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MORE THAN MEDICINE:
Lifestyle Changes Can Lessen Cardiac Concerns
FROM EVERYDAY ATHLETES TO OLYMPIC
CHAMPIONS
How Simone Biles Discovered Another Winning Team
EXPERT STROKE CARE Signs of Stroke? Act FAST!
YOUR LINK TO HEALTH INNOVATIONS, NEWS AND TIPS IN EAST HOUSTON/BAYTOWN
HEALTHY EATS
Banana Berry Muffins These hearty muffins are a great way to start your day with whole grains. INGREDIENTS 4 tablespoons applesauce
¼ cup quick cooking oats
¼ cup sugar
½ teaspoon baking powder
1 egg
½ teaspoon baking soda
2 ripe bananas
¼ teaspoon salt
2 tablespoons water
¼ cup blueberries or strawberries (fresh or frozen)
¼ cup all-purpose flour ¼ cup whole-wheat flour DIRECTIONS
1. Heat the oven to 350 F. Spray a 12-cup muffin pan with nonstick cooking spray. 2. In a medium-size bowl, combine applesauce, sugar, egg, banana and water. Mix well. 3. In a large bowl, mix flours, oats, baking powder, baking soda and salt. 4. Add the applesauce mixture to the bowl with the dry ingredients; mix just until the batter is moist. 5. Gently add berries into the mixture. 6. Fill each muffin cup about ¾ full of batter. 7. Bake for 25–30 minutes until lightly brown. 8. Cool for 10 minutes and remove from pan. Recipe courtesy of the U.S. Department of Agriculture, whatscooking.fns.usda.gov
NUTRITIONAL INFORMATION PER SERVING Number of servings: 12 68 calories, 0.6 g total fat, 0 g saturated fat, 14 mg cholesterol, 1.5 g protein, 14.9 g carbohydrates, 1 g dietary fiber, 7.5 g total sugars, 108 mg sodium
IN THIS ISSUE - WINTER 2017
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E arly Detection Saves Lives Mammography is the gold standard for detecting cancers of the breast E xpert Stroke Care Houston Methodist San Jacinto Hospital helps stroke patients return to an active lifestyle
F rom Everyday Athletes to Olympic Champions How Simone Biles discovered another winning team Clearing the Air Don’t let COPD take your breath away
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Lifestyle Changes Can Lessen Cardiac Concerns Making changes in your diet, exercise habits and other areas of your life can reduce your risk of heart disease
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Weight Loss Surgery: Can It Help You? Technology has made many procedures safer and less invasive
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Finding Relief for Pelvic Pain Specialized physical therapy is incredibly effective in treating pelvic pain
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Early Detection
SAVES LIVES I t’s a scary subject that no woman wants to think about, but it’s important to know that early detection is the key to surviving breast cancer, and Dr. Hannah mammography is Chung the gold standard for detecting cancers of the breast before they are large enough to feel. And while it’s true that the number of deaths from the disease has been declining, breast cancer is still the second leading cause of cancer-related death in women. According to the National Cancer Institute, 230,000 new cases of breast cancer occur in American women each year, but early detection is a powerful weapon against the disease.
SCREENING RECOMMENDATIONS
In its early stages, breast cancer often doesn’t cause pain or easily noticeable symptoms. “That’s why it’s important to check for breast cancer even if you feel fine,” said Dr. Hannah Chung, medical director of the Houston Methodist Breast Care Center at San Jacinto.
The American Cancer Society recommends routine yearly mammograms for women age 40 years or older. However, if you are at high risk for breast cancer you may benefit from a mammogram earlier. Consult with your doctor to discuss earlier screening if you are at high risk.
REDUCING YOUR RISK
Chung said the two biggest risk factors for breast cancer — your gender and your age — are beyond your control. Another risk factor out of your control is family history. If your mother, sister or daughter had breast cancer, your risk of developing the disease increases. However, about eight out of 10 women who develop breast cancer don’t have a family history of the disease. Lifestyle-related risk factors are within your control. Take these steps to reduce your risk of developing breast cancer: Stop hormone replacement therapy (linked to a possible increased breast cancer risk) Maintain a healthy weight Stay physically active Limit your alcohol consumption Don’t smoke New mothers are encouraged to breastfeed
BREAST HEALTH GUIDELINES AGE
BREAST SELF-EXAM
CLINICAL BREAST EXAM
MAMMOGRAM
20–39
Monthly (optional)
Every three years
Only for those at high risk
40+
Monthly (optional)
Annually*
Annually*
* Please talk to your doctor to determine what age you should begin receiving an annual mammogram.
Take the Initiative
Being proactive about your breast health can save your life. At Houston Methodist San Jacinto Hospital, we offer digital and 3-D tomosynthesis mammograms, the results of which are interpreted by Chung, who utilizes her expertise as a breast fellowship trained radiologist specially trained to review the images and look for any abnormalities. For
more information or to schedule a mammogram, call 832.556.6300.
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EXPERT S troke is the third leading cause of death in America and a leading cause of adult disability, according to the National Stroke Dr. Ruby Association. A stroke, Parveen or “brain attack” occurs when blood flow to the brain is cut off by a blood clot (ischemic stroke) or a ruptured blood vessel (hemorrhagic stroke). Without an adequate blood supply, brain cells begin to die at the rate of 1.9 million neurons every minute and brain damage occurs. That is why if you or someone you know shows symptoms of a stroke, getting immediate medical care by calling 911 is absolutely crucial because early intervention can make all the difference. (See sidebar). “In addition to how fast you get care, where you go can make a difference. Among people who suffer a stroke, one in 12 is likely to have another stroke soon after the initial attack,” said Dr. Ruby Parveen, a neurologist at Houston Methodist San Jacinto Hospital. “But research shows that patients experience better outcomes when taken to hospitals that are stroke centers where specific treatment protocols are followed.” Fortunately, you can find excellent stroke care right here at home. At Houston Methodist San Jacinto Hospital, a Gold Plus Primary Stroke Center, we are committed to helping people who suffer a stroke achieve
4 LEADING MEDICINE IN EAST HOUSTON/BAYTOWN
STROKE CARE the best possible long-term outcomes. From emergency medical treatment to rehabilitation, we are here for you.
TURNING GUIDELINES INTO LIFELINES
Launched in 2003 by the American Heart Association and the American Stroke Association, the “Get with the Guidelines” stroke program has helped ensure consistent, evidence-based stroke care at hospitals across the country. The guidelines promote Performing brain imaging quickly Administering the clot-dissolving medication called recombinant tissue plasminogen activator (rtPA), within three hours from the onset of symptoms to those with ischemic stroke Administering anti-platelet or anticoagulant medications at prescribed intervals Providing treatments to prevent deep vein thrombosis Risk factor management including high cholesterol Educating patients and caregivers about stroke prevention and warning signs Providing smokers with smoking cessation information Initiating stroke rehabilitation referrals Screening stroke patients for swallowing problems
THE ROAD TO REHABILITATION
After a stroke, rehabilitation is needed to help survivors relearn skills that may have been lost.
“Successful rehabilitation after stroke depends on how early rehabilitation begins, the extent of the brain injury, the support of family and friends, the survivor’s attitude and the rehabilitation team’s skill,” Parveen said. “Our rehabilitative therapy generally begins as soon as the patient’s medical condition has been stabilized — usually within 24 to 48 hours after the stroke. We have a skilled team to help patients on their rehabilitative journey.” Houston Methodist San Jacinto’s care team includes P hysicians. Focus on managing and coordinating the long-term care of the stroke survivor. R ehabilitation Nurses. Specialize in helping stroke survivors relearn how to perform basic daily activities, and educate patients about routine health care. P hysical Therapists. Assess each stroke survivor’s strength, endurance, and range of motion, gait and any sensory deficiencies to create an individualized rehabilitation program and help the patient regain the use of stroke-impaired limbs. O ccupational Therapists. Work to help survivors relearn motor skills for personal grooming, preparing meals and other activities. S peech-Language Pathologists. Focus on assisting stroke survivors relearn how to use language or develop an alternative means of communication. V ocational Therapists. Provide assistance in helping survivors return to work.
SIGNS OF STROKE? ACT FAST! If you think somebody might be having a stroke, remember the “F.A.S.T.” test from the National Stroke Association: FACE: Ask the person to smile. Does one side of the face droop? ARMS: Ask the person to raise both arms. Does one arm drift downward? S PEECH: Ask the person to repeat a simple sentence. Are the words slurred? Can he/she repeat the sentence correctly?
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TIME: If a person shows any of these symptoms, call 911 immediately. Time lost is brain lost. Carefully note the time when the first symptoms appeared, because this information is critical for treatment decisions.
We’re Here to Help
To learn more about stroke care and rehabilitation at Houston Methodist San Jacinto Hospital, call 832.556.6535.
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FROM EVERYDAY ATHLETES
TO OLYMPIC CHAMPIONS How Simone Biles Discovered Another Winning Team
W
hether you’re shooting hoops in the neighborhood with friends or training for a marathon, physical activity provides many benefits, both short and long-term. But as Olympic Gold Medalist Simone Biles discovered, pushing your body can also occasionally mean dealing with injuries. Getting the right care can help you get back into the game faster and more safely. Houston Methodist Orthopedics & Sports Medicine offers unparalleled care thanks to a diverse team of doctors and health care professionals that works together to ensure you are able to safely participate in the activities you enjoy. Our all-star team includes P rimary care sports medicine doctors who combine orthopedic knowledge with holistic primary care F oot and ankle specialists who expertly treat ankle sprains and other injuries
Taking Care of Houston’s Best
By studying elite athletes and helping them stay at the top of their game, we’re improving the quality of care for all athletes. To schedule an appointment with one of our orthopedic specialists at Houston Methodist San Jacinto Hospital, call 281.427.7400.
O rthopedic surgeons who perform precise surgeries to relieve pain and increase mobility N eurologists who ensure a safe return to play after a concussion H and and wrist specialists who provide relief for arthritis and nerve injuries P hysical and occupational therapists who create customized rehabilitation plans specially tailored for each patient Our team is trusted as the official health care provider for the Houston Texans, Houston Astros, Houston Dynamo, Houston Dash, Rice University Athletics, RodeoHouston® and Houston Ballet, as well as Lee College Athletics and the Goose Creek Consolidated Independent School District. Just as we help those elite athletes, our team ensures that every patient receives the same standard of excellent care, so they can cross their own finish line whatever it may be.
CARING FOR AN OLYMPIAN
Biles, a 19-year-old Olympic gymnast and Spring, Texas resident, is among the most recognizable athletes whom Houston Methodist Orthopedics & Sports Medicine has treated. As a world-class competitor, Biles is no stranger to the ailments that can accompany rigorous training. Shortly before she was to compete in the 2013 World Gymnastics
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Championships, Biles “landed short,” damaging the neck of the talus, one of the bones in the ankle. As a result, she sought care from her primary care sports medicine physician, Dr. Scott Rand, who has been Biles’ doctor since 2012. With the World Championships looming, Rand knew that a surgical option was out of the question for Biles. Instead, Rand was able to administer ultrasound-guided injections to reduce inflammation and provide her with pain relief. With her pain in check, Biles went on to win an individual all-around gold medal that year.
PREVENTING COMMON SPORTS INJURIES You don’t have to be an elite athlete like Simone Biles to suffer an injury. Playing a sport or getting in shape is a worthwhile fitness goal, as long as inadequate stretching, poor training Dr. Karthik habits, outdated gear Jonna or accidents don’t trip you up on the way to good health. Sprains, strains and stress fractures are all common. They’re also, in many cases, preventable. Dr. Karthik Jonna, an orthopedic surgeon at Houston Methodist San Jacinto Hospital, offers these tips for avoiding common sports related injuries. Get the go-ahead from your doctor. Schedule a physical to make sure you’re in good health before starting a new sport. Wear the right gear. Make sure you have the proper protective equipment, clothing and well-fitting shoes designed for the sport you are doing. Protective eye wear is important for impact sports. Helmets are a must for bicyclists.
Simone Biles pictured with Dr. Travis Hanson (l) and Dr. Scott Rand (r).
PREPARING BILES FOR GOLD
After the competition, Rand enlisted the help of Houston Methodist foot and ankle specialist Dr. Travis Hanson to remove the bone spur. For an elite gymnast like Biles, the surgery had to be as minimally invasive as possible to minimize scar tissue and achieve better range of motion. After surgery and rehabilitation at Houston Methodist Willowbrook, Biles went on to make the cut to become one of the “Final Five” on the U.S. women’s gymnastics team at the 2016 Olympics in Rio, competing in and earning gold
medals in the team and individual all-around, vault and floor exercise, as well as earning a bronze medal for balance beam. “As athletes, we’re always going to have aches and pains, but when your teammates cheer you on, you don’t think about it,” Biles said recently. “The Houston Methodist team really helped me as well. They kept me focused on my goals and I trusted them. They really care and are an amazing team to work with. I had complete confidence in them and just didn’t worry about the injury.”
Play by the rules. Know and follow the basic rules of the sport to avoid accidents. Warm up and stretch. Warming up gradually increases the heart rate and can prevent muscle strain and joint injury. Stay hydrated. Don’t forget to stay hydrated by drinking lots of water before, during and after your activity. Tune in to your body. Be aware of any aches or pains you’re experiencing. Avoid playing when you’re too tired or in pain. Strengthen your muscles. Resistance training using weights can make you stronger and less prone to injury.
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Don’t Let COPD Take YOUR BREATH AWAY D ay and night, our lungs expand and contract without needing any reminders. In fact, most of the time we don’t even realize we’re breathing. But for those who suffer from emphysema or chronic bronchitis, breathing is a constant concern. Because both conditions commonly Dr. Kalil occur together, they’ve been classified Al-Nassir under the term chronic obstructive pulmonary disease (COPD). The more you know about COPD, the earlier you can spot symptoms and get treatment.
CHRONIC BRONCHITIS
Otherwise known as “smoker’s cough,” chronic bronchitis is marked by coughing that produces mucus, wheezing and shortness of breath. “Chronic bronchitis occurs when the bronchial tubes become infected and inflamed, decreasing the amount of air that can flow in and out of the lungs,” said Dr. Kalil Al-Nassir, a pulmonology and critical care physician at Houston Methodist San Jacinto Hospital. “If the bronchial tubes have been irritated for a long time, excess mucus is produced, the tubes thicken and an irritating cough develops.” Cigarette smoking is the most common cause of chronic bronchitis. It causes 85 to 90 percent of all COPD cases. Treatment involves antibiotics and drugs called bronchodilators to relax and open up airways. And, of course, if smoking is related to the condition, patients are instructed to quit.
EMPHYSEMA
Sometimes a chemical imbalance in the lungs causes the walls of the air sacs to lose their elasticity and break. “Because the air sacs are responsible for trading the oxygen in the air for the blood’s carbon dioxide, damage to the sacs causes the lungs to work harder to get more air to the body, causing shortness of breath. The loss of elasticity also makes exhaling difficult,” Al-Nassir said. Millions of Americans have been diagnosed with emphysema, according to the American Lung Association. As with chronic bronchitis, smoking is a major cause of this condition.
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LUNG CANCER SCREENING PROGRAM
While smoking is a leading cause of COPD, it is also a primary Dr. Shawn catalyst for the development of Tittle lung cancer, the leading cause of death from cancer among men and women in the United States. The goal of the comprehensive Lung Cancer Screening Program at Houston Methodist San Jacinto Hospital is to help high risk patients receive a diagnosis and treatment plan at an early stage. “Despite new diagnostic techniques, the overall five-year survival rates remain at about 14 percent and most patients are still diagnosed at an advanced stage of the disease,” said Dr. Shawn Tittle, a thoracic surgeon at Houston Methodist San Jacinto Hospital. The program for current and former smokers includes annual low-dose CT scans, consultations with health care providers, access to tobacco cessation programs and referrals to physician specialists if the disease is found.
Breathe Easy
Houston Methodist San Jacinto Hospital offers a wide range of pulmonary services, including pulmonary rehabilitation, to help people with COPD return to living active, full lives. To learn more or to schedule an appointment, call Houston Methodist Lung Associates at 281.428.4510.
MORE THAN MEDICINE: Lifestyle Changes Can Lessen Cardiac Concerns
I
s your heart at risk? It might be. One in 4 deaths in the United States are caused by heart disease each year. Heart disease is so dangerous because many chronic conditions that lead to it are stealth foes slowly damaging your heart. Dr. Nadia Fida, an advanced heart failure, pulmonary hypertension and cardiac Dr. Nadia Fida transplant cardiologist with the Houston Methodist DeBakey Cardiology Associates and director of the Heart Failure Clinic at Houston Methodist San Jacinto Hospital, explains some of the most common cardiac conditions and what you can do to help protect yourself.
3 DANGEROUS CONDITIONS
High cholesterol – Individuals with high cholesterol are twice as likely to develop heart disease as those with lower cholesterol levels. “When you have too much cholesterol, it builds up in the walls of blood vessels,” Fida said. “When this occurs in the arteries of the heart, it can lead to a heart attack.” Regular screenings can help detect high cholesterol, which often goes otherwise undetected because it typically presents no symptoms. High blood pressure – One-third of U.S. adults 2 have high blood pressure, a condition that can have potentially life-threatening consequences. “High blood pressure has been called the silent killer,” Fida said. “High blood pressure affects the entire body, putting you at higher risk for stroke, heart attack and atrial fibrillation and it can also put strain on your kidneys, causing damage.” Atrial fibrillation (AFib) – Atrial fibrillation, 3 or AFib, is one of the most common heart arrhythmias, and a potential risk factor for stroke and heart failure. “In a normal heartbeat, the heart has a natural pacemaker that fires electricity located in the right upper chamber of the heart,” Fida said. “In between a normal beat, the heart rests. With atrial fibrillation, the heart has beats coming from different locations than the natural pacemaker, which can cause extra heart beats.”
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REDUCING YOUR RISKS
While these cardiac conditions must be taken seriously, effective treatment options exist for all of them. In addition to medical treatment options, changes to your lifestyle can help increase your odds of healthy recovery. “Many diseases of the heart are caused or worsened by living a sedentary life with poor eating habits,” Fida said. “Combining effective treatment with lifestyle changes offers the best hope for a healthier life for most people. That’s why the first thing we do for cardiac patients at Houston Methodist San Jacinto Hospital is implement patient education to help develop healthy dietary and exercise habits.”
Get Screened
February is American Heart Month. Do you know your cholesterol and blood pressure numbers? Regular screening is important to help protect yourself from the dangers of high blood pressure and high cholesterol. Call 281.837.7587 to schedule an appointment with a heart specialist.
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Weight Loss Surgery:
CAN IT HELP YOU? Your Questions, Answered
Y
ou don’t have to look far to find a dramatic story about weight loss surgery. According to the American Society Dr. Laura Choi for Metabolic and Bariatric Surgery, between 2011 and 2013, more than 500,000 Americans had weight loss, or bariatric, surgery. Although weight loss surgery isn’t right for everyone, learning about it and talking to your doctor is the first step in determining whether it’s right for you. Houston Methodist San Jacinto Hospital offers several weight loss surgery options if you have weight-related health problems and are unable to lose pounds through a healthy diet and exercise. “Technology has made the procedures safer and less invasive. We also offer comprehensive aftercare programs, focusing on nutrition, counseling and exercise to help you deal with the physical and emotional changes,” said Dr. Laura Choi, a bariatric surgeon at Houston Methodist San Jacinto Hospital. Bariatric surgery works by restricting the amount of food you can eat and/or changing the route food takes through your body so that less food is absorbed.
food. Then, the surgeon redirects the digestive track — bypassing the upper small intestine — reducing total calories absorbed. “The procedure is performed laparoscopically, which requires only small incisions, rather than a large open incision. It has also been shown to improve type 2 diabetes in approximately 90 percent of patients,” Choi said.
WHAT IS LAP-BAND?
Choi said the LAP-BAND® System is an adjustable band placed around the upper stomach, creating a smaller stomach. A surgeon uses a laparoscope, requiring only tiny incisions, to place the band. It creates a full feeling faster and causes food to digest slower. The procedure offers a shorter surgery, and the intestines are not surgically redirected.
WHICH SURGERY IS RIGHT FOR YOU? GASTRIC BYPASS
You’re a good candidate if you … Have a BMI greater than 40 Suffer from life-threatening obesity-related disease Are otherwise healthy enough to withstand the surgery
LAP-BAND SYSTEM
You’re a good candidate if you … Want a shorter, less invasive surgery Have a BMI between 35 and 39 Suffer from an obesityrelated illness, such as diabetes, high cholesterol or high blood pressure. Research suggests successful weight loss surgery can help you live longer, and it may help send type 2 diabetes into remission.
WHAT IS GASTRIC BYPASS?
A common type of gastric bypass surgery is called a roux-en-Y procedure. A surgeon staples off part of the stomach, leaving a small pouch that will only hold a few ounces of
10 LEADING MEDICINE IN EAST HOUSTON/BAYTOWN
Taking the Next Step
Surgery is a big step for anyone. To schedule a consultation with a Houston Methodist San Jacinto bariatric surgeon and to learn more about weight loss surgery options, call 832.556.6046.
Finding Relief FOR PELVIC PAIN P elvic pain can occur at any point in a person’s life, but it’s much more typical in women following a pelvic surgery, such as a Dr. Paul hysterectomy or a Redman cesarean section, said Dr. Paul Redman, an obstetrics and gynecology physician at Houston Methodist San Jacinto Hospital. Pelvic problems aren’t specific to females. Redman also treats bowel and bladder conditions, pelvic organ prolapse, incontinence, sexual dysfunction and pelvic muscular issues in both men and women. Specialized physical therapy is incredibly effective in treating pelvic pain, but Redman reports that patients often turn to it as a last resort. “They may have been treated unsuccessfully with surgery, medication and even narcotic pain medication,” Redman said. “But some patients see improvements in their pain after just one session, though the average is six to eight weeks of weekly visits.”
exam. “That’s currently the gold standard of setting a baseline of the pelvic floor muscles,” Redman said. “When a patient has pain, I can identify the muscles that are causing pain and assess their strength and coordination.” The rest of the session, and subsequent sessions, consists of education, exercises, coordination and biofeedback, which uses sensors and electrodes to get an objective representation of a patient’s muscle activity. Redman also does hands-on therapy to reduce muscle spasm and pain, and to improve joint mobility. Between sessions, most patients are encouraged to continue their physical therapy at home, but Redman’s philosophy is to make any “homework” realistically fit into their schedule.
Take the Next Step
To learn more about treatment options available at Houston Methodist San Jacinto Hospital and to schedule an appointment with one of our obstetriciangynecologists, call 281.420.5760.
EASING EMBARRASSMENT
“I understand how private and embarrassing these problems can be,” Redman said. “I’m very passionate about what I do. There is hope and there is help, and these problems are often very treatable through physical therapy.”
WHAT TO EXPECT
Pelvic floor physical therapy sessions last about 45 minutes, though the initial evaluation lasts about an hour. At the first appointment, Redman reviews the patient’s medical and personal history, discussing their symptoms, when they started and whether they’ve progressed or worsened. “I want to understand all I can about how this person’s condition affects his or her life,” Redman said. Next, Redman typically performs a vaginal or rectal pelvic floor muscle
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HOSPITALS EMERGENCY CARE CENTERS SPECIALTY HOSPITALS IMAGING CENTERS COMPREHENSIVE CARE CENTER
Just around the corner Houston Methodist has locations throughout the Greater Houston area to best serve you near your home or workplace. Our locations include hospitals, emergency care and imaging centers.
HOSPITALS 1. Houston Methodist Hospital 2. Houston Methodist San Jacinto Hospital 3. Houston Methodist St. John Hospital 4. Houston Methodist Sugar Land Hospital 5. Houston Methodist The Woodlands Hospital Opening July 2017 6. Houston Methodist West Hospital 7. Houston Methodist Willowbrook Hospital
SPECIALTY HOSPITAL 8. Houston Methodist St. Catherine Hospital
IMAGING CENTERS 5. Houston Methodist Breast Care Center at The Woodlands
At Houston Methodist, your primary care doctor collaborates with world-renowned specialists every day, bringing you wideranging medical expertise, personalized for you, with convenient locations and same-day appointments you can schedule online. Your health, your way — that’s how the highest ranked hospital in Texas puts you first. Accepting most major insurance plans. Choose your doctor or schedule online at houstonmethodist.org/primarycare or call 713.394.6638.
EMERGENCY CARE CENTERS 713.441.ER24 (3724) 9. Houston Methodist Emergency Care Center at Kirby 10. Houston Methodist Emergency Care Center at Voss 11. Houston Methodist Emergency Care Center in Cinco Ranch 12. Houston Methodist Emergency Care Center in Cypress 13. Houston Methodist Emergency Care Center in Pearland 14. Houston Methodist Emergency Care Center in Sienna Plantation 15. Houston Methodist Emergency Care Center in Spring
9. Houston Methodist Breast Care Center
COMPREHENSIVE CARE CENTER
16. Houston Methodist Imaging Center
17. Houston Methodist Comprehensive Care Center at Pearland
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