Taking care of patients

Dr. William Kesto on Orthopedic innovations and Chaldean heritage

By Monique Mansour

William Kesto, MD The Core Institute.jpg

Dr. William Kesto grew up in Metro Detroit – in West Bloomfield, more specifically, and is proud to call the area home. He knew that he wanted to be a physician since he was a teenager in high school. “My interest in the career path progressed throughout college. I always knew I loved the sciences and wanted to help people,” he explained.

Kesto worked hard to make his dream a reality. He earned his undergraduate degree at the University of Michigan and his medical degree at Wayne State University. He went on to serve as a resident at Detroit Medical Center and completed a fellowship at Cincinnati Sports Medicine. He now serves an Orthopedic Surgeon at the CORE Institute in Novi, Michigan.

“I love the field of orthopedic surgery. It allows me to help people improve their function. The results are tangible. We can fix broken bones, repair torn tendons and ligaments, and replace degenerative joints. This helps people obtain pain relief and return to their activity, from daily walks to high level sports. I also love that the field is always changing and advancing to provide better treatment for our patients,” said Kesto.

Kesto, along with Dr. Jefferey Michaelson, pioneers a LIPOGEMS program at the CORE Institute. LIPOGEMS is an innovative medical advancement within the field of orthopedics which utilizes body fat from a patient as a treatment option for certain orthopedic maladies and ailments.

“LIPOGEMS was invented by an Italian physician from Milan, Italy. He found a way to clean the fat using only saline and resize the fat without destroying the key cells and structure. It came to the United States in 2015 and is FDA cleared for use in orthopedics and arthroscopic surgery,” he explained. “The company wanted to responsibly bring this option to patients by offering it to orthopedic physicians that are trained in musculoskeletal care instead of the traditional stem cell clinics that offer unapproved products.”

The CORE Institute is one of many institutions offering LIPOGEMS along with the Hospital for Special Surgery, New York University, Emory University, Duke University and others.

“We started to offer this to our patients as we saw more and more patients who are older, highly active, as well as ones that are looking for other options that are more natural and minimally invasive,” said Kesto.

LIPOGEMS also potentially creates an alternative for patients who cannot have surgery or fear complications from surgery. “LIPOGEMS is a minimally invasive and FDA cleared option for these patients. It’s ideal for patients that have tried conservative therapy which may have included treatments like physical therapy and corticosteroids and are not ready for major, invasive surgery,” said Kesto.

Kesto has witnessed firsthand how transformative LIPOGEMS can be for his patients. “We have seen success in 70 percent of our patients. They’ve been able to postpone surgery,” said Kesto. “It’s been very fulfilling for me as a physician to see these results.”

Kesto credits his Chaldean heritage for his success in medical school and beyond. “My parents immigrated in the late 70s and taught me the importance of hard work and a strong work ethic. This is something I’m very proud of,” the doctor explained. “I spent many years working at the family business where I learned communication skills and the value of determination and perseverance. These experiences helped me considerably during the arduous process of medical school and residency. No one could outwork me and I was rewarded tremendously for that.”

Kesto’s parents gave him sound advice on how to treat people which he has incorporated into his own medical philosophy. “My dad has always told me to ‘Take care of people, and never say no.’ I have always carried that with me. I have joined the Chaldean Health Professionals to continue to grow the medical influence in our community,” said Kesto.

To aspiring medical students and future physicians, Kesto offered the following. “Immerse yourself in the field. Shadow doctors of every specialty. Spend time in the clinic and in operating rooms. The medical school process is very long and competitive. You really have to love it to endure 15 years of college, medical school, residency, and fellowship.”