Re: More Doctors Turning to the Business of Beauty
From: Joanne Bulley, MD (islesannie@yahoo.com)
Thu Nov 30 19:48:38 2006
I had some thought of looking into this - especially for the patients
with PCOS and other stuff. Then a local Family Practice doc with a less
than steallar reputation opened one of these and there was not way in
h*** that I wanted to remotely be in competition with him. Wouldn't
trust him at all. So decided I should stay with what I do best - which
is working 1:1 with my gyn patients. At this point I am not losing
money in a totally solo practice in a community where everyone else
(besides this FP doing Aesthetics / laser stuff) is employed by the
Dartmouth - Hitchcock system.
Joanne
At Thu, 30 Nov 2006, Jay Kulkin wrote:
>
>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.
--
Joanne Bulley, MD
Keene, NH, USA
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