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GERD Testimonial – Sharon

 

Dr. Ihde: GERD or Gastroesophageal Reflux Disease, is when acid moves out of the stomach and into the esophagus. Its commonly called reflux disease or heartburn. Consisting of that burning sensation that you get in the chest. Also when people lay down they get fluid that comes up and they can taste the acid in their mouth that can cause erosion to the esophagus.

Sharon: Before visiting with Dr. Ihde, I had severe acid reflux. It was so severe that I would lose my voice, and it was affecting my job. I had to watch the foods that I ate; I was on a real strict diet. I tried everything over the counter, and nothing would work.

Dr. Ihde: A lot of the time the patients complain that they can’t sleep at night, because the acid comes up and wakes them up in the middle of the night. In addition they end up with a chronic cough and clearing of their throat, and sometimes even having trouble with their jaw. If they have to talk for a living.

Sharon: The acid was coming up even during the day, no matter what I ate. Even with the strict diet it was still happening. It would make me hoarse, my vocal chords were really burned.

Dr. Ihde: With Sharon we were really able to do a trans oral fundoplication, to recreate the valve at the end of the esophagus. And this seems to have controlled her symptoms very well. Off of medication, not having to take those medications every day and avoiding the risk of those medications.

Sharon: Just from everything that he told me, or the questions we talked about I knew there was an answer to the problem that I had. I kind of felt like there was no hope, and my life would always be watching everything I ate. Always being hoarse, things like that. He gave me hope that things would eventually get better. The surgery that I had, that Dr. Ihde performed it has changed my life dramatically. I can eat whatever foods that I want, I can sleep at night. I would definitely recommend Dr. Ihde for anyone having any acid reflux, severe problems. It has really changed my life, and I’m happier. My family is happier and we’re able to enjoy things way more than we were before.

 

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GERD Testimonial – Kim

 

Dr. Ihde: Kim came in with some of the typical symptoms of reflux. A lot of burning sensation, particularly when she lays down to go to sleep. She has acid come up into her throat, and so we did an endoscopy to look at her anatomy. She did have hiatal hernia.

Kim: Before I found Dr. Ihde, I had been on GERD medication for over ten years. I had been diagnosed with hiatal hernia, which conventional wisdom had told pervious doctors that we just leave it alone. It wasn’t bothering me that much and I’d learn to live with the GERD medication.

Dr. Ihde: Most of the patients that self-refer themselves are so far along the disease process that they have no just the reflux but other damage as well.

Kim: So he checked everything. Not just what would have been GERD related. He wanted the whole picture of Kim, rather than just this, oh one little thing and this one little medication and she’s tired of taking it. It wasn’t that approach at all.

Dr. Ihde: We went through a little bit of the history of surgical treatment of reflux disease to give her an idea of how many things have been tried and what the outcomes are. And then talked a little about the newer procedure, how we could use this in concert with her hiatal hernia repair. And fold the stomach back onto the esophagus to recreate the valve at the end of this esophagus. And that would control both the regurgitation and the heartburn as well as some of the other symptoms she was having.

Kim: He suggested we do some preliminary tests of course, but he thought that I was a good candidate to have a TIF procedure.

Dr. Ihde: There are multiple procedures for reflux disease, and they are all called fundoplications. Which is kind of a big term that means, we are going to fold the stomach onto the esophagus.

Kim: Dr. Ihde is just such a caring physician, and is so involved in what is current and what is the latest information about GERD. I think Dr. Ihde is the number one guy.

 

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GERD Testimonial – Jacob

 

Dr. Ihde: So reflux disease can be treated initially with taking medications, antacids; over the counter medications are very common. When your reflux becomes more severe, then people tend to go onto medications on a daily basis which is really not what those medications are designed for.

Jacob: I was always having to worry about taking medicine, having the medicine with me and really having to watch what I ate. I had the heartburn and everything for about five or six years before I finally went to the doctor and did something about it.

Dr. Ihde: Medications are really a chemical treatment for a mechanical problem. We’re chemically changing the composition of the fluid, but we’re not changing the mechanics that keep the fluid in the compartment where it’s supposed to be. And that’s what surgery does.

Jacob: When I went to see Dr. Ihde, he explained to me what was actually going on. And then we just set up a scope to go in and check and see if I did have hiatal hernia and what exactly was going on.

Dr. Ihde: The fundoplication procedure is done with a new device called, the EsophyX device. We pass that with the T.V camera into the mouth and down the esophagus into the stomach. And then it folds back on itself so we can attach to the junction of the esophagus of the stomach. It has a flap that will fold the fundus part of stomach onto the esophagus. Then put the sutures in.

Jacob: The surgery went in and corrected the hiatal hernia. Where the stomach had gone through my diaphragm, he fixed that and then the trans oral incision was fundoplication. Rebuilt the valve, so the stomach acid couldn’t come back up my esophagus.

Dr. Ihde: We usually have them on a two week diet of liquids, soups, and then we spend the next four weeks with soft foods. And then at six weeks they can go back to eating the, beef, chicken, raw fruits and vegetables. Those sorts of things that are a little harder to get down, and would put a little more strain on the repair.

Jacob: I’m not in pain every day. I don’t have to worry about when and where I take medicine. I can eat whatever I want. It’s been great; it’s changed my life for sure.

 

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Reflux Symptoms Resolved with TIF Esophyx


Dr. Ihde – Again I just want to thank you for coming, and for helping us get the word out about this procedure. It’s a new procedure; it’s only been around for about three years. About five thousand patients have been done, so it’s by no means experimental. It was FDA approved three years ago. But on average it takes 10 years for something new to get out to the common practice. So you came in with heartburn reflux symptoms, what symptoms were you having when you came in?

Patient – I actually didn’t have any heartburn, I just had reflux symptoms.

Dr. Ihde – And was it chest pain, or burning, acid in your mouth or all those things?

Patient – Well it started with chest pain, and so those are the normal beginning symptoms of acid reflux. And I never had the heartburn, but I just had the acidic taste in my mouth and acid in my esophagus.

Dr. Ihde – When you laid down at night did you have fluid or acid come up to your mouth?

Patient – Every night.

Dr. Ihde – Every night?

Patient – Every night.

Dr. Ihde – And where you sleeping on pillows, or sleeping upright when you slept?

Patient – Well the fact that I bought a new bed that was pretty expensive, which is nice to watch TV in. But it was for sleeping and to hopefully have gravity work and have the acid work the way down. But it didn’t even work.

Dr. Ihde – So how long have you been having these symptoms?

Patient – Well it just got progressively worse and worse, and I would imagine it was two to three years.

Dr. Ihde – And if you could pick one aspect of your reflux disease, what was the worst part of it?

Patient – it was every morning when I would wake up with the taste of acid in my mouth.

Dr. Ihde – Were there foods that made that worse, that you tried to stay away from?

Patient – Corn chips, tomato sauce, the normal culprits.

Dr. Ihde – And sort of what treatments were you on to kind of control that?

Patient – Well I was trying everything from apple cider. Drinking apple drinking, and anything to try to neutralize the acid. I would take Prilosec, but nothing really worked.

Dr. Ihde – Were you taking that medicine once a day or twice a day?

Patient – I would take it everyday.

Dr. Ihde – Even though you were on the medicine were you still having these episode?

Patient – Yes.

Dr. Ihde – So you saw other doctors for this, and what were they saying?

Patient – Well the only other doctor I saw for it, it was probably during the first year. And they did diagnose me with acid reflux. And to just be on medication and to just keep an eye on it. But it got progressively worse and worse as time went on.

Dr. Ihde – So how did you find out about me?

Patient – I was watching the cowboy game and there was the news anchor said, new acid reflux procedure tonight at ten. And so I hit record on my DVR, and made sure to record on the other DVR so I wouldn’t miss it. And I wrote your name, and I called you the next day.

Dr. Ihde – And once we saw you, what kind of work up did we do to evaluate you?

Patient – Well you had the initial visit, and you explained the procedure to me. But we had to do an upper endoscopy to make sure I was a via candidate.

Dr. Ihde – And then which procedure did you have done?

Patient – well I had the TIF procedure, and then I also had the hiatal hernia which I had repaired at the same time.

Dr. Ihde – And how long has it been since you’ve had your surgery?

Patient – I had it in March, so that’s probably about six, seven months.

Dr. Ihde – And what was your experience with the surgery, good, bad, not good?

Patient – Well the surgery with being under anesthesia and coming out of it, it takes a while to feel back to your normal self. No matter what you have done. So the surgery on the procedure wasn’t bad it was just obviously the anesthesia and kind of just feeling like your normal self after a while.

Dr. Ihde – How long did you stay in the hospital?

Patient – I stayed till the following evening.

Dr. Ihde – How long at home before you felt normal again, or you felt like doing your regular activities?

Patient – Well I had that procedure done on a Friday, and I left the hospital on Saturday. I could have done to work on Monday, but I went on Tuesday.

Dr. Ihde – How long before you felt like there was a change in your symptoms?

Patient – Immediately.

Dr. Ihde – Immediately. Ok. Are you taking any medicine for heartburn now, reflux?

Patient – No.

Dr. Ihde – Are you having any reflux?

Patient – No.

Dr. Ihde – Have you had any reflux since surgery?

Patient – No.

Dr. Ihde – That’s pretty impressive. So have you started to eat other foods before you avoided?

Patient – Yes. I learned to live without fried foods, so I haven’t really gone back to them. They are kind of to watch my diet.

Dr. Ihde – That’s probably good for you.

Patient – Yes, it’s good for me. I’m open to it, and I have had some of those. And everything doesn’t cause any problems at all.

Dr. Ihde – Are you pretty satisfied with the procedure then?

Patient – I’m very satisfied.

Dr. Ihde – Something you would recommend to a friend?

Patient – Anyone who has these types of symptoms, and is suffering no longer has to suffer. That’s the word that needs to get out. Is that I don’t think a lot of people are prevute to this information and once they find it out. They can have their life back and just live a normal life.

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TIF Esophyx Incisionless GERD Surgery


Dr. Ihde – So I just kind of wanted to go over your experience with your reflux procedure. You had a newer procedure called, a transoral fundoplication. Which means we went in through the mouth to create a valve at the end of the esophagus. So tell me what kind of symptoms were you having that brought you in for your initial consultation.

Patient – When I initially came here I was having heartburn and reflux all day long. I would sit on the side of the bed in pain, I couldn’t walk ten feet without in starting up again. I’ve been on every type of medication; I’ve been treated otherwise with medication and all the other stuff you’re supposed to do. Change your diet, tilt your bed, take antacids, don’t eat after a certain time of night. I had pretty much given up hope that I would have to be that way.

Dr. Ihde – How long had that been going on for?

Patient – The actual all day pain had been going on for over a year.

Dr. Ihde – If you could pick out one of those symptoms that was the worst part of your reflux disease?

Patient – The burning and the pain that would shoot down my arm. It would just double me over and take my breath away. It was so horrible.

Dr. Ihde –  Were there any kinds of foods that made that worse? That you said, well you know I just can’t eat this anymore?

Patient – At the point where I was at when I came to see you, I couldn’t pretty much eat hardly anything. Everything bothered me.

Dr. Ihde – What would you eat day to day?

Patient – Soups, sandwiches. I took fried foods out of my vocabulary, I took Mexican food out. Pretty much everything just bland.

Dr. Ihde – Okay. And then you tried other treatments, you saw other doctors. Tell us about that.

Patient – Yes, I had gone to other doctors, in fact being treated by one for a couple of years. And basically what we did was kept changing medication, and nothing was working. And then it just got progressively worse and worse. At that point, the only thing they had to offer was to go in surgically and I didn’t want to have that done.

Dr. Ihde – And which medicines were you on when you finally ended up coming to see me?

Patient – I was on nexium, and I was taking antacids. And then you had put me on another medication.

Dr. Ihde – Okay.

Patient –  That helps. And I was also taking regaline.

Dr. Ihde – Regaline.

Patient – Which I had to quit taking because I started having side effects.

Dr. Ihde – Okay. And then how did you hear about me?

Patient – Actually, my husband was talking to his brother on the phone one night, because his wife had an appointment to come see you. So he was telling us about you, said go look at your website. We went and looked at your website, and then my husband went ahead and called you. Because at that point, I could hardly move and talk to people. I was in so much pain. Made the appointment with you, and I got my life back.

Dr. Ihde – So what kind of work up did we do to evaluate your reflux?

Patient – You saw me first initially in the office, and we discussed the procedure. And then you did the endoscopic to see what was going on down there. Once you did that, you determined that I was a candidate for the procedure and went from there.

Dr. Ihde – So can you describe the procedure that you had done?

Patient – What happened was, you had a piece of equipment that went in through the mouth and went down through the esophagus and into the mouth. It pulled the stomach lining up to make a new valve. And then you pulled down where the hiatal hernia was and tacked it down, and came back out through the mouth.

Dr. Ihde – Very good. So you had hiatal hernia? But we didn’t make incisions to go fix the hiatal hernia; we did that at the same time?

Patient – That is correct.

Dr. Ihde – How was your surgical experience, good, bad, ugly?

Patient – The surgical experience was good. I think probably the first week was the hardest, because it was hard to get pills down when your throat is swollen. I had a very sore throat, it was hard to talk. But once I got over the initial week or so, things keep on getting better day by day.

Dr. Ihde – So how long before you felt back to normal?

Patient – Before I really felt back to normal it was probably about three weeks.

Dr. Ihde – Ok. How long did you stay in the hospital?

Patient – Over night. Stayed overnight, got to go home the next morning.

Dr. Ihde – How long before you noticed a change in your reflux symptoms?

Patient – Immediately, when I woke up I hadn’t had a reflux since the day I had the procedure done.

Dr. Ihde – No symptoms of reflux?

Patient – No.

Dr. Ihde – Are you taking any medicine for reflux now?

Patient – No I’m not.

Dr. Ihde – How about foods, are you eating foods that used to cause reflux?

Patient – Yes, I’m back to eating Mexican food and pizza again.

Dr. Ihde – Is that causing you any problems at all?

Patient – Not a problem at all.

Dr. Ihde – So overall, pretty satisfied with the way the procedure went?

Patient – Absolutely.

Dr. Ihde – Is this something you’d recommend to a friend?

Patient – Absolutely, in fact I’ve got some people who are coming to see you and have already called you.

Dr. Ihde – Well that’s a very nice complaint and I appreciate it.

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