Leading Medicine Summer 2014, Houston Methodist Baytown Hospital edition

LEADING MEDICINE Your link to health innovations, news and tips IN EAST HOUSTON/BAYTOWN

SUM M ER 2014

SMART women Take our quiz to learn more about your greatest health risks

New Approach to Hip Replacement

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Baby’s First Days with Mom

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from the ceo

Leading Medicine … Where Technology, Caring, and Medical Expertise Come Together — this is the tag line for Houston Methodist San Jacinto Hospital. However, those words are more than a tag line. In this issue of Leading Medicine, you will read about the technologic advances, caring team and superb expertise that come together to create an environment of healing and hope.

The importance of preventive screenings for men and women and visiting with a primary care physician will be discussed. You will also learn about a new procedure — anterior hip replacement — that offers an alternative approach for hip replacement. For our youngest patients, couplet care provides the opportunity for newborns and mothers to remain together for the entire hospital stay, which is a critical component of bonding. Finally, we feature our Inpatient Rehabilitation Facility, which provides a safe environment for recovery and works to maximize our patients’ quality of life and level of function.

As you read about the various services and programs offered at Houston Methodist San Jacinto, it is my hope that you will be able to visualize how caring, technology and expertise come together to provide for the needs of our community.

Thank you for entrusting us with your health care. It is our honor and pleasure to serve you.

Donna Gares President and CEO, Houston Methodist San Jacinto Hospital

in this issue summer 2014

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At the Forefront Houston Methodist San Jacinto offers anterior hip replacement, an alternative to traditional surgery Smart Women Ladies, test your health IQ to see how much you understand your health risks

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Smart Men Guys, how much do you really know about your health?

Bonding with Baby Couplet care allows mothers and newborns to remain together after birth

Sizing Up Screenings What to expect from four common tests that are vital to your health Striking Back Ismail Reyna is recovering from a stroke with the help of the Houston Methodist San Jacinto rehabilitation team

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Take Charge You have the power to prevent type 2 diabetes — and it’s not as tough as you might think

Mission: To serve our patients/ families, employees, medical staff and community in a spiritual manner that is consistent with our ICARE values of integrity, compassion, accountability, respect and excellence.

Vision: To be a leader in delivering safe, patient friendly, best-in-class care and service. To be a trusted, first and lifelong choice for consumers who are seeking health care services and physicians who are seeking a health care partner. To be an employer of choice that attracts and houses the best and brightest talent and nurtures employee loyalty.

ICARE VALUES: Integrity: We are honest and ethical in all we say and do.

Compassion: We embrace the whole person and respond to emotional, ethical and spiritual concerns as well as physical needs.

Accountability: We hold ourselves accountable for our actions.

Respect: We treat every individual as a person of worth, dignity and value.

Excellence: We strive to be the best at what we do and a model for others to emulate.

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An Atmosphere of Healing and Hope

Do You Have Aching Joints?

The orthopedic surgeons at Houston Methodist San Jacinto can help ease your joint pain and stiffness. To make an appointment, call 281.427.7400 or visit houstonmethodist.org/ sanjacinto.

At the Forefront

PHOTO BY THINKSTOCK

Anterior hip replacement, an alternative to traditional surgery, allows for faster recovery times For patients experiencing debilitating pain and stiffness in their hips, a total hip replacement is often the solution.

But Houston Methodist San Jacinto Dr. Mark Franklin Hospital also offers an alternative to traditional hip replacement surgery, one that is less invasive and allows for faster recovery times.

With an anterior hip replacement, the surgeon makes an incision at the

front of the thigh, rather than near the buttocks. “The anterior hip replacement is a surgery allowing the surgeon to take a different approach to operating on the hip joint, allowing access between the muscles without detaching them from the hip or thigh bone,” said Dr. Mark Franklin, a board-certified orthopedic surgeon at Houston Methodist San Jacinto.

When muscles have to be removed and then reattached, as in a traditional posterior hip replacement, more healing time is required. The anterior hip

replacement decreases the presence of painful scar tissue. “Because the muscles are less disturbed, the healing process is quicker for the patient and also assists in preventing hip dislocations,” said Franklin.

The operating rooms at Houston Methodist San Jacinto feature specialized equipment that allows for the precise positioning of the hip and implants during the surgery.

“Patients are able to move and bend their hip and bear their full weight immediately after surgery,” said Franklin. “I have seen a faster recovery in those having the anterior hip procedure in contrast to those with the traditional hip replacement surgery.” However, Franklin stressed, “Every patient is different and should be evaluated thoroughly by their physician.”

With this alternative to traditional hip surgery, patients can heal more quickly and return to the daily activities they enjoy. For more information on this procedure, please call 281.427.7400.

We’re Here to Help Welcome to the first issue of the new Leading Medicine publication, brought to you by Houston Methodist San Jacinto Hospital. Three times a year, we’ll provide valuable information to help you make informed health care decisions. You can share our digital version with friends and loved ones through the QR code, or at houstonmethodist.org/publications.

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Smart

Women If you’re like most women, you’re in charge of your family’s health.

Women make 80 percent of health care decisions for their families. But how much do you know about your own health? Take this quick quiz to see whether what you don’t know might be hurting you.

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Women don’t always experience the same heart attack symptoms as men do.

Name a symptom more common in women.

ANSWER: During a heart attack,

women are more likely than men to have shortness of breath, nausea and vomiting, and back or jaw pain. When it comes to ticker trouble, it’s not just a man’s world. Heart disease is the No. 1 killer of women.

WHAT YOU CAN DO: Quit smoking, be physically active (a daily 30-minute walk can lower your risk), and try healthier cooking techniques (such as broiling instead of frying). Schedule an appointment with your health care provider to learn your ABCs — your A1C (blood sugar), blood pressure and cholesterol levels.

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Answer: FAST stands for face

Answer: Lung, breast, colorectal. Lung

Think FAST — and spell out this acronym that identifies the sudden signs of stroke.

drooping, arm weakness, speech difficulty and time to call 911.

What you can do: With women accounting for 60 percent of stroke deaths, adopt the heart-healthy strategies above to reduce your risk. This year, the American Stroke Association issued its first guidelines for preventing stroke in women. The guidelines address stroke risk factors unique to women, such as preeclampsia and the use of birth control pills.

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True or false: With the advent of human papillomavirus (HPV) testing, I only need to have a Pap test to check for cervical cancer every five years.

Answer: True, if you’re between 30 and

65. Women in this age group should have Pap and HPV tests every five years (or Pap test alone every three years).

Women ages 21 through 29 should have a Pap test every three years. Women 65 and older who have a history of regular screening and normal results can stop Pap tests.

What you can do: Keep up with Pap tests and see your obstetriciangynecologist annually for a pelvic exam and breast exam.

Rank in order the top cancer killers of women — breast, lung, colorectal.

cancer kills more women than breast and colorectal cancers combined.

What you can do: If you smoke, quit.

After 10 years of being smoke-free, your risk of dying from lung cancer lowers to half the risk of a smoker. Eat well, stay active, and keep up on cancer screenings.

The Houston Methodist Cancer Center uses advanced technology to screen for lung, breast and colorectal cancers, as well as other cancers.

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Choose the correct answer: A woman should have a mammogram annually/every other year beginning at age 40/50.

Answer: Houston Methodist, like

the American Cancer Society and the American College of Radiology, recommends that women begin annual mammograms at age 40. One in six cases of breast cancer occurs in women in their 40s. In addition to mammography, the Houston Methodist Breast Imaging Center offers breast MRI to clarify mammogram results and improve diagnosis.

What you can do: Talk to your health care provider about your breast cancer risks. Schedule your mammogram if you’re due.

We’re Here to Help

With offices conveniently located throughout Greater Houston, the Houston Methodist San Jacinto Hospital Primary Care Group is dedicated to providing high-quality, compassionate care. To find a primary care physician, call 713.394.6724 or visit houstonmethodist.org/primarycare.

Health Screenings at Every Age Great health is built on a foundation of smart choices. One of them is to take advantage of the health screenings that can identify problems at their earliest, most treatable stages. Here’s a decade-by-decade look.

20s: Your whole life is ahead of you. Start it right. At age 20, begin cholesterol and blood pressure testing. At age 21, start Pap tests.

30s: Between careers, kids and relationships, 30-somethings are used to juggling. Add one more task to your to-do list: thyroid-stimulating hormone screening beginning at age 35.

40s: Parenting teenagers and experiencing hormonal changes make life wildly interesting. Don’t forget to begin mammography at age 40 and blood glucose testing at age 45.

50s: By midlife, you’ve learned to master your fears. Hit colonoscopy head-on starting at age 50.

60s: Bone up on your golden years with a bone density scan at age 65 and annual vision screening starting at 65.

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Men Smart

Enough with the dirt-splattering off-road truck commercials. Want to know how to be a true man of action? Take charge of your health.

This quick quiz will help you discover what you know about the top health risks for men.

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True or false: Breakfast really is the most important meal of the day.

ANSWER: True. A 16-year study showed

that men who skipped breakfast had a 27 percent higher risk of heart attack or death from coronary heart disease.

WHAT YOU CAN DO: In addition to eating your oatmeal, here’s how to have a tiptop ticker. Quit smoking (after one year of being smoke-free, your risk for heart disease is half that of a smoker’s), be physically active and follow a healthy diet (include fruit or veggies with every meal). Schedule an appointment with your health care provider to learn your ABCs — your A1C (blood sugar), blood pressure and cholesterol levels.

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Men between the ages of 30 and 50 are most likely to have: A. Hip bursitis B. A herniated disk in the lower back C. A midlife crisis

ANSWER: B. Risk factors for a herniated

disk include improper lifting, being overweight, repetitive activities that strain the spine, a sedentary lifestyle and smoking.

WHAT YOU CAN DO: That part about quitting smoking for heart health? It’s true for bone and joint health, too.

Experts believe that smoking limits oxygen supply to disks, causing bones to degenerate more quickly. If you experience persistent back or neck pain, seek treatment.

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Fill in the blank: After skin cancer, ________ cancer is the most common cancer in men.

ANSWER: Prostate cancer, which strikes

one in six men, is the second most prevalent cancer in men. But only about one in 36 men diagnosed with prostate cancer will die from it.

WHAT YOU CAN DO: Houston Methodist recommends that men talk with their doctors about risks as well as the potential benefits and limitations of PSA (prostate-specific antigen) screening.

Nothing is less manly than an enemy that won’t show its face. But that’s exactly what type 2 diabetes does. Do you know how many men in the United States have this “silent killer”?

A. 7 million B. 13 million C. 79 million

ANSWER: B. Meanwhile, an estimated

79 million Americans have prediabetes, a condition in which blood glucose levels are higher than normal.

WHAT YOU CAN DO: Have your blood glucose tested to see whether you have type 2 diabetes or prediabetes — and get active. A major national study showed that prediabetes patients who lost 7 percent of body weight (14 pounds for a 200-pound man) cut their risk for type 2 diabetes by more than half.

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True or false: GERD, or gastroesophageal reflux disease, is a fancy term for heartburn.

ANSWER: False. If you have heartburn

more than twice a week, you may have GERD, which occurs when a muscle at the end of your esophagus does not close properly. If left untreated, it can lead to a condition called Barrett’s esophagus, which carries an increased risk for esophageal cancer.

WHAT YOU CAN DO: Avoid alcohol, spicy foods, big meals and eating close to bedtime. Report persistent heartburn to your doctor.

We’re Here to Help

With offices conveniently located throughout Greater Houston, the Houston Methodist San Jacinto Hospital Primary Care Group is dedicated to providing high-quality, compassionate care. To find a primary care physician, call 713.394.6724 or visit houstonmethodist.org/primarycare.

THREE THINGS YOU DIDN’T KNOW ABOUT HEALTH SCREENINGS It takes a real man to admit that he needs to pay more attention to his health. Statistically, men are more likely than women to smoke, drink, make risky choices and delay routine checkups and medical care.

Many major health conditions men face can be detected in their earliest, most treatable stages.

That’s why health screenings are so important.

Here are three things you may not know about health screenings.

1. A colonoscopy, recommended every 10 years starting at age 50, can prevent cancer. That’s because precancerous growths can be found and removed during a colonoscopy.

2. Men are 22 percent more likely than women to neglect cholesterol screening. Have your levels checked regularly starting at age 35, or earlier if you have other risk factors.

3. If you have smoked even 100 cigarettes in your life and you’re between 65 and 75 years old, you should be screened for abdominal aortic aneurysm, a bulge in the body’s largest artery that can cause major bleeding or even death if it bursts.

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Bonding with Baby

Couplet care allows mothers and newborns to remain together after birth the child from birth to discharge.

Couplet care promotes stronger bonding and reduces anxiety when the family goes home. With the help of nurses, families in couplet care learn more quickly about their newborn’s habits and needs.

“Our nursing staff assists in educating parents about newborn care, sleep cycles, warning signs that mean they should call the doctor and eating patterns before going home,” Franco said.

Couplet care also has medical benefits for both mom and baby. A mom has decreased risk of postpartum depression when not separated from her baby.

Having a Baby?

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For more information on childbirth at Houston Methodist San Jacinto Hospital, call the Maternal Child Unit at 281.420.8625.

A baby who stays with his or her mom has better blood pressure and pulse, breathes better, cries less, maintains stable temperatures and breastfeeds more successfully.

The program allowed for more bonding time between first-time parents Lena Foreman and Brandon Horne and their son, Dash Emery Horne. “Couplet care is great; it gives us a little taste of what we’re going home to,” Lena said after giving birth in February. “I think it’s awesome that I get to spend the night with my baby. When he cries, I get to be there for him right away.”

“It’s wonderful,” Brandon agreed. “I’ve learned so much through being hands-on with Dash.” Lena added, “It’s nice to have people watching over us to help with any insecurities before we go home.”

Houston Methodist San Jacinto is proud to welcome new life in a new way, by keeping families together.

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mom wants nothing more than to spend every minute with her newborn child. That’s why Houston Methodist San Jacinto Hospital offers couplet care, which allows a mother and her baby to share a room and be cared for by one nurse during their hospital stay.

The hospital began offering couplet care in 2013. “It is difficult now at Houston Methodist San Jacinto Hospital to imagine a time when we separated moms from their babies with the nursery,” said Madelen Franco, director of the Maternal Child Unit.

When mom and baby stay together, family members can be involved with

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Sizing Up Screenings What to expect from four common tests that are vital to your health

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ost people who have had basic health screenings agree they aren’t so bad. What is bad is neglecting to schedule the tests your doctor orders.

“It’s not any different than taking a car for a tuneup,” said Dr. Greg Terry, a board-certified family medicine physician at Houston Methodist San Jacinto Hospital. “Your body’s not going to operate very well if you don’t check on it once in a while.”

Terry recommends talking with your doctor about what tests entail. To get you started, here are the basics on four common screenings.

MRI

WHY YOU? Magnetic resonance imaging (MRI) is mostly used to look at soft tissue such as the heart, liver or kidneys.

MRI is also used to examine the head,

brain and musculoskeletal system. It’s a diagnostic tool for many conditions, including heart disease.

WHAT HAPPENS? You’ll be made comfortable on a table that slides into a long tube. You’ll have to lie still for a long period of time, and you’ll usually be given earplugs or music to listen to because the machine makes loud noises.

You might be injected with a contrast solution or asked to drink it to make parts of your anatomy easier to see in the images.

BLOOD TESTS

WHY YOU? Most doctors will run certain blood tests, such as cholesterol and blood glucose screenings, as part of a routine checkup. Other blood tests look for specific conditions and may be ordered based on symptoms you’re having.

PHOTO BY THINKSTOCK

PHOTO BY THINKSTOCK

MEET THE TEAM

Dr. Kimberlie Gonzalez

Dr. Storm Walmsley

Dr. Greg Terry

Rebecca Dees, PA-C

Trudy Istre, RN, FNP-C

WHAT HAPPENS? It only pinches for a second while the nurse or technician inserts a needle into a vein in your arm to take the blood.

COLONOSCOPY

WHY YOU? A colonoscopy lets a doctor see early signs of cancer in the colon and rectum, or to diagnose unexplained changes in your bowel habits.

WHAT HAPPENS? You’ll prep for the test at home with a laxative. During the procedure, you’ll be sedated and won’t feel anything as the physician inserts a long, flexible lighted tube into your rectum and guides it into your colon.

CT SCAN

WHY YOU? CT scans are often used to look at the same areas of the body as MRIs, but CT scans are more frequently used in emergency rooms. You can use CT to quickly survey for stroke sources in the brain or a blood clot in the lung.

WHAT HAPPENS? You lie on a table that slides inside a doughnut-shaped machine. You need to hold your breath while pictures are taken in a series. A CT scan, which may include an IV of a contrast agent, usually takes about 30 minutes.

Find a Primary Care Doctor

The Houston Methodist Primary Care Group is dedicated to providing highquality and compassionate care for our community.

To make an appointment with a physician, call 713.394.6724 or visit houstonmethodist.org/ sanjacinto.

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Striking Back

Ismail Reyna is recovering from a stroke with the help of the Houston Methodist San Jacinto Hospital rehabilitation team Levine, a board-certified physician in rehabilitation medicine, pain management and electromyography at Houston Methodist San Jacinto.

“While most people think that strokes only happen to older people, they can occur and be equally as devastating in the younger population,” Levine said.

“I have treated teenagers and pregnant patients who have had a stroke.”

Promising Progress

Following three days of treatment at Houston Methodist San Jacinto, Reyna was transferred to the hospital’s Alexander Campus to begin inpatient physical rehabilitation.

A Rigorous Approach to Rehab

The Houston Methodist San Jacinto Hospital rehabilitation unit treats patients who have suffered a stroke, broken a bone, undergone an amputation or experienced another debilitating condition. The unit offers a rigorous approach to rehabilitation by offering three full hours of therapy each day. For more information about rehabilitation, please call 281.420.8639.

After only a week of rehab, Reyna could lift his right arm above his head and walk more than 100 feet with the help of a cane. Reyna, a father of two, finds motivation in his goals of returning to family activities and to his job as a supervisor at an industrial cleaning company. “I want my life back,” he said. “I used to play basketball with my son. I told him when I started rehab that I will get on the court and beat him again soon.”

Support through Challenges

Levine, who has been treating stroke patients for 35 years, attributes Reyna’s success to a “blend of his innate motivation and the opportunities being offered at the Houston Methodist San Jacinto Hospital rehab unit.”

Reyna said the rehab staff members have supported him through the challenges of rehabilitation. “The staff pushes you to do things that they know you can do, but you really have to be true to yourself,” he said. “Without hard work, you won’t get there.”

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smail Reyna was feeling “off ” last spring, so he decided to visit an urgent care clinic. Treated for allergies, Reyna took the prescribed medication when he returned home and, feeling dizzy, went to sleep. He never imagined that his symptoms signaled a much more serious health issue.

While he slept, Reyna suffered a stroke. When he awoke the next morning, he couldn’t move the right side of his body. His wife, Katie, helped him to the car and drove him to the emergency department at Houston Methodist San Jacinto Hospital.

At 43, Reyna is very young to have had a stroke, expressed Dr. Aaron

Ismail Reyna in rehabilitation after suffering a stroke at age 43

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Take

Charge Losing weight gives you the power to prevent type 2 diabetes — and it’s not as tough as you might think People can live long, healthy lives with diabetes. But, if given the chance, wouldn’t you rather live without a chronic condition, especially one with the potential to Dr. Manisha cause complications Chandalia such as heart disease or blindness?

Fortunately, the millions of people who are at risk for type 2 diabetes can avoid the condition altogether by taking preventive measures. “Even if you have risk factors, don’t think that diabetes is inevitable,” said Dr. Manisha Chandalia, a board-certified physician in endocrinology and metabolism, clinical lipidology and internal medicine at Houston Methodist San Jacinto Hospital.

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IT’S UP TO YOU

According to a study by the Diabetes Prevention Program, a healthy lifestyle is more effective than medication in preventing or delaying the onset of type 2 diabetes in people at risk.

Even more encouraging is that just a 7 percent reduction in weight, combined with 30 minutes of exercise five days a week, could lower the risk of developing diabetes by about 58 percent.

“I like to calculate my patients’ body mass index [BMI] for them and then calculate what it would be if they lost even 5 percent of their body weight,” Chandalia said. “Then they can see that losing just that amount of weight could put them into a healthier BMI category.”

BE HONEST, MAKE CHANGES

If you need to drop several pounds, accountability is critical. Chandalia recommends a weight-loss plan that includes weekly monitoring and ongoing support.

The smartest approach to weight loss is to follow a balanced diet that contains less than 30 percent fat. Eat more fruits and vegetables while sticking to whole grains and lean meats. Watch your portion sizes, too: A serving of meat is the size of a deck of cards, and a serving of pasta is the size of a tennis ball.

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Nutritional Counseling and Diabetes Education Program

The Nutritional Counseling and Diabetes Education Program at Houston Methodist San Jacinto Hospital helps patients learn about the disease and make healthy lifestyle changes. For information about the program, call 281.420.8525.

WEIGH THE RISKS A healthy lifestyle is good for everyone. But it’s even more important for people with one or more of these risk factors for developing type 2 diabetes: • Having a family history of diabetes • Being overweight • Getting older • Lack of physical activity • Having high blood pressure or high cholesterol levels • Being of African-American, Hispanic, Native American or Asian American/Pacific Islander descent • Having gestational diabetes (during pregnancy) • Low testosterone levels (in men) • Having metabolic syndrome, a cluster of metabolic risk factors including abdominal obesity, high blood pressure and low HDL (“good”) cholesterol levels

KEEP MOVING

“Exercising daily, or nearly every day, can help improve blood glucose control better than exercising less regularly,” Chandalia said.

Most experts recommend exercising at least 30 minutes a day most days of the week, and even more if you’re trying to lose weight. But it doesn’t all have to be done at once: 10 minutes here, 15 minutes there — it adds up. Changes in your daily pattern, such as using the stairs or getting off the bus 10 blocks early, can make a difference.

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San Jacinto Methodist Hospital 4401 Garth Rd. Baytown, Texas 77521-2122 houstonmethodist.org/sanjacinto

713.790.3333

LEADING MEDICINE IN GREATER HOUSTON Just around the corner Houston Methodist has locations throughout the Greater Houston area to best serve you near your home or workplace. Our locations include hospitals, and emergency care and imaging centers.

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HOSPITALS EMERGENCY CARE CENTERS IMAGING CENTERS

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For more information about Houston Methodist or for a physician referral, please call 713.790.3333 or visit houstonmethodist.org.

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1 HOUSTON METHODIST HOSPITAL (Texas Medical Center) 6565 Fannin St. Houston, Texas 77030

6 HOUSTON METHODIST WEST HOSPITAL (I-10 at Barker Cypress) 18500 Katy Frwy.

Houston, Texas 77094

2 HOUSTON METHODIST SAN JACINTO HOSPITAL (Garth Rd. exit off I-10) 4401 Garth Rd. Baytown, Texas 77521

7 HOUSTON METHODIST WILLOWBROOK HOSPITAL (Hwy. 249 and FM 1960) 18220 State Hwy. 249 Houston, Texas 77070

3 HOUSTON METHODIST ST. CATHERINE HOSPITAL (Katy - West Houston) 701 S. Fry Rd. Katy, Texas 77450

Emergency Care Centers 713.441.ER24 (3724)

4 HOUSTON METHODIST ST. JOHN HOSPITAL (Clear Lake Area) 18300 St. John Dr. Nassau Bay, Texas 77058

8 HOUSTON METHODIST EMERGENCY CARE CENTER – KIRBY 2615 Southwest Frwy., Suite 140 Houston, Texas 77090

5 HOUSTON METHODIST SUGAR LAND HOSPITAL (U.S. 59 and Sweetwater) 16655 Southwest Frwy.

Sugar Land, Texas 77479

9 HOUSTON METHODIST EMERGENCY CARE CENTER – PEARLAND 11525 Broadway St. Pearland, Texas 77584

10 HOUSTON METHODIST EMERGENCY CARE CENTER – SIENNA PLANTATION 8200 Hwy. 6 Missouri City, Texas 77454 Opening July 15 11 HOUSTON METHODIST EMERGENCY CARE CENTER – VOSS 1635 S. Voss Rd. Houston, Texas 77057

Methodist Imaging Centers 8 HOUSTON METHODIST BREAST IMAGING CENTER 2615 Southwest Frwy., Suite 104 Houston, Texas 77090 713.441.7765 12 HOUSTON METHODIST IMAGING CENTER 83333 Katy Frwy.

Houston, Texas 77024 713.797.XRAY

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