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      • Charles E. Williams, MD
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If you need a medication refill, please contact your pharmacy.

Horizon Family Medicine

Family Health Providers in Johnston County, NC

Horizon Family Medicine
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      • Established Patient – Online
      • Established Patient – Print
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    • Community Resources
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    • Patient Education
    • Specialist Agreements
    • Care Management
    • Interpreter Services
    • Behavioral Health Services
    • TeleMedicine
  • Providers
    • Clayton
        • Charles E. Williams, MD
        • Brian K. Harris, MD
        • Scott M. Kahn, MD
        • Jacquelyn McGill, MD
        • Monica Selak, MD
        • Andrew Norris, MD
        • Brittany McCall, FNP-C
        • Megan Wester, PA-C
        • Jenah Manzano, PA-C
        • Rebecca Johnson, FNP‑C
    • Four Oaks
      • Stan R. Watson, MD
      • Olivia Johnson, MD
      • Hannah Brame, PA-C
    • Riverwood
      • William Hebda, MD
      • Caroline Lewis, PA
  • Providers
    • Clayton
      • Charles E. Williams, MD
      • Brian K. Harris, MD
      • Scott M. Kahn, MD
      • Jacquelyn McGill, MD
      • Monica Selak, MD
      • Andrew Norris, MD
      • Brittany McCall, FNP-C
      • Megan Wester, PA-C
      • Jenah Manzano, PA-C
      • Rebecca Johnson, FNP‑C
    • Four Oaks
      • Stan R. Watson, MD
      • Olivia Johnson, MD
      • Hannah Brame, PA-C
    • Riverwood
      • William Hebda, MD
      • Caroline Lewis, PA
  • Careers
  • Locations
    • Clayton Location
      • 236 Butternut Lane
        Clayton, NC 27520

        Office: (919) 359-1011
        Sat (Acute Care Clinic): (919) 359-0613

        Office Hours:
        Monday-Friday – 8:00 am to 5:30 pm
        Sat (Acute Care Clinic) 9:00 am to 1:00 pm
    • Four Oaks Location
      • 864 Black Creek Road
        Four Oaks, NC 27524


        Office: (919) 963-3148

        Office Hours:
        Monday-Friday – 8:30 am to 5:30 pm
    • Riverwood Location
      • 100 Cunningham Lane
        Clayton, NC 27527


        Office: (919) 359-6016

        Office Hours:
        Monday-Thursday – 8:30 am to 5:00 pm
        Friday - 8:30 am - 4:00 pm
  • Locations
    • Clayton Location
      • 236 Butternut Lane
        Clayton, NC 27520
        Office: (919) 359-1011
        Sat (ACC): (919) 359-0613
        Office Hours:
        Mon-Fri – 8:00 am to 5:30 pm
        Sat (ACC) 9:00 am to 1:00 pm
    • Four Oaks Location
      • 864 Black Creek Road
        Four Oaks, NC 27524


        Office: (919) 963-3148

        Office Hours:
        Mon-Fri – 8:30 am to 5:30 pm
    • Riverwood Location
      • 100 Cunningham Lane
        Clayton, NC 27527


        Office: (919) 359-6016
        Office Hours:
        Mon-Thu – 8:30 am to 5:00 pm  
        Fri - 8:30 am - 4:00 pm

Summer Safety Reminders

May 27, 2016 by dis-admin-hfm

Summer Safety Reminders

As we welcome summer beach, pool and lake season this weekend, please take these steps to make it a memorable and enjoyable season.

Wear sunscreen every time you go outside. The AAFP recommends a minimum SPF of 15, though 30 is better. Apply a generous amount of sunscreen 30 minutes before going outdoors and rub it in completely. Reapply at least every 30 minutes. This will help you prevent sunburn or the effects of sun exposure on your long term health.

Wear a wide brimmed hat and sunglasses. Sun exposure is harmful to your eyes and the sensitive skin on your face. Protect your vision with UV rated sunglasses. The damage done by sun exposure may not show up for several years, but it can be prevented with proper protection today.

Hydrate. Drink water throughout the day to hydrate your body from the inside out. A good rule of thumb for average activity would be to double the intake of non-alcoholic, non-caffeinated beverages when outside. If participating in strenuous activity such as running, heavy yard work or sports, drink more.

Be vigilant at the water. When people are in the water, supervise carefully. Most drownings occur with someone in visual distance. Drowning doesn’t look like the crazed panic you see on TV, but is a quiet panic. To learn more about the signs of drowning read this article: https://www.medicalnewstoday.com/articles/196538.php.

Always wear seat belts! It’s tempting on trips or with tired kids to let them sleep comfortably, but to be safe, always buckle up.

If any member of your family has allergies, asthma or other chronic disease, carry the appropriate medications and remedies everywhere you go. That epi-pen can’t help when a bee stings if it’s at home in the medicine cabinet.

A little safety goes a long way toward a happy, healthy summer. Be safe!

Filed Under: News

3 steps to healthier eating

May 2, 2016 by dis-admin-hfm

Three Steps

Your body is your engine, and food is the fuel to get you through the day.

If you don’t eat a healthy diet, odds are your body isn’t running as it should. Do you:

  • suffer from swelling in your feet or hands, especially toward evening?
  • measure larger around your belly than elsewhere?
  • find it exhausting to run errands?
  • suffer from body aches, stomach issues (belching, frequent belly aches), or a general sense of no energy?

While all these can be symptoms of more serious health issues, many can be “cured” with a healthy diet.

A young adult patient, not overweight and generally active, suffered from body aches. His joints hurt as he woke up, and through the day, he experienced fatigue despite sleeping 8-9 hours every night. With recommended diet changes — basically eliminating processed foods (fast food, hot dogs and lunch meat), sugary foods (soda, high sugar cereal, and excessive desserts/candy) and cheese (very high in fat with little nutritional value), he noticed marked improvement in just one week. No medicines for the pain, no sleep aids, just a healthy diet.
If you suffer from body aches, upset stomach, poor sleep or swelling AND you are otherwise healthy, these three dietary changes could help you too.

1. Eliminate processed foods. Processed foods include fast food, any food with a shelf life of months instead of days (those boxed pastries, white bread, Doritos, Fritos, etc), lunch meats and hot dogs, and most frozen meals. If the information label includes things you cannot pronounce, then the food is processed. These foods are incredibly high in sodium (salt). Excess sodium in the diet makes us “retain water,” which leads to swelling in soft tissue (achy joints), hands, feet and even the face. Those baggy eyes that stare back at you every day might signal water retention!

Replace processed foods with the following:

  • Freshly prepared meats (grill or bake chicken breast and slice it for sandwiches),
  • Homemade popcorn (old school, popped in a pot on the stove or made with an air popper),
  • Homemade cookies or other desserts (using natural ingredients — flour, sugar, eggs, oil — but no additives!)
  • Fast food (if you must eat fast food, order the salad and skip the cheese!)

2. Eliminate sugary foods. Foods high in sugar give us a quick energy spike as the sugar is quickly digested to fuel our bodies. But, sugar “fuel” doesn’t last long. When the sugar rush ends, we “crash,” feeling incredibly tired and cranky. Many people counteract the crash with another sugary snack — or to avoid the crash, just eat sugar all day long. This is not how your body was designed — it’s like putting diesel fuel in a car that requires regular gas. You gum up the whole system and break down. Sugar comes from a number of sources: soda, sweet tea, fruit juices, processed foods, candy, desserts, breads and dairy. Fast food restaurants understand the “sugar addiction” of the American sweet-tooth and add sugar to many products, including meats, fries, breads and sauces.

In the past 200 years, American sugar consumption has grown from less than 20 pounds/year to more than 130 pounds per year. The average adult consumes 22 teaspoons of sugar PER DAY, while children are eating even more at 32 teaspoons PER DAY. At this rate, our obesity epidemic and major diet-related rate of disease will continue to grow. Sugar is a hidden danger in processed foods — we don’t know that we are eating all these extra sugar calories and then can’t understand the weight gain or related health issues.

Screen Shot 2016-05-02 at 12.14.32 PM

Replace sugary foods with the following:

  • Instead of soda and sweet tea, drink water — not only will you lose weight, your complexion, hair and skin will improve!
  • Instead of fruit juice, eat the whole fruit! Fruit juice is the sugar of the fruit. When you eat the whole piece of fruit, you get the added healthy fiber and other nutrients that the juice doesn’t have.
  • Say no to processed foods like hot dogs, lunch meats, store bought white bread, snacks, fruit “chews” (candy with a fancy name — it is NOT healthier), and substitute real meat (chicken breast, flank steak, pork roast), bread made without additives, and fresh fruit instead.
  • If you still want a treat, purchase individually wrapped snack size candies (Hershey kisses, hard cinnamon candies) and keep them out of sight! If they’re on the top shelf of the kitchen cupboard, you’re less likely to eat them than if you keep a candy jar on the counter. “Out of sight, out of mind” really does work!

3. Eliminate cheese. Cheese, especially processed American cheese that is mostly made of non-dairy chemicals, is incredibly high in fat, sodium and calories. While milk is a high calorie dairy product, cheese concentrates those calories by eliminating the liquid. It takes a lot of cheese — which translates into a lot of calories, sodium and fat — to fill up. It’s one of the least healthy foods out there. For those who love lasagna, pizza, mac ‘n cheese and nachos, this can sound really tough. But, healthy living means learning healthy eating habits.

Minimize cheese consumption with the following:

  • Say no to cheeseburgers — especially if the cheese option is processed American cheese. A juicy burger with lots of toppings (lettuce, tomato, avocado, mustard and ketchup) has loads of flavor. Enjoy it.
  • Order that pizza with extra veggies, not extra cheese — load up that pizza with onions, olives, peppers and other veggies. Before eating, blot your slice with a paper towel to soak up unnecessary calories. AND only eat one or two slices, not the whole pie!
  • With pasta, skip the cheese if you can. If not, make your pasta dish without the cheese and sprinkle some on top. Add pesto, sun dried tomatoes, onions or peppers for flavor. As you get used to it, you won’t miss the cheese. Alfredo, lasagna and mac ‘n cheese are some of the worst offenders to the American diet.
  • Use cheese as an accent, not the main course. Shred some fresh parmesan (not the shaky kind that comes from a chemical laden can) over your pasta for flavor without quite so many calories. Make the lasagna with layers of sauce, veggies, and noodles topping it with one layer of cheese instead of a layer of cheese through the whole thing.

If you’re tired of always being tired, and if you ache when you wake, you might not be sick — you just might be eating yourself into poor health. Make these changes and give yourself a month to see how different you feel and look. If you want to discuss your diet with your doctor, please call for an appointment or request one through the patient portal.

**If you have any questions about how diet changes might affect your health care plan, please contact your provider. This article does not substitute for medical care.**

 

Filed Under: News

Your flu vaccine questions answered

October 13, 2015 by dis-admin-hfm

We know there is the internet is full of information about whether to get a flu vaccine. We believe it is important for overall health and well-being during the lengthy North Carolina flu season. The season officially began on October 1, and North Carolina already has one reported death from the flu. 

Why should people get the flu vaccine?

Whether you’re generally healthy or have chronic medical issues, the flu vaccine benefits most people. It’s especially important for those who have regular interaction with young children, the chronically ill, or the elderly as those two populations suffer more serious complications, sometimes death. While it’s less common, even healthy adults can suffer severe complications or death from the flu. 

Beyond illness, those who get the flu miss many days of work or school as the virus runs its course. The economic effect of flu is significant, costing Americans more than $10 billion in lost revenue in 2011. Add the cost of doctor visits or hospitalization and the economic impact grows.

The earlier in the season you get a flu shot, the greater your protection. Since the virus is already circulating in North Carolina, it’s just a matter of time before you’re exposed. The more people who get the flu shot — and the earlier — the less risk there is to the community overall. 

How do flu vaccines work?

The flu vaccine does not contain active flu virus. Flu vaccines trick your body into creating antibodies to the flu. It takes about two weeks for those antibodies to fully develop. Despite what some say, you cannot get the flu from the vaccine. The flu vaccine is not made from active flu virus. 

Then why do I feel so awful after the flu vaccine?

When you get the vaccine, your body’s defenses go into overdrive creating the antibodies to fight the flu. As that germ-fighting army grows, you might feel achy or even suffer a low grade fever. That means the flu vaccine is working on your behalf. You should feel completely normal again within 1-2 days. Also, not everyone gets these symptoms. That doesn’t mean the vaccine isn’t working — it just might be less aggravating to your system.

I’ve heard of people getting the flu from their shot. How is that possible?

The later in the flu season you get a vaccine, the more flu there is in the general population. Many people get their flu shot after a co-worker or family member comes down with the flu. Also, it’s possible to get the flu from someone in the community, at church, at the store or at a restaurant. If you’ve been sufficiently exposed, the virus is already revving up to make you sick. The flu shot didn’t do it — waiting too long to get the vaccine allowed the flu to find you first. 

Filed Under: News

HFM at Ham & Yam

May 29, 2015 by dis-admin-hfm

 

Ham & Yam 5Earlier this month, Horizon Family Medicine participated in the Ham & Yam Festival in Smithfield. The Festival, which celebrated its 31st year, is the largest festival in Johnston County, celebrating our agricultural heritage. It seemed only fitting that as HFM celebrates its 35th year serving the community, that we join the Ham & Yam Festival to give back to the community.



We provided 150 free blood pressure checks to festival-goers. Several other doctors and staff passed out stickers to kids, answered questions about the practice and registered people for the grand prize gift basket. Congratulations to our winner from Goldsboro!

We are proud to be part of the Johnston County community! We’ll see you at the Clayton Harvest Festival this fall.

 

Filed Under: News

Helping the Easter Bunny in Riverwood

April 2, 2015 by dis-admin-hfm

Dr Hebda and Easter Bunny

Brilliant sunny skies greeted residents of the Riverwood communities at their annual Easter egg hunt. As always, the Easter Bunny was there to greet kids with candy and pose for photos. This year, he brought in a special assistant, our very own Dr. Hebda!

Dr. Hebda joined Horizon Family Medicine in September of 2014 to help us better meet the medical needs of residents in the Riverwood area. He is quickly becoming part of the community, getting to know his “neighbors” — even the Easter Bunny!

At this year’s annual Easter Egg Hunt, Dr. Hebda provided grand prize Easter baskets for three lucky kids! Who says the Easter Bunny has to do all the work?

Easter basket

From all of us at Horizon Family Medicine, Happy Easter!

Filed Under: News

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Clayton Location

236 Butternut Lane
Clayton, NC 27520
Map

Office: (919) 359-1011
Sat (Acute Care Clinic): (919) 359-0613

Office Hours:
Monday-Friday – 8:00 am to 5:30 pm
Saturday (Acute Care Clinic) 9:00 am to 1:00 pm

Four Oaks Location

864 Black Creek Road
Four Oaks, NC 27524

Map

Office: (919) 963-3148

Office Hours:
Monday-Friday – 8:30 am to 5:30 pm

Riverwood Location

100 Cunningham Lane
Clayton, NC 27527
Map

Office: (919) 359-6016

Office Hours:
Monday-Thursday – 8:30 am to 5:00 pm
Friday – 8:30 am to 4:00 pm

Copyright © 2025 Horizon Family Medicine.
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