Blog 10/2014

October 23, 2014

I’ve always been baffled that a doctor has to apply separately for a license in every state. I can understand paying a fee to every state – after all governments are massive kleptocracies.

Finally, at least 15 states are considering a revised draft of the Interstate Medical Licensure Compact, which is an effort to provide physicians a streamlined path to obtaining medical licensure in multiple states.

But if I am qualified to practice medicine in one state, why would I not be qualified in another. I had trained in Massachusetts and had a license there. But when I came to California I had to start from scratch to apply again. And when I performed live surgery at a plastic surgery meeting in Georgia last year, I had to go through the same ridiculous process there. Isn’t it enough that I have a Massachusetts license? Did California and Georgia really need to see original copies of my college transcripts and diplomas from every school I attended?

I have a friend who was a full professor of surgery at Harvard. He became chairman of a program in Ohio, and it took them six months to get a license there. He was then selected to be chairman of a prestigious program in Illinois, and again he had to wait six months for a license. Imagine someone being chairman of a surgery department and surgery training program not allowed to operate! Well, better late than never.

October 20, 2014

A patient had tissue loss caused by smoking after surgery. Her response? Sue her surgeon. Hopefully the courts in England will act with a greater sense of justice than they often do in America, though Great Britian has become such a nanny state that they may be allowing its citizens to shirk individual responsibility even more so than in America.

Perhaps worse of all is that this surgeon has his named dragged through the press labeled as “botching” an operation.

A surgery isn’t botched because a patient smokes after rhinoplasty surgery and impairs her healing. In a decent world he should at least be able to sue for defamation.

Here's the full story: Scandal of cosmetic surgeon struck off after a string of botched ops who can now operate again WITHOUT restriction

October 17, 2014

Brazilian plastic surgeon Ivo Pitanguy brought aesthetic surgery out of back alleys and into the modern age. His books, procedures, lectures, and training programs have been of such magnitude that he has probably influenced plastic surgery more than any man alive.

This is a very interesting article about him from the Guardian: "Why Brazil loves nip and tuck, as told by country's plastic surgery 'maestro'"

October 3, 2014

We are saddened to learn of another death at a cosmetic surgery clinic in Seoul. According to Korea Bizwire, a South Korean woman in her 50's died on September 27 during abdominal liposuction operation at a cosmetic clinic in the Gangnam district of Seoul.

While such disasters can happen by qualified plastic surgeons, one imagines that the risk is higher by lesser trained surgeons. From what I can surmise, the International Academy of Cosmetic Surgery does not require board certification in plastic surgery or have rigorous operating room standards.

The only international society of plastic surgery that counts is ISAPS – the International Society of Aesthetic Plastic Surgery. The American Society for Aesthetic Plastic Surgery also has a large number of international members. All members of these two groups are board certified and go through a rigorous approval process. If you are looking for a plastic surgeon abroad, you should look at these websites.