Learning From Physicians Worldwide: Unhappy Patient? If You're In Mexico Just Call The Cops.

Medical Spa MD Physician Member Distribution Map

Medical Spa MD's physician community is worldwide. This poses some interesting challenges and some opportunities to learn how medicine is practiced elsewhere.

If you're not already aware, Medical Spa MD has physician members from 70+ countries... meaning that there are a number of differences in the way that medicine is practiced across the community. The map above shows some of the distribution of Members by location. The reason that I bring this up is to highlight that there are differences between where and how members of our community practice medicine. 

Let me tell you a story or two about some of these differences.

In Mexico, plastic surgeons are less worried about being sued.

A few years ago at a major cosmetic medical conference in Las Vegas with very well known physicians presenting. I atteneded a presentation by a plastic surgeon from Mexico discussing one of the new (at that time) suture plication techniques for facelifts. I'll call the presenter Dr. M.

During this surgeons presentation, Dr. M discussed case study after case study in a way that made it apparent to every other doctor in the audience that he was in fact 'experimenting' on patients in order to guage how results would differ with different techniques.

Dr. M was detailing how he had arrived at what he felt was the optimial technique by identifying likely canditate patients, offering them a greatly reduced price, and then basically trying out a different technique to determine an outcome. The clear message was that he was just trying different things out to see what worked and what didn't work, i.e., experimenting on patients.

You could see a lot of slightly raised eyebrows in the room.

As is usual after a conference presentation, a group formed around Dr. M after his presentation to ask follow up questions or make a connection. After a couple of handshakes the questioning started to revolve around a very specific theme. The US physicians (the very clear majority since we were in Vegas) began asking questions that expresed a large amount of skepticism that they could have interpreted the presentation correctly. Namely, that any plastic surgeon could be performing experimental treatments on patients in the way that he'd described. (I should clearly state that Dr. M indicated that he clearly informed all of these patients of what he was doing and got their consent.)

The physicians weren't really challenging this physicians techniques or professionalism as much as questioning Dr. M about his patient practices and wondering how he could actually get away with this with his malpractice insurance and medical regluatory agencys.

The questions started to revolve around patients who were unhappy with their outcomes and how this physician was handling them. Dr. M freely admitted that there had been any number of failures and that some patients had had poor outcomes and were unhappy but expressed the sentiment that that was really not a big deal.

The US physicians were somewhat incredulous and one slightly exaperated physician asked, "What do you do if they come back to your office and complain?"

"We call the police," he said nonplussed.

Raised eyebrows all around.

Now, to be fair, Dr. M's answer was really based on his perception that the question was about a patient raising hell in his clinic and that answer would be the same answer that any physician would give, but the incredulity that prompted the question was really about how any doctor could get away with performing experimental procedures without being sued out of existence.

What's even more eye-opening to a lot of American physicians was that Dr. M had never been sued.

If you're a plastic surgeon in the US and you've been practicing for a while, the odds are good that you've been sued by a patient and if you're practicing new treatments that could be defined as experimental as a plastic surgeon, you're going to be sued... and dropped by your malpractice carrier. It seems that if you're a plastic surgeon in Mexico you don't have the same considerations to deal with. 

Does it mean that plastic surgery outside the US is less safe? Possibly, since there's no other country that regulates the practice of medicine the way that the US does, but it's also the case that many of the 'medical tourism' destinations are staffed by US trained physicians. (If anyone has stats on this I'd be interested to see them.) There are a growing number of hospitals outsourcing xrays to radiologists in India, medical tourisim is increasingly mainstream, and US physicians are traveling outside of the US for trainings.

Medical Spa MD has members around the world. If you're smart, you'll take the opportunity to learn from everyone, no matter where they are.

Read: Plastic Surgery Malpractice Lawsuits In The US & Canada

Read: "Hello Doctor. I Wouldn't Hesitate To Sue You."

Medical Spa MD: What Is Comment Spam?

We still get the occasional email about what is permissible to put in a comment and what is spam. Here's the answer.

First I'll say that I really hate spam, and if you're spamming I probably hate you.

If you're leaving a comment, great! We want you to leave a comment. We want to know your thoughts and opionions. We want you to be a part of the community.

We also want you to know what we're doing to protect the medical spa community from the spammers.

Read More

The New Medical Spa Physician Report

The New Medical Spa MD Physician Report is (finally) out!


And we thought that our first medical spa report was huge...

We've had to juggle a huge number of launches in the last month and, unfortunately, the launch date for the report got pushed back a little. We're sorry that we weren't on time, but once you take a look at the report we think you'll find it work the wait.

We integrated a lot of your feedback from the first report in this one, cutting back on the 'situational' questions (although we still have some) and moving in to areas that we know you want answers about.

Here are some of the questions that are answered in this report:

  • What percentage of your clinic's revenue is spent on marketing and advertising?
  • How is your clinic staff compensated?
  • What do you think of paying commission for medical treatments?
  • What is the total income of your clinic or medical spa per month?
  • What percentage of your clinic's revenue is spent on payroll?
  • If you pay commission, how is it structured?
  • What are your patients requesting most that you don't currently offer?
  • How much is a new patient worth you you as a clinic in the first month?
  • How many new patients does an average client refer to you in a year?
  • What do you consider to be the most important way to generate sales for your clinic?
  • What is your most effective marketing tactic?
  • What marketing have you tried that you would never recommend?
  • If you could add one cosmetic medical technology by manufacturer and model, what would it be?
  • Which treatments generate the most revenue for your clinic?
  • What generates the most profit?
  • Which technology manufacturer do you think has the best reputation for efficacy among physicians?
  • Who has the best reputation for customer service? Who has the worst?

Whew.... and that's just a partial list of what we cover. There is also a great interview with plastic surgeon Dr. Enrique Etxeberria from Spain and some great info about waiting room marketing videos from this reports business sponsor, Frontdesk.

Download the report here.


Thank You To All Of The Contributing Physicians & Clinics

The following is a partial list of the physicians and clinics that contributed to this report and gave us permission to identify and link to them. Sign up to contribute to the next report here.

Note: We do not identify individual physicians or clinics with specific answers to make sure that all respondents can be completely candid in their answers. (Our surveys are done through our online software and provide confidentiality and anonymity and they take about 10 minutes to complete.)

Clinica Etxeberria










Our contributing physician list is growing fast. Thank you to the physicians and clinics who have contributed to this report. If you're a physician and would like to contribute to the next report, please let us know by entering you information in the form below.


Become a Contributing Physician Member

Complete this form to contribute to the next report.

Licensed Clinicians Only: If you're a licensed clinician practicing cosmetic medicine and would like to be included as a Contributing Member in the next report, please fill out this form. You will then be added to our Contributing Members and receive a monthly questionnaire that only takes about 10 minutes to complete. (If you're a business that would like to sponsor a report, please contact us.)

Medical Spa Physicians Report For October

We just sent out the physician survey link to all of the clinicians that have signed up to contribute.

If you're a physician and would like to contribute to the survey, you can sign up to contribute to the physicians survey right here and we'll get you on the list.

We're asking all of the responding doctors to take the survey in the next 72 hours or so and then it will take a few days to compile the results and get the report out and send it to all of our Members.

Introducing The New & Free Medical Spa MD Physician Report

The Physician Report from Medspa MD is a free monthly report complied from physicians and clinicians in medical spas and laser clinics.

Medical Spa MD Physician Report

Each new report contains answers about what other laser centers, skin clinics and medspas are doing to manage their business, save money, and increase profitability, from opinions on IPLs and software, to marketing, staff compensation, and specific treatment modalities. It's the inside scoop on what other physicians are doing, and what they think.

The Report is distributed to more than 5,000 physician Members via email as well as mainstream and online media outlets.

(Members can also access the archive in the Members Only area.)

Get specific answers from leading physicians and cosmetic practices.

The Medspa MD Physician Report researches and tracks all aspects of what's working in cosmetic medicine (and what does not).

So, we're not an agency, consultancy or other vendor seeking your business. All of our research is published for the entire Medical Spa MD community to benefit from. Our goal - to give physicians and clinicians the information, stats, and inspiration to improve their medical (and business) results.

Do you want to know how other clinics are choosing technology, attracting new patients, or compensating their staff? Would you like to discover what's the most effective settings for your new fractional laser, and how to avoid problems and complications? Could you use more info about how successful clinics are growing their business, negotiating with vendors, or saving money?

Answer yes to any of the above you'll love this free monthly report.

Each month, a new report contains answers about what other laser centers, skin clinics and medspas are doing to manage their business, save money, and increase profitability, from opinions on IPLs and software, to marketing, staff compensation, and specific treatment modalities. It's the inside scoop on what other physicians and medical spas are doing, and what they think.

Medical Spa MD researches what works in cosmetic practices through exclusive case studies, surveys, interviews and data analysis. Then we publish and distribute the report monthly to more than 5,000 Medical Spa MD Member Physicians as well as online and mainstream media. Join Medspa MD to receive the report.

Medical Spa MD Physician Report

Physician Report FAQ

Here are some answers to frequently asked questions.

How Do I get The Report?

Just join Medical Spa MD. It's free, which is a terrific price. (Members are able to download archived reports from the Members Only Area.)

What's in the Report?

Specific answers from other physicians and clinics. Each month, we email specific questions to physicians practicing cosmetic medicine and compile their answers into an easy-to-read Report that's then distributed to our Members. It's easy to read and provides information about what physicians practicing cosmetic medicine are thinking and doing to manage, control and grow their business.

But that's not all.

We also include specific case studies, interviews and we even have a sponsor area that will allow our Select Partners and other service and technology companies to offer one-time limited offers to our subscribers.

Can I contribute?

Yes. If you're a physician or clinician practicing cosmetic medicine, you can become one of our Contributing Members by submitting the form below. (The report deals with specific medical treatments and technology and is limited to licensed and practicing medical clinicians; MDs, DOs, PAs, NPs, and RNs)

Are Contributing Members Personally Identified?

No. Contributors are not individually identified inside the report. While clinicians can choose to identify themselves as a contributor on their own website by adding one of our badges, our process ensures that individuals are not associated with any specific response so that they can be absolutely candid in their responses.

Who are Contributing Physicians & Clinics?

Contributors are the clinicians that are in the trenches. They're the physicians and clinicians who own and run skin clinics, laser clinics, medical spas, plastic surgery centers, and cosmetic dermatology practices. Many of our contributors are Medspa MD Members but that's not a requirement.


Become a Contributing Member

Complete this form to contribute to the report.

If you're a licensed clinician (MD, DO, NP, PA, RN) and would like to be included as a Contributing Member, please fill out this form. You will then be added to our Contributing Members and receive a monthly questionnaire. (Submitting this form does NOT mean that you're a Medical Spa MD Member. You'll need to join Medspa MD to receive the report.)

After completing the application form you will be contacted by our team who will answer any questions or concerns you may have.

Questions?  Leave a comment and we'll answer them.

Medical Spa MD Video

Here' s a promo video that the good folks from our Select Partner Frontdesk SEO built for Medical Spa MD to show their new video offering.

It's pretty damn slick if I do say so myself.

Frontdesk SEO is already offering a host of social marketing tools and services for the Medical Spa MD Members who subscribe to thier business services, and now they're adding selected video services in to the mix.

Video has moved into the forefront of both internet marketing and traffic conversion since the fact that it's generally difficult to produce offers something more than simple text.

If you need help with your search engine rankings to drive more traffic, take a look at Frontdesk to see if you need some help in generating new patients while, at the same time, interacting with your existing patients more frequently outside of office visits. There are a number of our Members who use the service and love it.

If you' haven't yet run your existing website through through the free reporting tool to see what Google and the other search engines think of your site, you can do it through the link below.

Run a free SEO report on your website

Special Offer: If you're a Medical Spa MD Member, I will pay for you to go to the Medical Fusion Conference!

If you're a Medical Spa MD Member and you go to the Medical Fusion Conference, I'll pay for you to go.

There's just a couple of small catchs to this offer. First, you'll need to tell them that you're a Medspa MD Member at the time of your booking to get this deal. Second, there are a limited number.

(Listen to the new Medical Spa MD Podcast, episode 1, in which Dr. Greg Bledsoe talks about the Medical Fusion Conference.)

I'm really excited to have you hear because in this video I'm going to talk about exactly how you can start to take control of your medical career and leverage you medical training in ways that you never thought possible. And then at the end of this video you're going to receive a personal offer from me that's exclusively  to Medical Spa MD Members in which I'm going to pay your way to attend the conference. That's right. I'm so passionate about this conference and it's philosophy that I'm going to personally pay if you attend this conference in Las Vegas. You're going to want to stick around for this.

But first up, let me introduce you to the Fusion Medical Conference while I tell you what's  got me so fired up and energized about it.

First you'll be up for two days of intense learning from physicians who have already made the decision to take their careers in the directions that they choose.  These docs will teach you how they've succeeded, and let you learn from the mistakes they've made. From concierge medicine to  pharmaceutical consulting, you'll learn from doctors who are already walking the walk.

Medical Fusion Conference is about taking control of your career, and your lifestyle. While other conference are packed with vendors and technology companies, Medical Fusion is filled with physicians who have decided to leverage their training and skills to create the career course that they want, from consulting , to writing, to film making. These guys are filled with information that you can use no matter what you current situation is. 

Secondly, Medical Fusion isnt about walking the isles of a sales floor and listening to sales pitches, it's about doing. The difference is glaring. Look, I've been to all the conferences in NY, LA, Miami and Vegas. While the larger expos and conferences are selling you fish, Medical Fusion is handing  you a fishing pole and teaching you how to use it.

Best of all, the thinking around Medical Fusion fits perfectly with cosmetic practices. As a physician practicing cosmetic medicine you need a host of skills, from marketing, to operations. You're in 'retail' medicine after all and the reason that you got in to cosmetic medicine was to gain some control of your practice and your life style. This is exactly the thinking that Medical Fusion is all about.

Ok, so let's talk about what you're going to get and why you'd be smart to step up snatch this offer before it's gone.

You get 2 days of rubbing elbows with physician entrepreneurs who can help you make smart and move your career in the direction that you choose.

You also get this generous bonus of 20 free hours of Category 1 CME credits through ExpedMed, the leader in expedition and wilderness medicine. It's al lot more fun than most CME courses and it's included for all attendees.

But, that's not all. Since you're a Medical Spa MD Member, I'm going to make you an offer that you'd be a fool to pass up on.

If you're a Medical Spa MD Member attending Medical Fusion and you let them know when you sign up, you're going to receive a full month of full service business SEO from Frontdesk. If you haven't looked at Frontdesk before, you should do it right now. There are already a number of Members who use Frontdesk to promote their search engine rankings and market their clinics online. And the business account is Frontdesk's flagship product that they usually charge $1,259 for.

And the reason that you're going to get that free month from Frontdesk is that Medical Spa MD is going to pay for it. That's right. I will pay for you to receive a full month of business services from Frontdesk and it won't cost you a dime.

There are a couple of caveats of course. You'll have to register by phone (866-924-7929) and identify yourself as a Member. And since I'm paying for this out of my own pocket I'm going to limit my total costs to $100,000 retail.  (Yes, I'm getting a discount. No, it is not free. No matter how supportive a business is, they still have to make money and pay their employees as we all know) That means that not everyone who wants to get this bonus is going to be able to.

And since this is my own cash, I'll reserve the right to approve every bonus.  I'll be pretty transparent about this and may publish a list of those who attend and receive this offer.

Lastly, lest you think that I must have some sort of business interest in Medical Fusion to make this kind of offer, not So. I have no business arrangement with the Medical Fusion Conference of any kind. None. Zilch. Nada. I'm making this offer because this conference is awesome and deserves support. That's it.

There you go. This is an absolutely killer deal. If you have any way of putting yourself in Las Vegas on November 5th, 6th, and 7th, do it. Whether you're just getting started, or you fancy yourself a bit of an old hand, you're going to learn how to take control of your career and put yourself on the path to the lifestyle you're looking for.

If you're smart, you'll book right now and snag a full month of Expert SEO services from Frontdesk.

Special Offer Fine Print

The offer I'm making to pay for a full month of SEO services from frontdesk is not part of the Medical Fusion Conference. It's my way of encouraging Members to attend and learn. It is entirely at my discretion and may be withdrawn, amended, discontinued or anything else at my sole discretion. (So don't abuse it.) That being said, you should absolutly take advantage of this ASAP since I'm only going to pay for a limited number of attendees. Yes, you will still have to pay the actual fee, flight and room... but you'll get me to give you a free month of full service SEO from Frontdesk. Get off your duff and sign up.

The Medical Spa MD Micro-loan Fund

Join Medical Spa MD and our Members to do some good around the world.

If you've never heard of Kiva, it's a micro-lending organization that provides working capital in amounts as small as $25 or $100 to entrepreneurs in third world countries.

My daughter has had a tiny, $100 'micro-lending' fund that we started when she was ten. So far, that single $100 investment has helped 24 small businesses around the world. (It's a loan so they pay it back and it can be re-lent to others.)

We've been doing this for a few years as a family and it's been a real learning experience for my daughter. After all, this is real money and these are real people. If you lend to one person, it means that you're not lending to another. Who is more deserving? Who's riskier? We've had some very deep discussions and it's been great.

Which brings me to the Medical Spa MD Micro-lending Team.

I want to recruit you to join the Medical Spa MD Micro-lending Team on Kiva.

Kiva is a non-profit website that allows you to lend as little as $25 to a specific low-income entrepreneur across the globe. You choose who to lend to - whether a baker in Afghanistan, a goat herder in Uganda, a farmer in Peru, a restaurateur in Cambodia, or a tailor in Iraq - and as they repay the loan, you get your money back.

If you join Medspa MD's team, we can work together to alleviate poverty. Once you're a part of the team, you can choose to have a future loan on Kiva "count" towards our team's impact. The loan is still yours, and repayments still come to you - but you can also choose to have the loan show up in our team's collective portfolio, so our team's overall impact will grow!

If you're part of a medical spa, laser clinic, plastic surgery center or dermatologists office and you're willing to put in $100 or more to Kiva loans and join our lending team, I'll publish your clinic or medspa on a special page that I'll build (Hey, I just thought of this. It's not done yet.) and give you a badge to display on your website. You'll also be doing some good in the world.

Please take a look at Kiva. It's a fantastically run organization. I've been lending through them for the last six years and I have never had a momemets regret. It's easily the best $100 that I every put to use.

Let me know what you think about this in the comments. (As soon as we have a couple of members I'll build a lenders page that will link directly to supporting clinics and sites.)

Create an account and join the Medical Spa MD Lending Team!

Medical Spa MD: Botox & Laser Clinic Spam Comments

If you're Medical Spa MD Member you'll probably already know we have a hoard of spammers who regularly target the site with garbage comments about fake Botox, discount purses or skincare, laser hair removal and the rest.

Paula says it clearly:

When I first joined Medical Spa MD, I signed up to have recent posts sent to my email account so I wouldn't miss important clinical discussions. There is SO much spam now (i.e., Jaquily and others) on a daily basis that I have to unsubscribe from the feeds. Can you please find some way for this to stop so I can once again enjoy the discussions?

Belive me, I feel your pain. The spam is something that I have to deal with every day.

So, effecive immediately, we're going to run a test to see if we can keep a lid on the fake Botox comments. All comments will have to be approved by a Medical Spa MD editor or myself before they go live. I don't expect to be able to stop all spammers but perhaps we can make a dent by trying to catch those that are clearly just posting spam.

Medical Spa MD Member comments will not have to be approved before being published so you can just login to your account to aviod the wait.

Note: Comments will only be rejected for violating our terms of use. We will not be verifying anything about the truth or accuracy of a comment or claim.

Medical Spa MD: The 6 best ways to earn and use patient testimonials, associations, and third party endorsements.

Patient testimonials, third-party reviews and endorsements, media coverage... these can all differentiate your medical spa, plastic surgery, or cosmetic dermatology practice and convince potential patients to give your clinic a shot.

While search engine marketing (SEO), pay per click (ppc) and direct mail can put your practice in front of potential patients, third party patient testimonials can provide the needed level of ‘trust building’ to initiate a first contact.

The three types of third party validation for medical spas, plastic surgeons, and cosmetic dermatologists:

Direct Patient Testimonials: You’ve seen this if you’re not already doing it. Prominent display of your patients saying nice things about you.

Trust Through Association: The reason that you’ll put your FACS, ASAPS, AAD, or ASDS logo on your site is to build patient trust. It works. Of course, theses associations are completely restricted and very protective of their turf, leading to less restrictive medical associations who want to gain credibility. The reason MAPA was formed was to add some legitimacy to a group of non-core physicians. These associations are always pay to play.

Third Party Endorsements and Validations: Botox ‘premier providers’ is an example of third party endorsement as are others that are run by medical service companies. (If Medical Spa MD links to your medical spa it’s a third party endorsement.) Interestingly, third party endorsements actually have a more favorable impact than association endorsements since the third party is often more ‘relevant’ to the initiation of a financial transaction.

When you receive these kinds of accolades or promotions from prominent third-party players, if validates what you’re doing and provides the potential patient you’re marketing to a level of instant comfort that you’ve already been checked out and are the ‘real deal’.

Subtle changes to the way you’re handling your patient testimonials and third party endorsements can produce dramatic effects, especially online, where the majority of patients are now searching for information.

Medical Spa MD: Quick strategies for piling up and using patient endorsements

Target the places your patients already are: First and most importantly is your existing medical spa or cosmetic practice but you’ll be able to reach far out into the community and gain the endorsements of other prominent businesses and individuals

Identify third-party recognition programs: These are most often paid inclusion but there are ways to get these types of third party endorsements for free, or at reduced cost.

Prepare legal and media write-ups: The media only runs two types of story; we found something good and, we found out something we thought was good, was really bad. Uncover the ways to build this kind of content that you can use on your own site, and share with you local media outlets.

Provide ready-made strong human interest and strong visuals: Patients and the media love photos. If your fractional laser resurfacing before and after pictures suck, you’re losing traffic and paying patients. Learn how to manage your photos and make them more than just snapshots.

Give patient testimonials prominent placement: If you don’t have your patients smiling photo, full name, and a stellar testimonial, you’re less effective that you could be. Learn how to get patient testimonials that are truthful, candid, and really work. Read these testimonials from Medical Spa MD Members touting the benfits of belonging to the best cosmetic medicla commuity on the web.

Look for latent patient traffic, not spikes, from these techniques: The effective use of third party endorsements and patient testimonials work and drive patient flow, but it’s not a technique that provides an instant boost. It’s begins a trend and compounds over time.

If you’re not using patient testimonials and third party endorsements to drive patient flow, start now, your medial spa, cosmetic dermatology clinic, or plastic surgery practice will benefit far into the future.

And of course Medical Spa MD uses testimonials too. Read these testimonials from Medical Spa MD Members:


Mitchell Chasin, MD: Reflections Center for Skin & Body, Livingston NJ

Mitchell Chasin MD, Refelections Center for Skin & Body Medical Spa MD helps us to stay focused on the details that make the difference between a thriving practice and one that is languishing in this sagging economy.

Medical Spa MD is an important resource that I recommend to anyone who wants to understand the trends and stay connected to the ever changing aesthetic community.



Paula D. Young RN: Young Medical Spa, Allentown - Lehigh Valley, PA

Paula D. Young RNTo really know what's going on in the aesthetic business you MUST join Medical Spa MD! Nowhere else can you find the information crucial to your success in this ever changing arena. From the classified ads section, to the professional community forum discussion threads, to real equipment reviews by aesthetic professionals. I especially value the articles on marketing and the community forum discussions on therapy management like melasma, fillers, laser lipolysis, and skin resurfacing. Medical Spa MD keeps me on my toes as a medical spa owner, marketer, and nurse!


Susan J. DeGuide, MD: Inovamed, Rockford IL

Susan J. DeGuide MD,InnovaMedI found Medical Spa MD several months ago and immediately added it to my “Favorites” list. I check the site several times a week to look through the new posts. I enjoy learning about new technology, expanding my knowledge of the technology I already own, and knowing that I’m giving the best available care. I would not buy a new piece of equipment now without first consulting Medical Spa MD.


Ronald Berglund, Former Medical Spa Franchisee. Sybaritic, Inc.

Ron Burgland, Sybaeritic...we no longer feel like we are "all by ourselves" out there. There are a myriad of challenges involved with operating a successful and profitable medical spa, including marketing, sales, operations and procedures, clinical, human resources, regulatory and legal. Another huge issue for everyone is choosing the best equipment for the price. With the help of the "medical spa equipment for sale" feature I have been able to sell several pieces of used equipment. Trying to use E-Bay and other Internet-based options was a nightmare.


Jeffery E. Epstein MD: Founder Medical Aesthetic Practice Association
& Cherry Hill Laser & Skin Care Center

Jeffery Epstein MD, Cherry Hill Laser & Skin

When we look back on the early 21st century with regards to Cosmetic Medicine, we will think of R. Rox Anderson, The Carruthers and we will think of Medical Spa MD. By providing this platform (Medical Spa MD), Jeff Barson has done more to advance Cosmetic Medicine than Anderson and the Carruthers combined. There has been a paradigm change in the cosmetic medical world and it can be directly attributed to Medical Spa MD!

Dermacare sues everyone on Medical Spa MD?

It appears that Dermacare has thrown in the towell regarding it reputation.

I received this email from Dermacare and it's CEO Carl Mudd regarding a suit that Dermacare has filed. Since this is the first contact I've ever had with Dermacare, I'm a little surprised. It makes me wonder what's been going on on that Dermacare thread that has 700 comments. 

Rather than engage in a back and forth or aim for clarity, which is what I would have recommended, or complaining to me that some of the remarks have crossed a line, (I have actually taken down many comments if they contain profanity directed at any specific individual.), Dermacare and it's CEO Carl Mudd have actually gone and filed suit. (I also received a PDF of the suit naming multiple John and Jane Does.)

Here's the email: 


Jeff Barson
(I've removed my address here)

                Re:         DLC Dermacare, LLC v. John and Jane Does – CV2008-090071

Dear Mr. Barson:

My office represents DLC Dermacare, LLC (“Dermacare”) and its CEO Carl Mudd.  I am writing in regards to the blog that you host located at www.medicalspamd.com .  As you know, you have allowed numerous persons to post information related Dermacare and about Mr. Mudd personally on your site.  The information posted is overwhelming incorrect and has served as a discussion board for Dermacare franchisees to not only discourage potential franchisees from partnering with Dermacare but to also promote the breaching of current franchisee agreements held by many of the bloggers on your site.

The comments that you have allowed to be posted on your site have evolved from mere discussions/complaints into actionable claims against the bloggers and possibly even you personally.  Pursuant to our filing the above referenced complaint we are now seeking the Internet Protocol (IP) address and the Internet Service Provider (ISP) for each of the following bloggers on your site:

  • Dermadoc
  • Mr. Bob
  • Just Another Ex
  • Passive Conduit
  • Pm
  • Jennifer D
  • Pengy
  • Mr. Freeze
  • Bastard Son of Dermadoc
  • GH
  • Maxwell Smart
  • The Clinician
  • The Real M. Smart
  • John Galt
  • George
  • Max
  • Christmas
  • Maxwell’s Silver Hammer
  • The Passive Conduit
  • The Riddler & The Joker
  • DoubleDermadare You
  • Mad Max
  • Manic Max
  • Mad as Hell in Dermacare Hell
  • A current Franchisee
  • FreeTheDerm@ yahoo.com
  • WPS
  • Insider
  • Thomas Jefferson, Jr
  • TF
  • T. Jefferson, Jr.
  • The Joker
  • Curious
  • Mr. X

Please provide the IP address and ISP for each of the above names no later than Friday, January 18th, 2008.  Should you not provide the requested IP addresses and ISP by this date I will be forced to have you served with a subpoena to obtain this information.  I have included a copy of the lawsuit that was filed in this matter for your files.  If you have comments or questions please direct them to my office.


John N. Skiba

One North Macdonald Road, Suite 201
Mesa, Arizona 85201
Tel. 480.361.5643
Fax 480.704.3071


You can download the actual PDF of the Suit here.

I wasn't asked to keep any of this confidential so here it is. 


So what's Dermacare and Carl Mudd doing?

This is what is know as a CyberSLAPP suite. Basically it's a way of intimidating critics by threatening to find out their identity and hit them with some kind of suit. (read below)

You'll notice that Dermacare and Carl Mudd are demanding that I turn over everyones ISP. For those of you who are not that technically savvy, ISP = Internet Service Provider, which I have absolutely no way of knowing anyway as far as I can tell. The IP address is different. That's a unique identifier and could be used to find out who someone is.

These kinds of suits have become increasingly common as a way of combating free speech on the internet. It used to be that if someone said something unkind, it didn't matter that much since only a few people would hear about it. The net changed all of that and now someone who's unhappy with you or your business can be found by everyone so those whe illicit a lot of negative comments tend to have a rougher go of it.

My guess is that this is intended to intimidate those who may comment in a negative way about Dermacare or Mr. Mudd, and to find out who everyone is. While anonymous speech is protected by the constitution, its still unnerving to have someone you've been talking about know exactly who you are, especially if you're in some kind of business relationship. By filing a real suit against 'everyone' in the form of John and Jane Does, it allows him to issue a legal subpoena to get information. (It's basically a cynical way of using the courts which is why some states like California have laws specifically against this.)

Here are some links about these kinds of CyberSlapp suits and where the law comes down on free speech and other issues around this:

Chilling Effects Clearinghouse: A joint project of the Electronic Frontier Foundation and Harvard, Stanford, Berkeley, University of San Francisco, University of Maine, George Washington School of Law, and Santa Clara University School of Law clinics.

Do you know your online rights? Have you received a letter asking you to remove information from a Web site or to stop engaging in an activity? Are you concerned about liability for information that someone else posted to your online forum? If so, this site is for you.

The law of defamation balances two important, and sometimes competing, rights: the right to engage in free speech and the right to be free from untrue attacks on reputation. In practice, the filing or even the threat to file a lawsuit for defamation has sometimes been used as a tool to shut down legitimate comments on the Internet.

John Doe Anonymity
Do you post to a public message boards or discussion areas on websites such as Yahoo, AOL or Raging Bull? Do you use a pseudonym, fake name or a "handle"? Has someone asked the host of the discussion or your ISP to turn over information about you or your identity? If so, then the John Doe/Anonymity section may answer some of your questions.
Topic maintained by Stanford Center for Internet & Society

Protest, Parody and Criticism Sites
The Internet, which offers inexpensive access to a worldwide audience, provides an unparalleled opportunity for individuals to criticize, protest and parody.

The following is long but you'll come away with a much better understanding of what this all means: 

About Defamation:

Question: What are the elements of a defamation claim?

Answer: The party making a defamation claim (plaintiff) must ordinarily prove four elements:

  1. a publication to one other than the person defamed;
  2. a false statement of fact;
  3. that is understood as
  4. a. being of and concerning the plaintiff; and
    b. tending to harm the reputation of plaintiff.
  5. If the plaintiff is a public figure, he or she must also prove actual malice.

Question: What defenses may be available to someone who is sued for defamation?

Answer: There are ordinarily 6 possible defenses available to a defendant who is sued for libel (published defamatory communication.)
1. Truth. This is a complete defense, but may be difficult to prove.
2. Fair comment on a matter of public interest. This defense applies to "opinion" only, as compared to a statement of fact. The defendant usually needs to prove that the opinion is honestly held and the comments were not motivated by actual "malice." ( Malice means knowledge of falsity or reckless disregard for the truth of falsity of the defamatory statement.)
3. Privilege. The privilege may be absolute or qualified. Privilege generally exists where the speaker or writer has a duty to communicate to a specific person or persons on a given occasion. In some cases the privilege is qualified and may be lost if the publication is unnecessarily wide or made with malice.
4. Consent. This is rarely available, as plaintiffs will not ordinarily agree to the publication of statements that they find offensive.
5. Innocent dissemination. In some cases a party who has no knowledge of the content of a defamatory statement may use this defense. For example, a mailman who delivers a sealed envelope containing a defamatory statement, is not legally liable for any damages that come about from the statement.
6. Plaintiff's poor reputation. Defendant can mitigate (lessen) damages for a defamatory statement by proving that the plaintiff did not have a good reputation to begin with. Defendant ordinarily can prove plaintiff's poor reputation by calling witnesses with knowledge of the plaintiff's prior reputation relating to the defamatory content.

Question: Can an opinion be defamatory?

Answer: No — but merely labeling a statement as your "opinion" does not make it so. Courts look at whether a reasonable reader or listener could understand the statement as asserting a statement of verifiable fact. (A verifiable fact is one capable of being proven true or false.) This is determined in light of the context of the statement. A few courts have said that statements made in the context of an Internet bulletin board or chat room are highly likely to be opinions or hyperbole, but they do look at the remark in context to see if it's likely to be seen as a true, even if controversial, opinion ("I really hate George Lucas' new movie") rather than an assertion of fact dressed up as an opinion ("It's my opinion that Trinity is the hacker who broke into the IRS database").

Question: Is there a difference between reporting on public and private figures?

Answer: Yes. A private figure claiming defamation — your neighbor, your roommate, the guy who walks his dog by your favorite coffee shop — only has to prove you acted negligently, which is to say that a "reasonable person" would not have published the defamatory statement.

A public figure must show "actual malice" — that you published with either knowledge of falsity or in reckless disregard for the truth. This is a difficult standard for a plaintiff to meet.

Question: Who is a public figure?

Answer: A public figure is someone who has actively sought, in a given matter of public interest, to influence the resolution of the matter. In addition to the obvious public figures — a government employee, a senator, a presidential candidate — someone may be a limited-purpose public figure. A limited-purpose public figure is one who (a) voluntarily participates in a discussion about a public controversy, and (b) has access to the media to get his or her own view across. One can also be an involuntary limited-purpose public figure — for example, an air traffic controller on duty at time of fatal crash was held to be an involuntary, limited-purpose public figure, due to his role in a major public occurrence.

Examples of public figures:

  • A former city attorney and an attorney for a corporation organized to recall members of city counsel
  • A psychologist who conducted "nude marathon" group therapy
  • A land developer seeking public approval for housing near a toxic chemical plant
  • Members of an activist group who spoke with reporters at public events

Corporations are not always public figures. They are judged by the same standards as individuals.

Question: May someone other than the person who originally made the defamatory statement be legally liable in defamation?

Answer: One who "publishes" a defamatory statement may be liable. However, 47 U.S.C. sec. 230 says that online service providers are not publishers of content posted by their users. Section 230 gives most ISPs and message board hosts the discretion to keep postings or delete them, whichever they prefer, in response to claims by others that a posting is defamatory or libelous. Most ISPs and message board hosts also post terms of service that give them the right to delete or not delete messages as they see fit and such terms have generally been held to be enforceable under law.

Question: Can an ISP or the host of the message board or chat room be held liable for
defamatory of libelous statements made by others on the message board?

Answer: Not in the United States. Under 47 U.S.C. sec. 230(c)(1) (CDA Sec. 230): "No provider or user of an interactive computer service shall be treated as the publisher or speaker of any information provided by another information content provider." This provision has been uniformly interpreted by the Courts to provide complete protection against defamation or libel claims made against an ISP, message board or chat room where the statements are made by third parties. Note that this immunity does not extend to claims made under intellectual property laws.

Question: Must an ISP or message board host delete postings that someone tells him/her are defamatory? Can the ISP or message board delete postings in response to a request from a third party?

Answer: 47 U.S.C. sec. 230 gives most ISPs and message board hosts the discretion to keep postings or delete them, whichever they prefer, in response to claims by others that a posting is defamatory or libelous. Most ISPs and message board hosts also post terms of service that give them the right to delete or not delete messages as they see fit and such terms have generally been held to be enforceable under law.


About John Doe Anonymity


Question: How is Internet anonymity affected by John Doe lawsuits?

Answer: Often called "CyberSLAPP" suits, these lawsuits typically involve a person who has posted anonymous criticisms of a corporation or public figure on the Internet. The target of the criticism then files a lawsuit so they can issue a subpoena to the Web site or Internet Service Provider (ISP) involved and thereby discover the identity of their anonymous critic. The concern is that this discovery of their identity will intimidate or silence online speakers even though they were engaging in protected expression under the First Amendment.

Question: Why is anonymous speech important?

Answer: There are a wide variety of reasons why people choose to speak anonymously. Many use anonymity to make criticisms that are difficult to state openly - to their boss, for example, or the principal of their children's school. The Internet has become a place where persons who might otherwise be stigmatized or embarrassed can gather and share information and support - victims of violence, cancer patients, AIDS sufferers, child abuse and spousal abuse survivors, for example. They use newsgroups, Web sites, chat rooms, message boards, and other services to share sensitive and personal information anonymously without fear of embarrassment or harm. Some police departments run phone services that allow anonymous reporting of crimes; it is only a matter of time before such services are available on the Internet. Anonymity also allows "whistleblowers" reporting on government or company abuses to bring important safety issues to light without fear of stigma or retaliation. And human rights workers and citizens of repressive regimes around the world who want to share information or just tell their stories frequently depend on staying anonymous – sometimes for their very lives.

Question: Is anonymous speech a right?

Answer: Yes. Anonymous speech is presumptively protected by the First Amendment to the Constitution. Anonymous pamphleteering played an important role for the Founding Fathers, including James Madison, Alexander Hamilton, and John Jay, whose Federalist Papers were first published anonymously.

And the Supreme Court has consistently backed up that tradition. The key U.S. Supreme Court case is McIntyre v. Ohio Elections Commission. http://www.eff.org/Legal/Cases/mcintyre_v_ohio.decision

Question: How do CyberSLAPP plaintiffs discover the identity of anonymous Internet critics?

Answer: CyberSLAPP plaintiffs usually get the personal information you gave an ISP or online message board when you signed up (name, address, telephone number, etc.). Some web sites that host discussion boards might only have your e-mail address, in which case a second subpoeana to the ISP that hosts that address will reveal your identity. In many cases, even more detailed information about your use of the Internet can be obtained; it's important to realize that when you go online, you leave electronic footprints almost everywhere you go. (With advanced knowledge of the Internet, however, there are ways to cover your tracks.)

Question: Don't judges review subpoenas before they are sent to ISPs?

Answer: No. The issuing of civil subpoenas is not monitored by the court handling the case. Under the normal rules of discovery in civil lawsuits, parties to a suit can simply send a subpoena to anyone they believe has information that could be useful. That information doesn't even have to be relevant to the lawsuit, as long as it could possibly lead to the discovery of relevant information. The only way that a court will evaluate an identity-seeking subpena is if either the ISP or the target of the subpoena files a motion asking the judge to block the subpoena. Unfortunately, in practice that rarely happens. That is because these subpoenas usually have a short, roughly 7-day deadline, and because many people never even find out that their Internet data has been subpoenaed.

Question: Isn't my ISP required by law to tell me if someone asks for my Internet-usage records and identity?

Answer: Unfortunately, in practice CyberSLAPP subpenas are rarely challenged becaue ISPs often fail to notify the individual who's personal information is sought. Even when they do, the short deadline (often as little as 7 days) does not provide enough time for the speaker to find and hire an attorney and the attorney to prepare the Constitutional arguments necessary to defend against the subpena.

Question: What is a "motion to quash" a subpoena?

Answer: This is a formal request for a court to rule that your information should not be given to the requesting party. This normally includes the request, plus a legal brief (sometimes called a memorandum of points and authorities) explaining why, by law, your information should not be turned over. Samples of briefs filed in John Doe cases are available at:

EFF Archive, Cullens v. Doe, http://www.eff.org/Privacy/Anonymity/Cullens_v_Doe/

Question: What should I do if I receive notice that my ISP has received a subpoena for my data?

Answer: First you should decide whether you wish to fight to protect your identity, Internet usage records, or whatever else is being sought. You might want to ask your ISP for a copy of the subpoena if they haven't already provided one. If you decide to fight it, you should inform the ISP immediately, and you may want to request that they delay compliance to give you time to find a lawyer. Then find a lawyer, who will file a motion to have the subpoena thrown out. (If your lawyer can later prove that the lawsuit was frivolous, you may be able to recover legal fees if your state has passed an anti-SLAPP statute.)

Question: What are the typical claims behind a CyberSLAPP suit?

Answer: The most common complaints by CyberSLAPP plaintiffs are defamation, trademark or copyright infringement, and breach of contract. Speech that involves a public figure - such as a corporation - is only defamatory if it is false and said with "actual malice." It also must be factual rather than an expression of opinion. In the US, because of our strong free speech protections, it is almost impossible to prove defamation against a public figure. Trademark and copyright complaints typically claim that defendants have violated intellectual property rights by using the name of a corporation or its products, or by quoting from some of their copyrighted materials such as an annual report. In reality, the First Amendment includes a clear right to criticize and discuss corporations and their products, and the law includes clear exceptions for the "fair use" of protected material for those purposes. Breach of contract suits often involve a claim that anonymous speakers might be employees who have violated a contract by releasing confidential information. Of course, the right to anonymous speech is meaningless if a corporation can unmask your identity at will because you might be an employee breaking a promise of confidentiality.

Question: How do judges decide whether to let a subpoena go forward?

Answer: This is a very new area of the law, and there are few well-established principles. The courts do have a duty to balance the right of anonymity against the need to prevent true defamation. So far there have been both good and bad rulings from judges; fortunately several have ruled that the plaintiff must prove that his case has at least a theoretical chance of prevailing before anonymity can be stripped away. Other cases have established a set of key factors to be used in judging anonymity-stripping subpoenas. In most of these the key factors are 1) that the party seeking the subpoena provide evidence that the identity is needed; 2) that the identity is directly needed for a key element in the case; 3) and that the identity information is not otherwise available to the party seeking it. While not yet firmly entranched in the law, these common-sense principles are clearly the right way to ensure that First Amendment rights are protected while still allowing identity to be revealed when there is a genuine need to do so.

Question: What are some of the important cases in this area of law?

Answer: Important CyberSLAPP cases include Dendrite v. Does, http://www.citizen.org/documents/dendriteappeal.pdf,
Melvin v. Doe, http://legal.web.aol.com/decisions/dlpriv/melvinop.html,
Doe v 2TheMart.com, http://www.eff.org/Cases/2TheMart_case/20010427_2themart_order.html,
Global Telemedia International v. Doe, http://www.casp.net/busted.html. Additional information about these and other cases can be found by searching the Internet or looking on the Web sites listed below.

Question: Can I do anything to help change this situation?

Answer: You can do several things. Be educated about your rights. Find out your ISP's policy on the handling of subpoenas, and encourage them - and any Web sites you frequent - to adopt good policies, especially a pledge to notify you of any subpoena before any private information is disclosed. Encourage your state legislators to pass legislation requiring such notice, and press them to amend state anti-SLAPP statutes to explicitly include Internet anonymity cases.

Question: What other resources are available?

Answer: Web sites dealing with this issue include:


Question: Can someone ask for my identity even if I am not the Defendant in the case?

Answer: Yes. The rules of civil discovery allow a party to a lawsuit (the plaintiff or defendant) to ask anyone for any information that may lead to the discovery of relevant evidence to their case. However, your ability to quash such a request if you are not named as a party to the lawsuit is the same as if you are named. You can still file a motion to quash. Below is a link to the case files for such a case:


Question: I am in California. Do I have a right to both resist such a subpena and to ask a court to throw out the case, right away, and award me attorneys fees?

Answer: Yes. California has a specific statute, called the anti-SLAPP statute, that allows an early motion to be brought to have a case dismissed if it is aimed at silencing protected expression and participation in matters of public concern.

Code of Civil Procedure § 425.16(b)(1) provides:

A cause of action against a person arising from any act of that person in furtherance of the person’s right of petition or free speech under the United States or California Constitution in connection with a public issue shall be subject to a special motion to strike, unless the court determines that the plaintiff has established that there is a probability that the plaintiff will prevail on the claim.

A legal brief explaining the California statute further in a case involving claims of online defamation is available at:


Question: What are the key federal decisions involving anonymous speech?

Answer: 1. Buckley v. American Constitutional Law Foundation (1999) 525 U.S. 182, 197-200;

2. McIntyre v. Ohio Elections Commission (1995) 514 U.S. 334. In that case, on page 357, the Supreme Court said:

"[A]n author is generally free to decide whether or not to disclose his or her true identity. The decision in favor of anonymity may be motivated by fear of economic or official retaliation, by concern about social ostracism, or merely by a desire to preserve as much of one’s privacy as possible. Whatever the motivation may be, . . . the interest in having anonymous works enter the marketplace of ideas unquestionably outweighs any public interest in requiring disclosure as a condition of entry. Accordingly, an author’s decision to remain anonymous, like other decisions concerning omissions or additions to the content Amendment.
* * *
Under our Constitution, anonymous pamphleteering is not a pernicious, fraudulent practice, but an honorable tradition of advocacy and dissent.

3. Talley v. California (1960) 362 U.S. 60. (holding unconstitutional a state ordinance prohibiting the distribution of anonymous handbills)

4. Lamont v. Postmaster General (1965) 381 U.S. 301, 307 (finding unconstitutional a requirement that recipients of Communist literature notify the post office that they wish to receive it, thereby losing their anonymity);

5. ACLU of Georgia v. Miller (N.D. Ga. 1997) 977 F. Supp. 1228 (striking down a Georgia statute that would have made it a crime for Internet users to “falsely identify” themselves online).

Question: Aren’t people required to explain why they’re subpoenaing my identity and other information?

Answer: Not with the initial request. The reasons for the subpena are only provided if the subpena is challenged, through a motion to quash. In opposing the motion to quash, the person seeking the information must demonstrate, at a minimum, that it is likely to lead to the discovery of information that would be useful in a lawsuit.

Question: I signed a confidentiality/privacy agreement with my ISP that provides that they will not release my information. Doesn’t that protect me?

Answer: No. Most privacy agreements state that information will be turned over in response to legal requests, and a subpena is such a request. Even if the agreement does not say so, a legally issued subpoena overrides such agreements as a matter of public policy. Each ISP has a different policy about notifying users when their information has been subpoenaed, but they cannot simply ignore a subpoena under the law without risking legal santion themselves.

Question: What does "respond" to the subpena mean?

Answer: Usually, it means that the ISP will give the requested information to the requesting person. In some cases, ISPs have resisted requests for information on behalf of their customers, but this is not the norm. Unless specifically told differently by your ISP, you should assume that your ISP will turn over your information as part of its response.

Question: Can an ISP or the host of the message board or chat room be held liable for defamatory of libelous statements made by others on the message board?

Answer: No. Under 47 U.S.C. sec. 230(c)(1): "No provider or user of an interactive computer service shall be treated as the publisher or speaker of any information provided by another information content provider." This provision has been uniformly interpreted by the Courts to provide complete protection
against defamation or libel claims made against an ISP, message board or chat room where the statements are made by third parties. Note that this immunity does not extend to claims made under intellectual property laws.

Question: Can my ISP or the host of a message board be held liable for defamatory statements I make on the grounds that they are a "publisher" or "republisher" of the information?

Answer: No. Federal law provides: "No provider or user of an interactive computer service shall be treated as the publisher or speaker of any information provided by another information content provider." This has been interpreted to protect hosts of discussions between other people against defamation and libel claims as a "republisher" of the information. Note that this protection does not extend to claims under intellectual property laws.

Question: Must an ISP or message board host delete postings that someone tells him/her are defamatory? Can the ISP or message board delete postings in response to a request from a third party?

Answer: 47 U.S.C. sec. 230 gives most ISPs and message board hosts the discretion to keep postings or delete them, whichever they prefer, in response to claims by others that a posting is defamatory or libelous. Most ISPs and message board hosts also post terms of service that give them the right to delete or not delete messages as they see fit and such terms have generally been held to be enforceable under law.

Question: My ISP tells me it's been asked to turn over my name as part of a lawsuit against hundreds of "John Does" in a faraway state. What can I do?

Answer: You should probably contact a lawyer, and suggest that the lawyer take a look at arguments raised by the EFF, ACLU, and Public Citizen in one of these suits (e.g., http://www.eff.org/IP/P2P/RIAA_v_ThePeople/JohnDoe/20040202_UMG_Amicus_Memo.pdf)

Lipodisolve, Mesotherapy & Other Patient Questions.

There are a few posts on this site from potential patients looking for advice. The Lipodisolve: Mesotherapy Horror Posts! thread has some that go like this: (I've corrected the spelling where I could. Evidently we've got readers in England too.)

Lipodissolve.jpg"I had lipo dissolve on my upper abdomen, I had a small pocket of fat that looked odd and losing wait didn't have any affect. I am correct BMI etc and healthy. I was assured i was an ideal candidate and it was exactly what it would work on. I went 4 time Each time told it would definitely work. I spent £1000 and had no impact at all not even a mm difference, I was sore after each and continued in the hope the next time would work but it didn't. Im now considering liposmart can anyone tell me honestly that this will work, I cannot afford more treatment that does not work but otherwise eon a normal physique I have a pouch of fat that is totally abnormal."

First, you need to find a doctor you trust and talk to them. You're asking for a medical diagnosis. No physician who has not seen you will answer this type of question. You're wasting your time trying to elicit one. Go find a doctor you like and trust and get a real opinion.

Second, it's just plain foolish to ask for this kind of advice. If you've read that Lipodisolve thread you'll see in the post that there are all types of non-physicians performing treatments they're calling Lipodisolve. Go find a doctor you like and talk to them. You're asking for problems.

RateMD.com let's patients give their plastic surgeon two thumbs up... or down.


Expect to see more of this in the near future as social networking sites turn their attention to things like medical services.

FIG7.gifProving once again that medicine is a tough field...  A new web site allows the public to rate and comment about doctors online; RateMDs.com. The site claims that as of today 20,379 physicians have been rated, with 74 new ones added yesterday. Developers assert that the site is changing the way the world looks at medicine by providing patients with the unique opportunity to rate and read about their doctors.

Those who post ratings and comments do so anonymously, and each physician listed gets an overall rating expressed in the form of a smiling, frowning, or neutral icon.

The FAQs note that 'comments should be about professional ability. New ratings are reviewed, and we reserve the right to delete comments or an entire rating.' To the question 'I'm a doctor. How do I get my name removed from your site? The response is ' The short answer is, you don't.''

Forums are being developed that allow almost everything to be ranked, in most cases aynomiously. They will initially be overrun with spam and flaming posts but there will be solutions found to those problems. In the mean time, prepare to be judged.

via MSSPNexus

Fighting Obesity: Weight Loss Wars & E-Health Compete

weightlosswars.gifWith Americas ballooning waistline (mine included), obesity is a prime concern for everyone. Technology to the rescue.

E-Health Compete & Weight Loss Wars provide a kind of 'we're all in this together' feel for groups trying to shed a few pounds.

Weight Loss Wars

 Fun for the whole family:

In a few simple steps WeightLossWars allows you to create weight loss or exercise competitions among your friends and family. You can compete belly to belly, or team against team. It is your competition, you build it how you want, and compete against who you want, for the prizes you want.

E Health Compete

Save your business money on health care:

These full scale programs are results driven and include a detailed report on the outcomes of the campaign. That way you can keep your finger on the pulse of your investment in eHealthCompete.