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Re: More Doctors Turning to the Business of BeautyFrom: Jay Kulkin (jkulkin@mindspring.com)Thu Nov 30 19:29:00 2006
I've stayed pretty quiet on the list for a couple of years (but I'm still here) as I've been busy developing a cosmetogynecology practice. Neat name? In any case, with our CO 2 laser and electrosurgical experience I decided to investigate this field 5 years ago and found plastic surgeons and derms delegating these procedures to medical Assts who had no knowledge of laser physics or surgical principals. It was rather eye opening to say the least. Well, we've now done 25,000 procedures, have 7 lasers and 2 offices. I teach CME's around the US and often teach Derms and Plastics that have no experience. A few weeks ago I had 4 Derm residents in the audience and they too had no cosmetic training. Patient demand is quite significant to say the least and I can't tell you how many patients I've seen that came from suboptimal outcomes in plastic and Derm offices. We detect PCOS and other endocrinopathies just from cosmetic complaints and find this work quite professionally rewarding. As I tell my patients, if I see a suspicious lesion, I get a Derm consult as I also do for Dermatologic disease. Otherwise, we can do it. It is very competitive and many non medical entities are less than scrupulous putting their wallets ahead of the patient's best interest. No question it is a turf battle and once again the patient is left behind Jay _____ From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of DoctorJoe@aol.com Sent: Thursday, November 30, 2006 8:40 PM To: Multiple recipients of list OB-GYN-L Subject: Re: More Doctors Turning to the Business of Beauty In a message dated 11/30/06 6:47:24 PM, goldman@calweb.com writes: Interesting that a dermatologist is up in arms about this as they have essentially no surgical training and no training in plastic or reconstructive surgery. In the end it is all a turf battle for the almighty dollar. Agree. I have to say, after you've done C-sections and hysterectomies, a few injections or skin peeling or other little fussing are nothing. I would go so far as to say that all the vulvar cutting and sewing GYNs do, added to the ER work we've all done as interns, residents and moonlighters, make any skin surgery pretty generic. Further, if you've done ovarian/adhesion surgery with operating microscopes or loops, what does it take to do some sort of superficial "plastic" face scraping with a magnifying lens? I've seen lots of local OB-GYNs advertising for aesthetics in their offices. Actually, many of them use aestheticians to do the work and they supervise. The local rules here don't even specify that the physician must have training in the procedure -- only that the tech must have training. The doctor just "supervises" after doing a history and physical. What at job. Joe P.
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