What did Obama and the Pilgrims Have in Common.

The Answer is Most Likely Nothing.   I am thankful this Thanksgiving that I live in a country often referred to as the land of opportunity and the envy of the rest of the world.  It is a country where my parents who were poor, could emigrate from another country, dream that with hard work, could obtain an education, eventually find a professional job, and dream that their children could live the American Dream.  I am hopeful that Obama learns the lessons of the Pilgrims so that this American Dream is not taken away from my children.  The following is excerpted from Stephen Coakley on my Facebook page  I think its an important lesson about Thanksgiving and the state of our country.

It’s almost Thanksgiving, its timely to remember that the pilgrims figured it out in Year 2.  On August 1, 1620, the Mayflower set sail. It carried a total of 102 passengers, including forty Pilgrims led by William Bradford. On the journey, Bradford set up an agreement, a contract, that established just and equal laws for all members of the new community, irrespective of their religious beliefs. Where did the revolutionary ideas expressed in the Mayflower Compact come from? From the Bible. And, because of the biblical precedents set forth in Scripture, they never doubted that their experiment would work. But this was no pleasure cruise. The journey to the New World was a long and arduous one. And when the Pilgrims landed in New England in November, they found, according to Bradford’s detailed journal, a cold, barren, desolate wilderness. There were no friends to greet them, he wrote. There were no houses to shelter them. There were no inns where they could refresh themselves. And the sacrifice they had made for freedom was just beginning. During the first winter, half the Pilgrims — including Bradford’s own wife — died of either starvation, sickness, or exposure.

When spring finally came, Indians taught the settlers how to plant corn, fish for cod and skin beavers for coats. Life improved for the Pilgrims, but they did not yet prosper! This is important to understand because this is where modern American history lessons often end. Thanksgiving is actually explained in some textbooks as a holiday for which the Pilgrims gave thanks to the Indians for saving their lives, rather than as a devout expression of gratitude grounded in the tradition of both the Old and New Testaments. Here is the part that has been omitted: The original contract the Pilgrims had entered into with their merchant-sponsors in London called for everything they produced to go into a common store, and each member of the community was entitled to one common share. All of the land they cleared and the houses they built belong to the community as well. They were collectivists! Bradford, who had become the new governor of the colony, recognized that this form of collectivism was as costly and destructive to the Pilgrims as that first harsh winter, which had taken so many lives.

He decided to take bold action. Bradford assigned a plot of land to each family to work and manage, thus turning loose the power of the marketplace. … Long before Karl Marx was even born, the Pilgrims had discovered and experimented with what could only be described as socialism. And what happened? It didn’t work! What Bradford and his community found was that the most creative and industrious people had no incentive to work any harder than anyone else, unless they could utilize the power of personal motivation! But while most of the rest of the world has been experimenting with socialism for well over a hundred years — trying to refine it, perfect it, and re-invent it — the Pilgrims decided early on to scrap it permanently. What Bradford wrote about this social experiment should be in every schoolchild’s history lesson. Here’s what he wrote: “‘The experience that we had in this common course and condition, tried sundry years…that by taking away property, and bringing community into a common wealth, would make them happy and flourishing — as if they were wiser than God. For this community [so far as it was] was found to breed much confusion and discontent, and retard much employment that would have been to their benefit and comfort. For young men that were most able and fit for labor and service did repine that they should spend their time and strength to work for other men’s wives and children without any recompense…that was thought injustice.’”

The Pilgrims found that people could not be expected to do their best work without incentive. So what did Bradford’s community try next? They unharnessed the power of good old free enterprise by invoking the undergirding capitalistic principle of private property. Every family was assigned its own plot of land to work and permitted to market its own crops and products. And what was the result? “This had very good success,”’ wrote Bradford, “for it made all hands industrious, so as much more corn was planted than otherwise would have been.” In no time, the Pilgrims found they had more food than they could eat themselves. … So they set up trading posts and exchanged goods with the Indians.

The profits allowed them to pay off their debts to the merchants in London. And the success and prosperity of the Plymouth settlement attracted more Europeans and began what came to be known as the ‘Great Puritan Migration.’” So the Pilgrims decided to thank God for all of their good fortune. And that’s Thanksgiving. Have a happy Thanksgiving.

I am thankful this Thanksgiving that I live in a country often referred to as the land of opportunity and the envy of the rest of the world.  It is a country where my parents who were poor, could dream that with hard work, could obtain an education, eventually a job, and dream that their children could live the American Dream.   I am hopeful that Obama learns the lessons of the Pilgrims so that the American Dream is not taken away from my children.

Blog by Dr. Phillip Chang, MD:  Plastic and Reconstructive Surgeon with offices in Loudoun, Fairfax, and Winchester Virginia.  Join me on Facebook.

Ashlee Simpson had a Near Perfect Nose Job

 A good plastic surgery procedure is one that provides not only an improved appearance but one in which the rest of the world wouldn’t be able to tell that anything had been done. The surgeon that can provide this has to be a good artistic plastic surgeon and not merely a plastic technician. It upsets me when I walk through a grocery aisle and see the tabloid magazines pointing out how this celebrity or that celebrity had a bad cosmetic procedure- as if all plastic surgical procedures turn out badly. The way I respond to my patients is that the vast majority of procedures turn out fine, that they would be surprised how many of their neighbors have had procedures, but they might never know it because they turned out well.

A good example of what I am talking about is Ashlee Simpson. Simpson reportedly had a nose job in April 2006. When asked about it in an interview in May, Simpson neither confirmed nor denied it. In the May 2007 issue of Harper’s Bazaar, she said that she was not insecure about her appearance and had not been beforehand. She later stated that “as long as people have two eyes” they could determine for themselves whether she had a nose job.

Ashlee Simpson- Before and After

Ashlee Simpson- Before and After

See My Before and After Pictures at :  http://fairfaxplasticsurgeon.com/rhinoplasty.htm

Here is a celebrity starlet who underwent the procedure for her own reasons… probably because she didn’t like the appearance of her nose. And regardless of the reasons for her procedure, some people needed to speculate whether she had the procedure at all. And finally, there is no doubt that the appearance of her “new” nose is attractive, natural, and improves her overall appearance. Kudos to her plastic surgeon.
Rhinoplasty procedures can be one of the most satisfying and life-changing procedures in cosmetic surgery. I have patients that range from 17 years old to 70 years old who come in with complaints about the appearance of the nose. The nose is after all, the central feature of your face.  Rhinoplasty procedures are becoming one of the most common procedures performed by plastic surgeons.  Typical complaints include:

• my nose is too large
• my nose is too small
• my nose has a bump
• my nose has a drooping tip
• my nose has a big tip
• my nose is too large
• my nose is crooked

What most people don’t realize without coming in for a consultation is that not all of these procedures require a surgical nose job.  Some of these issues can be addressed non-surgically.  I was one of the first plastic surgeons according to one of my filler representatives to use cosmetic fillers such as Radiesse, Juvederm, and Restylane to address the cosmetic appearance of the nose.  To some degree, all the complaints can be addressed with one of these fillers, without surgery, and no need for recovery.  Radiesse lasts between 1 and 2 years.  Juvederm and Restylane can last up to 1 year.

 At least half of my patients benefit more from a Surgical Nose Job.  The goals, of course are to provide an improvement that appears natural.   If you look at my before and after pictures on my web site ( www.GoToBeauty.com or www.fairfaxplasticsurgeon.com ), you will see that I attempt to provide my patients with an attractive appearance and an appearance of never having had a rhinoplasty.  I spend a lot of time performing revision rhinoplasties on patients from other offices where the results are not as natural.

 The first step is an initial consultation which is complementary.  During your consultation, we will discuss your image with some digital imaging software.  We will discuss your complaints and desires come up with a plan that fits your desired image and lifestyle.  Sometimes this means a non-surgical option, and sometimes it means a surgical rhinoplasty.

Botox Cosmetic has Become Mainstream

Attached is an article excerpted from the American Society of Plastic Surgery. The finding point out that the use of nonsurgical methods of cosmetic improvement such as the use of Botox and facial fillers has become mainstream.

virginia_madsen_botoxNEW YORK, NY (June 1, 2009) — Despite what some may think, people aren’t hiding their use of BOTOX® Cosmetic and hyaluronic acid dermal fillers. In fact, according to survey statistics released today by The Aesthetic Surgery Education & Research Foundation (ASERF), the research arm of the American Society for Aesthetic Plastic Surgery (ASAPS), nearly nine out of 10 respondents (87 percent) openly discuss their BOTOX® Cosmetic and hyaluronic acid dermal filler treatments with others, with seven out of ten (70 percent) receiving support from the people they told.

“In a similar survey issued four years ago, we dispelled the myth that Hollywood and corporate wives were the typical BOTOX® Cosmetic patient,” says ASERF President Laurie Casas, MD, a plastic surgeon practicing in suburban Chicago. “Now, demographic and perception data trends show us that aesthetic injectable treatments have continued to evolve into mainstream and accepted options for the everyday woman.”

  • 90 percent of patients who get botox openly discuss it
  • Typical recipient is a working mother 41-55 years old of modest incomes
  • Younger patients are beginning to have treatments with botox to mantain their appearances of youth
  • Patients are treating their “angry lines” and “worry lines” with botox and their “parenthesis lines” around their mouths

Survey results found that the typical aesthetic injectable patient is a married, working mother between 41-55 years of age with a household income of under $100,000. The survey also found that women receiving aesthetic injectable treatments are health-conscious and philanthropy minded, with the majority incorporating exercise (95 percent) and healthy eating habits (78 percent) into their lives, and many volunteering with charitable organizations that matter to them (32 percent). In addition, nearly seven out of 10 respondents believe that BOTOX® Cosmetic (72 percent) and hyaluronic acid dermal fillers (65 percent) are important parts of their aesthetic routine.

“Interestingly, among BOTOX® Cosmetic patients, nearly seven out of 10 respondents also received treatment with hyaluronic acid fillers,” says Dr. Casas. “Most people have great success with BOTOX® Cosmetic and dermal fillers; however, we need to make patients aware that even though injectables are not ‘surgery,’ their administration is a medical procedure with risks that depend on the training and experience of the clinician, the clinical setting and the technique used.”

Additional findings of the survey found that 72 percent of respondents received BOTOX® Cosmetic injections to treat their glabellar lines – also referred to the “11” – the frown lines in between the brows, while 63 percent of those surveyed received hyaluronic acid dermal filler injections to treat their nasolabial folds – also known as the “parentheses” – the lines around the nose and mouth. A few of the most frequently cited reasons to receive treatment with BOTOX® Cosmetic was “to look more relaxed, less stressed” while patients reported choosing treatment with hyaluronic acid dermal fillers to “look more rejuvenated.”

Based on its annual survey of U.S. physicians performing cosmetic procedures, ASAPS recently reported that BOTOX® Cosmetic injections have remained the most frequently performed procedure since FDA approval of the product in 2002. Hyaluronic acid dermal fillers ranked as the third most popular procedure performed last year. ASERF conducted this follow-up survey to quantify the characteristics and opinions of the patients who receive the treatment to help its members and the public obtain a better understanding of these important modalities.

Blog by Phillip Chang MD ( Aesthetica Cosmetic Surgery and Laser Center )  serving Loudoun and Fairfax in Northern Virginia

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