Doctor808 Plastic Surgeon Honolulu Hawaii

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

I have not written in a while. There is a new business I am working on in Thailand called Bangkokfinder.com a web based real estate business. This requires a lot of time to get underway. It is part of my web empire I am building (said tongue in cheek). Please have a look. There are over twenty blogs my team and I are managing and setting up so this takes some time. Additionally we are building a new company web site which has changed names to AiMiYo International which is our web development firm. These are works in progress.  Our web company is coming along.

Well back to my report from China Trip. The second part of the China Trip was at a conference in a place called Hangzhou which is outside a few hours of Shanghai. This is almost a resort university town. This was a big meeting of cosmetic surgeons from all over Asia. The talks were good and meeting various surgeons was fantastic.

Lots of Meals in China with Doctor808

The most memorable aspects were the people. I met so many people some old friends and some new. My friend and travel buddy is Dr. Cuvo who is a Genza Cosmetic Surgeon who I have known well for many years. Taka as I call him also gave a lecture in Dalian China with me,  as well his lecture here. His specialty is Asian eyes.

There were many of my Korean Colleagues there as well. One thing about Korea Doctors I know is that no matter what town or city we are in they always know the best places to go. So when in a foreign country I follow them as for what ever reason they are in the know.

Well rather than fill these pages with words I will just show you as they say… a picture is worth a million words.

We will start with a nice video of the entertainment. Notice the mask carefully that the entertainer is wearing. Watch it or you will miss it !

There are some great photos of this event. One is of my long time friend Dr. Woffles Wu from Singapore. His first name is like the famous Hotel there. His dad was a pretty well known lawyer in that remarkable city state.

Dr. Wu and Doctor808

I have known Dr. Wu for many years and he is well known in Asia, he produced a movie in Singapore. We have not seen each other since I visited him in Singapore many years ago. Seems my recent trips to Singapore never had the time.

Again as the only ‘white guy” the Chinese treated me with extreme graciousness and of course and took my picture every where I went. The food was excellent as well. There was special liquor we drank called Mau Tai and it was very strong. This we set on fire before we drank, so we drank fire !!!. I ordered snake which was unfortunately boiled. I have had snake before barbecued and it was very good. Yet boiled I do not recommend at all.

Dr Cuvo enjoyed some snake

Overall My visit to yet another Chinese City was very informative and again growth was every where. As a visiting plastic surgeon from Hawaii it was a great adventure. I will simply share some more photos of the event.

A Cosmetic Surgery Clinic in Hanzhao

Chinese food dumplings

The face lift work shop in Dalian China as you can see from Part 1 was a rather large gathering. The number of Chinese Surgeons was around 120 and there were also some Japanese Surgeons.

Face Lift Students Dalian China -Large Crowd !

When I say it was a big class that is exactly what I mean.  I have attended or was an instructor for other facial nerve or face lift dissection workshops in Europe and North America but this was huge by comparison. Typically, such work shops are maybe 20 students or less and maybe two fresh specimens for dissection.

Well like everything else in China I saw this was on a huge scale with about 120 surgeons in attendance.

The picture above shows only partially the amount of people there. You can note me as the one in the brown leather coat looking over one of my students work. There were about 20 fresh specimens for dissection as noted.

I am pictured here with two students of face lift workshop in China

I was the only American and the only Caucasian there. This gave me some notoriety among my Asian Collegues in attendance. I was treated very graciously while there and I felt like I was  a novelty item.  It seemed every surgeon there,  wanted his picture with me. It is not that I am egotistic and think there is something special about me,  but I know that many wanted pictures with an American Surgeon.

After the workshop was completed there was dinner at one of the local hotels. Ceremonies were conducted by the chief surgeon and professor from Dalian University Hospital and a doctor from the Peoples Liberation Army (PLA) of China. These PLA people were in attendance at the events, well trained , nice appearance and well spoken they appeared to lead the congregation there you might say.

Dalian China University Hospital President

The president and chief physcian  at Dalian University Hospital In China spoke at the dinner after the face lift work shop.

Also as mentioned the PLA Doctor  spoke while we enjoyed some very good food.

Some dish served at the Dinner

Every Dish is circulated on a "lazy susan" and there were many

The food was seafood mostly as Dalian China is a port city by the ocean. The food was excellent with about 20 different dishes all served on a rotating server similar to a very large “lazy susan” that we would see in the United states.

The staff at this banquet hall were pleasant and they were efficient making sure all the doctors were taken care of.

Nothing did I find distasteful but I must say I think Chinese food in China is much better than what I have had in the States

Well that is all for now–Doctor808

As mentioned earlier I was invited lecture and “professor” for Face lifting and cadaver dissection in the Peoples Republic of China and I finally arrived in Dalian on Saturday. Unfortunately, due to circumstances beyond my control I arrived a day late. However, my host were able to rearrange my lecture and I did not miss the cadaver instruction /dissection lab.  They were also kind enough to schedule a special session for my lecture so I still was able to present the information I had prepared on my technique for face lifting.

One thing I noticed is China is a huge place with a huge population. Thus the amount of doctors for this workshop was large. Typically specialized work shops will be held and there may be 20 surgeons in attendance. At this work shop there were over 100 Chinese physicians there all interested in cosmetic surgery of the face.

The enthusiasm for the lecture and the dissection of fresh cadaver heads was amazing. They were eager students, knowledgeable and were very serious about learning their chosen art of cosmetic surgery. China only recently has had a growing interest in cosmetic procedures as the population is becoming more affluent. They like all economically well off societies move beyond the need for just food and basics of living but now are seeking the life style enhancements of cosmetic surgery. Make no mistake about China,  has an excellent medical history -advancement and plastic and reconstructive surgery has been no exception. Yet only recently has there been great interest in cosmetic surgery.

The dissection lab

To the left is one photo of the many I will be showing you over the next week or so. I am waiting for my colleague’s to email me these to me. The dissection lab was about 40 minutes by car away from Dalian where the lectures were given and other ceremonies. This is inside the Hoffen Biotechnique Co. LTD China which was courteous enough to allow the dissection in their state of the Art facility.

That name may not be familiar to many of you unless I explain that this the company which has the famous exhibits around the world from Honolulu to Paris of incredibly well dissected and preserved human bodies. They use techniques which preserve the anatomy specimens including entire specimens in a plasticized form.

I am sure most of you have heard  of, if not seen their exhibits called “Bodies” or “Body Worlds’ which is the real exhibition of these plastinated bodies

You can search on Google for more of their exhibits and work or follow this link www.bodyworldexhibition.com .

The link for eng  lish and listing of their exhibits is  http://www.bodyworlds.com/en.html . I had a private tour of their facility and I must say I was amazed. They had an incredible number of exhibited specimens such as humans, horses , fish , sharks, monkeys all well preserved and more importantly visually preserved by their plastination process. Below I have a few more photos of the exhibits in their facility.

Human Plastinated

A Plastinated Ostrich is shown above and a Plastinated Human is shown as well

The facility was ultra modern with state of the art equipment which made it the perfect place to have a fresh cadaver dissection for these over 100 doctors from china and 4 I believe from Japan.

There were approximately 20 human heads for the students to perform their dissection all freshly preserved so that the facial nerve and other anatomy was could be dissected and seen well. If they are preserved as with other techniques the dissections cannot be carried out for small detailed anatomy. Fresh cadaver is the best way for surgeons to learn anatomy unlike the in medical schools where they will dissect older processed cadavers. These specimens were excellent and so the surgeons could learn well.

We did get to know some the regular staff at the facility and they were very educated helpful and great facilitators for the learning. One young lady , Chinese of course has studied in London and she was very helpful due to the fact I do not speak Chinese. Her name was Yee-Lyn I believe is how it is pronounced she said she will read this blog so please send me a correction if I made a mistake. My apology for butchering the wonderful Chinese language.

Staff at the facility who has done english translations there

There are simply not enough words to express my gratitude to this company and the use of their facility.

I will be writing more about the China Lectures and this Dissection on my next post. When I recieve the pictures from my collegques I will be posting a more detailed account of this expirence

Doctor808

Last year I went to Halloween in Waikiki. I was dressed as some sort of self described witch doctor. I am sorry I have no photos of that. I was with a Witch and a Harajuku girl and some normal male. If you have never been to Honolulu on Halloween you have missed a sight to see. The only place I have been which is more out control is Las Vegas on New Years eve.

The main drag in Waikiki is filled with…… well crazy people. So this year I decided to avoid that all together.

To give you and idea of the sights you may see I borrowed these photos from a blog called photolulu.com which I discovered.

At any rate you can find these type photos all over the internet if your interested. Just take my word for it Waikai on Halloween is out of control and is not for the weak hearted.

If you like this type of madness then this is the place for you.

Greenwhich Village in New York City may rival this scene but I must say having attended both I think Waikiki wins the contest.

As I stated I decided simply to have a quite evening as far away from the Saturday night madness as possible. So a few of my staff members Zak, Kiyoko, Amber and myself went to Zaks apartment. We each brought some nice food and consumed and excellent Italian meal with wine. The great thing about the evening was very quite conversation and a few laughs with my close staff members. It was fun and light entertainment.

Zack is well , Zack as he says and a very good host. He makes a very good speghetti suace and I brought some Italian Chicken which I make which everyone enjoys. Well this was nice for me as I had been up all night in the emergency room. I still take emergency calls at the Queens Hospital and this was my call so I had to go in  for a few emergencies. Why I do this as I am not required but I do it still. Seems doctors should do this so I do it.

Back to the dinner. We consumed two bottles of nice red wine , cheeses of two types and spegehtti with my italian style chicken breast.

the famous host zack and k

Yes that is a whole foods paper bag there . Kinda cliche I suppose but they do have the best cheese. The red things are persimmons not tomatoes.

K of course who is a cheese lover is eating that.

Then for the main course.

Quite Evening on Halloween

Italian Chicken by doctor808, spaghetti by the Zack and cheese by Kiyoko. A great combination for a plastic surgeons office.

Well my mission was accomplished and I avoided this year the Mad House called Waikiki on Halloween. Maybe next year I will go down there and dress as something like an old plastic surgeon.

Well Monday will be back to the usual. We have a few cases to perform before my trip. Sunday I was planning on surfing but had to prepare the lecture for China on face lifts. We have made a very nice video of the surgical technique I use for face lifting.  This technique has become my standard after about 20 years of trying various techniques. However I always modify my technique to the individual face.

You can learn much more about face lift and facial appearance on my web site devoted to that. You can find that on my facial web site.

Well wishing my readers a quite Halloween until next post……

Doctor808

Well I have not been able to write much these days in this blog,  as I was preparing to teach in China next week. I was invited to a gathering of cosmetic and plastic surgeons in Dialin China to give a lecture on and hold a work shop on face lifting. My assigned task is to teach facial anatomy and facial nerve. This is a very difficult task in that some how I have to figure out how to do this as it relates to face lifting and teach it in less than two days. Well I finally decided and completely my presentation.

Of course these are all physicians from China and Japan –maybe some other assorted cosmetic surgeons from Korea and who knows where else. I doubt there will be many westerners.  Yet the face has extremely complex anatomy so I cant waste time even with Doctors. So I decided I will call my lecture “Essential Face Lift Anatomy”. What I will do is skip all the esoteric anatomical details and just get to pure essence. Maybe I should entitle this lecture “FACE LIFTING FOR DUMMIES” as I will give only the details that one needs to know when doing a face lift.

As far as complexity goes I am showing you a picture below which only shows a few of the details.

A few details

This picture from Netter’s textbook only shows the sensory nerve anatomy of the face. So you get an idea of how complex the face is. Then there are the muscles, the blood vessels , motor nerves,  bone and other soft tissues.

We will have cadavers there to dissect to further the study for these plastic surgeons. I had done a facial nerve (and peripheral nerve) fellowship for one year under Dr. Julia Terzis at the microsurgical research center, so I guess that is why they asked me to teach.  In face lifting the most important structure is the nerve as injury to the facial nerve is the worse complications. I am very happy that I spent a entire year focused on that and it has certainly helped me in face lifting. I do get referrals from other surgeons who have injured the facial nerve during cosmetic surgery but fortunately this is very rare and they for the most part of been temporary.

At any rate I will enjoy a quick look at China and  see how cosmetic surgery is done there. I will let you know about this as it unfolds.

Doctor808

LASER liposuction and other fancy things as you know are not my forte. I have written before about such new fangled techniques such as belly button approach to breast augmentation. These “newer” , “better”, “cooler” and “gods gift” to plastic surgery techniques I have always look at with a jaundice eye. It seems every two years in the world of Plastic Surgery a new technique or device comes out which is all the rage. I have seen this happen non stop for twenty years.  So please forgive me,  if I am not that excited about 99% of  new devices or so called new techniques.

NEWER !! COOLER !! WOW !!!

In my honest and sincere opinion most of these things are driven by marketing and not by solid medical science. It seems to me that even though cosmetic plastic surgery is more consumer driven and not medically required for health it should be based in a solid foundation. Money drives this market as with a Holywood movie and this produces what we may call “Hype”. So surrounding all of these new techniques is a onslaught of Madison Avenue Public Relations and marketing hype.  Medical and surgical breakthroughs should be studied and the results analyzed first not get a quick aproval from the FDA and then loudly marketed.  Unfortunatedly this is not always the case.

Hype Central

In the case of LASER assisted liposuction the marketing hype is very rich. “go back to work the next day” or “less pain” or ‘faster healing”. All of these crys of better newer faster are more appropriate for Tide clothes washing detergent than for a medical procedure. Marketers know that using these key words like “NEWER” Or “IMPROVED” will grab consumer attention so they of course utilize these keywords as much as possible.

Yet what is really behind LASER assisted lipo, smart lipo or any of the other brand names? I have spoken with many of the LASER liposuction advocates and detractors , looked at the results and feel I have a good understanding of the procedures.  Basically a very small cannula , which is a tube has a LASER at the end which produces heat. This “melts” some of the fat which turns it to an oily liquid. This is then sucked out with  the cannula. Rather simple concept really. The same thing was done (sorta)  with ultrasonic liposuction which was the latest greatest thing a few years ago. The problem with this LASER lipo is that the cannula’s so far are very very small. So each practioner tells me in any sizeble area  of fat , they still have to use traditional liposuction. —–HUH@#$%^&* !!!????.

I am not a “hater” but my gosh these pencil thin cannulas cannot take out any appreciable amount of fat. So that is exactly why the LASER lipo doctors have to go over the area with traditional liposuction technique.  Now the advanatage is lost completely as you are still doing traditional liposuction in the area. So what is the purpose of using the LASER lipo? I have heard skin tightening, which may be true in a small area like under the chin but for abddominal or thigh or any  larger area there does not to be any benifit what so ever to my eyes and the cases I have seen. So I conclude that the only advantage of LASER lipo suction in most cases is simply marketing.

Well marketing is potent stuff. If you do not have any patients you cannot do any liposuction,  be it LASER, Ultrasonic or traditional.  So I see the reason why many surgeons like this idea , it is great marketing. Yet for me I have seen these trends come and go and until someone shows me an advantage that I consider worthy,  I will stick to the techniques which I have used for many years with so much success. Maybe I am old fashion, but somehow I cannot stomach doing something just for marketing or 90% marketing. I know Plastic Surgery is suppose to slick and whiz bang,  but again I like the traditional well proven techniques  over marketing . Thats me.

doctor808

Well ……I am sorry my dear and loyal readers I did not keep my blog up during my travels,  as time was so limited. So, I will briefly go over things here to catch my millions of readers up  (I think I have only  two readers ). I will probably have less readers after this post.

First as previously stated, I was going to Amsterdam which is one of my favorite haunts. The reasons are many. First are the people , I love the dutch as they are always friendly like the Thai people. They are straight forward and get along well. The other Europeans are so…. shall I say snobby (over nothing)  that I dont care for them as a whole. Of course many are quite nice and good descent people , but the Dutch it seems as whole are the way I like people.  Lets take the Swiss in Geneva which are a French speaking people. Some are very friendly,  but overall I would rate that town as a small town with small minded people pretending to be important. If it were not for the bankers hiding the worlds money the place would be just another dying European city in my view. No new life. As the first President Bush would say “old Europe”. They tell me that you have to live there to appreciate Geneva and perhaps,  as I only visited but…..not my cup of tea.  That is my simple minded dumb American view. In this blog I dont review the great history ( like Nazi Germans influence ?) but that’s my basic feeling.  What I do like about Geneva is the kick boxing which is why I went and I will tell you more about that later.

Part one Amsterdam

Well we arrive in Amsterdam and  get there at our usual time of 7 am in the morning from a flight from Seattle. We have to wait for the hotel as check in is at 11 am. This is no problem becuase we can get a great breakfast at the usual spot.  This time we also wanted to look at property for a possible retreat so we scout around. This place is easy to scout as there is one way to see Amsterdam –Bycycle. We rent a couple at 15 euros a day and start to scout around. If you go please rent a bike.

As you can see there is no shortage of bicycles in Amsterdam. In fact they number over 5 times the population but no one knows for sure. There are  so many and they are everywhere. Anyone and everyone old, young , crippled , athletic and entire families use them as their main source of transportation’s. The bike roads are great and easy to use. Don’t wast your time with any other means of transportation.

This is one thing I love about this place everything is so easy to do. No traffic jams, no crazy people or homeless that you can see in the central part of the city. Its clean, organized and easy to navigate around on foot or bike.

I like it because of the people I meet and the kick boxing. Rose likes it because of the Art and Museums and Food. There are great restaurants and since Rose is Malaysian Chinese she has a chance to get real Malaysian food and eats there almost every day. Below is a picture of that restaurant located next to the Red light District. That’s the famous place with hooker on display in the windows. Sort of a another type of take out menu.

The food at the Malaysian restaurant is authentic and quite good. Here you can study Malaysian Chinese, in their natural habitat eating good Malay food. This I believe  is their normal “in the wild ” behavior to eat eat eat.  Such are the Chinese…did you know that when you go into a Chinese persons home they don’t ask how are you,  but the first thing they ask is “Did you eat yet?”. If you find a Chinese person in the wild some day just ask them.  They will tell you its true. The couple at the Top are the owners by the way- her name is “Candy and his is Buddha” , I am not kidding.

Amsterdam is famous for legal drugs ( not hard ones) and everywhere you go are the “coffee houses” where you can buy either hash or marijuana cigarettes and smoke it right there while you drink coffee. Not that I would know,  but I was able to observe this. It appeared fun and seemed harmless enough. Yet I think it must appeal to a different crowd as I am a doctor. Everyone knows doctors don’t smoke pot. In case you want to know what these places look like I have several pictures below. They tell me that its cheap to buy and is high quality.

These establishments are everywhere scattered among the sex shops. I have a picture of one sex shop and of some of the evil weed that people smoke. Why people make such a big deal about a silly plant I can still cannot figure out. Its like anything else in my view–abuse it and it may cause problems. So I remind my readers that as I am a libertarian I am against government regulation of such. Amsterdam has no crime attributable to rampant drug use like we do in The States. The criminalization of this plant and other such drugs is why in my view we waste so much money. Libertarians believe if you want to kill yourself who are we to stop you, as a freedom loving bunch. We believe in a freedom to self destruct.

Well the above is only a very small part of Amsterdam,  there is something for everyone there. Art , Museums , food , drugs, sex, business deals, Muslim and Buddhist temples, churches and and a wide variety of everything. That sums up Amsterdam ,  which is a city of extreme diversity and more important— tolerance for diversity. I watched one night at 5 am the practicality of the place as the party goers were in one square when some drunken hell raisers started a fight. The police cleared them out in less than ten minutes with Horse Riding police they were there in seconds appearing from nowhere. They were professional,  efficient and cleared the crowd with out any evidence of brutality nor disrespect. They did their job quickly and the party on the street continued. I was impressed.

Bicycling around I looked over many properties and potential places to live. Signs were posted as shown :

Ideally one would not need a large place,  but some place to call home in Europe so you could have a home base. A base camp if you will.

Yet there are catches in the Amsterdam’s real estate market. Interestingly, one must be careful about what are some unusual laws.

If you buy a place and leave it empty , squatters may take over and inhabit there and you may have a ridiculous time trying to get them out. They in some case have more rights then the owners who they are not paying rent too. Crazy?  Well yes, but that is Amsterdam. I never saw such a bad deal for property owners. The original idea was that the city did not want empty buildings around by absentee land holders or something like that. Well it seems to work and the properties are all well kept. Yet maybe its been taken to far. I have more research to do in these laws.

Geneva

Well I went to a kick boxing place in Geneva where my old instructor from Thailand recommended as he was recruited in his younger years as a Swiss Muay Thai fighter. There he went on to be a Swiss national champion before returning to his home in Thailand where I first met him.

This gym was quite busy with over twenty fighter level members and huge intermediate level trainees in Muay Thai. They take their fighters to Thailand once a year for training. This gym is run by a Swiss fellow and his Thai wife. Very nice place I recommend to anyone. Unfortunately back in Amsterdam I could not find the Merijo Gym which is the famous gym there I trained at before a few times. This gym apparently moved location and due to time limitations I could spend too much time looking. So I trained on my own while in Amsterdam jumping rope , weights and shadow boxing and of course cycling hours a day.

That’s about it for Geneva to me that’s all the two itself offers. I did meet a few people and had brief conversations shall I say. The Swiss don’t speak much english There main languages are German and french. They also have that attitude of your stupid if you only speak french. As example I asked a cab driver to take me to the Hotel Savoy. He looked at me like I was nuts. I pronounce Savoy as most Americans would like rhymes with “JOY”. So he finally figured out what I was saying as he pronounced as Sav-0-aaa a definite french accent. But what I found most ridiculous was the scolding he gave me. “I have been driving a cab for 15 years and never once have I heard that way to say Savoy” he said in a most condescending manner. I could not help but tell him back—” I believe that you have not in your limited life experience of driving a cab in Geneva heard any other variation”  as I chuckled to myself. Score one for the American verses the Geneva Red neck cab driver with a “limited ” small mind. So it goes. I left Geneva vowing never to come back…well maybe I will for the Muay Thai.

Other than these issues of looking for property , relaxing and Muay Thai the most memorable issues was the Bicycling. I truly loved that around Amsterdam and I will do it again and again its a bike paradise. I also thought I will take a motorcycle trip around the country and maybe to others next time I go.  That will be fun. As far as business goes , well I did see some plastic surgeons in Geneva and was impressed but the Swiss are known for a long History of cosmetic plastic surgery. I also spoke with some Web Designers and found out about the local community in terms of Web design and marketing as well as in Amsterdam. There will be some of the best Internet and media conferences coming up these next few years like next fall which I will plan for.

Well my dear readers I don’t want to bore you with too much, so I will go over some other details in later blogs as I am still suffering from jet lag. As always enjoy.

Doctor 808

Many of you may not have known that I invented a special instrument that I have used for over 12 years for my Axillary and Buttock Augmentation cases to place the implants. I have been selling this instrument and teaching other surgeons to use it as well. This instrument is patent pending , trademarked and FDA approval pending payment of their fee.

The instrument is excellent for a consistant dissection of the breast pocket or the pocket to place the buttock implant. I will show you a picture of it here. Then you will know why I call it the Butt-a-rang and the Boob-a-rang. Though this may sound like a joke that is what I named it.

So now you know it looks like the Australian boom-a- rang so that is why I call it the boob-a-rang or butt-o-rang depending on its use. This instrument we manufacture and ship all over the world. Surgeons are using them in Korea, Japan and Europe. Its simple design and simpler use makes it do fine for beginner surgeons to use. Yet I will save that part  to tell them.

The funny part- I want to tell you my dear readers. Today I had to pick up some that were manufactured for me so that I can ship them to the surgeons who ordered them. I went to the machine shop where all the fancy LASER cutting equipment is for metal and of course I was late. The only people who were in the shop were the craftsmen who do such fine work for me. It was funny becuase it was at the end of their day. So they know me and said  ”Hey Doc how about making us some boobs?” .  Typical workers who were enjoying a beer after they closed their shop on a Friday night. So fun and I recall when I was 18 and worked in construction. At the end of the week working hard with physical labor al week in the heat—nothing is better than sitting around drinking a beer with your fellow workman. It great because you dont do anything no hard work, just laugh and joke. I know there frame of mind completely. So it did not suprise me when they all got up and started teasing me and making jokes about Botox on their private parts, giving them one breast or having to come to the operating room and personally ,,,,,I mean them inspecting how my instruments work on my beuatiful young female patients. Sorry boys but that would be against the law!!

Well so much for my Friday , I took their jokes and good natured harassment and went to Muay Thai. If any of you are interested in seeing these instruments and how they are used check my web site  www.boob-a-rang.com !!!

Till next time

Doctor808