Dr. Carmen Purl

EPSON MFP imageCertification:  Dr. Purl is Board Certified in Family Medicine and has been since 1988.  She is a member of the Texas Medical Association and Member of the Medical staff at Moore County Hospital District.  She is the medical director of Coldwater Manor Nursing Home and Stratford Family Medical Clinic.

Training:  Dr. Purl completed her residency in Family Medicine at Central Texas Medical Foundation and at Brackenridge Hospital in Austin.  She received her medical degree fro UTHSC at San Antonio.  She has a Bachelor's Degree from West Texas State University and Amarillo College.


Experience:  Dr Purl came to Sunray in 2003 from the Emergency department at Golden Plains Community Hospital .


Missions:  She has 7 years of ER experience in addition to her private Family Practice experience.  Dr Purl travels frequently to developing countries around the world to offer medical care and hope to the poorest of the poor.  Her recent trips include Africa, Southeast Asia and Central America.  Dr. Purl is grateful to have patients who understand the poverty of people around the world and who are willing to share their family doctor with those in need.


Family:  Dr. Purl is married to David Purl her best friend and dearest supporter for over 30 years.  She has three adult children and is the proud Mimi to three grandchildren.

Meet Dr. Purl


W H A T  Y O U  N E E D  T O  K N O W

Ask your doctor about “combination vaccines”, which can reduce the number of shots your baby needs.

These “combination vaccines” are as safe and effective as

the these vaccines when given separately.


These vaccines protect your baby from 8 serious diseases:



pertussis (whooping cough)

Haemophilus influenzae type b (Hib)

hepatitis B



pneumococcal disease


About this vaccine information statement

Please read this Vaccine Information Statement (VIS) before your baby gets his or her immunizations.  Ask your doctor if you have any questions.

This VIS tells you about the benefits and risks of six routine childhood vaccines. It also contains information about reporting an adverse reaction and about the National Vaccine Injury Compensation Program, and how to get more information about vaccines and vaccine-preventable diseases. (Individual VISs are also available for these vaccines.)

How vaccines work

Immunity from disease: When children get sick with an infectious disease, their immune system usually produces protective “antibodies,” which keep them from getting the same disease again. But getting sick is no fun, and it can be dangerous or even fatal.

Immunity from vaccines: Vaccines are made with the same bacteria or viruses that cause disease, but they have been weakened or killed-or only parts of them are used-to make them safe. A child’s immune system produces antibodies, just as it would after exposure to the actual disease. This means the child will develop immunity in the same way, but without having to get sick first.

Vaccine benefits: why get vaccinated?

Diseases have injured and killed many children over the years in the United States. Polio paralyzed about 37,000 and killed about 1,700 every year in the 1950s. Hib disease was once the leading cause of bacterial meningitis in children under 5 years of age. About 15,000 people died each year from diphtheria before there was a vaccine. Up to 70,000 children a year were hospitalized because of rotavirus disease. Hepatitis B can cause liver damage and cancer in 1 child out of 4 who are infected, and tetanus kills 1 out of every 5 who get it.

Thanks mostly to vaccines, these diseases are not nearly as common as they used to be. But they have not disappeared, either. Some are common in other countries, and if we stop vaccinating they will come back here. This has already happened in some parts of the world. When vaccination rates go down, disease rates go up.

Childhood vaccines can prevent these 8 Diseases


Signs and symptoms include a thick covering in the back of the throat that can make it hard to breathe.

Diphtheria can lead to breathing problems, and heart failure.

  1. TETANUS (Lockjaw)

Signs and symptoms include painful tightening of the muscles, usually all over the body.

Tetanus can lead to stiffness of the jaw so victims can’t open their mouth or swallow.

  1. PERTUSSIS (Whooping Cough)

Signs and symptoms include violent coughing spells that can make it hard for a baby to eat, drink, or breathe. These spells can last for weeks.

Pertussis can lead to pneumonia, seizures, and brain damage.

  1. HIB (Haemophilus influenzae type b)

Signs and symptoms can include trouble breathing. There may not be any signs or symptoms in mild cases.

Hib can lead to meningitis (infection of the brain and spinal cord coverings); pneumonia; infections of the blood, joints, bones, and covering of the heart; brain damage; and deafness.


Signs and symptoms can include tiredness, diarrhea and vomiting, jaundice (yellow skin or eyes), and pain in muscles, joints and stomach. But usually there are no signs or symptoms at all.

Hepatitis B can lead to liver damage, and liver cancer.

  1. POLIO

Signs and symptoms can include flu-like illness, or there may be no signs or symptoms at all.

Polio can lead to paralysis (can’t move an arm or leg).


Signs and symptoms include fever, chills, cough, and chest pain.

Pneumococcal disease can lead to meningitis (infection of the brain and spinal cord coverings), blood infections, ear infections, pneumonia, deafness, and brain damage.


Signs and symptoms include watery diarrhea (sometimes severe), vomiting, fever, and stomach pain.

Rotavirus can lead to dehydration and hospitalization.

Any of these diseases can lead to death.

How do babies catch these diseases?

Usually from contact with other children or adults who are already infected, sometimes without even knowing they are infected. A mother with Hepatitis B infection can also infect her baby at birth. Tetanus enters the body through a cut or wound; it is not spread from person to person.


How Vaccines Work

Immunity from Disease: When a child gets sick with one of these diseases, her immune system produces immunity, which keeps her from getting the same disease again. But getting sick is unpleasant, and can be dangerous.

Immunity from Vaccines: Vaccines are made with the same bacteria or viruses that cause a disease, but they have been weakened or killed to make them safe. A child’s immune system responds to a vaccine the same way it would if the child had the disease. This means he will develop immunity without having to get sick first.


Routine Baby Vaccines
-DTaP (Diphtheria, Tetanus & Pertussis) Vaccine: 5 doses 2 months, 4 months, 6 months, 15-18 months, 4-6 years. Some children should not get pertussis vaccine. These children can get a vaccine called DT, which does not contain pertussis.

-Hepatitis B
Vaccine: 3 doses Birth, 1-2 months, 6-18 months.

-Polio Vaccine: 4 doses 2 months, 4 months, 6-18 months, 4-6 years.

-Hib (Haemophilus influenzae type b) Vaccine: 3 or 4 doses 2 months, 4 months, 6 months, 12-15 months. Several Hib vaccines are available. With one type, the 6-month dose is not needed.

-PCV 13: 4 doses 2 months, 4 months, 6 months, 12-15 months. Older children with certain diseases may also need this vaccine.

-Rotavirus Vaccine: 2 or 3 doses 2 months, 4 months, 6 months. Rotavirus is an oral (swallowed) vaccine, not a shot. Two rotavirus vaccines are available. With one type, the 6 month dose is not needed.

Annual flu vaccination is also recommended for children 6 months of age and older.




Most babies can safely get all of these vaccines. But some babies should not get certain vaccines. Your doctor will help you decide.

A child who has ever had a serious reaction, such as a life-threatening allergic reaction, after a vaccine dose should not get another dose of that vaccine. Tell your doctor if your child has any severe allergies, or has had a severe reaction after a prior vaccination. (Serious reactions to vaccines and severe allergies are rare.)

A child who is sick on the day vaccinations are scheduled might be asked to come back for them.


Talk to your doctor…

before getting DTaP vaccine, if your child ever had any of these reactions after a dose of DTaP:- A brain or nervous system disease within 7 days,

– Non-stop crying for 3 hours or more,

– A seizure or collapse,

– A fever of over 105°F.


before getting Polio vaccine, if your child has a life-threatening allergy to the antibiotics neomycin, streptomycin or polymyxin B.

before getting Hepatitis B vaccine, if your child has a life-threatening allergy to yeast.

before getting Rotavirus Vaccine, if your child has:- SCID (Severe Combined Immunodeficiency),

– A weakened immune system for any other reason,

– Digestive problems,

– Recently gotten a blood transfusion or other blood product,

– Ever had intussusception (bowel obstruction that is treated in a hospital).


before getting PCV13 or DTaP vaccine, if your child ever had a severe reaction after any vaccine containing diphtheria toxoid (such as DTaP).