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Hello everybody, Äôm Karla Macias and welcome to another
edition of the Best Docs Network featuring Forest Park Medical
Center San Antonio. Forest Park Medical Center is one of the top
medical centers in all of Texas and iÄôs your destination to
better health. In the next 30 minutes wÄôre going to take a
look at what Forest Park Medical Center is and all the doctors
that are involved with this prestigious group, like our
first doctor, Dr. Ramon Reyes. Shortly after retiring from the
military I went to one of the free ultrasound scanning things,
IÄôm not sure what they call them, but the physician on site
stopped the test and said I needed to seek a physician
because thereÄôs some blockage. Frank Cassidy is a patient that
has cardiovascular risk factors. Cardiovascular disease is
probably one of the leading cause of death and disease in
the United States. ItÄôs whaÄôs causing strokes, itÄôs
whaÄôs causing heart attacks, iÄôs whaÄôs causing chest
pains, itÄôs whaÄôs causing amputations. And Frank Cassidy
was born in a family where every member of his family either has
been dead by age 50 or has had a heart attack or stroke in their
5Äôs. Dr. Reyes said that I am on the road to a heart attack or
stroke, didÄôt sugar coat it and said my last warning sign
was a quarter mile behind me. In my family we call that a God
slap and I went home, talked it over with my wife and we did
what we had to do. And over the last two or three years we have
engaged in the care of Frank Cassidy to the point that he has
lost about 30 to 40 pounds, his lipids have improved
significantly, he has a normal heart and hÄôs probably the
only member of the family that because of the advanced
cardiovascular management that we do in this office that he
doesnÄôt have cardiovascular disease. He gave me a map, he
gave me a strict map to better health and the quality of life
is just almost back to a couple of decades ago. Things are
looking very well. We not only did the basic cardiovascular
assessment, we did the advanced cardiovascular assessment all in
the same patient center. Life is very good. Äôm extremely
fortunate and blessed to have met Dr. Reyes. DoÄôt skip
breakfast. Fiber in the morning means less hunger late in the
afternoon when you most likely feel tired and gorge yourself on
sugar. An early start on eating also keeps your metabolism more
active throughout the day. Breakfast eaters are thinner
than people who just rush out the door. LetÄôs talk about
grief and depression, thereÄôs a big difference. We all have
grief, we lose a favorite animal, we lose a loved one, we
lose a job. These are things you grieve over. Depression is a
whole other thing, thatÄôs a chemical abnormality in the
brain. It often needs medication to get well. Grief can lead into
depression also so itÄôs important to know the difference
and there are several ways to know the difference. Number one,
grief tends to be more short lived. It may last a few weeks,
a few months and in rare cases a few years and depression tends
to last longer, more along the range of months and years. Also
and this is the most important factor, grief tends to
progressively improve. You get a little better every few weeks,
every few months. You can look back and see that youÄôre
improving. Depression doesnÄôt act that way, it tends to stay
the same, stay bad and get worse. You feel anhedonia which
means the lack of joy. If you have grief, you need time, you
need help, you may need support groups. But if you have
depression, you may need medication. Try to tell the
difference and search for help. Did you know that Forest Park
Medical Center was voted as 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. Did you
know that you can request an appointment with any of the
doctors that you see on todayÄôs show just by logging
on to bestdocsnetwork.com and clicking on that Forest Park
Medical Center tab. Up next wÄôre going to take a look at
what Forest Park Medical Center doctors are looking forward to.
Over the years in my career IÄôve seen how hospitals have
gone from being directed by physicians, the doctors that
work there to being directed by big corporations often not even
listening to what the doctors need. Forest Park is a different
type of development where actually the physicians are able
to communicate and get the needs met as we used to be able to do
15 or 20 years ago. I had a lot of input on how I wanted to take
care of my patients but now I feel like I have a lot more
input on how our hospital approaches taking care of
patients and being able to influence not only what IÄôm
doing but being able to influence the receptionists who
come in, the staff who process patients and the transport staff
but all of us to make this, wÄôre all working for the same
goal and itÄôs nice to know that Äôm able to have a part
of the say in that and be able to produce a place where people
feel like theÄôre getting a great quality of care. It was a
hospital that truly put the doctors and the patients
interests first. We have a say in the patients care. I feel
like the quality of care is going to be taken to the next
level whether iÄôs the spaciousness of the rooms, the
one on one nursing, the operating rooms that are
dedicated to your specialty, the managers who are constantly
asking questions on how they can improve the quality of care. I
see nothing but an upside in joining Forest Park. What IÄôm
looking forward to in joining the Forest Park family is to
have a group of colleagues both primary care physicians as well
as surgical sub specialists which I can call and be able to
discuss patient care with and be able to offer patients the best
treatment. As far as medicine is concerned, a single physician
cannot treat the entire patient and so by joining a family like
that at Forest Park I can lean on my primary care colleagues as
well as my surgical sub specialty colleagues to treat
patients that often present with multiple problems. I think
Forest Park is a wonderful opportunity. In this development
wÄôll be able to give superior care to the patients and the
doctors are able to direct the care. IÄôs a beautiful
facility, iÄôs going to give the best care in this region. I
am so looking forward to being part of the Forest Park Medical
Center here in San Antonio. I know that if I was to get sick
and need hospitalization, I know which hospital I would want to
go to and that would be Forest Park. Karli has a question for
Dr. Chet Nastala. If I were your sister, daughter, or mother,
what reconstruction procedure would you recommend? In general
if a patient is healthy enough to receive breast
reconstruction, they have the option to use their own tissue
or implants. We recommend, all other factors being equal, using
your own tissue because of the benefits of having healthy,
living, warm natural tissue as a reconstruction. So whether
iÄôs a family or anyone I generally recommend using their
own tissue if iÄôs possible and if there are no other
medical complications. I do think though that the best
reconstruction is the one that you the patient are the most
comfortable with and if in your heart of hearts you would rather
have a particular form of reconstruction I think you
should go that way. Best Docs Network featuring Forest Park
Medical Center, welcome to the twenty first century of cutting
edge medicine, Forest Park Medical Center. WhaÄôs been so
rewarding for me to be involved with Forest Park is that Äôve
been in the business of helping physicians manage hospitals for
25 years and I have seen all the various models that have been
associated over that period of time. IÄôve been involved in
many different kinds of models and iÄôs been a pleasure for
me to implement the model that I think works the best in this
business and that is the majority physician owned model
where the physicians are in control and govern their own
hospital and have business partners like me who come in and
help them run that business. But we focus on running the hospital
the way that the unique aspects of that medical staff wants
their hospital to be run. With the help of the doctors here and
at all of our hospitals, we recruit the very best people in
all different lines of work from the OR technicians, the floor
nurses, quality directors, everyone who walks through this
hospital has been very carefully considered. This basically gives
our patients the best possible experience. They walk into this
place and very quickly are eased of a lot of the stresses of
surgery that you get in a cold sterile hospital environment.
The people are very friendly, the place is very welcoming all
around them and of course the quality of care is unsurpassed.
What Forest Park means to a physician is that it provides a
place for that physician to practice medicine where he or
she is much more in control of their destiny, much more in
control of the atmosphere that they practice medicine in. We
provide our physicians with dedicated teams of nurses in the
operating room who become familiar with the type of
surgery that the physician does that makes the surgery go much
quicker and enables us to get the room turned over quicker
between cases so that the physicians can get more cases
done. All of the physicians that I talk to tell me that they are
able to get more cases done and in a more efficient manner than
any other hospital they practice medicine in. As a physician, a
surgeon actually, practicing here we start your cases on
time, our turnover is very efficient, we have top quality
staff to provide you with the people and the equipment
necessary to really be state of the art in everything we do. At
Forest Park we really, we call it the six senses of Forest Park
and you have your conventional five you know and it talks about
the experience that you get from the minute that you come on to
our campus. So weÄôre really kind of playing into those
senses, so what are you seeing when you first get on the campus
and walk into our hospitals? You know are you looking at just
great architecture or are you looking at a brighter
environment you know with natural sunlight and things of
that nature? The art program is something that plays into the
healing aspect, the visual aspect. So, youÄôll see
sculpture, yoÄôll see original pieces, youÄôll see print,
youÄôll see a little bit of everything. And the way that we
attack art is you should feel a little bit uncomfortable with
art you know, because if every piece of art in our facilities
was something that you absolutely loved then you
probably didnÄôt reach the entire community because we all
have different tastes, different aspects of what we like. What
are you smelling? We have engineered scents in all of our
hospitals to where itÄôs an engineering system called scent
stream and itÄôs built into our HVAC and the scent that Forest
Park has chosen is called clean sheets. Other things that you
have just kind of coming into our environment is you know what
type of food are you having, the taste. You know we doÄôt have
cafeterias we have dining facilities. What are you hearing
when you come on to our campus and into our facility as well?
Oftentimes in every facility that we do we have water
features, both outdoor water features and interior water
features. So it provides a calming type sound that
resonates throughout our facilities. What are the things
that yoÄôre feeling? We have a lot of textural elements
associated with our design. When youÄôre coming in, the textural
walls, whether itÄôs the stone cut exterior of a lot of our
facilities or when yoÄôre coming inside and youÄôre
feeling the texture of the fabric itself. You know we
really try to play into all of those senses for our patients so
you know whether itÄôs in the lobby or itÄôs in the patient
rooms or you know the thread count on the sheets, you know,
those are the type of texture elements that really you may not
instinctively know about those but when you actually touch it
and feel it, itÄôll make a difference to you. Every one of
our facilities is a minimum of leed silver, so what that means
is itÄôs our environmental impact to the community as well.
So we have rooftop gardens where you have lush gardens that can
be seen from all of our patient rooms, yoÄôre seeing planting,
youÄôre seeing stone, yoÄôre seeing in some cases water
features associated with even our green roofs but iÄôs
something that really kind of plays into the sixth sense of
Forest Park which is heal and having a patient room that looks
down onto grasses and trees and plants, you know it
intrinsically has a healing aspect that really our patients
have grown to appreciate. Again wÄôre playing to each of those
senses and then our sixth sense is heal because at the end of
the day, thatÄôs why wÄôre here. WÄôre here for the
community, weÄôre healing patients and providing a place
for our physicians to practice medicine. Walking on to our
campuses from step one what we really kind of focus on is that
entire experience. It should look and feel not like a
hospital but it should look more like a hotel. YouÄôre really
seeing something different. It has a completely different feel
from anything else that youÄôve see in the market. You know our
job as developers and as Forest Park Medical Center is to
deliver a facility thatÄôs different than what the
physicians are used to, what the patients are used to. Forest
Park Medical Center isnÄôt only dedicated to bringing the top
technology, the best equipment and the ultimate care but also
some of the best doctors here in San Antonio. Just like our next
doctor, breast reconstruction specialist Dr. Oscar Ochoa. I
was diagnosed with ductal carcinoma. I was given the
option of doing a lumpectomy with radiation or doing a double
mastectomy with reconstruction. I read everything about my
choices for reconstruction. I looked at every single picture,
I looked at each type of reconstruction and then decided
that I wanted to go with the DIEP flap. It is a way to
reconstruct the breast at the time of mastectomy or after
mastectomy. What it is is basically bringing some fat and
skin from the lower abdominal area to the chest to reconstruct
the breast. The benefit of that procedure is that when we move
the tissue from the abdomen over to the chest, we do not remove
any muscle or any of the supporting structures of the
abdomen, therefore, women tend to have less pain after surgery
and are able to return to normal function much quicker and are
usually very satisfied with not only the breast contour but also
the improvement in the abdominal contour. Because of how
technical the procedure was Dr. Ochoa was very instrumental in
helping me understand. I had a list of questions and I went
through each one of those questions and he answered all my
questions. Then he sat down and he talked to me about the DIEP
flap, illustrated what he was going to do and he did it in
really good detail so I understood the intricacies of
the actual procedure. Using your own tissue as opposed to an
implant when it comes to breast reconstruction is a significant
benefit. Obviously the *** will be much more natural
appearing, softer. If the patient gains weight the ***
gain weight with the patient and vice versa. I feel whole again
and I think thaÄôs the whole point. Part of the
reconstruction is a way to help the woman feel whole again, feel
beautiful again because you feel ugly, and try to help pick up
the pieces. I would not have been able to do this without Dr.
Ochoa and his ability to create a wonderful reconstruction. My
husband and I decided to start a prostate cancer charity called
Los Padres in memory of our fathers, both of whom had cancer
when they passed away. And so we wanted to do an activity here in
our own community and partnered with Urology San Antonio and
Zero, a national nonprofit that puts on runs around the country.
There was a cancer center named after me by Urology San Antonio
and my wife and I felt an obligation to make sure the
community knew more than just a name on the center and so we
decided to make it our mission to bring more awareness to
prostate cancer then try and save some lives. So this year we
put on the inaugural San Antonio Zero Prostate Cancer Run. This
was my first involvement in putting on a race and Zero puts
on a great boot camp in January and so we had about nine months
to prepare that included recruiting sponsors to help us
put on the race and we had great corporate partners here in San
Antonio that were willing to step up since it was an
inaugural event and take a risk and believe that there was a
niche for something about menÄôs health and Forest Park
didÄôt even have their doors open and you know stepped up for
us and was a wonderful partner. Forest Park is honored to be
here today to sponsor this inaugural run here in San
Antonio. TheyÄôve had an amazing turnout and iÄôs
exciting because 230,000 men each year are diagnosed with
prostate cancer and wÄôre excited to be a part of this new
endeavor and to help get people the care that they need.
ThereÄôs a real sigma with guys about talking about their health
and they doÄôt want to go until things are really bad and
then theyÄôll be forced to go to the doctor. Well the prostate
cancer if you wait until youÄôre symptomatic, the
likelihood is the disease is going to be much more advanced
and much more difficult to treat. Early detection is
important and so we together in the community want to encourage
all men to get checked early. Prostate cancer is very, very
important to me, I almost lost my life over it. Early screening
and detection is the only way to prevent serious metastasis and
death. We want to really educate men and empower them to take
control of their own health to recognize that itÄôs a very
simple process, a PSA which is a very simple blood test and a
digital *** exam which is about a 7 second exam. That
combination really gives a baseline and allows them to have
a monthly exam and know that theÄôre doing all they can to
detect this disease should it occur early. We had an after
dash bash and we had live music, we had door prizes. We wanted to
celebrate our prostate cancer warriors and have an opportunity
for them to interact with each other, talk about where they are
in treatment, or what they went through, for their families to
respond and of course we gave away awards for our overall
runners in their age groups and it was really a celebration. We
had great food vendors. It was a fun way to celebrate and really
wrap up the event. Our stretch goal was to raise $50,000 and
wÄôre almost to $100,000 so we were just thrilled. Right now
wÄôre tracking to beat the record for the most successful
Zero inaugural race in the country over their 8 year
history and 38 cities so weÄôre really excited about that and
next year I hope somebody beats us. TJ has a question for Dr.
Daniel Saltzstein, what is the cure rate for prostate cancer?
Prostate cancer has a very high cure rate. If iÄôs diagnosed
early men have anywhere from a 90 to 95 percent chance of being
cured of prostate cancer. For more information on this
beautiful hospital or to see hundreds more life changing
videos, logon to our website, bestdocsnetwork.com and click on
that Forest Park Medical Center tab. Up next weÄôre going to
introduce urologist, Dr. Timothy Hlavinka. The symptoms I was
feeling were pressure in my upper right abdomen and also the
feeling of urgency and needing to go all the time and if I
waited too long I would leak. And so I was emptying my bladder
about every hour to hour and a half. So it became pretty
bothersome in my day to day life. Brenda is probably one of
the most difficult of my patients in my career to treat.
We have gone to extraordinary lengths to make her better. She
has gone to extraordinary lengths to get herself better
and has been willing to do even the very state of the art
treatment of botox. She developed leakage and pain due
to increased bladder pressures for which there are no
treatments and Brenda came to me at the end of her rope and we
discussed the options and nothing was working and we
decided to use botox for her bladder because we knew that had
an excellent chance at results. Urinary leakage is the product
of either a weak control muscle or an overactive bladder, so a
patient can have any imbalance of those two structures in the
body and develop leakage. When the leakage is due to an
overactive bladder, botox is used when other treatments have
failed. Traditional medications, kegel exercises, pelvic floor
therapy, diet and lifestyle alterations, when all those fail
then a patient is a candidate for a botox injection. A small
flexible scope about five millimeters, two fifths of an
inch in diameter is inserted in your urethra, your urine
channel, and using a very, very tiny, tiny needle we inject
approximately 10 to 20 sites in the bladder wall. The procedure
itself where you're on the table getting an injection lasts about
five minutes. Botox will wear off. The average duration of
benefit for a patient with overactive bladder is
approximately six months. This absolutely changed my life,
don't think I could ever see another urologist. Nobody could
compare to him. I'm back to normal. I've been hiking, zip
lining and on vacation so I'm enjoying life. Best Docs Network
featuring Forest Park Medical Center, Forest Park Medical
Center, extraordinary in every way. I had the privilege and
blessing to participate in the humanitarian mission to Rwanda
and IÄôm part of the Face the Future Foundation team. The Face
the Future Foundation team is a pro bono organization which
brings together a team of some of the best surgeons in the
country to go to Rwanda, a country that has been ravaged by
genocide, and really has not had a plastic surgeon in country for
the last 25 years. And so we go as a team and offer
comprehensive facial plastic surgery. And the United States
is so blessed and privileged to have craniofacial surgeons and
facial plastic surgeons which provide comprehensive cleft lip
and palate care. In places like Rwanda this care is not
available. ThatÄôs why I go to Rwanda because I feel like can
bring a comprehensive approach to either treat the baby with a
cleft lip and palate deformity, the child with a jaw abnormality
or the adult with a bite problem. Last year and this
coming year we treated patients with head and neck cancer and
head and neck tumors. There are patients with tumors that are
very large, very disfiguring and we are able to treat those
patients in Rwanda. We treat a child with ameloblastoma, iÄôs
a skull based tumor which had displaced the childÄôs eye and
the child had difficulty seeing and had a disfiguring deformity
which caused the child really a lot of emotional problems as
well as there was remaining tumor which was not removed and
so myself and Dr. Law from the Cleveland Clinic and Dr. Bohemi
from Johns Hopkins did a combination surgery to remove
the tumor, reconstruct the orbit and then use a leg bone, the
fibula, to reconstruct the face. The child woke up and touched
his face and smiled for the first time in years. The medical
system in Rwanda is really growing and iÄôs really
improving and I believe that in future years and with a
continued partnership with humanitarian organizations such
as Face the Future Foundation I think that Rwanda will have an
improved healthcare system in years to come. Thanks for tuning
in to another edition of the Best Docs Network featuring one
of the top medical centers in all of Texas where Forest Park
Medical Center is your destination to better health.
For more information on this hospital or any of the doctors
you see on todaÄôs show, logon to our website,
bestdocsnetwork.com and click on that Forest Park Medical Center
tab. Got questions or comments? Email us at
info@bestdocsnetwork.com. So long San Antonio and we will see
you next week.