A large part of plastic surgery encompasses cosmetic procedures. Cosmetic surgery has come under attack recently in many different ways, but one particular editorial stands out as the most misguided effort yet. A very young woman felt it necessary to declare that cosmetic treatments should be declared illegal so that she does not have to feel the need to compete with other women for looks. Not much more has to be said other than we are a country of freedom where adults have choice. Choice includes also how we feel and respond to other people's decisions.
Wednesday, November 04, 2009
Everybody on the Bus!
Recently a fax came to my office offering a 2 day course in establishing and running a cosmetic practice featuring no less than eighteen (18) procedures! The course involves lasers, Botox, fillers, pulsed light (whatever that really does), needle free mesotherapy and.... how to market the practice. Wow, that is a lot to learn in two days especially since the course is offered by the American Academy of Family Physicians presumably for family physicians. I wonder how desperate doctors can get, and more importantly how good a care will they provide for their new-found cosmetic population not to mention their family care practice. We need a climate that allows each physician to practice his/her specialty (in which they spent many years training) without worrying about economic survival.
posted by Dr Leon Goldstein at 2:58 PM
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Thursday, September 24, 2009
A Money Saving Solution to Health Care Costs
I took a short break from blogging due to a busy schedule trying to keep pace with our economy and people's needs. Present concerns of most people centers around health care reform. We cannot have real reform without tort reform. The health care crisis comes down to lack of insurance for some people. Aside from those who do not choose to have insurance, the problem is cost of premiums and drugs. These costs have sky-rocketed because providing care or new drugs has become expensive due to liability for doctors and drug companies. Each group has to cover "all the bases" no matter how unlikely the event may be; and that my friends costs big time. I propose a very simple and expedient way to reform our tort system that can be initiated tomorrow: loser of the lawsuit pays all costs! That is too simple and too
practicle and too fair, and of course will never happen.
posted by Dr Leon Goldstein at 6:00 PM
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Friday, May 29, 2009
What Every Face Needs
Short of surgery which physically puts our anatomy back where it should be, the aging process should also be treated in terms of skin. We need moisturizers, cleansers, and sun screen on a daily basis; but once in a while we can augment our looks with laser treatments which smooth out our texture ,
botox treatments which smooth out our frown, laugh lines, and
fillers which lessen the deep folds. A unique combination of these procedures helps our face look as young and vital as possible.
posted by Dr Leon Goldstein at 9:42 AM
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Thursday, January 22, 2009
Pain Perception
Pain is both real and perceived. Everyone's response is based on biophysics and emotion. Emotion can of course play a big or small role depending on our psychological state of mind. Nonetheless the majority of our pain is based on very real biophysical and biochemical events. To simplify this event lets pretend that out nerve endings that carry pain sensation to the brain are a gate. Some gates are very easy to swing open with just a light touch or push , and others require pushing with both hands to swing open. Our nerves (gates) vary from person to person; and so nerves require much (gate pushing) or very little (gate touching) stimulation to create the sensation of pain. This is known as the Gate Theory of Pain and explains the differences in reaction to the same pain stimulus from person to person. It is an over simplification to label people as "wimps" or "stoics" and also, many times, unfair.
posted by Dr Leon Goldstein at 2:38 PM
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