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June 2011 September 2012

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GETTING THROUGH ORAL CANCER TEEN YEARS SCREENING:

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SWING

IMPROVEMENT GUIDE


Join us for

Pretty in Pink Town Square Presented by

Kelly Dempsey, M.D. and Sandra Templeton, M.D. in partnership with Methodist Sugar Land Hospital and the Fort Bend Junior Service League

Friday

October 19, 2012 6-9 p.m. Sugar Land Town Square

Light up Town Square Pink at sundown to honor all cancer survivors. Pretty in Pink – Town Square is a charity event for the entire family. 100% of the proceeds from Pretty in Pink will stay within our community to assist patients with the personal costs associated with fighting cancer.

Keynote Speaker: Gail Parker, Breast Cancer Survivor Pink Fire Truck Live Music Moonwalk Face Painting Magician Balloon Artist

To Donate

Go to MethodistSugarLand.com and click “Pretty in Pink _Town Square”

Thank You to Our Sponsors Kelly Dempsey, M.D. & Sandra Templeton, M.D. Texas Spine and Neurosurgery TNT Dynamite Sugar Land Vein Specialists Pierre Chevray, M.D., Ph.D. Consolidated Home Health Houston Radiology Associated Methodist Orthopaedic Specialists of Texas Renew Laser and Skin GHA Colorectal Surgical Associates Richmond Gastroenterology Associates Sugar Land Colon and Rectal Clinic Stephen Phillips, M.D. Advance Oncology Charles Conlon, M.D. Clive Shkedy, M.D. Sugar Land OB/GYN Sugar Land Oncology Sugar Land Pulmonary Associates Uttam Tripathy, M.D. & Imran Mohiuddin, M.D. Turner Construction Company


CONTENTS The Health issue

8

FEATURES

6

9

GETTING THROUGH THE TEEN YEARS

ENLARGED PROSTATE? GET RELIEF

MONTHLY DEPARTMENTS: 5 COMMUNITY PROFILE TO WHOM MUCH IS GIVEN

11 DEAR DOCTOR SPONSORED BY UT PHYSICIANS AT SIENNA VILLAGE 12 ASK THE EXPERT

TOP: Join Carl Ogletree, M.D., John Boon, M.D. and Lawrence Baum, M.D. (also pictured is Antoine Makhlouf, M.D.) for FREE Prostate Cancer Screenings on September 17th and 18th from 5:30 to 7:30 p.m. at the Methodist Sugar Land Hospital Cancer Center located at 16675 Southwest Freeway. Call (281) 274-7500 to schedule your screening. Prostate-specific antigen blood tests and digital rectal exams (DRE) will be given.

BOTTOM: All branches of Fort Bend County Libraries will be closed Friday, September 28, in observance of Fort Bend County Fair Day. Regular library hours will resume on Saturday, September 29th .Your online library is always open at www.fortbend.lib.tx.us for searching the catalog, renewing books or placing holds, downloading e-books, or using the research databases.

Sienna Plantation News is an advertiser-supported publication wholly owned by Community Magazines LLC, publishers of custom publications for narrowly focused audiences. There is no affiliation with Sienna Plantation, Sienna Plantation Residential Association Inc. or Johnson Development. Send correspondence to: Community Magazines LLC, 2245 Texas Drive, Suite 300, Sugar Land, Texas 77479 To advertise in Sienna Plantation News, contact Denise Williams: (281) 566-2527 or communitynews@entouch.net


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To Whom Much is Given

COMMUNITY PROFILE

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By Andrea Kilgore

hy would a prima ballerina who danced for 16 years with the Houston Ballet, toured internationally and performed ballet’s most revered roles, start a ballet company in Missouri City, Texas? Because, if as a young woman, Sharon Teague, Artistic Director for the Missouri City Ballet and retired First Soloist for Houston Ballet, had not been sent to live in Missouri City, she may have never realized her destiny. Ms. Teague’s parents divorced when she was twelve. A series of unfortunate events left the family of five children bankrupt and, for a time, homeless. Though her family could no longer afford tuition, inspired by her talent and ambition, Teague’s ballet mistress allowed her to continue ballet classes free of charge. When most teens were hanging out with friends, Teague was auditioning for ballet companies. At 16, she was offered full scholarships to several of the most prestigious ballet companies in the country: School of American Ballet Theater, Pennsylvania, Boston, PacificNorthwest, San Francisco, Milwaukee and Houston Ballet. Though the scholarships covered tuition, paying for living expenses was still beyond her family’s ability to pay. Her dream was about to end. Her father’s distant cousin, John Grimsley, played professional football for the Houston Oilers. Teague was invited to live with him in Missouri City. So, she left her family in California and came to study ballet at Houston Ballet’s Ben Stevenson Academy. Within the first year, she joined the company as an apprentice. She was promoted to soloist in 2002 and first soloist in 2008. Teague has performed in numerous works by Stanton Welch, most notably the Neapolitan Princess in Swan Lake; the first pas de deux in Nosotros; the opening girl in Brigade; "Spring" in The Four Seasons; and a pas de deux in Falling. She portrayed comedic characters such as Swanhilda in Ben Stevenson's Coppelia, Lise in Sir Frederick Ashton's La Fille Mal Gardee, parts in the Harlequinade pas de deux, and The Concert by Jerome Robbins. More elegant work includes the Lilac Fairy in The Sleeping Beauty, the Winter Fairy in Cinderella, and both the Sugar Plum Fairy and the Snow Queen in The Nutcracker. Teague’s decision to retire did not end her relationship with ballet. Instead, it freed time to give back to the community where her career started. Working with ballet

mistress, Kristen Thomas-Martin, an accomplished ballerina formerly with Pittsburgh Ballet Theatre, the Missouri City Ballet (MCB), a non-profit 501(c)(3), is the product of Teague’s desire to start a ballet company focused on classical ballet that maintains the purity of the art form. MCB consists of ballerinas ranging in age from 9 to 15. “Having Ms. Teague teach your child ballet is like having a legendary golfer like Arnold Palmer give golf lessons to your child,� says one parent. Principal dancer Aimee Kilgore says, “Ms. Sharon and Continued on page 13 Wi Qual th ity A P Ed ers uca on tio al Toun ch

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• 5


Getting Through the Teen Years

A

By Dr. Carman Whiting and Dr. Pouran Yousefi Adapted from information provided by HealthyChildren.org

s parents, we all understand the importance of communication with our teens. Understanding the psychological development of adolescents is very helpful to establish a more effective relationship and communication with teens. Like other parts of the body, the human brain also goes through developmental changes. Brain scans have shown that deeper parts of the brain (amygdala) mature much earlier in adolescence than prefrontal cortex. Instinctive behavior, emotions and aggression stem from the amygdala, while the prefrontal cortex regulates amygdala and suppresses aggression, outbursts of emotion and the surge of

instinctual behavior. Neuroscientists believe that this developmental mismatch could explain adolescents’ volatile emotions and impulsive behavior.

Therefore, at times, this makes it difficult to communicate with our teenage children. Intellectual, psychological and social development occurs during adolescence as well. Adolescence is the period of life that encompasses puberty to adulthood and is divided into three stages: early adolescence (ages 12 to 13), middle adolescence (ages 14 to16) and late adolescence (ages 17 to 21). Intellectual development: During early adolescence, most kids have a concrete perception of the world around them. Things are right or wrong, good or bad, and they hardly think beyond the present. By late adolescence, most teens are able to understand subtleties and solve more complex problems. However,


due to lack of experience, they are not proficient in applying these skills and may act without adequate thinking. Emotional development: Seeking and establishing independence is the most dominant emotional evolution during adolescence. They express less affection and distance themselves from their parents. However, not too infrequently, they crave their parents’ attention and feel conflicted about moving away from the comfort and security of their home. Social development: Before adolescence, children’s lives predominantly revolve around their families. During the adolescence, they start to expand their social circle and strive for independence from their parents. Until late adolescence, intellectual, emotional and social development lags behind the physical development. Parents also can experience conflicting emotions and confusion during their children’s adolescence. Understanding paradoxical behavior of teens can be difficult. Teens strive for independence by withdrawing from their parents; however, this may be interpreted by parents as a sense of rejection and displacement. Adolescence is a time when teens learn through trial and error. Parents should guide their teen through everyday mistakes and not view failures as catastrophes. It can be challenging for parents to balance keeping their teen from irreparable harm and allowing them to gain valuable experience by learning from their mistakes. One suggestion to overcome this challenge is to allow teens to gain more self-confidence by demonstrating the skills to use when mistakes do occur. Also, gradually allowing them smaller responsibilities, before assuming the bigger ones, may also help. Here are a few tips for getting

create new ones.” 4)Solve conflicts with teens respectfully, acknowledging the mistakes, and apologizing, are excellent ways to teach teens how to peacefully solve problems and conflicts with others. 5)Relate to your kids as adults, share what is going on with your life, listen to your kids, and ask questions. Making lunch or dinner a family time is a good way to keep the communication open. Parents’ conversation with your kids is an important preventive measure against the use of drugs.

through these years with your teen: 1)Do less for your kids and allow them to learn to do more for themselves. 2)As hard as it might be to watch your child suffer failure or embarrassment, it is more effective to let the consequences of their actions happen. 3)Provide a set amount of allowance and teach them how to budget. 4)Teach organization skills to help them become a more responsible adult. 5)Help them think about their decision options thoroughly. You may sit down together and write about the problem, possible solutions, and their consequences.

Tips for maintaining communication:

1)Teens need to know that everyone needs advice, and you can teach this by being open to feedback and, at times, getting advice from them. 2)Open and honest communication is essential for a healthy relationship with teens. 3)Disagreement and conflicts may occur. The best policy is not to get mad and turn the conflicts into fights. “Fights don’t solve the problem, they

Tips for talking to your child about substance abuse:

1)Be clear about family rules and leave no doubt. 2)Be clear about the consequences of defying your rules. 3)Explain the consequences of use of drugs. 4)Engage their sense of independence by admiring their determination to stick with the rules. 5)Explain about addiction and that people who use drugs may not be able to stop. 6)Find time to do things together. 7)Let them know that you care about them. 8)Talk about being safe. 9)Encourage positive interests and friendships. 10)Help your child learn different ways to say “No.”

Tips for talking to teens about sex:

1)It is best to start talking about this subject before adolescence. 2)Teach them to be responsible and help them understand the consequences of their decision.

Continued on page 13


I

Enlarged Prostate? Get Relief Provided by Methodist Sugar Land Hospital

t’s been said, “All men will have an enlarged prostate if they live long enough.” Also known as benign prostatic hyperplasia, or BPH, this condition is not cancer and doesn’t raise your risk of prostate cancer, but it can be quite uncomfortable. Fortunately, help is available. “The prostate is a walnut-sized gland that surrounds the urethra (the tube urine passes through) between the bladder and the penis,” says Lawrence Baum, M.D., board certified urologist on staff at Methodist Sugar Land Hospital. “As men age, the prostate gland slowly grows bigger and puts pressure on the urethra, which may slow urine flow.” BPH rarely causes symptoms in men younger than 40, but about 50% of men in their 60s and most men in their 70s and 80s have some symptoms. “Severe BPH can cause serious problems over time, including urinary tract infections, bladder or kidney damage, bladder stones and in-

continence,” says John Boon, M.D., board certified urologist on staff at Methodist Sugar Land Hospital. “An enlarged prostate can also cause sudden and complete bladder blockage.” If you are unable to urinate at all, this is an emergency and not a normal symptom of BPH. Contact your health care provider. Finding BPH early lowers your risk of developing complications. Symptoms of BPH include: • Frequent need to urinate

• Difficulty starting and stopping urine flow • Decreased size and strength of urine stream • Painful urination or bloody urine (these may indicate infection) If you’ve been experiencing symptoms of BPH, your doctor will likely perform a digital rectal exam to determine your prostate’s size and shape. Your doctor may also check your urine for infection and take a blood sample. “Although BPH isn’t caused by prostate cancer, a rising prostatespecific antigen (PSA) level is often an indication of BPH,” says Carl Ogletree, M.D., board certified urologist on staff at Methodist Sugar Land Hospital. “We may also order an ultrasound exam or biopsy of the prostate to help make the diagnosis.” “If we determine that you have BPH, we may suggest a waitand-see approach if you have mild symptoms,” says Antoine Makhlouf, M.D., board certified urologist on staff at Methodist Sugar Land Hospital. “The most common symptoms that lead to treatment include interrupted sleep because of needing to urinate at night and extreme urgency to urinate.” “Antibiotics may be prescribed to clear up any infection before treating the BPH itself,” Dr. Baum adds. Drug treatments are available for BPH, including hormone blockers that shrink the prostate and alphablockers that relax muscle cells Continued on page 13

8 •

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• 9


DEAR DOCTOR sponsored by

Dear Doctor: What is a Pap Smear? When

and why do I need it? Dear Reader: The Pap Smear is a screening test that checks for abnormal cells of the cervix. This helps to find abnormal cells so they can be treated early before they become cancer. It takes several years for cervical cancer to develop. The main cause of cervical cancer is the Human Papillomavirus (HPV). The Pap Smear is not to be confused with a pelvic exam. A pelvic exam includes using a speculum to open the vagina. While looking inside the vagina, a Pap Smear can be performed with a small brush to collect a sample of cervical cells; also swabs can collect vaginal discharge and test for sexually transmitted diseases. The Pap Smear is sent to the pathologist who looks at the cervical cells with a microscope to determine if they are normal or abnormal. Also, in women over 30 years old the specimen is tested for the HPV virus. If either comes back abnormal, you may need further testing with an in office exam called a colposcopy that may require small biopsies of the cervix. Women should start having Pap Smears at 21 years of age. Between 21 to 30 years old, the Pap Smear should be performed every one to two years. After 30 years of age, you should continue to have a Pap Smear every one to two years; however, depending on your health and prior Pap Smear results, your doctor may recommend less frequent screening. You should continue to have Pap Smears until you are around 70 years old or your doctor specifies that you no longer need them. The HPV vaccine is also now available to females between the ages of 11 to 26 which can help prevent against the two most common strains of HPV that cause cervical cancer.

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Dr. Kristal Taylor is an Assistant Professor in the Department of Obstetrics, Gynecology & Reproductive Sciences at the UT Health Science Center at Houston. She provides patient care at UT Physicians at Sienna Village. For more information or to schedule an appointment, please call (713) 486-1200.

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• 11


Panel of Experts

Dr. Brian Smith

Brenda Foster

Chris Berger

Dr. Nicholas Desai, DPM

Sienna Plantation Animal Clinic

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Sugar Land Methodist Hospital

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Darnell Fuller

RE/MAX Fine Properties

Neel Shah, MD

David Wolf, MD UT Physicians

Women’s Specialty Healthcare

Clive Shkedy, MD

Kulvinder Bajwa, MD

Dr. Sonhui Chung

UT Physicians

Colony Kids

Sugar Land Methodist Hospital

Ask the Expert

Judy Feinstein

The Towne Creek School

My father-in-law came to live with us. Between taking care of him (which I’m glad to do), the kids, the house and working part time, I’m exhausted all the time. Can you recommend a vitamin I can take to get a little extra energy? The role of caregiver requires work and dedication.You may need more than a vitamin to help you through this phase of your life. Powerful Tools for Caregivers® is an educational program hosted by Methodist Sugar Land Hospital with co-sponsorship from United Methodist Church.The primary focus of the course is to help and educate family and friends caring for older adults with long-term health conditions. The free seminar consists of six classes, each of which focuses on different tools that will help guide the caregiver through the caregiving journey. You will learn about setting goals, staying motivated and dealing with feelings of anger, guilt and depression, giving you the increased confidence and ability to cope with the demands of caregiving. This six-week course begins Monday, September 17th and runs through Monday, October 22nd. Classes are held every Monday from 6:30 p.m. to 8:30 p.m. in the Sweetwater Pavilion Chapel at Methodist Sugar Land Hospital. To register or for more information, call the Methodist Sugar Land Hospital Spiritual Care department at 281-274-7164 or email SNBowman@tmhs.org. Seating is Limited.

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To whom much is given continued from page 5

Ms. Kristin are my inspiration. They push me to be my best and I never want to disappoint them.� Though in existence for only a little over a year, four students were accepted and attended the Gelsey Kirkland Academy of Classical Ballet in New York City for a summer intensive. In October, Missouri City Ballet performs Swan Lake at the Stafford Civic Center and The Nutcracker in November at the Stafford Performing Arts Centre. ■ For more information, please visit www.missouricityballet.org.

Getting Through the Teen Years continued from page 7

3)Remind them that you love them and will support them every step of the way. 4)Keep the communication open and continue this discussion as their body and mind mature. 5)Help them learn how to resist peer pressure. 6)Discuss values and morals in regards to sex. For more detailed information about these topics, review related articles at Healthychildren.org. â– 

Dr. Carman Whiting and Dr. Pouran Yousefi are Family Medicine Physicians for the UT Health Science Center at Houston and provide patient care at UT Physicians at Sienna Village. For more information or to schedule an appointment, please call (713) 486-1200.

For more information or to schedule an appointment with a UTHSC Adolescent Medicine provider at UT Physicians at Sienna Village, please call (713) 486-1200. • Pouran Yousefi, M.D., Family Medicine • Carman Whiting, M.D., Family Medicine • Faith Atai, M.D., Family Medicine • Matthew Brown, M.D., Cardiologist • Ashish DebRoy, M.D., Gastroenterology • Timothy Foster, M.D., Neurology • Sancak Yuksel, M.D., Otorhinolaryngology • Ronda Alexandar, M.D., Otorhinolaryngology • Pradeep Kodali, M.D., Orthopaedics and Sports Medicine • Michael Adler, M.D., Obstetrics, Gynecology & Reproductive Sciences • Kristal Taylor, M.D., Obstetrics, Gynecology & Reproductive Sciences

Enlarged Prostate? Get Relief Continued from page 8

in the bladder neck, making the flow of urine easier. “Surgery can shrink or remove prostate tissue for severe, persistent symptoms,� Dr. Makhlouf says. If you’re having urinary problems, ask your doctor about what kinds of treatment can help. To make an appointment with an urologist in your area, please call our physician referral line at (281) 274-7500. ■

Want a quick pick me up?

Go outside. A few minutes of sunshine boosts the body’s production of Vitamin D and serotonin levels. Breathe deeply. Breath is the bridge between the body and the mind. No noise in the breath; no shallowness; no jerkiness; and no pause between inhalation and exhalation. Unleash your imagination. Just because you can’t physically escape to the beaches of Tahiti doesn’t mean you can’t go there. Close your eyes and imagine. Feel the sand between your toes; the gentle breeze against your face. Be as detailed as possible. When your vacation time is over, slowly count to three, open your eyes, and go back to work refreshed.

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• 13


A

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Leonard, President. ABC looks forward to utilizing the instructional space at TSOS for upcoming training events. The convenient location, at the intersection of Highway 59 and Highway 6, makes team meetings more expedient and simplifies coordination with vendors and clients. “It’s great having so many dining and entertainment options in such close proximity to our offices,” says Leonard. “Out-of-town visitors really appreciate that.” To learn how American Business Consulting can assist your dental practice, please contact Derek Leonard at (713) 340-1300 or dleonard@proabc.com. You can also visit their website at: www.proabc.com. ■

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