Leading Medicine Fall 2023, Houston Methodist West Hospital edition

LEADING MEDICINE

CANCER PREVENTION

Learn How to Reduce Your Risk

Prioritize Your Prostate Health

Discover Common

Foot & Ankle Injuries

Prioritize Your Prostate Health

Nobody wants to admit they have a problem down there, but your health matters and your prostate health is no exception. As men age, the prostate gland may enlarge, causing a range of problems, including difficulty urinating and sexual dysfunction. In more serious cases, the prostate gland can become cancerous.

“Since prostate cancer is the second leading cause of cancer deaths among men, detecting it early — before symptoms begin, reduces the chance of cancer spreading or requiring aggressive treatment,” said Dr. Wesley Ekeruo, a urologist at Houston Methodist West Hospital. “However, if you do require treatment, there are now many noninvasive care options that allow men to recovery quickly and get back to their daily routine.”

CUTTING-EDGE TREATMENT OPTIONS

High-intensity focused ultrasound (HIFU) is a noninvasive treatment that destroys cancerous cells in the prostate without the use of radiation or incisions. The outpatient treatment has minimal side effects and is an excellent option for patients with early-stage prostate cancer.

Holmium laser prostate surgery (HoLEP) is another minimally invasive procedure used to treat enlarged prostate or BPH. This treatment involves using a laser to vaporize the prostate tissue causing urine-flow blockage. The laser is highly precise and can target only the tissue that needs to be removed, resulting in minimal damage to surrounding tissue. This means rapid recovery,

no erectile dysfunction and minimal urinary incontinence.

Single port robotic surgery is the most advanced technology on the market that allows surgeons to perform prostate surgeries with unprecedented precision and accuracy. This device provides a 3D view of the prostate, allowing surgeons to navigate through the delicate tissue with ease. The single port robot also has a small, single incision point, which significantly reduces recovery time and minimizes scarring.

“This is a procedure where we make one tiny hole and do all the work through the hole to take out the prostate,” explained Ekeruo. “There’s very little blood loss, which means patients are able to recover quicker and usually go home the same day or the next day.”

“Don’t compromise on your prostate health,” Ekeruo emphasized. “Choose a provider you feel comfortable with that offers personalized and compassionate care, alongside cutting-edge treatment options.” •

Scheduling Time With A Specialist

Houston Methodist West is a leader in prostate care and men ,s health. Visit houstonmethodist.org/urology or call 713.790.3333 to find a Houston Methodist urologist in Katy or West Houston.

Dr. Wesley Ekeruo

TYPES OF ANKLE INJURIES

Whether you’re getting back into exercise or a marathon runner, you should be aware of the types of ankle injuries that could limit your activity and when you should seek treatment.

ANKLE SPRAINS

“The most common injury we see related to exercise is an ankle sprain,” explains Dr. Travis Hanson, an orthopedic surgeon at Houston Methodist Orthopedics & Sports Medicine at West Hospital. “This happens when the foot twists, rolls or turns beyond its range of motion. Typically, someone has been running or hiking on uneven terrain.”

Relief: You can reduce the swelling and pain with ice and rest.

PLANTAR FASCIITIS

According to Hanson, this condition occurs when the ligament located under the foot that stretches across the arch becomes irritated, often from hitting the ground when running or jumping. The pain is on the inner edge of the heel.

Relief: Regularly stretching the calf muscle and icing the bottom of the foot is a good place to start. Using a cushioned running shoe can also help.

ACHILLES TENDONITIS OR TEARS

Your Achilles tendon connects your heel to your calf muscle. After repeat impacts with the ground, this tendon can swell, resulting in minor pain or discomfort, which is typically caused by not stretching before a workout.

Relief: Like plantar fasciitis, stretching is helpful for this problem as well as icing the Achilles after exercise. If the tendon tears, then there are both surgical and nonsurgical options to heal the tendon.

TURF TOE

As you can tell by the name, this injury is prone from turf play. It’s caused when the big toe is bent up into hyperextension, such as when pushing off into a sprint and having the toe get stuck flat on the ground — resulting in pain, swelling and limited movement.

Relief: Immediately after injury, the RICE protocol (rest, ice,

compression, elevation) is best. Sometimes a protective boot is used for a severe injury. Taping the toe may help as you return to your sport.

BROKEN TOE

“Toe fractures typically occur from a direct blow against a heavy object,” said Hanson. “Most of these heal uneventfully; however, if the toe is misaligned, it should be evaluated by a doctor.”

Relief: It’s important not to ignore the pain of a broken toe. If your toe appears crooked or misaligned, bruised or swollen, talk to your doctor. If the toe is well-aligned then icing, buddytaping and using a stiff sole shoe is a good initial plan.

“It’s better to lead with precaution than push yourself too hard after an injury. Make sure you give your body time to heal and seek medical attention right away if you experience sharp pain from an impact,” said Hanson. •

PREVENTION IS KEY It’s

You can stop injuries before they happen by making sure to:

■ Wear well-fitting shoes with good arch support.

■ Start out slow with a new training regimen and take breaks for your body to rest.

■ Warm up and stretch before and after exercising.

■ Listen to your body. Avoid playing when you’re tired or in pain.

HEALTHY SOLUTIONS For Cancer Prevention

We’ve all been impacted in some shape or form by cancer. It is one of the most prevalent health concerns in the U.S. According to the American Cancer Society, it is estimated that in 2023 alone, there will be over 1.9 million new cancer cases diagnosed in the country. While these numbers are overwhelming, there are ways you and your loved ones can fight back.

The most common cancer types include:

■ Breast

■ Colorectal

■ Lung

■ Prostate

■ Skin

REDUCE YOUR RISK

Between 30-50% of cancers are preventable by eliminating your risk factors and adding a healthy routine.

It’s never too late to get proactive in your health. Reduce your risk with these simple lifestyle changes and promote your overall well-being.

“When it comes to cancer, knowledge, awareness and early action can be our strongest allies,” said Dr. Scott Olsson, a cardiothoracic surgeon, specializing in the early diagnosis and treatment of lung cancer at Houston Methodist West Hospital.

YOUR BEST DEFENSE AGAINST CANCER

Detecting cancer in its earliest stages increases the chances of successful treatment and improves overall outcomes. It allows for a broader range of treatment options that are often less invasive and more effective. Plus, early detection improves the chances of complete recovery and long-term survival. Regular screenings with your doctor and being attuned to your body’s signals are vital to catching cancer at its earliest stages when it is most treatable.

Know Your Body

One of the most important steps you can take is to be familiar with your body’s normal patterns. Olsson advises paying attention to any changes or unusual symptoms that continue for an extended period. “Lumps, persistent coughs, changes in bowel or bladder habits, unexplained weight loss or abnormal bleeding should never be ignored,” Olsson said. “Trust your instincts, and if something feels off, seek medical advice promptly.”

Stay Connected With Your Doctor

Establishing a close relationship with a primary care provider (PCP) who understands your medical history and can guide you through screenings and exams is invaluable. Regular checkups and open communication allow

Limit Alcohol

Fewer drinks per week can lower a woman’s risk for breast cancer.

Don’t Smoke

Not just for your lungs but stop smoking for your overall health.

Exercise

Add movement by taking the stairs, parking farther away or gardening.

your doctor to monitor your health, address any concerns and recommend appropriate screenings based on your risk factors.

Get Regular Screenings

Routine screenings are crucial in detecting cancer early. Houston Methodist offers state-of-the-art screenings for various types of cancers — breast, cervical, colon and rectal, lung, ovarian, prostate, skin and uterine. When and what screenings you need vary depending on your age, gender, family history and other risk factors.

“If something is detected during a screening, your PCP can recommend you to a specialist. We act as a team for your health,” explained Olsson.

Be Your Advocate

Take an active role in your health care by asking questions, sharing any changes or concerns, and discussing your family’s medical history with your doctor. Don’t hesitate to seek a second opinion. It’s important to gather different perspectives when facing a potential cancer diagnosis. •

LUNG CANCER SCREENING CRITERIA: WHO SHOULD GET TESTED?

Most health insurance plans cover lung cancer screenings, provided you meet the following criteria:

■ Between the ages 50-77

■ A current smoker or have quit within the last 15 years

■ 20 pack years (multiply the number of packs per day by the number of years smoked)

The screening costs $225 for noninsured or those not wishing to use insurance. Your doctor will need to order the screening. Visit houstonmethodist.org/lung-screening to learn more.

First Stop: Your Primary Care Provider

When it comes to discussing cancer prevention and which screenings may be right for you, your PCP is a good place to start. Your doctor can help guide you to cancer screening tests appropriate for your age and risk level. To find a PCP near you or schedule an appointment, visit houstonmethodist.org/pcg/west or call 713.441.7965 .

Sche dule an Appointment

If you or a loved one has been diagnosed with cancer and would like to schedule an appointment, visit houstonmethodist.org/cancer to find an oncologist at the Houston Methodist Neal Cancer Center near you.

Str ong from the Inside Out: PRIORITIZING PELVIC HEALTH

As women, we face unique challenges and concerns regarding our pelvic health. From postpartum to menopausal years and beyond, our bodies go through significant changes that can impact the health of our pelvic floor muscles.

The pelvic floor includes muscles, ligaments and connective tissue that support a woman’s pelvic organs, including the uterus, vagina, bladder and rectum.

“Pelvic floor muscles and tissue tend to become weaker as we age and lose muscle mass or during childbirth,” explained Dr. Rachel High, a urogynecologist at Houston Methodist West Hospital. “When we experience weakness in the pelvic floor, it can cause bladder and bowel control problems, or sexual problems.” One of a woman,s most common pelvic health concerns is urinary incontinence — or uncontrollable bladder leakage — which can cause embarrassment and discomfort.

While urinary incontinence is very common, it is unnatural and is not something you have to live with. There are nonsurgical treatments such as bladder retraining, pelvic floor muscle exercises, medications or vaginal inserts. Surgeries for urinary incontinence are effective and minimally invasive.

TREATMENT OPTIONS

Postpartum Pelvic Floor Treatments. “During childbirth, the pelvic floor muscles and nerves can be stretched or damaged during delivery,” said High. “Kegel exercises can help to strengthen the pelvic floor muscles, support the bladder and help with bladder and bowel control.”

Since you may have difficulty controlling your injured pelvic floor muscles, talk to your doctor about the exercises. It is beneficial to have guidance from a pelvic floor physical therapist to ensure you are doing kegels correctly for effectiveness.

Perimenopausal Pelvic Floor Treatments. As women age,

symptoms of urinary urgency, frequency, and incontinence are more common. Pelvic floor therapy and medications are effective options for improving your bladder control.

“Hormonal changes of menopause can affect the vagina and bladder, leading to dryness, urgency, burning with urination, or recurrent bladder infections,” High said. “There are options like vaginal hormone replacement therapy (HRT) that improve bladder irritation, vaginal dryness and reduce urinary infections.”

HRT in pills, pellets or skin patches can help with mood, libido and hot flashes. In contrast, HRT for pelvic floor symptoms is placed vaginally. HRT is not suitable for everyone, and it depends on your medical conditions and therapy goals. Talk to your doctor to find out if this treatment is appropriate.

Surgical Pelvic Floor Treatments. For bothersome urinary incontinence, your doctor may recommend surgical options, such as sling procedures or urethral injections.

A sling procedure involves placing a synthetic mesh sling to support the urthetra like a hammock to prevent urinary leakage. Urethral injections do not involve incisions and work by tightening the opening of the urethra to prevent urine leakage. Surgical treatments for incontinence are minimally invasive with short recovery periods.

“Pelvic floor issues like urinary incontinence may not be lifethreatening, but they do not go away on their own,” High explained. “A simple check-up with your provider can help you get your confidence back.” •

Stop Waiting

If you are experiencing pelvic floor issues, talk to a urogynecologist about your concerns. Call 713.441.5800 to make an appointment.

Dr. Rachel High

HEALTHY STEPS TO WEIGHT LOSS

Weight loss doesn’t always mean heading to the gym each day and sticking to a strict calorie plan. Sometimes small, healthy adjustments to your everyday routine are all you need.

Dr. Laura Choi is a bariatric surgeon with Houston Methodist West Hospital. She helps patients discover new ways to lose weight and keep it off. “You can change for the better if you have the right plan and support,” Choi said.

Choi offers five small steps to help with weight loss:

1. EAT SLOWLY

Eat your meals more slowly and without distractions, such as watching TV. “Your body will be better able to pick up on signals from your brain that you’re full, which will help you eat less,” explained Choi.

2. WATCH PORTION SIZE

Trick yourself into easy portion control by using smaller plates, bowls and silverware, making it appear as though you’re eating more than you actually are. If you work, prep your meals. Most of the food available at a workplace is high calorie and high fat. “If you bring your own healthy meal, you can really lower your caloric intake,” said Choi. “And it will probably taste better, too.”

3. EMPHASIZE PROTEIN AND FIBER

Reaching for protein or fiber-filled foods, like chicken or apples, can help you feel satisfied for longer than with other foods. Try plant-based proteins, such as chickpeas, beans and lentils, since they contain fiber and protein with minimal to no fat.

4. DRINK PLENTY OF WATER

“Drinking plenty of water is key for healthy body function and all liquids should be sugar-free,” said Choi. “When you are trying to lose weight by lowering caloric intake, a high level of water intake is necessary for using your excess fat reserve for energy production. You will feel more energetic the more water you drink. Try to drink at least 64 ounces to 2 liters or more daily.”

5. ADD MOVEMENT TO YOUR DAY

Physical activity burns calories and boosts your mood. “Start slow if you’ve never exercised before,” advised Choi. “You could begin with a brisk walk every day.” Work up to 30 minutes of moderate

We’re Here to Help

exercise three or more days a week. Try using a free app on your phone to count your steps. It can help motivate you and help you set progressively higher targets.

6. SURGICAL OPTIONS

You may benefit from weight management services if diet and exercise alone aren’t enough. Houston Methodist offers several weight-loss surgery options to patients with a body mass index (BMI) of 40 and higher, or a BMI of 35 or higher with obesityrelated health conditions, such as type 2 diabetes and obstructive sleep apnea. The types of bariatric surgeries we offer include gastric sleeve and gastric bypass procedures.

“Surgery for weight loss is an effective tool,” Choi said. “But surgery is only the beginning. We partner with patients in making healthy lifestyle changes for long-term success.”

Talk with your doctor to learn if weight-loss surgery is a good option for you. •

Get support for weight loss. To learn more about your weight loss options at Houston Methodist, visit houstonmethodist.org/ weight-management or call 832.667.LOSE (5673)

Dr. Laura Choi

Houston Methodist West Hospital 18500 Katy Fwy. Houston, TX 77094 houstonmethodist.org/west

If you prefer to not receive future communication from Houston Methodist, please email optout@houstonmethodist.org or call 713.790.3333

Early Detection Starts With Your

Early Detection Starts With Your ANNUAL

MAMMOGRAM

ANNUAL MAMMOGRAM

The recommended age to start your annual mammogram is 40. Schedule yours today.

At Houston Methodist Breast Care Centers, our board-certified experts use the latest imaging technology to provide you with cutting-edge breast screenings — such as 3D mammograms — to detect even the smallest lumps and abnormalities with accuracy. We offer:

• 10+ convenient locations across Houston

• Online scheduling with readily available appointments

• Expanded hours available at most locations

• Access to medical records and test results through MyChart

Scan the QR code, visit houstonmethodist.org/breast-care or call 832.522.PINK (7465) to schedule your mammogram today.

We do not require a doctor’s order for your annual screening mammogram.