Dr. Demetrio Aguila shares his excitement in performing the first surgery at Millard Family Hospital, a neighborhood hospital in Omaha, Nebraska fully equipped for surgery. Dr. AGuila was inspired by their mission of making healthcare accessible, personal and transparent.
Notalgia paresthetica is a peripheral nerve problem resulting in intense and sometimes painful itching in the mid to upper back and between the shoulder blades. Dr. Demetrio Aguila has a simple way to diagnose and effectively treat Notalgia Paresthetica. In this video he explains how.
Dr. Demetrio Aguila MD explains.
“Notalgia Paresthetica is a problem that occurs in the back. Patients will say I have got itching or a burning sensation. Sometimes they will say I have a stabbing sensation or sometimes they will say I have an aching sensation or electrical sensation. Other patients will come in and just say it hurts doc, can you please take away the pain.
The pain arises from some small sensory nerves that come out of the spinal cord. They branch off from the spinal nerves and they go to the skin and the muscle in that area the patient describes the exact spot right between the shoulder blades where they are having the pain sometimes above that level. sometimes below and then I am pretty sure I know what is going on.
In that case what we will do is a diagnostic block. We will inject that local anesthetic around the nerves that I think might be causing the patient’s
Pain. If we turn those nerves off and we turn off the pain and the patient say doc this feels great, I tell them well we can treat that.
There is a surgical procedure which is relatively straightforward in which we turn those nerves off permanently so that the patients do not end up with chronic pain.
Dr. Aguila is one of a few surgeons in the U.S. now offering TULA, tubes under local anesthesia. In this video he demonstrates how the procedure works in the doctor’s office without the cost or inconvenience of a hospital or general anesthesia. TULA is a simple, affordable and accessible option for kids and adults who need ear tubes as a result of frequent ear infections.
Dr. Demetrio Aguila demonstrates in this video:
We are going to show you exactly how TULA works with this little model patient that we have here now
The procedure is simple. This is the device that
we used to put the tube in. This has a tube in it right now.
I am going to show you how that works.
Normally I have magnification loops on which allow me to see a higher magnification.
I look in there after the child has had his or her ears appropriately anesthetized. They are made nice and numb I put the device in here like this and I press the button boom tube’s in that’s, it all done!
This training model has in it a simulated eardrum and there you can see the tube right in the simulated eardrum. TULA is simple, easy, convenient, affordable
What more can you ask for?
Carpal Tunnel Release with Ultrasound Guidance is an exciting option for patients with Carpal Tunnel Syndrome. The procedure is done in a doctor’s office instead of the hospital and the downtime is far less than traditional open surgery. As one of a handful of surgeons in the U.S. offering this procedure Dr. Demetrio Aguila finds another major advantage for patients involving their sleep. Take a listen and see if you are a candidate – https://visit.nemedic.com/m/dr-demetr…
Our team focuses on Pain-Focused Peripheral Nerve Surgery.
Healing Hands of Nebraska
701 Pinnacle Drive
Papillion, NE 68046
+1-402-370-9515 | Phone
+1-402-227-8245 | FAX
West Holt Medical Office
West Holt Medical Services
406 West Neely Street
Atkinson, NE 68713
**Practice Hours Subject to Change
1st Tuesday AND 3rd Tuesday of the month: 8am – 3pm (Atkinson outreach)
2nd Tuesday AND 4th Tuesday of the month: noon – 7pm
Wednesday: 8am – 3pm
Thursday: 8am – 3pm
Friday: 8am – 3pm
Saturday & Sunday: closed