UTMB Health Angleton Danbury Patient Handbook 8/2014

979-849-7721 • 979-265-3368 • 281-393-2117

HOSPITAL PHONE DIRECTORY

Page 6

PHYSICIAN STAFF LISTING

Page 34

FALL 2014

Patient Information & Visitor’s Guide

UNKNOWN

Other people may be there to help us, teach us, guide us along our path, but the lesson to be learned is always ours.

In This Guide Welcome to UTMB Health Angleton Danbury Campus About Us Our Commitment to Care Telephone Directory Rapid Response Team Be Prepared During Your Stay

3 4 5 6 7 8-9 10-13 Visitor Passes 10 Waiting Rooms 10 Public Restrooms 10 Parking 10 Visitor Guidelines 10 Pre-Certification 11 Shuttle Service 11 Patient Registration 11 Personal Belongings 11 Leave Your Valuables at Home 11 Smoking 12 Fire Safety 12 Electrical Devices 12 Confidentiality 12 Patient Safety 12 Telephone 12 Wireless Internet Access 12 E-Cards for Patients 12 Medications from Home 12

14 Speak Up Take charge of your care.

15 Stay Safe You can contribute to health care safety.

OUR ADDRESS

132 E. Hospital Drive Angleton,TX 77515 Š2014 PatientPointŽ

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In this Guide continued During Your Stay continued

23 Don’t Leave Until...

6 things you should know before you walk out the door.

19 Do You Have Pain?

Make your stay as comfortable as possible.

32 Charitable Giving Options Help us help others.

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TV 13 Channel Listing 13 Mail and Flowers 13 Patient Meals 13 Guest Meals 13 Gift Shop 13 Cafeteria 13 ATM 13 Chapel 13

Speak Up Stay Safe Do You Have Pain?

Patient’s Rights & Responsibilities Advance Directives?

Patient Privacy & Security Don’t Leave Until…

Preparing to Leave the Hospital

Discharge Planning When You are Discharged Coordination of Benefits (COB) Financial Arrangements If You Have Health Insurance If You Are A Member of an HMO or PPO If You Are Covered by Medicare/Medicaid If You Have No Insurance Your Hospital Bill Financial Assistance

14 15-18 19 20-21 21 22 23-24 25-27 25 25 25 26 26 26 26 26 27 27

Staff Definitions 28 Hospital Services 28-31 Charitable Giving Opportunities 32 Sudoku 33 Physician Directory 34-36 ©2014 PatientPoint®

Welcome to UTMB Health Angleton Danbury Campus For more than 120 years, the University of Texas Medical Branch (UTMB Health) has served the people of Texas and the world as a leading academic health center.

Today, we remain a home of continued educational, research and clinical excellence, committed to ensuring better health—and a better life—for the people of Texas and beyond, well into the future. We are excited to join forces with Angleton Danbury Medical Center to provide the very best community-based health care, focused strongly on our patients and their families. The promise to the community as we embark on this new journey will hold fast to the concept of friends and neighbors caring for friends and neighbors.

This patient guide was designed to help answer questions you may have about our hospital and its services. In it, you’ll find information about your rights and responsibilities as a patient, visiting hours and other facts that may be useful to you, your family and your visitors during your stay. However, if you do not find answers to your questions, please feel free to ask your physician, nurse, or a patient advocate, available at extension 409-772-4772.

Your health and comfort are our primary concerns. Each and every staff member at the UTMB Health Angleton Danbury Campus is committed to providing high-quality care with warmth, compassion and personal attention. All of our employees share a commitment to patient satisfaction and providing exceptional service to all of our guests.

We look forward to growing, building, and bringing the best health care services to the Greater Angleton area, the hospital district and surrounding communities as we move into the future. We are honored to be part of your care and recovery, and we look forward to serving you.

Sincerely, Dave Bleakney

Vice President and Administrator, UTMB Health

Angleton Danbury Campus

Donna K. Sollenberger Executive Vice President and Chief Executive Officer, UTMB Health 3

About Us Our Address 132 E. Hospital Drive Angleton,TX 77515

Services We Provide n ACR-Accredited

Mammography Services n Cardiac Rehabilitation n Comprehensive Imaging Services Bone Density Scanning CT Scan MRI–Outpatient Imaging Center n Laboratory Services– Inpatient & Outpatient n Obstetrics and Gynecological Services n Occupational Therapy n Pediatrics n Physical Therapy n Pulmonary Therapy n Rehabilitation Department n Sleep Lab n Specialty Clinic n Speech Pathology n Surgical and Cardiac Care n 24-Hour Emergency Department Services n Hospitalists

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Your Opinion Counts

Soon after your discharge, you may receive a telephone call from J.L. Morgan & Associates, Inc. (area code 205) asking about your recent hospital stay. Please take the time to speak with the representative and share your opinions about your hospital stay. Your feedback is an important part of our goal of improving the care and services we provide.

Mission, Vision & Values At the University of Texas Medical Branch, we are dedicated to a long-standing mission of improving health for the people of Texas and around the world. We are a collaborative community that works together to define the future of health care and strives to be the best in everything we do for those we serve. We uphold our core values by demonstrating compassion for all, always acting with integrity, showing respect to everyone we meet, embracing diversity to best serve a global community, and promoting excellence and innovation through lifelong learning. Our mission and values are at the heart of the care that we provide to you and your family.

Our Commitment to Care Our goal is to provide the best patient care. If at any time you have questions or concerns about the quality of care that you or a family member is receiving or has received at our hospital, do not hesitate to speak with your nurse or the nursing supervisor. If you feel that your issue wasn’t resolved, please contact our Patient Representative at extension 9104 or 979-848-9104 between 8:00 a.m. and 4:00 p.m. Monday through Friday (except holidays) with your complaints or concerns.

You may call at any time during or after your stay. In addition, you have the right to file a complaint or concern with either of the following: Texas Department of Health Health Facility Licensing and Compliance Division 1100 West 49th Street Austin, TX 78756 888-963-7111 Office of Quality Monitoring The Joint Commission One Renaissance Boulevard Oakbrook Terrace, IL 60181 800-994-6610 Email: complaint@jointcommission.org

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Telephone Directory MAIN NUMBER 979-849-7721

Information Desk/ Main Lobby Ext. 2300

Information Desk/ Second Floor Ext. 2368

Billing 979-864-8440 or Ext. 2266

Gift Shop Ext. 9179

Cafeteria Ext. 2388

Calling a Department WITHIN the Hospital?

Dial the last four digits of the number.

Angleton Line 979-849-7721 Brazosport Line 979-265-3368 Houston Line 281-393-2117 Main Fax Line 979-849-0581 Billing/Insurance 409-747-1099 Community Resources Department 979-848-9109 Frank W. Stevens Center for Health & Wellness 979-848-9109 Human Resources 979-848-9106 Marketing & Public Relations 979-848-9108 Medical Records 979-848-9140 Mother Baby Unit 979-848-9180 Physician Care Finder 979-848-9109 Rehabilitation Department 979-848-9195 Social Services Department 979-848-8419 Specialty Clinic 979-848-9127

Hospital Extensions

When calling within the hospital, simply enter the extension number.

Billing/Insurance 409-747-1099 Bayou CafÊ 2388 Frank W. Stevens Center for Health & Wellness 9109 Gift Shop 9179 Human Resources 9106 Information Desk (Main Lobby) 2300 Information Desk (Second Floor) 2368 Medical Records 9140 Patient Representative 9104 Release of Information 8429 Social Services Department 8419 Waiting Room (Emergency Department) 2520 Waiting Room (Surgery) 8487 Waiting Room (Peklo Women’s Unit) 2397 Waiting Room (Second Floor) 2575 Waiting Room (ICU) 2222 Please visit us at utmbhealth.com/admc

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Rapid Response Team To promote rapid identification and treatment of urgent patient care needs, UTMB Health Angleton Danbury Campus has implemented a Rapid Response Team (RRT). The Rapid Response Team is a group of highly trained nurses and respiratory therapists who help when there are signs that a patient is developing serious medical problems. The purpose of the Rapid Response Team is to quickly check the condition of the patient and provide help before there is a medical emergency, such as a heart attack.

The Rapid Response Team is usually summoned by any clinical staff member who is concerned in a change in condition of a patient. At UTMB Health Angleton Danbury Campus, we feel that it is important for the patient or patient’s family to have access to this service.

Should you, the patient or your family feel that there has been a significant worsening in your condition, first please make sure your nurse and/or physician knows this concern immediately. If you feel that additional help is needed or you are not satisfied with the response of the patient care staff, please DIAL 3333 and ask for the Rapid Response Team. You will need to tell the operator the patient’s name and location.

HELP LINE for Families DIAL 3333 You will be asked: n Caller Identification n Room Number n Patient’s Name n Patient Concern (what

issues are they having) A Rapid Response Team will be activated.

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FRAN DRESCHER 1957-PRESENT

Surgery is half the race, but you have to go for the follow-up or do yourself a major disservice.

Be Prepared How you can make your surgical procedure and follow-up care as safe as possible.

Mistakes can happen during surgery.

As an active member of your health care team, you can make your surgical procedure and follow-up care as safe as possible. Here’s what you need to know.

Before Your Surgery

nA rrange for transportation to and

from the hospital or surgical center.

nA sk a relative or friend to go to the

hospital or surgical center with you, to stay during your procedure and accompany you home afterward.

nB ring a list of any questions you have

about your surgery to your pre-surgical doctor’s visit. Also bring a list of all the prescription, over-the-counter and herbal medications that you are currently taking or that you took until very recently. Review the list with your surgeon and ask if there are any you should stop taking prior to your procedure. nB e sure your surgeon knows about any allergies you have to medications and foods. nA sk your surgeon whether you can eat or drink before your procedure and if so, what kinds of food or drink, and within how many hours of your surgery. nA sk your surgeon whether you should remove nail polish or temporary dental appliances (such as a bridge), if you can wear deodorant or body lotion and if there are other preparations you need to make prior to surgery. nF ind out if you will need therapy after your surgery, who will arrange for it and whether you can have therapy at home.

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It’s hard to remember everything yourself.

When you meet with your doctor, bring your questions and a friend. Your friend can help listen, take notes and ask questions, too!

©2014 PatientPoint®

A Team Effort

Here’s how to work with your surgical team to get the best outcome: n Know the preparations you must make before your surgery. n Get to the hospital or surgical center early on the day of your surgery. n Review paperwork carefully before signing. n Make sure the proper part of your body is marked for surgery. n Get your post-surgical care instructions in writing before you leave.

On the Day of Your Surgery

nS hower or bathe and wash your hair.

Don’t wear makeup or perfume. Be sure to follow any other pre-surgery instructions you were given. nL eave your jewelry, money, credit cards and other valuables at home. nA llow yourself plenty of time for travel. nO nce you arrive at the hospital or surgical center, you will be given an Informed Consent form to sign. Read it carefully. Make sure everything on the form is correct. If you don’t understand something, ask questions before you sign the form.

Before Your Procedure Begins n Staff at the hospital or surgical

center should ask you the following questions more than once before your surgery: Your name What kind of surgery you’re having The part of your body that is being operated on nA health care professional will mark

the spot on your body that is going to be operated on. Make sure he or she marks only the correct part. If he or she makes a mistake and has to make a new mark, be sure the old mark is completely cleaned off. ©2014 PatientPoint®

n I f you won’t be awake for the

marking, be sure your relative or friend watches the marking. nA sk your surgeon if the team will take a “time out” just before your procedure.

This is done to make sure the team is doing the correct surgery on the correct body part of the correct person.

After Your Surgery

nS peak up about any pain you are

having and ask for relief. Be specific about the intensity and location. n I f you are given medications right after surgery, ask what they are and what they are for. Ask about side effects. If you are given a prescription for medications you must take while recovering, be sure you understand the instructions for the dosage, how frequently you need to take the medications and for how long. n I f you are given IV (intravenous) fluids right after surgery, ask what they are and what they are for. Be sure someone monitors the fluid level. nA sk your surgeon if your activities need to be limited, and if so, for how long. Ask when you will be able to resume work, exercise and travel. nB e sure to get instructions for post-surgical care in writing before you leave.

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During Your Stay Visitor Passes A visitor pass will be issued to all visitors.

Please sign in at the Visitors Desk (Main Lobby) to receive your pass. The pass must be worn at all times in all areas of the hospital and must be returned to the Information Desk when you leave.

Waiting Rooms Waiting rooms are conveniently located on each floor.

Public Restrooms Please do not use the bathrooms in patient rooms. They are reserved only for patients in order to protect their health.

Public restrooms are located throughout the hospital.

Parking Visitor parking is located in front of the hospital and provided at no cost. Handicap parking is clearly designated.

Please do not park in the unloading zone in front of the hospital.

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We have policies and procedures in place to help you and your family work with our doctors, nurses, and staff to get the most from your hospital stay. Please take a few minutes to review these guidelines with your loved ones.

Visitor Guidelines

Family and Friends Visitors can play an important role in the healing process for our patients. UTMB Health allows the patient to choose a family member, friend or another individual or individuals to be present for support during the course of their hospital stay based on his or her preference. The patient also has the right to withdraw or deny such consent at any time. Patient care is our primary concern at UTMB Health, and, in order to enhance the quality of care, visiting hours and regulations have been established for each unit.

Visiting hours for most areas of the hospital are from 9:00 a.m.–9:00 p.m. Patients may usually have two visitors at a time; however, exceptions may be made at the discretion of the unit charge nurse, who has the authority to determine the number of visitors and length of visitation, based on patient needs and other unit activities. No exceptions will be based on race, color, national origin, religion, sex, gender identity, sexual orientation or disability. Because visiting hours or the number of visitors may be restricted depending on the patient’s condition or type of patient care unit, visitors are encouraged to inquire about area-specific visitation standards.

Access to the hospital during non-visiting hours is restricted and permitted only under certain circumstances on certain units. Units for women, infants and children each have specific policies to protect newborn babies and ensure a family-centered birthing experience. Ask your nurse about these policies.

Visitor Conduct Visitors are expected to conduct themselves in an appropriate manner considered consistent with community standards within a hospital environment.

Visitors should be considerate of all patients by observing

visiting hours, refraining from loud conversations or any other behavior that may disturb a patient, and abiding by other restrictions that are either described in this document or posted throughout the hospital.

Pre-Certification

Most insurance plans now require pre-certification for hospital stays and certain tests and procedures in order for you to be eligible for full policy benefits. It is your responsibility to see that this is completed. This information can be found on your insurance card. If you are unsure of your pre-certification requirements, we recommend that you contact your insurance company as soon as possible. You will be asked to pay any deductibles, co-payment or non-covered services.

Shuttle Service

A.D.A.M., our six-passenger courtesy shuttle, is available to transport visitors and patients to their parked vehicles on the campus. To request service call 979-424-1410, listen for the beep and enter the location code: Information Desk (Main Lobby) 300 Professional Office Building (Front) 400 Professional Office Building (Back) 450 Surgery Center Circle 500 Frank W. Stevens Center for Health & Wellness 900

Patient Registration

Patient Registration is located in the South Lobby of the main building. Our Patient Financial Services Representative will request medical and insurance information. To expedite the registration process, please have your photo ID, insurance identification, Social Security card, Medicare/Medicaid card and any other medical insurance information.

If you have an Advance Directive or Medical Power of Attorney, please bring a copy with you or request a copy of our information brochure.

Personal Belongings Most of what you need for your hospital stay will be provided. You should plan to bring a toothbrush and toothpaste, hairbrush and/or comb, slippers and personal care items.

You should also bring your driver’s license, insurance information and any item requested by your physician.

Leave Your Valuables At Home If you have valuables, such as jewelry, credit cards and cash, please give them to a relative or friend to take care of during your stay.

Store your contact lenses, eyeglasses, hearing aids and dentures in containers labeled with your name and place them in a drawer in your bedside table when not in use.

Please don’t put them on your bed or food tray— they may be damaged or lost. The hospital cannot be responsible for replacement of personal belongings.

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During Your Stay Smoking UTMB Health Angleton Danbury Campus, as a provider of health care in this community, wishes to establish and maintain the most effective environment possible in which to deliver our health services.

As such, we are a Smoke-Free and Tobacco-Free Campus.

This is to include vaping and electronic cigarettes.

Fire Safety We periodically conduct fire drills. If you hear an alarm, stay where you are.

In the event of an actual emergency, hospital staff will notify you.

Electrical Devices Electrical devices including hair dryers, curling irons, razors, radios, heating pads, computers, and other devices must be inspected by the Maintenance Department before use in the hospital.

Please ask your nurse to arrange for an inspection.

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Confidentiality

Information regarding your condition is confidential and UTMB Health Angleton Danbury Campus will honor that confidentiality.

Patient Safety

The safety of patients, visitors, employees, medical staff and auxiliary is of critical importance at UTMB Health Angleton Danbury Campus. We encourage patients and families to participate actively in their care and to voice questions regarding care and any concerns regarding accuracy of treatment. We have implemented many Patient Safety initiatives within our facility including but not limited to the accuracy of patient identification, medication safety practices, correct site surgery protocol and infection prevention strategies. Should you ever have questions or concerns regarding your care or safety, please tell your nurse, other clinical staff or physician.

Telephone

Telephones are provided in all patient rooms. To place a local call, dial 7 + the number.

Wireless Internet Access

Wi-Fi access is available in each patient room at no charge.

E-Cards for Patients

Your family and friends can send an e-card by visiting utmbhealth.com/admc and clicking on “Send an E-Card.�

Medications from Home

Please do not bring any medications (prescription, over-the-counter or illegal drugs) to the hospital. All medications you take while a patient at UTMB Health Angleton Danbury Campus have been prescribed by your physician, are dispensed by the hospital pharmacy and administered by a trained professional. Patients are not permitted to administer their own medications or to keep personal medications, unless approved by their physician.

TV

Cable televisions are provided in each patient room. Please be considerate of others by keeping the TV volume down and turning off your TV at bedtime.

Channel Listing CBC Windsor My 20 The CW PBS CBS

8 10 12 13 14

CNN ESPN Classic TNT Cartoon Network USA

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Mail and Flowers

Your mail and flowers will be delivered to you Monday through Saturday. Any mail received after your discharge will be forwarded to your home address. If you are in ICU, mail will be delivered to the nurse in charge of the unit.

WHERE’S THE CAFETERIA?

LOCATION:

First floor Visitors are welcome to dine in the cafeteria.

HOURS: Breakfast 7:00 a.m.–10:00 a.m.

Lunch & Grill 11:00 a.m.–2:00 p.m.

Vending Machines

Menus are available in each patient room. You may place your meal selection by dialing ext. 2388. If you have questions or concerns about your diet, request that a member of our nutritional staff visit you. A registered dietitian is also available to assist you.

Vending machines offering beverages and snacks are located in a snack area near the cafeteria. They are available 24 hours a day, seven days a week.

A microwave is also located in the snack area for visitor use.

Guest Meals

ATM

Patient Meals

Guest trays are available to parents/guardians with children 12 years and under, or a meal ticket may be purchased in the cafeteria for $6.

Gift Shop

The hospital’s gift shop is located in the main lobby of the hospital. The proceeds from the gift shop are donated back to the hospital through the Volunteer Auxiliary to assist the needs of our patients. Cash, check and credit cards accepted.

Hours of Operation: Monday–Sunday 9:00 a.m.–4:00 p.m.

For your convenience, an automated teller machine (ATM) is located in the North Lobby.

Chapel Located on the second floor, our beautiful nondenominational chapel is available 24 hours a day for patients and their families.

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FRANCIS BACON 1561–1626

Who questions much, shall learn much, and retain much.

Speak Up! Take charge of your care.

During your stay, the doctors, nurses and staff of

your hospital will treat you and your family as partners in your own care. One important way that you can be involved is to speak up. Ask questions, voice your concerns and don’t be afraid to raise any issues relating not only to your care and treatment, but also to overall hospital services.

In the pages that follow, you’ll find a step-by-step guide to making the most of your hospital stay—how to stay safe, get the information you need, ask the right questions and interact effectively with your doctors, nurses and hospital staff.

STEP UP & SPEAK UP SPEAK UP: Ask questions and voice concerns.

It’s your body and you have a right to know.

PAY ATTENTION: Make sure you’re getting the right treatments and medicines.

EDUCATE YOURSELF: Learn about the medical tests you get and your treatment plan.

FIND AN ADVOCATE: Pick a trusted family member or friend to be your advocate.

WHAT MEDS & WHY: Know what medicines

Remember: rite down any questions W you have n Choose a family member to communicate with the doctors and staff n K eep a list of doctors you see and the meds they prescribe n

Don’t Get Overwhelmed, Write It Down!

you take and why you take them.

CHECK BEFORE YOU GO: Use a hospital, clinic, surgery center or other type of health care organization that meets The Joint Commission’s quality standards.

PARTICIPATE IN YOUR CARE: You are the center of the health care team.

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Courtesy of The Joint Commission. ©2014 PatientPoint®

HENRY H. TWEEDY 1868-1953

Fear is the father of courage and the mother of safety.

Stay Safe You can contribute to health care safety.

While you are in the hospital, many people will enter your room, from doctors and nurses to aides and orderlies. The following information will help make your hospital stay safe and comfortable.

Employee ID All hospital employees wear identification badges.

Feel free to ask any staff member for his or her name and job classification. If you do not see an ID badge on an employee, please call your nurse immediately.

Don’t Be Afraid to Ask… A number of people may enter your hospital room.

Be sure to: n Ask for the ID of everyone who comes into your room. n Speak up if hospital staff don’t ask to check your ID. nA sk if the person has washed his or her hands before he or she touches you. n I f you are told you need certain tests or procedures, ask why you need them, when they will happen and how long it will be before you get the results. ©2014 PatientPoint®

PATIENT IDENTIFICATION Any time staff enters your room to administer medications, transport you or perform procedures and treatments, they must check your birth date and name before they proceed. At times, you may be asked the same questions repeatedly.

We are aware that this may be annoying. Please understand, however, that this verification process is a critical component in our patient safety program in order to guarantee that all of our patients receive the correct medications and treatments.

Check ID

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STAY SAFE

Fighting Infections While you’re in the hospital to get well, there is the possibility of developing an infection. The single most important thing you can do to help prevent infections is to wash your hands and make sure that everyone who touches you—including your doctors and nurses—washes his or her hands, too.

You, your family and friends should wash hands:

1. after touching objects or surfaces in the hospital room 2. before eating 3. after using the restroom It is also important that your health care providers wash their hands with either soap and water or an alcohol-based hand cleaner every time, both before and after they touch you. Health care providers know to practice hand hygiene, but sometimes they forget. You and your family should not be afraid or embarrassed to speak up and ask them to wash their hands.

Happy Birthday to You! Wash your hands with soap and warm water for 15 to 20 seconds.

That’s about the same amount of time that it takes to sing the “Happy Birthday” song twice.

It’s Always Wise to Sanitize

Doctors, nurses and other health care providers come into contact with lots of bacteria and viruses. So before they treat you, ask them if they’ve cleaned their hands.

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Alcohol-based hand cleaners are as effective as soap and water in killing germs. To use, apply the cleaner to the palm of your hand and rub your hands together.

Keep rubbing over all the surfaces of your fingers and hands until they are dry. ©2014 PatientPoint®

STAY SAFE

Preventing Falls Hospital patients often fall because they are weak or unsteady due to illness or medical procedures, their medications make them dizzy, or they’ve been sitting or lying down for too long. UTMB Health Angleton Danbury Campus cares about our patients’ safety. Please help us keep you safe by following these guidelines during your hospital stay: n Do not get out of bed by yourself. Your hospital bed is probably higher and narrower than your bed at home, and you can easily fall while trying to get in or out of it. Please use your nurse call button and ask for assistance. n Keep often-used items—call button, tissues, water, eyeglasses, telephone, TV remote—within easy reach. n Do not walk in bare feet. Wear non-skid socks or slippers. n Make sure your robe or pajamas don’t drag on the floor; they can cause you to trip. n Use the handrails in your bathroom and throughout the hospital at all times. n Ask your nurse to show you how to properly walk with your IV pole, drainage bags or any other equipment. n Be sure your wheelchair is locked when getting in or out of it. Never step on the footrest. n If you see a spill on the floor, report it at once.

DVT: Lower Your Risk Deep-vein thrombosis (DVT) occurs when blood clots form in the legs and block circulation. The clots can lodge in your brain, heart or lungs, causing damage or even death.

When you’re hospitalized and in bed with limited physical activity, your risk of DVT increases.

Ask your doctor about using compression boots or stockings and/or blood thinners to prevent DVT during your stay. And be sure to tell your doctor or nurse if you have any of the following warning signs: A leg cramp or charley horse that gets worse Swelling and discoloration in your leg, upper arm or neck Unexplained shortness of breath Chest discomfort that gets worse when you breathe deeply or cough Light-headedness or blacking out

PATIENTS OF ALL AGES ARE AT RISK OF FALLS BECAUSE OF MEDICATIONS THAT MAY MAKE THEM DIZZY, WEAK OR UNSTEADY ©2014 PatientPoint®

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STAY SAFE

Know Your Meds While you are hospitalized, your doctor may prescribe medications for you. Be sure that you understand exactly what they are and why they are being prescribed. Use this checklist to help you get the information you need from your doctor: What is the name of the medicine?

What is its generic name?

Why am I taking this medicine?

What dose will I be taking? How often, and for how long?

When will the medicine begin to work?

What are the possible side effects?

Can I take this medicine while taking my other medications or dietary supplements?

Are there any foods, drinks or activities that I should avoid while taking this medicine?

Should I take my medicine at meals or between meals?

Do I need to take the medicine on an empty stomach or with food or a whole glass of water?

What should I do if I forget to take the medicine and miss a dose?

KEEP A WALLET-SIZE NOTEBOOK OF ALL MEDICATIONS YOU ARE TAKING.

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Preventing Medication Errors By taking part in your own care, you can help the members of your health care team avoid medication errors. Here’s how: Be sure that all of your doctors know what medications you have been taking, including prescription drugs, over-thecounter medications, herbal and vitamin supplements, natural remedies and recreational drugs.

Be sure that all of your doctors know of any allergies you may have— to medications, anesthesia, foods, latex products, etc.

When you are brought medications or IV fluids, ask the person to check to be sure you are the patient who is supposed to receive the medications. Show that person your ID bracelet to double-check.

Remember— you play an important role in helping to reduce medication errors.

©2014 PatientPoint®

TORI AMOS 1963-PRESENT

Healing takes courage, and we all have courage, even if we have to dig a little to find it.

Do You Have Pain?

Manage your pain so your hospital stay is as comfortable as possible.

You are the expert about how you are feeling. Be sure to tell your doctor or nurse when you have any kind of pain.

To help describe your pain, be sure to report: n When the pain began. n Where you feel pain. n How the pain feels—sharp, dull, throbbing, burning, tingling. n If the pain is constant, or if it comes and goes. n What, if anything, makes the pain feel better. n What, if anything, makes the pain feel worse. n How much pain, if any, your medicine is taking away. n If your medicine helps with the pain, how many hours of relief do you get? n For most patients, a nurse will ask to rate your pain on a scale of 0-10 or may use the Wong-Baker Scale below.

USE THE PAIN RATING SCALE BELOW TO TELL YOUR DOCTOR OR NURSE HOW YOUR PAIN IS AFFECTING YOU.

©2014 PatientPoint®

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Patient’s Rights & Responsibilities Each of our patients has the right, to the delivered in a manner which is extent permitted by law, to: understandable to each patient n Reasonable access to available, including the use of language medically indicated care, treatment and interpreters and resources for patients service within the hospital’s capability with communication impairments. n Certain information about any and capacity, regardless of race, religion, beliefs, cultural values, gender, research project that they are asked age or financial status. to participate in, including expected n Care that is considerate and respectful benefits, potential discomforts and of personal values and beliefs. risks, and alternative services that n Be informed about and participate in might be advantageous to them. decisions regarding care. n Be informed about the outcomes Patients have the responsibility to: n Provide accurate and complete of care, including unanticipated outcomes. information about present complaints, n Include family members or designated past illnesses, hospitalizations, medications and other matter relating representative in care decisions. n Formulate advance directives regarding to their health. n Provide other names by which they have care and have hospital staff and practitioners who provide care in the been known, as well as any changes in address or telephone numbers. hospital follow these directives. n Designate a decision-maker in case the n Report unexpected changes in their patient is incapable of understanding condition to the responsible care a proposed treatment or procedure or provider. n Report whether they clearly is unable to communicate his or her wishes regarding care. comprehend a contemplated course of n Participate in discussions of medical action and what is expected of them. ethics that may arise in the course of care. n Follow the treatment plan n End-of-life care that is respectful and recommended by the practitioner responsive and that demonstrates primarily responsible for their care and concern for a patient’s comfort and inform the physician about obstacles dignity. that would prevent the patient from n Appropriate assessment and following the treatment plan, including management of pain. discharge instruction. n Security and personal privacy, n Ensure that the financial obligations confidentiality of information. of their health care are fulfilled as n Voice complaints about care and to promptly as possible. n Follow hospital rules and regulations have those complaints reviewed and when possible resolved. affecting patient care and conduct. n Effective communication that is n Consider the rights of other patients 20

and hospital personnel and assist in the control of noise and the number of visitors. Patients are also responsible for being respectful of the property of others and of the hospital.

n Refrain from smoking on the hospital

grounds as UTMB Health is a “SmokeFree and Tobacco-Free” Environment. n Be respectful of the property of others and of the hospital.

Advance Directives Advance Directives

Texas Law provides three means of making decisions about medical care.

They are called “Advance Directives” because they allow you to make your wishes known to your family and doctors concerning medical treatment before you actually need such care.

Help is available in making your Advance Directives and a lawyer is not needed. Your physician or the hospital can provide the forms and assist in filling them out. Please remember an Advance Directive will only be used when you cannot speak for yourself and can be changed at any time. n A Directive to Physicians (formerly known as a “Living Will”) allows you to specify treatments you would want/ not want in the event of a terminal or irreversible illness.

n The Medical Power of Attorney allows

you to appoint someone to make decisions about medical care should you become unable to make them yourself. n The Out-of-Hospital Do-NotResuscitate Order allows a patient and/ or family members to make end-of-life decisions regarding resuscitation in an out-of-hospital setting.

Discuss the different Advance Directives with people you trust. Talking about illness and death isn’t easy for anyone; it’s important to be open with your feelings.

Don’t put this important decision off until later; your family and friends need to know what your wishes are.

Provide copies to your doctor, family and agent. Bring a copy with you anytime you come to the medical center.

For more information about Advance Directives or to obtain forms, please speak with your nurse.

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Patient Privacy & Security Medical Records

To protect the confidentiality of your medical records, we must have written authorization before information regarding your medical treatment can be released. If you or your physician need this information, please send a signed and dated letter outlining the specific information you need from your medical record. Be sure to include your complete name, date of birth and UTMB Health patient identification number. Also, include the name and address of the physician to whom the record should be sent.

The letter requesting your medical record should be addressed to: The University of Texas Medical Branch Health Information Management Department Information Release Services 301 University Blvd.

Galveston, TX 77555-0782 For more information regarding the process for obtaining a copy of your medical record or to request a copy of your medical record prior to discharge, contact the Health Information Management Department at 409-772-1965.

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Privacy and Security of Health Information

UTMB Health is committed to protecting the privacy of our patients and keeping their health information secure.

According to the federal law named the “Health Insurance Portability and Accountability Act� (HIPAA), you have rights concerning the use of individually identifiable health information. The primary purpose of this law is to provide standards to facilitate the electronic exchange of health information, provide individuals with better access to their health information and standardize this access among states, decrease health care fraud and abuse and, most importantly, protect your personal health information. If you feel your health information has been misused in any way, please call the UTMB Health Privacy Office at 409-747-8700. You may also call our anonymous Fraud, Abuse and Privacy hotline at 800-898-7679.

LOUIS PASTEUR 1822-1895

In the field of observation, chance favors only the prepared mind.

Don’t Leave Until…

6 things to know before you walk out that hospital door.

Be sure to meet with the hospital’s discharge planner early in your stay to ensure a smooth discharge process later on.

When it’s time to be released from the

hospital, your physician will authorize a hospital discharge. This doesn’t necessarily mean that you are completely well—it only means that you no longer need hospital services. If you disagree, you or your caregiver can appeal the decision (see If You Disagree, at right).

On the other hand, you may be pleased to learn that your doctor has approved your discharge. But before you can leave the hospital, there are several things that you or your caregiver must attend to.

The first step is to know who will be involved in your discharge process.

This starts with the hospital’s discharge planner, who may be a nurse, social worker or administrator, or may have ©2014 PatientPoint®

some other title. You and your caregiver should meet this person relatively early in your hospital stay; if not, find out who this person is and be sure to meet with him or her well before your expected discharge date.

If You Disagree You or a relative can appeal your doctor’s discharge decision. If you are a Medicare patient, be sure you are given “An Important Message from Medicare” from the hospital’s discharge planner or caseworker. This details your rights to remain in the hospital for care and provides information on who to contact to appeal a discharge decision.

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Don’t Leave Until... continued Make sure you have the following information before you leave the hospital: 1. Discharge instructions.

You will be given a copy of your discharge instructions. This is important information to guide you in the management of your care after discharge.

2. Medications list. This is a listing of what medications you are taking, why, in what dosage and who prescribed them. Having a list prepared by the hospital is a good way to double-check the information you should already have been keeping track of.

3. Rx. A prescription for any

medications you need. Be sure to fill your prescriptions promptly, so you don’t run out of needed medications.

Be sure to ask what foods to stay away from while on your medications.

4. Follow-up care instructions.

Make sure you have paperwork that tells you: n What, if any, dietary restrictions you need to follow and for how long n What kinds of activities you can and can’t do, and for how long n How to properly care for any injury or incisions you may have n What follow-up tests you may need and when you need to schedule them n What medicines you must take, why, and for how long n When you need to see your physician n Any other home-care instructions for your caregiver, such as how to get you in and out of bed, how to use and monitor any equipment, and what signs and symptoms to watch out for n Telephone numbers to call if you or your caregiver has any questions pertaining to your after-hospital care

5. Other services. When you leave the hospital, you may need to spend time in a rehabilitation facility, nursing home or other institution. Or you may need to schedule tests at an imaging center, have treatments at a cancer center or have in-home therapy. Be sure to speak with your nurse or physician to get all the details you need before you leave.

6. Community resources. You and your caregiver may feel unprepared for what will happen after your discharge. Make sure your discharge planner provides you with information about local resources, such as agencies that can provide services like transportation, equipment, home care and respite care.

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©2014 PatientPoint®

Preparing to Leave the Hospital When your doctor feels that you are ready to leave the hospital, he or she will authorize a hospital discharge.

Please speak with your nurse about our discharge procedures.

Here are few tips to make the discharge process run smoothly: n Be sure you and/or your caregiver have spoken with a discharge planner and that you understand what services you may need after leaving the hospital.

(See “Don’t Leave Until…” on page 23 for more discharge advice.) n Verify your discharge date and time with your nurse or doctor. n Have someone available to pick you up. A member of the hospital staff or a volunteer will escort you to the front of the hospital and help you into your car. n Check your room, bathroom, closet and bedside table carefully for any personal items. n Retrieve any valuables you have stored in the hospital safe. n Make sure you or your caregiver has all necessary paperwork for billing, referrals, prescriptions, etc. n If you had bloodwork or other tests done, be sure you know the results before you are discharged.

Discharge Planning

Discharge planning begins early in your care. Your physician will determine the day you will be released from the hospital and complete your discharge order. We will help you identify and resolve care needs at discharge. You will be given written instructions for the continuation

of care. Should you have any concerns regarding continuing care, the Social Services Representative is available to assist you, your family and your physician with the resources you may need. The Social Service Representative may be reached at ext. 8419.

When You Are Discharged

Your physician determines when you are ready to be discharged. Your physician and nurse will give you discharge instructions and answer any questions you have about managing your treatment and medications once you are home. If you are confused or unsure about what you need to do, what medications you must take or if you have to restrict your diet or activities, don’t be afraid to ask and take notes. Be sure you understand any instructions you have been given before you leave the hospital.

Coordination of Benefits (COB)

Coordination of Benefits, referred to as COB, is a term used by insurance companies when you are covered under two or more insurance policies. This usually happens when both husband and wife are listed on each other’s insurance policies, when both parents carry their children on their individual policies, or when there is eligibility under two federal programs. This also can occur when you are involved in a motor vehicle accident and have medical insurance and automobile insurance.

Most insurance companies have COB provisions that determine who 25

Preparing to Leave the Hospital is the primary payer when medical expenses are incurred. This prevents duplicate payments. COB priority must be identified at admission in order to comply with insurance guidelines. Your insurance may request a completed COB form before paying a claim and every attempt will be made to notify you if this occurs. The hospital cannot provide this information to your insurance company.

You must resolve this issue with your insurance carrier in order for the claim to be paid.

If You Are a Member of an HMO or PPO

Financial Arrangements

If You Are Covered by Medicare/ Medicaid

All patients should familiarize themselves with the terms of their insurance coverage.

This will help you understand the hospital’s billing procedures and charges.

If there is a question about your insurance coverage, a member of the Inpatient Registration Office will contact you or a member of your family while you are here.

We will gather all the information needed to bill your insurance company for your hospital stay and collect the payment for your portion of the hospital bill.

If You Have Health Insurance

We will need a copy of your driver’s license or other identification card as well as your insurance card to verify eligibility and process your insurance claim. We will ask your permission to directly bill and receive payment from your insurance provider.

If you are in need of financial assistance, please call the Office of Financial Counseling at 409-772-6464.

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Your plan may have special requirements, such as a second surgical opinion or pre-certification for certain tests of procedures. It is your responsibility to make sure the requirements of your plan have been met. If the requirements of your plan are not followed, you may be financially responsible for all or parts of the services rendered in the hospital. In addition, some physician specialists may not participate in your health care plan and their services may not be covered.

We will need a copy of your Medicare card or Medicaid form to verify eligibility and process your Medicare claim. You should be aware that the Medicare program specifically excludes payment for certain items and services, such as cosmetic surgery, some oral surgery procedures, personal comfort items, hearing evaluations and other costs. Deductibles and coinsurance are also the responsibility of the patient.

Medicaid also has payment limitations on a number of services and items.

If You Have No Insurance

A representative from the Inpatient Registration Office will discuss financial arrangements with you. This representative is also available to assist you in applying for Medicaid or other government assistance programs.

Your Hospital Bill

The hospital is responsible for submitting bills to your insurance company based on the insurance information that was provided and verified. Please remember that your policy is a contract between you and your insurance company; you have the final responsibility for payment of your hospital bill. We have several payment options available to assist you in paying your bill.

Your bill reflects all the services you receive during your stay. Charges fall into two categories: a basic daily rate, which includes your room, meals, nursing care, housekeeping, telephone and television; and charges for special services, which include items your physician orders for you, such as X-rays or laboratory tests. If you have a question about your hospital bill, contact UTMB Health Business Office at 409-747-1099 or 800-435-1871.

Physicians are required to submit separate bills, so their charges will not be included on your hospital bill. If you have certain tests or treatments in the hospital, you may receive bills from physicians you did not see in person.

These bills are for professional services rendered by these doctors in diagnosing and interpreting tests results while you were a patient. Pathologists, radiologists, cardiologists, anesthesiologists and other specialists perform these services. If you have a question about these bills, please call the number printed on the statement you receive from them.

Financial Assistance

UTMB Health Angleton Danbury Campus has a financial assistance program for qualified uninsured patients.

To apply for financial assistance, contact the Office of Financial Counseling at 409-772-6464.

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Staff Definitions Social Services

Ext. 8419 drive has been recognized numerous

times by the Gulf Coast Regional Blood Center for the highest percentage of participation for a community our size.

Another service by the Auxiliary is A.D.A.M. (UTMB Health Angleton Volunteers 979-864-8441 Danbury Assistance Mobile). A.D.A.M. is a six-passenger golf cart manned five days UTMB Health Angleton Danbury per week transporting patients and visitors Campus’s Auxiliary gives life to the doctrine “Friends and Neighbors Caring to and from their parked vehicles.

The Auxiliary hosts several fundraisers for Friends and Neighbors.” Serving as one of the leading volunteer organizations during the year, such as the Doc Roger’s in southern Brazoria County, it not only Valentine Concert and the Mother’s Day Bake Sale. The Gift Shop and volunteers numerous hours, but also brings one of the most recognized blood vending machines are additional ways the Auxiliary raises funds to assist the hospital drives to the community and county. in providing patient care equipment.

This organized and highly motivated During your stay, volunteers from group (300-plus) works tirelessly to provide the Gulf Coast Regional Blood UTMB Health Angleton Danbury Campus will help assist in many ways to Center with more than 100 donated make your stay more comfortable. units per month. The Auxiliary blood

The Social Services Department provides counseling and guidance, help in handling family crisis and information about community resources.

Hospital Services At the Heart of It All…

Developing heart disease doesn’t mean you have to stop having a life. It does mean you have to work on a healthier approach to living. The Cardiac Care Team at UTMB Health Angleton Danbury Campus challenges you to work toward this healthier approach at our Cardiac Rehabilitation unit.

The Cardiac Rehab Program is a four-phase program designed to guide and encourage your transition. If you have had a heart attack, heart surgery 28

: 979-849-7721

or symptoms of coronary artery disease, you may qualify for the program. The initial phase of rehabilitation will be determined by your physician.

As you continue in your transition to a healthier lifestyle, our multidisciplinary team will work out a plan for you that fits your needs and lifestyle.

For more information about program fees, insurance reimbursement or other questions, please call Cardiac Rehab at 979-848-9129 or 979-265-3368 ext. 9129.

Bone Densitometry

Bone densitometry, using an advanced technology called DXA (short for dual-energy X-ray absorptiometry), safely, accurately and painlessly measures bone mineral density.

During a comprehensive examination with DXA, the patient lies comfortably still on a padded table while the DXA unit scans two or more areas, usually the fracture-prone hip and spine.

Unlike typical X-ray machines, radiation exposure during bone densitometry is extremely low—less than the radiation exposure during a coast-to-coast airline flight. The entire process takes only minutes to complete, depending on the number of sites scanned. It involves no injections or invasive procedures, and patients remain fully clothed.

Preparing for Bone Densitometry Scanning

Unless instructed otherwise, eat normally on the day of the exam; but avoid taking calcium supplements for at least 24 hours prior to your appointment. Wear loose, comfortable clothing; sweat suits and other casual attire without zippers, buttons, grommets or any metal are preferred.

You should not have had a barium study, radioisotope injection, oral or intravenous contrast from a CT scan or MRI within seven days prior to your DXA test.

Outpatient Imaging Center

UTMB Health Angleton Danbury Campus’ Outpatient Imaging Center, located at 2327 E. Highway 35, is home to the innovative Hitachi AIRIS II® MRI “Open” unit—the “open” MRI unit is a painless and non-invasive screening producing diagnostic images of the human body’s internal organs.

It provides a less confined scanning experience with exceptional image quality enhancing current services to patients and physician. The MRI has the ability to provide physicians with hundreds of images in three dimensions, all from one scan.

“Our goal is to make your visit as easy and comfortable as possible and to provide your physician with a prompt and accurate interpretation of the results of your scan,” said Bill Allen, Director, Diagnostic Imaging.

And our patients have seen the benefit with our experienced imaging team, ease of accessibility, close parking and no delays. Physicians receive the scan results almost immediately—resulting in a faster “read time” for the patients.

For more information on scheduling your appointment at the UTMB Health Angleton Danbury Campus Outpatient Imaging Center, call us at 979-849-2738.

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Hospital Services Physician Directory

to the hospital, the 8,300-square-foot Use our physician directory at utmbhealth. building is named in honor of former com/admc to read up on the background, board chairman Frank W. Stevens. The training, and experience offered by Center is a place where you can learn caregivers at our facility. about the meaning of wellness and striking a balance between the mind, Rehabilitation Department body and spirit. Services offered are: n Indoor walking track UTMB Health Angleton Danbury Campus provides physical, occupational n Lighted outdoor walking track— and speech pathology services as well as available to community members 24 hours/seven days a week pulmonary therapy in the Rehabilitation n Exercise equipment Department. Caring and professional n Treadmills services have been enjoyed by patients n Elliptical trainers for years with our Rehabilitation Team n Free weights members.

Our multi-disciplinary team will work n Multi-gym system out a plan to fit your needs and lifestyle. n Personalized physiological evaluations n Daily exercise classes for all levels We are committed to bringing you the best possible care in diagnosis, treatment, n Private shower and dressing facility n Community and Corporate and in the management of difficult medical problems. Services are available Memberships are available for continuum of care in inpatient and outpatient settings.

Hours of operation: Our goal is to give back the quality Monday through Thursday of life you deserve. Our state-of-the5:00 a.m.–8:00 p.m. art facility is well equipped to manage Friday 5:00 a.m.–6:00 p.m. all of your health care needs. Our Saturday 8:00 a.m.–12:00 p.m. individualized programs allow you to Closed Sundays and Holidays work one on one with our licensed For more information or for a class professionals. You will have his or her schedule, call 979-848-9109. undivided attention to assist you in improving your quality of life. Located at Support Groups 146 Hospital Drive, Professional Office Support Groups and Educational Bldg, Suite 107 Angleton. For more Sessions available to the community information, please call 979-848-9195. include: n Diabetic Support Group n Celiac Sprue Wellness Center n CPR Classes The Frank W. Stevens Center for Health and Wellness is a premier health n Stroke Support Group and wellness facility. Located next door For more information about these 30

services, call the Community Resources Learn more about Project Pink Warrior by contacting our Community Health Department at 979-848-9109.

Care Coordinator at 979-849-9173.

The Sleep Lab

Over 60 million Americans suffer from one or more of 80 different sleep disorders. Left undiagnosed or untreated, sleep disorders can contribute to impaired academic and professional performance.

The Sleep Lab at UTMB Health Angleton Danbury Campus is staffed with a board certified and sleep medicine trained pulmonologist, registered sleep technologist, and respiratory therapists.

Our specialists work with your physician to diagnose underlying sleep disorders and treat the condition to improve your health.

The Sleep Lab is located inside the hospital. For more information and to schedule an appointment, please contact our Respiratory Therapy Team at 979-848-9159.

Project Pink Warrior

UTMB Health Angleton Danbury Campus is proud to bring Breast Cancer Education and Screening Program (Project Pink Warrior) to the communities of southern Brazoria County with a grant funded by our partnership with Susan G. Komen – Houston. This breast health initiative program allows UTMB Health Angleton Danbury Campus to provide breast screenings to men and women who are uninsured or underinsured.

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Charitable Giving Opportunities To speak to someone about making a gift to UTMB Health, please contact the UTMB Health Development Office at 409-772-8767 or visit us at workingwonders. utmb.edu.

Help us help others

UTMB Health is fortunate that many of our patients make generous gifts in honor of the care they’ve received.

They give to say thanks. But they also give to make sure other patients have the same opportunities they did: to be tended to by some of the best and most compassionate caregivers in all of academic medicine.

Your gift can enhance the patient care experience at UTMB Health. It can help purchase state-of-the-art equipment to diagnose and treat illness and injury. It can help construct the next generation of hospital facilities.

Or it can help support the training of tomorrow’s medical pioneers.

Your generosity can also light the spark of innovation, supporting the kind of groundbreaking research that gives hope to millions, whether it’s the family struggling with Alzheimer’s, the victim of severe burns undergoing a long rehabilitation process, or the brain injury victim working to rebuild his life.

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WOODY ALLEN 1935-PRESENT

It is impossible to travel faster than the speed of light, and certainly not desirable, as one’s hat keeps blowing off.

Sudoku

Fill in the blank squares so that each row, each column and each 3-by-3 block contain all of the digits 1 thru 9.

1 3 2 7 2 5 1 4 8 6 7 8 2 5 9 3 9 3 4 6 8 5 3 1 4 6

4 5 1 7 5 9

©2008 KrazyDad

ANSWER KEY

2 8 9 5

3 4

7 1

5 9 7 4 8 1 8 9 3 6 6 7 1 5 2 8 5 2 1 9 9 2 3 7 4 3 4 6 8 5 7 6 8 9 3 2 1 4 6 7 4 3 5 2 1

ANSWER: REPEAT AFTER ME ©2014 PatientPoint®

3 6 2 2 5 4 8 9 3 6 4 7 1 8 6 7 2 1 4 1 5 5 3 9 9 7 8

MEREPEAT

6

MIND TEASER

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Physician Directory Allergy

Kurt R. Peters, M.D.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-297-6503 Gus A. Noureddine, M.D. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 713-795-5155

Anesthesiology

Antonio Rey Acosta, CRNA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 850-440-4254 James Arthur Frazier, CRNA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 850-440-4254 Eric J. Hall, PA-C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 850-440-4254 Robert Hutsell, M.D. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 850-440-4254 Laurie Kilbourn, M.D.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-848-3068 Stephen Ralph Lostracco, CRNA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 850-440-4254 Manjit S. Randhawa, D.O.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-848-3068 Stephanie Lynn Reed, CRNA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 850-440-4254 Ravi Kumar Wahi, M.D.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 850-440-4254

Cardiovascular Disease

Mohammed Attar, M.D.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-849-7662 Jeffrey Dela Cruz, M.D. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-849-1414 Salim F. Dabaghi, M.D.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-849-1414 Ijeoma Ananaba Ekeruo, M.D. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-848-9142 Robert G. Hust, M.D. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 713-790-0841 Gregory M. Pepper, M.D.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 281-265-8855 Enrique Orellana, Jr., D.O. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-849-1414 David Yao, M.D. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-849-7662 Nadim M. Zacca, M.D.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-848-9900

Dermatology

Dr. David Raimer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 409-763-2452

Emergency Medicine

K. Paige Bilyeu, PA-C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 866-621-0157 Roger Neill Collins, M.D.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 866-621-0157 Tanya Foley, PA-C. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 866-621-0157 Premswarup Immaraj, M.D.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 866-621-0157 Nick Giannone, M.D. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 866-621-0157 Olendruff L. Johnson, M.D. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 866-621-0157 Waleed Khan, M.D. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 866-621-0157 Stacey Lee Linnett, APRN, FNP-BC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 866-621-0157 Babatunde Otinwa, M.D.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 866-621-0157 Shiraz W. Pirali, M.D. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-849-7721 Jorge Valencia, M.D.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 866-621-0157 Brett Zimmerman, M.D.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 866-621-0157

Endocrinology

Madiha Khan, M.D.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 888-252-8212 34

Kevin H. McKinney, M.D.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 888-252-8212

Family Practice

Su Zan Carpenter, M.D.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-849-5703 Hong Le, M.D.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-864-3034 A. Scott Rogers, M.D.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-849-6467 James E. Veselka, M.D.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-849-6467

Gastroenterology

Nizar Charafeddine, M.D.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-549-9755

General Surgery

James P. Maguire, M.D.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-849-2429 Henry E. Martinez, M.D.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-297-3098 Anil K. Sinha, M.D.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-285-2828

Hospitalist

Kalyani Koduri, M.D. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-849-7721 Vijay K. Koduri, M.D. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 866-621-0157 Jimmie Lewis, M.D. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-849-7721

Internal Medicine

Fabio Aglieco, M.D.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-345-2027 Kapil Dave, M.D. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 281-410-1195 Ranga R. Kattegummula, M.D. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-849-1210 Rajyalakshmi Mikkilineni, M.D. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-849-2777 Amirreza Solhpour, M.D. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-849-1414 Damodharan Vaidyanathan, M.D. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 866-621-0157 Paul H. Wells, M.D.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-848-1060

Nephrology

Fabio Aglieco, MD. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-345-2027 Manaf Alroumoh, M.D. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-864-4330 Elzbieta Baranowska-Daca, M.D.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-297-2220 M. Atiq Dada, MD. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-345-2027 Irving L. Gold, M.D. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 713-988-8776 Judith Gold, M.D. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-297-2220 Judson Severson, D.O.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-297-2220 Vinitha Vellanki, M.D.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-345-2072

Obstetrics

Gregory C. Cooke, M.D. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-849-5940 Stefan Krotz, M.D. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-849-5940 Larry K. Parker, M.D.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-849-1747

Ophthalmology

Glenn Bulan, M.D.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 713-777-7145 35

Physician Directory Ophthalmology cont.

Frank J. Grady, M.D.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-297-2961 Jonathan P. Grady, M.D.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-297-2961 Charles A. Johnson, M.D.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-849-8516 Michael R. Koop, M.D.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-849-8516

Orthopaedic Surgery

Brett S. Baker, PA-C. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-849-9557 Steven D. Eggleston, M.D.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-299-3100 Frank J. Hoffmann, M.D.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-297-3004 Craig L. McDonald, M.D. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-849-9557 Sanford R. Thompson, M.D.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-297-3004

Otolaryngology

Bruce P. Meyers, M.D.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-297-2477 Palivela P. Raju, M.D.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-848-8700

Pain Management

Manjit S. Randhawa, D.O.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-848-3068

Pathology

Oscar Mangini, M.D.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-849-7721 Nooranissa J. Pasha, M.D. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-848-9151 Ahmed Sayeed, M.D.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-849-7721 Gonzalo Uribe-Botero, M.D.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 713-779-1633

Pediatrics

Edward Chang, M.D.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-849-2381 Hu-teh Lu, M.D.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-849-2381 Joel M. Vavich, M.D.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-297-9086

Plastic Surgery

Gregory P. Pisarski, M.D. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-297-9289

Podiatry

David A. Hosack, D.P.M.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-297-3204 Ronald E. Slate, D.P.M.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-848-0777

Pulmonary/Sleep

Gus A. Noureddine, M.D. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 713-795-5155

Radiology

Rajendrakumar Desai, M.D.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-849-7721 Lawrence Hurdiss, M.D. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 281-778-8016 Harbans Singh, M.D. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-849-7721 Javier Villaneuva-Meyer, M.D.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 979-848-9160 36