tag:blogger.com,1999:blog-86660588292908001892024-03-15T13:08:15.698-07:00Paddy Deighan Premier Medical Spa Attorney and ConsultantJoin an experienced health care attorney and medical spa expert as we navigate through the quagmire of state and federal regulations regarding this industry.
<a href="http://deigs1.propfrog.hop.clickbank.net"><img src="http://www.propfrog.com/userfiles/images/21309.gif" width="468" height="60"></a>Anonymoushttp://www.blogger.com/profile/04872621313392611056noreply@blogger.comBlogger75125tag:blogger.com,1999:blog-8666058829290800189.post-79079261096270989672017-04-07T06:50:00.001-07:002017-04-07T06:50:22.001-07:00Real Estate Market Future Trends<div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="box-sizing: inherit;">Recently, a Chief Economist of Fannie Mae, who was speaking at a conference. </span><br clear="none" style="box-sizing: inherit;" /><br clear="none" style="box-sizing: inherit;" /><span style="box-sizing: inherit;">Many are not aware that <a href="http://www.fanniemae.com/" style="background-color: transparent; box-sizing: inherit; color: #228cd3; cursor: pointer; line-height: inherit; margin: 0px; padding: 0px; text-decoration-line: none;" target="_blank">Fannie Mae</a> is a quasi-government agency that is heavily involved in the US housing sector. </span></div>
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<img alt="Irs Tax Debt" height="305" src="http://activerain.com/image_store/uploads/agents/deigs1/files/fannie.jpg" style="border: 0px; box-sizing: inherit; display: inline-block; height: auto; max-width: 100%; vertical-align: middle;" width="450" /></div>
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<br clear="none" style="box-sizing: inherit;" /><br clear="none" style="box-sizing: inherit;" /><span style="box-sizing: inherit;">The economist was asked "what do you think of US housing right now?" He answered: “It’s overpriced.” </span><br clear="none" style="box-sizing: inherit;" /><br clear="none" style="box-sizing: inherit;" /><span style="box-sizing: inherit;">His presentation went DEEP into the data, showing that US housing is “late in the cycle,” meaning that prices may soon reach their peaks and then suffer a substantial correction. </span><br clear="none" style="box-sizing: inherit;" /><br clear="none" style="box-sizing: inherit;" /><span style="box-sizing: inherit;">Property prices nationwide across the United States have been rising at a much more rapid rate than wages and salaries. This is totally unsustainable. </span><br clear="none" style="box-sizing: inherit;" /><br clear="none" style="box-sizing: inherit;" /><span style="box-sizing: inherit;">A number of prominent real estate investors and developers have also spoken anecdotally that they’re no longer buying. </span><br clear="none" style="box-sizing: inherit;" /><br clear="none" style="box-sizing: inherit;" /><span style="box-sizing: inherit;">Everything is overpriced, and investment returns are falling. </span><br clear="none" style="box-sizing: inherit;" /><br clear="none" style="box-sizing: inherit;" /><span style="box-sizing: inherit;">Even more amazing, he told us that banks financed his most recent deals at unbelievable terms-- they loaned him hundreds of millions of dollars to fund his real estate projects at just 3%, on an interest-only basis. </span><br clear="none" style="box-sizing: inherit;" /><br clear="none" style="box-sizing: inherit;" /><span style="box-sizing: inherit;">This is crazy. </span><br clear="none" style="box-sizing: inherit;" /><br clear="none" style="box-sizing: inherit;" /><span style="box-sizing: inherit;">Considering that the official rate of inflation in the United States is nearing 3%, the banks practically loaned him the money for free. </span><br clear="none" style="box-sizing: inherit;" /><br clear="none" style="box-sizing: inherit;" /><span style="box-sizing: inherit;">Think about it-- he pays 3% interest, but the money loses nearly 3% of its value each year due to inflation... so essentially the money is zero cost. </span><br clear="none" style="box-sizing: inherit;" /><br clear="none" style="box-sizing: inherit;" /><span style="box-sizing: inherit;">What an unbelievably stupid loan for the banks to make: as I remarked to the audience, the banks are once again putting their customers’ funds at risk and receiving zero return in exchange. </span><br clear="none" style="box-sizing: inherit;" /><br clear="none" style="box-sizing: inherit;" /><span style="box-sizing: inherit;">This is another sign of a major bubble, similar to what happened ten years ago in the last crash. </span><br clear="none" style="box-sizing: inherit;" /><br clear="none" style="box-sizing: inherit;" /><span style="box-sizing: inherit;">Property prices rose far too much, far too quickly… and banks were making completely irresponsible loans with their customers’ money. </span></div>
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<br clear="none" style="box-sizing: inherit;" /><span style="box-sizing: inherit;"> It appears</span><span style="box-sizing: inherit;"> that the same things are happening once again. </span><br clear="none" style="box-sizing: inherit;" /><br clear="none" style="box-sizing: inherit;" />Paddy Deighan<br clear="none" style="box-sizing: inherit;" /><a href="http://www.irstaxdebt.pro/" style="background-color: transparent; box-sizing: inherit; color: #228cd3; cursor: pointer; line-height: inherit; margin: 0px; padding: 0px; text-decoration-line: none;" target="_blank">http://www.irstaxdebt.pro</a></div>
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Anonymoushttp://www.blogger.com/profile/04872621313392611056noreply@blogger.com0tag:blogger.com,1999:blog-8666058829290800189.post-82438774810934632302015-10-02T17:07:00.000-07:002015-10-02T17:07:37.201-07:00Health Risks Associated with Tattoos<div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="font-family: Arial, sans-serif; font-size: 10.5pt;">Tattoos are an art, a
way of self-expression. But if you're not careful, they may also cause a string
of health risks. This is why health authorities warn against the safety of
getting tattoos, especially when tattoo inks are not heavily regulated by the <a href="http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm048919.htm" target="_blank"><span style="color: #1e1e1e; text-decoration: none; text-underline: none;">FDA</span></a>. Here are some health risks associated with applying
tattoos to one's skin.<o:p></o:p></span></div>
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<span style="font-family: Arial, sans-serif; font-size: 10.5pt;"><b>1.</b></span><b><span style="color: #1e1e1e; font-family: "Arial",sans-serif; font-size: 10.5pt; mso-fareast-font-family: "Times New Roman";"> You may be allergic to ink or its materials.</span></b><span style="font-family: Arial, sans-serif; font-size: 10.5pt;"> In May, <span style="color: #1e1e1e; text-decoration: none; text-underline: none;"><a href="http://www.nbcnews.com/health/health-news/itchy-scaly-tattoo-ink-allergies-may-be-triggered-color-n365936" target="_blank">NBC News</a> </span>reported that according to a new study conducted in
New York City, 6 percent of respondents experienced skin problems more than
four months after having tattoos applied to their bodies. Additionally,
two-thirds of those who reported that they experienced rashes admitted to
having allergies. Another study showed that red ink was linked to more rashes
than other colors.<o:p></o:p></span></div>
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<b><span style="color: #1e1e1e; font-family: "Arial",sans-serif; font-size: 10.5pt; mso-fareast-font-family: "Times New Roman";">2. You're at risk for
infections.</span></b><span style="font-family: Arial, sans-serif; font-size: 10.5pt;"> The application of
tattoos involves piercing the skin with a needle to inject colored ink below
the skin's surface, so you may be at risk for infections, especially if the
parlor you're getting a tattoo at is not clean. The FDA warns that dirty
needles may pass infections such as hepatitis and HIV.<o:p></o:p></span></div>
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<span style="font-family: Arial, sans-serif; font-size: 10.5pt;">Dr. Marie Leger, a
dermatologist at the New York University Langone Medical Center in New York
City, also said that ink can also be contaminated by bacteria, which can pose a
threat to your health. In 2012, an outbreak of skin infections spread in
upstate New York, where a batch of grey ink which was contaminated with
mycobacteria that caused Mycobacterium chelonae, was used. This type of
bacteria is a relative of the mycobacteria that also causes tuberculosis and
leprosy.<o:p></o:p></span></div>
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<b><span style="color: #1e1e1e; font-family: "Arial",sans-serif; font-size: 10.5pt; mso-fareast-font-family: "Times New Roman";">3. You're more prone
to itching and redness from sun exposure.</span></b><span style="font-family: Arial, sans-serif; font-size: 10.5pt;"> <a href="http://www.livescience.com/52334-how-tattoos-affect-health.html" target="_blank"><span style="color: #1e1e1e; text-decoration: none; text-underline: none;">LiveScience</span></a> reports that according to a Danish study conducted
in 2014, researchers found that 42 percent of tattooed sunbathers had adverse
reactions, mostly due to sun exposure. Respondents reported swelling, itching
and redness.<o:p></o:p></span></div>
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<span style="font-family: Arial, sans-serif; font-size: 10.5pt;">Additionally, when
yellow ink is exposed to the sun for prolonged periods of time, the cadmium in
the ink creates a reaction that can cause itching, redness and raised skin.<o:p></o:p></span></div>
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<span style="font-family: Arial, sans-serif; font-size: 10.5pt;">Not to mention that
darker color tattoo ink will absorb more sun than natural skin tones and consequently,
there is a greater risk of skin cancer.<o:p></o:p></span></div>
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<b><span style="color: #1e1e1e; font-family: "Arial",sans-serif; font-size: 10.5pt; mso-fareast-font-family: "Times New Roman";">4. You may encounter
difficulties getting MRI's.</span></b><span style="font-family: Arial, sans-serif; font-size: 10.5pt;"> <a href="http://www.huffingtonpost.com/entry/5-weird-ways-tattoos-affect-your-health_560bed59e4b0768126ffef32?utm_hp_ref=healthy-living" target="_blank"><span style="color: #1e1e1e; text-decoration: none; text-underline: none;">The Huffington Post</span></a> reports that those who sport tattoos
may have problems getting magnetic resonance imaging exams, especially those
with more black ink on their skin, because the ink contains iron oxide. In 2011,
a case report showed that a professional football player's black tattoo was
"burned" while he was getting a MRI, and this resulted from electric
currents forming in the iron in the tattoo ink.<o:p></o:p></span></div>
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<b><span style="color: #1e1e1e; font-family: "Arial",sans-serif; font-size: 10.5pt; mso-fareast-font-family: "Times New Roman";">5. You may be at risk
for nerve damage from carcinogenic nanoparticles found in ink. </span></b><span style="font-family: Arial, sans-serif; font-size: 10.5pt;"><a href="http://healthimpactnews.com/2015/think-before-you-ink-the-little-known-risks-of-tattoos/" target="_blank"><span style="color: #1e1e1e; text-decoration: none; text-underline: none;">Health Impact News</span></a> reports that according to a 2011 study
published in The British Journal of Dermatology, nanoparticles can be found in
tattoo inks, and black ink contains the smallest particles. The study also
showed that some nanoparticles may be carcinogenic, or toxic enough to cause
brain and nerve damage.<o:p></o:p></span></div>
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<span style="font-family: Arial, sans-serif; font-size: 10.5pt;">"Black tattoo inks
are usually based on soot, are not regulated and may contain hazardous
polycyclic aromatic hydrocarbons (PAHs). Part of PAHs possibly stay lifelong in
skin, absorb UV radiation and generate singlet oxygen, which may affect skin
integrity," the study authors wrote. "Tattooing with black inks
entails an injection of substantial amounts of phenol and PAHs into skin. Most
of these PAHs are carcinogenic and may additionally generate deleterious
singlet oxygen inside the dermis when skin is exposed to UVA (e.g. solar
radiation)."<o:p></o:p></span></div>
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<span style="font-family: Arial, sans-serif; font-size: 10.5pt;">Paddy Deighan J.D. Ph.D</span></div>
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<span style="font-family: Arial, sans-serif; font-size: 10.5pt;"><a href="http://www.medicalandspaconsulting.com/">http://www.medicalandspaconsulting.com</a></span></div>
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Anonymoushttp://www.blogger.com/profile/04872621313392611056noreply@blogger.com1tag:blogger.com,1999:blog-8666058829290800189.post-43232376153566323432015-08-26T16:38:00.000-07:002015-08-26T16:38:41.122-07:00When are Spa Services Considered to be Medical Treatments<div dir="ltr" style="text-align: left;" trbidi="on">
I have written many articles on what services are medical and which ones are spa. Despite what appears to be a clear line, there is a lot of questions concerning this distinction. I respond to many threads on <a href="https://www.linkedin.com/profile/view?id=AAMAAADTP3cBctVUEDxPu2-Yz22TZYTogvhfibs&trk=hp-identity-name" target="_blank">LinkedIn </a>as they relate to this topic and I am a bit surprised at the misinformation and lack of understanding that medical treatments may only be performed in a "medical" environment.<br />
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Accordingly, I can add some additional thought to further clarify the distinction between spa and medical treatments. If a product or service is such that the implements or device used in the treatment requires or is recommended for sterilization, then the service is almost always medical.<br />
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I recently read a review of a <a href="http://www.wsj.com/articles/can-micro-needling-improve-the-appearance-of-wrinkles-and-acne-scars-1412635710" target="_blank">micro-needling</a> device. The device suggested that the components be sterilized in an autoclave after use. This all but assures that the treatment is medical. If there is any possibility of infection or transmission of pathogens, then a treatment will be considered medical. You may recall from <a href="http://medicalspaconsultant.blogspot.com/2015/08/which-medical-spa-treatments-can.html" target="_blank">prior articles that I have written</a>, that there are two many issues in regard to whether a product, treatment, or service is medical : 1). is the treatment or product intended to diagnose or treat a medical condition and 2). is there a medical device being utilized in the delivery of the treatment.<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjWNEBt_ZSvm3jcg12e2RNoujvZm0QFpgvVOQHdkqgs8Ukt-Xki1vxAJ1pVf0QW83ZM7pGEkP-IOkOJVjPd23v8DjXZ_B9XotXQar_C1jC2nAOB-vnvZIj1bKI-Vz9weTe7r4LZ5uR1rso/s1600/microneedling.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="175" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjWNEBt_ZSvm3jcg12e2RNoujvZm0QFpgvVOQHdkqgs8Ukt-Xki1vxAJ1pVf0QW83ZM7pGEkP-IOkOJVjPd23v8DjXZ_B9XotXQar_C1jC2nAOB-vnvZIj1bKI-Vz9weTe7r4LZ5uR1rso/s320/microneedling.jpg" width="320" /></a></div>
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Professionals constantly say to me that the manufacturer states that the service or device is not medical. The New Jersey in me would respond that it is not their license on the line when they state that. From a more practical view, you can review the<a href="http://www.fda.gov/" target="_blank"> FDA position</a> on a device. Ask the manufacturer if the device is a Class II or higher <i><u>medical</u></i> device. The FDA indication will be visible on the device packaging or the device itself. If the device is Class II or higher, it does not matter what the manufacturer is telling you - the device IS by its FDA clearance, a medical device.<br />
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In one instance, an esthetician advised me that her state cosmetology board advised her that it is acceptable for her to perform micro needling. My response was that she needs to ask the medical board (or nursing board) and the FDA. She will receive different answers from those entities.<br />
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As I am known to say..."the answer you receive depends upon the question that you as and with whom you inquire".<br />
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Paddy Deighan J.D. PhD<br />
<a href="http://www.medicalandspaconsulting.com/">http://www.medicalandspaconsulting.com</a></div>
Anonymoushttp://www.blogger.com/profile/04872621313392611056noreply@blogger.com0tag:blogger.com,1999:blog-8666058829290800189.post-91300159219802289292015-08-18T13:25:00.001-07:002015-08-18T13:25:59.698-07:00Not Medically related but REALLY Interesting!!!!<div dir="ltr" style="text-align: left;" trbidi="on">
<b>We are all a bit if Jurassic history nuts so I had to pass this along. Dinosaur footprints were uncovered in a beach in Germany. Accordingly, there are a number of interesting aspects to this:</b><br />
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<b>1). The dinosaur footprints are estimated to be about 140 MILLION years old;</b><br />
<b>2). It appears that dinosaurs were more social than previously believed;</b><br />
<b>3). Germany has beaches AHAHHAHAHAHAHA</b><br />
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<b>It is truly astounding to discover footprints that are 140 million years old. After all of that time, they came to the surface between 2009 and 2011. Why now? Can you imagine the series of events during the past 140 million years?</b><br />
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<b>Stories such as this are fascinating to us..</b><br />
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<b>Actually, upon closer inspection, maybe this story is about medical spa issues. It certainly appears that our Jurassic friend needs a mega dose of <a href="http://www.botoxcosmetic.com/" target="_blank">Botox Cosmetic</a>!!! ahahahahaha</b><br />
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<b>Here is a link to the original story.</b><br />
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<b><a href="http://www.aol.com/article/2015/08/17/footprints-of-dinosaurs-strolling-on-the-beach-found-in-germany/21223733/?icid=maing-grid7%7Cmain5%7Cdl23%7Csec1_lnk3%26pLid%3D175989300">http://www.aol.com/article/2015/08/17/footprints-of-dinosaurs-strolling-on-the-beach-found-in-germany/21223733/?icid=maing-grid7%7Cmain5%7Cdl23%7Csec1_lnk3%26pLid%3D175989300</a></b><br />
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<b>Have a wonderful day, </b><br />
<b><br /></b>
<b>Paddy Deighan</b><br />
<b><a href="http://www.medicalandspaconsulting.com/">http://www.medicalandspaconsulting.com</a></b></div>
Anonymoushttp://www.blogger.com/profile/04872621313392611056noreply@blogger.com0tag:blogger.com,1999:blog-8666058829290800189.post-69320632096650406172015-08-17T01:27:00.000-07:002015-08-26T16:32:54.054-07:00Which Medical Spa Treatments can an Esthetician Perform?<div dir="ltr" style="text-align: left;" trbidi="on">
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<b><span style="font-family: Verdana, sans-serif;">I am frequently asked to comment on the distinction between what is medical and what is aesthetic (non-medical)....the lines are blurry but in my opinion, they are being violated on a daily basis. The practice of medicine is relatively easy to define....it is the diagnosis OR treatment of a medical condition. Good, bad or indifferent, acne, rosacea, eczema are medical conditions. Some things may not be as clear...for example, treating "razor bumps" MAY not be medical, but on the other hand, those "razor bumps" are </span></b><span style="font-family: Verdana, sans-serif;"><b><a href="https://en.wikipedia.org/wiki/Pseudofolliculitis_barbae" target="_blank">Pseudofolliculitis barbae</a></b> </span><b><span style="font-family: Verdana, sans-serif;"> and then they would be medical. Frustrating...I know.</span></b><br />
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<b style="background-color: initial; color: #333333; font-size: 13px; line-height: 18px;"><span style="font-family: Verdana, sans-serif;">Additionally, the next level of analysis would be whether any medical device or product is being utilized in the treatment and of so, what federal classification is the device. Virtually all aesthetic lasers AND IPLs are Class II or Class IIb medical devices and they have to be owned and operated by licensed physicians (not RNs). Physicians may, in certain circumstances, delegate "operation" (but not ownership) to other individuals.</span></b></div>
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<b><span style="font-family: Verdana, sans-serif;">Many products are medical...<a href="http://www.botoxcosmetic.com/" style="color: #015782; text-decoration: none;">Botox Cosmetic</a> is a prescription drug...100% medical. The dermal fillers (<a href="http://www.restylane.com/" style="color: #015782; text-decoration: none;">Restylane</a> for example) are all medical PRODUCTS (not a drug). They are still 100% medical but for a different reason.</span></b><span style="font-family: Arial, Tahoma, Helvetica, FreeSans, sans-serif; font-size: 13px;"><o:p></o:p></span></div>
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<b>In laser, you can look at two different types of scenarios...let's use laser hair removal and the treatment of leg veins. Laser hair removal is NOT a medical procedure. However, if the patient is hirsute because of <a href="http://www.webmd.com/women/tc/polycystic-ovary-syndrome-pcos-topic-overview" target="_blank">polycystic ovary syndrome (PCOS)</a>, then it IS medical. In this situation the treatment may not be medical but the device IS medical. Hence, laser hair removal IS medical.<o:p></o:p></b></div>
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<b>Treatment of leg veins...this is both a medical treatment and a medical device. Two reasons not to perform this service.<o:p></o:p></b></div>
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<b>With peels, it gets REALLY complex...one analysis would be to look at FDA guidelines. In 1996 the FDA concluded that "medical" is a product that penetrated the epi-dermal/dermal junction. They concluded that a 30% glycolic treatment achieves this. Prior to 1996, they mandated that a 40% glycolic solution achieved this. But what 30% glycolic? pure 30%, neutralized or buffered 30%?...remain unanswered. Soooo, if you utilize a 40% glycolic solution but you know that it is neutralized or buffered, then you are probably OK.<o:p></o:p></b></div>
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<b>Jessner's peels and most TCA peels are mid-to high level strength peels and they are medical. Sal acid is non medical unless in high strengths....hydro quinones are non medical if they are under 2%...we could go on for hours...topical anesthetics can be medical or non medical too...depending upon the strength and formulation (this is actually a HUGE issue)<o:p></o:p></b></div>
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<b>The problem is that regulation comes in the form of....state statutes, state and federal case law, federal mandate (FDA, FTC), state boards of medicine, cosmetology and nursing, Attorney General reports and cases...WHEW. There is no ONE place to look!<o:p></o:p></b></div>
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<b>Recently, there was a discussion and an esthetician commented to me that she contacted her state board in NH. They said that as long as she was certified, it was OK for her to perform the procedure (I do not recall the specific procedure, but on its face, it was medical ...blade or syringe was utilized if I recall). That may have been true by NH board purposes, but federal law would disagree and Federal law trumps state law.<o:p></o:p></b></div>
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<b>Paddy Deighan J.D. Ph.D<o:p></o:p></b></div>
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<a href="http://www.medicalandspaconsulting.com/"><b><span style="color: #015782;">http://www.</span>medicalandspaconsulting.com</b></a></div>
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Anonymoushttp://www.blogger.com/profile/04872621313392611056noreply@blogger.com0tag:blogger.com,1999:blog-8666058829290800189.post-28096801104640293102015-08-17T01:13:00.002-07:002015-08-17T01:15:56.411-07:00Time for Another Look At Employee Contractor Status in Medical Spas<div dir="ltr" style="text-align: left;" trbidi="on">
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<b>The employee/Independent contractor scenario in spas and medical spas is very complex. The determination of whether a professional staff member is an employee or independent contractor is not easy to address. One thing that IS clear; the agreement that may be in effect is not the most significant issue. You can classify a professional staff member whatever you want to call them in an agreement, but this does not control the ultimate determination.<o:p></o:p></b></div>
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<b>Many owners and professional staff want to be independent contractors but the reality is in many cases, the relationship is not sustainable. The Internal Revenue Service (<a href="http://www.irs.gov/" target="_blank">IRS</a>) has been looking at the spa industry more closely (possibly due in large part to tipping structures, but they are looking at the industry). The Service has been looking at many “tip” based businesses such as the taxi industry, restaurants and salons and spas.<o:p></o:p></b></div>
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<b>The IRS has ruled sometimes that an independent contractor was really an employee because the business supplied TOWELS and LINEN! WOW!</b><o:p></o:p></div>
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<b>A fundamental approach will be based on two key aspects of the relationship: 1. "control" over the professional staff members hours and days of service, and 2. requirement to utilize certain product lines or practice policies and protocols for certain procedures.<o:p></o:p></b></div>
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<b>These are not easy issues to address because there are conflicting issues and goals. On one hand, the medical spa needs staff to be available during operational hours. It would be problematic to allow professional staff to decide the days and hours of service. However, providing schedule is a strong element of “control” over the staff member and this tends to be an employment situation.<o:p></o:p></b></div>
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<b>The second issue is no less problematic. A professional staff member may support a certain product line that is not offered by the facility. He or she may have a different protocol for a procedure. The professional staff member may have his or her own protocols for a procedure – even something as seemingly straight forward as micro-dermasbrasion. An ancillary concern is when there is a mixture of employees and contractors. The contractors may have more freedom to perform services and procedures and they deem appropriate and this can cause staff problems.</b><o:p></o:p></div>
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<b>I address many such issues every day and please see my website<a href="http://www.medicalandspaconsulting.com/" target="_blank"> Medicalandspaconsulting.com</a></b></div>
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Paddy Deighan J.D. Ph.D<o:p></o:p></div>
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<span style="color: #015782;">http://www.</span>medicalandspaconsulting.com<a href="http://www.medicalandspaconsulting.com/" target="_blank">Medical and Spa Consulting</a></div>
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Anonymoushttp://www.blogger.com/profile/04872621313392611056noreply@blogger.com0tag:blogger.com,1999:blog-8666058829290800189.post-39558066640139253672014-05-31T11:15:00.000-07:002014-05-31T11:15:21.592-07:00Lasers May Repair Teeth...No More Fillings and Cavities and Root Canal!!<div dir="ltr" style="text-align: left;" trbidi="on">
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For the millions of Americans who suffer cavities each year, the ominous threat of a root canal may soon be a worry of the past.</div>
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Now, researchers from <a href="http://hms.harvard.edu/" target="_blank">Harvard University</a> claim they have discovered a novel way of regrowing parts of people’s teeth using an unlikely tool: Lasers.</div>
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In a new study published in the journal <a href="http://stm.sciencemag.org/" target="_blank">Science Translational Medicine</a>, lead researcher Praveen Arany and colleagues detailed how they used focused laser light therapy on rats to stimulate the growth of lost dentin, the calcified tissue that comprises teeth. They noted that if the therapy proves effective in humans, it could potentially eliminate the need for crowns, fillings and other complex dental operations in the future.</div>
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The procedure’s success all revolves around a native protein called transforming growth factor beta, or TGF-beta. During preliminary tests of dentin tissues, the researchers discovered that this growth factor changed very drastically when introduced to a focused beam of light. Further analysis revealed that when hit with light, TGF-beta actually stimulated the stem cells already present in dentin.</div>
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“Once [TGF-beta] is activated by the laser, it can bind to stem cells resident in the tissue, and then it induces those stem cells to differentiate so they can proliferate and reform dentin,” David Mooney, the Pinkas Family Professor of Bioengineering at Harvard University, told FoxNews.com.</div>
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Numerous studies have focused on ways to manipulate stem cells in order to spur tissue regeneration, but most of these techniques have revolved around reintroducing altered stem cells into the patient or directing stem cell populations externally through added growth factors. With this form of laser therapy, the only external factor that is being introduced is light, which activates TGF-beta that’s already in the body.</div>
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According to Mooney, it’s not the laser’s heat that stimulates TGF-beta but the energy of its photons. When light is focused on dentin, the photons get absorbed into the tissue and activate molecules called reactive oxygen species (ROS), which naturally occur in the body. These ROS then stimulate TGF-beta, which spurs the chain reaction ultimately leading to dentin reformation.</div>
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However, Mooney noted that the power of the laser must be at a specific level of intensity and cannot produce any heat in order to be effective.</div>
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“It’s kind of like Goldilocks, too little won’t do enough and too much will become destructive,” Mooney said. “It has to be just right.”</div>
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To test their light therapy’s effectiveness, the researchers created a group of rats with tooth defects, by using a drill to remove pieces of their dentin. They then shined a laser on their exposed tooth structures and soft tissues underneath it. Sure enough, after 12 weeks, the team observed that new dentin had formed in the rats’ teeth.</div>
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Given their trial’s success, Arany and his team hope to test this type of dentin regeneration in human clinical trials, which could potentially alter modern dentistry. Currently, if a patient has a chipped or decayed tooth, dentists will use synthetic materials to fix the problem or perform a root canal if the tooth has become too infected. Yet, Arany noted that laser therapy could erase the need for these uncomfortable dental procedures, simply by regrowing the part of the tooth that is missing.</div>
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He also noted that focused laser therapy could be used to grow more protective dentin in teeth that have grown sensitive due to gum recession.</div>
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“As we grow older our gums recede, exposing our teeth root,” Arany, assistant clinical investigator for the National Institutes of Health, told FoxNews.com. “The root is covered by cementum, which is not as protective as enamel, so you get dentin sensitivity….What we hope is in tooth sensitivity, [laser therapy] is able to generate an intrinsic protective barrier on the inside of the tooth.”</div>
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Expanding beyond the world of dentistry, the researchers note that TGF-beta is found in other bodily tissues, such as skin and bone, and that laser therapy could potentially help regrow tissues in those systems, as well. Also, since TGF-beta is known to control tissue inflammation, the growth factor could perhaps be stimulated to control certain inflammatory diseases.</div>
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But for now, the team is focused on TGF-beta in relation to teeth, and they are hopeful that their laser therapy could be used in a clinical setting relatively soon.</div>
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“This laser is already a big part of the clinic, since so many of the clinicians use it for other purposes,” Arany said. “So the barrier to clinical trial translation is relatively low.”</div>
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Paddy Deighan J.D. Ph.D</div>
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Anonymoushttp://www.blogger.com/profile/04872621313392611056noreply@blogger.com0tag:blogger.com,1999:blog-8666058829290800189.post-9462985755148173522014-05-31T03:27:00.001-07:002014-05-31T03:27:46.643-07:00Psoriasis Now Recognized as a Serious Health Concern<div dir="ltr" style="text-align: left;" trbidi="on">
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At the 67th World Health Assembly, the World Health Organization (WHO) member states adopted a resolution on psoriasis, recognizing it as “a chronic, non-communicable, painful, disfiguring, and disabling disease for which there is no cure.” The resolution also acknowledges the psychosocial burden of the disease and that many people with psoriasis suffer due to lack of awareness and access to sufficient treatment.</div>
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Lars Ettarp, president of the <a href="http://www.ifpa-pso.org/" style="background: transparent; border: 0px; color: #999999; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;" target="_blank">International Federation of Psoriasis Associations</a> (IFPA) comments:</div>
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“IFPA, together with its member associations and leading medical societies, has long called for the WHO and its member states to recognize the serious nature of psoriasis. Finally, the voices of the more than 125 million people who live with psoriasis have been heard, and on this historic day for the global psoriasis community we wish to express our great appreciation for all the stakeholders involved in bringing about this important resolution, especially all the WHO member states that have shown their support for our cause.”</div>
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Panama is one of the WHO member states that has actively supported the resolution and the campaign for recognition of psoriasis. HE Ambassador Alberto Navarro Brin of the Permanent Mission of Panama to the United Nations in Geneva, states:</div>
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“Together with Argentina, Ecuador and Qatar, Panama recognized the need for greater awareness of this disease which has such a major impact on the health-related quality of life for its sufferers, and initiated discussions with other WHO member states to gain their support. We are very pleased that this resolution has now been adopted and will continue to work with civil society to help build a better world for people with psoriasis.”</div>
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One of the stakeholders that have engaged with IFPA in advocacy for global recognition of psoriasis is the International League of Dermatological Societies, ILDS. Professor Wolfram Sterry, the President of ILDS, comments:</div>
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“As a dermatologist I have seen first-hand how deeply psoriasis affects people in their daily lives, as have the many members of our worldwide organization. Together with the psoriasis patient associations, we have been able to educate policy makers on the impact this disease has and what can be done to ease its burden. This resolution gives us a platform from which we can engage even further with policy makers to help improve access to the treatment and care that people with psoriasis need and deserve.”</div>
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Kathleen Gallant, Secretary of IFPA and Chair IFPA Task Force on NCDs, agrees that the resolution is an important platform from which to effect change:</div>
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"The adoption of the psoriasis resolution by the 67th World Health Assembly sends a powerful, global message that psoriasis is a serious immune-mediated, painful and disabling NCD that needs greater public awareness of its inflammatory nature, many physical and psychosocial impacts and shared risk factors with other, more deadly NCDs. This is a great opportunity for education and greater understanding, making a tremendous collective first step towards alleviating the devastating effects of this chronic inflammatory disease."</div>
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Paddy Deighan J.D. Ph.D</div>
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Anonymoushttp://www.blogger.com/profile/04872621313392611056noreply@blogger.com0tag:blogger.com,1999:blog-8666058829290800189.post-18637739439520755322014-05-25T01:38:00.000-07:002014-05-25T01:38:03.055-07:00A Contrarian View of Free Radical Theory<div dir="ltr" style="text-align: left;" trbidi="on">
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<strong style="-webkit-print-color-adjust: exact; border: 0px; margin: 0px; padding: 0px;">Past research has suggested that free radicals - occasionally harmful molecules produced by the body as it processes oxygen - contribute to the aging process. But new research from McGill University in Canada finds that free radicals may actually increase lifespan rather than shorten it.</strong></div>
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<a href="http://en.wikipedia.org/wiki/Free-radical_theory_of_aging" target="_blank">Free radicals, also known as oxidants</a>, are unstable and highly reactive atoms that have at least one unpaired electron. They can be formed naturally in the body or can be introduced into the body from external sources, such as smoking or pollution.</div>
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When free radicals interact with cells, proteins and DNA in the body, they can cause damage by modifying their chemical structure. Past research claims that constant cell exposure to harmful free radicals over time causes aging. But this latest study, published in the journal <em style="-webkit-print-color-adjust: exact; border: 0px; margin: 0px; padding: 0px;">Cell</em>, suggests otherwise.</div>
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The research team, including senior author Siegfried Hekimi of the <a href="http://www.mcgill.ca/medicine/" target="_blank">Department of Biology at McGill</a>, used a model organism - the roundworm <em style="-webkit-print-color-adjust: exact; border: 0px; margin: 0px; padding: 0px;">Caenorhabditis elegans</em> nematode - to reach their findings.</div>
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Findings 'turn theory of free radical aging on its head'</h2>
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The researchers discovered that free radicals can stimulate apoptosis, also referred to as "programmed cell death" - the process by which damaged cells "commit suicide." They may do this to avoid becoming cancerous, for example, or to destroy viruses that have taken over the cell.</div>
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<strong style="-webkit-print-color-adjust: exact; border: 0px; margin: 0px; padding: 0px;">The team found that when free radicals stimulate apoptosis in a certain way, the cells' defenses are reinforced, meaning their lifespan is increased.</strong></div>
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Explaining the team's findings further, Hekimi says:</div>
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People believe that free radicals are damaging and cause aging, but the so-called 'free radical theory of aging' is incorrect.</div>
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We have turned this theory on its head by proving that free radical production increases during aging because free radicals actually combat - not cause - aging. In fact, in our model organism we can elevate free radical generation and thus induce a substantially longer life."</div>
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<span style="background-color: #fdfdfd; line-height: 20.400001525878906px;">Hekimi adds that demonstrating the molecular mechanism by which free radicals increases the lifespan of cells provides solid evidence that they have positive effects as signaling molecules.</span></div>
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Furthermore, he notes that the findings mean that apoptosis signaling may be used to trigger processes that decelerate aging.</div>
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<strong style="-webkit-print-color-adjust: exact; border: 0px; margin: 0px; padding: 0px;">"Since the mechanism of apoptosis has been extensively studied in people, because of its medical importance in immunity and in cancer, a lot of pharmacological tools already exist to manipulate apoptotic signaling," adds Hekimi. "But that doesn't mean it will be easy."</strong></div>
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<strong style="-webkit-print-color-adjust: exact; border: 0px; margin: 0px; padding: 0px;"><span style="font-weight: normal;">He says that such a process could be important in neurodegenerative diseases. He explains that apoptotic brain signaling may be focused on increasing the resistance of damaged cells rather than destroying them, since it is more difficult to replace dead neurons than other cell types as a result of the complexity in their connections.</span></strong></div>
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<strong style="-webkit-print-color-adjust: exact; border: 0px; margin: 0px; padding: 0px;"><span style="font-weight: normal;">Paddy Deighan, J.D. Ph.D</span></strong></div>
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Anonymoushttp://www.blogger.com/profile/04872621313392611056noreply@blogger.com0tag:blogger.com,1999:blog-8666058829290800189.post-90730217214414169742014-05-24T15:48:00.000-07:002014-05-24T15:48:18.687-07:00Dermal Fillers and Potential Vision Loss?<div dir="ltr" style="text-align: left;" trbidi="on">
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<b><span style="color: blue;">Dermal injection of cosmetic fillers into the forehead can lead to irreversible blindness, according to a study published in the May issue of <i><a href="http://archopht.jamanetwork.com/journal.aspx" target="_blank">JAMA Ophthalmology</a></i>.</span></b></div>
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<b><span style="color: blue;">Michelle V. Carle, M.D., from the <a href="http://www.laretina.com/" target="_blank">Retina-Vitreous Associates Medical Group</a> in Los Angeles, and colleagues describe irreversible vision loss from central retinal occlusion occurring after cosmetic facial enhancement.</span></b></div>
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<b><span style="color: blue;">The authors note that although cosmetic facial fillers are not approved for use in the forehead, they are frequently used off-label for enhancement in this region. No prior reports of blindness cause by filler injected into the forehead have been published. Three cases of central retinal artery occlusion due to fillers were reported shortly after cosmetic procedures, with the assumption that the filler enters the central retinal artery via the external-internal carotid anastomoses and becomes embedded in the retinal tissues. One patient had a small amount of recovery after aggressive therapy.</span></b></div>
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<b><span style="color: blue;">"Physicians performing cosmetic enhancement procedures involving facial fillers need to be aware of this potential complication and should include significant vision loss as a possible rare complication," the authors write.</span></b></div>
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<b><span style="color: blue;"><span style="font-family: Verdana, Arial, sans serif;"><span style="font-size: 12px;">As an attorney, I can tell you that this is potentially a huge issue. There needs to be more dissemination of information about this and more studies as well. At the very least, aesthetic physicians need to amend the consent forms with patients. They need to include "loss of vision" provisions in the consent forms if the procedure is a dermal filler in the forehead region. Although the loss of vision is rare, it is still a serious complication and it must be addressed. </span></span></span></b><br />
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<b><span style="color: blue;"><span style="font-family: Verdana, Arial, sans serif;"><span style="font-size: 12px;">Paddy Deighan J.D. Ph.D</span></span></span></b><br />
<b><span style="color: blue;"><span style="font-family: Verdana, Arial, sans serif;"><span style="font-size: 12px;"><a href="http://www.medicalandspaconsulting.com/" target="_blank">http://www.medicalandspaconsulting.com</a></span></span></span></b></div>
Anonymoushttp://www.blogger.com/profile/04872621313392611056noreply@blogger.com0tag:blogger.com,1999:blog-8666058829290800189.post-67281351791481167602014-05-24T03:51:00.003-07:002014-05-24T03:51:44.510-07:00Sun Screen You Can Drink?<div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="font-family: Arial, Tahoma, Helvetica, sans-serif; list-style: none outside none; margin: 0px; outline: auto 0px; padding: 0px;">It is possible that the first sun screen protection that can be drank like water has arrived!! </span><a href="http://www.harmonizedwater.com/" target="_blank">Harmonised H20 UV</a> provides users with up to 30 percent protection, helping sunbathers to soak up the rays for longer without fear of getting burned. UK MailOnline reports this exciting development.</div>
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According to U.S. company <a href="http://www.osmosisskincare.com/HarmonizedWater-UV.aspx" target="_blank">Osmosis Skincare</a>, the product's liquid molecules cancel out 97 percent of UVA and UVB rays after vibrating on the skin upon being ingested.</div>
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The price is $29 for a 100 ml bottle. There are two varieties available - "tanning" and "non-tanning," the former allows users to achieve a tan while being protected from harmful sun rays.On its website, the medical skincare brand advises, "Take 2ml every 4 hours while in the sun (preferably with 2+ oz. of water)." </div>
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"Wait 1 hour before exposure to the sun. Monitor sun exposure carefully. Take second dose if still in sun 3 hours after first dose."</div>
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"For extended intense exercise outdoors or if taking sun-sensitizing medications, use alternate protection after 30-40 minutes."</div>
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Dr. Ben Johnson, who founded the company, said in his <span style="color: black;"><a href="http://www.osmosisskincare.com/Research/Dr_Johnsons_Corner_July_2012.aspx" rel="nofollow" style="list-style: none outside none; margin: 0px; outline: auto 0px; padding: 0px;" target="_blank"><span style="list-style: none outside none; margin: 0px; outline: auto 0px; padding: 0px;"><span style="color: black;">blog</span></span></a>,</span> "If 2 mls are ingested an hour before sun exposure, the frequencies that have been imprinted on water will vibrate on your skin in such a way as to cancel approximately 97 percent of the UVA and UVB rays before they even hit your skin." </div>
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"This results in coverage for approximately three hours," he said. "This is similar to the amount of UV reflection created by SPF 30 titanium/zinc sunblocks but distinctly better than UVB chemical sunscreens which prevent certain damage that leads to the visible/painful/inflammation reaction we identify as sun damage."</div>
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<span style="font-family: Arial, Tahoma, Helvetica, sans-serif; list-style: none outside none; margin: 0px; outline: auto 0px; padding: 0px;">Although none of the dermatologist bodies have endorsed Harmonised H20 yet, testimonials for the product are listed on the company's website.</span></div>
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"I tested the UV Protection Harmonized Water (my skin burns in 15 minutes w/o sunscreen so i was nervous) SUCCESS!! I was outside for 2 hours with NO sunscreen during peak hours and wasn't even pink!" one, submitted via Facebook, said.</div>
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"My year and a half year old drinks it as well and hasn't burned once this summer and is outside everyday! Thank You, Thank You for this product!"</div>
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Paddy Deighan J.D. Ph.D</div>
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<a href="http://www.medicalandspaconsulting.com/">http://www.medicalandspaconsulting.com</a></div>
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Anonymoushttp://www.blogger.com/profile/04872621313392611056noreply@blogger.com0tag:blogger.com,1999:blog-8666058829290800189.post-86034964631410173342014-05-20T02:46:00.003-07:002014-05-20T02:46:56.428-07:00Allergan and SkinMedica Sued over Potential Claims<div dir="ltr" style="text-align: left;" trbidi="on">
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Consumers recently filed a lawsuit against <a href="http://www.allergan.com/" target="_blank">Allergan</a> Inc. and its pharmaceutical company subsidiary, <a href="http://www.skinmedica.com/" target="_blank">SkinMedica</a>. The suit may become a class action. The plaintiffs' claim that the companies have misbranded and unlawfully marketed Tissue Nutrient Solution (TNS). TNS is a skin care product line that contains human growth factors (HGF) obtained from human foreskin tissue. The plaintiffs claim that such tissue could increase the risk of cancer and pose other health risks.</div>
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“A healthcare company’s primary obligation must be to deliver products that are properly tested for safety, and meet all the appropriate regulatory requirements”</div>
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The lawsuit was filed by a consumer rights law firm in the U.S. District Court for the Central District of California. It claims that for at least the past four years, SkinMedica has failed to disclose significant safety concerns associated with TNS products while marketing the products without appropriate government approval, proper labeling, or adequate safety studies.</div>
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“A healthcare company’s primary obligation must be to deliver products that are properly tested for safety, and meet all the appropriate regulatory requirements,” said Steve Berman, attorney for the plaintiffs. “In this case, we intend to show that SkinMedica and Allergan skirted laws that required them to disclose the significant safety concerns at issue and the lack of regulatory approval.”</div>
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“We believe that in SkinMedica’s zeal to market its skin care products, it created a serious health risk for those who used TNS products,” Berman added.</div>
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According to the firm’s investigation, SkinMedica’s TNS products, which have been sold nationally through doctors’ offices and retailers, contain a proprietary mix of “human growth factors” derived from human foreskin tissue. Human growth factors are intended to mobilize, stimulate, or otherwise alter the production of cells, including the ability to initiate cell division, which could stimulate growth of cancerous tumor cells, according to the complaint.</div>
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The suit alleges that in marketing their TNS products, Allergan and its subsidiary SkinMedica did not adequately disclose the health risks associated with these growth factors.</div>
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SkinMedica’s TNS products – which the company calls “cosmeceuticals” – did not have government approval and could not be sold lawfully in the U.S. without such approval, something else the company did not disclose to consumers, according to the complaint. The suit alleges that because neither the U.S. Food and Drug Administration nor the California Department of Public Health found TNS products to be safe for their intended use, and because TNS products omit required disclosures relating to safety concerns, the products have been misbranded under both federal laws and parallel state laws.</div>
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The lawsuit is a proposed class action based upon California’s consumer protection laws, and seeks to represent a class of all persons in the U.S. who purchased SkinMedica’s TNS products during the last four years.</div>
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Paddy Deighan J.D. Ph.D</div>
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<a href="http://www.medicalandspaconsulting.com/">http://www.medicalandspaconsulting.com</a></div>
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Anonymoushttp://www.blogger.com/profile/04872621313392611056noreply@blogger.com0tag:blogger.com,1999:blog-8666058829290800189.post-72758192049969234032014-05-17T00:45:00.002-07:002014-05-17T00:45:47.568-07:00Aesthetic Laser Treatments on the Rise!!<div dir="ltr" style="text-align: left;" trbidi="on">
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<b>The use of aesthetics laser and energy-based devices among dermatologists increased 34% in 2013. This information is courtesy of a a new survey from the <a href="http://www.asds.net/" target="_blank">American Society of Dermatologic Surgery (ASDS)</a>.</b></div>
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<b>When the ASDS surveyed its members, it found that 2.25 million laser, light and energy-based treatments were performed in 2013, compared to 1.68 million in 2012. This is an astounding increase!!!</b></div>
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<b>“Not only have treatments become much more effective, but they also have become safer, so patients typically are experiencing less downtime,” said ASDS President-elect George Hruza, MD.</b></div>
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<b>Treatments for facial redness, including rosacea-related erythema, topped the list at 454,000 procedures in 2013. Several other procedures saw increases of more than 50%, according to the survey:</b></div>
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<li style="margin: 0px; padding: 0px;"><b>Birthmark removal (up nearly 90%)</b></li>
<li style="margin: 0px; padding: 0px;"><b>Laser facial resurfacing to erase fine lines and wrinkles, smooth and tighten eyelid skin, improve crow’s feet around the eyes and improve skin tone and texture (up 85%)</b></li>
<li style="margin: 0px; padding: 0px;"><b>Surgical and traumatic-injury scar treatment and removal (up 79%)</b></li>
<li style="margin: 0px; padding: 0px;"><b>Tissue tightening (up 75%)</b></li>
<li style="margin: 0px; padding: 0px;"><b>Tattoo removal (up 52%)</b></li>
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<b>Dr. Hruza attributes these increases to advancements in the field that make treatments safer and more effective; a growing awareness of these technologies; and a recovering economy. “Patients may have been waiting to see a dermatologist about that facial redness or removing unwanted hair,” he said. “Now many are more informed, plus they have more economic freedom to act on their desire to improve their appearance.”</b></div>
<div style="background-color: white; float: none; font-family: Arial, Helvetica, sans-serif; font-size: 13px; line-height: 20px; margin-bottom: 14px; padding: 0px;">
<b>Paddy Deighan J.D. Ph.D</b></div>
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<a href="http://www.medicalandspaconsulting.com/"><b>http://www.medicalandspaconsulting.com</b></a></div>
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Anonymoushttp://www.blogger.com/profile/04872621313392611056noreply@blogger.com2tag:blogger.com,1999:blog-8666058829290800189.post-84688404407623338212014-05-16T03:15:00.000-07:002014-06-16T01:43:20.670-07:00Medical Compounding Laws Have Changed!!!<div dir="ltr" style="text-align: left;" trbidi="on">
<b>Have you noticed that many compounding pharmacies have changed their business model? Perhaps they even stopped producing a product for you. Many physician practices and medical spas have suddenly discovered that they can no longer obtain compounded products for their facilities. Many are scrambling to find a new supplier. Many compounding pharmacies have closed and others have had to discover new ways to manufacture a product. </b><br />
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<b>There are a lot of problems associated with the changes in compounding laws. To make matters worse, the changes were sudden. Many believe that the law was enacted as a result of a meningitis epidemic in November of 2013. </b><br />
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<b><i><u><span style="font-size: large;">The Compounding Quality Act </span></u></i></b></div>
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<b>President Obama signed the Drug Quality and Security Act at the end of 2013. <a href="http://www.fda.gov/drugs/guidancecomplianceregulatoryinformation/pharmacycompounding/ucm375804.htm" target="_blank">The Compounding Quality Act</a> which first removes certain provisions from section 503A of the <a href="http://en.wikipedia.org/wiki/Federal_Food,_Drug,_and_Cosmetic_Act" target="_blank">Federal Food, Drug, and Cosmetic Act (FDCA)</a> that were found to be an unconstitutional restraint of commercial free speech by the U.S. Supreme Court in <u>Thompson v. Western States Med. Ctr</u></b>., 535 U.S. 357 (2002).<br />
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<b>Subsequent lower court decisions were split over whether 503A was unconstitutional in its entirety or only in part. The Compounding Quality Act clarifies this issue by eliminating the controversial advertising prohibition.</b><br />
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<b>Section 503A otherwise remains unchanged, and continues to set out the requirements for </b><br />
<b>traditional compounding created in the FDCA – the pharmacist must compound the drug for </b><br />
<b>individual patients based on a prescription (or a prescription history of an individual or order </b><br />
<b>history of a physician). One of the FDA guidance documents addresses traditional compounding </b><br />
<b>and is clear that traditional compounding will generally remain under state pharmacy board </b><br />
<b>oversight as long as the compounding facility meets the requirements of 503A. A pharmacy that </b><br />
<b>compounds in compliance with the 503A requirements is exempt from federal good </b><br />
<b>manufacturing practice (cGMP) requirements, adequate directions for use, and new drug </b><br />
<b>approval requirements. </b><br />
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<b>Secondly, the Compounding Quality Act adds a new section 503B to the FDC </b><br />
<b>Act, 21 U.S.C. § 353b, to create a new regulatory classification of compounding facilities called </b><br />
<b>“outsourcing facilities,” which are to be overseen by FDA instead of state pharmacy boards. </b><br />
<b>Unlike traditional compounding pharmacies, outsourcing facilities can compound medications </b><br />
<b>without a patient-specific prescription and sell such products to hospitals and other health care </b><br />
<b>providers. While an outsourcing facility is exempt from FDA approval requirements and </b><br />
<b>adequate directions for use, it is subject to cGMP requirements and will be inspected by the FDA </b><br />
<b>according to a risk-based schedule.</b><br />
<br />
<b>Paddy Deighan J.D. Ph.D</b><br />
<a href="http://www.medicalandspaconsulting.com/">http://www.medicalandspaconsulting.com</a></div>
Anonymoushttp://www.blogger.com/profile/04872621313392611056noreply@blogger.com0tag:blogger.com,1999:blog-8666058829290800189.post-19899596773007018872014-05-09T16:46:00.002-07:002014-05-09T16:46:58.048-07:00Lasers Aid in the Delivery of Medication<div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="font-family: Verdana, sans-serif;"><b>There is yet another use for laser. Laser has revolutionized medicine and the additional apllications of light based devices seems limitless. </b><b>Laser-assisted drug delivery can enhance the permeation of topically applied agents, according to a review published in the April issue of <a href="http://www.aslms.org/publications/lism.shtml" target="_blank"><i>Lasers in Surgery and Medicine</i>.</a> This has the potential to be an astounding turn f events. </b></span></div>
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<b><span style="font-family: Verdana, sans-serif;">Lindsay R. Sklar, M.D., from the <a href="http://www.henryford.com/" target="_blank">Henry Ford Hospital in Detroi</a>t, and colleagues conducted a literature review to assess the existing applications of laser-assisted drug delivery.</span></b></div>
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<b><span style="font-family: Verdana, sans-serif;">The researchers found that lasers are a safe and effective means of enhancing the delivery of topically applied agents through the skin. The most commonly used lasers for drug delivery are the carbon dioxide and erbium:yttrium-aluminum-garnet lasers. Laser pretreatment of the skin can increase the permeability and depth of penetration of topically applied drug molecules for both local cutaneous and systemic applications, according to multiple studies.</span></b></div>
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<b><span style="font-family: Verdana, sans-serif;">"Laser-assisted drug delivery is an evolving technology with potentially broad clinical applications," the authors write.</span></b><b><span style="font-family: Verdana, sans-serif;">One author disclosed financial ties to the laser industry.</span></b></div>
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<b><span style="font-family: Verdana, sans-serif;">Paddy Deighan J.D. Ph.D</span></b></div>
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<b><span style="font-family: Verdana, sans-serif;"><a href="http://www.medicalandspaconsulting.com/">http://www.medicalandspaconsulting.com</a></span></b></div>
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Anonymoushttp://www.blogger.com/profile/04872621313392611056noreply@blogger.com0tag:blogger.com,1999:blog-8666058829290800189.post-32109898329785954542013-09-23T17:58:00.001-07:002013-09-23T17:58:58.337-07:00Professional Staff in a Spa..Employee or Independent Contractor: An Analysis<div dir="ltr" style="text-align: left;" trbidi="on">
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The employee/Independent contractor scenario in spas and medical spas is very complex. The determination of whether a professional staff member is an employee or independent contractor is not easy to address. One thing that IS clear; the agreement that may be in effect is not the most significant issue. You can cal a professional staff member whatever you want to call them in an agreement, but this does nt control the ultimate determination.<o:p></o:p></div>
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Many owners and professional staff want to be independent contractors but the reality is in many cases, the relationship is not sustainable and the <a href="http://www.irs.gov/" style="color: #015782; text-decoration: none;">Internal Revenue Service</a> has been looking at the spa industry more closely (possibly due in large part to tipping structures, but they are looking at the industry). The Service has been looking at many “tip” based businesses such as the taxi industry, restaurants and salons and spas.<o:p></o:p></div>
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The IRS has ruled sometimes that an independent contractor was really an employee because the business supplied TOWELS and LINEN! WOW!<o:p></o:p></div>
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A fundamental approach will be based on two key aspects of the relationship: 1. "control" over the professional staff members hours and days of service, and 2. requirement to utilize certain product lines or practice policies and protocols for certain procedures.<o:p></o:p></div>
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These are not easy issues to address because there are conflicting issues and goals. On one hand, the spa needs staff to be available during operational hours. It would be problematic to allow professional staff to decide the days and hours of service. However, providing schedule is a strong element of “control” over the staff member and this tends to be an employment situation.<o:p></o:p></div>
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The second issue is no less problematic. A professional staff member may support a certain product line that is not offered by the facility. He or she may have a different protocol for a procedure. The professional staff member may have his or her own protocols for a procedure – even something as seemingly straight forward as micro-dermasbrasion. An ancillary concern is when there is a mixture of employees and contractors. The contractors may have more freedom to perform services and procedures and they deem appropriate and this can cause staff problems.<o:p></o:p></div>
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I address many such issues every day and please see my website<a href="http://www.medicalandspaconsulting.com/" style="color: #015782; text-decoration: none;">http://www.medicalandspaconsulting.com</a></div>
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Paddy Deighan J.D. Ph.D<o:p></o:p></div>
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<a href="http://www.medicalandspaconsulting.com/"><span style="color: #015782;">http://www.</span>medicalandspaconsulting.com</a></div>
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Anonymoushttp://www.blogger.com/profile/04872621313392611056noreply@blogger.com0tag:blogger.com,1999:blog-8666058829290800189.post-35334829914292406492013-09-21T18:30:00.000-07:002013-09-21T18:30:09.066-07:00Awesome Quote from History<div dir="ltr" style="text-align: left;" trbidi="on">
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<span class="blog_post_h2" style="color: #333333; font-family: 'Droid Seriff'; font-size: 16px; font-weight: bold;">I am frequently astounded that quotes from history...quotes that may have been made hundreds of years ago, are still true today (if not truer today). I was watching a history program on late night cable and there was a quote from Thomas Jefferson that rally caught my attention. Mr. Jefferson stated: “My reading of history convinces me that most bad government results from too much government.” </span></div>
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<span class="blog_post_h2" style="color: #333333; font-family: 'Droid Seriff'; font-size: 16px; font-weight: bold;"><strong><span style="color: #444444; font-family: Arial, Helvetica, sans-serif; line-height: 22px;">How did he know this type of thing? How could they be so acutely aware of the affect of anything on the future. I suppose that some things are fundmanetal and apparently, Mr Jerfferson stated this after reading history. Perhaps we all need to read a little more history.</span></strong></span></div>
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<span class="blog_post_h2" style="color: #333333; font-family: 'Droid Seriff'; font-size: 16px; font-weight: bold;"><strong><span style="color: #444444; font-family: Arial, Helvetica, sans-serif; line-height: 22px;">Sooooo, I decided to read a few more quotes from Mr. Jefferson since has many quotes as they pertain to government and because I have had a fascination about him since graduate school at WIlliam and Mary. He was a tall man yet his desk at William and Mary is tiny!!!! I always wanted to try and sit in it (it is roped off of course)!!!</span></strong></span></div>
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<span class="blog_post_h2" style="color: #333333; font-family: 'Droid Seriff'; font-size: 16px; font-weight: bold;">Paddy Deighan J.D. Ph.D</span></div>
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<a href="http://www.medicalandspaconsulting.com/" style="color: #1e77b9;" target="_blank"><span class="blog_post_h2" style="color: #333333; font-family: 'Droid Seriff'; font-size: 16px; font-weight: bold;"><strong><span style="color: #444444; font-family: Arial, Helvetica, sans-serif; line-height: 22px;">http://www.medicalandspaconsulting.com</span></strong></span></a></div>
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Anonymoushttp://www.blogger.com/profile/04872621313392611056noreply@blogger.com0tag:blogger.com,1999:blog-8666058829290800189.post-70305821566562610022013-09-20T12:43:00.000-07:002013-09-20T12:43:06.000-07:00The Line Between Medical and Aesthetic Procedures: What Can an Esthetician do?<div dir="ltr" style="text-align: left;" trbidi="on">
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I am frequently asked to comment on the distinction between what is medical and what is aesthetic (non-medical)....the lines are blurry but in my opinion, they are being violated on a daily basis. The practice of medicine is relatively easy to define....it is the diagnosis OR treatment of a medical condition. Good, bad or indifferent, acne, rosacea, eczema are medical conditions. Some things may not be as clear...for example, treating "razor bumps" MAY not be medical, but on the other hand, those "razor bumps" are follicultis barbae and then they would be medical. Frustrating...I know.<o:p></o:p></div>
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Additionally, the next level of analysis would be whether any medical device or product is being utilized in the treatment and of so, what federal classification is the device. Virtually all aesthetic lasers AND IPLs are Class II or Class IIb medical devices and they have to be owned and operated by licensed physicians (not RNs). Physicians may, in certain circumstances, delegate "operation" (but not ownership) to other individuals.<o:p></o:p></div>
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Many products are medical...<a href="http://www.botoxcosmetic.com/" style="color: #015782; text-decoration: none;">Botox Cosmetic</a> is a prescription drug...100% medical. The dermal fillers (<a href="http://www.restylane.com/" style="color: #015782; text-decoration: none;">Restylane</a> for example) are all medical PRODUCTS (not a drug). They are still 100% medical but for a different reason.<o:p></o:p></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhB-Wa2p7KFCb6YxYQVhyphenhyphenzYgYmVr_xSq51uEt7JG5r07KCstpQClrroyA9-LehcfMOhG7eg4PyjTk6ZXTOas_YlFVWyw-UWiJztKOMDONGRPH8swd3yP9GcULgXZQax-n03cAfZroxIwY1r/s1600/Botox.jpg" imageanchor="1" style="color: #015782; margin-left: 1em; margin-right: 1em; text-decoration: none;"><img border="0" height="156" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhB-Wa2p7KFCb6YxYQVhyphenhyphenzYgYmVr_xSq51uEt7JG5r07KCstpQClrroyA9-LehcfMOhG7eg4PyjTk6ZXTOas_YlFVWyw-UWiJztKOMDONGRPH8swd3yP9GcULgXZQax-n03cAfZroxIwY1r/s320/Botox.jpg" style="-webkit-box-shadow: rgba(0, 0, 0, 0.2) 0px 0px 20px; border-bottom-left-radius: 0px; border-bottom-right-radius: 0px; border-top-left-radius: 0px; border-top-right-radius: 0px; border: 1px solid rgb(204, 204, 204); box-shadow: rgba(0, 0, 0, 0.2) 0px 0px 20px; padding: 8px; position: relative;" width="320" /></a></div>
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In laser, you can look at two different types of scenarios...let's use laser hair removal and the treatment of leg veins. Laser hair removal is NOT a medical procedure. However, if the patient is hirsute because of poly cystic ovary syndrome (PCOS), then it IS medical. In this situation the treatment may not be medical but the device IS medical. Hence, laser hair removal IS medical.<o:p></o:p></div>
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Treatment of leg veins...this is both a medical treatment and a medical device. Two reasons not to perform this service.<o:p></o:p></div>
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With peels, it gets REALLY complex...one analysis would be to look at FDA guidelines. In 1996 the FDA concluded that "medical" is a product that penetrated the epi-dermal/dermal junction. They concluded that a 30% glycolic treatment achieves this. Prior to 1996, they mandated that a 40% glycolic solution achieved this. But what 30% glycolic? pure 30%, neutralized or buffered 30%?...remain unanswered. Soooo, if you utilize a 40% glycolic solution but you know that it is neutralized or buffered, then you are probably OK.<o:p></o:p></div>
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Jessner's peels and most TCA peels are mid-to high level strength peels and they are medical. Sal acid is non medical unless in high strengths....hydro quinones are non medical if they are under 2%...we could go on for hours...topical anesthetics can be medical or non medical too...depending upon the strength and formulation (this is actually a HUGE issue)<o:p></o:p></div>
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The problem is that regulation comes in the form of....state statutes, state and federal case law, federal mandate (FDA, FTC), state boards of medicine, cosmetology and nursing, Attorney General reports and cases...WHEW. There is no ONE place to look!<o:p></o:p></div>
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Recently, there was a discussion and an esthetician commented to me that she contacted her state board in NH. They said that as long as she was certified, it was OK for her to perform the procedure (I do not recall the specific procedure, but on its face, it was medical ...blade or syringe was utilized if I recall). That may have been true by NH board purposes, but federal law would disagree and Federal law trumps state law.<o:p></o:p></div>
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Paddy Deighan J.D. Ph.D<o:p></o:p></div>
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<a href="http://www.medicalandspaconsulting.com/"><span style="color: #015782;">http://www.</span>medicalandspaconsulting.com</a></div>
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Anonymoushttp://www.blogger.com/profile/04872621313392611056noreply@blogger.com0tag:blogger.com,1999:blog-8666058829290800189.post-43235975047677441972013-09-05T08:49:00.001-07:002013-09-05T08:53:59.081-07:00Important HIPAA Lawsuit Update<div dir="ltr" style="text-align: left;" trbidi="on">
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Although <a href="http://www.hhs.gov/ocr/privacy/">HIPAA </a>does not create a private cause of action, a recent Indiana Superior Court jury verdict indicates that <a href="http://www.jdsupra.com/legalnews/hipaa-violation-results-in-144-million-83333/">HIPAA could still play an important role</a> in private causes of action in state court based on negligence and professional liability as it relates to confidentiality. On July 26, a jury in Marion County, Indiana awarded $1.44 million to a Walgreens customer based on allegations that the customer’s pharmacist accessed, reviewed, and shared the customer’s prescription history with others who then used the information to intimidate and harass the customer. At the heart of the case was a tangled love triangle in which the pharmacist’s husband had previously been romantically involved with the customer, resulting in the birth of a child. When the pharmacist learned of the relationship, she allegedly accessed the customer’s prescription information and shared it with her husband, who then used the information to intimidate the customer when she began demanding child support payments.</div>
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The customer filed suit against both the pharmacist and Walgreens in Indiana Superior Court, claiming that both parties had breached their statutory and common law duties of confidentiality and privacy. The complaint also included claims of negligence, invasion of privacy, and publication of private facts against the pharmacist and claims of negligent training, supervision, and retention against Walgreens for continuing to employ the pharmacist even after discovering the incident. The Court <a href="http://www.jdsupra.com/legalnews/hipaa-violation-results-in-144-million-83333/">granted Walgreens’ Motion for Summary Judgment</a> on the negligent training claim</div>
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At trial, Plaintiff argued that even though HIPAA did not create a private cause of action, it still defined the standard of care for a pharmacist’s duty of confidentiality and privacy to Plaintiff’s health information. Thus, according to Plaintiff, because the pharmacist’s actions violated HIPAA, the pharmacist had breached the standard of care and should therefore be held liable for the harm caused to Plaintiff. Additionally, because the pharmacist had acted within the scope of her employment, Plaintiff argued that Walgreens was also liable for the pharmacist’s actions. After a four day trial, the jury agreed on both points, awarding $1.44 million in damages to Plaintiff. Walgreens intends to appeal the verdict.</div>
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This is not the first case in which HIPAA has been the centerpiece of a private cause of action, but it does appear to be the first case resulting in a substantial jury verdict against a provider using HIPAA as the basis for the standard of care. Whether and to what extent HIPAA can be used to establish the standard of care in a professional liability, negligence, or other breach of professional duty case will be dependent on state tort law, and the outcome of this case on appeal is unpredictable. Nonetheless, as HIPAA continues to receive attention from trial lawyers seeking to establish the standard of care in negligence and professional liability cases involving the improper disclosure of health information, health care providers must be aware that, depending on the law of the state in which they are licensed, their potential liability for HIPAA violations could extend beyond Civil Monetary Penalties.</div>
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Paddy Deighan J.D. Ph.D</div>
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Anonymoushttp://www.blogger.com/profile/04872621313392611056noreply@blogger.com0tag:blogger.com,1999:blog-8666058829290800189.post-35174440048949615052013-09-04T02:16:00.000-07:002013-09-04T02:17:08.403-07:00Genetics Play a Role in Stretch Marks: Treatment Update<div dir="ltr" style="text-align: left;" trbidi="on">
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<a href="http://www.23andme.com/" style="color: #015782; text-decoration: none;">23andMe</a>, a leading consumer oriented personal genetics company, has conducted the first genetic study of striae distensae (stretch marks). Researchers at the company <a href="http://www.medicalnewstoday.com/releases/265171.php" style="color: #015782; text-decoration: none;">identified four genetic markers</a> significantly associated with the development of stretch marks that inform why some individuals are more susceptible to the skin condition.</div>
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Estimates of the prevalence of stretch marks range from 50-80 percent. The exact causes of stretch marks are still widely unknown. Many factors, including excessive skin distension (during pregnancy, growth spurts, rapid weight gain), prolonged exposure to cortisol and genetics are thought to play a role.</div>
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Popular treatments, including topical creams and laser treatment often focus on stimulating collagen production to decrease the appearance of stretch marks. The strong association between (the breakdown) of elastin and stretch marks discovered through this research offers an opportunity to improve methods to prevent and treat stretch marks. <span style="font-family: Arial, sans-serif; font-size: 10.5pt; line-height: 15pt;">However these treatments yield little visible results and patient satisfaction is exceedingly low with these modalities. </span><span style="font-family: Arial, sans-serif; font-size: 10.5pt; line-height: 15pt;"> </span><span style="font-family: Arial, sans-serif; font-size: 10.5pt; line-height: 15pt;">Cocoa butter?? Why bother!</span></div>
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<b style="font-family: Arial, sans-serif; font-size: 10.5pt; line-height: 16px;">There are effective treatments on the horizon and we will be discussing them in detail. </b></div>
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"To date, no genetic variants were known to be associated with isolated stretch marks that affect the general public," said Joyce Tung, Ph.D., author and 23andMe Director of Research. "Through this first of its kind study, we've identified new genetic associations that can provide deeper insights into the root causes of stretch marks, and look forward to continuing research in this space. One intriguing area for further study is the potential effect of genes associated with obesity on the development of stretch marks, both independent of and via changes in Body Mass Index. Replicating this work in a more precisely phenotyped population would also be a logical next step."</div>
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<span style="background-color: white; color: #333333; font-family: Arial, sans-serif; font-size: 10.5pt; line-height: 16px;"></span><a href="http://facealchemy.blogspot.com/2013/09/genetics-and-stretch-marks-treatment.html" name="ratethis" style="background-color: white; color: #333333; font-family: Arial, Helvetica; font-size: 14px; line-height: 20px; text-decoration: none;"></a><br style="background-color: white; color: #333333; font-family: Arial, Tahoma, Helvetica, FreeSans, sans-serif; font-size: 13px; line-height: 18px;" />
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23andMe conducted a genome-wide association analysis across 33,930 unrelated 23andMe customers of European descent; within the sample there were a total of 13,930 cases and 20,862 controls. Because loose skin is a symptom of syndromes caused by deletion or loss-of-function mutations in elastin, it is likely that variations in the elastic fiber component of the skin extracellular matrix contribute to the development of stretch marks. The expression of collagens, elastin and fibronectin is also decreased in striae, which could be linked to the reorganization and overall loss of elastic fibers in skin affected by stretch marks.</div>
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Paddy Deighan, J.D. Ph.D</div>
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Anonymoushttp://www.blogger.com/profile/04872621313392611056noreply@blogger.com0tag:blogger.com,1999:blog-8666058829290800189.post-71084571585824481962013-09-03T01:56:00.002-07:002013-09-03T01:57:18.842-07:00An Important Update on Facebook Privacy<div dir="ltr" style="text-align: left;" trbidi="on">
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<span class="blog_post_h2">I have never been a particular fan of Facebook. They do not respect privacy and they allow politics to interfere in the social networking sphere and there is no place for this in their reality.. They are allowed to do things with information that you are not allowed to do…adding to my disdain for them. True, they have SOME usefulness and hence, Facebook must be tolerated to some degree. You have all seen the Facebook ads that show us an image of one of our friends and notify us that this particular friend likes some particular brand or product. However, were you aware that these images could not only be used to endorse products that you have already “liked,” but also those that have nothing whatsoever to do with you AND without your providing any permission other than simply using Facebook?</span></div>
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<span class="blog_post_h2">Facebook recently settled a class action lawsuit regarding this practice. The settlement and resulting privacy-policy “clarifications” actually just <a href="http://www.moneytalksnews.com/2013/08/30/facebook-is-changing-the-rules-so-it-can-keep-selling-your-face/?" style="color: #1e77b9;" target="_blank" title="facebook privacy">make the practice legitimate</a>. According to Facebook’s revised privacy policy, “you give us permission to use your name, profile picture, content, and information in connection with commercial, sponsored, or related content…served or enhanced by us…without any compensation to you.” WHAT????? This means Facebook can use your images basically anywhere, at any time, and for any reason.</span></div>
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<span class="blog_post_h2">The class-action lawsuit was brought by a man whose wife’s image was used in this manner to advertise a “hot singles” service, but despite the fact that Facebook ultimately settled, the judge who approved the settlement even said that “it is far from clear [that the plaintiffs] could ever have shown they were actually harmed in any meaningful way.” The only way to opt out of this term of use is to quit Facebook completely. Facebook has also received criticism lately for another relatively new feature that takes facial recognition to a new level in order <a href="http://abcnews.go.com/Technology/facebook-privacy-policy-analyze-profile-photo/story" style="color: #1e77b9;" target="_blank">to suggest tagging options for pictures</a>. Not to mention that htis comes from a paragon of privacy protection, ABC News LOL Be forewarned!!!</span></div>
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<span class="blog_post_h2">Paddy Deighan J.D. Ph.D</span></div>
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Anonymoushttp://www.blogger.com/profile/04872621313392611056noreply@blogger.com0tag:blogger.com,1999:blog-8666058829290800189.post-84466840300604534322013-07-11T00:27:00.001-07:002013-07-11T00:27:30.343-07:00Non Medical Personnel Operating Lasers<div dir="ltr" style="text-align: left;" trbidi="on">
<span style="font-family: Georgia, Times New Roman, serif;"><span style="background-color: white; color: #333333; font-size: 13px; line-height: 18px;">I<b>t never ceases to amaze me how many medical products are marketed for use to the non-medical market. There are so many skin care products making outrageous claims and product manufacturers making claims about their devices and all the while, marketing them to people who cannot legally perform services with the device. This problem is more prevalent today than ever before and this is counter intuitive since there has never been more regulation in the health industry and the FDA has stepped up compliance. </b></span><b><br style="background-color: white; color: #333333; font-size: 13px; line-height: 18px;" /><br style="background-color: white; color: #333333; font-size: 13px; line-height: 18px;" /><span style="background-color: white; color: #333333; font-size: 13px; line-height: 18px;">I have previously written about skin care products that claim to alter and repair DNA (this is really funny because it is so outrageous); other products that claim to treat rosacea (even though when you read the package insert it refers to treating “redness”) and devices that are marketed to the aesthetic market when they are being offered to treat medical conditions. Sometimes the problem is that the device is a medical device being offered to non-medical markets. Other times the problem is that the device is treating medical conditions or the use of the device is such that it constitutes the practice of medicine.</span><br style="background-color: white; color: #333333; font-size: 13px; line-height: 18px;" /><br style="background-color: white; color: #333333; font-size: 13px; line-height: 18px;" /><span style="background-color: white; color: #333333; font-size: 13px; line-height: 18px;">I was reading <a href="http://www.dayspamagazine.com/">Day Spa</a> magazine today and I ran across an advertisement that I have seen for MANY years. It was for the <a href="http://www.lamskin.com/lamprobe.htm">Lamprobe</a>. Interestingly enough, I met the owner about ten years ago and asked how he is marketing the device to the non-medical market. He had an unsatisfactory answer. It is not my intention to malign any particular product, but this one typifies the problem.</span></b></span><br />
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<span style="font-family: Georgia, Times New Roman, serif;"><b><br style="background-color: white; color: #333333; font-size: 13px; line-height: 18px;" /><span style="background-color: white; color: #333333; font-size: 13px; line-height: 18px;">The Lamprobe advertises that it treats skin tags, broken capillaries, cholesterol deposits, cherry angiomas, fibromas, spider nevi, clogged pores and milia. Very interesting. An esthetician can treat NONE of these proposed uses. How can this product be ethically marketed to the non-medical aesthetic market when the user cannot legally perform the treatments? Virtually all of these proposed uses are outside the scope of license of an esthetician and they are clearly and squarely within the parameters of medicine. </span></b></span><br />
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<b><span style="font-family: Georgia, Times New Roman, serif;">Just because a product is marketed to you, does not mean that you are legally permitted to use the product or servoce. The laser companies would gladly sell a laser to my dog Stoli if he would pony up the money!!<br style="background-color: white; color: #333333; font-size: 13px; line-height: 18px;" /><br style="background-color: white; color: #333333; font-size: 13px; line-height: 18px;" /><span style="background-color: white; color: #333333; font-size: 13px; line-height: 18px;">Paddy Deighan JD PhD</span><br style="background-color: white; color: #333333; font-size: 13px; line-height: 18px;" /><a href="http://www.medicalandspaconsulting.com/">http://www.medicalandspaconsulting.com</a></span></b></div>
Anonymoushttp://www.blogger.com/profile/04872621313392611056noreply@blogger.com1tag:blogger.com,1999:blog-8666058829290800189.post-58559081246989831952013-07-01T10:18:00.001-07:002013-07-01T10:18:29.204-07:00Connecticut Passes New Medical Spa Regulations<div dir="ltr" style="text-align: left;" trbidi="on">
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<b>Connecticut is another in a series of states that has taken
action in regard to the regulation of medical spas. The new legislation in Connecticut seems fair
and a well thought out effort to protect consumers in the state. <o:p></o:p></b></div>
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<b>Many within the various related industries, such as
aesthetics, believe that the regulation of medical spa procedures it’s a turf
battle waged by physicians who are trying to protect their exclusive right to
perform cosmetic medical procedures.
However, this law seems appropriate and my vast experience as a
consultant to state medical boards and boards of cosmetology is that this type
of regulation is borne out of a desire to legitimately protect citizens of a
state. <o:p></o:p></b></div>
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<b>Medical spas in Connecticut that offer cosmetic medical
procedures must have an acting medical director who is a state-licensed
physician. Bill SB-1067, which goes into effect on October 1, 2013, was passed
by the state’s legislature on June 5, 2013. It states that any medical spa that
offers procedures defined under the state’s sales tax laws as “cosmetic medical
procedures” employ or contract with a medical director. An MD, PA, APRN or RN
may perform the procedures. If a PA, APRN or RN is performing the treatment, he
or she must be acting under a physician’s supervision and control. In addition,
the facility must post notice of the name and specialty of the medical
director, and he or she must perform an initial physical assessment of the
patient before the procedure is performed. Violators are subject to fines of up
to $500 per day while the violation continues.<o:p></o:p></b></div>
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<b>In my opinion, there will be more new laws such as this one
as state’s wrestle with this growing problem.
My only question in regard to this law is whether the nurses have to be employed
by the physician. This is a growing issue. <o:p></o:p></b></div>
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<b>If you wish to view a synopsis of this new law, log into <a href="http://www.cga.ct.gov/2013/BA/2013SB-01067-R01-BA.htm">http://www.cga.ct.gov/2013/BA/2013SB-01067-R01-BA.htm</a></b></div>
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<b>Paddy Deighan J.D. Ph.D<o:p></o:p></b></div>
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<a href="http://www.medicalandspaconsulting.com/"><b>http://www.medicalandspaconsulting.com</b></a><o:p></o:p></div>
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Anonymoushttp://www.blogger.com/profile/04872621313392611056noreply@blogger.com0tag:blogger.com,1999:blog-8666058829290800189.post-62508758397483962392013-05-28T18:37:00.002-07:002013-05-28T18:37:27.634-07:00SEO basics as Google Implements Penguin 2.0 Part II<div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 18.18181800842285px;">Many SEO enthusiasts are in a state of panic over announced changed to Google search engine algorithms. Google is gradually implementing Penguin 2.0 and many are concerned that there SEO efforts will be adversely affected.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 18.18181800842285px;"><br /></span></div>
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<span style="font-family: Times New Roman, serif; font-size: small;"><span style="line-height: 18.18181800842285px;">I decided to write some SEO basics that pertain to most search engine since Google </span></span><span style="font-family: Times New Roman, serif;"><span style="line-height: 18.18181800842285px;">isn't</span></span><span style="font-family: Times New Roman, serif; font-size: small;"><span style="line-height: 18.18181800842285px;"> the only one ya know!! BING has made significant strides lately.<o:p></o:p></span></span></div>
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<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjEUqYhx-GGeHEBZxT9jY48x267jAKnHdsjQahMGGYJKnBh1iz-gEOkOsAa9SBrnO10vGBecYaBcJyIBD7UonCBuF3V-orJSS0zjf2Rp1tjJjiTEcCjwO3S1ivzoP9drn_YbDhq8IK3mQA/s1600/images.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjEUqYhx-GGeHEBZxT9jY48x267jAKnHdsjQahMGGYJKnBh1iz-gEOkOsAa9SBrnO10vGBecYaBcJyIBD7UonCBuF3V-orJSS0zjf2Rp1tjJjiTEcCjwO3S1ivzoP9drn_YbDhq8IK3mQA/s1600/images.jpg" /></a></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 18.18181800842285px;"><b><u>1. Check the Popularity of Keywords</u></b><o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 18.18181800842285px;"><b><u><br /></u></b></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 18.18181800842285px;">In order to obtain traffic from keyword searches on the major search engines like <a href="http://www.google.com/">Google</a>, <a href="http://www.bing.com/">BING</a> and Yahoo!, you need to be writing about a topic that people want to read about and are actively looking for information about. One of the easiest ways to get a basic idea of what people are looking for online is to check the popularity of keyword searches on websites like Wordtracker, Google Trends or the Yahoo! Buzz Index. These will each give you a clear indication of the keywords that are being searched and you can check many different phrases.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 18.18181800842285px;"><b><u>2. Select Specific and Relevant Keywords</u></b><o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 18.18181800842285px;"><b><u><br /></u></b></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 18.18181800842285px;">It is prudent to select one keyword phrase per page then optimize that page to that keyword phrase. Keywords should be relevant to the overall content of your page. Furthermore, choose specific keywords that are more likely to give you a better search results ranking than a broad term would. For example, consider how many sites use the keyword phrase of "ancient pottery." The competition for ranking using that keyword is likely to be tough. If you choose a more specific keyword like "13<sup>th</sup> Century Chinese Pottery," the competition is a lot easier.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 18.18181800842285px;"><br /></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 18.18181800842285px;"><b><u>3. Select a Keyword Phrase of 2 or 3 Words</u></b><o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 18.18181800842285px;">Statistics show that nearly 60% of keyword searches include 2 or 3 keywords. Accordingly, optimize your pages for searches on keyword phrases of 2 or 3 words to drive the biggest results.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 18.18181800842285px;"><b><u>4. Use Your Keyword Phrase in Your Title</u></b><o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 18.18181800842285px;"><b><u><br /></u></b></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 18.18181800842285px;">Once you select the keyword phrase you plan to optimize your page for, make sure you use that phrase in the title of your blog post (or web page).<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 18.18181800842285px;"><br /></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 18.18181800842285px;"><b><u>5. Use Your Keyword Phrase in Your Subtitle and Headlines</u></b><o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 18.18181800842285px;">Utilizing subtitles and section headlines not only makes the blog more visually appealing on a text heavy computer screen, but it also gives you additional opportunities to use your keyword phrase.<o:p></o:p></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 18.18181800842285px;"><br /></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 18.18181800842285px;">Paddy Deighan JD Ph.D</span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 18.18181800842285px;"><a href="http://www.homesavers.pro/">http://www.homesavers.pro</a></span></div>
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Anonymoushttp://www.blogger.com/profile/04872621313392611056noreply@blogger.com0tag:blogger.com,1999:blog-8666058829290800189.post-68036914484034157442013-05-28T13:05:00.001-07:002013-05-28T13:05:08.873-07:00SEO Basics as Google Implements Penguin 2.0<div dir="ltr" style="text-align: left;" trbidi="on">
<br />
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Many SEO enthusiasts are in a state of panic over
announced changed to Google search engine algorithms. Google is gradually
implementing Penguin 2.0 and many are concerned that there SEO efforts will be
adversely affected.<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: Times New Roman, serif; font-size: small;"><span style="line-height: 115%;">I decided to write some SEO basics that pertain to
most search engine since Google </span></span><span style="font-family: Times New Roman, serif;"><span style="line-height: 18.18181800842285px;">isn't</span></span><span style="font-family: Times New Roman, serif; font-size: small;"><span style="line-height: 115%;"> the only one ya know!! BING has made
significant strides lately. <o:p></o:p></span></span></div>
<div class="MsoNormal">
<span style="font-family: Times New Roman, serif; font-size: small;"><span style="line-height: 115%;"><br /></span></span></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjWo1HmDLlHCgZVIflXYapAq5jt8Vu4R_ykwozk-OL3dXofYa4UuvMB8-anizhinCEzz3HeigEsScdWKVSUatWF0CrNbxU1Yb6hK1IAsZfW9QPm3YMU7JOoPorwubopfDxIzHoKragIX2E/s1600/images.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjWo1HmDLlHCgZVIflXYapAq5jt8Vu4R_ykwozk-OL3dXofYa4UuvMB8-anizhinCEzz3HeigEsScdWKVSUatWF0CrNbxU1Yb6hK1IAsZfW9QPm3YMU7JOoPorwubopfDxIzHoKragIX2E/s1600/images.jpg" /></a></div>
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<span style="font-family: Times New Roman, serif; font-size: small;"><span style="line-height: 115%;"><br /></span></span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><b><u>1. Check the Popularity of Keywords</u></b><o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">In order to obtain traffic from keyword searches on
the major search engines like <a href="http://www.google.com/">Google</a>, <a href="http://www.bing.com/">BING </a>and Yahoo!, you need to be writing
about a topic that people want to read about and are actively looking for
information about. One of the easiest ways to get a basic idea of what people
are looking for online is to check the popularity of keyword searches on
websites like Wordtracker, Google Trends or the Yahoo! Buzz Index. These will
each give you a clear indication of the keywords that are being searched and
you can check many different phrases.<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><br /></span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><b><u>2. Select Specific and Relevant Keywords</u></b><o:p></o:p></span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><b><u><br /></u></b></span></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">It is prudent to select one keyword phrase per page
then optimize that page to that keyword phrase. Keywords should be relevant to
the overall content of your page. Furthermore, choose specific keywords that
are more likely to give you a better search results ranking than a broad term
would. For example, consider how many sites use the keyword phrase of
"ancient pottery." The competition for ranking using that keyword is
likely to be tough. If you choose a more specific keyword like "13<sup>th</sup>
Century Chinese Pottery," the competition is a lot easier.<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><br /></span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><b><u>3. Select a Keyword Phrase of 2 or 3 Words</u></b><o:p></o:p></span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><b><u><br /></u></b></span></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Statistics show that nearly 60% of keyword searches
include 2 or 3 keywords. Accordingly, optimize your pages for searches on
keyword phrases of 2 or 3 words to drive the biggest results.<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><br /></span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><b><u>4. Use Your Keyword Phrase in Your Title</u></b><o:p></o:p></span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><b><u><br /></u></b></span></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Once you select the keyword phrase you plan to
optimize your page for, make sure you use that phrase in the title of your blog
post (or web page).<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><br /></span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><b><u>5. Use Your Keyword Phrase in Your Subtitle and
Headlines</u></b><o:p></o:p></span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><b><u><br /></u></b></span></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Utilizing subtitles and section headlines not only
makes the blog more visually appealing on a text heavy computer screen, but it
also gives you additional opportunities to use your keyword phrase.<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Paddy Deighan J.D. Ph.D</span></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><a href="http://www.medicalandspaconsulting.com/">http://www.medicalandspaconsulting.com</a></span></div>
</div>
Anonymoushttp://www.blogger.com/profile/04872621313392611056noreply@blogger.com0