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Hi Dr. Saghafi!! This Is Your Long Lost Friend Missy
Question: Hi Dr. Saghafi!! This is your long lost friend Missy from New York! I am so sorry that I essentially dropped off from my correspondence with you, but truth be told, my monthly subscription had expired, and since I did not have any health queries, I did not renew it.
I’ve missed chatting with you, and I hope you and your family are doing well! We’re finally heading into some more seasonal weather and I’m looking forward to getting more outside activities scheduled!
I’ve been doing pretty well on the anxiety front, and have actually started seeing a new therapist who is very technique oriented, and practices a mode of therapy called EMDR....it stands for Eye Movement Desensitization and Reprocessing , and it has a proven track record of being very successful in treating past trauma and PTSD. I’m only three sessions in, but from what I’ve been told, improvement and recovery can be accomplished quite quickly.
In the meantime, for whatever reason, I’m
In the midst of a little flare up of XXXXXXX anxiety. Skin worries (melanoma etc) have always, for some reason, been a large percentage of my health worries. I have an age old skin worry which seemingly continues to arise, even though I’ve been told by many doctors, both in-life docs and here on this site, that there is nothing to worry about.
While I realize you are obviously a neurologist and dermatology questions are not your speciality, I value your opinion and thoughts immensely. If I copy and paste my inquiry which I’ve posed to both and Derm and an oncologist here (lol...you probably don’t fine that surprising!), would you be able to give me your opinion on it? Here it is:
Hello! I’ve actually asked a very similar question to this in the past, but unfortunately since I have health anxiety, I’m looking for further reassurance. Twenty years ago (yes, 20 years!), my primary care physician removed several pigmented spots from my back using electrodessication andcurettage. All that remains are hypopigmented spots. I have no idea whether the spots were seborrheic keratosis or moles, but all were flat, light brown, symmetrical and none bigger than a pencil eraser. I had seen a dermatologist about a year prior to that and he said they were normal. Unfortunately my doctor who removed them all of those years ago never had them biopsied.
To this day, my anxious mind has me worried that biopsies were never done. I go for regular skin cancer screenings and have been told there is nothing worrisome on my back (or any other location). Today I went to another screening which was hosted by the XXXXXXX Academy of Dermatology. I mentioned to the nurse practitioner who examined me about my worry and she said she wasn’t concerned and I had no suspicious spots. She examined the areas on my back of hypopigmentation and said they were fine. Unfortunately she made a comment that there could be a cell remaining from all those years ago. I understand about how clear margins are necessary for melanoma and severely atypical moles.
My question is this: if there had been anything dangerous with these lesions from all those years ago, would pigment and changes have occurred by now in the locations where they were removed? It’s not possible that a dangerous cell could somehow spread to another area of my body without showing any pigment or worrisome changes in the original area, is it? Thank you for your time and any reassurances which you can give me (I realize that this is a crazy question!)!
Hello! I’ve actually asked a very similar question to this in the past, but unfortunately since I have health anxiety, I’m looking for further reassurance. Twenty years ago (yes, 20 years!), my primary care physician removed several pigmented spots from my back using electrodessication andcurettage. All that remains are hypopigmented spots. I have no idea whether the spots were seborrheic keratosis or moles, but all were flat, light brown, symmetrical and none bigger than a pencil eraser. I had seen a dermatologist about a year prior to that and he said they were normal. Unfortunately my doctor who removed them all of those years ago never had them biopsied.
To this day, my anxious mind has me worried that biopsies were never done. I go for regular skin cancer screenings and have been told there is nothing worrisome on my back (or any other location). Today I went to another screening which was hosted by the XXXXXXX Academy of Dermatology. I mentioned to the nurse practitioner who examined me about my worry and she said she wasn’t concerned and I had no suspicious spots. She examined the areas on my back of hypopigmentation and said they were fine. Unfortunately she made a comment that there could be a cell remaining from all those years ago. I understand about how clear margins are necessary for melanoma and severely atypical moles.
My question is this: if there had been anything dangerous with these lesions from all those years ago, would pigment and changes have occurred by now in the locations where they were removed? It’s not possible that a dangerous cell could somehow spread to another area of my body without showing any pigment or worrisome changes in the original area, is it? Thank you for your time and any reassurances which you can give me (I realize that this is a crazy question!)!
I’ve missed chatting with you, and I hope you and your family are doing well! We’re finally heading into some more seasonal weather and I’m looking forward to getting more outside activities scheduled!
I’ve been doing pretty well on the anxiety front, and have actually started seeing a new therapist who is very technique oriented, and practices a mode of therapy called EMDR....it stands for Eye Movement Desensitization and Reprocessing , and it has a proven track record of being very successful in treating past trauma and PTSD. I’m only three sessions in, but from what I’ve been told, improvement and recovery can be accomplished quite quickly.
In the meantime, for whatever reason, I’m
In the midst of a little flare up of XXXXXXX anxiety. Skin worries (melanoma etc) have always, for some reason, been a large percentage of my health worries. I have an age old skin worry which seemingly continues to arise, even though I’ve been told by many doctors, both in-life docs and here on this site, that there is nothing to worry about.
While I realize you are obviously a neurologist and dermatology questions are not your speciality, I value your opinion and thoughts immensely. If I copy and paste my inquiry which I’ve posed to both and Derm and an oncologist here (lol...you probably don’t fine that surprising!), would you be able to give me your opinion on it? Here it is:
Hello! I’ve actually asked a very similar question to this in the past, but unfortunately since I have health anxiety, I’m looking for further reassurance. Twenty years ago (yes, 20 years!), my primary care physician removed several pigmented spots from my back using electrodessication andcurettage. All that remains are hypopigmented spots. I have no idea whether the spots were seborrheic keratosis or moles, but all were flat, light brown, symmetrical and none bigger than a pencil eraser. I had seen a dermatologist about a year prior to that and he said they were normal. Unfortunately my doctor who removed them all of those years ago never had them biopsied.
To this day, my anxious mind has me worried that biopsies were never done. I go for regular skin cancer screenings and have been told there is nothing worrisome on my back (or any other location). Today I went to another screening which was hosted by the XXXXXXX Academy of Dermatology. I mentioned to the nurse practitioner who examined me about my worry and she said she wasn’t concerned and I had no suspicious spots. She examined the areas on my back of hypopigmentation and said they were fine. Unfortunately she made a comment that there could be a cell remaining from all those years ago. I understand about how clear margins are necessary for melanoma and severely atypical moles.
My question is this: if there had been anything dangerous with these lesions from all those years ago, would pigment and changes have occurred by now in the locations where they were removed? It’s not possible that a dangerous cell could somehow spread to another area of my body without showing any pigment or worrisome changes in the original area, is it? Thank you for your time and any reassurances which you can give me (I realize that this is a crazy question!)!
Hello! I’ve actually asked a very similar question to this in the past, but unfortunately since I have health anxiety, I’m looking for further reassurance. Twenty years ago (yes, 20 years!), my primary care physician removed several pigmented spots from my back using electrodessication andcurettage. All that remains are hypopigmented spots. I have no idea whether the spots were seborrheic keratosis or moles, but all were flat, light brown, symmetrical and none bigger than a pencil eraser. I had seen a dermatologist about a year prior to that and he said they were normal. Unfortunately my doctor who removed them all of those years ago never had them biopsied.
To this day, my anxious mind has me worried that biopsies were never done. I go for regular skin cancer screenings and have been told there is nothing worrisome on my back (or any other location). Today I went to another screening which was hosted by the XXXXXXX Academy of Dermatology. I mentioned to the nurse practitioner who examined me about my worry and she said she wasn’t concerned and I had no suspicious spots. She examined the areas on my back of hypopigmentation and said they were fine. Unfortunately she made a comment that there could be a cell remaining from all those years ago. I understand about how clear margins are necessary for melanoma and severely atypical moles.
My question is this: if there had been anything dangerous with these lesions from all those years ago, would pigment and changes have occurred by now in the locations where they were removed? It’s not possible that a dangerous cell could somehow spread to another area of my body without showing any pigment or worrisome changes in the original area, is it? Thank you for your time and any reassurances which you can give me (I realize that this is a crazy question!)!
Hi Dr. Saghafi!! This is your long lost friend Missy from New York! I am so sorry that I essentially dropped off from my correspondence with you, but truth be told, my monthly subscription had expired, and since I did not have any health queries, I did not renew it.
I’ve missed chatting with you, and I hope you and your family are doing well! We’re finally heading into some more seasonal weather and I’m looking forward to getting more outside activities scheduled!
I’ve been doing pretty well on the anxiety front, and have actually started seeing a new therapist who is very technique oriented, and practices a mode of therapy called EMDR....it stands for Eye Movement Desensitization and Reprocessing , and it has a proven track record of being very successful in treating past trauma and PTSD. I’m only three sessions in, but from what I’ve been told, improvement and recovery can be accomplished quite quickly.
In the meantime, for whatever reason, I’m
In the midst of a little flare up of XXXXXXX anxiety. Skin worries (melanoma etc) have always, for some reason, been a large percentage of my health worries. I have an age old skin worry which seemingly continues to arise, even though I’ve been told by many doctors, both in-life docs and here on this site, that there is nothing to worry about.
While I realize you are obviously a neurologist and dermatology questions are not your speciality, I value your opinion and thoughts immensely. If I copy and paste my inquiry which I’ve posed to both and Derm and an oncologist here (lol...you probably don’t fine that surprising!), would you be able to give me your opinion on it? Here it is:
Hello! I’ve actually asked a very similar question to this in the past, but unfortunately since I have health anxiety, I’m looking for further reassurance. Twenty years ago (yes, 20 years!), my primary care physician removed several pigmented spots from my back using electrodessication andcurettage. All that remains are hypopigmented spots. I have no idea whether the spots were seborrheic keratosis or moles, but all were flat, light brown, symmetrical and none bigger than a pencil eraser. I had seen a dermatologist about a year prior to that and he said they were normal. Unfortunately my doctor who removed them all of those years ago never had them biopsied.
To this day, my anxious mind has me worried that biopsies were never done. I go for regular skin cancer screenings and have been told there is nothing worrisome on my back (or any other location). Today I went to another screening which was hosted by the XXXXXXX Academy of Dermatology. I mentioned to the nurse practitioner who examined me about my worry and she said she wasn’t concerned and I had no suspicious spots. She examined the areas on my back of hypopigmentation and said they were fine. Unfortunately she made a comment that there could be a cell remaining from all those years ago. I understand about how clear margins are necessary for melanoma and severely atypical moles.
My question is this: if there had been anything dangerous with these lesions from all those years ago, would pigment and changes have occurred by now in the locations where they were removed? It’s not possible that a dangerous cell could somehow spread to another area of my body without showing any pigment or worrisome changes in the original area, is it? Thank you for your time and any reassurances which you can give me (I realize that this is a crazy question!)!
Hello! I’ve actually asked a very similar question to this in the past, but unfortunately since I have health anxiety, I’m looking for further reassurance. Twenty years ago (yes, 20 years!), my primary care physician removed several pigmented spots from my back using electrodessication andcurettage. All that remains are hypopigmented spots. I have no idea whether the spots were seborrheic keratosis or moles, but all were flat, light brown, symmetrical and none bigger than a pencil eraser. I had seen a dermatologist about a year prior to that and he said they were normal. Unfortunately my doctor who removed them all of those years ago never had them biopsied.
To this day, my anxious mind has me worried that biopsies were never done. I go for regular skin cancer screenings and have been told there is nothing worrisome on my back (or any other location). Today I went to another screening which was hosted by the XXXXXXX Academy of Dermatology. I mentioned to the nurse practitioner who examined me about my worry and she said she wasn’t concerned and I had no suspicious spots. She examined the areas on my back of hypopigmentation and said they were fine. Unfortunately she made a comment that there could be a cell remaining from all those years ago. I understand about how clear margins are necessary for melanoma and severely atypical moles.
My question is this: if there had been anything dangerous with these lesions from all those years ago, would pigment and changes have occurred by now in the locations where they were removed? It’s not possible that a dangerous cell could somehow spread to another area of my body without showing any pigment or worrisome changes in the original area, is it? Thank you for your time and any reassurances which you can give me (I realize that this is a crazy question!)!
I’ve missed chatting with you, and I hope you and your family are doing well! We’re finally heading into some more seasonal weather and I’m looking forward to getting more outside activities scheduled!
I’ve been doing pretty well on the anxiety front, and have actually started seeing a new therapist who is very technique oriented, and practices a mode of therapy called EMDR....it stands for Eye Movement Desensitization and Reprocessing , and it has a proven track record of being very successful in treating past trauma and PTSD. I’m only three sessions in, but from what I’ve been told, improvement and recovery can be accomplished quite quickly.
In the meantime, for whatever reason, I’m
In the midst of a little flare up of XXXXXXX anxiety. Skin worries (melanoma etc) have always, for some reason, been a large percentage of my health worries. I have an age old skin worry which seemingly continues to arise, even though I’ve been told by many doctors, both in-life docs and here on this site, that there is nothing to worry about.
While I realize you are obviously a neurologist and dermatology questions are not your speciality, I value your opinion and thoughts immensely. If I copy and paste my inquiry which I’ve posed to both and Derm and an oncologist here (lol...you probably don’t fine that surprising!), would you be able to give me your opinion on it? Here it is:
Hello! I’ve actually asked a very similar question to this in the past, but unfortunately since I have health anxiety, I’m looking for further reassurance. Twenty years ago (yes, 20 years!), my primary care physician removed several pigmented spots from my back using electrodessication andcurettage. All that remains are hypopigmented spots. I have no idea whether the spots were seborrheic keratosis or moles, but all were flat, light brown, symmetrical and none bigger than a pencil eraser. I had seen a dermatologist about a year prior to that and he said they were normal. Unfortunately my doctor who removed them all of those years ago never had them biopsied.
To this day, my anxious mind has me worried that biopsies were never done. I go for regular skin cancer screenings and have been told there is nothing worrisome on my back (or any other location). Today I went to another screening which was hosted by the XXXXXXX Academy of Dermatology. I mentioned to the nurse practitioner who examined me about my worry and she said she wasn’t concerned and I had no suspicious spots. She examined the areas on my back of hypopigmentation and said they were fine. Unfortunately she made a comment that there could be a cell remaining from all those years ago. I understand about how clear margins are necessary for melanoma and severely atypical moles.
My question is this: if there had been anything dangerous with these lesions from all those years ago, would pigment and changes have occurred by now in the locations where they were removed? It’s not possible that a dangerous cell could somehow spread to another area of my body without showing any pigment or worrisome changes in the original area, is it? Thank you for your time and any reassurances which you can give me (I realize that this is a crazy question!)!
Hello! I’ve actually asked a very similar question to this in the past, but unfortunately since I have health anxiety, I’m looking for further reassurance. Twenty years ago (yes, 20 years!), my primary care physician removed several pigmented spots from my back using electrodessication andcurettage. All that remains are hypopigmented spots. I have no idea whether the spots were seborrheic keratosis or moles, but all were flat, light brown, symmetrical and none bigger than a pencil eraser. I had seen a dermatologist about a year prior to that and he said they were normal. Unfortunately my doctor who removed them all of those years ago never had them biopsied.
To this day, my anxious mind has me worried that biopsies were never done. I go for regular skin cancer screenings and have been told there is nothing worrisome on my back (or any other location). Today I went to another screening which was hosted by the XXXXXXX Academy of Dermatology. I mentioned to the nurse practitioner who examined me about my worry and she said she wasn’t concerned and I had no suspicious spots. She examined the areas on my back of hypopigmentation and said they were fine. Unfortunately she made a comment that there could be a cell remaining from all those years ago. I understand about how clear margins are necessary for melanoma and severely atypical moles.
My question is this: if there had been anything dangerous with these lesions from all those years ago, would pigment and changes have occurred by now in the locations where they were removed? It’s not possible that a dangerous cell could somehow spread to another area of my body without showing any pigment or worrisome changes in the original area, is it? Thank you for your time and any reassurances which you can give me (I realize that this is a crazy question!)!
Brief Answer:
I am so FLATTERED that you would like me to opine on this question!
Detailed Answer:
Hey Kiddo....so nice to hear from you once again and I'm sorry your feeling a bit anxious over these skin lesions. I'm flattered by your desire to have me answer your questions on dermatology...too bad they weren't CAFE AU LAIT spots....more in my wheelhouse you understand! LOL.....but nonetheless.
Secondly, I'm happy to hear that you've sought additional consultation help from a therapist for your health anxiety using EMDR. I must confess that's NEW and NEWS to me so I am going to look into it and see if I can possibly recommend it to other patients I see that have similar sorts of problems. I have a gentleman right now from CT who actually came all the way to XXXXXXX to see me and wants to get involved in a program that I've suggested he consider through the VA Hospital to work on his health anxiety symptoms....sooooo.....with all that being said...HAHA!.......you wish for me to put on a dermatology hat for a minute even though I don't practice the field...I do try and help my daughter get over some eczema and dermatitis rashes that pop up but that's about it. More recently my wife has been noticing some darkening of a couple of moles on her scalp which I've looked at and recommended she have removed just for good measure because they appear to be getting darker. So, it's FUNNY YOUR QUESTION should appear. I've been reading about the natural progression of moles and other skin lesions both benign and cancerous as well as cancerous lesions, removed and how the process recrudescence and spread occur.
In your case, you've got some lesions which were removed 20 earthly revolutions around the sun ago and felt to be benign by your doctor. Furthermore, these lesions were never sent for biopsy (which is not all that UNCOMMON....though nowadays, most dermatologists would probably prefer to send specimens off...especially in a day and age where people are more aware of melanomas, etc.). Nevertheless, you're wondering whether or not anything could be amiss from the fact that no biopsies were taken.
To complicate things a bit more your understanding from an NP was that even though she did not see anything suspicious on the screening that she believed there could still be a cell left in the location where the lesion was removed years ago.
There is really no physical way that such a hypoothesized cell from 20 years ago could TRANSLOCATE from part of the body to another without some active form of invasive manipulation or surgery taking place in those lesion areas since the same cell from 20 years ago. Secondly, and more importantly, the supposition that the same cell remains static and quiescent while at the same time being "dangerous" is not possible. Any single cell that somehow escaped being removed by electrodessication is tens of thousands of mitotic generations away from what it was at the time of the procedure and so in reality, NO original cells of any type still exist in those hypopigmented areas. Furthermore, the fact they are HYPOpigmented is an indicator that the PIGMENTED elements for which you went to the dermatologist in the first place no longer exist. My guess is that a level of gliotic conversion (scarring) has taken place so that you really wouldn't have the same substrate of cells or even genetic material in those lesion spots anymore.
After this long changes would've certainly been expected to have occurred if what I'm saying were to the contrary. Make sense? The proof that the missed pathology analysis was a nonissue is exactly what has happened over the past 20 years...nothing....If moles are removed in the future then, of course, I'm sure you'll be certain to ask that pathology be done on the lesion to verify its identity but as of right now, I'm afraid I can only give you a CLEAN XXXXXXX OF SKIN HEALTH....even though I'm only a COCKEYED NEUROLOGIST! LOLOLOL!
I'm happy to say that even without looking at the other consultant's responses to this question before I took a stab at it that we seem to be in agreement. Which only tends to reinforce my belief in how sensibly and logically the body behaves. Time is so efficient at telling us what things can be as well as what they can't be and in your case my dear...it ain't anything but GOOD NEWS.
Again, it was a pleasure to be able and dialogue with you once again....I hope you can take my wholly INEXPERT opinion and weave it together with my dermatology colleague's thoughts and gain full solace in knowing that I fully expect for us to meet some day between here and there.....ESPECIALLY since I've now gained a patient in CT which opens up the prospect to my traveling yonder to visit...and so maybe a side trip could be arranged? Of course, Cedar Point is place that I still say would work wonders to take your mind off many (if not all) of these sorts of worries while at the same time swinging by MY OFFICE to say hello if you would do us the honor! HA!
Be well and please do tell me more about EMDR when you've had a fair chance to evaluate it....many could benefit if it works the way it is billed. Cheers Milady!
This query has required 85 minutes of time in research, analysis, and synthesis of a response.
I am so FLATTERED that you would like me to opine on this question!
Detailed Answer:
Hey Kiddo....so nice to hear from you once again and I'm sorry your feeling a bit anxious over these skin lesions. I'm flattered by your desire to have me answer your questions on dermatology...too bad they weren't CAFE AU LAIT spots....more in my wheelhouse you understand! LOL.....but nonetheless.
Secondly, I'm happy to hear that you've sought additional consultation help from a therapist for your health anxiety using EMDR. I must confess that's NEW and NEWS to me so I am going to look into it and see if I can possibly recommend it to other patients I see that have similar sorts of problems. I have a gentleman right now from CT who actually came all the way to XXXXXXX to see me and wants to get involved in a program that I've suggested he consider through the VA Hospital to work on his health anxiety symptoms....sooooo.....with all that being said...HAHA!.......you wish for me to put on a dermatology hat for a minute even though I don't practice the field...I do try and help my daughter get over some eczema and dermatitis rashes that pop up but that's about it. More recently my wife has been noticing some darkening of a couple of moles on her scalp which I've looked at and recommended she have removed just for good measure because they appear to be getting darker. So, it's FUNNY YOUR QUESTION should appear. I've been reading about the natural progression of moles and other skin lesions both benign and cancerous as well as cancerous lesions, removed and how the process recrudescence and spread occur.
In your case, you've got some lesions which were removed 20 earthly revolutions around the sun ago and felt to be benign by your doctor. Furthermore, these lesions were never sent for biopsy (which is not all that UNCOMMON....though nowadays, most dermatologists would probably prefer to send specimens off...especially in a day and age where people are more aware of melanomas, etc.). Nevertheless, you're wondering whether or not anything could be amiss from the fact that no biopsies were taken.
To complicate things a bit more your understanding from an NP was that even though she did not see anything suspicious on the screening that she believed there could still be a cell left in the location where the lesion was removed years ago.
There is really no physical way that such a hypoothesized cell from 20 years ago could TRANSLOCATE from part of the body to another without some active form of invasive manipulation or surgery taking place in those lesion areas since the same cell from 20 years ago. Secondly, and more importantly, the supposition that the same cell remains static and quiescent while at the same time being "dangerous" is not possible. Any single cell that somehow escaped being removed by electrodessication is tens of thousands of mitotic generations away from what it was at the time of the procedure and so in reality, NO original cells of any type still exist in those hypopigmented areas. Furthermore, the fact they are HYPOpigmented is an indicator that the PIGMENTED elements for which you went to the dermatologist in the first place no longer exist. My guess is that a level of gliotic conversion (scarring) has taken place so that you really wouldn't have the same substrate of cells or even genetic material in those lesion spots anymore.
After this long changes would've certainly been expected to have occurred if what I'm saying were to the contrary. Make sense? The proof that the missed pathology analysis was a nonissue is exactly what has happened over the past 20 years...nothing....If moles are removed in the future then, of course, I'm sure you'll be certain to ask that pathology be done on the lesion to verify its identity but as of right now, I'm afraid I can only give you a CLEAN XXXXXXX OF SKIN HEALTH....even though I'm only a COCKEYED NEUROLOGIST! LOLOLOL!
I'm happy to say that even without looking at the other consultant's responses to this question before I took a stab at it that we seem to be in agreement. Which only tends to reinforce my belief in how sensibly and logically the body behaves. Time is so efficient at telling us what things can be as well as what they can't be and in your case my dear...it ain't anything but GOOD NEWS.
Again, it was a pleasure to be able and dialogue with you once again....I hope you can take my wholly INEXPERT opinion and weave it together with my dermatology colleague's thoughts and gain full solace in knowing that I fully expect for us to meet some day between here and there.....ESPECIALLY since I've now gained a patient in CT which opens up the prospect to my traveling yonder to visit...and so maybe a side trip could be arranged? Of course, Cedar Point is place that I still say would work wonders to take your mind off many (if not all) of these sorts of worries while at the same time swinging by MY OFFICE to say hello if you would do us the honor! HA!
Be well and please do tell me more about EMDR when you've had a fair chance to evaluate it....many could benefit if it works the way it is billed. Cheers Milady!
This query has required 85 minutes of time in research, analysis, and synthesis of a response.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
I am so FLATTERED that you would like me to opine on this question!
Detailed Answer:
Hey Kiddo....so nice to hear from you once again and I'm sorry your feeling a bit anxious over these skin lesions. I'm flattered by your desire to have me answer your questions on dermatology...too bad they weren't CAFE AU LAIT spots....more in my wheelhouse you understand! LOL.....but nonetheless.
Secondly, I'm happy to hear that you've sought additional consultation help from a therapist for your health anxiety using EMDR. I must confess that's NEW and NEWS to me so I am going to look into it and see if I can possibly recommend it to other patients I see that have similar sorts of problems. I have a gentleman right now from CT who actually came all the way to XXXXXXX to see me and wants to get involved in a program that I've suggested he consider through the VA Hospital to work on his health anxiety symptoms....sooooo.....with all that being said...HAHA!.......you wish for me to put on a dermatology hat for a minute even though I don't practice the field...I do try and help my daughter get over some eczema and dermatitis rashes that pop up but that's about it. More recently my wife has been noticing some darkening of a couple of moles on her scalp which I've looked at and recommended she have removed just for good measure because they appear to be getting darker. So, it's FUNNY YOUR QUESTION should appear. I've been reading about the natural progression of moles and other skin lesions both benign and cancerous as well as cancerous lesions, removed and how the process recrudescence and spread occur.
In your case, you've got some lesions which were removed 20 earthly revolutions around the sun ago and felt to be benign by your doctor. Furthermore, these lesions were never sent for biopsy (which is not all that UNCOMMON....though nowadays, most dermatologists would probably prefer to send specimens off...especially in a day and age where people are more aware of melanomas, etc.). Nevertheless, you're wondering whether or not anything could be amiss from the fact that no biopsies were taken.
To complicate things a bit more your understanding from an NP was that even though she did not see anything suspicious on the screening that she believed there could still be a cell left in the location where the lesion was removed years ago.
There is really no physical way that such a hypoothesized cell from 20 years ago could TRANSLOCATE from part of the body to another without some active form of invasive manipulation or surgery taking place in those lesion areas since the same cell from 20 years ago. Secondly, and more importantly, the supposition that the same cell remains static and quiescent while at the same time being "dangerous" is not possible. Any single cell that somehow escaped being removed by electrodessication is tens of thousands of mitotic generations away from what it was at the time of the procedure and so in reality, NO original cells of any type still exist in those hypopigmented areas. Furthermore, the fact they are HYPOpigmented is an indicator that the PIGMENTED elements for which you went to the dermatologist in the first place no longer exist. My guess is that a level of gliotic conversion (scarring) has taken place so that you really wouldn't have the same substrate of cells or even genetic material in those lesion spots anymore.
After this long changes would've certainly been expected to have occurred if what I'm saying were to the contrary. Make sense? The proof that the missed pathology analysis was a nonissue is exactly what has happened over the past 20 years...nothing....If moles are removed in the future then, of course, I'm sure you'll be certain to ask that pathology be done on the lesion to verify its identity but as of right now, I'm afraid I can only give you a CLEAN XXXXXXX OF SKIN HEALTH....even though I'm only a COCKEYED NEUROLOGIST! LOLOLOL!
I'm happy to say that even without looking at the other consultant's responses to this question before I took a stab at it that we seem to be in agreement. Which only tends to reinforce my belief in how sensibly and logically the body behaves. Time is so efficient at telling us what things can be as well as what they can't be and in your case my dear...it ain't anything but GOOD NEWS.
Again, it was a pleasure to be able and dialogue with you once again....I hope you can take my wholly INEXPERT opinion and weave it together with my dermatology colleague's thoughts and gain full solace in knowing that I fully expect for us to meet some day between here and there.....ESPECIALLY since I've now gained a patient in CT which opens up the prospect to my traveling yonder to visit...and so maybe a side trip could be arranged? Of course, Cedar Point is place that I still say would work wonders to take your mind off many (if not all) of these sorts of worries while at the same time swinging by MY OFFICE to say hello if you would do us the honor! HA!
Be well and please do tell me more about EMDR when you've had a fair chance to evaluate it....many could benefit if it works the way it is billed. Cheers Milady!
This query has required 85 minutes of time in research, analysis, and synthesis of a response.
I am so FLATTERED that you would like me to opine on this question!
Detailed Answer:
Hey Kiddo....so nice to hear from you once again and I'm sorry your feeling a bit anxious over these skin lesions. I'm flattered by your desire to have me answer your questions on dermatology...too bad they weren't CAFE AU LAIT spots....more in my wheelhouse you understand! LOL.....but nonetheless.
Secondly, I'm happy to hear that you've sought additional consultation help from a therapist for your health anxiety using EMDR. I must confess that's NEW and NEWS to me so I am going to look into it and see if I can possibly recommend it to other patients I see that have similar sorts of problems. I have a gentleman right now from CT who actually came all the way to XXXXXXX to see me and wants to get involved in a program that I've suggested he consider through the VA Hospital to work on his health anxiety symptoms....sooooo.....with all that being said...HAHA!.......you wish for me to put on a dermatology hat for a minute even though I don't practice the field...I do try and help my daughter get over some eczema and dermatitis rashes that pop up but that's about it. More recently my wife has been noticing some darkening of a couple of moles on her scalp which I've looked at and recommended she have removed just for good measure because they appear to be getting darker. So, it's FUNNY YOUR QUESTION should appear. I've been reading about the natural progression of moles and other skin lesions both benign and cancerous as well as cancerous lesions, removed and how the process recrudescence and spread occur.
In your case, you've got some lesions which were removed 20 earthly revolutions around the sun ago and felt to be benign by your doctor. Furthermore, these lesions were never sent for biopsy (which is not all that UNCOMMON....though nowadays, most dermatologists would probably prefer to send specimens off...especially in a day and age where people are more aware of melanomas, etc.). Nevertheless, you're wondering whether or not anything could be amiss from the fact that no biopsies were taken.
To complicate things a bit more your understanding from an NP was that even though she did not see anything suspicious on the screening that she believed there could still be a cell left in the location where the lesion was removed years ago.
There is really no physical way that such a hypoothesized cell from 20 years ago could TRANSLOCATE from part of the body to another without some active form of invasive manipulation or surgery taking place in those lesion areas since the same cell from 20 years ago. Secondly, and more importantly, the supposition that the same cell remains static and quiescent while at the same time being "dangerous" is not possible. Any single cell that somehow escaped being removed by electrodessication is tens of thousands of mitotic generations away from what it was at the time of the procedure and so in reality, NO original cells of any type still exist in those hypopigmented areas. Furthermore, the fact they are HYPOpigmented is an indicator that the PIGMENTED elements for which you went to the dermatologist in the first place no longer exist. My guess is that a level of gliotic conversion (scarring) has taken place so that you really wouldn't have the same substrate of cells or even genetic material in those lesion spots anymore.
After this long changes would've certainly been expected to have occurred if what I'm saying were to the contrary. Make sense? The proof that the missed pathology analysis was a nonissue is exactly what has happened over the past 20 years...nothing....If moles are removed in the future then, of course, I'm sure you'll be certain to ask that pathology be done on the lesion to verify its identity but as of right now, I'm afraid I can only give you a CLEAN XXXXXXX OF SKIN HEALTH....even though I'm only a COCKEYED NEUROLOGIST! LOLOLOL!
I'm happy to say that even without looking at the other consultant's responses to this question before I took a stab at it that we seem to be in agreement. Which only tends to reinforce my belief in how sensibly and logically the body behaves. Time is so efficient at telling us what things can be as well as what they can't be and in your case my dear...it ain't anything but GOOD NEWS.
Again, it was a pleasure to be able and dialogue with you once again....I hope you can take my wholly INEXPERT opinion and weave it together with my dermatology colleague's thoughts and gain full solace in knowing that I fully expect for us to meet some day between here and there.....ESPECIALLY since I've now gained a patient in CT which opens up the prospect to my traveling yonder to visit...and so maybe a side trip could be arranged? Of course, Cedar Point is place that I still say would work wonders to take your mind off many (if not all) of these sorts of worries while at the same time swinging by MY OFFICE to say hello if you would do us the honor! HA!
Be well and please do tell me more about EMDR when you've had a fair chance to evaluate it....many could benefit if it works the way it is billed. Cheers Milady!
This query has required 85 minutes of time in research, analysis, and synthesis of a response.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
My dear friend Dr. Saghafi -- hearing from you and reading your response made me not only breathe a huge XXXXXXX of relief, but perhaps more importantly, made me realize how much I've missed you and our discourse! Although i haven't posed queries on this site since we last corresponded, I can say that you have been on my mind and I oftentimes look back at the great conversations which we have had!
So, as for the business at hand, thank you immensely for your reassuring and informative response! While you are not a derm, I knew all too well that you would be able to analyze and dissect my theoretical and neurotic query! My lord, only the mind of Missy could think that way and come up with such an irrational worry! I must confess, and you won't be surprised, that I managed to just have an appointment for yet another skin screening at a new derm's office, which happened to have an opening today lol!! Although I have been pleased with my current derm, there have been some changes at their office, which have made me contemplate making a switch. In any event, the kind and lovely PA from today looked me over with a fine tooth comb, and like you, dispelled my irrational fear. I think that seeing how these derms conduct business nowadays with pictures and measuring and such made me all the more worried about what my PCP DID NOT do twenty years ago with my darned spots! My hubby went for the free skin screening over the weekend as well -- The XXXXXXX Academy of Dermatology has a great website and lists dates and times for free skin screenings hosted by local derms, and we always take advantage of that yearly. In any event, my hubby, who, unlike me, has very little in terms of pigmented spots, was checked with a fine tooth comb by the derm, who even measured every little mark and mapped the same; again, seeing how some derms do it re-ignited my longstanding irrational worry from twenty years ago (incidentally, my old time PCP was a brilliant and kind XXXXXXX doctor who was always "spot on" - no pun intended - with his diagnoses, so I have no idea why I've ever thought twice about my "spot removal").
While you are undoubtedly inordinately busy, when you ever have any down time, it would be an extremely interesting read for you to check into EMDR therapy -- it was originated by XXXXXXX Shapiro back in the 1980's, who has authored several books on the subject, one of which I've read already. As I indicated, it has a proven track record of high success. In non-eloquent terminology, it essentially works to "re-process" traumatic memories that were incorrectly processed in the first place, using the patient's own rapid eye movements (akin to REM sleep) to dampen the power of the traumatic memories and reprocess them in the correct area of the brain. I am quite excited to continue on with it and hope that this therapeutic approach helps more so than my prior talk therapy did.
So how have you and your family been doing, and do you have any fun plans for the summer? I presume you're still busy with your wrestling and musical extracurricular activities?
And yes, I would still love to meet up with you in person some day! You have no idea how much it has meant to me to have what I consider a "friend", who just happens to be a brilliant neurologist, to turn to!!
Have a wonderful day!! Missy :)
So, as for the business at hand, thank you immensely for your reassuring and informative response! While you are not a derm, I knew all too well that you would be able to analyze and dissect my theoretical and neurotic query! My lord, only the mind of Missy could think that way and come up with such an irrational worry! I must confess, and you won't be surprised, that I managed to just have an appointment for yet another skin screening at a new derm's office, which happened to have an opening today lol!! Although I have been pleased with my current derm, there have been some changes at their office, which have made me contemplate making a switch. In any event, the kind and lovely PA from today looked me over with a fine tooth comb, and like you, dispelled my irrational fear. I think that seeing how these derms conduct business nowadays with pictures and measuring and such made me all the more worried about what my PCP DID NOT do twenty years ago with my darned spots! My hubby went for the free skin screening over the weekend as well -- The XXXXXXX Academy of Dermatology has a great website and lists dates and times for free skin screenings hosted by local derms, and we always take advantage of that yearly. In any event, my hubby, who, unlike me, has very little in terms of pigmented spots, was checked with a fine tooth comb by the derm, who even measured every little mark and mapped the same; again, seeing how some derms do it re-ignited my longstanding irrational worry from twenty years ago (incidentally, my old time PCP was a brilliant and kind XXXXXXX doctor who was always "spot on" - no pun intended - with his diagnoses, so I have no idea why I've ever thought twice about my "spot removal").
While you are undoubtedly inordinately busy, when you ever have any down time, it would be an extremely interesting read for you to check into EMDR therapy -- it was originated by XXXXXXX Shapiro back in the 1980's, who has authored several books on the subject, one of which I've read already. As I indicated, it has a proven track record of high success. In non-eloquent terminology, it essentially works to "re-process" traumatic memories that were incorrectly processed in the first place, using the patient's own rapid eye movements (akin to REM sleep) to dampen the power of the traumatic memories and reprocess them in the correct area of the brain. I am quite excited to continue on with it and hope that this therapeutic approach helps more so than my prior talk therapy did.
So how have you and your family been doing, and do you have any fun plans for the summer? I presume you're still busy with your wrestling and musical extracurricular activities?
And yes, I would still love to meet up with you in person some day! You have no idea how much it has meant to me to have what I consider a "friend", who just happens to be a brilliant neurologist, to turn to!!
Have a wonderful day!! Missy :)
My dear friend Dr. Saghafi -- hearing from you and reading your response made me not only breathe a huge XXXXXXX of relief, but perhaps more importantly, made me realize how much I've missed you and our discourse! Although i haven't posed queries on this site since we last corresponded, I can say that you have been on my mind and I oftentimes look back at the great conversations which we have had!
So, as for the business at hand, thank you immensely for your reassuring and informative response! While you are not a derm, I knew all too well that you would be able to analyze and dissect my theoretical and neurotic query! My lord, only the mind of Missy could think that way and come up with such an irrational worry! I must confess, and you won't be surprised, that I managed to just have an appointment for yet another skin screening at a new derm's office, which happened to have an opening today lol!! Although I have been pleased with my current derm, there have been some changes at their office, which have made me contemplate making a switch. In any event, the kind and lovely PA from today looked me over with a fine tooth comb, and like you, dispelled my irrational fear. I think that seeing how these derms conduct business nowadays with pictures and measuring and such made me all the more worried about what my PCP DID NOT do twenty years ago with my darned spots! My hubby went for the free skin screening over the weekend as well -- The XXXXXXX Academy of Dermatology has a great website and lists dates and times for free skin screenings hosted by local derms, and we always take advantage of that yearly. In any event, my hubby, who, unlike me, has very little in terms of pigmented spots, was checked with a fine tooth comb by the derm, who even measured every little mark and mapped the same; again, seeing how some derms do it re-ignited my longstanding irrational worry from twenty years ago (incidentally, my old time PCP was a brilliant and kind XXXXXXX doctor who was always "spot on" - no pun intended - with his diagnoses, so I have no idea why I've ever thought twice about my "spot removal").
While you are undoubtedly inordinately busy, when you ever have any down time, it would be an extremely interesting read for you to check into EMDR therapy -- it was originated by XXXXXXX Shapiro back in the 1980's, who has authored several books on the subject, one of which I've read already. As I indicated, it has a proven track record of high success. In non-eloquent terminology, it essentially works to "re-process" traumatic memories that were incorrectly processed in the first place, using the patient's own rapid eye movements (akin to REM sleep) to dampen the power of the traumatic memories and reprocess them in the correct area of the brain. I am quite excited to continue on with it and hope that this therapeutic approach helps more so than my prior talk therapy did.
So how have you and your family been doing, and do you have any fun plans for the summer? I presume you're still busy with your wrestling and musical extracurricular activities?
And yes, I would still love to meet up with you in person some day! You have no idea how much it has meant to me to have what I consider a "friend", who just happens to be a brilliant neurologist, to turn to!!
Have a wonderful day!! Missy :)
So, as for the business at hand, thank you immensely for your reassuring and informative response! While you are not a derm, I knew all too well that you would be able to analyze and dissect my theoretical and neurotic query! My lord, only the mind of Missy could think that way and come up with such an irrational worry! I must confess, and you won't be surprised, that I managed to just have an appointment for yet another skin screening at a new derm's office, which happened to have an opening today lol!! Although I have been pleased with my current derm, there have been some changes at their office, which have made me contemplate making a switch. In any event, the kind and lovely PA from today looked me over with a fine tooth comb, and like you, dispelled my irrational fear. I think that seeing how these derms conduct business nowadays with pictures and measuring and such made me all the more worried about what my PCP DID NOT do twenty years ago with my darned spots! My hubby went for the free skin screening over the weekend as well -- The XXXXXXX Academy of Dermatology has a great website and lists dates and times for free skin screenings hosted by local derms, and we always take advantage of that yearly. In any event, my hubby, who, unlike me, has very little in terms of pigmented spots, was checked with a fine tooth comb by the derm, who even measured every little mark and mapped the same; again, seeing how some derms do it re-ignited my longstanding irrational worry from twenty years ago (incidentally, my old time PCP was a brilliant and kind XXXXXXX doctor who was always "spot on" - no pun intended - with his diagnoses, so I have no idea why I've ever thought twice about my "spot removal").
While you are undoubtedly inordinately busy, when you ever have any down time, it would be an extremely interesting read for you to check into EMDR therapy -- it was originated by XXXXXXX Shapiro back in the 1980's, who has authored several books on the subject, one of which I've read already. As I indicated, it has a proven track record of high success. In non-eloquent terminology, it essentially works to "re-process" traumatic memories that were incorrectly processed in the first place, using the patient's own rapid eye movements (akin to REM sleep) to dampen the power of the traumatic memories and reprocess them in the correct area of the brain. I am quite excited to continue on with it and hope that this therapeutic approach helps more so than my prior talk therapy did.
So how have you and your family been doing, and do you have any fun plans for the summer? I presume you're still busy with your wrestling and musical extracurricular activities?
And yes, I would still love to meet up with you in person some day! You have no idea how much it has meant to me to have what I consider a "friend", who just happens to be a brilliant neurologist, to turn to!!
Have a wonderful day!! Missy :)
Brief Answer:
As always I will enjoy answering your questions "BOTTOMS UP!"
Detailed Answer:
And, I too look forward to when you and your hubby may pass this way some time and meet us XXXXXXX ..perhaps, on your way to the most incredible Theme Park in the World (Cedar Point)....or to visit the one and ONLY Rock And Roll of Fame, catch a Baseball game to see our TRIBE march toward a PENNANT this year, how about catch a RUGBY game of the XXXXXXX ROVERS, Grandest of all Mens' Rugby Team in the NE Ohio quadrant of the State? Or maybe a concert by the XXXXXXX Orchestra dubbed by Mitsuko Uchida (Internationally Acclaimed Concert Pianist) as only 1 of 2 ensembles worldwide she will agree to direct from the Piano when performing Mozart Concerti due to their inimitable Classical style and flare that many critics and music scholars believe represents the closest the 21st century will ever get to reproducing the sounds that Mozart himself would've considered faithful to his writings.
How are we doing? Well, we're just celebrating all sorts of incredible happenings having to do with kids graduating, transferring schools, qualifying for World and International Competition Games, winning International Sporting Events, preparing for medical school.....just waiting basically for the money to run out....and that should be happening...well, in about the next 10 days! LOLOLOL! But somehow, SOMEWAY we always make more appear. Plus, I'm going to motivate my daughter to at least place TOP 20 at the World Games coming up in XXXXXXX WI in July. Top prize is $300,000 (5 zeros)....We'll settle for anything in the top 20 I told her! You've heard about parents making their kids go to work for the family? Well, in our case we're making our daughter get FIT, FITTER, and FITTEST so she comes out of this next competition in July of weightlifting, box jumping, Assault Cycling, and walking around with 70 lb dumbbells above her head with one of those JUMBO CARDBOARD CHECKS! LOL! She's not allowed to come home from the gym until she wears through her weight belt and lifting shoes! I've got a whole bunch of fresh shoes and belts waiting for her every night from here till July. HA! We're just so proud of her taking 13th place this weekend at the Rogue Invitational Crossfit Tournament in XXXXXXX OH. She had gotten as high as 11th but then, she ran into some girls who are just Amazonian....not to mention on average 6-8 inches taller which means she has to expend twice as much energy as these girls just by walking out from the back staging area to the lanes to start the competition! LOL.... She did so incredibly well for the competition that she was against. AT least half of the girls in this have been to World competition while this is Feeroozeh's 1st time and so they are not only more used to the increased intensity of the exercises (When you're competing for a $50K 1st prize, I guess so, huh???) but they are used to competing against each other. She's never competed against this batch of girls before so it was a new experience to go against women whose thighs were as wide as her shoulders! LOL. Anyways, sorry for the rambling, HOW ABOUT YOUR FAMILY?
We just finished our last Spring season game for 15's rugby and tomorrow are the tryouts for 7's. My son wants to play on our team as well so this will be interesting to see how father and son do while trying out for the same team! LOL! Could be a first in Sports history...at least XXXXXXX Rovers Sports History. I'm also getting the word out around town that I'm looking to put together an Old Man's Wrestling Club. I want a competitive club to enter into some larger scale tournaments such as the Midlands, the U.S. Open, other collegiate opens, etc. Age is but a number...a 2 digit number and so from that aspect of things....we have the same numbers as the young collegiates....2 digit numbers! HAHA! Oh, one other thing I forgot to mention....playing in the musical THE SECRET GARDEN in XXXXXXX ...I've never performed that play...looking forward....do you play a musical instrument of any sort?
EMDR....I am DEFINITELY interested in learning more about it and seeing how applicable it can be to my population of patients. I'm going to see if anybody at the VA is aware of this technique and exploit it for all I can.....you'll keep me in the loop Missy Dear and give me your honest to goodness opinion on how this is helping (or not) you. You'll recall that I had AGREED with you that your other therapist...even though a nice person and all, didn't seem to have the right key to help move you down the track....and that's what we want. Of course, I have to admit a bit selfishly here...that if it weren't for your HEALTH ANXIETY condition and your insistence to be looking for multiple opinions online and elsewhere about things.....well, we shan't have met...at least not at this time! That would've been a very sad thing to think of having happened.....BUT, LUCKILY, your therapist couldn't cure you on a timely schedule and here you are TEACHING ME about EMDR! HA!
And so, getting to the TOP of your writing....I must say again, that you really should be giving the compliments to people who deserve having done something for you....all I do is try to get you to come to Ohio and improve our ECONOMY! I keep forgetting that I'm dealing with someone who will go toe to toe with Big Microwave Tower Giants and cause them to have nightmares when they thought they would be having visions of Sugar Plums dancing in their heads! But I graciously accept the fact that perhaps the little bit of summation I can give to what other PROFESSIONAL DERMATOLOGISTS have told you was worth the WRITE....(BTW, I too have had you on my mind for at least a week or 2 wondering just how best to contact you?) just to see how things were going since I was truly concerned that your therapist, though trying her best, I'm sure, just wasn't making the kind of head way we needed from her and that perhaps, she had run out of ideas to put you on a better course.
This really does take not only practice but as I explained to my other patient with HA, it takes TIME....I know you said EMDR gets you quick results.....but in my opinion my dear Missy, with something like HA....I don't think you really want the change to the brain to be "quick".....you are not a robot or machine who can wholly flip a switch so that every fiber and every cell in your body suddenly behaves as if HA never existed.....even Cyborgs can develop sentiments and feelings which cannot be erased by turning your CHEST BUTTONS on and off.....you know what I mean?
I wouldn't really want to see you engage in anything that promises in such rapid progress because NEUROPLASTICITY doesn't work like that....and now, we're talking a little bit of something I know something about....circuits can be rerouted, new engrams can be developed and laid down so that brand new experiences and memories which do happen spontaneously can occur.....but in order for the OLD PATHWAYS to not be a risk to you anymore...they need to be shutdown completely AND SEALED so they cannot be entered again (sort of like the big stone they roll over a tomb....nobody gets in....nobody gets out....EVER....unless your name is Lazarus! LOLOL). I can't see a system that works to change brain networking or circuitry that quickly can really develop such a stone to roll across the tomb except over a matter of weeks or months....I know you don't want that long...nor do I if you don't have to....but I think the results over the long haul are more guaranteed if it does turn out to be a more long term project rather than not.
I would go on enthusiastic and open minded for the experience....but honey, ENJOY IT...feel it, let it touch you....and lap in the sensation....I'm being very melodramatic for not knowing anything about this blessed system....but again, from what I do know about hypnotism, relaxation therapy, biofeedback, and the least can go on and on....the best outcomes are in people who focus thoughts and feelings on ENJOYING as much of the experience as you possibly can....meditation is what it is because for the numbers of hours a person can literally be in a trance....when they finally come back out....the total time may only seem like a few seconds....but in reality it was for much, much, longer, perhaps hours....those Tibetan monks can do it for DAYS at a time!
Ok dearest Missy....I shall let you go for the evening (or the morning)....I'm recovering from a cold so please don't get too close, I don't want to give you anything....although I did get my sense of taste back this evening while I lapped up the soup my wife made for me while writing this to you!......Have a lovely evening....I look forward to hearing your thoughts on everything you would like to tell me about......especially YOUR PROJECTS, YOUR FUN THINGS FOR SUMMER.....so have at it Milady!
As always I will enjoy answering your questions "BOTTOMS UP!"
Detailed Answer:
And, I too look forward to when you and your hubby may pass this way some time and meet us XXXXXXX ..perhaps, on your way to the most incredible Theme Park in the World (Cedar Point)....or to visit the one and ONLY Rock And Roll of Fame, catch a Baseball game to see our TRIBE march toward a PENNANT this year, how about catch a RUGBY game of the XXXXXXX ROVERS, Grandest of all Mens' Rugby Team in the NE Ohio quadrant of the State? Or maybe a concert by the XXXXXXX Orchestra dubbed by Mitsuko Uchida (Internationally Acclaimed Concert Pianist) as only 1 of 2 ensembles worldwide she will agree to direct from the Piano when performing Mozart Concerti due to their inimitable Classical style and flare that many critics and music scholars believe represents the closest the 21st century will ever get to reproducing the sounds that Mozart himself would've considered faithful to his writings.
How are we doing? Well, we're just celebrating all sorts of incredible happenings having to do with kids graduating, transferring schools, qualifying for World and International Competition Games, winning International Sporting Events, preparing for medical school.....just waiting basically for the money to run out....and that should be happening...well, in about the next 10 days! LOLOLOL! But somehow, SOMEWAY we always make more appear. Plus, I'm going to motivate my daughter to at least place TOP 20 at the World Games coming up in XXXXXXX WI in July. Top prize is $300,000 (5 zeros)....We'll settle for anything in the top 20 I told her! You've heard about parents making their kids go to work for the family? Well, in our case we're making our daughter get FIT, FITTER, and FITTEST so she comes out of this next competition in July of weightlifting, box jumping, Assault Cycling, and walking around with 70 lb dumbbells above her head with one of those JUMBO CARDBOARD CHECKS! LOL! She's not allowed to come home from the gym until she wears through her weight belt and lifting shoes! I've got a whole bunch of fresh shoes and belts waiting for her every night from here till July. HA! We're just so proud of her taking 13th place this weekend at the Rogue Invitational Crossfit Tournament in XXXXXXX OH. She had gotten as high as 11th but then, she ran into some girls who are just Amazonian....not to mention on average 6-8 inches taller which means she has to expend twice as much energy as these girls just by walking out from the back staging area to the lanes to start the competition! LOL.... She did so incredibly well for the competition that she was against. AT least half of the girls in this have been to World competition while this is Feeroozeh's 1st time and so they are not only more used to the increased intensity of the exercises (When you're competing for a $50K 1st prize, I guess so, huh???) but they are used to competing against each other. She's never competed against this batch of girls before so it was a new experience to go against women whose thighs were as wide as her shoulders! LOL. Anyways, sorry for the rambling, HOW ABOUT YOUR FAMILY?
We just finished our last Spring season game for 15's rugby and tomorrow are the tryouts for 7's. My son wants to play on our team as well so this will be interesting to see how father and son do while trying out for the same team! LOL! Could be a first in Sports history...at least XXXXXXX Rovers Sports History. I'm also getting the word out around town that I'm looking to put together an Old Man's Wrestling Club. I want a competitive club to enter into some larger scale tournaments such as the Midlands, the U.S. Open, other collegiate opens, etc. Age is but a number...a 2 digit number and so from that aspect of things....we have the same numbers as the young collegiates....2 digit numbers! HAHA! Oh, one other thing I forgot to mention....playing in the musical THE SECRET GARDEN in XXXXXXX ...I've never performed that play...looking forward....do you play a musical instrument of any sort?
EMDR....I am DEFINITELY interested in learning more about it and seeing how applicable it can be to my population of patients. I'm going to see if anybody at the VA is aware of this technique and exploit it for all I can.....you'll keep me in the loop Missy Dear and give me your honest to goodness opinion on how this is helping (or not) you. You'll recall that I had AGREED with you that your other therapist...even though a nice person and all, didn't seem to have the right key to help move you down the track....and that's what we want. Of course, I have to admit a bit selfishly here...that if it weren't for your HEALTH ANXIETY condition and your insistence to be looking for multiple opinions online and elsewhere about things.....well, we shan't have met...at least not at this time! That would've been a very sad thing to think of having happened.....BUT, LUCKILY, your therapist couldn't cure you on a timely schedule and here you are TEACHING ME about EMDR! HA!
And so, getting to the TOP of your writing....I must say again, that you really should be giving the compliments to people who deserve having done something for you....all I do is try to get you to come to Ohio and improve our ECONOMY! I keep forgetting that I'm dealing with someone who will go toe to toe with Big Microwave Tower Giants and cause them to have nightmares when they thought they would be having visions of Sugar Plums dancing in their heads! But I graciously accept the fact that perhaps the little bit of summation I can give to what other PROFESSIONAL DERMATOLOGISTS have told you was worth the WRITE....(BTW, I too have had you on my mind for at least a week or 2 wondering just how best to contact you?) just to see how things were going since I was truly concerned that your therapist, though trying her best, I'm sure, just wasn't making the kind of head way we needed from her and that perhaps, she had run out of ideas to put you on a better course.
This really does take not only practice but as I explained to my other patient with HA, it takes TIME....I know you said EMDR gets you quick results.....but in my opinion my dear Missy, with something like HA....I don't think you really want the change to the brain to be "quick".....you are not a robot or machine who can wholly flip a switch so that every fiber and every cell in your body suddenly behaves as if HA never existed.....even Cyborgs can develop sentiments and feelings which cannot be erased by turning your CHEST BUTTONS on and off.....you know what I mean?
I wouldn't really want to see you engage in anything that promises in such rapid progress because NEUROPLASTICITY doesn't work like that....and now, we're talking a little bit of something I know something about....circuits can be rerouted, new engrams can be developed and laid down so that brand new experiences and memories which do happen spontaneously can occur.....but in order for the OLD PATHWAYS to not be a risk to you anymore...they need to be shutdown completely AND SEALED so they cannot be entered again (sort of like the big stone they roll over a tomb....nobody gets in....nobody gets out....EVER....unless your name is Lazarus! LOLOL). I can't see a system that works to change brain networking or circuitry that quickly can really develop such a stone to roll across the tomb except over a matter of weeks or months....I know you don't want that long...nor do I if you don't have to....but I think the results over the long haul are more guaranteed if it does turn out to be a more long term project rather than not.
I would go on enthusiastic and open minded for the experience....but honey, ENJOY IT...feel it, let it touch you....and lap in the sensation....I'm being very melodramatic for not knowing anything about this blessed system....but again, from what I do know about hypnotism, relaxation therapy, biofeedback, and the least can go on and on....the best outcomes are in people who focus thoughts and feelings on ENJOYING as much of the experience as you possibly can....meditation is what it is because for the numbers of hours a person can literally be in a trance....when they finally come back out....the total time may only seem like a few seconds....but in reality it was for much, much, longer, perhaps hours....those Tibetan monks can do it for DAYS at a time!
Ok dearest Missy....I shall let you go for the evening (or the morning)....I'm recovering from a cold so please don't get too close, I don't want to give you anything....although I did get my sense of taste back this evening while I lapped up the soup my wife made for me while writing this to you!......Have a lovely evening....I look forward to hearing your thoughts on everything you would like to tell me about......especially YOUR PROJECTS, YOUR FUN THINGS FOR SUMMER.....so have at it Milady!
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
As always I will enjoy answering your questions "BOTTOMS UP!"
Detailed Answer:
And, I too look forward to when you and your hubby may pass this way some time and meet us XXXXXXX ..perhaps, on your way to the most incredible Theme Park in the World (Cedar Point)....or to visit the one and ONLY Rock And Roll of Fame, catch a Baseball game to see our TRIBE march toward a PENNANT this year, how about catch a RUGBY game of the XXXXXXX ROVERS, Grandest of all Mens' Rugby Team in the NE Ohio quadrant of the State? Or maybe a concert by the XXXXXXX Orchestra dubbed by Mitsuko Uchida (Internationally Acclaimed Concert Pianist) as only 1 of 2 ensembles worldwide she will agree to direct from the Piano when performing Mozart Concerti due to their inimitable Classical style and flare that many critics and music scholars believe represents the closest the 21st century will ever get to reproducing the sounds that Mozart himself would've considered faithful to his writings.
How are we doing? Well, we're just celebrating all sorts of incredible happenings having to do with kids graduating, transferring schools, qualifying for World and International Competition Games, winning International Sporting Events, preparing for medical school.....just waiting basically for the money to run out....and that should be happening...well, in about the next 10 days! LOLOLOL! But somehow, SOMEWAY we always make more appear. Plus, I'm going to motivate my daughter to at least place TOP 20 at the World Games coming up in XXXXXXX WI in July. Top prize is $300,000 (5 zeros)....We'll settle for anything in the top 20 I told her! You've heard about parents making their kids go to work for the family? Well, in our case we're making our daughter get FIT, FITTER, and FITTEST so she comes out of this next competition in July of weightlifting, box jumping, Assault Cycling, and walking around with 70 lb dumbbells above her head with one of those JUMBO CARDBOARD CHECKS! LOL! She's not allowed to come home from the gym until she wears through her weight belt and lifting shoes! I've got a whole bunch of fresh shoes and belts waiting for her every night from here till July. HA! We're just so proud of her taking 13th place this weekend at the Rogue Invitational Crossfit Tournament in XXXXXXX OH. She had gotten as high as 11th but then, she ran into some girls who are just Amazonian....not to mention on average 6-8 inches taller which means she has to expend twice as much energy as these girls just by walking out from the back staging area to the lanes to start the competition! LOL.... She did so incredibly well for the competition that she was against. AT least half of the girls in this have been to World competition while this is Feeroozeh's 1st time and so they are not only more used to the increased intensity of the exercises (When you're competing for a $50K 1st prize, I guess so, huh???) but they are used to competing against each other. She's never competed against this batch of girls before so it was a new experience to go against women whose thighs were as wide as her shoulders! LOL. Anyways, sorry for the rambling, HOW ABOUT YOUR FAMILY?
We just finished our last Spring season game for 15's rugby and tomorrow are the tryouts for 7's. My son wants to play on our team as well so this will be interesting to see how father and son do while trying out for the same team! LOL! Could be a first in Sports history...at least XXXXXXX Rovers Sports History. I'm also getting the word out around town that I'm looking to put together an Old Man's Wrestling Club. I want a competitive club to enter into some larger scale tournaments such as the Midlands, the U.S. Open, other collegiate opens, etc. Age is but a number...a 2 digit number and so from that aspect of things....we have the same numbers as the young collegiates....2 digit numbers! HAHA! Oh, one other thing I forgot to mention....playing in the musical THE SECRET GARDEN in XXXXXXX ...I've never performed that play...looking forward....do you play a musical instrument of any sort?
EMDR....I am DEFINITELY interested in learning more about it and seeing how applicable it can be to my population of patients. I'm going to see if anybody at the VA is aware of this technique and exploit it for all I can.....you'll keep me in the loop Missy Dear and give me your honest to goodness opinion on how this is helping (or not) you. You'll recall that I had AGREED with you that your other therapist...even though a nice person and all, didn't seem to have the right key to help move you down the track....and that's what we want. Of course, I have to admit a bit selfishly here...that if it weren't for your HEALTH ANXIETY condition and your insistence to be looking for multiple opinions online and elsewhere about things.....well, we shan't have met...at least not at this time! That would've been a very sad thing to think of having happened.....BUT, LUCKILY, your therapist couldn't cure you on a timely schedule and here you are TEACHING ME about EMDR! HA!
And so, getting to the TOP of your writing....I must say again, that you really should be giving the compliments to people who deserve having done something for you....all I do is try to get you to come to Ohio and improve our ECONOMY! I keep forgetting that I'm dealing with someone who will go toe to toe with Big Microwave Tower Giants and cause them to have nightmares when they thought they would be having visions of Sugar Plums dancing in their heads! But I graciously accept the fact that perhaps the little bit of summation I can give to what other PROFESSIONAL DERMATOLOGISTS have told you was worth the WRITE....(BTW, I too have had you on my mind for at least a week or 2 wondering just how best to contact you?) just to see how things were going since I was truly concerned that your therapist, though trying her best, I'm sure, just wasn't making the kind of head way we needed from her and that perhaps, she had run out of ideas to put you on a better course.
This really does take not only practice but as I explained to my other patient with HA, it takes TIME....I know you said EMDR gets you quick results.....but in my opinion my dear Missy, with something like HA....I don't think you really want the change to the brain to be "quick".....you are not a robot or machine who can wholly flip a switch so that every fiber and every cell in your body suddenly behaves as if HA never existed.....even Cyborgs can develop sentiments and feelings which cannot be erased by turning your CHEST BUTTONS on and off.....you know what I mean?
I wouldn't really want to see you engage in anything that promises in such rapid progress because NEUROPLASTICITY doesn't work like that....and now, we're talking a little bit of something I know something about....circuits can be rerouted, new engrams can be developed and laid down so that brand new experiences and memories which do happen spontaneously can occur.....but in order for the OLD PATHWAYS to not be a risk to you anymore...they need to be shutdown completely AND SEALED so they cannot be entered again (sort of like the big stone they roll over a tomb....nobody gets in....nobody gets out....EVER....unless your name is Lazarus! LOLOL). I can't see a system that works to change brain networking or circuitry that quickly can really develop such a stone to roll across the tomb except over a matter of weeks or months....I know you don't want that long...nor do I if you don't have to....but I think the results over the long haul are more guaranteed if it does turn out to be a more long term project rather than not.
I would go on enthusiastic and open minded for the experience....but honey, ENJOY IT...feel it, let it touch you....and lap in the sensation....I'm being very melodramatic for not knowing anything about this blessed system....but again, from what I do know about hypnotism, relaxation therapy, biofeedback, and the least can go on and on....the best outcomes are in people who focus thoughts and feelings on ENJOYING as much of the experience as you possibly can....meditation is what it is because for the numbers of hours a person can literally be in a trance....when they finally come back out....the total time may only seem like a few seconds....but in reality it was for much, much, longer, perhaps hours....those Tibetan monks can do it for DAYS at a time!
Ok dearest Missy....I shall let you go for the evening (or the morning)....I'm recovering from a cold so please don't get too close, I don't want to give you anything....although I did get my sense of taste back this evening while I lapped up the soup my wife made for me while writing this to you!......Have a lovely evening....I look forward to hearing your thoughts on everything you would like to tell me about......especially YOUR PROJECTS, YOUR FUN THINGS FOR SUMMER.....so have at it Milady!
As always I will enjoy answering your questions "BOTTOMS UP!"
Detailed Answer:
And, I too look forward to when you and your hubby may pass this way some time and meet us XXXXXXX ..perhaps, on your way to the most incredible Theme Park in the World (Cedar Point)....or to visit the one and ONLY Rock And Roll of Fame, catch a Baseball game to see our TRIBE march toward a PENNANT this year, how about catch a RUGBY game of the XXXXXXX ROVERS, Grandest of all Mens' Rugby Team in the NE Ohio quadrant of the State? Or maybe a concert by the XXXXXXX Orchestra dubbed by Mitsuko Uchida (Internationally Acclaimed Concert Pianist) as only 1 of 2 ensembles worldwide she will agree to direct from the Piano when performing Mozart Concerti due to their inimitable Classical style and flare that many critics and music scholars believe represents the closest the 21st century will ever get to reproducing the sounds that Mozart himself would've considered faithful to his writings.
How are we doing? Well, we're just celebrating all sorts of incredible happenings having to do with kids graduating, transferring schools, qualifying for World and International Competition Games, winning International Sporting Events, preparing for medical school.....just waiting basically for the money to run out....and that should be happening...well, in about the next 10 days! LOLOLOL! But somehow, SOMEWAY we always make more appear. Plus, I'm going to motivate my daughter to at least place TOP 20 at the World Games coming up in XXXXXXX WI in July. Top prize is $300,000 (5 zeros)....We'll settle for anything in the top 20 I told her! You've heard about parents making their kids go to work for the family? Well, in our case we're making our daughter get FIT, FITTER, and FITTEST so she comes out of this next competition in July of weightlifting, box jumping, Assault Cycling, and walking around with 70 lb dumbbells above her head with one of those JUMBO CARDBOARD CHECKS! LOL! She's not allowed to come home from the gym until she wears through her weight belt and lifting shoes! I've got a whole bunch of fresh shoes and belts waiting for her every night from here till July. HA! We're just so proud of her taking 13th place this weekend at the Rogue Invitational Crossfit Tournament in XXXXXXX OH. She had gotten as high as 11th but then, she ran into some girls who are just Amazonian....not to mention on average 6-8 inches taller which means she has to expend twice as much energy as these girls just by walking out from the back staging area to the lanes to start the competition! LOL.... She did so incredibly well for the competition that she was against. AT least half of the girls in this have been to World competition while this is Feeroozeh's 1st time and so they are not only more used to the increased intensity of the exercises (When you're competing for a $50K 1st prize, I guess so, huh???) but they are used to competing against each other. She's never competed against this batch of girls before so it was a new experience to go against women whose thighs were as wide as her shoulders! LOL. Anyways, sorry for the rambling, HOW ABOUT YOUR FAMILY?
We just finished our last Spring season game for 15's rugby and tomorrow are the tryouts for 7's. My son wants to play on our team as well so this will be interesting to see how father and son do while trying out for the same team! LOL! Could be a first in Sports history...at least XXXXXXX Rovers Sports History. I'm also getting the word out around town that I'm looking to put together an Old Man's Wrestling Club. I want a competitive club to enter into some larger scale tournaments such as the Midlands, the U.S. Open, other collegiate opens, etc. Age is but a number...a 2 digit number and so from that aspect of things....we have the same numbers as the young collegiates....2 digit numbers! HAHA! Oh, one other thing I forgot to mention....playing in the musical THE SECRET GARDEN in XXXXXXX ...I've never performed that play...looking forward....do you play a musical instrument of any sort?
EMDR....I am DEFINITELY interested in learning more about it and seeing how applicable it can be to my population of patients. I'm going to see if anybody at the VA is aware of this technique and exploit it for all I can.....you'll keep me in the loop Missy Dear and give me your honest to goodness opinion on how this is helping (or not) you. You'll recall that I had AGREED with you that your other therapist...even though a nice person and all, didn't seem to have the right key to help move you down the track....and that's what we want. Of course, I have to admit a bit selfishly here...that if it weren't for your HEALTH ANXIETY condition and your insistence to be looking for multiple opinions online and elsewhere about things.....well, we shan't have met...at least not at this time! That would've been a very sad thing to think of having happened.....BUT, LUCKILY, your therapist couldn't cure you on a timely schedule and here you are TEACHING ME about EMDR! HA!
And so, getting to the TOP of your writing....I must say again, that you really should be giving the compliments to people who deserve having done something for you....all I do is try to get you to come to Ohio and improve our ECONOMY! I keep forgetting that I'm dealing with someone who will go toe to toe with Big Microwave Tower Giants and cause them to have nightmares when they thought they would be having visions of Sugar Plums dancing in their heads! But I graciously accept the fact that perhaps the little bit of summation I can give to what other PROFESSIONAL DERMATOLOGISTS have told you was worth the WRITE....(BTW, I too have had you on my mind for at least a week or 2 wondering just how best to contact you?) just to see how things were going since I was truly concerned that your therapist, though trying her best, I'm sure, just wasn't making the kind of head way we needed from her and that perhaps, she had run out of ideas to put you on a better course.
This really does take not only practice but as I explained to my other patient with HA, it takes TIME....I know you said EMDR gets you quick results.....but in my opinion my dear Missy, with something like HA....I don't think you really want the change to the brain to be "quick".....you are not a robot or machine who can wholly flip a switch so that every fiber and every cell in your body suddenly behaves as if HA never existed.....even Cyborgs can develop sentiments and feelings which cannot be erased by turning your CHEST BUTTONS on and off.....you know what I mean?
I wouldn't really want to see you engage in anything that promises in such rapid progress because NEUROPLASTICITY doesn't work like that....and now, we're talking a little bit of something I know something about....circuits can be rerouted, new engrams can be developed and laid down so that brand new experiences and memories which do happen spontaneously can occur.....but in order for the OLD PATHWAYS to not be a risk to you anymore...they need to be shutdown completely AND SEALED so they cannot be entered again (sort of like the big stone they roll over a tomb....nobody gets in....nobody gets out....EVER....unless your name is Lazarus! LOLOL). I can't see a system that works to change brain networking or circuitry that quickly can really develop such a stone to roll across the tomb except over a matter of weeks or months....I know you don't want that long...nor do I if you don't have to....but I think the results over the long haul are more guaranteed if it does turn out to be a more long term project rather than not.
I would go on enthusiastic and open minded for the experience....but honey, ENJOY IT...feel it, let it touch you....and lap in the sensation....I'm being very melodramatic for not knowing anything about this blessed system....but again, from what I do know about hypnotism, relaxation therapy, biofeedback, and the least can go on and on....the best outcomes are in people who focus thoughts and feelings on ENJOYING as much of the experience as you possibly can....meditation is what it is because for the numbers of hours a person can literally be in a trance....when they finally come back out....the total time may only seem like a few seconds....but in reality it was for much, much, longer, perhaps hours....those Tibetan monks can do it for DAYS at a time!
Ok dearest Missy....I shall let you go for the evening (or the morning)....I'm recovering from a cold so please don't get too close, I don't want to give you anything....although I did get my sense of taste back this evening while I lapped up the soup my wife made for me while writing this to you!......Have a lovely evening....I look forward to hearing your thoughts on everything you would like to tell me about......especially YOUR PROJECTS, YOUR FUN THINGS FOR SUMMER.....so have at it Milady!
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dr. Saghafi...you never cease to amaze me with your unbridled energy and zest for life! Some day you must share your secret with me, and ideally, perhaps some day in person! As I’ve said before, should you ever find yourself heading east to my neck of the woods, please let me know (you can always email me at my office!) so that we can arrange to meet!
Your kiddos sound just as vivacious and effervescent as you! You must be positively beaming with pride to have one of your kids following in your medical footsteps! And I would love to hear how your daughter makes out at the CrossFit competition...I cannot even imagine how grueling that is, and how much training it requires. My hubby and I consider ourselves amateur athletes if we manage to get in our three mile evening walk lol!
My two boys are doing well...gearing up for the end of the school semester and all that brings with it. I just booked our flights for our annual summer vacation in Siesta Key, Florida. Have you ever been down to that region? It’s a small barrier island on the gulf coast and is the next best thing to paradise. The beach is consistently voted the number one beach in the US...the sand is pure ground quartz and is pure white and the consistency of powdered sugar. We had a little snafu last summer when we went, in that the infamous Red Tide was in full force....a toxic algae bloom that turned the water muddy brown and littered the beach with dead fish and huge eels. The air literally smelled like death. From what I hear, the Red Tide has passed so we’re hoping to get a lot of time in at the beach (I’ll be packing gallons of sunscreen lol!!).
I will most definitely keep you updated on the EMDR therapy and its effectiveness. I agree with you that the relatively short course of treatment almost sounds too good to be true, so time will tell the tale! That is quite ironic that you mentioned neuroplasticity...believe it or not, I am just finishing reading a book on that very same subject...the title is “The Brain’s Way of Healing” and it was written by Dr. XXXXXXX Doidge, whom you may have heard of. Needless to say, I’ve found it to be fascinating!
My therapist has also introduced and educated me on “schemas”, which you may also be familiar with...if not, they are essentially a cognitive framework that consists of patterns of thought, usually embedded from childhood. Not surprisingly, one of my schemas is “vulnerability” and another is “unrelenting standards” (hence my perfectionist tendencies). Both go a long way in explaining my struggles with health anxiety. The mind is truly an incredibly complex entity...which you, as a seasoned neurologist, can most certainly attest to! If nothing else, I’ll earn an honorary degree in psychology after I’m done with the books on my reading list (next up is “Motivation and Personality” by XXXXXXX Maslow).
Well, the clock is close to striking midnight, and I have a pile of problematic files waiting for me at work tomorrow, so I’m heading off to catch some dreams. I hope you’re recovering from your cold and feeling better! Have a wonderful day my friend! Missy :)
Your kiddos sound just as vivacious and effervescent as you! You must be positively beaming with pride to have one of your kids following in your medical footsteps! And I would love to hear how your daughter makes out at the CrossFit competition...I cannot even imagine how grueling that is, and how much training it requires. My hubby and I consider ourselves amateur athletes if we manage to get in our three mile evening walk lol!
My two boys are doing well...gearing up for the end of the school semester and all that brings with it. I just booked our flights for our annual summer vacation in Siesta Key, Florida. Have you ever been down to that region? It’s a small barrier island on the gulf coast and is the next best thing to paradise. The beach is consistently voted the number one beach in the US...the sand is pure ground quartz and is pure white and the consistency of powdered sugar. We had a little snafu last summer when we went, in that the infamous Red Tide was in full force....a toxic algae bloom that turned the water muddy brown and littered the beach with dead fish and huge eels. The air literally smelled like death. From what I hear, the Red Tide has passed so we’re hoping to get a lot of time in at the beach (I’ll be packing gallons of sunscreen lol!!).
I will most definitely keep you updated on the EMDR therapy and its effectiveness. I agree with you that the relatively short course of treatment almost sounds too good to be true, so time will tell the tale! That is quite ironic that you mentioned neuroplasticity...believe it or not, I am just finishing reading a book on that very same subject...the title is “The Brain’s Way of Healing” and it was written by Dr. XXXXXXX Doidge, whom you may have heard of. Needless to say, I’ve found it to be fascinating!
My therapist has also introduced and educated me on “schemas”, which you may also be familiar with...if not, they are essentially a cognitive framework that consists of patterns of thought, usually embedded from childhood. Not surprisingly, one of my schemas is “vulnerability” and another is “unrelenting standards” (hence my perfectionist tendencies). Both go a long way in explaining my struggles with health anxiety. The mind is truly an incredibly complex entity...which you, as a seasoned neurologist, can most certainly attest to! If nothing else, I’ll earn an honorary degree in psychology after I’m done with the books on my reading list (next up is “Motivation and Personality” by XXXXXXX Maslow).
Well, the clock is close to striking midnight, and I have a pile of problematic files waiting for me at work tomorrow, so I’m heading off to catch some dreams. I hope you’re recovering from your cold and feeling better! Have a wonderful day my friend! Missy :)
Dr. Saghafi...you never cease to amaze me with your unbridled energy and zest for life! Some day you must share your secret with me, and ideally, perhaps some day in person! As I’ve said before, should you ever find yourself heading east to my neck of the woods, please let me know (you can always email me at my office!) so that we can arrange to meet!
Your kiddos sound just as vivacious and effervescent as you! You must be positively beaming with pride to have one of your kids following in your medical footsteps! And I would love to hear how your daughter makes out at the CrossFit competition...I cannot even imagine how grueling that is, and how much training it requires. My hubby and I consider ourselves amateur athletes if we manage to get in our three mile evening walk lol!
My two boys are doing well...gearing up for the end of the school semester and all that brings with it. I just booked our flights for our annual summer vacation in Siesta Key, Florida. Have you ever been down to that region? It’s a small barrier island on the gulf coast and is the next best thing to paradise. The beach is consistently voted the number one beach in the US...the sand is pure ground quartz and is pure white and the consistency of powdered sugar. We had a little snafu last summer when we went, in that the infamous Red Tide was in full force....a toxic algae bloom that turned the water muddy brown and littered the beach with dead fish and huge eels. The air literally smelled like death. From what I hear, the Red Tide has passed so we’re hoping to get a lot of time in at the beach (I’ll be packing gallons of sunscreen lol!!).
I will most definitely keep you updated on the EMDR therapy and its effectiveness. I agree with you that the relatively short course of treatment almost sounds too good to be true, so time will tell the tale! That is quite ironic that you mentioned neuroplasticity...believe it or not, I am just finishing reading a book on that very same subject...the title is “The Brain’s Way of Healing” and it was written by Dr. XXXXXXX Doidge, whom you may have heard of. Needless to say, I’ve found it to be fascinating!
My therapist has also introduced and educated me on “schemas”, which you may also be familiar with...if not, they are essentially a cognitive framework that consists of patterns of thought, usually embedded from childhood. Not surprisingly, one of my schemas is “vulnerability” and another is “unrelenting standards” (hence my perfectionist tendencies). Both go a long way in explaining my struggles with health anxiety. The mind is truly an incredibly complex entity...which you, as a seasoned neurologist, can most certainly attest to! If nothing else, I’ll earn an honorary degree in psychology after I’m done with the books on my reading list (next up is “Motivation and Personality” by XXXXXXX Maslow).
Well, the clock is close to striking midnight, and I have a pile of problematic files waiting for me at work tomorrow, so I’m heading off to catch some dreams. I hope you’re recovering from your cold and feeling better! Have a wonderful day my friend! Missy :)
Your kiddos sound just as vivacious and effervescent as you! You must be positively beaming with pride to have one of your kids following in your medical footsteps! And I would love to hear how your daughter makes out at the CrossFit competition...I cannot even imagine how grueling that is, and how much training it requires. My hubby and I consider ourselves amateur athletes if we manage to get in our three mile evening walk lol!
My two boys are doing well...gearing up for the end of the school semester and all that brings with it. I just booked our flights for our annual summer vacation in Siesta Key, Florida. Have you ever been down to that region? It’s a small barrier island on the gulf coast and is the next best thing to paradise. The beach is consistently voted the number one beach in the US...the sand is pure ground quartz and is pure white and the consistency of powdered sugar. We had a little snafu last summer when we went, in that the infamous Red Tide was in full force....a toxic algae bloom that turned the water muddy brown and littered the beach with dead fish and huge eels. The air literally smelled like death. From what I hear, the Red Tide has passed so we’re hoping to get a lot of time in at the beach (I’ll be packing gallons of sunscreen lol!!).
I will most definitely keep you updated on the EMDR therapy and its effectiveness. I agree with you that the relatively short course of treatment almost sounds too good to be true, so time will tell the tale! That is quite ironic that you mentioned neuroplasticity...believe it or not, I am just finishing reading a book on that very same subject...the title is “The Brain’s Way of Healing” and it was written by Dr. XXXXXXX Doidge, whom you may have heard of. Needless to say, I’ve found it to be fascinating!
My therapist has also introduced and educated me on “schemas”, which you may also be familiar with...if not, they are essentially a cognitive framework that consists of patterns of thought, usually embedded from childhood. Not surprisingly, one of my schemas is “vulnerability” and another is “unrelenting standards” (hence my perfectionist tendencies). Both go a long way in explaining my struggles with health anxiety. The mind is truly an incredibly complex entity...which you, as a seasoned neurologist, can most certainly attest to! If nothing else, I’ll earn an honorary degree in psychology after I’m done with the books on my reading list (next up is “Motivation and Personality” by XXXXXXX Maslow).
Well, the clock is close to striking midnight, and I have a pile of problematic files waiting for me at work tomorrow, so I’m heading off to catch some dreams. I hope you’re recovering from your cold and feeling better! Have a wonderful day my friend! Missy :)
Brief Answer:
Missy dear...You look great in EMDR!
Detailed Answer:
My dear Missy--- the secret to zest? Well, first and foremost....there you go again, making it tough for my inflamed head to get into the doggone car after all those compliments! I truly appreciate them....and THERE's my secret...YOU...! If I'm Zest, you're BEST...it's the company you keep, isn't that true? And that's why I am really pulling for you on this Health Anxiety issue and hopeful that the EMDR strategy will work. I've not heard of the author you mentioned so I will look him up...as you know, I've got a fair swath of patients I treat that could use the "secret to letting roll off them. Did you know that there are stroke syndromes that can accomplish that? All natural means....EVEN BETTER! LOL....Just plug up one little artery in your right parietal lobe and BAM...literally, NO MORE WORRIES! Of course, sometimes that will make the patient see the world as GRAY.....everything GRAY.....all the time! No matter what! Boring? Potentially Dangerous? No Health Anxiety anymore, that's for sure!
I was talking to another patient of mine who recently came to XXXXXXX to see me for his situation because he just couldn't wait for the appointment with the neurologist which was still 2 months out....I was willing to see him on a weekday evening....Wanna know just how ANXIOUS this VERY NICE gentleman was...still is to some extent? When he got into XXXXXXX from XXXXXXX CT, he got so impatient waiting for the layover to XXXXXXX which was going to be another 3 hrs. I would've used that the look for a place that I could get a soup and salad for $65.00! HAHA! Sit on my computer and converse with your or something......But nope....not the way he planned to spend those 3 hrs.
He ordered up an Uber to pick him up from Detroit's Metropolitan Airport...snapping at the chauffeur, "Due East Roscoe....and STEP ON IT....I gotta get there early enough to wait for 3 hrs. for the doctor to arrive since he said he'd definitely NOT be earlier than our appoiintment time!"
And so, that's exactly what this gentleman did....spent as much on the Uber as he did on the plane ticket and got to the office 3 hrs. earlier than his appointment just to wait for 3 hrs. for me to show up! Tell me my dear...would you do that FOR ME??? Or would you handle the excitement of having to wait just another 3 hrs. filled with anticipation as opposed to making Roscoe drive 100 mph to XXXXXXX for 2 hrs? For that matter, why didn't he just rent a car and drive it himself at 100 mph? Would've probably saved some bank, wouldn't you say? He had to get back to XXXXXXX anyways for his round trip ticket so he could've driven the car roundtrip! HAHA!
The wrestling team goes to Key West every year from XXXXXXX XXXXXXX UNIVERSITY....but I've never really accompanied them on those trips during the Xmas holidays just because that turns out to be a very busy time of the year for me....I've never been to DisneyWorld....NEVER EVEN TAKEN THE KIDS although it's always been my goal.....just couldn't find the money...the time....I know....it's on me...definitely, I take the responsibility for that screwup.. My girls have never seen the Magic Kindom....and my son never got a chance to give XXXXXXX Rabbit a big squeeze and smack on her.......yeah...THERE! LOL!
You know what? I'm such an idiot....I'm just looking it up now....The rugby team was JUST IN XXXXXXX 2 weeks ago and I didn't even think of looking up where you were....For some reason I had you pegged close the Big Apple! Dummy.....and we stayed the night as well....could've likely gotten together at least for a cup of coffee. Well, now I know...JCU's wrestling squad always goes to
Anywhooo dear....I have been talking with my behavioral scientist colleagues and we were talking about how we could put together a BOOT CAMP if you will of let's say 2-3 weeks....but a legit bootcamp geared toward active participation of patients for 8 hrs. DAILY until they get discharged at which point we would contact and work with whomever is on the OTHER SIDE where they came from so that the work could be continued at least a couple of times a week.....Then, we could work collaboratively with the patient's psychologists on the Other Side to continue and extend the plan we started here...you think the SHARKS might pick that program up to peddle if I could show Mr. Wonderful how there were no other companies capable of doing the same them then, squashing me like a cockroach (which can actually survive for up to 10 days I believe while decapitated).
And so tell me...are your KIDDOS of the high school (just babies...HA!) or college persuasion (Bigger Babies who think they know it all...until someone gives them XXXXXXX for ANYTHING!). What are they studying and what would they like to do upon graduation?
The rugby team was just up in XXXXXXX 2 weeks ago and we STAYED THE NIGHT! What an idiot I am...I didn't think of looking you up because I always had you pegged out toward the BIG APPLE! Dummy me! Darn....well, how bout we meet in the middle? Hershey Pennsylvania?? Maybe you've toured the Chocolate City? I've not but it would be fun..especially I've also never been to Disney.....and NO I've never been to Siesta, FL! Sounds lovely...imagine going to place whose name just sends you off to LALA Land!
I know your therapist taught you about SCHEMAS....she'd have to teach me as well to tell you the truth....next time you write I'll tell you about the notion of what Health Anxiety is like to me and what I think just might be the ticket to Fixing a person....It involves the Starship Enterprise's shields and how, XXXXXXX T. XXXXXXX Spock, and of course, XXXXXXX are always looking for innovative ways to DIVERT ENERGY to the shields just in time to avert serious attacks by the Romulans and Klingons....I'll explain in future chapters!
Time to hit the road my Missy and get to the office to try and stamp out more neurological disease....BTW, I didn't really forget XXXXXXX ..because of course, that's me....it's just that he's "just an old fashioned country doctor" and wouldn't have anything with repairing shields anymore than I have anything to do with changing a flat on my car so long as I'm carrying a AAA card in my wallet! HAHA! It's just I'm always in a shirt and tie...or something.....RARELY will you catch me in leisure garb....I've even been known to come home so tired that I would just flop on the bed with shirt and tie and trousers on and I wouldn't wake up till the next morning and I'd ask my wife for the STEAMER just to give me a once over so I don't have to waste time changing clothes! HAHA!
Be well Kiddo...and have a glorious Memorial Day Weekend....We're sending a little rain your way unfortunately, SORRRRYYYY.....And yes, thank you also on the wishes for the cold...it is improving...I broke down and started myself on antibiotics....I think it was a good decision....I should be perfectly back to new within the next 2 days!
Missy dear...You look great in EMDR!
Detailed Answer:
My dear Missy--- the secret to zest? Well, first and foremost....there you go again, making it tough for my inflamed head to get into the doggone car after all those compliments! I truly appreciate them....and THERE's my secret...YOU...! If I'm Zest, you're BEST...it's the company you keep, isn't that true? And that's why I am really pulling for you on this Health Anxiety issue and hopeful that the EMDR strategy will work. I've not heard of the author you mentioned so I will look him up...as you know, I've got a fair swath of patients I treat that could use the "secret to letting roll off them. Did you know that there are stroke syndromes that can accomplish that? All natural means....EVEN BETTER! LOL....Just plug up one little artery in your right parietal lobe and BAM...literally, NO MORE WORRIES! Of course, sometimes that will make the patient see the world as GRAY.....everything GRAY.....all the time! No matter what! Boring? Potentially Dangerous? No Health Anxiety anymore, that's for sure!
I was talking to another patient of mine who recently came to XXXXXXX to see me for his situation because he just couldn't wait for the appointment with the neurologist which was still 2 months out....I was willing to see him on a weekday evening....Wanna know just how ANXIOUS this VERY NICE gentleman was...still is to some extent? When he got into XXXXXXX from XXXXXXX CT, he got so impatient waiting for the layover to XXXXXXX which was going to be another 3 hrs. I would've used that the look for a place that I could get a soup and salad for $65.00! HAHA! Sit on my computer and converse with your or something......But nope....not the way he planned to spend those 3 hrs.
He ordered up an Uber to pick him up from Detroit's Metropolitan Airport...snapping at the chauffeur, "Due East Roscoe....and STEP ON IT....I gotta get there early enough to wait for 3 hrs. for the doctor to arrive since he said he'd definitely NOT be earlier than our appoiintment time!"
And so, that's exactly what this gentleman did....spent as much on the Uber as he did on the plane ticket and got to the office 3 hrs. earlier than his appointment just to wait for 3 hrs. for me to show up! Tell me my dear...would you do that FOR ME??? Or would you handle the excitement of having to wait just another 3 hrs. filled with anticipation as opposed to making Roscoe drive 100 mph to XXXXXXX for 2 hrs? For that matter, why didn't he just rent a car and drive it himself at 100 mph? Would've probably saved some bank, wouldn't you say? He had to get back to XXXXXXX anyways for his round trip ticket so he could've driven the car roundtrip! HAHA!
The wrestling team goes to Key West every year from XXXXXXX XXXXXXX UNIVERSITY....but I've never really accompanied them on those trips during the Xmas holidays just because that turns out to be a very busy time of the year for me....I've never been to DisneyWorld....NEVER EVEN TAKEN THE KIDS although it's always been my goal.....just couldn't find the money...the time....I know....it's on me...definitely, I take the responsibility for that screwup.. My girls have never seen the Magic Kindom....and my son never got a chance to give XXXXXXX Rabbit a big squeeze and smack on her.......yeah...THERE! LOL!
You know what? I'm such an idiot....I'm just looking it up now....The rugby team was JUST IN XXXXXXX 2 weeks ago and I didn't even think of looking up where you were....For some reason I had you pegged close the Big Apple! Dummy.....and we stayed the night as well....could've likely gotten together at least for a cup of coffee. Well, now I know...JCU's wrestling squad always goes to
Anywhooo dear....I have been talking with my behavioral scientist colleagues and we were talking about how we could put together a BOOT CAMP if you will of let's say 2-3 weeks....but a legit bootcamp geared toward active participation of patients for 8 hrs. DAILY until they get discharged at which point we would contact and work with whomever is on the OTHER SIDE where they came from so that the work could be continued at least a couple of times a week.....Then, we could work collaboratively with the patient's psychologists on the Other Side to continue and extend the plan we started here...you think the SHARKS might pick that program up to peddle if I could show Mr. Wonderful how there were no other companies capable of doing the same them then, squashing me like a cockroach (which can actually survive for up to 10 days I believe while decapitated).
And so tell me...are your KIDDOS of the high school (just babies...HA!) or college persuasion (Bigger Babies who think they know it all...until someone gives them XXXXXXX for ANYTHING!). What are they studying and what would they like to do upon graduation?
The rugby team was just up in XXXXXXX 2 weeks ago and we STAYED THE NIGHT! What an idiot I am...I didn't think of looking you up because I always had you pegged out toward the BIG APPLE! Dummy me! Darn....well, how bout we meet in the middle? Hershey Pennsylvania?? Maybe you've toured the Chocolate City? I've not but it would be fun..especially I've also never been to Disney.....and NO I've never been to Siesta, FL! Sounds lovely...imagine going to place whose name just sends you off to LALA Land!
I know your therapist taught you about SCHEMAS....she'd have to teach me as well to tell you the truth....next time you write I'll tell you about the notion of what Health Anxiety is like to me and what I think just might be the ticket to Fixing a person....It involves the Starship Enterprise's shields and how, XXXXXXX T. XXXXXXX Spock, and of course, XXXXXXX are always looking for innovative ways to DIVERT ENERGY to the shields just in time to avert serious attacks by the Romulans and Klingons....I'll explain in future chapters!
Time to hit the road my Missy and get to the office to try and stamp out more neurological disease....BTW, I didn't really forget XXXXXXX ..because of course, that's me....it's just that he's "just an old fashioned country doctor" and wouldn't have anything with repairing shields anymore than I have anything to do with changing a flat on my car so long as I'm carrying a AAA card in my wallet! HAHA! It's just I'm always in a shirt and tie...or something.....RARELY will you catch me in leisure garb....I've even been known to come home so tired that I would just flop on the bed with shirt and tie and trousers on and I wouldn't wake up till the next morning and I'd ask my wife for the STEAMER just to give me a once over so I don't have to waste time changing clothes! HAHA!
Be well Kiddo...and have a glorious Memorial Day Weekend....We're sending a little rain your way unfortunately, SORRRRYYYY.....And yes, thank you also on the wishes for the cold...it is improving...I broke down and started myself on antibiotics....I think it was a good decision....I should be perfectly back to new within the next 2 days!
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
Missy dear...You look great in EMDR!
Detailed Answer:
My dear Missy--- the secret to zest? Well, first and foremost....there you go again, making it tough for my inflamed head to get into the doggone car after all those compliments! I truly appreciate them....and THERE's my secret...YOU...! If I'm Zest, you're BEST...it's the company you keep, isn't that true? And that's why I am really pulling for you on this Health Anxiety issue and hopeful that the EMDR strategy will work. I've not heard of the author you mentioned so I will look him up...as you know, I've got a fair swath of patients I treat that could use the "secret to letting roll off them. Did you know that there are stroke syndromes that can accomplish that? All natural means....EVEN BETTER! LOL....Just plug up one little artery in your right parietal lobe and BAM...literally, NO MORE WORRIES! Of course, sometimes that will make the patient see the world as GRAY.....everything GRAY.....all the time! No matter what! Boring? Potentially Dangerous? No Health Anxiety anymore, that's for sure!
I was talking to another patient of mine who recently came to XXXXXXX to see me for his situation because he just couldn't wait for the appointment with the neurologist which was still 2 months out....I was willing to see him on a weekday evening....Wanna know just how ANXIOUS this VERY NICE gentleman was...still is to some extent? When he got into XXXXXXX from XXXXXXX CT, he got so impatient waiting for the layover to XXXXXXX which was going to be another 3 hrs. I would've used that the look for a place that I could get a soup and salad for $65.00! HAHA! Sit on my computer and converse with your or something......But nope....not the way he planned to spend those 3 hrs.
He ordered up an Uber to pick him up from Detroit's Metropolitan Airport...snapping at the chauffeur, "Due East Roscoe....and STEP ON IT....I gotta get there early enough to wait for 3 hrs. for the doctor to arrive since he said he'd definitely NOT be earlier than our appoiintment time!"
And so, that's exactly what this gentleman did....spent as much on the Uber as he did on the plane ticket and got to the office 3 hrs. earlier than his appointment just to wait for 3 hrs. for me to show up! Tell me my dear...would you do that FOR ME??? Or would you handle the excitement of having to wait just another 3 hrs. filled with anticipation as opposed to making Roscoe drive 100 mph to XXXXXXX for 2 hrs? For that matter, why didn't he just rent a car and drive it himself at 100 mph? Would've probably saved some bank, wouldn't you say? He had to get back to XXXXXXX anyways for his round trip ticket so he could've driven the car roundtrip! HAHA!
The wrestling team goes to Key West every year from XXXXXXX XXXXXXX UNIVERSITY....but I've never really accompanied them on those trips during the Xmas holidays just because that turns out to be a very busy time of the year for me....I've never been to DisneyWorld....NEVER EVEN TAKEN THE KIDS although it's always been my goal.....just couldn't find the money...the time....I know....it's on me...definitely, I take the responsibility for that screwup.. My girls have never seen the Magic Kindom....and my son never got a chance to give XXXXXXX Rabbit a big squeeze and smack on her.......yeah...THERE! LOL!
You know what? I'm such an idiot....I'm just looking it up now....The rugby team was JUST IN XXXXXXX 2 weeks ago and I didn't even think of looking up where you were....For some reason I had you pegged close the Big Apple! Dummy.....and we stayed the night as well....could've likely gotten together at least for a cup of coffee. Well, now I know...JCU's wrestling squad always goes to
Anywhooo dear....I have been talking with my behavioral scientist colleagues and we were talking about how we could put together a BOOT CAMP if you will of let's say 2-3 weeks....but a legit bootcamp geared toward active participation of patients for 8 hrs. DAILY until they get discharged at which point we would contact and work with whomever is on the OTHER SIDE where they came from so that the work could be continued at least a couple of times a week.....Then, we could work collaboratively with the patient's psychologists on the Other Side to continue and extend the plan we started here...you think the SHARKS might pick that program up to peddle if I could show Mr. Wonderful how there were no other companies capable of doing the same them then, squashing me like a cockroach (which can actually survive for up to 10 days I believe while decapitated).
And so tell me...are your KIDDOS of the high school (just babies...HA!) or college persuasion (Bigger Babies who think they know it all...until someone gives them XXXXXXX for ANYTHING!). What are they studying and what would they like to do upon graduation?
The rugby team was just up in XXXXXXX 2 weeks ago and we STAYED THE NIGHT! What an idiot I am...I didn't think of looking you up because I always had you pegged out toward the BIG APPLE! Dummy me! Darn....well, how bout we meet in the middle? Hershey Pennsylvania?? Maybe you've toured the Chocolate City? I've not but it would be fun..especially I've also never been to Disney.....and NO I've never been to Siesta, FL! Sounds lovely...imagine going to place whose name just sends you off to LALA Land!
I know your therapist taught you about SCHEMAS....she'd have to teach me as well to tell you the truth....next time you write I'll tell you about the notion of what Health Anxiety is like to me and what I think just might be the ticket to Fixing a person....It involves the Starship Enterprise's shields and how, XXXXXXX T. XXXXXXX Spock, and of course, XXXXXXX are always looking for innovative ways to DIVERT ENERGY to the shields just in time to avert serious attacks by the Romulans and Klingons....I'll explain in future chapters!
Time to hit the road my Missy and get to the office to try and stamp out more neurological disease....BTW, I didn't really forget XXXXXXX ..because of course, that's me....it's just that he's "just an old fashioned country doctor" and wouldn't have anything with repairing shields anymore than I have anything to do with changing a flat on my car so long as I'm carrying a AAA card in my wallet! HAHA! It's just I'm always in a shirt and tie...or something.....RARELY will you catch me in leisure garb....I've even been known to come home so tired that I would just flop on the bed with shirt and tie and trousers on and I wouldn't wake up till the next morning and I'd ask my wife for the STEAMER just to give me a once over so I don't have to waste time changing clothes! HAHA!
Be well Kiddo...and have a glorious Memorial Day Weekend....We're sending a little rain your way unfortunately, SORRRRYYYY.....And yes, thank you also on the wishes for the cold...it is improving...I broke down and started myself on antibiotics....I think it was a good decision....I should be perfectly back to new within the next 2 days!
Missy dear...You look great in EMDR!
Detailed Answer:
My dear Missy--- the secret to zest? Well, first and foremost....there you go again, making it tough for my inflamed head to get into the doggone car after all those compliments! I truly appreciate them....and THERE's my secret...YOU...! If I'm Zest, you're BEST...it's the company you keep, isn't that true? And that's why I am really pulling for you on this Health Anxiety issue and hopeful that the EMDR strategy will work. I've not heard of the author you mentioned so I will look him up...as you know, I've got a fair swath of patients I treat that could use the "secret to letting roll off them. Did you know that there are stroke syndromes that can accomplish that? All natural means....EVEN BETTER! LOL....Just plug up one little artery in your right parietal lobe and BAM...literally, NO MORE WORRIES! Of course, sometimes that will make the patient see the world as GRAY.....everything GRAY.....all the time! No matter what! Boring? Potentially Dangerous? No Health Anxiety anymore, that's for sure!
I was talking to another patient of mine who recently came to XXXXXXX to see me for his situation because he just couldn't wait for the appointment with the neurologist which was still 2 months out....I was willing to see him on a weekday evening....Wanna know just how ANXIOUS this VERY NICE gentleman was...still is to some extent? When he got into XXXXXXX from XXXXXXX CT, he got so impatient waiting for the layover to XXXXXXX which was going to be another 3 hrs. I would've used that the look for a place that I could get a soup and salad for $65.00! HAHA! Sit on my computer and converse with your or something......But nope....not the way he planned to spend those 3 hrs.
He ordered up an Uber to pick him up from Detroit's Metropolitan Airport...snapping at the chauffeur, "Due East Roscoe....and STEP ON IT....I gotta get there early enough to wait for 3 hrs. for the doctor to arrive since he said he'd definitely NOT be earlier than our appoiintment time!"
And so, that's exactly what this gentleman did....spent as much on the Uber as he did on the plane ticket and got to the office 3 hrs. earlier than his appointment just to wait for 3 hrs. for me to show up! Tell me my dear...would you do that FOR ME??? Or would you handle the excitement of having to wait just another 3 hrs. filled with anticipation as opposed to making Roscoe drive 100 mph to XXXXXXX for 2 hrs? For that matter, why didn't he just rent a car and drive it himself at 100 mph? Would've probably saved some bank, wouldn't you say? He had to get back to XXXXXXX anyways for his round trip ticket so he could've driven the car roundtrip! HAHA!
The wrestling team goes to Key West every year from XXXXXXX XXXXXXX UNIVERSITY....but I've never really accompanied them on those trips during the Xmas holidays just because that turns out to be a very busy time of the year for me....I've never been to DisneyWorld....NEVER EVEN TAKEN THE KIDS although it's always been my goal.....just couldn't find the money...the time....I know....it's on me...definitely, I take the responsibility for that screwup.. My girls have never seen the Magic Kindom....and my son never got a chance to give XXXXXXX Rabbit a big squeeze and smack on her.......yeah...THERE! LOL!
You know what? I'm such an idiot....I'm just looking it up now....The rugby team was JUST IN XXXXXXX 2 weeks ago and I didn't even think of looking up where you were....For some reason I had you pegged close the Big Apple! Dummy.....and we stayed the night as well....could've likely gotten together at least for a cup of coffee. Well, now I know...JCU's wrestling squad always goes to
Anywhooo dear....I have been talking with my behavioral scientist colleagues and we were talking about how we could put together a BOOT CAMP if you will of let's say 2-3 weeks....but a legit bootcamp geared toward active participation of patients for 8 hrs. DAILY until they get discharged at which point we would contact and work with whomever is on the OTHER SIDE where they came from so that the work could be continued at least a couple of times a week.....Then, we could work collaboratively with the patient's psychologists on the Other Side to continue and extend the plan we started here...you think the SHARKS might pick that program up to peddle if I could show Mr. Wonderful how there were no other companies capable of doing the same them then, squashing me like a cockroach (which can actually survive for up to 10 days I believe while decapitated).
And so tell me...are your KIDDOS of the high school (just babies...HA!) or college persuasion (Bigger Babies who think they know it all...until someone gives them XXXXXXX for ANYTHING!). What are they studying and what would they like to do upon graduation?
The rugby team was just up in XXXXXXX 2 weeks ago and we STAYED THE NIGHT! What an idiot I am...I didn't think of looking you up because I always had you pegged out toward the BIG APPLE! Dummy me! Darn....well, how bout we meet in the middle? Hershey Pennsylvania?? Maybe you've toured the Chocolate City? I've not but it would be fun..especially I've also never been to Disney.....and NO I've never been to Siesta, FL! Sounds lovely...imagine going to place whose name just sends you off to LALA Land!
I know your therapist taught you about SCHEMAS....she'd have to teach me as well to tell you the truth....next time you write I'll tell you about the notion of what Health Anxiety is like to me and what I think just might be the ticket to Fixing a person....It involves the Starship Enterprise's shields and how, XXXXXXX T. XXXXXXX Spock, and of course, XXXXXXX are always looking for innovative ways to DIVERT ENERGY to the shields just in time to avert serious attacks by the Romulans and Klingons....I'll explain in future chapters!
Time to hit the road my Missy and get to the office to try and stamp out more neurological disease....BTW, I didn't really forget XXXXXXX ..because of course, that's me....it's just that he's "just an old fashioned country doctor" and wouldn't have anything with repairing shields anymore than I have anything to do with changing a flat on my car so long as I'm carrying a AAA card in my wallet! HAHA! It's just I'm always in a shirt and tie...or something.....RARELY will you catch me in leisure garb....I've even been known to come home so tired that I would just flop on the bed with shirt and tie and trousers on and I wouldn't wake up till the next morning and I'd ask my wife for the STEAMER just to give me a once over so I don't have to waste time changing clothes! HAHA!
Be well Kiddo...and have a glorious Memorial Day Weekend....We're sending a little rain your way unfortunately, SORRRRYYYY.....And yes, thank you also on the wishes for the cold...it is improving...I broke down and started myself on antibiotics....I think it was a good decision....I should be perfectly back to new within the next 2 days!
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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