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Healthy Habits for WomenFollow these 4 steps to fitnessWith screening tests and regular checkups, you canmake sure your healthy lifestyle is on track. Here’swhat to watch.1Have regular mammograms and Pap smears.Why: “These screening tests increase yourodds of finding cancer early, when it’s mosttreatable,” says Egle Berzinskas, M.D., anobstetrician/gynecologist on the medical staffat Baylor Medical Center at Irving.2Control your blood pressure and cholesterol.Why: Maintaining a blood pressure of 120/80 mm/hgor below, LDL cholesterol of 100 mg/dl or below, and HDLcholesterol of 60 mg/dl or higher can help reduce your riskfor heart disease.3Manage your blood glucose levels.Why: “Elevated blood sugar can indicate glucose intoleranceor diabetes,” says Elia Fanous, M.D., an obstetrician/gynecologist on the medical staff at Baylor Irving. Normal fastingglucose should be 70 to 100 mg/dl.Imaging at Irving, Coppelland Grand PrairieThe breast imaging services at the Irving Women’s ImagingCenter are fully accredited in mammography, stereotacticbreast biopsy, breast ultrasound and ultrasound-guidedbreast biopsy. Peer-review evaluations have determined thatBaylor Irving has achieved high practice standards in imagequality, personnel qualifications, facility equipment, qualitycontrol procedures and quality assurance programs. Breastimaging is available at three locations:● Baylor Irving Women’s Imaging Center2001 N. MacArthur Blvd., MOB I, Suite 250, Irving● Baylor Irving Women’s Imaging Center at Coppell440 W. I-635, Plaza II, Suite 120 A, Irving● Baylor Diagnostic Imaging Center at Arlington–Grand Prairie2740 N. State Hwy. 360, Suite 200, Grand Prairie4Keep your weight in check.Why: A body mass index (BMI) of 25 or more meansyou’re overweight, and the excess pounds can lead to a host ofhealth problems.Fortunately, with the right combination of diet and exerciseyou’ll likely see your numbers moving in the right direction.Aim for a diet loaded with vegetables, fruits, whole grains andlean protein, and try to get at least 30 minutes of exercise mostdays. ● By Stephanie ThurrottSCHEDULE A MAMMOGRAM!Make a Move toImprove Your HealthOctober is Breast Cancer Awareness Month. Make anappointment to get your yearly screening mammogramtoday. Visit BaylorHealth.com/IrvingWomensImagingor call 1-800-4BAYLOR to schedule an appointment.Baylor Medical Center at Irving1901 N. MacArthur Blvd.Irving, TX 75061 • 972-579-8100Baylor Health Center at Irving Coppell400 W. Interstate 635 at MacArthur Blvd.Irving, TX 75063 • 972-785-5500President: Cindy SchampMarketing Director: Grant FarrimondMain Switchboard: 972-579-8100Patient Information: 972-579-4358Physician Referral:1-800-4BAYLOR (1-800-422-9567)Irving Cancer Center: 972-579-4300Irving Women’s Pavilion of Health:972-579-8240Irving Imaging Centers (Mammography):2001 N. MacArthur Blvd., Suite 250972-254-1616440 W. Interstate Hwy. 635, Suite 120A972-785-56502740 N. State Hwy. 360, Suite 200972-579-448024-Hour Emergency Department:972-579-8110Human Resources Job Line: 972-579-8750Baylor 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 Irving services,upcoming events, physician referrals,career opportunities and more.BaylorHealth is published six times a year byMcMurry. © 2011 Baylor 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 atIrving, Baylor Health Center at Irving Coppellor Baylor Health Care System.Photographs may include models or actorsand may not represent actual patients.If you are receiving multiple copies, need tochange your mailing address or do not wishto receive this publication, please send yourmailing label(s) and the updated informationto Robin Vogel, Baylor Health Care System,Marketing Department, 2001 Bryan St., Suite750, Dallas, TX 75201, or email the informationto robinv@baylorhealth.edu.2 BaylorHealth September 2011 ● For a physician referral, visit FindDrRight.com/Irving

DOWNLOAD NOWQuality CountsTo download Baylor Irving’s annual report,go to BaylorHealth.com/Irving.Awards and Accoladesfor Baylor IrvingBecause quality in health care mattersBaylor Medical Center at Irving is a2011 recipient of the Texas Awardfor Performance Excellence(TAPE). Patterned after the MalcolmBaldrige National Quality Awardand awarded by The Quality TexasFoundation, the TAPE Award is presentedto Texas organizations that serveas role models for quality, customer satisfactionand performance excellence.Baylor Irving is the first hospital inIrving, Las Colinas, Grand Prairie andCoppell and the third medical centerwithin the Baylor Health Care System toreceive this award.“Receiving the Texas Award forPerformance Excellence is a greathonor for Baylor Irving and the entireBaylor Health Care System,” says CindySchamp, president, Baylor Irving.“We are dedicated to improving thehealth and wellness of the many diversecommunities we serve andthis honor validates our commitmentto providing safe,quality, compassionate care.At Baylor Irving, we put ourpatients at the center of allwe do and this award demonstratesthis continued focus.”For the second consecutiveyear, Baylor Irving has been namedto the U.S.News & World Report’s BestHospitals Dallas-Fort Worth area rankings.The latest rankings showcase 720hospitals out of about 5,000 nationwide.Each is ranked among the country’s tophospitals in at least one medical specialityor ranked among the best hospitals inits metro area.To be ranked in its metro area, ahospital has to score in the top 25percent among its peers in at least oneof 16 medical specialties.The new metro area rankings are relevantto a much wider range of healthcare consumers—those whose caremay not demand the special expertisefound only at a nationally ranked BestHospital. Patients and their familieswill have a far better chance of findinga U.S.News-ranked hospitalin their health insurancenetwork and might nothave to travel to get care ata high-performing hospital.“All of these hospitalsprovide first-rate care forthe majority of patients,even those with seriousconditions or who need demandingprocedures,” says Health RankingsEditor Avery Comarow. “The new BestHospitals metro rankings can tell youwhich hospitals are worth consideringfor most medical problems if youlive in or near a major metroarea.” ● By Stephanie ThurrottFIND A PHYSICIANBecauseQuality MattersFor a referral to a physician onthe medical staff at Baylor Irving,visit FindDrRight.com or call1-800-4BAYLOR.Learn more at BaylorHealth.com/IrvingAwards ● September 2011 BaylorHealth 3

Heart Attack ComebacksCardiac rehab is essentialto recovering and staying ingood healthAdecade of heart trouble and a hearttransplant a year ago had stripped46-year-old Byron Green of mostof his strength, but not his will. He wasdetermined to get stronger, and cardiacrehabilitation was part of the Dallasresident’s recovery program—as itshould be for every patient, says MichaelRothkopf, M.D., a cardiologist on themedical staff at Baylor Medical Centerat Irving.“There are studies that suggest thatpatients who go through cardiac rehabhave a better prognosis and actuallylive longer—just on the basis of cardiacrehab itself, although we don’t knowspecifically why that is,” he says.According to Dr. Rothkopf, cardiacrehab helps patients return to normalactivity as much as possible. Exercisingin a supervised environment soon aftera heart attack or cardiac procedure canalso alert patients and caregivers to anypotential issues. In addition, cardiacrehab can build confidence in peoplewho are afraid they might have anothercardiac event, a common concern.Supervision and SupportAt Baylor Hamilton Heart and VascularHospital, where Green participatedin cardiac rehab for three months, theprogram includes medically supervisedexercise, stress management, nutritioncounseling, and education on cardiachealth, medication and more.According to Danielle Strauss, BSN,RN-BC, cardiac rehab team leader,the program is patient-centered andindividualized.Katy Kennedy, M.S., a cardiac rehabexercise physiologist, says, “Each patientis evaluated when they come in, and wedesign a program to help them return towhatever activities they did before.”Out on Your OwnGreen’s regimen included walking on atreadmill, riding a stationary bike andlifting weights—all of which he does onhis own at the gym now. During rehab,he also worked with a dietitian and asocial worker to discuss the emotionalissues surrounding his condition.“The program was the best thing inthe world I could have done,” he says.“I’ve never felt better.”Strauss emphasizes how essentialcardiac rehab is to recovery. “It shouldbe just as important as taking any medicationyour doctor prescribes,” she says.“The more sessions a patient can attend,the better.” ● By Amy Lynn SmithHEART-HEALTHYINFORMATIONLearn andLive WellIn addition to cardiac rehabprograms, many Baylor locationsoffer Leap for Life ® seminars opento anyone with a history of heartand vascular disease. To learnmore, call 1-800-4BAYLOR or visitBaylorHealth.com/LeapforLife.For five ways to make your hearthealthier, listen to our podcast atBaylorHealth.com/HealthCast.4 BaylorHealth September 2011 ● Be heart smart. Visit BaylorHealth.com/Heart

The Inside ViewBaylor researchers get a close-up look at disease processes by creating cells in the labWhen you’re trying to understand a complex disease,seeing what it does inside the body is essential. Baylorresearchers are using stem cells created in a lab to geta closer look at Fabry disease—from outside the body.People with Fabry disease, a genetic condition, are missingan enzyme that prevents the body from metabolizing certainfatty substances and can lead to heart disease and stroke.In an effort to understand why this happens, Baylorresearchers are re-creating cardiac cells in the lab. They’reworking with induced pluripotent stem cells, which mimicembryonic stem cells but are created by manipulating adultcells from patients.“We can differentiate these cells into cardiac cells, so wecan study the disease mechanisms and potentially developnew therapies,” explains Xingli Meng, M.D., Ph.D., assistantinvestigator at the Kimberly H. Courtwright and Joseph W.Summers Institute of Metabolic Disease (IMD), a componentof the Baylor Research Institute.These cardiac cells beat like a human heart—except in a Petridish. For about two years, a team at IMD has been studyingthese cells to search for abnormalities. They have alreadydiscovered one abnormality in the calcium channels in thecardiac cells of mice they’re using for their experiments. The“We can differentiate these cells into cardiac cells, so we can studythe disease mechanisms and potentially develop new therapies.”Xingli Meng, M.D., Ph.D.next step will be to determine if the same abnormality is alsopresent in the human cardiac cells.According to Dr. Meng, the research has two goals. One is togain a greater understanding of the disease process of Fabry’s.The second is to develop a cell-based therapy that couldsomeday lead to a treatment or cure for this disease.What’s more, the research could apply to other diseases.“This technology could be used with diseases that are caused bygenetic defects or have a genetic factor,” says Dr. Meng. “Thereare still diseases we could understand better and new wayswe could use cell-based therapies like cell transplantation. Forexample, grafting of a patient’s own cardiac cells manipulatedfrom their skin biopsy may benefit heart conditions such asmyocardial infarction and heart failure in the future. This areaof research holds a lot of promise.” ● By Amy Lynn SmithRESEARCH AT BAYLORA Closer LookAlthough this study is not enrolling participants, you can learnmore about other trials at Baylor that are seeking participantsat BaylorHealth.com/AdvancingMedicine.Illustration by Barry FitzgeraldLearn more about research at Baylor at BaylorHealth.com/AdvancingMedicine ● September 2011 BaylorHealth 5

OnYour SideWhen subtle symptoms signaled a cancerdiagnosis, Baylor was ready By Stephanie R. ConnerJanel Hollister learned she had breast cancer inJune 2008. She had a double mastectomy followedby chemotherapy, and nearly six months after heroriginal mammogram, a scan showed she was cancer-free.But a year later, when Hollister mentioned to herdoctor that she thought she might have arthritis in herhip, her doctor was concerned.“She ordered a scan, and sure enough, the cancer hadspread to the bone,” says Hollister, 60. “I had a tumorin my hip.”Some of cancer’s signs are clear—like a suspiciousmammogram or elevated prostate-specific antigen(PSA) levels—while others, like unexplained pain, aremore subtle. In addition to having regular screenings,it’s wise to watch for these subtle symptoms.Breast Cancer“Like many cancers, early-stage breast cancerdoesn’t have a lot of systemic symptoms,” saysAnita Chow, M.D., a breast surgical oncologiston the medical staff at Baylor All Saints MedicalCenter at Fort Worth.WATCH THE VIDEOSee Janel’sStoryLearn about Janel’s journey throughcancer treatment and recovery bydownloading our digital magazine atBaylorHealth.com/Exclusive.Janel Hollister’s son Dusty lentsupport—and even helped shaveher head—during cancer treatment.Portrait by John Derryberry

Nipple discharge, particularly a bloody discharge,or skin dimpling, can be symptoms of cancer. Nippleinversion, meaning a nipple that’s turned inward, canalso be a sign.Even though most of the time these symptoms are notlinked to cancer, they should be evaluated, Dr. Chow says.“The key is to be aware of subtle changes in thebreast,” she adds. “I still recommend self-exams. Beingaware of your body is never a bad thing.”Fact or FictionThanks to the Internet and easy email-forwarding,rumors about cancer abound. Anand T. Shivnani, M.D.,a radiation oncologist on the medical staff at bothBaylor Medical Center at Carrollton and Baylor MedicalCenter at Irving, sheds some light on a few.RumorRealityLung Cancer“Unfortunately, for lung cancer, there is no particulartelltale sign,” says Kartik Konduri, M.D., a medicaloncologist and co-medicalFind TheANSWERSHow CancerSavvy AreYou?Test your cancer knowledgeand download a cancerpreventionchecklist atBaylorHealth.com/HealthCast.director of Baylor CharlesA. Sammons CancerCenter’s lung cancer centerof excellence.The main signs, he says,are a cough, increasedshortness of breath andfatigue. And if you’recoughing up blood, see adoctor immediately.These symptoms arealso signs of bronchitis orupper respiratory diseases,Dr. Konduri says, but the best course of action is to seea doctor.“The worst situation is when patients have beencoughing up blood for months and didn’t see a doctorsooner,” he says.Security scans at theairport are exposingme to harmfulamounts of radiation.The nuclear powerplant disaster inJapan has putus all at risk.I shouldn’t microwavemy lunch in a plasticcontainer becauseof the chemical BPA(bisphenol A).“Those types of scannersuse a very superficialkind of radiation,” Dr.Shivnani says. “It’s lessradiation than you’ll beexposed to on the flight[from the sun].”“For people in NorthAmerica, the chances ofsignificant exposure isvery small,” Dr. Shivnanisays. “There was a lotof hyped-up concern,which was misguided.”There’s not enoughgood data to knowfor sure, Dr. Shivnanisays. But using glasscontainers until more isknown isn’t a bad idea.Other Signs of CancerMany cancers have some of the same symptoms. Theseinclude unintentional weight loss, fevers and sweats. Inaddition, any lumps or pain that doesn’t go away mightbe signs, says Manish Gupta, M.D., a medical oncologiston the medical staff at both Baylor Regional MedicalCenter at Plano and Baylor Medical Center at Garland.“Watch for any changes to your body. I see people whoknew something was wrong and ignored it,” Dr. Guptasays. “Something that’s not normal for you and doesn’t goaway should be looked at.”You may learn that something other than cancer is toblame, Dr. Gupta says, but if it is cancer, the sooner it canbe diagnosed, the better.Looking ForwardHollister’s cancer continued to spread—later to herliver, and she has been treated with strong doses oftargeted radiation.“My hair has fallen out not once but twice. I’ve had noeyebrows, no eyelashes,” she says. “But there’s no womanI’ve seen who doesn’t look absolutely beautiful bald.”She leans on her husband and two adult sons, andHollister, an avid bridge player, stays positive and letsother cancer patients lean on her as a certified AmericanCancer Society Reach to Recovery volunteer.“These are the cards I’ve been dealt,” she says, “and I’mdoing the best I can with the hand I’ve been given.” lGet The Tests you needBaylor Is Here to HelpTalk to your doctor about cancer screenings. If you need a physician,get a referral at FindDrRight.com or by calling 1-800-4BAYLOR.Get cancer answers at BaylorHealth.com/Cancer l September 2011 BaylorHealth 7

Back inACTION!Is back pain putting you off your game?Score a victory with these tipsBy Shelley FlanneryWe all know the sitcom scene. A middleagedman tries to relive his glory days ofhigh school sports hero when “crack!” hisback goes out. Twenty-two minutes later,he’s learned his lesson of acting his age and he’smoved on to the next scene. But rarely is backpain that simple—or funny—in real life.One thing TV shows have right is how common back pain is. “It’sthe second most common reason behind cold and flu that people visittheir doctors,” says Melanie B. Kinchen, M.D., medical director of theBaylor Spine Center at Baylor Regional Medical Center at Grapevine.Read on to learn about four types of back pain—and what to doabout it.Sprains and StrainsLike the scene with the weekendwarrior, sometimes you know exactlywhat happened that caused your backpain. But often, it’s less clear. “You maynot even be able to pinpoint an activity,”Dr. Kinchen says.WHAT TO DO: If the pain is limited toyour back and not radiating down your leg,take it easy, ice the area and use over-thecounterpain relievers. If the pain doesn’tsubside after a few days, see your doctor.“Still, most back pain will go away on itsown,” says Christopher Duntsch, M.D.,a neurosurgeon on the medical staff atBaylor Regional Medical Center at Plano.8 BaylorHealth September 2011 ● Put an end to pain at BaylorHealth.com/Pain

PREVENT BACK PAINAll the Right MovesFor exercises to strengthen and protect your back, plus tips on keeping your spineinjury-free, watch our video at BaylorHealth.com/BackPain. For a referral to a physicianwho can help you beat back pain, call 1-800-4BAYLOR or visit FindDrRight.com.BE KIND TOYOUR SPINEGive your spine some credit.“It’s the one area of the bodythat never gets a break,” saysJames Guess, M.D., an orthopedicsurgeon and chairman of thedepartment of surgery at BaylorMedical Center at Carrollton.“It’s still working even whenyou’re lying down.” Go easy onyour back with these tips:DON’T TWIST. Turn your bodyanyway you want, but don’t twistor rotate your back.LIFT WITH YOUR LEGS. Squat atthe knees; don’t bend at the waist.MOVE OFTEN. Don’t sit forlong periods. Get up every nowand then to replenish your spinewith nutrients.USE A LUMBAR ROLL WHENSEATED. It helps maintain thenatural curvature in your spine.CHOOSE A FIRM MATTRESS.Sleep on your back or side and, ifnecessary, place a pillow betweenyour knees.BUILD YOUR CORE. Strongmuscles in the midsectionhelp support yourspine and preventinjury.Ruptured or Herniated DiskAs we age, disks become dehydrated andtherefore less supportive and resistant toinjury. A ruptured disk or herniated diskin the lower back causes pain to radiateinto one or both legs (called sciatica).WHAT TO DO: Once the legs areinvolved, most likely a nerve is beingaffected. If you have severe leg painor you can’t flex your ankle, call yourdoctor as soon as possible. “If the nerveis damaged too badly, it might neverheal,” Dr. Kinchen says. “Get it checkedright away.”Spinal StenosisThis slow-to-develop condition occurswhen joints and ligaments in the spinethicken, causing the spinal canal to getnarrower. Other symptoms besides backpain include leg heaviness, burning,fatigue and cramping.WHAT TO DO: Talk with yourphysician about treatment options,which range from medication andphysical therapy to minimally invasivesurgery and spinal fusion. “Treatmentdepends on your pain level and theaffected areas,” Dr. Duntsch says.Degenerative Disk DiseaseThis condition is largely attributed toaging; however, it can also be broughton by an injury. Pain is usually felt in theback and neck, but the arms or legs mayalso be affected.WHAT TO DO: “Most peopleover age 30 have at least some diskdegeneration,” Dr. Kinchen says. “Butit doesn’t always cause pain.” If youhave consistent pain, talk to your doctor.Treatment options include applying iceor heat to the area, medication, physicaltherapy and surgery. ●Keep your spine in line. BaylorHealth.com/SpineCare ● September 2011 BaylorHealth 9

Six BaylorHospitalsRanked byU.S.NewsFor the 19th consecutive year, U.S.News &World Report has listed Baylor UniversityMedical Center at Dallas in its “America’s Best Hospitals” issue.Baylor Dallas is ranked among the nation’s top 50 hospitals in gastroenterology(28), nephrology (23), pulmonology (50) and urology (33), and has climbedwithin the rankings in all four specialty areas. Baylor Dallas also ranked regionallyin seven additional specialties.Also receiving regional rankings for the Dallas-Fort Worth area are Baylor Institutefor Rehabilitation, Baylor Regional Medical Center at Plano, Baylor All Saints MedicalCenter, Baylor Medical Center at Irving and Baylor Medical Center at Garland.“The number of Baylor hospitals on this list shows the strength and thebreadth of the Baylor Health Care System,” says Joel Allison, president and CEO,Baylor Health Care System. “It is proof of our commitment to provide advanced,quality care to all the communities and patients we serve.”Following Doctor’s OrdersIf you’re battling a chronic disease such as diabetes or congestive heart failure,complying with your doctor’s recommendations should be top priority. Hereare three tips to help you partner effectively with your physician so you canmore easily follow their recommendations.1. ASK your doctorfor common-senserecommendationsto help you manageyour condition, froma healthy diet to anexercise plan. Don’tbe afraid to speak upif you don’t understandsomething:Your doctor wantsto help.2. TELL yourdoctor aboutnew symptoms,adverse reactionsto medications orchanges in yourhealth. Share yoursymptom diary. Thebetter your doctorunderstands yourhealth, the betteryour care will be.3. TAKE yourmedications asprescribed. Whenyou’re feeling well,you may be temptedto skip them. Tohelp you remember,take them at thesame time each dayand store them in aweekly medicationdispenser.HEALTH BRIEFSWHAT’S CAUSINGYOUR HEADACHES?When you have a headache, you justwant the hurting to stop. But could yoube doing—or not doing—something tobring on the pain?Sure, some people are more proneto headaches than others, and changesin barometric pressure can even be aculprit. But unhealthy lifestyle factorsmay also play a role. Here are the mostcommon headache triggers to watchout for, so you can minimize yourheadache risk:● Working excessively long hours● Not getting enough sleep● Skipping meals● Drinking alcohol● Ignoring clear signs of stress andanxietyTIME TO RELAXDon’t Stress ItTake a stress and anxiety assessment atBaylorHealth.com/StressTest to findout where you stand, so you can reduceyour headache risk.The USDA Dietary Guidelines for Americans recently changed shape.The familiar food pyramid has been replaced by a more user-friendlyplate, with half designated for fruits & vegetables, andthe other half divided between grains & protein,with room for a serving of dairy on the side.Download our digital publication at BaylorHealth.com/Exclusive ● September 2011 BaylorHealth 11

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.“Thanks to a robotichysterectomy atBaylor, I’m livinga wonderful,pain-free life.”Heavy, painful periods that lasted several weeks each month seriously impacted Heather Fortenbury’s quality of life. Shecouldn’t sleep, and her work was affected. When an endometrial ablation failed to end her symptoms, she consideredother options. At Baylor Medical Center at Irving, she learned she was a candidate for a laparoscopic supracervicalhysterectomy with the da Vinci ® system. This robotic-assisted, minimally invasive surgery offers less pain, smallerincisions, shorter hospital stays and faster recovery times. Heather stayed in the hospital just overnight. A week later,she was grocery shopping and going to a movie with her children. “I would recommend Baylor to anyone. The staffis amazing. They’re very attentive, and I know I receive the best care when I’m there.”For a physician referral or for more information about robot-assistedsurgery at Baylor irving, call 1-800-4BaYloR or visit us online atBaylorHealth.com/irvingdaVinci.1901 n. Macarthur Blvd., irving, tX 75061Physicians are members of the medical staff at one of Baylor Health Care System’s subsidiary, community or affiliated medical centersand are neither employees nor agents of those medical centers, Baylor Medical Center at Irving or Baylor Health Care System. ©2011Baylor Health Care System. Photographs may include models or actors and may not represent actual patients. BMCIRV_SD 5-11