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Hi again everyone, I'm Kandace Krueger along with Jim Knox and
we're back again with another edition of the Best Docs Network
featuring Forest Park Medical Center Dallas and Frisco.
And of course, Jim, Forest Park Medical Center is your
destination to better health and also one of the top medical
centers in all of the Dallas and Frisco areas.
And let's also keep in mind Kandace right here out of Forest
Park Medical Center, some of the outstanding doctors operate
right here, like our first doctor, Dr. Rick Burg.
I woke up, my left arm was hurting and it was just real
sore and stiff like I had slept on that same side all night long
and this lasted for 3 or 4 days.
So I had a good friend of mine that actually had a motorcycle
injury and I heard of Dr. Burg through him.
So I went ahead and got the MRI and came back and he said well
you've got a herniated disc in your neck that's pushing up
against your spinal cord and it's sending nerve signals down.
He said the main issue is that you've lost almost all of your
muscle strength in that arm.
Usually when patients come in with problems in the neck they
have neck pain, they have problems moving their neck in
certain directions, they have weakness in the arms, sometimes
in the legs, occasionally they have bowel and bladder
dysfunction but usually their problems are just in the arms.
They have numbness and tingling into their fingers, some
weakness in their hands, oftentimes they realize they
can't open up a jar of peanut butter or something simple like
that because their hand feels weak.
We talked about his options.
As far as recovery goes we talked about the downsides
potentially of having a fusion operation especially at a young
age and he opted for the disc replacement.
I'm the type of patient that avoids going to the doctor.
I don't like going to get checkups because I don't like
getting poked and prodded and all that experience and so had
he not been very assertive I probably would have just tried
to fight through the pain as long as possible.
We went ahead and did it and the results were fantastic, the
recovery was extremely easy.
I had gone on the internet and done all the research on my own
and read all the horror stories and whatnot about this surgery
in general and so I was very nervous going into it.
This type of surgery in the neck has been done for years and it's
truly minimally invasive surgery.
You're not splitting muscles, you're not cutting anything.
Patients recover fairly quickly.
That's one of the reasons to choose that over a fusion
operation.
With a fusion you're waiting several months before you're
back to normal activities but often with the disc replacement
you're back to doing whatever you want to within 6 weeks.
Some people with more strenuous exercise or rigorous activities
we like to wait a little bit longer even up to about 3
months.
Looking back now it was one of the best decisions I've ever
made and it was just a great overall experience.
Did you know Forest Park Medical Center was the first hospital in
the state of Texas to utilize the Acessa Technology and
procedure to treat uterine fibroids as a way to continue
their exceptional care in women's health.
The whole driving force for creating Forest Park Medical
Center was patient care and more efficiency.
I worked at hospitals and waiting hours between cases to
get the room cleaned, shutting down at 3:00 when they have
patients waiting to have surgery because that's not the typical
OR times and it just didn't make any sense to me.
And so we developed a hospital that is responsive to physicians
and the physicians are responsive to their patients.
And so that's what it's all about is making the stay, making
the procedure as good as it can be.
Forest Park gives me the opportunity to have just a
wonderful, beautiful facility that my patients will really
enjoy or at least make their experience for unpleasant types
of problems a much better experience for them.
I also liked the camaraderie among the physicians, I like the
advantage of physicians being open to invest in the facility
and having more control over the management of the facility.
From a physicians standpoint it has been an extremely unique
experience.
I've worked at 30 to 40 hospitals in my career and it is
the nicest in terms of the environment, the equipment and
the staff.
From my standpoint personally I love it because I do a lot of, a
lot of work in the orthopedic world that involves technology
and technology is expensive and most facilities require that you
operate there for a while and demonstrate a patient group that
you can bring there to offset the eventual cost of buying the
equipment without actually using it.
In Forest Park's situation they said we're from the very
beginning we're going to buy this equipment and we will have
it available for our physicians as they need it.
And these are things that make our surgeries go more safely.
As physicians it allows us to continue to practice an
aggressive form of medicine where we feel like we're
delivering state of the art care and it's a facility that really
fosters that type of physician and that type of mentality.
Did you know Forest Park Medical Center Dallas campus was the
first hospital in Dallas to use the MAKOplasty robotic arm for
hip replacement and partial knee resurfacing?
Sharon has a question for Dr. Troy Diehl.
What is the difference between an MRI and an x-ray?
So an x-ray we utilize in our office very commonly is to look
at bone.
It gives us a very good in depth view of the bony anatomy and
exactly the alignment of a joint or whatever body part we're
looking at.
In regards to an MRI, an MRI is actually not a radiograph or not
necessarily radiation, it's a magnet that utilizes the ability
to look at soft tissue and give us an idea of the extent of a
soft tissue injury or not.
It allows us to look not only at just tendons and ligaments but
also cartilage and the soft components that make up all our
joints and tissues.
We utilize both tests because they both function very
importantly in our diagnosis because we get a very good idea
of the overall anatomy from an x-ray but the MRI allows us to
dig deeper into the soft tissue knowing that their regular
anatomy is normal which we gleaned from the x-ray but now
we can utilize the MRI to further look into and see
exactly what's going on with all the structures that support
those bones.
The staff at Forest Park was just absolutely amazing.
I can't say enough wonderful things about all of them there.
You know it didn't feel like a hospital and I think that was
also very comforting too.
The facilities were just so beautiful, the amenities and the
comfort level too.
You could tell that they took great care in designing the
rooms with the patients in mind and I really appreciated that.
All of the doctors here at Forest Park Medical Center
Dallas, Frisco are dedicated to changing people's lives and our
next best doctor is no exception.
It's craniofacial doctor, Dr. David Genecov.
Biolife started with this desire to kind of house or hold all
this reconstructive material for our patients so we only had to
do the surgery once.
Because you can take stem cells from fat and you can treat that
fat and separate those cells out we then are able to do that and
also save those cells for future use.
I was thirteen when I was diagnosed with Parry-Romberg
syndrome and ever since then I've had little surgeries here
and there.
Angela has Parry-Romberg syndrome and that is called
hemifacial atrophy.
It usually starts in early adolescence and then slowly over
time the tissue tends to just wither away.
My first three treatments with Dr. Genecov were mainly just
building it up, starting from scratch, putting tissue into my
face and then he built on from there with adding the silicone
bone to my chin, adding the donor bone to the side of my
face, rebuilding my eye socket, my nose.
If we know we're going to operate more than once, we don't
want to go back in and have to harvest all that fat every time
so now we have the ability not only to remove the fat and store
that fat but we can also take the enrichment, the stem cells
and regenerative cells that exist within that fat, separate
them and then add them back to another aliquot of fat prior to
the reintroduction of the grafting process.
He has put tissue and everything to kind of regrow and it just
makes it so that my appearance is that I'm normal on both
sides.
We use different kinds of things like bone grafts or sometimes we
need to cut the bone and move the bone especially the lower
jaw for the chin but oftentimes we need to use fat or other
tissue substitutes to build it back up and that's why we
developed this.
Now it has application outside in orthopedics and cosmetic
surgery and ultimately cardiac surgery in just general
therapeutic issues but it was started out for patients like
Angela who have severe facial asymmetries who need repetitive
operations.
We can take that fat, store it and then process it in such a
way that we can better enhance the reconstruction.
Later on everybody's a winner.
Forest Park wants to be a center of excellence for women's health
and so I thought Forest Park would be an excellent entity to
team up with.
As of last week we were the first hospital and I was the
first physician to do the Acessa Procedure here in the state of
Texas.
The Acessa Procedure is a great way to treat uterine fibroids,
especially those fibroids that are inside the wall of the
uterus.
For the longest time we really haven't had many ways of
treating those uterine fibroids.
The problem is you can't see those uterine fibroids under a
telescope or a laparoscope.
With the Acessa Procedure we're able to use a new innovative
laparoscopic sonogram device that allows me to actually see
the uterine fibroids on a sonogram machine at the same
time I'm looking at the uterus through a laparoscopy.
Prior to the surgery I was feeling tired.
Fibroids make you have excessive bleeding.
I had heavy periods anyway but the fibroids make my bleeding
heavy and so by me having heavy bleeding, it made me anemic and
so that made me tired.
I mean I could go to work, come home and I'd just go to sleep
because I was too tired to do anything else.
I couldn't continue to live like this.
I was doing different things to try to relieve the pressure but
it was only a temporary fix.
When she went to see her gynecologist, her gynecologist
told her that her only option was to do a hysterectomy.
She didn't want to do a hysterectomy.
When I presented the Acessa Procedure to her she was just
very, very excited that she could return back to work in a
few days to a week, that she didn't have to undergo all the
risks of a hysterectomy and she could keep her uterus and that
there might be some other way of treating her symptoms that she
presented to me with.
Prior to the surgery I had been on my menstrual for two weeks
and I was weak and I was tired but since then I feel like I
have more energy.
I feel more confident, you know I don't have to worry about my
period going to start without me knowing and so it really changed
my life, I'm very hopeful.
One of the most exciting things for me about the Acessa
Procedure is I think that it's going to replace hysterectomies
for the treatments of these uterine fibroids that are hard
to get in any other type of surgery.
I think it's going to become the standard of care within the next
few years as more and more physicians learn how to use it.
Don't forget for more information about beautiful
Forest Park Medical Center, your destination to better health,
even request an appointment from one of their outstanding
doctors, head to the website, bestdocsnetwork.com, click on
Forest Park under the Our Doctors tab.
That's right and now we're going to head to our next life
changing story, it's with pain management specialist, Dr.
Renaud Rodrigue.
We use infusion therapies to treat a variety of syndromes
including migraine headache, acute and chronic pain
exacerbation over flares as well as even more exotic things such
as reflex sympathetic dystrophy or RSD which is now called CRPS,
or complex regional pain syndrome.
A few years ago I had a minor tweak in my low back so I went
and saw a chiropractor and he severely damaged my L5, S1 discs
so I had an artificial disc replacement.
And the surgery caused me a lot of structural problems and I was
in a lot way more pain after the surgery instead of just the
localized low back pain.
It was radiating pain up my back into my neck down my legs.
I was going to be kind of leveled out there, I wasn't
going to get much better.
The benefits of infusion therapy over meds by mouth is that
generally it's much more effective, in fact it's always
more effective and when we get the right cocktail drugs for a
patient we actually have a lot better results in meds by mouth
because the medications by mouth have a half life.
With infusions that's still true but we're using different
medications that either prolong half life or interrupt the pain
cycle such that the relief is much greater so they're not
having to take meds all the time.
Dr. Rodrigue has done kind of a wide range of stuff on me.
He's done all different kinds of injections from infraspinatus
ligament injections, facet joint injections, IV infusion therapy
for my spinal related migraines.
Right now this is definitely the best path and I could not be
happier that I found Dr. Rodrigue.
Laura is one of my favorite patients, she's a lovely young
lady who has a lot of different pain problems that are
significant.
She came in recently and had an infusion of the diprivan which
we know helps people with migraines.
And in this case she had a dramatic response, it was
marvelous because she was incapacitated with pain before
she rolled in and she rolled out of the office completely pain
free.
Going to see Dr. Rodrigue was probably the best decision I've
ever made.
He got me from being non functional like never leaving my
house to being able to lead a somewhat normal life.
He's been the most compassionate and helpful doctor that I've
actually ever seen and I've seen a lot of doctors.
I'm happy to be here with Forest Park today partnering with
physicians and other businesses in the community to promote
women's health.
We know that women lead the health of their families and of
their households and Forest Park is committed to improving health
and wellness throughout the community.
We are very proud and honored to be here to be able to speak to
the community about fertility and infertility and how to treat
it.
We think it's very important to be able to get the word out
about how prevalent infertility is and to give people hope and
to let them know that we're here to help them to grow their
family.
It's been a great turnout at the expo.
We've seen a lot of questions, we field a lot of questions from
the community and we're just building more awareness that you
know if you're diagnosed with this condition like breast
cancer, one in ten females are diagnosed with it, there are
options to help reconstruct, to help to make them feel
emotionally whole again.
So I'm a urogynecologist.
I've been invited to talk to women today at the Women's
Health Expo about female pelvic health issues.
So as women as we get older and we've had kids oftentimes we'll
start leaking urine with activity.
And then secondly unfortunately as we women get older, women
also oftentimes suffer from pelvic organ prolapse where your
uterus, your bladder, your *** might start to drop and
lose support.
So these are topics that oftentimes women don't feel
comfortable talking to their physicians about and so I'm
happy to be a part of this Women's Health Expo so we can
educate women on how we can treat these conditions.
Well Forest Park Medical Center in Frisco, it is just a
wonderful facility because it's not just providing care because
many hospitals can provide care, they provide caring care which
makes a huge difference because when you come here you feel like
you're a special person.
For my patients to come here, the women, they feel like
they're a princess or a queen they way they're treated.
So Forest Park is a hospital but Forest Park has a unique vision.
They're here to help you when you're sick but Forest Park
would also like to partner with physicians in the area, partner
with women and their families to promote general wellness to keep
them out of the hospital.
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.
I was in pain.
Annually I would show up in the sonogram office begging for one
more sonogram to figure out what was causing all the pain.
Ruth came to me.
She's been a long time patient and over the years has had some
increasing problems with heavy bleeding and increasing problems
with pelvic pain and it was beginning to get in the way of
her daily activities.
We initially tried treating her heavy bleeding with other
minimally invasive options like endometrial ablation and this
controlled her symptoms for a few years but over time she
began to have bleeding again and she began to have pelvic pain
and discomfort.
It left us feeling both a little just out of sorts and wondering
what can we do to get back to the free carefree happy
lifestyle we enjoyed.
When it got to the place where I was starting to come in pretty
regularly Dr. Hartley said that's it, you've suffered
enough, I'm ready for us to get this over with.
We didn't want her to spend a lot of time out of work.
We didn't want her to miss time with her family so we decided to
do a robotic assisted hysterectomy.
We call it robotic surgery.
The robot doesn't operate for us, but the robot increases our
range of motion, allows us to use instrumentation that we
didn't have available to us previously and allows us to
operate in smaller areas.
The day of the surgery, my husband drove me and Dr. Hartley
came to see me, the anesthesiologist was there and
going in it seemed like the simplest procedure.
And when I felt better I was up and I was around and I was
amazed, that chronic pain that had kept me under the weather
for years at a time was over.
Life's been great.
Ruth and I still enjoy being very active and we've got our
lives back.
It has truly been a blessing.
Within two weeks Ruth was feeling great and within four
weeks she was back to work.
Dr. Cindy Hartley has changed my life and now I'm a new woman.
Don't forget for more information about beautiful
Forest Park Medical Center, your destination to better health,
even request an appointment from one of their outstanding
doctors, head to the website, bestdocsnetwork.com, click on
Forest Park under the Our Doctors tab.
And speaking of best doctors operating right here out of
Forest Park Medical Center, time to introduce you to one of the
top bariatric surgeons in the entire Dallas, Fort Worth area,
it is Dr. Wade Barker.
Most of the bariatric procedures do two things.
They decrease your appetite and they decrease your meal size by
constricting the gastric pouch to a very small pouch.
With a gastric bypass we form that small pouch about the size
of a golf ball from the top of the stomach.
Then to drain that or to get the food back into the food channel
we bring up the small intestine and sew it to the little pouch
that has someplace to drain.
Back in 2006 I went in to have heart surgery.
I had 5 bypasses.
After that my weight just continued to blossom, I had
diabetes and I couldn't maintain it, I was taking 4 shots a day,
pills, high cholesterol.
Ron came in and he was in lower BMI category but he had so much
impairment in his daily activities.
He had previous heart surgery and with 5 bypasses, cardiac
bypasses, he had diabetes, high blood pressure, sleep apnea and
a number of other medical problems.
When I went in to talk to him he told me about 3 procedures, the
band, the sleeve and the bypass.
After examining me and looking in my background he said the
bypass was the perfect thing for me for diabetes, so I chose to
do the bypass.
And basically all of those have resolved after his gastric
bypass.
He was on insulin for his diabetes, he was on medication
for his high blood pressure, for his cholesterol and he is also
racing cars now and he enjoys that very much with his son and
so he's got a new lease on life and a much, much better quality
of life than he had before.
My quality of life right now is so great.
I want to live, I want to wake up.
Matter of fact I just want to go all the time, I've got so much
energy.
I love all kinds of sports and now I can do them thanks to Dr.
Barker.
It's a miracle, it's a miracle.
I wish I had done it a long time before I had.
Dr. Barker saved my life, this saved my life.
Best Docs Network featuring Forest Park Medical Center,
welcome to the twenty first century of cutting edge
medicine, Forest Park Medical Center.
I'm a pretty active mother of 3, I have a full time job, I love
to work out, I'm very, very busy.
And one day I was out exercising with my partner and I had some
intense pain and I knew something was wrong.
So I went home.
I realized I had a hernia.
A hernia really basically is a hole in the musculature of the
anatomy of the body.
Those hernias can occur really anywhere in the body.
You can have umbilical hernias and inguinal hernias being the
two most common.
Umbilical hernias being at the belly button, inguinal hernias
being in the groin, those would be the typical most common.
Probably third most common then after that would probably be
incisional hernias, hernias that are a result of a prior surgery.
And so typical symptoms can be a bulge or a mass at the area,
either at the belly button or inguinal most commonly certainly
a prior surgical site but also pain and discomfort over that
area especially with physical exertion.
So I was scared, I didn't know what to do.
I couldn't exercise, I was afraid to lift my children, you
know, weight bearing things like that.
And I went to visit with Dr. Santaella and from the moment I
walked in the door his staff was just wonderful, inviting, they
made me feel comfortable.
I sat down and discussed with him what was going on, what
caused the hernia, what he could do to fix me and I just needed
that reassurance from him that I could get back to my normal
life.
Well the typical next step is proceed with a surgical repair
and that is an area where most of our surgery has gone to
laparoscopy and robotic surgery.
I think the paradigm shift is back to open surgery.
We're able to employ a typically mesh repair and that mesh repair
has almost three repairs in one.
An inner repair which used to be our classic laparoscopic repair
and then an outer repair and so it sandwiches that defect in two
layers of mesh and makes recurrence rates almost unheard.
So in 14 years we've yet to have a recurrence in any of our
inguinal hernias.
I feel better, I don't have the bulge in my body like I did so I
know that I'm better and I'm back to doing all the busy
things that keep me a busy mom of 3 and a full time working
mom.
And I'm so glad that I had the opportunity to be with Dr.
Santaella, for him to be the one to help me get through this.
Did you know that Forest Park Medical Center Pharmacy is
equipped with a fax carousal.
This system helps better manage inventory by automatically
tracking drug inventories in near real time.
This system also supports efficient packaging and labeling
of medications within the pharmacy.
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 upscaling 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.
Well that'll do it, that'll wrap up another edition of the Best
Docs Network featuring Forest Park Medical Center Dallas and
Frisco, your destination to better health and one of the top
medical centers in all of the Dallas and Frisco area.
And don't forget for more information about Forest Park
Medical Center, even request an appointment from one of their
outstanding doctors and check out other life changing stories,
head to the website, bestdocsnetwork.com, click on
Forest Park under the Our Doctors tab.
And if you have a question or comment for us or if there's a
Forest Park doctor that's helped change your life, we'd sure love
to hear from you.
Send us an email at info@bestdocsnetwork.com.
So long everyone, we will see you next week.