD 325-388-9400 Scott & White Clinic - Kingsland 105 FM 2342, Kingsland Sonja Louise Forrister, MD Kelly R. Tucker, MD Dan David Hoerster, MD Skylar S. Forrister, MD 325-247-4131 Scott & White Clinic - Llano 102 E Young St., Llano Curtis Copeland, MD Bruce Michael Cravey, MD Scott P. Liggett, MD Clark W. Craig, MD Peter Davenport, MD 830-201-8900 Scott & White Clinic - Marble Falls 706 Ave G, Marble Falls Billy Ligon, MD Cheryl L. Warren, MD 254-947-7500 Scott & White Clinic - Salado 3525 FM 2484, Salado Craig D. Whiting, DO, FACOFP 325-372-5163 Scott & White Clinic - San Saba 2005 W Wallace St., San Saba Tiffany Berry, MD Glen R. Couchman, MD 254-724-2150 Scott & White Clinic - Temple 2401 S. 31st St., Temple Jason D. Ramm, MD Terry G. Rascoe, MD 254-742-3700 Scott & White Clinic - Temple Northside 409 W Adams Ave., Temple Marlow R. Griggs, MD Jennifer Flory, MD Talana R. Walker, MSN, FNP-C 254-742-7400 Scott & White Clinic - Westfield 7556 Honeysuckle, Temple John L. Manning, MD Sharon L. Barber, MD Judy Embry, PhD
Baylor Scott & white Health Care Samuel N. Forjuoh, MD May C. Hong, MD Candace Ripperda, MD Janice K. Smith, MD, MPH R. Marc Via, MD Alicia L. Wooldridge, MD Michael D. Reis, MD 254-771-8411 Scott & White Family Medicine Clinic - Santa Fe 1402 W Avenue H, Temple Yoon Sin Kim, DO Paul Smith, DO, M.Arch 254-724-2111 Scott & White Memorial Hospital - Temple 2401 S. 31st St., Temple Lorry Thornton, DO 254-933-5600 Scott & White Urgent Care Clinic - Belton 309 Lake Rd, Belton Sharon Hall, MD Ernesto Sanchez, MD Cristina Blejan, MD Jeffrey K. Hubert, DO Shane R. Maxwell, MD Stephanie D. Redding, MD 254-680-7300 Scott & White Urgent Care Clinic - Killeen 5702 E Central Texas Expy, Killeen
Female Pelvic Medicine and Reconstructive Surgery Wilma Larsen, MD Bob L. Shull, MD Paul M. Yandell, MD 254-724-2150 Scott & White Clinic - Temple 2401 S. 31st St., Temple
Foot and Ankle Surgery
Naohiro Shibuya, DPM, MS, FACFAS 254-743-1603 VA-Temple 4501 S General Bruce Drive Scott M. Munroe, MD 254-724-2663 Scott & White Roney Bone & Joint Institute 2401 S. 31st St., Temple
Jonathan C. Ramirez, MD
Timothy P. Pfanner, MD Christopher R. Naumann, MD James (Tommy) Sing, Jr., DO Duc H. Vu, MD Phillip L. Chaney, MD Richard A. Erickson, MD Joseph G. White, MD Mark A. Jeffries, DO Don Rawls, MD Dawn Sears, MD Harry J. Thomas, MD Jennifer L. Vincent, DO Andrejs E. Avots-Avotins, MD, PhD 254-724-2150 Scott & White Clinic - Temple 2401 S. 31st St., Temple Jason B. Welch, DO 830-201-7100 Scott & White Specialty Clinic - Marble Falls 800 West Hwy 71, Marble Falls
2016 DIRECTORY Timothy C. McCormick, DO 254-724-2150 Scott & White Clinic - Temple 2401 S. 31st St., Temple
Paul Cook, MD, MBA 830-201-7100 Scott & White Specialty Clinic - Marble Falls 800 West Hwy 71, Marble Falls
Hitesh B. Singh, MD Tara M. Barnett, MD 254-202-4000 Baylor Scott & White McClinton Cancer Center 150 Hillcrest Medical Blvd., Waco Tara M. Tomlin, MD 254-215-0100 Scott & White Center for Diagnostic Medicine General Surgery 1605 S. 31st St. #19, Temple Stephen T. Hougen, MD, FACS Rakesh Surapaneni, MD Geraldo Lim, MD 254-724-2150 830-201-8000 Scott & White Clinic - Temple Baylor Scott & White Medical 2401 S. 31st St., Temple Center - Marble Falls Prashanth Adapala, MD W. 810 Texas 71, Marble Falls 830-201-7100 Maria A. Provost, MD Scott & White Specialty Clinic 254-526-7523 - Marble Falls Metroplex Health System - Killeen 800 West Hwy 71, Marble Falls 2201 S. Clear Creek Road, Killeen Mohit Bansal, MD Debra Doherty, MD Sherronda M. Henderson, MD Jacqueline A. Lappin, MD, Vinit G. Karur, MD, PhD, FACP FACS, FRCSI Kathleen G. Halka, MD Stephen W. Abernathy, MD Ashwini Bhat, MD Gregory J. Jaffers, MD Christian T. Cable, MD, MHPE Joaquin A. Rodriguez, MD A. Clay Gowan, DO Samuel K. Snyder, MD, FACS Mark H. Holguin, MD Richard E. Symmonds, Jr, MD, 254-724-5918 FACS Scott & White Vasicek Cancer 254-724-2150 Treatment Center Scott & White Clinic - Temple 2401 S. 31st St., Temple 2401 S. 31st St., Temple
Nadia Ali, MD Katya Maillard-Gonzalez, MD Aval-Naâ€™Ree S. Green, MD 254-724-2150 Scott & White Clinic - Temple 2401 S. 31st St., Temple
Gynecologic Oncology Charles V. Capen, MD
Hospice and Palliative Medicine
Laurel Kilpatrick, MD 254-724-2150 Scott & White Clinic - Temple 2401 S. 31st St., Temple George B. Nguyen, DO 254-724-2111 Scott & White Memorial Hospital - Temple 2401 S. 31st St., Temple TEXAPPEALMAG.COM
MEET THE DOCTORS Infectious Disease
J.B. Cantey, MD 254-724-2111 Scott & White Memorial Hospital - Temple 2401 S. 31st St., Temple Karen Brust, MD Lizbeth J. Cahuayme-Zuniga, MD Alan Howell, MD Richmond L. Hunt, MD Janice J. Koshy, MD John Midturi, DO, MPH Sangeetha Ranganath, MD 254-724-2150 Scott & White Clinic - Temple 2401 S. 31st St., Temple Robert Plemmons, MD, FACP, CWS 254-724-2111 Scott & White Clinic & Dialysis Center - Temple South Loop 2601 Thornton Ln, Temple, TX 76502
Inpatient Medicine Hospitalist
James Onorato, MD, PhD 979-207-0100 Baylor Scott & White Medical Center - College Station 700 Scott & White Drive, College Station Umavathy Manoharan, MD Sixian C. Welch, DO 830-201-8000 Baylor Scott & White Medical
AUGUST 2016 | TEX APPEAL
Baylor Scott & white Health Care Center - Marble Falls W. 810 Texas 71, Marble Falls Jonathan Ram, MD Imtiyaz H. Hakeem, MD Jenny T. Jacob, MD Bindu Raju, MD Hemalkumar Chandulal Ramani, MD Erin C. Reed, MD Venkata Sami, MD Minesh P. Sheth, MD Asmat Q. Siddiqi, MD 254-526-7523 Metroplex Health System - Killeen 2201 S. Clear Creek Road, Killeen Austin Metting, MD 254-215-0100 Scott & White Center for Diagnostic Medicine 1605 S. 31st St. #19, Temple Mudassar Malik, MD Hameed Ali, DO Ammar Alqaid, MD Robert L. Anderson, MD Luis C. Camarillo, MD Robin L. Dauterive, MD Angela Gardner, MD Sabitha Rajan, MD, MSc, FHM Adam Wood, MD Bhupinder S. Sangha, MD Elizabeth Aguirre, MD Sofia Blinchevsky, MD Karla P. Bolanos, MD Fernando A. Bolanos Cruz, MD Jose Cesani, MD Kevin Chang, MD, MS Salmann I. Chaudry, DO
Cindy Lynn Douglas, MD Asfia Fatima, MD Jayne M. Garcia, MD Jessica L. Garner, DO Srikanth Gogineni, MD Megan R. Greene Newman, MD Veronica T. Jarido, MD Sadia Kanwal, MD Baljit Kaur, MD Aliya R. Laeeq, MD Paul Mansour, MD Tresa McNeal, MD Curtis Mirkes, DO, FACP Jennifer D. Moran, MD Anbu V. Pandian, MD Kartik N. Patel, DO Brian Reasoner, MD Chaitanya C. Reddy, MD Ismail Salejee, MD Christopher W. Sartin, MD Monish A. Sheth, MD Rubin M. Simon, MD Elena G. Slavcheva, MD Evgenia G. Slavcheva, MD Autumn H. Stratton, MD Lydia A. Sutherlun, MD Ashley J. Thomas, DO Sunita E. Varghees, MD, PhD John C. Hodges, MD Bhupinder Singh Sangha, MD 254-724-2111 Scott & White Memorial Hospital - Temple 2401 S. 31st St., Temple
2016 DIRECTORY Internal Medicine
Monica Eisele-Flint, MD 830-201-8000 Baylor Scott & White Medical Center - Marble Falls W. 810 Texas 71, Marble Falls Rafael Gonzalez-Ayala, MD Lauren Sisco, MD Cassie Huynh, MD, FACP, CMD Kathy A. Kimmey, MD Roberto I. Aguirre, MD Chelsea H. Chang, MD Bijal P. Dave, MD Lisa D. Forrester, MD, PhD Mithula R. Gopalam, MD Vernon D. Holleman, MD Richard H. Jesse, IV, MD Kristina Jones, MD Maybelline V. Lezama, MD Michael P. Martin, MD Michael McNeal, MD John David Myers, MD Cathleen M. Rivera, MD, MS Emran Rouf, MD, FACP Daniel J. Smith, MD Juvencio Velasquez, Jr, MD Stephen C. Walker, MD Barbara A. Weiss, MD Thomas J. Westwick, MD Holly A. Van Cleave, MD Shannon Ward, DO 254-215-0100 Scott & White Center for Diagnostic Medicine 1605 S. 31st St. #19, Temple
MEET THE DOCTORS Darla Lowe, MD Noah Stratton, DO Veronica Broadnax, MD Raina Karanjeet, MD Dane Langsjoen, MD Catherine J. McNeal, MD, PhD Joseph A. Stafford, MD 254-724-2150 Scott & White Clinic - Temple 2401 S. 31st St., Temple Matthew J. Crowe, DO Stephen Sibbitt, MD 254-724-2111 Scott & White Memorial Hospital - Temple 2401 S. 31st St., Temple Beatriz M. Hall, MD 254-724-2663 Scott & White Roney Bone & Joint Institute 2401 S. 31st St., Temple
Baylor Scott & white Health Care Maternal & Fetal Medicine
Richard O. Jones, MD Steven R. Allen, MD 254-724-2150 Scott & White Clinic - Temple 2401 S. 31st St., Temple
Maria Blazo, MD 254-724-2150 Scott & White Clinic - Temple 2401 S. 31st St., Temple Colleen Forsyth Macmurdo, DO 254-724-5437 McLane Children’s Scott & White Clinic - Temple 1901 SW H K Dodgen Loop, Temple
Lucas Wong, MD, FACP 254-724-5918 Timothy A. Mixon, MD, FACC, Scott & White Vasicek Cancer Treatment Center FSCAI 2401 S. 31st St., Temple 254-724-2150 Scott & White Clinic - Temple Medical Orthopedics 2401 S. 31st St., Temple Bryan L. Lane, DO Interventional Radiology 254-724-2663 Joseph Conley, MD Scott & White Roney Bone & 979-207-0100 Joint Institute Baylor Scott & White Medical 2401 S. 31st St., Temple Center - College Station 700 Scott & White Drive, College Neonatal - Perinatal Medicine Station N. Venkata Raju, MD Bradley T. Dollar, MD Khaled Hilal, MD Douglas McDonald, MD 979-207-0100 Mark Montgomery, MD Baylor Scott & White Medical Patrick T. Noonan, Jr, MD Center - College Station Steven Ruiz, MD 700 Scott & White Drive, College Anastacio Saenz, Jr, MD Station 254-724-2150 Madhava R. Beeram, MD, Scott & White Clinic - Temple MBA, CPE, FAAP 2401 S. 31st St., Temple Vinayak Govande, MD David R. Krauss, MD Joint Replacement 254-724-5437 Bryce Allen, MD McLane Children’s Scott & Clint D. Barnett, MD White Hospital - Temple Kirby D. Hitt, MD 1901 SW H K Dodgen Loop, 254-724-2663 Temple Scott & White Roney Bone & Joint Institute Neonatology 2401 S. 31st St., Temple Bharat N. Nandgaonkar, MD 254-526-7523 Metroplex Health System - Killeen 2201 S. Clear Creek Road, Killeen
A. Rebecca Ballard, MD 254-724-5437 McLane Children’s Scott & White Hospital - Temple 1901 SW H K Dodgen Loop, Temple Greg S. Miller, MD 254-724-2111 Scott & White Memorial Hospital - Temple 2401 S. 31st St., Temple
Mohanram Narayanan, MD, FACP, FASN, FRCP(C) Paula A. Duran, MD Charles E. Moritz, MD John W. Idoux, MD Roshny George, MD Mark S. Duke, MD Luciana B. McLean, MD Nidhi Mattoo Munshi, MD Nimrit Goraya, MD Tony Issac, MD Luis A. Concepcion, MD 254-724-2111 Scott & White Clinic & Dialysis Center - Temple South Loop 2601 Thornton Ln, Temple, TX 76502 Donald E. Wesson, MD 254-724-2150 Scott & White Clinic - Temple 2401 S. 31st St., Temple
B. Peyton Delaney, MD 830-201-7100 Scott & White Specialty Clinic - Marble Falls 800 West Hwy 71, Marble Falls George B. Creel, MD, MBA 254-618-1888 Scott & White Specialty Clinic - Killeen Hemingway 2405 S. Clear Creek Road, Killeen Sally Borucki, MD Cristina M. Cabret-Aymat, MD Jeffrey W. Clark, DO Dan L. Keyser, MD Batool F. Kirmani, MD Richard P. Lenehan, MD Sai K. Mula, MD Arpita Patel, MD Jennifer E. Rasmussen, MD Michael J. Soileau, MD Wei Tang, MD
2016 DIRECTORY J. Terry Wilkinson, MD 254-724-2150 Scott & White Clinic - Temple 2401 S. 31st St., Temple
Kerry O’Mahar, PhD, ABPPCN 254-724-5437 McLane Children’s Scott & White Clinic - Temple 1901 SW H K Dodgen Loop, Temple Daniel Cruz-Laureano, PsyD 254-724-2150 Scott & White Clinic - Temple 2401 S. 31st St., Temple Crystal Lantrip, PhD Richard A. Phenis, PsyD 254-724-2150 Scott & White Clinic - Temple 2401 S. 31st St., Temple Jared Benge, PhD, ABPP-CN 254-724-2111 Scott & White Memorial Hospital - Temple 2401 S. 31st St., Temple
Gordon W. Calderwood, MD Jonathan S. Adkison, MD Srilatha Joglekar, MD Walter S. Lesley, MD, MBA, CPE, FACR Harold Sonnier, MD David H. Uhrbrock, MD Kenneth D. Williams, MD 254-724-2150 Scott & White Clinic - Temple 2401 S. 31st St., Temple
Ekokobe Fonkem, DO 254-724-5918 Scott & White Vasicek Cancer Treatment Center 2401 S. 31st St., Temple Dhruve S. Jeevan, MD 254-724-5437 McLane Children’s Scott & White Hospital - Temple 1901 SW H K Dodgen Loop, Temple Kevin Cooper, MD David Garrett, Jr., MD Frank S. Harris, MD Jason H. Huang, MD, FACS TEXAPPEALMAG.COM
MEET THE DOCTORS Laszlo B. Tamas, MD Ethan A. Benardete, MD 254-724-2150 Scott & White Clinic - Temple 2401 S. 31st St., Temple
Michael L. Middleton, MD Bradley R. Trotter, MD Mark D. Strober, MD 254-724-2150 Scott & White Clinic - Temple 2401 S. 31st St., Temple
Baylor Scott & white Health Care Occupational & Environmental Medicine Don A. Mackey, MD James E. Madsen, MD 254-724-2150 Scott & White Clinic - Temple 2401 S. 31st St., Temple
Derrick S. Fung, MD Joseph Newman, MD Glen O. Brindley, MD J. Paul Dieckert, MD Calvin G. Eshbaugh, MD Mark F. Hollingsworth, MD Obstetrics and Gynecology Kenneth Lao, MD Eric Allerkamp, MD David Liang, MD Cedric T. Day, Jr, MD Michael A. Magee, MD Nathan A. Kwan, MD Robert H. Rosa, Jr., MD April A. Schiemenz, MD Kyle H. Smith, MD Paul M. West, MD Jonathan H. Tsai, MD 254-618-1888 254-724-2111 Scott & White Specialty Clinic Scott & White Clinic - Temple - Killeen Hemingway Pavilion 2405 S. Clear Creek Road, Killeen 1815 S 31st St., Temple Aleigha A. DeLukie, DO Jorge A. De La Chapa, DO Alisa A. Furman, MD 830-201-7100 254-831-2000 Scott & White Specialty Clinic Scott & White Clinic - Belton - Marble Falls South 800 West Hwy 71, Marble Falls 1001 Arbor Park, Belton Paula Smith, DO Optometry Pamela Sue Greene, MD Brian M. Knieriem, OD Joanna Stacey, MD Joshua Morrison, OD Christopher J. Birkholz, MD William White, OD Nathan S. Drever, MD 254-724-2111 Russell Fothergill, MD Scott & White Clinic - Temple Kevin P. Huddleston, MD Pavilion Belinda M. Kohl-Thomas, MD 1815 S 31st St., Temple Kimberly A. Pilkinton, MD Joseph D. Cessac, OD Lauren Q. Smith, MD Ashley Chennankara, OD Patricia J. Sulak, MD 254-953-7650 254-724-2150 Scott & White Eye Clinic - Harker Scott & White Clinic - Temple Heights 2401 S. 31st St., Temple 201 E Central Texas Expy #1270, F. Lurry Leavelle, MD Harker Heights 254-724-2111 Scott & White Memorial Hospital Oral and Maxillofacial - Temple Surgery 2401 S. 31st St., Temple Philip W. Vance Jr., DMD, Jacqueline A. Guy, MD OMS Melia M. Lucero, MD 254-724-2111 830-201-7100 Scott & White Memorial Hospital Scott & White Specialty Clinic - Temple - Marble Falls 2401 S. 31st St., Temple 800 West Hwy 71, Marble Falls Donald G. Chiles, DDS Lance A. Read, DDS 30
AUGUST 2016 | TEX APPEAL
254-724-2150 Scott & White Clinic - Temple 2401 S. 31st St., Temple
Juan J. Rodrigo, MD 254-202-2000 Baylor Scott & White Medical Center - Hillcrest 100 Hillcrest Medical Blvd., Waco Hanes H. Brindley, Jr, MD Russell A. Ward, MD Kindyle L. Brennan, PhD, PT Charles F. Kallina, MD, MS Robert A. Probe, MD Daniel L. Stahl, MD 254-724-2663 Scott & White Roney Bone & Joint Institute 2401 S. 31st St., Temple Sandy M. Bidner, MD 254-618-1888 Scott & White Specialty Clinic - Killeen Hemingway 2405 S. Clear Creek Road, Killeen Adam W. Racusin, MD Thomas F. Eastman, MD 830-201-7100 Scott & White Specialty Clinic - Marble Falls 800 West Hwy 71, Marble Falls
2016 DIRECTORY Lewis R. Hutchinson, MD, FACS D. Randall (Randy) Pinkston, MD Douglas W. Martin, MD David W. Clark, MD Ryan P. Raju, MD 254-724-2150 Scott & White Clinic - Temple 2401 S. 31st St., Temple Chris Himmelheber, MD 254-618-1888 Scott & White Specialty Clinic - Killeen Hemingway 2405 S. Clear Creek Road, Killeen Roger G. Skiles, MD, FACS 830-201-7100 Scott & White Specialty Clinic - Marble Falls 800 West Hwy 71, Marble Falls
Xiangbai Chen, MD, PhD 979-207-0100 Baylor Scott & White Medical Center - College Station 700 Scott & White Drive, College Station Lina Liu, MD Walter J. Linz, MD, MBA Debby Rampisela, MD Edward S. Rappaport, MD Orthopedic Trauma Frank Shan, MD, PhD, FACP Michael L. Brennan, MD 254-724-2150 254-724-2663 Scott & White Clinic - Temple Scott & White Roney Bone & 2401 S. 31st St., Temple Joint Institute Arundhati Rao, MD, PhD 2401 S. 31st St., Temple Martin P. Fernandez, MD 254-724-2111 Orthopedics - Hand and Upper Scott & White Memorial Hospital Extremity Surgery - Temple Douglas S. Fornfeist, MD 2401 S. 31st St., Temple 254-724-2663 Scott & White Roney Bone & Pediatric Anesthesiology Joint Institute Katie B. Reding, MD 2401 S. 31st St., Temple Rebecca L. Laurich, MD Jeramie B. Hanson, MD Otolaryngology 254-724-5437 Melissa G. Kress, DO McLane Children’s Scott & 254-724-5437 White Hospital - Temple McLane Children’s Scott & 1901 SW H K Dodgen Loop, White Clinic - Temple Temple 1901 SW H K Dodgen Loop, Temple Kyla C. Sherrard, PhD Thomas G. Brammeier, MD Gerhard ‘Trey’ Hill, III, MD
MEET THE DOCTORS Pediatric Cardiology
Judith Lazol, MD Ashish V. Banker, DO Saradha Subramanian, MD Soi-Yu Chan, MD John E. Pliska, MD 254-724-5437 McLane Children’s Scott & White Clinic - Temple 1901 SW H K Dodgen Loop, Temple
Pediatric Critical Care Medicine
Richard B. Bonner, MD Manish Desai, MD Deborah R. Douty, MD Lori L. Wick, MD 254-724-5437 McLane Children’s Scott & White Hospital - Temple 1901 SW H K Dodgen Loop, Temple
Pediatric Emergency Medicine Aleta B. Bonner, MD Dominic Lucia, MD, FACEP 254-724-5437 McLane Children’s Scott & White Hospital - Temple 1901 SW H K Dodgen Loop, Temple
William P. Bryant, MD Stephen W. Ponder, MD, FAAP, CDE Matthew D. Stephen, MD 254-724-5437 McLane Children’s Scott & White Clinic - Temple 1901 SW H K Dodgen Loop, Temple
Pediatric Gastroenterology Murali Jatla, MD, MBA Suma N. Raju, MD Ashis V. Barad, MD Jonathan Ramprasad, MD 254-724-5437 McLane Children’s Scott & White Clinic - Temple 1901 SW H K Dodgen Loop, Temple
Baylor Scott & white Health Care Pediatric Hematology/ Oncology
Fares Kokash, MD Melissa R. DeLario, MD 254-724-5437 Guy Grayson, MD McLane Children’s Scott & Javier R. Kane, MD White Clinic - Temple 254-724-5437 1901 SW H K Dodgen Loop, McLane Children’s Scott & Temple White Clinic - Temple Mazen A. Almidani, MD 1901 SW H K Dodgen Loop, 254-724-2111 Temple Scott & White Memorial Hospital - Temple Pediatric Infectious Disease 2401 S. 31st St., Temple James H. Brien, DO Tricia Ritch, MD, PhD Manjusha (Manju) Gaglani, MD 254-724-4189 254-724-5437 Scott & White Sleep Institute McLane Children’s Scott & 2401 S. 31st St., Temple White Clinic - Temple 1901 SW H K Dodgen Loop, Pediatric Neurosurgery Temple Ibrahim El Nihum, MD 979-207-3000 Pediatric Inpatient Medicine Scott & White Clinic - Rock Hospitalist Prairie Pamela Pablico, MD 800, Scott & White Dr, College 254-526-7523 Station Metroplex Health System - Killeen 2201 S. Clear Creek Road, Killeen Pediatric Ophthalmology Amanda Farris, DO Matthew S. Recko, MD Jeremy L. Gibson, MD 254-724-2111 Larry Herrera, DO Scott & White Clinic - Temple Meaghan K. Lafferty-Prather, Pavilion MD 1815 S 31st St., Temple Sarah M. McCormick, DO Paulina A. Saenz, MD Pediatric Orthopedic 254-724-5437 Surgery McLane Children’s Scott & Christopher D. Souder, MD White Hospital - Temple 254-724-2663 1901 SW H K Dodgen Loop, Scott & White Roney Bone & Temple Joint Institute 2401 S. 31st St., Temple
Pediatric Medicine/Intensive Care Julia Ruiz, MD 254-724-5437 McLane Children’s Scott & White Hospital - Temple 1901 SW H K Dodgen Loop, Temple
Elie S. Firzli, MD Faris Q. Hashim, MD 254-724-5437 McLane Children’s Scott & White Clinic - Temple 1901 SW H K Dodgen Loop, Temple
Pediatric Otolaryngology Rosser K. Powitzky, MD 254-724-5437 McLane Children’s Scott & White Clinic - Temple 1901 SW H K Dodgen Loop, Temple
Pediatric Pulmonary Medicine
Malvika Sagar, MD 254-724-5437 McLane Children’s Scott & White Clinic - Temple 1901 SW H K Dodgen Loop, Temple
2016 DIRECTORY Arthur Chester Ogborn, Jr., MD 254-724-5437 McLane Children’s Scott & White Hospital - Temple 1901 SW H K Dodgen Loop, Temple
Monford D. Custer, III, MD Danny Little, MD Kelly D. Mattix, MD Lena Perger, MD 254-724-5437 McLane Children’s Scott & White Clinic - Temple 1901 SW H K Dodgen Loop, Temple
Goddy T. Corpuz, MD 254-260-6100 Baylor Scott & White Clinic - Cedar Park 910 E Whitestone Blvd., Cedar Park Jessica Choe, MD Katrina May Baca, MD Jessica W. Drigalla, MD Lisa Sullivan, MD Sara E. Sultz, MD 254-724-5437 McLane Children’s Scott & White Clinic - Belton 1009 Arbor Park, Belton Rebecca E. Freeman, MD John R. Asbury, MD Christopher B. Hovland, MD Neelam Konnur, MD Elena I. Meza, MD Leticia A. Shanley, MD John Q. Thompson, Jr, DO 254-724-5437 McLane Children’s Scott & White Clinic - Temple 1901 SW H K Dodgen Loop, Temple Melissa Colbath, MD Allie M. Fuller, MD Tinku Davis, MD Randy R. Kastner, MD Sarah B. Nickerson, MD Sharyl Santema, MD Charlie D. Williams, MD 254-724-5437 McLane Children’s Scott & White Clinic - West Temple 6684 W Adams Ave., Temple TEXAPPEALMAG.COM
MEET THE DOCTORS Shanti Baireddy Reddy, MD Erica L. Ward, MD Trichelle A. Newman, MD Neha A. Patel, DO Michael C. Smith, MD John L. Boyd, III, MD, MBA, CPE, FAAP 254-724-5437 McLane Children’s Scott & White Hospital - Temple 1901 SW H K Dodgen Loop, Temple Andrew G. Faniku, MD 254-526-7523 Metroplex Health System - Killeen 2201 S. Clear Creek Road, Killeen Rachel S. Dawson, DO Jamie Avila, MD John K. Blevins, MD Susan P. Nickel, MD 254-680-1100 Scott & White Clinic - Killeen 3801 Scott & White Drive, Killeen Kimberly C. Fehlis, MD Kelly A. Offutt, MD 830-201-8900 Scott & White Clinic - Marble Falls 706 Avenue G, Marble Falls, TX 78654 Matthew B. Bierwirth, MD Linda J. Kirby-Keyser, MD 254-724-2150 Scott & White Clinic - Temple 2401 S. 31st St., Temple Ashita Shetty, MD 254-724-2111 Scott & White Memorial Hospital - Temple 2401 S. 31st St., Temple Thu Nguyen, MD Laura F. Brown, MD Robert Jean-Luc Organ, MD 254-618-1888 Scott & White Specialty Clinic - Killeen Hemingway 2405 S. Clear Creek Road, Killeen
Physical Medicine & Rehabilitation
Richard E. Scott, Jr, DO 254-202-2000 Scott & White Center for Rehabilitative Medicine - Waco Hillcrest Baptist Medical Center, 3000 Herring Ave, Waco 32
AUGUST 2016 | TEX APPEAL
Baylor Scott & white Health Care Fouzia S. Khan, DO Paul A. Friedman, MD Hejun Yuan, MD, PhD James H. Albers, MD Mounir F. Khalil, MD Jill M. McGowan, MD Taras Ploskanych, MD 254-724-2663 Scott & White Roney Bone & Joint Institute 2401 S. 31st St., Temple
Kory Williams, DPM 830-201-7100 Scott & White Specialty Clinic - Marble Falls 800 West Hwy 71, Marble Falls John Brust, DPM 254-618-1888 Scott & White Specialty Clinic - Killeen Hemingway 2405 S. Clear Creek Road, Killeen Christopher G. Browning, DPM, FACFAS, CWS J. Marshall Devall, DPM Donald M. Lynch, DPM Douglas P. Murdoch, DPM 254-724-2111 Scott & White Clinic & Dialysis Center - Temple South Loop 2601 Thornton Ln, Temple, TX 76502
2016 DIRECTORY Pulmonary Medicine
Badri Giri, MD Alfredo Vazquez-Sandoval, MD 254-618-1888 Scott & White Specialty Clinic - Killeen Hemingway 2405 S. Clear Creek Road, Killeen Gonzalo Salgado, MD 512-509-0200 Scott & White Clinic - Round Rock 302 University Blvd., Round Rock Juan F. Sanchez, MD, FCCP Plastic & Reconstructive William G. Petersen, MD, Surgery FCCP Charles N. Verheyden, MD, Carl D. Boethel, MD, FCCP, PhD, FACS FAASM, D’ABSM Marcin Czerwinski, MD, PhD, Richard Beckendorf, MD FRCS(C), FACS Heath D. White, DO, MS Michel H. Saint-Cyr, MD Francisco Perez-Guerra, MD, FRCS(C) FCCP Andrew M. Altman, MD Alejandro C. Arroliga, MD, Jon Ver Halen, MD FACS Psychiatry FCCP, FACP 254-724-2150 Pamela Mathews, MD Jeana D. O’Brien, MD, FCCP, Scott & White Clinic - Temple 254-724-2150 MMI 2401 S. 31st St., Temple Scott & White Clinic - Temple 254-724-2150 Susan M. Pike, MD 2401 S. 31st St., Temple Scott & White Clinic - Temple Staci Hix-Hernandez, MD Rebecca A. Wehrly, MD 2401 S. 31st St., Temple 512-509-8550 Whitney S. Prince, MD Scott & White Cosmetic Surgery 254-724-2111 Scott & White Memorial Hospital Jorge F. Velazco, MD Center - Round Rock - Temple 254-724-2111 425 University Blvd Suite 325, 2401 S. 31st St., Temple Scott & White Memorial Hospital Round Rock V. Maxanne Flores, MD - Temple Wendy L. Czerwinski, MD, Scott A. Francis, MD 2401 S. 31st St., Temple PhD, FRCS(C), FACS Randall F. Moore, MD, JD Veronica Brito, MD Robert A. Weber, MD Jason H. Sapp, DO 254-724-4189 254-724-2663 254-724-2585 Scott & White Sleep Institute Scott & White Roney Bone & Scott & White Mental Health 2401 S. 31st St., Temple Joint Institute Center - Temple Shekhar A. Ghamande, MD, 2401 S. 31st St., Temple 2401 S. 31st St., Temple FCCP, FAASM Peter Yau, MD, FCCP Podiatric Surgery Psychology 254-724-4189 Dale Lane, DPM Cynthia Brown, PhD Scott & White Sleep Institute 254-618-1888 254-831-2000 2401 S. 31st St., Temple Scott & White Specialty Clinic Scott & White Clinic - Belton Yasir I. Cheema, MD - Killeen Hemingway South 830-201-7100 2405 S. Clear Creek Road, Killeen 1001 Arbor Park, Belton Scott & White Specialty Clinic Richard N. Goad, DPM Julienne A. Clowney, PsyD - Marble Falls 254-724-5437 Dean K. Paret, PhD 800 West Hwy 71, Marble Falls McLane Children’s Scott & 254-680-1100 White Clinic - Temple Scott & White Clinic - Killeen 1901 SW H K Dodgen Loop, 3801 Scott & White Drive, Temple Killeen
MEET THE DOCTORS Radiation Oncology
Dharanipathy Rangaraj, PhD, MBA, DABR Niloyjyoti Deb, MD Mehul K. Patel, MD, MHSA Gregory P. Swanson, MD Geethpriya Palaniswaamy, PhD Sunita Boddu, PhD Oscar Calvo, PhD Swetha Oddiraju, MD 254-724-2150 Scott & White Clinic - Temple 2401 S. 31st St., Temple Rufus J. Mark, MD Sameer G. Jhavar, MD, PhD Niraj H. Pahlajani, MD 254-724-2111 Scott & White Memorial Hospital - Temple 2401 S. 31st St., Temple Moataz N. El-Ghamry, MD 254-724-5918 Scott & White Vasicek Cancer Treatment Center 2401 S. 31st St., Temple
Rajesh Gutti, PhD 254-724-2150 Scott & White Clinic - Temple 2401 S. 31st St., Temple
Baylor Scott & white Health Care Reproductive Endocrinology and Infertility Jose F. Pliego, MD Thomas J. Kuehl, PhD Thomas J. Wincek, MD, PhD Aabu A. Thomas, MD 254-724-2150 Scott & White Clinic - Temple 2401 S. 31st St., Temple
Bruce Baethge, MD Marilyn K. Clark, MD Astrud Lorraine Leyva, MD Neal I. Shparago, DO 254-215-0100 Scott & White Center for Diagnostic Medicine 1605 S. 31st St. #19, Temple
Shirley F. Jones, MD, FCCP, FAASM, Dâ€™ABSM 254-724-4189 Scott & White Sleep Institute 2401 S. 31st St., Temple
Christopher D. Chaput, MD Mark D. Rahm, MD 254-724-2663 Scott & White Roney Bone & Joint Institute 2401 S. 31st St., Temple
Rodolfo R. Martinez, DO Robert E. Reeve, MD Bill Hamilton, MD Brett N. Robin, MD 254-724-2663 Scott & White Roney Bone & Joint Institute 2401 S. 31st St., Temple
2016 DIRECTORY Urology
King Scott Coffield, MD Jill McHenry Danford, MD Erin T. Bird, MD, MBA Jason D. Bourque, MD Belur J. Patel, MD, MPH Marawan El Tayeb, MD Patrick Lowry, MD Kristofer R. Wagner, MD Jeffrey A. Waxman, MD Surgical Oncology T. Philip Reilly, MD, FACS Matthew R. Bower, MD 254-724-2150 Terry C. Lairmore, MD, FACS Scott & White Clinic - Temple 254-724-2150 2401 S. 31st St., Temple Scott & White Clinic - Temple J. Mansel Harris, MD 2401 S. 31st St., Temple 830-201-7100 Courtney M. Edwards, MD Scott & White Specialty Clinic 254-724-2111 - Marble Falls Scott & White Memorial Hospital 800 West Hwy 71, Marble Falls - Temple 2401 S. 31st St., Temple Vascular Surgery William T. Bohannon, MD, Trauma Surgery FACS Richard C. Frazee, MD J. Leigh Eidson III, MD Justin L. Regner, MD Thomas R. Warren, II, MD 254-724-2150 254-724-2150 Scott & White Clinic - Temple Scott & White Clinic - Temple 2401 S. 31st St., Temple 2401 S. 31st St., Temple Claire Larson Isbell, MD Travis Isbell, MD Wound Care 254-724-2111 Liza De Olazo Banaag, MD, Scott & White Memorial Hospital CWS, UHM/ABPM - Temple 254-724-2150 2401 S. 31st St., Temple Scott & White Clinic - Temple 2401 S. 31st St., Temple
AUGUST 2016 | TEX APPEAL
Carlyle Walton, president and CEO at Metroplex Health System, and Tammy Rodriguez, chief nursing officer and vice president of Patient Care Services, walk through Metroplex Adventist Hospitalâ€™s CREATION Health hallway. 36
AUGUST 2016 | TEX APPEAL
Caring for the community Metroplex brings new services, technology to Central Texas
Story by DANIELLE EVERETT Photos by MITCHEL BARRETT and contributed by METROPLEX
he Central Texas population is ever-changing. Year after year, reports show an increase in the number of people living in the greater Killeen area. Young people move here for work and to start families. Others choose to retire and grow old here. Together, everyone creates a melting pot of various ages, cultures, ethnicities and backgrounds that make this area so wonderfully diverse. As time alters the makeup of our community, the health and medical needs change, too. The team at Metroplex Health System is actively determining what those needs are and how to best respond. “Everything we do is about being better able to serve our community,” said Metroplex Health System President and CEO Carlyle Walton. “The commitment is always to provide a broader array of services locally so folks don’t feel they have to leave town or go to the big city to receive comparable care.”
HEART CARE In the past year alone, Metroplex Health System has seen a great deal of change as the staff strives to provide the kind and quality of care people need in Bell, Coryell and Lampasas counties. “We have made significant investments in growing and solidifying our cardiology service line,” Walton said as he reflected on some of the biggest things to have happened at Metroplex in recent months. Crews have been hard at work constructing a new $4.5 million heart and vascular center at the hospital. It is expected to start accepting new patients this month and is part of Metroplex’s commitment to fight heart disease, the No. 1 killer of people of most ethnicities in the United States each year, according to the U.S. Centers for Disease Control and Prevention.
Registered nurses Erin Morrison, left, and Sonya Yoder review information in the labor and delivery unit at Metroplex.
Over the past year, the staff has also taken steps to become a fully accredited Chest Pain Center with Primary Percutaneous Coronary Intervention with Resuscitation through the Society of Cardiovascular Patient Care. While the name may sound long and complicated, Carlyle said the accreditation from an outside organization simply means patients can be sure they are receiving the best care at the highest level possible. Metroplex officially received the accreditation in April after demonstrating expertise in several areas, including quickly diagnosing patients and supporting community outreach programs that educate the public on what to do when experiencing heart attack symptoms. It also formed a partnership last year with local first responders and EMS. “They were an integral part of our evaluation and survey process,” Walton said. To establish the partnership, the Metroplex Health System Foundation funded about $40,000 worth of new equipment and software to install in Killeen and Copperas Cove ambulances.
The new technology has allowed those ambulances to wirelessly transmit crucial patient information to the hospital before the patient arrives. “There’s a saying in heart care, that time is muscle,” Walton said. “Your heart is a muscle and a lot of us forget that. Every moment that the physicians can have, every moment that is saved from you not having to wait for that care can make a big difference.” In addition to this technology benefiting heart patients, Metroplex also has a 24-hour cardiac catheterization lab where doctors are equipped with top-level diagnostic capabilities. There they’re able to perform non-invasive procedures using tools that allow for smaller incisions and, ultimately, a quicker recovery. Overall, the interventional cardiology team is able to perform cardiac angiograms, catheterizations and stent placements. Cardiac rehabilitation services are also available.
WOUND CARE Another growing need Metroplex has Continued TEXAPPEALMAG.COM
The new Metroplex Center for Wound Care and Hyperbaric Medicine Harker Heights has two hyperbaric oxygen chambers used to treat patients.
found in the community is wound care and hyperbaric oxygen therapy services. In mid-June the new Metroplex Center for Wound Care and Hyperbaric Medicine Harker Heights officially opened its doors to patients. With wound care centers in Killeen and Lampasas, the center in Harker Heights is the third of its kind for Metroplex. The 1,800-square-foot facility cost $700,000 and features two treatment rooms, two hyperbaric oxygen chambers and a stretcher room. Patients with traumatic or surgical wounds, infected or non-healing wounds, small burns and several types of ulcers benefit from these wound centers. If a medical professional determines hyperbaric treatment could help a patient, he or she will lie in a cylindrical, pressurized chamber and breathe 100 percent oxygen. This allows a greater amount of oxygen than normal to travel to the body’s tissue and aids in the wound-healing process. Each treatment lasts about two hours and patients typically begin with a six-week regimen. Walton said more people are 38
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“If someone’s got a non-healing wound, and even if a family member is bringing them to the clinic, being closer to where the services are offered significantly improves their quality of life.”
Carlyle Walton, president and CEO, Metroplex Health System
receiving treatment at Metroplex’s wound centers than ever before. Together, the three centers are nearing full patient capacity. “Part of the homework we do is to assess community need,” he said. “The truth is, for our primary service area, we’re just scratching the surface with the need for hyperbaric and wound healing centers.” Many patients are unable to travel long distances, so the new center provides more convenient access to wound care for people living in areas such as Harker Heights, Belton and Temple. “If someone’s got a non-healing wound, and even if a family member is bringing them to the clinic, being
closer to where the services are offered significantly improves their quality of life,” Walton said. “It’s a huge satisfier and that’s what we seek to do. We seek to place the services where they’re needed.”
REHABILITATION CENTER Metroplex Health System includes the Rollins Brook Community Hospital in Lampasas where staff celebrated the grand opening of a new rehabilitation facility this summer. Walton said there was a great need for this kind of a facility in a community where many people are having knee and hip replacements as they age. “For me, it shows our commitment to
the community of Lampasas,” he said. Before opening the new center, patients received rehabilitation services in a 400-square-foot room inside Rollins Brook. “It was just cramped and you could only do limited things,” Walton said. He said the director of physical therapy approached him about the situation a couple years ago, saying it would be great to have a new outpatient clinic in Lampasas. Walton loved the idea and ran with it. Metroplex already owned a 3,000-square-foot building nearby on Key Avenue that had been sitting idle for some time. He had a designer draw up plans to transform it into a new rehabilitation center and fundraising efforts began. Metroplex hired MW Hail Construction who began refurbishing the building in February. The project cost about $75,000 and Metroplex Foundation contributed an additional $25,000 to purchase new state-of-the-art rehabilitation equipment. The new center offers services for children and adults ranging from physical therapy, to speech-language therapy, occupational therapy and lymphedema therapy. “The patients love it,” Walton said. “It continues to get rave reviews because there are many big windows in there. It brings in the light. Folks are a lot more motivated. I was chatting with a patient who had been using the facility for a few weeks on the day of the grand opening and he said, ‘This is just an amazing improvement.’” A portion of the funds for the project were raised through Metroplex’s 2015 Sporting Clay Tournament. Money raised at the 2016 tournament, which was held in August, will go toward renovating Rollins Brook’s inpatient rehabilitation facility.
BEHAVIORAL HEALTH In August, Metroplex reopened its adult psychiatric program after having been closed for about a year. Walton said the health system was successfully able to recruit a new adult psychiatrist, Phillip Leon, M.D., to lead the program after the previous doctor moved out of the area. Re-establishing this care in the community was important to Walton, who said Metroplex is really the only full-service provider of behavioral mental
Physical therapist Wayne Carroll, manager of outpatient rehabilitation services at Rollins Brook Community Hospital in Lampasas, works with Charlie Brown in the new Rollins Brook Outpatient Rehabilitation Center.
health services in the Killeen area until you get to Cedar Crest Hospital and Residential Treatment Center in Belton. The Metroplex Behavioral Health Center is located on the main hospital campus and offers a wide array of outpatient, inpatient, transitional and partial hospitalization treatment programs. Examples of care include counseling trauma survivors, individual crisis stabilization, acute care and responding to community needs. The 60-bed facility has areas for children, adolescents and adults.
OTHER SERVICES In addition to all the changes Metroplex has rolled out in the past year, it continues to offer a variety of wellness services and medical specialties to more than 100,000 patients every year. There are more than 30 specialties in all, including obstetrics and gynecology, general surgery, rheumatology, gastroenterology, ophthalmology, podiatry, urology and neurology. Nurses and physicians inside Metroplex Adventist Hospital’s emergency department see about 45,000 cases each year. When the department is unable to handle a very complex matter, such as open heart surgery, patients are transported to
Metroplex’s nearby partner, Baylor Scott & White Health. All the care and services at Metroplex are a part of its CREATION Health initiative. It is based on the book of Genesis in the Bible and each letter stands for a different principle of health and wellness. C stands for choice, R is rest, E is environment, A is activity, T is trust, I is interpersonal relationships, O is outlook and N is nutrition. These principles have inspired Metroplex’s provision of preventive care in the community. For example, Metroplex participated in the two-day Jumpstart Free Health Clinic at the Killeen Civic Center in July where thousands of people lined up for medical care, mental health counseling, haircuts, therapeutic massages, nutritional counseling and more. And in August the hospital hosted its 28th annual KidFest Health and Wellness Fair. The event offered free health information as well as free immunizations to 244 children. “That’s where we see the key part of our calling,” Walton said of the various preventive health services Metroplex provides. “Yes, we want to be a fabulous health care institution providing great care with wonderful technology, but Continued TEXAPPEALMAG.COM
it’s about reaching the whole person. Our employees are an integral part of that through our CREATION Health initiatives.” Along with these events, Metroplex offers free fitness and health-related classes and free and income-based immunizations year-round.
A SPECIAL ANNIVERSARY Walton and his staff are celebrating a major milestone this year for Metroplex and its lead organization, Adventist Health System, as 2016 marks 150 years of Adventist health care. Walton said the story started in 1866 when a small group of Seventh-day Adventists set out to reform the health care system as they knew it. Many of the common medical treatments at the time would be considered barbaric in today’s society. Doctors forced ill patients to lie in dark, stuffy rooms and made health tonics using ingredients considered harmful today. Walton said the aspiring reformers knew there had to be a better way to care for the sick and opened the first Seventhday Adventist health care institution, The Health Reform Institute in Battle Creek, Mich. Medical Director John Harvey Kellogg led the institute that was later known as the Battle Creek Sanitarium. Under his guidance, the facility grew and even attracted such notable patients as Henry Ford, Thomas Edison and Amelia Earhart. This was the start of the Adventist Health System, which today serves more than 4.5
The Health Reform Institute was the first health facility built by the Seventh-day Adventist Church in 1866 in Battle Creek, Mich. It was later renamed Battle Creek Sanitarium.
million patients every year and manages 45 hospitals across the country, including Metroplex. The health care traditions that began in those early days live on today Kellogg at Metroplex and through the Adventist Health System. Both institutions put an emphasis on treating the whole person, rather than an ailment, just as Kellogg did a century and a half
The care provided at the Health Reform Institute in the late 19th century differed from common practices of the day. 40
AUGUST 2016 | TEX APPEAL
ago. Kellogg focused on the importance of exercise, nutrition and diet, leading him to invent Kellogg’s Corn Flakes. Today Metroplex has found its own way to promote an array of wellness principles, including nutrition and fitness, through its CREATION Health initiative. For Metroplex’s CEO and president, it’s all about fulfilling a higher calling. “If you read the Bible, Jesus spent a whole lot more time healing people than he did preaching to them,” Walton said. “So for us, part of the (anniversary} celebration is reaffirming for our employees and our community that we are here to make a difference.” Walton said there are some fun anniversary-related activities planned for Metroplex employees. Metroplex will also send a newsletter to the community to make people aware of this special occasion. Walton said as a practicing Seventh-day Adventist, this milestone is of particular importance to him. “We really see (this anniversary) as a blessing from God and a call to be who we are,” he said. “Our mission statement as a system at Metroplex is six simple, but powerful words: extending the healing ministry of Christ.” Continued
ON THE HORIZON The past 12 months have been busy as Metroplex Health System works to carry out its mission and there’s no sign of the activity slowing down any time soon. Plans to serve the community in new ways continue, particularly in the cardiology department. Preparations are underway there to unveil a brand new heart and vascular center to the public in September that will allow Metroplex Hospital to treat more patients. As of mid-August, the faint smell of fresh paint filled the center as crews marched about, climbing ladders and rattling wires as they installed all the finishing touches. The $4.5 million project is part renovation, part expansion as it takes over space that was once an outdoor courtyard. The center has a truly modern feel to it and features some of the latest technology in heart and vascular treatment. The most obvious example of this is the brand new Siemens Artis Q machine, which can show doctors a live 3-D picture of the inside of a patient’s heart, arteries or other organs. The machine is so large, it takes up a large portion of its room. Public Relations Specialist Erin Spencer said the technology will give doctors better guidance during interventional procedures as they look for diseases such as coronary artery disease and stroke. The center also features brand new treatment rooms complete with the kind of breakaway doors one would find in an ICU. Walton said he hopes the new center will save more lives and improve the overall patient experience. “The direct impact, first and foremost, is that folks do not need to leave home to receive care,” he said. “Secondly, it’s an accredited center which means we function at the highest standards.” Walton also said the new heart and vascular center will allow patients to receive a more streamlined experience. “Instead of being shuffled to various parts of the hospital, they will receive all of their care there,” he said. “They recover in that area.” Walton said the center was a response to a growing need for heart and vascular services in the Central Texas community. WORKING TO MEET MORE COMMUNITY NEEDS In addition to a growing need for heart care, Metroplex has recently seen 42
AUGUST 2016 | TEX APPEAL
The new heart and vascular center, photographed while under construction, features a Siemens Artis Q machine that can show doctors a live 3-D picture of the inside of a patient’s body.
more demand for orthopedic services. These services focus on the correction of deformities in a patient’s bones or muscles. Walton said Metroplex is growing its orthopedic service line in partnership with Baylor Scott & White Health, something he’s excited about. Another change on the way will make scheduling lab and mammogram appointments more convenient for patients. Metroplex is planning to roll out a new online scheduling system for these appointments by the end of 2016. After the change takes place, a patient with orders for a lab test or mammogram screening can simply go to www.mplex. org on a smartphone, tablet or computer and reserve a time. Another new technological change on the way at Metroplex will streamline the patient registration process. Public Relations Specialist Erin Spencer said the hospital is getting a device that will scan the vein pattern in a patient’s hand and will automatically connect the patient with his or her medical records. Spencer said this new technology will not only make the registration process for an appointment easier for the patient, but it will also increase security as well by protecting the patient’s identity. This device should be in place by the end of 2016. As the year continues, so do various hospital-related events and activities in
the community. The CREATION Health Farmers Market will run through the end of October. It’s held every Thursday from 10 a.m. to 2 p.m. on the Metroplex campus and features seasonal produce and other goods. It’s part of Metroplex’s mission to create better health in the community. “We refer to it as our CREATION Health Farmers Market because it’s a part of that broader, holistic outreach,” Walton said. “It’s not just available for the folks that drive by, but for employees. They have a place that they consistently get good fruits and vegetables, things that can enhance health.” Plans are also in the works for a Christmas farmers market in December and an early spring market, but dates have yet to be determined. Also coming up in the next year is Metroplex Health System Foundation’s 22nd annual Gold Star Gala featuring The Four Tops on Nov. 3 and the 31st annual Silver Classic 5K Run and Walk on March 19. Money raised at these events will go toward funding new projects and wellness programs, which will be more steps toward improving care and serving the Central Texas community in new ways.
METROPLEX ADVENTIST HOSPITAL 2201 S. Clear Creek Road, Killeen 254-526-7523 www.Mplex.org
Tammy Rodriguez, left, chief nursing officer and vice president of Patient Care Services for Metroplex Health System, confers with registered nurses Suzie Pace, right, and Conswella Johnson in Metroplex Adventist Hospital’s emergency department in Killeen.
Filling an important role
Chief Nursing Officer Tammy Rodriguez keeps Metroplex running Story by DANIELLE EVERETT Photos by MITCHEL BARRETT
eeping up with Tammy Rodriguez, chief nursing officer and vice president of Patient Care Services at Metroplex Health System, requires effort. She maintains a brisk pace as she walks through the halls of Metroplex Adventist Hospital in Killeen, never missing a beat as one staff member after another passes
by and says hello. “Sorry, I walk fast,” Rodriguez said to me, heels clicking on the polished floor, as we neared the emergency department. She raised her ID badge to the sensor outside the doors. The doors whooshed open to reveal a room where everyone appeared to carry the same sense of urgency as Rodriguez. “In a setting like this, you come in and you’re scared and you don’t know what’s wrong,” Rodriguez said, lowering
her voice as we continued our walk through the busy ED, talking about the crucial role nurses play. “There’s something about being that person who can hold your hand and comfort you until you get the answers you need.” Our conversation stopped as one of the ED nurses seized an opportunity to consult Rodriguez about a situation at hand. While we had just been discussing the importance of nursing, the scene Continued TEXAPPEALMAG.COM
unfolding in front of me illustrated the importance of a CNO. Rodriguez has been Metroplex’s CNO and vice president of Patient Care Services for the past 2.5 years. In this position, she oversees all the nurses and is in charge of the care a patient receives outside of a physician’s practice. “My responsibility is to ensure the care that you get here is safe,” Rodriguez said. Job duties entail vetting applicants, finding ways to improve care, and ensuring the hospital is always prepared to treat patients. The nurses she oversees include registered nurses, licensed vocational nurses, certified nursing assistants and specialty nurses, such as those who work in the ED. Dr. Brent Treichler, ED medical director, said Rodriguez has been a great partner. “She helps and understands the flow here in the ED and the various aspects of changes we have to make in order to improve the care here,” he said. The help and understanding she provides are rooted in nearly 13 years of nursing experience. Although when Rodriguez first began her career, she never imagined taking on the challenge of being a CNO. “It never crossed my mind until I was approached about it,” Rodriguez said.
KEY POSITION That was in February 2014 when Metroplex Health System President and CEO Carlyle Walton first pulled her aside. The thought of moving away from traditional nursing left her uncertain at first. But after careful consideration, Rodriguez accepted the position and found it actually came with some flexibility. “In this role, if I need to be at the bedside, if that’s what I need to do, I can do it,” Rodriguez said. “I can get that fix of touching a patient and talking to a patient, because that’s what drives me.” While patient interaction drives her today, it was a childhood experience with her grandmother that drove her to pursue her career. “I lost my grandmother in kind of a traumatic experience,” she said. “She was very sick with her heart and I thought, I want to take care of people that are sick like her.” 44
AUGUST 2016 | TEX APPEAL
Dr. Brent Treichler, emergency department medical director, talks with Tammy Rodriguez, vice president of Patient Care Services. Rodriguez oversees all the nurses who play a crucial role in the ED.
The long-time Central Texas resident got her associate degree in nursing from Central Texas College and a Bachelor of Science in nursing from the University of Texas at Arlington, where she is also in the process of obtaining a Master of Science degree. She used all her knowledge to become a cardiac nurse in honor of her grandmother. “She’s still a guiding force in my life,” said Rodriguez. “It’s still important.” In addition to being a cardiac nurse, Rodriguez has served as director of cardiovascular services at Metroplex as well as the director of nursing for the hospital’s cardiac catheterization laboratory, intensive care, cardiac care, progressive care and orthopedic surgical units.
EASY CHOICE Having grown up in the Central Texas area, a decision to pursue a career at Metroplex was easy. Her family still lives in the area and her mom was even a nurse at Metroplex herself. “It’s personal for me,” she said. “This is where my kids come. This is where my parents come.” She said that makes the quality of health care provided at Metroplex that much more important to her.
“I want it to be the best,” she said. “It’s a constant work.” One area of improvement she’s noticed since becoming CNO is the teamwork among hospital staff members. “I think when things are pulled tight to get the mission accomplished, everyone has to come together and work hard as a team,” said Rodriguez. “I definitely see that happening.” Other changes underway include an increased incorporation of technology nurses use when working with patients. “We’re using computers in ways to keep patients safe,” she said. Nurses now scan patient wristbands, medications and more to make sure each patient receives the right care. While some aspects of nursing have changed, Rodriguez said her passion is as strong as ever. “You see some things you wish no one would ever have to see,” Rodriguez said. “But you can also be a part of some things that can only be described as miracles.” Rodriguez urged others considering the profession to only pursue it for what she called the right reasons. “If you’re in it for the right reason, I think you’ll stay,” she said.
MEET THE DOCTORS BARIATRIC SURGERY
Joseph Jeanette, DO Daniel McLaughlin, MD 254-519-8901 2207 S. Clear Creek Road, Suite 203, Killeen Senthil Sankaralingam, MD 254-618-4320 800 W. Central Texas Expwy., Suite 370, Harker Heights
Jonathan Mock, MD Sunil Naik, MD 254-618-1600 2405 S. Clear Creek Road, Suite 250, Killeen Sanjay Pandya, MD Richard Olstein, MD Randy McCollough, MD 254-526-2085 800 W Central Texas Expwy., Suite 355, Harker Heights
James Black, MD 254-618-1600 2405 S. Clear Creek Road, Suite 250, Killeen Paul Coffeen, MD 254-526-2085 800 W. Central Texas Expwy., Suite 355, Harker Heights Larry Price, DO 512-807-3150 800 W. Central Texas Expwy Suite 250, Harker Heights
Umad Ahmad, MD Jason Lange, MD George Rebecca, MD 254-618-1600 2405 S. Clear Creek Road, Suite 250, Killeen Adolph Mares Jr., MD 254-526-2085 800 W. Central Texas Expwy., Suite 355, Harker Heights
Cary Leo Dunn, MD 254-432-8330 2405 S. Clear Creek Road, Suite 104, Killeen
MEtroplex health system EAR, NOSE & THROAT
Shrikant Rishi, MD 254-634-0145 2207 S. Clear Creek Road, Suite 303, Killeen Chris Himmelheber, MD 254-618-1888 2405 S. Clear Creek Road, Suite 350, Killeen
Primary Care Physicians W. Michael Averitt, DO 254-680-1100 3801 Scott & White Drive, Killeen Robin Gruen, MD 905 North Key Ave, Lampasas 512-556-2122 James Cain III, MD Georgia Hay, MD Mark S. Lane, MD Morris K. Patteson Jr., MD 187 PR 4060, Lampasas 512-556-3621 David Go, MD 254-547-7777 2401 Walker Place, Suite 300, Copperas Cove Ryan Fowler, MD 254-554-8334 401 West Jasper Drive, Killeen Jeffrey Hall, DO Joshua Kilpatrick, MD 254-953-7700 907 Mountain Lion Circle, Harker Heights Thikra J. Kadhim, MD 254-200-9355 4520 E. Central Texas Expwy., Suite 101, Killeen Cheung Kim, MD 254-554-8668 3106 S. W.S. Young Drive, Suite B203, Killeen Michael Kirkpatrick, MD Elena Wilson, MD 254-501-6400 4501 S. Clear Creek Road, Killeen Ernesto Malave, MD 254-432-5735 2301 S. Clear Creek Road, Suite 108, Killeen
J. Kyle Morsch, MD Robert Perry, MD 254-519-8922 840 Prospector Trail, Suite 200, Harker Heights Edward Spencer, MD 254-526-6300 502 W. Jasper Drive, Killeen Jeremy Swain, DO 254-833-8456 800 W. Central Texas Expwy., Suite 177, Harker Heights Dave Webster, DO 254-690-8887 5610 E. Central Texas Expwy., Suite 1, Killeen
Charles Mitchell, MD 254-554-8773 3816 S. Clear Creek Road, Suite E, Killeen
Christopher Naumann, MD Donald Rawls, MD James Sing, DO Apurva Trivedi, MD Jonathan Ramirez, MD Duc Vu, MD Harry J. Thomas, MD 254-618-1400 2405 S. Clear Creek Road, Suite 210, Killeen Xiaotuan Zhao, MD 254-519-8490 2301 S. Clear Creek Road, Suite 102, Killeen
Monty Gohl, MD 254-634-2857 2300 S. Clear Creek Road, Suite 203, Killeen Joseph Jeanette, DO Daniel McLaughlin, MD 254-519-8901 2207 S. Clear Creek Road, Suite 203, Killeen Griffith Thomas, MD 325-247-3138 102 E. Young Street, Llano Senthil Sankaralingam, MD Gillian Stuart, MD 254-618-4320 800 W. Central Texas Expwy., Suite 370, Harker Heights
2016 DIRECTORY INTERNAL MEDICINE
Jacquelene Adiele, MD 254-200-2748 3816 S. Clear Creek Road, Suite A, Killeen Karen P. Harrison, MD Raymond J. Harrison, MD 254-542-9000 239 W. Highway 190, Copperas Cove Pablo Leonardo, MD 254-526-0404 2301 S. Clear Creek Road, Suite 202, Killeen Stephen Ralph, MD 254-554-8773 3816 S. Clear Creek Road, Suite F, Killeen Latha Sukumar, MD Sundaram Sukumar, MD 254-519-3131 2301 S. Clear Creek Road, Suite 112, Killeen Precha Suvunrungsi, MD 254-526-6604 2109 S. Clear Creek Road, Killeen
INTERVENTIONAL RADIOLOGY Ryan Vancura, MD 254-519-8139 2201 S. Clear Creek Road, Killeen
Habib Bahar, MD Biresh Kumar, MD Abraham Rajan, MD 254-690-0613 625 W. Central Texas Expwy., Harker Heights
Hector Colon, MD Karthikeyani Kathiresan, MD 254-526-2343 2301 S. Clear Creek Road, Suite 106, Killeen George Creel, MD 254-618-1412 2405 S. Clear Creek Road, Suite 210, Killeen Shamsuddin Khwaja, MD 254-554-3377 2105 S. Clear Creek Road, Killeen TEXAPPEALMAG.COM
MEET THE DOCTORS NEUROSURGERY
Steven Zielinski, MD 254-732-3987 1000 West State Hwy. 6, Suite 430, Waco
OBSTETRICS & GYNECOLOGY
Eric Allerkamp, MD Cedric Day, MD Nathan Kwan, MD April Schiemenz, MD Paul West, MD 254-618-1800 2405 S. Clear Creek Road, Suite 370, Killeen William G. Louis, MD 254-634-1500 2301 S. Clear Creek Road, Suite 220, Killeen Arturo Romero, MD 254-519-8907 2301 S. Clear Creek Rd., Suite 208, Killeen Marisol Carpio-Solis, MD Luis Castellanos, MD Cynthia Shirley, MD 254-618-1060 800 W Central Texas Expwy., Suite 370, Harker Heights
Mark Lobaugh, MD 254-519-2229 800 W Central Texas Expwy., Suite 200, Harker Heights Alka Rishi, MD 254-634-0754 2207 S. Clear Creek Road, Suite 303, Killeen Marcos Sosa, MD 254-220-4833 2025 Memory Lane, Ste 500, Harker Heights
John R. Esters, MD 254-519-2020 800 W. Central Texas Expwy., Ste 150, Harker Heights Gerard Marten-Ellis, MD 254-526-5505 2301 S. Clear Creek Road, Suite 116, Killeen
AUGUST 2016 | TEX APPEAL
MEtroplex health system ORAL SURGERY
Andrew Campbell, DDS 254-526-5667 2804 S. W.S. Young Drive, Suite 100, Killeen Lavelle Ford, DDS 254-699-9500 2030 Heights Drive, Suite 3, Harker Heights
Mohit Bansal, MD Sherronda Henderson, MD Kathleen Halka, MD Vinit Karur, MD 254-200-3200 2207 S. Clear Creek Road, Suite 101, Killeen Sripriya Santhanam, MD Mani Subramanian, MD 254-526-5353 2207 S. Clear Creek Road, Suite 302, Killeen
Mehul Patel, MD Gregory Swanson, MD Niloyjyoti Deb, MD 254-200-3200 2207 S. Clear Creek Road, Suite 101, Killeen
Terry J. Beal, MD 254-526-0188 2117 S. Clear Creek Road, Killeen Sandy Bidner, MD 254-618-1555 2405 S. Clear Creek Road, Suite 290, Killeen Robert Hansen, MD 254-519-1313 2301 S. Clear Creek Road, Suite 204, Killeen Rory Lewis, MD 254-634-2857 2300 S. Clear Creek Road, Suite 203, Killeen
Scott Irvine, DO Eric Jenkins, MD Benjamin Lowry, MD 254-245-9175 3800 S WS Young Drive, Suite 201, Killeen
Steve Marsh, DO 254-519-1900 2300 S. Clear Creek Road, Suite 103, Killeen Vivek Mahendru, MD 512-485-7200 3816 S. Clear Creek Road, Suite B, Killeen Hiep Tran, MD 254-618-1777 2405 S. Clear Creek Road, Suite 102, Killeen
PHYSICAL MEDICINE & REHABILITATION
Steve Marsh, DO 254-519-1900 2300 S. Clear Creek Road, Suite 103, Killeen
Jamie Avila, MD 254-680-1100 3801 Scott & White Drive, Killeen Lilian Blankenship, MD Manzoor Farooqi, MD Renee Friday, MD 254-634-7337 3004 S. W.S. Young Drive, Killeen Robert Organ, MD Sarah Nickerson, MD 254-724-5437 2405 S. Clear Creek Road, Suite 310, Killeen Omar Homsi, MD Zhiyu Liang, MD Daphne Wright, MD 254-526-8300 4102 S. Clear Creek Road, Suite 107, Killeen Ricky Mitchell, MD 254-554-8773 3816 S. Clear Creek Road, Suite F, Killeen
Soi-Yu Chansiefried, MD Muhammad Qureshi, MD 254-618-1704 2405 S. Clear Creek Road, Suite 310, Killeen
2016 DIRECTORY PEDIATRIC DENTISTRY
Sameh Alzayat, DDS Stephen Brandt, DDS 254-690-3380 1201 S. W.S. Young Drive, Killeen Andrew Campbell, DDS 254-526-5667 2804 S. WS Young Drive, Suite. 100, Killeen Andrew Heaton, DDS 254-698-0641 701 Indian Trail, Suite C, Harker Heights Jose Ochoa-Grijalva, DDS 254-526-9696 3901 E. Stan Schlueter Lp, Suite 109, Killeen
SPECIAL NEEDS DENTISTRY
Michael Harris, DDS 254-307-8515 4903 Creekside Drive, Killeen
Richard Goad, DPM 254-618-1888 2405 S. Clear Creek Road, Suite 350, Killeen
John Brust, DPM Dale Lane, DPM 254-618-1444 2405 S. Clear Creek Road, Suite 350, Killeen Roderick Hunter, DPM 254-519-3338 2301 S. Clear Creek Road, Suite 204, Killeen H. Ashley Ledger, DPM 254-519-3668 800 W Central Texas Expwy., Suite 155, Harker Heights Thomas Madden, DPM 254-634-3668 2207 S. Clear Creek Road, Suite 205, Killeen Hope Murray, DPM 254-542-8637 1007 W. Highway 190, Suite B, Copperas Cove William Rediske, DPM 254-634-2857 2300 S. Clear Creek Road, Suite 203, Killeen
MEET THE DOCTORS PLASTIC SURGERY
Charles R. Day, MD 254-526-5106 800 W. Central Texas Expwy., Ste 100, Harker Heights Susan Pike, MD 512-509-3963 425 University Boulevard, Round Rock
Kenneth Brock, DO Edward B. Freeman, MD 254-634-4244 2127 S. Clear Creek Road, Killeen Phillip Leon, MD 254-628-1000 2407 S. Clear Creek Road, Killeen
MEtroplex health system PSYCHIATRY, CHILD/ADOLESCENT
Vijay Jampala, MD 254-628-0246 Kenyatta Jones, MD 254-526-5260 2407 S. Clear Creek Road, Killeen
Freddie M. Morales, MD 254-554-3003 2301 S. Clear Creek Road, Suite 126, Killeen Alfredo Vazquez-Sandoval, MD 254-618-1904 2405 S. Clear Creek Road, Ste 210, Killeen Jorge Velazco, MD 254-618-1904 2405 S. Clear Creek Road, Ste 210, Killeen
Jeffrey W. Jundt, MD 254-628-5454 2301 S. Clear Creek Road, Suite 206, Killeen
Freddie M. Morales, MD 254-554-3003 2301 S. Clear Creek Road, Suite 126, Killeen Jorge Velazco, MD 254-618-1904 2405 S. Clear Creek Road, Ste 210, Killeen
Erin Bird, MD King Scott Coffield, M.D Patrick Lowry, MD Belur Patel, MD T. Philip Reilly, MD Marawan El Tayeb, MD Kristofer Wagner, MD Jeffrey Waxman, MD
2016 DIRECTORY 254-618-1444 2405 S. Clear Creek Road, Suite 350, Killeen Bernard Morris, MD 254-618-4320 800 W Central Texas Expwy., Suite 370, Harker Heights
WOUND CARE & HYPERBARIC MEDICINE
Glennon Einspanier, DO Katherine Lincoln, DO Charles (Tad) Stiles, MD H. Sprague Taveau, DO James Wood, MD 254-634-4325 2300 S. Clear Creek Road, Suite 101, Killeen 254-519-8980 5610 E. Central Texas Expwy, Suite 5, Killeen 512-556-8700 608 N. Key Ave., Lampasas
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Forest Trail Dental Care 4206 Lowes Drive, Temple 254-778-5070 | foresttraildental.com
Forest Trail Dental Care has set a high bar for dental care in Central Texas, offering “A Beautiful Smile for Every Budget.” Forest Trail Dental Care is owned and operated by two of the area’s most experienced dentists – Dr. Terry Proctor and Dr. Steve Piña. Both are graduates of the renowned Baylor College of Dentistry in Dallas. Together they have provided quality dental care for more than 50 years. Dr. Proctor and Dr. Piña have lived and worked in the community for years and have built lifelong relationships with their patients. While the office relocated to 4206 Lowe’s Drive in May 2015, the practice has been serving patients in Temple and the surrounding area for more than 30 years. It is a place where patients are greeted by name and receive quality care in a stress-free setting at an affordable cost.
Dr. Piña, left, and Dr. Proctor
“Patient care is our first priority,” Dr. Proctor and Dr. Piña said. “We care about their overall health. We offer conservative treatment plans.” All of the Forest Trail Dental Care operatories feature heated massage chairs for patient comfort and to relieve stress. Patients are also offered Alpha-Stim non-drug therapy for anxiety. Forest Trail Dental Care takes care of filing all dental insurance. Moreover, an in-house member savings plan is available for patients without insurance. Details are available by calling the office. Forest Trail Dental Care is currently offering $1,000 off Invisalign clear braces. New patients mentioning Tex Appeal will receive $100 off their first visit through Oct. 30, 2016.
William F. Long, M.D. Allergy and Asthma
2025 Memory Lane, #400A, Harker Heights 254-432-5945 | wflongmd.com Dr. William Long is an allergist and immunologist from Belton, Texas. He received his undergraduate degree from Baylor University and graduated from Texas Tech University School of Medicine after which he completed a residency at Brooke Army Medical Center in San Antonio. He completed his pediatric and adult Allergy, Asthma, and Immunology Fellowship at Fitzsimons Army Medical Cetner and National Jewish Hospital in Denver, Colorado. Dr. Long served as the chief of the allergy, asthma and immunology service at Tripler Army Medical Center in Honolulu before returning to central Texas to practice. Dr. Long was activated with the 4005th U.S. Army Hospital for Desert Storm and Operation Join endevaor during the Bosnia Peace Effort.
William F. Long, M.D.
He retired from the U.S. Army Reserves and now enjoys spending time with his family, church activities, boating, flying, scuba diving and watching Baylor Sports. Dr. Long is in network with most major insurance companies. Blue Cross Blue Shield, Aetna, Humana, United Healthcare, Cigna, Medicare, Tricare and most PPO insurances. Our office hours vary by location and day we have extended hours to accomodate school and work schedules. We accept new patients at all of our locations. 48
AUGUST 2016 | TEX APPEAL
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1616 Azalea Drive, Suite 105, Temple | 254-773-2693 | archesfootcare.weebly.com Arches Footcare is a welcoming specialty shoe store with an expert clinical focus. Founder Heinz Reichl is a Certified Pedorthist, a Footcare professional who has specialized training to fit/ modify shoes and orthotics for addressing conditions that affect the feet, lower limbs and body. Heinz has 23 years of medical experience with over 9 years of specialized training in issues with the feet. He sees patients of all ages, with a variety of foot issues, such as flat feet, plantar fasciitis, heel spurs, bunions, hammer toes, and just plain tired feet. In addition, athletes from a variety of sports can benefit from an appointment to evaluate their gait, and get fitted in the correct shoes and supports to maximize the athletic experience. Our shoe brands are Brooks, Chaco, Vionic, Naot, Sole and more. Arches is a family owned and operated business, open since July 2012.
Heinz Reichl, owner
If you have issues with your feet, call for an appointment with Heinz (complimentary when you mention this article). If you are just looking for comfortable shoes and want to shop our selection, no appointment is necessary. Visit our website for more information at archesfootcare.weebly.com.
The Central Pharmacy
502 East Central, Belton | 254-939-3004 | firstname.lastname@example.org | M-F 10am-6pm Compounded prescriptions, wellness consultations and personal service are the focus of The Central Pharmacy in Belton. It is a new name for a long-time business that has been serving residents for more than 30 years. Harriet Monsell and Francis Young are the registered pharmacists and friendly owners of The Central Pharmacy, which was formerly known as The Medicine Shoppe. “We want to be a resource of information and services for patients to feel better and have a better quality of life,” Monsell and Young said. “No other pharmacies do compounding or provide wellness consultations that can recommend natural ways to improve health. In addition to compounding prescriptions and wellness consultations, The Central Pharmacy features vitamins, herbal and natural products.Monsell and Young each have more than 40 years of knowledge about health and medicine and what natural products can be used to improve patient health.
Francis Young, RPH and Harriet Monsell, RPH
Monsell and Young are planning one hour free seminars spotlighting such topics as hormone problems and diets. “We have been doing these consultations and educational seminars off and on for years,” Monsell and Young said. “We can now focus on them 100 percent in our new format as The Central Pharmacy.”
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AUGUST 2016 | TEX APPEAL
Seton Medical Center Emergency Room Technician Amber Casarez explains the capabilities of one of the trauma center’s heart monitoring machines.
Caring for Central Texans Seton Medical Center celebrates five years in Harker Heights
Story by MANDY SHELTON Photos by ERIC J. SHELTON and AMY PROCTOR
ew this year for Seton Medical Center Harker Heights is the hospital’s physical, occupational and speech therapy facility at the new Armed Services YMCA in Harker Heights. In 2013, the hospital pledged $2 million over the next 10 years to the ASYMCA and the new facility began seeing patients Aug. 1. The hospital has an on-site director at the ASYMCA, employs a staff of therapists and offers such amenities as warm water therapy “Being able to jointly locate with
the wellness center at the ASYMCA was a perfect fit for us,” said CEO Matt Maxfield, adding that the partnership allows SMCHH to offer therapy facilities that were not included in plans for the main hospital campus. “Our partnership with the ASYMCA is something we are very proud to bring to our organization and community. We began having discussions with the leadership team at the ASYMCA before the hospital ever opened (five years ago).” Seton Medical Center Harker Heights also held its first Food and Fitness Forum at the ASYMCA demo kitchen Aug. 4. The monthly event is designed to teach children and adults to handle food properly.
“We have guests that will come every month and we’ll hit different topics,” said Melissa Purl, director of marketing. The inaugural guest was Susan Cornette, an instructor from Titan Total Training in Temple and fitness correspondent for KCEN, who made a dish of Rockin’ Moroccan Chicken with a side of roasted vegetables. The Food and Fitness Forum is the latest offering in the community wellness initiatives and supplements SMCHH’s partnership with the city of Harker Heights to host a weekly farmers market, now in its sixth year. In the Women’s Center, the breastfeeding initiative is led by Dr. Margaret Landes, medical director of Continued TEXAPPEALMAG.COM
pediatrics, and Lori Dominy, interim director of women’s services. “There’s documented evidence that breastfeeding is advantageous to newborns,” Landes said, adding that regulation agencies are now measuring the objective outcomes of breastfeeding in American hospitals. “We want to, of course, meet the clinical standard for that,” Landes said, “but we also know it’s the right thing to do.”
ER growth The emergency department was classified as a Level IV basic trauma facility in April 2015. “The continued growth in our emergency room visits has been an area that we didn’t think, in our planning for the hospital, that we would outgrow so quickly,” Maxfield said. He said the ER is projecting more than 50,000 visits this year. “I think it just demonstrates the growth in population that we are experiencing.” The Texas Department of State Health Services website designates 202 Level IV trauma facilities. According to the American Trauma Society, Level IV trauma facilities can receive trauma patients for evaluation, stabilization, and diagnosis. Severe traumas can then be transferred to one of the 17 Level I comprehensive trauma facilities in the state. The closest Level I facilities are in Temple, at Scott & White Medical Center, and in Austin at Dell Children’s Medical Center and University Medical Center at Brackenridge, both of which are part of the Seton family. “They can either go by ambulance or helicopter,” Purl said. “It depends on the patient. It’s all about the patient.” The 60,000-square-foot medical offices pavilion on the SMCHH campus is 100 percent occupied, with a wound care center planned for the third floor. “It will have two hyperbaric chambers,” Purl said. “We expect it will be very busy in there.” She said the proposed Advanced Wound Healing Center is in the construction bidding process. Outside of the hospital there are nearly 20 Wellstone Clinics throughout Harker Heights, Killeen and Belton. “Wellstone is affiliated with the hospital and it’s a multi-specialty practice under one umbrella,” Purl said. These facilities 52
AUGUST 2016 | TEX APPEAL
Seton Medical Center Harker Heights’s CEO Matt Maxfield, left, and George Fayer, chief financial officer for the hospital, describe a new program at the hospital called MDsave during a news conference in April.
“The continued growth in our emergency room visits has been an area that we didn’t think, in our planning for the hospital, that we would outgrow so quickly.”
Matt Maxfield, CEO Seton Medical Center Harker Heights
include the medical office pavilion on the SMCHH grounds and the primary care office in Belton. In July, Matthew Altman, MD MPH, opened the most recent clinic off W.S. Young Drive in Killeen. The Occupational and Environmental Medicine center is a Wellstone Health Partner and offers treatment for workplace concerns such as respiratory problems and chemical exposure. Purl said the new clinic will work hand-in-hand with the therapy center at the ASYMCA, with Dr. Altman providing the medical treatment before sending patients to physical therapy. “When you start from scratch, every year there’s something new,” Purl said. “There’s only one way to go and that’s to grow.”
A little history When Seton Medical Center Harker Heights broke ground on its Central
Texas Expressway facility in April 2011, it was the first new hospital constructed in Bell County in 35 years. “I came on board just 30 days after the groundbreaking and my first office was a double wide trailer on the job site,” said Maxfield, a Temple native who had previously been CEO of Brownwood Regional Medical Center. SMCHH officially opened June 18, 2012. Don Shaffer was the electrical supervisor with a contractor on the hospital construction site and is now a SMCHH employee. “I am from Harker Heights and live five minutes away,” Shaffer said. After a career spent traveling for work, Shaffer chose to stay at home with his family as well as “a job that I know was made for me.” “This place is a labor of love for a lot of us,” Purl said. “It’s very hard to open a hospital.” The 192,400-square-foot facility is
Seton Medical Center Harker Heights has been serving the community for five years.
currently licensed for 83 beds, and Purl said the third floor is in shell condition. “It is ready for whenever we get to that point in our growth, we will finish building it out and move up there,” Purl said. The hospital and medical center now employs more than 400 people, with approximately 250 on medical staff. Director of Physician and Business Development Luke Potts said it is important to make sure the feeling is mutual between the hospital and the physician and that both sides are in it for the long haul. “It’s not good for the patients to have constant doctor turnover. For the sake of continuity of care, we want people who are going to be here long term,” Potts said. “We’re on-boarding ten new doctors of all specialties,” Purl said. “I believe that we will continue to add specialists and surgeons in specialties like neurosurgery, cardiac surgery, and oncology,” Maxfield added. “We bring in physicians from all over the United States.” Pearl said adding that the region’s lakes and proximity to Austin as a big draw for doctors. SMCHH is part of the Seton Healthcare Family, a Catholic ministry that is affiliated with Ascension, the largest nonprofit health system in the United States. “We have a joint venture with Seton in Austin,” Purl said. “Our parent company, our home office, is
LHP Hospital Group. They own 80 percent and Seton in Austin has a 20 percent investment.”
Sense of community “We proactively encourage our leadership team and our associates to not only serve their patients and families in the mission of providing health care services but to find other opportunities to serve the community in which we live,” Maxfield said. Seton Medical Center Harker Heights partners with the Greater Killeen Free Clinic, working with chronic care patients, among other means of support. “We help them by sending them a nurse practitioner four days a week,” said Purl, adding that SMCHH’s Chief Nursing Officer, Pamela Craig, is on the Greater Killeen Free Clinic board. Purl herself serves on the Harker Heights Chamber of Commerce board, and SMCHH has memberships in the Belton, Copperas Cove, Harker Heights, and Killeen chambers. Each year during the holidays, the hospital employees participate in fundraisers for the United Way. “I believe that as a health system we provide one of the key foundations to our community growth and strong family values,” Maxfield said. “Just like a community needs strong schools and churches, it needs a health care system it can trust to provide care and compassion to its patients.”
As the hospital approaches its fifth anniversary, Purl believes the $1.5 billion dollar, 10-year economic impact projected for SMCHH in a study done by the city of Harker Heights was “a very conservative estimate,” when taking into consideration the purchase of homes and cars as employees move into the area. “We wanted to always be relevant to this community. We believe in this area, we believe in what we’re doing and the value that we bring,” she said. For those working within the hospital, the continuous growth makes for an interesting workplace, and many SMCHH employees are as attached to the hospital as they are to the community that surrounds it. “I saw this building come from the ground up and I am very proud to say that this is my hospital that I helped to build,” said Shaffer. “It is now my home.” “Over the next five years I think we will continue to evolve to provide a higher level of care for our patients,” Maxfield said. “I want the Central Texas community to know that if they want the highest quality of care delivered at the highest levels of patient satisfaction that they can depend upon Seton Medical Center Harker Heights.”
Seton Medical Center Harker Heights 850 W. Central Texas Expy., Harker Heights 254-690-0900 setonharkerheights.net TEXAPPEALMAG.COM
Doctor relishes role caring for the smallest patients Story by MANDY SHELTON Photos by MITCHEL BARRETT
argaret “Maggie” Landes, M.D., is the Medical Director of Pediatrics at Seton Medical Center Harker Heights. Her responsibilities include attending, high-risk deliveries, stabilization and transfer of sick babies, circumcisions, discharge planning and breastfeeding education. “This is a growing community with a very young population, ergo lots of pediatric patients,” Landes said. “When you have a hundred babies a month, that ends up being a lot of work.” Landes, who has a bachelor’s degree in biomedical engineering from Vanderbilt University, attended medical school at the University of Texas in Houston. She completed her pediatric residency at the University of Colorado in Denver and the Children’s Hospital Colorado. “I have always wanted to be a doctor, since I can remember,” Landes said. “I went to medical school with a very open mind, but I actually did not think I would be a pediatrician.” She said pediatrics did not initially seem like an interesting specialty. “I got into medical school and realized that wow, these kids have cancer and organ transplants and congenital syndromes and all sorts of more fascinating and intellectual diagnoses than strep throat and rashes,” Landes said. “After that, I decided I wanted to do pediatrics.” Landes previously lived near Fort Gordon, in Augusta, Ga., where she was on faculty at the Medical College of Georgia. Her husband, Robert, is a military police officer, and the family relocated to the Fort Hood area five years ago. Daughter Caroline is in the third grade and son Garrett is starting kindergarten at Mountain View Elementary, which is the only school the children have ever attended. “So my kids may actually be lucky 54
AUGUST 2016 | TEX APPEAL
Mothers-to-be have their own birthing rooms at Seton Medical Center Harker Heights.
enough to be military dependent children who don’t have to transfer schools,” Landes said. “That’s every military kid’s dream come true.” As a mother, Landes has a unique perspective on balancing home life with work. “People always ask, ‘Does a pediatrician have a pediatrician?’ And the answer is yes,” Landes said. “They have a real pediatrician, a real medical record.” Landes cites medical ethics in not treating her own children. “Plus,” she said, “they’re your kids, not patients, so you’re looking at them with different eyes than somebody who sees them once or twice a year.”
Connected to community Landes plans to remain in the Killeen area when her husband, Robert, retires from the military. “I’m really proud of working here and living in this community,” Landes said. Her husband left in May for an expected two-year assignment at Fort Leonard Wood, Mo. “That’s part of the helpful thing about being really connected to this community and having a great job, and having good friends and
church family,” Landes said. “A lot of people have been through the same thing or are going through the same thing.” Landes has also noticed a unique characteristic of the Fort Hood community in the delivery suite, where she cares for the newborn arrivals. “Oh, the dads,” Landes said. “And it’s always the big burly dudes, the ones that you least expect, the tough Army guys who come in their ACUs. For some reason, combat — ain’t nothing to it — but childbirth puts them on their knees. Really and truly. It’s always the one you least expect. We make them sit down, because the last thing I have time to do is resuscitate some six-foot-four, 250-pound Army guy lying on the ground in front of where I’m working.” Interim Director of Women’s Services Lori Dominy has been employed at the SMCHH “since before we opened,” she said. Dominy collaborates with Landes to handle admissions and discharges and to develop care plans. “I teach childbirth class, so the session that I have in regards to newborns, she comes and talks to the families,” Dominy said.
Kitty Kacir, Lori Dominy, interim director of Women’s Services, and Dr. Maggie Landes, director of pediatric services, confer about their pediatric patients.
“More than the tests you order or the prescriptions you write or the referrals you make, how you teach the family to anticipate the care for their child determines the success of a treatment plan,” Landes said. “That makes a tremendous impact on the outcomes, besides the fact that it makes it a more positive experience.” Landes keeps SMCHH a lifeaffirming place to work as well. “She’s just a delight,” said Melissa Purl, director of marketing for Seton. “Everybody in the hospital loves her.” CEO Matt Maxfield said Landes is one of the most personable and professionally committed physicians he has ever worked with in his career. “We saw very quickly her skill and compassion at the bedside and were very fortunate that she made the decision to join us full time,” he said.
Continuum of care As a pediatric hospitalist, Landes never needs to leave the hospital for a private practice office or outpatient clinic. “I’m right here, this is my job, this is my workplace,” Landes said. “You really get involved in the work environment because this is my workplace, I’m not just here to do rounds and leave, so the quality of the physical space, the nursing staff and our relationship, that all matters a lot to me because I come to work here every day.” “Dr. Landes is well-liked in the community in regards to our families, she’s well respected with the nursing staff, and she’s a valuable member of our team at Seton Medical Center,” Dominy said. “The thing about being a pediatrician is that, by default, they always come with a family,” Landes said of her patients. “So you have the medical aspect to address
but there’s a lot of psychological care and education and social support for the family,” she said. “I get to be part psychologist, part teacher, part social worker, part coach and part doctor. Parents want to do what’s best for their children and are willing to be educated and are willing to change.” Landes provides guidance and encouragement for the family members of her newborn patients. “They are excited and anxious and nervous and some of them are taking home an infant for the first time ever,” Landes said. “That’s an overwhelming task and I feel like I have a big part in preparing them to do that, even if it’s not writing prescriptions and doing lab tests. What I do and what the nursing staff and the other medical staff here contribute, really, it’s the whole package. The care is a continuum.” TEXAPPEALMAG.COM
MEET THE DOCTORS ANESTHESIOLOGY
Jeffrey Albritton CRNA David Carter CRNA Lee Hammons CRNA Candy Ho CRNA Mark Hornsby CRNA Bruce Johns CRNA Harry Jung MD Kevin Lancaster MD Theresa McVickers CRNA Carrie Miles CRNA Lisa Post CRNA Robert Shedore CRNA Suzanne Sparks CRNA Troy Stevens CRNA Kenneth Williams MD 254-680-6360 850 W Central Texas Expy Harker Heights Robert Baker CRNA Harold Bolnick MD 903-643-8869 850 W Central Texas Expy Harker Heights
Paul Coffeen MD 512-206-3600 7800 Shoal Creek Austin Heather Gage MD 254-298-2571 1905 SW HK Dodgen Loop Temple Kevin Gallagher MD Patricia Lambden ANP Adolph Mares MD Randy McCollough MD Richard Olstein MD Paul Pagley MD Sanjay Pandya MD Matthew Phillips MD Norman Risinger MD Stanley Wang MD 254-526-2085 800 W Central Texas Expy, Ste 355 Harker Heights Rajiv Gupta MD 1 901 Veterans Memorial Drive Temple Cheryl Hurtado CNS 512-206-3600 3801 N Lamar Blvd, Ste 300 Austin Larry Price DO 512-807-3150 800 W Central Texas Expy, Harker Heights 56
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SETON MEDICAL CENTER Javier Sanchez MD Jason Zagrodzky MD 512-807-3150 3000 N IH35, Ste 700 Austin
Stephen Brandt MD 254-690-3380 1201 S WS Young Drive, Ste D Killeen
Sulochana Bhandarkar MD 254-213-0766 800 W Central Texas Expy, Ste 200 Harker Heights Lenore Chiles MD Leo Conger MD Jordan Ilse MD Weilan Johnson MD 254-778-5400 1300 E Sixth Ave. Belton Russell Rowe MD 254-340-6000 300 Richland W Circle, Ste 2C Waco
Manuel Acosta MD Trent Apple PA Brandon Barth MD John Bedolla MD Daniel Boland MD Brandon Browne MD Danisha Bucher NP Matthew Burge MD Eudocia Cabello MD George Cassidy PA Joseph Hemerka MD Damon Nelson MD Bryce Gregerson MD Hoi Chan MD Charlotte Charfen MD Christopher Colvin MD Craig Dates MD Corey Fearheily MD Roberto Flores MD Vincent Freemeyer DO Everett Fuller MD Donald Gladden MD Merkeza Grant DO Bryce Gregerson MD Robert Harding DO Joseph Heidenreich MD Chasity Heinkel ANP John Johnson DO Jamie Jones MD
Edward Jones DO Jared Kennedy MD Constance King APN Brian Krustchinsky PA Kari Kulp MD Aarti Leyva MD Emily Lucid MD John Marshall MD Michelle Martin PA Tyler McSpadden MD Shekhar Menon MD Paul Myers DO Christopher Nelson DO Timothy Newton DO Sarah Olstyn-Martinez DO Joshua Parker MD Ripal Patel MD Anna Raines NP Miles Raizada MD Kyrie Ritzdorf PA Sam Roberts MD Ellen Rutledge NP Joshua Sonnier MD Wayne Stanberry PA Ryun Summers DO Julie Wachtel MD Kenneth Welch MD Suki Weller MD Jonathan Wheatley MD Danielle Whitley MD 512-452-8533 850 W Central Texas Expy Harker Heights
Allen Barkis DO Matthew Furman MD Roger Kylberg MD Elizabeth Mattson MD Loyce Graham MD 254-298-2880 1905 SW HK Dodgen Loop Temple Jerry Baskerville MD 254-774-1880 4500 Franklin Road Troy James Cain MD Subha Chikkala MD Vanna Gold DO Robin Gruen MD Georgia Hay MD Mark Lane MD Morris Patteson MD 512-556-3621 207 W Avenue E Lampasas Ryan Fowler MD 254-298-2200
2016 DIRECTORY 1905 SW HK Dodgen Loop Temple David Go MD 254-547-7777 2401 Walker Place Blvd, Ste 300 Copperas Cove Arturo Guajardo MD 254-415-7598 3800 WS Young, Ste 103 Killeen Barry Holdampf MD 254-939-1844 2851 North Main Belton Thikra Kadhim MD 254-200-9355 4502 E Central Texas Expressway, Ste 101 Killeen Kyle Morsch MD 254-518-5511 806 E Avenue D, Ste H Copperas Cove Robert Perry MD 254-519-8922 880 Prospector Trail, Ste 200 Harker Heights Cheryl Polkowski MD 254-618-1050 800 W Central TX Harker Heights Edward Spencer MD 254-526-6300 502 W Jasper Drive Killeen Jermey Swain MD 254-340-0042 300 W Central Texas Expy, Ste 115 Harker Heights
Timothy DeHart CSFA Heather Fontenot CSFA Michael Fox CSFA Nicole Huber CSFA Timothy Marvin CSFA 713-779-9800 10039 Bissonnet Street, Ste 250 Houston Barry Reese CSFA 254-289-2858 6610 Brooks Drive Temple Ashton Wise CSFA 469-363-6070 3201 Esperanza #253 Austin
MEET THE DOCTORS Gastroenterology
Conway Huang MD 254-618-1151 800 W Central Texas Expy, Ste 290 Harker Heights Richard Tay MD 254-298-2536 1717 SW HK Dodgen Loop, Ste 103 Temple Xiaotuan Zhao MD 254-519-8490 2301 S Clear Creek Road, Ste 102 Killeen
Isabell Bacot PA Nancy Marquez MD 512-498-4860 301 Seton Parkway, #102 Round Rock Senthil Sankaralingam MD Gillian Stuart MD 254-618-4320 800 W Central Texas Expy, Ste 370 Harker Heights
Lendol Davis MD 512-443-9595 1902 S IH 35 Austin
Vivian Cline-Burkhardt MD David George MD Courtney Yau MD 512-421-4100 800 W Central Texas Expy, Ste 295 Harker Heights Sripriya Santhanam MD Mani Subramanian MD 254-526-5353 2207 S Clear Creek Road, Ste 302 Killeen 76549
Brandon Johnson MD 512-452-8533 850 W Central Texas Expy Harker Heights Prasanthi Arety MD Hermann Blanton MD Bodie Correll MD Audrey Eden NP Adaeze Nwosu MD Paul Bossous MD Lisa Dix-Emperador MD Michel Fernandez MD
SETON MEDICAL CENTER Elizabeth Fomby MD Karla Frazzini MD Damary Gonzalez MD Eve Hyatt ANP Dennis Kolokolo MD Brian Lahmann MD Melissa Miller MD Mary Pepper PA Alcario Serros MD Atif Shahnawaz MD Vikram Suraparaju MD Asif Syed MD Reuben Tovar MD Cesar Uy MD Alan Vaught MD Vivek Verma MD 254-415-4687 850 W Central Texas Expy Harker Heights
Yetunde Olusanya MD Sarla Patil MD Hermann Poteet MD 254-298-2860 1905 SW HK Dodgen Loop Temple Latha Sukumar MD Sundaram Sukumar MD 254-519-3131 2301 S Clear Creek Road, Ste 112 Killeen Nancy Zegarra MD 254-618-4330 800 W Central Texas Expy, Ste 390 Harker Heights
Habib Bahar MD Richard Gibney MD Biresh Kumar MD Abraham Rajan MD 254-690-0613 625 Central Texas Expy Harker Heights Woody Reese MD 254-554-3366 625 Central Texas Expy Harker Heights
Rudy Briner MD Jonathan Friedman MD Gerard Toussaint MD James White MD 979-776-8896 3201 University Drive E, Ste 410 Bryan Steven Zielinski MD 254-732-3987 1000 W Hwy 6, Ste 430 Waco
Elizabeth Alwohoush MD Hector Colon MD Karthi Kathiresian MD 254-526-2343 2105 S. Clear Creek Road, Ste 106 Killeen Shamsuddin Khwaja MD 254-554-3377 2105 S. Clear Creek Road, Ste 106 Killeen
2016 DIRECTORY 1618 Canyon Creek Drive, Ste 120 Temple Gerard Marten-Ellis MD 254-526-5505 2301 S Clear Creek Road,Ste 116 Killeen Maximilian Psolka MD 254-616-2020 300 E FM 2410 #109 Harker Heights
Oral Max Surgery
J Dylan Bowles DDS Andrew Campbell DDS 254-526-5667 2804 S WS Young Drive, Ste 100 Killeen
Albert Bartschmid MD Joshua Covington PA Clifton Oâ€™Meara MD Charles Schwertner MD 512-863-4563 OB/GYN 1904 Railroad St. Georgetown Marisol Carpio-Solis MD Ryan Bergeson MD 254-220-4833 Christopher English MD 2025 Memory Lane #500 Harker 512-388-2663 Heights 301 Seton Parkway, Ste 305 Luis Castellanos MD Round Rock Cynthia Shirley MD Kevin Caperton MD 254-618-1060 254-298-2546 800 W Central Texas Expy, Ste 1905 SW HK Dodgen Loop 255 Harker Heights Temple Kimberly Dietze CNM John Duggan MD Mark Lobaugh MD Erik Lovria MD 254-519-2229 254-618-1095 800 W Central Texas Expy, Ste 800 W Central Texas Expy, Ste 200 Harker Heights 175 Harker Heights Marcos Sosa MD Robert Hansen MD 254-554-8334 254-519-1313 401 W Jasper Drive Killeen 2301 S Clear Creek, #204 Killeen
Matthew Altman MD
Austin Chang MD 254-773-7785 1815 SW HK Dodgen Loop Temple John Esters MD 254-519-2020 800 W Central Texas Expy, Ste 150 Harker Heights Todd Gorden MD 254-791-2020
Kati Davenport APN Jacob Minor MD 254-618-1080 800 W Central Texas Expy, Ste 205 Harker Heights
MEET THE DOCTORS Pain Management
Bradley Carpentier MD 512-244-4272 2300 S Clear Creed Road, Ste 103 Killeen Brian Dezutti MD William Marsh DO 254-519-1900 2300 S Clear Creek Rd, Ste 103 Killeen Jerome Doyen MD 254-245-9176 3800 S WS Young Drive Killeen Brian Forzani MD Vivek Mahendru MD Pankaj Mehta MD 512-485-7200 4100 Duval Road, Bldg 3, Ste 200 Austin Brian Goentzel MD Scott Irvine MD Benjamin Lowry MD Andrew McDavid MD 254-245-9175 3800 S WS Young Drive Killeen
Laura Been MD Kelly Gilliland DO Lesley Hamilton MD Rosemary Matte MD Catherine McNeese MD William Reitmeyer MD Kevin Stancoven MD Cherry Starling MD Stephen Traweek MD 512-238-3100 PO Box 2386 Round Rock Luz Ledesma-Garcia 512-814-0298 850 W Central Texas Expy Harker Heights Katie O’Reilly MD 512-814-0298 PO Box 2386 Round Rock Elizabeth Schanzmeyer DO Prescilla Wood MD Aaron Cotrell MD 254-680-6303 850 W Central Texas Expy Harker Heights
AUGUST 2016 | TEX APPEAL
SETON MEDICAL CENTER Pediatrics
Yasmeen Ali MD Kevin Kramer MD Regan Larsen MD Robert Organ MD 254-698-6629 200 Nola Ruth Blvd Harker Heights Teresa Baker NP Rick Carson MD Maggie Landes MD Deborah Mitchell NP Marie Ramos MD Emanuelle Resto NP Debra White NP 254-680-6339 850 W Central Texas Expy Harker Heights Ashley Chamberland MD Lampasas Shannon Duble MD Ramla Habib MD 254-213-4052 581 Pan American Drive, Ste 1 Harker Heights Omar Homsi MD 254-526-8300 2301 S Clear Creek Road, Ste 222 Killeen Zhiyu ‘Diane’ Liang MD 254-526-8300 4102 S Clear Creek Rd, Ste 107 Killeen Richard Olufs MD Rebecca Riser MD Jacqueline Sosa MD 254-298-2822 1905 SW HK Dodgen Loop Temple Daphne Wright MD 254-213-4052 581 Pan American Drive, Ste 1 Harker Heights
Charles Day MD 254-526-5106 800 W Central Texas Expy, Ste 100 Harker Heights Elisabeth Potter MD 512-324-8320 1400 N IH 35, Ste 320 Austin
Roderick Hunter DPM 254-519-3338 2301 S Clear Creek Rd, Ste 204 Killeen Harold Ledger DPM 254-519-3668 800 W Central Texas Expy, Ste 155 Harker Heights Thomas Madden DPM 254-634-3668 2207 S Clear Creek Road, Ste 205 Killeen Edward McCaffrey DPM 254-298-2894 1717 SW HK Dodgen Loop, Ste 103 Temple Hope Murray DPM 254-542-8637 1007 W 190, Ste B Copperas Cove William Rediske DPM 254-634-2857 2201 S Clear Creek Road Killeen
Harsh Babbar MD Roger Gallup MD Frank Mazza MD Ellen Middleton MD Shantanu Naik MD Katherine Pearson NP Rajesh Shetty MD Said Soubra MD Abhishek Vedavalli MD 254-618-1090 800 W Central Texas Expy, Ste 295 Harker Heights Bilal Khan MD 512-452-8533 850 W Central Texas Expy Harker Heights Freddie Morales MD 254-554-3003 2301 S. Clear Creek Road, Ste 126 Killeen
Brandon Ashton MD Andrew Bauer MD James Callas MD Schmitz Casey MD Leslie Derdeyn MD James Dimaala MD Daniel Eickenhorst MD Lauren Evans MD J. Kent Fite MD
2016 DIRECTORY Christopher John MD Stephen Jones MD Barrett Luce MD Darrin Morris MD Delip Patel MD Casey Schmitz MD Cameron Smith MD Chad Strange MD Michael Thaggard MD Grace Thomas MD Meagan Uzee MD 254-298-2400 1905 SW HK Dodgen Loop Temple
Jeffrey Jundt MD 254-628-5454 800 W Central Texas Expy, Ste 250 Harker Heights
Frederick Dixon MD 800 W Central Texas Expy, Ste Harker Heights Vani Vallabhaneni MD 512-810-0360 10601 Pecan Park Blvd 203 Austin
Bernard Morris MD 254-618-4320 800 W Central Texas Expy, Ste 370 Harker Heights Jason Poteet MD Mark Story MD 254-741-6120 601 W State Hwy 6, Ste 105 Waco
Glennon Einspanier DO Katherine Lincoln DO Horatio Taveau DO 855-963-4325 2300 S Clear Creek Road, Ste 101 Killeen JoElla Gibbs-Stiles APN 855-963-4325 608 N Key Ave Lampasas
This bronze sculpture outside Carl R. Darnall Army Medical Center at Fort Hood represents active Army personnel and their families.
Carl R. Darnall Army Medical Center serving active military, families Story by CATHERINE HOSMAN Photos by JOSH BACHMAN
hen the new Carl R. Darnall Army Medical Center opened its doors on Fort Hood this past May, its ultra-modern, state-of-the-art facility replaced the former hospital that opened in 1965 as the Darnall Army Community Hospital. “When the old hospital was finished in 1965 it was designed to serve 17,000
soldiers,” said Col. Mark Thompson, CRDAMC commander. Today, the new medical center serves more than 100,000 soldiers, family members and retirees. “As the retired Thompson population grows, we want to be able to expand our services to take care of them as well,” Thompson said. Inside the new six-story building is bright, airy and crisp. Patients and families walking into the hospital from
the adjacent parking garage or parking lot are immersed in a futuristic concourse bathed in natural light coming through the two-and-a-half-story tall picture windows. Although the walk down the main hall to the front desk is long, the three-dimensional art sculptures hanging high on the walls add a bit of serenity to the ambiance. The Wayfinding Guide hospital directory leads patients to medical areas labeled Bluffs, Wetlands Clinic, Continued TEXAPPEALMAG.COM
Working the front desk at the Carl R. Darnall Emergency Department are Irene Heron, left, medical support assistant and Lesia Darley, charge nurse.
Grasslands Clinic, Woodlands Clinic and Wildflowers Clinic. The new medical center and hospital is a Level II trauma center, which also serves as a point of emergency for the general community. “As a Level II trauma facility we can handle community accident victims, and perform life-saving surgery, if that is needed,” Thompson said. “A Level III trauma hospital has holding capacity, but if someone needs life-saving surgery, they can do that, but then they need to transfer out the patient.” Over the years, as the Fort Hood community grew, multiple additions were constructed to the previous hospital. Thompson said after spending $500,000 for hospital space, it was time to think new hospital. Construction for the new facility began in 2010 and its doors opened this year. Thompson said the old hospital across the grounds is in a decommissioning stage and will be converted into office spaces, a women’s health clinic and primary care medicine. 60
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“It’s a very big hospital. There are increased patient areas, space for families, each room has a window and the neonatal ICU has individual patient rooms for each baby where families can be with their babies in privacy.” Col. Mark Thompson, CRDAMC commander “Some places need little renovation, and we will move in at the end of August,” said Thompson. “Other areas will take more time to renovate.” Thompson said they have a three-year occupancy plan for the old building.
New age in medical care The new 21st century medical center is 947,000 square feet with six floors. There are 151 patient rooms, each with its own picture window that seems to bring the landscape of the surrounding hill country into the room. All rooms are private with the exception of the behavior
health floor, where Thompson said having two people to the room can be beneficial. “They have a buddy in there with them,” he said. Six different on-site clinics at Darnall, and three off-post clinics offer families convenience in health care. Behavior health is a critical aspect of care at CRDAMC, and when it comes to treating post-traumatic stress syndrome Thompson said they have created a system to give soldiers access to behavior health doctors. He said several behavior health teams have moved out of the hospital and were imbedded in the “footprints of the units they serve.”
Families have private rooms in the neonatal intensive care unit at Carl R. Darnall Army Medical Center.
“We outreach to soldiers and leaders to emphasize the behavior health clinic and to reduce its stigma,” he said. “We want to access that to soldiers who have the willingness to engage in the clinic. Putting them in close proximity to the center their leaders become engaged and supportive in the care that is being provided, and has the biggest impact to make services available Army-wide to reduce stigma of behavior health cases.” The full-service hospital includes care in all medical specialties as well as general and plastic surgery. It has a state-of-theart surgical suite and a daVinci robot for use in urological and general surgery. OB/GYN is one of the biggest services the hospital provides for the younger population. The neonatal ICU provides private rooms that allow privacy for families of infant patients. The hospital’s in-house pharmacy offers 21st century robot automation for dispensing medications. Medications are stored in canisters that are automatically dispensed when the pharmacy technician Continued
Spc. Robert Gutierrez counts medicine tablets in the pharmacy at Darnall Medical Center. TEXAPPEALMAG.COM
An automated pharmaceutical dispensary system comes with safety checks to accurately fill prescriptions.
inputs the patient information into a computer. Safety precautions are built into the system to alert technicians to unlikely potential errors. “We fill 1.2 million prescriptions a year,” said Maj. Lyle Kolnik, department chief of pharmacy. Some medications that are too large to fit through the system are still counted manually. “It’s a very big hospital,” Thompson said “There are increased patient areas, space for families, each room has a window and the neonatal ICU has individual patient rooms for each baby where families can be with their babies in privacy.” To help nurses avoid back injuries, a patient lift system helps them move patients around. Severely injured soldiers returning from a war zone generally get routed to Brook Army Medical Center in San Antonio, or Walter Reed Army Medical Center in Washington, D.C. However, Thompson said, “Depending on the 62
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Patient rooms offer more space at Carl R. Darnall Army Medical Center at Fort Hood.
severity of the injuries, if they are less severe they can come here. Our new building allows us to care for more of those types of soldiers.”
Carl R. Darnall Army Medical Center 36065 Santa Fe Ave., Fort Hood 254-288-8000 www.crdamc.amedd.army.mil
Volunteer dental professionals Janet Homecker, registered dental assistant, and Jayesh Patel, DDS, extract a tooth from a patient at the Body of Christ Community Clinic in Belton. The clinic offers medical and dental services to those in need.
Bridging the gap
Central Texas clinics provide free services Story compiled by DANIELLE EVERETT Contributed photos
he Central Texas area offers a number of free clinics that provide health care services for the uninsured. While the services offered at each clinic vary, the mission is the same: to make a positive impact in the community and help those in need. Physicians, dentists, nurses, students and others with a desire to make a difference are working to fulfill this mission. Hereâ€™s an overview of clinics in the area and the services each provides.
Body of Christ Community Clinic 2210-B Holland Road, Belton 254-939-9500 www.bodyofchristclinic.org Body of Christ Community Clinic has documented more than 6,000 patient visits since it opened in the summer of 2010. A dedicated group of volunteer medical professionals, many with Baylor Scott & White Health, provide medical and dental services at the clinic every week. Services offered include treatment of simple illnesses, treatment for some chronic health conditions, limited
gynecological services, physical therapy, counseling, nutrition classes, diabetes education classes, dentistry, spiritual support and prayer. The clinic does not offer emergency care, cancer treatment, testing for sexually transmitted diseases and treatment, prescription filling, disability or other program paperwork or prescriptions for pain medication, narcotics, sedatives, hypnotics, muscle relaxers or stimulants. To be eligible for care, families should be uninsured, low-income or unemployed and should not be on Medicaid, Medicare Continued TEXAPPEALMAG.COM
or eligible for VA services. The clinic aims to serve patients in the greater Belton and Salado area. All patients are screened for eligibility. The clinic is open on Tuesdays from 8 a.m. to noon for medical appointments only. On Thursdays it is open from 6 to 9 p.m. for medical and dental appointments. Executive Director Donna Dunn said she’s excited the clinic is opening a new location this month at 1508 Oleta St. in Belton exclusively for dental work. Hours have yet to be determined.
The Cove House Free Clinic 806 E. Avenue D, Suite D, Copperas Cove 254-547-4673 www.covehouse.org/need-help/free-clinic The Cove House Free Clinic is on track to serve 800 patients by the end of 2016. It served 671 people in 2015. Executive Director Brian Hawkins attributes the growth to an increase in the awareness of the clinic as word spreads of the services it offers for uninsured adults and children. Volunteer medical professionals staff the clinic and come from Metroplex Health System, Family Medicine Clinic in Copperas Cove and Lampasas, Fort Hood, Baylor Scott & White Clinic in Copperas Cove and private practices. Housed in a former doctor’s office, Hawkins said the Cove House Free Clinic offers general health care services, ranging from diagnosing a cold to more severe illnesses. In addition to these services, basic gynecological exams are available. The clinic works with a dentist who can do extractions through referral. The volunteer medical professionals are able to write prescriptions and the clinic also has a referral program through a partnership with Metroplex that provides assistance with labs, X-rays and blood work. To be eligible for care, patients must be uninsured. There is no residency requirement, however. The clinic is open on Tuesday evenings and registration begins at 5 p.m. Hawkins said a line typically forms at 4:30 p.m. and medical professionals will start seeing patients anywhere from 5:30 to 6 p.m. The clinic can accommodate about 20 patients each Tuesday, depending on the number of providers available. The clinic does not make appointments and does not offer emergency care. 64
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Dr. Brent Boyd and Jill Shortridge, hygienist, work with a patient at the Feed My Sheep Children’s Free Clinic in Temple.
Feed My Sheep Children’s Free Clinic 613 S. Third St., Temple 254-239-9863 www.feedmysheeptemple.org Feed My Sheep Children’s Free Clinic opened one year ago and is the only free clinic in the immediate area catering exclusively to kids. Dr. Stephen Ponder, an endocrinologist at McLane Children’s Hospital, doubles as the clinic’s medical director. He leads a team of volunteers, including pediatricians and specialty doctors from McLane and Baylor Scott & White Health, who serve the children at the clinic. While the nature of their work is serious, it’s not unusual to find Ponder dressing up in silly costumes in hopes of brightening a child’s day. The clinic offers well and sick child visits, vaccinations and hearing, vision and dental screenings for children. Specialty doctors regularly offer their services at the clinic, including dentistry, podiatry and dermatology. Prescription assistance is also available for sick children at the clinic.
The children’s clinic aims to serve children ranging from newborns to 18year-olds who are uninsured or homeless. Patients should know they do not have to complete a prequalification process to receive most services. Vaccinations, however, do require proof of qualification. At the end of a patient’s visit, caseworkers provide information on how to get further medical assistance or how to get any other help a patient may need. The clinic is open every third Saturday of the month from 10 a.m. to noon. Registration begins at 9:30 a.m. There are no appointments and patients are seen on a first-come, first-served basis.
Greater Killeen Free Clinic 718 N. Second St., Suite A, Killeen 254-618-4211 www.gkfclinic.org Instead of relying on the local emergency department for care, many people in Central Texas now count on the Greater Killeen Free Clinic for help. The clinic is inside the Killeen Arts and
Activities Center complex downtown and serves patients in Bell, Coryell and Lampasas counties. Volunteers help keep the clinic running and include health care providers, retirees and community members. Last year, a total of 50 volunteers contributed 3,770 hours of service, according to the clinic. The clinic provides many acute care services, including treatment for uncomplicated illnesses, simple injuries, basic wound care and tooth pain. For any services it is not able to provide, the clinic will refer patients to an appropriate agency. Chronic care services are also available for treatment of conditions such as diabetes, hypertension, chronic heart disease, thyroid disease and asthma. Eligibility screening is required to receive chronic care services. Other services include gynecology and mental or behavioral health services. Behavioral health services are limited and require a referral from one of the clinic’s partnering agencies. The clinic also has a prescription assistance program. The Bell County Public Health District provides free immunizations to uninsured adults on the second Thursday of the month from 3 to 5 p.m., and Metroplex Health System also offers children’s immunizations twice a month. The clinic is open to adults and children who are uninsured and ineligible for other health care programs. The clinic welcomes patients from Killeen and its surrounding communities, including Harker Heights, Nolanville, Florence, Gatesville, Copperas Cove, Kempner and Lampasas. The clinic is open for acute care on Monday and Thursday, with check-in at 4:30 p.m., and on Tuesday, with check-in at 9 a.m. Well women’s and chronic care services are available by appointment only.
Martha’s Health Clinic 601 S. Seventh St., Temple www.medicine.tamhsc.edu/studentorganization/marthas-clinic Martha’s Health Clinic is a free clinic for the homeless and indigent population in Temple and Bell County. Two Texas A&M medical students founded the clinic more than 20 years ago and students from the Texas A&M University College of
Temple Free Clinic Volunteer Megan Foutz demonstrates how to apply a finger stick so the patient can get accurate readings from her new glucose meter from the clinic. Foutz is a nursing student at Texas A&M.
Medicine continue to staff it today. The clinic is open on Thursday nights and the students and other volunteers see about 15 to 30 patients each week. The clinic can provide basic health care needs. A medical student will perform an examination and will communicate a care plan to an on-site physician. Some procedures, such as sebaceous cyst removal and callous removal are available. If necessary, a patient can get a referral to Scott & White Memorial Hospital. Baylor Scott & White Health helps with referrals, social services and provides the volunteer physicians. When a patient is also in need of social services, volunteers will help the patient find the appropriate community resources. The clinic is open every Thursday from 6 to 8 p.m.
Temple Community Clinic 1905 Curtis B. Elliott Drive, Temple 254-771-3374 www.templecommunityclinic.org Temple Community Clinic Executive Director Sherri Woytek said there are about 60,000 people without insurance living in Bell County, according to local assessments. The clinic aims to help that population. A team of volunteer physicians, nurses and dentists from Baylor Scott & White Health and various
practices help staff this clinic. Together, they provide various forms of care for about 2,200 patients each year. Temple Community Clinic offers chronic disease management, for diseases including diabetes, hypertension, COPD and asthma. The volunteers will also help treat patients with simple illnesses, such as respiratory problems, bladder infections and sore throats. The clinic can take lab and X-ray orders from Baylor Scott & White. It also provides specialty clinics for dentistry, dermatology, cardiology, gynecology, gastroenterology and podiatry. Staff and volunteers are available to help patients obtain prescription assistance through pharmaceutical programs, which have the potential to make medication free. Prospective patients should know the clinic does not provide emergency care, cancer treatment, prenatal care, pregnancy testing, sexually transmitted disease testing and treatment, severe mental health issues and disability or other program paperwork. Eligible patients include adult Bell County residents who do not have health insurance and are not eligible for government health programs such as Medicare, Medicaid, CHIP and TRICARE. Clinic appointment times generally occur Tuesday through Thursday, but vary based on the number of volunteer physicians available. TEXAPPEALMAG.COM
ADVERTISERS INDEX AFC Urgent Care........................................................................ 3 Affordable Insurance.................................................................66 Arches........................................................................................49 Baylor Scott & White...................................................Back cover Bell Air Conditioning................................................................ 41 Cenikor......................................................................................28 Coryell Memorial Orthopedics & Sports Medicine................. 33 Crotty Funeral Home................................................................ 18 Dermatology Associates............................................................. 41 Dr. Philip Davis Jr., DDS........................................................... 41 Dr. William Long.......................................................................48 English Maids.............................................................................. 6 Epiphany Dermatology.............................................................. 47 Express ER................................................................................. 34 Extraco Banks-Temple.................................................................. 2 Forest Trail Dental.....................................................................48 Freeze & Squeeze....................................................................... 18 Garden Estates........................................................................... 15 Giebel, Dr. Shelley/Healthy Success........................................... 9 Guild Mortgage/Elaine Shepperd............................................... 5 Home Care Assistance...............................................................26 Metroplex Wound Care Center................................................ 50 Seton Medical Center.................................................................. 7 Temple College.......................................................................... 18 The Central Pharmacy...............................................................49 Visiting Angels...........................................................................49
Call us at 254-501-7500 or 254-778-4444 to advertise. texappealmag.com 66
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Wayne Benson M.D. P.A. Clinic....................... Inside back cover The Advertisers Index is published for reader convenience. Every effort is made to list information correctly. The publisher is not responsible for errors or omissions.
*According to U.S. News & World Report’s 2016-2017 ratings.
Once again, U.S. News & World Report ranked Scott & White Memorial Hospital – Temple among the top 10 hospitals in Texas. We were recognized in the latest “Best Hospitals” ratings as high performing in five specialties—cancer, gastroenterology & GI surgery, geriatrics, nephrology and pulmonology. Scott & White Memorial Hospital is also recognized as high performing in five common procedures or conditions—heart failure, colon cancer surgery, COPD (chronic obstructive pulmonary disease), hip replacement and knee replacement. For you, these recognitions confirm our commitment to providing quality health care each day.
It’s one way we’re Changing Health Care. For Life.®
To find out more about our award-winning care, visit sw.org. Physicians provide clinical services as members of the medical staff at one of Baylor Scott & White Health’s subsidiary, community or affiliated medical centers and do not provide clinical services as employees or agents of those medical centers, Baylor Health Care System, Scott & White Healthcare or Baylor Scott & White Health. © 2016 Baylor Scott & White Health. SWTEMPLE2_29_2016 SOM