Taking care of your health is a priority and nobody knows that more than physicians and healthcare providers. It can sometimes be difficult to find ways to stay healthy, so we’ve asked members of our Baylor College of Medicine community to share what they do in their daily lives to maintain a healthy lifestyle. Dr. Emily Sedgwick, associate professor of radiology at Baylor, shares some of her healthy habits with us. Q: What health decisions start your day? A: I exercise in the morning before work because I find it difficult to do so later due to work or family commitments. Q: What is your go-to healthy breakfast? A: I pack my breakfast and lunch every day and am very boring. Boiled egg for breakfast, raw almonds for snack, salad for lunch. Q: What is your favorite type of exercise? A: I run three to four times per week and do Pilates twice a week. Q: What keeps you motivated during your workout?
A: Exercising helps me to manage stress. My younger brother survived a heart attack when he was 35, so we have a family history of cardiovascular disease that keeps me moving. Being married to a cardiologist is also quite motivating! Q: What activities do you do when you can’t fit in a full workout? A: I try to walk to my meetings instead of drive. I take the stairs everyday instead of the elevator. Q: What is your favorite healthful snack? Q: Do you take vitamins and if so, which ones? A: I don’t take vitamins— I try to get my nutrients via food. Q: How do you make an unhealthy recipe healthy (healthy substitutions)? A: I choose healthy foods during most meals so I can have pizza or ice cream on the weekends. Q: What is your nighttime skin regimen? Q: What hobbies do you have to help you relax? A: Spending time with my kids and husband helps me to relax. Q: What is your go-to Houston restaurant for a healthy meal? Q: Do you use a pedometer or Fitbit and what is your daily step goal? A: My iPhone has a pedometer. Since I like to run, I don’t pay too much attention to my daily steps. Q: What is your favorite health tip that you live by? A: Exercising first thing in the morning has really helped me be more consistent. I put out my exercise clothes the night before so I’ve already hit the road before I have a chance to talk myself out of it.
- My health not being optimal
- Affiliate marketing
- Provide regular meals and snacks
- Make concrete goals
- What are the correct portion sizes for my child
They charge separately, and are exempt from not-for-profit hospital “charity” policies. Feeding bags, night nurses and out-of-network providers were also their own category of bills. Nearly three years after James’ death, the family has been unable to determine exactly how much they might owe, or have paid. 387,270.69 to doctors and hospitals. In March 2018, Federico was told the family’s balance was “zeroed out”. 11,000 for the twins’ care. The hospital offered a “payment plan”. Insurance documents described bills for hundreds of thousands of dollars the family “may or may not have to pay”. “I need to close it in my own mind, and move on from this, but it’s continuous,” Federico said. The Guardian could not determine an exact amount the Cavatores may owe because of restrictions on patient records and the large number of providers involved in their case. Although the Cavatores gave the Guardian access to hospital records to tell this story, Memorial Hermann declined to comment, citing patient privacy. “While we are unable to comment specifically due to patient privacy, we express our deepest sympathies for the loss this family has suffered,” Memorial Hermann Health System said in a statement.
The Cavatores’ journey began when Elle found out she was pregnant. A 38-year-old human resources worker, she had good insurance through a supportive job. But she found out early in the pregnancy her twins were “mono-mono” or “momo” – short for monochorionic-monoamniotic twins who grow in the same amniotic sac. James and Thomas were so close in the womb her obstetrician initially thought they were conjoined, Elle said. “They were nervous enough to have me go in for monitoring,” said Elle. During one of those visits, “one of the hearts stopped” momentarily, “a few seconds”. Elle was immediately sent to a hospital maternity ward, where she was on bed rest for nearly five weeks. One day her husband came to visit, and in hopes of private time, she asked a nurse to check the twins’ vitals early. “I’m so glad I did, because if I hadn’t said, ‘Do it right then’, they probably would have both died,” Elle said. The babies’ umbilical cords had twisted. With both babies in the same amniotic sack, doctors couldn’t figure out which child was under stress, so they rushed to deliver.
Aides cut off Elle’s clothes and she was put under anesthesia for an emergency cesarean section. “The next thing, when I woke up, the babies had been born,” said Elle. The babies were delivered at exactly 28 weeks and six days. Both babies immediately went to the neonatal intensive care unit, a hospital ward with ultra-specialized equipment and staff designed to care for tiny babies. Both breathed through tubes and lay in incubators with round-the-clock nursing. The Cavatores could not hold their children. It soon became apparent James was much sicker than Thomas. Within two weeks, James needed cardiac surgery to help a heart valve close, a chest tube to breathe, surgery for a tear in his intestines, and was later diagnosed with retinopathy, a condition which left him blind. But by far the most serious complication James faced was severe bleeding in the brain. James had a grade IV intraventricular hemorrhage (IVH), a condition where tiny vessels around the brain’s spinal fluid-filled areas – called ventricles – rupture. To relieve the condition, a shunt is placed. This is a tube which drains spinal fluid from the brain to the belly, regulating pressure.
The risks accompanying these surgeries are profound. The high price of caring for James quickly became apparent. Over the course of seven months, James underwent nearly a dozen surgeries, as his parents attempted to cope with the pressures of caring for a child with overwhelming needs and overwhelming costs. 5. They used about four a day. Then there was special formula. Once, James’ two-year-old older brother pulled out one of his brother’s tubes, called a Mic-Key button, and he had to be rushed to the emergency room. All of it costs money. ], and then you’re paying out of pocket, and it’s expensive, too. Night nurses rarely lasted two weeks. Elle suspected they were scared by the child’s fragile condition. Her stepsister helped pay for medical supplies and bills. After three months of maternity leave – something just 15% of American workers receive – Cavatore left her job to care for the twins full-time.