"Free Consultation" with Jon D'Agostino Dr Kenneth Testa - Plastic Surgery
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[Music Playing] Male 1: You know the most common call I get that involves medical malpractice is about plastic surgery or cosmetic surgery. And it is always you know I would not say always but 99% at a time, it is some who is just upset with the result. They expected one thing, they got another. They thought there breast will going to come out one way and they are going to look like Pamela Anderson I do not know. And they were not happy and they think that is medical malpractice, when it is really not. So, if somebody comes to you from day one and they want something done. How do you deal with that satisfying that expectation or figuring out what is it? Male 2: Communication is the most important thing you have to be on the same page with the patient you have to understand the patient. The more people that you have--I have a body of knowledge. Male1: Right. Male2: A patients walks in with a little bit of knowledge, concerning a procedure. They have a very layman’s kind of knowledge about this particular procedure. And, what I mean about layman is they see the bets results on TV. They see the actor and the actresses… Male1: The magazines. Male 2: Magazines and they do not understand that this people have a personal trainers, 6, 7 hours a day. They make a living out of it doing this looking good. And a lot of people, who I see do not have that opportunity to work out 6 hours a day and that is not their prerogative in life to make money by looking good. They just want to feel they--want to look the way they feel. And most of the time the magazines, the TV shows, all the celebrities kind the pushes people to the side of unrealistic expectations. And you have to match their expectation with what they are presenting you with. Male 1: How do you know what their expectations are? Do they usually just pull out a picture and said, “I want to look like this”? Male 2: Sometimes they do. Most of the time it is communicating with the patient, the more time you spend with the patient prior to the actual procedure, the better apt you are to understanding what their needs are, what they want to achieve. And a lot of the times is just educating patients. Male 1: What about if it is a woman who is married, do you get the spouse involve? Do you bring her husband in? Male 2: Absolutely… Male 1: Do you want to know why, I mean I know you can not really ask, but are you looking at whether they are trying to cure something, it might be a relationship problem or make there marriage stronger, maybe age is taking its toll, maybe either one is thinking that if somebody becomes a little more voluptuous, it might help the marriage? Male 2: A lot of times we see patients who come in, who I would from a medical stand point do not have a difficulty aesthetically or cosmetically. They have just unrealistic expectation, yes. Male 1: They were expectation. Male 2: Yes, well it is what I see, with the body of knowledge that I have, and what we can achieve, as compared to what the patient believes can be achieved. And so, what you have to do is impart that knowledge and tell them about the procedure. What can be done? How can it be corrected if something needs to be corrected? And once you provide them with the knowledge, from soup to nuts, everything that they came in with there problem, let us say breast. And you give them the least invasive, least cost, least lasting procedure, all the way up to the most invasive, most coasting, longest lasting procedure, and you give them the knowledge in between there and they make the decision as to want they want. To answer you, to address your second question, your question about people coming in and involving spouses. Yes, I would say that it is basically demographics. If you are in an area, like Miami beach where there are a lot of young people. You will have a lot of people coming in and wanting to have a procedure performed for what I would consider the wrong reasons. And you really need to talk to these people. I mean
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