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HealthBaylorNovember 2011WaxahaChIe edItIonVisit baylorhealth.com/Waxahachie forinformative videos,health briefs, online eventregistration and more.Real Patients. Real stories.TwicetheSuccessBethany LiLes and hermother, PauLa, have losta total of 199 poundsafter weight loss surgerypage 6IdentIFyIngdIabetesthe risk factors andsymptoms to watchout for page 3Flu Vs. Coldhow to tell thedifference betweenthe two and what todo if it’s the flu page 4

CT scans combine a series of special X-rays to show a crosssection of the area being studied. They are often used to examinethe head, neck, chest, abdomen, pelvis, organs or bloodvessels because they can scan different types of tissue for signsof inflammation or abnormalities.Nuclear medicine scans use a radioisotope to detect bloodflow to bones and specific organs.Combining images from CT and nuclear medicine scansallows doctors to both take a closer look at a certain part ofthe body and determine whether it is functioning properly.They can evaluate subtle changes that might be missed in asingle scan.A ChangingViewBaylor Waxahachie enhances the patientexperience with a new imaging innovationAnew dual-purpose scanner in the radiology suite at BaylorMedical Center at Waxahachie can take CT and nuclearmedicine scans at the same time, providing betterdiagnostic information for certain patients. It is designed toimprove patient comfort, ease anxiety and reduce scan time,beneficial for patients who can’t lie down for long periods.Separate ScansWhile the CT and nuclear medicine scans can be run at thesame time when necessary, each scan can also be run separately,expanding the capabilities at Baylor Waxahachie.“Having a second CT scanner and a second nuclear medicinescanner enhances our current operation,” says Ronny Rose,director of radiology at Baylor Waxahachie.The new scanner also offers:l A large opening and a 500-pound weight limit for the CTportion of the scanner to accommodate bigger patientsl A lower-dose radiation option for CT scansl A half-dose nuclear isotope option for nuclear medicine scansl Shorter scan times for patients who can’t lie down for longperiodsWhen the scanner was installed, it was the first of its kind inTexas and the fourth in the United States.In addition to the new CT/nuclear medicine scanner,Baylor Waxahachie offers MRI/MRA, sonography, X-ray, breastimaging and bone density scans (at our Red Oak location).l By Stephanie ThurrottPiCture PerfeCtLet us take a LookTo learn more about the radiology services available at BaylorWaxahachie, call 1-800-4BAYLOr or visit BaylorHealth.com/Waxahachie.Baylor Medical Center at Waxahachie1405 W. Jefferson, Waxahachie, TX 75165President: Jay FoxMarketing Director: Dana WalkerDirector of Development, Baylor HealthCare System foundation: Ellen DearmanBaylor Medical Center at WaxahachieBoard of trustees: Linda Alvarez, JohnChiles, Jack Curlin, James D’etienne, M.D.,Bobby Dyess, Chair, Edwin Farrar, Jay Fox,Todd Fuller, Nancy Hightower, Mackey Morgan,DDS, Cindy Murray, Winnie O’Donnell,Jim Pitts, Paul Stevens, Pam UnderwoodPatient information and VolunteerOpportunities: 972-923-7000 or972-935-9095Giving Opportunities/Baylor Health Carefoundation: 214-820-3136Baylor Health Care System Mission:Founded as a Christian ministry of healing,Baylor Health Care System exists to serveall people through exemplary health care,education, research and community service.Visit BaylorHealth.com or call1-800-4BAYLOr for information aboutBaylor Medical Center at Waxahachieservices, upcoming events, physicianreferrals, career opportunities and more.BaylorHealth is published six times a yearfor friends and supporters of Baylor MedicalCenter at Waxahachie.BaylorHealth is published by McMurry. © 2011Baylor Health Care System.The material in BaylorHealth is not intendedfor diagnosing or prescribing. Consult yourphysician before undertaking any form ofmedical treatment or adopting any exerciseprogram or dietary guidelines.Physicians are members of the medical staff atone of Baylor Health Care System’s subsidiary,community or affiliated medical centers andare neither employees nor agents of thosemedical centers, Baylor Medical Center atWaxahachie or Baylor Health Care System.Photographs may include models or actorsand may not represent actual patients.If you are receiving multiple copies, needto change your mailing address or do notwish to receive this publication, pleasesend your mailing label(s) and the updatedinformation to Robin Vogel, Baylor Health CareSystem, 2001 Bryan St., Suite 750, MarketingDepartment, Dallas, TX 75201, or email theinformation to robinv@baylorhealth.edu.2 BaylorHealth November 2011 l For a physician referral, visit FindDrRight.com Cover portrait by John Derryberry

Spotting Signsof DiabetesDo you have any of theserisk factors?According to the American DiabetesAssociation, 7 million people inthe United States have undiagnoseddiabetes, and 79 million haveprediabetes, which means they’re likelyto develop diabetes if they don’t makelifestyle changes.When to Get TestedChristie Windsor, diabetes educationcoordinator at Baylor Medical Center atWaxahachie, suggests that people withthe following risk factors talk to theirdoctors about being tested for diabetes:● High triglyceride readings● High blood pressure● Family history of diabetes● Exercise fewer than three days a week● Overweight or obese and older than 35● Older than 45, regardless of weight● Gave birth to a baby weighing morethan 9 pounds● Belong to a higher-risk ethnic group,which includes African-Americans,Hispanics, American Indians andAsian-AmericansSymptoms to Watch Out ForIf you have prediabetes or early-stagediabetes, you may not experience symptoms,which is why it’s important forpeople who have these risk factors to bescreened. However, the high blood sugarlinked with diabetes may cause:● Extreme thirst● Frequent urination, especially at night● Blurred vision● FatigueSome people may have one or twoepisodes of low blood sugar beforethe onset of diabetes, Windsor notes.This is because, initially, the pancreasmay produce high levels of insulin inresponse to the insulin resistance. Lowblood sugar can result in lightheadednessor dizziness, cool, clammy sweatand weakness.“These people may have an episodeof low blood sugar during grocery shopping,house cleaning or yard work thatalerts them that something’s wrong,”Windsor says. “When they come in,we look at high blood sugar symptomsand low blood sugar symptoms. It’snot uncommon for people who goon to develop type 2 diabetes to havethese episodes as insulin resistancebegins.” ● By Stephanie ThurrottReduce Your RiskTake these steps to delay or even preventtype 2 diabetes.● Exercise for at least 30 minutes five ormore days a week. “Make it fun,” suggestsChristie Windsor, diabetes educationcoordinator at Baylor Medical Center atWaxahachie. “Exercise as a family or agroup to encourage each other.”● Eat three well-balanced meals a day thatinclude lean meat, and limit carbohydratesand fat.● Maintain a reasonable weight.LEARN MOREWe’re Your Diabetes ResourceCall 1-800-4BAYLOR for more information about the diabetes program atBaylor Waxahachie.Thinkstock Images Explore our diabetes services at BaylorHealth.com/Waxahachie ● November 2011 BaylorHealth 3

Is It the Flu?Identifying influenza can be tough, but knowing can help you recover fasterIt’s one of those age-old questions, likesoup or salad? Beach or mountains? Isit a cold or is it the flu?Both are prevalent in winter. “Coldsand the flu are caused by viruses that livebetter in cold temperatures,” says EllaFarricielli, M.D., an internal medicinephysician on the medical staff at BaylorMedical Center at Waxahachie.But sick is sick, right? Does it matterif it’s a cold or the flu? Yes, Dr. Farriciellisays. “It’s very important to know if youhave a cold or the flu,” she says. “Coldsare typically mild, but the flu can be quitesevere and may lead tocomplications like pneumoniaand, in severecases, even death.”How Do You Know?Both colds and the flu share many symptoms,including coughing, sneezing,headache, nasal congestion and fever.Colds tend to last a week or less andHow to Prevent Cold and Flul Wash your hands frequently and keep hands awayfrom your eyes, nose and mouth.l Use hand sanitizer when hand washing isn’t possible.l Avoid contact with those who are ill.l Eat a healthy diet rich in fruits,vegetables and whole grains.l Exercise regularly.l Get a flu shot every year.bring on lower-grade fevers than the flu,which usually lasts seven to 10 days.But the main difference betweencolds and the flu is severity at onset,Dr. Farricielli says. “The flu is a wholebodyillness, and it starts suddenly witha high fever, body aches and fatigue,” shesays. “Colds are mostly localized to yourhead and start much slower.”What Can You Do?If it’s a cold, rest, take over-the-countermedications to lessen the symptoms andlet it run its course. But with the flu, seeyour doctor within 48 hours. He or she canprescribe an antiviral medication. It won’tcure you, but it can shorten the illness andprevent complications.If you develop signs of pneumonia—shortness of breath or pain when takinga deep breath—or an earache, see yourdoctor again right away. l By ShelleyFlanneryProtect YourselFcall for aFlu shot todayThe best way to guard against the flu isto get vaccinated. Call your doctor to geta flu shot. Don’t have a physician? Call1-800-4BAYlor for a referral or visitFindDrright.com.4 BaylorHealth November 2011 l Sick? Click. BaylorHealth.com/Waxahachie

Protecting innovationBaylor secures patents for intellectual propertyYou may have heard how much it costs to bringa new medicine or medical advance to thepublic, and it’s true. As these innovations are indevelopment, the ideas—also known as intellectualproperty—are patented so no one else can claimthem as their own.Baylor Research Institute (BRI) is currently workingon hundreds of novel inventions, and is securingpatent protection for the intellectual property andresearch developments that go into them.“The kind of innovation we do involves anexpensive development process, which no one wouldfund without a guarantee that their innovation isprotected for at least a period of time,” says BernardBrigonnet, chief operating officer of BRI. “Andwithout that, our innovations would have no chanceof ever reaching the marketplace and patients.”Research PortfolioThe innovations Brigonnet refers to includetherapeutics, diagnostics and medical devices thatencompass a wide range of research areas. Rightnow, BRI has a master portfolio of over 590 issuedand pending patents. These span more than 97patent families related to cancer, diabetes, organtransplantation and immunology, to name just afew areas of research.In addition to supporting BRI’s mission—totranslate medicine from the research bench to thebedside—BRI’s commitment to patent protectioncould lead to more opportunities to innovate.“The goal is to form partnerships with companiesor start up new companies and develop theseinnovations into FDA-approved products that canreach the whole community,” says Irene Rombel,Ph.D., MBA, managing director of BiomedicalIntelligence LLC, one of the experts BRI is workingwith on patent protection.“No one in the industry will give you a second lookif you don’t have intellectual property protectionon 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 intellectualproperty protection strategy essential to the workof its researchers. What’s more, the confidence thatpatent protection inspires in investors may help BRIwith another goal: being a self-funding research entity.“Clearly, intellectual property is the name of thegame for us,” Brigonnet says. “If it can help us fundmore research in the future, so be it. But first andforemost, the goal is to give our innovations theprotection they need to someday be made availableto patients.” l By Amy Lynn SmithReseaRch at BayloRare you acandidate fora clinical trial?To learn more about research trials atBaylor that are seeking participants, visitBaylorhealth.com/advancingMedicine.did youknow?BaylorResearchInstitutehas amasterportfolioof over590pendingand issuedpatentsspanningmore than97 patentfamilies.Illustration by Scotty Reifsnyder BaylorHealth.com l November 2011 BaylorHealth 5

Is Weight LossSurgery theAnswer?Diet and exercise don’t alwayssolve the problem By Stephanie ThurrottDiana Golestani, 48, of Arlington, battled obesity for morethan 20 years. She started gaining weight in high school,peaking at 175 pounds before graduation. Since then, herweight has averaged 250 pounds. “At one point I was able to lose60 pounds because I have some discipline and healthy eatinghabits,” she says. “But I could not stay at one weight.”After having weight loss surgery in 2010, she’s now 110pounds lighter. And even though she travels a lot, shedoesn’t let that interfere with her success.“Recently we stayed with family in Iran. I couldwatch my portions, but I wasn’t in control of whatI ate,” she says. “And it was very hot, but when itcooled off I tried to do some walking.”To compensate, when she returns home sherelaunches her healthy lifestyle, restocking herfridge and pantry with the foods she needs andeasing back into her exercise routine.Like Mother, Like DaughterLike Golestani, Bethany Liles, 21, of Midlothian,always struggled with her weight. But her highschool softball workouts helped keep the extrapounds in check. That changed when a fracturedback sidelined her exercise.Her mother, Paula Liles, 42, had long struggledwith weight, too. “I had tried all kinds of diets. I lost 30pounds on my own, but then I hit a brick wall. I tried Zumbaand loved it, but still could not get the weight off,” she says.Her weight peaked in 2010 at 293 pounds. Bethany was235 pounds. Then the two decided to have weight loss surgery.“It was a great support system. We knew exactly what theother was going through,” Bethany says.Diana Golestani haslost 110 pounds sincehaving weight losssurgery in 2010.WATCH THE VIDEOSee Diana’s StoryTo hear more about Diana Golestani’s success with weight losssurgery, watch her story at BaylorHealth.com/MyStory.Portraits of Diana, Bethany and Paula by John Derryberry

And both women are seeing incredible results. In September, Bethanyweighed 157 pounds and expects to reach her goal of 125 pounds. Paula’sgoal 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 yourlife expectancy,” says Andre Graham, M.D., a bariatric surgeon on themedical staff at Baylor Medical Center at Waxahachie.Obesity is linked with high cholesterol and triglycerides, high bloodpressure, heart disease, diabetes, sleep apnea, menstrual irregularities,reflux, incontinence, depression, and back and joint pain.Golestani was prediabetic before her surgery, which scared her sinceher brother lost part of his foot to complications from diabetes. Now,her prediabetes has cleared and her doctors sayshe’s unlikely to develop diabetes.“For every pound you lose, you gain days of life,”says Sina Matin, M.D., a weight loss surgeon onthe medical staff at Baylor Regional Medical Centerat Grapevine.People with a body mass index (BMI) of 35 ormore and people with a BMI of 30 or more withother health problems may be candidates for weightloss surgery. For most, this translates to beingoverweight by 75 to 100 pounds or more.Surgical Solutions“Diet alone is usually not effective for long-term weightloss,” says Matthew V. Westmoreland, M.D., a surgeonon the medical staff at Baylor Regional MedicalCenter at Plano.While weight loss surgery is not a magic bullet, itis an effective tool that can help people who haven’tbeen able to lose weight through diet and exercise.If you decide to undergo weight loss surgery, you’lllikely have three options.GASTRIC BYPASS is the oldest, most establishedsurgical procedure. During this surgery, doctorsstaple your stomach and attach it to the smallintestine in a way that limits the number ofcalories that are absorbed.With a SLEEVE GASTRECTOMY,your stomach is stapled to make a smallpouch while the connection between thestomach and small intestine is unchanged.The GASTRIC BAND is an inflatablestrap placed around your stomach to makeyou feel full sooner.All the procedures have their pluses andminuses, and your doctor can recommend thebest one for you.“So many people think surgery is dangerousand you shouldn’t do it until everything elsehad failed,” says Frank Felts, M.D., a bariatricsurgeon on the medical staff at BaylorMedical Center at Carrollton. “Weight losssurgery needs to be considered frontline,mainstream treatment for weight loss.” ●TAKE OUR QUIZAre You aCandidate?To find out if you may be acandidate for weight losssurgery, take our quiz atBaylorHealth.com/HealthCast.Bethany Liles andher mom, Paula,both had weightloss surgery and,so far, have lost acombined total of199 pounds.Ready toLearn More?Weight loss surgery is a big decision.At a free information seminar, BaylorMedical Center at Waxahachie canteach you more about what to expectfrom the procedure. During the seminar,a weight loss surgeon will explainthe three types of operations offeredat Baylor Waxahachie, which are thelaparoscopic adjustable band, laparoscopicsleeve gastrectomy and laparoscopicgastric bypass.“The surgical options are toolsused for long-term success in managingthe disease,” says Renee O’Daniel,bariatric coordinator at BaylorWaxahachie. “Accountability is thekey to success.”The seminars cover the risks, possiblecomplications, side effects andoutcomes of the procedures. Yoursurgeon will recommend the bestoption for you based on your experienceand your psychologicaland medical history.The seminars also cover theimportance of education andfollow-up care, including nutritionconsultations and supportgroup meetings; the health andweight requirements for surgery;and insurance reimbursementconsiderations. Anyone 18or older who is consideringweight loss surgery mayattend, and you are welcometo bring guests.Upcoming seminars arescheduled for Thursday, Nov. 3,at 6:30 p.m. and Thursday,Nov. 10, at 6:30 p.m. ●By Stephanie ThurrottDISCOVERYOUR OPTIONSSign Up TodayTo register for a free weightloss surgery seminar atBaylor Waxahachie, call1-800-4BAYLOR or visitWaxahachieWeightLoss.com.BaylorHealth.com ● November 2011 BaylorHealth 7

Baylor Health Care System2001 Bryan Street, Suite 750Marketing DepartmentDallas, TX 75201Free. Online.All the time.At BaylorHealth.com/Exclusive you’ll findhealth information for you and your familyyou can’t get anywhere else, including:Articles l Videos l Recipes l Quizzes l TipsNON-PROFIT ORG.US POSTAGEPAIDBAYLOR HEALTHReal Patients. Real stoRies.“My breastcancer is gone.I’m backin business.”Susan Filgo was making plans to start a new business when she was diagnosed with breast cancer.“Hearing the news literally sucked the life right out of me,” she said. At Baylor Medical Center at Waxahachie,Susan was given a treatment plan customized to her specific cancer. She had a lumpectomy followedby five days of radiation. “The staff was absolutely wonderful and Baylor Waxahachie was very easy tonavigate.” Susan resumed knitting the day of her procedure, and just two months later, opened a yarnand spinning wheel shop. “Baylor took care of my breast cancer, so I could move ahead with my life.”For a physician referral or for more information aboutcancer care services, call 1.800.4BAYLOR or visit usonline at BaylorHealth.com/WaxCancer.1405 West Jefferson Street, Waxahachie, TX 75165Physicians are members of the medical staff at one of Baylor Health Care System’s subsidiary, community or affiliatedmedical centers and are neither employees nor agents of those medical centers, Baylor Medical Center at Waxahachieor Baylor Health Care System © 2011 Baylor Health Care System BMCWAX_194 BHM CE 8.11