Posts Tagged ‘Dr Murray’
Women’s Specialists of Plano Drs. Dennis Eisenberg and Murray Fox Perform First Robotic Hysterectomy on New DaVinci Si Machine with 8mm Camera at Medical Center Plano
Dr. Dennis Eisenberg of Plano, Texas, a pioneer in the use of the robotic hysterectomy surgical technique, recently completed his first hysterectomy surgery at Medical Center Plano using the new DaVinci Si machine. Dr. Eisenberg was assisted on this procedure by fellow surgeon Dr. Murray Fox of Plano, TX.
Plano, TX, August 23, 2011 –(PR.com)– Dr. Dennis Eisenberg of Plano, Texas, a pioneer in the use of the robotic hysterectomy surgical technique, recently completed Medical Center Plano’s first hysterectomy surgery using the new DaVinci Si machine. Dr. Eisenberg was assisted on this surgery by fellow robotic surgeon Dr. Murray Fox.
The DaVinci Si machine has an 8mm camera, the smallest camera that has ever been used for a robotic hysterectomy. The benefit for patients of the smaller camera offered by the new machine at Medical Center Plano is that it requires a smaller incision. This makes robotic hysterectomies performed with DaVinci Si machine even less invasive than the procedure already is.
According to Dr. Eisenberg, the patient “recovered and went home the next morning on Advil,” despite having additional procedures done.
Traditional hysterectomies typically demand long recovery and healing periods after the procedure is performed. Technological advancements like the advent of the robotic hysterectomy, which allow a for a hysterectomy to be performed using robotic micro-instruments that translate the precise movements of the surgeons’ hands while filtering out even the slightest tremors, have significantly reduced recovery times for patients.
Furthermore, robotic surgery has been proven to have unmatched precision and control, even with the smaller incisions that are necessary. High-definition, magnified 3D imaging allows for optimum viewing and manipulation of sensitive nerves, blood vessels and tissues.
Still, not all gynecological practices have adopted the DaVinci robotic hysterectomy surgery technique, despite how revolutionary a treatment option it has proven to be. “It will only be a matter of time until the robotic way is the only way,” explained Dr. Fox. “I’ve seen the difference it has made in hundreds of patients that walk through the Women’s Specialists of Plano doors. It is revolutionary to say the least.”
About Dr. Dennis Eisenberg
Dr. Dennis Eisenberg has worked as an OBGYN in the Frisco, McKinney, and Plano communities for over 11 years. He is a graduate of the University of Texas and completed his post-doctoral studies at St. Paul Medical Center in Dallas, Texas, and has been performing robotic hysterectomy procedures since July of 2007. He is a certified member of the American Board of Obstetrics and Gynecology.
About Dr. Murray Fox
Dr. Murray Fox MD has been in private practice as an OBGYN serving the Plano, Frisco, and McKinney areas for 34 years. He has also served as Medical Director of the Plano Physicians Group since 1989, as well as the President & CEO Patient-Physician Network Holding Company. He is a graduate of the University of Texas and completed post-doctoral studies at University of Texas Health Science Center at San Antonio. Dr. Fox is a certified member of the American Board of Obstetrics and Gynecology and has been performing robotic surgical procedures since 2007.
About Women’s Specialists of Plano
Women’s Specialists of Plano provides comprehensive gynecologic care, as well as traditional and robotic surgical techniques. For patient convenience, the practice offers a wide variety of in-office services including Digital Mammography, 3D Sonography and DEXA Bone Density Scanning. The doctors at WSOP are committed to providing their patients with the most minimally invasive surgical treatments and procedures available such as da Vinci Robotic Surgery, a full range of laparoscopic and hysteroscopic procedures as well as in-office Endometrial Ablation.
See Original Article Here: OBGYN Doctor’s Perform First Robotic Hysterectomy at Medical Center of Plano
The Women’s Specialists of Plano (972.379.2416, http://obgynplano.com) specializes in pelvic floor dysfunction and vaginal prolapse. When Jean, a 74-year old resident of Plano, Texas, began having unusual and at times frightening symptoms during bowel movements, she decided to make an appointment with the Women’s Specialists of Plano. “What should have been an everyday normal bodily function for anyone, created stress and anxiety for me because every time I attempted to take a bowel movement, I felt as if my internal organs were coming out—and in most cases, they were,” said Jean.
Jean’s OBGYN, Dr. Murray Fox, diagnosed her condition as pelvic floor dysfunction, or in her case, a vaginal prolapse. It is a common disorder seen by the entire group of doctors at WSOP including Drs. Jules Monier, Dennis Eisenberg, Daryl Greebon and Jennifer Newton.
Pelvic floor dysfunction is a condition in which the muscles that uphold the reproductive and digestive organs of a female weaken, and fail to work properly. The immediate result of this muscle failure is “falling of the female organs”, or, a sensation of pelvic pressure or an actual falling of the organs dropping through the vagina. Difficulty passing stools and urinary incontinence are the most common immediate symptoms eventually causing pain, and even more alarming symptoms such as what Jean was experiencing. With the insertion of a vaginal pessary, Jean’s symptoms went away and she was able to resume life as normal.
During the early stages of pelvic floor dysfunction, it may be possible to re-strengthen the pelvic muscles through physical therapy and repair the damage before the dysfunction progresses. But due to the nature of the symptoms, it is commonly missed at an early stage, and the dysfunction becomes much worse.
When pelvic floor dysfunction is not treated properly or immediately it can cause problems of much larger proportions such as:
- Cystocele-The protrusion of the bladder into, and at times through the vagina.
- Rectocele-The protrusion of the rectum into, and at times through the vagina.
- Enterocele-The protrusion of the bowel into, and at times through the vagina.
- Urethrocele-The protrusion of the urethra into, and at times through the vagina.
- Vaginal Prolapse-The protrusion of the top of the vagina into the lower portion of the vagina completely inverting it. (This is most common in post-hysterectomy patients.)
Statistics suggest that 40% of women between 60-80 years of age will experience some degree of pelvic floor dysfunction or vaginal prolapse. At this age the dysfunction is the resort of multiple things including age, gravity, number of children, constipation, childbirth etc. However, it is important to note that 1 of every 3 women of 25 and up will suffer from the dysfunction as well. The most common causes being pregnancy, obesity, vaginal delivery, and menopause.
If you begin to notice symptoms that lead you to believe that you may be suffering from any degree of pelvic floor dysfunction, consult with your physician as soon as possible. Pelvic floor dysfunction is diagnosed through a series of testing. Your doctor will begin their testing with a careful study of your medical history, symptoms, and physically or emotionally traumatic experiences that could be contributing to the physical and emotional pain of this disorder. Specific tests will be administered to determine which muscles are not properly performing their job.
Pelvic floor dysfunction may be treated with specialized physical therapy known as biofeedback if the dysfunction is found at an early stage. With biofeedback, a person may be able to strengthen the pelvic floor muscles and remind the body to perform these tasks as it should. Approximately 75% of individuals with pelvic floor dysfunction experience significant improvement with biofeedback.
Many times, pelvic floor dysfunction patients and those suffering from vaginal prolapse will need corrective surgery. Using a vaginal pessary or a mesh device is often effective for curing the problem. A vaginal pessary can be inserted into the vagina to support the prolapsed organs. Meshes to secure organs into place are also commonly used. Using sutures, a mesh is used to help keep the bladder, uterus or other pelvic organs secure. Using a pessary or a mesh will commonly alleviate symptoms.
If you are experiencing unusual symptoms that you believe may be associated with pelvic floor dysfunction, consult with your doctor and learn about the treatment options that are available to help you with your specific situation.
The article below was written by Kristy Theis, Medical Content Editor for eMedical Media in Dallas, TX. It was featured on Hubpages May 12, 2010 and written on behalf of the Women’s Specialists of Plano.
“I Have Uterine Fibroids. Should I be concerned?”
The doctors that make up the Women’s Specialists of Plano (972.379.2416) see their fair share of uterine fibroids weekly at their North Texas OBGYN office. Uterine fibroid tumors are one of the most common gynecological conditions affecting American women today—in fact, this year alone, almost 1 in 4 will be diagnosed with these benign uterine tumors. While the majority of uterine fibroid tumors are non-cancerous, there is the incidence of malignancy (cancer) in about 1 in 10,000—making fibroids a worrisome diagnosis for thousands of women.
Not too long ago, most American women were sent down the road of having a hysterectomy when diagnosed with uterine fibroids. I recently interviewed a group of Plano, Texas-based gynecologists—as well as some of their patients—and was pleasantly surprised to learn that there are in fact several options for patients suffering from uterine fibroids.
Fibroids are tumors that develop in the uterus, most often, affecting women over the age of 30 and still in childbearing years. They can be very small, exist as one or in groupings, can be slow or fast growing, and for many, symptoms will be almost non-existent. For many women, on-going and at times continuous cramping, bloating, constipation, heavy bleeding and a feeling of pressure and pain in the uterus can exist. For women with a personal or family history of cancer, knowing that these tumors exist within the uterus can be troublesome making the treatment of uterine cysts a very important decision for them.
When I met with Patricia, a patient of Dr. Murray Fox, a physician with the Women’s Specialists of Plano practice, she described symptoms that sounded more like a pregnancy than a uterine fibroid. Her non-cancerous uterine tumors presented themselves years earlier and over time began to grow until the end result was a cantaloupe size tumor. With a growth so large, she decided to have a full hysterectomy because once the tumor was removed, much of her uterus would have to be removed with it. Since Patricia was past her child-bearing years, a hysterectomy was an acceptable route to take.
According to Dr. Jules Monier, a gynecologist with Women’s Specialists, most women will be diagnosed in the earlier stages through routine pelvic exams.
“We are able to diagnose uterine fibroids early on in most cases and monitor them with each patient. During this time, conservative treatment of uterine cysts can be provided. It’s important for women to be cognitive of their symptoms and pay attention to what their body is telling them so that a more aggressive treatment option can be considered if necessary. No woman should be expected to endure the harsher symptoms that can come along with uterine fibroids.”
The exact causes of fibroid tumors are unknown. The Women’s Specialists of Plano experts agree that treatment of uterine cysts is not necessary with uterine fibroids unless at least one of the following conditions are occurring:
- The uterine fibroid is greater in size than a 12-week pregnancy
- The uterine fibroid(s) is growing
- The uterine fibroid(s) is causing bleeding
- The uterine fibroid(s) is causing pain
- The uterine fibroid(s) is associated with pregnancy loss
Treatment options available today are vastly different than years ago. “Before our patients have to consider a hysterectomy for their uterine fibroids, they do have other treatment options, that in most cases, are successful. Uterine artery embolization and myomectomy procedures are highly effective treatment options and are generally recommended before a hysterectomy,” Says Dr. Daryl Greebon, a Plano, Texas-based OBGYN.
During a uterine artery embolization procedure, physicians use an x-ray camera to inject small particles through a catheter directly aimed at the fibroid. These particles block the arteries that provide blood flow and essentially cause the fibroids to shrink.
A myomectomy is a surgical procedure where the fibroid tumors are surgically removed. This procedure can be done with an open incision or using a more minimally-invasive technique such as the robotic myomectomy. The robotic method reduces the side effects of the surgery and overall recovery. A myomectomy, in general, is considered one of the only surgical treatment options that preserve fertility.
In the procedures mentioned above, a large majority of women experience relief with their symptoms.
Robin is another patient of Women’s Specialists I interviewed and one who had a dramatically different outcome than my earlier subject. She also battled uterine fibroid tumors since she was in her late 20’s and because she still desired to have children, she opted to have a robotic myomectomy. Dr. Dennis Eisenberg performed the surgery robotically and today, she remains symptom free from her fibroid tumors. Although the risk of them returning does exist; she has not had any real significant growths or reoccurrences.
Dr. Murray Fox explains, “Uterine fibroid tumors can affect the quality of life. I have had young women who are afraid to go to their places of business for fear they will soak through their clothes due to heavy bleeding caused by fibroids, and others who have experienced weight gain in the abdominal area because of fast growing and oversized tumors. The question I go over with my patients first is should the fibroid tumors be treated? If the answer is yes, we discuss how.”
It is extremely important to talk to your gynecologist, get all of the facts revolving around your specific uterine fibroid tumors and review all of your options to help you decide the best outcome for your particular situation, future desires and current lifestyle.
About the writer:
The gynecologists and patients of the Women’s Specialists of Plano contributed to this article.Visit them on the web at www.obgynplano.com.
Dr. Murray Fox, a Plano gynecologist, and Dr. Daryl Greebon, a Plano OBGYN, of Women’s Specialists of Plano have joined the Faith in Practice medical mission team currently in Guatemala. Dr. Fox and Dr. Greebon are medical mission veterans and find the experience incredibly rewarding. Dr. Murray Fox and Dr. Daryl Greebon will volunteer their surgical expertise to poor Guatemalan women in need of gynecologic surgery. The surgeries they perform will include removal of uterine fibroids, hysterectomy and vaginal reconstruction.
Faith in Practice’s mission is to improve the physical, spiritual, and economic conditions of Guatemalan’s poor through short-term surgical, medical and dental mission trips and health-related educational programs
The large FIP team of surgeons, anesthesiologists, nurses, administrators, clergy, translators, oral surgeons, dental hygienists, and a photojournalist will travel to Reutealeahu, Guatemala from February 26, 2010 through March 7, 2010. The team will provide short-term surgical, medical and dental care. Prior to the mission, the team gathers all the supplies that will be required for performing surgery and post-operative care. Each team member typically brings 2 trunks of medical supplies. In total, 86 trunks arrived in Guatemala for this mission.
At the beginning of the trip, the FIP team will assess all surgery candidates and prepare a surgical schedule. The remainder of the week will be spent in surgery and providing after care.
To follow Dr. Fox and Dr. Greebon while they are on their medical mission, a Facebook Fan Page has been set up, Faith In Practice-Greebon Team 244.
Bone and Calcium Metabolism: Prevention of Osteoporosis
Author: Dr Murray Fox
Bone metabolism in the human body is a very dynamic process. There is a constant lying down of bone by cells called oste
oblasts and resorbtion of bone by cells called osteoclasts. Initially the osteoblasts work much harder and faster that the osteoclasts and bone is laid down to facilitate growth.
Each person has a genetically determined peak bone mass which is attained in their twenties. By age 17 ninety percent of the bone mass has been obtained. The consequence of bone loss is the development of very weak and fragile bones, a medical condition known as osteoporosis. Osteoporosis is associated with compression fracture of the bones of the spine called vertebra(ae) and fracture of the hip. While these fractures from osteoporosis may be painful and cause shortening of
stature, even difficulty breathing, the major consequence is complications and even death from surgical repair of the hip fracture.
Calcium and Vitamin D Play a Critical Role
Adequate calcium, exercise and vitamin D are required to attain and maintain bone mass. This is important in the prevention of osteoporosis. Current data indicates that the majority of children do not receive adequate amounts of calcium or vitamin D.
Recommended amount of calcium vary for individuals.
Below is a table of adequate intakes as outlined by the National Academy of Science.
Recommended Calcium Intakes
Ages Amount mg/day
Birth–6 months 210
6 months–1 year 270
70 or older 1200
Pregnant & Lactating 1000
Role of Vitamin D
Vitamin D also plays an important role in healthy bone development. Vitamin D helps in the absorption of calcium (this is why milk is fortified with vitamin D). In the past many people depended on the sun’s effect on the skin to make vitamin D. Since more emphasis has been place on sunscreen, there is less sun effect and a greater need for vitamin D supplement. The exact amount of vitamin D required is being debated, but the consensus is that Americans are generally deficient in vitamin D and require greater amounts than originally thought. 800 international units to 1000 international units is the current recommendation for adults.
Certain medical conditions may limit the amount of calcium that may be ingested. As always, consulting your physician is suggested regarding your personal specific calcium needs.
Exercise is Necessary to Maintain Bone Health
Weight bearing exercise (walking, running, etc.) is an excellent stimulus for bone growth. Current recommendations are:
Adults: Engage in at least 30 minutes of moderate physical activity [on] most, preferably all, days of the week
Children: Engage in at least 60 minutes of moderate physical activity [on] most, preferably all, days of the week
Bone Mineral Density
The evaluation of bone strength, the about of calcium in the bone, is measured by a dual density densitometer. The purpose of this is to measure the exact bone mineral density of the spinal vertebrae, usually the four lumbar (lower back) vertebrae, and the femur, the large thigh bone that connects to the pelvis in the hip socket.
The bone mineral density (BMD) is usually expressed as a “T” score which is a comparison of the patients BMD to a young person. A “T” score that is – 1 or higher is considered normal. A “T” score of – 2.5 or lower is considered osteoporosis. A “T” score between – 1 and – 2.5 is called osteopenia – a softening of the bone.
Bone mineral density testing should be recommended to all postmenopausal women aged 65 years or older. Bone mineral density testing may be recommended to postmenopausal women younger than 65 years who have 1 or more risk factors for osteoporosis (See Below). Bone mineral density testing should be performed on all postmenopausal women with fractures to confirm the diagnosis of osteoporosis and determine disease severity.
Risk Factors for Osteoporotic Fracture in Postmenopausal Women
• History of prior fracture
• Family history of osteoporosis
• Caucasian race
• Poor nutrition
• Low weight and body mass index
• Estrogen deficiency*
o Early menopause (age younger than 45 years) or bilateral oophorectomy
o Prolonged premenopausal amenorrhea (>1 year)
• Long-term low calcium intake
• Impaired eyesight despite adequate correction
• History of falls
• Inadequate physical activity
About the Author:
Dr. Murray Fox is a board certified gynecologist with Women’s Specialist of Plano. Dr. Fox has over 30 years of practice and expertise in his field. His special areas of interest include preventative medicine, pelvic floor abnormalities, adolescent gynecology, and robotic surgery. http://www.obgynplano.com/womens-doctors-physicians/dr-murray-fox-md/
Article Source: ArticlesBase.com – Bone and Calcium Metabolism: Prevention of Osteoporosis
Women’s Specialists Plano is pleased to combine our expertise in traditional surgery with the technological advancements of today. This video gives you an idea of the amazing capabilities of this machine. Dr. Daryl Greebon, Dr. Murray Fox, Dr. Jules Monier, and Dr. Dennis Eisenberg are early adopters of this amazing technology which significantly reduces recovery time, scarring, and typically overall patient satisfaction. If you are considering your hysterectomy options, please contact us for a robotic surgery consult.