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On this edition of the Best Docs Network featuring Forest Park Medical Center, Dr. Richard Ha,
Dr. Jonathan Oh, Dr. Peter Baek, Dr. Clayton Frenzel. Hello again everyone, Jim Knox along
with Kandace Krueger and welcome back to another edition of the Best Docs Network featuring
Forest Park Medical Center. This is a whole show dedicated to Forest Park Medical Centers
and its amazing physicians. Forest Park Medical Center of course one of the top medical centers
in the entire Dallas, Fort Worth area and we have a great show for you today. We certainly
do. Let’s start off with our first Forest Park physician plastic surgeon Dr. Richard
Ha. I weighed 485 pounds. I’ve lost a little over 300 pounds in a period of a little over
4 years. I did it without surgery. I just woke up one morning and decided that I was
tired of being the fat guy and decided I needed to make a change and from that moment on I
changed it. When we talk about massive weight loss this is different than somebody who is
on a post pregnancy diet or lose some of that college weight. That’s not the patient population
I’m talking about. I’m talking about patients who have had massive weight loss and these
patients tend to do this in a very rapid way. This can be as a result of surgery. Likewise
some patients, some people can do that without needing surgery. The results on their skin
and their body shape is oftentimes very similar. What happens is your body’s metabolism and
physiology is different, it changes. You have a deflationary effect so whatever skin that
you used to have in fat, just imagine the fat going away and the skin being left behind.
Dr. Ha is actually an acquaintance. His wife kind of grew up with my wife and I had, as
I was losing weight, had planned when I got to my goal that eventually I would meet up
with him and get him to do the plastic surgery to take care of the extra skin from the weight
loss. With Mr. Winters I was able to sit down with him and we came up with a very tailored
specific plan for him. His primary concern was around his trunk, his arms and his ***.
We addressed all those areas through a comprehensive body lift and his results are outstanding.
One of my favorite things to do is I road bike and as I would bend over you’d feel
especially in the abdominal area, you’d feel that skin as I was bent over biking.
Now it’s just a natural curve and feels normal. Dr. Ha is professional from the get
go. He’s going to let you know what you’re up against, how it’s going to work and the
way it’s going to all pan out. Everything that he told me in the very beginning is exactly
how it went. Mike who loves his job working at a hospital had chronic neck, shoulder and
back pain until he met Dr. Peter Baek. To find out more about Mike’s story and other
life changing stories, logon to bestdocsnetwork.com. I was at my fitness center and I was playing
basketball and I was reaching out to get the ball and somebody’s forehead actually slammed
into the bridge of my nose and broke my nose immediately. I immediately knew I broke it
because I heard a pop. Often patients come in and maybe either seen previous doctors
or oftentimes had previous surgery where its been inadequate in assessing those outside
parts of the nose so when we see the patients we obviously take a very careful history from
them and do a careful examination. And if we determine that they have a problem in which
the outside portion of their nose is contributing to their obstruction that’s typically when
we recommend functional rhinoplasty . I noticed that I was having breathing problems. Throughout
the day I would notice that I’m struggling to breathe and especially at nighttime while
I’d be sleeping I would wake up in the middle of the night sometimes and just gasp for breath
and I have never in my entire life had problems like that. The surgery is highly individualized
based on the patient’s individual problems. It can last anywhere from an hour and a half
to four or five hours sometimes depending on the complexity of the problem and the patient’s
individual history. Have they had previous surgery? What types of collapse are they having?
How much cartilage do they have left over in their nose and do we need to reconstruct
that possibly with even cartilage from elsewhere in the body? After the surgery I woke up and
I had the splints, I had the bandages on the nose so I was not able to actually breathe
directly after the surgery. The recovery period I think was around 2 to 3 days for me. Although
there is some discomfort associated with the surgery, most patients by a week or two after
surgery are very glad they’ve had it done. Not only are they breathing better, but they’re
pleased with the outside appearance of the nose. A week after the surgery he removed
the splints and the bandages on the bridge of my nose. That’s when I took my first
breath and I immediately knew that something has changed because I was breathing out of
both nostrils which I’ve never done before in my entire life. It was a life altering
experience. I remember I was at his office and I was just so happy and I think I gave
Dr. Pero a hug. Best Docs Network featuring Forest Park Medical Center. Forest Park Medical
Center, extraordinary in every way. Up next we’ll meet Dr. Peter Baek who has an innovative
noninvasive way to help individuals suffering from neck pain. P-Stim is a lightweight device
that’s worn behind the ear that sends electrical impulses to the ear which helps to reduce
pain by causing the body to release its natural endorphins. Well, I’ve had a bulging disc
for a number of years which has caused burning, pain in my neck, upper back and shoulders.
It’s the type of thing that I over the years learned to simply accept because the only
alternative was surgery and I’m not yet ready to go that way. Mike is a patient whom
I’ve treated for neck pain. What he told me is that he has a bulging disc which at
this point does not require surgery. However, the pain in his neck prevents him from doing
many things. I wear it for four days, off for three, wear it for four days, off for
two weeks. Hopefully if I need it again it might be a month or two between treatments.
Eventually you’ll get to where you don’t need it at all. With me the time without it
is expanding. This is the portion of the device that’s worn behind the ear. The wires lead
to the electrodes which are right here which are placed on the ear itself. After years
and years of chronic pain, Dr. Beck put this on one morning and literally within two minutes
I felt a sense of relaxation washing over me and within an hour I started feeling more
range of motion and the pain now is such that many times I don’t even notice it. This
is such a new technique to me, every patient for whom I put this on, the first thing that
people will state to me is that they have slept like they have never slept before. Well,
I think the biggest change that I’ve experienced is having more restful sleep. The P-Stim doesn’t
repair anything. If you have in my case a bulging disc or other problems, it’s not
going to repair that. It’s going to make the pain more manageable and the most attractive
thing about the P-Stim for me was that if it doesn’t work the alternative still exists.
I’ve lost nothing by trying this. And in my case, it’s been an amazing discovery.
Forest Park Medical Centers pride themselves on being one of the top medical facilities
in the Dallas, Fort Worth area. They also pride themselves on being a good neighbor
because they are very active in the community. We’re here at the second annual Frisco North
Texas Turkey Trot and it’s great to be a part of it. We’ve about doubled the number
of people participating this year from last year. Forest Park Medical Center Frisco is
one of the official sponsors here for the North Texas Turkey Trot. It goes to a great
cause for the American League of Frisco. We’re a youth sports organization here in Frisco
for children with mental and physical disabilities. This is one of our fund raisers, annual fund
raisers and it benefits our organization. It gives our kids an opportunity to participate
in sports like the mainstream children do. We started 7 years ago with 40 kids, now we
have over 350 athletes participating. All of our directors are here today participating
along with a number of additional staff members that were off. So we’re all out here, we’ve
got T shirts on, we’re all here to just help out with a great cause and to participate
and work off some energy before we eat a bunch of turkey dinner tonight. For us it’s just
nice to get out here and be part of the community. It’s right in our backyard, right across
the street so anything we can do to get Forest Park Frisco’s name out there and seen is
great for us. Forest Park just opened up recently, they’re doing wonderful. Great community
partner as you see out here. They want to be part of the community, they want to get
engaged in the community and we’re really thankful to have them here so a lot of things
to be thankful for in Frisco. Very excited about Forest Park. They’ve come in and jumped
with both feet in with our Turkey Trot. This is our second annual Turkey Trot. The first
one was last year and we started out with 1800 runners which was double what we thought.
This year we doubled our number from last year. We think a partnership with Forest Park,
U.S Road Sports, Miracle League of Frisco only get bigger in the long run. We’re a
growing community, we’re only 50 percent built out. We’re trying to grow fitness
into our culture, into our community in everything we do. And Forest Park coming on line here
the last year, they jumped right in, they want to be part of that. They’re promoting
the health, they’re promoting fitness and just another great partnership. It’s always
fun just to be out there and let people get to know who you are. You also see the people
that you could potentially be serving either now or in the future, so anytime you can get
your face out there they can see you it’s more personable and they can you know really
get to relate to you and get to know them as a community. Did you know that Forest Park
Medical Center was voted one of the top 100 places to work in the Dallas, Fort Worth area?
Forest Park Medical Center received this honor for the second year in a row. Well I woke
up one day in early July about 3 years ago and had a small lump on my neck that I thought
wan an ingrown hair or something like that but it continued to get bigger and bigger
over the next several weeks. And that prompted me to see my regular doctor so I ended up
seeing an ENT which he ran some tests. A week later he diagnosed the cancer. I decided I
needed a second opinion and I ended up in Dr. Andy Chung’s office. We sat down, I
kind of discussed with him what I believed was going on. He had already had a needle
biopsy of the neck mass which confirmed that it was a metastatic malignancy called a squamous
cell carcinoma and he asked me what options he had aside from getting radiation and chemotherapy
which he was very concerned about. Hearing the word cancer is something you only think
happens on TV or to someone in the paper but when it happens to you, it is pretty scary.
I talked to him about a minimally invasive surgical option where I described how we could
go in and remove the cancer in the back of his tongue literally with no incisions. The
tumor on my tongue was fairly large and when I saw a picture of it, it looked like a great
big mushroom cap way back in the back. You can see, this is the lymph node on the left
neck that Mr. Mcneff noticed. After surgery we repeated the scan and what you see now
is that this bright orange mass that was in the back of his tongue is no longer there.
So you can see that that tumor is completely gone based on the PET CT. It seemed like I
recovered pretty much from the surgery in a matter of days. The worst part of this whole
procedure was the radiation treatment. Our goal is to preserve speech, respiration and
swallowing and I think because of that and that preservation patients are recovering
quicker and the potential complications are significantly reduced. Ann was suffering from
severe sinus problems and she credits Dr. Colin Pero for helping change her life. To
find out more about Ann’s story and other life changing stories, logon to bestdocsnetwork.com.
I had back pain, I had neck and shoulder pain and my *** were large and it made wearing
certain styles of clothing just undoable. Over the years I’ve gone to physical therapy
for my back and neck and shoulder pain and it would help for a while and then after a
while it would just go back to the old same old same old. And I’ve taken muscle relaxants
and I would take prescription pain medicine and over the counter pain medicines and it
was just not working for me. Rosetta came to the office for a consultation for breast
reduction surgery. She for her tiny frame, she was very disproportionate. She’s always
had this, she’s been self-conscience of this since she was a teenager. I believe she
was a G or an H which affected her quality of life. She wasn’t able to really engage
in too many activities, sports activities, a lot of running or exercise and she was having
a lot of back and neck pain. I ended up deciding that it was time to do something more permanent
to alleviate the situation and my primary care had recommended Dr. Angobaldo to me and
I went in to see him and I immediately clicked with him and thought it was a good fit. Breast
reductions can help solve a lot of these symptoms that people are suffering from. Rosetta’s
surgery took about four hours to do which included liposuction of her lateral breast
tissue and her axillary tissue. She has a very nice result. We removed three pounds,
a little over three pounds of breast tissue. Just imagine if you had a heavy gold necklace
weighing three and a half pounds and you’ve been carrying it or wearing it for the last
twenty years, so just having that reduction in weight was a huge benefit for her and she
felt it immediately. I’m looking forward to the fashion options that I’ll have now
and just looking proportioned, no more pain. I’m just really excited. As always, 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. Right and Forest
Park Medical Center and their fine physicians are dedicated in helping change people’s
lives like our next Forest Park Medical Center doctor, Dr. Jonathan Oh. When you hear stages
of cancer, basically stages are just a way of classifying how far the cancer has spread.
Every disease type has their own way of staging things so staging for breast cancer is not
going to be the same as staging for ovarian cancer obviously because it’s completely
different diseases. But that’s generally what we’re trying to do Is trying to get
an idea of how advanced the cancer is and once we know how advanced the cancer is we
can generally give people an idea of what the prognosis is. That’s ultimately what’s
important. You’re not so much worried about stage you’re more worried about are you
going to be able to cure this. So stage kind of gives us an idea of what the cure rate
would be. For a gynecologic cancer after surgery and what we call adjuvant therapy and adjuvant
therapy will just be either chemotherapy or radiation. After the surgery patients undergo
what we call surveillance. Surveillance is just a fancy term for keeping a close eye
on things. Typically the patients come back in to the office anywhere from every three
to every six months for an exam and blood work. We want to keep an eye on things to
make sure that the disease doesn’t come back. Chemotherapy is just a fancy term for
medical therapy. Traditional chemotherapy is an IV infusion so just like if you were
to go to a hospital you get an IV placed and these are medications designed to help kill
cancer cells and for the most part the way I describe it, it’s a very expensive, very
well thought out poison and it’s poison that's designed to help kill cancer cells
before it causes too much damage to normal cells. Length of treatment depends on the
type of cancer the person has and the treatment option that they decided for. But usually
it’s about a eighteen week treatment course. There’s a number of trials that are ongoing
through our research division that’s based out of Mary Crowley here in Dallas. We have
a number of clinical trials open for not just gynecologic tumors but also breast cancers
and multiple other disease sites. We have targeted therapies. We also have tumor specific
options such as vaccines so a lot of these tumor vaccines are created at the time of
surgery where samples of a person’s tumor is sent to a lab and this lab creates a vaccine
targeted specifically against that person’s tumor. That’s something that’s under clinical
trials here in Dallas that I’m very actively participating in. 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.
Time for our next Forest Park doctor, it’s Dr. Clayton Frenzel who explains how revisional
bariatric surgery can help those that have had unsuccessful surgery in the past. First
of all from a bariatric perspective, the procedures that I offer my patients are the gastric band,
the gastric sleeve, the gastric bypass and revisional surgery. I had the lap band done
in 2008 and everything was going pretty good for maybe the first year and a half. In 2010
is when it got really, really bad where I couldn’t hold much food down. When a patient
comes to me with these complaints I usually recommend that we go ahead and convert them
to another operation. And the most common operation I will convert them to is either
the gastric sleeve or the gastric bypass after the band has been removed. Dr. Frenzel’s
commercial had popped up maybe a week or two prior so I headed to the website, looked him
up. He was available for an appointment right away. One of the issues that could come up
if you try to convert the patient from the band to the sleeve is you’re exchanging
one restrictive procedure for another restrictive procedure and not adding a whole other component
of weight loss. We discussed the various different procedures that could be performed and we
decided on gastric bypass and that’s what he performed on me to remove the band. The
patients just need to be educated very thoroughly about the options. The gastric bypass in my
opinion the weight loss is probably going to be a little bit quicker and at the end
of a year and at the end of five years I think the results will still be better than converting
to the gastric sleeve. The patients still have to do their part. No surgery is going
to do 100%. They still have to do their 40 or 50% to help get the weight off. Meaning
they’re going to have to eat healthy, they’re going to have to see the nutritionist, they’re
going to have to come see me in follow up, they’re going to have to exercise. It’s
a whole spectrum of things that have to come together. It’s like a puzzle, all the pieces
have to come together to be successful. The surgery is one piece of that puzzle. I just
feel now that I’m ready to climb Mt. Everest, run my first marathon. I know all of this
is possible prior to this procedure that was performed on me. I was really just trying
to exist. I know my family needed me and I know I needed to work to maintain the things
that you have to have in life. Today’s ask the doctor comes from Jessica. She has a question
for Dr. Brian Barnett. How does a fertility specialist work in conjunction with an OB/GYN?
We work with them on a regular basis. In fact our two biggest referrals are previous patients
and the local OB/GYN’s. So it’s very common that when women try and start a family, they
commonly go to their OB/GYN first and they often initiate some of the workup and if those
patients are not able to conceive through their local OB/GYN, choose basic treatments
or require more advanced treatments they then refer those patients over to us. But at Dallas
IVF we’re a full service infertility practice, we don’t deliver babies anymore. Our goal
is to get these couples pregnant in a timely manner and then they return to their local
OB/GYN’s to initiate their prenatal care. Best Docs Network featuring Forest Park Medical
Center, welcome to the twenty first century of cutting edge medicine, Forest Park Medical
Center. 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, a 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. I’ve been a member of a
band called Masterbones Jangle and the Voodoo Island Cannibals, we’re actually a pirate
band. There were several times in which I’ve had to miss entirely the ability to go out
and play with the band that I’m in and enjoy those things. Not to mention the fact that
several times band aside I’ve got a three year old and more often than not I couldn’t
play with him, I couldn’t pick him up, I couldn’t interact with him. He would crawl
up into bed with me and you know he’d say daddy sick, daddy sick and he’d get his
doctor kit out and try to make me feel better but there’s nothing you can do. In this
particular patient, he had multiple recurrent episodes of diverticulitis. Diverticulitis
is an area where there are inflamed or infected pouches or out pouchings of the wall of the
colon. When I first came to see Dr. Macaluso I was experiencing a lot of abdominal pain.
This went on for quite some time until finally my primary care physician referred me to Dr.
Macaluso. The most common area to get diverticulitis is what’s called the sigmoid colon which
is on the lower left side of the abdominal cavity in the pelvic region above the suprapubic
bone. Unless you are having those kinds of pains, unless you are really understanding
what kind of agony that is you don’t realize how good it is to simply not be in pain. A
lot of times this can be treated with medications such as antibiotics, however if you continue
to have multiple recurring episodes of three, four, or five episodes of diverticulitis or
the attacks of diverticulitis become more frequent in time, these are the patients that
we typically recommend they undergo a laproscopic colectomy. My recovery time was minimal at
best. I was out of the hospital before the weekend was over and my surgery was on a Thursday.
The small incisions allow for quicker return to work, quicker return to normal activity.
I can actually bend down and play with my son and not worry about having to lay on my
back to try to find relief from the pain. From the time in which I met him to the pre-surgery
procedures, the post-surgery procedures and then the follow up thereafter, he’s almost
been like a friend. I would absolutely recommend him to anyone going through this. That’ll
do it, that’ll wrap up another edition of the Best Docs Network featuring Forest Park
Medical Center one of the top medical centers in the entire Dallas, Fort Worth area. And
the good news, Kandace, for the fine folks wanting more information about Forest Park
Medical Center and their great doctors, you can head to the website, bestdocsnetwork.com
and click on the Forest Park tab. That’s right with unsurpassed service, exemplary
care and the highest quality medical facility prepare to have your expectations exceeded.
And if you have a question or comment for us we’d love to hear from you, send us an
email at info@bestdocsnetwork.com. That’s right, we’ll see you next week.