Best Docs Network Dallas & Fort Worth February 23 2014

Best Docs Network Dallas & Fort Worth February 23 2014


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, of course
with Kandace Krueger and we welcome you back to another
edition of the Best Docs Network featuring some of the
outstanding doctors in the Dallas, Fort Worth area,
Kandace, that help change people’s lives, like our first
doctor. That’s right we’re going to start off with minimally
invasive bariatric and general surgeon Dr. Preeti Malladi. Well
I had been a diabetic for over 10 years. I had colorectal
cancer and the good news was that they caught it early, they
treated it, but the result was I was starting to gain a lot of
lymphedema in my legs to the point that my calves were about
the same size as my knees, maybe a little bigger and I was having
a lot of problems getting around. So with diabetes you
want to move, you want to exercise, that’s how you lose
weight and I couldn’t move or exercise and it seemed like I
was in this downward spiral and I didn’t want to be in that
spiral anymore. So Mr. Leslie is a great patient, very educated,
he had done a lot of research on the internet, had done a lot of
reading, he’s a teacher and he came to see me because he had
done his reading and he knew that bariatric surgery could
help him with his diabetes. What’s really exciting about
bariatric surgery and particularly the gastric bypass
is that it can almost cure diabetes. For me it was not a
cosmetic procedure. As far as I was concerned it was a
lifesaving procedure because I went from over 250 pounds to
right now right around 160 pounds. And he has resolved his
diabetes, he’s off of his medications and he is doing
great. When I was in my twenties I spent some time in the U. S.
Army and got in the best shape of my life. I’m down to that
same weight now. I have energy, I can exercise, I can do all the
things that I didn’t think I would ever do the rest of my
life. I walk around my classroom whereas before I would sit
behind a desk and watch students and then when they had questions
they would have to come to me and instead now I go to them.
When we were as a teacher, when we were doing things we decided
that we would do a group building exercise and play a
game of kickball with each other. And so this summer was
the first time I really started playing that game. It was the
first time I really ever sprinted so I was in right field
and somebody is kicking the ball and I’m running so fast my
brain’s going you don’t know how to run this fast, you better
slow down before you fall and then the next thing I know I
would fall flat, flat on my face. Everybody’s going are you
okay, are you okay? And I’m laughing because it felt so
wonderful to be able to run and yes did I fall, yes did I scrape
my knees, yes, but can I run, I can move, that was fun. I came
to Dr. Lewis because I always wanted to have really white
teeth and my teeth were straight. I never had to wear
braces, didn’t have any of those issues but I had extreme
sensitivity. So I could not use any of the whitening strips or
just the gels that anyone could. I had a, my gums were receding
probably because I’m one of those brushers that brush the
wrong way, didn’t do the circular motion. She really
wanted veneers. She had just gone through a lot of personal
stuff and she wanted to make a change in her life, but she
really did not want her teeth touched. She did not want
anything reduced on her teeth or anything prepared. So he sort of
walked me through the process and I found out that what he
could do was I didn’t have to have any you know, didn’t have
to have my teeth all filed down. They just sort of buffed them
and he just recreated sort of my smile. It didn’t, it’s really
strange because he didn’t change a whole lot but it did change a
whole lot. So we did the set on her and it turned out beautiful.
I’ve done thousands of them and people were very happy with them
and they’re, and what we found out is in most cases they’re
stronger, even though they’re very thin, they’re stronger than
regular veneers because the strength isn’t derived totally
from the thickness of porcelain, I mean you have to have a
certain thickness, but it’s derived from the bond to the
tooth and we found that when we bond to the enamel which is the
natural outer layer of the tooth that we get a much stronger,
much harder veneer. Just the craftsmanship was amazing. I
mean it was like going to a da Vinci or somebody because it was
such tiny details but it really changed my smile. So in
actuality not only are they you know less destructive to the
tooth or you don’t have to take anything off the tooth, but
they’re also stronger and so they look, they look great. It
was painless, came back, put them on, was getting my hands
massaged during the whole process and I walked out and I
had a perfect smile that looked natural. I enjoy smiling and I
love having people say you have the prettiest smile. This is Dr.
David Azouz with Best Docs Network. Did you know that you
can do a breast augmentation, a breast lift and a tummy tuck
also called a mommy makeover all at the same time? If you want
more information, please logon to bestdocsnetwork.com. I was
very apprehensive about coming into Preferred Imaging . The
night before I had read every negative thing that could happen
when you have an MRI, so when I came in the door the secretary
met me, you know just smiled and the technician for the MRI was
just really helpful, very reassuring. I was so happy I’d
come to Preferred Imaging. So I had saw a physician out of town
and he had looked at both MRIs and was wanting to order a
different MRI and he preferred the one from Preferred Imaging
better than the other one and asked me would I return here for
the one he was ordering so we did and he was very pleased with
the second one that I had here as well. The setting, the
waiting room and the changing room all were really nice. Their
room is really painted pretty neat, it’s very artistic and
just kind of makes you feel like you’re not in that normal cold
hospital type feeling, just more of a warm type feeling. The
staff was uplifting and answered all my questions and the
procedure was so stress free. The technician gave me a button
to push if I needed help instead of wiggling my feet and trusting
that somebody was going to see me. The first thing I did when I
was inside the MRI machine was to test the button and she
immediately came and pulled me out and said what do you need,
is everything OK? And I was like no, I was just testing the
button. And she was like oh that’s OK, I just want you to
know that I’m here watching you and you have the button and so
that was very reassuring. And then the procedure was just like
they said. I had an absolutely fabulous experience at Preferred
Imaging. I also live two hours away in a small town and the
imaging there is mobile and it’s not very well so I do travel two
hours so I can get good quality imaging and so when the doctors
like it and prefer it, it’s worth the drive of two hours.
They’re really friendly, really nice, very helpful. It was
awesome, I really did have a good experience here. For more
information about any of our outstanding doctors you see on
today’s show, request an appointment, even check out
other life changing stories, head to the website,
bestdocsnetwork.com, that’s bestdocsnetwork.com. Right now
it’s time to introduce you to our next best doctor, it is pain
management specialist Dr. Jason Williams. When patients come to
see me they’re usually at a point where the pain is starting
to affect their daily life whether it be at work, their
personal life, their moods, anything of that nature. They
notice that normal things that they used to do aren’t really
helping anymore such as taking medicines that they get over the
counter or going to see a massage therapist, chiropractor,
acupuncture, all of those things seem to be failing even if they
have worked in the past. So at that point the patients are at a
point where they feel that there’s something else going on
and they need to be evaluated to figure out what is wrong with
their low back or neck. When a patient comes in my clinic,
first what I like to do is sit down with the patient and learn
about what’s been going on with them that’s you know do an
extensive history, spend the time with the patient to find
out why they’re hurting, where they’re hurting, how long
they’ve been hurting and that’s in addition to a physical exam
to see if I can’t evaluate the nature of the pain that the
patient’s having. When patients come to my clinic this is a
perfect example of what a patient might be experiencing
that could be causing their low back pain or leg pain or even
their neck pain and arm pain. This is a herniated disc or an
example of a herniated disc where the nucleus pulposus or
the center of the disc material has actually excreted through
this annulus fibrosus. When this happens this can cause spinal
stenosis. It can actually impinge upon nerves in the
spinal canal itself or if you can imagine a nerve root coming
across this, coming out exiting to your leg or your arm and it
actually getting pinched off by this herniated or bulging disc.
What the AccuraScope procedure does is addresses a condition
like this. The laser energy is focused right here on the actual
bulging or herniated disc where it can reduce the herniation and
improve circulation to the nerve and reduce impingement on the
nerve and patients can have immediate improvement of their
symptoms and pain. A recent study in the Journal of
Periodontology shows that 2 ounces of yogurt a day may
protect you from gum disease. The typical container of yogurt
holds 6 ounces and the good bacteria in yogurt helps fight
germs in your mouth. I had a bad problem of grinding my teeth and
30 years ago I had some beautiful teeth and you know
they slowly got worse and worse and worse and then of course I
started having cavity problems. My regular dentist told me look
they’re not going to last your lifetime so you’re faced with
either dentures or you know redoing your mouth. Many
patients find us because they’re at the end of the road on their
dental history. They have neglected their teeth or they
have had habits that have caused their teeth to wear down to the
point where they know they have to do something and they present
sometimes after many decades of problems and they’re ready now
to fix those problems the best they can afford to. A lot of the
patients fall into the full mouth reconstruction category
which means they need every tooth in their mouth addressed
in their treatment. When I finally went to Dr. McFadden, I
was looking to him for a permanent solution and something
that would last the rest of my life obviously. And then he
calmly brought me into his office and literally wrote down
on a piece of paper here are three different proposals. After
weighing it I decided to take the highest cost option for me
which was to put crowns on every tooth. When Bob came to the
practice it was a really fun appointment. He was instantly
charming and fun to be around and we became friends throughout
his treatment. When Bob arrived he had had four decades of tooth
grinding and ended up with almost no tooth structure left
and his wife hated his smile. We were able to use all of his
teeth and performed certain procedures to allow him to keep
his natural teeth and improve the way they look through crown
treatment. One of the funniest things about Bob is that he
carries his before and after pictures on his iPhone. He shows
everybody. He shows people that don’t care at all what his teeth
looked like and how great his teeth look now. He cares,
incredibly cares how good your teeth are. A little bit
obsessive compulsive he is but it works out in your mouth to be
beautiful. As always, for more information on any of the
doctors you’ve seen on today’s show or to even request an
appointment, be sure to head to our website,
bestdocsnetwork.com. And right now, Kandace, it is time to head
to our next best doctor. One of the top plastic surgeons in the
entire Dallas, Fort Worth area, you’re going to enjoy this, it
is Dr. David Azouz. I had a condition called true
gynecomastia and the condition is basically a hardening of the
tissue in the chest area. And so unlike some of the other people
that have that, it was actually hard tissue that caused pain and
it was pronounced through clothing, things like that. It
was more pronounced on one side than the other and so that kind
of began the search where I looked for doctors for about 3
years. Gynecomastia is a very common problem for many men
where they have the physique in their chest that’s more female
or feminine and that’s why it’s called gynecomastia, feminine
breasts on men. And obviously most men are not happy to have
breasts and they want to have that corrected. They like to
have prominent pectoral muscles, they like to show a lot of
musculature but they don’t want to have breasts. So I talked to
my primary care physician and then I started to look at
different plastic surgeons in the Houston and the Dallas area
and without even examining me most of the doctors would tell
me the procedure right off the bat and usually that entailed to
do multiple cuts around the area, multiple incisions and
then go in from all angles kind of you know take out that
tissue. So I knew that that wasn’t something that I really
wanted to do because it was going to leave a lot of scarring
so I put it off and it ended up like I said it took about 3
years. And the first time I went into Dr. Azouz’s office he told
me flat out, I’m going to you know stay here until we answer
all of your questions. And he kind of went beyond that, I mean
he came up with questions that I wasn’t even thinking about. And
within a few minutes I knew he was the man for the job, I mean
he actually examined me before he made any recommendations and
then he kind of went through the whole procedure. And the
procedure was going to be you know two really small cuts which
I kind of didn’t believe at first to be honest because I had
been told by so many other doctors that that wasn’t
possible, that they would have to do multiple incisions. What
we do is we take off the breasts by making small incisions under
the areola and through liposuction and sometimes
incision as well we remove the breast tissue and we give them
better contour. Now that the procedure is done you know all I
have is praise and thanks for Dr. Azouz. Without him I would
have probably gone to one of the other doctors and been unhappy
with the results. My life has truly changed as a result of
this procedure and I would highly recommend it to other
people. The Best Docs Network is all about doctors helping change
people’s lives. It’s educational, informative and
real. Logon to bestdocsnetwork.com. We tend to
think of athletes as being healthy people. They’re out
running or lifting weights or wrestling or whatever they do
but surprisingly there are a number of conditions that are
more prone to develop in athletes depending on what kind
of sport they engage in. One of the reasons is they may be in an
environment where they’re very close to other people that may
be carrying a bacteria for example like staph so they’re
prone to get boils and sometimes cellulitis and folliculitis so
that’s one thing that can happen. There’s also sometimes
herpes virus infections especially in wrestlers. There’s
a type of herpes called herpes gladiatorum which is due to
their touching one another in a wrestling match and one spreads
the herpes to another one. Fungal infections too, they get
hot, sweaty skin especially in runners or people that are in
hot, warm environments their skin chafes and then fungus can
set up shop there. They can get a yeast infection or can get so
called jock itch which is due to ringworm type of fungi. So those
are all things that we see fairly commonly in athletes.
Athletes can protect themselves if they use careful skin
hygiene. So in other words for wrestlers for example they need
to make sure that they use a good antibacterial type of wash
very frequently especially after they’ve wrestled and ideally
before they wrestle so if the wrestlers are all doing this
together and keeping the gym clean and all this kind of stuff
the chance of spreading those kind of infections is certainly
less. As far as trying to prevent things like ringworm,
it’s good when you’re getting hot and sweaty to let that area
kind of cool down, take a cool shower, let the area air dry so
it doesn’t really just stay hot and macerated and whatnot. You
think you might have one of these infections, athletes foot
or jock itch or whatever, probably the first thing you can
do is maybe just try something over the counter. There are
things like antifungal preparations that you can buy at
the pharmacy. If it’s not getting better in about a week
or so probably ought to call it to the attention of your
dermatologist, have them take a look at it. They can do a
scraping possibly even a skin biopsy. Even though in a young
individual that’s got predisposing factors that’s
going to be by far the most common cause. There are some
other things sometimes that can look like fungal infections that
are more serious so you wouldn’t want to let it go too long if it
didn’t respond pretty quickly to treatment. Be sure to wash your
sheets and other bedding in hot water that is at least 140
degrees Fahrenheit to properly sanitize and remove dust mites
that can irritate sensitive skin and exacerbate eczema. Welcome
to the Best Docs Network in the Studio. We’re very pleased to be
joined today by one of the top lasik surgeons not only in the
Dallas, Fort Worth area but in the country, Dr. Harvey Carter.
Dr. Carter, thanks for being with us today. Thanks for having
me. It’s a pleasure. Now talk to us about how your started in
this field. I chose this field of medicine because I love
microsurgery and I found that out very early in medical
school. Ophthalmology is an incredible mix of microsurgery,
laser surgery and wonderful, wonderful technology. And you
did your undergrad at SMU. Did you always plan to come back to
Dallas to start your practice? Yes, that was my goal. I came to
SMU because of the premed program back in the time that
we’ve been here and then went to LSU medical school in New
Orleans, then did my internship back here in Dallas and
residency in Georgia and then back here to Dallas again so I
love Dallas. That’s great and you have a lot of ties in the
community, very involved in the Dallas community. You’re the
official lasik eye surgeon of the Dallas Cowboys. That has to
be both exciting and very rewarding. That’s been an
incredible, incredible journey and I sort of fell into that.
Really. I went to a charity event many, many years ago and
while we were there, there were a number of Dallas Cowboy
players there and one thing led to another. And first Tony
Casillas wife came in and had lasik surgery and then Tony
Casillas came in and had lasik surgery and then I think it was
like 50 or 60 Cowboys over time came in and had lasik surgery.
That’s so fun. And what would you say sets your practice,
Carter Eye Center, apart from other eye practices in the
Dallas, Fort Worth area? I really think it’s personal
service and high technology. Patients I think are looking for
personal service and at the same time I think they’re looking for
high technology. They want the latest, greatest, they want the
best. Should you take over the counter cold medicines when you
have a bad cold? Well, sometimes yes and sometimes no. These
medications will kill the germs but they will dry up the mucus
that acts as the food for the germs and then the germs die
sooner. Antibiotics kill germs but antihistamines and
decongestants can dry up mucus that feeds the germs and then
they die sooner whether you use antibiotics or not. Using nasal
sprays may help if your nose is stopped up and you can’t sleep.
Oftentimes using one of the over the counter nasal sprays will
help you sleep just don’t use it more than 3 or 4 days so you
don’t get hooked on it. Also antihistamines can dry up mucus
especially if it’s accompanied by sneezing like allergy
symptoms. Decongestants are good too. That dries up mucus, the
non-allergic type mucus, the infected type mucus. Also some
cough medicines although they don’t work very well may make
you feel a little bit better. Now using anti-fever medications
and anti-inflammatory medications for aches and pains,
those will help you too and help you feel a lot better while your
body fights off the germ that’s causing your bad cold. For
additional Medical Minutes from Dr. Honaker, logon to
bestdocsnetwork.com, click on Education and the Medical Minute
tab. Hi I’m Dr. Preeti Malladi. Did you know that gastric bypass
can not only help you lose weight but have a profound
impact on diabetes? To learn more please see my videos on
bestdocsnetwork.com. I didn’t have Poland’s Syndrome but it
was like it where one breast is significantly bigger than the
other, so I was like a B and a C. It affects everything, the
way you dress, the way you wardrobe is, the things you can
and can’t buy and as a woman you want to be able to just go buy
it because you like it and you want to wear it not because of
the way it’s shaped or formed around your breast area. I just
got tired of feeling like that and I knew that after having a
child it still didn’t change. I finally said enough is enough
and I went and saw Dr. Barnett. Kaleah was a special case. This
was actually more of a reconstruction than it was
simple augmentation. There was nothing simple about that case.
She had vast asymmetry of the breast. Asymmetry means one is
not the same size or shape as the other. In Kaleah’s case this
one never developed and this one was what you’d call a tube sock,
elongated, hanging down, this one was barely there. Usually
should have been a two stage operation and I told her going
in that I can do so much but probably you’re going to need
another operation. We talked about it and looked at the
pictures and the kind of surgery I needed and required with what
I had should have been a two step, possibly three step
operation. And what Dr. Barnett did was just a one step
operation and that’s all it took. I was able to in one stage
create a matched pair. It worked out beautifully. It’s been a
year now and she looks fabulous and she’s happy as a clam. Is it
rewarding? Yeah, really is, that’s a special case. Dr.
Barnett treats his patients like family. He will give you his
cell phone number to make sure you can always be in contact
with him if you ever need anything before and after
surgery. I’m happy and glad to know that I safely chose him.
I’ve had no complications, you can’t even see my scars. He
changed my life forever. It was the best decision I ever made.
Experts say weight training should actually be done first
because it’s a higher intensity exercise compared to cardio.
Your body is better able to handle weight training early in
the workout because you’re fresh and you have the energy you need
to work out. We have recently introduced a new treatment to
our various and sundry offerings that ties in very well with our
weight loss options called I-Lypo which is a non invasive
fat reduction technique I guess is the best way to put it. It’s
not liposuction but it does melt fat stores. The I-lipo is non
invasive, there’s no down time, there’s no discomfort so it’s an
excellent technique for those patients looking to reduce fat
in a very localized area without having to undergo any kind of
surgical technique. The I-lipo technique can be used in
conjunction with a suction technique that directs the
energy a little bit more into the epidermis itself that then
stimulates a collagen reaction. So deeper into the fat layer it
empties fat cells but it’s more superficial the same energy
actually can induce collagen response and it causes basically
a tightening effect of the skin. The best candidates for this
technique are patients who have focal problem areas such as the
pooch on the abdomen, the little saddlebags that occur on the
thighs. You can do it on arms, we’ve done it on chins. The
I-lipo used in conjunction with a weight loss program gets the
patient to their target faster, keeps them more motivated and
involved in their weight loss program because they can see the
results so much faster. So the normal treatment course is two
treatments a week over four weeks. You want to focus on one
treatment zone at a time. The treatment itself takes about
twenty minutes but we do a measurement before the treatment
and a measurement immediately after the treatment and there is
a noticeable difference from those measurements that we’re
able to take. I think that the benefits that the I-lipo
technique offers over other fat reduction techniques is its
simplicity. It is fast, it’s pain free, no downtime, no
recovery and very definitive almost instantaneous results.
It’s a quick fix, it’s very natural in many respects.
That’ll do it, that’ll wrap up another edition of the Best Docs
Network featuring some of the best doctors in the entire
Dallas, Fort Worth area that helped change people’s lives.
The good news is, Kandace, for more information on any of these
outstanding doctors, head to the website, bestdocsnetwork.com,
that’s bestdocsnetwork.com. And if you have a question or
comment for us, send us an email at [email protected] So
long everyone we will see you next week.

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