There’s a lot before Modesto, Botox, and Plastic Surgery. But today, I was reminded of Dr. Wu (Tammy’s) neighbor – while she was an undergraduate student at Brown University.
Here’s the story which I posted on FaceBook, but I share here:
My story of pianist Joan Orvis, our friend.
I want to spend a moment here to celebrate my memory of my friend pianist Joan Orvis. I met her when Tammy and I were young students at Brown University. Tammy lived off campus on Blackstone Blvd. She had a neighbor (Joan) in her apartment complex who played piano from time to time. She found out that I played violin. She introduced me to piano trio music at the highest level. I had always loved listening to piano trios, but never had the chance to play them. Her sister lived nearby and was a professional cellist. The three of us would get together regularly through my 8 years at Brown University and play trios. This was completely off the grid from Brown University. We even performed throughout Rhode Island as a trio. Some of my favorite classical music is piano trios and quartets, and all this blossomed from the time that I spent with Joan and her sister. Joan was a retired piano professor from University of Wisconsin-Platteville for nearly 30 years. I was just checking the internet to see what has happened to my friend whom I’ve lost contact with. I just found out that she passed away in 2001. My memories of that time were jogged when I saw Chee Yun’s posting about a piano quartet which I’ve always loved. I’ve shared that version on FB this morning (please see that video – it is quite worthy). In this link, the piano is played by one of Joan Orvis’ teacher (Menahem Pressler who is now 90 years old), so I share it here: http://youtu.be/W4_aE1CVr1s.
“I suffer from hyperacusis (sound distortion) in mainly one ear. I’m wondering if there are ear plugs out there that would work with piano or music playing. About 15 years ago, I had an ENT in Springfield Illinois make me a custom ear plug which cut down the sound partially, but I only had it made for one ear. I’m thinking that I might need it for both ears, and I’m not sure if anything is now off the shelf. I could probably just use those foam buds. If anything I could try Botox around the ear for this – it hasn’t been tried yet, I could be a pioneer here. It seems that Botox works for so many other things.”
And I got the response from another fellow doctor who suggested:
“Try etymotic , they reduce DB in a flat style, appropriate for musicians.”
I’ll have to try these ear buds for hearing protection, and I hope to report back. This would be great in an operating room environment too. There is a lot of suction and other noises going on in the operating room. I’ll have to see if these will work. I have heard that dentists use ear plugs like these, so I think it would work well for surgeonsin the operating room as well.
My previous ear plugs (hearing protectors) were made by Westone Laboratories, Inc. – westone style # 49. These were custom made and I had them made by an Ear Nose Throat Surgeon who made a mold of my ear canal and sent it to the company. But this was back around the year 2001. I just visited their webpage and it seems to have Etymotic ear plugs for sale at their webpage as well.
I’m thinking about planning a Surgical Artistry / Plastic Surgery staff hike on a weekend at Mount Diablo. Perhaps it would be a nice relaxing and healthy activity. This may never happen, but it’s a thought, and here are some of my notes. I figured we spend enough time at work talking about Botox, Breast Augmentation, Tummy tucks, and Acupuncture – that I think we could get a change of scenery from our Modesto plastic surgery office.
Macedo Ranch Staging Area
3756 Green Valley Road
(no vehicle access to the Summit)
Mitchell Canyon Staging Area
96 Mitchell Canyon Road
(no vehicle access to the Summit)
What is Mount Diablo
It is a mountain of the Diablo Range in Contra Costa county. Located northeast of Danville. In relation to Modesto, it is North West of Modesto, CA. It’s about a 1.5 hour drive (73.1 miles according to Google maps). It is east of San Francisco. It is located south of Clayton.
The peak is in the state park which is about 20,000 acres in area. Alcohol is strictly forbidden in the park.
Borrowed over from the world of liposuction and the world of Huber needles for chemotherapy. There are four benefits of using a cannula for filler (ie. Juvederm) injections:
Tip is blunt, not sharp – so it won’t easily pierce unwanted delicate structures such as nerves and blood vessels
Side exit port for the opening for extrusion of filler. This is on the side so that the tip can be blunt. So this reason goes along with the blunt tip reason.
Flexible cannula. This allows for less injury as well, it has the potential to wiggle around obstructions which are sometimes cause by the vitals structures of nerves and vessels.
Long length. this allows for fewer puncture sites.
Why do we care about blunt tipped cannulas?
In the end the results are for safety and less bruising. But are the effects better looking when the swelling goes down? for the most part I think so, for broad areas such as cheek and temples.
Picture is worth a thousand words
Perhaps a picture would help describe cannulas for injectable fillers:
blunt tip cannulas
Lip augmentation with cannulas?
Currently, for myself as an injector in Modesto, I’m a fan of cannulas for filling the central part (body) of the lips. But for precision, I feel that I lose a little bit of the precision needed when working on the border of the lips. Thus I still find myself gravitating to the regular needle. I have also used longer needles. So for now, there’s a role for both cannulas and needles in my practice for lips. But for the most part, I’m doing most of the lip augmentations with needles. I like the precision that I get with a short stiff needle. However, I understand that there is more of a risk of bruising and swelling right after the procedure. These are just my thoughts at my current level of comfort with cannulas. For more of what I think, visit: my thoughts on Lip Augmentation with fillers:
We are proud to have acquired a fine Steinway Piano from Sherman Clay Pianos in Walnut Creek, CA, almost 10 years ago when we moved to Modesto, CA. It was a symbol to us that we had “made it.” Tammy had become a full fledged Plastic Surgeon and for me, a General Surgeon. On Friday, 5/31/13 Sherman Clay, is closing its doors after 142 years of being America’s Finest Piano Dealer. The owners are retiring, and they deserve a standing ovation for all they have done for the piano arts. We wish Justin Levitt the manager of the Sherman Clay store in Walnut Creek a wonderful future with Steinway & Sons. He is a pianist, composer, Carnegie Hall performer, and an ambassador for all things piano.
Both Dr. Wu and I play the piano.
Dr. Lee and Dr. Wu’s Steinway Piano
Our Steinway Piano (Model B, 6’11”, 760 lbs) acquired in 2004 from Sherman Clay Pianos in Walnut Creek. Tammy wanted to purchase the piano to go along with my violin playing. But I couldn’t resist the urge to play the piano as well, and I’m glad she decided upon this high caliber instrument. I had learned some piano as a child but had been “fired” by my piano teacher. In college, I came up with this idea that in order to become a better violinist, I needed to learn piano. So, I sneaked in piano lessons with great piano teacher Arlene Cole at Brown University. I wasn’t nearly anywhere good enough to be one of her regular students, but she allowed me to take lessons with her on the side for one summer. Then of course, medical school took over and I had forgotten about the piano until Tammy brought it up in 2004 as one of her interests and insisted on the best piano we could obtain and fit into our first house. We have moved 3 times since 2003 and I’ve nearly had heart attacks each time the piano was moved, but it has fared well.