Pan-facial atrophy. The 21st century word for the aging face. As fat and bone, muscle, and skin whither, the face shrinks and wrinkles. Most important, the face looks older. To my regret, Google Tyra Banks and Sandra Bullock. What a shame these two lovely ladies don’t understand the gestalt they communicate with their newly minted gaunt appearance. It seems strange that in a country where our primary health problem is obesity, a new generation of women and some men seek to enhance their appearance with an asthenic appearance.
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Peter (not his real name) developed a red spot on the tip of his nose 2 years ago. He is now 16 years old. Last week the spots became more red and formed 2 blisters. His mother took him to a board certified plastic surgeon. The surgeon told the mother he didn’t know what the lesion was but that he could cut it out. He advised them Peter would be left with a permanent scar on his nose.
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Neoadjuvant Therapy. Adjuvant Therapy. Learn these words. One or the other may save your life if you get cancer. I am largely alive today because I was one of the first participants in a clinical trial using neoadjuvant therapy to treat my pancreatic cancer in 2002.
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The poor prune. Delicious and rich looking as it may be, it is saddled with epithets like “prune-face”, a “wrinkled grape”, and a prune every morning keeps you “regular”. For a fruit whose taste is enjoyed by so many, the euphemisms seem dishearteningly displaced and not the least metaphoric. I mean, isn’t the image of the aging face wrinkled and collapsed? Don’t we think of the elderly as sweet and interesting but not to be overindulged? Of course neither you (the reader) nor I know what it is like to be “old”, but like a red face in an embarrassing moment, we know it when we see it. And none of us want to be there.
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My wife won’t let me have lunch with Liv Ullman. At least she won’t facilitate my having lunch with Liv Ullman. My wife is Swedish. Liv Ullman is Norwegian (almost the same). We will be visiting Swedish friends outside of Nice next summer. Liv Ullman lives outside of Nice. I have asked my wife to call her best friend to find someone who knows Liv Ullman and to invite her to have lunch with me. My wife laughs. Maybe she is jealous! I really don’t know. But Liv Ullman is 70 and I am 65, and sometime in the future we will be dead and I won’t be able to have lunch with Liv Ullman so I need to do this now.
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The dichotomy in the hype of filler products for facial rejuvenation has confused physicians and made intelligent comparisons (on the part of the public) virtually impossible. In order to understand the confusion in marketing fillers, I will divide the protagonists into 2 camps: the manufacturers and salons (medispas) vs. cosmetic surgeons, which includes sophisticated dermatologists, facial plastic surgeons, plastic surgeons, oral maxillofacial surgeons, and oculoplastic surgeons.
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On or about August 27, 2002 I awoke in the morning and went to work as usual. I did not know that my world as I knew it was about to change irrevocably. On a subliminal basis I knew that I had cancer of the soul. My marriage was in name only, my family dissipated, my work was my passion. I did not understand that in a few hours, a Kafkaesque moment, I would turn yellow and the cancer in my soul would become the cancer in my pancreas. That was then — now I am a 7 year survivor of a cancer that few get to tell about.
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I am not sure how many of the public noticed a provision in the proposed health reform legislation that would have placed a federal tax on cosmetic procedures. The provision was known as the Bo-TAX and it aroused a unified response from the medical community in general and organized medicine in particular. This proposed tax was a clear example of how out of touch the Congress is with the needs of the public. This always happens in government when those who govern make a career of governing rather than serving the electorate.
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