The Michael E. DeBakey Veterans Affairs Medical Center serves as the primary health care provider for more than 113,000 Veterans in southeast Texas. Veterans from around the country are referred to the MEDVAMC for specialized diagnostic care, radiation therapy, surgery, and medical treatment including cardiovascular surgery, gastrointestinal endoscopy, nuclear medicine, ophthalmology, liver transplant, renal transplant and treatment of spinal cord injury and diseases. The hospital is a state-of-the-art facility with 350 acute care beds, a 40-bed Spinal Cord Injury Center, and a 141-bed Community Living Center. Diabetes in patients who have had cardiothoracic surgery or organ transplant is a major focus of the inpatient service, as well as the evaluation of patients with fragility fractures, and endocrine disorders and complications in hospitalized Internal Medicine patients. The outpatient general endocrinology clinics see a broad range of pathology including pituitary, thyroid and adrenal neoplasia, hypogonadism, transgender medicine, and metabolic bone disease, and the insulin pump / continuous glucose monitoring program is one of the largest such programs within the VA system.