Dr scott koenig orthopedic surgeon reviews
Mindless Meanderings of a Fool
2023.03.29 05:42 No_Butterscotch_26 Mindless Meanderings of a Fool
Because JJ is taking some much needed time off reviewing and providing his insights into COI, I thought I would provide something in the meantime. I would not call it filling in for JJ, as I am hardly at his level. I’m more like the unofficial side show for this week- providing (hopefully) some humor to help you come to grips with the shit that was spewed by Rick and the gang this week. While I have not had any Skyrizi cocktails, I do randomly call 1-800 numbers and ask them to check my ZIP code. Maybe that qualifies me for this role? I don’t know. But let’s get on with the pain.
We start off this week at the Garden Shaft. Which is this season’s location of the money pit. Craig and Scott are talking to one of the Dumas workers about their progress. They’re at 67 feet and probing for a gold spot along the way. Typical men, working in a new hole and not knowing where the g-spot is at. Clotworthy spews some junk about how significant the garden shaft is because of material dating back 60 years before the discovery of the money pit, and how the garden shaft is located in the “Treasure Zone”, which I’m guessing is the forthcoming name of the Oak Island theme park. Scott says something, but I wasn’t paying attention. Then again, he never says anything important, anyway. So, who cares. Dude has more speaking roles this season than our beloved Billy. Side note: I do find it funny that we’re supposedly in the original money pit, and there’s no talk or concern about the flood tunnels. You know, the fucking tunnels we wasted seasons looking for? Throwing dye into them… Building a fucking damn in the cove. Of course, the flood tunnel theories fell flat. But they won’t acknowledge that, or fess up that maybe all these theories are total bull. Instead, they’ll conveniently mention nothing of it and toss more shit into the frey to keep you off balanced. And, hope you’re more concerned about your moderate to severe plaque psoriasis to notice.
Our next scene is at the quadrilateral. For those of you who don’t know, this is Prometheus’ latest tangent to fill needless episodes. Supposedly, it was mentioned in Dead Nolan’s book, which the Alive Nolan decided to reveal for the first fucking time on the previous episode (I’m sure the book will be published soon, with a forward by Rick. Another book for the kooks to cite and come up with new BS theories to waste our time for the next 5 seasons, at least). Rick, Tom Nolan, “and the rest” as Clotworthy put it (Billy and Gary), are at the Quadrilateral. And thankfully, we are about to get some Billy excavating time. It’s mentioned how the quadrilateral has a mysterious group of boulders on it. I don’t know what’s so mesmerizing about the boulders. And the quadrilateral looks like the state of Nevada, which has a ton of boulders. So, I’m not impressed here. As the digging starts, they uncover “little sticks” which are cut and burnt. This leads to our first wild speculation of the week. Because these little burnt sticks are similar to the ones found under the stone pathway by the swamp, instantly this means that the quadrilateral is made by the people who made the stone pathway. We’re then shown flashbacks to when the crew took a pointless trip to Portugal to look at a stone road. And told once again how the two are so similar and there must be a Portuguese connection to them. They keep digging and Billy notices some clay. Some blue clay. And blue clay was found when they were fucking around in the money pit area and swamp a few seasons ago. We’re then led into our first commercial break. And thank god, because I need slam my head into the desk a few times. It’s bad enough watching this show. Having to then write about it? Fuck me. I’m only doing this one week.
OK. I’m a little dizzy, but we return to the quadrilateral. We got serious Clotworthy bs time. Blue clay in the money pit, swamp, and now in the quadrilateral! So obviously, it’s all connected. That’s now an Oak Island fact. They bring in the Geologist turd guy for 10 seconds to add some sort of authority to this BS claim. But, I’m over this guy. No geologist would let them get away with saying that limestone cavities underground have to be manmade. Fuck off, Rocks for Jocks dude. After he’s pushed to the side, we then get the other quack scientist, Dr. Spooner. I used to like this guy initially. He seemed grounded. Stayed in his lane. But between his water testing, and even dating a fucking nail, this dude is just another sellout on the show who’ll say anything to keep Prometheus happy. He analyzes the clay and finds some more burnt wood. He surmises it cannot be natural. Rick jumps in to say that because there were boulders, it means this is obviously a “safe” and there is something significant below. Of course, he doesn’t want to dig. He wants to wait for Tom Nolan and do more investigating. I’m going to go off on a tangent here, but…
I swear, Rick maybe the entire fucking problem with this crew. Let’s not forget folks, he was a postman, aka, GOVERNMENT EMPLOYEE. In other words, he gets nothing done but spends a lot of someone else’s money. It was natural he would end up conning his brother into spending money on this disaster. This show has been on for 10 years. And all they had to do was a dig a big damn hole and see if there’s anything in the ground. Now, if I was given a job of digging a big damn hole, and my boss came up to me 10 years later to ask about the progress, I sure as hell wouldn’t go: “Well, we started digging in the money pit like you asked. But then we wanted to do some sonaradalidar detection and analyze the fuck out of it for inferences to treasure. After that, a few random ass guys with history degrees from Fuck You University came to the island and told us we should dig in other spots. They thought the treasure was [Templar, English, Aztec, French, Portuguese, Pirates, Phoenician, Egyptian,
Martian]. So we did that. Found nothing. Then, we drained the swamp near the money pit 3 or 4 times, spent millions on dynamite to scare all the birds away, all to try and get more inferences on what lies below the ground. We also fucked around looking for a dock, and found a stone road. In terms of digging in the money pit area, we drilled tiny fucking holes all over it. Enough to turn it into Swiss cheese. We thought a few times we ‘just came down the edge’ of something. But, instead of just moving a few inches over and drilling again, we went to a new spot, chosen at random and still found nothing. Oh, and we took a shit load of trips to Europe. Just to look at some old castles and carvings, none of which has anything to do with the drilling job.” No, I wouldn’t. I’d have been fucking fired years earlier. But that’s COI. Making the US bureaucracy seem efficient.
Ahem, so after we leave the quadrilateral, “later that afternoon” we go to the war room. I’m excited. Because it’s a meeting time, and we have this week’s tinfoil kook! This week, we have Francisco Nogueira from Portugal. I’m getting giddy and tingly. Not because of any revelations or theories that are going to solve the mystery, but we’re guaranteed some extreme fucking head nodding action. Let’s see what Francisco says. I should not that he speaks perfect English, but gets subtitled (yet, I still barely understand Gary). We’re told that the Azores is a key place for north Atlantic explorers. And then we get into some Templars, Baby B-roll. Clotworthy tells us the Templars went to Portugal, rebranded, and then took their treasure to North America. Makes sense to me! Francisco, who honestly sounds like a hostage reading the terrorists demands after 4 weeks of torture (definitely not from starvation, though) says the Portuguese Knights of Christ were exploring in the 15th and 16th centuries. Were shown some nodding and smiling from Simple Jack and Alex. Our Kook then says the “mysterious” wall is of Portuguese style. I don’t know what specific style he’s talking about. It’s a bunch of fucking rocks stacked on top of one another. I’m sure more civilizations other than the Portuguese knew how to stack rocks on top of each other. However, the revelation is enough to get Simple Jack to exclaim, “No way!” He’s got to be feeling good. After all, it was his detective work that found a big ass fucking tree next to the wall a few weeks ago. Francisco continues. Apparently, only the Portuguese would fill in gaps of a wall with small rocks. I guess this implies that Spain and France were the first to create glory holes. We get more dramatic nodding and amazement. It seems we’re going all in on Portugal now. Fuck off, Duc d'Anville, Francis Beacon, Sinclair, and Long John Silver (I don’t know. I’m sure he’ll get some mention soon). We’ll bring you all back in a few seasons when this shit falls apart and they find nothing. The revelation was enough to cue the dramatic music and a commercial break. Good. I don’t drink alcohol, but I’m going to go look for some cooking sherry or something to help me through this. If not, maybe I’ll inhale some Pam. If anything, it’ll help with this dry nose thing I have going on. I’ll turn the TV up so I can hear if there are any prescriptions I can ask my doctor about.
I found some ice cream and ate myself into an ice cream headache. But it kind of helped with the pain from banging my head int the desk earlier. We return to the war room with our chubby Portuguese kook. I guess his revelations were too much to conclude in one segment. Naturally, we get a recap of what we just heard 4 minutes ago. Because obviously everyone that watches this show has the attention span of a cat who snorted 8 lines of catnip. We’re now told that the Portuguese came to Oak Island, in secret. We get a few seconds of legitimate history regarding King Phillip II of Spain putting the hurt on Portugal. But then we quickly get into bs about missing treasure. And obviously, Portuguese went across the world and dumped it on Oak Island. Long story short, the Knights of Christ decided to put their precious treasure on a boat, sail across the Atlantic, and bury it on an island they never went to before. Dougie jumps in to give us some NSCC-level education about Templars. Never trust a Doug. Finally, Rick gives us one of his garbage corporate meeting wrap ups. And we’ve officially wasted about 10 minutes of show on this garble.
Later that afternoon (this is one fucking long day), we’re back at the quadrilateral. Rick has brought back more people. Spooner once again says the clay shouldn’t be here. And the clay and boulders were transported here. Personally, I think they found Samuel Ball’s septic tank. That’s my guess. Spooner pokes around and conveniently finds something sticking out of one of the sides of the hole. I don’t see Barkhouse, so I’ll assume whatever it is, he planted it like most other shit found on the island. It’s too much for us to comprehend, so another fucking commercial break is in order.
After several more commercials about plaque psoriasis plaguing this nation, we return to the big find. It’s a rusted piece of metal, shaped like a U. Gary claims it’s an iron staple. But this fuck has been wrong a few times this season. I’m guessing we’ll get some Carmen time soon. They keep digging.
The “following morning” we briefly see Scott and Dumbasses still looking for the Garden Shaft’s g-spot. Then we’re taken to the lab with, I guessed it, Carmen. Rick, Marty, and Craig are there. And Emma looks to be checking out Twitter or something. Let me just say, this whole “one day ago” is bull. Rick’s hair is longer and he has a lot more beard than he did “yesterday” afternoon. Carmen says the staple is used to help change the direction of rope and used with a pulley. The crew surmises this means the staple was used to get the boulders in the quadrilateral. Carmen says staples like that were used during medieval times. Clotworthy gives us a diatribe, but I tuned him out. Emma confirms the staple is old. Oh, and it seems she’s using Laird’s Microsoft account. Not cool, Emma. Miriam wouldn’t do that. Also, Prometheus forgot to blur out the date and time on the computer screen. Says 3:49pm. Morning my ass, Clotworthy. And another fucking commercial. I guess the commercials are good for people with overactive bladders. But, you can discover Gemtesa to help with your overactive bladder! Just it’ll give you every time else and likely kill you. Oh, and probably more bladder issues. But they’ll have a pill ready for that, too! Ahem…
We return to the lab. Clotworthy tells us it’s a medieval staple. Also, we are now to call the quadrilateral the “Great Quadrilateral”. I guess that’s an okay name for the hotel at the Treasure Zone.
“Later that afternoon”, we’re back out at the Garden Shaft. Scott failed to find the g-spot, so Rick and Craig have come out to help the Dumbasses probe for it. This obviously means were in for a big moment. A climax, if you will. We’re told that the g post was not found on the eastern wall. So they’re now going to look for it on the west. West sideee, baby. We get a little interview with Marty. He tells us that once they get to the bottom of the hole, they can start probing down and around to look for that g-spot. The Dumbass supervisor speculates that whoever first made the hole was in a rush. My experience with guys is that most are in a rush. This doesn’t surprise me one bit. Craig talks about his experience probing. Unfortunately, no g-spot found this week. And we’re not taken to “the next day” at the war room. I’m guessing this is where we’ll declare victory for the week. Time is running short. More head nodding? Let’s see!
The war room meeting is to get an update on the mysterious wall. Come to think of it, the wall reminds me more of that one from the end of the Shawshank Redemption. Only that wall had something valuable under one of its rocks. But, back to the meeting. We’re practically at all hands-on deck. Simple Jack is in his seat. You know he is revved up for this meeting after his tree discovery. Laird is asked to tell use more about the wall. He says it’s unique and we’re given a flashback of Laird, Miriam, and Alex digging up the wall a few weeks ago. Naturally, this whole scene was just to satisfy the thirsty Miriam-obsessed. Back in the war room, Craig gives us a date on the piece of charcoal found under the stone wall. The range is 1474-1638- Conveniently fitting into this week’s theory of Portuguese treasure. In fact, we’re told that “we know” Portuguese were in the area. I guess if it’s said on COI, it HAS to be true! Simple Jack can’t contain himself anymore and gives us a profound thought to think on for the rest of the week: people don’t build walls for no reason. Wow, Jack. Fucking wow. There’s an old saying that says it’s better to remain silent and appear stupid, than to open your mouth and remove all doubt. Jack really should try that now and then. We’re given some more shit by NSCC Professor Doug about the Templars, and Rick says we need to keep an open mind until the facts say otherwise.
And that’s the show for this week. Thank Fucking God. I foolishly thought it would be fun to try this with JJ out. Fuck that. JJ, much respect to you. I don’t know how you do it. I’m amazed every week with your reviews/rants. After giving it a go myself, I’m even more perplexed how you get it done. But with that, I’m off to the 24-hour liquor store now. Peace!
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2023.03.29 00:28 EvenAd8696 Top surgeon in my town!?! :O
So, I just moved, I'm basically homeless/in between houses. But I moved to northern California. I just discovered a top surgeon is IN MY TOWN???
I was planning to go to Dr. Scott Mosser, which is 3 hours away, but now that I know I have someone so close.. im reconsidering. Her results look quite nice, but she doesn't have many pictures on her website. I'm not sure if I want to share who she is because she's so so local, and I want to maintain some level of privacy.
If yall have any tips on how I can find more about a surgeon without me having to disclose who she is, it would be greatly appreciated! If not thats okay too cuz I'm just kinda excited because WOW I didn't even know she existed!!
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2023.03.28 19:55 greatbritain846 Dr. Ramineni, Dr. Slama/Oates (BMC), & Hair Removal
I recently posted my journey for top surgery (breast augmentation) and I had mentioned that I'm in the process of seeking vaginoplasty. I'm interested in a couple of surgeons for a couple of different reasons (I'll list them below if people have extra thoughts to share!), but I have some more specific questions about a few that I'm hoping the community here can help with!
- First, I'm interested in Drs. Slama and Oates out of Boston Medical Center. I've worked with Dr. Slama on my breast augmentation before and found him absolutely wonderful, but I haven't seen a lot on here and the wiki about results. Based on my experience with BMC before, those result photos are going to be back behind the consultation itself. If there's anyone here who'd like to add any of their experience with BMC for vaginoplasty, I'd love to hear it!
- Next, I'm also interested in Dr. Ramineni out of D.C. - he's worked with a few people I know and comes highly reviewed, especially for those of us more masculine presenting NBs. In particular, I'm curious about his hair removal, since he doesn't require it. I know he follicle scrapes, but there seems to be endless warnings about how that can still lead to hairs in the canal. That being said, I'm not seeing many posts of people complaining about hair after surgery?
- In general, I'd like to try and keep myself kind of hairy - I have a hairy chest, arms, legs, belly, etc. and I really enjoy that. With more 'standard' hair removal, does anyone post-op find that they can still grow a fair amount of hair, especially around the labia? I'll admit, some of the postop pictures are a bit hard to tell, since many people seem to have either cleared the whole area or practice more temporary hair removal (shaving, waxing, etc.)
The list of surgeons I'm considering at the moment:
- Slama/Oates at BMC - in network and easiest with insurance, worked with Slama before, hometown for easy recovery
- Ramineni - really short waitlist, sounds like a great trans patient advocate (& w/ insurance!), no required hair removal is a plus if it works, has worked with masculine NB patients before
- Bluebond-Langner at NYU - I really love the results I see out of here, especially for my preferred look (larger clitoris and labia majora - more transmasculine look), hardest for recovery distance, infamously long waitlist
- Meltzer - Incredibly experienced surgeon, has worked with masculine NB patients before (friend of mine), can stay with friends for a bit of recovery period, long distance is an issue, 2 step procedure might be hard to get insurance to cover?
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2023.03.28 19:09 No_Control_7263 27 yo male - diagnosed today
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Unfortunately now part of the gang. Seen my GP late February to review a raised lump on the palm of my left hand (small finger) who suspected Dupuytrens and referred me to a hand specialist. Today that specialist confirmed the diagnosis.
A bit of background. I first noticed a small lump under my skin in early January 2023 and has quickly grown to the point where it's visible. I still have full range of motion in the affected finger. I have no known family who has or is suffering from the condition so I guess I'm the unlucky first in my line. Today I had a consultation from a hand surgeon who specialises in Dupuytrens. The advice was to wait and see and come back to see him if and when I fail the table test to talk about surgical intervention. He said progression could take 6 month or 15 years, it's impossible to predict but is likely to contract and appear elsewhere given my age..
I've also got a consultation booked with Dr Richard Shaffer (UK) to evaluate my case. I seem to fit the profile for radiation treatment as the condition has definitely progressed in this short 3 month window (I even see a small chord has developed).
I have a few questions that I would be grateful to have some insight on:
- I mentioned radiation treatment to the hand surgeon today who said that treatment is only beneficial in very early stage disease where the nodules are not even visible. Is this true? I've read in previous posts that radiation works best during an active period of disease progression (though not too advanced).
- Having read the post talking about bullets in your gun, I'm hesitant to go ahead with radiation therapy even if I'm deemed suitable by Dr Shaffer. I'm only 27 and I don't want to commit to treatment too early in the disease, though how does one predict when it's the right time? Things could turn south pretty quick. Also, does radiation stop the condition worsening or just delay an inevitable progression?
- Any additional advice to help me navigate this disease? I'm in a fortunate position where I can have consultations with different specialists for early intervention.
2023.03.28 17:29 angienorwich Whoosh Free for a Month - AMA!
I had my stent put in and now I am 1-month whoosh free! I wanted to share my story with you all so you can hopefully find some relief and hope. I ended up finding a DC based interventional neurologist (Dr. Edward Greenberg - 703-776-3030) who did the procedure and changed my life – funny enough he studied with Dr. P! He agreed I can share his info with you so you can give him a call if this story sounds familiar.
Below are my symptoms, testing, diagnosis, and timeline of fighting with Cigna to get this approved. Symptoms:
- After 2 double ear infections and COVID, I developed a ringing (heartbeat or fetal ultrasound sounding) in my right ear
- When I pressed on my neck, turned my neck to the left or up-left, the ringing would stop
- This got progressively louder from Feb 2022 – Feb 2023.
- I was able to record the ringing on my phone and my friends/family could hear it when they put their ear up to my ear
- No other symptoms like headaches, vision loss, dizziness, etc. Testing:
- ENT and hearing test – negative
- MRI/MRV of brain and neck – negative
- Ultrasound of neck – negative
- Neurologist to test cognitive abilities – negative
- Neurologist to go on intracranial pressure medication for 2 months – no change in symptoms
- Vascular surgeon consultant – negative
- Ophthalmologist to examine optic nerve - negative
- 2nd ENT and hearing test – negative
- Interventional radiologist – ordered angiogram and identified my right side had Venous Sinus Stenosis and it had turbulent bloodflow – recommended stenting procedure Diagnosis:
- PT caused by Idiopathic intracranial hypertension (IIH)
- Stenting procedure to deploy a titanium stent to open up vein to reduce changes in bloodflow Timeline:
- 2/1/2023 - Called Cigna's customer service and they stated the surgery had been denied for my 2/2 scheduled surgery.
- 2/1/2023 through 2/6/2023 - Several calls back and forth with Cigna's customer service to expedite the review process and attempt to get a correct appeal or peer-to-peer set up with Dr. Greenberg.
- 2/6/2023 - Got a further denial from Cigna (via a call to customer service) after a peer-to-peer stating that there were no more details but once I got the denial letter, I could appeal.
- 2/6/2023 - I wrote the Cigna executive team the attached letter "Inequitable Claim Denial" detailing the issues with the process and the lack of qualification from the peer-to-peer reviewer.
- 2/7/2023 - Got a call from Cigna's executive team customer relations. They stated it was outside their control but they would review with the appeals department and do their best to have a neurosurgeon do the peer-to-peer.
- 2/8/2023 - Called Cigna's customer service and they informed us this was "final denied" by cigna as it is "experimental". They stated they would send a letter notifying us of this.
- 2/15/2023 - After waiting for Cigna's denial letter in the mail, we received it and submitted a "request for external appeal" to the Virginia Board of State Corporation Commission (VA-SCC) Bureau of Insurance. This is an external review by a non-Cigna team to deliver a final, binding determination of medical necessity.
- 2/16/2023 - Faxed a copy of the appeal to Cigna.
- 2/17/2023 - Received a call from Cigna's executive customer relations. They stated they "still consider the procedure experimental", however, they were going to approve this surgery for my case. The state did not complete their external review as Cigna already approved it.
- 3/1/2023 - Had the surgery and whoosh free!
Linked is his bio and info. If you want to set up an appointment or just get more info, call his office at 703-776-3030. You got this. You are strong. You will find relief soon! https://www.inova.org/doctors/edward-d-greenberg-md
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2023.03.28 13:49 Express_Rough1868 Dr. Talk On Understanding Osteoarthritis Best Orthopedic Surgeon in RR Nagar, Bangalore Dr. Basavaraj CM
Best Orthopedic Surgeon in RR Nagar, Bangalore Dr. Basavaraj CM says Osteoarthritis is a common joint disorder that affects millions of people worldwide, particularly in older age. In this video, we will delve into the causes and risk factors associated with osteoarthritis, as well as its symptoms and how it is diagnosed. We will also discuss various treatment options available to manage this condition. Watch Now to know more about Osteoarthritis.
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2023.03.28 08:51 DrkiranReddyCh The Secret to a Pain-Free Life: Consult with the Best Orthopedic Doctor in Hyderabad
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2023.03.28 08:35 Dranoopjhurani What are the long-term effects of total knee replacement?
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If you consider having a total knee replacement performed by the perfect doctor, there are several advantages. To maximize the effectiveness of your knee replacement, Dr. Jhurani will provide you with advice on what to do and not do after surgery. Knee surgery has several long-term implications. To prevent harm to the joint, patients may need to alter certain parts of their lifestyles; for instance, some patients may need to stop taking part in particular sports or hobbies. Maintaining a healthy weight is also advised for those who have had knee replacements since bigger people put greater strain on their leg joints, which can damage the replacement joint. Driving and regular employment should be possible for patients.
The patient will also receive the therapy they would require for a quicker recovery while under the advice of Dr. Jhurani. At national and international conferences, he often speaks and shows live knee and hip replacements. Together with his highly qualified team of total knee replacement doctors and surgeons, Dr. Anoop Jhurani provides the best robotic total knee replacement in Jaipur, India
There will be huge suffering if it comes to orthopedic situations. Bones are specially designed to support the entire flesh part of our body. It provides it with the strength and flexibility to be in shape. Joints are the complicated part to understand and realize how it works. The major thing to care about in these bone structures is its minor and major-related issues to bones. Dr. Anoop Jhurani actually works to give you the actual relief from the knee pains.
We worry about our knee injuries or knee pain as it affects us a lot to our body. The concern for knee replacement treatments or knee replacement technology actually made us think about it. We want the best out of everything whenever it comes to our bodies. If you are really looking for the best knee replacement in Jaipur then your search has ended now. You’re at the right place for your knee replacement. Dr. Anoop Jhurani is the best orthopedic doctor in Jaipur. The way he handles his patient and treats the patient is the ultimate and real way to do work for their body joints.
What are the long-term effects of total knee replacement?
2023.03.28 07:43 Opening-Priority7115 No reviews are a red flag but bad reviews are scary.
I've found a few rhinoplasty surgeons whose work I like, but then I check their socials and they have 5 stars and no bad reviews. That's sketchy to me and I assume they're hiding something. So then I look at some other surgeons and they have 4.8 stars and a few bad reviews but mostly good ones, so that seems more realistic! But then I read the reviews and it's like "I developed an infection/a hole in my septum/my nose is worse than before and I can't breathe!" and I'm like omg nooo! Which one is better? Someone with no bad reviews (suspicious) or somebody who has ruined a few people's lives but does good work most of the time?
Editing to say the surgeon I'm most interested in right now is Dr. Ciardullo in NY. I love his work and he has like 4.8 star ratings which is good but not suspiciously so. But there are a few reviews of people saying he botched them.
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2023.03.28 07:32 FuzzyOrchid4489 Feeling discouraged & searching for revision rhino doctor
I had my primary rhinoplasty done November 2021 with a local doctor in my area and although my nose isn’t “botched”, it isn’t what I wanted at all and it has made me even more self conscious than before. I thought I did enough research on my first MD, but now after being on Reddit I am seeing how many plastic surgeons are capable of having negative reviews taken down. How do you know who to trust? Any suggestions on affordable doctors in the USA for revisions? I was going to consult with Dr Nima in Beverly Hills but after more research I am seeing people say it can cost upwards of $40,000. I was expecting to pay $20,000-$25,000 but $40,000 seems so expensive. Any suggestions? I am terrified of spending tens of thousands of dollars and ending up looking worse.
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