Healthy Living Magazine

KATY

HEALTHY LIVING

A KATY TIMES publication

December 2014

INSIDE: Katy couple trains together, competes together at area marathons Water aerobics are good for the limbs, chest, abdomen, neck and back

Dr. Michelle Bright: She’s a top-notch dentist who’s also a gourmet chef and licensed commercial pilot who loves to cruise around on her Harley

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Contents & Staff Katy Healthy Living

Katy Healthy Living Magazine

DECEMBER 2014

Features

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The Katy Healthy Living Magazine is a publication of the Katy Times newspaper.

PUBLISHER Terry Schaub tschaub@katytimes.com MANAGING EDITOR Greg Densmore news@katytimes.com PAGE DESIGN Greg Densmore

GRAPHICS MANAGER Kristen Davis

news@katytimes.com

kdavis@fbherald.com

TO ADVERTISE If you are interested in advertising in the Katy Healthy Living Magazine, please call the office of the Katy Times at 281-391-3141 for rates, information and deadlines.

PHOTO & ARTICLE SUBMISSIONS

Dr. Michelle Bright is not your typical dentist. She’s also a gourmet chef, licensed commercial pilot and cruises around on a Harley Davidson motorcycle.

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We are looking for great story ideas. We look forward to fresh story ideas and enjoy publishing your submissions in the Katy Healthy Living Magazine. If you have a great story idea or a great photo to publish, please e-mail us at news@katytimes.com or tschaub@ katytimes.com. Please include ''Health Magazine'' in the subject line of your e-mail.

Times The Katy Healthy Living Magazine is a publication of the Katy Times. The magazine has a print circulation of 6,300 and is inserted into the Katy Times newspaper. Additional copies are available at the office of the Katy Times at 5319 East Fifth Street in Katy.

Marathon runners Kayce Mary Jo Peckham Park Reina, left, and her hosts a very successful husband, Brian, of Katy train 15-20 hours a week water aerobics program.

Important to prevent colds before they start.........9 It’s hard to undo damage from overeating........15 Drinking diet soda could be health risk...........26 4•

Katy Healthy Living

The Katy Times also publishes a magazine in Fulshear — Fulshear Living. The monthly publication has a 5,500 print circulation and is mailed into every home in Fulshear and other homes in the surrounding area. For more information on Fulshear Living magazine, contact the Katy Times at 281-391-3141.

She’s not your average dentist Michelle Bright is not only a crackerjack dentist, she’s also a mother and grandmother, gourmet chef, licensed commercial pilot and rides around on a Harley

BY ANN BULLARD

S

he divides her days between her new office in Katy and her one in Brenham. Away from the office, she’s a gourmet chef, licensed commercial pilot, rides her Harley and, when possible, is on a horse. And she’s always a mother and grandmother.

Bright grew up in Spring Branch, attending high school in that community. She completed college and professional training work at the University of Houston and the University of Texas Dental Branch in Houston.

Bright sold her 20-year-old practice in Memorial City and moved to Katy, where her son, Andrew, his wife, Crystal and grandsons, Mason and Aiden,

live. May 1, she opened a new location for her Katy practice in the Comerica Bank Building at the intersection of Kingsland and South Mason Roads.

She alternates weeks between her Katy office and one in Brenham, spending Wednesday through Tuesday at each.

“Those days mean I spend part of every week at each office, making it more convenient for my patients to get to me,” she explained.

The first thing you notice when you walk into the Katy reception room is that it’s designed to look like anything but a dental office. You’ll be greeted by an always-smiling Pam Darlin. Brightly-colored paintings, a thatched-roof reception desk, big screen television, games and friendly staff are designed

Michelle Bright

PHOTO COURTESY OF KENZIE DELATORRE

Dr. Bright and Shoemaker perform routine dental care on an unidentified patient.

DECEMBER 2014

Katy Healthy Living

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PHOTO COURTESY OF KENZIE DELATORRE

Dr. Michelle Bright officially opened her new office with a Katy Area Chamber Of Commerce ribbon cutting in mid-October. She holds the scissors as her business assistant, Pam Darlin (to her to help put you at ease. Even the treatment room is as patient-friendly as possible. One can look out the window at the tops of greenery while in the chair.

“I do general and cosmetic dentistry,” Bright explained, adding that she only does routine pediatric care and extractions. “I like to see military folks and older patients; we do a lot of partials, cosmetic veneers, crowns and zoom whitening.

“There’s a definite increase in cosmetics and aesthetics,” she said. “I’m seeing a lot more implants and implant restoration and a lot of whitening.

Many people want whitewhite implants; however I suggest that they be closer to the natural color than bright white.”

6•

She and other dentists are seeing a definite increase in tooth decay. “In the 1960s and ’70s, when they began adding fluoride to tap water, we saw such a drop into decay. Dentistry swung more to the preventive side. With the social shift to bottled water and a more organic diet, there’s been an increase in tooth decay. No one drinks tap water anymore.

You can get Ozarka with fluoride or use fluoride drops.

She explained that fluoride toothpastes are available, but that ingested fluoride is different than the topical variety.

Bright agreed that people’s fears and finances are the major barriers to their receiving dental care. “Now we recognize this. I hear stories almost every day about people having negative experiences with

Katy Healthy Living

left), and dental assistant, Leslie Shoemaker (to her right), Katy chamber members and many guests look on.

Down time often means airtime for the energetic professional.

DECEMBER 2014

dentists. If we do our jobs well, we work with people’s problems.

There are some less expensive alternatives to some cosmetic work that are functional if not ideal.”

They also accept several forms of dental insurance and work with a no-interest medical credit program.

As for people’s fears, Bright will use both nitrous oxide and oral sedation. However, although she is certified to use IV sedation, and did so in her office near Methodist Hospital, she chooses not to move away from that professional setting. Rather, she will involve a ‘just a phone call away’ dental anesthesiologist who will come to the office.

Away from the office, Bright assumes a more adventurous persona. In her younger days, she raised Appaloosas and showed them in western competition.

Today, her herd has been reduced to one older mare.

Certainly the ‘average’ dentist doesn’t fly vintage airplanes; few ride a Harley. Yet most weekends she is doing one — or both. Each brings with it a special group of friends.

“I keep my planes [she has two] in a hanger at Brenham,” said Bright, a member of The Texas Twisters T-34 Formation and Aerobatic Team. From March to November, she often flies air shows in one of her T-34s (Beechcraft 234s,) a U.S. Air Force trainer from the 1950s, something she’s been doing for more than 40 years. And throughout the year, her hanger becomes the setting for her popular cooking parties.

Cooking definitely is a passion. A great deal of television time is devoted to watching cooking shows. She emphasized that those are ‘how to’ programs from gourmet chefs. Her Facebook page and personal website include recipes and pictures of many of her favorite dishes.

Cooking for as many as 70 people doesn’t faze her … it’s something she does on a regular basis when she hosts parties at the airplane hanger she leases in Brenham.

Years ago, Julie Andrews starred in a delightful musical, Thoroughly Modern Millie. There are few people today that meet that description more than Dr. Michele Bright.

Streaming smoke is part of Dr. Bright’s aerial performance.

She keeps her two planes in a hanger at Brenham.

Dr. Bright gets a bird’s eye view from the cockpit of her T-34 on the way to an airshow.

DECEMBER 2014

Katy Healthy Living

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Dr. Michele Bright, DDS

832-321-4633 810 S. Mason Rd. Suite 290, Katy Texas 77450

www.brightfamilydds.com In network with most Dental PPO’s Gladly accepting new patients and referrals

Prevent colds, flu before they start No preventive measure is more effective than getting a flu shot.

T

hough the holiday season is a joyous time of year, it’s also one when many people succumb to cold and flu. Spending so much time indoors in close proximity to others can increase a person’s susceptibility to flu and cold, so it’s no surprise that the holiday season, when many people spend lots of time celebrating indoors with family and friends, marks the unofficial start to cold and flu season.

Despite what Mom might have told you about going out into the cold with a wet head or leaving home without wearing a coat, such actions do not increase your risk for cold and flu. But being cooped up indoors, where germs from others who are sick can fester, can increase that risk.

Cold weather also can be a fac-

Sarah Andrews, M.D. Board Certiied

DECEMBER 2014

tor, but not for the reason you think. According to a 2007 study from researchers at Mount Sinai School of Medicine, the influenza virus is more stable and can stay in the air longer when the air is cold and dry. Dr. Peter Palese, a flu researcher who is professor and chairman of the school’s microbiology department, examined guinea pigs infected with the flu virus to determine the connection between the flu and cold weather.

Dr. Palese varied the air temperature and humidity in the guinea pigs’ environment and determined that flu transmission was best at 41 F, while the prevalence of transmission declined as the temperature rose. By the time temperatures reached 86 F, the virus was not transmitted at all. Low humidity also helped transmit the virus, and high humidity stopped the spread. Flu viruses spread through the air in water droplets expelled from sick individuals’ noses and mouths. High humidity may cause these droplets to fall to theground before they can infect someone else.

Allyson Patronella, M.D. Board Certiied

Colds are largely transmitted through surface contact with the virus or direct contact with a sick individual. The cold virus is then contracted on the hands and typically transferred to the nose, eyes or mouth through inadvertent touching of these areas. Spending time indoors in close quarters with other people, which is more common in the winter, can facilitate the spread of colds as well as the flu virus.

There are many ways to reduce your risk of contracting a cold or the flu virus this winter. Perhaps no preventive measure is more effective than getting a flu shot.

In addition, wash your hands frequently to prevent the spread of germs, and disinfect remote controls, computer keyboards, tablets, mobile phones, and other items that are handled by multiple people on any given day. In addition, spend as much time outdoors as possible so you can escape potentially contaminated indoor air.

If you come down with the flu, increase the humidity in your home by running the shower with

Kristin Schmidt, M.D. Board Certiied

Erin Beltramini, D.O.

the door open, using a recreational aquarium or boiling pots of water. Maintain a warm indoor temperature to reduce the likelihood that the flu virus will spread.

Other ways to reduce your risk for cold and flu include: • maintaining a healthy diet; • getting several minutes of sunlight per day; and • exercising regularly.

Kim Gustafson, A.R.N.P.

Katy Healthy Living

•9

NEW PATIENT GIFT

)

For Kayce and Brian Reina, fitness is just the first step

BY ANN BULLARD

I

t takes a special type of person to be a triathlete. Dedicated and determined might be an understatement. And when you add a profession and a family to the training demands this sport requires, you wind up with a couple like Katy’s Kayce and Brian Reina. They manage to do it all, and quite well.

Weekdays, you’ll find Kayce at Katy City Hall.

Since spring of this year, she has been the city’s Director of Tourism, Marketing and Public Relations. Brian is an independent representative for a medical device marketing company. After

Brian bikes hundreds of miles every week.

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work, it’s family and training time.

The couple’s two children, three-year-old Grant, and Avery, age one, often go along for the walk — or ride.

Kayce grew up in the small city of Brady, Texas, county seat for McCulloch County.

Brian was raised in San Antonio. Both have been athletes all their lives. When college years came around, she headed to College Station. Brian graduated from St. Edwards University in Austin, where he played baseball and soccer. After a few years working in other fields, both joined the staff of the Houston Chronicle.

Not long afterward, they

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Katy Healthy Living

DECEMBER 2014

began dating and running together. In 2010, they began participating in marathons. Triathlons were a next, somewhat-logical step.

With approximately 20 triathlons in and around Houston, they rarely have to go far to participate. His best finish: second in the Woodlands’ event.

Not to say they don’t travel.

The couple compete in marathons and triathlons, and Brian recently finished his third Ironman.

Most recently, the entire family went to Panama City, Fla., where Brian finished the Florida Ironman, the third Ironman of his career. The swimming portion had to cancelled, as the Atlantic was too rough for swimmers and the support team.

“They had to rescue some of the pros who were warming up before the race started,” Kayce

said. “It was cold and windy.

Brian’s time wasn’t as fast as we hoped; he finished in 10 hours and eight minutes.

“During peak training time, it consumes your life,” she added. “We train 15 to 22 hours a week. Often, we will start running together; when I’ve finished, Brian keeps going. He bikes 200 to 250 miles and runs 20 to 35 miles. We practice open-water swimming at Twin Lakes in Manvel.”

Despite all her training, Kayce says “not a morning goes by that, when I’m walking up the stairs, my legs don’t burn and I don’t huff and puff.”

Brian pointed out that training consumes your life; it often comes at the sacrifice of your family. He emphasized the need to keep family first.

Kayce says she “is not training for anything special. I usually run one to three miles daily and do 20-minutes cross training at the gym. My goal is a half-marathon in the spring.

Grant and Avery often ‘train’ with their parents.

Dr. Jeanna Mascorro

DECEMBER 2014

Katy Healthy Living

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Grant and Avery Reina enjoy pre- and post-race fun with Brian and Kayce at the Texas Ironman.

“I juggle being a mom, work and training. I usually do my workouts in the morning, about 5 or 5:30 before they wake up. A city employee cross-fit group meets at the police station.

Brian works from home and can train afternoons or whenever he has free time. His schedule leaves little time for him to purse is other passion: golf.

Eating right is as important as the training.

“We watch what we eat,” Brian said. “We probably cheat a little more than we should, but we don’t want to be extremists.

The types of calories we eat are important. Quality in is not the same as quality out. Studying this lets you learn about nutrition. In training, we balance our lives and fitness. It makes a better-rounded person.

“We eat a lot of chicken and rice/veggie combos,” he continued. “It’s important to keep a proper balance of protein, carbs and fat. The right carbs equal energy and fuel remain-

ing. Breakfast for me is oatmeal, an egg white with toast.

And I love quinoa, it’s a high carb with protein, but not high in dextrose [sugar].”

The triathlon season ended November 1. A few holiday and other special races will attract the Reinas and area runners. The next major goal is the upcoming half-marathon at Katy Mills on February 7.

The day will include a 5k run and a run for kids as well. Some of the estimated 3,000 participants will compete for time; others for a personal sense of accomplishment.

“That’s true from a 5k runner to on who is in the Ironman,” Kayce said. “It’s about fitness but also about your mental toughness, having the heart and mind to finish.

“I love the feeling when I cross the finish line. There’s a high in finishing a race; it’s a good example for kids. Only one-percent of the people in the world do this. I feel like I’m able to motivate others without saying a word.

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Katy Healthy Living

DECEMBER 2014

Maintain workouts during holidays

B

etween decking the halls, visiting family and attending holiday parties, it may seem like there is little time to maintain a workout routine during the holiday season.

Several studies show that people can gain anywhere from one pound to a few pounds between Thanksgiving and Christmas. Although that might not seem like a lot of weight, a report in The New England Journal of Medicine noted that many people never lose the weight they put on during the holidays.

Those who struggle to keep the weight off understand the importance of maintaining both a consistent fitness schedule and healthy eating habits. This may be challenging when the rich foods and parties synonymous with the holiday season are around to threaten healthy habits. Here’s how to stay on course.

• Establish a regular exercise date. Treat exercise as any other obligation on the calendar. Make it a necessity and not a luxury.

Schedule time for workouts, even

if it means removing something else from your agenda.

• Don’t worry about the length of your workouts. If you’re accustomed to an hourlong workout but cannot fit in more than 20 minutes on some days, don’t skip the workout simply because it’s shorter. Make the most of that time by targeting larger, core muscles.

• Change your schedule. You may need to alter your daily schedule to fit in gym workouts or other exercise. Try getting up earlier and heading out prior to work or school. This will open up time throughout the rest of your day, and you can use that time to meet the demands of the holiday season.

• Get a trainer or a workout buddy. It’s far easier to blow off a workout when you go it alone.

However, if you have a workout partner who is counting on you and vice versa, you may be less inclined to miss a workout — even when you’re not especially motivated to hit the gym.

• Try new activities. Workouts

need not be limited to exercises in the gym. Plenty of activities work the body and burn calories.

Sledding, ice skating, skiing, and snowboarding are just a few winter sports that can help you stay in shape.

• Choose a hotel with a pool or gym. If holiday travel is on your itinerary, select a hotel that has fitness equipment. This way you can keep up with your routine.

Even swimming a few laps in an indoor pool can provide a cardiovascular workout while you’re on vacation. Remember, it only takes a two-week break from exercise to experience a fitness regression, and you will only have to work harder to get back to your current fitness level if you let exercise slide too long.

• Add short, high-intensity exercises. Burn more calories in less time with high-intensity workouts. This way you won’t need to schedule as much time for workouts but will still get the benefit of exercise.

• Transform chores into exercise opportunities. See that

vacuum cleaner, rake or broom as a piece of exercise equipment.

While cleaning up for holiday company, turn on the radio and get your heart pumping, too. Do leg raises while you’re preparing meals or do some pushups off of the kitchen counter.

• Use your bodyweight. Even if you can’t make it to the gym, rely on your own body resistance for a thorough workout. Pushups, squats, burpees, mountain climbers, jumping rope, and lunges are some exercises that rely on bodyweight for effectiveness.

• Periodically exercise during the day. If you have a few free moments here and there during the day, use these opportunities to exercise. By the end of the day, you may find you squeezed in an entire workout’s worth of exercise over the course of several 10-minute intervals.

Exercise and fitness do not have to play second fiddle to other holiday activities. Make time for workouts, and you will be ahead of the game come the new year.

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• 15

Check your hearing

Take this quick test and check your ability to hear properly.

Yes • Do people seem to mumble or speak in a softer voice than they used to?

• Do you feel tired or irritable after a long conversation?

• Do you sometimes miss key words in a sentence, or frequently need to ask people to repeat themselves?

• When you are in a group or in a crowded restaurant, is it difficult for you to follow the conversation?

• When you are together with other people, does background noise bother you?

• Do you often need to turn up the volume on your TV or radio?

• Do you find it difficult to hear the doorbell or the telephone ring?

• Is carrying on a telephone conversation difficult?

• Do you find it difficult to pinpoint where an object is (e.g. an alarm clock or a telephone) from the noise it makes?

• Has someone close to you mentioned that you might have a problem with your hearing?

No

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How did you do? If you answered “yes” to any of these questions, call 281-578-7500 to schedule your hearing evaluation.

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Texas Children’s Hospital earns ‘Wired’ recognition from AHA

BY TEXAS CHILDREN’S STAFF

A

Houston children’s hospital has received national recognition for applying new “wired” technology in serving patients and staff.

Texas Children’s Hospital received the “Most Wired Innovator” Award from Hospitals and Healthcare Networks, the flagship publication of the American Hospital Association. It was recognized for its “Rapid Communication System”, a comprehensive communication system for its mobile healthcare workers.

The wired award is given annually to three hospitals that apply technology in new and innovative ways to more effectively serve their patients, staff and communities.

Texas Children’s also received the publication’s “Most Wired” designation, given to hospitals that lead the way in technological integration at all levels.

The recognition is determined by the publication’s annual benchmark survey of hospitals and healthcare systems nationwide.

“This year’s Most Wired organizations exemplify progress through innovation” says Rich Umbdenstock, president and CEO of the American Hospital Association. “The hospital field can learn from these outstanding organizations ways that IT can help to im-

prove efficiency.”

This year marks the 15th anniversary of Health Care’s Most Wired Survey.

In that time, hospitals and health care systems have made great strides in establishing the basic building blocks for creating robust clinical information systems aimed at improving patient care. This includes adopting technologies to improve patient documentation, advance clinical decision support and evidence-based protocols, reduce the likelihood of medication errors, and rapidly restore access to data in the case of a disaster or outage.

“Everything we do ultimately supports Texas Children’s mission to provide world class patient care and the Rapid Communication System enables our staff to be more present and accessible to our patients,” said Myra Davis, senior vice president of Information Services. “We have already seen many benefits as a result of staff having multiple communication options such as phone, text and alarms and being able to communicate with groups as well as individuals.”

“Everything we do ultimately supports Texas Children’s mission to provide world class patient care and the Rapid Communication System enables our staff to be more present and accessible to our patients,” said Myra Davis, senior vice president of Information Ser-

vices. Photo: TCH The Rapid Communication System is a comprehensive solution for all mobile health care workers at Texas Children’s Hospital using a single, commercially available Apple iPhone device and a proprietary application from Voalte, a mobile healthcare communications company.

The system allows the hospital to consolidate several individual functions including voice communication; two-way text messaging; alarm queues with priority status and automatic escalation features; staff availability and duty status indicators; and organization directory access. Staff can use any device by simply picking one up and logging in at the beginning of a shift.

Introduced in 2010, the system will completely replace all other communication devices at the hospital by the end of 2013.

According to Davis, the Rapid Communications System has already significantly improved communication at Texas Children’s Hospital by better enabling group and individual exchanges and by providing access to detailed information on colleague availability and work status.

“With the new Rapid Communication System, our nurses are able to quickly and efficiently respond to patient needs,” said Emily Weber, director of nursing in the Newborn Center at Texas Chil

Myra Davis dren’s Hospital. “It streamlines our communication by enabling us to see which nurses are on duty at any given time so that we can make them available where they are most needed. This greatly enhances our overall productivity.”

The information services team received the award in San Diego at the 2013 Health Forum and AHA Leadership Summit.

“It is an honor to lead the information services team at Texas Children’s Hospital. The team is always looking for new ways to innovate, allowing us to provide world-class patient care. I am so proud of the team and what they have accomplished with this project over the past year,” added Davis.

Memorial Hermann Katy first in area that offers breast cancer patients new technology For breast surgeons, there are critical questions with every lumpectomy performed: Did I remove the right amount of tissue?

Are the margins clean? Will I be able to tell my patient we’ve removed all of the cancer?

At Memorial Hermann Katy Hospital, these questions just got easier to answer thanks to the deployment of the MarginProbe® System, a new FDA-approved intraoperative tissue-assessment tool for breast cancer surgery.

During a lumpectomy, the cancerous breast tumor and a small

DECEMBER 2014

amount of tissue surrounding the tumor are removed. The purpose of removing normal tissue surrounding the tumor is to ensure “clear margins” so that no cancer cells remain.

Prior to the development of MarginProbe, surgeons would have to send off the excised tissue to a pathology lab to see if any cancer cells remained along the edges. This could take a week or more. Now, using MarginProbe, breast surgeons like Liz Lee, M.D. at Memorial Hermann Katy can test the margins in real time.

How? Research has shown that cancer cells have a distinctive electromagnetic signature, which is different from that of healthy cells. The MarginProbe gathers this electromagnetic signature and significantly improves surgeons’ ability to identify “cancer on the margins” at the time of breast cancer surgery.

If the margins are not clear, the surgeon can take more tissue while the patient is still sedated, potentially reducing the need for a patient to undergo additional lumpectomies.

Ultimately, the

pathology lab still clears the final tissue.

“This is a real advancement in breast cancer treatment,” said Dr. Lee. “MarginProbe acts as an additional adjunct to help us determine if we have removed all the cancerous cells. The technology gives me and my patients peace of mind knowing we are utilizing all the tools available to us to reach the best outcome possible – elimination of the cancer.”

Memorial Hermann Katy is the first and only hospital in the area with MarginProbe.

Katy Healthy Living

• 17

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It’s easy to overindulge during holidays, hard to undo damage

BY STEPHANIE TAPIA, MBA, PHR

T

he holidays are upon us.

‘Tis the Season to laugh, love and live. It is also a time when bad eating habits are easily acquired. We spend November and December indulging, only to turn around in January and try to undo all the damage

to go about this.

If you are going to indulge, plan accordingly. Select specific days or events when you will break from your regular eating habits. The rest of the time, stick to your eating plan. Here are some useful tips to help you prepare for eating during the holidays without completely

By planning ahead and staying focused, one can maintain their fitness over this challenging time. done and calories consumed.

Don’t get me wrong — I believe that holidays are special occasions, times to eat and be merry. They give us the chance to see the people we love the most and share amazing foods that remind us of comfort, security and love.

However, there is a smart way

derailing.

Tips and Tricks for Holiday Eating 1. Stay focused during the day. If you know that you are going to a big feast with the family for dinner, make sure that breakfast and lunch are healthy options. Choosing lean

proteins and vegetables for the bulk of your meals will allow room for occasional comfort carbs. And never, ever show up on an empty stomach.

2. Ensure that the next meal you eat after a cheat is a healthy one. When we eat something that is out of the norm for us we usually feel guilty afterward. The guilt leads us to seek out more “bad” food, which in turn leads to more guilt and so on, with the cycle continuing for days, weeks or even months. After indulging in a special treat, immediately get back to your regular eating plan.

The hardest healthy meal is the one right after a cheat meal.

3. Plan before you attend. Find out what kind of food will be at the event you are attending. Plan around the menu and load up on vegetables and lean protein options. Try to limit high-fat and fried foods so you keep the overall calories under control.

4. Leave the table. When you are finished eating, walk away. Spend time socializing and enjoying the company of friends and family. If you stay close to the food you will keep on eating.

Holidays are times to be spent in the company of loved ones. But the urge to also indulge in food is at an all-time high. By planning ahead and staying focused, you will be able to maintain your fitness during this challenging time.

Snack and eat wisely, choose small portions so you can try a bit of everything, eat slowly and stop when you are full.

Go out and celebrate. Enjoy the

people you love. Remember, ‘Tis the Season of more than just food.

If you have questions about this topic or anything related to health and fitness, drop me a line at strengthbodymind@ gmail.com.

Stephanie Tapia, MBA, PHR is a certified nutritionist and life coach. She is the founder and owner of Strength of Body and Mind, a full service consultancy dedicated to strengthening the body and mind through coaching in all aspects of life including professional development, physical and mental health and wellness.

Her areas of expertise include physical fitness, nutrition, and mental and physical wellness.

More information is available at www.strengthbodymind.com and on Facebook.com/StrengthBodyMind.

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Water aerobics for fun, good health Program at Mary Jo Peckham Park has been under way since 1990

BY NOREEN STAVINOHA

T

alk about being light on your feet! A person who weighs about 154 pounds on land will weigh about 15 pounds in neck-deep water, making water aerobics one of the lowest impact exercises you can do.

Can’t do jumping jacks on land anymore? You can do them in the water.

Snow skiing too tiring? “Skiing” beneath the water’s surface lets you stretch those leg and arm muscles without straining them or your joints.

Karen Jones, manager of the water activities at Mary Jo Peckham Park in Katy, remembers when the program started soon after Harris County bought the facility from the Founder’s Family Center in 1990.

“We used plastic milk jugs for weights when we started out, and

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Low-impact water aerobic exercises are especially beneficial for the elderly, and for people with arthritis, osteoporosis, back pain and diabetes.

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22 •

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we had two volunteer instructors,” Jones recalls with a smile.

Now there are three different size weights lining one long wall by the indoor pool for participants to choose from, plus a couple of large bins holding Styrofoam “noodles” that are used in some routines. There are seven certified instructors teaching four classes a day, Monday through Friday.

There are deep water aerobics in eight feet of water, and shallow water aerobics at the four foot level. The deep water participants wear buoyancy belts since all of their routines are done without their feet touching the pool floor.

compression of the water opens up blood vessels and keeps the blood pressure lower.”

RELIEF FOR BACK INJURIES People with back injuries particularly benefit from the deeper level movements because there is no impact on the vertebra. However, the muscles are quickly strengthened so there is more support for the injured parts when on land. Some of the devotees of deep water exercise prefer it just because they feel they get a more intense workout.

Dana Mills, a shallow water instructor at Peckham, was one of the first certified instructors hired for the job at Peckham.

“There are books [to study] that tell about the body, and exercises, and how to organize a class,” says Mills. “You learn about all of the muscles, and how all of that works in the water. They also teach the business angle of it for those who want to have their own business. You learn how to get people to come to classes, and how to name a class. Basically, it’s how to teach. You are tested on what you have learned, and issued a certificate when you’re finished. That has to be renewed every three years.”

IMPROVES CARDIO FITNESS Improved cardiovascular conditioning is one of the main health benefits of water aerobics. Compared to other land sports like cycling or running, the heart rate remains steady while working out in the water. Exercises alternate between fast and slow to the beat of music the instructor plays during the workout, adding to the fun.

Participants escape the heat of the summer because the water keeps the body temperature from fluctuating, even when the mercury is rising.

Just walking in the water is more beneficial than walking on land, precisely because of the added resistance provided by the water. This exercise is preferred by some people who have been sedentary, and want to ease into a more active lifestyle. The additional calories spent are a boost if weight loss is one of their goals as well.

Arthritis patients have a class of their own, where the exercises are slower, and there are no jumps involved. There is no jogging in the water for them, just slow walking and flotation exercises. Arms and legs are stretched, but the joints are treated very kindly so as not to cause pain.

On the other side of Katy, the YMCA offers aquatic exercises in their indoor pool as well. Two certified instructors lead participants through a variety of exercise programs. The one called Aqua Zumba® is a favorite, according to Sheila McGill, Healthy Living Director certified under the ABA program. “The music is Latin based for those who like to dance.”

EVERY SESSION IS DIFFERENT Every instructor learns the same exercises, (and there are many) but each is encouraged to develop his or her own unique routine. This is great for the participants, because every session is a little different. They are never boring. The limbs, chest, abdomen, neck and back are all worked in any given class, and because it’s low impact exercise, it’s especially beneficial for the elderly, and for people with arthritis, osteoporoses, back pain and diabetes. The only equipment sometimes used for water exercise are the water weights mentioned above, and “noodles,” (long Styrofoam pieces) that can be used for floatation and resistance in a routine.

Peckam instructors are associated with the United States Water Fitness Association for their certification.

“Some people think that water doesn’t give you good exercise, but it does,” remarks Jones. “If you do the exercises as the instructor leads you, you will be feeling the effects of that exercise an hour later, just the same as on land. Also, the

HOW ABOUT A LITTLE ZUMBA? The schedule describes Zumba as an invigorating workout that includes splashing, stretching, twisting, even shouting and laughing. It’s safe, challenging, body toning, conditioning and exhilarating.

Their H2O Combo class is suitable for all ages and includes a combination of shallow and deep water exercises. This one is the most like the classes at Peckham Park.

Their Silver Sneakers® Splash is both a title and description. All of the exercises are moves to improve agility, flexibility and cardiovascular endurance for the older population. Reaching up to grab something out of a cabinet, rising from a chair, or reaching down to pick up something from the floor often become very hard to do as we age, and exercise can help.

“We want the strength, balance, and coordination we once had,” observes McGill, “and these exercises bring some of that back. I’m also certified with the Arthritis Foundation, so we have exercises that help people with joint problems.

DECEMBER 2014

Participants use Styrofoam ‘noodles’ for some of their water aerobics routines.

They can work on a range of motions without creating stress on the joints.”

Water jogging is another option at both pools, and doesn’t require instruction. It’s more beneficial than walking on land because muscular toning and strengthening occurs with water resistance without the sore muscles.

A CHANCE TO SOCIALIZE If you haven’t already guessed, there is another aspect to joining an aqua aerobics class, and that is, it gives you a chance to socialize.

McGill estimates that it’s about fifty percent social, so even those folks who don’t fully participate in the exercises when they attend still benefit because they are out of the house for awhile and interacting with other people.

No matter what your age, social interaction is of prime importance in maintaining mental health.

Water-based exercise can improve depression in both men and women, and decreases anxiety for fibromyalgia patients.

Women who are pregnant are often looking for exercise options that will be comfortable even in the last weeks before the baby is born.

Aqua exercises are highly recommended for expectant mothers and their babies because of the buoyancy the water affords. She may have gained twenty pounds, but the water still makes her feel she’s only one tenth of it.

Children with development disabilities can’t run and play with other children on the playground, but water exercise with a parent or therapist gives them the exercise they need. If the whole family is involved, family connections are improved as well.

If you decide this is the right kind of exercise for you, you don’t have to buy a pool to do it. Both of the Katy facilities are open to new participants.

Katy Healthy Living

• 23

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The importance of bone health

BY NOREEN STAVINOHA

O

steoporosis: Noun. A condition that results in a loss of bone mass, increasing the possibility of fractures.

Loss of bone density doesn’t happen all at once, but the realization that you are someone with osteoporosis may come all at once when a fall that wouldn’t have bothered you in your twenties results in a broken bone when you are over fifty. It’s a condition that develops over time, and reaches a dangerous level in post-menopausal women through the decrease in estrogen levels, and men over fifty-five who have lower testosterone levels.

Women are at higher risk for developing osteoporosis than men, especially if they have small frames, because they have less bone mass to draw from as they age.

GET A BONE DENSITY SCAN It’s hard to over emphasize the danger an elderly person faces when a fracture occurs. Orthopaedist Winfield Campbell, with the Methodist Center for Orthopaedic Surgery, states that: “One third of the osteoporosis patients I see with hip fractures will die within a year, one third will be permanently disabled, and one-third will recover.’’

Once women reach menopause and men reach an at risk age, they should be given a bone density scan every one to two years to determine the strength of their bones. Race and family history play an important part in determining risk factors. You are at greater risk if you are white or Asian, or if you have a parent or sibling with osteoporosis, especially if there is a family history of hip fractures.

OTHER RISK FACTORS There are other risk factors such as kidney failure, glandular disease, rheumatoid arthritis and other age-related diseases that contribute to the occurrence of osteoporosis. Major drugs such as steroids and thyroid hormone can also be contributors. Too much thyroid hormone can occur if your thyroid is overactive, or if an underactive thyroid is treated with too much of a replacement. Osteoporosis has also been associated with overactive parathyroid and adrenal glands.

Medications that treat other health issues successfully are sometimes detrimental when it comes to our bones because they block or interfere with our absorption of calcium. Some of those are medications used to treat seizures, depression, gastric reflux,

DECEMBER 2014

To strengthen bones, perform strength training utilizing weight-bearing cardio exercises. cancer, and transplant rejection. When any of those life events occur in older patients, doctors sometimes have to walk a precarious tightrope to find a counterbalance to bone harm and still treat those debilitating problems.

EAT A CALCIUM-RICH DIET A lifetime of a calcium-rich diet can provide significant protection against osteoporosis. Those who quit drinking milk as adults are decreasing their calcium intake to their detriment, but that isn’t the only bone-friendly food.

Bone building calcium can be found in sardines, fortified cereals, salmon, and soy. The fish are particularly high in Vitamin D, which is essential in the absorption of calcium.

Soymilk is a high-calcium alternative to dairy for those who can’t or don’t want to drink milk. Soy is also full of isoflavones — a chemical that strengthens your bones and helps ward off disease. Calcium and Vitamin D3 supplements provide added insurance against bone loss.

LIFESTYLE MATTERS Lifestyle choices are significant factors with regard to osteoporosis. For instance, more than two alcoholic drinks in a day interfere with the body’s ability to absorb calcium; tobacco use contributes to weaker bones; and a sedentary lifestyle increases one’s risk for poor bone health. Don’t spend too many hours sitting if you want healthy bones.

If your job requires you to be at a desk all day, make sure you get up several times a day to walk around the office, down the hall, or up and down stairs to maintain bone health. And don’t forget to stop a the gym or walk around the neighborhood when you’re not at the office.

WEIGHT-BEARING EXERCISES Any weight-bearing exercise is beneficial, and walking, running, jumping, dancing and weightifting are particularly helpful in maintaining healthy bones when you are young.

However, running and jumping are risky for the elderly who have already developed a bone problem. For them, low impact aerobics are healthy and safe alternatives. Stair climbing, elliptical training machine exercises, and even gardening are good for bone health for everyone, regardless of age.

In the event of extreme osteoporosis or recovery from a fracture, swimming or water aerobics are helpful for increasing aerobic capacity. Stretching exercises help with muscle tone and balance when they are done slowly and gently, without bouncing and without flexing the spine or bending abruptly at the waist. Twisting and bending can cause compression fractures when severe osteoporosis is present. Check with your doctor for which stretching exercises are best for you.

FALL PREVENTION Since fall prevention is very important for people who have osteoporosis, stability and balance exercises are crucial. When your muscles work together in a way that helps to keep you upright, a fall is less likely.

Movement exercises such as tai chi are recommended for improving balance.

It’s hard to over emphasize the danger an elderly person faces when a fracture occurs. Orthopedist Winfield Campbell estimates that one third of the osteoporosis patients he sees with hip fractures will die within a year, one third will be permanently disabled, and one-third will recover.

Healing a fracture is hard on a person’s system, so if there are other major health issues, survival is very difficult. The third that remain in a wheel chair or using a walker or cane are generally either unable or unwilling to do the therapy necessary for recovery. The third group had no major health issues when the fracture occurred and they did the therapy religiously.

In recent years, pharmaceutical companies have developed a number of medicines that actually rebuild weakened bones so patients with osteoporosis don’t have to live in fear of fractures like they once did. So, if you are one of those persons at risk, talk to your doctor about which one might be best for you.

Katy Healthy Living

• 25

Diet soda and cancer: what you should know MD Anderson expert shares truths on artificial sweeteners and how they can cause obesity and cancer

D

iet soda has few, if any, calories. So it may seem like a healthier, waistshrinking alternative to regular soda. But, nutrition experts tell a different story.

“People who drink diet sodas daily have a higher rate of obesity than those who don’t,” said Stephanie Maxson, senior clinical dietitian in MD Anderson’s Integrative Medicine Center.

And being obese increases the risk for breast (after menopause), colon, endometrial, kidney and pancreatic cancers.

How could a drink with so few calories contribute to weight gain? Research shows that diet beverage drinkers consume significantly more calories from food than regular soda drinkers.

These extra food calories can

cut calories by drinking a diet soda.

“Plus, some preliminary evidence suggests artificial sweeteners may increase your risk for certain cancers, such as urinary and bladder cancers,” Maxson said. “That’s not to say regular soda is better for you.” Both types of soda contain artificial ingredients and chemicals, and Maxson says that these substances might be affecting general health or cancer risks in ways we don’t yet know about.

Here are tips to kick the soda habit for good: • Don’t keep sodas in the house.

“Having a soda close at hand, such as in your home refrigerator, is just too big a temptation,” Maxson said.

Research shows that diet beverage drinkers consume significantly more calories from food than regular soda drinkers. add up to a higher number on the bathroom scale.

In addition, some studies indicate sugar substitutes like aspartame, sucralose and saccharin, which are commonly found in diet drinks, can throw off the body’s natural metabolic processes. Disrupting these processes could cause the body to store fat instead of burning it, and may increase the risk of diabetes and heart disease. And, that’s not all.

“Some artificial sweeteners are several hundred times sweeter than sugar,” explained Clare McKindley, a clinical dietitian at MD Anderson’s Lyda Hill Cancer Prevention Center. “These ultra-sweet additives may create changes in your body and brain that increase the appeal of other similarly sweet foods.”

Indulging those cravings may seem justifiable if someone has

26 •

Instead, stock your home fridge or pantry with healthier options or opt for water. In addition, be sure not to have singles or change for the office vending machine.

“The more effort it takes to indulge your soda habit, the easier it will be to resist,” Maxson said.

• Drink more water.

Instead of reaching for a soda, pour a glass of water or sparkling water. Fluid helps the body get rid of toxins that put one at risk for diseases like cancer. And water has zero calories – meaning it’s one of the healthiest ways to stay hydrated. It is recommended that an individual drink 64 ounces, which is about eight to 10 glasses, of water each day.

• Need more flavor? Infuse the water with fruits or vegetables.

“Put berries or cucumber into a pitcher of water and let it sit in

Katy Healthy Living

the refrigerator overnight,” Maxson said. “That will give your water flavor without any unnatural additives.”

Other healthy alternatives to diet beverages and soda include unsweetened coffee and unsweetened tea.

• Change drinking habits.

The brain develops cravings based on habits. The brain will want a soda the most during the times it is usually consumed such as during lunch or in the afternoon. Here are some alternatives for drinking a soda: • Take a walk.

• Choose a healthier drink option.

• Grab a sweet, guilt-free snack, like carrot sticks or apple slices.

• Call a friend or ask a coworker for support.

“Changing when and how you drink sodas can make them easier to resist and help curb your cravings,” McKindley said.

Plus, physical activity can provide the energy soda may provide.

• Avoid other sweetened beverages.

“Flavored coffee drinks, sweetened teas or fruit juices, energy drinks, and most bottled beverages contain a lot of the same unhealthy additives that are in soda,” Maxson said.

So, drinking other sweetened beverages isn’t a healthier option. The bottom line: Try to drink the smallest amount possible when consuming any kind of soda. And remember, avoiding soda altogether is the healthiest move.

For additional tips on food and exercise, visit www.mdanderson.org/focused.

To learn more about the MD Anderson Cancer Center in Katy, visit www.mdanderson.org/katy.

DECEMBER 2014

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Health tests critical for diabetes patients People with diabetes need to understand what tests mean and identify their target results with healthcare professional

F

or people with diabetes, it’s easy to get caught up in the day-to-day management of the disease. Regular monitoring of blood sugar levels, injections or pumping insulin and diet management takes serious time and effort. No wonder why people with diabetes (PWD) may feel overwhelmed when it comes to taking regular tests.

It’s important to step back regularly to see how overall health is faring since diabetes is a systemic disease. It can affect nearly every part of ones body.

Before diving into the list of tests, people with diabetes need to understand what these tests mean and identify their target results with their healthcare professional.

Here is a list of the most critical tests with standards set by the National Institutes of Health and the American Diabetes Association.

• Hemoglobin A1C. This is the test everyone talks about, for a good reason. An A1C lets you know what your average blood sugar is for the past 2-3 months.

Never mind the daily fluctuations — the A1C gives you the broadest overall picture.

This is important because your overall health will be determined by your long-term management.

So if you A1C is low and consistent, you know you’re doing a good job, even if you sometimes have challenges in your daily management. If your A1C swings around, or goes high, you know that you’ll need to tweak your treatment plan.

What’s a good A1C? According to the American Diabetes Association, diabetics should aim for a 7 percent or below. According to the American Society of Endocrinologists, you should aim for a 6.5 or below. Some doctors urge even lower numbers; A1Cs for non-diabetics are generally below 6 percent.

Unlike the other blood tests listed here, you’ll want to have an A1C performed four times a year.

• Lipid panel. This is another crucial test for people with diabetes, for the simple reason that cardiovascular issues (heart attacks and strokes) are the most serious potential side effects of

28 •

the disease. Other complications can cause serious problems, yes, but a healthy heart is of critical importance.

That being said, cholesterol is a complex topic. Many books have been written on the topic, and there is medical disagreement about how to interpret the results. Here’s a quick summary of the current thinking.

A cholesterol test is really measuring several different components of blood fats, and they have different levels of importance. Take the overall cholesterol, which is usually the largest number you’ll see. This number is actually of little importance on its own because it includes both “good” and “bad” cholesterol.

“Bad” cholesterol is called LDL (or low-density lipoprotein) and doctors will want to generally keep it below 100. That being said, there are different kinds of LDL particles, some of which are more harmful than others.

The “good” cholesterol is called HDL (or high-density lipoprotein), and doctors generally want to keep it above 40. Again, though, it seems as though there are also different kinds of HDL particles, some of which are more beneficial than others.

People with diabetes will also be tested for triglycerides, which are yet another kind of blood fat.

Doctors will want that number to be below 150.

Doctors pay different attention to these numbers. They often focus on LDL cholesterol because they have effective drugs (statins) that can reliably reduce it. That being said, evidence exists that HDL and triglycerides are more powerful predictors of cardiovascular issues. Raising HDL levels usually takes regular exercise, weight loss and dietary change.

Cholesterol levels don’t fluctuate in the way that A1C levels do (unless one dramatically changes their diet), they will be tested less frequently. People with diabetes will generally get one test a year, unless their doctor wants to keep a closer watch on the levels.

• Kidney tests. There are two important tests diabetics must have regularly to measure kidney function. This is crucial because kidney disease (and potential fail-

Katy Healthy Living

ure) is one of the most serious potential diabetic side effects.

The best-known of these is the microalbumin test. This looks for protein in your urine.

High blood sugars can damage the tiny, delicate blood vessels in the kidneys, causing trace amounts of protein to leak into the urine. Over time, if not addressed, this damage can progress to full-blown kidney failure and dialysis.

Doctors will also want to test blood creatinine levels. This number indicates how effectively the kidneys are filtering waste products. Taken with the microalbumin test, the doctor should be able to get a good idea of ones overall kidney health.

Of all diabetic complications, kidney problems have been one of the most effectively prevented and reduced. In part, this is because ACE inhibitors, a common blood pressure medication, help prevent kidney damage. Even if you don’t have kidney problems (or high blood pressure, for that matter), your doctor may want you to start an ACE inhibitor for just this reason.

• Blood pressure. Ones blood pressure is checked at every doctor’s’ visit, and that’s as it should be. The test is quick and easy to perform and it gives you immediate results. It’s another test that gives you insight into cardiovascular health, so one needs to pay attention to the elevated numbers.â ¨ In general, doctors will diagnose high blood pressure if the readings are above 140 systolic (the top number) and 90 diastolic (the bottom number).

For most people, the numbers should be closer to 120/80.

Diabetes can raise blood pressure and there are generally no symptoms if you’re suffering from elevated levels blood pressure. There are cheap and effective drugs for lowering blood pressure. Doctors will probably want a person with diabetes on medication, even if ones numbers are borderline or mildly elevated.

• Foot exam. At least twice a year, people with diabetes should also have a foot exam.

Those suffering from diabetes should have their blood pressure checked at every doctor’s visit.

Their doctor will look at their feet carefully to make sure you don’t have any ulcers or abrasions. These can be especially risky for people with diabetes with impaired circulation. Doctors will also check the pulse in the feet, another measure of the circulation in the extremities.

Finally, Ones health care provider will likely test how sensitive their feet are, usually with a small plastic thread called a monofilament. This can help diagnose impaired sensation.

If one is diagnosed with foot problems, their doctor may recommend special shoes to reduce pressure on sensitive spots. Medication can also be prescribed if one is suffering from pain caused by nerve damage.

• Dilated eye exam. People with diabetes need to go to an eye doctor for this exam. An eye exam looks specifically for the retinal damage that can be caused by high blood sugars.

Surgery to seal off leaking blood vessels may be needed to preserve and protect ones vision.

The good news about eye complications is that they tend to be one of the earliest signs of poorly controlled diabetes. Good glycemic control has been shown to stop these problems and sometimes even reverse them.

• General health exam. Health can’t be reduced to one disease or set of complications. Ones overall wellness is important too. That’s why people with diabetes should have a general checkup at least once a year, in addition to all of the aforementioned tests. The doctor will let the one know how their overall health is faring and what they can do to stay on track.

DECEMBER 2014

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For beginners, hardest part of wellness program is showing up

BY ASHLEE GREGOR

T

he hardest part of starting — (or let’s face it , repeatedly restarting) — a wellness program like exercise, diet or reducing stress in life is simply beginning. The old adage that half the battle is showing up holds true. As the holidays approach, now is the perfect time to get started.

Grab a friend or two. Sometimes using the buddy system can hold you accountable if you have had trouble staying committed in the past.

So you’re going to show up — now what?

A great beginning exercise for all fitness levels is planking. With this, you hit several major muscle groups, while engaging your core for support. With many different lev-

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els of difficulty, the plank can be upgraded or downgraded depending on your strength and stamina level. Stretching is also key in keeping your muscles loose, so don’t forget to throw some of that into the melting pot.

BALANCE IS KEY It’s important to keep your workouts balanced, so ensure you mix some cardio in with weight-lifting. But remember to keep it fun!

For instance, find fun workout jams to keep you motivated and pushing towards a finish line. Spotify, Pandora, IHeart Radio and ITunes are some of many apps available for music of all tastes.

So you’re back in the gym, but that’s only half the battle, right?

Katy Healthy Living

A healthy lifestyle also includes a healthy diet. Think of your body as a machine.

Machines need fuel to operate properly.

Shopping the outside aisles of the grocery store more often than not leads to healthier choices. Or try leaving one bite of food on your plate at the end of the meal or use smaller plates so they look full. It’ll trick your brain into eating less but you’ll feel as though you ate a large meal.

Satisfying.

Getting back into the gym can be intimidating, but it doesn’t have to be. Having a certified personal trainer to help you assess your fitness level, discuss your goals and plot a path to reach them can make all the difference. Happy Holidays!

Ashlee Gregor is a Certified Personal Trainer at 24-Hour Fitness Bella Terra. You can e-mail her at ashleegregor@gmail.com or call 832-724-9241 for a free three-day pass and tips on training.

DECEMBER 2014

PEACE OF MIND

Examples of Illnesses Covered by Hospice

Patient Focused Care

At Amazing Grace Hospice we are committed to the exceptional delivery of compassionate patient-focused care. Our approach will always be based upon the needs of each individual patient and family.

Our teams of trained experts seek input from the patient and family to develop a unique plan of care designed to address physical and emotional needs.

• Hospice offers comfort and supportive care to not only the patient, but to the family and caregiver as well.

• Hospice care can be provided at the patient’s home or a healthcare facility.

• Hospice provides medical equipment, supplies and medication related to the hospice diagnosis.

• Amazing Grace Hospice provides routine, after-hour and weekend visits by a Registered Nurse.

• Hospice provides hospice aides, chaplains, social workers and volunteers as requested.

• Hospice assists with navigation through the healthcare system and with various referral resouces.

• Hospice is covered 100% by Medicare Part A, Medicaid and most private insurances.

• Hospice should not be a last minute decision rather a journey through the final stages of life however long that may be.

Volunteers Needed To learn more, or to schedule a consultation,contact us at

832.437.2089

ALS (Lou Gehrig’s Disease) Alzheimer’s Dementia Non-Alzheimer’s Dementia Cancer Heart Disease Kidney Disease Liver Disease Lung Disease Multiple Sclerosis Parkinson’s Disease Stroke Failure to Thrive

Amazing Grace Hospice has received accredation by The Joint Commission which is recognized nationally as the Gold Seal of Approval in Healthcare.

Our mission is to assist

patients in managing life’s journey with

dignity and compassion

5502 Fourth Street, Katy, TX 77493 o: 832.437.2089 f: 832.437.2090 AmazingGraceHospice.org “Serving Katy and Surrounding Areas"