Houston Medical Times by Rick Delarosa

Serving Harris, Brazoria, Fort Bend and Montgomery Counties

HOUSTON

Volume 10 | Issue 5

Inside This Issue

May Edition 2020

Plasma Donations Needed from Recovered COVID-19 Patients

Convalescent Plasma Donations Will Help Treat COVID-19 Patients, Create Better Understanding of The Disease

T 4 Ways to Manage Your Thoughts See pg. 8

INDEX Legal Matters........................ pg.3 Mental Health...................... pg.5 Oncology Research......... pg.6 Healthy Heart....................... pg.7 Financial Forecast.............. pg.9

he University of Texas MD Anderson Cancer Center is seeking plasma donations from people who have recently recovered from a confirmed coronavirus (COVID-19) diagnosis. MD Anderson will use the donated plasma to treat patients currently undergoing treatment for COVID-19. Those previously infected with the SARS-CoV-2 virus, which causes COVID-19, continue to have antibodies against the virus in their plasma. Researchers believe these antibodies could help stimulate a stronger immune response in patients with COVID-19. MD Anderson is participating in a national initiative led by the Mayo Clinic to provide plasma from recovered patients to seriously ill COVID-19 patients. The experimental treatment, known as convalescent

plasma therapy, is available under a Food and Drug Administration expanded access program. “Physicians have used convalescent plasma to treat viral infections such as Ebola virus,” says Elizabeth Shpall, M.D.,

professor of Stem Cell Transplantation. “While not yet proven for COVID-19, early indications show treatment with convalescent plasma could be see Plasma... page 12

Rice Colleges to House Texas Medical Center Personnel on Front Lines Of COVID-19 Fight By Katharine Shilcutt

Volunteering is Healthy See pg. 13

ice and the Texas Medical Center have long enjoyed a unique closeness, thanks to decades of partnerships and proximity. And now the university is doing what any good neighbor would in the midst of the COVID-19 pandemic: helping out.

Rice will soon offer Texas Medical Center hospital personnel temporary housing at two of its residential colleges, Wiess and Hanszen, which are both directly across Main Street from the Medical Center campus. “Enabling hospital staff to live nearby will give them a greater opportunity for rest Wiess and Hanszen Colleges, across Main Street from the and to work needed hours,” Texas Medical Center, will soon house medical personnel Rice President David Leebron on the front lines of the COVID-19 fight. (Photo by Brandon Martin) said in an email to the campus community April 5. County,” said Leebron, who noted When Rice canceled classes that an overall lack of testing March 12, there were 14 confirmed means that number is significantly cases of COVID-19 in Houston. underestimated. “Now there are over 600, and twice that number in Harris see COVID Fight.. page 14

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Legal Matters Mitigating Risks with Video-Teleconferencing Platforms • risks of VTC hijacking are not limited to the offensive. VTC hijacking can also lead to breaches of protected health information, financial information, confidential client information, and other sensitive information. While entities cannot eliminate By Ephraim T. Hintz, J.D. all risks of VTC hijacking, they Hale H. Melnick, J.D. can minimize the risks by taking Polsinelli, PC proactive measures. Multiple federal se of video-teleconferencing agencies recently issued guidance for (“VTC”) platforms has increased the safe use of VTC platforms and significantly during the COVID-19 other teleconferencing technologies, pandemic. While such technology including the FBI, the Office for has its benefits, for example, allowing Civil Rights (“OCR”) at the U.S. employees to work from home and Department of Health and Human health care providers to provide Services (“HHS”), the National telehealth services to their patients, Institute of Standards and Technology VTC platforms can also introduce (“NIST”), and the Federal Trade serious privacy and security risks. Commission (“FTC”). Listed below For example, the Federal Bureau is some of the advice the agencies of Investigation (“FBI”) recently issued, which entities and health care issued a warning about multiple providers should follow to protect their “VTC hijacking” events in which an confidential communications: unauthorized, unknown third-party • Always require a meeting password or use a waiting room feature (if disrupted online conferences with available) to control the admittance pornographic images, hate images, and Hou_Med_times_ad_3_2020.pdf 1 3/11/20 5:25 PM of guests. Do not share the VTC threatening language. However, the

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meeting link on an unrestricted, publicly available social media account. Carefully manage screen sharing features. For example, use the “host only” option for screen sharing. Ensure all users have the most up-to-date version of the VTC platform. Ensure your policies address requirements for physical and information security related to VTC platforms. If the policies are silent on the topic or outdated, update them. Protect VTC platforms against eavesdropping. Ensure users’ personal networks are set up securely. Specifically, all users should use an encrypted router by enabling “WPA2” or “WPA3.” Create or direct your employees to online tutorial videos that show them how to enable WPA2 or WPA3 on a router. Require all employees to connect through a virtual private network (“VPN”) to guarantee a secure, online network. If your business is unable to establish its own

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VPN, require your employees to download and use their own VPNs when conducting business. If employees use their personal computers and/or mobile devices, confirm that they have enabled basic security features, such as enabling the PIN, fingerprint, or facial ID feature. Require employees to report unusual or suspicious activity to your help desk, security operations center, or other appropriate contact. Never leave personal devices unattended. Require that employee laptops be password protected, locked, and secured. Passwords should be at least twelve (12) characters, with a mix of numbers, symbols, and capital/lowercase letters. Ensure all work devices have see Legal Matters...page 14

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Houston Medical Times

First COVID-19 Patient in Texas Enrolled in UTHealth Stem Cell Therapy Study at Memorial Hermann

he first COVID-19 patient in Texas has been enrolled in a stem cell therapy clinical trial for acute respiratory distress syndrome (ARDS) at The University of Texas Health Science Center at Houston (UTHealth). The procedure took place April 16, 2020, at Memorial Hermann-Texas Medical Center. ARDS is a serious condition of the lungs, in which they fill up with fluid and cannot supply the oxygen needed for organs throughout the body. In severe cases, patients with COVID-19 have developed ARDS, which requires a patient being placed on a ventilator. The Phase IIb randomized trial uses allogenic, bone marrow-derived mesenchymal stromal cells (hMSCs), which have been shown in preclinical trials to help regulate the immune response, lowering inflammation and reducing the severity of organ injury. “Mesenchymal stem cells have the ability to modulate the

May 2020

inflammatory response that plays a key role in the development of ARDS. This makes them a very promising therapy for treating patients with the severe respiratory failure we are seeing in COVID-19 patients,” said Laura J. Moore, MD, co-principal investigator of the Texas site of the national trial and professor in the Department of Surgery with McGovern Medical School at UTHealth. “Patients with ARDS from COVID-19 have a mortality rate up to 60%,” said Bela Patel, MD, co-principal investigator and director of the Division of Critical Care at McGovern Medical School. “Since stem cell therapy may modulate the hyperinflammatory response to SARS-CoV-2, which causes COVID-19, this important study represents a promising potential therapy to improving outcomes in ARDS patients including those with COVID-19 ARDS.” Patel is the Graham Distinguished University Chair and

vice dean of Healthcare Quality at McGovern Medical School, and executive medical director of Critical Care for Memorial Hermann-TMC. Participants in the study are randomized to receive either the hMSCs or a placebo. A total of 120 patients will be enrolled in the national, multisite trial, which is led by Michael Matthay, MD, at the University of California-San Francisco. For the UTHealth arm of the study, the hMSCs are processed at the Evelyn H. Griffin Stem Cell Therapeutics Research Laboratory at McGovern Medical School. The study builds on a long history of stem cell therapy at

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UTHealth begun by Charles S. Cox Jr., MD, the George and Cynthia Mitchell Distinguished Chair in Neurosciences, director of the Program in Children’s Regenerative Medicine at McGovern Medical School, and director of the Pediatric Trauma Program at Children’s Memorial Hermann Hospital. Cox is also a faculty member of MD Anderson Cancer Center UTHealth Graduate School of Biomedical Sciences. “This represents another translation of cell-based therapies at UTHealth,” Cox said. “The unifying theme of this approach is the dampening of the immune response to injury.”

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Mental Health Coping with Collective Trauma By John O’Neill, EdD, LCSW, LCDC, CAS, Clinical director of Menninger Outpatient Services

ental health professionals specialize in helping others cope with trauma, pain, anguish and the unknown. Seldom are mental health professionals engaged in the same emotional struggles as their clients. Although mental health professionals have experienced floods, hurricanes, terrorism and many other traumatic events, COVID-19 has both clients and therapists struggling to manage the emotional consequences of the unknown. Living with constant trauma, without a clear understanding of when it will end, creates an emotional burden on mental health professionals that requires an acute awareness of how they are feeling and what they can do to better cope. Collective trauma refers to the emotional and physical reactions shared

by a group or society. This current crisis is perhaps the most extreme example of collective trauma. How is it possible to help others when you are experiencing many of the same emotional and physical reactions? Each day can be a similar blur of trying to help people cope with anxiety, fear, sadness, anger and loss. Simply put, do your best. Appreciate that you are doing what you can to help others. Take Care of Yourself Like Never Before Through pain, mental health professionals must practice self-compassion like they never have before. Self-compassion researcher, Kristen Neff, PhD, at the University of Texas-Austin, reminds everyone that there is a common humanity, you are not alone and others feel the way you do. Mental health professionals can feel inadequate as they navigate the intensity of this crisis and they can feel alone doing it. It is a helpless feeling when you don’t have words to succinctly help a client cope with a crisis facing all of society. You are not alone in this

battle. Remember that your time and attention help clients cope and heal as they navigate trauma. As you practice self-compassion, it is important to develop new ways of coping with the intensity of this crisis. To appreciate the emotional intensity of this shared trauma, spend time each day checking in with how you are feeling. 1. As the day starts and ends, ask how you are feeling, reflect on what you are thinking and plan your coping strategies. 2. Practice listening to your body and mind. Do not dismiss your emotions as insignificant or unwarranted. It is easy to keep moving forward without attention to the ground beneath.

3. Find a way to ground as you navigate this crisis as both a mental health professional and a person coping with trauma. Grounding is an anchor that helps you detach from emotional pain by focusing on something other than the difficult pain you face. You may decide to learn to play an instrument, take up sewing or learn a language. Find something that truly takes your mind to another place and gives you space to heal. Whatever the strategy, mental health professionals need to find a way to escape the clinical world and engage in activities that help them get see Mental Health...page 14

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Oncology Research Do I Have the Flu, Seasonal Allergies, or COVID-19? By Sanjay Sethi, M.D., Texas Oncology

hen some of the symptoms for flu, seasonal allergies, and COVID-19 overlap, it can be confusing to tell the difference. For COVID-19, you no doubt have seen the symptoms listed on posters in your physician’s waiting room, on social media, or in news coverage: fever, cough, and shortness of breath. Even as researchers and medical experts learn more every day about COVID-19, some things are clear: people with suppressed immune systems may be at greater risk for contracting the virus and experiencing complications. Most cancer patients are in this category. Some cancer therapies, such as targeted drugs, steroids, as well as some cancer types, like blood cancers, can result in a weakened immune system. Cancer patients should be especially vigilant in

monitoring their health and protecting against infections. What’s the difference? While most people who contract COVID-19 only experience mild symptoms, everyone should be aware of precautions to take, signs to look for, and how to tell COVID-19 symptoms from allergies or the flu. Allergies: Sneezing, congestion, runny nose, and itchy eyes are common with seasonal allergies. With the exception of rash, allergies are localized to the head, generally the nose and eyes, and do not include fever. A key symptom with allergies is sneezing, which is not a symptom of COVID-19. Influenza (flu): Fatigue, fever and chills, cough, sore throat, runny nose, body aches, and headaches are all symptoms of the flu. In some cases, the flu can also cause vomiting and diarrhea. Typically, flu symptoms last about one week. COVID-19: Fever and cough are two of the three key symptoms of COVID-19, but there is a key difference in the cough. The flu can lead to congestion and clearing of mucus in the throat,

whereas COVID-19 causes a very dry cough that does not produce mucus but rather comes from deep within the chest. Here’s another important difference: COVID-19 is distinguishable from the flu and other conditions in that it often causes shortness of breath. Warning signs may be difficulty breathing, severe chest pain, or pneumonia. Some patients have experienced other symptoms, such as nausea and sore throat. According to the Centers for Disease Control and Prevention, symptoms can be mild to severe and typically appear two to 14 days after exposure. What should I do next? As a cancer patient, and an individual at higher risk, it’s vital that you contact your physician if you’re exhibiting any symptoms. If you aren’t feeling completely well, call before going to your clinic. Don’t risk exposing others. Get your physician’s guidance on next steps, which may include testing. If your symptoms become severe and you are short of breath, visit the ER but ask a family member or caregiver to call ahead

so hospital staff know you’re coming. What precautions should I take? Prevention is the most important aspect of living with cancer amid the COVID-19 outbreak. Many patients must continue cancer treatments, even in uncertain times. Take every precaution to protect yourself, including: • Limit public outings, except for essential treatments. • Wash your hands thoroughly for at least 20 seconds and frequently, or use hand sanitizer. • Avoid touching your eyes, nose, and mouth. • Avoid contact with sick people. • Disinfect commonly touched surfaces. Most importantly, if you’re feeling sick, stay home, call to alert your cancer care team, and consult with your physician as soon as possible to ensure you have the support you need. And if you have any new concerning symptoms, please contact your doctor immediately.

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Healthy Heart What Heart Patients Should Know About Coronavirus By The American Heart Association

OVID-19 is prompting widespread questions and concerns about the heightened risk for those with heart disease and stroke survivors, especially during May, American Stroke Month. The American Heart Association, the world’s leading nonprofit organization focused on heart and brain health for all, is responding to consumer questions through our websites, support networks, social media and other channels with the help of our volunteer medical and scientific research experts on the frontline of this pandemic. Based on current information, it appears elderly people with coronary heart disease or hypertension are more likely to be infected and to develop more severe symptoms. Stroke survivors and others living with heart disease may also face increased risk for complications if they get COVID-19. Those with hypertension, diabetes or cardiovascular disease are experiencing mortality rates 2-3-fold higher than the general population (according to the

WHO-China Joint Mission report). In addition, recent reports of profound myocarditis and fatal arrhythmias demonstrate the critical influence of COVID-19 on the cardiovascular system. The virus’s main target is the lungs. But that could affect the heart, especially a diseased heart, which has to work harder to get oxygenated blood throughout the body, said Orly Vardeny, associate professor of medicine at the Minneapolis VA Health Care System and University of Minnesota. “In general, you can think of it as something that is taxing the system as a whole.” That could exacerbate problems for someone with heart failure, where the heart is already having problems pumping efficiently. Someone with an underlying heart issue also might have a less robust immune system. People’s immune systems weaken as they age, Vardeny said. And “in those with chronic medical conditions, the body’s immune

response is not as strong a response when exposed to viruses.” If such a person catches a virus, she said, it’s likely to stick around and cause complications. COVID-19 also has similarities to influenza, said Vardeny, who is also a volunteer for the American Heart Association. At the moment, she said, “We don’t think the actual risk is any higher per se. It’s just that the spread is quicker.” And unlike the flu, there’s no vaccine.

Many of the same precautions that work against the flu should be helpful against the new coronavirus, Vardeny said, because it appears to spread the same way – through droplets in the air when someone coughs or sneezes. For now, she suggests people defend themselves by handwashing, keeping surfaces clean, and avoiding travel to areas with outbreaks.

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Ways to Ease Covid-19-Related Anxiety Psychologists with Texas A&M Health Behavioral Care Discuss Helpful Tips To Survive The Covid-19 Coronavirus Outbreak with Your Mental Health Intact By Mary Leigh Meyer

very few years, the world sees a new virus outbreak that has the potential to transcend national boundaries and affect thousands, if not millions, of people. The newest coronavirus has done just that, causing a global pandemic that nations are grappling with in unprecedented ways. “The uncertainty of this new illness can cause significant stress and anxiety for people,” said Carly McCord, PhD, director of Telebehavioral Care at Texas A&M Health, clinical assistant professor at the Texas A&M College of Medicine and Texas A&M College of Education and Human Development. “We know high stress is correlated with poor immune function and longer recovery durations,” she said. McCord and fellow psychologist from Texas A&M Health Telebehavioral

Care, Kelly Sopchak, PhD, discuss some common ways to destress during the COVID-19 pandemic. Utilizing your physical health “Too often, self-care can be perceived as selfish, especially in the workplace,” McCord said. “However, in this case, self-care is actually self-preserving and selfless. If you are promoting your own health, then you are also helping other people.” The Centers for Disease Control and Prevention (CDC) recommends staying home when you are sick, because you could pass COVID-19 to someone else. “If you feel sick, stay home. Your choice to stay home could protect those around you.” McCord also recommends a healthy diet and regular exercise as those activities have also been known to improve your mental and physical health. “If you are feeling more anxiety than normal, try to

avoid alcohol,” Sopchak said. “We know it can increase anxiety levels and can also suppress immune function.” Controlling your thoughts “Take time to educate yourself about the novel coronavirus through legitimate sources of information,” Sopchak said. “You should give yourself a set timeframe to read and focus on that information. If possible, literally set a timer to limit your media exposure to once or twice a day.” McCord suggests digesting enough information and news to make informed decisions about your health, but do not stew on it too long. “In a pandemic or a viral outbreak like with this new coronavirus, we have a lot of uncertainty and unknowns,” McCord said. “Often, we do not have a lot of statistics to allow us to interpret the threat. However,

with COVID-19, we do have some statistics and trends to use to inform us.” She recommends following along on the CDC and World Health Organization (WHO)’s webpages to stay up to date. Volunteering and embracing your social support “One of the most tried-and-true ways to promote your own well-being and physical health is volunteering,” McCord said. “Give yourself to those around you. You can find ways to volunteer without putting yourself into direct contact with other people.” She recommended calling your elderly relatives or making meals for neighbors who may need more see Anxiety...page 12

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Financial Forecast What do to with Your Finances In Uncertain Times By Grace S. Yung, CFP Midtown Financial Group, LLC

hile the world struggles to move past the COVID-19 pandemic, there are many people who have suffered other types of illnesses during this crisis – reduced portfolio values and reduced income. Yet, even though you may think that there is no way for you to control the stock market, painfully low interest rates or diminished cash flow, the truth is that there are some things you can do to help your financial situation. Things to consider The past several months have shown just how devastating a pandemic like the Coronavirus can be financially. This crisis has been a direct catalyst for millions of lost jobs and in turn, lost income and falling account balances.

• A loss or reduction in income can be very stressful. But there are some things you can do to help your cash flow – with the first step being to apply for unemployment if you have lost your job. • According to the Texas Workforce Commission, you should apply for these benefits as come unemployed because your claim starts the week that you complete the application. Also, you cannot receive these income benefits before your unemployment claim’s effective date. • The Coronavirus Aid, Relief, and Economic Security (CARES) Act is the largest stimulus package in our nation’s history. One thing the CARES Act provides is tax relief for retirement plans and IRA. This will allow affected individuals to access funds that under normal circumstances they will otherwise have to deal with taxes or early withdrawal penalties. The Act allows you to spread the tax liability over three years or you can opt to

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recontribute the distribution within three years. This can greatly help your tax situation while providing you the necessary liquidity. • Cutting expenses and call your lenders to ask them to allow you to defer payments and perhaps reduce your interest rates is yet another way to help your cash flow. Credit card companies, Mortgage lenders, etc. are many times willing to work with individuals. You may also be able to suspend student loan payments, which can help ease the burden on your monthly expenses. • For those who own small businesses – including a medical practice – you may be able to participate in various programs offered within the CARES Act that provide grants and/or low (or no) interest loans, such as the Paycheck Protection Program or the Economic Injury Disaster Loan. These programs got off to a bumpy start. Funds ear-marked to help small businesses were exhausted quickly. Discussions are in place to make more funds available. • If you’ve watched your retirement plan and/or other investment

accounts fall in value, it may seem like you should “cut your losses” and get out of the stock market. Resisting the urge to do so is a more prudent strategy in the long-run in most case. • During volatile times like this, it is more important to remain calm and to hang in there. In some instances, the share prices of good, solid companies may be available at attractive prices, so it could actually be an ideal time to buy for the long-term. Where to Go from Here As time goes on, it has become clearer that the Coronavirus may have long-lasting, or even permanent, effects – so, making proper adjustments to your financial plan can be critical. That’s why it is recommended that see Financial Forecast...page 12

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Houston VA Nurses Lend a Hand to New Orleans By Maureen Dyman

ast month, a group of seven critical care nurses from the Houston VA Medical Center packed up their lives, left their families and traveled to New Orleans to care for Veterans with COVID-19. These dedicated employees answered a call for VA nurses willing to travel to the New Orleans VA, which was hit hard by the coronavirus. “When I heard they needed us at our sister VA in New Orleans, I knew I had a to go and help the Veterans,” said Crystal Morris, a registered nurse who works in the surgical intensive care unit at the Houston VA. “They were hit by COVID-19 much sooner and much harder than we have been so far in Houston. I will never forget how grateful the staff were to see us when we got there.” Jennie Clark, a registered nurse in Houston VA’s critical care unit and an Army Veteran herself, was happy to volunteer as well. “I

think that the adaptability and commitment to a mission that I learned in the military helped me so much when I found myself caring for COVID-19 patients just a few weeks into the pandemic,” she said. “I think when you join the military, and when you become a nurse, you make a decision to preserve life and complete your mission, sometimes by putting yourself at risk. It’s just a part of the job.” Upon arriving in New Orleans, the Houston nurses went through a quick orientation, a short training period and then were assigned to care for COVID-19 patients in the ICU for 14 days. Most of the Veterans they cared for were extremely ill, but the nurses were able to witness some great stories of recovery. “One of my patients, a younger man with a school-aged daughter, was so ill,” said Morris. “I remember seeing the fear and tears in his eyes when he looked at me,

Seven critical care nurses from the Houston VA Medical Center traveled to New Orleans to care for Veterans with COVID-19

but I just kept encouraging him to keep fighting. When we left New Orleans, he was being taken off the breathing tube and things were looking so much better for him. It was very uplifting.” The Houston VA nurses learned a lot about how to care for COVID-19 patients during their trip to New Orleans. “At the time we went to New Orleans, Houston had not seen many COVID cases,” Clark said. “I feel like I gained so many valuable skills in caring for these Veterans that I will be able to use when caring for patients at our Houston VA. It was eye-opening.”

Morris agreed. “I came back from New Orleans more confident in my skills caring for COVID-19 patients,” she said. “I also came back truly impressed by our New Orleans VA colleagues. They did an amazing job caring for the Veterans there.” All seven of the nurses who volunteered to travel to New Orleans, are now back in Houston, undergoing a 14 day quarantine. They hope to be back to work sometime soon, caring for the Veterans. “I love my job and I love my Veterans,” Morris said. “I’m glad to be back.”

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CHI St. Luke’s Health Encourages Support for Frontline Workers Big Houston Heart Campaign Boosts Love for Our Community’s COVID-19 Heroes

s part of its mission of compassion and service, CHI St. Luke’s Health has launched the Big Houston Heart Campaign, a way for the community to show their support for frontline workers — healthcare professionals, law enforcement, rescue workers, firefighters — and everyone supporting the community during

COVID-19, including sharing advice from medical professionals and public health officials, as well as tips to stay safer during this time. This campaign follows an initiative launched earlier this month to help members of our communities stay socially connected with their loved

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Call us today! the COVID-19 pandemic. Houstonians are encouraged to send in a photo of themselves making “heart hands” or submit their favorite heart artwork to ShowUsYourHoustonHeart.org. People can also share their images and messages of encouragement on social media using the hashtag #ShowUsYourHoustonHeart. In addition to visually showing our love for the frontline workers who keep our community strong, this social media campaign will also focus on raising awareness about

ones during this time. The Send Kindness Card Generator allows family and friends of CHI St. Luke’s Health patients and employees to send customizable cards to someone at one of the health system’s hospitals. The Big Houston Heart campaign is another way to show some much needed human kindness in this time of social isolation. CHI St. Luke’s Health is encouraging everyone to take part and spread joy as we work to reduce the spread of COVID-19.

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Plasma

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THANK YOU to all of our Houston area FRONTLINE

Healthcare Workers, First Responders, and all Essential Workers! COVID-19 Resources and Help houstonfoodbank.org/covid19

beneficial for some patients. These donations will help us understand how COVID-19 works and how to treat it, and we are glad to make this an option for our patients.” Shpall co-leads MD Anderson’s participation in the national convalescent plasma effort with Kimberly Klein, M.D., and Fernando Martinez, M.D., both of whom are associate professors in Laboratory Medicine. Convalescent plasma donor eligibility MD Anderson Blood Bank will collect plasma from donors who meet specific eligibility criteria. Eligible donors must: • have had COVID-19, which must be documented by a laboratory test • be recovered from COVID-19, including: • complete resolution of symptoms at least 28 days prior to donation, or • complete resolution of symptoms at least 14 days prior to donation and negative results for COVID-19, either from one or more nasopharyngeal swab specimens or by a molecular diagnostic test from blood • have no history of cancer diagnosis • be at least 17 years of age • weigh at least 110 pounds • be in good health on day of donation • have a valid photo ID • meet eligibility qualifications as a blood donor

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help. Furthermore, many groups like your food bank or community shelter may need a little extra support during this time. If you have the skills and resources, many people can also donate their time by sewing face masks and sharing them with local groups around their community. Be creative and

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The donation process The process of donating plasma is similar to the process of donating blood. To obtain plasma, the MD Anderson Blood Bank uses a specialized machine to separate a donor’s plasma from red blood cells, which are returned to the donor. The donation process usually takes between 30 and 45 minutes. Those who meet the plasma donation eligibility criteria and who are willing and able to do so will be asked to donate twice within a three-month period, with at least four weeks between donations. How to donate convalescent plasma at MD Anderson Those meeting the above criteria and interested in donating plasma may call 713-745-6742 or email the MD Anderson Blood Bank at bloodbank1@ mdanderson.org. Potential donors should include their full name and a contact number in the email. A donation recruiter will speak with each interested donor to confirm their eligibility and will then schedule a plasma donation appointment at MD Anderson’s Blood Bank location in Mays Clinic (1220 Holcombe Blvd, Houston, Texas, 77030). When the donor arrives, they will sign consent forms and then begin the donation process. Donors will be eligible to donate plasma again after four weeks, and before they leave, the staff will help them schedule their second plasma donation appointment. “These donations could help us understand how COVID-19 works and how to treat it,” says Klein. “Donating plasma may help save another life.”

to reduce worry during this already stressful time and it can help you work towards a successful plan. The opinions voiced in this material are for general information only and are not intended to provide specific advice or recommendations for any individual. We suggest that you discuss your specific tax issues with a qualified tax advisor. 

inquire about ways you can volunteer while protecting the safety of yourself and those around you. Protecting your mental health People are facing unprecedented financial, social, physical and mental struggles. “Everyone is impacted by this pandemic, whether they are working long shifts in the emergency department or setting up a home office,” McCord said. “The important thing is to know that you are not alone.”

Houston Medical Times

Page 13

Age Well Live Well Volunteering is Healthy By Ully Sedtal and Claire Irwin Texas Health and Human Services

ost people who volunteer are inspired to do so by their heart, and those efforts can be seen every day in our communities. Some examples of volunteer-driven programs include meal deliveries to the homebound and driver programs that transport older adults with limited mobility. A study by the Corporation for National and Community Service reported 30.3 percent of adults in America volunteered nearly 6.9 billion hours in 2018, which translates into an estimated $167 billion. National Volunteer Week, April 19-25, 2020, recognizes the many ways volunteers contribute to our communities. The invaluable community impact of volunteering is only the tip of the iceberg because it also provides health benefits to the volunteer. One key benefit is it keeps volunteers engaged in their communities while doing work they are passionate about. This can improve a person’s mood and make them feel

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good because they are contributing to their community. According to the Mayo Clinic Health System, research studies show volunteering: • Decreases the risk of depression. • Gives a sense of purpose while teaching valuable skills. • Helps maintain physical and mental health. • Contributes to stress reduction. • Contributes to increasing longevity. • Assists with social connections and developing new relationships. Fostering new friendships and strengthening existing relationships is one of the ways volunteerism supports a healthy lifestyle. Life after retirement can be a challenging and an isolating time for some, but volunteer activities can be an easy way to meet and connect with new groups of people sharing similar interests. “Being a volunteer just energizes you to go out there with newfound groups,” said Michael Scherer, a retiree and volunteer at Texas Parks and Wildlife.

An easy way to start volunteering is through the Senior Corps, a network of national service programs for adults 55 and older that focuses on improving lives and promoting civic engagement in communities. Service opportunities include diverse projects such as mentoring youth, providing support for disaster relief and assisting older adults in need. Senior Corps provides the support and structure to help older adults make a difference in their community. Some of Senior Corps programs might also provide an hourly stipend or travel reimbursement to assist with low-income barriers to

• Integrating the Montessori method into the public school curriculum • Currently offering Pre-K thru 4th • Open enrollment until positions ﬁll

those who qualify. After two years of service, first-time Senior Corps volunteers reported improvements in overall health, including decreases in depression and social isolation. Simply put, volunteering is beneficial in a variety of ways. According to Scherer, contributing time to a cause you are passionate about “keeps the blood pumping through your body, catch the moment and share a passion.” Consider what opportunities are available for you to catch the moment and share your passion this National Volunteer Week. Your health may thank you for it. 

• Comprehension Stem Program • Character & Leadership Development • High Tech – 7 computers per classroom

2319 N. GRAND BLVD., PEARLAND, TX. 77581 www.hmps.net | 281-485-2500 medicaltimesnews.com

May 2020

Page 14

COVID Fight

Continued from page 1 Rice recently opened a parking lot close to Houston Methodist Hospital to provide its workers a nearby place to park without having to take public transportation. “Now, as the hospitals of the Texas Medical Center prepare for the peak of COVID-19 hospitalizations likely to occur over the next several weeks, we must do more,” Leebron said. “Our hospitals are being stretched to their limits, and their medical personnel are working round the clock. But much worse will come as the number of infected in Houston grows into the thousands.” Approximately 50 students and resident associates in the two colleges will move to other housing across campus, but they will remain in single rooms with their own bathrooms, appropriately distanced

Legal Matters

Continued from page 3 up-to-date security features. Employees should enable “automatic software updates” on all of their devices. • For health care providers, use VTC platforms only in private settings, such as a clinic or office. Likewise, patients should not receive telehealth services in public or semi-public settings, absent patient consent or exigent circumstances. If telehealth cannot be provided in a private setting, providers should implement reasonable HIPAA safeguards to limit incidental uses or disclosures of protected health information, such as: using lowered voices, not using speakerphone, or

Mental Health

Continued from page 5 the necessary distance from the pain, anguish and anxiety in the world today. Important Boundaries Needed It is critical that all mental health professionals’ practice new boundaries with their work. Working in the midst of a global crisis is unprecedented. Whether you are working in hospitals, clinics or at home, there are many challenges for the mental health professional. Gone is the consistency, structure and daily support that helps mental health professionals stay healthy. May 2020

Houston Medical Times

from the other undergraduates who remain at Rice. Texas Medical Center officials will coordinate decisions on who will move onto campus. “As the city’s leading research university, and as neighbor and partner to the hospitals in the Texas Medical Center, Rice has an obligation to do whatever it can to help Houston stem the tide of COVID-19’s advance,” Dean of Undergraduates Bridget Gorman wrote in an email to affected students. “This includes providing assistance to the Medical Center as those institutions strive to help those who have fallen ill.” Students in Wiess and Hanszen will move to their new room assignments this weekend. Boxes and packing are being delivered to them and movers will transport their belongings across campus. Gorman sought to reassure students that bringing health care

workers onto campus would not mean exposing the Rice community to the coronavirus. Extensive precautions, she said, include restricting health care personnel staying in either college to Wiess, Hanszen and their designated parking areas. “You have already dealt with so much that was unexpected and unpleasant this semester, and now we are asking you do to more,” Gorman wrote, thanking the students who are packing up to make room for doctors, nurses and other health care workers. “It is difficult, but I hope you will see that it is the right decision,” Gorman said. “In times of national emergency, it is incumbent on all of us to do what we can to help others. I very much appreciate the part all of you are playing in helping Rice be a good neighbor to everyone.”

recommending that the patient move to a reasonable distance from others. • Only use “non-public facing” products. A “non-public facing” remote communication product is one that, as a default, allows only the intended parties to participate in the communication. Typically, these platforms employ end-to-end encryption, which allows only an individual and the person with whom the individual is communicating to see what is transmitted. The platforms also support individual user accounts, logins, and passcodes to help limit access and verify participants. In addition, participants are able to assert some degree of control over particular capabilities, such as choosing to record or not record

the communication or to mute or turn off the video or audio signal at any point. • For health care providers and other covered entities and business associates subject to HIPAA, enter into a business associate agreement with the VTC platform. • Review privacy notices to make sure you are transparent regarding the collection, use or other processing of personal information via VTC platforms. Although the COVID-19 pandemic has created major risks associated with VTC platforms, entities and health care providers that follow the agencies’ advice above will reduce the data security risks associated with conducting business and providing health care online. 

Create a new process for developing consistency to help manage the emotional intensity of this crisis. Reach out to colleagues and friends and ask for support. Talk openly about your feelings and embrace the kindness of others. Learn new boundaries that help you manage your daily schedule. New boundaries include not working on weekends, ending your day at a reasonable hour and knowing when enough is enough. Although difficult, plan a vacation and take time off work. Having something to look forward to helps people cope. Mental health professionals often help clients develop

new boundaries. Now more than ever, caregiving professionals need to evaluate and adjust their boundaries to remain healthy through this crisis. This crisis is painful beyond words. There is so much anxiety, fear, and sadness in the world. Mental health professionals are the healers of pain. Start by attending to your own pain, keep an emotional reserve and practice self-compassion. You are doing your best. You entered this field to help others, and that is what you are doing.

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Published by Texas Healthcare Media Group Inc. Director of Media Sales Richard W DeLaRosa Senior Designer Jamie Farquhar-Rizzo Web Development Lorenzo Morales Distribution Robert Cox Accounting Liz Thachar Office: 713-885-3808 Fax: 281-316-9403 For Advertising advertising@medicaltimesnews. com Editor editor@medicaltimesnews.com

Houston Medical Times is Published by Texas Healthcare Media Group, Inc. All content in this publication is copyrighted by Texas Healthcare Media Group, and should not be reproduced in part or at whole without written consent from the Editor. Houston Medical Times reserves the right to edit all submissions and assumes no responsibility for solicited or unsolicited manuscripts. All submissions sent to Houston Medical Times are considered property and are to distribute for publication and copyright purposes. Houston Medical Times is published every month P.O. Box 57430 Webster, TX 77598-7430

Houston Medical Times

Page 15

May is National Stroke Awareness Month

Key Facts About Stroke

FACT # 1 :

FACT # 2 :

stroke kills brain cells

types of stroke

Stroke happens when a clot or rupture interrupts blood

Ischemic caused by a clot, Hemorrhagic caused by a rupture and Transient Ischemic Attack (TIA) or "mini stroke" caused by a temporary blockage.

oxygen-rich blood, brain cells die.

FACT # 3 :

FACT # 4 :

about one in four stroke survivors is at risk for another

prevention is key

Stroke happens when a clot or rupture interrupts blood oxygen-rich blood, brain cells die.

Had a stroke? Create a plan with your doctor to prevent another, which may include managing high blood pressure and discussing aspirin or other medicine. Aspirin is not appropriate for everyone, so be sure to talk to your doctor before you begin an aspirin regimen.

FACT # 5 :

time lost is brain lost Now that you know prevention, here's how you spot one.

Stroke.org

Learn the FAST warning signs:

F Face Drooping

A Arm Weakness

S Speech

T Time to Call 911

American Stroke Association is a registered trademark of the AHA. Unauthorized use prohibited. DS15342 10/19

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May 2020

Houston Medical Times

BECAUSE OF US, HER GOLDEN YEARS NEVER LOOKED BRIGHTER.

RAPID STROKE DIAGNOSIS & SPECIALIZED TREATMENT. FASTER RECOVERY. When it comes to stroke care, speed and expertise matter. At Memorial Hermann Mischer Neurosciences, our dedicated stroke network offers high-level expertise at Comprehensive and Primary Stroke Centers throughout Greater Houston. That way, if you or your loved ones ever need us, weâ&#x20AC;&#x2122;re ready. We have the experience and equipment to diagnose and treat strokes quickly and accurately to get you on the road to recovery sooner.

memorialhermann.org/stroke

Advancing health. Personalizing care.

May 2020

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