Leading Medicine Winter 2015, Houston Methodist Baytown Hospital edition

LEADING MEDICINE YOUR LINK TO HEALTH INNOVATIONS, NEWS AND TIPS IN EAST HOUSTON/BAYTOWN

W INT ER 2015

THE HEART TRUTH

A guide to your heart and the procedure that can keep it beating strong

Keep Your New Year’s Resolution

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Sleep and Your Health

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HEALTH BREAK

HOUSTON METHODIST SAN JACINTO HOSPITAL MISSION AND VISION

CAN’T QUIT?

You want to. You know you need to. You have even promised loved ones you will. But you just can’t quit smoking. Something always gets in the way. Don’t let it.

OBSTACLE

WAY AROUND IT

I’m afraid I will gain weight.

Don’t diet while you’re quitting. Instead, aim to eat more fruits and vegetables. These low-calorie snacks will keep your hands busy during cravings.

I want to smoke when I’m stressed.

Take up a physical activity. Also, try nicotine replacement products and talk to your doctor about prescription medication.

I can’t drink coffee or alcohol without smoking.

Switch to low-sugar beverages instead. And avoid other triggers, such as going to lunch with co-workers who smoke.

I can’t get smoking off my mind.

Clean house. Throw out ashtrays, lighters and cigarette cartons. Freshen the air, and get carpets and upholstery cleaned.

Stomp Out Smoking

Houston Methodist San Jacinto Hospital offers smoking cessation classes and lung cancer screenings. For more information, call 832.556.6543.

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The Heart Truth A visual guide to your heart and the conditions that can prevent it from beating strong Power Screening Don’t let embarrassment prevent you from getting a colon cancer screening — the results could save your life

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.

IN THIS ISSUE WINTER 2015 Get a Leg Up Leg pain while walking or climbing stairs could be a sign of peripheral arterial disease

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.

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Nine Ways You Lose When You Don’t Snooze Sleep deprivation is linked to many health conditions

Small Wounds, Big Problems For people with diabetes, even a minor cut or blister can lead to serious complications The Shape of Things to Come Learn the facts about breast reconstruction Winning at Losing Tips to keep your weight-loss resolution going strong

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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Get a Leg Up

MEASURING RISK, STEP

BY STEP

Leg pain while walking or climbing stairs could be a sign of peripheral arterial disease

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our doctor has just given you a diagnosis of PAD, and all you can think is, “I have what? I’ve never heard of this condition.” Then he explains that PAD, or peripheral arterial disease, is one of the most common cardiovascular diseases, affecting more than 9 million Americans.

ABOUT PAD

“PAD is a common but serious form of vascular disease caused by a buildup of plaque in the major arteries (blood vessels) that supply oxygen-rich blood to your legs, feet, arms and pelvis,” said Dr. Jacobo Nurko, a board-certified vascular surgeon at Houston Methodist San Jacinto Hospital. “Over time, this plaque can harden and narrow the arteries — a condition called atherosclerosis — restricting blood flow to affected areas.”

Individuals often refer to the reduced blood flow in the lower extremities as “poor circulation.” Those with PAD are at higher risk for having hardened arteries that lead to the heart and brain, increasing their chances for having a heart attack or a stroke.

THAT HEAVY FEELING

The classic symptoms of PAD are “cramplike” muscle fatigue, heaviness

and discomfort in the legs or pain that occurs in the buttocks, thigh or calf muscles while walking or climbing stairs. The pain typically ceases five to 10 minutes after you rest or stop the activity. Other symptoms of PAD include coldness, numbness and tingling in the lower legs and feet, and ulcers or sores on the legs or feet that don’t heal.

Yet many with PAD don’t experience the defining leg pain symptom, also referred to as claudication, and at least half of people with PAD have no symptoms at all. Another tricky problem of PAD is that individuals often attribute the effects of the disease to arthritis or muscle weakness and ignore the issue.

Although no cure for PAD exists, noninvasive treatment focuses on lifestyle changes to prevent the disease from progressing and to reduce complications. ■

Are you at risk for peripheral arterial disease (PAD)?

According to the National Heart, Lung, and Blood Institute, you may be if you: Are older than 50.

Smoke or used to smoke. Smokers have up to four times greater risk for PAD. Have diabetes. One in three people older than 50 with diabetes is likely to have PAD. Have high blood pressure. Hypertension raises the risk of developing plaque in the arteries.

Have high blood cholesterol. Excess cholesterol and fat in your blood contribute to plaque buildup in the arteries.

Have a personal history of vascular disease, heart attack or stroke. People with heart disease have a one-in-three chance of also having PAD. Are black. Blacks are more than twice as likely as whites to have PAD.

Schedule a Cardiovascular Appointment

Are you worried that you may suffer from PAD or heart disease? Call 832.556.6543 to schedule an appointment with a specialist at Houston Methodist San Jacinto Hospital. Scheduling is quick and easy.

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FREE

HEART SCREENINGS Houston Methodist is offering free heart screening events throughout the Greater Houston area. To register for one near you, visit houstonmethodist.org/ heartscreenings or call 713.790.3333.

The Heart Truth

A guide to conditions that can prevent your heart from beating strong the heart. If the heart can’t get the oxygen and nutrients it needs, it struggles to function properly. Worse yet, plaque can break loose and form a clot, causing a heart attack when the blood supply is cut off.

The best way to beat coronary artery disease? Never get it in the first place. You can do that by managing risk factors: Reduce high blood pressure or cholesterol levels, quit smoking, lose weight if overweight or obese, and lead an active lifestyle.

“The combination of living healthier, knowing your blood pressure and cholesterol numbers and taking medication if you need to is the formula for prevention,” Quiñones said.

Here, we take a closer look at how the heart works and what has the potential to harm it. ■

Heart

BASICS 1

The pulmonary artery carries blood out to the lungs, where it is oxygenated.

2

The pulmonary veins transport the oxygen-rich blood back to the heart.

3

The aorta then distributes this oxygenated blood to the rest of the body.

4

Once depleted of oxygen, blood returns to the heart and the process restarts.

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ILLUSTRATION BY JUDE BUFFUM

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hink of your heart as your body’s delivery system. It pumps out the good stuff — oxygenated and nutrient-rich blood — to every inch of you via a network of arteries.

But heart disease throws a wrench into things. The most common form, coronary heart disease, is “the No. 1 cause of death for both men and women in most countries,” said Dr. Miguel A. Quiñones, chairman of the Department of Cardiology at Houston Methodist.

Coronary artery disease starts with artery damage caused by smoking, high blood pressure or a number of other factors. The damage triggers the buildup of plaque, which narrows the arteries and limits blood flow to

When it comes to the arteries, the aorta is the big cheese. This main artery is responsible for carrying most of the blood to the body. In a condition called aortic stenosis, calcium deposits can build up in the aortic valve, causing it to narrow and limit blood flow.

Atrial fibrillation

In people with atrial fibrillation, the heart’s upper chambers beat erratically, causing an irregular pulse. When left untreated, it can double the risk of a heart-related death and dramatically increase the chance of having a stroke.

Heart failure

In some cases, the heart struggles to pump enough blood to the body. Heart failure is measured by ejection fraction (EF), the percentage of blood pushed out with each heartbeat. An EF under 40 may indicate heart failure.

Cardiomyopathy

Cardiomyopathy is a disease that causes the heart muscle to become enlarged or stiff. Both blood flow and maintaining a regular heartbeat become tough tasks. The condition can be inherited, or it can surface because of another medical condition, such as high blood pressure.

illustration by jude buffum

e art.

Aortic stenosis

Celebrate the Heart

Join the Heart Celebration at Houston Methodist San Jacinto Hospital on Feb. 12 to celebrate the fourth anniversary of our open heart surgery program and attend educational seminars. Call 281.428.2273 for details.

A Better Way to the Heart Your heart’s central location makes it convenient for tasks like pumping blood to your brain and stomach. But finding a way into the heart when something goes wrong can be challenging. Enter radial artery catheterization. Dr. Colin Barker, a cardiologist at the Houston Methodist DeBakey Heart & Vascular Center and one of the few doctors in Houston routinely performing the procedure, explains this new approach.

What is radial artery catheterization?

If a doctor needs to place a stent or clear a blockage, for example, he or she can access the heart via an artery in your wrist. “A small tube is placed in the radial artery on the thumb side of the wrist,” Barker said. “Using X-ray, the physician guides the catheter up to the shoulder and then down to the heart.”

What makes this approach different from the traditional procedure?

Traditionally, doctors used an artery in the groin to get to the heart. But going that route required patients to lie down for four to six hours after the procedure.

Plus, bleeding complications were difficult to identify. “The radial approach is much more comfortable for patients,” Barker said. “They are sitting up and out of bed within minutes.”

What are the benefits for women?

“The radial artery approach is much safer for women” compared with accessing the femoral artery in the groin, Barker said. “A recent study of more than 1,700 catheterizations in women showed the rates of bleeding or vascular complications were 59 percent lower when using this approach.”

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Power

Screening Don’t let embarrassment prevent you from getting a colon cancer screening — the results could save your life

Q

Does a colonoscopy hurt?

Most patients experience little discomfort during the 30-minute procedure, where a doctor uses a narrow, flexible, lighted instrument

to exam the rectum and colon for abnormal growths. Patients are typically sedated and often don’t remember the experience.

Q

How do I prepare?

Patients are required to empty their colons, which means you can’t eat solid foods the day before a colonoscopy. The evening before, you will have to drink a substance to clean out the colon.

Q

What happens if they find something?

Doctors typically remove small polyps found during the test to prevent them from becoming cancerous. If doctors find a large polyp, tumor or other abnormality, they will remove all or part of the growth and take a biopsy of it.

Free Screening Kits

Q

Are other procedures available?

You may feel woozy from the medication. Some patients also have cramps from the air that’s pumped into the colon to expand it to improve visibility for the doctor.

After your 50th birthday, the American Cancer Society recommends scheduling one of the following screenings: •E very 10 years: A colonoscopy.

•E very 5 years: A sigmoidoscopy is similar to a colonoscopy but only looks at the rectum and lower colon.

It requires only the lower colon to be cleared of stool and is usually done without sedation. very 5 years: A virtual colonoscopy •E can be done by taking X-rays of the colon. Patients are not sedated but still must cleanse their colon, which will be expanded with air during the procedure.

•E very 5 years: The double-contrast barium enema test also uses X-rays to provide images of the colon. n

photo by thinkstock

March is National Colorectal Cancer Awareness Month.

For more information on seminars and free colorectal cancer screening kits offered at Houston Methodist San Jacinto Hospital, call 281.428.2273. Kits can be picked up at the Houston Methodist San Jacinto Cancer Center, 4021 Garth Road, from 9 a.m. to 3 p.m. daily throughout March.

Q

How will I feel afterward?

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photo by thinkstock

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e’ve all heard unsavory details about the colonoscopy and bathroom time required in preparation. It’s no wonder the No. 1 reason for skipping colon cancer screenings is fear of embarrassment during the procedure.

But a couple of uncomfortable days could save your life. As the third most common cancer in American men and women, colorectal cancer will cause about 50,000 deaths this year. Yet fewer than half of Americans 50 or older undergo recommended screenings.

A colonoscopy will never be pleasant, but knowing what to expect can make it more bearable. Here, we address common questions.

9 WAYS You Lose When You Don’t Snooze

Get a Better Night’s Sleep

Having trouble sleeping, constantly feel tired or suffer from snoring?

Call 832.556.6543 to schedule an appointment with a sleep specialist at Houston Methodist San Jacinto Hospital.

Sleep deprivation is linked to many health conditions

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sudden cardiac death compared with those who slept longer.

Furthermore, sleep loss is gaining on the American population, according to a CDC study of adults. The study found that 33 percent of people who slept less than six hours each night were obese versus 22 percent of those who slept seven to eight hours.

And sleep loss isn’t just packing pounds on adults. A Pediatrics study found that 23 percent of sixthgraders averaging less than 8.5 hours of sleep per night were obese, while sixth-graders averaging more than 9.25 hours a night had an obesity rate of 12 percent.

Losing our “40 winks” is costly, too.

Sleep disorders cost American adults an estimated $107.5 billion a year, directly and indirectly.

How much sleep should you get to be healthy and feel fully rested? Individual

sleep needs vary, but the National Sleep Foundation offers these daily guidelines: Adults Teenagers Children

7 to 9 hours 8.5 to 9.5 hours 9 to 11 hours

(ages 5–12 years)

GIVE THE NOD TO BETTER SLEEP If sleep problems are stealing your shut-eye, consider making these minor changes: • Establish consistent sleep and wake schedules.

• Avoid caffeine or alcohol too close to bedtime.

• Create a more relaxing sleep environment such as taking a warm bath before bed, dimming lights and turning off the TV or other electronics.

If these changes don’t help, you may suffer from a major sleep disorder like chronic insomnia or obstructive sleep apnea, which usually require medical intervention. ■

PHOTO BY THINKSTOCK

PHOTO BY THINKSTOCK

ere’s a wake-up call: Chronic lack of sleep doesn’t just make you tired. It also puts you at risk for a host of other problems: • Obesity • Diabetes • Depression • Cardiovascular disease • Substance abuse • Physical inactivity • Work absences • On-the-job injuries • Motor vehicle accidents An estimated 10 percent of the U.S. adult population — 70 million people — aren’t getting adequate sleep, according to the Centers for Disease Control and Prevention.

In a four-year study of older adults with hypertension (their average age was 70), published in the Archives of Internal Medicine, short sleep was linked to an increased risk of heart disease. Adults who slept fewer than 7.5 hours nightly had a 68 percent higher risk of heart attack, stroke or

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Small Wounds,

Big Problems

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uch! Barefoot, you just stepped on a stray carpet tack in the hallway. You dab it with ointment and go to bed. No problem — unless you have diabetes.

In that case, you might not feel the initial jab of the tack or notice pain in the following days.

And even if you do, the wound could worsen for weeks despite your care.

Diabetes contributes to such risks in two ways: Over time, high blood sugar damages nerves (causing numbness in the feet and legs) and narrows and hardens blood vessels (reducing blood flow). The latter means less oxygen circulates your body to aid healing.

In people with diabetes, wounds that are initially minor can become dangerous. The disease accounts for about 60 percent of noninjury-related, lower-limb amputations in adults, according to the Centers for Disease Control and Prevention.

Cuts, pressure sores, foot ulcers and even small calluses and skin cracks require diligent attention. If you have diabetes, be sure to follow these tips.

DO: Inspect your feet daily, especially the soles and between the toes. Clean minor injuries immediately.

DON’T: Wait until a problem worsens to see a doctor.

Wash feet daily and pat dry, applying cornstarch or talcum powder between toes.

DON’T: Use very hot water, which causes excessive dryness and itchiness, making skin vulnerable to infection.

DO:

DO: Trim toenails straight across with clippers, smoothing corners with an emery board or file. Smooth corns and calluses gently, rubbing in one direction.

DON’T: Cut corns or calluses.

DO: Wear well-fitting shoes and seamless socks at all times. Check that shoe linings are smooth.

DON’T: Wear high-heeled or pointy-toed shoes regularly.

Talk with your doctor about exercise — walking, swimming, wiggling toes and rotating ankles — to improve circulation.

DON’T: Exercise if you have an open sore.

DO:

Control your blood pressure and cholesterol to increase blood flow.

DON’T: Smoke. It speeds hardening of the arteries. ■ DO:

For people with diabetes, hyperbaric oxygen therapy (HBOT) offers healing properties and potential to save them from amputation.

Diabetes can reduce the amount of healing oxygen circulating throughout the body, turning a simple scrape into a major infection.

Doctors may prescribe a series of one- to two-hour HBOT treatments to build a patient’s oxygen levels and activate infectionfighting white blood cells.

The therapy is commonly used for persistent wounds, gangrene, skin infections and burns, among other conditions.

In a typical session, the patient lies or sits inside a clear, pressurized chamber or room and breathes pure oxygen, with air pressure increased two or three times higher than normal. Napping, reading and watching TV are common during treatment.

Wound Care Specialists

Houston Methodist San Jacinto Hospital offers a comprehensive wound care program. Call 281.425.2160 for more information.

PHOTO BY THINKSTOCK

Keep wounds covered and moist to reduce infection risk.

DON’T: Apply lotion between toes, under arms or in spots where extra moisture encourages fungus growth.

DO:

HELP FOR HEALING

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PHOTO BY THINKSTOCK

For people with diabetes, even a minor cut or blister can lead to serious complications

The Shape of Things to Come Learn the facts about breast reconstruction

PHOTO BY THINKSTOCK

PHOTO BY THINKSTOCK

If you have had a mastectomy involving the removal of one or both breasts or a lumpectomy with part of the breast removed, you may be considering breast Dr. Benjamin reconstruction. The Albright surgical procedure restores a woman’s breast shape and size by either using the patient’s own tissue or using implants, also called prosthetics. If the nipple and areola (the darker area around the nipple) also are removed during the mastectomy, both can be reconstructed following reconstruction of the breast.

Dr. Benjamin Albright, a plastic and reconstructive surgeon at Houston Methodist San Jacinto Hospital, explained, “Although breast reconstruction is considered to be an integral part of the healing and recovery process, it is not appropriate for everyone. Reconstructive efforts should not interfere with or complicate the treatment of breast cancer. The primary goal of the initial surgery is to treat breast cancer and at the same time plan for a reconstruction if the patient is a good candidate.”

IS BREAST RECONSTRUCTION FOR YOU?

If you are considering breast reconstruction, you may wonder if it’s a covered benefit under your health

Schedule a Consultation

plan. The Women’s Health and Cancer Rights Act of 1998 mandates that insurance carriers cover the cost of restorative procedures following mastectomy. Restoration after cancer treatment may be as simple as wearing an external prosthesis or a form-fitted bra. Reconstructive surgery is another option for restoring one’s femininity and womanhood, but it is clearly more involved.

“The decision to have breast reconstruction is one that is highly personal and one that the patient should make after consultation with a reconstructive surgeon,” said Albright.

“Sometimes patients must first learn how to cope with the diagnosis and treatment before considering reconstructive surgery.”

Reconstruction may be an option for patients who do not have any medical conditions that would significantly complicate the healing process, such as: • Diabetes • Obesity • Smoking • High blood pressure • A history of chest wall radiation

To learn more about breast reconstruction, call 832.556.6543 to schedule a consultation with Dr. Benjamin Albright at Houston Methodist San Jacinto Hospital.

ACCEPTING A NEW YOU

A woman may have some emotional ups and downs related to expectations about breast reconstruction after undergoing a mastectomy or lumpectomy. Although breast reconstruction can improve a woman’s self-image and can result in a naturallooking breast, a candidate should be prepared to accept that a reconstructed breast may never look like or have the sensation of her natural breast.

“If a candidate is interested in reconstructive options, the next question is whether reconstruction should be done at the time of the mastectomy or be delayed until the breast cancer treatment is completed,” said Albright.

“Even if a patient wants to have breast reconstruction performed at the same time as a mastectomy, their surgical team may recommend delaying the procedure to reduce risks and interference with cancer treatment.” ■

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Winning at Losing Tips to keep your weight-loss resolution on track

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nly a few weeks after resolving to lose weight, you’re back in front of the TV, spoon in a bowl of ice cream while you ignore the dusty exercise bike in the corner.

Countless other would-be dieters join you in similar difficulties right about now.

Losing weight consistently tops lists of New Year’s resolutions. Just as consistently, about 35 percent of people who make resolutions break them by Jan. 31, one survey found.

More disheartening, only 20 percent of dieters succeed at long-term weight loss, according to the National Weight Control Registry.

Mimicking the habits of the 20 percent could move you into that exclusive group. Here’s a look at how to be a successful loser.

1

Keep It Positive

Think about the healthful behaviors you intend to create, not the bad ones you wish to break. Take a simple activity you already do daily, and create a new habit to accompany it.

For example, you might do five minutes of stretches immediately after waking up or eat a handful of baby carrots after taking your daily multivitamin.

2

Set Yourself Up for Success

Put your plan and your reasons for it in writing. Create modest, shortterm goals, such as skipping fast food one day a week or taking one flight of stairs at work.

Medical Nutrition Program

3

Examine What Works

The National Weight Control Registry is a database of more than 10,000 adults who have lost at least 30 pounds and maintained the loss for at least one year.

Participants keep food diaries, stick to their diet even on weekends and get back on track quickly when their weight edges up.

Other winning habits include: • 90 percent exercise an average of one hour daily.

• 78 percent eat breakfast every day.

• 75 percent weigh themselves at least once a week.

• 62 percent watch less than 10 hours of TV a week (the average American watches 28 hours a week). n

photo by thinkstock

Houston Methodist San Jacinto Hospital offers a medical nutrition program that helps patients reach a healthy weight and reduce illness. The program can assist those with diabetes, heart disease, cancer, obesity, liver disease, renal disease or gastrointestinal disorders. For more information, call 281.420.8525.

Prepare for success by stocking the kitchen with healthful, easy-to-prepare foods; keeping apples and nuts at hand to ward off snack attacks; and repackaging food into single servings.

Allow for an occasional treat, preferably planned, served in a single portion on a plate and savored one leisurely bite at a time.

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healthy Eats

Chicken Wraps

with Toasted Corn

This tasty meal features romaine lettuce, which is rich in lutein, a nutrient that may help protect your eyesight. The wrap also has lots of fiber, protein and complex carbohydrates to give you long-lasting energy.

Ingredients Chicken wraps 1 small avocado, peeled and diced 1 tsp. lemon juice 3 c. coarsely shredded romaine lettuce, divided 4 7-inch flour tortillas 12 oz. (2 c.) shredded, cooked chicken breast 4 cherry tomatoes 3 ⁄4 c. mild tomato salsa from a jar, drained of excess liquid 1 tsp. canola oil 2 tsp. red wine vinegar

Toasted corn 2 cups corn kernels, fresh or frozen, thawed 1 ⁄8 tsp. salt 1 ⁄4 tsp. chili powder 1 ⁄8 tsp. ground cumin Directions

avocado with 2 cups lettuce. Divide among four plates. Arrange tortillas on plates. Top each tortilla with ½ cup chicken. Add 1⁄4 cup remaining lettuce to each. Pull together sides of tortillas. Close tortillas with toothpicks. Add tomato garnish.

Spoon corn on plates.

Combine salsa, oil and vinegar.

Drizzle over chicken and lettuce or place on the side.

1

3

2

Nutritional information: Makes 4 servings. Each serving contains: 340 calories, 11 g total fat, 27 g protein, 36 g carbohydrates, 60 mg cholesterol, 450 mg sodium and 6.5 g dietary fiber.

For toasted corn, spray a large nonstick skillet with cooking spray. Add corn, salt, chili powder and cumin. Cook, over medium heat, stirring, for 5 to 7 minutes or until corn is lightly browned. Remove from heat.

For chicken wraps, sprinkle avocado with lemon juice. Mix

Calendar of Events

photo by thinkstock

pad/vein seminar Date: Jan. 13

Sleep Seminar Date: March 10

your overall health seminar Date: Jan. 29

Colorectal Seminar Date: March 17

Heart Celebration Date and Time: Feb. 12, 11 a.m. to 2 p.m.

Location: Reilly Pavilion

Joint Pain Seminar Date: March 26

Support Groups Ostomy Support Group Date: First Monday of the month Time: 6 p.m.

Information: 281.428.3033 Diabetes Support Group Date: First Tuesday of the month Time: 6 p.m.

Information: 281.420.8525

Cancer Survivors Support Group Date: First Thursday of the month Time: Noon Information: 832.556.6510 Grief Support Group Date: Third Thursday of the month Time: 7 p.m.

Information: 281.420.8811

All events take place in the Community Room from 6:30 to 7:30 p.m. unless otherwise noted.

To register for events, visit houstonmethodist.org/events or call 281.428.2273. houstonmethodist.org/sanjacinto 11

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PAID

COLUMBUS WI PERMIT 62

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

713.790.3333

LEADING MEDICINE IN GREATER HOUSTON

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HOSPITALS

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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.

2. Houston Methodist San Jacinto Hospital

6. Houston Methodist Willowbrook Hospital

3. Houston Methodist St. John Hospital

7. Houston Methodist The Woodlands Hospital Opening in 2017

SPECIALTY HOSPITAL

SPECIALTY HOSPITALS

8. Houston Methodist St. Catherine Hospital

EMERGENCY CARE CENTERS

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5. Houston Methodist West Hospital

4. Houston Methodist Sugar Land Hospital

HOSPITALS

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1. Houston Methodist Hospital

IMAGING CENTERS

EMERGENCY CARE CENTERS 713.441.ER24 (3724)

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2

15

8

12 13

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9. Houston Methodist Kirby Emergency Care Center

12. Houston Methodist Voss Emergency Care Center

10. Houston Methodist Pearland Emergency Care Center

13. Houston Methodist Cinco Ranch Emergency Care Center Opening in Spring 2015

11. Houston Methodist Sienna Plantation Emergency Care Center

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14. Houston Methodist Cypress Emergency Care Center Opening in Fall 2015

IMAGING CENTERS 9. Houston Methodist Breast Imaging Center

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15. Houston Methodist Imaging Center

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

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Taking care of the entire family With locations throughout Greater Houston, Houston Methodist Primary Care Group is dedicated to providing care for the entire family and proud to ensure efficient access to specialty and hospital services whenever the need arises.

To schedule an appointment, visit houstonmethodist.org or call 713.790.3333.

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