Best Docs Network Forest Park Medical Center Dallas Frisco June 23 2013

On this edition of the Best Docs Network featuring
Forest Park Medical Center, Dr. Daniel Aldrich, Dr. Richard Ha, Dr. Lowell Ku, Dr. Bob Peters.
Hi again everyone, I’m Kandace Krueger along with Jim Knox and we’re back again with another
edition of the Best Docs Network featuring Forest Park Medical Center. Of course, Jim,
Forest Park Medical Center is one of the top medical centers in all of the Dallas and Frisco
area. And out of this top medical center of course some of the best doctors in the entire
Dallas and Frisco area operate right here, like pediatric plastic surgeon, Dr. Matthew
Trovato who helped one little girl who was born with an ear deformity.
Dr. Matthew Trovato — Ear Well — Emma When she was born we noticed that one of her
ears was flat, it wasn’t, the curve wasn’t formed correctly and our pediatrician noticed
it also and referred us to Dr. Trovato’s office. About 20 to 30 percent of all infants are
born with an ear deformity. Over the first week of life that deformity resolves on its
own in most cases. But in about a third of that twenty percent, the deformity doesn’t
resolve and that deformity, once the cartilage firms and hardens is there with that child
for the rest of their life. What we aim to do is try to help parents and physicians identify
those children with deformities and decide whether or not we can intervene early in order
to correct that deformity non surgically rather than waiting until that child is 7 or 8 years
old. Being that she came in so young they knew that the ear wells would work for Emma.
They were very soft, they didn’t bother her at all and they were interchangeable. When
they would fall off we could put another one on. She went for about 9 weeks and I think
they worked great. Much easier than having to do surgery at a later date. By intervening
early we use a system device that molds the ear cartilage and shapes the ear cartilage
while it’s still soft and then once it hardens in that first 3 to 4 weeks of life, we remove
that splint on the ear and the ear is then perfect. Emma came in basically the same way
that most of the infants do. Mom recognized that there was a crimping to the child’s rim.
What we did was we applied the ear well and molded Emma’s ear and corrected that rim deformity.
We were able to get her into the office in about the first two weeks of life and so that
enabled us to intervene. Emma’s doing great today, she’s a very happy baby. Her ears are
perfect and we are so happy that we came to Dr. Trovato. Our overall experience was amazing.
Brady has a question for Dr. Charles Toulson. How do I know when I need a joint replacement?
Arthritis pain often presents with activity. In the late stages patients can have pain
at rest or pain that wakes them up from their sleep. When patients have reached this point
and anti-inflammatories like Tylenol and Aleve are no longer effective, when patients fail
physical therapy and other conservative means, they’re great candidates for both total hip
or total knee replacement. Best Docs Network featuring Forest Park Medical
Center, welcome to the twenty first century of cutting edge medicine, Forest Park Medical
Center. Trigeminal Neuralgia is a disorder where patients
have lancinating pain in their face, typically in one of three distributions, either super
orbital infra orbital to the nasal region or nose region or below the mouth to the chin
region. I went to the neurologist for about three months and I wouldn’t go the route of
because I am a single mom and ran my own business so I couldn’t be in the drug induced coma
and I was asking really for a fix. I was like I don’t want to bandaid the problem anymore,
I want this fixed. Laura’s, case she had trigeminal neuralgia for almost 17 years and it initially
manifested itself in her early twenties and she underwent the medication route for multiple
years and became ineffective to the medications intolerant to them. Well at first I thought
it was just a toothache. It felt kind of like having your teeth drilled without novacaine
and then it moved into the whole side of my face. Basically neuralgia is nerve pain and
if you think that patient has nerve pain you treat it typically with seizure medications.
The actual nerve is about the size of a wire to your headphones to your iPod. What he did
is cushioned the trigeminal nerve and then put me all back together again. Now my typical
day is I go to work, I have a full day of work because I have my energy back. I get
to come home and I go to dinner with my kids and we watch movies and we’re up until 10:00
at night after homework and everything and it’s a real day back again. Laura had a good
result from the surgery. We weaned her off the majority of her medications by three months
postoperatively. She had some incisional numbness around her incision site but she’s much more
functional and much more happier than she was preoperatively. The pain is gone and it’s
gone for good. He recognized that it was something that needed to be taken care of right away
and didn’t make me go through a bunch of red tape and just took care of it.
Today at Forest Park we are testing our disaster plan. We’re going to look at what kind of
patients are going to be coming to the hospital and how we would handle those in a disaster
situation. Every good company and every great hospital is going to have a plan of what they
should do in case of an emergency, in case of a disaster. We have that in place. Now
we need to know if it would work in a real situation. Even though we’re a small surgical
facility, we are still an active part of our community around us and in the event of something
happening locally, we would like to be able to respond and participate and there’s always
going to be people that will come in and we want to be able to handle that and you can
never assess how you will handle an emergency situation until you actively try to go through
it. We had a lot of people today participating that were not part of Forest Park. We had
our security program here, Fort Knox Protection. They swept through the hospital today to make
sure that all the doors were locked and that the hospital was secure. We don’t want anybody
who might be exposed to chemical agents just walking into the hospital. We also had the
participation of Brookhaven College nursing students. They played the role of our patients
today. Sacred Cross EMS came and participated. They brought patients to our triage areas
so we would know what it would be like in case we did get ambulance to our hospital.
Usually ambulances don’t come to Forest Park so that was something that we really needed
to test today. I think it went very well. I think it was a very good plan. People always
you know are confused when they’re faced with a new situation but we got it sorted out and
we kind of got our flow going and we figured out our problem areas and what we need to
correct and you know tinker with so that we can work even more smoothly in the event of
a real disaster. Today at our drill we had everybody here, from lab to pharmacy, all
the nursing staff, registration, just every department of the hospital that you can think
of somebody was here representing that area and making sure that their clinical area was
ready for a disaster. And I really appreciate everybody that came out to participate with
us. You never know when a disaster might happen and everybody has to be ready. So I just want
to really thank everybody at Forest Park for coming out and participating in our drill
and making it a success. Did you know that Forest Park Medical Center
Dallas has the AccuVein vein finder. This allows the phlebotomist to actually see the
vein before drawing your blood eliminating multiple sticks.
DaVinci Robot — Dr. Richard Salter When Forest Park first opened they had the
DaVinci Robot and have been utilizing it since they opened. It has transformed the way we
have been practicing surgery. Instead of having patients be in the hospital for two, three,
four days after a major surgery, it has allowed us to be able to have the patients come in
and after major surgery be able to go home the same day, possibly even going home the
next day for sure. It’s allowed is to be able to take large, benign growths out of patients
in gynecology under general anesthesia and be able to remove them through minimal incisions
less than an inch across. So this is the operative console for the DaVinci Robot. This is the
viewfinder. I place my head in like this when I’m looking and these are the two TV screens
that I can see the active picture inside the patient as I’m operating. It’s a 3-D high
definition screens so I’m able to see exactly what’s going on without having to wear the
dorky glasses that you do when you see a 3-D movie at the movie theater. My controls for
my hands are down here and I put my fingers in them and I’m able to move the levers like
this operating the instruments inside the patients body by opening and shutting them,
moving them side to side and using my wrists to move the instrument inside the patient
like this. You’ll notice down here I have different foot pedals and that allows me to
operate the camera and the different angles from the camera and that allows me to operate
the different instruments switching from one arm to the other and back from burning and
cutting and all the different options that I have on all the different instruments. I
can see better using the robot than I could if we had a big huge open incision. The camera
is a 3-D high definition screen that I’m looking through so I’m seeing more than I can see
if I had an open incision. We’re trying to make as small incisions as possible on our
surgeries because it lends to less complications and quicker recovery. And Forest Park is committed
to being at the very cusp of the advancement of medicine and advancement of surgery and
they’re committed to doing that with whatever technology is available.
Up next you’ll meet a little boy named Kemper who unfortunately was born deaf but thanks
to our next best doctor, otologist Dr. Bob Peters he was able to give him the gift of
hearing. 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 that’s 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.
It’s 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 it’s 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 it’s just like his whole world kind of
opened up. We think very highly of Dr. Peters. Before I had a chance to get with Dr. Hung
I was kind of suffering with allergies pretty severely whether it be sneezing or not being
able to breathe or not being able to breathe without opening my mouth. And all the time
I would sneeze or have an allergic reaction, anything, it would swell up so severely it
just no air could pass through and so I had gone to multiple allergists my whole life.
Jennifer came to me because she was primarily experiencing nasal obstruction. It had been
going on for most of her life. She did not have any clear history of any nasal injury
or any accidents in the past but she found that she was unable to breathe from both sides
but it seemed like her right side was more affected and after years of medication she
still wasn’t getting the relief and she still felt like she wasn’t breathing as well as
she should. We talked about if I wanted to do rhinoplasty as well which I ended up doing
because I did have a hump and then he straightened it out but I also wanted to not let it look
like I had had my nose fixed if you will and so he just took my bump out and then corrected
my septum which kind of straightened everything out. The surgery entailed straightening out
her septum and shrinking down the turbanist to create more room in both the right and
left sides of her nostrils. I also used some of that septum to create some grafts to help
support the nose because part of Jennifer’s problem was that the framework of the nose
was starting to shift and collapse contributing to her nasal obstruction. And so I used some
of her septum to help resupport the nose. You can make it as big a deal as you want
but for me personally my recovery time was nothing, there was only up sides for me. A
lot of people just go through most of their lives really not knowing sort of the potential
of how well they can breathe through their nose. It’s very hard to sort of be able to
mimic with medications or anything like that what it’s like to sort of optimally breathe.
It was literally one of the best things I’ve ever done.
Now for the latest on Forest Park Medical Center as well as all the great physicians
that operate right here out of Forest Park Medical Center, head to the website
and click on the Forest Park Medical Center tab. And now we’re going to head on over to
our next best doctor, it’s orthopedic surgeon Dr. Dan Aldrich who helped one patient with
a torn rotator cuff. Dr. Aldrich — Rotator Cuff Repair — Ricky
I was having a lot of trouble with my arms, especially my right arm. I could not lift
up anything with my right arm. If I went to the refrigerator and grabbed a gallon of milk,
it ended up on the floor. I mean I literally could not lift anything up, even a coke bottle
out of the refrigerator. It wasn’t the strength in my hands that was affected, it was lifting
things. Classic symptoms of rotator cuff tear would include weakness when lifting away from
the body, so any type of lifting overhead or to the side particularly is very painful
and weak. In other words they lose the strength to hold something out here, it just drops.
I’ve been dealing with it for probably two or three years. Didn’t think anything, I thought
okay I’ll rest it for a while, it’ll be okay. I’d wait a month or two and it got so bad
I was taking my hand and lifting it up to put it on the steering wheel to be able to
drive. The great news about rotator cuff repair is that we have come a tremendous way as far
as making the whole experience much easier on the patient. We can repair even large rotator
cuff tears through a scope. We’re not making any open incisions on any of these cases.
They’re all done through very tiny, quarter of an inch incisions. In a rotator cuff it’s
not just inflamed but it is ripped away and the muscle that is attached to it pulls it
away, so in a large tear you could have a gap this big where you need to get that tendon
back in place so that’s where this anchor comes in because it’s very solid, it holds
in the bone and then these stitches, as you tie it it’ll pull it right back down and sit
it right back down where it belongs. Since having it repaired, I’m back to new. I have
no side effects, nothing slows me down. And I’ve started fishing again, I’ve played golf
twice since I’ve had it. Now it doesn’t improve my golf game any but I’m right back where
I was you know. No ill effects from any of it. Really surprising, I expected to have
some type of you know restraints on it or whatnot but nothing. Nothing slows me down
anymore. We started trying to get pregnant probably
in May 2008 and so it took us, you know we tried for about a year before we went and
saw Dr. Ku and then my OB recommended that we go see him. Amy Baker and her husband unfortunately
struggled with infertility for some time. Fortunately they came and saw me at the office.
We did a work up and found out that it was possible that she could still conceive. Well
there were various tests that I had to go through in order to determine what was the
issue. Both us had to go through certain tests in order to determine what the issue was and
it turned out I had what’s called PCOS and so I wasn’t ovulating regularly. Amy and her
husband initially began with some basic treatments of her infertility including insemination.
We tried a few rounds of insemination without success and so we moved quickly to In Vitro
Fertilization. In Vitro Fertilization occurs where the patient takes medication to grow
eggs on her ovaries. And then I go in and I harvest the eggs. We mix the eggs with the
husband’s sperm and the embryos are formed. They’re incubated for three to five days and
after five days we grade them and the best embryos are placed into the uterus. Throughout
the process you get a little bit impatient and obviously just want it to happen as quickly
as possible but Dr. Ku makes sure that everything is perfect before moving forward so that you
can have a successful procedure. With Amy we did transfer two embryos, they both looked
healthy but we weren’t sure which ones were going to make it and fortunately they both
made it so we’re very happy for them. And he was so kind and sensitive because obviously
he knows it’s a very upsetting time for a family who wants to have kids and is having
trouble and so he’s just, he’s very calming and very helpful in just explaining things
to you and being very honest at the same time. The chance for twins with In Vitro can range
between 33 percent up to 45 percent. We’re always shooting for success with each try,
with the first try especially so we’re very excited that Amy had success with her first
try. The girls are wonderful. They’re obviously a lot of fun. Obviously we’re very thankful
for everything he’s done for us. Sometimes when people lose a lot of weight
there’s an excess of skin. Well there’s one doctor that operates right here out of Forest
Park Medical Center that can help you out, plastic surgeon Dr. Richard Ha.
I weighed 485 pounds. I’ve lost a little over 300 pounds in a period of a little over 4
years. I did it without surgery. I just woke up one morning and decided that I was tired
of being the fat guy and decided I needed to make a change and from that moment on I
changed it. When we talk about massive weight loss this is different than somebody who is
on a post pregnancy diet or lose some of that college weight. That’s not the patient population
I’m talking about. I’m talking about patients who have had massive weight loss and these
patients tend to do this in a very rapid way. This can be as a result of surgery. Likewise
some patients, some people can do that without needing surgery. The results on their skin
and their body shape is oftentimes very similar. What happens is your body’s metabolism and
physiology is different, it changes. You have a deflationary effect so whatever skin that
you used to have in fat, just imagine the fat going away and the skin being left behind.
Dr. Ha is actually an acquaintance. His wife kind of grew up with my wife and I had, as
I was losing weight, had planned when I got to my goal that eventually I would meet up
with him and get him to do the plastic surgery to take care of the extra skin from the weight
loss. With Mr. Winters I was able to sit down with him and we came up with a very tailored
specific plan for him. His primary concern was around his trunk, his arms and his breasts.
We addressed all those areas through a comprehensive body lift and his results are outstanding.
One of my favorite things to do is I road bike and as I would bend over you’d feel especially
in the abdominal area, you’d feel that skin as I was bent over biking. Now it’s just a
natural curve and feels normal. Dr. Ha is professional from the get go. He’s going to
let you know what you’re up against, how it’s going to work and the way it’s going to all
pan out. Everything that he told me in the very beginning is exactly how it went.
I am the director of critical care so I have a couple of different departments that handle
all of our really critically ill patients here at the hospital. And when I came to Forest
Park, we were just starting, it was brand new and so I got to get in on the ground level.
I got to participate in developing our new policies, our processes and it was really
rewarding. To be a nurse at Forest Park, I look for three things. I look for someone
with excellent nursing skills, someone with excellent customer service skills and someone
with a great personality. Because we are a small hospital I have small departments and
it’s really important for a new employee to fit into our family. As the director of critical
care, I think honestly the physicians don’t want to have to use my departments. However
I think they find it a comfort that if they should need the emergency room, or if they
should need the intensive care unit, we’re here, we’re ready to take care of their patients
and we can take care of their patients just as well as anywhere else in the metroplex
can. When I first came to Forest Park I was not familiar with bariatric procedures at
all and so I found it very interesting and very rewarding to learn new things. I think
that unless you worked at a hospital like Forest Park you’re going to find that there’s
a lot to learn, a lot to do and a lot of rewarding experiences to be had here.
Did you know that Forest Park Medical Center Pharmacy is equipped with a fax carousal.
This system helps better manage inventory by automatically tracking drug inventories
in near real time. This system also supports efficient packaging and labeling of medications
within the pharmacy. Best Docs Network featuring Forest Park Medical
Center, welcome to the twenty first century of cutting edge medicine, Forest Park Medical
Center. Today at Forest Park Medical Center, with
all the tragedies that have occurred in Cleburne and Oklahoma City and Granbury, we’re hosting
a Red Cross Blood Drive. A blood drive is a way for us to give back to the community
because although we provide excellent care within our four walls, we feel our obligation
goes beyond our community as well. So we want to give back to our community by providing
a precious resource, that being blood, to those who may need it as a result of those
tragedies. Being able to have an event like this here at work is wonderful and seeing
all the employees wanting to volunteer and spending you know 30 minutes of their time
just to give blood if it’s going to help a baby, a mom you know, anybody, it’s just a
wonderful, wonderful thing to do. Forest Park is trying to help the community and try to
give back to help others and just being a part of this and the blood drive and Forest
Park really makes me feel really good. We’ve done so many events when there’s disasters
happening around the world, you know, with the trip to Haiti or going different places
and giving back. Knowing that our organization supports so many good causes it’s just a good
feeling to come to work every day and know that you’re helping. At Forest Park Medical
Center, we are a part of our community and we like to give back every chance we have
so that we are a part of services that are provided to all constituents in the North
Texas area. So, you know whether it’s giving blood or any other way we can be of service,
we’re here to help. That will do it, that’ll wrap up another edition
of the Best Docs Network featuring Forest Park Medical Center, of course, Kandace, Forest
Park Medical Center one of the top medical centers in the Dallas and Frisco area. And
for more information on Forest Park Medical Center and their amazing facilities or their
awesome doctors that operate right here, visit our website, it’s and
click on that Forest Park Medical Center tab. And don’t’ forget if you have a question or
comment for us, we’d love to hear from you, send us an email at [email protected]
So long everyone, we will see you next week.

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