Best Docs Network Dallas Fort Worth June 2 2013

Best Docs Network Dallas Fort Worth June 2 2013


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. And hi again everyone,
Jim Knox along with Kandace Krueger and welcome back to another edition of the Best Docs Network
which features some of the best doctors in the entire Dallas, Fort Worth area, Kandace,
that helped change people’s lives. That’s right, we’ll start off with our first best
doctor, it’s pain management specialist Dr. Ken Reed who helps another one of his patients
with their migraines. My migraine started March of 2009 from a faulty spinal tap and
right from there like my migraine never went away. I’ve gotten many treatments, a lot of
medications and I’ve seen countless doctors and I just didn’t get any relief. My mom and
I went to Dr. Reed and he felt like I was like the perfect applicant for the stimulator.
I remember when Andrew came in for the perma unit, we had to decide which side to put the
battery on. It goes in the upper outer kind of rear gluteal region. Andrew wanted it on
I believe the left side because he’s a baseball player. He slides on his right side so he
wanted it on his left side. Which brings up an excellent point about the stimulators,
there’s no restrictions. Here’s this very active young man, baseball player sliding
left and right and no problem. He has done absolutely fine with the stimulator. So I
got my permanent stimulators implanted and they put a little battery right at the hip
and it runs up your back and I have two leads in my back, two leads on my temples and two
leads right here and I’m able to control the frequency and the intensity of the stimulation
with a remote. It’s amazing what Dr. Reed has done and I’m so appreciative. He came
back recently having lost a lot of weight. He had lost so much weight, the little battery
had gotten more superficial and I needed to replace it a bit deeper in. But he was doing
great with it. He was looking forward to going to college up at Texas Tech in a year. Like
a lot of patients he’s done very, very well. I think it’s safe to say that it’s changed
his life, certainly changed it for the better. I don’t care about having these batteries
and these wires inside of me, I’m just so happy that my migraines have gone away. It’s
amazing what Dr. Reed has done. Welcome. Today we’re joined by Dr. Denton Cooley, a native
Houstonian and the actual founder of the Texas Heart Institute. What a pleasure to be with
you today Dr. Cooley. Thank you for joining us. You’re welcome and thank you for visiting
our institution. Can you tell us a little background about how the Texas Heart Institute
became an entity? Well it I think began in the mid 1950’s when open heart surgery was
first introduced in our Texas Medical Center and before long my program here at St. Luke’s
and Children’s Hospital was probably the most prolific of all institutions in the country
including the Mayo Clinic and Cleveland Clinic and everything. We had a simplified technique
of open heart surgery and soon began a leadership position in this new field of cardiac surgery.
Well then I decided to create this institute in 1962 so it’s been a little over 50 years
ago. What is your most vivid memory about the Texas Heart Institute, about any type
of incredible learning that has been occurring here, what’s your greatest memory? Well of
course our heart institute was created with two objectives, that is, research and education.
So in each of those aspects of our history I think there are certain exciting things
that have happened. And when the Texas Heart Institute first came into being cardio thoracic
surgery was high on the list of available procedures to be done for patients. Now we
have the artificial heart and the LVAD’s and so would you tell the audience about that?
Well I think that it shows the evolution of cardiac surgery. First we started off replacing
just some of the components of the human heart, that is the valves and the great vessels and
modifying the ventricles and that sort of thing. And then the big breakthrough came
in 1968 when we did the first successful heart transplant to replace the entire organ and
that was really an exciting period that followed that because it was such a new concept. Amazing,
right? And we have actual volunteers here at the hospital who have been survivors from
cardiac transplants for about 20 years now. Oh yes, our initial work in transplantation,
we did I think about 15 or 20 heart transplants in that early era. But so many of these patients
suffered from rejection of the tissues, but in the early 1980’s a new breakthrough came
with the development of a drug called cyclosporine which is still in use today and has made it
possible for some patients to survive transplantation for 20 or 30 years so it’s a really big change.
Quite miraculous and you are such a part of that endeavor and we humbly thank you for
everything you’ve done for the world population actually. Well, there’s a great satisfaction
to me to see how this institution and our whole medical center has grown during my lifetime.
Thank you and now we’re taking you again all over the world with Best Docs Network and
we just wonder if you have something in these closing remarks that you can tell our public
something about the Texas Heart Institute that you would like them to take to heart.
Well I think that we have done a great deal to reach our objective, original objective
of research and education and at the same time we have made many advances in just clinical
medicines and surgery and have enjoyed a leadership position in this new development now that
has sort of inspired the entire medical community around the world and you can find large cardiac
programs going in Europe, in South America and elsewhere in North America. It’s just
amazing to see how rapidly it’s expanded. Well for all of us who have trained under
your great leadership, we humbly thank you and we give you great honor Dr. Cooley. Thank
you for being with us today. Well, thank you. I had two children in the last four years
which is wonderful. I wanted to you know get back to my normal shape and I you know started
looking into getting lipo and things like that and so I found Dr. Wilcox. Well, liposuction
is still one of the most popular cosmetic procedures done nationwide as well as in our
own practice. My preferred technique is ultrasonic liposuction and that has proven the test of
time. It’s been present for about almost 15 years. Rather than just literally ripping
the fat out, the cannula or wand is made of titanium, it’s about this length. It has a
hollow bore down the middle for suction. The tip of it vibrates over 20,000 times a second
and that’s how it gets its name ultrasound. And so we can just go back and forth gently
until we can get about two thirds of the thickness of the fat removed. So I came in, told Dr.
Wilcox that I would like to slim down around the hips, look at some areas of the stomach
where the fat wasn’t coming off. So he explained to me, he showed me what all he could do and
what the result would look like. I was pleased with what his expectations were. First of
all during the consultation I make clear to them the best thing about coming to our practice
is they’re going to get the straight story. There are many patients every week who come
in where I explain, you know I don’t think this surgery is for you. We may be able to
offer a non-operative measure or maybe they just need the encouragement to realize they
don’t have the problem that they perceive in the mirror. In Victoria’s case she came
in requesting the breast enhancement and liposuction so we looked at her and looked at the common
areas that are usually done and she has a nice figure and she was close to her ideal
weight but she had enough fat on her hips and abdomen that we could help her with that
and make a significant difference. I’m extremely happy with the results. They’ve exceeded my
expectations as well as my husband’s expectations. It is a quick recovery for such a big result
that you get. It’s just very exhilarating because I just have me back. All of the doctors
here at the Best Docs Network are dedicated to changing people’s lives, like our next
best doctor, it’s MOHs surgeon, Dr. Patrick Walsh. MOHS surgery is a surgical technique
for the removal of skin cancer. It enables us to examine all of the surgical margins
of the tissue that were removed so that we’re sure that we’ve gotten all of the skin cancer.
The first time I had any problem was when I was out in California and I had some work
done in here. But the doctor told me he said it might come back because they didn’t have
the MOHS system at that time. Then I had this one. James presented with a recurrent squamous
cell carcinoma involving the right posterior auricular area. The posterior auricular area
is the area behind the ear and extends on to the anterior portion of the scalp and the
upper portion of the neck. It also involves the posterior aspect of the right earlobe.
During MOHS surgery we were able to get a clearer margin. I believe it took three stages
of MOHS surgery before we had clear margins. The resulting wound was approximately three
and one half centimeters long by two and one half centimeters wide. What we did was come
up with an advancement flap that required removal of Burow’s triangle, small little
triangles of tissue at the superior and inferior edge of the wound. We then undermine the tissue,
advanced it to the edge of the posterior auricular sulcus, suture that in place and then used
one of the Burow’s triangles that were excised as a skin graft for the defect on the posterior
aspect of the right earlobe. He had to do a little patch in there. See, the ear is not
the same. I lost part of my ear here. It’s healing up a lot better than I thought. Well
he’s now four months postop. All of the sutured areas have healed very nicely, the skin graft
took very nicely and everything looks perfect. He makes you feel relaxed all the time. He’s
really nice. For addition health information, be sure to check out our Healthy Living blog
for the best tips, latest medical procedures and up to date news for modern medicine at
our website at bestdocsnetwork.com. Well psoriasis is a fairly common disease,
we see a lot of that in our practices. And probably a good way to think of it is normally
it takes your skin about 6 weeks to grow from the very bottom layer all the way to the top
layer. In psoriasis that’s accelerated up to about 2 days so your skin is just growing
much more rapidly than it should and it’s causing a lot of scale to develop and it’s
associated with redness and a rash that we see. But it’s mainly just the skin is really
growing far too rapidly. Psoriasis can affect people at any age but it tends to be more
common in adults. Most people we see that develop psoriasis are probably in their twenties,
teens, sometimes a little bit older. And it just kind of comes out in the middle of nowhere.
Sometimes people can be under stress and can develop. Sometimes people can get an infection
like a sore throat and they’ll get what’s called guttate psoriasis. You get a widespread
eruption of lesions that develop and usually that kind of goes away after a relatively
short period of time. Most cases of psoriasis do tend to run in families or tends to be
a genetic relationship to it so someone in your family tree probably had psoriasis somewhere
along the way if you get it. Just like atopic dermatitis can be worsened by bacterial infections
like staph and strep and things of that nature, psoriasis can too in some cases and for that
reason in addition to using some of the things like the creams that we use to kind of slow
down the growth of the skin, sometimes we use things targeted to try and get rid of
underlying bacterial infections. So we even recommend bleach containing washes in some
cases even for psoriasis patients even though we don’t think that’s actually directly affecting
the psoriasis. If they’ve got a bacterial infection that’s making it worse, if you get
that better the psoriasis will get better too sometimes. You do have it for your whole
life but the good news is there are treatments that can put it into remission and some people
go into long term remission. They may have psoriasis that’s really bad for a number of
years. With good treatment it may just go away and then you can take the treatment off
and it doesn’t seem to come back for long, long periods of time, so it sort of behaves
in different ways in different people and we never really know for sure what it’s going
to do until we actually treat the person and get them into remission. Don’t forget for
more information on any of the doctors you’ve seen on today’s show, just visit our website,
it’s bestdocsnetwork.com. Bestdocsnetwork.com, the place to go. Right now the place to go
is our next best doctor, Kandace, it’s Dr. Ed Singleton. I was on a friends boat and
I missed my step and twisted my foot and immediately I knew that something had happened. It hurt
but surely I didn’t think I broke it. My friends were like, you’ve got to go to the doctor
Diane, you’ve got to get that checked out and I was like no, no, no it’s fine you know,
I must have just sprained it or something. So I thought you know just with some time
and staying off it, not being active, it’ll heal itself. My job requires me to interview
doctors as the producer for Best Docs Network and I was at PAMA interviewing a doctor that
happened to be one of their foot specialists there. When I saw Diane’s foot it was like
she had on a pair of nice red high heels and one foot looked like it’s supposed to, one
foot looked like it was blowing up out of her shoe. And I said is there something you
need to tell me? We sat her down, we examined all the necessary parts, took some x-rays
and sure enough she had a fairly substantial fracture of the fifth metatarsal. Had it been
much more significant it probably would have been a surgical thing. If she had let it go
a lot longer it would have developed into what’s called a non union or at least a delayed
union and that means that the bone is not healing in a timely fashion and if it goes
all the way to a non union, that’s a surgical problem. Dr. Singleton was great. Immediately
he said you need to be wearing a boot. The fracture was such that it could be healed
by just staying off it and wearing the boot, the cast boot. Otherwise possibility of having
to have surgery, pins and all that and I’ve heard stories about that and I just didn’t
want to go that route. That’s why it’s so very, very important to be seen for your injuries
in a timely fashion by a qualified foot and ankle specialist. If you want pain freedom,
you’ve got to be seen early. She should do fine now that she’s wearing it in a very diligent
fashion. She tells me she wears it all the time and she’s being a really good patient.
I work with PAMA physicians quite a bit and hear about how they’re able to provide their
patients pain freedom so it was really great to be able to experience that. Breast cancer
is a scary thing. It’s the second most common cause of death in women. Also, one in eight
women will get breast cancer at some point in their life. That is a really big number.
For example if you’re out with friends of yours, there’s eight of you there, one of
you is going to have breast cancer at some point in your life. That really is scary.
So what do we do about breast cancer? How do we discover it? Well there’s been a lot
of emphasis over the years on doing home self-breast exams, you know monthly in the shower. Well
recently the studies show us that that really isn’t a great thing to do. Women pick up lumps
and bumps and things that they feel in their breasts that require us to do mammograms and
checkups and then biopsies and it seems like the benefit from that isn’t that great and
the risks of overdoing the testing and the biopsies is worse than just not doing it at
all. So self -breast exam is not as important as it used to be. It doesn’t hurt, just don’t
overhaul things. There are really minimal ways that you can prevent breast cancer. Basically
there’s a family history is a strong risk factor, being heavy and gaining weight is
a risk factor and you just need to have your mammograms regularly, that’s the best way
to detect breast cancer. For additional Medical Minutes from Dr. Honaker, logon to bestdocsnetwork.com,
click on Education and the Medical Minute tab. For more information on any of the outstanding
doctors you see on today’s show, head to the website bestdocsnetwork.com, that’s bestdocsnetwork.com.
Right now it’s time to head to our next best doctor, it’s Dr. Paul Worrell. Seemed like
from early on, earlier years, my allergies, I had just a few, and then as I got older
I was accumulating more and more allergies or more and more things were affecting me,
the allergy headaches, the sneezing, the nose running, so I went to Dr. Worrell to see what
we could do. I’ve been on all kinds of medications, over the counter and then on a prescription
medication. Over the counter medications are available and then we have prescription antihistamines
and we have nasal cortisone sprays that we use and other medications that oftentimes
are adequate for taking care of allergies that occur just occasionally. And when people
are happy with that approach then I don’t think desensitization is necessarily the way
to go. But if they’ve been frustrated by feeling like those were inadequate approaches then
we can go ahead and proceed with that. So we decided that I needed to go on allergy
shots. I chose that path and I’m glad I did. We decided that I would go on the immune therapy
December of 2012. The goal is that I will, most of my allergies will be taken care of.
There will still be some that there’s going to be a little bit of a reaction to but they
haven’t been affecting me like the other ones were. Questions are given to determine that
they are good candidates for testing and desensitization and then they proceed with a procedure that
takes about 30 minutes and during that time the 48 top allergens in the area are tested
on skin testing. The results are measured out and the determination is made whether
they’re a good candidate. My treatment plan is a 12 month plan and they’ve already made
up all of my serum for me to take and they refrigerate it at Dr. Worrell’s. They hand
it out to me as they check my progress and make sure that I’m on track. We’re looking
at taking care of those people who have particularly profound allergies or of the allergies that
just make them tired and give them the headache that they’ve had in the past. I’ve known Dr.
Worrell for over 30 years. His methods are fantastic. He doesn’t just refer you to another
doctor to get something treated. If he can treat it here, save you some money, he does.
He’s been the most fantastic doctor I’ve ever had. We’re all different, we like different
things but one thing nobody likes is pain especially when it keeps us from doing the
things we love. Luckily PAMA is here. Whether it’s back pain, carpal tunnel, foot and ankle
pain or more, PAMA physicians are dedicated to their specialties and dedicated to your
quality of life. Don’t let pain keep you from doing the things you love. PAMA, pain freedom.
I was experiencing chronic neck pain so I searched the internet and found Dr. Farhat
through PAMA. I had burning, intense burning down my arms and out of my fingers. Almost
felt kind of like electricity but also like a hot fire poker constantly. When I saw her
in the office initially, we adjusted her medications so we can help her cope with her condition.
Then I did what we call diagnostic medial nerve branch blocks where we injected a numbing
medicine around the sensation nerves that carries the pain signals from her neck to
her brain. The procedure helped and as a second step in her treatment we did a rhizotomy.
He suggested a rhizotomy, burning the nerves in my neck which kind of scared me at first.
We’ve done this procedure a few months back now and Amy has been doing well since. It
was wonderful. I have no pain whatsoever, it’s completely gone. Now that I’m pain free
I’m back to work. I work six days a week instead of just every now and then and I am very happy
that Dr. Farhat has given me this pain freedom. She got so much better that she asked her
husband, Shaggy, to come and see us. He had something similar in his lower back and we
ended up applying the same treatment we did on her on him. My wife told me about Dr. Farhat
at PAMA and so I decided to come see him and he says you know I’m going to make you pain
free and of course I’ve heard that a lot of times but whenever he said it he actually
means it and he actually does you know come through. Since then he’s done two rhizotomys
on my back and now I’m pain free. It’s wonderful. I’m not limited to my mobility and I’ve got
my life back. Dr. Farhat is always very polite. He always comes in and greets you with a smile.
His staffing is always very nice, very polite, very helpful. I don’t think they’re ever in
a bad mood or ever have a bad day because they’re always so polite. I’m very, very,
very, very pleased at how much he cares. Atrial fibrillation, a commonly known arrhythmia
that involves the upper chambers of the heart becoming irregular and beating sometimes wildly
out of control, sometimes beating very slow and causing the need for a permanent pacemaker.
Atrial fibrillation is another risk for stroke and therefore patients who have atrial fibrillation
really need to see their doctors, be evaluated and get on anticoagulant therapy just to protect
them from stroke. Now what causes atrial fibrillation? That’s the question that many of my patients
ask, Doc, why am I having this problem? And I say well, the electricity of the heart can
change over time. Sometimes as we age our cardiac cells can change their electrical
impulses and things can kind of go haywire. So we want to make sure that we look at an
EKG each time the patient comes in. It’s important to check those things and ask your doctor
to do an EKG if you haven’t had one. If you have palpitations, if you have shortness of
breath, feeling faint, make sure you have your rhythm evaluated with an event monitor
or some type of ultra monitor. It’s very important, atrial fibrillation is something easily treated.
Protect yourself, get your heart checked today. That will do it, that will wrap up another
edition of the Best Docs Network which of course features some of the best doctors in
the entire Dallas, Fort Worth area that helped change people’s lives. For more information
on any of the doctors you’ve seen on today’s show, just visit our website, bestdocsnetwork.com.
And of course, Kandace, if anyone out there has a question or comment for us, we’d love
to hear from you, send us an email at [email protected] So long everyone, we’ll see you next week.

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