Leading Medicine Summer 2014, Houston Methodist Sugar Land Hospital edition

LEADING MEDICINE Your link to health innovations, news and tips IN FORT BEND And Surrounding COUNTies

SUM M ER 2014

SMART women Take our quiz to learn more about your greatest health risks

Primary Care Docs Who Specialize in Sports Medicine FdMDSU1402_Sugarland.indd 1

Schedule a Mammogram Online 5/29/14 8:37 AM

NEWS AND EVENTS

upcoming Events Grand Opening Celebration & Open House Thursday, July 10, 5-7 p.m.

Emergency Care Center 8200 Hwy. 6 between Sienna Plantation and Riverstone Tours, refreshments, door prizes and free gifts for attendees.

Saturday Sports Injury Clinics Every Saturday Aug. 23 – Nov. 15, 8-10:30 a.m.

Houston Methodist Orthopedics & Sports Medicine 1201 Brooks St., Sugar Land, TX 77478 For more information, call 281.340.6450.

Joint Replacement Seminar Tuesday, Sept. 23, 6 p.m.

Houston Methodist Sugar Land Hospital Conference Center To register, call 281.274.7500 or go to houstonmethodist. org/events.

Houston Methodist Emergency Care Center, 8200 Hwy. 6, between Sienna Plantation and Riverstone

Fort Bend News: Five-Star Emergency Care Missouri City residents will soon have close and convenient access to Houston Methodist Sugar Land Hospital’s leading emergency care capabilities. The new state-of-the-art emergency care center opens July 15 in the heart of Missouri City.

The center will be open 24 hours a day, seven days a week to treat patients of all ages who are ill or injured. The 9,600-square-foot facility will include 10 private treatment rooms and on-site X-ray, CT, ultrasound and laboratory services.

Most importantly, Houston Methodist Emergency Care Center – Sienna Plantation will be staffed by boardcertified emergency medicine physicians specializing in rendering emergency care to pediatric through geriatric patients, working alongside specially trained nursing and ancillary staff with extensive experience in emergency care.

Like many parts of Fort Bend County, Missouri City has experienced tremendous population growth in recent years, and this new emergency center will enhance Houston Methodist Sugar Land’s service to the community by providing nearby residents with the high-quality care for which Houston Methodist Sugar Land is known.

“Our goal is to provide a streamlined, easy-to-navigate system for patients who enter the emergency center,” said Dr. Scott Rivenes, Emergency Department medical director of Houston Methodist Sugar Land. Patients treated at the new center will have direct, expedited admission to Houston Methodist Sugar Land if needed, along with personal assistance in scheduling any necessary follow-up appointments with primary care physicians and specialists.

The center will accept all insurance plans that are in-network with Houston Methodist Sugar Land.

Additional expansion projects for Houston Methodist Sugar Land include: • New patient tower with 104 additional beds • Expanded Houston Methodist Orthopedics & Sports Medicine relocated to hospital campus • Expanded Cath Lab/Heart Center relocated closer to the emergency room • Birthing Center renovations and expansion Parking will remain free at all Houston Methodist Sugar Land facilities.

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We’re Here to Help Welcome to the first issue of the new Leading Medicine publication, brought to you by Houston Methodist Sugar Land Hospital. Three times a year, we’ll provide valuable information to help you make informed health care decisions. You can share our digital version with friends and loved ones through the QR code, or at houstonmethodist.org/publications.

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Meet our team Dr. David A. Braunreiter is a team

Stay in the Game: Sports Medicine Our team can help you remain injury-free

P

PHOTO BY THINKSTOCK

rimary care sports medicine (PCSM) physicians are doctors with special training and experience in sports medicine.

They provide comprehensive care for people who engage in recreational exercise or school, club, collegiate and even professional sports.

“We’re like ‘health quarterbacks,’ ” said Dr. David A. Braunreiter, a PCSM physician at Houston Methodist Orthopedics & Sports Medicine in Sugar Land. “We direct our patients’ health care and help them lead active, vigorous lives by keeping them in the best possible condition — whether that involves treating injuries, working with them on a plan to manage a chronic condition such as hypertension or high cholesterol or just taking care of the minor illnesses that everyone experiences from time to time.”

After earning their medical degree, PCSM physicians complete a full residency in a primary care specialty, such as family medicine. Then they

Plan Your Student’s Sports Physical

train with experts in sports medicine, including both primary care physicians and orthopedic surgeons.

Once that training is completed, they become dually board certified in primary care and sports medicine, giving them unique abilities to diagnose and treat illness and orthopedic injuries.

PCSM physicians are especially helpful in the following areas: • Injuries such as sprains, dislocations and nonsurgical fractures • Overuse injuries such as stress fractures, tendinitis or osteoarthritis • Concussions • Disorders such as asthma that can affect sports participation • Exercise plans for people who want to become active • Injury prevention • Preparticipation physical examinations Many PCSM physicians also work as team doctors for high schools, collegiate athletics and/or professional sports teams.

Saturday, Aug. 9 • 9 a.m. – noon Wheeler Field House/Mercer Stadium 16403 Lexington Blvd., Sugar Land, TX 77479 Free T-shirt to every student who receives a physical. For more information, call 281.340.6450 or email athletictrainer@houstonmethodist.org.

Cost: $20 (cash only). Proceeds are donated back to the school’s athletic training program.

physician for Houston Dynamo and Pope John XXIII High School in Katy. He is the director of the Primary Care Sports Medicine Fellowship Program at Houston Methodist Orthopedics & Sports Medicine in Sugar Land. Braunreiter serves as a physician member of Major League Soccer’s Concussion Committee and is a certified physician for ImPACT (Immediate Post-Concussion Assessment and Cognitive Testing). He is also on the Fort Bend ISD Concussion Oversight Board.

Dr. Jeffrey A. Kozak

is a certified physician for ImPACT, and he is the team physician for Hightower High School in Missouri City.

He is also on the Fort Bend ISD Concussion Oversight Board.

Dr. Kenneth M. Renney

served as co-medical director for the Houston Aeros and is currently the team physician for Willowridge High School in Fort Bend ISD. He has served as a Doping Control Officer for the United States Anti-Doping Drug Agency.

Make an Appointment Online

To schedule with Drs. Braunreiter, Kozak or Renney, go to houstonmethodist. org/orthopedics or call 281.690.4678.

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Smart

Women

If you’re like most women, you’re in charge of your family’s health.

Women make 80 percent of health care decisions for their families. But how much do you know about your own health? Take this quiz to see if what you don’t know might be hurting you.

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Women and men don’t always experience the same heart attack symptoms. Name a symptom more common in women.

ANSWER: During a heart attack, women are more likely to have shortness of breath, nausea and vomiting, and back and jaw pain. When it comes to heart trouble, it’s not just a man’s world. Heart disease is the No. 1 killer of women.

WHAT YOU CAN DO: “The first step is to manage your risk factors,” said Dr. B. Keith Ellis, cardiologist and director of the Chest Pain Center at Houston Methodist Sugar Land. “That’s especially important if you are diabetic, hypertensive or have high cholesterol.”

Women are famous for putting everyone else ahead of themselves — do not put off your own health care. Make heart-healthy lifestyle choices: Exercise, follow a low-fat, high-fiber diet and, of course, refrain from smoking.

4 LEADING MEDICINE IN FORT BEND AND SURROUNDING COUNTIES

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Think FAST — and spell out this acronym that identifies the sudden signs of stroke.

Answer: FAST stands for face drooping, arm weakness, speech difficulty and time to call 911.

What you can do: “With women accounting for 60 percent of stroke deaths, adopt heart-healthy strategies to reduce your risk,” said Dr. James Ling, neurologist and medical director of the Houston Methodist Sugar Land Stroke Program. This year, the American Stroke Association issued its first guidelines for preventing strokes in women. The guidelines address stroke risk factors unique to women, such as preeclampsia and use of birth control pills.

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True or false: With the advent of human papillomavirus (HPV) testing, I only need a Pap test to check for cervical cancer every five years.

Answer: True, if you’re between 30 and 65. Women in this age group should have Pap and HPV tests every five years (or Pap test alone every three years).

Women ages 21 to 29 should have a Pap test every three years. Women up to age 26 should also consider getting the HPV vaccine. Those 65 and older who have a history of regular screening and normal results can stop Pap tests.

What you can do: Dr. Shirley Penkar, an obstetrician-gynecologist on staff at Houston Methodist Sugar Land, said, “To decrease your risk of contracting the virus, limit your number of sexual partners and always use condoms.

Maintain a healthy diet, exercise, take a multivitamin and limit your consumption of alcohol.” Anything that improves your immune system will be beneficial to your overall health.

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Rank in order the top cancer killers of women — breast, lung, colorectal.

Answer: Lung, breast, colorectal.

Lung cancer kills more women than breast and colorectal cancers combined.

What you can do: “Plain and simple: If you smoke, quit!” said Dr. Jorge Darcourt, oncologist-hematologist and medical director of the Infusion Center at Houston Methodist Sugar Land. The U.S. Preventive Services Task Force recently recommended annual lung cancer screening for smokers ages 55 to 80 who averaged a pack of cigarettes daily for 30 years and those who quit within the past 15 years. To schedule a screening at Houston Methodist Sugar Land, call 713.441.LUNG (5864).

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Choose the correct answer: A woman should have a mammogram annually/every other year beginning at age 40/50.

Answer: Houston Methodist, like the American Cancer Society and the American College of Radiology, recommends that women begin annual mammograms at age 40. One in six cases of breast cancer occurs in women in their 40s. In addition to mammography, the Breast Care Center at Houston Methodist Sugar Land offers breast MRI to clarify mammogram results and improve diagnosis.

What you can do: “To help detect breast cancer early, along with your mammogram, schedule an annual clinical breast exam and perform monthly breast self-exams about a week after the end of your period,” said Dr. Stephen Phillips, breast radiologist and medical director of the Breast Care Center at Houston Methodist Sugar Land. To schedule a mammogram, go to houstonmethodist.org/sugarland and click on Appointments & Online Scheduling, or call 281.242.PINK (7465).

Health Screenings at Every Age “Great health is built on a foundation of smart choices.

One of them is to take advantage of the health screenings that can identify problems at their earliest, most treatable stages,” said Dr. Melida Tellez, a family medicine physician at Methodist Family Medicine Group. Here’s a decade-by-decade look.

20s: Your whole life is ahead of you. Start it right. At age 20, begin cholesterol and blood pressure testing. At age 21, start Pap tests.

30s: Between careers, kids and relationships, 30-somethings are used to juggling. Add one more task to your to-do list: thyroid-stimulating hormone screening beginning at age 35.

40s: Parenting teenagers and experiencing hormonal changes make life wildly interesting. Don’t forget to begin mammography at age 40 and blood glucose testing at age 45.

50s: By midlife, you’ve learned to master your fears. Hit colonoscopy head-on starting at age 50.

60s: Bone up on your golden years with a bone density scan at age 65 and annual vision screening starting at 65.

We’re Here to Help

To schedule an appointment with one of our physicians, or if you’re not sure what type of doctor you need, call our Physician Referral and Health Information Line at 281.274.7500.

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THE FAB 4:

Simple Steps to Improve

Your

Heart

Mediterranean Vegetable and Olive Salad

These easy strategies will help you reduce your risk for diabetes, heart disease and stroke

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FOCUS ON MACRONUTRIENT COMPOSITION. Pay attention to your

intake of carbs, fat and fatty acids. In the study, eating 10 percent to 35 percent of calories from carbohydrate sources improved metabolic syndrome. Eating

more protein helped regulate insulin function and cholesterol levels. Healthy fats (like those from nuts and fish, as well as healthy oils like olive oil) were also beneficial.

GET MORE NUTRIENTS. Eat plenty of fruits and vegetables, which are loaded with antioxidants and fiber, and low-fat dairy and probiotics (bacteria that aid with digestion).

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MAKE HEALTHY DIETARY AND LIFESTYLE CHOICES. The

Mediterranean diet was found to significantly reduce the risk of metabolic syndrome. That means lots of fruits, vegetables, whole grains and low-fat dairy products daily, as well as plenty of fish, poultry, tree nuts and legumes each week.

“Eating more calories early in the day, getting a minimum of 30 minutes of moderate activity at least five times a week, not smoking and maintaining a normal weight are also important parts of the preventive package,” said Dr. Deepshikha Sharda, a family medicine physician with Houston Methodist Primary Care Group.

1 (15-oz) can no-salt-added garbanzo beans 2 Tbsp sliced green pimento-stuffed olives drained and rinsed 3 c mixed salad greens 1 large tomato, chopped 2 Tbsp small basil leaves ¼ c pitted Kalamata or Niçoise olives DRESSING INGREDIENTS 1 Tbsp extra-virgin olive oil ¼ tsp salt 1 Tbsp white wine vinegar ¼ tsp pepper 1 tsp Dijon-style mustard ¼ c shredded Parmesan cheese ¼ tsp dried crushed oregano DIRECTIONS 1. Combine salad ingredients in large salad bowl. Toss gently but well.

2. Stir together first six dressing ingredients. Pour over salad just before serving and toss gently.

Sprinkle cheese on top.

Makes 4 (1½-c) servings. Nutritional information per serving: 120 calories, 7.5 g total fat, 8 g protein, 18.5 g carbohydrates, 4 mg cholesterol, 332 mg sodium and 5.5 g dietary fiber.

Take Charge of Your Health

Find out if you’re at risk for developing metabolic syndrome.

To schedule an appointment with Dr. Shan, call 281.275.0330.

To schedule an appointment with Dr. Sharda, call 281.208.3322 or schedule online at houstonmethodist.org/primarycare.

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PHOTO BY THINKSTOCK

A third of Americans are affected by metabolic syndrome, which involves high blood pressure, high blood sugar levels and extra weight. And that increases the risk for Dr. Kesavan diabetes, heart disease Shan and stroke. “High blood pressure, high blood sugar levels and extra weight around the middle are three health conditions that can double your risk of heart disease and up your risk of Dr. Deepshikha diabetes by five times,” Sharda said Dr. Kesavan Shan, a cardiologist with Methodist Diagnostic Cardiology of Houston.

Researchers at the University of Connecticut have found that all three can be improved with these changes to diet.

REDUCE CALORIES. In the study, cutting calories improved blood pressure, insulin function, body composition and metabolism.

SALAD INGREDIENTS

Mammograms

o

Matter

s

Ladies, staying up-to-date with your annual screening is easier than ever

PHOTO BY THINKSTOCK

e

You know you should get one, but you keep putting it off. Or maybe you got one once and just haven’t been back. “Annual mammograms starting at age 40 are an Dr. Deanna important tool in the McDonald fight against breast cancer,” said Dr. Deanna McDonald, an obstetrician-gynecologist on staff at Houston Methodist Sugar Land Hospital. “Early detection can save lives.”

The key to finding cancer early is to keep up your screening habit until you’re 75 — one mammogram isn’t enough. “One important thing for women to understand is breast cancer can occur at any age, but risk increases with age,” said McDonald. “Ages 60 to 75 is actually when we save the most lives.”

A few statistics to consider: • 2 00,000 women are diagnosed with breast cancer each year.

• For every 1,000 women screened, five are diagnosed with breast cancer.

• Since 1990, mammography has helped reduce breast cancer deaths by a third.

Location Matters

So now you understand the importance of yearly mammograms. But what’s equally important is where you have your mammogram. The Breast Care Center at Houston Methodist Sugar Land Hospital is not only staffed by renowned breast radiologists, but our Breast Care Center is the leading breast imaging facility in Fort Bend County.

We offer top-rated diagnostic services, including the following: • Digital Mammography • Diagnostic Ultrasound • Breast MRI • Molecular Breast Imaging • MRI-guided Biopsy • Ultrasound Biopsy • Stereotactic Biopsy Should your care need to extend beyond your yearly mammogram, our

Book Your Mammogram Online

Schedule your mammogram today at the Breast Care Center at Houston Methodist Sugar Land Hospital. Simply go to houstonmethodist.org/ sugarland and click on Appointments & Online Scheduling, or call 281.274.PINK (7465).

dedicated breast care navigator will guide you through the emotional and complex journey from diagnosis to survivorship — so you can focus on healing.

Make an Appointment Online

With online scheduling, it’s easier than ever to schedule a screening at your convenience any time of day. It only takes a few minutes, and you will receive a reminder email to make sure you don’t forget about your lifesaving appointment.

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NONPROFIT ORG US POSTAGE

PAID

COLUMBUS WI PERMIT 62

Methodist Sugar Land Hospital 16655 Southwest Freeway Sugar Land, Texas 77479-2329 houstonmethodist.org/sugarland

281.274.7500

LEADING MEDICINE IN GREATER HOUSTON Just around the corner Houston Methodist has locations throughout Greater Houston to best serve you near your home or workplace. Our locations include hospitals, and emergency care and imaging centers.

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HOSPITALS EMERGENCY CARE CENTERS IMAGING CENTERS

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For more information about Houston Methodist or for a physician referral, please call 281.274.7500 or visit houstonmethodist.org.

HOUSTONMETHODIST.ORG

1 HOUSTON METHODIST HOSPITAL (Texas Medical Center) 6565 Fannin St. Houston, Texas 77030

6 HOUSTON METHODIST WEST HOSPITAL (I-10 at Barker Cypress) 18500 Katy Frwy.

Houston, Texas 77094

2 HOUSTON METHODIST SAN JACINTO HOSPITAL (Garth Rd. exit off I-10) 4401 Garth Rd. Baytown, Texas 77521

7 HOUSTON METHODIST WILLOWBROOK HOSPITAL (Hwy. 249 and FM 1960) 18220 State Hwy. 249 Houston, Texas 77070

3 HOUSTON METHODIST ST. CATHERINE HOSPITAL (Katy - West Houston) 701 S. Fry Rd. Katy, Texas 77450

Emergency Care Centers 713.441.ER24 (3724)

4 HOUSTON METHODIST ST. JOHN HOSPITAL (Clear Lake Area) 18300 St. John Dr. Nassau Bay, Texas 77058

8 HOUSTON METHODIST EMERGENCY CARE CENTER – KIRBY 2615 Southwest Frwy., Suite 140 Houston, Texas 77090

5 HOUSTON METHODIST SUGAR LAND HOSPITAL (U.S. 59 and Sweetwater) 16655 Southwest Frwy.

Sugar Land, Texas 77479

9 HOUSTON METHODIST EMERGENCY CARE CENTER – PEARLAND 11525 Broadway St. Pearland, Texas 77584

10 HOUSTON METHODIST EMERGENCY CARE CENTER – SIENNA PLANTATION 8200 Hwy. 6 Missouri City, Texas 77454 Opening July 15 11 HOUSTON METHODIST EMERGENCY CARE CENTER – VOSS 1635 S. Voss Rd. Houston, Texas 77057

Methodist Imaging Centers 8 HOUSTON METHODIST BREAST IMAGING CENTER 2615 Southwest Frwy., Suite 104 Houston, Texas 77090 713.441.7765 12 HOUSTON METHODIST IMAGING CENTER 83333 Katy Frwy.

Houston, Texas 77024 713.797.XRAY (9729)

Easy Online Appointment Scheduling

Choose your service and location and filter the results to match your needs. Book online — instantly.

Schedule an appointment for a CT scan, DEXA scan, fluoroscopy, mammogram, MRI, MRI 3T, ultrasound or X-ray. houstonmethodist.org/online-scheduling

To subscribe to Leading Medicine, please call 281.274.7976 or visit houstonmethodist.org/connect. 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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