Leading Medicine Winter 2017, Houston Methodist Willowbrook Hospital edition

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LEADING MEDICINE W INT ER 017

MORE THAN MEDICINE:

Lifestyle Changes Can Lessen Cardiac Concerns

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 NORTHWEST HOUSTON


NEWS & EVENTS

SEMINARS

DIGESTIVE HEALTH SEMINAR

All seminars take place at Houston Methodist Willowbrook Hospital Conference Center, 1st Floor, 18220 State Hwy. 249, Houston, TX 77070. Our seminars are free. Please register now to reserve your seat. Space is limited. To register, call 281.737.2500.

FREE HEART SEMINAR AND RISK ASSESSMENT Date: Feb. 28 Time: 6 p.m.

HEART SEMINAR AND RISK ASSESSMENT

Learn about heart disease and how to build heart-healthy behaviors at this screening and seminar. The first 200 people to register will receive free cholesterol and blood pressure screenings. Ask a cardiologist your questions during the Q&A session. Date: Feb. 28 Time: 6 p.m. Presenters: Houston Methodist Willowbrook cardiologists

If you have gastroesophageal reflux disease (GERD), chronic constipation, hemorrhoids, issues with being overweight or constant abdominal discomfort, you no longer need to suffer in silence. Attend this seminar to learn about treatment options and the latest advances in minimally invasive colorectal, gastroenterological and general surgery procedures. Date: March 9 Time: 6 p.m. Presenters: Houston Methodist Willowbrook physician panel

SPINE SEMINAR

Join us for a free seminar to learn about the latest advancements in leading edge technologies and minimally invasive options available to treat your back and neck pain. Date: March 30 Time: 6 p.m. Presenter: Houston Methodist Willowbrook neck and spine specialists

OPEN 24 HOURS EMERGENCY CARE Conveniently Located in Your Neighborhood

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JOINT REPLACEMENT SEMINAR Join Dr. Daniel Le and our team of rehabilitation experts to learn about the common causes of joint pain and how an accurate diagnosis paired with an individualized care plan can get you on the path to quick healing. Date: April 27 Time: 6 p.m. Presenter: Dr. Daniel Le, Houston Methodist Orthopedics & Sports Medicine

WEIGHT LOSS SURGERY SEMINARS

MOTHER DAUGHTER SYMPOSIUM

Mothers, grab your adolescent daughters and join us for a discussion about health issues affecting adolescents. Date: April 8 Time: 10 a.m. – noon Presenters: Panel of obstetrician-gynecologists Call 281.737.2500 or visit houstonmethodist.org/events for additional dates.

HEADACHE, STROKE AND SLEEP LECTURE

Learn more about the causes and treatment options for headaches and sleep issues. Our stroke experts will provide education on stroke recognition and prevention. Date: May 10 Time: 6 p.m. Presenters: Houston Methodist Neurological Institute at Willowbrook physicians

Attend a free seminar and learn about your weight loss options and the benefits of choosing Houston Methodist Willowbrook weight loss solutions. Our nationally accredited surgical weight loss program has been recognized for providing safe, high-quality patient care and meeting national quality standards. Date: March 21 at 6 p.m. Presenter: Dr. Todd Worley Date: April 5 at 6 p.m. Presenter: Dr. Dexter Turnquest

Dr. Dexter Turnquest

Dr. Todd Worley

In an emergency, where you receive your medical care matters. Whether it is a minor emergency or a life-threatening one, Houston Methodist Emergency Care Centers in Cypress and Spring provide the quality care you have come to expect from us — only closer to home. Quick, convenient access 24/7 Direct admission to Houston Short wait times Methodist Willowbrook Hospital, Care for all ages if needed Board-certified emergency On-site imaging and diagnostic medicine physicians and specially technology trained staff Houston Methodist Emergency Care Center in Cypress 27560 U.S. 290 Frontage Rd. (at Fairfield Creek Dr.) Cypress, TX 77433 281.737.2424 Houston Methodist Emergency Care Center in Spring 5303 FM 2920 (at Gosling Road) Spring, TX 77388 936.270.4640 Visit houstonmethodist.org/ER

CHECK OUT OUR DIGITAL MAGAZINE AT HOUSTONMETHODIST.ORG/PUBLICATIONS  3


MORE THAN MEDICINE: Lifestyle Changes Can Lessen Cardiac Concerns

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s your heart at risk? It might be. One in 4 deaths in the United States are caused by heart disease each year. One of the reasons heart disease is so dangerous Dr. Amish S. is because many Dave chronic conditions are stealth foes. They slowly damage your heart while causing few vague symptoms or none at all. But that doesn’t mean you can’t do anything about them. Dr. Amish S. Dave, a cardiac electrophysiologist at Houston Methodist Willowbrook Hospital, explained some of the most common cardiac conditions and what you can do to help protect yourself.

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) – 3 Atrial fibrillation, or AFib, is one of the most common heart arrhythmias, and a potential risk factor for stroke and heart failure. “The normal heartbeat comes from a natural pacemaker that fires electricity and is located in the right upper chamber of the heart,” Dr. Dave explained. “With atrial fibrillation, different locations than the natural pacemaker take over producing an electrical storm in the upper chambers of the heart, which can cause a very irregular and usually fast pulse rate.”

3 DANGEROUS CONDITIONS

REDUCING YOUR RISKS

High cholesterol – Individuals 1 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,” Dr. Dave explained. “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 as it typically presents no symptoms. High blood pressure – 2 One-third of U.S. adults have high blood pressure, a condition that can have potentially life-threatening consequences. “High blood pressure has been called the silent killer,” Dr. Dave said. “High

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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,” Dr. Dave 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 Willowbrook Hospital is implement patient education to help develop healthy dietary and exercise habits.”

DIAGNOSING HEART

ARRHYTHMIAS

When your heart doesn’t beat normally, you want answers. Luckily, there are a variety of tests that doctors can perform to diagnose and treat your heart condition. One of these tests is called an electrophysiology study (EPS). During an EPS, a thin wire or electrode is inserted in a blood vessel in the groin and guided through a catheter to the heart, where doctors can monitor and record your heart’s electrical activity. EPS is often used when tests such as an EKG, event recorder, stress test, echo or angiogram have not provided enough information to diagnose your heart problem. Your doctor uses an EPS to: Determine the cause of your abnormal heart rhythm, including AFib, one of the most common heart arrhythmias Locate where in your heart the abnormal heart rhythm stems from Help inform the best treatment option for your abnormal heart rhythm

Heart Screening, Feb. 28

Learn about heart disease and how to build heart-healthy behaviors at a free screening and seminar. Register at houstonmethodist.org/ events or call 281.737.2500 for a referral to a Houston Methodist Willowbrook Hospital cardiologist.


GET THE FACTS ABOUT STROKE What You Don’t Know Can Hurt You

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s with most things in life, a little awareness can go a long way. This is especially true when it comes to your health. While it may not get as much attention as other serious diseases, stroke is the fifth leading cause of death and the primary cause of serious long-term disability for Americans. 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 STROKE RISK FACTORS

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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 diet low in sodium and taking blood pressure medication as prescribed.

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Obesity increases your risk of stroke. Studies suggest this is due to obesity’s strong association with other conditions that raise your stroke risk, such as heart disease and diabetes. What you can do: Help your waistline by cutting your calorie intake, limiting foods high in saturated and trans fats and cholesterol, and being physically active. 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.

TREATING STROKE IN THE NICK OF TIME If you or a loved one suffer from a stroke, every minute counts. Getting immediate treatment at the right facility is essential. Houston Methodist Willowbrook Hospital offers stroke sufferers advanced treatment options, including Comprehensive treatment for ischemic and hemorrhagic stroke Stroke outreach program that provides education on stroke recognition and prevention

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* Source: Centers for Disease Control and Prevention.

The American Heart Association/ American Stroke Association recognizes this hospital for achieving 85 percent or higher compliance with all Get With The Guidelines® — Stroke Achievement Measures and 75 percent or higher compliance with five or more Get With The Guidelines® — Stroke Quality Measures for two or more consecutive years, and achieving time to thrombolytic therapy in 60 minutes or less for 75 percent or more of applicable acute ischemic stroke patients, improving quality of patient care and outcomes.

Be Stroke Smart

Help prevent a new or recurrent stroke by reducing your risk factors. To schedule an appointment with a neurologist, visit houstonmethodist.org/ willowbrook-neuro or call 281.737.2500. HOUSTONMETHODIST.ORG/WILLOWBROOK  5


FROM EVERYDAY ATHLETES

TO OLYMPIC CHAMPIONS How Simone Biles Discovered Another Winning Team

T Dr. Travis Hanson

Dr. Scott Rand

he years of rigorous training that go into becoming a world-class Olympic competitor can take its toll on an athlete’s body. For 19-year-old Olympic Gold Medalist Simone Biles, who has spent most of her life training to become the most decorated U.S. women’s gymnast ever, a serious ankle injury threatened to put her training on pause.

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. Houston Methodist is the official health care provider for the Houston Texans, Houston Astros, Houston Dynamo, Houston Dash, Rice University Athletics, RodeoHouston® and Houston Ballet. To schedule an appointment with one of our specialists, call 281.737.0999.

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Shortly before she was to compete in the 2013 World Artistic 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 sports medicine physician, Dr. Scott Rand, who has been Biles’ doctor since 2012. “Due to this injury, Simone developed a fairly large bone spur, which was quite painful for her. She was also coming up on world championships, so doing something surgically to fix the problem really wasn’t an option for her,” recalled Rand, a specialist at Houston Methodist Orthopedics & Sports Medicine at Willowbrook. Rand used 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 the help of foot and ankle specialist Dr. Travis Hanson, chief of orthopedic surgery at Houston Methodist Willowbrook Hospital, to remove the bone spur. “Minimally invasive surgery leads to less scar tissue formation, earlier rehabilitation and better range of motion. For a gymnast, range of motion is so important. We needed to minimize the amount of scar tissue that would be created,” Hanson said. After surgery and rehabilitation at Houston Methodist Orthopedics &

Sports Medicine at Willowbrook, Biles went on to win 3 consecutive world championships. Her success continued when she made the cut to become one of the “Final Five” on the U.S. women’s gymnastics team at the 2016 Olympic Games in Rio de Janeiro, competing in and earning gold medals in the


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 habits, outdated gear 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. Scott Rand, a specialist at Houston Methodist Orthopedics & Sports Medicine at Willowbrook, 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. 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.

Simone Biles pictured with Dr. Travis Hanson (l) and Dr. Scott Rand (r) at World Champions Centre in Spring.

team and individual all-around, vault and floor exercise as well as earning a bronze medal for balance beam. She also received a team gold medal. “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.”

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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HEADACHES 101: Dr. Amy Naquin-Chappel

Identifying Your Pain

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ccording to the World Health Organization, headache is one of the most common nervous system disorders, affecting nearly half the adult population. Headache disorders can be painful, disabling and life-altering. But as Dr. Amy Naquin-Chappel, medical director of neurology at the Houston Methodist Willowbrook Hospital, explained, too many people don’t seek the help they need. “Some people think it’s OK to just live with a headache. I think that’s a misconception. Headaches are a major cause of missed time at work and school, and can affect many areas of your life.”

UNDERSTANDING YOUR HEADACHE

“There are three main categories of what we call primary headaches: migraines, tension headaches and cluster headaches,” Naquin-Chappel said. “One common misunderstanding is that a headache is called a migraine when a headache is severe. But that’s not the case. Any type of headache can be a migraine, whether it’s mild or severe. A migraine is characterized by the symptoms that accompany the headache.” Naquin-Chappel sees another type of headache known as occipital neuralgia, a condition that can be exacerbated by muscle tension in the neck. “Often these headaches create a Migraines often Affect one side of the head Create throbbing and pounding pain Are associated with light or sound sensitivity Cause vomiting Create visual auras, such as kaleidoscope vision

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pain in the back of the head that lingers and is present every day, while varying in intensity.”

SPECIALIZED TREATMENT FOR BETTER RESULTS

When it comes to headaches, finding the right treatment for your unique symptoms is vital. A neurologist is trained to identify your headache and offer treatments for your specific needs. “Primary care physicians often don’t perform treatments like occipital nerve blocks and BOTOX®,” NaquinChappel said. “BOTOX is actually a great approved therapy for people with chronic migraines and chronic daily headaches. In addition, we can prescribe medications to prevent a headache or rescue [treating the headache when it occurs]. For neuralgia headaches, we may focus more on physical therapy and occipital nerve blocks, which can stop the pain at the nerve.”

Get Relief

If you’re suffering from headaches, we can help. To schedule an appointment with a neurologist at Houston Methodist Willowbrook Hospital, call 281.737.2500.

Tension headaches typically Wrap around the head Throb and ache Tend to come on later in the day May be associated with stress and fatigue

Cluster headaches typically Affect men more than women Are described as an “ice pick” Create a sharp, stabbing pain over the temple or behind the eyes Come in a cluster, meaning every single day, often several times a day, for a period of time and then disappear


RESTING

EASY:

Don’t Believe These Common Sleep Myths

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hen it comes to sleep, more than one-third of Americans are not getting enough on a regular basis, according to a recent study by the Centers for Disease Control and Prevention. Partly to blame is a perpetuation of myths regarding the importance of sleep and correcting sleep disorders. Dr. Aarthi Ram, neurologist and sleep medicine physician at the Houston Methodist Neurological Institute at Houston Methodist Willowbrook Hospital, helps clear the air about some of these misconceptions. MYTH: AS YOU GET OLDER YOU DO NOT NEED AS MUCH SLEEP.

INTRODUCING DR. AARTHI RAM Dr. Aarthi Ram joined Houston Methodist at Willowbrook Hospital in September. Ram specializes in sleep medicine, neurophysiology and neurology. Ram is fellowship trained in sleep medicine and epilepsy and board-certified in neurology by the American Board of Psychiatry and Neurology.

FACT: “Getting adequate sleep throughout your life is very important,” Ram said. “Insufficient sleep has been linked to a number of chronic disease conditions. It is recommended that adults get seven to nine hours of sleep per night, while children often need more sleep than adults for proper development.”

“I always recommend that patients let their primary care provider know if they are experiencing these symptoms,” she said. “Additionally, seeing a sleep medicine physician can be beneficial because we are able to diagnose issues and recommend a sleep study or other treatment options that address your unique symptoms.”

MYTH: SNORING IS SO COMMON; IT MUST BE HARMLESS.

MYTH: SLEEP STUDIES ARE MORE TROUBLE THAN THEY ARE WORTH.

FACT: While snoring may be harmless for many people, it can also be a symptom of a common sleep disorder known as obstructive sleep apnea. Other symptoms that may indicate a sleep disorder include choking or gasping for air at night early morning headaches excessive daytime sleepiness unrefreshing sleep

FACT: Many people conjure up images of lying in a cold room with strangers watching them when imagining a sleep study. But sleep studies are far more comfortable and convenient than ever before. “At the sleep center, we offer both home testing options and in-lab sleep studies,” Ram said. “Our new sleep center here at Houston Methodist Willowbrook

is equipped with state-of-the-art technology and is designed for comfort, with Tempur-Pedic® mattresses and private restrooms with showers included.”

Sleep Better

If you’re experiencing sleep problems, a sleep specialist can help you get not only the quantity of sleep you need, but better quality sleep to feel more rested. To learn more about Houston Methodist Sleep Center at Willowbrook, or to make an appointment with a sleep specialist, call 281.737.2500. HOUSTONMETHODIST.ORG/WILLOWBROOK  9


Don’t Suffer in Silence: Dr. Diego Marines

HELP FOR IBS

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short bout of abdominal pain, diarrhea or constipation now and then is not unusual. But long-term or recurring symptoms could indicate irritable bowel syndrome (IBS) — the most common and treatable gastrointestinal disorder. IBS affects between 25 and 45 million people in the United States. IBS shouldn’t be confused with IBD (inflammatory bowel disease), a more serious condition that includes Crohn’s disease and ulcerative colitis.

DIGESTIVE HEALTH SEMINAR If you have gastroesophageal reflux disease (GERD), chronic constipation, hemorrhoids, weight issues or constant abdominal discomfort, attend this seminar to learn about treatment options and the latest advances in minimally invasive colorectal, gastroenterological and general surgery procedures.

SYMPTOMS OF IBS

According to Dr. Diego Marines, a colon and rectal surgeon at Houston Methodist Willowbrook Hospital who specializes in minimally invasive colon and rectal surgery, IBS is more prevalent in women than in men. The most common symptoms women experience are abdominal pain and constipation, while the majority of men complain of diarrhea. IBS symptoms can range from mild to severe and usually include Recurrent abdominal pain or discomfort at least three days per month for the past three months A bloated feeling Diarrhea or constipation Mucus in the stool IBS often goes untreated because symptoms may seem random and can change over time. However, talk to your doctor about any persistent change in your bowel habits — especially severe abdominal pain or weight loss. They could be signs of a more serious problem.

TREATMENT OPTIONS

Because doctors don’t know exactly what causes IBS, treatment focuses on relieving or minimizing symptoms. In most cases, patients can control their

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Date: March 9 Time: 6 p.m. Presenters: Houston Methodist Willowbrook physician panel Call 281.737.2500 or visit houstonmethodist.org/ events to register.

IBS by avoiding foods that trigger symptoms, taking medications and reducing stress. “IBS is a vague condition,” Marines said, “and the most effective course of treatment involves a comprehensive care approach. The most common misconception is that there is a pill that can cure this disease. Unfortunately, that’s not the case.” Marines recommends his patients try to avoid gluten and, if constipation is a problem, incorporate more fiber in their diet. “Patients with IBS usually can identify foods high in carbohydrates or fat triggering their symptoms. Probiotics have been proven

helpful in some studies. Other things to try are exercise, psychological therapies and acupuncture.”

Get Help

Help is available for IBS and other digestive health disorders. To see a specialist at Houston Methodist Willowbrook Hospital, or to learn more visit, houstonmethodist.org/ willowbrook or call 281.737.2500.


Smoking and Urologic Cancers:

A SURPRISING

CONNECTION W hen you think of smoking and cancer, you might immediately think of the organs that smoke reaches — like the lungs. But damage from smoking isn’t limited to just the lungs, mouth and throat. Smoking can cause cancer nearly anywhere in the body, including in the urinary system, explained Dr. James Tan, urologist at Houston Methodist Urology Associates at Houston Methodist Willowbrook Hospital.

INTRODUCING DR. XISHI “JAMES” TAN Dr. James Tan joined the Department of Urology at Houston Methodist Willowbrook in September. Tan specializes in general urology with clinical expertise of prostate disease, kidney and bladder cancer and kidney stones. He is a member of the American Urological Association. “I believe in treating patients as I would want my own family members to be treated. I give every patient as much time as they need and I am happy to answer every question a patient may have,” Tan said. To schedule an appointment with Dr. Tan, call 281.737.2500.

A TOXIC HABIT

“Smoking is the biggest risk factor for developing cancers of the kidney or bladder,” he said. “This is especially true if individuals are heavy smokers and if they’re still actively smoking. Smokers are several times more likely to develop bladder or kidney cancer than nonsmokers.” Smoking causes many toxins to enter the body. However, many of these toxins don’t leave through the airway, but instead exit the body through the urinary tract. This results in an alarmingly high rate of bladder cancer among smokers.

A TROUBLING SIGN

Because so many toxins pass through the urinary tract, cancer can develop in the organs along it. “The first sign of kidney and bladder cancers is often blood in the urine. The blood is generally not heavy enough to physically be seen, but rather is detected in a routine urine test.” While blood in the urine can be caused by many conditions, Tan said it always makes him concerned when a patient presenting this symptom is a heavy smoker. “I recommend that anyone who is currently smoking look into methods to quit.”

Seek Treatment

The urologic specialists at Houston Methodist Willowbrook are experts at detecting and treating all forms of urologic diseases including kidney, bladder and prostate cancer. Visit houstonmethodist.org/willowbrook to learn more about our urology services or call 281.737.2500.

HOUSTONMETHODIST.ORG/WILLOWBROOK  11


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LEADING MEDICINE IN GREATER HOUSTON

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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 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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