Thursday, August 22, 2013

AAMEP Announces Fall, Miami Beach Conference Schedule October 5-6



AMERICAN ACADEMY OF MEDICAL ESTHETIC PROFESSIONALS - AAMEP



AAMEP Members and Guests,

On behalf of the officers at AAMEP we would like to thank you for your support. We have prepared a very exciting program; with interesting presentations and live demonstrations.   We are confident you will find the information educational, stimulating, and FUN!

We are proud to offer 9.5 CE’s and CME’s for attending the 7th Annual AAMEP conference.  We wish you great success in your medical esthetic practices.

On a side note:
We are looking to fill the position for the State Chairman for your state.

In light of what is going on all over the country with the Dermatology community trying to inhibit and prohibit our practice of esthetics by their attempts to introduce legislation (to limit and restrict) we need now more than ever to have active participants and responsible communicators.

We are asking for your commitment to your organization to assist and work with your fellow members to strengthen and nurture our organization for the good of all members.

This will not take up much of your time; only a few hours per month to keep abreast of any new bills that may have been introduced to your House of Representatives and State Senate.  You will have direct communication with your Regional Director and President of AAMEP. 

Opportunities for involvement are greatly welcomed.  Your energy and presence is needed in committees, Workgroups, and Task Forces.  The AAMEP board of Directors is here to serve you.  Our continued goal is to implement state and national coalitions to collectively address priority Association issues:  legislative changes, scope of practice, membership recruitment, malpractice insurance needs, and more.  Please let us know your interest.

Warm Regards,

Sasha Parker 

President

8th ANNUAL CONFERENCE
PROGRAM SCHEDULE

The Palms Hotel and Spa
3025 Collins Ave Miami Beach , FL 33140
PRE-CONFERENCE

Friday, October 4, 2013

“WELCOME SOCIAL”
7:30 PM – 10:30 PM   ALL MEMBERS, ATTENDEES, VENDORS WELCOME!  Location/Room: TBA


CONFERENCE DAY I

Saturday, October 5, 2013
 Location/Room -TBA (9am-6pm)
Breakfast  08:00 – 09:00am Location
Exhibits  8:00am – 5:30pm Location

              08:00 – 09:00   Registration; Breakfast with the Exhibitors (Sponsored by AAMEP)

09:00      WELCOME: AAMEP News, Legislative Updates, Market Trends; President Sasha Parker, RN, MEP-C

09:30      Leslie Blanche: Aesthetic Marketing and Trends

10:30      COFFEE AND DEMONSTRATIONS WITH THE EXIBITORS

11:15      TBA

12:15       Michelline Hajj, RN  -TBA

1:00        LUNCH (Sponsored by AAMEP)

2:30        Dr. Shino Bay Aguilera: Sculptra & Your Practice, With Live Demonstration  

3:30        Dr. Elliot Battle: Current Trends in Treating Skin of Color

4:30        Coffee Break and Vendors

5:00        DAY 1 ENDS



             


AMERICAN ACADEMY OF MEDICAL ESTHETIC PROFESSIONALS
AAMEP


CONFERENCE - DAY II

Sunday, October 23, 2011
Location/Room: TBA (9:00am -4:15pm)

Breakfast  9:00-10:00am   Location TBA
Exhibits open 8:30am – 5:00pm


09:00      REGISTRATION & BREAKFAST WITH THE EXIBITORS (Sponsored by AAMEP)

10:00      Cheryl Whitman: Develop Your Customer Service Skills; Learn How to Deal With the 6 Different Types of Clients

11:00      Janelle Vega, MD: Sublative Rejuvenation- New Advances in Fractionated BiPolar RF

12:00      LUNCH ON YOUR OWN AND TIME WITH EXIBITORS

1:30        Stephen Holt, MD Integrative Medicine

2:30        Tanya Bower, ESQ Protecting Your Assets in a High Risk World

3:30        Coffee Break and Exhibitors   

4:00        Sasha Parker, MEP-C The Many Amazing Uses of Platelet Rich Plasma and conference wrap up!

CONFERENCE ENDS

FEATURED SPEAKERS

SASHA PARKER RN, MEP-C, President AAMEP- Board Chairman, Founding Member; Sasha Parker is the President and Founder of Esthetic Skin Institute, Inc and was the original innovator and 1st trainer of “medical esthetic hands-on” workshops” and has personally trained thousands of medical professionals internationally for over 13 years. She has trained with many medical esthetic experts throughout the world, and has a passion for sharing that knowledge with colleagues.
Sasha Parker: The Many Amazing Uses of PRP -Platelet Rich Plasma has been used in Europe with great success in clinical practice since the late 1980’s. Initially used to enhance wound healing in many specialties, it’s emergence into the aesthetic/cosmetic arena for rejuvenation of skin started in 2004. The Skin rejuvenation technique has been used since 2004 in Europe, Asia, and South America. Patients have seen all around improvement in skin texture, pigmentation disorders, fine lines and wrinkles, scars, acne, stretch marks, and hair loss to name a few. Studies show that PRP, when done properly, has the ability to increase collagen deposition and remodeling which can persist over a 12 month period. The term autologous means that the source of origin is the patient’s own body and because of this is desirable to many patients who may desire a natural type treatment.


ELIOT F. BATTLE, JR, MD;  Dr Battle is considered one of the world’s best cosmetic dermatologists and laser surgeons and recognized as the leading authority of cosmetic laser therapy on people of color. His 3 year pioneering research at Harvard helped to invent the new generation of non-invasive “color blind” cosmetic lasers opening up the field to patients of all cultures, regardless of skin of color or ethnicity.  
Eliot Battle, MD will be discussing the current trends in treating skin of color. This discussion has been developed in response to the ever-increasing demand for dermatologic treatments in patients with skin of color, and the accompanying need for education and training in this quickly expanding market. 

Cheryl Whitman, CEO beautiful forever Aesthetic Business Consulting Cheryl Whitman is an internationally recognized pioneer in medical spa and aesthetic medical business consulting.  Cheryl is a published author, popular speaker and cosmetic marketing specialist.  As founder and CEO of beautiful forever, Cheryl spearheads a successful team of aesthetic business consultants and business professionals.

Cheryl’s diverse background enables her to provide her clients with the highest level of personal attention, along with top-notch consulting support. Frequently quoted by news media such as the New York Times and a host of industry trade journals, she has worked with clients helping them to improve their business practices and their bottom lines.
Cheryl Whitman Develop Your Customer Service Skills- Learn how to successfully deal with the 6 different types of clients. Cheryl will discuss learning how to properly and effectively manage your relationships with the new patient, the undecided patient, the difficult patient, the negotiating patient, the shopper, and the VIP.   


Shino Bay Aguilera, MD Dr. Shino Bay Aguilera is a world renowned Cosmetic Dermatologist, Dermatologic Surgeon, Cosmetic Laser Expert, and is Dual Board certified with a Fellowship in Dermatology from the American College of Osteopathic Dermatology. He has over 16 years of ongoing advanced training in lasers and Aesthetics and is a clinical researcher, publisher, and Medical Director of NOVA University Dermatology residency program and Assistant Professor of Dermatology for four other Universities. A top-requested International physician trainer and keynote speaker, Dr. Aguilera travels the world teaching physicians the proper use of the newest laser advances and cosmetic techniques.
Dr. Shino Bay Aguilera Will be discussing treatment protocols for the most optimal use of Sculptra Aesthetic for enhancement and volumization.  Dr Aguilera is the Number one Sculptra user in the United States and is a world speaker on this topic. He will also do a live demo.   

Tanya Bower, ESQ a director with Tripp Scott Firm, focuses her practice on corporate and tax matters, including estate planning, asset protection and wealth preservation. She counsels owners of closely-held businesses on estate-planning matters and help clients in a wide range of businesses on ERISA matters, including establishing, amending and terminating pension plans.  In addition, she is experienced at drafting corporate contracts and other documents; establishing and dissolving corporations, limited-liability companies and partnerships; and representing owners in acquisitions and mergers, including analyzing the tax aspects of these transactions.
Tanya Bower, ESQ, PA will be discussing Asset Protection “Now that you’ve made it, don’t lose it!”  Tonya will address important topics such as tax liabilities, separating your assets, assets exempt from creditors, assets owned by entities, estate planning and more. With a question and answer period for attendees. Now is your chance for free legal advice.

Janelle Vega, MD is a board certified dermatologist and received her undergraduate degree from Haverford College in 2002, followed by an M.D. degree in Gainesville, FL from the University of Florida College of Medicine in 2006. She completed a post-doctoral training in Internal Medicine at Beth Israel Deaconess Medical Center in Boston, a Harvard medical school affiliate. She also did a year of clinical research at the University of Puerto Rico where she also fulfilled her first year of dermatology training. She concluded her dermatologic training at the University of Miami Miller School of Medicine, where she received an award for Excellence in Dermatologic Surgery. She is the author of several medical articles, and book chapters.
Janelle Vega, MD is speaking about  Skin Rejuvenation with Sublative fractionated bi-polar radio frequency technology which places the heat energy effectively into the upper dermis where it can produce a significant increase in both collagen and elastin with minimal epidermal disruption.


Leslie Blanche As a senior healthcare marketing manager with HRB, Leslie brings experience working in the medical marketing field. Leslie specializes in working closely with hospitals, device companies and physician practices to hone and develop their personal philosophy into a distinct and identifiable message that will help them earn the trust of their communities and industries and, ultimately, to help them grow. She has implemented successful marketing campaigns for physicians and hospitals across the US and Canada.

Stephen Holt, MD Integrative Medicine is a best-selling author and medical practitioner in New York. He has been described as a visionary, a pioneer of Integrative Medicine and is world-renowned for his work on nutrition and dietary supplements. He is a frequent guest lecturer at medical and scientific conferences.
For many years, Dr. Holt has developed management pathways for several public health initiatives, with an emphasis on lifestyle changes and nutritional interventions. He believes that healthcare should be portable, widely available and free for children and the elderly. Dr. Holt has been described as the “doctor’s doctor” because many of his patients are medical practitioners. Because of the major pressure on Dr. Holt’s time as an international lecturer etc., he restricts his patient care to referrals only from other doctors.
Dr. Holt’s principal training has been in allopathic medicine, but he has charted new treatment paradigms using natural medicines. He believes in the concept of “medical pluralism”, where many different medical disciplines come together to provide holistic healthcare. Dr. Holt supports the practice of many forms of medicine including: chiropractic medicine, naturopathic medicine, podiatric medicine, homeopathic medicine, as well as traditional medical disciplines that offer many alternative strategies for health maintenance.
He is an author of more than 20 books in the popular healthcare field and he has also contributed chapters and many articles to peer-reviewed medical textbooks and journals. As well as publishing several hundred scientific articles in leading medical journals, Dr. Holt has been cited thousands of times in the medical and lay press.
An honors graduate in medicine from Liverpool University Medical School, in England, UK, Dr. Holt holds sub-specialty qualifications in gastroenterology and internal medicine in the USA, Canada and Europe. He has practiced clinical medicine for four decades. Dr. Holt has held the rank of full professor of medicine and bioengineering (adjunct) for many years and he has received awards for medical teaching and research, in the United States, China, Indonesia, Great Britain, Malaysia, Thailand, Taiwan, South Korea and other countries, where he has served as a Visiting Professor. He now holds the highest academic rank as a Distinguished Professor of Medicine (Emeritus).

Dr. Holt was the recipient of an honorary appointment as a Professor of medicine at San Yat-sen University of Medical Sciences in China, an honor bestowed on only a small number of Western physicians. In 2005, Dr. Holt was honored with the degree of Doctor of Humane Letters for his contributions to education in medicine. He has been knighted by the Holy Order of St. John and serves as their Lieutenant Grand Hospitaller.

More to come 

to Join this event at a special price of 225.00 please click here 

Tuesday, August 20, 2013

FDA Advisory Committee Unanimously Recommends JUVÉDERM VOLUMA™ XC as a Safe and Effective Treatment Option for Cheek Augmentation to Correct Age-Related Volume Deficit in the Mid-Face

FDA Advisory Committee Unanimously Recommends JUVÉDERM VOLUMA™ XC as a Safe and Effective Treatment Option for Cheek Augmentation to Correct Age-Related Volume Deficit in the Mid-Face


IRVINE, Calif.--(BUSINESS WIRE)-- Allergan, Inc., (NYSE: AGN) is pleased that the U.S. Food and Drug Administration (FDA) General and Plastic Surgery Devices Panel of the Medical Devices Advisory Committee has voted unanimously that the benefits of JUVÉDERM VOLUMA™ XC, an injectable hyaluronic acid dermal filler for cheek augmentation to correct age-related volume deficit in the mid-face, outweigh the risks. If approved, JUVÉDERM VOLUMA™ XC would be the first and only dermal filler in the United Stateswith this indication.
"Today's recommendation is an important step in the FDA review process for JUVÉDERM VOLUMA™ XC," said Scott M. Whitcup M.D., Executive Vice President, Research and Development, Chief Scientific Officer, Allergan. "Allergan is committed to working with the FDA as they continue their review of our PMA for JUVÉDERM VOLUMA™ XC, with the goal of providing consumers with the first treatment option that has been specifically developed to help restore cheek volume that has been lost over time."
The Advisory Committee's recommendation, although not binding, will be considered by the FDA when making the final approval decision for JUVÉDERM VOLUMA™ XC. If approved by the FDAAllergan anticipates launching JUVÉDERM VOLUMA™ XC in late 2013.
For Training www.esiw.com


Monday, August 12, 2013

Freezing the fat away

www.esiw.com

Freezing the fat away: Study suggests cryolipolysis is safe and effective for noninvasive body contouring

Since the approval of the first cryolipolysis device in 2010, what have been some of the trends in fat removal through controlled cooling? Have physicians seen the same safety and efficacy in practice as they have in clinical trials? And just how in-demand is this non-invasive body contouring procedure? Plastic surgeons from Southern California sought to answer these questions by conducting the largest, most comprehensive review of cryolipolysis to date, focusing on 528 consecutive patients treated with the CoolSculpting® device (manufactured by Zeltiq) at a single, multi-surgeon practice between January 2010 to December 2012.
The plastic surgeons found that cryolipolysis was highly effective at reducing subcutaneous fat volume and was associated with few adverse events: only three cases of mild or moderate pain/neuralgia were noted in the retrospective chart review, all of which rapidly resolved. They also found that the popularity of the procedure grew dramatically over the two years studied, with 823% more treatment cycles delivered in 2012 than in 2010, and a growing demand for the procedure among men. The complete findings are presented in the article, "Broad Overview of a Clinical and Commercial Experience with CoolSculpting," appearing in the August issue of the Aesthetic Surgery Journal.
"Our review showed that cryolipolysis is not only safe and effective for nonsurgical, localized fat removal, but also provides high patient satisfaction levels," said lead author Grant Stevens, MD, of Marina Del Rey, California. "With careful treatment planning, proper applicator placement, and multiple treatment cycles, cryolipolysis can produce results comparable to those of liposuction."
Of the 528 patients in this study, 76% were women (n = 403) and 24% were men (n = 125). Over the course of the study period, the male patient population grew in response to targeted advertising, ultimately comprising 42% of the patient population in the last quarter of the study period. The mean patient age was 46 years (range, 18-79 years), with a similar age distribution among men and women. Over the study period, 1785 anatomic sites were treated with 2729 cycles. The primary treatments sites were the lower abdomen (28%), upper abdomen (11%), left or right flank (19% each), inner thigh (6%), back (6%), and outer thigh (5%). Two-thirds (66%) of patients were new to the practice and presented specifically for CoolSculpting. Most (62%) had not previously undergone any type of cosmetic procedure. Forty percent (40%) of the new patients became established patients, later undergoing additional procedures such as cosmetic surgery, nonsurgical injectable treatment, skin care, laser hair removal, and skin resurfacing.
"This is an important large study which confirms the safety and efficacy of cryolipolysis", said Foad Nahai, MD, Editor-in-Chief of Aesthetic Surgery Journal.
According to the American Society for Aesthetic Plastic Surgery (ASAPS), 313,011 liposuction procedures were performed in 2012, and liposuction was the top cosmetic surgery procedure for men.



APA
American Society for Aesthetic Plastic Surgery. (2013, August 7). "Freezing the fat away: Study suggests cryolipolysis is safe and effective for noninvasive body contouring." Medical News Today. Retrieved from
http://www.medicalnewstoday.com/releases/264444.php.

Wednesday, August 7, 2013

Massachusetts approves Botox policy for dentists


Massachusetts approves Botox policy for dentists

Boston­—Massachusetts dentists can administer Botox and derma fillers to patients as part of their overall dental treatment plan, per a new state regulatory policy.
The Massachusetts Board of Registration in Dentistry approved the policy unanimously March 6, joining at least 20 other states that address the issue of general dentists administering botulinum toxins, the clinical name for what's commonly known as Botox. Dr. Mina Paul, chair of the dental board, said she established a task force last year to study the pros and cons of implementing a Botox policy.
"The task force unanimously felt strongly that it's an area that dentists can definitely work in and deliver without a problem, given our background and training," Dr. Paul said.
One of the components affecting the decision was based on the focus of temporomandibular joint disorders in Boston's three dental schools—Boston, Harvard and Tufts universities—and how Botox can treat the condition, Dr. Paul said.
Massachusetts dentists who want to administer Botox and fillers must be board certified in oral and maxillofacial surgery or have completed a minimum of eight hours of training in the administration of botulinum toxins and/or derma fillers that includes instruction in the anatomy of head and neck, neurophysiology, patient selection, pharmacological effects and contraindications, management of complications, informed consent and hands-on training on the administration of the agents. The training must be offered by a continuing education provider approved by the ADA's Continuing Education Recognition Program, the Academy of General Dentistry's Program Approval for Continuing Education or another nationally recognized and accredited entity approved by the dental board.
The ADA supports dentists performing any procedure for which they are qualified by education, training and experience and consistent with the laws of the state in which they are practicing. The Association is aware of at least 20 states that have addressed the issue of general dentists administering Botox.
State regulations related to the administration of Botox vary widely. Some states permit properly trained dentists to administer Botox for cosmetic purposes, while others only allow dentists to administer Botox when there is a dental benefit.
There is no national uniform regulation for the administration of Botox. For the most up-to-date information, dentists should contact their state dental board.

Original Article here 
Botox and Dermal Filler Training for Dentists 

Monday, July 29, 2013

Could freezing away your wrinkles be the new Botox?

Article

As the three thin needles at the tip of what looks like a futuristic electric toothbrush start to fur up with ice, I begin to feel a bit queasy.
These needles will be jabbed into my face, to freeze and disable - albeit temporarily - the nerve that enables me to lift my eyebrows. 
Am I mad? Not entirely. 
Getting the needle: Alice has the Iovera treatment, the latest Botox-alternative to banish wrinkles (its makers claim)
Getting the needle: Alice has the Iovera treatment, the latest Botox-alternative to banish wrinkles (its makers claim)
This is the 'world's first toxin-free treatment for dynamic facial lines', aka the latest Botox-alternative to banish your wrinkles, which has just launched in the UK. 
Having followed the treatment's progress for the past year, I've been mad keen to be the first journalist to try it. 
Instead of injecting toxins into the face, this technique uses 'Focused Cold Therapy' to - literally - freeze wrinkles into submission. 
It works instantly so, unlike Botox, there's no waiting around for a week to see if your eyebrows will end up wonky. And the results should last for around three months, until the frozen section of the nerve regrows.

    As with any new procedure that promises to be an alternative to Botox, there has been huge interest in Iovera. 
    Despite the fact that Botox has an impressive safety record and has been used and studied extensively for almost 40 years, it is still not to everyone's liking - usually because people don't want to have a toxin injected into them, even in tiny amounts. 
    Although there are several competing technologies that take the freezing approach, dubbed things like 'cold tox' or 'Frotox', Iovera appears to be the most reputable of them all. 
    So, ignoring the advice I frequently dish out about not trying new procedures before they have been extensively tested, I elbowed my way to the front of the queue.
    'Iovera is a good alternative for people who don't want actual Botox,' says Dr Yannis Alexandrides, a well-known Harley Street cosmetic surgeon - he's been on TV's Embarrassing Bodies - and Iovera's head practitioner for the UK.
    Before the Iovera treatment
    After the procedure
    Before and after: After eight cycles, there is little sign of the treatment
    He has been conducting official trials on the technique for the past year. 'Overall I'm happy with it,' he says. Ninety per cent of his trial group saw good results, he tells me, but the treatment had little or no effect on the other 10 per cent.
    Most women in this group were enthusiastic. 'It's amazing!' one has said. 'It's so fast, the results are instant, and my forehead looks really smooth yet natural.'   
    He tells me the procedure, properly known as 'cryoneuromodulation', was created by American company Myoscience, and that its patented 'Focused Cold Therapy' procedure has already received Food And Drug Administration approval for pain relief in the U.S. FDA trials for the cosmetic, wrinkle-freezing aspect of the technique are into their final stages. 
    He shows me the sleek Iovera device with those needles sticking out at the end. These needles are inserted into the skin near the path of the nerve that controls the frontalis, the muscle that raises the eyebrows. 
    To chill the nerve, liquid nitrogen is passed into the needles (but not the skin). Dr Alexandrides presses the button to demonstrate and I watch aghast as the probes fur up with ice.
    Am I being stupid to try this at such an early stage? I canvass opinions from experts in the beauty industry, who sounded notes of caution.   
    'The three mainstream Botulinum toxins [Botox, Azzalure and Bo-Coture] work so well and so consistently that regular users have no compelling reason to switch,' says Wendy Lewis, an adviser on cosmetic surgery and skincare. Especially to something that will last no longer and is no less expensive. 


    '
    I wiggle my eyebrows, and only one responds, Roger Moore-style.'
    She adds: 'The real potential of this technology lies in treating pain and headaches.' 
    Cosmetic dermatologist Dr Sam Bunting was even less enthusiastic. 'This is not a treatment you can easily fine-tune,' she says, 'because you're inhibiting the nerve, rather than targeting individual muscles. That's a bit like attacking the tree at its trunk to get an apple off a branch.  
    'Botulinum toxin has become such a sophisticated treatment that we can reshape brows, widen the eyes and minimise facial asymmetries, while preserving natural movement. 
    'Because Iovera currently only treats the frontalis muscle, the only muscle that lifts our eyebrows up, the risk of ending up with a heavy, angry-looking, dropped brow and upper eyelids seems high. Iovera seems like a retrograde step.'
    I have had Botox on and off for the past decade and have a love/hate relationship with it. I love the way it can smooth lines and make my face look fresher, but hate not being able to move my forehead. 
    So I end up having just a bit in between my eyebrows, and leave the horizontal lines on my forehead to their own devices. 
    I have a gut feeling that I ought to stick with the devil I know, but curiosity gets the better of me. 
    Before he can start my treatment, Dr Alexandrides has to pinpoint the correct nerve pathway, using a TENS machine, used for pain-relief, that stimulates nerves with electric currents. He hits the right nerve, and my eyebrow starts to twitch. 
    Next come pinprick injections of lidocaine, a local anaesthetic to numb the area. And then the probe. I feel only a small amount of pressure as the needles are plugged into my skin. 
    Deep freeze: Though Iovera may not use any toxins (unlike Botox), Alice recommends holding off on using the treatment until more is known about its efficacy
    Deep freeze: Though Iovera may not use any toxins (unlike Botox), Alice recommends holding off on using the treatment until more is known about its efficacy
    When the chill-down cycle starts, it feels painful, rather than cold. Not agonising, but the 60 seconds that the cycle lasts seem long. 
    My eyebrow can still move as normal, so Dr Alexandrides delivers another dose of focused cold a fraction further along the nerve pathway - but I still can't see any difference - and moves to my left side. 
    There, it simply doesn't work. After six cycles, Dr  Alexandrides goes back to the right side. One more cycle and my right eyebrow can't move at all. 
    I wiggle my eyebrows, and only one responds, Roger Moore-style. 
    Back on the left side, two more shots fail to subdue the eyebrow. Dr Alexandrides has to leave it as eight cycles is the maximum dose - though there is no bruising and little trace of the treatment, apart neat prong-marks vanishing into my hairline. 
    Does this happen often? Apparently not - only one in ten of Dr Alexandrides' trial group complained of slight asymmetry. 
    To my own eyes, I look bizarre, but over the next week, before I go back to have another two cycles of treatment which quell my left brow, no one notices  - not my family, or the beauty editors I work with, or even the cosmetic practitioners I see at the industry's big annual shindig.  
    Even good old Botox has left me looking lop-sided in the past. But, now I've had both sides successfully treated, I will have a poker-face, or at least a poker-brow, until September.
    Or longer, if some experts are to be believed. While the people behind Iovera insist the nerves grow back, critics have warned me that this nerve damage could be permanent.
    So, should you try this treatment? My honest advice is not yet. 
    The technology is fascinating and Iovera may yet become the best wrinkle-fixer since time began, but right now, it's still early days. 
    Iovera treatments cost £500 from Dr Yannis Alexandrides, 111 Harley Street, London W1, 111harleystreet.com

    Original Article posted from.
    http://www.dailymail.co.uk/femail/article-2363794/Could-freezing-away-wrinkles-new-botox-FEMAIL-tries-new-procedure-dont-to.html

    Wednesday, July 24, 2013

    Outlook for NP's

    Outlook for NP’s
    All across the country some 155,000 NP’s give physicals, stitch wounds, prescribe drugs and manage chronic illnesses.  They do almost everything that a primary care physician does.  These Nurse practitioners are playing an increasingly important role as the pool of primary care doctors shrinks.  Many practice in partnership with a physician, but several states allow NP’ to treat patients independently. 

    Researh show that nurse-practitioners decrease the cost per patient visit by as much as third, because NPs- who are paid less than physicians-tend to order fewer tests and cut down on return visits by coordinating care better.  Patients also give them high marks for spending time with them, according to a 2011 report in Medscape Medical News.  The four-NP staff of nurse-managed FamilyCare of Kent, Washington, for example sees only 16-20 patients a day.  Our patients visits last from 15-45 minutes,” says Bob Smithing, NP, FamilyCare’s clinical director.  “people are choosing nurse-practitioners because they care about having a onsistent provider who gets to know them.  Printed in AARP The Magazine, June.