Medical Spa MD: Physician community of skin clinics, laser centers, plastic surgeons, dermatologists and aesthetic doctors practicing nonsurgical cosmetic medicine.
Courtesy: AestheticRN
Post on restrict aesthetic medicine in Florida to Dermatologists and Plastic Surgeons exclusively.
Update on this bill is that it passed the first reading yesterday April 19th, it has to pass two more readings, one is today. It passed on the first reading 100% yesterday. What is really terrible about this bill is that it does not grandfather in business in operation. If it passes it will be effective July 2006.
aestheticRN posted this entry:
If you are a current med spa owner or prospective owner in FL there is some legislation about to get passed that will limit you.
There are two bills, one is Senate Bill 1420 (SB 1420) basically it says that only MDs can perform laser hair removal or electrologists or NP's under direct on site supervision. If you are a medical director for a spa this means you physically have to be on site when laser hair removal is being done.
The second bill, House Bill 699cs states that if your aesthetic practice is primarily skin care you must be a dermatologist or plastic surgeon. If your a family practitioner or anything else you can not own or supervise this type of practice. Skin care can include any and everything done on/to the skin (laser, peels, microderm, blue light tx, etc.). This bill also limits the # of practices an MD can supervise.
Six months ago I had a visit from a Botox rep that described his position as a new "practice building rep". He handed out a few rhinestone studded 'Botox' t-shirts and promised to help build our Botox revenue. (We had showed up on some Allergan screen for increasing Botox revenue 400% in a year.) I was told that Allergan had empowered these new reps to do whatever they needed to do to help clinics with increasing sells.
So what happened.
Nada. Zippo. Zilch...
I spoke today with a doctor that called to pimp me for my thoughts on whether she was getting a good deal on the platform she was interested in buying. She was looking at buying the Cutera Xeo platform from the company and had been quoted a price of around $157k. I put her on the track of a barely used Xeo that I knew she could get for at least $50k cheaper. (This should not be taken as an endorsement of Cutera. I just happen to have some info on that device.)
This has got to be a low point in patient service.
As health insurance costs skyrocket and more people turn to high-deductible policies, a key question is emerging: When you're paying out of your own pocket, what rate do you pay?
Is it a discount negotiated by insurers, or the provider's gross charges, which could be several times higher than the negotiated rate?
Case in point: Lisa Stamm of Kendall, who had a simple earache and got slapped with a $375 bill for about 10 minutes with a nurse practitioner. If she had no insurance, she could have paid $125. If she had a no-deductible policy, her insurer might have paid about $140, and she would have paid nothing.
But Stamm showed the receptionist at ER Urgent Care Center on SW 137th Ave. her Cigna insurance card, and that sparked the problems.
''This really made me mad,'' Stamm says. ``I called the insurance commissioner's office. I called my insurance. You'd think something could be done.''
But no. ER Urgent Care insists she cough up the full $375. ''We as consumers have to make our choices,'' said Trudy Herdocia, the firm's vice president of operations. ``And live by them.''
The huge gap in Chinese Medicine.
Before we lament the plight of physicians in the US too much, read the article above.
A construction worker, his leg smashed in a bulldozer accident, sat all night outside a city hospital here, afraid to go in. A doctor told him to bring $600 cash - more than he earns in a year - and prepare for an amputation. His buddies wheeled him away on a flatbed tricycle.
This study investigated the safety and performance of reactivated Thermage Thermacool tips. The Thermacool machine, made by Thermage Inc. in Hayward California, uses radio frequency (RF) energy to treat a variety of dermatological cosmetic conditions. The machine’s hand piece is coupled to a plastic tip which incorporates a microchip. This microchip contains data which limits the number of shots which the tip can be used for. By attaching an aftermarket replacement microchip (with the exact same data) to the plastic tip, the tip can be reused for many more shots. This study investigated in detail the safety and performance of such reactivated tips. The study found that the tips could be safely reactivated and used for more than 50,000 shots (more than 55 reactivations) with the same safety, performance and clinical results as obtained from a new tip.
Botox Has More Uses Than Just For Wrinkles, Reduces Pain And Itching, Hand Eczema, & More.
While botulinum toxin A, or BTXA, is widely known for its use in dermatology and aesthetic medicine, a review article in the Journal of Cosmetic Dermatology explores the drug's other successful applications.
BTXA is popularly used to treat hyperhidrosis (excessive sweating) or to diminish wrinkles, but it is also a highly effective natural substance that normalizes muscle activity and can be used to reduce pain and itch.
Benefits of BTXA have been observed in treatment of hand eczema and is effective in blocking secretion of sweat, saliva and mucus in cases of Hailey-Hailey disease (a blistering disease usually treated by surgery or laser) among other ailments.
In addition, "botulinum toxin A has important applications in proctology where it has become the most powerful non-surgical therapy for anal fissure," according to Uwe Wollina, author of the review. "The substance in the hands of the experienced doctor is safe, provides effective treatment of several complaints, and is capable of reducing the need for surgery in many cases."
Sun exposure plays a significant role in the development of melanoma. Although more and more adults are following their doctor's advice and using sunscreens during outdoor activities, many of us are unaware of how important it is to make sure that our children, especially infants, are getting the necessary skin protection.
Study Show That 'Fringe' Plastic Surgery Procedures Not Too Popular.
The American Society of Plastic Surgeons (ASPS) lists four operations getting lots of media attention but garnering few patients. Here are those procedures and how many times they were done in the U.S. in 2005:
America's leading cosmetic plastic surgery in 2005 was liposuction, which was done more than 323,000 times. Rhinoplasty (nose reshaping) was in second place with more than 298,000 procedures. Breast augmentation, in third place, was done more than 291,000 times in 2005, according to the ASPS.
Stretch Marks May Predict Pelvic Risk.
About half of all pregnant women get stretch marks, which often fade after delivery, according to the U.S. Department of Health and Human Services' National Women's Health Information Center.
The new study, published in The Journal of Investigative Dermatology, doesn't predict pelvic prolapse for every woman with stretch marks. But it does show twice as many women with pelvic prolapse also had stretch marks, compared with those without prolapse.
I would argue that they have the possibility of doing just that.
Physicians, plastic surgeons, and dermatologists practicing nonsurgical cosmetic medicine in medical spas, laser clinics and aesthetic practices.
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