Leading Medicine Winter 2017, Houston Methodist Sugar Land Hospital edition

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LEADING MEDICINE W INT ER 17

IS WEIGHT LOSS SURGERY RIGHT FOR YOU? Your questions answered

FROM EVERYDAY ATHLETES TO OLYMPIC

CHAMPIONS

How Simone Biles Discovered Another Winning Team

GET THE FACTS ABOUT STROKE

What You Don’t Know Can Hurt You

YOUR LINK TO HEALTH INNOVATIONS, NEWS AND TIPS IN FORT BEND AND SURROUNDING COUNTIES


Is Weight Loss Surgery Dr. Nabil Tariq

RIGHT FOR YOU? Your questions answered

W

hen you have a lot of weight to lose, it can feel daunting. You lose 10 pounds and can’t see any change in the mirror. You eat the exact amount of food you’ve been told to and end up hungry each night. Not only is obesity dangerous to your long-term health — so is the back and forth of yo-yo dieting, also known as weight cycling. “If diet and exercise alone have not resulted in permanent weight loss, bariatric surgery may be a powerful tool in your weight loss journey,” said Dr. Nabil Tariq, a bariatric surgeon with Houston Methodist Surgical Associates.

AM I A CANDIDATE?

Weight loss, or bariatric, surgery isn’t right for everyone, but learning about it and talking to your doctor can help determine if it’s right for you. “We offer several surgery options to patients with a body mass index (BMI) of 40 and higher, or a BMI of 35 and higher with obesity-related health conditions,” Tariq said.

of the digestive process and reduce calorie absorption.

HOW DO I KNOW IF I’M READY?

If you’ve been overweight or obese for many years, take a close look at your eating and exercise habits. Are you ready to commit to making significant changes? “Weight loss surgery simply changes the normal digestive process — restricting the amount of food you can eat or changing the route food takes through your body,” Tariq said. “Choosing healthy foods and finding time and energy for physical activity are still necessary for successful results.” To explore whether bariatric surgery is an option for your weight loss journey, call Dr. Tariq’s office today at 281.275.0880 to schedule an appointment.

WHAT ARE THE COMMON TYPES OF SURGERY?

Types of bariatric surgeries include Gastric sleeve. The surgeon removes 80 to 85 percent of the stomach to create a long vertical tube, promoting a feeling of fullness. LAP-BAND®. Through this minimally invasive surgery, an adjustable band is placed over the upper part of the stomach to separate it from the lower portion to restrict food intake. Roux-en-Y gastric bypass. The smaller, upper portion of the stomach is surgically stapled, to bypass part

BARIATRIC SURGERY BENEFITS Studies show that those who have weight loss surgery experience some positive benefits: Heart disease decreases by 47 percent for women and 67 percent for men Risk of colon, breast, endometrial, kidney and esophageal cancers is lowered by 25 to 30 percent, when surgery is combined with regular physical activity Risk of diabetes decreases by up to 80 percent Ability to become pregnant increases by 43 percent Risk of sleep apnea decreases Risk of gastroesophageal reflux disease (GERD) decreases

WEIGHT MANAGEMENT SEMINAR Wednesday, Feb. 8, 6 p.m. Houston Methodist Sugar Land Hospital Brazos Pavilion Conference Center A slimmer you is in sight. Join Dr. Nabil Tariq to learn about your weight loss options and enjoy a healthy cooking demonstration. Registration required. To register, visit events.houstonmethodist.org/sl-weight or call 832.667.LOSE (5673).

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Fighting Rare, Genetic

COLORECTAL CANCERS

C

olorectal cancer has many known risk factors — some are lifestyle related and within your control, such as diet and weight. Others, such as family history and age, are beyond your control. Having one or more of these risk factors does not mean that a diagnosis of colorectal cancer is inevitable. However, for people with one Dr. Sindhu Nair rare risk factor, developing colorectal cancer is a near certainty. For less than 1 percent of colorectal cancer patients, the disease occurs as a direct result of a condition called familial adenomatous polyposis (FAP). FAP, caused by an inherited genetic mutation, is diagnosed when someone develops more than 100 polyps in their colon. Polyps found in the colon are typically benign soft tissue growths, which, in some cases, become cancerous. People with FAP often develop polyps in their mid-teens, and more than 95 percent of people with FAP will have multiple polyps by age 35. “What happens with this disease is that it can lead to a significant risk for development of early-onset colorectal cancer,” said Dr. Sindhu Nair, a board-certified oncologist with Houston Methodist Oncology Partners. In fact, according to Nair, the high number of polyps involved in classic FAP means that without treatment, people with this condition have nearly a 100 percent chance of developing colorectal cancer.

PREVENTING CANCER WITH EARLY DETECTION

Nair says early detection is important for preventing the onset of colorectal cancer. When someone is diagnosed with FAP, it’s

COLORECTAL CANCER SEMINAR Thursday, March 16, 6 p.m. Houston Methodist Sugar Land Hospital Brazos Pavilion Conference Center Join Dr. Ali Mahmood, colorectal surgeon, and Dr. Leka Gajula, gastroenterologist, to learn more about colorectal cancer — the second leading cause of cancer death for men and women — and take home a free screening kit. Registration required. Register at events.houstonmethodist. org/sl-colorectal or call 281.205.4514.

recommended that close family members (siblings, children, etc.) undergo genetic testing to determine if they have the condition. This is particularly important for children, who can most benefit from preventive treatment. “We start screening colonoscopies very early, sometimes as early as age 10 or 12,” Nair said. Treatment often includes a yearly colonoscopy once polyps have been found, but in many cases, these screenings aren’t effective in controlling the high number of polyps. “We actually recommend a total proctocolectomy, which is basically the entire removal of the colon,” Nair said. “This is because we know the risk of developing colon cancer is going to be very high.” Surgeons like Dr. Ali Mahmood, a board-certified colorectal surgeon with Houston Methodist Surgical Associates, help guide patients through proctocolectomy surgery and recovery. Patients may still need yearly monitoring of their lower intestinal tract if some rectal tissue remains, or every one to four years if all rectal tissue has been removed.

Know Your Risk

For more information about genetic testing for FAP, or to schedule an appointment with Dr. Sindhu Nair at Houston Methodist Oncology Partners, call 281.276.5200.

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MORE THAN MEDICINE: Lifestyle Changes Can Lessen Cardiac Concerns

I Dr. Julia Adrogue

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 may often go unrecognized while slowly damaging your heart. Dr. Julia Adrogue, a board-certified cardiologist with Houston Methodist Cardiology Associates, explained some of

Vein Seminar

Thursday, Jan. 26, 6 p.m. Houston Methodist Sugar Land Hospital Brazos Pavilion Conference Center Join vascular surgeon Dr. Ulises Baltazar to learn about varicose and spider veins — the causes, symptoms, risk factors, treatments and prevention. Registration required. Register online at events.houstonmethodist.org/ sl-veinseminar or call 281.205.4514.

Heart Health Screenings

Thursday, Feb. 23, 5-7:30 p.m. Houston Methodist Sugar Land Hospital Brazos Pavilion Conference Center Schedule an appointment to learn your 10-year risk for heart disease and receive cholesterol and blood pressure screenings. Registration required. Register online at events.houstonmethodistorg/ sl-heart or call 281.205.4514. 4  LEADING MEDICINE IN FORT BEND AND SURROUNDING COUNTIES

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 levels of cholesterol. “The body uses cholesterol for many things that are useful,” Adrogue explained. “But, when you have too much cholesterol, it builds up in the walls of blood vessels. When this occurs in the arteries of the heart, it can lead to a heart attack.” One of the most troubling aspects of high cholesterol is that it often presents no symptoms, meaning it’s crucial to have your cholesterol checked by your doctor regularly. The Centers for Disease Control and Prevention recommends adults have their cholesterol checked every five years. 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,” Adrogue said. “It is a kind of background threat on your health when you have it. High blood pressure affects the entire body, putting you at higher risk for stroke, heart attack, atrial fibrillation and can also put strain on your kidneys, causing damage.” Atrial fibrillation (AFib) – Irregular heartbeats, 3 or heart arrhythmias, can put strain on the heart and the systems it supports. Atrial fibrillation, or AFib, is one of the most common heart arrhythmias and a condition that often worsens with age. “In a normal heartbeat, the heart has a natural pacemaker that fires electricity located in the right upper chamber of the heart,” Adrogue explained. “In between a normal beat, the heart rests. When the heart has beats coming from different locations than the natural pacemaker, it can cause extra heart beats. This is atrial fibrillation.” Among the most dangerous potential effects of AFib are stroke and heart failure.

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BEHIND THE NUMBERS:

UNDERSTANDING YOUR CHOLESTEROL AND BLOOD PRESSURE READINGS CHOLESTEROL TOTAL CHOLESTEROL LEVEL

Less than 200 mg/dL – Normal 200–239 mg/dL – Borderline high 240 mg/dL and above – High

LDL (BAD) CHOLESTEROL LEVEL

REDUCING YOUR RISKS

While these cardiac conditions must be taken seriously, effective treatment options exist for all of them. Medications are available that can help reduce bad cholesterol levels and bring blood pressure levels to a normal range. AFib similarly can be treated with medications as well as promising new surgical options. But, Adrogue stresses that in addition to proper medical care, it’s vital to begin by improving your lifestyle choices to lower your risk of future heart problems. Focusing on making healthy food choices and getting regular physical activity are two of the most important behaviors you can adopt for heart health. “Many diseases of the heart are caused or worsened by living a sedentary life with poor eating habits,” Adrogue 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 Sugar Land Hospital is implement patient education to help develop healthy dietary and exercise habits.”

Schedule an Appointment

To schedule an appointment with Dr. Julia Adrogue at Houston Methodist Cardiology Associates, visit houstonmethodist.org/appointments or call 713.776.9500.

Less than 100 mg/dL – Optimal 100–129 mg/dL – Near optimal 130–159 mg/dL – Borderline high 160–189 mg/dL – High 190 or above mg/dL – Very high

HDL (GOOD) CHOLESTEROL LEVEL

Less than 40 mg/dL – Low 60 mg/dL or higher – Good (the higher, the better)

BLOOD PRESSURE BLOOD PRESSURE CATEGORY

TOP NUMBER (SYSTOLIC)

Normal

Less than 120

BOTTOM NUMBER (DIASTOLIC) and Less than 80

Prehypertension 120–139

or

80–89

High blood pressure (hypertension stage 1)

140–159

or

90–99

High blood pressure (hypertension stage 2)

160 or higher

or

100 or higher

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FROM EVERYDAY ATHLETES

TO OLYMPIC CHAMPIONS How Simone Biles Discovered Another Winning Team

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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

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 primary care sports medicine specialists at Houston Methodist Orthopedics & Sports Medicine at Sugar Land, visit houstonmethodist.org/ appointments or call 281.690.4678.

knowledge with holistic primary care F oot and ankle specialists who expertly treat ankle sprains and other injuries 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, among others. Just as we help those elite athletes, our physicians ensure 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

Among the most recognizable athletes whom Houston Methodist Orthopedics & Sports Medicine has treated is 19-year-old Olympic gymnast Simone Biles. 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 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

6  LEADING MEDICINE IN FORT BEND AND SURROUNDING COUNTIES

sports medicine physician, Dr. Scott Rand, who has been Biles’ doctor since 2012. With 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.

PREPARING BILES FOR GOLD

After the competition, Rand enlisted


PREVENTING COMMON SPORTS INJURIES You don’t have to be an elite athlete like Simone Biles to suffer an injury. According to Dr. Nader Ayub, a primary care sports medicine specialist Dr. Nader Ayub located at Houston Methodist Primary Care Group in Sienna Plantation, playing a sport or getting in shape is a worthwhile fitness goal — as long as inadequate stretching, poor training habits, outdated gear or accidents don’t trip you up on the way to good health. “Sprains, strains and stress fractures are all common,” Ayub said. “They’re also, in many cases, preventable.” Ayub 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. Play by the rules. Know and follow the basic rules of the sport to avoid accidents. Simone Biles pictured with Dr. Travis Hanson (l) and Dr. Scott Rand (r).

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.”

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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Back or Neck

PAIN? FIND RELIEF! M

ost healthy adults will experience back or neck pain at some point in their lives. Whether you’re young or old, back and neck pain can be debilitating. And it’s no wonder, your neck and back work to give strength to your movements and hold up half of your weight day in and day out. The spine is a complex Dr. Karl structure with more than 33 vertebrae that Vega-Lelkes form the flexible column running from skull to tailbone; between each is a cushiony disc, and holding everything together is a web of ligaments and muscles. “With all of these different parts in the spine, there’s a lot that can go wrong,” said Dr. Karl Vega-Lelkes, a board-certified orthopedic spine surgeon at the Houston Methodist Sugar Land Hospital Neuroscience & Spine Center.

problem, you may experience acute pain (lasting a few weeks) or chronic pain (lasting for months or years). “Since most people end up experiencing back pain, one of the best things we can recommend is prevention,” Vega-Lelkes said. Some of the steps you can take to prevent back and neck pain include Maintaining good posture Strengthening muscles in your legs, back and abdomen Lifting objects with your legs, not your back Maintaining a healthy weight Wearing supportive shoes

PREVENTION IS KEY

If you’re experiencing mild back or neck pain, over-thecounter anti-inflammatory drugs like aspirin and ibuprofen may help, along with applying an ice pack and alternating with a heating pad. Whether your pain is intense or a slight throbbing, it’s important to seek a treatment option that’s right for you.

Back ailments can stem from a variety of sources, including heavy lifting, improper sports or exercise techniques, sitting hunched over a desk or being overweight. Conditions such as a herniated disc, muscle spasms, arthritis and scoliosis can also contribute to back pain. Depending on the source of your back

Schedule Today

TREATING THE PAIN

To schedule an appointment with Dr. Karl Vega-Lelkes at our Neuroscience & Spine Center, visit houstonmethodist.org/appointments for easy online scheduling or call 281.274.7979.

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COMBAT COLDWEATHER PAIN

WITH YOUR OWN HEAT

I

f the cold makes your pain worse, try incorporating heat therapy into your daily routine. Heat therapy decreases stiffness and promotes healing through increased circulation. Here are a few ideas for adding heat to your routine: PPLY A HOT PACK, WARM TOWEL OR HEATING PAD TO A THE PAINFUL AREA. Simply doing this for 20 minutes at a time may be enough for temporary pain relief. SE OVER-THE-COUNTER HEAT WRAPS. Available in U most grocery stores and pharmacies, heat wraps can provide warmth for joint-related back pain and other symptoms for up to eight hours at a time. RY WATER THERAPY. You may experience pain relief by T swimming in a heated indoor pool a few times per week, or by soaking in a whirlpool or hot bath. TAY ACTIVE. It can be tempting to hibernate during cold S weather, but inactivity can increase some types of pain. If you prefer to stay inside, consider getting a treadmill, so you can walk while you watch TV or a movie.

Weather changes are unavoidable, but you can take steps to manage the worst effects of it.

BACK AND NECK PAIN SEMINAR Wednesday, April 19, 6 p.m. Houston Methodist Sugar Land Hospital Brazos Pavilion Conference Center Join Dr. Karl Vega-Lelkes to learn about less-invasive treatments for back and neck pain. Registration required. Register at events.houstonmethodist.org/sl-backandneck or call 281.205.4514.

HOUSTONMETHODIST.ORG/SUGARLAND  9


Dr. Jorge Darcourt

Helping Your Body DESTROY CANCER

C

ancer treatments can be tough on the body. Traditional therapies such as chemotherapy and radiation therapy can leave you with numerous side effects, general weakness and a compromised immune system. But what if there were a treatment that actually worked to build up your immune system to help your body fight cancer? That’s the idea behind immunotherapy. Your immune system continually works to help protect you from infection and disease. When your immune system encounters something it doesn’t recognize, it raises the alarm and attacks the foreign substance. Cancer is different though. Sometimes your immune system doesn’t recognize cancer cells as foreign, allowing these cells to grow out of control. Immunotherapy works to help your immune system recognize cancer cells as foreign and strengthen its response to cancer.

A NEW APPROACH

“Immunotherapy is changing the way we approach and treat cancer,” said Dr. Jorge Darcourt, a board-certified oncologist and medical director of Houston Methodist Sugar Land Hospital’s Infusion Center. According to Darcourt, immunotherapy has proven to be an effective treatment that can continue to get a positive response from the body for much longer than other types of cancer treatment. Immunotherapy is a new treatment option that is still being researched. Administered via intravenous infusion, it is becoming available for a growing list of cancers such as bladder, head and neck, kidney, lung and prostate cancers, and melanoma. Researchers are continuing to see how immunotherapy can help with

ongoing clinical trials for ovarian, colon and gastric cancers. Houston Methodist Cancer Center at Sugar Land is one of a few cancer centers where you can find access to immunotherapy clinical trials. “Patients can receive the advantage of having cutting-edge medicine and care close to their homes,” Darcourt said. According to Darcourt, “The most fascinating thing about immunotherapy is the decreased amount of side effects when compared with conventional chemotherapy.” In traditional chemotherapy, patients often experience side effects such as appetite loss, diarrhea, fatigue, hair loss, headaches, mouth and throat sores, nausea and pain. Side effects from immunotherapy tend to be less severe, often giving patients flu-like symptoms.

10  LEADING MEDICINE IN FORT BEND AND SURROUNDING COUNTIES

FIND OUT MORE

To learn more about the innovative immunotherapy and other cancer treatments offered at Houston Methodist Sugar Land Hospital, visit houstonmethodist.org/cancer today.

Fighting for You

To schedule an appointment with Dr. Jorge Darcourt at Houston Methodist Oncology Partners, call 281.276.5200.


GET THE FACTS ABOUT STROKE

SIGNS OF STROKE?

ACT FAST!

FACE Does the face look uneven? Ask the person to smile.

What You Don’t Know Can Hurt You

A

s with most things in life, a little awareness can go a long way. This is especially true when it comes to your health. “It Dr. Larry Tran may not get as much attention as other serious diseases, but stroke is the fifth leading cause of death and the primary cause of serious long-term disability for Americans,” said Dr. Larry Tran, a board-certified neurologist at the Houston Methodist Sugar Land Hospital Neuroscience & Spine Center. And it’s not just older adults who are at risk. In fact, about a third of strokes occur in people under the age of 65.* So no matter your age, it’s never too early to learn what you can do to prevent stroke.

STROKE 101

A stroke occurs when blood flow in the brain is interrupted and brain cells die. There are two main types of stroke: An ischemic stroke results when an artery in the brain becomes blocked by a blood clot. A hemorrhagic stroke is caused by a blood vessel in the brain that bursts.

PREVENTABLE RISK FACTORS

1

High blood pressure increases stroke risk by two to four times. The condition weakens and narrows blood vessels in the brain and increases the risk of blood clots. What you can do: “Maintain a healthy blood pressure by exercising regularly, eating a healthy, low-sodium diet and taking blood pressure medication as prescribed,” Tran said.

ARMS Does one arm drift down? Ask the person to raise both arms.

2

Obesity increases your risk due to its strong association with other conditions, such as heart disease and diabetes. What you can do: “Help your waistline by cutting your calorie intake, limiting foods high in cholesterol, saturated and trans fats, and being physically active,” Tran said. Smoking puts you at greater risk for stroke — and the more you smoke, the greater the risk. The chemicals in tobacco smoke damage your cells, thicken your blood and increase the plaque in your arteries, increasing the likelihood of blood clots. What you can do: “Counseling, nicotine patches and medicine can help you quit,” Tran said. To evaluate your risk with Dr. Tran or another specialist at our Neuroscience & Spine Center, call 281.274.7979 today for a physician referral.

3

* Source: Centers for Disease Control and Prevention.

?

SPEECH Does their speech sound strange? Ask the person to repeat a simple phrase. TIME If you observe any of these signs, it’s time to call 911 and to be taken to the nearest emergency room.

DO NOT DELAY. DO NOT DRIVE YOURSELF. DO CALL 911.

Stroke vs. Heart Attack Seminar

Tuesday, May 2, 6 p.m. Houston Methodist Sugar Land Hospital Brazos Pavilion Conference Center Join Dr. Larry Tran, neurologist, and Dr. B. Keith Ellis, cardiologist, to learn how your brain and heart health are connected. Stroke and heart attack risk factors, symptoms and prevention will be discussed. Registration required. To register, visit events. houstonmethodist.org/ sl-stroke or call 281.205.4514.

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WHAT IF ONE DOCTOR COULD CONNECT YOU WITH THE EXPERTISE OF MANY?

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 281.394.4565.

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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