Leading Medicine Spring-Summer 2017, Houston Methodist Willowbrook Hospital edition

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LEADING MEDICINE SPRI N G/SUM M ER 2017

IS JOINT REPLACEMENT SURGERY RIGHT FOR YOU? Get Answers to Common Joint Health Questions

THE TRUTH ABOUT HPV

3 KEY ADVANCES in Breast Cancer Technology

YOUR LINK TO HEALTH INNOVATIONS, NEWS AND TIPS IN NORTHWEST HOUSTON


NEWS & EVENTS

TEA & TEAL

SPORTS PHYSICALS

No appointment necessary Physical cost is $20 Optional EKG Screening – additional $10 (athlete must be 14 years or older) IMPACT Baseline Concussion Testing – $5 (athlete must be 12 years or older) Cash only (no credit card or checks accepted)

Date: Saturday, July 29 | Time: 8 a.m. – noon 13802 Centerfield Road, Houston, TX 77070 Date: Tuesday, Aug. 22 | Time: 3:30-6 p.m. 7105 FM 2920 Road, Spring, TX 77379

Join us as we share the latest in prevention, detection, treatment and research breakthroughs for gynecologic cancers. Date: Sept. 19 | Time: 6 – 8 p.m. Location: Houston Methodist Willowbrook Hospital, Swadesh Khurana Healing Garden, North Pavilion, 4th Floor

CANCER SURVIVORS DAY LUNCHEON & BALLOON RELEASE Join us to celebrate life and honor cancer survivors with a special luncheon event. Date: Friday, June 9 Time: Noon – 1:30 p.m. Location: Houston Methodist Willowbrook Hospital Swadesh Khurana Healing Garden North Pavilion, 4th Floor

BREASTFEEDING EXPO FOR EXPECTANT PARENTS

WEIGHT LOSS SURGERY

Find out if weight loss surgery is right for you. Learn about weight loss options and the benefits of choosing our nationally accredited surgical weight loss program. Visit houstonmethodist.org/willowbrook-bariatrics to find a free weight loss seminar you can attend or call 281.737.2500.

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Presented by Houston Methodist Willowbrook Hospital Certified Lactation Consultants. Topics include: Benefits and basics of breastfeeding Benefits of breast massage and hand expression Going back to work Breastfeeding Q&A Date: Saturday, Aug. 5 11 a.m. – 1:30 p.m. Location: Houston Methodist Willowbrook Hospital – Women’s & Children’s Pavilion Conference Center, 1st Floor 18220 State Hwy. 249 Houston, TX 77070


3 KEY ADVANCES in Breast Cancer Technology Houston Methodist Willowbrook Sets Pace with Innovations

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s breast cancer deaths continue to drop steadily nationwide, Houston Methodist Willowbrook Hospital is proud to offer pivotal new technologies Dr. Liza that promote better Thalheimer outcomes, including an innovative device enabling more precise tumor removal. “Houston Methodist Willowbrook is the first hospital in Houston using SAVI SCOUT®, a tumor localization and guidance system providing realtime images during breast-conserving surgery, such as lumpectomy or partial mastectomy. It replaces older technology that required placing a wire into a patient’s breast just before surgery. Instead, it uses a handpiece to accurately detect the location of a SCOUT reflector placed in the breast up to 30 days before surgery, and with it, the breast tumor,” said Dr. Liza Thalheimer, a breast surgical oncologist at Houston Methodist Breast Care Center at Willowbrook. “Because the SAVI SCOUT has no wire, it gives the patient a little more comfort,” Thalheimer said. “By using this type of device, we’re also able to safely remove less breast tissue, improving the patient’s cosmetic result.”

OTHER IMPORTANT OPTIONS

Data from the National Cancer Institute shows steady declines in deaths from breast cancer since 1990, and mortality decreased 1.9 percent each year from

2002 to 2011. Much of the improved survival rate, Thalheimer noted, is due to innovations in breast cancer detection and treatments. Among these, Houston Methodist Willowbrook has adopted two technologies Thalheimer feels exemplify the hospital’s commitment to embracing the safest and most progressive options available. They include: Digital breast tomosynthesis, which reconstructs 3-D breast images by taking multiple cross-section views of breast tissue from various angles. “With these 3-D mammograms, we’re able to detect cancers earlier so patients can often avoid mastectomies if they choose, as well as decreasing the chances they will need more aggressive postoperative therapies like chemotherapy,” she said. Oncotype DX testing, which analyzes groups of genes from breast tumor samples and determines how likely an estrogen receptor-positive (ER+) tumor is to recur or respond to chemotherapy. “It’s important for our patients to know we have a whole team of cancer-treatment professionals who are knowledgeable about all the newer technologies and studies about pre- and postoperative treatments,” Thalheimer said.

Get Your Mammogram

Healthy women ages 40 and older should undergo annual mammograms to screen for early signs of breast cancer. For more information or to schedule your mammogram online, visit houstonmethodist.org/appointments or call 281.737.PINK (7465).

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THE TRUTH ABOUT HPV and Cervical Cancer Screening Is Vital for Prevention

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bout 80 percent of people — both men and women — live with human papillomavirus (HPV). Remarkably, the body usually clears HPV on its Dr. Anne Alaniz own. When it remains it can lead to serious health problems, like cervical cancer. That’s why screenings and early detection are important. Few cancers can be prevented with a vaccine, but cervical cancer is on that short list. That’s because the vast majority of cervical cancer cases — diagnosed in nearly 13,000 women in the United States each year — are caused by HPV. There are 30 strains of sexually transmitted human papillomavirus, responsible for nearly all new cases of cervical cancer and many incidences of head and neck, anal, penile, vulvar and vaginal cancers, according to Dr. Anne Alaniz, a gynecologic oncologist at Houston Methodist Willowbrook Hospital. Fortunately, HPV vaccines are available in the United States and can decrease the chances of contracting the most common types of the HPV virus that cause cancer, Alaniz said. Along with regular Pap tests to detect any abnormal cells on the cervix, this proactive approach is a woman’s best shot for avoiding cervical cancer, which kills about 4,000 annually. “Cervical cancer caused by high-risk HPV is one of the most preventable cancers,” Alaniz said. “It’s a proven fact that Pap tests have significantly decreased deaths from cervical cancer due to finding precancer cells or very early cancer.”

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Are You Up-to-Date on Your Screenings?

Women ages 21 and up should be screened for cervical cancer at regular intervals, depending on their risk factors. Visit houstonmethodist.org/ cancer/cervical-cancer/screening to learn more about Pap tests or call 281.737.2500 to schedule an appointment.

AIMING TO CUT HPV CASES

More than a decade ago, the U.S. Food and Drug Administration approved the first of three HPV vaccines that, delivered through a series of shots, can help prevent HPV-related cancers in both females and males. Current guidelines recommend vaccination for both genders, ages 9-26, for whom it is available, Alaniz noted. “HPV is present in 80 percent of the population,” she said. “The hope is, with the group of young people being vaccinated now, we’ll get to a point where we see that rate drop significantly.”

Current cervical cancer screening guidelines recommend Pap tests for women ages 21 and older. But how often should women undergo screening? Alaniz suggests typically every two to five years — depending on individual risk factors, including age, any prior abnormal Pap results, smoking history and HPV status. “Every woman should have a conversation with her obstetriciangynecologist to figure out how often she should be screened,” Alaniz advised.


COSMETIC SURGERY:

Is It Right for You? I

f you’re looking to turn back the clock on aging, or enhance or reshape certain physical features, the idea of plastic surgery may have crossed your mind. You’re in good company: More than 1.7 million Americans underwent cosmetic procedures from breast augmentation and liposuction to brow lifts and Botox in Dr. Anthony 2015, according to the American Society of Echo Plastic Surgery. At Houston Methodist Willowbrook Hospital, plastic surgeon Dr. Anthony Echo said the most popular cosmetic and reconstructive techniques are minimally invasive procedures, such as Botox, which relaxes creases on the upper face, and dermal fillers to “plump” wrinkles on the lower face. “There’s less downtime for the patient with these procedures,” Echo said. “They go home or back to work quickly, it costs less than surgery and provides a nice result without having incisions on the face or neck.” It makes sense to think about plastic surgery if you’re doing it for the “right reasons,” meaning “doing it for yourself, not to impress someone else,” Echo said. “It’s empowering yourself to look and feel better.”

RECONSTRUCTIVE SURGERY ADDRESSES MANY ISSUES About half of the plastic surgeries performed by Dr. Anthony Echo at Houston Methodist Willowbrook Hospital are reconstructive surgeries that reshape or restore body parts affected by birth defects, trauma or disease. The vast majority involve breast reconstruction after a mastectomy to treat breast cancer. “We have a team of doctors here involved with breast cancer patients and able to provide very complex reconstructive options for them including the DIEP flap, which transfers tissue from the abdomen to recreate the breast,” Echo said. “It’s important for breast cancer patients to understand that breast reconstruction is covered by insurance.”

HEALTHY EXPECTATIONS

"The best candidates for cosmetic surgery are healthy, don't smoke and carry reasonable expectations for their procedures while understanding the risks. For surgical procedures such as breast reduction or augmentation, or a tummy tuck, patients go under general anesthesia. Sometimes patients forget these are indeed surgical procedures,” Echo said. “Anything that can happen with other surgeries, such as wound healing problems or scarring, are things we may deal with. Patients can minimize their risks by going to a board-certified plastic surgeon.” While cosmetic procedures can help patients look younger, Echo emphasized that they won’t stop the aging process. “While we’re turning back the clock, the body will keep changing over time accordingly,” he added.

Schedule a Consultation

Visit houstonmethodist.org/ willowbrook for more information about scheduling a plastic surgery consultation or call 281.737.2500. HOUSTONMETHODIST.ORG/WILLOWBROOK  5


IS JOINT REPLACEMENT

SURGERY RIGHT FOR YOU? Dr. Daniel Le

Get Answers to Common Joint Health Questions

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ur joints are pretty impressive. They can hold weight, help us move and link the bones in the body. But over time — or even through trauma — joints can wear down and become damaged. If that happens, it can cause joint stiffness, swelling or even pain. In these cases, it’s important to know your options. We've enlisted the help of Dr. Daniel Le, an orthopedic surgeon specializing in joint replacement with Houston Methodist Orthopedics & Sports Medicine. Here, he answers questions about joint health and leading-edge techniques in joint replacement surgery.

THE BASICS

Q

How do joints become damaged?

A: Joints can wear down in various ways, but the most common factor is osteoarthritis. Osteoarthritis occurs due to a genetic predisposition. About a third

of arthritis patients undergoing total hip replacement have an underlying congenital deformity of the hip. Many people with osteoarthritis are active even though increased activity can make the problem worse. Damage can occur due to the stress on the knee from sports, exercise, injuries or excess body weight over time.

Q

hat are a few ways W people keep joints healthy as they age?

A: What's most important is to maintain an ideal weight to lessen pressure on joints. Avoid impact-loading activities, such as running, jumping or contact sports, if you have significant underlying knee or hip problems. You should also avoid overdoing exercise or suddenly starting an exercise routine. Meanwhile, maintain nutrition that's helpful to bone density.

Q

What are some warning signs that tell people they should see a doctor?

A: As we age, we feel achy and sore after activity. That’s natural. When you feel like your knee is swollen, have trouble getting in and out of a chair or car, or if normal walking would cause pain and limit your activity, it's time to see a doctor.

JOINT REPLACEMENT TALK

Q

hat makes someone W a good candidate for a joint replacement?

A: It’s preferable if a patient is 55 or older since the lifespan of a replacement is around 20–25 years. Also, it helps when a person is well-nourished and has a healthy weight, with minimal medical problems and no dependence on narcotic medication, who is a nonsmoker and comes in with a positive attitude about the recovery process. Every patient regardless of age should be evaluated and many unique patient factors need to be considered prior to surgery.

RAPID RECOVERY PROGRAM Over the last few years, Houston Methodist Willowbrook Hospital has transformed its joint replacement recovery process to get otherwise healthy people back to their lives sooner. As orthopedic surgeon, Dr. Daniel Le said, “The Rapid Recovery Program is a way of expediting recovery so patients don’t have to stay in the hospital for an extended period of time after a joint replacement.

can expect to spend one to two nights in the hospital and begin physical therapy hours after surgery.”

While not for everyone, the Rapid Recovery Program makes a few changes to the traditional recovery process. “After surgery, these patients need to work hard and will be given different medications to maximize pain relief early on,” Le noted. “All recoveries take time, but with “The best candidates tend to be those who can tolerate healthy and motivated patients, this program helps them surgery well and manage their pain,” Le said. “Participants get home and feel better quicker.”

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Watch a joint replacement patient's story: vimeo.com/207206801

Q

What is a new joint made of?

Q

What are the alternatives to joint replacement?

A: Metal, plastic or both, depending on the replacement. Hip implants are made of titanium. The prosthetic ball is made of extremely hard ceramic in most cases, and there is a polyethylene liner in which it glides. The stem and socket of hip replacements are generally press-fit into the bone, which over a few months grows into the metal components to make them part of the body. The metal parts of the knee replacement are made of highly polished cobalt chrome alloy, which rubs against a polyethylene tray that is locked to a metal tibial component. The metal components are attached to bone with bone cement.

A: If you have early arthritis, the focus should be on maintaining an ideal weight with exercises that safely stretch and strengthen your joints. People can also add anti-inflammatory medicine like ibuprofen and naproxen if necessary. In more advanced cases, a doctor may recommend injections that mimic joint fluid or provide pain relief for six to 12 months.

Q

A: The main goal is to reduce pain so you can perform the natural activities of living. Surgery won’t turn a sedentary person into a world-class athlete, but you can become

Can someone be too old for a joint replacement?

A: This is determined on a case-by-case basis. While surgery becomes riskier as we age, there isn’t an age limit on joint replacement. To decide whether or not to perform a joint replacement, we’ll ask you about your medical history, risk factors and how old your parents are now or when they passed.

SURGERY SPECIFICS

Q

How does joint replacement surgery improve someone’s health?

much more physically functional and stable when your joints no longer hurt.

Q

hat should people W know about the recovery process?

A: You’ll typically be on your feet soon after surgery with physical therapy to follow for as long as necessary. Pain can also be an obstacle when someone leaves the hospital, so it’s important to stay ahead of it with the medication we prescribe.

Q

Are there any permanent restrictions after surgery?

A: You can pursue what you want. But most people don’t return to heavy sports activities like running or basketball. However, things like walking, elliptical, swimming, bicycling, tennis and skiing can be fine.

Take the First Step

To schedule an appointment with a joint specialist or to learn more, visit houstonmethodist.org/orthopedics or call 281.737.0999.

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PROLAPSE AND SEX:

What You Need to Know

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xperiencing uterine prolapse, a type of pelvic floor disorder, can be frightening and uncomfortable. But if it happens, it can affect your health and sex Dr. Fiona M. Lindo life. So it’s important to know how to address it. Uterine prolapse occurs when the uterus slips down into the vagina and can even protrude out of the vagina. Most women feel uneasy talking about prolapse, even with a health care professional, and many are suffering in silence. According to Dr. Fiona M. Lindo, a urogynecologist at Houston Methodist Urogynecology Associates at Houston Methodist Willowbrook Hospital, research shows nearly one-third of women in the United States have one or more pelvic floor disorders that cause symptoms. Only 10 percent of those affected seek treatment. Prolapse doesn’t have to alter a woman’s sex life. “By understanding the symptoms and treatment options, women can successfully overcome the condition and enjoy a regular sex life,” Lindo said.

WHY PROLAPSE HAPPENS

Vaginal prolapse develops when muscles weaken and one or more organs in the pelvic cavity shift out of their normal

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PROLAPSE SYMPTOMS TO WATCH FOR Symptoms of uterine prolapse include feeling that something is coming out of your vagina, or a fullness or pressure in your pelvis (like you’re sitting on a ball). Some women have no symptoms. You may also experience: Recurrent bladder infections Difficulty urinating Problems with sexual intercourse Vaginal bleeding or increased discharge Other organs, such as the bladder, rectum, small intestine and urethra, can prolapse, causing similar symptoms. Don’t ignore the signs — speak with your doctor (see “Common Pelvic Conditions You Can Control”).

position. As women age and estrogen levels decrease, the risk for prolapse increases. Childbirth, especially long difficult labors and large babies, damages the tissues, muscles and ligaments in and around the vagina, increasing a woman’s risk of uterine prolapse. That’s why women who have had more than one vaginal birth and postmenopausal women are at the highest risk for the condition. Other risk factors include Chronic coughing Chronic constipation Manual labor such as farming or lifting heavy boxes Obesity Smoking

WHEN SEX IS UNCOMFORTABLE, TREATMENT CAN HELP

Enjoying a healthy sex life with your partner is an important part of many relationships. Prolapse can interfere with that and, depending on the type of prolapse, some women may experience discomfort during sex (see “Prolapse Symptoms to Watch For”). Talk with your partner about finding more comfortable positions and use lots of lubrication or try pelvic floor relaxation exercises. Don’t be afraid to have sex. “Penetration is not likely to make prolapse worse, but if you have concerns, talk with your doctor,” Lindo explained. Women with a mild uterine prolapse may not need treatment, but should follow up with their doctor because muscles could weaken or lose tone, making the condition more serious.

If you require treatment, start with noninvasive therapies such as Kegels, a type of pelvic floor exercise. Kegels can help strengthen pelvic floor muscles, reduce prolapse symptoms and increase sexual arousal. Another option is a therapeutic pessary — a ring or cup device worn in the vagina to support pelvic organs. Some pessaries can be used during intercourse, and they’re a good choice if you’re not a candidate for surgery. “Surgical repair of your prolapsed uterus may involve using your own tissue, donor tissue or synthetic material to support your pelvic organs,” Lindo said. “A hysterectomy or hysteropexy (resuspension of the uterus) might be recommended.” Your doctor will work with you to determine the best approach based on your goals, specific diagnosis and prolapse severity.

Schedule an Appointment

The urogynecology team at Houston Methodist Willowbrook treat prolapse and other pelvic conditions. Visit houstonmethodist.org/ willowbrook or call 281.737.2500 for more information about our comprehensive women’s services.

COMMON PELVIC CONDITIONS YOU CAN CONTROL A twinge here, mild discomfort there — you may ignore gynecologic issues, thinking they’ll go away. Although most symptoms aren’t cause for alarm, there are effective treatments. Here are three common conditions and what you can do about them: Stress urinary incontinence: Involuntary urine loss when you cough, sneeze, laugh or lift something heavy Nonsurgical options include a pessary device to support the urethra or pelvic floor physical therapy. Minimally invasive options include injections to help the urethra stay closed; a procedure in which a synthetic sling is placed under the urethra; and colposuspension, a procedure that raises the bladder or its neck. Heavy menstrual bleeding (menorrhagia): Soaking through a sanitary pad or tampon hourly for two or three consecutive hours, passing large clots and having a period that lasts longer than seven days Nonsurgical options may include medications that slow the growth of uterine lining or block estrogen’s effects and intrauterine devices (IUDs) that release hormones. Minimally invasive surgical options include endometrial ablation, in which laser, radiofrequency energy or heat removes the uterine lining. Uterine fibroids, noncancerous tumors: Abnormal cells growing in clusters or alone. Symptoms include heavy periods, bleeding between periods, pelvic pain and pressure Nonsurgical options include estrogenblocking hormones or a focused ultrasound that destroys the tumor with sound waves. Minimally invasive surgical options include uterine artery embolization, which shrinks fibroids; myolysis, which destroys the tumor with a laser, radiofrequency energy or freezing; and myomectomy, surgical removal of the tumors, leaving the uterus intact.

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5

RULES OF RUNNING

to Prevent Injury

Tips for Staying on Your Feet and Out of Rehab

R

unning is beneficial for many reasons — it helps you maintain a healthy body weight, lowers your risk of certain diseases, reduces stress and improves your mood. But if you push yourself too hard, you could end up sidelined by pain. And it’s not only the novice runner who’s susceptible — even an experienced runner can suffer an injury. Dr. Olusanjo Dr. Olusanjo Adeoye is an orthopedic surgeon Adeoye specializing in sports medicine at Houston Methodist Orthopedics & Sports Medicine at Willowbrook. He’s also a runner. “The majority of patients I see with running-related injuries are just starting out or maybe they’ve run a marathon in the past, but haven’t trained in a while,” he said. “They tend to ramp up their activity too quickly, train too hard and end up with knee pain or a stress fracture.” Good news! You can prevent most running injuries by following a few simple precautions. Adeoye recommends starting out slowly, working your way up from walking to jogging, and gradually increasing your speed and distance. He offers these five tips for staying on your feet and out of rehab:

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Take your time. Avoid the “terrible too’s” of running: Don’t run too hard, too fast or too often with no rest days. Adeoye suggests one or two rest days a week.

Tune in. If you’re feeling tight or sore, your body may be signaling that you need to rest. Don’t alter your stride to compensate for pain. Take a break. If the pain persists or becomes too intense, see your doctor.

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Wear the right shoes. Buy a good pair of running shoes before you start training. Change them every 300 miles, even if they don’t look worn. Build up your strength. Incorporate weight training two or three times a week on your rest days to strengthen leg muscles.

Stay healthy. Drink water to keep hydrated. Eat a wellbalanced diet of fruits, vegetables, lean protein and whole grains to maintain a healthy weight, boost your energy and fuel your muscles. “Becoming a stronger athlete doesn’t have to be a solitary endeavor,” Adeoye said. “And you don’t have to be LeBron James or Serena Williams to benefit from professional perspectives on staying injury-free to get there.”

Injured? Sports Medicine Can Help

Safely returning to the field, court or track after an injury warrants expert evaluation. Houston Methodist Orthopedics & Sports Medicine at Willowbrook offers injury risk assessment, postinjury strengthening and conditioning, and return-to-play training. Visit houstonmethodist.org/sports-performance or call 281.737.0999 for more information.


Is Your Body BABY READY?

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aking sure your body is ready to support a healthy pregnancy is an essential aspect of pregnancy planning. “Addressing modifiable Dr. Stephanie risks and making dietary Bruce changes can have a measurable benefit for mom and baby,” said Dr. Stephanie Bruce, an obstetriciangynecologist with Houston Methodist Willowbrook Hospital. “And the benefit is not just for the first baby, but for all subsequent babies, too. Putting the effort in up front can mean an important pay-off in your children’s health.” So is your body baby-ready? Answer these questions to find out.

Do you smoke? “The No. 1 change a woman can make before she gets pregnant is to stop smoking,” Bruce said. Smoking can cause low birth weight, premature birth and an increased chance of cesarean section. Your baby is also at greater risk for asthma and ear infections if smoking occurs in the home.

Are you taking folic acid? Inadequate folic acid intake is linked to spina bifida and other birth defects, many of which occur before a woman even knows she’s pregnant. “Before you even start trying to get pregnant, take folic acid to build up a reserve,” Bruce advised. “The recommended dosage is 0.4 mg of folic acid or 4.0 mg if you have a family history of spina bifida. Taking a prenatal vitamin ensures that you’re getting optimal nutrition and it will meet most women’s needs for folic acid.”

Do you exercise regularly? Developing the habit of regular exercise before pregnancy makes it more likely that you’ll continue to exercise after you’re pregnant. “Physical exercise is extremely important. Some studies show shorter labor and faster recovery times in women who exercise regularly in pregnancy. It may decrease the risks of gestational diabetes and cesarean section,” Bruce explained.

If you have a chronic medical condition, is it under control? Seizure disorders, diabetes, high blood pressure and asthma are examples of chronic conditions that may impact your pregnancy. “Often the medications for chronic conditions can have an effect on the fetus, so it’s a good idea to work with your doctor before you are pregnant to create a plan,” Bruce said. A preconception consultation with your obstetrician-gynecologist can help you determine how to best handle chronic conditions during pregnancy and decrease your risk of birth defects.

Is this the right time in your life to get pregnant? “I encourage women to put real thought into their life course, and when and how children will fit into their plans. Keep in mind that difficulty conceiving and the risks of miscarriage and chromosomal abnormalities increase significantly after age 35,” Bruce stated.

Take a Tour!

As you prepare for your baby, find a childbirth center that matches your commitment. Houston Methodist Childbirth Center at Willowbrook offers expectant mothers state-of-the-art technological advances, a comforting environment and a dedicated team. Visit houstonmethodist.org/ willowbrook or call 281.737.2500 to learn more about our Childbirth Center or sign up for a tour.

HOUSTONMETHODIST.ORG/WILLOWBROOK  11


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EXPERT JOINT REPLACEMENT ACCELERATES YOUR RECOVERY. At Houston Methodist, our Rapid Recovery program for joint replacement gets you back to your active lifestyle — faster. Personalized to your specific needs, this comprehensive approach: • Utilizes the latest pain control methods before, during and after surgery • Starts rehabilitation sooner to accelerate recovery HOSPITALS EMERGENCY CARE CENTERS SPECIALTY HOSPITALS IMAGING CENTERS COMPREHENSIVE CARE CENTER

Just around the corner

• Gets you home quickly, often in one day To find a joint doctor in your area, call 713.790.3333 or visit houstonmethodist.org/rapidrecovery to learn more.

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 . Houston Methodist The Woodlands Hospital Opening July 1, 2017 . Houston Methodist West Hospital 7. Houston Methodist Willowbrook Hospital

SPECIALTY HOSPITAL 8. Houston Methodist St. Catherine Hospital

IMAGING CENTERS . Houston Methodist Breast Care Center at The Woodlands

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 1. Houston Methodist Emergency Care Center in Spring

9. Houston Methodist Breast Care Center

COMPREHENSIVE CARE CENTER

1. Houston Methodist Imaging Center

17. Houston Methodist Comprehensive Care Center at Pearland

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