People don’t appreciate anything they get for free…there absolutely must be some responsibility taken by each person for some level of financial sacrifice to get health care before they can make mature decisions about how to use or abuse that expensive product. Your child’s right to have free Accutane stops where I can’t afford to… [Read more…]
March 28, 2010
The reality is that you can not have every person get the most advanced treatment, because it just cost too much. I decided NOT because to have an MRI of my knee which has a torn meniscus [I think] because my copay is too much. A patient on welfare or medical or Medicaid or even… [Read more…]
March 28, 2010
For instance, in China, the people are hopeful to have breast cancer successfully treated…thats sufficient to make them happy at the current level of the care in China. Reconstruction of the breast there is rare and primarily just the placement of an implant…very rudimentary and not usually natural looking. Here in the US every citizen,… [Read more…]
March 28, 2010
I don’t deal much with insurance companies and I can not give an opinion about the health care bill that could be generalized for most physicians. I can tell you that plastic surgeons who I know are 90% against government take over of medicine since the patients who are most interested in earning money and… [Read more…]
March 26, 2010
Of course there is the cost of airfare. Although we make some adjustment on our charges to soften the blow, it may be a consideration for the average patient who is on a budget. Here again, we are talking about your nose and/or face and body and it is not the place to put savings… [Read more…]
March 26, 2010
So, you have gotten a consult with a doctor who is a plane flight away and you are trying to decide whether to travel to the rhinoplasty surgeon who you perceive to be more accomplished, or to stay local with a surgeon who you think is also good. Lets assume that you would choose the… [Read more…]
March 26, 2010
I have patients that travel from distant states and countries to have rhinoplasty. They have found me on the internet and they often have had a previous surgery and are being very selective about finding a revision surgeon who demonstrates a particular skill in correcting their particular problem. I also have patient come for primary… [Read more…]
March 4, 2010
So, I think the issue of volume diffusion is not important in comparing the Botox versus Dysport….and they are both equally safe in regard to side effects [very few, if any]…and therefore, I think the consumer can choose one over the other based on two things: 1]which doctor or nurse the patient prefers and 2]… [Read more…]
March 3, 2010
When I first described the use of Botulinum toxin type A to treat wrinkles in my study in 1987, I was pioneering and used a larger dilution than is currently used. Where I used about 0.5cc at an injection site and currently we may use about .1cc…so I had a larger volume of fluid [three to… [Read more…]
March 3, 2010
There is no definitive comparison of Dysport and Botox to determine if there is a good reason to prefer on over the other. They are both toxins of the same type from the same type of bacteria….and for all practical purposes, they are equally safe and effective and both are FDA approved. Botox is the… [Read more…]
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March 28, 2010
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