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Archive for the ‘Miscellaneous possibly useless knowledge’ Category


Happy Holidays!

Saturday, December 5th, 2015

Hope all of you are having a nice holiday season. Unfortunately, my uncle died unexpectedly last week. He was a great guy, a retired economics professor and a calm anchor in our family-always someone who was centered, rational and caring.

My aunt shared a speech from Steve Jobs. If you’ve been following my blog, you may remember me questioning what this man thought on his deathbed. Well, now we have the answer:

“”I reached the pinnacle of success in the business world. In others’ eyes, my life is an epitome of success.

However, aside from work, I have little joy. In the end, wealth is only a fact of life that I am accustomed to.

At this moment, lying on the sick bed and recalling my whole life, I realize that all the recognition and wealth that I took so much pride in, have paled and become meaningless in the face of impending death.

In the darkness, I look at the green lights from the life supporting machines and hear the humming mechanical sounds, I can feel the breath of god of death drawing closer …

Now I know, when we have accumulated sufficient wealth to last our lifetime, we should pursue other matters that are unrelated to wealth …

Should be something that is more important:

Perhaps relationships, perhaps art, perhaps a dream from younger days

Non-stop pursuing of wealth will only turn a person into a twisted being, just like me.

God gave us the senses to let us feel the love in everyone’s heart, not the illusions brought about by wealth.

The wealth I have won in my life I cannot bring with me. What I can bring is only the memories precipitated by love.

That’s the true riches which will follow you, accompany you, giving you strength and light to go on.

Love can travel a thousand miles. Life has no limit. Go where you want to go. Reach the height you want to reach. It is all in your heart and in your hands.

What is the most expensive bed in the world?

Sick bed …

You can employ someone to drive the car for you, make money for you but you cannot have someone to bear the sickness for you.

Material things lost can be found. But there is one thing that can never be found when it is lost — Life.

When a person goes into the operating room, he will realize that there is one book that he has yet to finish reading — Book of Healthy Life.

Whichever stage in life we are at right now, with time, we will face the day when the curtain comes down.

Treasure Love for your family, love for your spouse, love for your friends.

Treat yourself well. Cherish others.”

Also, if you have been following my blog, my ALS patient is still hanging in there. She and her spouse are truly an example of love and strength.

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Restylane, Juvederm really do last

Wednesday, May 7th, 2014

How do I know? Our practice has the largest series to date of incidental hyaluronic acid filler found during Mohs surgery years after placement. This study was presented at the recent Annual Meeting of the American College of Mohs Surgery in Phoenix last weekend. One of my patients had filler put in her lips five years prior!

That being said, patients are often afraid of looking crazy after filler. After the Oscars, which I usually do not watch, I kept hearing about Kim Novak. OK, don’t know who she is, but I later caught a clip of her on TV. Oy! It reminded me of the movie Mask. I can assure you that I keep patients looking like themselves. The best cosmetic doctors have patients who do not look done. Unfortunately in LA there tends to be a strangely unnatural aesthetic which I don’t subscribe to. Most patients only need 1-4 syringes of filler, the younger you are, the less you need. I allow the patient to see themselves as we go along to make sure we are on the same page.

I get it though. Mid-life crises, anti-aging procedures and relationships were the dominant topic of conversation in Phoenix (I reassure you, I also did learn a lot about cutaneous oncology, but that might bore you). The best part of going to the meeting was the traditional slumber party with my 2 good friends. No Wedding Planner movie in the background-this time the Golf Channel. I diagnosed more orthopedic injuries from Cipro, saved my friend’s husband’s vision, played marriage counselor, and got helpful golf tips. I am putting Korean LPGA women to shame, I am just learning now, but at least I can make contact with the ball most of the time and drive it about 90 feet. Mini golf, anyone? I rock at that…

Saving people from blindness? This blog spans more than dermatology. If you know anyone with high myopia (translate into “blind as a bat”) they are at high risk for a spontaneous retinal detachment and should be examined annually by a general ophthalmologist or retinal specialist. Sudden floaters or flashing of lights are an eye emergency. Otherwise you face placing your head down in a special chair for 6 weeks, no plane rides, and possible permanent vision loss. Fortunately, I had mine caught early on a routine exam. My friend’s husband was trying to play his own doctor, and was given the advice to come back in 3 months. I prodded him to see a retina specialist. Luckily, I met him a long time ago and he is more apt to listen to me than his own wife (hence the counseling).

I watched more TV than I had in months. CNN is still talking about the downed plane, Fox News is still talking about Benghazi. I guess I’m not missing anything? Just kidding. Our news channels are embarrassing at times. I was just happy to get away from watching shows about aliens on H2. Sadly, there may be more substance there!

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Posted in Juvederm, Miscellaneous possibly useless knowledge, Mohs surgery, Restylane, Skin Cancer, Uncategorized | No Comments »

Fatherly advice

Thursday, February 10th, 2011

My parents like to send me letters. I did enjoy the article my dad recently sent from US News and World Report “10 Tips for Living to 100″

Of course, we need to accept that none of us can control the inevitable and when this will happen, but hey, why not try?

1) “Don’t retire”-Check. I plan on working until my one of my daughter’s takes over, if they desire to do so, or they are out in the working world. I have a long way to go! Let’s hope I stay healthy enough to do so, so let’s read on…
2) “Floss every day”-Semi-Check. I have been better at this since getting my teeth worked on lately
3) “Move around”-Check. With 2 toddlers and a busy practice, no problem, but I do need to find time to exercise
4) “Eat a fiber-rich cereal for breakfast”
-Semi-check-I can’t do oatmeal every day. I like my Peanut Butter Bumpers, toast, toaster waffles and weekend lox sandwiches from Juniors.
5) “Get at least six hours of shut eye”-Check. I am not a likeable person otherwise and this is half the reason I am a dermatologist
6) “Consume whole foods not supplements”-Check. I’m a terrible pill taker

7) “Be less neurotic”-Semi-check. Is this possible in LA? At least I am conscious of my neuroses.

8) “Be a creature of habit” (keep a regular routine)-Check. My kids won’t let me oversleep
9) “Live like a seventh-day adventist” (no smoking, alcohol, or overindulge in sweets-what about caffeine?) Semi-check. I love my tea and coffee
10) “Stay connected”-Semi-check. Toddler class and Facebook have been great for this but I need to make more of an effort in LA compared to anywhere else I’ve lived

How are you doing on this?

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Vitamins and cancer

Thursday, May 13th, 2010

Can’t remember where I read this, but folic acid may cause cancer. Also, carrots (beta-carotene) may increase lung cancer risks in smokers. I find the latter hard to believe, but there was some mechanism by which this made sense. There is also a lot of controversy about whether it is better to avoid antioxidants during chemo or radiation since their mechanism of action sometimes involves the creation of free radicals.

Of course, when you’re pregnant folic acid is a must. You can’t really avoid folic acid in multivitamins either, so what are we supposed to do with this information?

Broccoli has been shown to prevent colon cancer and skin cancer (Go Verdure Matte Moisturizing Physical Sunscreen with Antioxidants!) . We are told to keep eating more plant based foods to prevent cancer and obesity. Of course, many of these crops are laden with pesticides unless they’re organic. Even with effort, I can’t eat 100% organic.

Fish is supposed to be good for you. But with mercury, this horrible oil leak and whatever toxins/drugs are spilled into our water supply does this mean that I am permitted to eat more Happy Meals and In-and-Out burgers?

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Posted in Comedy, Miscellaneous possibly useless knowledge, Skin Cancer | No Comments »