Makua: I surf all the big wave tours, chasing
the biggest, baddest things you ever seen Mother Nature throw at you. Robert, Strength Coach: Thereís probably
only 25 people on the planet that are capable of riding waves of this magnitude. His claim to fame for the outside world is
that he caught one of the worldís biggest waves. Makua: It looked like the whole ocean had
stood up all at one time. Robert: He was 17, and it really just changed
his life. Dr. Brian Weeks: Makua surfs the largest waves
in the world, the difference between life and death is often falling or not falling
on a wave. How were the waves when you were back home? Makua: Oh we had pipeline like as good as
it gets. Dr. Weeks: Are you serious? Makua: Yeah. I was supposed to have nasal
surgery since I was a kid, I was telling you, youíll probably find some stuff in there
that you probably never seen, you know? Dr. Weeks: One of Makuaís symptoms has been
some instability or just imbalance. This poor guyís nose needs so much help. Makua, it’s
amazing to see kind of what your poor nose has been through, my friend. The procedure
Makua is going to have is balloon sinuplasty. Iím excited to take care of youÖ. Basically
open up the nasal and breathing passages and get him back to functioning normal again.
Otherwise Iíll see you at Sharp at 7. Makua: Right on. Thank you doctor. Dr. Weeks: Youíre welcome. Have a great day. Makua: OK. Dr. Weeks: Bye Ö see you, man. Robert: He has been, as a young kid, rushed
to the hospital several times having episodes of sinus attacks. There you go, thatís opening
up. Makua: I was in the hospital nine months out
of the year, basically breathing out of a straw my whole life. Dr. Weeks: Most people that have had trouble
as long as Makua, their baseline has shifted. I mean they really donít remember what it
feels like to breathe normally. Makua: This you know little kid not being
able to breathe like Iím going to make it. Robert: One, two.Ö Iím making sure that
he stays in the best shape of his life. Because his life will be in danger any time heís
out there. Makua: You know you hit, ohhh, and all your
air is out, and you still have to stay out there, you donít have a referee, you donít
have a medic. Every other sport in the world, something goes wrong, someone is there. Oh
pause, time-out. Surfing there is no time-out. Dr. Weeks: This morning what weíre going
to do is weíre going to utilize balloon sinuplastyô technology with minimally invasive techniques.
Basic for the patient it means that we donít have to cut that soft, very sensitive tissue.
And because of that we have less bleeding, less pain, faster recoveries Ö all the good
stuff. Julie, RN: Dr. Weeks is doing the septoplasty
bilateral resection, maxillary ostiotoma bilateral submucosal resection and bilateral nasal endoscopy
with sinus lavage. Heís going to fix your nose. Dr. Weeks: This is a purely outpatient procedure.
He comes in in the morning and before lunch heíll be home and in his own bed. Heís not
going to be debilitated in any way. Makua: AhaÖ. Dr. Weeks: Ready to fix you up. All right
buddy, well listen weíre going to take good care of you, I treat everyone like family
andÖ. You know, surgical treatment can cure a problem
in a matter of an hour. And really completely turn somebodyís life around so this is really
at the end of the day why Iím a surgeon and why I do what I do. Unfortunately Makua has broken his nose probably
five times. Been hit in the face with surfboards. Just a really disrupted airway on both sides.
On a scale of 1 to 10, his would be a 9.9. Instead of using instruments that cut and
remove bone, weíre using an instrument that we place inside of a blocked passage and dilate.
It’s very similar you know to cardiac angioplasty. Everything thatís there has a purpose. And
if you donít have to remove things that are made to be there, thatís better for the patient. House lights off, please. And the reason the technology works is weíre
dealing with very, very thin, paper-thin bone and the balloon is a very high-pressure device.
OK, Iíll take the maxillary balloon. That balloon when it’s inflated it will micro fracture
that bone and then it will heal in that open position. So what Iím going to do now is
look down on his cheek, you can see that light moving in his face, so thereís no doubt that
Iím in the right position within his sinus. OK, so now weíre going to gently inflate
the balloon. Beautiful, thatís great. To me that picture right there is the essence
of balloon dilation. Thereís absolutely zero bleeding, so weíve done one side and weíll
go ahead and get ready to treat his other side. He will be good to go. To me the art of medicine is connecting with
the patient on a personal level. I mean thereís no question that outcomes are better when
patients trust and when patients feel an emotional connection. I just want to tell you everything went perfect
buddy, OK? Could not have been better. You got one day and youíll be like a new
person tomorrow. OK? All right, my brother. Physician Assistant: Take a deep breath. Exactly.
All right, Iíll see you next week, right? Makua: Right. Dr. Weeks: Air is hitting places that it’s
never hit before. Makua: It feels like all tingly. Dr. Weeks: Like you canít believe. Youíre
healing beautifully, my friend, absolutely beautifully. Makua: Thank you. Dr. Weeks: No limitations, back in the water,
everything, surf today if he wants. Robert: Perfect. Dr. Weeks: This is the standard of care now
in sinus surgery. Makua: (Deep breath) Amazing, life changing,
doctor Ö life changing. Thank you so much. Itís a whole new world now.