Leading Medicine Winter 2024, Houston Methodist The Woodlands Hospital edition

LEADING MEDICINE WINTER 2024

CARING FOR YOU:

Why Your PCP Is Pivotal to Your Health YOUR LINK TO HEALTH INNOVATIONS, NEWS AND TIPS IN THE WOODLANDS AND MONTGOMERY COUNTY

Let’s Get to the Heart of the Matter Learn How a Rheumatologist Can Help

It’s Time to Talk About

YOUR KNEE PAIN Knee pain is hard to ignore. You feel it with just about every move you make. And if you’re active, an achy knee can also make the first few minutes of a workout Dr. Sachin pretty miserable — or Allahabadi totally disrupt your exercise routine if the pain is bad enough.

It won’t be long before you’re looking to do something about it, but what’s the best way to get knee pain relief ? And should you see a doctor about it?

Knowing how to get rid of knee pain starts with trying to get to the bottom of why your knee hurts in the first place, as well as whether the pain warrants seeing a doctor or if there are things you can safely try at home first.

The most common causes of knee pain include: ■ Arthritis ■ Acute injury (to the meniscus, ligaments or cartilage) ■ Overuse (too much activity) ■ Growing pains

“Knee injuries are extremely common in recreational athletes, and they tend to be bothersome, as the knees are used for almost every daily activity, in addition to sports,” said Dr. Sachin Allahabadi, orthopedic surgeon at Houston Methodist The Woodlands Hospital.

INJURIES TO TALK ABOUT

In general, if you have an injury that causes new pain that exceeds normal soreness, results in the feeling that your joint is giving way, or leads to swelling, it is important to be evaluated sooner rather than later. The major signs you need evaluation for a new knee injury include: ■ Any trauma ■ Inability to fully straighten or bend ■ Instability (buckling or ‘giving way’) ■ Popping that causes pain ■ Swelling “If you experienced an acute injury to the knee — felt or heard a pop, for instance — make an appointment with your doctor,” Allahabadi said.

PUSHING THROUGH THE PAIN

If you’ve tried the at-home remedies and are still trying to stay active through

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the pain, it,s time to see a sports medicine doctor.

“Pushing through injuries or pushing too hard can only make an existing injury worse or increase the risk of additional injuries,” Allahabadi said.

Even if your pain is minor and not improving, you need it evaluated.

“Many times, if we can catch a minor injury early, we can help guide a recovery process that allows you to get back to being active sooner,” Allahabadi noted.

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Get You Back to Moving Whether you’re suffering from simple aches and pains or dealing with a complex injury, we can get you back on your feet — and keep you moving and doing the things you love. To schedule an appointment, visit houstonmethodist.org/ osm/woodlands or call 936.321.8000.

Tests to Get to the HEART OF THE MATTER Dr. Michael Koeckert

If you experience shortness of breath, chest pain, palpitations or fatigue, your doctor might order heart tests.

“We commonly start with routine tests if you’re experiencing symptoms that point to your heart,” explained Dr. Michael Koeckert, a cardiac surgeon at Houston Methodist DeBakey Cardiology & Cardiovascular Surgery Associates at The Woodlands.

“They can show us what’s going on and lead us to the best next steps.”

ELECTROCARDIOGRAM (EKG)

An EKG records information about your heart’s electrical system and rhythm. An abnormal rhythm, called arrhythmia, is a sign that your heart isn’t working as it should. EKGs can help: ■ Diagnose arrhythmia such as atrial fibrillation (AFib) ■ Offer insights into whether you have had or are having a heart attack ■ Show evidence of ischemia, which is a lack of blood flow

ECHOCARDIOGRAM (ECHO)

There are two types of echo tests that create an image of your heart using sound waves: ■ Transthoracic — completed from the surface of your chest (noninvasive) ■ Transesophageal — completed from inside your throat (invasive) “Sometimes, what we learn from a noninvasive heart test can prompt the need for a more invasive option,” Koeckert noted. “For example, if we can see a leaking mitral valve on your transthoracic echo, we’ll use a transesophageal to see the problem more clearly so we can pinpoint treatment such as a mitral valve repair.”

CARDIAC STRESS TEST

Simply put, this test gets your heart pumping. A stress test uses exercise or chemical stimulation to increase your heart rate, while

an EKG measures how your heart reacts. Results could indicate a blocked artery and help diagnose coronary artery disease, heart valve disease or an arrhythmia.

CARDIAC CT SCAN

A special CT scan — a CT angiogram — creates a 3D image of your heart as IV-injected contrast dye weaves its way through arteries, making it easier for your doctor to spot suspected blockages or rule out the concern. If there’s an obstruction, the doctor may perform a coronary angioplasty procedure right then and there to open the artery.

CORONARY ANGIOGRAM

A coronary angiogram delivers contrast dye through a catheter inserted into an artery at the wrist or groin.

It is invasive but key for finding and fixing blockages such as plaque buildup in arteries.

TEST RESULTS HELP SURGEONS HELP YOU

Heart tests are often used to determine if surgery is necessary.

“From a surgical perspective, we need as much data as possible as we prepare for an operation,” Koeckert said.

“Results can help us understand your heart’s strength so we can approach your care the best way.”

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Experts in Heart Care Cardiologists and surgeons at Houston Methodist DeBakey Cardiology & Cardiovascular Surgery Associates in The Woodlands are leading the way in comprehensive care. To learn more, visit houstonmethodist.org/debakey/ woodlands or call 936.270.3933.

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ESTABLISH CARE WITH AN ADVANCED PRACTICE PROVIDER Did you know your primary care office has multiple experts on the team? You may decide to choose an advanced practice provider (APP) as your PCP. An APP is a licensed nurse practitioner or physician assistant who is trained to provide the same type of care as a PCP, and who can also be your partner in optimizing your health. Just like a PCP, an APP can help you with: ■ Chronic conditions like diabetes or heart disease ■ Physicals ■ Prescriptions ■ Referrals to specialists ■ X-rays and tests In addition, an APP’s appointment schedule may have more openings so that you can get in sooner. To schedule an appointment with a provider near you, visit houstonmethodist.org/pcg/north.

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CARING FOR YOU: Why Primary Care Matters You’re unique. Your health care should be, too. That’s why choosing a primary care provider (PCP) matters when it comes to building your best overall health.

“A PCP is your main point of care,” explained Dr. Shelby Payne, a family medicine doctor at Houston Methodist Primary Care Group in Conroe. “We strive to improve your quality of life by empowering Dr. Shelby Payne you to take control of your health.”

Your PCP can help you manage: ■ Allergies and asthma ■ Diabetes ■ High blood pressure ■ High cholesterol ■ Men’s and women’s health ■ Physicals and health screenings ■ Thyroid concerns Below are a few of the many reasons why it’s important to visit a PCP.

PREVENT AND TREAT ILLNESS

PCPs focus on disease prevention — they aim to help you stay healthy. Getting an annual physical helps you stay on top of routine screenings, immunizations and general well-being year after year.

When illness happens, your PCP can help with that, too.

“While I like to focus on your long-term wellness, illnesses do happen,” Payne explained. “I know your health history, so I can help diagnose the issue and, if needed, prescribe a medication that meets your personal needs.”

TACKLE HEALTH GOALS

With an established PCP relationship, you have a long-term partner to help you work through obstacles in your quest for better health. Whether you want to quit smoking, lose weight or break the family cycle of diabetes or heart disease, your PCP can help you achieve your goal.

“When possible, we start with lifestyle changes,” Payne said.

“Together, we create a plan to incorporate those changes into your daily activities. Sometimes it’s as simple as adding a walk to your routine. Little changes can lead you onto a healthier path.”

If you need a little more help beyond lifestyle changes, your doctor may recommend tests or screenings to create a long-term health plan.

CONNECT YOU WITH SPECIALISTS

Navigating the health care system alone can be overwhelming, especially when you are managing a chronic condition.

Your PCP can make it easier by briefing specialists such as cardiologists, neurologists or endocrinologists on your health challenges.

“Knowing your health history allows for better providerto-provider communication with specialists who may be involved in your care,” Payne noted. “I can ensure specialists know your goals, so the treatment plan is right for you.”

Your specialist will help you manage your condition, but when you need to see the doctor for a screening or illness, your PCP is the best option. Together, they are your health care team.

PROVIDE SUPPORT FOR ALL OF YOUR HEALTH NEEDS When you find a PCP who understands your medical history and beliefs, you’ll form a provider-patient relationship that leads to more individualized and better care. This trusting partnership is built upon supporting your needs physically, spiritually and emotionally.

“I focus on long-term wellness through a holistic approach.

This comes with listening to make sure you are comprehensively cared for,” Payne said.

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Find Primary Care That’s Right for You Houston Methodist Primary Care Group has more than 45 practices across the Greater Houston area. To find a provider near you, visit houstonmethodist.org/pcg/north or call 713.441.7965.

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BEYOND THE BLUES:

Mental Health Help for Moms and Families Pregnancy and a new baby can bring along many positive emotions, yet moms and parents can also feel overwhelmed, sad, anxious or exhausted during pregnancy — and after the baby is born.

“Maternal mental health issues impact 1 in 5 women,” explained Jasminet Pathak, LCSW, maternal behavioral health program Jasminet Pathak, lead at Houston Methodist The Woodlands LCSW Hospital. “You are not alone. This happens to more people than you think, and there is help every step of the way.”

Every mom-to-be should have access to help and get the support she needs to be healthy. A patient-centered approach helps women, their families and support systems navigate preconception, pregnancy, postpartum and beyond.

“At Houston Methodist, we place great Elizabeth Barnett, importance on addressing the health care MSN, RNCOB, needs of women,” said Elizabeth Barnett, NABC director of the Houston Methodist Childbirth Center at The Woodlands, “and we’re committed to meeting those needs in an unparalleled way.”

MATERNAL MENTAL HEALTH SERVICES

Everyone’s experience is different, so your health care should be tailored to your needs. It’s so important to recognize that moms need care, too.

“As the caregivers of their households, many women put off seeking health care, including mental health help for themselves, focusing instead on the health of others in their family,” Barnett pointed out.

A licensed clinical social worker can help you with services such as: ■ Individual counseling and therapy sessions ■ Family counseling and therapy sessions ■ Medication management support through referral

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“When it comes to therapy, we must understand that we are all human beings,” Pathak said. “Life issues happen to all of us; we all go through different walks in life, and sometimes getting help is essential.”

SUPPORT GROUPS: COMMUNITY AND COMFORT

Support groups are a safe place to share your experiences and receive support, comfort and encouragement from others who are on similar journeys.

“Hosting support groups and helping patients find a community where they don’t feel alone is important,” Barnett said. “There are so many times in a group setting where it helps moms to know that they are not the only ones impacted by maternal mental health. This is a way to have real conversations and work through postpartum behaviors.”

Houston Methodist The Woodlands Hospital offers support groups for: ■ Grief and loss ■ Postpartum anxiety ■ Postpartum depression

COMMITMENT BEYOND DELIVERY

You can find support to bridge your body and mind’s health throughout all stages of parenthood. Taking care of you matters.

If you are in a mental health crisis, contact the National Suicide & Crisis Lifeline at 988. If you are in immediate danger of causing harm to yourself or others, call 911.

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Here to Help Women at every stage of life can count on receiving undivided attention and personalized treatment for any physical or mental health needs at Houston Methodist.

Let us help. Visit houstonmethodist.org/ childbirth-thewoodlands to learn more.

4 REASONS

TO SEE A RHEUMATOLOGIST Rheumatologists are specialists who treat autoimmune and inflammatory diseases affecting the joints, muscles, tendons, bones and connective tissues.

Dr. Syed Alam An autoimmune disease is a condition in which your immune system mistakenly attacks joints and other tissues in your body.

Your doctor may refer you to a rheumatologist if you are diagnosed with arthritis or if there is a concern for an autoimmune disease.

UNDERSTANDING RHEUMATIC DISEASES

“There are more than 100 types of rheumatic and autoimmune diseases that rheumatologists treat, but the most common are rheumatoid arthritis, psoriatic arthritis, lupus and gout,” said Dr. Syed Alam, a rheumatologist at Houston Methodist The Woodlands Hospital.

Arthritis and other rheumatic diseases are difficult to diagnose and treat, so it’s important to listen to your body and talk about your symptoms with a doctor. It is possible that your primary care provider (PCP) may do certain rheumatological labs based on your symptoms and, if they are positive, refer you to a rheumatologist. If you experience the following symptoms, you should make an appointment with your doctor or a rheumatologist:

Everyone experiences soreness and painful joints from time to time, especially after exercise or long periods of standing or walking. However, joint pain and stiffness that limit your mobility is not a normal part of aging. “When joint pain is chronic, and your PCP can’t help you manage it, you should see a rheumatologist,” Alam said.

1. JOINT PAIN

to getting fractures. Osteoporosis is when your bones weaken and can cause breaks. Your PCP may order a simple bone scan to see if you have weak bones or if you have had low-intensity fractures. If he or she sees the need, your doctor may refer you to a rheumatologist to help improve bone strength or help with your osteoporosis.

2. SWELLING JOINTS

4. UNEXPLAINED SYMPTOMS

If you are experiencing painful swelling in your joints, you should talk to your doctor or a rheumatologist about your symptoms.

“Inflammation in your joints presents as swelling and may be a sign of arthritis, gout or another condition,” Alam explained.

3. BONE HEALTH

People can have reduced bone strength with aging, and this can predispose them

Rheumatic diseases can cause a range of symptoms that can be elusive and difficult to manage. You may experience rashes, joint pain, stiffness, swollen fingers and toes, dry eyes and mouth, and other problems. “A rheumatologist understands the complexity of rheumatic diseases and is trained to help find solutions to help you feel better,” Alam added.

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Get Help for Symptoms Talk to a rheumatologist about how to identify and manage your symptoms. Call 936.777.8690 to make an appointment with a rheumatologist at Houston Methodist The Woodlands Hospital.

WHAT DOES A RHEUMATOLOGIST TREAT? A rheumatologist has specialized training in rheumatic diseases affecting the joints, tendons, ligaments, bones and muscles, such as: • Gout • Psoriatic arthritis • Lupus • Rheumatoid arthritis • Myositis • Scleroderma • Osteoporosis • Sjogren syndrome • Polymyalgia rheumatica • Vasculitis

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