Doctor808 Plastic Surgeon Honolulu Hawaii

What me have Jet Lag?

When you travel as much as I do you soon learn to over come jet lag as quickly as possible. Living in Hawaii there is no such thing as a three hour plane ride to somewhere. There is a twenty minute, a forty minute and ninty minute plane ride to the other Hawaiian Islands , but the next closest place is 5 hours plus I think.

Jet lag for most of trips is problem. China, Amsterdam, Bangkok Thailand, Tokyo Japan are the places I have been in the last 6 months several times to some of them. Amsterdam is twenty hours away, Tokyo is seven hours and Bangkok is twelve hours of flight time away. This is a lot of time and the air and plenty of time to develop jet lag.

Jet lag scientist define as the disturbance of circadian rhythm due to time zone changes from jet travel. Yes that about sums it up but I think of it as more of “dead man walking” for a few days after a trip. That means it feels like 8am when its actually midnite or you wake up at 4 am and you cant sleep again until noon when you feel like you will pass out.

So I thought of ten thinks one can do which I tried this trip from my condo in Bangkok.

1. Watch movies , the same one 47 times. In this case I was in Japan Airline and I watched GI-Joes over and over. This will make you go into a trance and you will actually feel rested although you will recite lines from the movie over and over again instead of orginal speech.

2. When your in a town like Tokyo make sure you stay on the same time zone that is from the town you left from. So when its 2 pm in one place make sure you are up in the other place even though it may be 3 am. Act like everyone in the new town is off not you.

3.  Dont sleep the entire time and when you get back sleep for 3 days straight and you will not feel abnormal.

4.  Sleep the entire time you are gone and you feel well rested when you get back.

5. Dont travel and stay home !

Well these are the best ways I can come up with to over come jet lag. Number 5 is a great way, unfortunately I cannot do that and will be traveling more this  year with two business ventures launched which will take some time away from Hawaii.  The Bangkok condo business takes some time and the Hong Kong based web company AiMiYo International takes a bit as well. With AiMiYo even though my web team works across the internet from home I get to go to meetings with clients etc. So ….who is more lucky I dont know.

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From Right to Left Dr. Parsa, Dr. Terino, Dr. Pasquale

The Pan Pacific Surgical Meeting which is held biannually here in Honolulu Hawaii is well under way. The speakers are excellent consisting of local Plastic Surgeons and Surgeons from around the world. High lights of the conference range from Poetry Readings by Dr. Parsa in his native Farsi , to a poem written by Dr. Robert Flower in his absentia. Lectures were given by local surgeons as well international experts.

The lectures range from breast reconstruction techniques to facial implant surgery for cosmetic surgery. The attendance is good and people seem to enjoy meeting with old and new fellow surgeons. Last night we attended a talk sponsored by LifeCell and had dinner at local Japanese restaurant. This was a nice affair and the food was very good.

I always like these meetings as they are a time for plastic surgeons to share some common bonds and learn from each other. The field can be very competitive which is a good thing becuase it brings out the best for the public I believe. If we are all trying to do better than the next guy,  then the public has the best of our efforts.

The fellow on my right is another Italian , Dr. Terino who has made a name for himself in facial implants. I was looking at his slides today and he has some impressive results. I have seen his books as well,  but something about him showing his slides in person makes it more believable. He is also a very good friend of Dr. Robert Flowers now retired who was  one of my mentors to some degree, These two are some of the greats of cosmetic plastic surgery along with Dr. Parsa.

Well I am not of the traditional academic bend like  Dr. Flowers, Terino and Parsa all who write for journals and produce some very good research papers. I am more of a practical guy with good technique and can operate my self out of anything, so what I lack in academic prowess I think I make up in skill and hands on. Typical town verses gown type thinking perhaps.

I do have my academic time , teach some practical courses like facial nerve and face lifting in China, Buttock Augmentation in Korea, and other lectures in Japan invented some surgical instruments and taught some courses on the mainland USA. I have as well as lectured here in Hawaii as we all have. I also bring some younger surgeons in my office to show them the more practice approach to plastic surgery by hands on care. Yet I not care for writing for journals too much or books. I think because it is so time consuming,  that I rather be in the operating room more and when not I prefer sports or working on the web. Yet thank God for the Dr. Flowers, Parsas and Terino s of the world to immortalize our knowledge in journals and books. If it was up to me and those like me,  plastic surgery would regress in one generation into  the dark ages, due to lack of suitable reading material. I suppose we could pass on the art by oral tradition and verbal history, but books are more efficient.

Well thats all for now.

Doctor808

Dr. Parsa above is of Iranian descent and what I call a gentleman’s genetleman. Perhaps that is why he has been Chief of plastic surgery at the Queens Medical Center for as long as I can recall. The rest of us are perhapsshall I say too “sporty”. His efforts are responsible for the meeting which is going along very well. So here in that picture you have three doctors from I -descent, two italians and an Iranian , could you call them I-doctors?  Almost like a joke in way to me. What happens when an Irainian plastic surgeon and two Italian Plastic Surgeons are at a meeting? Well if you think of good punch line I will give you some free botox becuase I have no idea.

Doctor808 Dr. Pasquale

Time passes  fast as one gets older. Each day seems to merge into the next and there is no end to the amount of work that I need to do. I will be leaving back to Thailand in 10 days or so for some business and to attend a aesthetic conference and later in May an anti aging conference. This brings to mind what has the medical establishment really done in this field called anti aging?  Well in my humble opinion a lot and very little. The main advancements have been in healthy living, exercise, good diet, no smoking and proper common sense like not to take job in active toxic waste dump. So in common sense measures I would say we as doctors have done very well. Yet in term of scientific advances like some miracle with super anti aging drugs. There is simply no proven by science medication, injection , pill or other miracle potion which I know of. As a plastic surgeon I do things to reverse or hide some the effects of aging appearance but the DNA is still damaged, older people will still grow more extra skin that we cut off and illness will prevail ultimately.

Face lifts in Hawaii I do ,  for example can change the lines of aging and the remove the jowels of the jaw line . They can really make one look better , more rested and in turn make one feel better which may give the illusion of being younger. Yet in final analysis your still getting older as depressing as it may be. It can be done well or done poorly as for me I plan to do it well. The one organization which seems to toot the whistle year after year is A4M which is the short name for the American Academy of Ant Aging Medicine ( see the 4 A’s). This organization I was a member of at one time just like I was member of the American Academy of Cosmetic Surgery. I was also a member of the American Academy of Facial Plastic Surgery as well and about 1/2 dozen of other professional groups. All of these organizations I allowed my membership to lapse for various reasons. They were all good organizations I suppose , but seemed so politically controlled by a few and the same thing being said year after year I guess I was tired of the same old stuff. Lets take A4M for example.. The same names appear over and over year after year as leadership. Not that this bad as I suppose as they are the ones who stay most involved. Yet its not my cup of tea. What I want to see is new really NEW advances and some progress in anti aging. Please Dr. Goldstein and Dr. Katz show me something new  in the field. Maybe its my bitterness with aging that makes me say this but I thought by now A4M would have me 24 years old again ! I say this all tongue in cheek so please accept my apology at A4M as the reality is , at least you are trying !!! So congratulations on your persistence. When I attend the meeting in Bangkok this year maybe I will be surprised and I will come back to Hawaii with ways to make myself 2o years younger ! Nothing would please me more.  This meeting will be held in Bangkok Thailand , May 2010.  I will stay at a condominium there.

chemical peels for age spots

The meeting in January this year is the International Congress of Aesthetic Dermatology January, 21 to 23, 2010 in Bangkok. I leave next week for that and other business as well. It will be along the lines of skin care , treatment and I believe some scientific care. There may be some anti aging but little plastic surgery in the traditional surgical venue. What I hope to learn is the latest treatments for age spots which affect so many of my asian patients. These age spots can be tough to treat, yet my Asian patients are lucky as they can be treated with patients and finding the proper treatment which may vary. Its a bit of trial and error. The same cannot be said about aging in general , as plastic surgeons we find ways to hide that but we cannot stop it.

doctor808

Dr. Michael Pasquale CEO AiMIYO LTD

Well I have been exceptionally busy over these holidays with some business issues other than Plastic Surgery. The office has been closed which has given me some time to put into my web development business personally rather than delegate. As many of you know and as my title of this blog states I am web designer and Internet geek. The team I have assembled and our web company is very unique. From the start we decided one of our area of expertise would be multilingual web sites. I would also add another important point which is that we believe that multilingual is not enough. A translation of a web page is not enough   because what is a web site  but a sales and marketing doorway. Even if the company we represent is not a classical sales of products type company,  it is still about sales. This means any company wants the web site we build to represent them in a most positive light. So in that sense it is selling an image to the viewer.

As I mentioned, multicultural- not simply translation of language. So what I mean by that is when we put a companies words into another language we do not just translate the words , but make the cultural message adjust to our audience as well. This is very important because the sensibilities of the Chinese for example , may not be the same as the French so the way material is presented may change , not just the words.

When we design a web site for different languages  our company AiMiYo LTD has the translation staff and the design staff from the culture (country ) on board with us  as a team approach. This multilingual, multicultural team is what makes our web sites different I believe. Please follow us as this grows. We are now building our new company web site at www.aimiyo.com for english, and in Japanese at www.aimiyo.jp. We will be adding languages over the next year such as Chinese , Korean , French and other  European languages as well.

Until next time

doctor808