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Good morning everyone, Äôm your host Karla Macias and this
is Best Docs Network featuring Forest Park Medical Center, the
show thatÄôs connecting doctors and patients here in the Austin
area. In todaÄôs show weÄôre going to introduce one of the
top medical facilities in Texas as well as the doctors involved
with this prestigious group. LetÄôs start things off today
with plastic surgeon Dr. Craig Hobar. Cindy is an aesthetician
and she takes care of women all the time in women who care about
their looks and a lot of women who have had facial rejuvenation
surgery. So sheÄôs really well educated. I decided to have this
procedure because I just really didÄôt feel good about myself,
I felt like I looked tired and maybe older than I really was.
She came to me because she realized that I was able to
rejuvenate somebody significantly but never make it
look like they were pulled or windblown or they had been
operated on. And really thaÄôs very simply done by not pulling
or stretching the skin but iÄôs by tightening all the
supporting structures underneath that gravity has caused to pull
the skin down and then the skin gets tightened because of that.
The areas that I had during plastic surgery was an eyelift,
I had mid facelift, a neck lift and I had alloderm implant in my
lips. In Cindy we did total facial rejuvenation but we did
limited incisions where they wouldÄôt show. Cindy had a
great result, very, very natural result. The scars from my
surgery are undetectable. Most people doÄôt even know that I
had one. I have to really hold my hair back, have them look
inside my ear to see that I even had anything done. They actually
went here and then inside and outside the ear down and around.
My quality of life has improved from just feeling more confident
about myself, you know. I feel like I look better than my
actual age. IÄôve actually been carded in Vegas. Someone thought
I was underage. When you start noticing something that bothers
you, that is related to gravity and aging, thatÄôs the time to
do something about it. And if iÄôs done right and if iÄôs
done naturally, it doesÄôt look like youÄôve had surgery.
I feel like Dr. Hobar is the perfect choice because heÄôs an
intracranial doctor and thaÄôs the person thatÄôs really going
to know the ins and outs of taking care of your face. The
results that I got from my surgery were incredible. Äôm
so happy with the results. I felt like Dr. Hobar changed my
life. Sunscreen is unlikely to stop you from being sunburned or
reduce your risk of skin cancer if it is not applied properly.
Most people do not apply it correctly and stay out in the
sun too long. Be sure to put plenty on and reapply often. The
things that make Forest Park unique are our focus on whaÄôs
best for the patient and whaÄôs best for the physician.
WÄôre different in many ways from other organizations because
our physicians are our owners, they are our bosses and to that
end we want to do whatever we can to be sure that they get
their needs met. WeÄôre here for them, theÄôre here for
their patients and working together, wÄôre not fighting a
bureaucracy, weÄôre not fighting a corporate office
thaÄôs not even in the same state as us sometimes. WeÄôre
making whatÄôs best for this hospital at this moment at that
time. We doÄôt have to wait and thaÄôs what our physicians
like, immediate results. As new things become available like the
MAKO robot, some of the new technologies, Forest Park is
very quick to want to be a part of those things. If thaÄôs
something that our surgeon wants or feels like would benefit his
patient population, wÄôre willing to do that for them and
thaÄôs exciting to have an organization that leaps forward
that quickly. IÄôs much more collaborative, theyÄôre very
involved in their choice of equipment. We try to involve
them in any major decisions so that they feel that they have a
buy into this, theyÄôre a part of it. One of the physicians
said to me the other day, I feel like Äôve worked with this
team for years because it just got the flow down, it just
works. One great thing about Forest Park is that they include
the dining aspect or the food aspect for our patient care. Not
only do they have great dieticians on site to make sure
that the dietary needs are met for the patients but they also
consider the patients families needs as well. LeÄôs face it,
sometimes youÄôre in the hospital, this facility, six or
seven hours if not longer, sometimes overnight, sometimes
two or three days and iÄôs not the typical food. We do
everything from scratch which means that we do everything from
the starting point all the way to the finished product. We do
pork tenderloin, we do roasted chickens, we do gourmet pizzas.
We even do some things like grandmaÄôs meatloaf but
everythinÄôs made from scratch. We follow recipes,
nothing comes out of a can. Our sauces are all made from
scratch. When you walk into our dining facility, our dining
facility here is named Ca© 114, it feels like a real caf©.
You donÄôt walk into it and iÄôs the oh type of tray lined
service here, every single day the menu changes. So for example
one day you may have a carving station with a prime rib on it.
The next day on that carving station it may be a baked potato
bar and the plate itself is a work of art. ItÄôs just not
something thaÄôs piled on the plate and sent to the guest or
sent to the patient. ItÄôs a work of art because you know you
may not always come in here where youÄôre just on a clear
liquid diet, you can actually have surgery where you can eat
regular food. So we have to take those cases and we want them to
feel like you know what this is unbelievable, this is not
hospital food. We donÄôt ever want to be stereotyped or
categorized as hospital food. We are a caf© dining facility and
you can get fresh grilled salmon, we have fresh tuna here,
we have a fish of the week. We have grilled pork chops you can
get, grilled chicken. Along with that you can have that grilled,
make your salad, give it to one of my grill cooks and wÄôll
put it on the salad for you. It really starts with Chef Jason
Douglas. This guy is absolutely amazing when it comes to food.
He is truly an artist when it comes to the culinary aspect of
it. He has an eye for making your food look so pretty and
edible at the same time that you donÄôt want to touch it because
it looks so great. ThatÄôs one element about dining service I
donÄôt have to worry about because I know when hÄôs there
that the guests, our patients are going to get the absolute
best that he has to offer every single day. So what we try to do
is we try to be innovative with our food, very cost effective,
but most importantly want a great quality of food. I have
this saying that if iÄôs not done in the spirit of
excellence, we woÄôt serve it. Did you know at Forest Park
Medical Center the patient ratio of care is typically four to
one, one nurse to every four patients versus the typical five
to one or six to one which is characteristic in most
hospitals. Forest Park Medical Center makes it a priority to
get involved in their community. Now letÄôs take a look into
this inspirational story that all started with a little girl
named Mia. Well we are from Boliva. I came two and a half
years ago. My father and my mother they started to see
something strange with my baby girl. I think the very first
time that I noticed and I was the one that really noticed
there may be an issue was when I first held her in Boliva. She
was just a few weeks old. I just noted that she didnÄôt appear
to be responding to noise and sounds around. I was thinking
that she was okay, that nothing was wrong, maybe shÄôs
distracted, I donÄôt know. When they told us that she wasÄôt
listening, it was hard because I want she can listen to me or she
can listen herself so sometimes iÄôs frustrating to talk to
the baby or you want to teach her something and you canÄôt
because she cannot listen. Well we first contacted Dr. Peters in
Dallas Hearing Institute then we knew that he was the president
of the foundation, of Dallas Hearing Foundation and we talked
to him and they started looking for a device for Mia and Äôm
glad that they found the right one and hopefully and with
GodÄôs help itÄôs going to work good, itÄôs going to work
good. MED EL along with the Dallas Hearing Foundation we
share a commitment to the hearing loss community and when
the Dallas Hearing Foundation approached MED EL we thought
this was an ideal situation to kind of help out a family and so
we put them into our grant process. And as the patient goes
through the grant process, you know Mia and her family were
approved. Mia was born with profound hearing loss and that
means that hearing aids were not able to give her enough hearing.
So, the only way she would gain adequate hearing in order to
develop speech and language, oral language, would be to have
a cochlear implant. So today we placed a surgical implant that
is meant to stimulate the hearing nerves that are there
but just not working. And it will stimulate those nerves and
produce for her a sense of hearing. We test the implant and
determine during surgery that she is responding to the
implant. We actually do not turn it on for three weeks. We want
to let her incision heal so we wonÄôt turn it on for three
weeks. So sheÄôs just going to have like any typical ear
surgery, have some recovery time and some discomfort. But three
weeks from now is when weÄôll bring them back to our office
and actually activate the implant. Well, for her itÄôs
going to be a big difference from not hearing to hearing is a
big change. She was living happy without hearing and now hearing
sheÄôs going to be happier, thaÄôs why wÄôre here.
ThaÄôs why wÄôre in America, in Dallas in this big hospital,
good hospital, with the best devices that she can get. Thank
you Dallas Hearing Center, thank you Forest Park Medical Center,
thank you Dr. Peters, thank you Linda, Debbie, all of them.
Linda has a question for Dr. Paul John. When does my daughter
need her first pap smear? The rules have changed on that
actually in favor of the young women because we used to make
them have pap smears at a much earlier age. The answer to the
question is usually when they become sexually active. The
other part of that is that we also counsel them on the causes
of cervical cancer which we know now is the human papillomavirus
and we have a vaccine for that. IÄôs a good time at their
first pap to talk to them about that. What it means for Forest
Park to be a part of the Austin community, weÄôre just really
excited to be here. We feel very honored that surgeons have asked
us to be a part of the Austin community. ItÄôs a great
opportunity for the surgeons, iÄôs a great opportunity for
the patients in the North Austin medical community. What makes
Forest Park different from other hospitals in the Austin area and
even throughout the U.S. is that wÄôre a truly physician owned
hospital. We are governed by the physicians who are the majority
owners so the physicians have a lot of say so in the day to day
operations of the hospital, from the medical staff to the OR to
the equipment that they want to have as part of their hospital
that they own. We have three existing hospitals that are open
right now and three under development. TheyÄôre all truly
unique. Every hospital serves the physicians that are
participating in the hospital. Every community has a different
need and so we will serve what Austin needs and what our
surgeons need. Each hospital is like a 5 star hotel so that when
a patient and a family member walks into the hospital you
really doÄôt think that youÄôre in a hospital. IÄôs
not a cold, sterile environment. IÄôs very warming, you feel
comfortable there. The patients rooms are very spacious,
theÄôre very beautiful. Some of the hospital rooms actually
have a VIP suite attached to the patient room. That room has a
flat screen TV, a refrigerator, a pull out bed so family can
stay overnight. The caliber of physicians that we have at
Forest Park we think are some of the best of the best that Austin
has to offer to patients. The estimated number of physician
partners we have right now, we have 70 in the partnership. We
have 12 different specialties involved in our specialty mix.
We hope to add additional partners in the near future as
well as additional specialties. We bring the best surgeons to
our hospitals, we have the best staff, we have the best service.
We have, we feel like the best hospital that Austin will have.
Forest Park Medical Center is truly one of a kind. WeÄôre
here today at Forest Park Medical Center in Dallas Texas
and they are the host site for the Texas Association for
Bariatric Surgeries Patient Conference for 2013. Today there
is a fabulous patient centric meeting. ItÄôs filled with
psychologists, with dieticians, exercise physiologists, behavior
modification people. But the whole goal is to take folks that
have had bariatric surgery or are thinking about bariatric
surgery and helping them to get fit, helping them to change the
way they think, helping them to be successful with the whole
bariatric weight loss program. Today is very special because
iÄôs all about patients. And a lot of times at professional
meetings itÄôs doctors talking to each other, presenting their
data. This is all for the patients to help them have a
better outcome, understand whaÄôs going on in their
bodies. My job will be to help them understand some of the
psychological aspects of weight loss surgery and hopefully give
them some coping strategies to maximize their success. TABS is
a great organization for speaking for the patient. So
iÄôs not only about surgery, iÄôs about support, itÄôs
about exercise, iÄôs about prevention. IÄôs very
important when you take care of patients whether they have
diabetes or high blood pressure or they have a craniofacial
deformity or even just having gall bladder disease, we need to
provide preoperative care, intraoperative and immediate
postoperative care but it doesnÄôt end at the point when
the patient leaves the hospital. Programs like this help patients
see ways to overcome stress, ways to change their behavior so
that they can be successful with changing their eating habits.
All of the surgeons here include a multidisciplinary approach.
TheÄôre not just giving the surgery and sending the patient
on their way. ThereÄôs nutrition, therÄôs the
psychological component, thereÄôs support groups and
yeah this is a world class place. You know Forest Park was
founded to give physicians an opportunity to take center stage
in the care of their patients. IÄôs not an institutionally
driven care model, itÄôs a physician driven care model.
Best Docs Network featuring Forest Park Medical Center is
your destination to better health. For more information on
any of the best doctors youÄôve seen on todayÄôs show, head to
bestdocsnetwork.com, click on Forest Park Medical Center under
the Our Doctors tab. Now leÄôs go on to our next best doctor,
Austin urologist Dr. Bryan Kansas. The initial problem with
erectile dysfunction, I was unable to achieve an ***.
It took a long time to become aware it even existed, you know,
it was a gradual deterioration. Six, seven years ago I was
diagnosed with heart disease and one of the first symptoms of
heart disease is erectile dysfunction. So I was managing
that but anytime I was trying to engage in sex or *** activity
it became more of a problem in unable to achieve an ***.
The first time I met with Dr. Kansas he showed all the
options. The treatment options for erectile dysfunction are
variable. I like to tell people that I like to start low and go
high. We typically will first wÄôll try oral agents , the
PDE5 inhibitors or phosphodiesterase 5 inhibitors.
If those are not working for the patient we can use an external
vacuum *** device which manually sucks the blood into
the ***. The next step would be an injection of a
prostaglandin mix or trimix that is injected into the side of the
*** about 10 minutes before sex. And the patients that fail
those or just canÄôt get those things done then an inflatable
*** prosthesis would be the next choice. And then he showed
me the *** implant that was available. He had a model in his
office and I have to tell you I was a little scared when I
looked at that, so, because it is surgery. When I realized that
the prescription meds werenÄôt really working for me and I
started realizing that I wanted more intimacy in my life with my
wife that the *** implant really became real to me. My one
piece of advice to patients on erectile dysfunction is please
donÄôt be embarrassed to talk to your doctor about it or at
least go see a urologist that specializes in erectile
dysfunction. There are a lot of things that can be done and you
donÄôt have to live with erectile dysfunction. Before I
had the implant when you have erectile dysfunction you kind of
live in this world of fear. ThereÄôs a constant doubt,
thereÄôs a constant apprehension about having sex.
After the implant iÄôs guaranteed success. I never ever
have to worry about that again and that is such a huge issue
for any male. My sex life with my wife couldÄôt be better.
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 thaÄôs not the typical OR times and it
just didnÄôt 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 thatÄôs what
iÄôs 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. IÄôve 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 ParÄôs situation they said wÄôre from the very
beginning wÄôre 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 wÄôre delivering state of the
art care and itÄôs a facility that really fosters that type of
physician and that type of mentality. Äôm currently in
the O.R. manager position. I oversee the nurses, our RÄôs,
our scrub techs, all of the individuals that are necessary
to smooth running of the facility in the operating room.
Monitor the operating room schedule to keep everything
running on time as well as meeting the needs of our
patients and our physicians. I decided very early on that I
wanted to be a nurse. I enjoy people. I enjoy being able to
serve the needs of others and the operating room just really
stood out to me. I think the O.RÄôs an area thaÄôs very,
iÄôs very scheduled, iÄôs very routine. I like to be able
to plan. One thing that really stood out about Forest Park was
just the quality of patient care and just the way that the
patients are treated. The physicians, everybody is just
wonderful. The facility promotes patient satisfaction, patient
care which are all things that are very important to me and
iÄôs a facility that I feel like are very in line with their
values and what they view. One of the main reasons that
physicians do enjoy coming to our facility is just what the
extent that we do go to meet their demands and also provide
them with what they would like for their cases. We want all of
our physicians to have what they need to provide effective safe
surgery but also to meet their preferences of what they would
like. So counting calories, should I count calories, should
I not, should I do low fat, should I do low carb? Well
thereÄôs reasoning behind each one of those theories, but
overall the goal is absolute caloric restriction. Now
thereÄôs a fine line there. You know if youÄôve been taking in
letÄôs say 2500 calories a day on average throughout the last
couple of years and the weighÄôs been fairly steady,
if you cut it back to 2000 calories you now create a
caloric deficit which results in weight loss. There is a fine
line though at that point because if you cut back too far,
if you go to an extreme and cut back to 800 calories a day, yeah
youÄôll lose a lot of weight up front but the problem is that
then your body becomes very efficient at soaking up
calories. So on the back end when you resume your regular
diet those fat cells come roaring back. So the goal is to
create just a slight caloric deficit where youÄôre burning a
few more calories, taking in a few less calories and that
results in weight loss. From staff to surgeons, from
technology to technique, Forest Park Medical Center Austin is
your destination to better health. Did you know Forest Park
Medical Center is known for having larger than average
operating rooms. Larger OÄôs allow doctors the flexibility to
house groundbreaking technology such as the Da Vinci Robot, the
Makoplasty robotic arm and Acessa that helps improve
minimally invasive and accurate procedures. Each Forest Park
doctor you see on Best Docs Network has a page dedicated to
them where you can check out additional videos or even
request an appointment. And one of these doctors is Austin
orthopedic surgeon, Dr. Michael Putney. I was a gymnast in
college. My originals symptoms were just constantly irritated
shoulder, couldÄôt sleep at night, my rotation was being
limited a little bit. I ran a race and did some additional
damage to my shoulder and I knew Dr. Putney through some mutual
friends so I scheduled an appointment to come see him. For
shoulder rotator cuff tears you seem to have two groups of
people that it happens to. One is young athletes who sustain
some sort of sudden injury or pop when throwing a ball or
playing tennis and the other group of people is older people
who probably through wear and tear gradually wear a hole or a
tear in their rotator cuff and it finally gives. He was in that
category of people where his injury was more sudden and
traumatic and certainly thaÄôs why we approached him in a much
more surgical fashion. My other options were very limiting if I
wanted to continue to do anything particularly working
out or playing golf therapy would only buy me a little time,
it wouldnÄôt fix the problem so surgery was really the only way
to take care of the problem. I treated David arthroscopically
and we went in and sewed back, his torn tissue back to the
bone. People may ask how do you sew something to bone? We
actually on the rotator cuffs and the labrum we actually will
drill a hole in the bone and put an anchor that has stitches in
it and then we sew the tissue to the bone. My shoulder after
surgery is starting to feel, IÄôm still going through rehab,
IÄôm only about 3 months since surgery so Äôm still in
rehabilitation so iÄôs still a little bit of the recovery, a
little soreness to work through but I feel like IÄôm on the
right track to be back and fully active again. I think another
month or two for David and hÄôll really be seeing a lot
of improvement. I think hÄôs right at that point where things
are starting to turn around in regards to both his strength and
his range of motion. Äôve been a big proponent of Dr.
PutneÄôs. Äôve told a lot of people you know that he did a
great job. I think he interacted well, I felt very confident in
his ability to get people back to where they need to be. Find
out more about your family history. Finding out what your
grandparents died of can provide useful and lifesaving
information. And thatÄôll wrap up this episode of Best Docs
Network featuring Forest Park Medical Center Austin. For more
information on this beautiful hospital or any of the best docs
that you see on todayÄôs show, head to bestdocsnetwork.com. We
love to hear from our viewers so if you have any questions or
comments email us at info@bestdocsnetwork.com. IÄôm
Karla Macias and weÄôll see you next week.