A health guide for the Texas Hill Country

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Audiologist explores newtreatment options

Fredericksburg Standard-Radio Post

HIPHIPHIPHIPFarmer’s Market serves up local,healthy goods

Yoga particiation in Fredericksburg at local studios

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JOSEPH M. COHN, MD

J. STEVEN HOERSTER, MD

DANIEL B. ROBERTSON, MD

P. CHARLES ROMANICK, MD

Your best ride.Destination Restore.

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Dentistry in Fredericksburg830.997.9893

Dentistry with Integrity and a Gentle Hand,Relaxed, Comfortable Office

All Ages Welcome.We accept insurance.

General & Pediatric DentistryPeriodontal & Cosmetic Dentistry

Emergency Service Available

Raymond “Dr. Ray” Knuppel Jr., DDS408 South Adams Street • Fredericksburg, TX 78624

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A new you They say the best time to plant a tree was 20 years ago. But the second best time is right now. Perhaps, in this fifth month of 2014, our New Year’s resolutions have gone by the wayside. But it’s never too late to make changes, or to “create healthy.” Fredericksburg is an active small town, and there are lots of places for walking, as well as facilities and groups that provide a more intense workout with yoga, weights, swimming, jogging or biking. Let’s plant that tree today.

Contents‘Can you hear me now?’ ......................................... 4Top 10 dental destroyers ........................................ 6Reinventing snack-time .............................................7Homegrown Farmer’s Market ................................ 8A model C.E.O. ..........................................................12CrossFit—Scaled to YOU .......................................14Yoga in Fredericksburg ..........................................20Golden days at Hub ................................................ 24Good Samaritan Center ......................................... 27Renew: advanced colon health ........................... 30

By Lisa Treiber-Walter

There comes a time in some peoples’ lives when sitting in a crowded, noisy restaurant means miss-ing a lot of the conversation at the table.

When time after time, it seems that people are mumbling, talking too fast or just simply not speaking clearly … or when family members final-ly get fed up with repeating themselves … it could be time to get a hearing check-up.

Or, according to Fredericksburg audiologist Ann Barsch, M.S., why not go before that?

“I recommend a baseline hearing evaluation around the age of 40 years, unless difficulty with hearing is observed earlier,” Barsch said. “Re-eval-uations, if hearing loss is present, should occur every other year, following an initial diagnosis in order to monitor any progression.”

As we age, people often experience common ill effects as their systems begin to break down or, simply put, wear out. Hearing loss, however, doesn’t necessarily go hand-in-hand with grow-ing older. “I see many patients in their 80s and 90s with excellent hearing so, it is not a given that our hearing will decline. But, it is common to see more hearing loss as we age,” Barsch said.

With worsening vision, it’s easy to tell because the picture simply gets fuzzier.

With hearing loss, how does one notice what is missing?

“The most common sign of hearing loss is difficulty understanding what is said because the speech is not clear,” Barsch said. “Further, difficulty often is observed when visual cues are not available, such as when the speaker’s back is turned. Understanding can be compromised

when background noise covers or ‘masks’ impor-tant soft speech sounds such as ‘s’ or ‘f ’ or ‘th’ that are important for speech clarity.”

“When hearing is impaired, casual listening becomes almost impossible. The individual must really work to focus on what is being said to improve understanding,” she said.

Oftentimes, it is a person’s family or co-workers who notice that an individual is becoming impaired. “We do not know that we didn’t hear it if we didn’t hear it but others notice it!” Barsch added.

What causes hearing loss over time? “Many of us are exposing our ears to excessive noise. Noise is all around us. The critical factors are in the vol-ume levels of the noise and the length of time or duration of the noise,” Barsch said.

Loud music exposure is cumulative and expo-

‘Can you hear me now?’

Audiologist Ann Barsch is helping Gillespie hear better one ear at a time

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HEARING LOSS and its severity is discussed with a patient by Ann Barsch, M.S., Audiolo-gist - CCC-A, in her Fredericksburg office at 510 South Adams Street. —Standard-Radio Post/Lisa Treiber-Walter

Mark Ball, MSPTClinic DirectorCertified Kinesio

Taping Practicioner®

Jeremy Harrison, PT, DPT

1425 E. Main St., Suite 600Fredericksburg, TX 78624

New Phone Number:Tel. 830-391-8009Fax 830-990-9088

www.fredericksburgpt.com Hours: Mon. - Thurs., 7-6, Fri., 8-5

BRINGING BACK TO FULL FUNCTION.• Orthopedic Care• Sports Medicine• Hand Therapy

• Cancer Related Fatigue• Vestibular Rehabilitation• Therapeutic Massage

A NEW AGE of technology means a large variety of types and sizes of hearing aids are available to those who need them. —Standard-Radio Post/Lisa Treiber-Walter

FOAM inserts are placed in a patient’s ear for a completely painless hearing evaluation by Ann Barsch, M.S., Audi-ologist, CCC-A. —Standard-Radio Post/Lisa Treiber-Walter

5

sure over and over to excessive levels can perma-nently damage the delicate hair cells in our ears. Examples of dangerous noise levels are things such as chain saws, gunfire and any type of ampli-fied music at close range, hours of exposure to loud equipment such as tractors, bulldozers and

saws.There are actually two types of hearing loss:

conductive, sensorineural — or a combina-tion of both. Conductive impairment results from a disorder in the outer or middle ear space, whereas a sensorineural loss originates in the inner ear or the auditory pathways leading to the base of the brain. “Many con-ductive hearing losses are medically treat-able,” Barsch said, however, adding that the vast majority of hearing losses fall in the sensorineural category and are usually not reversible.

So, the best idea when it comes to hearing loss is prevention in the first place.

“Hearing protection is so easy to obtain,” Barsch said. “One size fits all foam ear inserts are great if they are inserted properly and used! Ear muffs are best for really excessive noise levels, such as firing at a shooting range. Your audiologist can work with you to find appro-priate custom hearing protection that is easy to use, comfortable to wear and effective at protect-ing your hearing.”

Although many new hearing patients are referred by their primary physicians, Barsch said individuals can call and set up a hearing check-up without a referral.

A basic hearing evaluation is painless and lasts about 45 minutes as Barsch visually examines the ear canals and measures how sounds conduct through the eardrum.

“I always allow plenty of time to review each

portion of the testing, explaining the results and offering communication tips/strategies to better function with the hearing that you do have,” she said.

A hearing test averages $80, but can increase if more advanced diagnostic testing is required. Some health plans cover audiological exams.

Should a patient need a hearing aid, the choices they are met with today is widely different than a few decades ago. “Hearing aids have changed dramatically since I began my audiology career 35 years ago. They are no longer squealing devices that have to be endlessly adjusted by the user,”

Cont. on page 7

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Top 10 ‘dental destroyers’ to avoid for better smiles

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830-997-9505707 South Adams Fredericksburg

Implants Cosmetic

Working on a healthier lifestyle? Don’t forget those pearly whites! Here’s a few things that’ll quickly destroy any sparkling white smile.

1. Sports drinks — Sports drinks contain a concentration of acidic parts that can erode tooth enamel. They also are high in sugar, which acts as “food” for acid-producing bacteria which lives in the cracks and crevices of teeth, causing them to decay.

2. Bottled water — Believe it or not, the bottled water craze may actually be harming teeth. That’s because bottled water contains less fluoride than is recommended for good oral health. Public water sup-plies (i.e. tap water) often contain fluoride additives which actually help teeth resist decay.

3. Tobacco — Yellow stains are a given from tobacco use, but don’t forget that tar also leaves a sticky film on teeth, which harbors bacte-ria that promotes acid production and creates tooth decay and loss, not to mention gum inflammation.

4. Wine — Don’t assume drink-ing white wine will help teeth

escape danger. Both red and white varieties increase staining. Enamel erosion is also most prevalent when wine drinkers “swish” wine, keep-ing it in constant contact with tooth enamel. Take small sips and rinse with water when done.

5. Dry mouth — Whether it’s caused by medicine, chemotherapy or a natural cause, dry mouth is bad for teeth. Saliva is a natural wash that rids the mouth of cavity-causing bacteria and neutralizes harmful acids. Drink water, chew sugarless gum, use a fluoride toothpaste or rinse and consider over-the-counter saliva substitution.

6. Candy — A dentist’s job security, candy doesn’t directly “rot out teeth,” but the acid that’s pro-duced when a person eats sugar and carbohydrates can. Don’t cut off candy altogether, but make sure to brush and floss immediately after. If that’s not possible, then be sure to follow the candy treat with a snack of cheese or yogurt or chew sugarless gum to boost saliva flow and neutralize acid.

7. Whitening to extremes — Sure everyone likes to have a bright smile, but whitening too much simply causes damage to tooth enamel. Remember … all good things in moderation.

8. Dieting — Oftentimes, cutting down on certain foods puts a smile in danger. It’s important to get enough folate, B vitamins, protein, calcium and vitamin C to protect teeth and keep a person in good

dental health.9. Aging — It’s a fact that, as

people age, their teeth become more susceptible to tooth decay near old fillings or root surfaces that may have become unpro-tected because of receding gums. Counter those long years on this Earth by bumping up the fluoride protection.

10. Brushing at the wrong time — Believe it or not, brushing too soon after consuming high-acid food or drinks can have the opposite effect on a mouth. Wine, coffee, citrus fruit juices and soft drinks that are consumed should be followed with a rinse of water to neutralize acids, then at least an hour-long wait before brushing. To brush immediately after their consumption puts teeth at risk for erosion.

There are plenty of other factors out there that cause harm to teeth. One thing’s for sure, we’re given only one set of permanent chomp-ers to keep our entire lives, so pay heed to a few simple tips for keep-ing that smile in tip-top shape.

Celebrating our 28th year of professional service in Fredericksburg.

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1. Smoothie CreationsBlend fat-free or low-fat yogurt or milk with

fruit pieces and crushed ice. Use fresh, frozen, canned and even overripe fruits. Try bananas, berries, peaches and/or pineapple. If you freeze the fruit first, you can even skip the ice!

2. Delicious DippersKids love to dip their foods. Whip up a quick

dip for veggies with yogurt and seasonings such as herbs or garlic. Serve with raw vege-tables like broccoli, carrots or cauliflower. Fruit chunks go great with a yogurt and cinnamon or vanilla dip.

3. Caterpillar KabobsAssemble chunks of melon, apple, orange

and pear on skewers for a fruity kabob. For a raw veggie version, use vegetables like zuc-chini, cucumber, squash, sweet peppers or tomatoes.

4. Personalized PizzasSet up a pizza-making station in the kitchen.

Use whole-wheat English muffins, bagels, or pita bread as the crust. Have tomato sauce, low-fat cheese and cut-up vegetables or fruits for toppings. Let kids choose their own favor-ites. Then pop the pizzas into the oven to warm.

5. Fruity Peanut ButterflyStart with carrot sticks or celery for the body.

Attach wings made of thinly sliced apples with peanut butter and decorate with halved grapes or dried fruit.

6. Frosty FruitsFrozen treats are bound to be popular in

the warm months. Just put fresh fruits such as melon chunks in the freezer (rinse first). Make “popsicles” by inserting sticks into peeled

bananas and freezing.7. Bugs On A LogUse celery, cucumber or carrot sticks as the

log and add peanut butter. Top with dried fruit such as raisins, cranberries or cherries, depend-ing on what bugs you want!

8. Homemade Trail MixSkip the pre-made trail mix and make your

own. Use your favorite nuts and dried fruits, such as unsalted peanuts, cashews, walnuts or sunflower seeds mixed with dried apples, pine-apple, cherries, apricots or raisins. Add whole-grain cereals to the mix, too.

9. Potato PersonDecorate half a baked potato. Use sliced

cherry tomatoes, peas and low-fat cheese on the potato to make a funny face.

10. Put Kids In ChargeAsk your child to name new veggie or fruit

creations. Let them arrange raw veggies or fruits into a fun shape or design.

Services IncludeSkilled nursingPhysical therapyOccupational therapy

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Accepting Most InsurancesEligibility, coverage and pricing may vary based on services needed and your insurance plan. Call us!

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she said. Due to miniaturization, hearing aids are frequently very small units that are placed behind the ear or even inside the ear canal.

The type of hearing aid and its style chosen depends upon the patient’s degree of hearing loss, as well as their personal preferences, including dexterity and ability to handle the units.

“Digital technology allows a very precise pre-scription, customized to the user’s listening chal-lenges,” Barsch said. “The newest advances today include devices that wirelessly stream phone, music, television and speech from a remote microphone directly into hearing aids. I am espe-cially excited about the newly-released iPhone

hearing aids that allow direct and discreet indi-vidual control of one’s aids via the touchscreen of their iPhone!” she said.

Barsch is the only licensed audiologist who bases her operations in Fredericksburg. Her office is at 510 South Adams Street and appointments may be scheduled by phoning 830-997-5006.

Hearing health Cont. from page 5

Redefiningsnack time

SIMPLE GOODNESS

We would like to thank Hill Country Memorial as well as the specialists and dentists who help us help the uninsured in our community. You are the living embodiment of the Good Samaritan.

For more information about our medical and dental services for uninsured families and individuals, please contact us

Monday through Thursday at 830-990-8651, or visit us on the web at www.goodsamfbg.0rg.

Now open in its seventh year, the Fredericksburg Farmer’s Market offers opportunities for individuals to purchase locally-grown, fresh produce from 4-7 p.m. Thursdays in Marktplatz’s Kinder Halle.

Local farmers and ranchers, chefs, winery owners and musicians will be on hand to sell vegetables and meats, offer tastes of local wines and entertain, said Cynthia England, spokesperson.

Some of the offerings will include certified organic eggs and vegeta-bles, grass-fed beef and lamb, peaches, strawberries, tomatoes, salad greens, lavender and other herbs, knife sharpening, potatoes, cucum-bers, squash, melons, artisan bread, wood fired pizza, soup, salad, slid-ers, tacos and more.

“The Farmer’s Market is again partnering with Hill Country Memo-rial Hospital,” England said. “Their chef will produce soup made with market products, and give the recipe to take home.”

A “Chef Corner” will feature servings of specially prepared, free bites made with market produce.

“Our big focus at the Farmer’s Market is creating and promoting healthy opportunities for our community,” HCM Chef Steve Som-mers said. “With the current state of health care, more than ever the need for preventative health care has become apparent. The best way to prevent illness is a healthy diet along with consistent exercise. Eat well, live well is a simple and poignant phrase.”

Each Chef Corner recipe is available on the HCM Facebook page.“The Farmer’s Market is a great way to get healthy fresh foods while at

the same time developing a great sense of community,” Sommers said.

HOMEGROWN

CHOICES, CHOICES — A variety of locally-produced veg-etables, strawberries, peaches and more is available at the Fredericksburg Farmer’s Market from 4-7 p.m. each Thurs-day at Marktplatz. — Standard-Radio Post file photo Cont. on page 10

Farmer’s Market offers healthy choices

9

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Michael Majors, MD

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Certified by The American Board

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For Appointment Call 830-992-3396

“Engaging with others while sharing a love for great food is a remarkable way to sustain healthy eating habits. At the Farmer’s Market, you are able to speak to the farmers and vendors that got their hands dirty making your meal possible, you are able to garner a new respect for the food you eat.”

“When you eat, you are consuming a thing that was once alive, plant or animal, and many hours of another’s life were spent making sure that product got to the market,”

he added. “When we at HCM bring our soup to the market, we do it well and with a respect for all that goes into mak-

ing great food happen. We are conveying our vision of creating healthy, and empowering others and living our mission of remarkable always.”

The market is planned every Thursday, rain or shine, from May 1 through August.

More information is available at www.freder-icksburgfarmersmarket.com.

One popular soup recipe during last fall’s Chef Corner at the Fredericksburg Farmer’s Market is a Chilled Tomato Peach Soup with Basil, prepared by Sommers.

Using Farmer’s Market vendors, the recipe calls for: • Two large Engel Farm onions; two stalks celery, diced;

two cloves garlic, minced; three tablespoons olive oil; two cups vegetable stalk; four to six Engel Farm tomatoes; four to six Marburger Orchard peaches; 12 leaves fresh basil; pinch of ground coriander; salt and pepper to taste; one teaspoon balsamic vinegar, and one-third cup olive oil.

• Heat three tablespoons of olive oil over medium-high heat in a sauté pan. Add onions, celery and garlic and sauté for 5-10 minutes, until vegetables are golden. Remove from pan and add to a blender.

• With a paring knife, carve a slight X on the bottom of each peach and tomato. Bring a pot of water to a boil. Start with the tomatoes and drop two to three at a time and let blanch for 30 seconds. Remove from pot and place under cold running water. At this point it will be easy to remove the skins. Discard the skins, cut tomatoes in half, and squeeze out the seeds and place tomatoes in a blender

• Drop the peaches in the boiling water and let blanch 45 seconds. Remove and place under cold running water. Remove the skins, cut in half and remove the pit. Add peaches to the blender

• Place onion-garlic-celery mixture in blender with all other ingredients and purée until smooth.

• Serve or place mixture in a large bowl, cover and refriger-ate to chill before serving.

Chef Corner creates:

‘Chilled Tomato Peach Soup’

Farmer’s MarketCont. from page 8

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Our medical center serves over 9 counties and offers over 25 top-rated service lines to care for you and your family whenever

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Peterson Regional Medical Center is dedicated to exceptional,

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“Empower Others. Create Healthy.” Hill Country Memorial Hospital’s vision

statement would be just a public relations slogan, if its CEO and staff hadn’t bought into it so completely and looked to transform an entire community.

In doing so, HCM has managed to be ahead of the curve as changes from the Affordable Care Act begin to take hold in the healthcare marketplace.

Recently recognized for a “best practice in leadership” by the national Baldrige Performance Excellence Program, HCM has made its vision a core part of its operations.

“We have doubled our efforts on getting out into the community,” CEO Jayne Pope said. “We are reaching out into neighboring counties, and having healthy food initiatives

and leading discussions. We’re trying to make sure people have proper food and information, and they know how diet impacts their own wellness.”

Pope wants empowerment and health to pervade every area of HCM’s operations. She praised the hospital’s team and physicians. But it also is looking to diversify its offerings as community health becomes a part of the federal reimbursement formula.

HCM opened its wellness center in the mid-1990s, with a gym, pool and a long list of workout classes. HCM’s community

outreach, WIC program, began in 1995. Its hospice has been in operation since 1994, and home care and cardiac outpatient rehabilita-tion programs have been available since the early 1980s.

HCM continues to diversify its operations. In 2011 HCM began the “Restore” program, offering hip and knee joint replacement sur-gery. This year “Renew,” a best practice pro-gram for bowel surgery derived from Restore, is the latest program for creating healthy.

“Our community engagement reaches outside the hospital walls,” Pope said. “We expand our community-based partnerships, aligning the community needs with the hos-pital’s offerings.”

A recent community needs assessment found that early detection of diabetes was a top concern locally, as it is in communi-ties across the nation. The HCM Wellness Center includes diabetes screens among its many offerings for patients to stave off the disease. “Preventing an illness is creating

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13

healthy,” Pope said.Fredericksburg hospital staffers also can be seen in local runs

and bike rides. Pope herself is a frequent walker and took part in a 36-mile trek in the April Texas Gran Fondo bicycle race.

“If I want a healthy community and a healthy staff, I need to model it myself,” she said. “The vision is what we’re all about because we have so many different parts of the hospital – both inside the walls and outside – that the vision really resonates with all of us.”

In looking at its initiatives, HCM has been ahead of the curve, and in ways that pay dividends. Under the Affordable Care Act payments will be based on high quality and patient safety.

HCM is a top performing quality hospital, ranked by CMS as No. 1 in Texas and among the top 3 percent in the nation in areas that include patient satisfaction and fewer hospital readmission rates.

HCM has been named a “Top 100 Hospital” by Truven Health Analytics for three years running.

Pope said even the hospital’s partnership with the Fredericksburg Farmers Market helps get the word out about the benefits of fresh food. (See related story in this issue.) “We’re also using social media to help us spread the news about what we’re doing and even sharing healthy recipes from our chef.”

After speaking recently at the Baldrige program, Pope said other health care leaders affirmed what HCM is doing. “The hospital that won the top award has partnered with their local farmer’s market. So some of these initiatives are intuitive on our part, such as our farmers market outreach,” she said. “But again, it’s modeling. It’s get-ting people thinking about their health, and getting them to know they have control of their health.”

HILL COUNTRY Memorial Hospital CEO Jayne Pope com-petes in a recent bicycle race to encourage the staff and community to “create healthy.”

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CROSS

fitWatching Crossfit athletes on television can

be both inspiring and discouraging. Some think because those top-level Crossfitters are doing 100 pull-ups, they will be expected to do so in their local gym, or “box,” to use Crossfit lingo.

But Crossfit FBG owners Danny Elliott and Mark Logue say any level of athlete can and does train at their location in south Fredericksburg, behind Sports Medicine & Physical Therapy, 1316 State Highway 16 South.

“In our adult classes, we have athletes ranging

Scaled to YOUTV CrossFit athletes can be

intimidating. But a local gym welcomes all shapes, sizes and fitness levels.

15

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Cont. on page 18

from age 15 to 74,” Elliott said. And they are doing great with it. People like the mix of workouts. And that’s a great thing for we attention-challenged people. There’s nothing more boring than doing the same workout every day.”

Logue has been into fitness and nutri-tion a long time, holding boot camps for friends and relatives in Kerrville. But with Crossfit, he found a way to bring a ben-eficial program to a lot of people, and in a time frame that fits busy schedules.

“People like the consistency and cama-raderie of Crossfit classes,” Logue said. “We try to encourage eating better and working out and all the benefits those simple things will bring.”

Logue said people can choose a sched-ule of three times a week or more, if they want a daily (Monday through Saturday) regimen.

Elliott said Crossfit box owners struggle with the misperception of having to be a super athlete to try it out. “People say they want to wait until they get in shape to start Crossfit,” he said. “But we scale it down, and we can modify the workouts.”

Elliott’s own wife, Jill, is down three dress sizes since she began the workouts. “I did spin classes and all sorts of things, but nothing has shown results like this,”

she said. “I’m still not where I want to be, but I’m definitely closer.”

Danny said his wife also has seen strength gains as well as toning up. Still, all gyms combat the “She-Hulk” fallacy, whereby women believe they will bulk up like a body builder if they lift weights. Not true, Elliott said. Camaraderie

Many feel that fellow members help push them as well. Competing in timed events each workout can be a motivator.

And some have “drank the Crossfit Kool-aid.” Athletes become addicted to the endorphin-releasing high, and seeing results in the mirror. Some become nearly religious about it, claiming “their spot” like a church parishioner.

No matter what level an athlete is, Elliott said, there is progress to be made. And with the camaraderie comes daily accomplishments. People who never dreamed of doing 75 pushups manage to reach that total by breaking it down to 15 at a time. But Elliott said the most rewarding clients are the ones who have struggled with their health in the past.

“It’s easy to coach people who already Trainer Mark Logue works on form with a new cli-ent at Crossfit FBG.

Handpicked specialists focused on your health and wellness.QuickDraw

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q DIABETES SCREENING $35

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Visit hillcountrymemorial.org/quickdraw for full test explanations.

MEDICAL GROUP

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1st Saturday of every month8am-11am

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EAR NOSE & THROAT

Tracy Byerly, II, MDCarrie Culpepper, FNP-C

(830) 997-4000 / TOLL-FREE 1 (855) 254-1368 205 W Windcrest, Suite 210 / Fredericksburg1331 Bandera Hwy, Suite 3 / Kerrville 2511 Highway 281, Suite 800 / Marble Falls

FAMILY MEDICINE

Roger Gildersleeve, MD

(830) 990-1404 / TOLL-FREE 1 (888) 899-7256 205 W Windcrest, Suite 130 / Fredericksburg1331 Bandera Hwy, Suite 3 / Kerrville

GASTRO

Lindy Rachal, MD, FACP

(830) 997-1031 / TOLL-FREE 1 (888) 997-1031 205 W Windcrest, Suite 100 / Fredericksburg

GENERAL SURGERY

Gregory Andreassian, MD

(830) 997-6773 205 W Windcrest, Suite 220 / Fredericksburg

OB/GYN

Michael Campbell, MD

(830) 997-3038 816 Reuben St., Suite C / Fredericksburg1331 Bandera Hwy, Suite 3 / Kerrville

ORTHO

Daniel Robertson, MD Kristina Crawford, PA-C

(830) 997-2936 / TOLL- FREE 1 (855) 232-9131 205 W Windcrest, Suite 340 / Fredericksburg2511 Hwy 281 N, Suite 800 / Marble Falls

VASCULAR

Andrew Bowser, MD, FACS Joseph Vinas, MD, FACS

(830) 997-7138 / TOLL FREE: 1-866-238-2911 205 W Windcrest, Suite 350 / Fredericksburg1331 Bandera Hwy, Suite 3 / Kerrville

bios | videos | events

locations

V isithcmmedicalgroup.com

“Se Habla Español”

SERVICES PROVIDED• Nursing• Medical Director• Social Worker• Chaplain• Hospice Aides• Volunteers

Serving the Hill Country

830-997-1709www.avemariahospice-tx.com“Be Not Afraid”

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MID-TEXAS HEALTH CAREFAMILY MEDICINE

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1305 N. Milam St.830/997-7626

• child & adult wellness• immunizations• newborn care

• urgent sick visits• family planning• hospital & nursing care

18

CrossFitCont. from page 15

are good ath-letes,” he said. “But the fun ones to coach are the ones making huge strides in their health. We have one woman who has lost 75 pounds. Another man who shat-tered his knee has modified and made great gains.”

One middle-aged local man praised the workouts as just what he needed. “I had worked out on and off over the years and spent a lot of time on car-dio machines,” said Jay Lindsey, a dentist who recently marked a year with Crossfit. “But the variety is what’s great. I don’t dread com-ing to work out, and I’m in the best shape of my life.” Want to get a taste?

Crossfit FBG has begun an “elements” class, which explains the ins and outs of Crossfit. It also lets people go through sev-eral workouts before requiring a signup.

It also has a Kids Class that features varied, yet scaled-down versions of the exercises.

AWARD-WINNING SERVICE. THE POCKET EDITION.

frostbank.com

1300 South Main Street | Boerne, TX 78006

(830) 249-6633

M E M B E R F D I C

With the Frost App you can deposit checks, transfer funds, find nearby locations and talk to a real person at the bank with a single tap. Now available for iPhone and Android.

Crossfit FBG owners and operators Danny Elliott, right, and Mark Logue.

• See CrossfitFBG.com or its Facebook page for more information.

All the gain without the pain!We don’t believe therapy should be painful, so we use gentle yet very effective therapy solutions to assist you. If your body is not allowing you to live your life to the fullest, please come see us. We can help.

Frank Mills, PTMelinda Mills, PTCarol Johnson, PTKaren Sweet, PTAutumn Holland, PTA

We are located at 712 W. Main St., Suite A (within the Fredericksburg Standard-Radio Post building)

Hours: Mon.-Fri., 7 a.m. to 6 p.m.Phone: 830-997-3781; Fax: 830-997-3786

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19

Prescription Laboratory

Located in the heart of the medical community, on the 1st floor of the Perry Feller Professional Building at

205 W. Windcrest Ste. 160 • Fredericksburg, TX 78624(830) 997-2163 • Hours: 8:30 - 6:00 Monday-Friday

Insurance We accept most insurance plans and provide

Medicare filing for diabetic supplies and nebulizer drugs.

No Insurance? We offer competitive pricing for non-insured individuals.

Charge Accounts Our charge account customers receive

detailed monthly statements.

Convenient Drive-T hruDrop off or pick up your prescriptions

without leaving your vehicle. Our friendly and professional staff are here to serve you!

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Tired of Waiting in Line? - Free Delivery...We offer Free in-town delivery for all of our customers.

At O YOUNG MD, we want to encourage you to find...Your own kind of beautiful

Ode Young, MD

Dr. Ode Young has extensive experience in the medical field spanning over 20 years in the Texas Hill Country which has earned her a well respected reputation in her community.

Dr. Ode joined the medical aesthetics and skin care industry in 2006. She states, “Aesthetics have allowed me to assist my clients in bringing forth their self confidence and a healthy self-image”. As a medical professional, Dr. Ode is committed to researching and investing in the best, most advanced products and equipment available. She combines innovative procedures and products with insight, revealing radiance and luminosity of your own intrinsic beauty.

218 Sidney Baker North • Kerrville Texas 78028 • 830-315-5005info@odeyoungmd.com • www.odeyoungmd.com

Kathy Wilson, MDBoard Certifed in Sleep Medicine

Seeing patients for symptoms of:

vDaytime Sleepiness vSnoring vDi�culty Falling or Staying Asleep vFeeling “Skin Crawling” at Night vUnrestful Sleep vNot Breathing While Asleep

Ask your doctor for a referral or

call 830-792-1132

20

Yoga participation growing in FredericksburgSometimes, getting into shape consists of

putting on shoes and socks and going out for a two-mile jog or a five-mile hike.

And, sometimes, it consists of sitting barefoot

on a mat and doing slow movements in a multi-millennia discipline.

Those slow movements on a floor could per-haps best be described as yoga, and for Gillespie

County residents, there are opportunities to practice it.

NAMASTE — Patty Williamson leads a class at Lizard Dreaming Yoga. She has been practicing yoga for 26 years and has taught it for 14. — Standard-Radio Post/Richard Zowie

Cont. on page 22

Let’s get flexible

Women’s Associates

ObstetricsandGynecology

Jonathan Egly, MD

�e Providers with Peterson Women’s Associates are currently accepting new patients and most major insurances.

Peterson Women’s Associates575 Hill Country DriveKerrville, Texas 78028830-258-OBDR (6237)

Stephanie Hutchison, MD Elizabeth Wilfong, DO

Jodie Baker, CNM Niessa Meier, CNM Annette Jones, CNM

Offer valid 5/1/14 - 5/31/14 on new3-Month Memberships only Extendsmembership an additional 31 days.

21

LEIGH ANNE BAINS, M.D.NEUROLOGY

Specializing in Movement Disorders

• Headaches/Migraines • Dizziness • Nerve Disorders • Seizure Disorders • Muscular Disorders • Strokes

• Tremors • Parkinson’s Disease & Related Disorders • Restless Leg Syndrome

Procedures: • DBS Programming • VNS Programming • Baclofen Pumps • EMG/NCS

NEW PATIENTS ARE WELCOME!

Leigh Anne Bains, M.D.205 W. Windcrest, Suite 120Fredericksburg, Texas 78624

830-997-3283

* Botox for Neurological

Disorders

Hill Country Vision Center 508 S. Adams

Fredericksburg, TX 78624

Shelly Blaker O.D. and

W. Steve Kroeger O.D.�erapeutic Optometrists

Optometric Glaucoma Specialists

Tel: 830-997-25041-800-997-2504

Fax: 830-997-5155

O D O D

Chris Stewart, M.S. Licensed Professional Counselor

Children, Adolescents& Families

• ADHD • Depression • Anxiety• Sports Performance • Health & Wellness

830-998-4320 • ckstwrt@gmail.com306 Cottonwood Street • Fredericksburg, Texas 78624

22

Benefits of yogaPatty Williamson teaches yoga

at Lizard Dreaming Yoga and has practiced it for 26 years. She describes yoga as a collective ben-efit that can be seen physically, mentally and emotionally.

Another instructor, Carla Harless of Sanctum Spa, began practicing in 1995 after the birth of her second daughter.

“Yoga was a way for me to not only stay flexible but also helped increase my endur-ance and stamina,” Harless said.

Among the physical ben-efits: functional strength, muscular balance, flexibil-ity, improved posture and enhanced breath capacity.

“The most important ben-efits, though, are the reduc-tion in stress, the mental clarity and inner peace — real life coping skills — that come with regular practice,” Wil-liamson said.

Originally developed as a thera-peutic practice, yoga has evolved since its introduction to the west-ern world, she said. Specifically, as a workout, taught in class settings.

“Even so, the therapeutic benefits are still measurable,” Williamson

said. “It has been proven to help with hypertension, back rehabilita-tion, chronic pain control, treat-ment of depression, addiction recovery, and a host of other condi-tions.”

Harless likes to practice her yoga

asanas (poses) daily, believing that doing so helps her body stay strong and supple; the meditative practice of yoga helps her mind become more calm and focused.

Do’s and Don’ts in yogaFor those interested in yoga,

Williamson and Harless discussed some important things to consider:

•If new, find a class that isn’t too advanced or one that can be modi-fied for beginners.

“There are many different ‘styles’ of yoga, so I encourage people to try different classes with different teachers until they find the right fit,” Harless said.

•Trust what your body is telling you, and don’t be afraid to come out of a pose that feels uncomfort-able. Don’t worry about trying to achieve elaborate poses.

•Wear comfortable clothes that don’t inhibit your movement and don’t get in your way. Most studios require yoga to be practiced bare-foot.

•Have fun with yoga. “You don’t

YogaCont. from page 20

JAMIE MORRIS

reaches to complete a Sukhasana

(“easy pose” in Sanskrit)

side bend during a

yoga class in Freder-

icksburg. In town, there

are three places that

teach yoga. — Stan-

dard-Radio Post

23

EMERGENCYservice, at the highest level.

Air Evac Lifeteam has been serving rural America for over 25 years. For as little as $65 a year, an Air Evac Lifeteam membership provides prepaid protection against any out-of-pocket flight cost for our services during an emergency.

For more information, call:

Horace TaylorLocal Membership Sales Manager830-423-4544

Learn more atwww.lifeteam.netor call 800.793.0010

get judged or graded, so enjoy the process of self-discovery,” Wil-liamson said.

Yoga classesin Fredericksburg

At Lizard Dreaming Yoga, they offer multiple classes a day, six days a week, from as early as 6:15 a.m. to as late as 6 p.m. They have seven instructors who teach everything from gentle begin-ner yoga to more advanced flow styles.

“I have been teaching in Fred-ericksburg for 14 years and have seen the market for yoga grow immensely,” Williamson said. She began with four students once a week, and Lizard Dreaming Yoga now has over 400 students after being open only a year.

According to Williamson, an instructor should have at least a 200-hour certification. She believes that the market for yoga will continue to grow not only for local residents, but also for visi-tors.

Harless teaches a weekly class on Tuesdays from 12:30-1:30 at Lizard Dreaming Yoga and also offers private sessions at her home office.

“My style is very gentle and focuses on proper alignment,” Harless said. “I believe that the Hill Country is a great market for yoga. There are many different teachers in Fredericksburg who all have their own style, so there are plenty of opportunities for people to incorporate yoga into their lives.”

Yoga classes• Lizard Dreaming Yoga,

406 West Main Street, 830-992-3223, www.lizarddreamyo-ga.liveeditaurora.com.

• Yoga Center of Freder-icksburg, 109 East Hackberry Street, 830-456-6975, www.yogacenterfbg.com.

• Sanctum Spa, 804 Reuben Street, 432-638-3729, www.sanctumspa.net.

L-R: Board Member- Margie Jetton, Medical Directors- Dr. Jim Young and Dr. Odemaris Young, Board Members- Louis Romero and Dr. Val Chyle. Not pictured: Board member -

Jennifer Correa-Knoulton and Associate Medical Director- Dr. Klaus Schroeder

Peterson Hospice taking care of our community with people from our communityServices offered:

• Hospice Care• Pathways• Dementia and Cancer Support Groups• Adult Bereavement• Children’s Bereavement• Peterson Hospice Thrift Store

For more information, call 830-258-7799

Peterson Hospice1121 Broadway

830-258-7799www.petersonhospice.com

Gaining Strength And fitness in a motivating, encouraging and challenging atmosphere!

830-998-5154

constantlyvariedhighintensityfunctionalmovement

1361 S. State Hwy 16 (behind sm&pt) www.crossfitfbg.com

Gaining Strength And fitness in a motivating,

24

GOLDEN daysSeniors find healthy living

easier at the ‘Hub’When it comes to seniors, everything really is “golden” at the Golden

Hub Community Center.The Golden Hub at 1009 North Lincoln is a place where senior citi-

zens can gather to enjoy a variety of daily activities that include fitness classes, health screenings, fellowship, nutritious meals and much more.

“Our mission is kind of our philosophy,” said Denise Usener, director of the Golden Hub. “We provide opportunities to enhance the quality of life for seniors in Gillespie County.”

Nutrition is a big part of what the Golden Hub offers each day through its Meals on Wheels program and the meals served at the center.

Through Meals on Wheels, a hot, nutritious meal is delivered five days a week to recipients.

But it is not only the meal that is important, according to Usener. It is also a chance for social contact for the recipient as well as the oppor-tunity to check and make sure the recipient is doing okay and if not, report any issues.

Meals on Wheels can also be helpful to someone who is recovering from surgery or an illness on a temporary basis, Usener said.

Individuals wanting more information on Meals on Wheels on a per-manent or temporary basis are urged to call the Golden Hub.

Lunch is also served at noon Monday through Friday in the dining room at the Hub. A requested donation of $5 is asked for diners 60 years of age and over and $6 for those under 60.

“We have some people who come every day,” Usener said. “It is their way to get out and socialize with their friends.”

Usener noted that a registered dietician makes up the menus to meet state dietary regulations.

For help with transportation, the Golden Hub partners with ART (Alamo Regional Transit) three days a week.

On Tuesdays and Thursdays, the center’s van will pick up anyone who needs transportation.

(Information on transportation is also available by contacting the center.)

To compliment the nutrition program, the Hub offers a variety of programs on a regular basis, including exercise classes, line dancing, quilting, games, musical entertainment, crafts and more.

Coffee and pastries are available in the mornings.Several special events are held each month, including blood pressure

TAKING ADVANTAGE of one of the many exercise classes offered at the Golden Hub Community Cen-ter are Irene Mauldin and Geneva Smith. Along with the exercise classes, the center also offers line danc-ing and health checks. — Standard-Radio Post photo

General Dentistry101 West Creek Street • 830-990-1178

www.appointments@creekstreetdental.comfollow us on Facebook

We believe your teeth can and should last a lifetime.“It’s a team thing.”

We offer a wide variety of services including wisdom tooth removal and I.V. Sedation

Creek Street Dentalin Fredericksburg

Fred Grimes, D.D.S; Ericka T. McBrine, D.D.S

25

checks, a mini health fair and glucose checks.And with the exception of an exercise class,

the cost of the activities for those over 60 is by donation.

Also, a birthday celebration is held each month and “we love parties here,” Usener said.

She said, “Anything that we offer here is to keep seniors active, healthy and independent.”

Individuals also have the opportunity to vol-unteer at the Hub as drivers for the Meals on Wheels program, activity leaders, servers and more.

Usener said, “Volunteering keeps you young, too.”

For those children who would like to get theirparent(s) involved at the Hub, Usener suggests accompanying them to the center for lunch to see what it is all about.

And once they visit, Usener said that most will want to come back. “It is just getting them here the first time that is sometimes hard,” she said.

She pointed out that “we are not a nurs-ing home. We are an activity center for older adults.”

“We’re always trying to keep it buzzing here,” she said. “We are keeping busy and active.”

Following is a general schedule of the weekly activities that take place at the Golden Hub. Special activities are also included each month such as the monthly Birthday Bash, mini health fairs and more.

Copies of the activities calendar and the menu are available at the Hub and also online at www.goldenhub.org.

For more information on any of the services at the Hub, individuals can also call 997-7131.

ENJOYING an after-noon playing Mahjongg

at the Golden Hub Community Center are, from left, Rita Durham, Crystal Fox, Henry Etta

Collier and Marilyn Mohr. Mahjongg is just one of the many card,

domino and board games that are offered at the center. — Stan-

dard-Radio Post photo

We welcome the opportunity to serve youand your loved ones. For more information, please call 830-997-4613 or come by 2230 N. Llano for a tour.

thepaigehouse@gmail.com license #136388

The Paige HouseLuxury Retirement Living

Fredericksburg’s premier Retirement/Assisted Living community. We provide the perfect venue for living well. For some it’s music or gardening, faith or pets. For others it’s relaxing or entertaining in their private suites, or celebrating connections with family & friends in the community common

areas. At The Paige House you’ll discover life enhancing programs in tune with your interests and lifelong passions. If assistance or enhanced

care is desired, it will be provided with compassion and expertise.Services offered include:

Three meals a day served in a common dining area or room service, week-ly housekeeping, scheduled transportation, 24-hour personal assistance,

personal laundry, social and recreational programs & other services tailored to your needs.

Pets under 25 lbs. are welcome!

ANN BARSCH, MS Audiologist, CCC-A

Fellow American Academy of AudiologyBoard Certified American Board of Audiology

Celebrating my 30th year of professional hearing care in Fredericksburg.

Professional Hearing Care For All Ages

Diagnostic Audiological EvaluationState of the Art Digital

Hearing Aid Technology in a variety of styles, features and price

ranges to meet individual communication and lifestyle needs.

COMPREHENSIVE COMPASSIONATE COMPETENT AUDIOLOGICAL CARE

510 South Adams StreetFredericksburg, Texas 78624

830-997-5006

26

By John Willome

“Are you going to be open next year?”We, at The Good Samaritan Center, heard that question a lot late last

year as patients tried to figure out how the Affordable Care Act (ACA) and Texas’ implementation of it would impact them.

The easy answer is, yes, we are still here and, at this point, we see no need to reduce the availability of our services.

The tricky part is talking with each patient individually and explaining how the healthcare law impacts them and their family because each situ-ation is unique.

In the end, with only a few exceptions, nearly all of our patients are still and will remain uninsured. Most of our patients live below 133 percent of the poverty level, and the ACA intended that the states would expand their Medicaid programs to include them.

In the summer of 2012, however, the Supreme Court ruled that the ACA could not mandate that the states do that, so more than half of the states, including Texas, citing unacceptable increases to the states’ bud-gets, opted out.

Additionally, the insurance rates through the federal insurance

CHECKING the heart sounds of Debra Benavidez at the Good Samaritan Center is Megan Staudt, PA-C.

— Standard-Radio Post photo

Good Samaritan Centerfacing Obamacare changes

Pedernales Medical Group

830-997-2191205 W. Windcrest,

Suite 310

NANCY K. THOMPSON, MDInternal Medicine & Pediatrics

PAMELA D. CANTU, MD Internal Medicine

FELICE H. HOWARD, MDInternal Medicine & Pediatrics

THERESA S. WIGINTON, MDNeurology

Board Certified Internal Medicine and Pediatrics Office and Hospital

Care for the Entire Family!

Dr. James YoungMedical Director

Peterson Home Care has provided quality care to seniors in their homes for over 25 years.

• Locally owned and operated• Counties served - Bandera, Edwards,

Gillespie, Kendall and Kerr• Skilled Nursing Care• Physical, Occupational and Speech Therapy• Medication Management

For more information or to request an evaluation for home care services please call 830-257-3111 or visit us at www.petersonrmc.com

Peterson Home Care1420 Water Street

830-257-3111www.petersonrmc.com

Dr. Cynthia McNeelyMedical Director

27

exchange available to the rest of our patients who live between 133 percent and 200 percent of the poverty level, even with the sliding scale subsidies, are beyond their economic reach.

In short, it’s turning out that our patients will continue to fall through the cracks of the healthcare system and it is criti-cal that we be here for them.

To be clear, I am speaking spe-cifically about our patients who are all below 200 percent of the federal poverty level.

While a few of them have been able to find an insurance plan through the exchange who worked for them, it is those between 200 percent and 400 percent of the poverty level who have really benefited from the exchange. This has been a very underserved population, and it is nice to be able to tell people who are over-income for our services that they can probably find an affordable policy through the exchange.

What about the penalties?A lot of our patients are concerned about paying a penalty if they do

not get insurance. Most of them do not have to worry about this because of a provision

in the ACA that says that if the insurance premiums available to them are more than 8 percent of their income, then they will not be penalized for not getting the insurance.

The rules are a little different if your employer offers group health insurance. In that case, the magic number is 9½ percent.

If the cost of the employee’s individual insurance is over 9½ percent of the employee’s gross income, then they are free to find insurance in the exchange, and if they cannot find anything there below 8 percent of their income, then they will not be penalized.

Talk with an insurance agent or other trained professional.

At the end of the day, the best thing for anyone to do is talk to

a licensed insurance agent. They are trained and experienced in working with the insurance companies and providers in our area.

They will also be there to help if you have any problems after you have your insurance. Talking with them does not cost you anything. They are only paid a commission by the insurance company if you sign up for a policy.

The best option for Spanish-speaking individuals is to talk to a Certi-fied Application Counselor at the Frontera Healthcare Network clinic. It is located in The Good Samaritan Center’s building and their phone number is 830-992-2005. You can also call the federal helpline at 800-318-2596.

These individuals are versed in the plans available. The downside is that they are only qualified to help people sign up, but they cannot be an advocate for them after they have their insurance.

The open enrollment period for the federal exchange for 2014 is cur-rently closed, although there are special exceptions about which you can

Cont. on page 28

J. Steven Hoerster, M./D.P. Charles Romanick, M.D.

Joseph M. Cohn, M.D.Board Certified by

The American Board of Orthopaedic Surgery

Texas Hill Country Orthopaedicsand Sports Medicine

Fredericksburg, Kerrville, Brady, Marble Falls & Llano

(830) 997-4043thcosm.com

28

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(830) 997-1355 / 1006 S State Hwy 16 hillcountrymemorial.orgMonday - Friday 5:15am - 8pm Saturday 7am - 2pm Sunday 2pm - 5pm

THE MOST COMPREHENSIVE FITNESS FACILITY IN TOWN

WELLNESS CENTER

ask an insurance agent. The 2015 open enrollment starts on Nov. 15, 2014, and closes Feb. 15,

2015. Any penalties you might face for not having insurance in 2014 will

be minimal, but they will increase each year for the next several years. Therefore, we encourage you to talk with an insurance agent and let her or him thoroughly explore all of your options with you.

Just know that, if you cannot afford the insurance available and fall within our income and geographic guidelines (Gillespie, Blanco, Mason and Kimble counties as well as the towns of Comfort and Brady), The Good Samaritan Center will be here for you.

John Willome is the executive director of The Good Samaritan Center in Fredericksburg. The Good Samaritan Center is a charitable medical and dental clinic that helps uninsured individuals and families that live below 200 percent of the federal poverty level.

For more information, call the center at 830-990-8651 or visit online at www.goodsamfbg.org

Good Samaritan CenterCont. from page 27

For Breaking News — Subscribe to the

Standard DAILY UPDATEEmail fbgnews@fredericksburgstandard.com to get on the list

Two Holistic Healers, One Location605 N. Llano, Fredericksburg

Kimberly Smajstrla has a Masters in Oriental Medicine and is a Licensed Acupuncturist, Certified Wholistic Kinesiology Practitioner, Applied Clinical Nutritionist, Detox Specialist, and Reiki Master. She uses ZYTO biocommunication technology to optimize her nutritional recommendations.

• pain relief • digestive & sleep issues• fatigue • hormonal imbalances • weight loss • preventative care

TX License #AC00638

Tranquil Center Massage

balance.body.mind.spiritSpecializing in Eastern and Western Therapeutic Modalities

Deep tissue, Relaxation, Reflexology, Reiki, Pain Relief, Cranial/Sacral, Stretching

Lisa Bohnert became a Licensed Massage Therapist in 1999 and focuses on oriental and holistic modalities; she holds an MA in psychology from Saybrook University. Lisa is a certified Reiki Master, Qi Gong instructor, and Reflexologist. She studied a wide range of massage and movement therapy techniques, which she draws upon to create a unique style customized to each client’s needs.

Massage is an essential component for optimal health, increasing the flow of blood and lymph, reducing tension, and easing stress. Massage helps the body heal itself and is an integral part of holistic care. TX License #MT022805

SPECIAL PRICES! $65. 1 hour massage

$95. 1.5 hour massage

(210) 789-5128 by appointment call or text

www.tranquilcentermassage.com • tranquil.center@gmail.com

30

Renew is Hill Country Memorial’s enhanced surgery and recovery program for surgical colon resection.

Its specially designed protocol enhances each step of the surgical process, from pre-operative education to the transition home. The Renew process is designed to reduce complications, shorten hospital stays and achieve the best patient outcome and experience possible.

Through diagnostic tests like a colonoscopy, a patient’s bowel is evaluated. If a portion of the bowel is diseased or damaged, a physician may recommend that it be removed surgically, also called “resection.”

The Renew differenceThe Renew surgical procedure is performed

laparoscopically, a minimally invasive technique that requires a much smaller incision.

During the surgery, the surgeon administers an anesthetic directly at the surgical site that minimizes post-operative pain for 72 hours. In comparison, traditional colon surgery involves a large incision in the bowel followed by a lengthy recovery, typically five to seven days.

The Renew care teamPatients who have a Renew procedure are

assigned a nurse navigator — the first member of a dedicated care team focused on the Renew experience.

Each patient receives an educational guide booklet listing pre-surgery instructions and a preparation checklist from their surgeon.

To reduce stress on the day of surgery, patients are pre-registered, and health information is gathered by a pre-admission nurse before-hand over the phone. The nurse navigator then becomes the contact person for any questions and is available to patients and families during the entire process.

On the day of surgery, anesthesiologists and certified registered nurse anesthetists prepare patients for surgery with individualized anesthe-sia protocols.

After surgery, nurses specially trained in colon surgery recovery oversee patients’ daily care including completing orders from a physician, dispensing medication and monitoring vital signs. Throughout recovery optimal pain man-agement is emphasized.

As a patient’s advocate, the nurse navigator continues to oversee the care team. Together with patients they focus on a speedy return to a normal diet and physical activity.

Upon discharge, an RN case manager helps

RENEW: advanced colon surgery, enhanced recoveryRenew physicians:• GREGORY D. ANDREASSIAN, MDGeneral Surgery, Board Certified(830) 997-6773205 W Windcrest, Suite 220AFredericksburghcmmedicalgroup.com

• C. LANCE LOVE, MDGeneral Surgery, Board Certified(830) 997-6000820 Reuben St, Suite AFredericksburg

• JAY S. STAUFFER, MDGeneral Surgery, Board Certified(830) 997-8833205 W Windcrest, Suite 220BFredericksburg

hillcountrymemorial.orghcmmedicalgroup.com

(830) 997-4353

KNOPP HEALTHCARE SERVICES offers two state of the art therapy facilities operated by a licensed and trained staff. Each therapy facility is conveniently located within our homes, allowing our residents and members of the

community easy access to physical,occupational and speech therapy services.www.knopphealthcare.com

OUR HOMESKnopp Healthcare & Rehabilitation Center, Inc.

A 132-bed licensed facility providing skilled nursing care, along with physical, speech & occupational therapy services. Medicare, Medicaid, VA Contract & insurance are accepted. Private pay & hospice services are also available.• 24-Hour Licensed and Skilled Nurses on Duty • Therapy services - Occupational, Physical, Speech & IV Therapy

• Private & Semi-Private Rooms • Hospice Services Available • 3 Dietician Supervised Meals Served Daily • Special Diets Available

1208 North Llano • 830-997-3704

Knopp Retirement Center, Inc.Emphasizes independence in a minimum care setting, while offering the highest level of personal care when necessary. Knopp Retirement Center provides a positive, faith-based environment to inspire & encourage our residents to maintain an active & dynamic lifestyle.• Respite Care • ADL Assistance • Three Chef Prepared Meals Daily • Private Rooms

with a Variety of Floor Plans • Large Common Areas & Outdoor Recreation Space • Nursing & Medication Management LIC # 000552

103 East Trailmoor • 830-997-4426

A 60-bed licensed facility providing skilled nursing care, along with physical, speech & occupational therapy services. Medicare, Medicaid, VA Contract & insurance are accepted. Private pay & hospice services are also available.• Therapy services - Occupational,

Physical, Speech & IV Therapy • Private & Semi-Private Rooms • Hospice Services Available • 3 Dietician Supervised Meals Served Daily • Special Diets Available

Knopp Nursing & Rehabilitation, Inc.202 Billie Drive • 830-997-8840

Provides assisted living in a secure & moderate care setting. A 60-bed facility offers alarms on all exit doors for resident safety & a gated outdoor recreational space for our residents & their families’ enjoyment.• Respite Care • Private & Semi-Private Rooms • Nursing &

Medication Management • Large Common Areas & Outdoor Recreation Space • Three Chef Prepared Meals Daily • ADL Assistance LIC # 000530

Knopp Assisted Living, Inc.202 Billie Drive • 830-997-7924

• 24-Hour Licensed and Skilled Nurses on Duty • Emergency Call Systems In All rooms •Housekeeping&LaundryServices •Beauty&BarberShopServices

•LiveMusicPerformances •LocalMinistryvisits&WeeklyWorshipServices •BibleStudy&Hymn-Along

•Pet&MusicTherapy •DailySocial&RecreationalActivities •ScheduledLocalTransportationIsAvailable

Services Provided

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FamilyandInternalMedicine

Cynthia McNeely, MD

�e Providers with Peterson Medical Associates are currently accepting new patients and most major insurances. Same day access for sick visits.

Peterson Medical Associates575 Hill Country DriveKerrville, Texas 78028

830-258-7PMA

Bridget Robledo, MD David Vaughan, MD

Sandra Garred, MD D. Ann Rosson, MD Shelia Mays, FNP

Medical Associates

patients transition from the hospital to home by ensuring they have the information and instructions needed for a successful recovery. The case manager continues to follow up with patients throughout their recovery process.

What Renew means for patientsRenew is a best practice derived from Restore, the innovative pro-

cess used to treat knee and hip replacement patients at Hill Country Memorial.

The Renew program’s approach to pain management and rapid recov-ery mean that patients go home sooner and recover faster. Specifically, the Renew procedure’s smaller incision enables patients to sit up the night of surgery, and most patients return home within one to three days.

Hill Country Memorial is ranked in the top two percent nation-ally for medical excellence in overall surgical care and in the top five percent nationally for medical excellence in major bowel procedures based on independent research conducted by Carechex, a division of COMPARION. The Texas Hospital Association ranked it first in the nation for patient experience in 2013.

MORE WAYS TO KEEP UP TO DATE

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Or subscribe in print by calling 830-997-2155!

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HCM SERVICE LINES

BIRTHING CENTER

BREAST CENTER

CARDIOLOGY

CARDIOPULMONARY

EAR, NOSE & THROAT

EMERGENCY DEPARTMENT—24 / 7 Physician Coverage

FAMILY MEDICINE

GASTROENTEROLOGY

HOME CARE

HOSPICE

HOSPITALIST

IMAGING

INFUSION THERAPY

INTENSIVE CARE UNIT

LABORATORY SERVICES

MEN’S HEALTH

OB/GYN

ORTHOPEDICS

OUTPATIENT REHAB CENTER

RESTORE—The Remarkable Joint Center

SLEEP LAB

STROKE CENTER

SURGERY—Inpatient / Day Surgery

WIC—Women, Infants and Children

WOMEN’S HEALTH

WOUND-HEALING CLINIC

VASCULAR

HCM CAFÉ

HCMH FOUNDATION

HCM THRIFT SHOP

HCM WELLNESS CENTER

2012 / 2013 / 2014

2014

FIND A DOCTOR: 1 (800) 578-0631 ı hillcountrymemorial.org ı hcmmedicalgroup.com

Remarkable Health Care