LEADING MEDICINE YOUR LINK TO HEALTH INNOVATIONS, NEWS AND TIPS IN EAST HOUSTON/BAYTOWN
RISK FACTORS What determines your likelihood of developing breast cancer
WIN A FITBIT FLEXâ„¢ SEE INSIDE FOR DETAILS.
Bay Area Heart Walk
Healthy Habits for Diabetes
FA LL 2014
FROM THE CEO
PROUD TO OFFER QUALITY CARE Houston Methodist San Jacinto Hospital is pleased to announce its recent certification as an ISO 9001:2008 facility. ISO certification is by far the most used and wellknown standard for quality management systems in the world. More than 1 million companies in 170 countries are ISO-certified. Houston Methodist San Jacinto received its certification from Det Norske Veritas (DNV) after a fouryear preparation process. Across the country, 79 hospitals have received ISO certification via DNV. Of those, 14 are located in Texas. Achievement of ISO 9001:2008 certification speaks to the commitment of our employees and medical staff to providing the highest level of care and service to our community. We are honored and proud to have achieved ISO 9001:2008 certification. In this issue of Leading Medicine, you will read about breast cancer, immunizations, heart health and exercise. A common theme among these topics is practicing healthy behaviors that can help prevent or minimize the risk of disease. We hope that the information will benefit you and your family. Thank you for trusting us with your health care. We are here to support our community towards healthier and happier living. Donna Gares President and CEO, Houston Methodist San Jacinto Hospital
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re You At Higher Risk? A Knowledge is power when it comes to these four unchangeable factors in developing breast cancer ame-Day Screenings S Scheduling a follow-up breast imaging appointment after a screening mammogram is now more convenient
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VISION: To be a leader in delivering safe, patient friendly, best-in-class care and service. To be a trusted, first and lifelong choice for consumers who are seeking health care services and physicians who are seeking a health care partner. To be an employer of choice that attracts and houses the best and brightest talent and nurtures employee loyalty. ICARE VALUES: Integrity: We are honest and ethical in all we say and do.
IN THIS ISSUE FALL 2014 ommitted to Quality C Houston Methodist San Jacinto Hospital achieves an important international certification
MISSION: To serve our patients/ families, employees, medical staff and community in a spiritual manner that is consistent with our ICARE values of integrity, compassion, accountability, respect and excellence.
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on’t Fail Your Heart D Do you know how to protect yourself against heart failure? etter Breathing B Pulmonary rehabilitation helps patients with lung problems live healthier lives ealthy Habits H Medical nutritional counseling helps patients with diabetes and other conditions follow a healthier lifestyle ews & Events N The latest from Houston Methodist San Jacinto
Compassion: We embrace the whole person and respond to emotional, ethical and spiritual concerns as well as physical needs. Accountability: We hold ourselves accountable for our actions. Respect: We treat every individual as a person of worth, dignity and value. Excellence: We strive to be the best at what we do and a model for others to emulate.
Committed
to Quality
Houston Methodist San Jacinto Hospital achieves an important international certification
I
t probably sounds like a confusing string of letters and numerals. But the ISO 9001:2008 designation is significant for Houston Methodist San Jacinto Hospital — and its patients. The hospital recently achieved the certification from the International Organization for Standardization (ISO), which develops rigorous quality improvement standards for businesses and organizations. Here’s a look at why the designation is important. • It means the hospital is dedicated to providing high-quality care. To earn the certification, Houston Methodist San Jacinto completed an extensive audit to show that the hospital demonstrated eight fundamental management
principles. Among them, the hospital shapes its processes around patients, and its staff is committed to meeting hospital goals. • It’s respected around the world. Certification from ISO, based in Switzerland, is used in 170 countries. • It’s rare among American hospitals. In the United States, 79 hospitals are ISO-certified.
• It requires a significant commitment. Houston Methodist San Jacinto spent four years pursuing the certification. • It shows the hospital will continue to improve. To maintain the certification, Houston Methodist San Jacinto must undergo follow-up audits every year.
About Our Accreditation
For more information on the recent quality certification or services provided by Houston Methodist San Jacinto Hospital, please call 832.556.6543.
turning advancements into achievements. the difference between practicing medicine and leading it. houston methodist san jacinto hospital has been ranked number 10 in the houston metro area and has been recognized in six high performing specialties by the U.S. NewS & world report.
geriatrics nephrology neurology & neurosurgery orthopedics pulmonology urology
CHECK OUT OUR DIGITAL MAGAZINE AT HOUSTONMETHODIST.ORG/PUBLICATIONS 3
Knowledge is power when it comes to these four unchangeable factors in developing breast cancer
4 LEADING MEDICINE IN EAST HOUSTON/BAYTOWN
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ou might think you’re safe from breast cancer if no one in your family has had it. But family history is just one of the factors that determine your risk for the disease. One in eight women will be diagnosed with breast cancer in her lifetime. “It is up to all women to increase their awareness about their personal risk of breast cancer,” said Dr. Tejal Patel, director of the Houston Methodist Cancer Center’s HighRisk Clinic. Here, we put the spotlight on four of the greatest risk factors for breast cancer.
YOUR DATE OF BIRTH
Unfortunately, the number of candles on your birthday cake affects your risk level most. The majority of women diagnosed with breast cancer are older than 50, and the risk increases as you age. What’s more, two out of every three invasive breast cancers found are in women 55 and up.
YOUR ETHNIC BACKGROUND
Asian, Native American and Hispanic women have lower odds of developing breast cancer and dying from the disease. On the other hand, Caucasian women are more likely to be diagnosed, and African-American women are at greater risk of dying from breast cancer. These
ILLUSTRATION BY TRACI DABERKO
Are You at Higher Risk?
Navigating Breast Cancer
Breast Cancer Survivors Celebration
Join us Oct. 17 for a fun and inspiring day celebrating breast cancer survivors. Enjoy a fashion show and lunch while you learn about breast cancer. For more information, call 281.420.8557.
are factors that may be important to consider if another risk factor exists.
YOUR FAMILY TREE
If your mother, sister or daughter has had breast cancer, your risk is doubled. But if that’s not the case, you’re not necessarily in the clear. Less than 15 percent of women diagnosed with breast cancer have a family history of the disease, which means it’s important to schedule the screenings that are right for you (see “Screening Sense”).
YOUR GENES
Thanks to celebrities like Angelina Jolie, you might know that a woman who has the BRCA1 or BRCA2 gene mutations is at higher risk for breast cancer — by 55 percent to 87 percent — and for ovarian cancer, as well. “The goal is to find the mutation in women before they develop cancer,” Patel said. “A simple blood or saliva test is meant to tell a woman whether she’s at high risk.”
If your personal and family history warrants it, your physician may recommend genetic testing, which looks for altered BRCA genes and other mutations. The results can help your doctor determine screening recommendations, medications to reduce the risk of a cancer diagnosis, and even preventive surgery. Talk with your physician if you have a family history of the following: • Breast cancer at age 50 or younger • Ovarian cancer at any age • Male breast cancer at any age • Ashkenazi Jewish ancestry and a personal or family history of breast or ovarian cancer • Two breast cancers in the same person or on the same side of the family • Triple-negative breast cancer (a cancer that is negative for the estrogen and progesterone receptor and for HER-2/neu) at age 60 or younger • A previously identified BRCA1 or BRCA2 mutation in the family n
AGE
SCREENING SENSE
When Kandi Harris felt a lump in her breast, she feared the worst. She saw her primary physician, who scheduled a mammogram, an ultrasound and a biopsy. Her fears were confirmed when she was diagnosed with breast cancer. Still reeling from the news, Kandi was referred to Denise Martinez, a certified breast patient navigator at the Houston Methodist San Jacinto Cancer Center. “Finding Denise was like finding the light at the end of the tunnel,” Kandi said. “She put things into immediate motion, setting up oncologist/surgeon appointments and chemo. It was like someone finally understood my needs and explained the process. I owe her my life.” In the patient navigation program, a trained staff member supports patients through the cancer journey. The patient navigator works with patients one-on-one to ensure they get the care they need. Kandi completed treatment for breast cancer after a successful lumpectomy to remove her tumor, along with imageguided radiation therapy. For more information about the Patient Navigation Program at the Houston Methodist San Jacinto Cancer Center, please call 281.420.7394.
BREAST SELF-EXAM: Check yourself to become familiar with your breast tissue. Report changes to your doctor immediately.
CLINICAL BREAST EXAM: Your health care provider examines the breasts, collarbone and underarm area for lumps.
MAMMOGRAM: This X-ray exam looks for early signs of breast cancer.
20–39
Monthly (optional)
Every three years
Only for those at high risk
40+
Monthly (optional)
Annually
Annually*
To schedule your mammogram, visit houstonmethodist.org/online-scheduling. *Please talk to your doctor to determine what age you should begin receiving an annual mammogram.
HOUSTONMETHODIST.ORG/SANJACINTO 5
Same-Day Screenings Scheduling a follow-up breast imaging appointment after a screening mammogram is now more convenient
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same-day service and an additional imaging appointment isn’t needed.
SHORTER WAIT, LESS STRESS
“Receiving news that you need additional images from a routine screening mammogram can be very stressful and scary for a patient. It’s our goal to alleviate that stress as much as possible,” said Anna Macek, director of imaging services at Houston Methodist San Jacinto. “By offering same-day services, our patient can leave knowing her results. It’s also very convenient because she doesn’t have to take more time off of work or make arrangements to come in for more appointments.”
FASTER DIAGNOSIS
The new process allows the physician to verbally order additional images so a complete and accurate diagnosis can be made faster. With the Breast Center order form, the physician can simply place a check mark in a box. Physicians who prefer to use their own order pads or submit orders electronically can
6 LEADING MEDICINE IN EAST HOUSTON/BAYTOWN
To learn more about the Women’s Services Center at Houston Methodist San Jacinto Hospital, or to make an appointment, please call 832.556.6300.
order a screening mammogram and add the phrase “follow-up diagnostic work-up if clinically indicated by screening exam.” If a physician hasn’t used the Breast Center order form or included the wording that allows for additional imaging, the Women’s Center has implemented a process to provide the same level of service. “We will call the patient’s physician when we find abnormalities,” said Macek. “The physician then has the option to verbally approve the radiologist’s recommendation and can send over orders while we are caring for the patient. When this happens, it allows us to capture the convenience of same-day service.” n
PHOTO BY THINKSTOCK
ouston Methodist San Jacinto Hospital is focused on making breast imaging faster and more convenient for patients. A new process makes it possible for a patient to receive follow-up imaging, if necessary, on the same day as a routine screening mammogram. If the licensed mammography technologist conducting a screening mammogram notices potential irregularities in the images, she alerts the radiologist. After reviewing the images, the radiologist may recommend additional imaging for further evaluation. Additional imaging is usually performed with a diagnostic mammogram and/or breast ultrasound, which are more extensive than the screening mammogram and focus on specific areas of concern. Additional imaging would typically require another physician order and be performed at a later date. However, if the patient’s referring physician uses the customized Breast Center order form, the process can be expedited to
About Our Women’s Center
Don’t Fail Your
Heart Do you know how to protect yourself against heart failure?
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rushing chest pain that radiates down the left arm, shortness of breath, sweating and anxiety. These are the hallmark symptoms of a heart attack — signs that most people can identify. But what about heart failure? With a slower onset, this less familiar yet common cardiovascular condition affects about 5 million Americans and factors into 300,000 deaths a year, according to the National Heart, Lung and Blood Institute.
WHAT IS HEART FAILURE?
The heart is a pump. Deoxygenated blood enters the heart from the body. The heart pumps the blood into the lungs for oxygenation and filtering, and then circulates the blood back into the body to distribute to the extremities, organs and tissues. In heart failure, the heart is so weak it can’t push enough blood out to the body to meet its needs
or it can’t move enough blood, causing it to pool in the lungs and tissues. Over time, symptoms develop, which include shortness of breath (especially upon exertion or when lying down), swelling in the feet and ankles, and general fatigue.
WHAT CAUSES HEART FAILURE? Numerous diseases can cause heart failure, but the most common cause is uncontrolled high blood pressure. High blood pressure occurs when blood vessels constrict or are built up with plaque caused by cholesterol. The extra force the heart must exert to push the blood through tightened vessels makes the cardiac muscle grow, stiffening the walls of the heart. The stiffer walls eventually reduce the force with which the heart can pump, leading to heart failure. A weakened heart can also be caused by other conditions, such as trauma
PHOTO BY THINKSTOCK
Join Us at the Bay Area Heart Walk
Houston Methodist San Jacinto Hospital is ready for the Bay Area Heart Walk, hosted by American Heart Association/American Stroke Association, on Nov. 1 at the Kemah Boardwalk. To participate, call Yesenia Taylor at 281.420.8564. Whether you join a team, volunteer to be a captain or make a financial donation, your support will make a difference in the fight against heart disease!
to the muscle from a heart attack or a viral infection, coronary artery disease, kidney problems, smoking and diabetes. Additionally, obesity contributes to heart failure.
HOW IS HEART FAILURE TREATED?
Once a diagnosis of heart failure is made — through ultrasounds and X-rays of the heart and lungs and other tests — the patient has numerous treatment avenues. Medications can increase the heart’s pumping ability, reduce fluid retention and control blood pressure. But drugs alone are not enough. Heart failure patients must stop smoking and follow a diet that reduces salt and fat intake. Patients should take all prescribed medications, control blood pressure and notify their health care providers of changes in body weight or increased shortness of breath. Heart failure is a chronic condition, but with proper maintenance, it can be managed. n
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HOW REHAB CAN HELP
Better
Breathing Pulmonary rehabilitation helps patients with lung problems live healthier lives
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The Houston Methodist San Jacinto facility is equipped with treadmills, stationary bicycles, arm ergometers, recumbent steppers and weights to help patients return to an active and more satisfying life. Sessions, which usually last one hour, are offered two to three days a week for up to 36 sessions. Most insurance companies, including Medicare, cover rehabilitation for patients who meet the requirements. n
8 LEADING MEDICINE IN EAST HOUSTON/BAYTOWN
Pulmonary rehabilitation has numerous benefits: • I mproved breathing effort and fewer breathing problems •B etter functioning for daily activities • Improved ability to exercise •D ecreased symptoms and better management of anxiety and depression •B etter communication between your doctors and health care providers • I mproved confidence and well-being
Starting the Rehab Program
For more information about the Houston Methodist San Jacinto Pulmonary Rehabilitation Program, call 281.420.8878. To schedule your pulmonary function test (doctor order required), call 832.556.6300. The test is required within 90 days of starting the pulmonary rehabilitation program. You can fax prescriptions to 281.428.4588.
PHOTO BY THINKSTOCK
ost of us take breathing for granted. But for people who struggle with lung disease, symptoms like a persistent cough, shortness of breath or chronic chest pain are a constant reminder that every breath is precious. The Pulmonary Rehabilitation Program at Houston Methodist San Jacinto Hospital helps patients improve breathing effort and reduce symptoms through a personalized treatment plan that includes evaluation and instruction on physical activity, how medications work, side effects and proper use of an inhaler. Staff members educate patients about oxygen therapy, diet, nutrition, breathing retraining and home exercise, as well as provide strategies for managing breathing problems, assessing symptoms and knowing when to seek medical treatment.
Pulmonary rehabilitation can benefit those who experience lung problems such as the following: •C hronic obstructive pulmonary disease (COPD) • Emphysema • Asthma • Chronic bronchitis • Bronchiectasis • Sarcoidosis • Pulmonary hypertension • Pulmonary fibrosis • Interstitial lung disease •L ung cancer and lung cancer surgery • Lung volume reduction surgery • Lung transplantation
Start Living a Healthier Life
To learn more about medical nutritional counseling or outpatient diabetes education at Houston Methodist San Jacinto Hospital, please call 281.420.8525.
EATING BY THE NUMBERS
Healthy Habits Medical nutritional counseling helps patients with diabetes and other conditions follow a healthier lifestyle
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hange your diet; change your life. We often underestimate the tremendous impact our eating habits have on our lives. For individuals with chronic diseases such as diabetes, heart disease, cancer, obesity, liver and renal disease, and gastrointestinal disorders, making this critical change can help these patients combat disease. Through medical nutritional counseling, registered dietitians at Houston Methodist San Jacinto Hospital offer individualized,
outpatient counseling services; make recommendations for modifying diets; and teach skills that help patients improve overall health. Highly trained dietitians also offer an extensive outpatient program for the self-management of diabetes, which provides information about blood glucose monitoring, medications, diet and exercise. Medical nutritional counseling is essential in the prevention and treatment of diabetes and heart disease. n
TAKE CONTROL OF DIABETES
If you have type 2 diabetes, prediabetes or even a family history of the disease, it is important that you maintain a healthy weight, exercise and follow a balanced diet. If you suspect that you have diabetes, ask your doctor to check your blood glucose and to test your hemoglobin A1c, which will give you an idea of your blood glucose levels over the past three months. “You also want to ask your doctor to check your cholesterol and blood pressure, as these risk factors many times cluster together, especially in overweight individuals,” said Dr. Manisha Chandalia, a board-certified endocrinologist at Houston Methodist San Jacinto Hospital.
For people who have diabetes, good health depends on smart food choices. Their cheat sheet? The glycemic index. The glycemic index ranks foods on a scale of 0 to 100 based on how much they raise blood sugar levels after consumption. Foods that are high on the scale are digested quickly, leading to blood sugar spikes. Those on the low end result in a more gradual rise. That’s why choosing foods with low index values may help people who have diabetes stabilize glucose levels while lowering their risk for cardiovascular disease. When it comes to meal planning, choose foods that rank low on the scale. Or balance a high index food with a lower choice. And keep in mind that the more a food is cooked or processed, the higher its number will be. L OW (45 OR LESS) Chickpeas: 10 Lentils: 29 Milk: 32 to 41 Apples: 39 Strawberries: 40 M EDIUM (46 TO 65) Macaroni, average: 47 Brown rice: 50 Grapes: 59 Ripe banana: 62 H IGH (66 TO 100) Whole-wheat bread, average: 71 Boiled white potato: 82 Instant oatmeal: 83 Corn Flakes: 93
HOUSTONMETHODIST.ORG/SANJACINTO 9
NEWS & EVENTS
THE FLU SHOT AND YOU Are you planning to get a seasonal flu shot this year? The best time to get one is in October or November, at the start of flu season. Call your doctor today to find out when, where and how you can receive the vaccine. For certain groups of people, the flu vaccine is very important. They should get a flu shot each year. C hildren ages 6 months through 18 years P regnant women P eople with chronic health conditions such as asthma, diabetes, HIV/AIDS, or lung, heart or kidney disease People age 50 and older People who live in nursing homes and other long-term care facilities Caregivers of people in a high-risk group
Need a Flu Shot?
The Houston Methodist San Jacinto Hospital Primary Care Group is dedicated to providing high-quality, compassionate care. To schedule an appointment with a primary care physician for a flu shot, or for more information, please call 713.394.6724.
CALENDAR OF EVENTS BREAST CANCER SURVIVORS CELEBRATION Date: Friday, Oct. 17 Location: Houston Methodist San Jacinto Hospital Reilly Pavilion JOINT REPLACEMENT SEMINAR Date: Thursday, Nov. 13 Location: Houston Methodist San Jacinto Hospital Community Room
SUPPORT GROUPS OSTOMY SUPPORT GROUP Date: First Monday of the month Time: 6 p.m. Information: 281.428.3033
GRIEF SUPPORT GROUP Date: Third Thursday of the month Time: 7 p.m. Information: 281.420.8811
To register for events, visit houstonmethodist.org/events or call 281.428.2273.
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PHOTO BY THINKSTOCK
DIABETES SUPPORT GROUP Date: First Tuesday of the month Time: 6 p.m. Information: 281.420.8525
CANCER SURVIVORS SUPPORT GROUP Date: First Thursday of the month Time: Noon Information: 832.556.6510
HELP
FOR HEALING
Sweet Potato Oven Fries
PHOTOS BY THINKSTOCK
Fall is peak season for sweet potatoes, a delicious and nutrition-packed vegetable. Sweet potatoes are low in saturated fat and high in vitamin A (good for your vision) and vitamin C (helps fight heart disease and cancer). Plus, they contain fiber and beta carotene, two cancer fighters, and potassium, which may reduce the risk of high blood pressure. INGREDIENTS
DIRECTIONS
1 large sweet potato, peeled and cut into wedges 2 tsp canola oil ¼ tsp salt Pinch of cayenne pepper
Preheat oven to 450 F. Toss sweet potato wedges with canola oil, salt and cayenne pepper. Spread out the wedges on a rimmed baking sheet. Bake until browned and tender, turning once, about 20 minutes total.
NUTRITIONAL INFORMATION Makes two servings. Each serving contains: 122 calories, 5 g total fat, 0 g saturated fat, 19 g carbohydrates, 2 g protein, 3 g fiber, 323 mg sodium, 429 mg potassium.
Most people with serious wounds expect them to heal with care; but, for patients with medical conditions such as diabetes, skin and bone infections, or radiation injury, it can get more complicated. Because our skin serves as a protective barrier, if it is compromised and results in a chronic, nonhealing wound, a patient may face life-threatening infections, gangrene or the possibility of amputation. Through the Wound Care and Hyperbaric Medicine Program at Houston Methodist San Jacinto Hospital, specially trained physicians and staff provide comprehensive treatment for these patients. In addition to state-of-the-art technology, such as skin substitutes or specialized dressings, the wound care program also offers hyperbaric treatment. Hyperbaric oxygen therapy (HbOT) increases the amount of oxygen in the blood allowing for increased flow of oxygen to the wound, speeding up the healing process. The wound care team is designed to work with, not to replace, a patient’s primary care or referring physician. However, if you do not have a referring or treating physician, our team of specially trained physicians can assist you.
How We Can Help
For more information about the Houston Methodist San Jacinto Methodist Hospital Wound Care and Hyperbaric Medicine Program, please call 281.425.2160.
HOUSTONMETHODIST.ORG/SANJACINTO 11
NONPROFIT ORG US POSTAGE
PAID
COLUMBUS WI PERMIT 62
San Jacinto Methodist Hospital 4401 Garth Rd. Baytown, Texas 77521-2122 houstonmethodist.org/sanjacinto
713.790.3333
LEADING MEDICINE IN GREATER HOUSTON 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, and emergency care and imaging centers.
HOSPITALS EMERGENCY CARE CENTERS IMAGING CENTERS
HOUSTONMETHODIST.ORG
1 HOUSTON METHODIST HOSPITAL (Texas Medical Center) 6565 Fannin St. Houston, Texas
HOUSTON METHODIST WEST HOSPITAL (I-10 at Barker Cypress) 18500 Katy Frwy. Houston, Texas
2 HOUSTON METHODIST SAN JACINTO HOSPITAL (Garth Rd. exit off I-10) 4401 Garth Rd. Baytown, Texas
7 HOUSTON METHODIST WILLOWBROOK HOSPITAL (Hwy. 249 and FM 1960) 18220 State Hwy. 249 Houston, Texas
3 HOUSTON METHODIST ST. CATHERINE HOSPITAL (Katy - West Houston) 701 S. Fry Rd. Katy, Texas
HOUSTON METHODIST THE WOODLANDS HOSPITAL 17201 Interstate 45 South The Woodlands, Texas COMING 2015
4 HOUSTON METHODIST ST. JOHN HOSPITAL (Clear Lake Area) 18300 St. John Dr. Nassau Bay, Texas HOUSTON METHODIST SUGAR LAND HOSPITAL (U.S. 59 and Sweetwater) 16655 Southwest Frwy. Sugar Land, Texas
Emergency Care Centers 713.441.ER24 (3724)
9 HOUSTON METHODIST KIRBY EMERGENCY CARE CENTER 2615 Southwest Fwy., Suite 140 Houston, Texas 10 HOUSTON METHODIST PEARLAND EMERGENCY CARE CENTER 11525 Broadway St. Pearland, Texas
11 HOUSTON METHODIST SIENNA PLANTATION EMERGENCY CARE CENTER 8200 Hwy. 6 Missouri City, Texas NOW OPEN! 12 HOUSTON METHODIST VOSS EMERGENCY CARE CENTER 1635 S. Voss Rd. Houston, Texas
Methodist Imaging Centers
9 HOUSTON METHODIST BREAST IMAGING CENTER 2615 Southwest Frwy., Suite 104 Houston, Texas 713.441.7765 13 HOUSTON METHODIST IMAGING CENTER 83333 Katy Frwy. Houston, Texas 713.797.XRAY (9729)
For more information about Houston Methodist or for a physician referral, please call 713.790.3333 or visit houstonmethodist.org.
SCHEDULE YOUR SCREENING MAMMOGRAM APPOINTMENT ONLINE
THE SIMPLEST WAY TO BOOK YOUR NEXT SCREENING MAMMOGRAM To schedule your appointment, go to houstonmethodist.org/online-scheduling. To subscribe to Leading Medicine, please call 713.790.3333 or visit houstonmethodist.org/subscribe. If you prefer not to receive future communication from Houston Methodist, please call 713.790.3333 or email optout@houstonmethodist.org.
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