November 2011 Baylor foRt woRth edition...

Weight Is Over

Weight loss surgery helped Diana Golestani lose

110 pounds—and regain her life

page 6

Real Patients. Real stories.

Her

HealthBaylorN o v e m b e r 2 0 1 1

SuppoRt SyStemProject niCU aids and educates parents of preemies page 3

foRt woRth edition

Visit Baylorhealth.com/ allSaints or Baylorhealth.com/ Southwest for informative videos, interactive quizzes, online event registration and much more.

FdBL111108_AllSaints.indd 1 9/14/11 2:14 PM

An Outpatient AnswerBehavioral and mental health program allows you to get on with your life

Behavioral and mental health problems may very well be the last taboo health subjects to

discuss. Friends will tell you about their colonoscopies or give details about childbirth, and yet, behavioral and mental health issues are whispered.

But just because people don’t talk about them doesn’t mean they aren’t real. Anyone can be affected—parents, executives, young, old, wealthy, poor. The important fact to know is that there is help. Baylor All Saints Medical Center at Fort Worth offers an intensive outpatient program that allows participants the time and freedom to work, care for their families and go on with their daily lives.

Whom We TreatThe program treats individuals who have depression, anxiety, abuse issues, excessive anger and compulsion. A specialized intensive outpatient program treats those battling addiction.

There are two kinds of programs depending on the clinical need of the patient. They can be assigned to a three-hour or a six-hour program. Sessions run Monday through Friday,

Baylor All Saints Medical Center at Fort Worth 1400 Eighth Ave., Fort Worth, TX 76104 817-926-2544Baylor Medical Center at Southwest Fort Worth* 7100 Oakmont Blvd., Fort Worth, TX 76132 817-346-5700*Baylor Southwest is a hospital location of Baylor All Saints Medical Center.Marketing/Public Relations Director: Sunny DrenikAll Saints Imaging Center: 817-922-7780All Saints Health Foundation: 817-922-7707Behavioral Health Services: 817-922-1162 Carter Rehabilitation & Fitness Center: 817-922-1139Diabetes Center: 817-922-1794Lymphedema Center: 817-922-2530

Neuroscience Program: 817-922-2385Pain Management Program: 817-922-PAINTransplantation Services: 817-922-4650Volunteer Services: 817-922-2376Wound Management Program: 817-922-2430

Baylor Health Care System Mission: Founded as a Christian ministry of healing, Baylor Health Care System exists to serve all people through exemplary health care, education, research and community service.

Visit BaylorHealth.com or call 1-800-4BAYLOR for information about Baylor All Saints Medical Center services, upcoming events, physician referrals, career opportunities and more.

BaylorHealth is published six times a year for friends and supporters of Baylor All Saints

Medical Centers and is distributed by the Marketing Department of Baylor All Saints Medical Centers.

BaylorHealth is published by McMurry. © 2011 Baylor Health Care System.The material in BaylorHealth is not intended for diagnosing or prescribing. Consult your physician before under taking any form of medical treatment or adopting any exercise program or dietary guidelines.

Physicians are members of the medical staff at one of Baylor Health Care System’s subsidiary, community or affiliated medical centers and are neither employees nor agents of those medical centers, Baylor All Saints Medical Centers or Baylor Health Care System.

Photographs may include models or actors and may not represent actual patients.

If you are receiving multiple copies, need to change your mailing address or do not wish to receive this publication, please send your mailing label(s) and the updated information to Robin Vogel, Baylor Health Care System, 2001 Bryan St., Suite 750, Dallas, TX 75201, or by email to [email protected].

FIND THe RIgHT FIT

Is Outpatient Therapy for You?To learn more about the behavioral health outpatient services at Baylor Fort Worth, call 1-800-4BAYLOR or visit BaylorHealth.com/AllSaintsBehavioralHealth.

plus there’s therapy for family and friends once a week.

“Patients can be referred by a doctor, a family member or by oneself,” says Jhansi Raj, M.D., clinical director of the behavioral health outpatient program and a psychiatrist and addiction specialist on the medical staff at Baylor Fort Worth. “Every patient is screened by a counselor and a physician to make sure he or she meets the criteria and is safe and stable enough for our level of care.”

How It WorksSessions include intensive psychotherapy, but patients also participate in activity

therapy and meet with a doctor on a weekly basis. “That is the uniqueness of our program—other programs in the area don’t have physician involvement,” Dr. Raj says. “We come together to treat the patient with medication and therapy. It means better outcomes and can help prevent regression and hospitalization.”

Patients typically participate in the program for three to four weeks. “After that, they move to less-intensive care,” she says. “They follow up with individual counseling, depending on clinical need, and then work with their primary care physician for medication management.” l By Shelley Flannery

2 BaylorHealth November 2011 l Be a healthier you! Visit us at BaylorHealth.com/AllSaints Cover portrait by John Derryberry. Women ©Photoshot

FdBL111108_AllSaints.indd 2 9/15/11 8:37 AM

Most moms-to-be get a full 39 or 40 weeks to prepare for baby. But some, like Shannon Crosby, 40, get fewer. She delivered twins Connor and Cade at just

32 weeks. And at 4 pounds, 4 ounces and 3 pounds, 15 ounces, respectively, the boys had to stay in the neonatal intensive care unit (NICU) at Baylor All Saints Medical Center’s Andrews Women’s Hospital for more than a month.

The experience was overwhelming, Shannon says. “But then, Portia Belo approached us about Project NICU.” Belo is the program facilitator for Project NICU.

The program, part of the NICU Helping Hands Foundation and available only at Baylor Fort Worth’s Andrews Women’s Hospital, “is a family support program used in the NICU and antepartum unit as an extension of our services,” says Janice Whitmire, administrator of Baylor Fort Worth’s Andrews Women’s Hospital. “It helps educate and support new parents.”

Support for the Whole FamilyParenting a preemie in the NICU isn’t like taking a full-term baby home. “There’s often a feeling of lack of control,” says Lisa Grubbs, president of the NICU Helping Hands Foundation. “Project NICU gives parents control through education. We offer peer-led support groups, and classes led by physicians and hospital staff covering all aspects of infant development.”

Shannon says the hardest part of her experience was dealing with the guilt of spending so much time at the hospital and being away from her husband, Craig, and her older son, Cole, who’s 3. “I felt guilty no matter where I was. I always felt like

I was neglecting one to spend time with the other,” she says. Fortunately, the program helped with that, too. “Just having someone to talk to really lifted my spirits.”

Project NICU even helps siblings adjust. “Siblings often feel excluded and confused,” Grubbs says. “Our sibling classes explain why their baby can’t come home yet.” At the end, they make a “rice baby”—a rice-filled sock that weighs what their brother or sister weighed at birth. “Having a tangible item to take home helps start the bonding process for the sibling,” she says.

A SuccessWhitmire says the program has gotten great response. “It provides another set of hands for our staff, and ensures our families are getting their emotional and spiritual needs met.”

Craig agrees. “The support we had in the NICU definitely made a difference. It made an absolutely overwhelming situation a little easier.”

“If you can say a stay in the NICU was a great experience, this one was,” Shannon adds. l By Shelley Flannery

Project NICUNew program educates and supports parents of preemies

For PareNts-to-Be

are You expecting?Learn more about the NICU services at Baylor Fort Worth’s Andrews Women’s Hospital by visiting BaylorHealth.com/allsaintsNICU. For information about Project NICU and the NICU Helping Hands Foundation, call Lisa Grubbs at 817-584-1437.

For a physician referral, visit FindDrRight.com l November 2011 BaylorHealth 3©Photoshot


Is It the Flu?

Identifying infl uenza can be tough, but

knowing can help you recover faster

PROTECT YOURSELF

Call for a Flu Shot TodayThe best way to guard against the fl u is to get vaccinated. Call your doctor to get a fl u shot. Don’t have a physician? Call 1-800-4BAYLOR for a referral or visit FindDrRight.com.

You may have heard how much it costs to bring a new medicine or medical advance to the public, and it’s true. As these innovations are in

development, the ideas—also known as intellectual property—are patented so no one else can claim them as their own.

Baylor Research Institute (BRI) is currently working on hundreds of novel inventions, and is securing patent protection for the intellectual property and research developments that go into them.

“The kind of innovation we do involves an expensive development process, which no one would fund without a guarantee that their innovation is protected for at least a period of time,” says Bernard Brigonnet, chief operating offi cer of BRI. “And without that, our innovations would have no chance of ever reaching the marketplace and patients.”

Research PortfolioThe innovations Brigonnet refers to include therapeutics, diagnostics and medical devices that encompass a wide range of research areas. Right now, BRI has a master portfolio of over 590 issued and pending patents. These span more than 97 patent families related to cancer, diabetes, organ transplantation and immunology, to name just a few areas of research.

In addition to supporting BRI’s mission—to translate medicine from the research bench to the bedside—BRI’s commitment to patent protection could lead to more opportunities to innovate.

“The goal is to form partnerships with companies or start up new companies and develop these

innovations into FDA-approved products that can reach the whole community,” says Irene Rombel, Ph.D., MBA, managing director of Biomedical Intelligence LLC, one of the experts BRI is working with on patent protection.

“No one in the industry will give you a second look if you don’t have intellectual property protection on a drug you’re developing,” adds Karen Lowney, senior staff attorney at Hunton & Williams LLP, another expert working with BRI.

Instilling Confi denceBrigonnet says he considers BRI’s intellectual property protection strategy essential to the work of its researchers. What’s more, the confi dence that patent protection inspires in investors may help BRI with another goal: being a self-funding research entity.

“Clearly, intellectual property is the name of the game for us,” Brigonnet says. “If it can help us fund more research in the future, so be it. But fi rst and foremost, the goal is to give our innovations the protection they need to someday be made available to patients.” � By Amy Lynn Smith

DID YOU KNOW?

Baylor Research Institute

has a master

portfolio of over

590pending

and issued patents

spanning more than 97 patent

families.

RESEARCH AT BAYLOR

Are You a Candidate for

a Clinical Trial?To learn more about research trials at Baylor that are seeking participants, visit BaylorHealth.com/AdvancingMedicine.

Protecting InnovationBaylor secures patents for intellectual property

Illustration by Scotty Reifsnyder4 BaylorHealth November 2011 � Sick? Click. Visit BaylorHealth.com/AllSaints Man ©Photoshot

COLD AND FLU PREVENTION TIPS� Wash your hands frequently

and keep hands away from your eyes, nose and mouth.

� Use hand sanitizer when hand washing isn’t possible.

� Avoid contact with those who are ill.

� Eat a healthy diet rich in fruits, vegetables and whole grains.

� Exercise regularly.� Get plenty of sleep.

It’s one of those age-old questions, just like soup or salad? Beach or mountains? Is it a cold or is it the fl u?

Both are prevalent in winter. “People get less exposure to the sun in colder temperatures and have more human-to-human contact in confi ned spaces inside,” says Dana Wingate, D.O., medical director of the Baylor Medical Center at Southwest Fort Worth emergency department.

But sick is sick, right? Does it matter if it’s a cold or the fl u? Yes, Dr. Wingate says. “Either could lead to a secondary infection due to the stress on your immune system,” she says. “But the fl u is more likely to lead to complications, such as pneumonia or other respiratory infections.”

How Do You Know?Both colds and the fl u share many symptoms, including coughing, sneezing, headache, nasal congestion and fever. Colds tend to last a week or less and bring on lower-grade fevers than the fl u, which often lasts much longer—10 to 14 days.

But the main diff erence between colds and the fl u is severity at onset. “The fl u hits you hard and fast,” Dr. Wingate says. And it tends to aff ect your whole body with aches and overall fatigue.

What Can You Do?If it’s a cold, rest up, take over-the-counter medications to lessen the symptoms and let it run its course. But with the fl u, Dr. Wingate recommends seeing your doctor within the fi rst two or three days. He or she can prescribe an antiviral medication. It won’t cure you, but it can shorten the length of illness and prevent complications.

If you develop signs of pneumonia—shortness of breath or pain when taking a deep breath—or an earache, see your doctor again right away. �

By Shelley Flannery


You may have heard how much it costs to bring a new medicine or medical advance to the public, and it’s true. As these innovations are in

development, the ideas—also known as intellectual property—are patented so no one else can claim them as their own.

Baylor Research Institute (BRI) is currently working on hundreds of novel inventions, and is securing patent protection for the intellectual property and research developments that go into them.

“The kind of innovation we do involves an expensive development process, which no one would fund without a guarantee that their innovation is protected for at least a period of time,” says Bernard Brigonnet, chief operating officer of BRI. “And without that, our innovations would have no chance of ever reaching the marketplace and patients.”

Research PortfolioThe innovations Brigonnet refers to include therapeutics, diagnostics and medical devices that encompass a wide range of research areas. Right now, BRI has a master portfolio of over 590 issued and pending patents. These span more than 97 patent families related to cancer, diabetes, organ transplantation and immunology, to name just a few areas of research.

In addition to supporting BRI’s mission—to translate medicine from the research bench to the bedside—BRI’s commitment to patent protection could lead to more opportunities to innovate.

“The goal is to form partnerships with companies or start up new companies and develop these

innovations into FDA-approved products that can reach the whole community,” says Irene Rombel, Ph.D., MBA, managing director of Biomedical Intelligence LLC, one of the experts BRI is working with on patent protection.

“No one in the industry will give you a second look if you don’t have intellectual property protection on a drug you’re developing,” adds Karen Lowney, senior staff attorney at Hunton & Williams LLP, another expert working with BRI.

Instilling ConfidenceBrigonnet says he considers BRI’s intellectual property protection strategy essential to the work of its researchers. What’s more, the confidence that patent protection inspires in investors may help BRI with another goal: being a self-funding research entity.

“Clearly, intellectual property is the name of the game for us,” Brigonnet says. “If it can help us fund more research in the future, so be it. But first and foremost, the goal is to give our innovations the protection they need to someday be made available to patients.” l By Amy Lynn Smith

did you know?

Baylor Research Institute

has a master

portfolio of over

590pending

and issued patents

spanning more than 97 patent

families.

ReseaRch at BayloR

are you a candidate for

a clinical trial?To learn more about research trials at Baylor that are seeking participants, visit Baylorhealth.com/advancingMedicine.

Protecting innovationBaylor secures patents for intellectual property

Illustration by Scotty Reifsnyder BaylorHealth.com l November 2011 BaylorHealth 5

FdBL111100_05_System.indd 5 9/13/11 1:20 PM

Is Weight Loss Surgery the

Answer?Diet and exercise don’t always solve the problem By Stephanie Thurrott

Diana Golestani, 48, of Arlington, battled obesity for more than 20 years. She started gaining weight in high school, peaking at 175 pounds before graduation. Since then, her

weight has averaged 250 pounds. “At one point I was able to lose 60 pounds because I have some discipline and healthy eating

habits,” she says. “But I could not stay at one weight.”After having weight loss surgery in 2010, she’s now 110

pounds lighter. And even though she travels a lot, she doesn’t let that interfere with her success.

“Recently we stayed with family in Iran. I could watch my portions, but I wasn’t in control of what

I ate,” she says. “And it was very hot, but when it cooled off I tried to do some walking.”

To compensate, when she returns home she relaunches her healthy lifestyle, restocking her fridge and pantry with the foods she needs and

easing back into her exercise routine.

Like Mother, Like DaughterLike Golestani, Bethany Liles, 21, of Midlothian,

always struggled with her weight. But her high school softball workouts helped keep the extra pounds in check. That changed when a fractured

back sidelined her exercise.Her mother, Paula Liles, 42, had long struggled

with weight, too. “I had tried all kinds of diets. I lost 30 pounds on my own, but then I hit a brick wall. I tried Zumba and loved it, but still could not get the weight off ,” she says.

Her weight peaked in 2010 at 293 pounds. Bethany was 235 pounds. Then the two decided to have weight loss surgery.

“It was a great support system. We knew exactly what the other was going through,” Bethany says.

WATCH THE VIDEO

See Diana’s StoryTo hear more about Diana Golestani’s success with weight loss surgery, watch her story at BaylorHealth.com/MyStory.

Diana Golestani has lost 110 pounds since

having weight loss surgery in 2010.

Portraits of Diana, Bethany and Paula by John Derryberry

FdBL111100_06-7_System.indd 6 9/12/11 4:28 PM

And both women are seeing incredible results. In September, Bethany weighed 157 pounds and expects to reach her goal of 125 pounds. Paula’s goal is 152 pounds and she was well on her way in September at 172 pounds.

The Power of Weight Loss Surgery“Weight loss surgery can improve your quality of life and extend your life expectancy,” says Andre Graham, M.D., a bariatric surgeon on the medical staff at Baylor Medical Center at Waxahachie.

Obesity is linked with high cholesterol and triglycerides, high blood pressure, heart disease, diabetes, sleep apnea, menstrual irregularities, refl ux, incontinence, depression, and back and joint pain.

Golestani was prediabetic before her surgery, which scared her since her brother lost part of his foot to complications from diabetes. Now, her prediabetes has cleared and her doctors say she’s unlikely to develop diabetes.

“For every pound you lose, you gain days of life,” says Sina Matin, M.D., a weight loss surgeon on the medical staff at Baylor Regional Medical Center at Grapevine.

People with a body mass index (BMI) of 35 or more and people with a BMI of 30 or more with other health problems may be candidates for weight loss surgery. For most, this translates to being overweight by 75 to 100 pounds or more.

Surgical Solutions“Diet alone is usually not eff ective for long-term weight loss,” says Matthew V. Westmoreland, M.D., a surgeon on the medical staff at Baylor Regional Medical Center at Plano.

While weight loss surgery is not a magic bullet, it is an eff ective tool that can help people who haven’t been able to lose weight through diet and exercise. If you decide to undergo weight loss surgery, you’ll likely have three options.

GASTRIC BYPASS is the oldest, most established surgical procedure. During this surgery, doctors staple your stomach and attach it to the small intestine in a way that limits the number of calories that are absorbed.

With a SLEEVE GASTRECTOMY, your stomach is stapled to make a small pouch while the connection between the stomach and small intestine is unchanged.

The GASTRIC BAND is an infl atable strap placed around your stomach to make you feel full sooner.

All the procedures have their pluses and minuses, and your doctor can recommend the best one for you.

“So many people think surgery is dangerous and you shouldn’t do it until everything else had failed,” says Frank Felts, M.D., a bariatric surgeon on the medical staff at Baylor Medical Center at Carrollton. “Weight loss surgery needs to be considered frontline, mainstream treatment for weight loss.” �

TAKE OUR QUIZ

Are You a Candidate? To fi nd out if you may be a candidate for weight loss surgery, take our quiz at BaylorHealth.com/HealthCast.

Bethany Liles and her mom, Paula, both had weight loss surgery and, so far, have lost a

combined total of 199 pounds.

Is Weight Loss Surgery the

Answer?Diet and exercise don’t always solve the problem By Stephanie Thurrott

Diana Golestani, 48, of Arlington, battled obesity for more than 20 years. She started gaining weight in high school, peaking at 175 pounds before graduation. Since then, her

weight has averaged 250 pounds. “At one point I was able to lose 60 pounds because I have some discipline and healthy eating

habits,” she says. “But I could not stay at one weight.”After having weight loss surgery in 2010, she’s now 110

pounds lighter. And even though she travels a lot, she doesn’t let that interfere with her success.

“Recently we stayed with family in Iran. I could watch my portions, but I wasn’t in control of what

I ate,” she says. “And it was very hot, but when it cooled off I tried to do some walking.”

To compensate, when she returns home she relaunches her healthy lifestyle, restocking her fridge and pantry with the foods she needs and

easing back into her exercise routine.

Like Mother, Like DaughterLike Golestani, Bethany Liles, 21, of Midlothian,

always struggled with her weight. But her high school softball workouts helped keep the extra pounds in check. That changed when a fractured

back sidelined her exercise.Her mother, Paula Liles, 42, had long struggled

with weight, too. “I had tried all kinds of diets. I lost 30 pounds on my own, but then I hit a brick wall. I tried Zumba and loved it, but still could not get the weight off ,” she says.

Her weight peaked in 2010 at 293 pounds. Bethany was 235 pounds. Then the two decided to have weight loss surgery.

“It was a great support system. We knew exactly what the other was going through,” Bethany says.

WATCH THE VIDEO

See Diana’s StoryTo hear more about Diana Golestani’s success with weight loss surgery, watch her story at BaylorHealth.com/MyStory.

Diana Golestani has lost 110 pounds since

having weight loss surgery in 2010.

Portraits of Diana, Bethany and Paula by John Derryberry

Exercise Your Way to Better HealthDid you know that the eff ects of exercise are so powerful in preventing and treating disease that some doctors are actually prescribing it? It’s true, and you can get in on the benefi ts right here at Baylor All Saints Medical Center at Fort Worth.

The program is called Exercise is Medicine, and it’s a national initiative by the American College of Sports Medicine and the American Medical Association. Available at Baylor Fort Worth’s Carter Rehabilitation and Fitness Center, the program’s goals are to:� Keep patients healthier through

physical activity� Monitor exercise and vital health signs� Identify changes in health and

address problems early� Decrease hospital readmission rates

After participants are evaluated, a medical history is taken. Then

a team of clinicians, exercise physiologists and other health professionals builds a customized

exercise plan for you. As a participant, you’ll have

access to:� Instructor-led classes, including

water and land aerobics� Cardiorespiratory and

resistance training with an indoor track and fi tness equipment

� Education classes on stress management, nutritional counseling and moreYour doctor will be

informed of your progress and consulted along the way. � By Shelley Flannery

LEARN MORE

Get Moving TodayTo sign up for Exercise is Medicine, talk to your physician, call 1-800-4BAYLOR or visit BaylorHealth.com/AllSaintsFitness.

BaylorHealth.com � November 2011 BaylorHealth 7


Baylor All Saints Medical Center P.O. Box 31 Fort Worth, TX 76101

NON-PROFIT ORG.US POSTAGE

PAIDBAYLOR HEALTH

Kerri Chambers never suspected that her breathing difficulty and low energy level might be related to heart

disease. At Baylor All Saints Medical Center at Fort Worth, she went through a cardiac evaluation as part of her

routine physical. The results showed blockages in three major arteries. At Baylor Fort Worth, Kerri chose to have

stents inserted in the Catheterization (Cath) Lab rather than have cardiac bypass surgery. “The Cath Lab team

was wonderful. Even though it was a serious procedure, they made me feel really at ease and comfortable,”

she said. “They encouraged me the whole time, which really helped me through my recovery,” With her heart

function restored, Kerri is back to enjoying time with her family.

Thanks to Baylor I’m back to 100 percent.

Real Patients. Real stoRies.

“”

1400 Eighth Avenue, Fort Worth, TX 76104

For a physician referral or for more information about cardiovascular services, call 1.800.4BAYLOR or visit us online at BaylorHealth.com/AllSaintsWomensHeart.

Physicians are members of the medical staff at one of Baylor Health Care System’s subsidiary, community or affiliated medical centers and are neither employees nor agents of those medical centers, Baylor All Saints Medical Center at Fort Worth or Baylor Health Care System © 2011 Baylor Health Care System BASMCFW_669_2011 BHM CE 9.11

Free. Online. All the time.

At BaylorHealth.com/Exclusive you’ll find health information for you and your family you can’t get anywhere else, including:

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