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Hernias Transcript

Hernias – Michael Zadeh, MD Video

Opening screen with title “American Health Journal – AmericanHealthJournal.com”

Announcer: About ten percent of the population will have an abdominal hernia, however the majority of abdominal hernias occur in males.

Visuals: Announcer is a male in a suit sitting at a news desk in front of a blue background. He is introduced with the title “Roger Cooper – American Health Journal” in lower-third. An inset with the title “Hernia” is in upper right corner of screen with clips of a doctor pressing lightly on a male patient’s abdomen; a surgical team working on a patient.

Announcer (V.O.): We spoke with Dr. Michael Zadeh of Valley Presbyterian Hospital in the San Fernando Valley to learn about a new, minimally invasive procedure to repair hernias.

V.O. visuals: Dr. Zadeh walking up hospital corridor toward the camera, talking with another doctor; exterior entrance of Valley Presbyterian Hospital; surgeon working on patient through a port in his belly button; close-up of a tube being inserted into the port.

Michael Zadeh, MD: Think of a hernia as a hole in the abdominal wall, and the way it forms is you have a weakening in the muscles of the abdominal wall. And what happens when the hernia forms is that your abdominal organs, mainly fat or intestines, protrude or come out and bulge through this hole and get stuck.

Visual: Zadeh being interviewed in a studio, wearing a shirt, tie and white jacket, with a red wall and foliage background. He is introduced with title “Michael Zadeh, MD – Valley Presbyterian Hospital” in lower-third.

Zadeh (V.O.): And that’s where you can run into problems.

V.O. visual: Zadeh in hospital unit discussing patient chart with a female employee.

Announcer (V.O.): The doctor told us about the symptoms of a hernia.

V.O. visual: Close-up of Zadeh and employee.

Zadeh (V.O.): The main symptoms are usually pain, you feel pain at…

V.O. visual: Continuing close-up of Zadeh and employee.

Zadeh: …the hernia site. The most common sites of the hernias…

Zadeh (V.O.): …are in the belly button or the groin or at the site of a previous surgical scar. So most commonly you’ll feel pain at the site. You may or may not see a bulge, especially during straining or physical activity. The classic diagnosis is made by a physical exam. If there is any doubt in the diagnosis, there are tests such as CT scan or ultrasound that may help in the diagnosis…

V.O. visuals: Zadeh sitting at desk working on computer; another angle that shows the computer’s monitor; male worker loading boxes into the back of a truck; Zadeh gently presses on the abdomen area of a middle-aged male patient propped up in a hospital bed and they discuss his pain.

Zadeh: …but classically, your physician makes the diagnosis with a physical exam.

Announcer (V.O.): Dr. Zadeh describes the procedure for repairing a hernia.

V.O. visual: Zadeh continuing to talk with patient.

Zadeh: Well the only real way to treat a hernia is by surgery and the reason we like to operate on these is because if the hernia does get stuck and there is intestinal contents involved then the blood supply to the intestines may get cut off. And, that would necessitate an emergency surgery…

Zadeh (V.O.): …and possibly removal of that portion of the intestine. So that’s why we like to operate on them as soon as they are diagnosed under elective conditions. Single port surgeries are the latest advancement in the field of minimally invasive surgery and what it involves is making a tiny, 2 cm incision in the patient’s belly button and through this incision we put our surgical instruments and we’re able to accomplish a variety of procedures right through the belly button and the result is…

V.O. visuals: Another angle of Zadeh sitting at desk looking at computer monitor; close-up of surgeon’s hand pushing a tube with a camera attached to it, into the patient’s belly button port; an inset in top right appears displaying the inside of the patient’s abdomen; close-up of tube as it enters the port; split screen of a surgical instrument inside the patient’s stomach on the left, and surgeon’s hands holding instruments near belly-button port on the right.

Zadeh: …less pain for the patient and a virtually invisible scar. So we’ve come from, let’s say twenty years ago where we used to make six-inch long incisions and have patients stay in the hospital for two to three days for such a procedure to…

Zadeh (V.O.): …making a 2 cm invisible incision in the belly button and having patients go home the same day after the procedure, with minimal pain and returning…

V.O. visuals: Close-up of surgeon’s hands and an assistant holding the camera tube and another instrument at the port area; split screen of a surgical instrument repairing the hernia inside the patient’s stomach on the left, and surgeon’s hands holding instruments near belly-button port on the right.

Zadeh: …to activities a lot sooner than say, the conventional, traditional procedure.