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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 Dallas and Frisco, your
destination to better health. And of course Kandace Forest
Park Medical Center has brought together the best of the best
from staff to surgeons to technology and technique. And
speaking of the best, wÄôll start with one of best doctors
operating out of Forest Park Medical Center. He certainly is,
hÄôs one of the best orthopedic surgeons and he helps
one patient who was dealing with a great amount of shoulder pain,
iÄôs Dr. Troy Diehl. Shoulder arthroscopy is a procedure that
we utilize to address multiple issues that arise around the
shoulder joint. The shoulder joint is a very important and a
very complex joint that has multiple different potential
injuries that need to be addressed or can be addressed to
restore peoplÄôs function and get rid of hopefully painful
conditions. IÄôd had shoulder problems just playing sports. I
usually would get hurt, it usually dislocate a lot of the
times. There were times when I couldÄôt do the physical
activities I would like to do just because the hinderance in
my shoulders, it was a lot of pain. Eventually I was able to
refer here and have some discussions with Dr. Diehl
himself. In talking with him, we worked him up in regards to exam
and x-rays and MRI and found that he had a fairly significant
labrum tear in his shoulder which we then discussed with him
treatment options and in doing so we came to the conclusion
with he and his family that fixing his shoulder was going to
give him the best outcome in regards to returning to sport.
He knew best that you know surgery was what we needed to
do. Considering I wanted to play on the collegiate level in
football, the chances of my shoulder dislocating a third
time was I believe greater than 90 percent and so he just told
me you know surgery is the best thing we need to do right now
and IÄôm really glad I did because IÄôm a lot better off
right now. I mean, Äôm not having any problems with it so
iÄôs been very beneficial. We were able to fix his shoulder,
restore his function and allow him to return to football
playing the position he wanted to play and for him he now
recently got a scholarship to play college football so weÄôre
pretty happy for him and we think that what wÄôve done is
given him an opportunity to pursue something that he was
very, very passionate to do. Since the surgery, three months
went by, Äôve been doing great, I actually finished up
physical therapy and Äôm a lot better off as I am now after
three months of recovery time. IÄôm heading into college this
fall. I feel great about you know what IÄôm doing. College
summer workouts are going really well and I have a really great
feeling heading into the fall you know because of Dr. Diehl
and the operation he did on my shoulder. This is whaÄôs
called the Medtronic O Arm. IÄôs a combination of
traditional fluoroscopy with also a 3 dimensional imaging
component. Within 26 seconds it will take 755 high definition
images. With the O Arm we can actually take shots of the spine
in a 3 dimensional nature because the spine is a 3
dimensional structure and the value of that to a surgeon is
that they can now see the spine in 3 dimensions and truly be
able to determine with precise accuracy their placement of the
hardware. The device also enables minimally invasive
surgery by more precisely placing the screws heÄôs going
to be able to allow the patient to have a quicker recovery time
and hopefully have a better quality of life post surgery due
to the more accurate placement of the hardware which the O Arm
enables. We have the O Arm itself which collects the
images, we have the viewing cart which the images are
reconstructed on and then we also have the stealth navigation
image guided surgery unit. After the images are recreated on the
spinal navigation unit the surgeon is able to bring
different surgical instruments into the field that will help
him more effectively place the instrumentation into the
patientÄôs back in a 3 dimensional nature. Because this
device is used interoperatively the surgeon can use the image
guided surgery unit to do the remainder of the case without
additional radiation being delivered to the patient. The
benefit of that is to the patient that they will
potentially not need to be sent for a postoperative CT to check
the final placement of their hardware since theyÄôre able to
do that real time in the operating room. All of the
doctors here at Forest Park Medical Center are dedicated to
changing peopleÄôs lives like our next doctor who helped
restore one patientÄôs hearing loss without the use of hearing
aids, iÄôs Dr. Bob Peters. When cochlear implants were
first developed we only placed them in adults who had acquired
their hearing loss later in life. I had normal hearing as a
child and I didÄôt really notice a hearing loss until I
was in my late twenties. Finally the hearing aids no longer
helped me and the audiologist that I had been with for years
told me you might consider a cochlear implant. It is because
those adults already have in their brain the language
abilities and the hearing abilities that theyÄôve
acquired over their lifetime that we can truly determine what
it is the cochlear implant is able to accomplish. And even to
this day, the most ideal and most simplest to acquire good
hearing with a cochlear implant are our adults. Every time I
would get a new hearing aid I would get so hopeful that the
new technology would give me some clarity because I could
hear the sounds you know the hearing aids amplify everything
but I couldÄôt understand. Until after I had the surgery I
didÄôt realize really how depressing it had become, it has
just been amazing. Everything Dr. Peters predicted definitely
came through and my expectations have been so far exceeded. Many
of those patients, we can turn on and activate their implant on
a day and already immediately they understand speech. It is a
often tearful process because many of those patients are now
hearing things they remembered hearing many years ago and
hadÄôt heard them for a long time. Their wifÄôs voice,
their childreÄôs voices so those adults like Lynn have
great stories to tell and many of them would say iÄôs given
them their life back again. I would feel so comfortable to
send anyone that was considering it at all to Dr. Peters. It was
just incredible. This has been a total miracle in my life. Harold
has a question for Dr. Paul Saadi. My hip hurts, what should
I do? So for people that are convinced that they have hip,
thigh, knee pain, really my advice is to go see your
physician and give them the history with regard to where
this hurts with what kinds of activities, what sorts of
positions and then let them examine you and get appropriate
x-rays and make the determination of where this
problem is really coming from so that yoÄôre not spending time
focused on treating an area thaÄôs really not the origin
of your pain. For more information on Forest Park
Medical Center Dallas, Frisco, their state of the art
facilities or the amazing doctors that operate right here
just visit our website, bestdocsnetwork.com, and click
on that Forest Park Medical Center tab. Amazing doctors with
amazing stories like our next doctor, Dr. Ricardo Meade helped
a breast cancer survivor get her life back. 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. IÄôs 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
werenÄôt 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 iÄôs 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, iÄôs 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, thaÄôs the size of tissue that
you can have for one breast. The Diep flap is all natural, so
iÄôs 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 theyÄôre done with
that theyÄôre 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. IÄôs a natural form of
reconstruction. Once itÄôs healed in theÄôre done, they
donÄôt have to worry about it anymore than they worry about
their tummy. Everybody thinks I look amazing and itÄôs just
been a very positive experience. I havenÄôt looked this good in
20 years. Today we are at CowboÄôs Golf Club where we
are holding the BryanÄôs House Charity Golf Tournament. We are
title sponsors of this golf tournament and have been for the
last four years. Well BryanÄôs house was established 25 years
ago as the place for children with *** and Aids and for their
families and we served that role for 25 years and continue to
serve that roll today. We provide childcare, we provide
social services, we provide a range of support services for
families facing that crisis. However, as the epidemic changed
we expanded our mission to take children with other special
health needs. So now we take children with cerebral palsy,
children with autism, children with breathing and asthmatic
disorders, seizure disorders, just a wide range of other
health problems. The golf tournament does a number of
things. Number one it raises money for BryanÄôs House and so
we get sponsors from the community, both the business
community and the medical community to help sponsor the
golf tournament and help pay some of the care costs over at
BryanÄôs House, thatÄôs where the money goes to take care of
kids. But more importantly, we have 90 some odd golfers today
and thaÄôs over twice as many as we had last year and that of
itself creates 90 more people who are prominent in what they
do, leaders in the community in their respective businesses and
they begin to learn about BryanÄôs House. And they can
help spread the word to other people that BryanÄôs House has
a significant value for our community and iÄôs something
that needs to be supported. Forest Park wants to give back
to the community. WÄôre healthcare providers who take
care of patients, thaÄôs what we do. ItÄôs what we do well,
and although weÄôre not all medically connected with this
population of the children that are affected by *** and Aids, we
also know that the community, thereÄôs suffering that goes on
and we should contribute in any way that we can. We decided to
have a lot of fun with it and put on some crazy loudmouth
pants, so everybodyÄôs just having a good time. We have a
lot of our staff out, a lot of our physicians out. IÄôs just
part of what Forest Park does, being involved in the community
and being an active participant. Forest Park Medical Center takes
care of a lot of children. We take care of kids both at our
Dallas location, our Frisco location and soon to be the
Southlake location. Taking care of children is important to us.
We want to give back to the community and help BryaÄôs
House gain some of that notoriety with the people with
whom we work. A lot of people are under the misconception that
varicose veins are strictly a cosmetic problem but therÄôs a
real underlying medical condition in most cases that
require treatment. The symptoms I was having with my varicose
veins were swelling, itching, I had a lot of leg pain, a lot of
leg fatigue at the end of the night when I would get home and
IÄôve had this for twenty some years. And after I had my two
children, it has progressively gotten worse over the years. A
typical patient that may come in would be of child bearing age or
a little bit older and have long standing symptoms of leg
heaviness, leg pain. The procedure is endovenus ablation
procedure thaÄôs kind of on a newer technology. In the past
this procedure was performed with vein stripping which was a
very barbaric procedure. Now iÄôs refined in where it uses
a small incision in the leg about the size of a grain of
rice. You put a little catheter up the diseased vein, you
basically deliver some radiofrequency energy which
causes the vein to heat up and close. The procedure itself was
very short. I went into Forest Park Medical Center and I was
treated great. I was in and out within a couple of hours and I
had hardly had any pain at all the next night and then the next
day I was completely pain free. The patients go home with a wrap
and a few bandages around their leg, therÄôs no large incision
to be taken care of and then usually we see them back in the
office within three to five days of the procedure at which time
we do an ultrasound to make sure that that vein is closed. And
thaÄôs typically all the follow up thaÄôs needed with
this procedure. If you think you have varicose veins or chronic
venous insufficiency, iÄôs always good to get diagnosed,
have some sort of working diagnosis that way we can give
you tips on how to halt the progression of your disease.
Today my varicose veins are completely gone and the swelling
is completely gone. Back pain just sort of snuck up on me
after I had my son. It gradually got worse to the point that I
needed somebody to help me out. And that led me to injections,
therapy, things of that nature and just didnÄôt work for me.
Finally somebody suggested that I see Dr. Burg and so I made an
appointment with him. Well the first thing we need to do when
we see patients come in is get a proper diagnosis. We need to get
the proper imaging studies, we need to understand the problems
wÄôre treating as spine professionals and once you have
that understanding you come up with the proper diagnosis, you
can come up with the proper treatment. So most people get a
long regimen of conservative treatments including all the
therapies, medications, pain management treatments with
injections, sometimes spinal cord stimulators, there are many
different technologies out there that we have to try and actually
consider. The last thing you want to do is make a patient
worse because you picked the wrong treatment for them. Dr.
Burg looked at my x-ray. Right away he could see that I had
spondylolisthesis. The condition I had wasÄôt going to get
better. Spondylolisthesis needs to be fixed surgically,
thereÄôs just, you know you can rehab that particular condition
if you haveÄôt declined to the point that I had already, so
really therapy wasnÄôt going to get me strong enough to deal
with that. Eventually it led to needing you know a pretty
invasive surgery. And what I saw on the x-rays was something we
commonly treat that has a very good likelihood of significant
improvement of being treated. When you see spinal instability
causing pinched nerves leading to leg pain, numbness, tingling
and weakness and a lot of back pain thatÄôs mechanical in
nature, thaÄôs something that can be fixed with surgery. After
an extended recovery period, after some recovery these
patients do very well. Honestly I have healed so quickly. IÄôs
just over six months for me and IÄôm almost completely fused so
I mean I feel fantastic. ItÄôs like the pain I had is gone. For
more information on Forest Park Medical Center, your destination
to better health, head to the website, bestdocsnetwork.com and
click on the Forest Park Medical Center tab. Now to our next
amazing story surrounding a Forest Park Medical Center
doctor, Matthew Trovato, who has a unique device for those who
are born with a cleft lip. Cleft lip is basically the failure of
the two halves of the nose and the palate and the lip to
completely form and move into place. If iÄôs the right half
then it becomes a right cleft lip or palate. If iÄôs both
halves then it becomes a bilateral cleft lip or palate or
vice versa left. Most often in the U.S. cleft lip and palate is
detected via a prenatal ultrasound. So at about 21 weeks
at the anatomy ultrasound they found that he had a bilateral
cleft lip and probably palate so at that point we were referred
to another doctor for high risk pregnancy and things like that
and told to seek out a surgeon for when Nolan was born. In baby
NolanÄôs case this is his nasal alveolar molding device that we
created with one nasal stent on either side to help improve the
nose on either side of the cleft lip and then therÄôs an area
back here where the palate and the nasal septum is sitting.
Nolan wore this device for about 10 weeks prior to surgery and
each week we made small adjustments and manipulations to
improve the shape and projection of his nose and improve the
position of his nasal septum. Dr. Trovato told us about the
NAM device and how it would basically move that piece of
NolanÄôs lip in place before surgery so that when they did
surgery it would, it would just be stitching everything together
as opposed to having to move the piece of his lip into place so
it would be a lot easier for him in recovery and just yield a
better outcome as far as scarring and surgery went. I
would absolutely recommend using the NAM device and it made such
a huge difference in how he looks now. I mean there were
times it was super stressful, very emotional but everything
turned out wonderful. We couldÄôt have asked for a
better doctor in Dr. Trovato. Did you know that Forest Park
Medical Center is equipped with a high tech tube system that
sends stat lab work from any location in the hospital to the
lab. This enables the lab to test samples quickly for better
patient care. Emily has a question for Dr. Dan Aldrich.
The question, what is arthritis? Arthritis is a very commonly
talked about subject especially because our population is aging
and as we age more and more people will get arthritis.
Arthritis is, when we break it down to the simplest form, a
breakdown of the cartilage. Each of our joints has cartilage on
each side of the joint. Cartilage is a very, very smooth
and soft surface and allows our joints to move very smoothly and
very nicely with no pain, with no difficulty, with no
stiffness. When arthritis occurs that cartilage begins to break
down, it becomes rough, it becomes stiff and then
eventually it starts to disappear. Bone on bone
situation basically means that the cartilage that was there is
now gone, that cushion is gone. Now you have hard surfaces
rubbing against each other and this causes significant pain.
The two most common types of arthritis are rheumatoid
arthritis and osteoarthritis. The main thing to know about
those is, osteoarthritis is just related to wear and tear, where
rheumatoid arthritis is an actual medical condition that
needs to be treated with medicines because it can cause
severe joint destruction even at a young age. And there are blood
tests to test for rheumatoid arthritis. Well we were married
in 2005 and tried for three whole years to try and get
pregnant you know which wasÄôt working, it wasÄôt working. We
came to Texas and spent a year trying here under a doctoÄôs
care and eventually underwent a series of testing and determined
that our chances of getting pregnant on our own were less
than 8 percent over our entire lifetime. Jessica and Phillip
came to us a few years ago with the need to pursue IVF, in vitro
fertilization. They knew about our program, they knew about our
success rates but one of the unique issues with Jessica and
her husband were they did not want twins. You know they were a
young couple, they knew the amount of work it takes to raise
a family and one of the goals for them was to achieve a
singleton healthy pregnancy. He kind of walked us through you
know what the steps would be, what he said we would do, how we
would go through it and I think a lot of it was just a comfort
you know. I mean, iÄôs a very emotional thing. We took them
through the process of IVF with a placement of a single embryo
and they had a very healthy boy. You go through all of the
procedure, all of the drugs and everything and the medication to
try and prime your body for pregnancy and you do a retrieval
where they take the egg out of your body and they fertilize it
and then they inject it back into your body, thaÄôs
transferring and therÄôs five days in between typically where
the egg lives in a petri dish and they watch it grow and then
they put it back in your body and at that point you either
conceive or you donÄôt conceive but you canÄôt know for two
weeks. A year went by and they came back again and we did the
same thing. They conceived again on the second cycle and they
have a healthy girl. I went to a Gymboree class and they were
talking about how you take pictures of your kids and I said
you know I have a picture of my son at five days gestation,
iÄôs just a little blip in a petri dish and those are the
pictures I cherish. We know we have life at five days. There
were two people in the class that day, they were like oh I
have the same picture, you know we did the same thing. It was
you know really comforting. At Dallas IVF weÄôre able to
provide the full range of infertility treatments without
the need for patients to travel outside the area. The goal of
our practice is to have healthy pregnancies. Äôm happy with
our results and our process and our decision. Best Docs Network
featuring Forest Park Medical Center, welcome to the twenty
first century of cutting edge medicine, Forest Park Medical
Center. 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 couldÄôt 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. FrenzelÄôs 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 youÄôre
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
thaÄôs 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
theÄôre going to have to eat healthy, theyÄôre going to have
to see the nutritionist, theÄôre going to have to come
see me in follow up, theyÄôre going to have to exercise.
IÄôs a whole spectrum of things that have to come
together. IÄôs 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 IÄôm 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. ThaÄôll do it, thaÄôll wrap up another edition of the
Best Docs Network featuring Forest Park Medical Center
Dallas and Frisco, your destination to better health.
And for more information on Forest Park Medical Center,
whoÄôs brought together the best of the best, head to the
website, bestdocsnetwork.com and click on that Forest Park
Medical Center tab. And if you have a question or comment for
us weÄôd sure like to hear from you, send us an email at
info@bestdocsnetwork.com. So long everyone we will see you
next week.