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Coming up next on this episode of the Best Docs Network featuring Forest Park Medical
Center, Dr. James Davidson, Dr. Richard Ha, Dr. Ricardo Meade, Dr. Yoav Hahn. And hi again
everyone, Jim Knox along with Kandace Krueger and welcome back to another edition of the
Best Docs Network featuring Forest Park Medical Center which is one of the top medical centers
in the entire Dallas, Fort Worth area. Indeed it is Jim and this is a whole show dedicated
to Forest Park Medical Centers and all of their fine physicians. All right let’s get
the show going with our first Forest Park physician, bariatric surgeon Dr. James Davidson.
Why are people becoming more obese? Well, there’s two things. There’s the culprit
the knife and the fork or is it the chair? Well one of the things is is that they’ve
done studies and they’ve shown actually our amount of food intake is decreasing or
staying about the same since 1950. But what has changed since 1950 is our food source.
We now have foods that have hormones in them, have antibiotics in them and we have what’s
called a homogenius sort of fat supply, a homogenius sort of food, this genetically
changed food. The next thing is is that we definitely have decreased physical activity.
One of the healthiest person 50, 60 years ago was a truck driver, why? He loaded and
unloaded his truck. Next thing is stress and distress. You think of times in World War
I and World War II people had to have a lot of stress or distress. So are we having more
or less now? I don’t know. Another cause of obesity in this country is drugs. It’s
estimated that at least ten percent of all obesity is due to drugs. What are some of
these drugs? Well particularly some of the antidepressant drugs. It affects the brain.
Change some of these receptors in the brain that give people a good feeling so they want
the good feeling more from food or what have you. One of the big things that controls somebody’s
weight is the brain. We all eat almost the same number of calories each year. The average
American only puts on about a pound a year. How can you put on such a small amount of
weight of simply a pound or two a year when you eat almost a million calories a year?
It’s the brain due to these feedback mechanisms from your body’s sensors. One of the sensors
things is the leptin, an incretin released by fat cells, it goes to the brain and controls
how much you eat. So it’s pretty amazing how well God designed the body, that considering
how many calories we eat a year, how little bit of weight we gain. The brain and the body
have this fantastic feedback between the two to keep people’s weight approximately the
same when you consider they eat about a million calories a year. Jacob's quality of life was
affected due to acid reflux disease until he met Dr. Glenn Ihde. To find out more about
Jacob's story and other life changing stories, logon to bestdocsnetwork.com. Sleep disorder
breathing or commonly known as obstructive sleep apnea is a fairly common debilitating
and sometimes life threatening condition that afflicts a fairly significant fraction of
the U.S. population. The term apnea refers to the cessation or the slowing of breathing
for 10 seconds or more and is frequently noticed by the bed partner as gasping or choking the
patient. My wife would say, sometimes I think you’re dying, you know and I’d ask her
why and she’d say because you’d be breathing real heavy and all of a sudden you would just
stop. As this airway space narrows and the most common reason is during sleep the individual
loses muscle tone. When that patient loses muscle tone, the tongue falls back in the
airway. The procedure that I commonly perform, and it was performed on Mr. New is what is
referred to as the tongue and hyoid suspension. The tongue and hyoid suspension utilizes a
device that inserts screws in the inner surface of the mandible. These screws have attached
to it a very strong suture called prolene and that suture is placed around the hyoid
bone. The hyoid bone is attached to the lower base of the tongue. This brings the hyoid
bone closer to the mandible opening up the airway space. In addition, there is another
suture that is passed within the tongue and that holds the upper base of the tongue. Now
it’s just, you wake up, you’re refreshed because you have you know gotten sleep. I
noticed after my surgery, I fish a lot, when I got on a boat the wind would go through
my nose and would just be going down the back of my throat because now that passage is open.
It’s just a totally different feel you know. There were lots of times when I would fish
before, that I’d be like I’m just too tired to go and now it’s not like that.
If I get a chance, I’m going even if it’s just for a little while. Best Docs Network
featuring Forest Park Medical Center. Forest Park Medical Center, extraordinary in every
way. Up next, plastic surgeon Dr. Richard Meade has a special procedure that he was
able to perform on a woman that survived breast cancer. I came to Dr. Meade because I was
diagnosed with breast cancer. I had several options as far as procedures concerning reconstruction.
I think one of the biggest challenges that I face in breast reconstruction is educating
patients. It’s a time of crisis for them, just very difficult for them to choose what
they normally would choose. During the crisis typically a patient will simply want their
breast to be reconstructed as quickly, simply as safely as possible and just get me out
of here. Diep flap was the way to go because the implants just weren’t an option because
there was always the possibility that they could get hard and I like the idea of it all
being me. You can take the skin and the fat from the tummy. You can take the blood vessels
with it and you can leave the muscle behind so the recovery for those patients is much,
much faster. Nancy had her diep flap and was up and around. Now part of this obviously
is her spirit but it’s a lot easier to recover from an operation where your tummy muscle
was just separated and not cut out. These patients where I leave all of the muscle,
their recovery is so much faster, it’s unbelievable. The typical patient is someone who has an
adequate amount of tissue from their belly button down to about the level of where a
C-section scar is. And if you tighten up your tummy muscles and you kind of pinch that area,
that’s the size of tissue that you can have for one breast. The Diep flap is all natural,
so it’s a really nice reconstruction for a patient so that she no longer has to worry
about the reconstruction. The recovery is about three weeks and once they’re done
with that they’re done with their breast reconstruction for life. I did go home with
drain tubes and whatnot but it took me about a month before I felt like I was back to fairly
full capacity as far as moving around and going places. It’s a natural form of reconstruction.
Once it’s healed in they’re done, they don’t have to worry about it anymore than
they worry about their tummy. Everybody thinks I look amazing and it’s just been a very
positive experience. I haven’t looked this good in 20 years. Forest Park Medical Center
prides themselves on being one of the top medical facilities in the Dallas, Fort Worth
area. They also pride themself on being a good neighbor because they are very active
in the community. Today we’re having the Highland Park Science Festival and they’ve
asked me to come speak specifically about robotic surgery and I’ve had the intuitive
people in Forest Park partner together to get two demonstration robots so the kids can
actually see what we do with the robot and kind of how we get prepared for surgery. We
have 15 students who have opted to come see Dr. Salter and actually get to manipulate
this Da Vinci robot. I personally know a lot of these kids and have taught them a couple
of times. Most of them are seniors and a lot of them are interested in medicine. So this
is I think going to be a really inspiring event for them. The kids have absolutely loved
it. They have just been full of questions. They can’t wait to get up there and actually
get on the machines and feel what it’s like to operate the machines. So I think we’ve
got some great minds here and I think that if they can just be channeled in the right
direction that medicine has a very bright future and these kids will be part of it.
We are so fortunate that members of the community feel like they need to give back to these
kids and I don’t know if they really realize the impact that they have on a lot of students
because this is bringing the actual profession into the classroom. It’s a great event and
it’s gotten bigger every year. So much in medicine has been maligned lately and I’m
afraid we’re losing our really smart kids going into other professions because of the
length of training, the risk of lawsuit, all of the negative things that they hear about
and they don’t hear any of the positive. So I wanted to make sure the kids know there
is a positive to medicine and if they like technology and they like to be involved in
new stuff, this is where it’s at with surgery and we have a great medical center in Forest
Park and they like to get out and help the kids see what’s available for our community
and I’ve always wanted to be able to get out and show the kids what they have available
and Forest Park has always been open minded about trying new technology, new equipment.
They also want to get out and show you know people what’s available, what they can offer
that’s different from some of the other hospitals. Did you know the spacious operating
rooms at Southlake Forest Park Medical Center will feature the latest technology including
the ability to live stream video from surgeries to nurse stations and other Forest Park campuses?
The Dallas location has an auditorium where doctors can gather to watch a surgery. Cindy,
a loving mother had a weight problem until she met Dr. Clayton Frenzel and look at her
now. To find out more about Cindy’s story and other life changing stories, logon to
bestdocsnetwork.com. I had a lap band performed by another physician and then in 2010 Dr.
Stewart did a revision to the duodenal switch because I was having so many complications
from the lap band specifically with my esophagus. I was having trouble keeping down liquids
and just eating was a problem for me, so it was really taking its toll physiologically.
Revisional bariatric surgery, what is it? Actually it’s somewhat of a fake term. It
can be anything from trying to fix a problem. You know someone has a surgery and they have
a problem with it, they need a little help to get over that whatever side effect or complication
or just symptom you know is. But it could also mean that the patient is unhappy with
the results. I did significant research and found Dr. Stewart online and I liked the fact
that he offered several different weight loss surgeries which was key for me to have a choice
as a patient. I used his website to research the specific surgeries and I felt like duodenal
switch was the right surgery for me. It offered a chance for me to maintain a normal weight
and also less of a chance of regain later on down the road. When we have patients that
come to see us who had another procedure and they just haven’t had good results or maybe
they had good results initially and then they regained their weight. Our approach is going
to be not to blame the patient but to look at did the patient have the right procedure
to begin with. I’m more going to counsel them about well maybe you know we need to
take a different approach and maybe that approach needs to be tailored after your particular
you know situation. Dr. Stewart as a person is just wonderful. He’s very precise and
you can tell he’s a very skilled surgeon. He explains things in detail. He makes it
to where you’re ready to take that next step and his whole entire office staff walks
you through the process step by step so you don’t feel afraid. You feel like you can
confidently go forward. For the past couple of years I started having nose bleeds. They
were never very severe. I went to the doctor a couple of times. We couldn’t really figure
out what was causing them and then about four months ago they became terribly severe and
they would last a half an hour at a time and so I went to my internist who had me do an
MRI and so the good news is you have no tumor but the bad news is you are not formed correctly.
So that’s when he sent me to Dr. Pero. One of the newer technologies that we have the
last few years to help people with not only nasal obstruction but with sinus infections
and sinus problems is balloon sinuplasty and balloon sinuplasty has been an excellent advancement
in that it is a relatively less invasive or non-invasive technique to help open up the
sinuses. I think I had just a congenital issue and he said I really want you to come look
at your MRI and I said but I have just a vessel I want you to cauterize and he goes no, that’s
really not it. So I looked at the MRI and it all made sense because I’ve never been
able to blow my nose on the left side. Well it’s because that left side was almost completely
closed. The way balloon sinuplasty works is if you have a sinus opening that is narrowed
and usually congenitally in other words if you were born that way and then if they have
a little bit of swelling say in response to a cold or even a weather change or allergies,
if you have a narrow opening if it swells a little bit, it can swell shut. By placing
a balloon into the sinus opening it will inflate that opening and make that opening larger.
If you then get the same amount of swelling from allergies, or a cold or what have you
it’s no longer swelling shut anymore and the sinus continues to function as normal.
Dr. Pero told me that he would go in and open up the left sinus cavity where it would actually
drain properly and I could breathe through the left side, it was just so successful.
It was shocking when I went for my follow up visit and he took the packing out and said
okay breathe through your nose and I did and it almost felt like I had too much oxygen.
It’s a huge difference. Dr. Pero is wonderful and I would recommend him to anyone. Don’t
forget for more information on any of the doctors you’ve seen on today’s show, just
go to our website, bestdocsnetwork.com and click on the Forest Park Medical Center tab.
And you know Kandace, Forest Park Medical Center of course and their physicians are
dedicated in helping change people’s lives. Let’s meet our next Forest Park physician,
plastic surgeon Dr. Richard Ha who has been able to cosmetically help a woman that survived
skin cancer. The prevalence of skin cancer is increasing especially since we live in
Texas and a southern state. Just the amount of sunlight exposure is greater than say if
you lived up North and those who are susceptible can get skin cancers. The most common ones
are generally less aggressive. They’re called basal cell cancers. We have some more aggressive
sub types such as squamous cell and then the deadly killer which is melanoma. Fortunately
that’s more rare. Back in 08 I had a little spot that was biopsied and came back positive
as basal cell carcinoma. When I med Dr. Ha he said that he would have to do a skin graft
using a piece of tissue from my ear. That surgical procedure worked out really well,
scary at first, but it turned out really well. This year in May there was another spot on
my nose. In Dottie’s case she had a skin cancer on the tip of her nose which is a very
challenging location because there’s not an easy way to just bring the edges of the
defect together without creating a lot of distortion, so, you’re left with some of
the other options. Well skin graft on her was not a great option because of the depth
of it, it was going to heal with a divot something that would have been very noticeable. So really
we’re left with a more complex option of doing a nasolabial flap or borrowing tissue
from the cheek, leaving it tethered to the cheek and then attaching it to the nose. Dottie
had that procedure done and that trunk was left there for four weeks. She was a great
patient, she hung in there. We went to that second stage, we divided it. I did some dermabrasion
to kind of sand and smooth the edges of the scars and she’s only a few months out and
it’s very hard to even tell that she had anything done. Dr. Ha is just amazing. He’s
like an angel. He makes you feel comfortable. He held my hand and he said don’t worry
Dottie, you’ll look great and I just had to trust in him. When I think about everything
that I’ve been through, I’m very happy, very happy. I still recognize my nose and
I think it looks great. Healthy nose, yes, cancer free, yes. I’m very pleased. Wes,
a local store owner had cancer and he credits Dr. Sharon Gregorcyk for saving his life.
To find out more about Wes’s story and other life changing stories, logon to bestdocsnetwork.com.
Now to our next Forest Park Medical Center doctor. It’s Dr. Yoav Hahn who helped reconstruct
the middle ear of one young lady who was involved in a serious car accident. We were going down
a back road and there was a group of dogs that I could see in front of me but apparently
there was one left behind and it came out of my blind side and when I finally saw it
and I swerved and when I swerved it slammed me into two oak trees. When Brittney came
in to see me she had a profound hearing loss in that ear from the car accident. Something
associated with the accident affected the continuity of the three little hearing bones
in her middle ear. When I was in the hospital bed, if I was laying on my left side, my right
side I couldn’t hear anything. I think there’s something wrong because I could hear perfect
now it feels like my balance is off. I can’t hear y’all when I turn my head. I tell the
patient that they have an option to repair their eardrum and repair the hearing bones
within their middle ear cavity and I go over with them the anatomy of the middle ear and
I talk to them about the fact that a surgery can be performed to look into the middle ear,
see what the problem is and at the same setting to repair whatever it is. Dr. Hahn knew exactly
what he was doing and he was taking it one step at a time. He wasn’t okay well this
is what we need to do and we need to do it now. He was doing it step by step by step.
The first step that Dr. Hahn took was taking an ear test and when he had found out how
bad the results were that’s when we started taking more steps towards getting surgery
done. I lifted up her ear drum, looked into her middle ear and it was apparent that the
second hearing bone had actually been misplaced off of the third hearing bone so there was
no connection between the second hearing bone and the third. When her eardrum would vibrate,
it wasn’t vibrating into the inner ear at all. We actually replaced her second hearing
bone with a prosthetic hearing bone and within days you know she noticed a significant improvement
in her hearing. Amazing the results that I had and ever since after the surgery I mean
I’ve been just up scaling from there. If I knew someone who was having the same problem
as I was, I would definitely recommend Dr. Hahn. He’s a great physician and he treats
you like you’re a person and not just another patient. Todays ask the doctor comes from
Sarah. Sarah has a question for Dr. Richard Ha. If I do liposuction, will I gain more
weight in other areas? Liposuction is permanent removal of fat cells but you’re not removing
all the fat cells in the area that you treat. So what liposuction does is give you a relative
reduction of fat in an area relative to anyplace else. Let’s just say that I have 100 fat
cells in my tummy and 100 fat cells in my thigh and I’ve taken away 50 of them through
liposuction of my tummy. I have a new ratio. Instead of 1 to 1, it’s now .5 to 1 or it’s
twice as likely that I’m going to gain fat in the thighs as opposed to the tummy. So
if you take in more calories where is that weight going to be displaced or where is that
fat going to go. It’s going to go preferentially to the thigh than to the tummy. Liposuction
itself is not the reason that you’re gaining weight or fat in one area, it’s because
you’re taking in more calories. Best Docs Network featuring Forest Park Medical Center,
welcome to the twenty first century of cutting edge medicine, Forest Park Medical Center.
Erin’s a lovely 27 year old who struggled with her weight pretty much throughout her
entire young adult life and so after lots of different things like diets that exist
and diet pills she was not able to lose weight. Before I came to see Dr. Kim I was starting
to have some health issues. I had thyroid issues, I was border line diabetic and I was
ready to do something about that before they became major health issues. I was already
starting to take medications that I didn’t feel like I should really be on at my age.
Erin and I sat down and chatted about the different options that were available for
her. She chose gastric sleeve surgery and this was a great fit for her because she has
a very active life. What really drew me to the sleeve surgery was that there was no device
that would be implanted into my stomach and it was not as extreme as the gastric bypass.
The operation allowed her to lose a tremendous amount of weight. In a year she lost almost
100 pounds and she was able to then have a life that everyone wants to have as a young
person. Once I started seeing the results, I was really motivated to keep going and to
keep eating healthy and to keep going to the gym every day and just mainly the results
are what really keeps you going. Sleeve surgery, though the operation does entail physically
reconstructing someone’s stomach, what a patient is required to do after surgery would
be nothing different than what other people are expected to do which is to practice portion
control as well as wise nutrition choices and try to get some exercise every day and
when they do these practical steps, along with good sleeve surgery, patients can do
marvelously well. When I go shopping, you know people are actually interested in helping
me. The people in the stores now they’re more willing to help me. They pull clothes
for me and shopping is fun. I don’t have to go to specialty stores anymore and I can
wear heels. Before I could never wear high heels and shopping is just a lot of fun for
me now. Brothers Brock and Brady experienced multiple injuries due to sports but they credit
Dr. Steven Michelsen who got them back in the game. To find out more about this story,
logon to bestdocsnetwork.com.
I was diagnosed with fibromyalgia five years ago and I was experiencing chronic pain, exhaustion
that wouldn’t go away. I actually met Dr. Baek through his wife, somehow the conversation
that I had, fibromyalgia came up and she said my husband is doing a new study, it’s called
a P-Stim and I was like, she explained that it was for chronic pain, arthritis, fibromyalgia,
it was FDA approved. What is nice about P-Stim for patients is that there is very little
prerequisites required to place this on. Outside of the contraindications of pregnancy or pacemaker,
any candidate can benefit from P-Stim. He, I mean, he installed it right there and there
was no drugs. I drove myself there, I drove myself home. Within four minutes of him putting
it on, my headache started decreasing and my pain started to ease up and by about evening
I just felt great. Somebody said you just look happy and I was like well I’m not suffering
from that chronic fatigue and that chronic pain. There is a lot of skepticism initially
with using P-Stim, but I’ve read the articles, I’ve read the journals, I’ve spoke to
patients and I came to realize that this actually will be beneficial to patients so I took the
initiative to talk to the distributor and made plans to be trained in the use and that’s
how I became the first physician in Dallas to be licensed to use this device. And my
husband’s gotten his wife back, my children have gotten their mom back. I don’t complain,
I’m happy, I feel great and I’m just, I’m really excited about it. What I find
rewarding about P-Stim is that I can finally offer patients a non-pharmacalogic way to
help patients manage their chronic pain. That’ll wrap up another edition of the Best Docs Network
featuring Forest Park Medical Center which of course is one of the top medical centers
in the entire Dallas, Fort Worth area. It certainly is Jim and for more information
on any of the fine doctors that you’ve seen on today’s show, just head to our website,
bestdocsnetwork.com and click on the Forest Park Medical Center tab. And like always if
you have a question or comment send us an email at info@bestdocsnetwork.com. That’s
right, so long everyone, we’ll see you next week.