LEADING MEDICINE SP RING 016
DON'T FALL FOR THESE WORKS OF FICTION
Your Summer
Survival Guide
HOW OLD IS YOUR HEART? YOUR LINK TO HEALTH INNOVATIONS, NEWS AND TIPS IN EAST HOUSTON/BAYTOWN
HEALTHY EATS
Sweet Corn and Tomato Salad Whip this up for a refreshing, no-cook summer side dish. Tip: Use corn at peak freshness, so that it is sweet enough to eat raw. INGREDIENTS 1 tablespoon extravirgin olive oil 1 teaspoon cider vinegar ¼ teaspoon salt
1 small red onion 3 ears sweet corn 3 medium tomatoes 2 sprigs basil
DIRECTIONS 1. In a small bowl, mix oil, vinegar and salt. Finely chop onion; add ¼ cup to dressing and reserve the rest for another use. Set dressing aside. 2. Husk corn and slice kernels off the cob. Core, seed and chop tomatoes. Cut basil into thin strips. Toss corn and tomatoes with dressing. Sprinkle with basil.
NUTRITION INFORMATION PER SERVING Serves 6. 76 calories, 3 g fat, 0 mg cholesterol, 110 mg sodium, 13 g carbohydrates, 2 g dietary fiber, 2 g protein.
IN THIS ISSUE SPRING 2016
5 Women’s Health Myths: Busted Don’t fall for these works of fiction
S ummer Survival Guide Avoid three hazards that could put a damper on the sunny season
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it for Pregnancy F Regular exercise helps moms-to-be stay healthier and happier
Baby on Board Choose the right team and facility for a day that will change your life
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Breastfeeding: Fact vs. Fiction We’re setting the record straight
o You Have D Sleep Apnea? Take our quiz to see if this nighttime nuisance is affecting your ZZZs
PHOTOS BY THINKSTOCK
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How Old Is Your Heart? 5 habits that are aging your ticker
How Old Is
Your Heart? 5 habits that are aging your ticker
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orget about laugh lines, crow’sfeet and age spots. Your heart is the most important indicator of age. And certain habits can cause it to mature well beyond its years. Here, the top five habits that are adding years to your heart.
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SMOKING
Smokers are two to four times more likely to develop coronary heart disease than nonsmokers, according to the Centers for Disease Control and Prevention. That’s because tobacco causes blood vessels to thicken and narrow, which in turn raises blood pressure and heart rate.
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UNMANAGED DIABETES
PHOTO BY THINKSTOCK
More than two-thirds of people who have diabetes will die from heart disease, according to the American Heart Association. Keep your heart young by working with your doctor to manage the condition and keep blood glucose levels under control.
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INACTIVITY
Being sedentary raises your risk for blood vessel disease. Even moderate-intensity exercise, when performed regularly, can help control your cholesterol, diabetes and body weight.
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OBESITY
Having extra weight around your middle, even if you have no other risk factors, means you are more likely to develop heart disease than someone with a healthy body weight. The good news is that losing just 3 to 5 percent of your weight can help reduce your risk.
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STRESS
The jury is still out on whether stress alone raises your risk for heart disease. But researchers agree that stress most certainly makes you more likely to have other unhealthy habits, such as smoking, binge drinking and poor nutrition. Keep stress under control by making time for yourself each day — even if that means taking just three minutes to do deep-breathing exercises before bed. n
WARNING SIGNS Heart attacks don’t always come out of the blue as TV would have you believe. Plenty of people experience early warning signs before a heart event. Unexplained fatigue. Are you feeling more worn out than usual even though your routine hasn’t changed? Heart palpitations. Do you ever get the sensation that your heart is skipping a beat or that it’s beating too quickly? Angina. Do you experience chest pain during activity that’s relieved by rest? If you’ve noticed these warning signs, talk to your doctor about a heart evaluation today.
Schedule Your Screening
Learn how you can stay healthy by scheduling a heart evaluation today. Visit houstonmethodist.org/sanjacinto or call 281.420.8500 to make an appointment with one of our physicians.
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Women’s Health
MYTHS Don’t fall for these works of fiction
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here’s a lot of misinformation about women’s health out there, making it difficult to know what’s true. Here, we debunk five common myths that it’s time to retire.
MYTH #
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NOTHING CAN BE DONE ABOUT URINARY INCONTINENCE.
FACT: While the condition is common, you don’t have to live with it.
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MOST BREAST CANCER IS HEREDITARY.
FACT: Only 5 to 10 percent of breast cancers are hereditary. Even so, it’s certainly useful to recognize if breast cancer runs in your family. After all, “if a woman does have an affected gene for breast cancer, she has a 40 to 80 percent chance of having breast cancer in her lifetime,” said Diggs. Whether you have a genetic risk or not, you have control over factors such as exercising, limiting alcohol intake, maintaining a healthy weight, breastfeeding, and limiting use of combined hormone replacement therapy after menopause, Diggs explained.
PHOTO BY THINKSTOCK
Urinary incontinence, which is the involuntary leakage of urine, has a number of treatment options, including behavior techniques and both nonsurgical and surgical procedures. Some also believe that urinary incontinence can occur only after a vaginal delivery. Whether you gave birth through a vaginal delivery or a cesarean section, you might experience incontinence afterward, according to Dr. Roderick Diggs, an obstetriciangynecologist who practices at Houston Methodist San Jacinto Hospital. Talk to your doctor about what you can do.
MYTH #
But the biggest risk factors for breast cancer are two things you can’t do anything about: being a woman and getting older. So make sure you talk to your doctor about your situation and the best age to begin screening mammograms. MYTH #
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WOMEN DON’T HAVE TO WORRY ABOUT HEART DISEASE.
FACT: Heart disease is the leading killer of women.
It’s especially important for women to know the signs of a heart attack because women are more likely to have more subtle symptoms, such as jaw pain (instead of the classic chest pain), increased shortness of breath, nausea or vomiting, or extreme fatigue. Plus, you need to understand your personal risk for heart disease and have your blood pressure, cholesterol and blood sugar levels checked regularly. Diggs also recommends that as women get older, they consider seeing an internist or a primary care provider in addition to their OB-GYN. “Medicine is becoming more specialized, and because of this, gone are the days when one doctor can manage all of your different needs,” he said. “Make sure you’re getting the specialized care you need. If you have cardiac risk factors, you want
UNDERSTANDING GYNECOLOGIC CANCERS You’ve heard it time and time again: Listen to your body. That’s because it’s true. Symptoms, such as abnormal bleeding or pain, are trying to tell you something. They could signal something harmless and easy to treat, but they can also be signs of cancer. Our chart highlights a few women’s cancers and the symptoms to watch for.
to make sure you have a doctor who can follow you and work with you to prevent a major cardiac event such as a heart attack.”
IF YOU’RE DONE HAVING CHILDREN, 4 YOU DON’T NEED AN ANNUAL WELLWOMAN EXAM. MYTH #
FACT: These annual exams are potentially even more important as you get older.
“Yearly exams are designed to help catch things early,” said Diggs. “As a woman ages, her risk for female cancers (breast, uterine, ovarian, cervical and vaginal) also increases. We do the exam to check for signs and symptoms.” Menstrual irregularities, which are important to review with your doctor yearly, can signal other health issues, he noted. And don’t confuse the well-woman exam with a Pap test. While a Pap test might not be necessary every year, the well-woman exam remains important. MYTH #
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CALCIUM ALONE WILL KEEP YOUR BONES STRONG.
FACT: Calcium is important, yes, but vitamin D and lifestyle choices are also essential.
mass by their 30s, and bone mass drops significantly the year leading up to menopause,” said Diggs. “So it’s important not to wait until after menopause to worry about your bone health.” Doing regular weight-bearing exercise, such as walking, jogging, hiking and weight training, and not smoking are key to having strong bones. So is making sure you’re getting enough calcium and vitamin D. Premenopausal women need 1,000 milligrams of calcium daily, and postmenopausal women, 1,200 milligrams — preferably through diet. And 800 IU is a good daily goal for vitamin D, Diggs recommends. n
Women’s Center
To learn more about the Women’s Services Center at Houston Methodist San Jacinto Hospital or to make an appointment, call 281.420.8500.
“Women reach their peak bone
Symptoms
Cervical Cancer
Ovarian Cancer
Uterine Cancer
Vaginal Cancer
Vaginal bleeding or discharge that isn’t normal for you Pelvic pain Back pain Bloating A change in bathroom habits (increased frequency or urgency with urination or constipation or diarrhea)
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Survival Guide Summer
Don’t let these three hazards put a damper on the sunny season
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6 LEADING MEDICINE IN EAST HOUSTON/BAYTOWN
SUNBURNS
When your skin is exposed to too much of the sun’s ultraviolet (UV) rays, you’ll see — and feel — it. When you get a sunburn, your skin turns red and will likely hurt. A severe burn can lead to swelling, blisters and even flu-like symptoms. This is followed by a period of peeling as the skin sheds its damaged cells. “The sunburn itself might last a few days,” said Tuan. “But the damage is longer term.” In fact, the Skin Cancer Foundation reports that having five or more sunburns during childhood ups your lifetime risk of melanoma by 80 percent.
PHOTO BY THINKSTOCK
reak out the flip-flops and tank tops, and pack your beach bag. Summer has arrived. Trips to the lake, lounging by the pool, baseball games — this is what summer was made for. “We love to be outside in the summertime, and there are plenty of benefits to being outdoors,” said Dr. Wei-Ming Tuan, a primary care physician at Houston Methodist San Jacinto Hospital. “But it’s important to be mindful of the possible dangers of the sun and heat, too.” So, before you soak up the sunshine, protect yourself against these three hazards.
HEATSTROKE
When your body is unable to cool itself down, whether because of vigorous exercise or exposure to high temperatures, you can experience heatstroke. Symptoms include fever (104° F or higher), headache, dizziness, lightheadedness, red skin, lack of sweating, muscle weakness or cramps, nausea and vomiting, and rapid heartbeat and breathing. You could also feel confused, anxious or disoriented, and even have seizures. “Heatstroke can result in damage to your organs and brain, so if you think someone might be having heatstroke, call 911,” said Tuan. “Then focus on helping them cool down.” Get the person to a cool place, remove any unnecessary clothing and apply ice packs to the body. PREVENT IT
KEEP COOL. Stay indoors on the
PREVENT IT
USE SUNSCREEN. Choose one with an SPF of at least 30, and put it on 15 minutes before heading outdoors. Apply it every two hours — and even more frequently if you’re sweating or swimming. COVER UP. A long-sleeved shirt and a wide-brimmed hat help protect your skin. WEAR SUNGLASSES. They’ll shade the delicate skin around your eyes. STAY OUT OF THE MIDDAY SUN.
The sun’s rays are strongest between 10 a.m. and 4 p.m., so during these peak hours, try to stay indoors or in the shade.
hottest days — and during the hottest times of the day. DRESS SMARTLY. Opt for clothing that is lightweight, light-colored and loose-fitting. STAY HYDRATED. Drink water before you head outdoors and every 15 to 20 minutes during your activity. Sports drinks can be useful as well. AVOID A REPEAT EPISODE. If you’ve recently had a heat-related illness, your body will be especially sensitive. Be extra careful, and talk to your doctor before returning to normal activities.
DEHYDRATION
It can be easy to forget to drink water — especially when you’re hanging out in a pool. But hot summer days can put you at risk of becoming dehydrated, a state in which your body doesn’t have enough water. “Sometimes you hear about drinking water as a weight-loss tactic, but it’s so much more important than that,” said Tuan. “Your body needs water to function properly, to maintain body temperature and to remove waste.” A telltale sign: lack of urination or urine that is dark yellow. Also watch for dry mouth, fatigue, extreme thirst, headache, dizziness, confusion and a lack of tears when crying. PREVENT IT
DRINK MORE. For most people, water is enough. But you can also get a little H2O from fruits and vegetables, soup broths, juices and herbal teas. CHOOSE THE RIGHT DRINK. If you’re going to be exercising vigorously for more than an hour, you might want a sports drink, but pick one that’s low in sugar. And don’t confuse sports drinks with energy drinks, which contain high doses of caffeine. MAKE IT EASY — AND TASTY. If you’re struggling to drink enough water, buy a reusable water bottle that you can carry with you throughout the day. Not a fan of plain water? Add fresh fruit (try strawberries or peaches) for a flavor boost. n
Keeping You Safe This Summer
The Houston Methodist Primary Care Group provides patient-centered, compassionate care to the Baytown community. Our board-certified health care providers enjoy getting to know their patients in order to develop personalized health plans. Call 281.420.8500 to schedule an appointment today.
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Baby on
Board Choose the right team and facility for a day that will change your life Bringing a baby into the world is a journey with unexpected twists and turns. But parents can prepare by choosing a hospital team with Dr. Roderick Diggs expertise in caring for mothers and babies no matter what challenges may arise.
EXPERT CARE
Dr. Roderick Diggs, an obstetriciangynecologist who practices at Houston Methodist San Jacinto Hospital, understands the importance of choosing the right facility. “The expertise of the staff at Houston Methodist San Jacinto Hospital and the Birthing Center itself make it an ideal choice for deliveries, including challenging ones,” said Diggs. “The nurses are experienced and efficient, and they follow the latest guidelines for
care. I feel very comfortable when my patients are in their hands.” All physicians and nurses at the Birthing Center are trained to handle complex cases. In addition to standard neonatal care, the center also includes an advanced level II neonatal intensive care unit (NICU) staffed by Texas Children’s Hospital neonatologists. “This is significant because it means that sick babies can get the expert care they need close to home,” Diggs added. Houston Methodist San Jacinto Hospital’s Birthing Center cares for babies born 30 weeks or later. If babies are born younger than 30 weeks or have extreme complications, the staff will stabilize here and then transfer them to a level III NICU in the Texas Medical Center. “New parents can rest assured that our team of experts can take care of high-risk babies,” said Diggs. “That’s all we do — 24/7.” n
Tour Our Birthing Center
8 LEADING MEDICINE IN EAST HOUSTON/BAYTOWN
Pack your bags at least a month before your expected delivery with the following items. FOR MOM ❏ Nightgowns, nursing bras, robe and slippers ❏ Toiletries and cosmetics ❏ Lamaze-recommended items ❏ Cellphone and charger FOR DAD ❏ Electronics and chargers ❏ Change of clothes ❏ Camera (photos can be taken in the birthing suites, but videos can only be filmed in the nursery and postpartum units) ❏ Toiletries ❏ Snacks ❏ List of family and friends to call or text when baby arrives FOR BABY ❏ Car seat ❏ Receiving blankets and mittens ❏ Clothes for departure (make sure baby’s attire is appropriate for the weather) ❏ Baby book
PHOTO BY THINKSTOCK
Tours are offered at 2 p.m. Sundays. No appointment is necessary. If that time is not convenient, call 281.420.8625 to schedule a time that works for you.
CHECKLIST FOR EXPECTANT PARENTS
Fit for
Pregnancy Regular exercise helps moms-to-be stay healthier and happier
T
he many benefits of exercise are widely known, but do you know the importance of exercising during pregnancy? The Centers for Disease Control and Prevention and the American College of Sports Medicine recommend that healthy, expectant mothers who receive doctor approval participate in at least 30 minutes of moderate exercise daily. “Exercise helps moms have a healthier and happier pregnancy,” said Dr. Susan Baldwin, an obstetriciangynecologist at Houston Methodist San Jacinto Hospital. Ideally, start planning a healthy pregnancy before you become pregnant. Begin an exercise routine, even if that means starting with a five-minute walk
Expecting a Baby?
and working your way up. Improved mood, posture, muscle tone and sleep are just a few of the reasons mothersto-be should exercise. Baldwin encourages pregnant women to walk, swim, cycle and do aerobics. Women who were runners before becoming pregnant can stay in shape with a modified program. Due to potential trauma, pregnant women should not participate in high-risk or contact sports, downhill skiing or scuba diving. After the first trimester, body changes will restrict certain movements or positions, such as lying on your back. If you have a high risk of preterm labor, reduce activity in the second and third trimesters. And remember
To find a Houston Methodist San Jacinto Hospital obstetriciangynecologist who’s right for you, call the Maternal Child Unit at 281.420.8625.
to avoid exertion in extreme heat and drink plenty of water. “Exercise can help to not only get you back to your previous weight after delivery but, more importantly, decrease your risk of gestational diabetes, hypertension, aches and pains caused by the pregnancy, and postpartum depression,” said Baldwin. “It helps you enjoy pregnancy.” n
PHOTO BY THINKSTOCK
BONDING AT BIRTH Because babies begin bonding with parents at birth, maintaining that closeness is important in the days that follow. The Couplet Care Unit at Houston Methodist San Jacinto Hospital allows new parents to “room in,” or remain with the baby throughout the hospital stay. As a new parent in the Couplet Care Unit, you will quickly begin
to learn your baby’s cues and understand his or her needs. The immediate availability helps promote a positive environment for breastfeeding. Skin-to-skin contact, known as kangaroo care, facilitates not only breastfeeding but bonding, as well. Although scientists are still learning about baby bonding, they know
that strong parental ties provide a foundation for a child’s sense of security and positive self-esteem. Parents’ responsiveness to infant needs can establish the framework for a child’s social and cognitive development. Houston Methodist San Jacinto provides patients with a bonding experience for the best start possible.
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Breastfeeding
FACT vs. FICTION We’re setting the record straight
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ou’ve heard the saying: Breast is best. That’s because research shows that breastfed babies have lower risks of everything from asthma to obesity. And for moms, breastfeeding can mean a lower risk of breast cancer. And yet, there’s still some confusion and mystery surrounding the topic. Here we help separate fact from fiction.
MYTH: BREASTFEEDING RUINS YOUR BREASTS.
Truth: Most women find that their breasts return to prepregnancy shape after they stop nursing. Age and weight gain do more to change your breast shape than nursing does.
MYTH: SMALL BREASTS DON’T PRODUCE AS MUCH MILK AS LARGE ONES.
Truth: Breast size doesn’t have anything to do with production — all cup sizes are created equal when it comes to making milk.
MYTH: TO PREPARE TO BREASTFEED, YOU NEED TO TOUGHEN UP YOUR NIPPLES BEFORE YOUR BABY IS BORN. Truth: Your body is already well equipped for this job without you inflicting pain on yourself. In fact, according to the American Academy of Pediatrics, tactics to toughen your nipples may actually interfere with normal lactation.
EARNING DONATED MILK DEPOT STATUS Houston Methodist San Jacinto Hospital has become the 32nd donated human milk (DHM) depot in the country. For Houston Methodist San Jacinto nurse Lisa Wagner, this designation was the result of months of hard work. “I discovered that we had a 6 million-ounce shortage in the country for critically ill babies,” Wagner said. She began the process in January 2015, and the depot accepted its first donation in June from Wagner’s sister-in-law Tiffany Evans, whose daughter, T’Lynn, died of sudden infant death syndrome when she was 2 months old. “I saw how needed my milk was and how it could help so many babies that were in intensive care,” said Evans. The depot accepts donations from approved donors and stores them until they are picked up by the Mothers’ Milk Bank at Austin, where they are pasteurized and tested for contamination. DHM is available by prescription only, with the highest priority recipients being premature and hospitalized infants. Other reasons a doctor might prescribe DHM include malabsorption syndromes, allergies, feeding/ formula intolerance and infectious diseases. Wagner says the depot has had a total of four donors and has collected nearly 8,000 ounces of DHM. All donors must pass a thorough screening process and are allowed to donate until their child’s first birthday.
MYTH: YOUR BABY CAN ONLY CONSUME YOUR MILK.
10 LEADING MEDICINE IN EAST HOUSTON/BAYTOWN
Donors Needed
Call 281.420.7321 for more information on Houston Methodist San Jacinto’s milk depot. To learn about the Mothers’ Milk Bank at Austin, call 877.813.MILK or visit milkbank.org.
PHOTO BY THINKSTOCK
Truth: If your baby is born prematurely, your doctor may prescribe donated human milk (DHM). DHM is completely safe and has been used for thousands of years (think: wet nurses). And now there’s a nearby place to turn for DHM: Houston Methodist San Jacinto has become a designated donated milk depot (see sidebar). n
Schedule an Evaluation
Do You Have Sleep Apnea? Take our quiz to see if this nighttime nuisance is affecting your ZZZs 1. DO YOU OFTEN WAKE UP EXHAUSTED EVEN AFTER A FULL NIGHT’S SLEEP?
❏ Yes ❏ No If you answered yes, you could be suffering from sleep apnea, a common disorder in which you stop breathing one or more times while sleeping. These pauses in your breathing may last up to a few minutes, and can happen as often as 30 times per hour, causing you to move out of deep sleep. And without some solid hours of deep sleep under your belt each night, you may find yourself nodding off at your desk during the day.
2. DOES YOUR SPOUSE COMPLAIN ABOUT YOUR SNORING?
❏ Yes ❏ No While not all people who snore have sleep apnea, it is one of the most common symptoms of the disorder and can be a sign that you’re not breathing well while sleeping. Sleep apnea snoring usually includes occasional pauses followed by choking or gasping sounds, and it may be worse when you’re on your back.
The Sleep Center at Houston Methodist San Jacinto Hospital is accredited by the American Academy of Sleep Medicine and conducts thorough sleep studies. Call certified Sleep Medicine Specialist Dr. Ruby Parveen at 281.420.8500 to schedule an evaluation.
3. DO YOU HAVE A FEW POUNDS TO LOSE?
❏ Yes ❏ No Sleep apnea is more common in people who are overweight, and it can be a double-edged sword — being overweight can cause sleep apnea, and sleep apnea can contribute to weight gain. As fat builds in the throat, airway obstruction becomes more likely, making it more difficult to breathe. And when your quality of sleep is poor, you may experience hormonal changes that make you hungrier and increase the risk of weight gain.
4. ARE YOUR MOODS ALL OVER THE MAP?
PHOTO BY THINKSTOCK
❏ Yes ❏ No Daytime sleepiness isn’t the only symptom of sleep apnea. If you feel extra irritable or depressed, or find yourself waking up in the morning with a headache and dry mouth, talk to your doctor. n
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San Jacinto Methodist Hospital 4401 Garth Rd. Baytown, Texas 77521-2122 houstonmethodist.org/sanjacinto
713.790.3333
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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.
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Taking care of the entire family With locations throughout Greater Houston, Houston Methodist Primary Care Group is dedicated to providing care for the entire family and proud to ensure efficient access to specialty and hospital services whenever the need arises. To schedule an appointment, visit houstonmethodist.org or call 713.790.3333.
9. Houston Methodist Breast Care Center 16. Houston Methodist Imaging Center
For more information about Houston Methodist or for a physician referral, please visit houstonmethodist.org or call 281.428.2273.
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