Medical Alert Systems 2017: Review of The Action Grid System by Marlon Sanders

Medical Alert systems reviews.

Are your product or service sales figures down? Are your reprint rights packages losing their luster? Are you having a hard time trying to drum up back end sales to your existing clients? Do you find it difficult to get your hands on unique goods and services to promote that you know will definitely sell? Do you also sometimes reprint rights stuff you’ve bought or send out emails promoting affiliate program products just to find out if someone else sent the same email you did? These questions are addressed by the Action Grid System specifically designed by Marlon Sanders.

The Action Grid system is the most thorough, complete and step by step system on promoting, delivering, and packaging info products anywhere at any price. If you try to research for systems that work in the internet, you will realize that the most commonly used and effective system is the Action Grid system by Marlon Sanders.

Perks Behind The Action Grid System

It is very user-friendly and relatively inexpensive so you will find the Action Grid system very suitable for your needs. How-to-videos, illustrations, templates, written instructions with screen captures that show you exactly what to do and step by step examples are included in the system which will assist you in making more income and sales.

Your time, effort, and energy are all so very precious; that is why you need to get yourself the Action Grid System. You will be creating your very own info-products, audio CDs, DVDs, PDFs, printed manuals, CD-ROMs, and ebooks that you can sell for anywhere from $20 to $100 for a pop instead of floundering around with reprint rights or ebooks on other websites. You could also put together a mutli-CD package that sells for $500 to $2000 or even more.

The best part of having the Action Grid system is its ability to allow you to create products and keeping a hundred percent of any profits that you make. If you purchase the system, you will just pay once for the information and details that is needed to produce your desired output.

Another benefit that the Action Grid system offers is the opportunity for you to compete with 10,000 other people who are making lots of money by having the most creative info products.

Organization and Functionality

When you purchase the Action Grid system, you will be very effective and efficient in so many aspects including how you deliver the files to your clients. You will also discover how to turn an audio that you recorded at home on your computer into a professional sounding audio that you could make money out of.

You will also know which audio file formats you should use to deliver the smallest files to your clients while retaining the highest audio quality. You will also find out how to instantly deliver your audio files after someone orders your products or services.

The Action Grid system will assist you in editing or manipulating a mistake that you’ve made after creating a bad audio file. Without the Action Grid system, you might end up wasting your time by doing a two-hour work all over again.

The Action Grid system will also aid you in choosing which ebook software to use when compiling your goods and services for digital delivery on the internet. It will also help you how to format your goods and services into PDF files so you do not end up alienating two to five percent of potential and probable customers using a MAC.

Worth Every Cent

Why spend a thousand bucks on Adobe Acrobat software when the Action Grid system can provide you other means to create PDF files. The Action Grid system is really cost-effective so what are you waiting for? Grab yourself the Action Grid system.

Creating PDF files is important because there are so many people who copy or plagiarize your work. Prevent this from happening by purchasing the Action Grid system. The system will also give you an idea on what type of product to create and which products that people want to buy. It will also give you the option for hiring someone to write the information about your product. It helps you find people to beg you to create your product for you.

Landreau Donovan

Medical Alert Systems 2017: Mitral Valve Prolapse – Healing is Possible – A Case Study

Medical Alert Systems.

Helen, (not her real name) a tall, attractive seventy-year-old woman, who was a V.P. in her company, had a history of being in relationships with passive aggressive men, which left her disappointed and unsure of herself. This is my fifth long-term relationship, she lamented and I am recognizing after a year of dating, he is passive aggressive the same as my previous relationships. I reassured Helen, she isn’t the only woman who attracted passive aggressive men. Thus, her work began.

It is my custom to take a medical history as well as a psychological history–Helen reported she took medication for a Mitral Valve Prolapse and Depression.

The Mitral Valve is located between the upper left chamber and lower left chamber of the heart. The mitral valve is made of two flaps of tissue that opens and closes in a rhythmic way to allow blood to flow in one direction–from the atrium (upper chamber) to the ventricle (lower chamber). The left ventricle is responsible for much of the heart’s pumping and propels oxygen-rich blood into the arteries. The arteries then carry the blood throughout the body. When the mitral valve doesn’t open and close properly, the flaps may “billow” backward slightly into the upper chamber during the heart’s contraction. This is called mitral valve prolapse (MVP). As a result of MVP, a clicking sound can often be heard when listening to the heart sounds with a stethoscope. In MVP, sometimes small amounts of blood may leak backward into the upper chamber of the heart because the valve does not close properly. This causes a “heart murmur,” although the heart itself is working correctly. The heart has an adequate blood supply, even with the MVP. Prolapsing mitral valves do not usually get worse over time.

I wasn’t surprised at either condition–given her relationship with her family and subsequent relationships with men. Each time Helen left a relationship she lost a piece of herself and became more disillusioned and self-deprecating about her ability to create a healthy relationship.

Traditional Western Medicine (TWM) recommends treatment for Mitral Valve Prolapse to include:

Diet: Nutritionally complete, well balanced. Avoid caffeine and chocolate. Caffeine tends to stimulate the autonomic nervous system and worsen symptoms. Avoid sugar. A surge in blood sugar stimulates the autonomic nervous system and makes symptoms worse. A mid-afternoon high-protein snack is highly recommended. It is recommended to maintain ones weight within the range for height and body structure–fad and crash diets need to be avoided.

Fluids: Adequate fluid intake is important. Many symptoms such as dizziness, weakness, light-headedness, etc. are due to low blood pressure and low blood volume that can be helped through drinking adequate amounts of water. A minimum of 64 ounces of water or non-caffeinated beverages per day are recommended.

Exercise: Regular exercise is necessary to improve fitness and reduce MVP symptoms. Exercise should be aerobic, such as walking, running, bicycling, swimming, etc., and should be discussed in advance with a physician.

Medication: Medication may be required to improve symptoms of MVP.

Except for medication the treatment for Mitral Valve Prolapse is indicated for anyone to maintain a healthy body. However, it is curious that TWM states that medicine may be required to ‘improve’ symptoms of MVP. One wonders why one would settle for ‘improvement’ when healing is possible? Unfortunately, the majority of people do not know healing is possible, because the medical and pharmaceutical treatment does not heal anything. However, since TWM and pharmaceutical treatment is the accepted health model everyone trusts this paradigm without checking other options.

Using Holistic Healing (HH) we know all physical dysfunctions is the unconscious mind’s way to convey a message to the conscious mind. What does the unconscious mind want you to know about a particular body part?

The Heart and Heart Chakra is the center from which feelings of love emanate. It is also associated with other virtuous emotions, such as joy, happiness, honesty, respect, compassion, understanding, and generosity, and with loving oneself in a sincere, non-egotistic way. Conversely, the heart often holds sadness, anger and despair from the many disappointments, betrayal, neglect, etc. we encounter in life. Thus, blocking the love, joy, happiness, honesty, respect, compassion, understanding, generosity, and self-love that inherently intended to flow from ones heart.

Helen accepted the concept of holistic healing and was eager to go to work. However, she was happily surprised when I told her, the Mitral Valve Prolapse could be healed so that she could stop taking the medicine for the MVP and depression.

While there were other issues Helen focused on, for the purpose of this article, I will focus only on her process of healing her heart.

Helen readily reached a deep level of relaxation and I instructed her unconscious mind to focus on her heart. As she focused on her heart, I asked her to describe what the Mitral Valve Prolapse looked like.

H: “I see a dark space.”

N: “How big is the dark space–is it the size of a pea, walnut or something else?”

H: “It is the size of a walnut.” “I am feeling a lot of heaviness and pain.” She rubbed her upper left chest area.

N: “Describe the pain–is it sharp, dull, stabbing, or something else?”

H: “It is like a deep heavy dull pain.”

Tears started to trickle from under Helen’s closed eyes.

N: “Take a deep breath–and blow it out.” “I am going to count from one to three and when I say three you will be in a time and place when your heart absorbed your hurt, sadness, despair, anger or disappointment to help you cope.”

Helen recounted several incidents when she felt neglected and disappointed, because her mother was frequently away from home due to her inability to manage adult life. Her father, although present seemed preoccupied and did not discuss her mother’s absence. Helen was on her own to process the unanswered questions. With no prior experience or tools to sort out the experience she pushed her feelings out of the conscious mind. Given that feelings have energy that energy needs to be either dissipated or put somewhere. Helen put her feelings in her heart as they were heart related. Thus, her heart was overburdened. when any body part is overburdened, it will eventually breakdown.

As the sessions continued, Helen processed all the incidents of neglect, disappointment, fear, anger, sadness, shame and guilt. Her understanding, compassion and love for herself came to her conscious mind as the processing evolved.

After several sessions Helen reported the dark space with the deep heavy dull pain was gone–it showed itself pink with a warm glow. She reported her entire body felt lighter, and freer than she could ever remember.

I advised her to engage the advise of a Naturopath to gradually reduce the amount of medications she took for MVP and depression until she was medication free.

In three months, Helen was medication free, she had tools to manage life’s journey and with understanding, love, joy, happiness, respect, compassion, self-love, generosity and love in her heart, she went on her way to create the relationship she knows she deserves.

Dorothy M. Neddermeyer, PhD

Medical Alert Systems 2017: Fire Alarm For Deaf People Installed at Imperial College London

Medical Alert systems reviews 2017.

Imperial College London, rated the fifth best university in the world for 2009, is the latest college to install DeafWatch – the Fire Alarm for Deaf and Hard of hearing people developed by Wireless Alert Solutions.

Fire Alarms for Deaf and Hard of Hearing People

Imperial College is a science-based institution with such a superb reputation for excellence in teaching and research that it attracts 13,000 students and 6,000 staff of the highest quality. The innovative research at the college explores the interface between science, medicine, engineering and business, so naturally they would insist on the highest quality products and systems to be used in and around the Imperial College Campus. When such systems are to be used to help protect students and staff, then such a prestigious college places paramount importance on choosing the right systems.

Coverage Problems

Imperial had previously looked into fire alarm solutions for Deaf and Hard of hearing people in the past, but the large scale buildings of the South Kensington Campus meant that paging licenced and unlicenced systems always encountered coverage problems. Poorly licensed options required multiple transmitters to cover just a single building, while the size and complex nature of the laboratories and substance materials contained within them made full coverage difficult.

Further Testing

For DeafWatch, the scale and variety of the Imperial College buildings proved less troublesome. A single fire alarm and a single DeafWatch transmitter achieved complete coverage of whole buildings from the ground floor using only a low power five inch antenna. Imperial College earned its place as the fifth best university in the world by detailed investigation, testing and problem solving. One problem occurred when DeafWatch was used in conjunction with the Imperial's sophisticated central control system for identifying fire activations and co-ordinating the management. The system operates over a variety of cabling, the correct method for information only services that are operating and performing well. Appending DeafWatch to this system would make it part of the fire alarm system, so non-fire retardant cable was inadequate. This meant that the college buildings would have to be considered individually or in clusters.

Deaf Fire Alarm Solutions

With the infrastructure of Imperial College meaning some buildings are securely interconnected, twenty six buildings could be secured by only nineteen DeafWatch transmitters, which meant that, along with the bulk purchases for such a large project, significant savings were possible. The flexibility of the Wireless Alert Solutions approach that that a strong working relationship was built with the in-situ electrical sub-contractor, simplifying the installation. Having local engineers on site with resources and facilities in central London also provided a significant cost saving.

Imperial College London has the legal title 'Imperial College of Science, Technology and Medicine' and this is reflected in department after department of sophisticated technology. The laboratories of Mechanical Engineering, Aeronautics, Biochemistry and Electrical Engineering all thread up unusual and difficult challenges. A combination of different small antennas and a maximum power output of 5W mean that DeafWatch could safely cover all buildings.

Within the college Halls of Residence, DeafWatch utilized its daytime and night time programming protocols, ensuring that daytime messages would not be received by sleeping students, while those still awake would still receive Fire Alarm for the Deaf coverage.

Cost-Effective Conclusion

Imperial College London provided an excellent example of a cost effective Fire Alarm for the Deaf solution despite the challenging circumstances. Even though the inter-building infrastructure was not able to be exploited in most cases, a flexible approach meant that a cost effective solution was possible in Central London. This condemned in Imperial College London considering a comprehensive approach to their Fire Alarm for Deaf and Hard of hearing people system within a year's budget.

After a successful expansion from the original two transmitters, Imperial College have already expanded the DeafWatch Fire Alarm for Deaf people system two a total of twenty two transmitters, covering a total of twenty nine buildings across the whole South Kensington Campus and other sites within.

"DeafWatch has turned a potential risk into a successful success within six months. We have achieved complete coverage at a reasonable price. Their size, Wireless Alert Solutions Limited punches comfortably above their weight. "

Andrew Hammond, Support Services, Imperial College London.

Chris Durham

Medical Alert Systems 2017: Medical Alert Devices – Are You Confused by Your Options?

Medical Alert Systems.

Do you worry about a parent or a loved one who has gotten older and is living alone? What will happen if they have an accident or a health emergency? If they can not get to a phone, hours could go by without anyone knowing.

The easy way to solve this problem and get peace of mind, both for yourself and the person you love, is to buy and install a medical alert system.

But if you're like me, as soon as you started to investigate these systems for yourself, trying to make a purchase decision, you got confused. There are so many systems that all seem similar, yet they are different in ways that are hard to understand.

Here's a quick guide that will help you understand your options.

First off, here's how a medical alert system works. They come with two pieces of equipment, a base station and a pendant or panic button . If you have an accident, medical emergency, or fall, you press the button on your pendant (it's small so you wear it everywhere you go, even in the shower), and the base station calls for help.

Now, there are two basic types of medical alert systems:

  • Some models call a monitoring center where staff members are on hand to speak to you and can notify a friend, relative, or the Emergency Medical Services (EMS).
  • Others have an auto-dialer that calls a few friends and relatives who phone numbers you have programmed into the unit. These units can be set up to call 911. In some cases, these units only call 911.

Both of these systems have good points and bad points.

For most people, the problem with a monitored system is cost. These programs have a monthly fee ranging from $ 10 to $ 100 per month. You also have to buy the equipment. On the good side, it's very comfortable to know that you can speak to a live operator who can find out what your problem is and send appropriate help. For example, if you've fallen and need help, but you do not need an ambulance, the operator can call your neighbor to have them come help you.

If you do not want to pay the monthly monitoring fee, choose a unit with an auto-dialer. These can be set up to call friends and family, and then whoever you reach can find out what your problem is and either come help you or call for professionals to come in an ambulance.

After you choose which type of system is best for you, it's time to think about equipment. Again, there's a big variation in how things work. Some systems allow for two-way communication between the panic button and the base station. Others only work if you're inside talking range of the base station. If you have a big house, you'll want a two-way system with a long range.

Joe Thoron

Medical Alert Systems 2017: Beautiful Older Women

Medical Alert Systems.

When I think of the term "beautiful older women" images of Catherine Zeta-Jones in the stable in the movie "Mask of Zorro", Kelly Hu rising from the well in "The Scorpion King" or Grace Park in her forest sex scene in "Battle Star Galactica" come into mind. What about a bit older? Bo Derek jogging in a bathing along the beach in the movie "10", Cheryl Tiegs posing in a bikini for Sports Illustrated, and who will ever forget the late Charlie's Angel Farrah Fawcett in a red bathing suit.

When one uses the phrase "beautiful older women", what exactly does "older" mean? Does it mean that these women are older than the person thinking about them or does it mean that they are older than the current sexy bomb shells?

Take Jessica Alba for example. Is it because we no longer see her in a bikini or that figure hugging suit in "fantastic Four" is why she can be considered old as compared to say, Megan Fox? Or is it because Jessica is now a mommy? Are you considered old because of age or status? By status I mean someone else is in the limelight. Is "older" another term for "used to be …" or much worse "has been"?

The point I'm trying to get at is that the definition of the word "older" is rather muddled. If you had a chance to have sex with Catherine I doubt that you would not even think twice about it. Same thing with Megan. But take note that almost 20 years separate the two.

Does age really take away anything? Or just like a good wine it gets better and better as time goes by. Okay maybe at the age of 55 we may be pushing things a bit. But in their 40's? No way. Much less someone in their 30's. Only a blind man would not get a raise if Jessica Alba (who will be 30 in a couple of months) were to strip in front of him.

The one word though in that phrase that no one can be confused about is beautiful. They definitely are. If being considered "old" is when you are in your 30's or 40's then so be it. If this is the case, then another word that we can describe these "old" women is "refined" or even "classy". Not that the youngger hotties are not with class but when the likes of these older women walk into a room, all conversation stops. Everyone looks at them first with total awe and respect at the way they seem to effortlessly glide in and immediately fit in and own the place. After that well the male hormones kick in and fantasies run amuck.

So, what's with older women? A helluva lot. They've been around the block once or twice. They can disarm you and make you melt with just their smile. They can teach the new or current favorites a thing or two of what it is to be beautiful, classy and hot.

Cindy Morse

Medical Alert Systems 2017: Comments: Guidelines For Image Optimization

Medical Alert systems reviews 2017.

Medical Alert Systems 2017: Things You Can Put In Organza Bags for Wedding, Baby Shower, Or Party Favors

Medical Alert Systems.

They say great things come in small packages. This may well be true with party favors placed in organza bags. There are a lot of items that you put inside small bags that makes for a memorable and special favor. There are a lot of favor bags and gift wraps available but organza bags almost instantly make any gift or favor more elegant.

Almost any small item can be placed in organza bags. As long as the items fit, or do not have any sharp edge in them that will poke out, they are generally safe to be placed in these bags. Shakers, shot glass, or candies – from the edible to the practical – you can use any small item as a favor. Here are some of the most popular favors that are best placed in these bags to make them look and feel more special.

– Almonds – These nutty treats make for good favors for people of all ages. Both kids and adults would enjoy receiving these in their favor bags. Coat them in sugar or chocolate and you instantly have a tasty favor treat.

– Chocolate – An all time favorite, chocolates are always appreciated whether given as gift or a favor. Due to its size, you can put at least 4-5 pieces of these sweet treats in one bag.

– Keychains – Personalized keychains do make good favors and instead of just plainly giving them, you can put them in organza bags instead.

– Compact mirrors – Compact mirrors make for a great practical favor. Instead of using regular boxes, you can use these bags as the compact ones will already fit in the bags.

– Soap favors – These makes for an elegant and fragrant favor when placed in organza bags. Opt for the smaller soap favors that can easily fit in organza bags.

There is no limit to the type of items you can place in bags – you just have to think of the preferences of your guests, your budget, and the size of the favor, and everything will go well. Giving favors are always a treat, and when your guests see that you have made the extra effort and gave more time just to make it special, it makes all the difference. Most importantly, make the selection of the favors a lot of fun instead of a boring chore. Have your family or somebody else help you place the favors inside the bags.

Criss White

Medical Alert Systems 2017: Home Medical Alert Systems – Keeping Your Aging Parents Safe

Medical Alert systems reviews.

Do you have aging parents that live alone? If you do, then chances are you have found yourself worrying about them. You worry if they are OK by themselves. You worry about what they will do if they have a problem and can not get to a phone. For these and many other reasons, you may have considered one of the many home medical alert systems on the market as a way to keep your elderly loved one safe.

Do your aging parents need a home medical alert system?

Part of the aging process includes increased fraud, and increased chance of accidents. All it takes is one fall for an elderly person to end up with months of hospitalizations, medical bills, rehabilitation, and more. In addition, the elderly are more likely to have medical issues that may require immediate attention. And there are, of course, a host of other problems that can come up as well, from a furnace going out in the middle of winter, to a tree falling due to a thunderstorm. They may need help, and not be able to reach a phone. Whatever the reason, it is easy to see why your aging parents need to be able to contact help quickly if needed; The kind of help that home medical alert systems can provide.

Choose a home medical alert system that is right for your senior

Trying to sort through the hundreds of home medical alert systems can be overwhelming and confusing. Careful research of all the features of the systems being considered is an important first step in choosing the best one for your aging parents. The best way to start is by learning how these systems are designed to work.

You will find that most home medical alert systems fall into two different categories: those that come with 24/7 monitoring services, and those that provide equipment only, but no service.

Home medical alert systems with monitoring service

Home medical alert systems that provide a monitoring service will typically include a service agreement between the customer and the monitoring company. These types of systems work like this: if the alert device is activated, the monitoring system is notified, and they in turn, contact the designated people and / or emergency personnel.

An important consideration when choosing a system with monitoring is that they are typically more expensive than products without. There will be a monthly fee charged for this service, which can be in the range of $ 30-40 per month, in addition to an installation or activation fee.

Home medical alert systems without monitoring service

Does your elderly loved one need a 24/7 monitoring service? For many seniors, the answer to this is "no", and for them, home medical alert systems that do not involve a monitoring service are perfectly fine. This is certainly a more affordable option, as there is no monthly service fee, so for anyone who needs to think about cost, this will be an important consideration. Once the basic equipment is purchased, the only cost would be replacing batteries as needed.

In a system that does not include monitoring, when the device is activated, the call will go directly to the numbers that have been programmed: depending on the system chosen, family, friends, or possibly emergency personnel.

Home medical alert systems certainly can not take your place, but they can provide security to the elderly person and peace of mind for the family of aging family members who worry about their safety.

N. Bobby

Medical Alert Systems 2017: Review: Richard E. Sall's Straightjacket

Medical Alert Systems.

Author: Richard E. Sall, MD
ISBN: 1419630547

Richard E. Sall's Straightjacket follows thirty days in the life of Dr. Joe Grady, a resident surgeon at Detroit General Hospital, who is obliged to complete ten major surgical cases within this time frame in order to gain his jurisdiction certification.

This is the punishment meted out by Dr. Frank Rizzo, also known as "little Hitler" to many of his collections, and the hospital's chief surgeon, as a result of Grady refusing to go along with a request made by the hospital's chief administrator, Arthur Williams, to give pain medication to a Patient who was a known drug seeker. One of Gray's colleagues had initially refused to prescribe medication after discovering during a statewide pharmacy research that the patient had 3600 hydrocodone tablets filled within a three-month period.

The patient threatened to expose his alleged ill-treatment to the press and this ruffles Williams' feathers for fear of the bad publicity this may engender. Consequently, Williams summoned Grady to his office and requested that he participate in bending the rules and giving the patient what he wants or as he explains to him, "the hospital is like McDonalds-whatever the patient wants, you give it to him." However, as we discover, Williams ulterior motive was not exactly for humanitarian reasons, for the bad press could harm his hospital's fund raising campaign.

Straightjacket presents a candid depiction of life in a big city hospital that will certainly resonate with any reader who may have spent some time as either a patient or doctor in a hospital. We also receive a poignant picture of the exhausting medical training doctors ending often extending over a period of seven to twelve years of post-bachelor-degree training.

Sall's writing style is incidentally jarring as we are given front row seats to the surgical procedures that Gray must perform during his remaining thirty days of residency. Romantic tension is thrown into the mix when Grady falls in love with the beautiful Nurse Linda Marie Jablonski, who mother suffers from Borderline Personality Disorder. To further complicate matters, Linda's mother threatens to hire a member of the mob to knock him off if he does not stay away from her daughter. The cast of characters are easy to relate to and the insertion of black humor is at times hilarious, particularly with some of Grady's dialogue and musings.

The challenge a physician or any member of the liberal professions face when writing a work of fiction is to avoid the trap of "déformation professionelle." This can be loosely translated as when the craft of one's profession thwarts decision making. In this case, Sall, who is a practicing physician, does not quite strike the right balance between accuracy and comprehensibility, between too much and too little information. As a result, his overuse of medical jargon slows down the pace and flow of the story.

Nonetheless, Straightjacket succeeds as a good read enhanced by a frank look at the shortcomings of the American health system. In other words, although it may be a work of fiction, this book has a great deal more than it looks to be.

Norm Goldman

Medical Alert Systems 2017: Tumescent Laser Liposuction – Less Pain, Quicker Recovery

Medical Alert systems reviews.

Most people, no matter how fit and healthy, have areas of extra fat on the body that they do not like. In men it is the waist area, and in women the tummy, hips and thighs. Many of us have often thought that it would be nice to have liposuction to remove the excess fat and start over again by watching our diet and exercising. However traditional old time liposuction is a traumatic surgical procedure which is painful and with a prolonged recovery. Worse, a large percentage of people who have old time liposuction end up with lumps bumps, divots and irregularities on the skin after liposuction.

I have been using tumescent laser liposuction with the new SlimLipo laser lipo technique for almost a year now and I am amazed at how much better the tumescent laser liposuction technique is than the old time non-laser liposuction method. My patients have smooth tight skin after laser liposuction, and their recovery after laser lipo is much easier and less painful.

The benefit of the new tumescent laser liposuction technique is that the laser melts the fat before it is removed, making fat removal much easier with laser lipo. The tumescent technique minimizes bleeding and discomfort. The laser also tightens the skin as the fat is melted. The result is more uniform fat removal, smooth skin, less bleeding and less pain after tumescent laser liposuction.

What Is Tumescent Laser Liposuction?

Tumescent laser liposuction is a new liposuction method that combines the use of tumescent solution with laser melting of fat before fat removal. Tumescent solution is a liquid that contains an anesthetic or numbing solution and a vasoconstrictor, a medication that helps control bleeding. The tumescent solution is injected beneath the skin, into the fat to be removed, before the laser liposuction or laser lipo is started.

The tumescent solution numbs the skin area for pain control which can last up to 24 hours. The solution also prevents bleeding which reduces post laser liposuction bruising and swelling, which speeds recovery.

The tumescent solution is injected under pressure, which swells or distends the fat and makes removal easier. The distention and hydration (adding water to) of the fat also improves the effectiveness and safety of the laser treatment to dissolve the fat.

The benefits of the tumescent laser liposuction technique are

  • Excellent pain control
  • Less bleeding and bruising
  • More effective fat removal
  • Less risk of skin irregularities after liposuction

How Is the Tumescent Laser Liposuction Treatment Done?

Tumescent laser liposuction may be done with you awake or asleep. Many areas can be treated with you awake using only the local anesthesia provided by the tumescent solution. However, the benefits of tumescence are so important that tumescent solution is also used when laser liposuction is done under general anesthesia, for control of bleeding, improved fat removal and for post operative pain management.

After your skin has been cleansed with a sterile anti-bacterial soap, the skin area to be liposuctioned is sterilely draped to prevent contamination. Tiny punctures are made in hidden areas of the skin, and a small needle inserted beneath the skin into the fat to be removed. The tumescent solution is then injected into the fat under pressure to swell the fat and deliver the anesthetic and vasoconstrictor (prevents bleeding) solution.

After a brief waiting period until your skin is numb and the tumescent fluid has taken effect, the laser fiber is inserted through the same puncture sites and the fat is melted with the laser. The fat is liquefied into a thin liquid which is much easier to remove than fat that is removed with traditional old time liposuction.

After the fat has been liquefied, a small tube called a cannula is inserted and the liquid fat removed by suction. Because the fat has been liquefied, much smaller cannulas can be used than with traditional non-laser liposuction. This fact results in a less traumatic procedure with tiny hidden scars, very different from old time liposuction.

The laser also tightens the skin as the fat is lased. The laser heats the fibers that attach your skin to your body, and causes these fibers to shorten which pulls the skin closer to the body. Microscopic studies have shown that many more fibers, called connective tissue, are left after laser liposuction than after non-laser liposuction. I believe that this fact helps explain the improved skin tightening and smooth skin after laser liposuction.

How Will I Feel After Surgery?

Because the new technique places numbing solution in the liposuction area, you will have very little discomfort immediately after and up to 12 hours after your procedure. In addition you will be given strong pain killers to manage any discomfort.

The second day you will feel discomfort in the treated areas, however in my experience, the level of discomfort is certainly much less than that experienced with traditional non-laser surgery. By day 3 most patients are very comfortable.

You will be wearing a supportive compression garment on the treated areas which adds additional support and comfort.

You will be up and around, able to eat, walk, use the bathroom and do normal daily activities the day after your procedure. I recommend that you not go to the gym or do vigorous physical activity for the first week to ten days because I want the healing process to be undisturbed during this time.

How Long Is the Recovery?

You will be active and walking from day one. However I will limit your vigorous exercise and weight lifting or aerobics for ten days.

Your garment will be changed to a light Spanks type garment after three to five days. If small sutures are used to close the small puncture sites they will be removed at day five.

When small areas like the chin or a minor tummy procedure are done, some people return to work the next day. I do not recommend returning to work the same day-I want you to be quiet and rest the first day.

Recovery to a more normal skin appearance can take ten days to two weeks for swelling and bruising, if any, to resolve.

Your skin appearance, skin tightening and result will continue to improve for three to six months as the skin gradually tightens over the areas where fat has been removed. The remarkable thing about the this new technique technique is that the skin is much smoother than after traditional old time suction lipectomy. I believe that the laser dissolving of the fat prior to removal results in a more uniform fat removal.

Which Laser is best?

I use the SlimLipo Aspire system made by Palomar Medical. I have chosen this laser because the SlimLipo uses the only laser wavelength which is specifically absorbed by fat. The SlimLipo uses a 924nm (nm=nanometers, one millionth of a meter and describes the wavelength of the laser color in the visible light spectrum, which for 924nm is yellow, the color of fat) laser wavelength.

The 924nm laser wavelength used in SlimLipo dissolves or releases three to five times as much fat during lasing as do the other commonly used wavelengths. The other wavelengths used by different machines target water, not fat, and are less efficient and less specific at fat dissolving.

The 924nm SlimLipo also works very well in hydrated fat, meaning that fat dissolving with the laser works very well after the tumescent fluid has been injected.

How Do I Find a Surgeon?

I am a board certified plastic surgeon, thus I am very prejudiced that you should have your procedure performed by a board certified plastic surgeon. My view is that if you are going to have surgery of any kind, you want a board certified surgeon who has been fully trained and is expert at taking care of a surgical patient. You want the safety of knowing that if something goes wrong, your doctor will have the skill, experience and training to take care of you.

Many dermatologists do liposuction. If you wish to have a dermatologist do your procedure, I recommend that you make certain that your dermatologist is board certified and has had a fellowship in dermatologic surgery.

I recommend that you visit the following sites to learn more about liposuction surgery and how to check out your doctors training, experience and board certification status:

American Board of Plastic Surgery

American Society of Plastic Surgeons

American Society of Aesthetic Plastic Surgeons

What Questions Should I Ask the Doctor?

Do not be intimidated by the white coat and afraid to ask the doctor important questions. You are an educated consumer, and a good doctor will welcome the fact that you are prepared and have done your reading. I prefer to have informed patients, they always do better after surgery. Plastic surgery is no place for snap decisions or impulse buying.

In my book Save Your Face, in Chapter ten, I give details on how to choose your doctor and what questions to ask. A brief summary of important questions are:

o Are you certified by the American Board of Plastic Surgery?

o How often do you do this procedure?

o Do you think I am a good candidate for this procedure?

o Are you comfortable operating on me with my particular goals?

o Do you anticipate a good result-why?

o Can you show me before and after picture of patients that you have operated on?

o Can I speak to a patient who has had this surgery by you?

o What are the arrangements for an emergency during nights and weekends-are you available?

o Will my procedure be done in an approved operating room or outpatient facility under standard sterile and safety precautions? Are emergency services and monitoring available if needed?

Most importantly, trust your gut feelings during your visit with the doctor. Is the office clean and professional? Do the doctor and staff treat you in a respectful manner? Ask yourself will I be comfortable calling these people and depending on them if I have an emergency at night or on weekends? Will I be comfortable expressing my concerns or disappointment if I feel that way? If you detect any discomfort or uncertainty, you should consult another doctor.

This new laser procedure is a remarkable, revolutionary advance in liposuction and fat removal techniques. The benefits can be very significant. However, the results of liposuction, like any surgical procedure are very dependent upon the skill and expertise of your surgeon. Choose wisely and I expect that you will have a very happy result.

Brooke R. Seckel, M.D., FACS