Last updated 9 months ago
Keisha Guzman, RN, is Methodist Sugar Land Hospital’s first DAISY Award winner, a national honor that recognizes the contributions of extraordinary nurses.
Guzman was chosen for her efforts to ensure that a stroke patient was transported safely and settled into his home following his discharge from the hospital.
When the patient’s spouse expressed concern about the difficulty of getting her husband home, Guzman made a decision to help. At the end of her work shift, with her two children in the car, she followed the couple to their house and provided assistance. Guzman even went to the pharmacy to have the patient’s prescriptions filled so the wife could stay with her husband.
“Keisha’s sense of responsibility for her patient’s safety extended far beyond the hospital’s walls,” said Janet Leatherwood, Chief Nursing Officer of Methodist Sugar Land Hospital. “When she realized her patient had no local family or friends who were available to help, she stepped up and did what she could to provide assistance. Her actions are a living example of the nursing unit’s motto, ‘Treat each patient and family as if they were your family.’”
In honor of her DAISY Award selection, Guzman received a certification of appreciation, a DAISY Award pin and a beautiful sculpture titled “A Healer’s Touch,” hand-carved by artists of the Shona tribe in Zimbabwe. Methodist Sugar Land Hospital’s Nursing Administration group will select a DAISY Award winner each quarter.
The DAISY Foundation was established by family members in memory of J. Patrick Barnes, who died in 1999 from an auto-immune disease. The care Patrick and his family received from nurses inspired this unique award as a way of thanking nurses for making a profound difference in the lives of their patients and patient families. Today, more than 1,300 hospitals across the U.S. participate in the program.
One day while Patrick was in the hospital without an appetite, he was able to eat some of his father’s cinnamon roll. The next day, he asked his family to bring him his own cinnamon roll, plus enough for all the nurses in his unit! Today, the DAISY Foundation carries on this tradition by serving cinnamon rolls to all the nurses in the award recipient’s unit as a reminder that their efforts are appreciated.
“We are proud to be among the hospitals participating in the DAISY Award program,” said Leatherwood. “Nurses like Keisha are every day heroes who demonstrate excellence through clinical expertise and compassionate care, and we are excited to be able to recognize her – and our future winners – as outstanding role models for the nursing profession.”
To nominate a nurse at Methodist Sugar Land Hospital for the DAISY Award, please visit MethodistSugarLand.com.
DAISY Award Recipient, Keisha Guzman, RN, with her family and the DAISY Award Committee.
Last updated 9 months ago
It’s been said, “All men will have an enlarged prostate if they live long enough.” Also known as benign prostatic hyperplasia, or BPH, this condition is not cancer and doesn’t raise your risk of prostate cancer, but it can be quite uncomfortable. Fortunately, help is available.
“The prostate is a walnut-sized gland that surrounds the urethra (the tube urine passes through) between the bladder and the penis,” says Lawrence Baum, M.D., board certified urologist on staff at Methodist Sugar Land Hospital. “As men age, the prostate gland slowly grows bigger and puts pressure on the urethra, which may slow urine flow.” BPH rarely causes symptoms in men younger than 40, but about 50% of men in their 60s and most men in their 70s and 80s have some symptoms.
“Severe BPH can cause serious problems over time, including urinary tract infections, bladder or kidney damage, bladder stones and incontinence,” says John Boon, M.D., board certified urologist on staff at Methodist Sugar Land Hospital. “An enlarged prostate can also cause sudden and complete bladder blockage.” If you are unable to urinate at all, this is an emergency and not a normal symptom of BPH. Contact your health care provider.
Finding BPH early lowers your risk of developing complications. Symptoms of BPH include:
Frequent need to urinate
Difficulty starting and stopping urine flow
Decreased size and strength of urine stream
Painful urination or bloody urine (these may indicate infection)
If you’ve been experiencing symptoms of BPH, your doctor will likely perform a digital rectal exam to determine your prostate’s size and shape. Your doctor may also check your urine for infection and take a blood sample. “Although BPH isn’t caused by prostate cancer, a rising prostate-specific antigen (PSA) level is often an indication of BPH,” says Carl Ogletree, M.D., board certified urologist on staff at Methodist Sugar Land Hospital. “We may also order an ultrasound exam or biopsy of the prostate to help make the diagnosis.”
“If we determine that you have BPH, we may suggest a wait-and-see approach if you have mild symptoms,” says Antoine Makhlouf, M.D., board certified urologist on staff at Methodist Sugar Land Hospital. “The most common symptoms that lead to treatment include interrupted sleep because of needing to urinate at night and extreme urgency to urinate.”
“Antibiotics may be prescribed to clear up any infection before treating the BPH itself,” Dr. Baum adds. Drug treatments are available for BPH, including hormone blockers that shrink the prostate and alpha-blockers that relax muscle cells in the bladder neck, making the flow of urine easier. “Surgery can shrink or remove prostate tissue for severe, persistent symptoms,” Dr. Makhlouf says.
If you’re having urinary problems, ask your doctor about what kinds of treatment can help. To make an appointment with an urologist in your area, please call our physician referral line at 281-274-7500.
FREE PROSTATE CANCER SCREENINGS!
Join Dr. Baum, Dr. Boon, Dr. Makhlouf and Dr. Ogletree for FREE Prostate Cancer Screenings- September 17 and 18, 5:30 to 7:30 p.m. Located at Methodist Sugar Land Hospital Cancer Center with easy access off Town Center Blvd., 16675 Southwest Freeway.
Limited appointments available. Call 281-274-7500 to schedule your screening.
Prostate-specific antigen blood tests and digital rectal exams (DRE) will be given.
Carl Ogletree, M.D.; John Boon, M.D.; Lawrence Baum, M.D. and Antoine Makhlouf, M.D.
Last updated 10 months ago
Sports participation offers a host of benefits for children, including weight management, social skill development and team-building skills. But there are downsides as well. Every year, millions of young athletes end up in the emergency room or doctor’s office with a sports-related injury.
From sprains and strains to shin splints and Little League elbow, a variety of conditions can bring sports participation to a halt.
Acute injuries occur suddenly, often after a collision or other trauma. Examples include sprains, fractures, torn ligaments, eye injuries, concussions and spinal cord injuries. Contact sports such as football or basketball may spring to mind but baseball players may also suffer acute injuries from high-speed balls, mid-field collisions and improper sliding.
Overuse injuries occur when repetitive actions put too much stress on bones and muscles. Inadequate warm-up; increased duration, intensity or frequency of activity; improper technique or equipment; and playing the same sport year-round can all contribute to an overuse injury.
Reinjury can happen if a child returns to a sport before he or she has properly healed from an injury. Letting the body fully recover from an injury is essential. Otherwise you’re placing extra stress on the injury and forcing the body to compensate for the weakness, which can lead to another injury.
Diagnosing and treating overuse injuries quickly can help ensure they don’t turn into larger chronic problems. The solution may be as simple as taking a break from the activity or modifying a technique.
The doctors at Methodist Orthopaedic Specialists of Texas provide orthopedic exams, treatments and, if necessary, surgical options to help your child overcome a sports-related injury. To make an appointment, call 281-494-MOST (6678).
Learn how you can prevent sports injuries on August 4th. Methodist Orthopaedic Specialists of Texas will host a Pre-Participation Physicals and Youth Sports Injury Prevention Clinic from 9 a.m. - 1 p.m. at Constellation Field, 1 Stadium Drive, Sugar Land, Texas, 77498. The clinic is open to Middle and High School students. Topics that will be presented while physicals are in session are ACL injuries, nutrition, over-training injuries and concussions. There will also be two cardiologists on-site, B. Keith Ellis, M.D. and Tapan Rami, M.D., to screen for arrhythmias and heart defects.
The cost is only $20 cash. Be sure to also bring the UIL Physician Evaluation form which can be printed off our website, MethodistOrthopedics.com. Students who bring paper work filled our will receive a prize. Please RSVP by emailing AskATrainer@tmhs.org. Contact Angela Byrd, LAT, for more information at 832-584-9038.
Methodist Orthopaedic Specialists of Texas.
Last updated 10 months ago
The first sentinel node biopsy procedure for facial melanoma was performed recently at Methodist Sugar Land Hospital. The treatment team was directed by plastic surgeon Jon Mathy, M.D. and included Methodist Sugar Land Hospital’s Nuclear Medicine department.
The face is one of the most common locations for melanoma, and melanoma is the leading cause of death from skin cancer, resulting in some 9,000 deaths per year. Prognosis can change dramatically when the melanoma is found to spread to other parts of the body, such as the lymph nodes.
“If you have melanoma of the head and neck,” says Dr. Mathy, “then it’s important to talk with your doctor about the benefits of looking beyond the skin surface to the lymph nodes in the area.”
Sentinel node biopsy is effective in identifying the sentinel, or first, lymph node to which cancer may spread. Once identified, the sentinel lymph node can be removed through biopsy and examined for evidence of cancer.
“Sentinel node biopsy offers more information about prognosis,” says Dr. Mathy. “It can open doors to other treatments and can help detect advanced melanoma faster than any other modality out there.”
The standard of care for treatment of head and neck melanoma has been to discuss the role for sentinel node biopsy with certain deeper melanomas at the same time as melanoma excision. Until recently, the community surrounding Methodist Sugar Land Hospital did not have the option of sentinel node biopsy locally available.
For patients with facial melanoma, access to a multidisciplinary team in the community where they work and live results in better care. “Melanoma can be a highly morbid and frightening disease,” says Dr. Mathy. “It’s helpful to treat patients in their own community, where they can lean on the support of family and friends. When indicated, additional treatments such as chemotherapy and radiotherapy can also be administered in our community. And when treatment is over, long term follow up can return to the referring providers in the community, further facilitating the patient’s continuity of care.”
The patient on whom the sentinel node biopsy was performed had a favorable outcome. “Dr. Mathy told me there were no signs that my cancer had spread,” says Mr. Gordon Baxter of Rosenberg. “I was relieved to hear that I wouldn’t need any more treatment. I knew I was in good hands with Dr. Mathy and his team at Methodist Sugar Land Hospital. And I was so happy I didn’t have to travel downtown to have the procedure.”
Identifying melanoma as early as possible improves outcome. Practice the ABCDs of melanoma. Look out for skin lesions or moles that have: a) asymmetry, where half of the mole looks different than the other half, b) irregular borders, c) multiple colors, or d) diameter greater than an eraser-head.
If you note any of the ABCDs, or notice any newly changing lesions, then talk with your primary care physician or dermatologist. They can refer you to a specialist for further evaluation when needed.
Dr. Mathy is a board-certified plastic surgeon who trained at Stanford and Harvard Universities. He has fellowship training in head and neck oncology and has special interest and experience in melanoma, skin cancer and other cancer reconstruction.
For an appointment with Dr. Mathy or another plastic surgeon in your area call Methodist Sugar Land Hospital’s physician referral line 281-274-7500 or visit MethodistSugarLand.com.
Jon Mathy, M.D. and Mr. Gordon Baxter
Last updated 10 months ago
Two surgeons at Methodist Sugar Land Hospital recently performed Fort Bend County’s first ultrasound accelerated thrombolysis procedure, a faster and more effective method of treating blood clots related to deep venous thrombosis, or DVT.
Vascular surgeon, Imran Mohiuddin, M.D. and cardiothoracic surgeon, Uttam Tripathy, M.D., used the new EKOS drug delivery catheter with ultrasound transducers to directly administer clot-dissolving medication and perfuse the drug deep into the patient’s blood clot.
“It’s not unusual for patients with a dangerous blood clot to present at the emergency room in severe pain and in need of immediate treatment,” says Dr. Mohiuddin. “In the past, the medications used to dissolve the clot could take hours or even days to work. The EKOS system allows us to deliver clot-busting drugs directly into the clot itself, reducing the amount of time the patient is in pain and eliminating potentially harmful impacts.”
DVT is the major cause of massive pulmonary embolism, which results in about 60,000 deaths each year in the U.S. In addition, as many as 70% of the estimated 600,000 new cases of DVT that develop each year will lead to post-thrombotic syndrome, which causes permanent debilitating damage in the affected veins and valves.
Most cases of DVT occur in patients who have recently had surgery, broken limbs, cancer or history of a heart attack, stroke or congestive heart therapy. In rare cases, DVT can be caused by long periods of sitting. Clots related to DVT usually form in the leg or pelvis but sometimes occur in the arm or chest. Symptoms include redness or skin discoloration, calf or leg pain or tenderness, especially when walking or standing; swelling of the affected body part; a sensation of warmth; or leg fatigue.
For Ms. Omar Williams, a school teacher from Dallas, EKOS was a life-saver. Williams, 62, was in Sugar Land visiting family members when she began having severe chest pain that affected her ability to walk or even talk. When she arrived at Methodist Sugar Land Hospital, the Emergency Department staff confirmed that she had suffered a pulmonary embolism, and Dr. Tripathy was called in to perform the EKOS procedure.
“My story is a miracle,” Williams said. “The doctors in the Emergency Department told me that if I had waited another hour or so, I might not be alive today. But I like to think I was blessed to have an angel working through Dr. Tripathy’s hands to save my life.”
“The EKOS system gives us an effective tool to treat patients who are in extreme distress and in danger of suffering a dangerous embolism,” says Dr. Tripathy. “The catheter allows us to reach the clot directly through the vein and the ultrasound energy ensures that the drug is diffused evenly, dissolving the fibrin strands that create clots and allowing blood to flow. This delivery system represents a major step forward in the treatment of this serious health risk and in certain cases of pulmonary embolism, can be life-saving.”
For more information or to schedule an appointment with Dr. Tripathy, Dr. Mohiuddin or another cardiothoracic or vascular surgeon in your area, please call the Methodist Sugar Land Hospital physician referral line at 281-274-7500.
Uttam Tripathy, M.D. and patient, Ms. Omar Williams