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Hello everybody and welcome back to another edition of the Best
Docs Network featuring forest Park Medical Center, your
destination to better health. Forest Park Medical Center will
be coming to the Austin area as soon as 2015. They will be
bringing some of the top doctors, the newest technology
and of course the best quality patient care. Now letÄôs
introduce our first doctor, Dr. Kevin Doner. Initially I was
tired, kind of run down but I also had some symptoms that just
werenÄôt right. There was some bleeding where bleeding
shouldnÄôt happen and it happened for a while. I kind of
let it go on for too long and it was, I knew something wasÄôt
right. Michelle came in with a stage 3 colon cancer. Stage 3 is
still a curable stage but iÄôs an advanced stage, itÄôs an
aggressive stage that usually requires a combination of
treatments to attempt to cure it. So she had surgery, she had
a long course of chemotherapy, she also had radiation. The
great thing that Dr. Doner said to me when I was diagnosed was
this is curable, this is curable. You, you know, it, your
treatment may be tough but you know yoÄôre going to make it
through this and itÄôs going to be okay. Thankfully with modern
treatments itÄôs very curable and she did great with
chemotherapy and here we are several years later to talk
about it. After the 5 year mark we can usually say shÄôs
cancer free or cured, so she would be a good example of a
success story with modern oncology cure. It marveled me
because you donÄôt think into the future. I mean you really
donÄôt want to bet on anything so you may think about your next
treatment or finishing your treatment but not necessarily
living another year because you donÄôt want to necessarily bank
on that so itÄôs amazing how when you look back from here to
that person that I was back then and now honestly cancer is not
even on my radar. I donÄôt worry about it, I donÄôt think
about it. My kids are growing up, it was such a really scary
time for the family and iÄôs, wÄôre so fortunate and happy
to be where we are today and just able to live life without
worry. Brittney has a question for Dr. Snyder. Do I have to
have cancer for insurance to cover reconstruction surgery?
One of the interesting things about breast reconstruction is
there are actual federal laws that protect a womaÄôs right
to have reconstruction. So if youÄôre having a mastectomy
regardless of the cost whether iÄôs for cancer for a genetic
risk, for breast pain, for lumps in your breast, whatever that
reason may be, insurance companies are bound to pay for
your reconstruction and the type of reconstruction of your choice
so in this day and age itÄôs a non issue about having insurance
cover breast reconstruction and thaÄôs whether you choose one
or two ***. 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 womenÄôs health. Forest
Park Medical Center makes it a priority to get involved locally
in their communities. This year Forest Park Medical Center was
proud to be a part of the Zero Prostate Cancer run that takes
place in Austin. LeÄôs take a look. Forest Park is really
excited to be here to be a part of the Zero Prostate Cancer Run
and to be a gold sponsor for this event. This event raises
awareness for prostate cancer so wÄôre excited to represent the
community and the physicians that are a part of Urology
Austin. This is a special day. Urology Austin, this is our
third year of doing this and the idea actually originated in
Baltimore and they started out with just one run and now iÄôs
just over 29 places in the country so we wanted to
participate, we wanted to give back to the community. We have
35 races around the country we do. WÄôre going to raise $2.5
million dollars thanks to races like the Austin race to go
towards research, advocacy, raising awareness, free prostate
cancer screening and patient assistance. So weÄôre here
today just to raise awareness and let people know wÄôre out
there. We, Urology Austin, has been sponsoring this race for,
this is our third year and actually this year weÄôve had
the largest turnout of runners that weÄôve had since its
inception. Today is not only about promoting awareness but
also celebrating survivors. Well iÄôs great to bring the family
out here and to bring awareness to prostate cancer and to
prostate cancer screening and our prostate cancer survivors.
IÄôs good for these kids to see what itÄôs like to get out
here and be healthy and what a great day, what a perfect day,
perfect weather for this. I had a good time out here today and
iÄôs an opportunity for me to kind of hopefully get awareness
out. ItÄôs great to be a survivor and to all the guys out
there, the key is get checked early and often. WeÄôre just
excited to be a part of it and be in this community to let
people know about prostate cancer and to get tested and you
know talk to your friends and family and brothers and uncles
and dads about it. Such an exciting day to be part of the
Forest Park Medical Center at Austin. To be able to work with
the local community and the physicians in the community to
offer outstanding care, cost effective care, to enhance the
patient experience. Today is very, very exciting to bring
Austin into the Forest Park Medical Center family of
hospitals is an absolutely wonderful opportunity for both
the physicians as well as the patients here in the north
Austin area. Today is a great day. WeÄôre eager to have that
bulldozer just doing what we do best and thatÄôs making Forest
Park Medical Center Austin a reality. Forest Park Medical
Center is the new frontier for our community, Äôm very
excited about it. IÄôs really exciting that wÄôre finally
going into the next phase of making this dream come true of
bringing I think a higher level of care, raising the bar of care
for patients and physicians in the Austin area. Äôm very
grateful and honored that the doctors here in Austin have
confidence in us in the Forest Park Model. WÄôre so proud to
be a part of this upcoming, new, exciting venture in Forest Park
Austin. It continues to be an evolving concept and itÄôs
something thaÄôs specific to the physicians here in Austin.
We have a totally new design that really takes on the
personality of Austin and the physicians that they serve. Best
Docs Network featuring Forest Park Medical Center is your
destination to better health. LetÄôs talk about pink eye.
Pink eye is an infection of the lining of the eye. ItÄôs called
conjunctivitis in medical terms. And it can be caused from
bacteria in which case you need certain types of drops for your
eye and it can be caused by viruses and thaÄôs the more
common cause. Now you can tell if itÄôs a virus in that the
lymph node right here in front of your ear will be swollen and
tender. ThaÄôs because it drains the eye. Now if that
lymph node is tender and swollen thaÄôs usually a virus so you
donÄôt need antibiotics, you donÄôt need antibiotic eye
drops but you are contagious. Now if you have thick, creamy,
ugly pus that comes from your eyes, theÄôre stuck together
in the morning, that happened to me a lot when I was a kid,
thaÄôs usually a bacteria. That little lymph node woÄôt
be swollen, you will need antibiotic eye drops and it will
probably be contagious. Now how long is it contagious? Well a
virus can be contagious for weeks and weeks, bacteria iÄôs
usually just a few days. Generally once the redness
starts to go away, about 12 hours later youÄôre no longer
contagious. WhaÄôs been so rewarding for me to be involved
with Forest Park is that Äôve been in the business of helping
physicians manage hospitals for 25 years and I have seen all the
various models that have been associated over that period of
time. IÄôve been involved in many different kinds of models
and iÄôs been a pleasure for me to implement the model that I
think works the best in this business and that is the
majority physician owned model where the physicians are in
control and govern their own hospital and have business
partners like me who come in and help them run that business. But
we focus on running the hospital the way that the unique aspects
of that medical staff wants their hospital to be run. With
the help of the doctors here and at all of our hospitals, we
recruit the very best people in all different lines of work from
the OR technicians, the floor nurses, quality directors,
everyone who walks through this hospital has been very carefully
considered. This basically gives our patients the best possible
experience. They walk into this place and very quickly are eased
of a lot of the stresses of surgery that you get in a cold
sterile hospital environment. The people are very friendly,
the place is very welcoming all around them and of course the
quality of care is unsurpassed. What Forest Park means to a
physician is that it provides a place for that physician to
practice medicine where he or she is much more in control of
their destiny, much more in control of the atmosphere that
they practice medicine in. We provide our physicians with
dedicated teams of nurses in the operating room who become
familiar with the type of surgery that the physician does
that makes the surgery go much quicker and enables us to get
the room turned over quicker between cases so that the
physicians can get more cases done. All of the physicians that
I talk to tell me that they are able to get more cases done and
in a more efficient manner than any other hospital they practice
medicine in. As a physician, a surgeon actually, practicing
here we start your cases on time, our turnover is very
efficient, we have top quality staff to provide you with the
people and the equipment necessary to really be state of
the art in everything we do. To request an appointment with any
of the doctors you see on todayÄôs show, head to our
website, bestdocsnetwork.com, click on Forest Park Medical
Center under the Our Doctors tab. Now leÄôs introduce our
next Austin doctor, Dr. Mason Jones. A URI, what does that
mean? Well it stands for upper respiratory infection. So the
cause of a URI, the vast majority of the time is a virus.
There are a number of different viruses and they have big long
complex names but suffice it to say that theyÄôre all in the
virus class. The common cold is just that, itÄôs a virus which
doesnÄôt response whatsoever to an antibiotic. A patient may
come in thinking that they need an antibiotic and I can talk to
them and reason with them and tell them herÄôs why, hereÄôs
what I think is going on. Treatment options for the common
cold are really supportive measures, most importantly rest.
IÄôs essential. The longer you try to push through this, keep
going to work, keep exercising, not sleeping well, all these
things affect your immune system. So even if I put you on
the big gun, you know, broad spectrum antibiotic that a lot
of folks tend to use, chances are iÄôs not going to change
your symptoms. We just basically need to wait the thing out. So
the risks with an untreated URI are primarily that it could
potentially progress to a bacterial infection. The risk on
the flip side though is over treatment of an infection
thaÄôs a viral infection. So if we go with the whole
population and theyÄôve all got the common cold and we start
giving everybody antibiotics the problem is that youÄôll bump
off a lot of the bacteria that everybody has on their bodies
all the time including your digestive tract. The problem is
you donÄôt get them all so the ones that are left are much more
resistant to that same class of antibiotic. Then they
proliferate and you hit them again say 6 months later with a
similar antibiotic or even a different class of antibiotic
you kill most of the bacteria but you leave a few behind and
so over generational time you start to select out for the
really resistant bacteria and thaÄôs how you get into these
MRSA and other types of resistant bugs. So therÄôs
good reason to be hesitant when using an antibiotic, you want to
hold it in reserve for serious bacterial types of infections.
At Forest Park we really, we call it the six senses of Forest
Park and you have your conventional five you know and
it talks about the experience that you get from the minute
that you come on to our campus. So weÄôre really kind of
playing into those senses, so what are you seeing when you
first get on the campus and walk into our hospitals? You know are
you looking at just great architecture or are you looking
at a brighter environment you know with natural sunlight and
things of that nature? The art program is something that plays
into the healing aspect, the visual aspect. So, yoÄôll see
sculpture, yoÄôll see original pieces, youÄôll see print,
youÄôll see a little bit of everything. And the way that we
attack art is you should feel a little bit uncomfortable with
art you know, because if every piece of art in our facilities
was something that you absolutely loved then you
probably didnÄôt reach the entire community because we all
have different tastes, different aspects of what we like. What
are you smelling? We have engineered scents in all of our
hospitals to where itÄôs an engineering system called scent
stream and itÄôs built into our HVAC and the scent that Forest
Park has chosen is called clean sheets. Other things that you
have just kind of coming into our environment is you know what
type of food are you having, the taste. You know we doÄôt have
cafeterias we have dining facilities. What are you hearing
when you come on to our campus and into our facility as well?
Oftentimes in every facility that we do we have water
features, both outdoor water features and interior water
features. So it provides a calming type sound that
resonates throughout our facilities. What are the things
that yoÄôre feeling? We have a lot of textural elements
associated with our design. When youÄôre coming in, the textural
walls, whether itÄôs the stone cut exterior of a lot of our
facilities or when yoÄôre coming inside and youÄôre
feeling the texture of the fabric itself. You know we
really try to play into all of those senses for our patients so
you know whether itÄôs in the lobby or itÄôs in the patient
rooms or you know the thread count on the sheets, you know,
those are the type of texture elements that really you may not
instinctively know about those but when you actually touch it
and feel it, itÄôll make a difference to you. Every one of
our facilities is a minimum of leed silver, so what that means
is itÄôs our environmental impact to the community as well.
So we have rooftop gardens where you have lush gardens that can
be seen from all of our patient rooms, yoÄôre seeing planting,
youÄôre seeing stone, yoÄôre seeing in some cases water
features associated with even our green roofs but iÄôs
something that really kind of plays into the sixth sense of
Forest Park which is heal and having a patient room that looks
down onto grasses and trees and plants, you know it
intrinsically has a healing aspect that really our patients
have grown to appreciate. Again wÄôre playing to each of those
senses and then our sixth sense is heal because at the end of
the day, thatÄôs why wÄôre here. WÄôre here for the
community, weÄôre healing patients and providing a place
for our physicians to practice medicine. Walking on to our
campuses from step one what we really kind of focus on is that
entire experience. It should look and feel not like a
hospital but it should look more like a hotel. YouÄôre really
seeing something different. It has a completely different feel
from anything else that youÄôve see in the market. You know our
job as developers and as Forest Park Medical Center is to
deliver a facility thatÄôs different than what the
physicians are used to, what the patients are used to. Seven
hours of sleep a night not only helps you live longer but also
lowers your stress, sharpens your memory, reduces cravings
for bad food. Family Medicine is devoted to comprehensive health
care for people of all ages. Now letÄôs introduce Austin Family
Physician Dr. Paul John. After being in medical school I had to
pay back the Navy and went to do my residency in Charleston,
South Carolina. I spent 3 years there and then from there I went
to Guam for 2 years and served at the Naval Hospital in Guam.
After that, after my 2 year tour was done there I moved to
Bremerton, Washington which is near Seattle. My wife and I were
trying to decide where we were going to move after getting out
of the Navy and at that point we decided, both of us, that we
wanted to move to Austin, Texas. I took a job working for a large
group at that point and after deciding that a large group
wasÄôt quite the right fit for us, my wife and I decided to go
into business for ourselves. I started my own solo practice in
1999 and we have been in solo practice ever since. I had the
privilege and blessing to participate in the humanitarian
mission to Rwanda and IÄôm part of the Face the Future
Foundation team. The Face the Future Foundation team is a pro
bono organization which brings together a team of some of the
best surgeons in the country to go to Rwanda, a country that has
been ravaged by genocide, and really has not had a plastic
surgeon in country for the last 25 years. And so we go as a team
and offer comprehensive facial plastic surgery. And the United
States is so blessed and privileged to have craniofacial
surgeons and facial plastic surgeons which provide
comprehensive cleft lip and palate care. In places like
Rwanda this care is not available. ThatÄôs why I go to
Rwanda because I feel like can bring a comprehensive approach
to either treat the baby with a cleft lip and palate deformity,
the child with a jaw abnormality or the adult with a bite
problem. Last year and this coming year we treated patients
with head and neck cancer and head and neck tumors. There are
patients with tumors that are very large, very disfiguring and
we are able to treat those patients in Rwanda. We treat a
child with ameloblastoma, iÄôs a skull based tumor which had
displaced the childÄôs eye and the child had difficulty seeing
and had a disfiguring deformity which caused the child really a
lot of emotional problems as well as there was remaining
tumor which was not removed and so myself and Dr. Law from the
Cleveland Clinic and Dr. Bohemi from Johns Hopkins did a
combination surgery to remove the tumor, reconstruct the orbit
and then use a leg bone, the fibula, to reconstruct the face.
The child woke up and touched his face and smiled for the
first time in years. The medical system in Rwanda is really
growing and iÄôs really improving and I believe that in
future years and with a continued partnership with
humanitarian organizations such as Face the Future Foundation I
think that Rwanda will have an improved healthcare system in
years to come. Taylor has a question for Dr. Michael Putney,
will I be able to play sports after a shoulder surgery? I
usually recommend that the time to return to sports is probably
around 6 months. YoÄôre healed before then but I want to have
you build up muscle strength so youÄôre not prone to pulling a
muscle again if you try to go back to vigorously. From staff
to surgeons from technology to technique, Forest Park Medical
Center Austin is your destination to better health.
For more information on beautiful Forest Park Medical
Center and their doctors, head to our website,
bestdocsnetwork.com. Now on to our next Austin doctor, plastic
surgeon, Dr. Craig Hobar. I decided to get a breast aug with
Dr. Hobar because I was very insecure about my size and I
just wanted to look natural and he did a very good job of
achieving that. I love doing breast augmentation and as long
as itÄôs done right it looks very, very natural. It really
doesnÄôt look like a woman has had breast augmentation it just
looks like shÄôs got a naturally great figure. Lindsay
came to me and shÄôs got a real small frame and she wanted
to look very, very natural. His procedure the way that he does
breast augs are different than most doctors. He doesÄôt go
under the breast or through the ***, he actually goes under
the arm so you doÄôt have any scar and it looks like a skin
fold and it disappears. The breast augmentation can be done,
the most common way iÄôs done is an incision on the bottom of
the breast. You know in some patients particularly if they
have a little extra breast tissue hanging over the fold,
thaÄôs a fine way to go. On a very young patient like Lindsay
and really on many patients I prefer not putting any scar on
the breast at all, I like going through the little crease in the
armpit. My bias is to do it through the armpit because it
can be done exactly the same as going through the bottom of the
breast or the *** but it doesnÄôt leave any scar on the
breast. The recovery process is pretty easy. I was out for two
days, I didÄôt do anything. IÄôs almost been a year. All
the scarring has gone down, I havenÄôt had any problems. I am
very, very happy with the results. I feel great, I love
how they look. The breast augmentation is a relatively
easy surgery for the patient to recover from. ThereÄôs really
no restrictions on what they can do. TheÄôre going to be sore
in the muscle because I really believe that the implant should
be placed under the muscle. That allows the breast to look and
feel more natural because iÄôs got more natural tissue covering
it. IÄôs also important because the muscle provides some
internal support so years down the line therÄôs not going to
be excessive stretch on the skin, iÄôs going to be
supported by the muscle. My overall experience with coming
and having surgery with Dr. Hobar was great. I feel really
good, now that I had them done I love them. Your doctor may want
you to have a stress test. This is to check on your heart to see
how iÄôs doing when your heart is under stress. For example you
run on a treadmill that gradually raises in incline and
that puts you into a hyperactive mode so that your heart is
beating fast and that makes your blood flow in your heart need to
be optimum. Now if your blood flow in your heart is not good,
youÄôre having blockages with plaque, then that will show up
on your EKG while youÄôre running on that upward slope and
getting your pulse rate up. There are different kinds of
stress tests. ThereÄôs just a plain old stress test where you
run and do the EKG. ThaÄôs very good especially for younger
people. ThereÄôs something called a stress echo where you
do an echocardiogram, a sonogram on your heart, thatÄôs more
accurate and usually used for older individuals who need to
get a better picture. Better yet is a nuclear or chemical stress
test. A nuclear stress test is where you are injected with a
chemical in your veins, not your artery but in your veins and
then you do a stress test and then get an oscilloscope to
measure where the blood flow is. That really picks up blockages
pretty well. And the chemical stress test is where you get a
chemical injected that makes your heart act like iÄôs
stressed out and running even though you doÄôt have to run.
This is for those people that have injuries or caÄôt run on
an upward incline on a stress test machine. Is your energy
lacking? Though it may be the last thing you feel like doing,
when yoÄôre tired, exercise. Even a brisk walk can be more
effective than a nap or a cup of coffee for fighting fatigue.
Thank you so much, Austin, for tuning in to another edition of
the Best Docs Network featuring Forest Park Medical Center, your
destination to better health. For more information on this
hospital or any of the doctors that you see on todayÄôs show,
head to our website, bestdocsnetwork.com. Got any
questions or comments? Email us at info@bestdocsnetwork.com. So
long everybody, we will see you next week.