9 minute read
Hospital News
Memorial Hermann Now Offering Walk-In COVID-19 Vaccine Clinics Across Greater Houston
Memorial Hermann is pleased to offer free COVID-19 vaccination to community members across Greater Houston. To provide additional, convenient access to the COVID-19 vaccine, first- and second-dose walk-ins are now being accepted at select Memorial Hermann hospitals and clinics for individuals 16 years of age and older. Please note: A parent or legal representative must accompany 16- and 17-year-olds to their vaccination appointments. Should individuals need assistance receiving vaccination, one caregiver may accompany them to their appointment. Also please note, Memorial Hermann locations administering the Moderna vaccine will only vaccinate individuals 18 years of age and older.
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The following Memorial Hermann locations are currently host vaccine clinics:
• Memorial Hermann-Texas Medical Center • Memorial Hermann Greater Heights Hospital • Memorial Hermann Southwest Hospital • Memorial Hermann Southeast Hospital • Memorial Hermann Memorial City Medical Center • Memorial Hermann Katy Hospital • Memorial Hermann Northeast Hospital • Memorial Hermann Medical Group
Spring Primary Care (located in the CCC) • Memorial Hermann Medical Group
Physicians at Sugar Creek • Memorial Hermann Neighborhood
Health Center - Southwest
Kelsey-Seybold Announces New Clinic Location to Open in Gulfgate Shopping Center
The Clinic Will Expand Access to Coordinated, Evidence-Based Care To Serve Houston’s Southeast Residents
Kelsey-Seybold Clinic announced plans to build a 19,137-square-foot clinic in the Gulfgate Shopping Center, at 520 Gulfgate Center Mall, Houston, TX 77087, or the northeast intersection of I-45 and the 610 South Loop. Kelsey-Seybold Clinic -- Gulfgate represents another significant investment in the City of Houston by the city’s largest physician-led organization, with enough room for up to 11 providers offering primary and specialty care. The Gulfgate clinic announcement comes on the heels of five other new clinic announcements including: Memorial Villages, Memorial City, River Oaks, North Channel, and Lake Jackson. “Even with its proximity to downtown and the Texas Medical Center, the Gulfgate area is a densely populated area in southeast Houston and Kelsey-Seybold Clinic’s new location will offer convenient access to medical care. Expanding into this area will improve access to evidence-based primary and specialty care as well as many diagnostic services for patients living in and around the Gulfgate and Southeast Houston area,” said John Lyle, Senior Vice President of Operations, Kelsey-Seybold Clinic. “Expansion into this area, conveniently located inside loop 610 near I-45 South, helps close the gap for patients who don’t have access to a Kelsey-Seybold location nearby.” The new Gulfgate Clinic will expand access to coordinated, evidence-based care in an area with limited primary healthcare options. Patients will have access to an on-site pharmacy, laboratory, X-ray, ultrasound, 3D digital mammography and other diagnostic testing, as well as an extensive referral network for various Kelsey-Seybold specialists with offices at neighboring clinics, including Downtown at the Shops, and Berthelsen Main Campus. “We know from past experience that when new patients come to a Kelsey-Seybold location near their home or work, the quality of care they receive and the convenience of having so many amenities under one roof keeps them coming back,” said Victor Simms, M.D., M.P.H., F.A.C.P., Chair, Clinic Planning Committee, and Chief of Internal Medicine, Kelsey-Seybold Clinic. “We’re excited to welcome current patients who work and live nearby this new location, and look forward to meeting and caring for the new patients who have never been to a Kelsey-Seybold Clinic before.”
Informed Consent
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successfully and the patient requests treatment, the doctor is required in some jurisdictions to write a note in the patient’s record. Additionally, the consent document must include the patient’s name, doctor’s name, diagnosis, proposed treatment plan, alternatives, potential risks, complications, and benefits. To some extent, physicians who use an informed consent document can protect themselves further by including a statement to the effect that the form only covers information that applies generally and that the physician has personally discussed specific factors with the patient. The consent document must be signed and dated by the patient (or the patient’s legal guardian or representative). Many consent forms also require a physician signature. Consent forms should include statements to be signed by the patient and the physician. The patient attests that he or she understands the information in the treatment agreement. The physician attests that he or she has answered all questions fully and believes that the patient/ legal representative fully understands the information. These statements help defend against any claim that the patient did not understand the information. Some states have specific requirements for informed consent forms, procedure-specific disclosures, and legal standards for disclosure of risks. For example, Texas maintains lists of procedures and attendant risks and hazards through the Texas Medical Disclosure Panel. Check your state for requirements. Informed Consent in Special Situations The informed consent process for same-day surgery patients may occur in the physician’s office before scheduling the procedure. That will allow the patient time to think about the information, ask questions, and make an informed decision. Hospitalized patients must be informed as far in advance of the procedure as practicable. If time permits in an emergency in which the patient is unable to provide consent, the physician must contact a legally authorized representative to obtain an informed consent. If the nature of the emergency does not permit time to contact a legally authorized representative, consent is implied. Consent may be waived under emergent conditions that threaten life, limb, eyes, and the central nervous system. If the patient is incompetent or otherwise cannot consent, the physician is legally bound to obtain informed consent from the incompetent patient’s authorized representative, except in an emergency. This type of consent should be thoroughly documented in the medical record. Additional Tips and Suggestions • Develop and use procedure-specific forms that the patient can sign when the informed consent discussion takes place. • Obtaining consent from the patient after a sedative or sleep-inducing medication is administered is not recommended. However, when a change in the patient’s condition requires a change in treatment, secure the patient’s consent. Thoroughly document in the medical record the facts and
conditions surrounding the need for the revised consent. • Additions or corrections to the consent form must be dated, timed, and signed by both parties. • Any member of the healthcare team may sign as a witness to the patient’s signature, although this serves only to verify that it was the patient who signed the form. The witness does not obtain consent or verify the patient’s competency to give consent. • A patient’s questions or obvious lack of understanding about the procedure should be referred to the attending physician as soon as possible. • Translate consent forms to the most common non-English languages that you encounter in your practice, and verify that the form is translated correctly. Patient Safety Measures Every physician should develop his or her own style and system for the informed consent process, making it easier to avoid omissions and—more importantly—ensuring consistency of application. Do not speed through the process. Give the patient and the family time to absorb and comprehend the information. Preprinted materials are extremely helpful for patient understanding and will serve as a trigger for other questions. Assess the patient’s level of understanding just before documenting the process. One way of doing this is to ask the patient to repeat back to you his or her understanding of the information you have communicated. This will increase the likelihood that you will be able to manage the patient’s expectations effectively.
Neurocognitive
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are able to see which parts of the brain are not working the way they should and will use that information to personalize a treatment plan for each patient.
Cryotherapy is a technique where the body is exposed to extremely cold temperatures for several minutes. Cryotherapy treatment can be delivered as whole-body or to just one area and can be administered in a number of ways. Studies show that cryotherapy can reduce inflammation and oxidative stress associated with dementia, mild cognitive impairment and other age-related forms of cognitive decline.
In conclusion, there are many groups of people affected by neurocognitive disease, including those who have or have had Covid-19. Thankfully, NH Hospital is able to provide a variety of treatment options for those impacted.
Oncology Research
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These three questions are the beginning of open and ongoing discussions about your cancer care with your physician. The American Cancer Society recommends evaluating all treatment options before deciding to participate in a clinical trial, and taking into consideration travel, time, medical coverage, and any potential costs, among others. Texas Oncology has helped develop more than 100 FDA-approved cancer therapies through research and clinical trials. I’m proud to work with our patients and oncology care teams who, together, are helping others by supporting medical research.
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