General Rehabilitation Program
The Memorial Hermann Hospital at Texas Medical Center's (MH-TMC) Physical Medicine and Rehabilitation service (PM&R) strives to provide the highest quality of care for a wide variety of patients. They are led by Chief-of-Service of PM&R, Gerard Francisco, who is responsible for representing the needs of the Physical Medicine and Rehabilitation physicians at Memorial Hermann Hospital. We provide a wide range of services that are designed to help restore function to patients in the greater Houston area.
Post-Acute Care and Inpatient Rehabilitation
One of the primary objectives of the MH PM&R service is to provide unparalleled excellence in what is known as post-acute care for patients at the hospital. Post-acute care involves the long term decision making and medical care of patients who are involved in catastrophic illness, major trauma, head injury, spinal cord injury, stroke, amputee, and the effects of prolonged hospitalizations. Post-acute care is a complex and emerging area of medicine, and the PM&R service is the leader of this specialty.
Post-acute care begins with consultation of the PM&R physicians onto the case. This is initiated by the surgeons or physicians who handle the case in the acute hospital. When a patient's acute care needs are anticipated as being met, but the patient remains too complicated to be discharged home, the PM&R physician (physiatrist), is consulted to help make the decision as to what the patient's needs are at that time and how they can achieve the most independence possible.
At this time, the decision may be made to transfer the patient under the care of the PM&R service, to the Inpatient Rehabilitation Unit at Memorial Hermann Hospital. Inpatient Rehab, as the unit is known by, is a medical floor devoted to post-acute medical care while the patient undergoes intensive therapy services from physical (PT), occupational (OT), and speech therapy (ST). The Inpatient Rehab unit at MH-TMC is known for taking on complex and difficult cases, and takes pride in being able to rehabilitate some of the most challenging patients seen in the Texas Medical Center.
Even after patients leave the inpatient rehab unit or after a prolonged hospitalization, they may still have lingering medical and functional issues at home. The PM&R service provides a comprehensive set of outpatient care at the TIRR Memorial Hermann Hospital located in the Texas Medical Center.
Our clinics include follow-ups for trauma, orthopedic, musculoskeletal, neurological, amputee, and brain injury rehabilitation cases. Some of the areas of expertise in the clinic include diagnosis and treatment of injuries by conservative measures, pain management, the prescription of prosthetics and orthotics, and the prescription of therapy services such as PT, OT, and Speech therapy.
MH-TMC also offers electrodiagnosis or what is known known as EMG/NCS (electromyography/nerve conduction) studies to help diagnose and predict nerve injuries that may be seen after trauma, work-related injuries, or certain medical conditions. These nerve injuries may include carpal tunnel syndrome, cubital tunnel syndrome, radiculopathy, among many others.
The PM&R service works closely with the Dept. of Orthopaedic Surgery at UT-Houston Medical School to diagnose and provide input on nerve injuries seen after bone injuries or fractures.
Neuropsychological testing, also offered at MH-TMC is a specialized testing procedure that allows a highly trained neuropsychologist to better understand and determine cognitive, memory, and thinking problems that may be affected by a variety of medical conditions. Commonly, these may be seen after head injury, stroke, encephalopathy, or dementia. Neuropsychology can allow us to determine what a patient is or is not capable of doing. For example, it can help determine if a patient would be able to have the cognitive capacity to return to work or drive a car after a head injury even if physically the patient appears recovered.
Mark Wilde, Ph.D, is the department's neuropsychologist, and he works closely with our physicians in providing comprehensive care of the patient.
Impairment ratings (IR) and independent medical evaluations (IME) are specialized medical examinations that are designed to help quantify the degree to which an injured worker or patient's has left permanent impairment. These evaluations are performed for medical conditions at TIRR Memorial Hermann’s outpatient clinic, and Dr. Mark Wilde can perform these studies for the evaluation of cognitive impairments.
To learn more about the general rehabilitation program and how you can participate call (713) 500-5874.