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And hi again everyone, Jim Knox along with Kandace Krueger and
welcome back to another edition of the Best Docs Network
featuring Forest Park Medical Center.
Forest Park Medical Center, Kandace, of course, your
destination to better health and Forest Park Medical Center, the
top medical facility in the entire Dallas, Fort Worth area.
Indeed it is.
WÄôre going to start off with our first best doctor who
operates right here at Forest Park Medical Center, itÄôs
bariatric surgeon, 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 couldnÄôt 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 heÄôs 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, IÄôve got so much
energy.
I love all kinds of sports and now I can do them thanks to Dr.
Barker.
IÄôs a miracle, iÄôs a miracle.
I wish I had done it a long time before I had.
Dr. Barker saved my life, this saved my life.
Tom has a question for Dr. Paul Saadi.
What is the difference between a total and partial knee
replacement?
Total knee replacement is a very common procedure.
We do about 650,000 knee replacements in the U.S.
alone every year.
It is a successful procedure.
Partial knee replacements generally are for a bit younger
and more active population who want a quicker recovery, they
can do a little bit more on it and theÄôre just not mentally,
emotionally ready for a total knee replacement in terms of
activity modification and sometimes in their mind, if
theÄôre in their forties or fifties, itÄôs just a bridging
procedure knowing that a total knee replacement will probably
not last them the remainder of their life.
They would rather have a less invasive surgery to start and
then another procedure if they need when theÄôre in their
sixties or seventies.
All of the doctors here at Forest Park Medical Center,
Dallas, Frisco are dedicated to changing peopleÄôs lives, like
our next best doctor, iÄôs Dr. Bob Peters.
After Kemper was born he had a newborn hearing test at the
hospital so we were taken to several other doctors to find
out more about his hearing and hearing loss.
We had heard about getting cochlear implants and had done
some research on them and thaÄôs kind of the road we
decided that we wanted to take.
A cochlear implant is truly a bionic ear.
It is the only available full replacement for a human special
sensory function.
When he was born we found out in the hospital before we even left
you know it kind of took the joy and excitement out of having a
baby, you know all of a sudden told that there may be a
potential problem with your son, because you know nobody wants to
find out that something is you know wrong with their child
especially their first child.
IÄôs a day surgery type procedure typically.
Maybe small children and babies would spend the night but this
surgery takes no more than about an hour and a half to two hours
to do.
That portion is allowed to heal and then a very specialized
computer is used on the outside called the processor and that
processor takes all the sound in the environment, digitizes it
and sends it to the implant via an FM signal.
And when they first turned him on he had never ever heard sound
so they started him off very quietly and slow so not to scare
him you know cause itÄôs a whole new world to him.
And the second that we had our first appointment with Dr.
Peters he said okay you know my staff will take care of
everything and they did.
In the case of Kemper who was identified early and whose
parents wanted to be very proactive, very aggressive in
doing everything they could for him, they presented early on so
that by the time I saw them and that we had completed all of the
evaluations at 9 months, not only was he ready for an
implant, but I felt he was old enough and he had grown enough
that we could do both ears at the same time.
It really has changed his life.
He turned into a different baby.
He was just a lot happier and iÄôs just like his whole world
kind of opened up.
We think very highly of Dr. Peters.
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, thatÄôs 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 thereÄôs no way with exercise that you can get rid of
the extra skin thatÄôs 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 KareÄôs 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.
Be sure to check out our website to find lots of information,
tons of videos on our fabulous doctors on Forest Park Medical
Center and Jim you can even request an appointment, iÄôs
bestdocsnetwork.com and be sure to click on that Forest Park
Medical Center tab.
Forest Park Medical Center, of course, your destination to
better health, and right now Kandace we move on to our next
best doctor who operates right her out of beautiful Forest Park
Medical Center, it is spine surgeon Dr. Mark Valente.
For years I suffered with neck pain, shoulder pain and probably
the last 5 to 6 years it started radiating down both arms.
A lot of times people donÄôt realize that theyÄôre
underlying problem is coming from pinching in the spinal cord
and their neck.
I couldÄôt even do housework, I mean vacuuming, anything like
that would cause pain.
I couldÄôt play with my grandkids.
I used to get out and play basketball with them and play
softball and I couldÄôt do any of that.
Rhonda had a lot of arm pain.
She had numbness and tingling that radiated from her upper
arms through her forearms and down into her hands, in both
hands.
She had worsening function over a period of a few months and she
was even developing some weakness.
So we had x-rays and MRI done that showed two herniated disks.
ThereÄôs seven bones in the neck and in between her fifth
and sixth bone and the sixth and seventh bone, the disks there
were herniating and pinching her spinal cord and also the nerves.
He told me that he could do a very minimally invasive surgery
whenever I was ready.
It would be a small incision in the front.
Typically neck surgeries are very successful surgeries.
The outcomes are very good and people recover a lot faster.
We have to go through lots of muscle and tissue in the neck
even though we do these minimally invasive in the back
and the neck, still patients recoveries are much quicker and
better in the neck.
I was amazed at how much better I felt, I mean as soon as I woke
up from surgery and was oriented I was out of pain.
I could feel my fingers and it was just wonderful.
I spent two nights in the hospital and then my life
started again.
IÄôs been wonderful, just wonderful.
Today sheÄôs doing great, sheÄôs about 9 months from her
surgery and sheÄôs 99, 98, 99 percent improved is what she
told me, so.
I wish I would have done it years ago.
If I would have known the difference it would make in my
life, I would have done it years ago because it make that big of
a difference, it really did.
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 womeÄôs health.
Forest Park is an amazing medical center, an amazing
hospital.
Many patients who have operated there for many years have all
told me that it was an amazing experience.
Forest Park is a surgical hospital where I do quite a few
procedures.
I bring many patients to Forest Park because I always get good
feedback from them.
Form the very beginning to the very end they felt very well
taken care of.
Forest Park is committed to being at the very cusp of the
advancement of medicine and advancement of surgery and
theÄôre committed to doing that with whatever technology is
available.
And we as a department especially in the robotics
department which Äôm involved in, wÄôre trying to make as
small incisions as possible on our surgeries because it lends
to less complications and quicker recovery.
The hospital is clean, things run efficiently and those are
the main things that really I think matter.
IÄôs good for the doctors because when we come here, we
get the things we need, we have the technology that we want to
be able to perform better operations and the patients see
that, their families see that and they see the recovery is
quicker because they have well trained therapists.
They also have good food and the patients comment on that as
well.
The facilities are immaculate and from the time they walk in
the front door to the time they leave, the patients have a good
experience.
Forest Park Medical Center is like a family.
I consider myself part of the family of physicians that are
invested in Forest Park which means that I feel that I enjoy
doing my cases there, I enjoy dealing with the nursing care
there and I enjoy the fact that the administration is responsive
to me.
They try to help me give my patients the very best care
possible.
I do the surgery, but there are many other people involved in
the care of my patient.
ThereÄôs the preoperative nurses, the admitting nurses,
the postoperative nurses.
I need to make sure that every piece of the puzzle is good so
thaÄôs why Forest Park is an amazing medical center.
Before I came to see Dr. Wyll I had been suffering for about two
years of just dull headaches, not feeling good, stuffy.
On paper I am healthy but I just was tired of not feeling good.
I noticed on exam that Kathie did have a deviated septum.
I obtained a CAT scan of her sinuses which didÄôt show a
considerable amount of sinus disease or inflammation but it
did show that the natural openings to her sinuses were
very narrow and so I felt that she would benefit, 1 from a
septoplasty by straightening her septum.
In addition I thought she would be an excellent candidate for
the balloon sinuplasty procedure.
We actually did a CT scan to check my sinuses.
There was nothing on that that she found.
She thought maybe I was allergic to some things so she said
Kathie, letÄôs do a blood test.
LetÄôs do that first before we go in and become invasive on
you.
We did that, she called me and said Kathie youÄôre negative.
YouÄôre not showing allergic to anything.
What I suggest for you, thereÄôs this procedure out
called balloon sinuplasty.
The balloon sinuplasty device is a device that has been around
for about five years.
IÄôs a very minimally invasive way of entering into the
sinuses.
We take as small, thin, lighted wire and we guide that into the
sinus.
At that point we advance the balloon over the wire into the
narrow passage way of the sinus and then we dilate open the
balloon and that opens up the sinus opening.
And at that point we remove the balloon and the sinus opening
actually remains patent in over 92% of the patients.
I sell real estate so I made sure I didÄôt have any
appointments that week but as far as talking on the phone and
getting up and feeling okay I was fine.
The balloon sinuplasty device can be done either in office or
in the hospital setting.
The majority of patients benefit from it in the hospital setting
because in addition to opening up their sinuses like Kathie she
also needed a septoplasty, straightening out her septum.
And so doing them in combination while sheÄôs asleep under
general anesthesia was best for her.
My life has been totally changed since IÄôve had this surgery.
I have never felt better in my life.
I have more energy.
I feel like I got the Kathie back that I knew and I just feel
great.
I have suffered from gastroesophageal reflux disease
for two decades.
Gastroesophageal reflux disease is a disease of the lower
esophagus where it doesÄôt form a barrier to the acid from
the stomach and so acid goes up the esophagus and causes
symptoms for patients such as heartburn with regurgitation.
Every time I ate, I was constantly regurgitating.
There was no closure to the esophagus so it just would
always come right back up and flow back and forth, back and
forth.
I first started taking acid suppression medication on a
daily basis about 21 years ago and graduated after a few years
to the H2 blockers and I went through them all.
Finally he was combining two or three medications and still he
had many breakthrough symptoms and so he came to seek another
solution.
The Linx device is an alien device that is a ring of
titanium beads that we place around the lower esophagus.
These beads have a magnetic core and they sit around the lower
esophagus and when you eat the beads open and allow food to go
into the stomach but then they close and keep acid and bile and
food from coming up the esophagus.
Well whatÄôs exciting about this procedure is that the
patient can come and they stay either one night in the hospital
or sometimes can go home the same day.
IÄôs a laparoscopic procedure so itÄôs minimally invasive,
you use very small incisions on the abdomen and iÄôs about an
hour long procedure.
And the great thing is the patient can start a normal diet
just the next day.
SheÄôs methodical and she wants the best for her patients, so
sheÄôs quite an impressive doctor, certainly an impressive
surgeon.
BraÄôs doing great, I mean he was very excited and I know
within a few days after surgery he started eating meals that he
had only wished he could eat before and he said his symptoms
have totally resolved and hÄôs very excited about the procedure
and the results hÄôs had.
IÄôs a little bit astounding because IÄôve been taking
something for this for 20 years and I simply doÄôt need it
anymore.
DonÄôt forget, for more information about beautiful
Forest Park Medical Center, your destination to better health,
head to the website, bestdocsnetwork.com and click on
that Forest Park Medical Center tab.
Forest Park Medical Center, the number one medical facility in
the entire Dallas, Fort Worth area.
Now iÄôs time to move on to our next doctor who operates
right here out of beautiful Forest Park Medical Center, it
is general surgeon, Dr. Glenn Ihde.
When we talk about reflux disease we actually have a list
of the typical symptoms and the list of atypical symptoms and
sometimes we even have patients that come in and they didÄôt
realize that they were having reflux disease.
I had no symptoms whatsoever.
The only reason they found out that I had it was because I had
entered my 50Äôs and it was time to get a colonoscopy.
At that time I decided to have both done, the endoscopy and the
colonoscopy.
ThaÄôs how they found it and I was totally shocked because I
had no idea that I even had it.
We have a lot of people that donÄôt realize that they have
reflux disease and it takes a little bit before they come to
the realization that you know this is the entity that
theÄôre dealing with and thaÄôs very important because
having the right diagnosis is going to lead to the right
treatment.
I had asked Dr. Ihde to explain it to me because I couldnÄôt
quite understand you know exactly what he was going to be
doing.
So now with this surgery, I stand a great chance of living a
normal life and eating what I want to eat.
First we went in with little incisions and we were able to
free up the stomach, close the diaphragm down to the right size
and then we used the newer procedure to create the valve to
close off the esophagus so that she wouldÄôt have reflux and
that involves going down through the mouth into the stomach.
We attach to the end of the esophagus and then we fold the
top part of the stomach, what we call the fundus back on to the
esophagus and that creates sort of a flap valve.
As the stomach expands, push the front wall of the esophagus
against the back wall closing it off so that the content in the
stomach doesnÄôt get into the esophagus which is what reflux
is.
Two weeks after surgery her symptoms have been resolved,
sheÄôs off of her medications and is working towards getting
back to a normal diet.
So, sheÄôs very happy with the procedure and I think iÄôs a
testament to the way the procedure works.
Just to know that he took care of that problem for me and that
my stomach will open and close you know when I eat my chances
of living a longer life are so much greater.
Peter has a question for Dr. Bradley Friedman.
How often should I come in for a physical?
What we really recommend for adults is after the age of 30,
they should be coming in yearly to get a physical exam.
Now if everything is fine, theÄôre doing well, their
cholesterol is in check, they doÄôt have a significant
family history of any medical problems, wÄôll go to every
two or three years on patients that are doing well.
However on patients that areÄôt doing well, if their
cholesterol is a little high, if they have any medical problems
or if they have a family history of any significant illnesses
then it is more important to get checked every single year just
to make sure that everything is okay.
Best Docs Network featuring Forest Park Medical Center,
welcome to the twenty first century of cutting edge
medicine, Forest Park Medical Center.
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 IÄôve 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 weÄôre going to operate more than once, we
donÄôt 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 IÄôm 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 thatÄôs 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 everybodÄôs a winner.
Did you know that Forest Park Medical Centers are designed and
constructed to meet or exceed the standards of the U.S.
Green Building Councils Leadership and Energy
Environmental Design (LEED) program?
The purpose of LEED is to reduce energy and resource consumption,
minimize environmental impact and provide healthier and more
connected buildings.
Throughout the building and grounds you will see signs which
highlight Forest ParÄôs sustainable efforts.
Forest Park wants to be a center of excellence for womenÄôs
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 havenÄôt had many ways of
treating those uterine fibroids.
The problem is you caÄôt see those uterine fibroids under a
telescope or a laparoscope.
With the Acessa Procedure wÄôre 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 Äôm 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 Äôd just go to sleep
because I was too tired to do anything else.
I couldÄôt 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 didÄôt 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 didÄôt 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 donÄôt have to worry about my
period going to start without me knowing and so it really changed
my life, Äôm very hopeful.
One of the most exciting things for me about the Acessa
Procedure is I think that iÄôs going to replace hysterectomies
for the treatments of these uterine fibroids that are hard
to get in any other type of surgery.
I think iÄôs going to become the standard of care within the
next few years as more and more physicians learn how to use it.
ThaÄôll do it, thaÄôll wrap up another edition of the Best
Docs Network featuring Forest Park Medical Center, Forest Park
Medical Center, your destination to better health and of course
Forest Park Medical Center, the place to go, one of the top
medical facilities in the entire Dallas, Fort Worth area.
And, Kandace, the good news is, for more information about
Forest Park Medical Center, iÄôs at the tip of your
fingers, thatÄôs right, head to the website, bestdocsnetwork.com
and click on that Forest Park Medical Center tab.
And as always if you have a question or comment for us,
wÄôd sure love to hear from you.
Send us an email at info@bestdocsnetwork.com.
So long everyone, we will see you next week.