Is it a stroke? Why you can trust us for fast, expert care Whole Texas Health Huguley, your partner for better health Fall 2023 Breast health: What women need to know We’re here for you Look inside for a chance to win an Amazon gift card
2 TexasHealthHuguley.org WHOLE HEALTH is published as a community service for the friends and patrons of TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH, 11801 South Freeway, Burleson, TX 76028, 817.293.9110, TexasHealthHuguley.org. Information in WHOLE HEALTH comes from a wide range of medical experts. It should not be considered or used as a substitute for medical advice, diagnosis or treatment. If you have any concerns or questions about specific content that may affect your health, please contact your healthcare provider. Models may be used in photos and illustrations. Doctors on the medical staffs practice independently and are not employees or agents of Texas Health hospitals or Texas Health Resources. 2023 © Texas Health Resources. 2023 © Coffey Communications, Inc. All rights reserved. Follow us on: On the cover: Mammographer Helen Ellebracht, RT(R)(M); Radiology Manager and Mammographer Lucinda Morton, RT(R)(M); Ultrasound Technologist Kimberly Montoya, RDMS; and Mammographer Sarah Mangrum, RT(R)(M), with a mammogram machine. Find the hidden cowboy boots Ready to win? Find the hidden cowboy boots in Whole Health, and you could win a $100 Amazon gift card! Once you find the hidden boots, scan the QR code or visit TexasHealthHuguley.org/Contest to submit your contest entry. All entries are due by Nov. 30, 2023. One entry per person. All correct entries will be placed into a drawing, and one winner will be selected. Must be 18 or older to enter. Texas Health Huguley team members and their immediate family members are not eligible to win. Your go-to community healthcare partner At Texas Health Huguley Hospital Fort Worth South, we are dedicated to providing the personalized care our patients need to feel whole. From personalized women’s care to a team of physicians readily available to put you first, this issue of Whole Health explores the different ways we work to provide you with the exceptional care you deserve. In addition to an inside look at our commitment to the community, I am excited for this magazine to share how our women’s team works to keep you healthy through every stage of life. Our team has a true passion for serving and caring for others, and I could not be prouder of the positive impact they have made in many lives throughout our community. Not only do we have a great team, but we have the privilege of being located in a great community. Thank you for choosing Texas Health Huguley as your go-to healthcare partner. We are honored to have been entrusted with your care. Sincerely, Penny Johnson President and CEO Our team has a true passion for serving and caring for others, and I could not be prouder of the positive impact they have made in many lives throughout our community.
Fall 2023 3 Award-winning stroke care Stroke program earns Silver Plus award Stroke is a leading cause of death and disability. In fact, for women in the United States, stroke is the fifth leading cause of death. And 1 in 5 women ages 55 to 75 will have a stroke. But with swift and proper care, the life-altering effects of stroke can often be reversed. “Early recognition and early treatment can give you the best chance at the outcome you hope for,” says Wendi S. Flake, RN, M.S.N., SCRN, Stroke Program Coordinator at Texas Health Huguley. The best possible outcome is a full recovery. That’s also the goal of the award-winning stroke team at Texas Health Huguley. In July, their stroke program earned the American Heart Association’s Get With the Guidelines–Stroke Silver Plus Quality Award. Earning excellence Achieving the Stroke Silver Plus Quality Award reflects the hospital’s commitment to following the latest treatment guidelines for providing excellence in care. To earn the award, Texas Health Huguley’s stroke team demonstrated at least 85% compliance with several best practices for managing stroke patients over a 12-month period. One example is quickly giving medications to dissolve the blood clots that cause most strokes, and a second example is discharging patients with medications to reduce their risk of another stroke. Texas Health Huguley is a primary stroke center The hospital is staffed and equipped to provide lifesaving care when someone is having a stroke. And they help stroke patients recover as well. The most common type of stroke is an ischemic stroke, which happens when a blocked blood vessel disrupts the brain’s blood supply. When this happens, brain cells start to die. This damage can leave a person paralyzed. That’s why the stroke team acts quickly. Within minutes of arriving at Texas Health Huguley, patients with suspected stroke are evaluated via 24/7 teleneurology. A neurologist reviews CT scans to determine if a patient qualifies for a clot-busting drug called tPA—short for tissue plasminogen activator—that helps restore blood flow to the brain. In addition to rapid treatments, people can receive follow-up care, such as physical and speech therapy. “You can get the stroke care you need in your own community,” Wendi says. “That’s why we are here.” T: Time to call 911. If a person has any of these symptoms, call 911 for help and tell them when the symptoms started. S: Speech difficulty. Is speech slurred or otherwise difficult to understand? A: Arm weakness. Is one arm weak or numb? Ask the person to raise both arms out to the sides, and take note if one arm drifts downward. F: Face drooping. Is one side of the face drooping or numb? Ask the person to smile—is the smile uneven? F A S T When a stroke strikes, minutes matter To know the signs of stroke, it helps to think F.A.S.T.:
4 TexasHealthHuguley.org Breast health We offer expert breast care About 1 in 8 women will be diagnosed with breast cancer in their lifetime. For many of these women, early detection is key to beating the disease. “Breast cancer is the most common cancer in U.S. women except for skin cancer,” says Raquel Robles, M.D., an OB-GYN at Texas Health Huguley. “It’s very common. But a woman is not always going to feel a lump or bump to alert her to something abnormal. That’s why we recommend mammograms.” A mammogram (an x-ray of the breast) can detect a breast lump when it’s still too small to be felt. That’s when treatment works best. Experts generally recommend annual mammograms for women starting at the age of 40. Total breast care The Breast Center at Texas Health Huguley is home to a wide range of services. This includes: ● 3D screening mammograms (for women who don’t have symptoms) ● Ultrasound tests and diagnostic mammograms (for women with breast lumps or those who need a follow-up test after an abnormal mammogram result) ● State-of-the-art biopsy procedures to check breast tissue for signs of cancer The team includes Azita Tadjali, M.D., a boardcertified radiologist who is fellowship-trained in breast imaging. “Dr. Tadjali is wonderful and passionate about what she does,” Dr. Robles says. “The center provides everything a woman would need for breast imaging and breast care.” For women diagnosed with breast cancer, a dedicated nurse navigator is readily available to guide them through their care with skill and compassion. Treatment options may vary based on whether the cancer has spread and your preferences. They may include surgery, radiation or chemotherapy. Other screenings for women To help ensure a healthy future, stay on top of recommended health screenings. A woman at average risk may need the following: ● Pap tests to screen for cervical cancer—starting at age 21 ● Colorectal cancer screening—starting at age 45 ● DEXA scan osteoporosis screenings—starting at age 65 Breast care you can count on Learn more about our breast care services and schedule your mammogram: TexasHealthHuguley.org/ Mammogram.
Fall 2023 5 Is it breast cancer? Know the possible signs and symptoms You’ve probably heard or read the statistic by now: About 1 in 8 women in the U.S. will be diagnosed with breast cancer during her lifetime. Treatments work best when breast cancer is caught early. That’s why it’s important to get screened regularly for the disease. It is recommended that women receive a mammogram annually starting at the age of 40. However, you may need additional or earlier testing if you have a family history of breast cancer or other abnormalities. Be on the lookout— and speak up Any changes to the look or feel of your breasts shouldn’t be ignored. Chances are, something other than cancer is the cause. But it’s always best to let your primary care provider know if you’re having any of the following possible signs or symptoms of breast cancer: ● A lump or thickening in or near a breast or in the underarm area ● A change in the size or shape of a breast ● A dimple or puckering in the skin of a breast ● A nipple that has turned inward or a sore near the nipple ● Fluid, other than breast milk or leaking from a nipple, especially if the fluid is bloody or leaks from only one breast ● Skin irritation or changes— such as puckering, dimpling, scaliness or new creases— anywhere on a breast, nipple or areola ● Dimples in a breast that look like the skin of an orange ● Pain in a breast, especially if the pain doesn’t go away Your provider will ask you how long and how often you’ve been experiencing these signs and symptoms. They’ll also examine your breasts. If necessary, they may take a sample of your blood and order tests like a mammogram, an ultrasound or a breast MRI. You may need a biopsy if the results of those tests suggest something suspicious. The thought of having breast cancer can be scary. But try to remember that other conditions can cause changes to your breasts. That’s why it’s always best to see your provider and get a diagnosis. Sources: American Cancer Society; American Society of Clinical Oncology; Centers for Disease Control and Prevention; National Cancer Institute Visit TexasHealthHuguley.org/ Providers to make an appointment with a specialist today.
6 TexasHealthHuguley.org Free gestational diabetes visits Creating better outcomes for moms and babies Have you heard of gestational diabetes? It’s a type of diabetes only pregnant women can get. And if it isn’t controlled, it can cause health problems for moms and their babies. Now, more women with this condition will receive the information and resources they need to manage the disease, thanks to a W.K. Kellogg Foundation grant. As part of the grant, pregnant women who are on Medicaid (or are uninsured) will receive free visits with a Diabetes Care and Education Specialist at the Texas Health Huguley Outpatient Diabetes and Nutrition Center. “We hope to see these patients many times throughout their pregnancy,” says Angela Hodges, Diabetes Center Manager. “We want them to have the best chance to have a great outcome.” Appointments will cover key steps such as: Doctors first check for gestational diabetes between the 24th and 28th weeks of pregnancy, says OB-GYN Raquel Robles, M.D. Gestational diabetes is a disease of high blood sugar. Getting that blood sugar under control can reduce the risk of many problems. Among them is having a very large baby (9 or more pounds). This can cause shoulder dystocia (when the baby’s shoulders get stuck during delivery). “We can perform different maneuvers to deliver the baby safely,” Dr. Robles says. “But that is an emergency we want to avoid by controlling gestational diabetes.” Babies can also be born with breathing problems or very low blood sugar. Having gestational diabetes can increase a woman’s risk of high blood pressure in pregnancy too. And it can put them at higher risk of getting type 2 diabetes after their baby is born. “Many women can control their blood sugar with diet and exercise alone,” Dr. Robles says. “But we also have medications we can use.” Women with gestational diabetes could meet with a Diabetes Care and Education Specialist as often as every week, says Deeann Powell, Diabetes Program Coordinator. “If they can keep their blood sugar under control and learn healthy lifestyle habits, they can lower their risk of birth and pregnancy complications and even reduce their increased risk of developing type 2 diabetes after the baby is born,” Deeann says. Connect with us Visit TexasHealthHuguley.org/ Diabetes to learn more about our diabetes care. If you have gestational diabetes, call 817.551.2706 to find out if you’re eligible for free visits with a diabetes educator. Checking blood sugar Being active Following a healthy eating plan
Making connections with our community Texas Health Huguley is here to serve—even beyond our hospital walls. That’s why we partner with organizations in our community to further our mission of extending the healing ministry of Christ. Here are just a few examples: Crazy8 Ministries. This organization helps people overcome poverty barriers. When we learned they needed someone to mow their eightacre campus, our leadership team showed up early one morning and got the job done. March for Meals. Each March, we partner with Meals on Wheels North Central Texas to deliver nutritious meals to Burleson seniors. March for Meals is an annual celebration of this vital program and the seniors it serves. Back-to-school bash. Our team collected school supplies for underserved communities. We then distributed those supplies in partnership with nonprofit organizations in the area. Food drives. We collect food for local pantries to help ensure that children who rely on school meals have something healthy to eat over the summer break. Our team is always excited for opportunities to serve outside our hospital, and we’re grateful to have community partners who share the same goals. “God is our ultimate leader, and that’s who we’re trying to follow as servants,” says Russ Weaver, Vice President of Mission and Community at Texas Health Huguley. Fall 2023 7 Prioritize your health Our primary care providers will see you now We have just what the doctor ordered: exceptional primary care close to home. Many providers to meet your needs Many different specialists—including family physicians, internal medicine doctors and pediatricians—offer primary care. Whether you choose a physician, nurse practitioner or physician assistant, a primary care provider (PCP) can help you maintain your best health possible now and in the future. We offer you: Preventive care. You don’t want health issues to sneak up on you. That’s why getting checkups and screenings is important, even if you feel fine and are in good health. Your PCP will monitor for hidden health problems, advise healthy choices and help you get the health screenings you need to stay well. Illness care. You can go to your PCP when you have a cough, sore throat or other minor illness that needs to be checked out. Your PCP can also help you manage various chronic conditions. Make an appointment To find your own primary care provider at Texas Health Huguley, visit TexasHealthHuguley.org/Providers and type “primary care” in the search box.
Nonprofit Org U.S. Postage PAID Walla Walla, WA Permit No. 44 11801 South Freeway Burleson, TX 76028-7021 Gain peace of mind Early detection is the best protection. Scan the QR code or visit TexasHealthHuguley.org/Mammo to schedule a mammogram today. Fall chopped salad with spinach, butternut squash, apples and cheddar Makes 8 servings. Total time: 30 minutes Ingredients 1 butternut squash (1½ pounds), peeled and diced into ½-inch pieces 2 cloves garlic, minced 3 tablespoons extra-virgin olive oil, divided ½ teaspoon salt, divided ½ teaspoon ground pepper, divided 2 tablespoons balsamic vinegar 1 teaspoon maple syrup 2 teaspoons Dijon mustard 8 cups baby spinach, roughly chopped 1 medium Honeycrisp apple, diced ½ cup sharp cheddar cheese, diced ½ cup toasted pecans, chopped Directions Step 1: Stir squash, garlic, 1 tablespoon oil, ¼ teaspoon salt and ¼ teaspoon pepper together in a large bowl. Spread mixture on a large baking sheet and roast, stirring once, at 400 degrees for 12 to 14 minutes or until tender. Step 2: While mixture is roasting, whisk the remaining 2 tablespoons of oil, vinegar, maple syrup, mustard, and remaining salt and pepper in the large bowl. Step 3: Add in spinach, roasted squash, apples, cheese and pecans to large bowl. Toss to coat, and enjoy! H
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