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Helpful information on the world of beauty and aesthetics supplies.
Should Plastic Surgery Be Free?
It may seem improbable, even shocking, but the fact is there are people who probably visit your office hoping that the work you perform on them will be "free of charge." Perhaps such people have read somewhere that standard health insurance fully covers elective Plastic Surgery and they want you to perform surgery on them for no cost. Of course, any surgeries you perform require payment. And you certainly deserve to receive compensation for the skills and knowledge you've acquired, beginning with many years of schooling and the years you've spent since then honing your plastic surgery skills. It seems clear that education is key to helping your potential patients understand that there is a cost involved in your professional services and that it can be signficant. When you engage in an initial consultation with a potential new patient, simply let him or her know that there are three primary costs involved in the work you will do. The first charge is for the Surgical Fee and it is li [Read more]
What You Need to Know About Breast Grafting
Breast augmentation is a big business in the United States. Women who are unhappy with their physical appearance and those who are recovering from cancer surgery are all potential clients, their self esteem and self confidence at stake. As a practicing Plastic Surgeon, you know that the search for the "perfect" breast implant material has gone on seemingly forever and has resulted in a variety of interesting choices, everything from soy oil to paraffin. But those materials have never felt natural to women who have had augmentation surgery and, like so many other materials, have become "failed experiments." The current use of silicone implants is in vogue, in part because they have a high safety profile and because they produce the desired results -- larger and more shapely breasts. However, many women do not like the idea of putting something "foreign" in their bodies, a substance that feels unnatural to them. As a result, "fat grafting" has begun to grow in popularity among Plasti [Read more]
The Facts About Artefil
It is a well known fact that many plastic surgeons in the United States refuse to use Artefil, a widely circulated filler, because of their fears about long term complications that may result from its use. The filler, which had been heavily used when it was first introduced, actually went "off the market" for quite some time after its manufacturer, Artes Medical, went bankrupt. The product reappeared when a new company, Suneda, began offering it for sale. Today, many plastic surgeons continue to use this filler product without concerns because it does not produce granuloma, does not produce migration, does not produce lumps (all concerns associated with Artefil in the past), but does help in the completion of a successful cosmetic restoration. That is the story about Artefil in the United States. There has been a much different result in Europe. Doctors in Western Europe have, for the most part, discontinued using Artefil because of a variety of problems associated with its use. In [Read more]
The Issue of Buyer's Remorse
Medical professionals, in particular Plastic Surgeons, know that there is often Buyer's Remorse from patients, especially after an operation has taken place. The patient, in post-operative discomfort, often wonders why he or she has agreed to subject himself or herself to so much pain and expense, feelings that occupy a patient's mind while recovery is occurring. In your role as a Plastic Surgeon, you know that the vast majority of the surgeries you perrform are elective and not necessary. They are done for cosmetic reasons and have little or nothing to do with a patient's health and well-being. People who submit to elective surgery often have doubts about the wisdom of their decisions. You can help dispel those doubts by acting as a kind of resident psychologist, the wise physician who reminds the patient just why he or she agreed to the surgery. Tell such people that their decisions were wise and sensible and then point out the many benefits that can now be enjoyed after the surg [Read more]
The Problem of Unrealistic Patient Expectations.
Frequently, as you almost certainly know, patients have unrealistic expectations about cosmetic surgery and the results they can get to enjoy from your skilled hands. While most patients that visit your office are probably realistic, it is the percentage of your patients that expects miracles who can make life difficult for you. It's a problem you have certainly encountered from time to time and, it may be one in which you have found it difficult to please the woman or man that accepted -- and paid for -- your services. In truth, there is no easy way to deal with unreasonable expectations. Perhaps the best thing you can do when a potential client consults with you is to be as honest and forthright as possible. If you take that approach, you stand a better chance of modifying expectations you can never meet and that may help your new patient become more realistic. For you and for your potential patient, it is really all about "dreams versus reality." And if you can get a soon- [Read more]
Will ACA be a boon for concierge care?
Mark Niedfeldt, MD, a family physician who practices concierge medicine in a Milwaukee suburb, is fairly certain he'll gain new patients when the Affordable Care Act's main coverage provisions go into effect in 2014. Clients who recently joined the practice tell him, “I figure I should get in now because you'll be full, and I wanted to make sure I had a concierge doctor,” said Dr. Niedfeldt, who runs a traditional retainer practice for individuals as well as a corporate option that offers eligible employees concierge-level primary care. He also sees sports medicine consults. Many of the new patients are business owners themselves, “so they know what's coming,” he said. Dr. Niedfeldt said the new patients are simply doing the math. An estimated 30 million additional patients will enter the insurance system starting in 2014, and based on the fact that many primary care doctors are nearing retirement age, consumers know there are going to be fewer physicians to treat them, h [Read more]
ACA Medicaid expansion leaves out 3.5 million immigrants
Even if they're legal residents in a state that expands Medicaid, many poor immigrants still are not eligible for coverage. The Affordable Care Act provision calling for states to expand their program eligibility up to an effective rate of 138% of poverty has been seen as an important coverage tool for low-income populations next year. But a Robert Wood Johnson Foundation report released March 18 estimates that about 3.5 million legal immigrants or those in the country illegally, who make up about 17% of all low-income, non-elderly uninsured adults, won't be able to get coverage under this provision. Immigrants who are in the country illegally are excluded from expanded coverage automatically. Those who recently became legal residents are not going to be eligible right away, as they are barred from Medicaid coverage for the first five years after they become permanent U.S. residents. Most Americans assume the ACA covers everyone, “but what this report shows is that there are st [Read more]
Residents doubt work-hour limits benefit patient safety
Two new studies say limits placed on resident work hours in 2011 may need to be tweaked to foster the safer learning and patient care environments these rules set to create. Limits on resident work hours — particularly a 2011 rule that allows first-year interns to work only 16 consecutive hours instead of the previous 30 hours — resulted in more self-reported medical errors, according to a University of Michigan Medical School study published online March 25 in JAMA Internal Medicine, formerly Archives of Internal Medicine. The limits also resulted in a perception that the quality of care deteriorated and documentation that more patient handoffs occurred, something shown to increase errors, said a study by the Johns Hopkins University School of Medicine that also was published online March 25 in JAMA Internal Medicine. The studies found that the extra sleep residents got as a result of working fewer hours did not seem to be significant, depression rates were not significan [Read more]
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