Top10MD Blog


 6 months ago    Leave a comments (0)

As we settle into 2017, this year’s most popular new year resolution is weight loss with life improvement trailing behind in second place. These two resolutions are mutually beneficial. With life improvements, such as better eating habits, physical activity, and an overall general positive attitude, comes the increased opportunity to lose weight. In addition, weight loss can have huge benefits for improving your daily life, such as having more energy, feeling better mentally and physically, and lowering your risk for diabetes and heart-related conditions. Why not try for both? After all, you can have your cake AND eat it too!

According to the Centers for Disease Control, a surprising 1 in 3 Americans are considered obese – that’s somewhere between 26-32% of the US population. For some diet, exercise, and moderation can only take you so far in achieving the body you’ve always dreamed of. If you’re looking for a drastic change in your life this year, there is help out there! Dr. Sheetal Patel is one of Dallas’ premier bariatric surgeons. If your BMI is above where it should be perhaps its time to look at a gastric sleeve or other weight loss procedure. Call today to learn more. Monthly seminars are available.

Dallas Bariatric Surgeon Sheetal Patel, MD is Director and Founder of 360 Bariatrics. Dr. Patel is Fellowship trained and Board Certified by the American Board of Bariatric Surgery. Dr. Patel uses the Da Vinci Robotic System to perform robotic weight loss procedures, foregut surgery (hiatal/para-esophageal hernias) and uses single site robotic technology for the removal of the gallbladder. 360 Bariatrics enables patients to lead healthy, happy and productive lives without experiencing unhealthy weight gain in the future. Dr. Patell has been named 2016 | 2017 Top10MD an honor only 1-in-3 doctors succeeds with this recognition in the United States. Call Dr. Patel’s office today and schedule an appointment at (972) 596-5225.


 1 year ago    Leave a comments (0)

Surgeries that some consider routine can still sometimes cause serious complications. No matter how straightforward you think your surgery might be, you still want to be in the absolute best surgical hands.

Today, your surgeon and hospital are especially important for procedures that are new or complex or even routine. You should be concerned and research but your surgeon and the hospital for that matter as most errors happen in a hospital setting according to John Hopkins report in May noting the third leading cause of death is medical errors. In your search for the best surgeon one indicator is how often your surgeon performs the procedure you’re seeking. For example, a study by researchers at New Hampshire’s Dartmouth-Hitchcock Medical Center of people undergoing surgery for pancreatic cancer found that annual death rates were nearly four times higher for those treated by surgeons who performed the fewest operations.

With that being said, how should you choose a surgeon, someone with whom you’ll be sharing some of your most personal information and entrusting with life-and-death decisions? Communication with your surgeon is essential.

Ask your prospective surgeon these questions before going under…

Are you board certified, and is your certification current?

  • Look for a surgeon who has the necessary board certification(s), necessary training, and has maintained their certification(s) in the specialty they are practicing.

Is this surgery necessary?

  • Avoiding surgery entirely is the only sure way to avoid a surgical complication; understanding the effectiveness of the surgery and having exhausted alternatives you then need to compare the results of your alternatives with the possible risks of the surgery. 

What are your success, failure, and complication rates?

  • Not all surgeons are willing to be upfront with this information, but a good surgeon will.

What is your experience with this surgery?

  • Ask your surgeon how many of these procedures he or she has performed and compare that number with other surgeons performing the same procedure. The best surgeon is not necessarily the busiest surgeon; it’s about avoiding the surgeon who has not performed the procedure as much or as often or as well.

What’s the hospital’s infection rate?

  • Seventeen states now make that information public, and many hospitals report their rates voluntarily. Kudos to them! After asking these questions and others relating to your needs, likes, and dislikes, do your homework and make your choice. Your final decision could be one of the most important you’ll make for you and your family.

To locate a Top10MD Surgeon you can trust visit and schedule your appointment today.


 1 year ago    Leave a comments (0)



 2 years ago    Leave a comments (0)

Worried about that belly fat you’ve acquired? Where is it on your body? Fat under the skin is a cosmetic issue, not a health issue. It is the fat under the abdominal wall that causes the most health issues. If you have a lot of excess fat around your waist, even if you are not overweight, then you need to get rid of it. This is the worst kind of fat to have! Liposuction will not remove this kind of fat….. it takes work.

According to Wikipedia – Abdominal obesity, also known as beer bellybeer gutpot bellyspare tire or clinically as central obesity, is when excessive abdominal fat around the stomach and abdomen has built up to the extent that it is likely to have a negative impact on health. There is a strong correlation between central obesity and cardiovascular disease. Abdominal obesity has been linked to Alzheimer’s disease as well as other metabolic and vascular diseases. Visceral and central abdominal fat and waist circumference show a strong association with type 2 diabetes.

Visceral fat, also known as organ fat or intra-abdominal fat, is located inside the peritoneal cavity, packed in between internal organs and torso, as opposed to subcutaneous fat‚ which is found underneath the skin, and intramuscular fat‚ which is found interspersed in skeletal muscle. Visceral fat is composed of several adipose depots including mesenteric, epididymal white adipose tissue (EWAT) and perirenal fat. An excess of visceral fat is known as central obesity, the “pot belly” or “beer belly” effect, in which the abdomen protrudes excessively. This body type is also known as “apple shaped‚” as opposed to “pear shaped‚” in which fat is deposited on the hips and buttocks. Scientists have come to recognize that body fat, instead of body weight, is the key to evaluating obesity.

Contrary to what some 16-year-old gym trainers may say, you cannot do crunches to rid yourself of the dangerous spare tire you are carrying around. But don’t worry, there are some simple proven steps anyone can do that specifically target the fat in the belly.


  1. Sugar is Your Enemy!  Avoid Sugar-Sweetened Beverages

Make a decision to minimize the amount of sugar in your diet, and say goodbye to those high sugar flavored coffees, “sports” drinks, and fruit juices.

  1. Protein Will Wave Goodbye to Belly Fat

Make an effort to increase your intake of unprocessed eggs, fish, seafood, meats, poultry, and dairy products. These are the best protein sources in the diet, which can be the single most effective change you can do to fight against belly fat.

  1. Throw a Going Away Party for Carbs

Carb restriction is a very effective way to lose fat in the belly area. An added bonus is that a low-carb diet has many health benefits such as preventing type 2 diabetes. Put down the bagel and pick up the apple, your belly will thank you.

  1. Say Hello to Fiber, Lots of Fiber

Increasing your soluble dietary fiber may lead to reduced amounts of belly fat. The best way to get more fiber is to eat a lot of plant foods like vegetables and fruit and legumes.

  1. Head to the Cardio Section of the Gym

Your gym teacher knew what he was doing when he made you run laps. Other than the plethora of other health benefits, exercise is very effective if you are trying to lose belly fat.

  1. Write it Down

Keep track of what you are eating. Sometimes we think we are doing well when in reality we have plenty of room for improvement. There are many apps that easily help you keep track of your food intake so you can make adjustments as needed.




 2 years ago    Leave a comments (0)

Lose Weight Fast

You read the headlines “LOSE WEIGHT FAST” with the HCG Diet! Does it really work? Can you lose 30lbs in a month on HCG? According to Dr. Oz and Pieter Cohen, M.D. with the Cambridge Health Alliance, Harvard Medical School yes, you can lose weight on the HCG diet, but not due to HCG, but due to the reduction of calorie intake the diet requires which can put your health and life at risk. The HCG diet includes the use of the hormone Human Chorionic Gonadotropin (hCG) the body makes during pregnancy and a low calorie diet that limits you to 500 calories per day for 8 weeks while taking HCG by injection, oral drops, pellets or sprays. HCG products purchased in the store are not FDA approved. The shots; however, are legal, as long as a physician gives them to you. The FDA has not approved HCG injections for weight loss it’s only approved to treat fertility issues. According to Dr. Pieter Cohen over the counter drops have no active ingredients in them and companies that sell HCG drops are using the “power of suggestion” to sell product.

The diet of 500 calories a day is why people lose weight

Just watch the participants on the TV show Survivor. They lost weight from lack of food i.e. lack of calories. Registered dietitians recommend of least 1,200 calories a day in order for your body to receive enough minerals and vitamins it needs to be healthy. 500 calories a day is not enough to meet your nutritional needs. Many people that followed the diet lost weight but at a cost i.e. hair loss, malabsorption, lack of protein and more.

Other HCG questions to ask

  • Does HCG pose a cancer risk?
  • What role does placebo play in the HCG diet?

Learn why experts are concerned. Click here to read an article on HCG fact vs. fiction by Pieter Cohen, M.D. There are many avenues now for people needing to lose weight from diet and exercise to obesity surgery. For people with a BMI of 40 or more (approximately 100lb’s overweight) obesity surgery could be one of your options.

Over 200,000 obesity surgeries were performed last year alone, a 50% increase from last year. Obesity surgery includes a variety of surgical procedures such as a lap band, gastric sleeve, gastric bypass, and the duodenal switch procedure, that combines malabsorptive and restrictive weight loss surgery.  Your bariatric surgeon can help you find the right procedure for you.

Whatever your weight loss concern is know that there are options for you. Do your research and find the best option for you!

Update: The FDA is warning consumers that over the counter HCG products marketed as weight loss aids are unproven and illegal. Harmful effects from these products should be reported online to the FDA at and to your health care professional.


 2 years ago    Leave a comments (0)

Do you need a few weight loss tips about now? Spring is three weeks away in Texas, with that being said– summer is right around the corner, despite our weather! And that means swimsuit season! Start today and you’ll be ready!

In our eat-and-run, massive-portion-sized culture, maintaining a healthy weight can be tough—and losing weight, even tougher. If you’ve tried and failed to lose weight before, you may believe that diets don’t work for you. You’re probably right: traditional diets don’t work—at least not in the long term. However, there are plenty of small but powerful ways to avoid common dieting pitfalls, achieve lasting weight loss success, and develop a healthier relationship with food!


1. Do Not Skip Meals

Try small portion size. Eating small frequent meals help to balance your calorie intake throughout the day and also keeps your blood sugar level balanced. Instead of eating 3 big meals, try to eat 5 – 6 smaller meals throughout the day.


2. Understand Food Claims & Labels

A product labeled with a fat-free claim doesn’t mean that it is low in calories. Similarly a product labeled as low-sugar or low-carb does not mean it’s low in fat or calories. Always read the nutrition labels on packaging. Know what you are putting in your system.


3. Watch Your Portion Size

One serving of pasta means 1/2 cup of cooked pasta. However, most restaurants serve a pasta dish with 4 servings of pasta!!! You don’t need to finish and clean off the plate every time. Four servings mean you have three other meals you can take home and eat or freeze for dinner another time.


4. Don’t Be Overly-Restrictive

Everyone has his or her favorite treats. Don’t deprive yourself of these! Allow yourself a little indulgence, but watch for frequency and quantity. Having a small treat once in a while is rewarding to your weight loss experience. Cutting too much of your favorite treats will usually lead to an early relapse.


5. Watch Out For The Surgery Drinks

Juices, soda, cream & sugar in your coffee or tea all add up. Opt for drinking mostly water in a day. In addition to providing hydration to your body, it will also help you feel full, your skin hydrated, gives you more energy and your brain memory improves.


6. Eat At Least 5 Servings Of Fruits And Vegetables Per Day

Fruits and vegetables are packed with beneficial fibers, vitamins and antioxidants. They fill your stomach fast so you feel full earlier. They are also low in calories and help to keep your calorie count low. And they’re yummy!


7. Exercise

Most authorities recommend 30 – 60 minutes of physical activity a day to stay healthy. Also try adding weight-bearing exercises at least 2 times a week. This will help burn some of the unwanted calories. If you can’t make it to the gym take a walk around your neighborhood or run up and down your stairs ten times to get your heart rate up. Get up and DO SOMETHING!


8. Find A Friend & Challenge Each Other

You’ve heard the saying “two is better than one” especially when you are being held accountable! Find a friend, write down your goals, weigh yourselves, take measurements and START TODAY! 


 2 years ago    Leave a comments (0)

Patients for Bariatric Surgery are Getting Younger & Younger

In November, the Healthcare Professionals Network wrote a blog post about early pharmacotherapy for obese teens.

The piece quoted figures from a Swedish study showed that lifestyle interventions only helped 2% of obese teens to achieve meaningful weight loss. And that although controversial, teen bariatric surgery could produce an overall reduction in body mass index (BMI) by 30-40%, with effects as long as two years after the procedure.

Alexis Shapiro November 2014 obese teen who underwent gastric sleeve surgery

Alexis Shapiro, the 12-year-old Texan girl who had sleeve gastrectomy surgery this year, had suffered from a rare, medically induced obesity that made her gain 200 pounds.

For teens struggling with obesity and the parents who are witness to their suffering, bariatric surgery may be a logical solution after trying other avenues.

Take for instance the case of Alexis Shapiro, the 12-year-old Texan who underwent sleeve gastrectomy surgery this year after suffering medically induced obesity that caused her to balloon past 200 pounds.

Shapiro is now 50 pounds lighter, back at school after a hiatus of two years, and able to join her siblings in the swimming pool. She still suffers from an adrenal imbalance that requires an injection minutes after symptoms appear, to avoid shock or coma. But the pre-teen is thriving, much more than before the operation.

“Seven months ago, we were a family struggling each and every day to keep Alexis’ quality of life the best we could,” said her mother Janet Shapiro in an update on the Cincinnati Children’s blog.

“Not only has she gained her independence, but I also have too. The sleeve gastrectomy gave [Alexis] back her health.”

Statistics on obese teens in the US

Surprisingly, weight loss surgery on teens is not that new. Procedures have been performed on small groups of adolescents since the late 1970s, said a March 2014 study by Stavra A. Xanthakos, MD, and Thomas H. Hinge, MD featured in medical research site Up To Date.

Severe obesity in children is defined as having a BMI that is either ≥120 percent of the 95th percentile or ≥35 kg/m². According to Xanthakos and Hinge, approximately 6.3 percent of adolescents 12 to 17 years old in the USA are severely obese and will almost always remain in the obese range as adults.

They have a significantly greater prevalence of cardiovascular risk factors as compared with children with lesser degrees of obesity, and will have more health complications and higher mortality as compared with those who developed obesity during adulthood,” said the authors.

The American Academy of Pediatrics advocates a staged approach to weight management, comprising behavioral techniques, improving food intake and increasing energy expenditure.

How to know if your teen is ready for bariatric surgery

Considering bariatric surgery for an obese teen is not just the last resort after all attempts have failed.

Bariatric surgery isn’t like removing your wisdom teeth. Long-term success requires behavioral change, commitment, and a strong support system. How teens adjust to their new selves and assimilate with their peers after a life-changing procedure can be traumatic without a solid foundation.

Shapiro’s family had been solidly behind the decision for Alexis to undergo the procedure and had been there for her since the beginning. Teens who do not have the same type of support or who may lack the emotional maturity required for bariatric surgery should pursue other alternatives, said Minnesota’s Aaron S. Kelly, Ph.D., and his colleagues in a piece for Circulation: The Journal of the American Heart Association.


If your child is suffering from obesity – seek the help of professionals is it a board-certified bariatric surgeon, psychiatrist, psychologist, or your child’s pediatrician to set your child on the right course to a healthy life. 



 3 years ago    Leave a comments (0)

mommy makeoverIn today’s image-focused society, the term, “Mommy Makeover” is used a lot, but who knows exactly what that means? Dr. John Burns, Dallas plastic surgeon, helps familiarizes us with this term and also explains what this includes in the plastic surgery arena. A mommy makeover is a term describing various plastic surgery procedures designed to address changes in the post-pregnancy body, which includes:  breasts, abdomen, love handles, hips, and thighs.  Any combination of procedures, such as breast augmentation, breast lift, tummy tuck, or liposuction can be referred to as a mommy makeover.

mommy makeoverWith pregnancy, the breasts will enlarge during lactation, and after breastfeeding, will shrink to a smaller size. In addition, the breast skin, which stretches to accommodate the larger breast, will not contract. This ends up leaving the breasts both flat and saggy. By restoring needed volume to the breast, with a breast implant, simple breast augmentation can restore the appearance of the breast. In more severe cases, a breast lift or an augmentation combined with a breast lift may be necessary to restore the breast shape and size.

During pregnancy, the abdominal skin and muscles can become stretched beyond their ability to recoil. The skin and fat below the belly button and above the pubic area can be removed with a tummy tuck. The abdominal muscles can also be tightened to narrow the waist and give a more hourglass body shape.

Finally, liposuction can be used to remove unwanted fat from the love handles, hips, and thighs to sculpt and contour the body.

New Year, New You!


 3 years ago    Leave a comments (0)

Google Glass is gaining popularity in the medical world. A 1.8 ounce computer, configured as a pair of glasses, is now finding it’s way into the medical world as a premier teaching tool.  Being able to record surgeries, hands-free, from the surgeon’s point of view has become a game changer!  Colleagues or medical students alike can now utilize these streaming surgeries.

Cardiothoracic surgeon, Pierre Theordore, M.D., has taken this new technology one step further.  By pre-loading x-ray images onto the Google glass, he is able to immediately reference them in his field of vision, and compare them to the actual surgical site.

Theodore explains that having these x-rays in your field of vision, without having to leave the operating room, allows you to maintain your attention 100% on the patient without interruption.  Having immediate access to valuable data, Theodore believes, is an essential part to making critical decisions accurately, which leads to better surgical outcomes for patients.

Dr. Theodore is the first surgeon to be given clearance on this tool as an auxiliary device from the local institutional Review Board (IRB).

If it seems hard to imagine, Theodore compares the screen to a tic tac toe board where his valuable information is in the top right hand corner and if he needs it, it’s there, but it also isn’t in the way of his normal field of vision. This is also similar to the idea of a rear view mirror.

Bridging the Gap

It’s possible that this new wearable technology is going to help break down geographical barriers, allowing surgeons in remote parts of the world to observe how the United States is performing more modern procedures. Google Glass will also provide a way to have live streaming feedback during surgery, for surgeons to teach modern surgical techniques, in live time, to surgeons in other parts of the world.

The numerous potential options for Google Glass are going to be revolutionary in the healthcare world.  With this new technology, it is now upon our doctors and researches to find out how far we can take it.



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