Leading Medicine Fall 2014, Houston Methodist Willowbrook Hospital edition

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

RISK FACTORS What determines your likelihood of developing breast cancer

WIN A FITBIT FLEXâ„¢ SEE INSIDE FOR DETAILS.

Fitness Tips for Moms-To-Be

Shoulder Pain Solutions

FA LL 2014

NEWS & EVENTS

SUPPORT GROUPS BARIATRIC SUPPORT GROUP For more information, call 281.737.0972 or email weightlosssuccess@ houstonmethodist.org

WEIGHT LOSS SEMINARS All weight loss seminars take place at: Houston Methodist Willowbrook Hospital Conference Center, First Floor 18220 State Highway 249 Houston, TX 77070 To register for a free seminar, call 281.737.2500. Visit methodistwillowbrook.com/ weightloss for additional dates.

Date: Wednesday, Oct. 1 Time: 6 p.m.

Presenter: Dr. Dexter Turnquest, bariatric medical director Dr. Dexter Turnquest

2 LEADING MEDICINE IN NORTHWEST HOUSTON

RECONSTRUCTION OF A SURVIVOR: BREAST CANCER SUPPORT GROUP The group helps women at any stage of diagnosis and treatment, focusing on the emotional, spiritual, and physical journey. For more information, call 281.737.4425.

Dates: Oct. 16, Nov. 20, Dec. 18 Time: 6:30-7:30 p.m.

Location: 13802 Centerfield Dr., Suite 185 MENDED HEARTS SUPPORT GROUP This group offers encouragement to heart patients and their families in collaboration with Mended Hearts, a national patient support organization.

For more information, email ayparson@houstonmethodist.org.

Dates: Third Tuesday of every month Time: 6-7 p.m.

Location: Magnolia Conference Room, Women & Children’s Pavilion first floor

Dates: Saturdays through Nov. 15 Time: 8 a.m. ­— noon Location: 13802 Centerfield Dr., Suite 300, Houston, TX Houston Methodist Orthopedics & Sports Medicine team members provide comprehensive care for the evaluation and treatment of sports injuries, including injuries of the foot and ankle, knees, shoulders, elbows, hand and upper extremities, back, and concussions.

Parents are encouraged to attend. For more information, call 281.737.2120.

PHOTOS BY THINKSTOCK

Dr. Todd A. Worley

Date: Tuesday, Oct. 14 Time: Noon Presenter: Dr. Todd A. Worley, bariatric surgeon A light lunch will be provided.

Dates: Oct. 22, Nov. 12 Time: 6 p.m.

Location: Magnolia Conference Room, Women & Children’s Pavilion first floor

SATURDAY SPORTS INJURY CLINICS

THE RIGHT DOCTOR IS RIGHT HERE

SAME DAY APPOINTMENTS AVAILABLE!

HOUSTON METHODIST PRIMARY CARE GROUP Houston Methodist Primary Care Group is dedicated to providing high-quality and compassionate care.

Serving the growing Northwest Houston area, these physicians have extensive training and experience in diagnosing and treating patients with a caring, hands-on, family-oriented approach.

We look forward to taking care of you and your family and are available to see you today.

Hablamos español.

To schedule an appointment, visit houstonmethodist.org/primarycare or call 713.394.MPCG (6724).* *Monday – Friday, 8 a.m. – 5 p.m.

Pumpkin Soup Try this low-fat, low-calorie pumpkin soup for a hearty fall appetizer.

PHOTOS BY THINKSTOCK

INGREDIENTS ¾ cup water 1 small onion, chopped 1 can pumpkin purée 1 cup unsalted vegetable broth ½ tsp. ground cinnamon ¼ tsp. ground nutmeg 1 cup fat-free milk ½ clove garlic, minced 1 ⁄8 tsp. freshly ground black pepper

DIRECTIONS

1 2

In a large saucepan, heat ¼ cup of the water over medium heat. Add the onion and cook until tender, about 3 minutes.

Add the remaining water, pumpkin, broth, cinnamon and nutmeg. Bring to a boil, reduce heat, and simmer for 5 minutes. Stir in the milk; cook until hot. Don’t boil.

Garnish with black pepper. Serve immediately.

3

NUTRITIONAL INFORMATION Makes 4 servings. Each serving contains 72 calories, 1 g fat, 1 mg cholesterol, 241 mg sodium, 12 g carbohydrates, 1 g dietary fiber, 3 g protein.

CHECK OUT OUR DIGITAL MAGAZINE AT HOUSTONMETHODIST.ORG/PUBLICATIONS 3

Are Y You at Higher Risk?

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. Anna Belcheva, director of the High Risk Program at Houston Methodist Willowbrook Hospital.

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.

4 LEADING MEDICINE IN NORTHWEST HOUSTON

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 are factors that may be important to consider if another risk factor exists.

ILLUSTRATION BY TRACI DABERKO

Knowledge is power when it comes to these four unchangeable factors in developing breast cancer

Paint the Night Pink

Bring someone you love to Paint the Night Pink, a celebration of breast health and breast cancer awareness at Houston Methodist Willowbrook Hospital. Meet our team of breast health experts, enjoy dinner, listen to music and receive a special gift. The free event takes place from 6 to 8 p.m. Oct. 1 at the hospital, 18220 State Highway 249 in Houston. To register, call 281.737.2500.

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,” Belcheva 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 • A male relative with breast cancer • 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

Named a “Best Hospital” Houston Methodist Willowbrook Hospital is listed among the top hospitals in U.S. News & World Report ’s 2014 “Best Hospitals” issue, ranking No. 7 in the Houston metro area and No. 15 in Texas.

“This recognition is a testament to our employees and physicians who are committed to providing outstanding quality and safe care to our patients,” said Beryl Ramsey, CEO of Houston Methodist Willowbrook and senior vice president of Houston Methodist.

The hospital was also recognized as high-performing in seven specialties, including orthopedics, neurology & neurosurgery, pulmonary, diabetes & endocrinology, gastrointestinal & GI surgery, geriatrics, and nephrology.

Of all 107 hospitals in the Houston area, 16 are ranked as top hospitals.

To see the rankings, visit health. usnews.com/best-hospitals.

AGE

SCREENING SENSE 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/WILLOWBROOK 5

Fit for

Pregnancy Regular exercise helps moms-to-be stay healthier and happier The many benefits of exercise are widely known, but do you know the importance of exercising during pregnancy? The Centers for Disease Dr. Latricia Control and Thompson 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 to have a healthier and happier pregnancy,” said Dr. Latricia Thompson, an obstetriciangynecologist at Houston Methodist Willowbrook Hospital.

Ideally, start planning a healthy pregnancy before you become pregnant.

Begin an exercise routine, even if you

Expecting a Baby?

6 LEADING MEDICINE IN NORTHWEST HOUSTON

work up from a five-minute walk.

Walking helps patients maintain a healthy weight during pregnancy.

Improved mood, posture, muscle tone and sleep are just a few of the reasons mothers-to-be should exercise.

Thompson 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 highrisk 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 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 Thompson. “It helps you enjoy pregnancy.” n

Because babies begin bonding with parents at birth, maintaining that closeness is important in the days that follow. The Baby Bonding Unit at Houston Methodist Willowbrook Hospital allows new parents to “room in,” or remain with the baby throughout the hospital stay.

As a new parent in the Baby Bonding 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 Willowbrook provides patients with a bonding experience for the best start possible.

PHOTO BY THINKSTOCK

To find a Houston Methodist Willowbrook Hospital obstetrician-gynecologist who’s right for you, call 281.737.2500.

BONDING AT BIRTH

Shoulder Solutions What you can do to treat common causes of shoulder pain

By Dr. John P. Seaberg, Houston Methodist Orthopedics & Sports Medicine Shoulder pain is a common complaint and the third most common cause of musculoskeletal disorders, after low back and neck pain.

There are a number Dr. John P. of sources of shoulder Seaberg pain, which include both extrinsic factors such as repetitive stress, overuse and trauma, and intrinsic factors such as joint degeneration and vascular compromise.

ANATOMY OF THE SHOULDER

Understanding the anatomy of the shoulder helps understand the causes of shoulder pain. Known as a “ball and socket” joint, the anatomy and mechanics of the shoulder allow for a unique range of motion. The shoulder is comprised of bones (humerus, or upper arm; scapula, or shoulder blade; clavicle, or collarbone; and the acromion), rotator cuff muscles and tendons, bursa (a lubricating membrane between two moving surfaces), joints and a vast network of ligaments and nerves.

The head of the upper arm bone fits into a rounded socket (the glenoid) in the shoulder blade. And the rotator cuff muscles and tendons help keep the shoulder joint stable, holding the humeral head in the glenoid socket.

PHOTO BY THINKSTOCK

ROTATOR CUFF DISEASE

Over time, repetitive stress, trauma and age-related degeneration weaken the soft tissue surrounding the joint, creating wear and tear to the rotator cuff.

Rotator cuff pathology becomes increasingly prevalent in adults older

than 40. Patients commonly complain of a dull ache in their upper lateral arm and shoulder during activity, particularly when performing shoulder level activities. Weakness and nighttime pain may also be associated symptoms.

DIAGNOSING AND TREATING SHOULDER PAIN

Dr. John P. Seaberg is a board-certified orthopedic surgeon with subspecialty training in orthopedic sports medicine from the renowned American Sports Medicine Institute in Birmingham, Ala. He is the head team physician for Prairie View A&M University. For more information about Seaberg or Houston Methodist Orthopedics & Sports Medicine, call 281.737.0999.

A thorough physical examination to assess range of motion and rotator cuff strength, along with a review of a patient’s health history, will help identify the problem.

Radiographs are necessary to look for bony abnormalities and rule out osteoarthritis, and a MRI is useful for evaluating the integrity of the rotator cuff.

Many shoulder conditions can be treated conservatively with nonsteroidal anti-inflammatory drugs (NSAIDs) and physical therapy to help in postural retraining and the strengthening of supporting muscles. Occasionally, a corticosteroid injection will significantly help. When shoulder pain persists despite conservative treatment, surgery may be recommended.

Less invasive arthroscopic shoulder surgery is preferred to address many shoulder conditions.

Dr. John P. Seaberg, an orthopedic surgeon, Arthroscopy will host a shoulder pain seminar at 6 p.m., reduces recovery Oct. 21 at Houston Methodist Willowbrook time and permits a more rapid Hospital. To RSVP, call 281.737.2500. resumption of activity. n

Talking About Shoulder Pain

HOUSTONMETHODIST.ORG/WILLOWBROOK 7

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Houston Methodist Willowbrook Hospital 18220 State Highway 249 Houston, Texas 77070-4349 houstonmethodist.org/willowbrook

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.

8 HOSPITALS EMERGENCY CARE CENTERS IMAGING CENTERS

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13 12

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

6 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

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HOUSTONMETHODIST.ORG

 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 1 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.

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