Leading Medicine Fall 2021, Houston Methodist Willowbrook Hospital edition

LEADING MEDICINE FA LL 2021

Treating Neurological Conditions From Common to Complex

Snoring Could Signal Sleep Apnea

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 NORTHWEST HOUSTON

IN THIS ISSUE - FALL 2021

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Recovery After Robotic-Assisted Knee Replacement If knee pain is preventing you from enjoying life, it may be time to consider knee-replacement surgery. Learn more about robotic-assisted knee replacement surgery and how it can help you get back to doing what you love.

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Your Breast Cancer Screening Questions Answered Making time for important health screenings, such as an annual screening mammogram, is often put aside when life gets busy. Here’s what you should know about mammograms and how to make sense of your breast imaging options and results.

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Treating Neurological Conditions From Common to Complex If you’re having neurological symptoms, such as headaches, numbness or tingling, or chronic pain it’s time to seek help. Learn more about getting the neurological care you need to treat and manage your condition.

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Snoring Could Signal Sleep Apnea Snoring isn’t just an annoying habit — it could be a warning sign of a more serious health issue. Find out what could be preventing you from getting a good night’s sleep and how you can take control.

NEWS & EVENTS

LIVE ONLINE WEIGHT LOSS SURGERY ORIENTATION ate: Tuesday, Oct. 5, 2021 D Time: Noon | Location: Online

ate: Wednesday, Nov. 3, 2021 D Time: 6 p.m. | Location: Online ate: Monday, Dec. 13, 2021 D Time: 6 p.m. | Location: Online For more information about our events and to register, visit houstonmethodist.org/events or call 281.737.2500.

We host a variety of virtual and in-person events on childbirth, weight management, student athletes and more. For a comprehensive list of events at Houston Methodist Willowbrook Hospital, visit houstonmethodist.org/events or call 281.737.2500.

2 LEADING MEDICINE IN NORTHWEST HOUSTON

NOW OPEN! HOUSTON METHODIST PRIMARY CARE GROUP IN FAIRFIELD Houston Methodist Primary Care Group is now serving residents in the Fairfield community and north Cypress at its new clinic located on State Highway 290, near Houston Premium Outlets. This new freestanding clinic is staffed with board-certified family medicine physicians who can see you virtually and in person.

Whether it’s time for your annual physical or you’re just not feeling right, visit houstonmethodist.org/pcg/fairfield to make an appointment.

Get Back to Your Life Faster

Recovery After Robotic-Assisted

Knee Replacement

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our mobility can affect every aspect of life, from your ability to work, take care of responsibilities at home and enjoy recreational activities. When knee Dr. Sean pain prevents you from Kraekel living life to the fullest, it’s time to seek out solutions.

Pain relievers, physical therapy and other conservative treatments are usually the first line of defense in treating knee pain. “If conservative treatments haven’t worked and you still have debilitating knee pain, knee replacement surgery may be an option,” said Dr. Sean Kraekel, orthopedic surgeon with Houston Methodist Orthopedics & Sports Medicine at Willowbrook. “Knee replacement surgery can be life changing when you’re able to restore function and relieve pain.”

ADVANCEMENTS IN KNEE REPLACEMENT SURGERY

Undergoing knee replacement surgery is a big decision, and it’s important to know what to expect from surgery. With robotic surgery, the surgeon intraoperatively maps a three-dimensional model of the knee, tracks dynamic soft tissue balance and creates a customized surgical plan for each patient. The surgeon then utilizes the robotic arm to translate that plan into precise bony resections that optimizes soft tissue balance.

“Innovative surgical techniques, such as robotic-assisted surgery, can improve the precision of knee replacement surgery, with the goal of helping patients recover and get back on their feet faster,” Kraekel explained.

HELPING YOU RECOVER

Technology makes it possible to perform knee replacement surgery with more precise incisions. “The significantly

enhanced precision of robotics allows surgeons to perform minimally invasive procedures with less manipulation of the bone and less soft tissue disruption resulting in less pain and faster recovery,” Kraekel said. Benefits of robotic-assisted knee replacement surgery may include: Shorter recovery time. Minimally invasive surgical techniques help patients recover and return to regular activities faster. “With robotic surgery, there is less manipulation of the bones and soft tissue compared to conventional surgery. This reduces the pain and inflammation associated with the surgery, which may result in a faster return to normal activities for many patients,” Kraekel explained.

Less pain. Smaller incisions and muscle-sparing techniques generally mean less postoperative pain. “The need for pain medications after surgery varies greatly for each person, but we’re seeing less need for opioid medications and fewer refills of pain medications after roboticassisted knee replacement surgery,” Kraekel said.

Reduced complications. Minimally invasive and robotic techniques may result in fewer complications and a lower risk of infection compared to an open surgery. “With any surgery, our goal is always to have fewer complications that delay recovery and add to costs,” Kraekel added.

Evaluate Your Knee Pain A joint consultation with an orthopedic specialist at Houston Methodist Willowbrook Hospital can help identify the cause of your knee pain and options for treatment. To schedule a joint consultation, visit houstonmethodist.org/joint-doctors-wb or call 281.737.0999.

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

MAMMOGRAM FAQs

YOUR BREAST CANCER SCREENING QUESTIONS ANSWERED

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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. Ainel Sewell, a breast radiologist with Dr. Ainel Sewell Houston Methodist Breast Care Center at Willowbrook, 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 smaller and easier to treat. It’s also helpful to be able to review your risk of breast cancer 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 breast health, screening options and the early detection of breast cancer.

4 LEADING MEDICINE IN NORTHWEST HOUSTON

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.

3 D mammogram is an imaging test that combines multiple breast X-rays to create a three-dimensional picture of the breast. This exam is used to look for breast cancer in people who have no signs or symptoms.

Breast ultrasound is a non-radiation-based exam that uses high-frequency sound waves to produce images of soft tissue. The images can provide valuable information for differentiating solid masses and fluid-filled cysts.

B reast MRI is a non-radiation-based, advanced crosssectional imaging exam that is extremely sensitive in

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 and hormone replacement therapy, history of any breast surgery or procedures, 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 slightly uncomfortable, 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 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 in-depth views that help the radiologist detect small cancers.

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

Screening mammograms are performed for women age 40 and above who have no symptoms or signs of breast cancer and are considered at average risk for breast cancer. The purpose is to find

detection of breast cancer and other abnormalities in the breast.

C ontrast-enhanced mammogram is an emerging technology that is similar in technique to a mammogram but employs the use of intravenous iodinated contrast to see if there’s abnormal blood supply in the breast.

This is an alternative exam to breast MRI. Molecular breast imaging (MBI) is a nuclear medicine study that uses a radioactive tracer and special camera to find breast cancer. Rather than simply taking a picture of a breast, molecular breast imaging is a type of functional imaging that shows differences in tissue activity.

cancers at an early stage. If we find an irregularity on a 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?

At Houston Methodist, all mammograms are interpreted by a board-certified, fellowship trained radiologist specially trained to interpret mammogram and other breast imaging studies.

How will I get my results?

Once reviewed by a doctor, you can view your results in the patient portal or a letter will be sent to you via mail. If further testing is needed, the breast center staff will call you within two to three days to share findings and schedule additional testing.

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 detect small masses.

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. This frequently happens after your first “baseline” mammogram. When you come in for a diagnostic mammogram, a breast radiologist will meet with you to share the results and answer your questions.

Scheduling Your Mammogram To schedule your mammogram at Houston Methodist Breast Care Center at Willowbrook, visit houstonmethodist.org/breast-care-wb or call 281.737.7465.

HOUSTONMETHODIST.ORG/WILLOWBROOK 5

Treating Neurological Conditions From Common to Complex

H Dr. Einar T. Bogason

Dr. Matt Robinson

eadaches, numbness or tingling, chronic pain and other neurological symptoms can be troubling, especially when symptoms seem to be getting worse without any explanation. You may have a lot of questions and possible scenarios swirling in your mind. However, finding answers on your own is not always easy.

“Some neurological conditions may have recognizable signs and symptoms while others may be difficult to detect,” said Dr. Einar T. Bogason, a neurosurgeon with Houston Methodist Willowbrook Neuroscience Center.

“It’s important to pay attention to changes in your health and see your doctor if you have concerns.”

WHERE TO START?

If you’re struggling with neurological symptoms, you may be referred to a neurological specialist who can help treat or manage your symptoms. “Depending on your condition, you might need diagnostic imaging, medication therapy, neurological management or neurosurgery. Your doctor may also recommend physical, occupational or speech therapy to help manage neurological symptoms,” said Dr. Matt Robinson, a neurosurgeon with Houston Methodist Willowbrook Neuroscience Center.

Our multidisciplinary team of physicians provide a full range of neurological care, treating common to complex conditions.

Our specialists treat a variety of conditions, including: Amyotrophic Lateral Muscle and Nerve Injuries Sclerosis (ALS) Muscular Atrophy Brain and Spinal Tumors Neuromuscular Disorders Cognitive and Memory Parkinson’s Disease and Disorders, including Movement Disorders Alzheimer’s disease Peripheral Neuropathy Epilepsy and Seizures Sleep Disorders Headaches and Migraines Stroke Multiple Sclerosis (MS)

GUIDING YOU THROUGH TREATMENT

Managing your care can be overwhelming at times, especially if you’re not sure where to start or who can answer your questions. Whether you’re dealing with a new diagnosis or a chronic problem, having the support you need can help you be confident in the next steps of your treatment.

6 LEADING MEDICINE IN NORTHWEST HOUSTON

OUR NEUROSCIENCE CENTER PROVIDES COMPREHENSIVE CARE CLOSE TO HOME Neurological conditions are complex, and you may see a range of specialists in neurology for a full spectrum of care at the Houston Methodist Willowbrook Neuroscience Center. Our board-certified neurologists and neurosurgeons specialize in epilepsy, sleep medicine, stroke care, neurosurgery, spine surgery and more.

Houston Methodist is recognized as a research leader, with teams involved in developing new treatments, drugs and clinical trials for disorders, including stroke, Parkinson’s disease, Alzheimer’s disease, amyotrophic lateral sclerosis (ALS) and brain tumors.

Our goal is to provide comprehensive care and innovative treatments tailored to your individual needs and concerns.

Through the collaboration across neurological specialties, Houston Methodist treats everyday common conditions to the most complex neurological disorders while providing personalized care from diagnosis to rehabilitation. The center offers Leading Medicine in Northwest Houston through: S tate-of-the-art surgical suite for neurosurgery includes minimally invasive and computer-guided technology.

Rapid-response treatment for concussion and stroke with TeleNeurology.

Long-term EEG monitoring offers enhanced ability to diagnose and pinpoint seizures.

Early detection of cognitive conditions such as Alzheimer’s disease and dementia, with a neuropsychologist on staff.

On-site Sleep Center for sleep studies and treatment of chronic insomnia, narcolepsy, obstructive sleep apnea and neurodegenerative diseases.

Schedule an Appointment

To learn more or request an appointment with a neurological specialist at Houston Methodist Willowbrook Hospital, visit houstonmethodist.org/neuro-wb or call 281.737.1167.

SNORING

COULD SIGNAL SLEEP APNEA

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t’s easy to make light of someone who snores so loudly they keep the neighbors up. But “sawing logs” isn’t just an annoying habit.

Someone who snores could have sleep apnea, a Dr. Gavin le common sleep disorder.

Nobel There are three main indicators of sleep apnea: loud snoring, gasping for breath repeatedly during the night and feeling tired even after a full night’s sleep.

“Sleep apnea can be detrimental to your health in the long-term — it’s often linked to heart disease, high blood pressure, stroke and other health problems,” said Dr. Gavin le Nobel, an ear, nose and throat (ENT) specialist with Houston Methodist Willowbrook Hospital. If snoring is interrupting quality sleep for you or someone you love, it’s important to do something about it.

WHAT TO DO WHEN SLEEP ISN’T RESTFUL

With obstructive sleep apnea, the airway is blocked during sleep by relaxed throat muscles. This may cause you to stop breathing momentarily, gasp for breath and awaken briefly. “While you don’t usually notice you’ve woken up, this pattern can prohibit you from reaching a deep sleep and cause you to feel tired in the morning,” le Nobel explained. The path to treatment may include the following: A sleep study: If you think you might have sleep apnea, talk to your doctor to find out if a sleep study is right for you. You may need to spend a night in

a sleep center, which is outfitted with a comfortable bed in a natural, homelike atmosphere. “Sensors placed on your body will transmit information to polysomnography equipment that records breathing patterns and oxygen levels while you sleep. Or your doctor may prescribe a portable device to use at home to detect sleep apnea,” le Nobel said.

Healthy lifestyle changes: If you’re diagnosed with sleep apnea, the first step may be lifestyle changes. These include: Avoiding alcohol.

Losing weight.

Quitting smoking.

Sleeping on your side or stomach instead of your back.

CPAP machine: If none of these methods work, your doctor might want you to try a continuous positive airway pressure (CPAP) machine. A face mask delivers air pressure throughout the night to keep your air passages open. It helps relieve snoring and apnea.

Surgical options: “If you can’t tolerate using a CPAP machine and other criteria are met, we may consider surgical management. This may include surgery to improve nasal obstruction or surgically implanting a device that works to open the airway,” le Nobel said.

NEW THERAPY FOR OBSTRUCTIVE SLEEP APNEA Inspire is an obstructive sleep apnea treatment that helps monitor and improve sleep without the use of CPAP machines. Inspire is a small device that is surgically placed with small incisions during a same-day procedure. This option is for those who can’t tolerate CPAP and have significant health risks related to sleep apnea.

“When you have obstructive sleep apnea, the throat is closed when you’re trying to breathe in,” explained Dr. Gavin le Nobel.

“The Inspire device has a sensor that detects when you’re trying to breathe in. The device then stimulates the nerves of the tongue that push the tongue forward to open the throat so you can breathe in without obstruction.”

Don’t Ignore the Snore

When you’re not sleeping well, all aspects of your life can be affected, including your health. If you aren’t getting the restful sleep you need, talk with your primary care physician or an ear, nose and throat specialist.

To schedule an appointment with Dr. Gavin le Nobel or another sleep specialist, call 281.737.5337.

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LEADING MEDICINE IN GREATER HOUSTON

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Early Detection Starts With Your

ANNUAL MAMMOGRAM Advanced Breast Screenings Close to Home BAR KE

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At Houston Methodist Breast Care Centers in Northwest Houston, 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.

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Towne Lake*

Our Breast Care Centers offer:

• 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.

*Towne Lake offers screening mammograms only

Scan the QR code, visit houstonmethodist.org/breast-care or call Towne Lake: 281.737.1832 I Willowbrook: 281.737.PINK (7465) We do not require a doctor’s order for your annual screening mammogram.

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