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It's a call that's telling me I'm here to serve. It's a need
to make a difference in the world. 24 hours day or night
these healing hands will make it right. Looking in their eyes I
know that I'm changing lives, changing lives, changing lives
for the better, for the better, changing lives. Hello everyone,
IÄôm Grace Sells along with Jim Knox and welcome back for
another edition of Best Docs Network, the show thaÄôs
featuring some of the best doctors in the Dallas, Fort
Worth area that are really changing peopleÄôs lives. That
is exactly right Grace. And letÄôs start the show with one
of the best plastic surgeons in the entire Dallas, Fort Worth
area, it is Dr. David Azouz. I had my gastric bypass in May of
2011 and after two years I lost 100 pounds. After losing 100
pounds I had a log of excess skin on my belly, IÄôve always
been big around my belly area, thaÄôs where I carried all my
weight. I felt very unhealthy with it and wanted it removed.
The problem is when you lose that much weight your body and
your skin cannot go back to where you would like it to go
back without help. And therÄôs no way with exercise that you
can get rid of the extra skin thaÄôs hanging that has been
stretched out, often has a lot of stretch marks and in some
patients you do need to do a brachioplasty or remove skin
from the arms, in some also you need to do a breast lift, in
some you have to do a facelift to correct the extra skin around
the face. So everyoneÄôs a little bit different. In
KarenÄôs case her major problem was her abdomen where she had
all this extra skin that she wanted removed, that she could
not get rid of despite the fact that she ate well and despite
the fact that she was working out regularly. When I came to
see Dr. Azouz I weighed 151 and that was because I was still
carrying all the fat that was around my belly. He had
explained to me the different procedures that he has. He
explained to me the tummy tuck in particular, it was what I was
interested in. When he examined me he found a hernia which he
repaired while he did my tummy tuck. Dr. Azouz cut off 8 pounds
of fat from my belly. And of course her skin was very poor
quality. It had all been stretched out from when she was
a size 24 or 26. Once I had my tummy tuck done I dropped like 4
sizes right away. Dr. Azouz told me when I had the tummy tuck I
would lose another 20 pounds plus what he cut off and I did.
I started at 248 before my weight loss and after my tummy
tuck Äôm now at 124, size 0. What we do here is called a
dermatapathology laboratory, iÄôs a special type of
laboratory where we look at skin biopsies, specimens primarily.
We get a few other things but the vast majority of what we get
are skin biopsy specimens. We see a large number of cases on a
daily basis so we see just about everything in the textbook over
the course of a year. By helping him, it allows him to do more
and read more cases, be available to more physicians
while I do some more of the little stuff. We have kind of an
integrated approach where in the mornings you know we come in and
we look at the slides first you know, this is a 24 hour
operations labs. The slides are available at 4 in the morning
even if you want to come in that early and sometimes we do. Then
when he comes in, he reviews the slides and weÄôre there with
him so he gets an opportunity to see what our impressions were
and you learn, he can kind of give you an idea of whether you
were on base and doing it correctly, or if you needed a
little more work. As dermatology residents, we come to Dr.
CockerellÄôs lab every week, sometimes multiple times a week
where he teaches us at the microscope his specialty
dermatapathology for which hÄôs a world expert so iÄôs
a great opportunity. The fellows are a very good resource for us.
They help us with some of the mundane type of tasks that have
to be done in the laboratory but theÄôre also very creative and
we work together on a number of projects. WÄôve published
papers, textbooks, many articles together. WÄôve actually done
some significant research work thaÄôs been published in major
scientific journals with some of the fellows over the years.
IÄôs an honor to work with Dr. Cockerell. He is one of the best
if not the best in his specialty. As a person he has an
amazing ability to recall information in a short amount of
time. We consider him to be the walking bible of
dermatapathology. IÄôs been an invaluable opportunity to learn
from someone who is not only world famous in his field, but a
phenomenal teacher and physician. I think they learn
from me, but certainly I enjoy interacting with them and I
learn things from them too. Hi, I'm Dr. Harvey Carter with the
bestdocsnetwork.com. Crystalens surgery today can be done on
patients before they develop a cataract to reduce or eliminate
their need for glasses. For more information, watch my videos on
bestdocsnetwork.com. If you have asthma do not let it stop you
from playing sports. Swimming, canoeing, fishing, sailing and
walking are all asthma friendly options. We are excited to
welcome in the studio Dr. Preeti Malladi, she is one of the top
minimally invasive bariatric and general surgeons in the entire
Dallas, Fort Worth area. Doctor, welcome to the program. And
letÄôs get right into it, whoÄôs the perfect candidate
for bariatric surgery? Well, obesity is a spectrum and some
patients need to lose a lot of weight and some patients need to
lose just a few pounds and bariatric surgery is meant for
the patient who needs to lose a lot of weight. So we measure
this by body mass index which is a combination of your weight and
height, iÄôs a formula. And we look at patients who have a body
mass index over 40 or a body mass index over 35 with other
obesity related medical conditions like diabetes, high
blood pressure, heart disease. So thatÄôs one way that we look
at candidacy for surgery. Very nice, now I hear that insurance,
possibly insurance can help out, is that the case? ThaÄôs
absolutely the case. The only thing that people need to
understand is that bariatric coverage is almost like having
dental coverage, you either have it or you donÄôt. ItÄôs not
under general coverage and so if a patient doesnÄôt have
coverage then we can work with them with financial planning,
but if they have coverage then there are certain criteria that
the insurance companies require you to meet. But in our practice
we help them understand if they have coverage and also to go
through all the requirements to help them get approved. There
are different types of bariatric surgeries. Can you explain what
is best? How would each individual know what is best for
them? Well the most common bariatric surgeries are the
laparoscopic adjustable gastric band, the sleeve gastrectomy and
the Roux-En-Y gastric bypass. And those three operations have
different plusses and minuses. I really encourage a patient to
talk to their doctor because iÄôs really based on the
patientÄôs medical and surgical history and some other medical
conditions that they may have because each operation affects
medical conditions differently. And so I would say it needs to
be a conversation with the physician involved. Dr. Malladi,
you are a minimally invasive surgeon, so what does that mean?
I actually did a fellowship in minimally invasive surgery
because I wanted to make sure I could get the best outcomes for
my patients and traditional surgery requires a large
incision. To see the rest of this interview as well as other
outstanding videos, head to bestdocsnetwork.com. For more
information and to check out hundreds of videos, head to our
website, itÄôs bestdocsnetwork.com. Now I know
when Äôm looking for a doctor, iÄôs important to me how they
make me feel as a patient. So up next weÄôre going to hear about
the patient care and practice philosophy of pain management
specialist, Dr. Jason Williams. When a patient comes in the
clinic I want them to feel very welcome. I want to have a clinic
thaÄôs a nice, warm, inviting atmosphere. I want to treat them
as I would a family member, my own family member. The first
person they see is Sonia, sheÄôs the receptionist, office
manager, kind of the patient go to person for any needs that
they might have. She always makes it a point to welcome
every patient, make them feel invited, make them feel
comfortable and let them know that shÄôs there for anything
outside of the medical treatments that the patients
might need. We really do like to get to know our patients as much
as possible on a more personal level so we can individualize
their treatment plan and help them in any kind of recovery
process in order for them to be pain free, make it as smooth as
possible. The second person that a patient meets is my nurse
Kelli. ShÄôs very instrumental in the treatment process for me.
And then shÄôs very instrumental in the backside of
things and so is Sonia. KelliÄôs very instrumental in
the postoperative or the post treatment plan. SheÄôs pretty
much the go to person to talk to when patients have any issues
whatsoever postoperatively. Here in my professional experience,
IÄôm trained to care for all of his patients in the pre op and
postoperative setting by providing education and what to
expect during their visits, during their surgeries and then
also in their postoperative care. Initially when I meet with
Dr. Williams patients I review their history, their major
complaints on why theÄôve chosen to come to Dr. Williams.
In order to provide the absolute best information that I can for
Dr. Williams to perform the surgery. When patients come in
they may have a lot of questions about their pain and treatment
options and we are always here to answer any questions that
they have. From the moment a patient walks in my door, they
meet me, I want them to understand that IÄôm going to
take the time, do what it takes to get them from the point they
are when they meet me to a point where theÄôre 100 percent pain
free no matter how long it takes. DoÄôt forget for more
information about any of our outstanding doctors you see on
todayÄôs show, Grace, everyone just has to go to the website,
iÄôs bestdocsnetwork.com, bestdocsnetwork.com. Now up next
wÄôre going to hear about some nonsurgical options for aging
skin with Dr. Naila Malik. Aging is a multi-dimensional process
which starts in the surface and involves subsurface structures
including skin, fat, muscle and bone. So the way we determine
the best treatment for anybodyÄôs aging face is by
looking at the extent of aging they have in each one of those
layers. The CO2 laser will address your skin surface
problems like texture and fine lines and deep lines and some
collagen elastin production. The radio frequency will address the
skin tightness below the skin and then you can use dermal
fillers such as Radiesse or hyaluronic acid fillers to
account for the loss of fat that occurs with aging as well. It is
important to know what your patient needs based on their
face shape and the type of aging you have. When I saw Jennifer
she originally came in asking for the option of a filler for
her fine lines and deep lines above the labio nasolabial folds
but after examining her I determined that CO2 fractional
laser was probably the best choice for her. And she had the
added advantage of having tremendously great response to
the CO2 laser by improving her elasticity. My only knowledge of
cosmetic procedures was filler and botox and I was told that I
would probably need a facelift a few years ago by someone else
and I was dreading the thought of going under the knife and
that wasnÄôt for me so I was very thrilled when she told me
this is basically a facelift and sure enough I had it 5 days ago
and I am absolutely thrilled with the results and whatÄôs
even more exciting, she says the results are even better as you
go a few months down the road so IÄôll continue to see
improvement. I am completely blown away that for as simple of
a procedure that it is, it has completely changed my life. The
response of each individual patient to these treatments is
very, very different. It depends on their genetics, on their
lifestyle and so many other things, the amount of stress
they may have at that time. So you cannot really have a
cookbook that every patient is going to need the CO2 radio
frequency and dermal fillers even if they look the same at
the first visit. So you really have to step back and look at
their results and see how the results show up over the next
several weeks before you decide to do a second treatment. The
Best Docs Network is all about doctors helping change
peoplÄôs lives. ItÄôs educational, informative and
real. Logon to bestdocsnetwork.com.
Gynecomastia is a very important part of our practice that I
enjoy doing. Gyneco means woman like and mastia means breast or
chest so itÄôs a woman like breast. On a man that means not
just necessarily obesity but also the glandular tissue that
comes along with it which is the hard fibrous area that you can
actually feel under the *** and the areola. We see many
young men who get it with the onset of puberty and then we see
many men in their twenties, thirties and forties who have no
antecedent cause for this. Gynecomastia surgery
traditionally has not been a very satisfying operation for
either the surgeon or the patient. The reason why is 99
percent of surgeons are still doing the same technique
thaÄôs been done for the last 80 years. They put the patient
to sleep, they make a 3 oÄôclock to 9 Äôclock
incision around the areola, they start cutting out the tissue
under direct vision, it starts bleeding, they caÄôt see very
well. They may get a contour problem or a depression and then
ultimately they put drainage tubes in from the side to drain
out the fluid. So about 9 years ago I came up with a new idea.
No scar at all on the chest, no drainage tube. WeÄôre able to
remove the two components of gynecomastia, the fatty tissue
and the glandular tissue through an incision this long under each
arm. And there are two instruments that allow us to do
this, the use of ultrasonic liposuction and we have a
multi-jointed cutting device. WÄôre able to cut out the rest
of the glandular tissue with an instrument that goes through
this incision all the way down to the ***. After weÄôve cut
it all out and its perfectly flat the last thing we do before
closing the incisions is to re-inject the entire field with
a long acting anesthetic so when the patient gets up wÄôve
already got the compressive garment on, theÄôre pain free.
TheÄôre typically only in the recovery room 45 minutes to an
hour and that stays numb until the next day. They wear the
compressive garment under their street clothes for three weeks
and theÄôre done. We see them at 8 to 10 days postop, we see
them 6 weeks after that, 3 months after that and theÄôre
delighted. Welcome back to the Best Docs Network in the Studio.
WÄôre pleased to be joined today by Dr. Harvey Carter,
owner and founder of Carter Eye Center and one of the top
cataract surgeons not only in the Dallas, Fort Worth area but
in the country. Dr. Carter thanks for being with us today.
Thank you for having me. Now you were the first doctor in the
United States to perform the Crystalens procedure once it was
approved by the FDA. Can you talk us through the procedure
and how it works? The Crystalens procedure is where you do a
cataract implant operation and cataract implant surgery is done
with an implant lens where we replace the cataract, this
cloudy lens in the human eye, with this implant lens. The
Crystalens allows the patient to develop a wider range of vision
after surgery because the lens is the only lens approved by the
FDA to accommodate or focus in the human eye which gives you
the widest range of vision from near, far, intermediate in terms
of a range of vision allowing the patient to get some degree
of spectacle freedom. At what age do you normally see
cataracts forming? Äôd say roughly two out of every three
patients over the age of 60 have some degree of cataract
development in their eye. The average age of the roughly three
and a half million or so patients who had surgery in the
United States last year was probably around 72 years of age.
So itÄôs a painless, progressive, gradual loss of
vision over about a decade or so is when patients start to notice
it. The first signs and symptoms will be things like glare, halo,
difficulty night driving, inability to see the television,
different activities of daily living that will just start to
become impaired as you get into your 50Äôs, 60Äôs, 70Äôs. And
do I understand correctly that you donÄôt necessarily have to
have a cataract to be a candidate? Well, that is true.
If you take and look at the operation, cataract implant
surgery, which is where this came from, involved taking the
cataract out and putting in this monofocal lens implant and
thaÄôs the most popular number one procedure. To see the rest
of this interview as well as other outstanding videos, head
to bestdocsnetwork.com. LetÄôs talk about gluten sensitivity.
You hear a lot about that. People with gluten sensitivity
tend to get bloating, gaseousness but it can also
cause things like anemia or fatigue because it washes out
your nutrients in your body and causes changes in everything
from your energy level to your tests in your doctors office.
Gluten sensitivity is caused by the absence in your small
intestine of a enzyme that digests gluten. Gluten is like
wheat, breads and that kind of thing and starches. If you
donÄôt have that enzyme you build up gas from all the gluten
that we tend to get in our diet. How can you tell if youÄôre
gluten sensitive? Well, one way is to just take gluten out of
your diet. All you have to do is look in the internet and
youÄôll find gluten free diets. If you get better from your
symptoms that worry you by being on a gluten free diet then you
probably do have gluten sensitivity and just keep on
keeping on that way. Now one way to tell for sure is you can get
a biopsy done at a doctorÄôs office with a scope down your
throat but thatÄôs not the best way to do it. Just get a blood
test done if the dietary restrictions doÄôt work. For
additional Medical Minutes from Dr. Honaker, logon to
bestdocsnetwork.com and click on the Medical Minute tab on the
home page. For more information about any of our outstanding
doctors you see on todaÄôs show, head to the website
bestdocsnetwork.com, thatÄôs bestdocsnetwork.com. Right now
iÄôs time to head to our next best doctor, it is
prosthodontist Dr. David McFadden. I had started very
early in my twenties to get a lot of dental work, crowns and
then in my thirties I realized it wasnÄôt going to last
forever and this created some problems, not only is it
expensive but it takes your time and iÄôs uncomfortable.
Implant treatment has really been a great technology for
patients whose teeth have reached a point where they
canÄôt be restored. Teeth that reach that point either have
broken off, have decayed or are just so broken down that we
canÄôt use them anymore in the reconstruction process. In those
patients who have reached that point we recommend removal of
the teeth and reconstruction with dental implants. Sue had
been plagued by a lifetime of dental problems including decay
and tooth loss. She had reached a point where we did not feel
comfortable saving any of her natural teeth so we decided
wÄôd do a reconstruction for her with dental implants. My
friend, Kelly is in the dental educational field so heÄôs very
meticulous and precise so you always go to the person thaÄôs
best suited to the job and in this case it was a
prosthodontist. Kelly said this was the only place to do it and
so this is where we did it and he was right. Sue was referred
by a very close friend of hers who is a dentist here in Dallas.
I was honored to get that referral because they had
researched her needs and visited many offices before deciding to
come here. What they found in their search was that a lot of
the other practices were heavy on sales and very light on
education. What they liked about my approach was that I simply
gave them their options and was able to show them similar cases
so they could make their own decision. Dr. McFadden is very
easy to talk to. He can take a joke, hÄôs got a sense of
humor. HeÄôs serious when he needs to be. HeÄôs very
thorough both in the procedures and also letting you know
whaÄôs going to happen and how hÄôs doing it. Many times
patients dental situations have deteriorated to the point where
their whole mouth needs to be treated. Many people caÄôt
afford that so we try to stage their treatment in a way that we
have good stopping points along the way so they can regroup and
plan for the future. Hi, Äôm Dr. Preeti Malladi with Best
Docs Network. Did you know that obesity can increase your risk
of sleep apnea and that bariatric surgery can help? To
learn more, watch my videos on bestdocsnetwork.com. I was very
apprehensive about coming into Preferred Imaging . The night
before I had read every negative thing that could happen when you
have an MRI, so when I came in the door the secretary met me,
you know just smiled and the technician for the MRI was just
really helpful, very reassuring. I was so happy Äôd come to
Preferred Imaging. So I had saw a physician out of town and he
had looked at both MRIs and was wanting to order a different MRI
and he preferred the one from Preferred Imaging better than
the other one and asked me would I return here for the one he was
ordering so we did and he was very pleased with the second one
that I had here as well. The setting, the waiting room and
the changing room all were really nice. Their room is
really painted pretty neat, iÄôs very artistic and just
kind of makes you feel like youÄôre not in that normal cold
hospital type feeling, just more of a warm type feeling. The
staff was uplifting and answered all my questions and the
procedure was so stress free. The technician gave me a button
to push if I needed help instead of wiggling my feet and trusting
that somebody was going to see me. The first thing I did when I
was inside the MRI machine was to test the button and she
immediately came and pulled me out and said what do you need,
is everything OK? And I was like no, I was just testing the
button. And she was like oh thaÄôs OK, I just want you to
know that IÄôm here watching you and you have the button and
so that was very reassuring. And then the procedure was just like
they said. I had an absolutely fabulous experience at Preferred
Imaging. I also live two hours away in a small town and the
imaging there is mobile and iÄôs not very well so I do
travel two hours so I can get good quality imaging and so when
the doctors like it and prefer it, iÄôs worth the drive of
two hours. TheyÄôre really friendly, really nice, very
helpful. It was awesome, I really did have a good
experience here. Find out more about your family history.
Finding out what your grandparents died of can provide
useful and lifesaving information. Well I kind of
always wanted to have larger *** but I was married and my
husband didÄôt want me to do it and had a bunch of kids and
so I had a life change in the 9Äôs. One of my good friends
had used Dr. Barnett and she goes Kim, youÄôre starting your
life over, go see Dr. Barnett. A breast augmentation is where
you, therÄôs several incisions, the only one that
makes any sense is right here where the crease is. You make an
incision, you open up a space for the implant to sit in, very
important to put it on top of the muscle. You make a space,
you have already decided the size implant that they need. How
do you decide what they want, what they need, how big have
they been , how big are they now, how tight is their skin?
You make the operation fit the patient rather than vice versa.
Afterwards I was here for hours recovering and I had a friend
take me home and I slept through the night. Waking up I had very
little pain. After about 4 or 5 days I was pretty comfortable in
going and doing. I took a couple of days off of work and then I
was back at work. When Kimberly came in she needed some changes
in her life. She needed her *** done or wanted them done
and she wanted a new figure so thaÄôs what we did. ItÄôs
great, I love it, he did a great job and IÄôm very happy, very
happy with it. Her *** are fabulous if I do say so myself
which I will. They fit her body. She told me a minute ago she
looks like she does now when she was 28 years old and thatÄôs
what we did for Kimberly. We just gave her a boost of self
esteem, sheÄôs happy. ItÄôs win, win all the way around. Dr.
Barnett was very personable, very funny and nice and he takes
time to know you and he lets you know him and so then you kind of
have a relationship before the surgery, so you feel very
comfortable, you trust him. It was a great experience. Wow,
those were some life changing stories on todaÄôs show,
werenÄôt they? Exactly right, Grace, you know more life
changing stories of course on the website,
bestdocsnetwork.com. Anything and everything you want to know
about some of the best doctors in the Dallas, Fort Worth area,
head to the website, bestdocsnetwork.com. And if you
have a question or a comment or a life changing story of your
own, we would love to hear from you, send us an email at
info@bestdocsnetwork.com. So long everyone, we will see you
next week.