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Twice Success BETHANY LILES and her mother, PAULA, have lost a total of 199 pounds after weight loss surgery PAGE 6 REAL PATIENTS. REAL STORIES. the Health Baylor November 2011 FIGHT BACK AGAINST CANCER New tools are aiding in the battle against cancer page 3 STOP THE PAIN Robotic hysterectomy puts an end to painful periods page 2 IRVING EDITION Visit BaylorHealth.com/ Irving for informative videos, interactive quizzes, online event registration, and much more.

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TwiceSuccess

Bethany LiLes and her mother, PauLa, have lost a total of 199 pounds after weight loss surgerypage 6

Real Patients. Real stories.

the

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

FIGHT BaCK aGaINST CaNCeRnew tools are aiding in the battle against cancer page 3

STop THe paINrobotic hysterectomy puts an end to painful periods page 2

IRvING edITIoN

Visit BaylorHealth.com/ Irving for informative videos, interactive quizzes, online event registration, and much more.

FdBL111105_Irving.indd 1 9/13/11 7:38 AM

For Heather Fortenbury, painful periods lasting several weeks every month were forcing her to miss both sleep and work. She tried an endometrial ablation, but the pain

didn’t subside.She learned she was a candidate for a hysterectomy with

the da Vinci™ Surgical System at Baylor Medical Center at Irving. This robotic-assisted, minimally invasive surgery involves less pain, small incisions the size of a grain of rice, shorter hospital stays and faster recovery times compared with other hysterectomies.

After having the surgery, she was back at home the next day, shopping and going to a movie with her children a week later. “Thanks to robotic hysterectomy at Baylor Irving, I’m living a wonderful, pain-free life,” she says.

Kevin O’Neil, M.D., an obstetrician/gynecologist on the medical staff at Baylor Irving, says, “Women put up with mis-erable periods because they can’t take eight weeks off from work, school or their family. Now they can be back to full speed within a couple of weeks.”

He also notes that women who have the da Vinci hysterec-tomy report less pain than women who have minimally invasive

Baylor Medical Center at Irving 1901 N. MacArthur Blvd. Irving, TX 75061 • 972-579-8100

Baylor Health Center at Irving Coppell 400 W. Interstate 635 at MacArthur Blvd. Irving, TX 75063 • 972-785-5500

President: Cindy Schamp

Marketing Director: Grant Farrimond

Main Switchboard: 972-579-8100

Patient Information: 972-579-4358

Physician Referral: 1-800-4BAYLOR (1-800-422-9567)

Irving Cancer Center: 972-579-4300

Irving Women’s Pavilion of Health: 972-579-8240

Irving Imaging Centers (Mammography): 2001 N. MacArthur Blvd., Suite 250 972-254-1616 440 W. Interstate Hwy. 635, Suite 120A 972-785-5650 2740 N. State Hwy. 360, Suite 200 972-579-4480

24-Hour Emergency Department: 972-579-8110

Human Resources Job Line: 972-579-8750

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 Medical Center at Irving services, upcoming events, physician referrals, career opportunities and more.

BaylorHealth is published six times a year by McMurry. © 2011 Baylor Health Care System.

The material in BaylorHealth is not intended for diagnosing or prescribing. Consult your physician before undertaking 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 Medical Center at Irving, Baylor Health Center at Irving Coppell 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, Marketing Department, 2001 Bryan St., Suite 750, Dallas, TX 75201, or email the information to [email protected].

YOU HAVE OPTIONS

Say Goodbye to Monthly MiseryFor more information about Baylor Irving’s new da Vinci tech-nology, or to make an appointment with a physician on the medical staff, please call 1-800-4BAYLOR or make a request online at BaylorHealth.com.

vaginal hysterectomy. He says there’s less manipulation of the organs with the da Vinci procedure, which likely leads to less pain.

The da Vinci’s 3-D, high-definition cameras offer 10x magnifi-cation. So surgeons can see even better than they could with an open incision. “I can see things I wouldn’t have seen otherwise,” Dr. O’Neil says. “I sometimes see adhesions, I can evaluate the ovaries a lot better, and I can see the upper abdomen.”

Along with hysterectomy, the surgeons on the medical staff at Baylor Irving can use the da Vinci technology to repair a pro-lapsed vagina and treat endometriosis. l By Stephanie Thurrott

Fighting the Pain of PeriodsNew surgery reduces pain, recovery time for hysterectomy

2 BaylorHealth November 2011 l BaylorHealth.com/Irving Cover portrait by John Derryberry

FdBL111105_Irving.indd 2 9/13/11 7:39 AM

Thanks to new equipment at Baylor Medical Center at Irving, patients now have additional options for

fighting cancer. “As our cancer program continues to mature, we want to offer a broader scope of practices. These advanced technologies allow us to do that,” says Ed Clifford, M.D., a surgeon on the medical staff at Baylor Medical Center at Irving and medical director of Baylor Irving’s oncology program.

The new equipment includes:

l Image guided radiation therapy (IGRT), which helps doctors deliver radiation more accurately. Traditionally, pretreatment X-rays were taken on film

NewToolsAiding in the fightagainst cancer

MAKE THE CALL

Find Out How Baylor’s Technology Can Help YouFor more information about cancer treatment services at Baylor Irving or to schedule an appointment, please call 1-800-4BAYLOR today.

and processed in a different room, which could take up to 10 minutes. “In that time, the patient might shift slightly, reducing the treatment’s accuracy,” says Anand Shivnani, M.D., a radiation oncologist on the medical staff at Baylor Medical Center at Irving.

With IGRT, doctors can see images at the bedside, reducing margins and

CHECK IT OuTEarly detection can often help find cancer when it’s most treat-able. Get the recommended screening tests and up your odds of beating cancer if it’s found. Depending on your age and health history, your doctor may check for signs of thyroid, oral cavity, skin, lymph nodes, testicular or ovarian cancer during your regular physical.

Talk to your doctor about when and how often you should have these additional screening tests:

Womenl �Mammogram and clinical

breast examl �Pap smear (for cervical cancer)

Menl Prostate exam

Bothl Colonoscopy

decreasing side effects. In addition, IGRT uses a cone-beam CT scan, which provides 3-D images.

l Stereotactic body radiation therapy (SBRT), a complementary technology to IGRT, which delivers a very high dose of radiation in one to five treatments to fight certain small tumors.

l Positron emission tomography (PET) scans, which are now available five days a week at Baylor Irving, with a machine in the radiology depart- ment replacing a mobile scanner. PET scans help diagnose and track a tumor’s response to cancer treatment. l By Stephanie Thurrott

BaylorHealth.com/Irving l November 2011 BaylorHealth 3

FdBL111105_Irving.indd 3 9/19/11 1:59 PM

Sleep disorders can sneak up on you. “People don’t real-ize how tired they are. It’s common after treatment for people to say, ‘I’d forgotten what it feels like to get a good

night’s sleep. I feel like a teenager,’ ” says Neil Williams, M.D., a board-certified ear, nose and throat/sleep medicine specialist on the medical staff at Baylor Medical Center at Irving.

Common signs of sleep problems are:l �Waking up not feeling refreshedl �Daytime sleepinessl �Frequent nighttime awakenings

“Sleep studies tell us objectively whether a problem exists or not, and if it exists, tell us how severe the problem is,” Dr. Williams says.

The Baylor Irving Sleep Center can help diagnose:l �Sleep apneal �Narcolepsyl �Periodic limb movement disorderl �Parasomniasl �Nocturnal seizuresl �REM behavior disorder

“Sleep is important in maintaining our daytime health and long-term health,” Dr. Williams says. “If you suspect a sleep problem see your doctor sooner rather than later.” l By Stephanie Thurrott

REST UP!

Learn How to Get the Sleep You NeedMake an appointment at the Sleep Center at the Baylor Health Center Irving-Coppell by calling 1-800-4BAYLOR today.

The Struggle for SleepTired all day after sleeping all night? You may need a sleep study

HOw wELL ARE YOU SLEEPiNG?Y N Do you feel sleepy during the day?

Y N Do you have a hard time concentrating during the day?

Y N Do you snore loudly or gasp for breath during your sleep?

Y N Do you have morning headaches or leg pain at night?

Y N Do you have trouble falling or staying asleep?

If you answered yes to any of these questions, you may be suffering from a sleep disorder.

U.S.News Recognizes Baylor Irving for Second Straight YearBaylor Medical Center at Irving was listed in U.S.News & World Report’s 2011–12 Dallas-Fort Worth Metro rank-ings. Baylor Irving is the only medical center in Irving, Las Colinas, Coppell and Grand Prairie to receive this recognition for the second consecutive time.

The rankings showcase 720 hospitals out of about 5,000 nationwide. Each is ranked among the country’s top hospitals in at least one medical specialty and/or ranked among the best hospitals in its metro area.

“Baylor Medical Center at Irving is dedicated to improv-ing the health and wellness of the many diverse communi-ties we serve,” says Cindy Schamp, Baylor Irving president. “Being named in the U.S.News & World Report’s Dallas Metro Rankings validates our commitment to providing safe, quality, compassionate care. At Baylor Irving, we put our patients at the center of all we do and this recognition demonstrates this continued focus.”

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.” 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 Reifsnyder4 BaylorHealth November 2011 l BaylorHealth.com/Irving

FdBL111105_Irving.indd 4 9/13/11 7:40 AM

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

Beating DiabetesA diabetes diagnosis can be over-whelming, but with the right informa-tion you can be in control. Sherry Marks, a diabetes educator at Baylor Medical Center at Irving, says the fi ve-session program off ered at the hospital, which is recommended by the American Diabetes Association, can help you reduce health problems down the road. The classes cover:� The physiology of diabetes� Nutrition, including meal planning,

weight loss and blood sugar control� Eating out� Exercise� Acute complications

If you’ve been diagnosed with diabetes and would like to attend the classes, ask your physician for a referral. You’re encouraged to bring a family member or friend to the classes with you.

Marks stresses the importance of learning how to best control

diabetes. “I have people who have had diabetes for 10 years who wish they took advantage of

this when it was off ered to them,” she says. “If your doctor doesn’t

mention it, ask. People don’t know that there is a specialty education

program for diabetes right here in the Irving community.”

The classes are off ered on Tuesday nights for fi ve weeks, or on Saturdays for

two to three weeks. Classes are also available one-on-one for people with physical prob-lems or language barriers.

GET EDUCATED

Learn How to Manage DiabetesCall 1-800-4BAYLOR for more information about diabetes classes available at Baylor Irving.

BaylorHealth.com/Irving � November 2011 BaylorHealth 7

FdBL111105_Irving.indd 7 9/19/11 3:08 PM

Baylor Health Care System 2001 Bryan Street, Suite 750 Marketing Department Dallas, TX 75201

NON-PROFIT ORG.US POSTAGE

PAIDBAYLOR HEALTH

See how Baylor Medical Center at Irving

is improving the lives of our patients and

the future plans to continue delivering

advanced medicine for the Irving, Las

Colinas, Valley Ranch, Coppell and Grand

Prairie communities. Watch our patient

videos and listen to reports from our

President and physician leaders.

REAL PAT IENTS. REAL STORIES.

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 Medical Center at Irving or Baylor Health Care System. ©2011 Baylor Health Care System. BMCIRV 351_AB- redesign 09/11

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