Top10MD Blog


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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.


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Although diabetes is an extremely common disease, nearly 28% of the population does not know they have it. This is a very high percentage and a sad statistic. Sometimes people are not diagnosed until they fall into a diabetic coma. When it comes to diabetes, it is important to know the symptoms and risks. There is not one type of diabetes but many. Even understanding the different types can help you understand the treatment as well as the possible cures.

We hear the term sugar diabetes, but that is redundant. Diabetes is a disease that leads to too much sugar in the blood. Whenever you eat, your body processes the food by breaking it down into its different components. Most foods have sugar in them. The more sugar you eat, the more that will end up in your bloodstream. Sugar levels that are too high can be very dangerous and lead not only to negative symptoms but also other serious diseases. Two main mechanisms can cause diabetes. The first mechanism is the body’s inability to produce insulin. Insulin is the hormone that takes the sugar out of the blood and restores it to normal levels. When the body is not making enough insulin, your sugar levels are too high. The second mechanism is the body’s inability to process the sugar properly. There is no insulin problem, but the body just does not handle sugar.

Whenever there is a malfunction in insulin, you are considered to have Type 1 Diabetes. If there is a malfunction in sugar processing, you are regarded as having Type 2 Diabetes. Gestational diabetes is also common but among pregnant women. With gestational diabetes, you may only have diabetes while pregnant. This occurs when the body cannot make enough insulin support the increase sugar levels due to the baby. Normally after giving birth, the sugar levels return to normal.

If you know the symptoms of diabetes, you can prevent it before it starts. When you are experiencing symptoms, you may already be in the prediabetes stage. It is important to get control now before you are diagnosed with Type 1 or Type 2 Diabetes.

Early Symptoms Include

  • Blurred Vision
  • Dry mouth
  • Fatigue
  • Increased Hunger
  • Increased Thirst
  • Increased Urination
  • Numbness

A lot of times we do not pay attention to these symptoms. We just think it is temporary. If you notice these symptoms are ongoing, you should see a physician and have a blood test as soon as possible. If you ignore these symptoms, diabetes can get out of control leading to neuropathy, slower healing processes and a greater risk of yeast infections.

Diabetes is nothing to joke about. It is very serious, and when left uncontrolled, it can be deadly. So many people ignore the signs and end up in the hospital. Getting an early diabetes diagnosis can help you manage the disease better. Just changing your diet can cure Type 2 diabetes. Eating a healthy diet and exercising can help prevent diabetes. If you notice you are having symptoms, make an appointment with your doctor as soon as possible. Get control of your diabetes and you can get control of your life.

Dallas Vascular Surgeon Dr. Gregory Pearl is board certified by the American Board of Surgery in General Vascular Surgery and a Fellow of Peripheral Vascular Surgery. Dr. Pearl is named Top10MD – 1-in- 3 doctors succeeds with this recognition in the United States. To schedule a consultation with Dr. Pearl link to his profile or call his office today 214-821- 9600.


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Varicose veins are swollen and twisted veins that are visible just under the surface of the skin. They can form in other parts of the body but usually occur in the legs. Varicose veins are a common condition that causes few signs and symptoms. In some cases, however, they can cause mild to moderate pain, skin ulcers, and blood clots.

Varicose veins are blue or dark purple in color and can appear twisted and bulge under the skin on your legs.

When pain does occur from varicose veins it may include:

  • Burning, throbbing and swelling in your lower legs
  • Itching around one or more of your veins
  • Bleeding from the varicose veins
  • Increased pain after standing or sitting for a long time
  • An achy or heavy feeling in the legs

Risk factors and causes of varicose veins can include:

  • Age – Aging can cause your veins to lose elasticity, causing them to stretch. It also causes wear and tear on the valves in your veins that regulate blood flow. The wear causes the valves to allow blood to flow back into veins, collecting, instead of up to the heart.
  • Obesity – Being overweight puts added pressure on your veins.
  • Inactivity – Standing or sitting for extended periods of time can prevent your blood from flowing as well.
  • Family History – Does your mom have varicose veins? Unfortunately, there’s a greater chance you will too.
  • Pregnancy and hormones- Women are more likely to develop the condition due to hormonal changes during pregnancy, menstruation, or menopause because female hormones relax vein walls. Hormone replacement therapy or birth control pills may increase your risk of varicose veins.

When To See A Doctor

There are some steps you can take to help ease the pain varicose veins cause, and prevent them from getting worse, such as elevating your legs, exercise, and wearing compression stockings. If you are concerned about how your veins look and self-care hasn’t stopped them from getting worse, see your board certified doctor. The goals of treatment are to relieve symptoms, prevent complications and improve appearance.

Dallas Vascular Surgeon Dr. Gregory Pearl is board certified by the American Board of Surgery in General Vascular Surgery and a Fellow of Peripheral Vascular Surgery. He is named Top10MD – 1-in- 3 doctors succeeds with this recognition in the United States. To schedule a consultation with Dr. Pearl link to his profile or call his office today 214-821- 9600.


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