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Conceiving After Cancer THE OFFICIAL NEWS OF THE TEXAS MEDICAL CENTER — VOL. 3 / NO. 4 — MAY 2016 Conceiving After Cancer Integrating fertility preservation and cancer care INSIDE: THERAPEUTIC HORSEMANSHIP, P. 6 » NCAA ALL-STARS, P. 22 » THE PAINKILLER PARADOX, P. 24 Vistas DE SEVILLA 3 br, 3/1 ba, 2,120 ft² l Rice Military FROM THE $410’s 4131 Coleridge Crawford Manors Bartlett St Landing was $1,795,000 now $1,695,000 3 br, 3/1 ba, 2,138 ft² - 2,147 ft² 3 br , 3/1 ba, 2,564 ft² Roof terrace with Downtown views 4th Floor Game Room w/ Attached Terrace Private fenced in yards Free-standing homes FROM THE $800’s FROM THE WEST UNIVERSITY PLACE MUSEUM DISTRICT $470’s 1720 Colquitt Blossom Terrace FROM THE 4 br, 3/1 ba, 3,848 ft² $620’s Unfinished bonus room above 2 car garage Private backyard $1,295,000 UPPER KIRBY RICE MILITARY UNIVERSITY PLACE URBANLIVING.COM 713-868-7226 5023 WASHINGTON AVE 713-868-7226 5023 Washington Avenue www.UrbanLiving.com www.urban Inc, TREC Broker #476135 3% Down loan for approved credit. Including Everything promotion NMLS: 137773 must be approved by seller and written in at the time of contract. TMC | PULSE//TABLE of CONTENTS may 2016 6 10 14 16 More Than a Ride Spotlight: Destigmatizing Mental Health Conceiving After Cancer ................................. Barbara J. Stoll, M.D. ................................. ................................. SIRE Therapeutic Horsemanship ................................. The month of May serves as a How MD Anderson and Texas provides a chance for disabled patients The dean of McGovern Medical national campaign to support and Children’s work together to ensure a to break out of their molds and feel in School talks about her nontraditional raise public awareness of mental cancer diagnosis does not take away control, even if for a little while. career, working abroad and what health, empower people to seek help patients’ ability to have children in ultimately brought her to the Texas and ultimately fight stigma associ- the future. Medical Center. ated with mental illnesses. 24 The Painkiller Paradox ................................. The CDC’s new guidelines for prescrib- ing opioid medication could be the antidote the country needs to remedy the painkiller epidemic. 30 Liquid Gold ................................. Through its donor milk program and on-site milk bank, Texas Children’s Hospital is nursing low birth weight preemies back to health. 36 Accolades ................................. 39 Short Takes ................................. NCAA ALL-STARS // p. 22 40 Calendar PATIENTS AT SHRINERS HOSPITALS FOR CHILDREN – HOUSTON HAD A BALL ................................. WHEN MEMBERS OF THE NCAA ALL-STARS PAID THEM A VISIT. THE COLLEGE BASKETBALL PLAYERS SHOT HOOPS AND PLAYED ONE-ON-ONE WITH THE CHILDREN BEFORE THE 2016 REESE’S ALL-STAR GAME. on the cover: Khalied Kaskar, embryologist and laboratory manager at Texas Children’s Hospital Family Fertility Center, demonstrates how eggs and embryos can be frozen via liquid nitrogen during the IVF process. tmc» pulse | may 2016 1 PRESIDENT’S PERSPECTIVE TMC | PULSE Vol. 3 No. 4 May 2016 Robert C. Robbins, M.D. President and Chief Executive Officer Christen David Vice President of Communications Alexandra Becker Acting Editor [email protected] Shea Connelly Digital News Editor [email protected] Staff Writers Shanley Chien Christine Hall Britni N. Riley Cody Duty Photojournalist ROBERT C. ROBBINS, M.D. hen I was a cardiothoracic surgeon at Stanford, I would often see patients President and suffering from cardiomyopathy as a direct result of a drug called Adriamycin. W Meagan McCullough Chief Executive Officer, The drug was a common chemotherapeutic agent and it was effective: it cured the Advertising Coordinator Texas Medical Center cancer. Unfortunately, it left in its wake patients with heart failure who frequently needed heart transplantation. NEWSROOM The toxicities of cancer-killing modalities are well known. Radiation, chemother- 713-791-8812 apy, even specialized surgical routes are notorious for leaving collateral damage. [email protected] The price tag could be as straightforward as the loss of healthy cells or as unantici- pated as the inability to have children. ADVERTISING In this issue of Pulse, you’ll read about fertility specialists here in the Texas 713-791-8894 Medical Center and how they’re working to provide childbearing options to couples [email protected] affected by cancer. It’s a collaborative effort and part of the ongoing development of less toxic cancer treatments taking place on our campus every day. Be it proton DISTRIBUTION beam therapy, applied genomics research, or the promise of immunotherapy, these 713-791-6130 innovative treatments will likely transform the field of oncology. [email protected] As the largest medical complex in the world, we are committed to finding novel ways to improve the landscape of health care. In addition to our cover story, this TMC Pulse is a monthly publication of the month’s issue features stories about our involvement with the American Heart Texas Medical Center in Houston, Texas. Association, the power of equine therapy, concerns about our country’s opioid epi- Permission from the editor is required to demic and more. Because if there is anyone who will engage the whole of Houston in reprint any material. Editorial/advertising a commitment to heart health, or make meaningful strides in a Parkinson’s patient’s information available on request. recovery, or reduce the weight of a cancer diagnosis, it’s the 56 institutions that make up the Texas Medical Center. Texas Medical Center News is a member of: Houston Press Club, American Medical Writers Association, Association of Healthcare Journalists, and American Advertising Federation 2 tmc» pulse | may 2016 WHR in the TMC: Bringing innovation to life. Having designed many of the nation’s largest neonatal intensive care units, WHR has created innovative environments for the care and treatment of at-risk newborns. Staffed by leading neonatologists and equipped with the latest medical technology, these highly specialized environments enable even the most fragile patients to make their mark on the world. Design that cares – it’s our life’s work. THE LEADING H E A LT H C A R E DESIGN FIRM IN THE WORLD ’S LEADING MEDICAL CENTER tmc» pulse | may 2016 3 NURSES. WE SALUTE YOU. Being a great nurse goes beyond medical and technical knowledge. It involves caring for the whole patient and serving as their advocate. It takes compassion and the ability to think clearly under pressure. At Memorial Hermann-Texas Medical Center, we celebrate the dedication and experience of our highly skilled nursing staff, the best nurses in Houston. Our exceptional nurses are advancing the health of our patients and making a difference every single day, for every single patient. For all you do, we thank you! Join our team. Visit memorialhermann.org/careers 4 tmc» pulse | may 2016 Beware of the Bite May has been designated as Lyme Disease Awareness Month to increase education and help prevent the tick-borne illness By Britni N. Riley ccording to the Centers for said Norris, who is the Robert Greer A Disease Control and Prevention Professor of Biomedical Sciences at (CDC), over 300,000 Americans are UTHealth. “I was drawn to researching diagnosed with Lyme disease each year. Lyme because I wanted to figure out The infection is a tick-borne illness that how this organism is able to cause a has only been recognized as a report- persistent infection.” able disease by the CDC since 1982. Through his research, Norris, While there are a considerable along with collaborator Alan Barbour, number of patients diagnosed with Ph.D., and others, was able to develop Lyme disease each year, the disease is a diagnostic test to positively identify still somewhat new to patients, as well patients who are suffering from Lyme as physicians and scientists. In an effort disease. The test, which was developed to raise awareness of the disease, May in 1997, can confirm whether patients has been designated as Lyme Disease have VlsE, a protein found only in Lyme Awareness Month. disease bacteria. The perplexing disease was first “A lot of people have aches and described in the 1970s by Allen C. pains and flu-like symptoms, which are Steere, M.D., and a group of researchers very similar to the common symptoms in Old Lyme, Connecticut, when an of Lyme disease,” Norris said. “By alarming number of children and adults identifying VlsE, which is the protein ...one of the real mysteries of Lyme disease is began complaining of puzzling and that helps the Borrelia organism evade that it can cause disease for weeks to months, and debilitating symptoms, including skin the immune response, we can test the that is unusual for a bacterium to do. rashes, arthritic conditions, headaches patient’s blood for the presence of and fatigue. By 1975, researchers con- anti-VlsE antibody to see if they have — STEVEN NORRIS, PH.D. cluded that all of the people suffering contracted Lyme disease in a more Professor of Pathology and Laboratory Medicine at the McGovern Medical School from these symptoms had been bitten conclusive way.” at the University of Texas Health Science Center at Houston by ticks but still did not know what According to the CDC, the caused these ticks to be more harmful common symptoms of Lyme disease Lyme disease about every other week,” fully from Lyme disease without expe- than others. include fever, chills, headache, fatigue, said Charles Ericsson, M.D., head of riencing long-term symptoms,” Norris In 1982, scientist Willy Burgdorfer, muscle and joint aches and swollen clinical infectious diseases at Memorial said. “Many of these factors depend on Ph.D., discovered that a spiral shaped lymph nodes. The initial tick bite Hermann – Texas Medical Center the patient’s immune response to the bacterium, later called Borrelia burg- will leave a bull’s-eye shaped rash and the Dr.
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