Leading Medicine Fall 2021, Houston Methodist West Hospital edition

LEADING MEDICINE FA LL 2021

Don’t Delay Primary Care Visits

Boost Your Brain Power

MAMMOGRAM FAQs

Your Breast Cancer Screening Questions Answered Visit houstonmethodist.org/lmn/fall-2021 to read more online.

YOUR LINK TO HEALTH INNOVATIONS, NEWS AND TIPS IN WEST HOUSTON/KATY

BOOST YOUR BRAIN POWER

Y Dr. Wyatt L. Ramey

our brain — if it only worked as well as it should, you’d always be able to find your keys, finish projects in half as much time and respond with those witty comebacks on the spot. The good news?

Proper nutrition, healthy lifestyle habits and how you challenge your brain can enhance your mental capabilities.

FOOD FOR THOUGHT

“Feeding your brain a diet rich in vitamins and minerals can help sharpen your mental abilities,” said Dr. Wyatt L. Ramey, a neurosurgeon at Houston Methodist West Hospital.

“A good way to safeguard your brain is to eat a varied diet and take a multivitamin daily.”

For example, researchers have found that dieters who lack boron — a mineral found in broccoli, cabbage and cauliflower — have trouble retaining information.

Women whose diets are low in zinc and iron have a tougher time on standard memory tests than women whose diets are rich in these minerals.

You can also maximize your mental abilities by eating less fat.

Fatty foods sap brain power because they take a long time to digest. Your mental alertness and concentration diminish when blood is diverted from your brain to help digestion.

PLAN YOUR MEALS

Not just what you eat, but when you eat it, may greatly affect your brain. Studies show that people who eat a protein-rich lunch are better able to perform complicated mental tasks than those who eat a carbohydrate-rich lunch, such as spaghetti. The reason?

Proteins increase two brain chemicals that help you feel mentally energetic. Carbohydrates boost levels of a brain chemical that has a tranquilizing effect.

“Skipping any meal can cause blood sugar to drop, leaving you unable to think clearly,” Ramey said. “And breakfast is the worst meal to skip, because your body has been fasting for eight or more hours.”

Talk to Your Doctor

Keeping your brain as sharp as possible now may help ward off neurological disorders, such as dementia. If you incorporate these health tips into your life but still notice symptoms, you may want to consult a physician. Learn more about Neurology & Neurosurgery at Houston Methodist West Hospital by visiting houstonmethodist.org/neuro-west or calling 832.522.8520.

EXERCISE YOUR MIND

When it comes to brain power, if you don’t use it, you can lose it.

“People who challenge themselves mentally appear less likely to develop dementia than others with less intellectual stimulation,” said Ramey. “That’s because brain cells communicate via tiny branches called dendrites. When brain cells are activated, these dendrites grow, making more complex connections between cells.

This improves memory, attention span and the ability to learn.”

To keep your mind sharp, exercise your mental muscle. Tackle word games or puzzles. Give yourself a creative challenge like writing poetry or try to use a new word every day. For long-term brain improvement, consider learning a language or taking a class.

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BE ACTIVE

“Strive for at least 30 minutes of moderate physical activity at least five days a week,” said Ramey. A study published by the American College of Sports Medicine found that aerobic exercisers did better on mental tests than those who were less active. Studies of older adults also have found that regular exercise can improve the speed with which the brain processes information. Walking briskly or doing any other form of aerobic exercise will increase blood and oxygen flow to the brain, protecting brain cells from aging.

DON’T DELAY PRIMARY CARE VISITS

D

uring the worst of the COVID-19 pandemic, many people avoided going to the doctor for primary care.

In some cases, it was fear of getting the virus. In others, primary care clinics were either closed or had limited hours. But now that things have opened up, there are no excuses.

Delaying primary care visits can put your Dr. Jessica John health at risk. “Always make time for a visit with your Primary Care Provider (PCP),” said Dr. Jessica John, a family medicine doctor with Houston Methodist Primary Care Group at West Hospital. “As the doctor who knows you best, we are trained to look for signs or risk factors for serious health problems and can work together with you to form a treatment plan to keep you at your healthiest.

You should have a visit with your PCP at least once a year, even in a pandemic.”

THE IMPORTANCE OF A PRIMARY CARE PROVIDER

Developing a relationship with a PCP has several advantages.

Over time, your doctor gets to know you and your health history.

Regular visits may help identify problems or changes in your health early, when they may be more easily or successfully treated.

“Maintaining a trusting relationship with your PCP makes it easier for you to reach out to us about a new, uncomfortable or personal health problem,” John said. “Don’t hesitate to be open and honest about your concerns — you are there for care, not judgment.”

HOW PRIMARY CARE HELPS YOU MANAGE YOUR HEALTH

Here are some ways primary care can help you get and stay healthy.

Annual wellness checkups. An annual exam is a great opportunity to address any questions or concerns about your physical and mental health.

PCPs will generally check your height and weight, blood pressure, listen to your heart and lungs, and review any

medications you’ve been taking. They may also order blood tests to check cholesterol and blood sugar levels, as well as any other tests you may need.

Cancer screenings. Your PCP will recommend appropriate screening tests, such as a mammogram, colonoscopy, prostate exam, chest imaging or other tests that may help find certain cancers early when they are more treatable.

Chronic disease management. Your PCP can help you manage chronic conditions, such as high blood pressure, diabetes and asthma through education, medication and suggested lifestyle changes.

Health care coordination. Think of your PCP as the point person in your health care. “In addition to diagnosing and treating various acute and chronic health conditions, we are also able to coordinate care with the appropriate specialists for your unique needs,” John said.

Vaccinations. Primary care visits will often involve reviewing and scheduling recommended vaccines that can provide protection for you and others against COVID-19, flu, pneumonia, shingles and other infectious diseases.

Schedule Your Appointment Today

If it’s time for your primary care visit, or you’re overdue, schedule an in-person or virtual appointment today.

If you don’t have a PCP, schedule an appointment with a Houston Methodist West primary care doctor by visiting houstonmethodist.org/pcg-west or calling 713.394.6724.

CHECK OUT OUR DIGITAL MAGAZINE AT HOUSTONMETHODIST.ORG/NEWSROOM/NEWSLETTERS 3

MAMMOGRAM FAQs

YOUR BREAST CANCER SCREENING QUESTIONS ANSWERED

W

hen life is busy, it’s easy to put everyone else’s needs before your own. But it’s important to make time for yourself — and your annual screening mammogram. If you’re not sure when to start getting mammograms or what to expect, we’re here to help.

Dr. Correna Terrell, medical director of the Dr. Correna Houston Methodist Breast Care Center at West Terrell Hospital, answered some common questions women have about getting mammograms.

PREPARING FOR YOUR MAMMOGRAM When should I start getting screening mammograms and how often?

Your doctor may recommend annual mammograms starting at age 40 if you have an average risk for breast cancer. Ask your doctor about your risk for breast cancer and the screening schedule that’s right for you.

Why should I get an annual mammogram?

Getting regular mammograms makes it possible to detect breast cancers when they are small and easier to treat. It’s also helpful to be able to review your mammogram history and track any changes in the breasts over time.

What do I need to know about scheduling my mammogram?

It may be helpful to avoid scheduling a mammogram the week before your period, when breasts may be more tender. However, it’s important to get in for a mammogram whenever it works with your schedule.

What should I wear for my exam?

Life is busy and it’s OK if you show up as you are for your mammogram. Wearing a two-piece outfit makes it easier to remove your top for your mammogram and it’s best to avoid wearing deodorant, powders or lotions. You’ll be offered wipes to remove deodorant, if needed.

Learn More Online Visit us online at houstonmethodist.org/lmn/fall-2021 to read more about Houston Methodist services and screening options.

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TYPES OF MAMMOGRAPHY AND BREAST IMAGING Whether you need a screening mammogram or other breast imaging test, we have the technology and expertise to guide you through the next steps.

3D mammogram is a highly efficient and accurate digital technology used to identify smaller tumors sooner for earlier breast cancer detection.

Does my insurance cover a mammogram?

Most major insurance plans cover an annual screening mammogram, but it’s important to call and verify your coverage.

CREATING A COMFORTABLE EXPERIENCE What should I expect during my visit?

You can get a mammogram done quickly. Prior to your appointment, you’ll be asked to complete your registration through the patient portal MyChart. After checking in, you’ll be escorted to a private room to change into a robe before meeting with the mammography technologist.

What happens during a screening mammogram?

The technologist will ask you some questions related to your health, including birth control, family history of breast cancer and any symptoms you may be experiencing. These questions are important to help make sure we’re doing the right type of mammogram. Next, you’ll be asked to stand in front of a 3D mammography machine and the technologist will take X-rays of two different views of each breast.

Are mammograms painful?

Some women may find the breast compression to be uncomfortable or painful, but the experience is different for everyone. The compression takes about 10 seconds for each image, and our technologists are trained to listen to you and make the experience as comfortable as possible.

UNDERSTANDING MAMMOGRAM TECHNOLOGY

Breast ultrasound is an imaging test that can determine if a lump or mass is filled with fluid.

B reast MRI is an extremely sensitive test to look for breast cancer and may also be used for breast cancer treatment planning.

screening mammogram, you may be asked to come back for further testing. A diagnostic mammogram may be ordered after a screening mammogram shows a questionable area, if you feel a lump in your breast or have other symptoms.

GETTING YOUR RESULTS Who will review my images?

Board-certified breast radiologists are specially trained to interpret breast mammogram results.

How will I get my results?

Once reviewed by a doctor, you can view your results in the patient portal. If further testing is needed, a staff member will contact you to share findings and schedule additional imaging.

What does it mean to have dense breast tissue on a mammogram?

Density refers to how much fibrous tissue is in the breast. Having high density on a mammogram makes it more difficult to see a mass. In some cases, we may order a breast ultrasound in addition to a mammogram for women with high breast density.

What if I get called back for a second mammogram?

Getting called for a second mammogram doesn’t mean you have cancer. It means we need more information to see what’s going on. When you come in for a diagnostic mammogram, a breast radiologist will meet with you to share the results and answer your questions.

What is a 3D mammogram?

A 3D mammogram is the latest, most advanced technology to detect breast cancer with the greatest accuracy. 3D technology uses a low dose of radiation, yet allows for more targeted views that help find small cancers.

What is the purpose of a screening mammogram vs. diagnostic mammogram?

A screening mammogram is done when you have no symptoms of breast cancer. The purpose is to find cancers in an early stage before you can feel a lump. If we find an irregularity on a

Scheduling Your Mammogram To schedule your mammogram at Houston Methodist Breast Care Center at West Hospital, visit houstonmethodist.org/breast-care or call 832.772.3455.

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What to Ask Your ObstetricianGynecologist at Every Age

H

ave you ever left your doctor’s office and thought, “Darn!

I meant to ask about … .”

Here are some questions to consider next time you visit your obstetrician-gynecologist.

AGES 21 TO 40

Is my menstrual cycle normal? Jot down how often and how long your monthly periods are so you can discuss with your doctor. Report any unusual pain, heavy bleeding, spotting or cramping.

Should I get the HPV vaccine?

The Centers for Disease Control and Prevention recommends the HPV vaccine for females and males ages 11 to 26 to help prevent HPV infections, cervical cancers and genital warts. However, some individuals up to age 45 may still benefit.* Do I need a Pap test? The CDC recommends a Pap test to screen for cervical cancers starting at age 21.

What about birth control? If you’re already using birth control, report any side effects to your doctor. If you’re interested in starting birth control, ask about your options and any potential risks and benefits.

How long should it take to get pregnant? If you’re thinking about having a baby, ask about diet, exercise, supplements and other ways to work toward a healthy pregnancy. Let your obstetrician-gynecologist know how long you’ve been trying to conceive. Your doctor may recommend fertility testing, if: You’re younger than 35 and have been trying to conceive for a year.

You’re older than 35 and haven’t conceived after six months.

Is my vaginal discharge normal? Don’t hesitate to report unusual or foul-smelling

discharge. You may need to be tested for a sexually transmitted disease, depending on your symptoms and sexual history.

AGES 40 TO 60

How often should I have a mammogram?

The American College of Radiology recommends that women with an average risk for breast cancer, begin an annual screening mammogram at age 40. Discuss risk factors, such as family history, with your obstetrician-gynecologist. They may recommend starting earlier or even suggest genetic testing.

How can I deal with urine leakage?

Women, especially those who have given birth vaginally, may experience stress incontinence, which can occur during exercise, sudden coughing, sneezing or laughing. Don’t be embarrassed. Ask about treatments that may relieve symptoms and improve your quality of life.

Am I going through perimenopause?

Report any possible symptoms, such as hot flashes, mood changes, vaginal dryness and sleep disturbances. Your obstetriciangynecologist can explain the changes your body will go through as you move toward menopause and discuss ways to ease symptoms.

AGES 60 AND OLDER

How are my bones doing? Most women should have a bone density test at age 65 to check their risk for osteoporosis. If you’re age 64 or younger and have finished menopause, check with your doctor about testing. Treatments are available to help stop bone loss or even encourage bone growth.

Should I continue Pap tests? After you’ve had negative tests for many years, you may no longer need Pap tests unless you show symptoms of cervical cancer.

To Find an Obstetrician-Gynecologist

Do I still need breast cancer screening? There is no defined upper age limit at which mammography ceases to be beneficial. Your doctor may recommend continuing mammograms even after age 75 so long as you are in good health, able to undergo the examination, and willing to undergo additional testing, including biopsy, if an abnormality is detected.

ALL AGES

If your obstetrician-gynecologist is your primary care doctor, ask about any other necessary health screenings, such as blood pressure and cholesterol checks, and any recommended immunizations.

EACH WOMAN IS UNIQUE

It’s not unheard of to have a late-age pregnancy or an early start to perimenopause, so consider these age categories simply a guide. Don’t hesitate to ask questions about any concerns or issues you may be having, and be sure to have regular exams. * S ource: Centers for Disease Control and Prevention.

Call 832.522.5522 or visit houstonmethodist.org to find an obstetrician-gynecologist in West Houston and Katy.

6 LEADING MEDICINE IN WEST HOUSTON/KATY

HEADS UP:

RECOGNIZING AND PREVENTING HEAD INJURIES

Y

ou’ve fallen down the stairs and hit your head on the pavement. Your high-school soccer star has a bad headache after head-butting the ball several times during a match. A friend has been tackled during a friendly game of touch football and briefly loses consciousness. Should you head to the emergency room?

Dr. Peter Timothy “Learning how to recognize a serious head Sprockel injury could make the difference in saving someone’s life,” said Dr. Peter Timothy Sprockel, a board-certified sports medicine doctor with Houston Methodist Orthopedics & Sports Medicine at West Hospital. “But it’s also important to learn how to protect your head to avoid an injury in the first place.”

WHEN TO GET MEDICAL HELP

Common causes of head injury include traffic accidents, accidents on the job or at home, falls, physical assaults and sports injuries.

“A blow to the head could result in a minor concussion, dizziness and headache, which may just require a few days’ rest,” said Sprockel. “However, a severe trauma or multiple blows to the head may cause skull fracture or swelling or tearing of a blood vessel or an artery in the brain, which can have serious consequences.”

Symptoms of a serious head injury may show up right away or may develop slowly over several hours. Immediately call 911 if the injured person suffers from any of these symptoms: Abnormal breathing An inability to speak or see properly Bleeding from the ears, nose or mouth, or uncontrolled bleeding from the skull Loss of memory regarding the injury Seizures or loss of bladder or bowel control Unconsciousness Vomiting Worsening headaches Even if it seems medical treatment isn’t necessary, don’t send someone who has suffered a head injury home alone since symptoms may still arise. A responsible adult should monitor the injured person for 24 hours. Head to the ER or call 911 if any of the above symptoms develop.

AN OUNCE OF PREVENTION

About 10% of head injuries are related to sports. “Many of these sports injuries might have been prevented by simply wearing the proper helmet,” Sprockel said. Bicycling, in-line skating, skiing, snowboarding, horseback riding and certain team sports require helmets to protect your head.

Cushioning the Blow

HOW TO BUY A HELMET When buying a helmet, getting the right kind and fit is key. Try on several before purchasing. Make sure the chin strap sits under your chin snugly and the “V” in the straps meets under your ears. Look for a manufacturer’s sticker citing the Consumer Product Safety Commission standard.

Since all helmets are not created alike, choose a head covering designed specifically for your sport for the best protection.

Consider a Baseline Concussion Test

A preseason baseline concussion test for young athletes involved in contact sports may help doctors diagnose a concussion. Houston Methodist West Hospital has concussion specialists on hand. To learn more, visit houstonmethodist.org/concussion or call 713.441.8277.

In addition, these steps may help you and your family avoid head injuries: Always wear your seat belt.

Avoid drinking alcohol when driving a boat, motor vehicle or participating in sports.

Buckle up children riding in shopping carts designed for kids. And never leave them unattended.

Exercise regularly to maintain balance and strength.

Help keep your home safe from accidental falls by clearing floors of clutter, avoiding throw rugs, using skid-proof mats in the bathtub, securing stairway handrails and keeping walkways well lit. Use well-secured baby gates on stairways if you have young children.

Secure infants and young children in appropriate car seats and booster seats.

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Early Detection Starts With Your

ANNUAL MAMMOGRAM Advanced Breast Screenings Close to Home

West Houston-Katy

BARKER CYPRESS RD.

At Houston Methodist Breast Care Center at West Hospital, our specialists review your mammogram history and track results over time — detecting changes earlier.

That’s why getting your mammogram starting at age 40 — or earlier, if you have a family history — is so important.

GREENHOUSE RD.

FRY RD.

PARK ROW

Our Breast Care Center offers:

• The latest 3D mammogram technology • Board-certified breast imaging radiologists

• Acceptance of most major insurance plans

Your health is our priority. To better protect you, we took it one step further by requiring COVID-19 vaccinations for all of our physicians, staff and employees.

Scan the QR code, visit houstonmethodist.org/breast-care or call 832.522.PINK (7465) to schedule your mammogram today.

We do not require a doctor’s order for your annual screening mammogram.

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