Cutaneous Vascular Lesion

A great deal of confusion and inconsistency exists in the terminology of vascular
lesions. Often the same name is given to different lesions by different specialty
fields, thereby confusing both interspecialty communication as well as the analysis
of reports on pathophysiology and treatment.
Mulliken and Young have proposed a standardized terminology based on cell
kinetics. According to their classification, there are 3 major categories of lesions.
Hemangiomas All lesions demonstrate endothelial hyperplasia
Capillary Hemangiomas (superficial)
Cavernous Hemagiomas (deep)
Malformations All lesions demonstrate normal endothelial turnover
Capillary malformations
Port-wine stains (PWS)
Telangiectasia
Simple
Arborized
Spider
Papular
Lymphatic malformations
Venous malformations
Arterial malformations
Complex-combined malformations
Ectasias Lesions with normal turnover but with vascular dilatation
Cherry Angioma
Spider Angioma
Angioma Serpiginosum

Hair Growth Cycle

Human hair grows in a continuous cyclic pattern, which includes the Anagen,
Catagen, and Telogen phases.
The anagen phase is a period of active stable growth, high metabolic activity, rapid
bulb matrix cell division, and differentiation.
The catagen phase is a relatively brief period of 2 – 4 weeks of hair follicle
degradation preceding the resting period.
The telogen phase is a period of complete inactivity, lasting 2 – 5 months.
In general, the duration of each phase depends on the body area. The difference in
the duration of certain phase related to the hair location in the human body may be
significant – from few weeks to few years.

Fotona Nd:YAG Wrinkle Reduction With Fotona XP Max
The main factors in causing skin-aging are diminishing function of fibroblasts in
connective tissue and decreasing tightness and thickness of collagen fibers in the
dermal papillary layer. The most common skin rejuvenation techniques are
therefore based on stimulating a responsive restorative process in the papillary
dermis.
Chemical peels and dermabrasion have been popular skin rejuvenation options but
their relatively low efficacy and high risk of papillary damage and scarring, are major
drawbacks. The thought of using chemicals, the immediate visible effects of both
treatments together with the inherent longer client-downtime are factors that do not
appeal to the consumer.
The non-invasive Nd:YAG photo-collagen remodelling technique is therefore more
appealing to clients since their active lifestyles demand no down-time. Fotona
Nd:YAG photo-collagen remodelling is based on the absorption of Nd:YAG laser
energy by haemoglobin with partial coagulation of the microvasculature in the
papillary dermis and release of inflammatory mediators. The process results in
microvascular renewing, fibroblast stimulation and new collagen remodelling. The
visible end result will be smoother skin, smaller pore sizes and improved skin colour
and texture.
Fotona Nd:YAG Wrinkle ReductionTreatment Parameters
Pulsewidth (ms) Fluence (J/cm2) Frequency (Hz)
Skin type I - III 50 50 1.0 – 1.5
Skin type IV - VI 50 30 – 40 1.0 – 1.5
In general the treatment does not require anaesthesia and cooling.
Post Treatment Guidelines
·  Side effects may by slight, transient erythema and a sensation of heat in the
treated area.

Laser Liposuction-Male Breast-Los Angeles-Orange County-Whittier-Fontana...

What changes do we need in healthcare

PPP and pay your deduct able of 20-30% and use out of area network specialists or labs or radiologist and pay extra thousands of dollars and be happy but that is not what most of people want.8-10 yearProbleFact is that health care cannot sustain with17% of total GDP at present and the way premium keeps doubling every s. People who have insurance pay for people who do not have it.Do not be in fools Paradise that the people who do not have insurance and we do not care.Ask the hospital administrators how they have to pay for uninsured people admission in hospital and they raise cost of daily bed for Health plans and then health plans in turn raise premium every years. Quality of care and cost do not run parallel and it has been shown by several private clinic managements like Mayo or Cleveland or better managed clinic like Scrips clinic etc, all over the country. People need to ave basic coverage and then if they want to buy Ala ca rte on top of it they that is their choice. You can buy basic coverage to take care of most of your health care needs.HMO is about population medicine and what is good for population is good for you and if you are not happy then stay m is that health care companies and all ancillary service providers are stuck to Medicare like leach and sucking the blood out of it because their lobbyist would not, because of their money influence, would not allow medicare to have a bargaining power for medicines or hospital services. We as a customers go to Costco or Walmart or buy in bulk to save money so should medicare and medicaid but it is not doable?There is more than enough money in medicare to pay for 70% of cost and take a look at this number and then tell me how cheap it is with current proposal to pay for every body's health care cost.Much cheaper that what it cost right now.....
The way I figure it is if health care will cost 1.5 trillion over the next 10 years that comes to $4285.71 per person for 10 years. That's $428.71 per year, and $35.71 per month for 350,000,000 people counted in the census. For an average family of 3.2 persons per family that's $114.27 per month. At present it cost $7000.00 per person per year?These are the facts and many of comments posted here are just nonsense.Get you facts and stop bullshitting.

rationing of medical care

The inherent meaning of HMO medicine is rationed medicine for whole polulation. As an Internist we hget denial for necessay medicines and services on daily basis. Rationing is there for different level of consumers. Fo rmedicaid pts, rationing is rampant but not so mcuh for Medicare pts. For Medicare advantage rationing is done to make sure there is enough profit for HMOs and IPAs.Le's not be disallusioned that we have the unrationed and uncontrolled healthcare delivery system.When a healthcare deliver is based on profitabilty, then profitabilty depends on rationing.Pankaj Karan,MD

Prescription medicines for sale for food

One of my patient made a shocking confession today early this morning. This elderly lady told me that she bought Proventil inhaler for 15 dollars. She mentioned to me that her copay if she would have bought directly pharmacy would have been$25 and so this way she saved $10.00.This is the first time she has done it and she plans to do it more often.I asked her how do you know that it has not been used and many have in smaller number of inhalers left over and for that she responded that package was not even open. She further mentioned that people ( patients) sale all of their medicines for some cash so that they can buy their food for survival. I have asked to help me meet with some of these folks so that I can look into this plight and anonymously report to the media. I am keeping my fingers crossed.