Dr. Terry Mitchell Waxahachie Medical Director

Introducing Dr. Terry Mitchell, Our Waxahachie Medical Director

We are excited and proud to announce that Dr. Terry Mitchell will be our new on-site Medical Director for the Altus Emergency Center in Waxahachie.  Another excellent addition to our Altus Physicians Group.

We were delighted to sit down with Dr. Mitchell to get to know him a little bit; here is an excerpt of our conversation.

Getting to Know Dr. Terry Mitchell

Q: Where were you born?

A: Dr. Terry Mitchell

I’m a Texas boy through and through. I was born in McKinney, Texas.

 

Q: What did you dream of becoming when you grew up?

A: Dr. Terry Mitchell

The first thing I remember wanting to be when I grew up was “on vacation.” Our family vacations were so much fun!

 

Q: Did you have a nickname growing up?

A: Dr. Terry Mitchell

Before college, people just called me “Mitch.” Then during my freshman year in college, while I was playing in my first of 5 intramural single tennis tournament finals, I got a new nickname.

My opponent got a little frustrated during the match and said I was like an octopus as he couldn’t seem to get a ball past me. I ended up losing that match, but the nickname stuck. Oh, and I’m proud to say I went on to win four singles, three doubles, and two mixed doubles intramural tournament finals after that one loss.

 

Q: We know you are a hard worker, but there must be times when you get to relax. Do you have any hobbies or special interests outside of work?

A: Dr. Terry Mitchell

When I am not working, there is a good chance that you will find me on a tennis court. My main interests include tennis, tennis, tennis, Bible study, and travel.

 

Q: What’s a fun fact about you many people may not know?

A: Dr. Terry Mitchell

A fun fact about me that not many people know is that I graduated from college as a schoolteacher and coach.

My first-year teaching, I taught science and coached tennis, winning district in all four events in a class A school.

 

Know Where to Go in Case of an Emergency.

Q: When and how did you decide to become a doctor?

A: Dr. Terry Mitchell

During that school year, I was very active in a local church teaching both the high school and Men’s Sunday School.

One Sunday morning, the pastor gave a message on the parable of the Talents. He stated that he believed he was being led to help someone change careers.

He explained that the parable was about money but could also apply to your God-given talent. He asked the question: Are you using your talent in this community to the very best you can do?” My wife elbowed me in the ribs and said: “Well, Terry, are you?”

After this, I met with that pastor several times and decided to go to medical school.

 

Q: How hard was it to go back to school to pursue a different career?

A: Dr. Terry Mitchell

It wasn’t easy. I worked nights and weekends at a convenience store and took the courses needed to apply. I then took the MCAT and applied and looked for a teaching job near my hometown of McKinney while waiting to see if I would be accepted.

I got a call from a class A school where I had not applied, wanting to hire me as their head football coach over the phone.

 

Q: Did you get accepted into medical school right away?

A: Dr. Terry Mitchell

I only got one interview for medical school. I learned that it was a look at the lessor applicants to be sure they did not overlook a quality candidate.

My first interview was postponed to the end of the day as the interviewer had a surgical case that was taking longer than expected. So, I went to my second interview first. This interviewer grilled me on several questions that made me feel uncomfortable.

One of these was on how I would handle a patient who presented wanting an abortion. I stumbled over my words and felt sure that I had not left a good impression. I spent hours praying on how I could have answered his questions better.

The first interviewer, now the second, had only 1 question: “How would you handle a teen patient wanting an abortion without her parents knowing?” He said my answers were the best he has ever heard with years of asking that question. He was the head of the selection committee and informed me that I would be in the next entering class.

 

Q: Do you have a good quote to describe you or one that you relate to?

A: Dr. Terry Mitchell

A quote that I have used to describe myself since about 8th grade is:

“I have a lot of ability; it is called desire and hard work.”

 

Q: Fill in the blank: “I really love ____________.”

A: Dr. Terry Mitchell

God, my wife Kris, my kids and grandkids, tennis, bible truths, traveling, and the rest of my family and friends.

 

Q: We can see you are a real family man; can you tell us a little about them? Also, do you have any pets?

A: Dr. Terry Mitchell

My wife is Kris, and we have five kids Delilah, Scotty, Janette, Joshua, and Jacey.

Delilah is married with three kids, Scotty is married with two kids, and Josh is married with one child. Jacey got married this past May and plans to have kids in about five years. Janette is engaged, but there is no date yet. We have three pets:

Zeke is our African Grey Parrot that is 18 and will outlive us both.

Lizzy is a Maltese who is now 15.

Zeus is a Great Dane we have had for about five years.

I think we have pried enough into your personal life, let’s move on to your professional life.

 

Q: Tell a little about your studies, specialties and professional experience

A: Dr. Terry Mitchell

I left a Family Medicine Residency in the second year with marriage on the rocks and an ill physician father who died a little over a year later.

I assumed my father’s general practice in McKinney, which consisted of over 400 nursing home patients in 9 nursing homes. I became the Medical Director of 4 nursing homes, a 6,000-patient base, rounding daily on 30-40+ patients in the hospital, participating in general surgery, and delivering babies.

I briefly hosted a noon Friday Christian radio talk show called Temple Talk. I would either have another Christian physician on with me or would field questions. For a time, my radio show was the #1 Friday noon talk show in Dallas.

After eight years of Family Medicine, I earned with CME and experienced the title Fellow of the American Academy of Family Practice (FAAFP).

 

Q: How did you decide to get back into emergency medicine?

A: Dr. Terry Mitchell

At a TMA meeting, I came across a booth recruiting for an Emergency Medicine Physician in Sulphur Springs.

I struggled for about three months, deciding to close my Family Practice and change to Emergency Medicine.

 

Q: What has been your professional experience in the field of emergency medicine?

A: Dr. Mitchell

I was 13 years in Sulphur Springs, 11 as Medical Director of Emergency Services and a two-county EMS system.

The last eight years, the local EM Physicians owned the contract with the hospital.

Then another administrator put out bids to see if the hospital could have a lower subsidy payment to the physician group. That is when I left and became Medical Director for several hospitals from 1-4 years each. I served at Center, Nacogdoches, Paris, and Bonham, Texas.

I became an Emergency Physician too late to be allowed to sit for the boards. However, considering my leadership and Emergency Medicine experience and serving in and being president of a nine-county Regional Trauma Committee. The American College of Emergency Physicians opened the door for only one year for a Legacy pathway to Fellowship. I applied and received the title of Fellow of the American College of Emergency Physicians (FACEP).

 

Q: What or who has been your most significant influence or your mentor?

A: Dr. Mitchell

My physician father, Dr. Glenn Mitchell, was the most substantial influence on my practice of medicine. After him, I would have to say it was the leader of the residency program, Dr. Harold Prussner and Dr. Presley Joe Mock with whom I precepted twice.

He told me that MD stands for

“Make a decision” and said, “don’t just stand there; do something.”

Dr. Terry Mitchell Outside Altus ER Waxahachie Building

Q: What would you say is your biggest achievement to date – personal or professional?

A: Dr. Mitchell

My most significant achievement to date is becoming and growing as a Christian. Nothing compares. Another is bringing home just under 200 tennis trophies. I still find it hard to fathom, making it through medical school. It was really hard.

 

Q: What is your mantra as a physician?

A: Dr. Mitchell

My mantra as an Emergency Physician is:

  1. To see people as Jesus sees them. Matthew 9:36 But when He (Jesus) saw the multitudes, He was moved with compassion for them, because they were weary and scattered, like sheep having no shepherd. I want to see the people and have compassion for them.

  2. To be like Andrew, Peter’s brother, and find an inadequate solution for a problem and then have Jesus expand it to meet people’s needs. John 6:5-13 A multitude had followed Jesus, and the crowd needed feeding. Andrew found a boy with 5 biscuits and 2 fish, “but what are these among so many?” They gave these to Jesus who blessed the food and distributed enough to feed about 5,000 men plus women and children, and the 12 disciples each had a basket full left over. I look to Jesus to multiply the good that I do with the little I have to give, to increase my wisdom to order the needed tests and/or treatments.

  3. I want to touch the untouchable. Matthew 8:2-3. And behold, a leper (outcast due to a very contagious skin disease) came and worshiped Him, saying “Lord, if you are willing, you can make me clean.” Then Jesus put out his hand and touched him, saying, “I am willing; be cleansed.” Immediately his leprosy was cleansed. One day I read this, and my wife looked at me and said; “It is a very good work that you do.” I touch those considered untouchable.

 

Q: Let’s talk about how you came to be a part of the Altus Emergency Centers family.  How did you first hear about Altus Emergency?

A: Dr. Mitchell

I came to Altus when the Administrator at Bonham brought in a new management group, that was going to lower our pay.

I looked to see where I would go next in an Emergency Medicine newspaper add and was practicing in Altus Lumberton the month it opened. Three other Bonham physicians followed me, and 3 of the 4 of us are still together in Altus Waxahachie.

I was with Altus Lufkin and am still on staff with CHI St. Luke’s who took over the freestanding facility. I have had shifts in all the Altus Emergency Centers.

I was the first physician to work in the Waxahachie facility. I left to try my hand in occupational medicine, but now am back and will be serving as the Altus Waxahachie Medical Director.

 

Q: What is your management style? How do you like to communicate with your team?

A: Dr. Mitchell

My management style will change based on the person and the need. I like to communicate in person, by phone, and by text or e-mail.

When dealing with physician behavior, I often ask questions until I get them to say what I want to tell them. I have found this an excellent way to change physician behavior.

If I need to give negative feedback, I often use the sandwich technique with the bread being good stuff about them and the meat of the issue is the bad stuff. They then get good-bad-good. And I do not offer criticism without a solution.

 

Q: What is your bedside manner like?

A: Dr. Mitchell

I had thought about buying a home and naming it “Bedside Manor.” I worked hard to make my bedside manner better.

I have also written instructions to help other physicians from what I have learned. I show the caring and compassion that I really have and do quality education.

I spend a lot of time explaining the “why” when I see patients who are not going to get their expectations met due to best medical practices. I essentially reframe their expectations, and usually have them leave the ER saying, “thank you, doctor.”

I often sit to get my head as low or lower than theirs. I try and never talk with my hand on the doorknob. I want them all to feel I spent adequate time with them for their concerns.

 

Q: What is a typical day at Altus like?

A: Dr. Mitchell

A typical day at an Altus Freestanding Emergency Center is one of adequate time with the patient. Often being able to go in with the nurse during triage and nursing assessment and getting an earlier start with any orders needed; and an earlier discharge from the ER.

There is usually adequate stand-by time to rest, enabling 24-hour shifts. During the day, I use the stand-by time to call patients seen the day before, as we all do. I check to see how they are doing if they are having any problems with getting medications or follow up appointments. I answer any questions they have from the visit, and rarely call in additional medicine they may need.

 

Q: How would you describe the company culture here?

A: Dr. Mitchell

I have experienced the company culture to be like one of family. Everyone seems to work well together, delivering quality and speedy medical care. I still work at hospital facilities occasionally, and the lack of a sense of urgency and speed of care stands out when compared to Altus.

 

Q: What do you love most about working with Altus Emergency?

A: Dr. Mitchell

What I love most about working with Altus is both the family atmosphere and the quality and quantity time I have to spend with patients.

This is way different than hospital Emergency Medicine. There is time to build stronger relationships with both patients and the ER staff.

 

Q: What advice would you give to recent new staff?

A: Dr. Mitchell

Advice for new staff is to reset thinking to one of concierge Emergency Medicine. Door to Doc time is the #1 indicator of patient satisfaction, so get in the room as early as possible. Do this if even to tell them you know they are there and that you are involved in a complicated case and you will be with them as soon as you can.

Also, listen to the nurses. You never have to follow their suggestions, but if you do not consider them, you are making a mistake. They observe all of us in similar situations and may have seen something that works better. Always listen to them and treat them with respect. If you decide against their advice, informing them of why goes a long way to keep the family feeling. And there is time to do this at Altus.

 

Q: Do you have any cherished Quotes from management or coworkers about your excellent work?

A: Dr. Mitchell

I have a stack of notes given to me from hospital staff and patients at home about how my work is appreciated.

One nurse wrote,

“I feel like when you are here that there is nothing that can come in that you cannot handle.”

I have had comments about how calming I can be in a critical situation. One physician calling back patients seen the previous day told me, “your patients love you”.

 

We can’t thank you enough, Dr. Mitchell, for your generosity in sharing so much of your personal and professional life with us.

We are incredibly excited to see you continue doing such extraordinary work for the community of Waxahachie, and our Altus Emergency family.

You deserve the best care in an emergency.  When seconds can make a difference between life and death, it’s good to know that you can count on top notch ER physicians such as Dr. Mitchell at Altus ER Centers.

Altus ER Waxahachie Texas

Altus Emergency Centers Texas

is Here for You 24/7

Altus Emergency Centers are all open 24/7/365, with no lines. Our facilities are well-equipped to diagnose and treat everything from major to minor adult and pediatric emergencies.  We are honored to be a part of our beautiful Texas communities and work hard each day to help see them grow and prosper!

24 Hour ER Services – Best in Texas

Looking for the best quality 24 hour ER services?

We offer the best freestanding 24 hour ER services in Texas. We have top of the line medical technology and highly experienced ER healthcare experts prepped and ready to come to your aid in Baytown, Lake Jackson, Lumberton, and Waxahachie.

Each ER team is highly efficient in treating chest and abdominal pains, pediatric emergencies, flu symptoms, sports injuries, bone breaks, and fractures, as well as all other major and minor injuries. All services are available 24/7, including weekends and holidays with little to no wait times.  After You Receive Quality ER Care, our Patient Advocate will help ensure Hassle-Free Billing.

Our Promise is to Always Help Find the Best Solutions in Benefit of our Patients from the time you walk-in without having to wait in line and when you are personally assisted with the billing process.  We are here to help you get well and stay well!

Dr. Adriano Goffi Lumberton Medical Director

Meet Dr. Adriano Goffi Our Lumberton Medical Director

Last month we decided to make a bold move and hire full-time physicians not only to work in our emergency centers but also to help us manage them.

What Motivated the Change?

Our decision to hire physicians directly will provide many benefits to our patients as we now complete control of scheduling, and billing, which means no more surprise bills. Additionally, our decision has allowed us the freedom to negotiate much better rates with our doctors. The new rates will help lower your cost of care without compromising the quality.

Who can Be Part of the Altus Physicians Group?

The Altus Physicians Group is composed of talented emergency physicians who not only have a successful track record in their field but are also amazing human beings.

We have gone to great lengths to hire local talent, so we can continue cultivating the sense of community that has always set us apart from other emergency facilities.

Know Where to Go in Case of an Emergency.

Getting to Know Dr. Adriano Goffi MD MPH

Today we welcome Dr. Adriano Goffi MD MPH, who has recently been appointed as the medical director for our Lumberton center.

We recently sat down with Dr. Adriano Goffi to get to him a little better, this is part of our conversation.

 

Q: Where were you born?

A: Dr. Goffi

 I was born in Buenos Aires, Argentina. However, my family decided to move to the United States when I was very young, so I’ve lived most of my life here.

 

Q: What did you dream of becoming when you grew up?

A: Dr. Goffi

I always wanted to be a physician since I was 10 years old.

 

Q: We know you are a very busy man, especially now that you are the medical director for our Lumberton emergency center, but we are curious to find out what do you do when you are not working? Do you have any hobbies and interests?

A: Dr. Goffi

I’m very active, so most of my interests outside of work involve sports. I am an Ironman finisher, and I also enjoy playing hockey and golf. My other favorite thing to do is go to the park with my wife and children.

 

Q: Can you share with us an inspirational quote that you feel describes you or one that you really relate to?

A: Dr. Goffi

“The ultimate measure of a man is not where he stands in moments of comfort and convenience, but where he stands at times of challenge and controversy.”

 

Q: Fill in the blank:  I really love…

A: Dr. Goffi

My wife and kids.

Q: Your family seems to be one of the pillars in your life, can you tell us a little bit about them?

A: Dr. Goffi

Absolutely, my beautiful wife is named Yahaira, she is 30 years old. We have two amazing kids, Santiago who is 11 years old, and our little baby girl Penelope who is 5-months old.

We have two dogs Pibe who is a boxer and Dobi our French bulldog.

 

Q: Talk to us about your studies and professional experience

A: Dr. Goffi

I have more than 15 years of experience in the medical field. 

After high school, I decided to join the U.S. Navy, it was here that my medical career started. I began as a Medical Corpsman certified in Fleet Marine Force (FMF) and Surgical Technologist. My post required me to act as a first responder to an entire United States Marine Corps platoon. 

When I first entered the Navy, I was lucky enough to be selected for a prestigious Marine Corps training and chosen to attend the Naval School of Health Sciences: School of Surgical Technology.  

During my training, I received the award “Super Doc,” as a result of achieving superior academic and physical performance scores in the program. I am very proud of this because it’s a testament to all my hard work and dedication.

After serving in the U.S. Navy, I went on to study at Ross Medical University, where I received my Doctor of Medicine. 

I did my residency in Family Practice at Phoenix Baptist Hospital, where I also served as a professor and mentor. 

 

Q: You have experience in emergency medicine and family practice, do you have any other specializations?

A: Dr. Goffi

Yes, in fact, after my residency, I obtained multiple certifications and training in Anti-aging, Stem cells, Liposuction, and other wellness/anti-aging certifications. 

 

Q: Why did you decide to get back into emergency medicine?

A: Dr. Goffi

My early experiences in the military is what gave me a passion for emergency medicine, and it’s something that I’ve always carry with me.

 

Q: What is your management style? How do you like to communicate with your team?

A: Dr. Goffi

I believe in good communication. I am always available for the staff to answer all questions and concerns.

 

We would like to thank Dr. Adriano Goffi for his time and openness. We know he will do great as the new medical director for our Lumberton ER center.  You deserve the best care in an emergency.  When seconds can make a difference between life and death, it’s good to know that you can count on top notch ER physicians such as Dr. Goffi at Altus ER Centers.

Altus Emergency Centers Texas

is Here for You 24/7

Altus Emergency Centers are all open 24/7/365, with no lines. Our facilities are well-equipped to diagnose and treat everything from major to minor adult and pediatric emergencies.  We are honored to be a part of our beautiful Texas communities and work hard each day to help see them grow and prosper!

24 Hour ER Services – Best in Texas

Looking for the best quality 24 hour ER services?

We offer the best freestanding 24 hour ER services in Texas. We have top of the line medical technology and highly experienced ER healthcare experts prepped and ready to come to your aid in Baytown, Lake Jackson, Lumberton, and Waxahachie.

Each ER team is highly efficient in treating chest and abdominal pains, pediatric emergencies, flu symptoms, sports injuries, bone breaks, and fractures, as well as all other major and minor injuries. All services are available 24/7, including weekends and holidays with little to no wait times.  After You Receive Quality ER Care, our Patient Advocate will help ensure Hassle-Free Billing.

Our Promise is to Always Help Find the Best Solutions in Benefit of our Patients from the time you walk-in without having to wait in line and when you are personally assisted with the billing process.  We are here to help you get well and stay well!

PROTECT YOUR RIGHTS to ER CARE!

The Importance of Emergency Radiology

The Importance of Emergency Radiology

Emergency radiology is an important subspecialty of medicine that has helped save countless lives in our emergency centers.

The main responsibility of an emergency radiologist is to provide a quality diagnosis of ill or injured patients using CT Scans, X-Rays, and Ultrasound machines.

Time Factor in Emergency Radiology

In the ER, time can be both our greatest ally and our worst enemy. The first hour after trauma or the beginning of symptoms is considered the golden hour.

When our doctors can accurately diagnose a patient’s condition in that first hour, patient survival rates go up, and the risk of long-term or permanent damage decreases. 

However, for doctors to accurately diagnose a patient’s injury, they rely on the expertise of our emergency radiologists who are always on site, ready to perform the necessary tests.

X-ray emergency radiology

Technology Used in Emergency Radiology

As we mentioned earlier, having the capability to immediately and correctly evaluate and diagnose a patient, helps doctors formulate the best treatment course, which will alleviate the patient’s pain, and save lives.

The key is to have access to the results as quickly as possible. And this is where technology comes in to play. 

All Altus Emergency Centers have access to the most advanced imagining technology, that provides accurate results in minutes, not hours.

CT Scan

CT Scan or CAT Scan provides clear and detailed images of the soft tissue, bones, and blood vessels in the body. 

The images produced by our CT Scans allow our emergency radiologists and physicians to diagnose and treat internal injuries and diseases.

 

CT Scans are recommended in the following cases:

  • To Diagnose Infectious Diseases
  • To Identify Muscle Disorders
  • To Visualize and Evaluate Bone Fractures
  • To Pinpoint the Location of Tumors 
  • To Study the Blood Vessels and Other Internal Structures
  • To Assess the Extent of Internal Injuries and Internal Bleeding
  • To Diagnose Heart Disease

Know Where to Go in Case of an Emergency.

X-Rays

X-rays have been used for years to diagnose internal organs and bones. 

At Altus Emergency Centers, we utilize digital x-rays which offer additional benefits compared to conventional x-rays. 

Benefits include lower radiation exposure, and better processing and storing of images.

 

In the ER, X-rays are mainly used to diagnose or evaluate the following conditions:

  • Infections Including Pneumonia
  • Broken Bones
  • Digestive Problems, including Damage to the Stomach or Intestines
  • Diagnose Kidney, Bladder, and Gallstones
  • Blocked Blood Vessels
  • Enlarged Heart
  • Locate Foreign Objects in the Body

Ultrasound

Ultrasound tests use high-frequency sound waves to capture images of the inside of a patient’s body.

The sound frequency used in ultrasounds is inaudible, and it is continuously adjusted during the procedure depending on how deep the tissue or organ being evaluated is. 

High-frequency ultrasounds are ideal for superficial imaging, while low frequencies can penetrate deeper.

 

Doctors may request an ultrasound for a patient when:

  • Abdominal Trauma
  • Acute Abdomen, Liver, Gall Bladder and Urinary Pain
  • Infection
  • Are Pregnant

All our radiology tests are safe, non-invasive, and painless. The best part is results are available within minutes, which allows our doctors to formulate a personalized treatment course for each patient.

In addition to having the most advanced radiology equipment, Altus Emergency Centers employs the best emergency radiologists who have the experience and knowledge necessary to save lives.

Altus Emergency Centers Texas

is Here for You 24/7

Altus Emergency Centers are all open 24/7/365, with no lines. Our facilities are well-equipped to diagnose and treat everything from major to minor adult and pediatric emergencies.  We are honored to be a part of our beautiful Texas communities and work hard each day to help see them grow and prosper!

24 Hour ER Services – Best in Texas

Looking for the best quality 24 hour ER services?

We offer the best freestanding 24 hour ER services in Texas. We have top of the line medical technology and highly experienced ER healthcare experts prepped and ready to come to your aid in Baytown, Lake Jackson, Lumberton, and Waxahachie.

Each ER team is highly efficient in treating chest and abdominal pains, pediatric emergencies, flu symptoms, sports injuries, bone breaks, and fractures, as well as all other major and minor injuries. All services are available 24/7, including weekends and holidays with little to no wait times.  After You Receive Quality ER Care, our Patient Advocate will help ensure Hassle-Free Billing.

Our Promise is to Always Help Find the Best Solutions in Benefit of our Patients from the time you walk-in without having to wait in line and when you are personally assisted with the billing process.  We are here to help you get well and stay well!

PROTECT YOUR RIGHTS to ER CARE!

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