Posts by Jesse Sanchez90

Alright, let's just clear this up once and for all—we need a solid definition of "mythology" here. The female forum member we're talking about was strictly referring to what you've categorized as mere "attention-seeking behavior." Given that context, it didn't make any sense for me to start lecturing about actual mythology when nobody was even bringing it up or hinting at it in the first place.

Alex Moore62 said:I don't do bribes, but after I was discharged from the hospital, when I went back for my first follow-up appointment at the department, I brought some cookies, and I also brought something for the doctor as a way of saying thank you (if you know the surgeon personally, you might have an idea of what they like—maybe a nice bottle of wine, some high-end chocolate, or a great olive oil... whatever you think is appropriate, just don't overdo it).

Best of luck to our friend 🙂

It seems like you guys have turned the whole coffee thing into some kind of mythic saga, which honestly confuses me given your own approach (bringing cookies!). If my impression is wrong and I'm misreading the situation, could you explain a bit more about what you specifically meant by that?

redcyclist99 said:Hi everyone! I’ve just finished reading through this entire thread and I was wondering if anyone would be kind enough to help me out with a few quick questions 🙂

1. Is there anything else out of the ordinary that might make a hospital stay more comfortable? I've already jotted down a few things on my list, but I'm open to suggestions!

2. Aside from saline solution, is there anything else I can pick up over the counter at a pharmacy before the surgery that might help with recovery? Also, regarding that antibiotic ointment you all mentioned—is that something that requires a prescription after the procedure?

3. At the local hospital, the initial exam was done by a resident, and I haven't actually met the surgeon yet (this is for a friend). When she mentions wanting to have that bump on her nose removed (she's getting a deviated septum correction), will the actual operating surgeon be present during the pre-op visit?

4. This might sound a little silly, but it's a pretty common custom back home: what's the typical etiquette at the hospital? Have any of you brought gifts like drinks or boxes of chocolates for the doctors or nurses after a surgery?

🙂

Regarding 1 and 2—I'm sorry to say that, generally speaking, the equipment situation isn't the best, so please feel free to bring absolutely anything that makes your life a little easier. It's sad to have to say it, but that's just the reality. One thing that comes to mind is some lip balm; since you'll be breathing through your mouth, your lips are going to get incredibly dry very quickly.

3. In most major US hospitals, the rule is that the primary operator handles the patient from the start, so in this case, the resident would be her surgeon. However, they never work entirely alone; they are always under the supervision of a senior staff member—in this scenario, an experienced rhinoplasty specialist. Regarding the curvature issues, if they've only agreed on a septoplasty, it complicates things because they'd need to use a different surgical approach depending on what they find during the procedure.

Alex Moore62 said:Are you asking about my two, or should we check with Anita about hers (plus the third one she's got in the works)?

I was actually talking to you.

Question (regardless of any other factors): what was the actual reason for the second surgery?

Honestly, I don't think that would really work. In the medical field, that would basically mean constantly changing everything written in the textbooks just to keep up with trends. Maybe it’s different in molecular biology, where things move forward in massive leaps every single day and there isn't really a traditional "clinical experience" component to rely on.

Regarding the terminology—if we were looking at the American context, a "review" would be translated more as a comprehensive survey article, whereas a "magazine" is usually just a populist collection of interesting tidbits. There was a time when Madison Square Garden used to be treated more like a casual magazine; people didn't take it all that seriously.
Now, it seems like modern American usage has pushed it toward a much stricter definition, but personally, I haven't quite wrapped my head around that specific way of speaking yet.

Is this about review work?

The kind of stuff we're talking about belongs in a textbook, not a magazine article. It just doesn't fit the format.

If you're looking for answers, there's already a dedicated thread on anesthesia where you can ask colleagues in that specialty directly.

neondriver15 said:Oh, please... I can still vividly remember the blood everywhere and that sound ringing in my ears—the feeling of the hammer hitting the bone. I honestly had nightmares about the surgical lights for at least two years afterward.
General anesthesia is actually quite wonderful... you drift off, dream for a bit, and wake up feeling like nothing even happened. 🙂 Just an hour after my surgery, I was already out grabbing lunch with a friend because I was absolutely starving. 🙂
If someone is healthy, general anesthesia doesn't have any negative impact on the body whatsoever (look, I’m not an MD, but I do have a PhD, so I know a thing or two about science. 😉 ))

Maybe it doesn't, but (full disclosure: I am an MD, though not an anesthesiologist), it’s certainly not irrelevant. Every type of anesthesia carries its own set of risks and potential complications, so it’s worth mentioning. Honestly, if it were up to me, I wouldn't choose general anesthesia in LA. Between the anxiety, the exhaustion, and that intense anticipation of the pain...

lonehawk8 said:Personally, I feel like reconstructive work still carries the same weight as aesthetic surgery for many people, myself included. 😉D

Look, scientific accuracy and professional expertise aren't defined by our own personal opinions. Definitions come from established medical literature, not just whatever we happen to feel like at the moment.
You’re more than welcome to stick to your own logic for yourself, but please don't try to mislead everyone else.

lonehawk8 said:[/B]

Honestly, I’m not sure why you’re being so insistent about that. My advice earlier was pretty clear: don't just walk into any doctor's office if they don't specialize specifically in aesthetic surgery. Standard ENT specialists are primarily focused on functional nose issues, not looks. 😂 🙄
I'm aware they handle head and neck surgery too. 🙂
But "reconstructive" is basically just another way of saying "aesthetic." 🙄

I see exactly why you're correcting me—but reconstructive is definitely NOT a synonym for aesthetic. I actually know a bit more about this than you might think.
Plastic surgeons can have a subspecialty in reconstruction without having any real training in how the nose actually functions.
So, maybe take a breath and really consider the distinction here.

lonehawk8 said:If you're looking for both a functional fix and an aesthetic upgrade for your nose, you really won't find what you need at the Cleveland Clinic in Miami. Over at the ENT department there, they only have three doctors performing nose surgeries, and none of them actually specialize in cosmetic procedures or head and neck surgery. Honestly, if you want it done right, my best advice is to head up to Washington, D.C. and get operated on there instead. There’s a growing group of younger doctors out there now who are actually pursuing specializations in aesthetic surgery. It’s an interesting shift to watch, especially seeing how the field is evolving with new techniques and a different approach to patient care.You really want to surround yourself with people who are hungry to prove themselves and actually move forward in their careers—people who already have a solid track record of flawless work behind them. You don't need those old-timers like Dr. Glušac, Glumičić, Poljak, or Račić. They’ve already hit their ceiling; they know they aren't going anywhere else, so they just coast. Whether it's a basic consultation or an actual surgical procedure, they end up doing the bare minimum, showing zero empathy or genuine care for the patients.

lonehawk8,

Just to clarify things for anyone wondering: all ENT specialists are also head and neck surgeons. There isn't really a thing called "aesthetic" subspecialization within other fields—instead, you have reconstructive work. However, when it comes to functional nasal surgery specifically, that specialized training is exclusively held by the ENT specialists.

I think I’ve seen this movie before. We always seem to circle back to these exact same arguments every few months, don't we? It feels like we're stuck in a loop where we debate the same core issues without ever actually moving the needle forward. I mean, look at how we handled the last major policy shift—we had all these heated discussions, everyone took their stances, and yet here we are again, facing almost identical hurdles. It’s a bit exhausting if you think about it too long, but also kind of fascinating how predictable the cycle can be. I'm curious to see if anyone has a fresh perspective on this, or if we're just going to keep rehashing the same old points. Personally, I'm hoping for some new ideas that break the pattern! kaže:
So, let me clarify things here because I think there might be some confusion. I didn't actually receive a warning or a "final notice" before this hit my desk. What I actually got was a formal judgment for garnishment. It explicitly states the exact amount they’re looking to seize from my bank account, along with my personal property and real estate. Does that make things a bit clearer?

Jesse Sanchez90 is spot on here because the prosecutor doesn't actually have to prove a thing. They basically just pull up a list of unpaid installments alongside your TV license registration and any notices of cancellation you might have filed. If you moved, became a renter, or relocated somewhere else without updating your info, the burden of proof falls entirely on you to show exactly what happened and how things changed.

Jesse Sanchez90, I actually went through something similar with Google. I ended up getting a formal warning about a potential collections action even though I had already settled my balance in full—mostly because Google was being incredibly slow at updating their records regarding outstanding debts on the account. Fast forward a few months, and sure enough, that dreaded court order arrives in the mail. I had to scramble to dig up all my payment confirmations, and I ended up having to fight all five counts! Honestly, it feels like such a shady move by CBS; you aren't always notified immediately about a single missed installment, and this kind of setup within these public-private partnerships just makes it way too easy for them to squeeze people.

But then how are you even supposed to know what you actually owe?

Honestly, this feels like the era of the Salem witch trials—people are just being grilled and condemned regardless of whether there's any actual evidence to back it up.

Eric Fowler19 said:I just checked. The public notary issued the debt collection order on July 15th, while CNN provided the ledger extract back on June 28th.
The payment was made on July 5th, 2011.

Wait, so you guys never even received a formal warning before they went straight to enforcement?

analoghound6 said:Thanks so much for the recommendation! I really value your input, especially since you're actually working in the field.

I’d give him a solid 5—and I say that strictly because I’ve seen his work firsthand. I haven't had the chance to observe Dr. Gulić's practice yet.

analoghound6 said:Hi everyone!😉
I have a quick question for you all. I recently received a recommendation for Dr. Pegan over at the Vinogradska hospital for a secondary rhinoplasty. I was wondering if anyone here knows him or has any insight into his work?
Also, I want to circle back to my previous question: has anyone had surgery done at the Gulić clinic? I’m honestly a bit nervous about making a final decision because, clearly, my gut instinct led me down the wrong path last time.😢

Dr. Pegan.

@ electricangler32

There isn’t some grand secret strategy at play here; it really just comes down to whether someone wants to step up or not.
That said, I personally think all this finger-pointing directed at the patient is pretty unprofessional, regardless of the circumstances.

Lately, Medicare has really started cracking down on reviewing medical invoices and discharge papers. They’re basically claiming that a deviated septum is fully functional and that any kyphosis is just a cosmetic issue.
Your only real move here is to go out and find a different ENT specialist who’s actually willing to perform the procedure.

Megan Wilson8 said:Look, I’m talking about the principal amount—we weren't trying to dodge anything... My real question is, do you actually have to pay the entire balance upfront just to stop an attachment of assets? Or can you cut a deal and settle it in parts? Most likely, they'll demand the whole thing at once...

It’s usually the full amount, but you should definitely ask if they'll let you set up a payment plan.

Hmm, I'm not really sure what you'll get out of real estate, but let's talk a bit about debt collection.
I can't say for certain if this is how it always works, but in my experience, the Social Security Administration came after me personally for a debt my brother and I inherited from our parents. For some reason, they decided to target just me.
I know it’s not much of a consolation, but hey—maybe they'll actually file against you before they get to your situation?