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  1. Propecia and Cancer Somebody asked me under a different thread for any medical study linking Propecia with more aggressive prostate cancer. Here you go: http://www.cnn.com/2003/HEALTH/conditions/06/24/prostat...ncer.drug/index.html Baldness drug may reduce prostate cancer risk But it could trigger more aggressive form in other cases Wednesday, June 25, 2003 Posted: 9:21 AM EDT (1321 GMT) (CNN) -- A study released Tuesday indicates that a drug used to treat male pattern baldness reduces the odds of getting prostate cancer by about 25 percent. But there's some bad news: The same study seems to show that if a man taking finasteride does get the disease, the drug appears to increase his chance of getting a more aggressive form. "Finasteride is the first drug found to reduce the risk of prostate cancer," said Dr. Ian Thompson of the University of Texas Health Science Center at San Antonio, the study's lead author. "The drug worked for men at low risk for prostate cancer, as well as those at high risk." The National Cancer Institute estimates that if 1,000 63-year-old men are tracked, after seven years, 60 of them would develop prostate cancer, with 18 of those men suffering with high-grade tumors, which spread quickly. If the same men took finasteride for seven years, only 45 would get the cancer, but 22 would have the more aggressive tumors. A low-dose version of finasteride used to treat hair loss is marketed under the trade name Propecia, while under the name Proscar it's sold as a treatment for enlarged prostates. In the study, which was funded by the National Cancer Institute and published in the online version of the New England Journal of Medicine, researchers at 221 sites nationwide followed nearly 19,000 men older than 55 for seven years. About half of them were assigned at random to take either finasteride, a drug that lowers male hormone levels, or a placebo. By the end of the trial, those taking the drug reduced their risk of prostate cancer by nearly 25 percent over those on placebos. Mortality in both groups was the same: Five in each group died of prostate cancer. Promoter of mean types of cancer? But researchers were not convinced that men should take the drug to prevent the disease, which, after skin cancer, is the most common form of cancer among men. While the men who took finasteride were diagnosed with fewer cases of the disease, they had more high-grade prostate cancers, which typically are more aggressive than other forms. In all, 6.4 percent of the men on finasteride had high-grade tumors, versus 5.1 percent of men on placebos. The reason for that disparity was not clear. Thompson said finasteride may result in the development of more aggressive tumors either by preventing only low-grade tumors or by making the prostate gland more favorable to aggressive tumors. What really is finasteride doing here? Is it a promoter of mean types of cancer, or a suppresser of meaningless types? -- Dr. John Wasson Dr. John Wasson, director of the Center for Aging at Dartmouth Medical School in Hanover, New Hampshire, and who served on the study's safety monitoring committee, said the tumor findings raised a number of questions: "What really is finasteride doing here? Is it a promoter of mean types of cancer, or a suppresser of meaningless types?" The study was stopped a year earlier than planned because it was determined that the extra time was unlikely to yield new information. In addition, Wasson cited concerns over the apparent increased risk of more aggressive tumors. Though the study is a major step forward, men should carefully weigh their options before opting to take the drug as a preventive measure, Dr. Harmon J. Eyre, chief medical officer of the American Cancer Society, said in a statement. "There are still some important unanswered questions, especially regarding side effects, whether it can benefit men at increased risk, especially African Americans, who are twice as likely as white men to die of prostate cancer, and the mechanism by which men taking the drug develop higher grade tumors." Other side effects Despite the concerns, Dr. Nabil Khawand, a physician at Washington Hospital Center, said he would leave the decision to his patients. "I will tell him the result of the study and I will give him the option, whether he wants to be on it or he doesn't want to be on it." Apparent side effects went beyond tumor aggressiveness. Men taking finasteride were more likely than men on placebo to experience sexual side effects such as impotence. But men taking the placebos were more likely to be diagnosed with enlarged prostate and urinary problems. This year, prostate cancer is expected to be diagnosed in more than 200,000 men and kill about 29,000 in the United States. It is typically a slow-growing cancer and most of the men who are diagnosed with it go on to die of something unrelated, even if they undergo no treatment for it. For young men using the drug to promote hair growth, "I certainly wouldn't want to be taking a drug that potentially promotes cancer of the mean types," Dartmouth's Wasson said. "First, do no harm, that's the bottom line with any drug or treatment ... if you're a young guy, you should really be concerned about finasteride." He predicted the study results would lead the Food and Drug Administration to take a fresh look at the safety data on the drug, which is made by Merck and requires a prescription. No one from the agency was immediately available to comment, and a call to the drug maker was not immediately returned.
  2. Propecia and Cancer Somebody asked me under a different thread for any medical study linking Propecia with more aggressive prostate cancer. Here you go: http://www.cnn.com/2003/HEALTH/conditions/06/24/prostat...ncer.drug/index.html Baldness drug may reduce prostate cancer risk But it could trigger more aggressive form in other cases Wednesday, June 25, 2003 Posted: 9:21 AM EDT (1321 GMT) (CNN) -- A study released Tuesday indicates that a drug used to treat male pattern baldness reduces the odds of getting prostate cancer by about 25 percent. But there's some bad news: The same study seems to show that if a man taking finasteride does get the disease, the drug appears to increase his chance of getting a more aggressive form. "Finasteride is the first drug found to reduce the risk of prostate cancer," said Dr. Ian Thompson of the University of Texas Health Science Center at San Antonio, the study's lead author. "The drug worked for men at low risk for prostate cancer, as well as those at high risk." The National Cancer Institute estimates that if 1,000 63-year-old men are tracked, after seven years, 60 of them would develop prostate cancer, with 18 of those men suffering with high-grade tumors, which spread quickly. If the same men took finasteride for seven years, only 45 would get the cancer, but 22 would have the more aggressive tumors. A low-dose version of finasteride used to treat hair loss is marketed under the trade name Propecia, while under the name Proscar it's sold as a treatment for enlarged prostates. In the study, which was funded by the National Cancer Institute and published in the online version of the New England Journal of Medicine, researchers at 221 sites nationwide followed nearly 19,000 men older than 55 for seven years. About half of them were assigned at random to take either finasteride, a drug that lowers male hormone levels, or a placebo. By the end of the trial, those taking the drug reduced their risk of prostate cancer by nearly 25 percent over those on placebos. Mortality in both groups was the same: Five in each group died of prostate cancer. Promoter of mean types of cancer? But researchers were not convinced that men should take the drug to prevent the disease, which, after skin cancer, is the most common form of cancer among men. While the men who took finasteride were diagnosed with fewer cases of the disease, they had more high-grade prostate cancers, which typically are more aggressive than other forms. In all, 6.4 percent of the men on finasteride had high-grade tumors, versus 5.1 percent of men on placebos. The reason for that disparity was not clear. Thompson said finasteride may result in the development of more aggressive tumors either by preventing only low-grade tumors or by making the prostate gland more favorable to aggressive tumors. What really is finasteride doing here? Is it a promoter of mean types of cancer, or a suppresser of meaningless types? -- Dr. John Wasson Dr. John Wasson, director of the Center for Aging at Dartmouth Medical School in Hanover, New Hampshire, and who served on the study's safety monitoring committee, said the tumor findings raised a number of questions: "What really is finasteride doing here? Is it a promoter of mean types of cancer, or a suppresser of meaningless types?" The study was stopped a year earlier than planned because it was determined that the extra time was unlikely to yield new information. In addition, Wasson cited concerns over the apparent increased risk of more aggressive tumors. Though the study is a major step forward, men should carefully weigh their options before opting to take the drug as a preventive measure, Dr. Harmon J. Eyre, chief medical officer of the American Cancer Society, said in a statement. "There are still some important unanswered questions, especially regarding side effects, whether it can benefit men at increased risk, especially African Americans, who are twice as likely as white men to die of prostate cancer, and the mechanism by which men taking the drug develop higher grade tumors." Other side effects Despite the concerns, Dr. Nabil Khawand, a physician at Washington Hospital Center, said he would leave the decision to his patients. "I will tell him the result of the study and I will give him the option, whether he wants to be on it or he doesn't want to be on it." Apparent side effects went beyond tumor aggressiveness. Men taking finasteride were more likely than men on placebo to experience sexual side effects such as impotence. But men taking the placebos were more likely to be diagnosed with enlarged prostate and urinary problems. This year, prostate cancer is expected to be diagnosed in more than 200,000 men and kill about 29,000 in the United States. It is typically a slow-growing cancer and most of the men who are diagnosed with it go on to die of something unrelated, even if they undergo no treatment for it. For young men using the drug to promote hair growth, "I certainly wouldn't want to be taking a drug that potentially promotes cancer of the mean types," Dartmouth's Wasson said. "First, do no harm, that's the bottom line with any drug or treatment ... if you're a young guy, you should really be concerned about finasteride." He predicted the study results would lead the Food and Drug Administration to take a fresh look at the safety data on the drug, which is made by Merck and requires a prescription. No one from the agency was immediately available to comment, and a call to the drug maker was not immediately returned.
  3. Hair transplants by Dr. Charles are immaculate. When I told others that I wanted to get it done all they could think were plugs, however, Dr. Charles focuses completely on making sure that the results are godly like. Walking into the office the morning of the operation I was full of both anxiety and fear and Dr. Charles could sense it, he focused on making me feel comfortable, and of course the medication helped as well. The day went by rather quickly, I was pleased that I got to handle my business matters during the procedure and I was very happy that I got to watch Donnie Brasco. As far as the procedure itself, all of you already know by reading the other blogs how it goes, but I will say this, the staff was wonderful and the operation went smoothly. Some basic info about my hair. Before the procedure it was fine I had a wonderful head of hair, think Actor Christian Slater when his hair line started to thin on the sides. Now that I got this wonderful work of art finished last Thursday, when my new restructured hair line grows in it will look a lot like John Stamos or Johnny Depp. I'm sure you all agree those actors have amazing hair. Which brings me to this, I play in A hot Indie Rock Band, Know body wants to look at a front man who doesn't have a hot look, I always had the look but now with the help of Dr. Charles artistic surgery I don't have to be scared when I pose for the cover of Magazines or sing on stage.
  4. Hair transplants by Dr. Charles are immaculate. When I told others that I wanted to get it done all they could think were plugs, however, Dr. Charles focuses completely on making sure that the results are godly like. Walking into the office the morning of the operation I was full of both anxiety and fear and Dr. Charles could sense it, he focused on making me feel comfortable, and of course the medication helped as well. The day went by rather quickly, I was pleased that I got to handle my business matters during the procedure and I was very happy that I got to watch Donnie Brasco. As far as the procedure itself, all of you already know by reading the other blogs how it goes, but I will say this, the staff was wonderful and the operation went smoothly. Some basic info about my hair. Before the procedure it was fine I had a wonderful head of hair, think Actor Christian Slater when his hair line started to thin on the sides. Now that I got this wonderful work of art finished last Thursday, when my new restructured hair line grows in it will look a lot like John Stamos or Johnny Depp. I'm sure you all agree those actors have amazing hair. Which brings me to this, I play in A hot Indie Rock Band, Know body wants to look at a front man who doesn't have a hot look, I always had the look but now with the help of Dr. Charles artistic surgery I don't have to be scared when I pose for the cover of Magazines or sing on stage.
  5. In November of 2004, Dr. True and Dr. Dorin of True & Dorin Medical Group benevolently offered their skill, time and services to the winner of the "Win a Free Hair Transplant Essay Contest." The lucky recipient of this "Gift of Hair" from these two highly skilled physicians was the poster that goes by the name "Northern" on the forums. Dr. True and Dr. Dorin felt that there were a lot of good things that they could achieve with treatment and really change Northern's life for the better. Northern had his initial treatment performed by Dr. True and Dr. Dorin on November 10, 2004. You can read about his experience here . Roughly 2,700 follicular units were transplanted. Since his treatment, he has been diligent in documenting and sharing his journey on the forum with numerous photos. The transformation was impressive, to say the least. View Northern's progression thread here . Recently, Dr. True and Dr. Dorin decided that a second procedure would accomplish many cosmetic objectives and really be the "icing on the cake" for Nothern. They have offered to do a second procedure, which will also be done at no cost to Northern! This extremely generous offer is not part of the contest. Dr. Dorin will be the lead surgeon on the case and will attempt to harvest an optimal number of grafts, probably in the 2000-2500 range. This will be narrowed down on January 18, 2006 when Northern travels once again to New York City for treatment. Dr. Dorin's assistant, John, will be photographing throughout the day and will provide the pictures to post on the forum. Infinite thanks and kudos to Dr. True and Dr. Dorin for their kindness and generosity. We are certainly looking forward to Northern's continued progress and hairy outcome! -Robert
  6. In November of 2004, Dr. True and Dr. Dorin of True & Dorin Medical Group benevolently offered their skill, time and services to the winner of the "Win a Free Hair Transplant Essay Contest." The lucky recipient of this "Gift of Hair" from these two highly skilled physicians was the poster that goes by the name "Northern" on the forums. Dr. True and Dr. Dorin felt that there were a lot of good things that they could achieve with treatment and really change Northern's life for the better. Northern had his initial treatment performed by Dr. True and Dr. Dorin on November 10, 2004. You can read about his experience here . Roughly 2,700 follicular units were transplanted. Since his treatment, he has been diligent in documenting and sharing his journey on the forum with numerous photos. The transformation was impressive, to say the least. View Northern's progression thread here . Recently, Dr. True and Dr. Dorin decided that a second procedure would accomplish many cosmetic objectives and really be the "icing on the cake" for Nothern. They have offered to do a second procedure, which will also be done at no cost to Northern! This extremely generous offer is not part of the contest. Dr. Dorin will be the lead surgeon on the case and will attempt to harvest an optimal number of grafts, probably in the 2000-2500 range. This will be narrowed down on January 18, 2006 when Northern travels once again to New York City for treatment. Dr. Dorin's assistant, John, will be photographing throughout the day and will provide the pictures to post on the forum. Infinite thanks and kudos to Dr. True and Dr. Dorin for their kindness and generosity. We are certainly looking forward to Northern's continued progress and hairy outcome! -Robert
  7. I'm in total agreement with John Se and the GuitarPlayer, start on 1mg of finasteride per day. One reputable brand I know of available in India is Dr. Reddys (brand name is FINAST). I was going to say it's really inexpensive but since you're actually dealing in Indian currency it's probably not quite that inexpensive for you. As far as surgeons go, Dr. AP is in New Delhi and he seems to well regarded. You can do a search on google and find his website.
  8. On October 8th some of the true masters of Ultra Refined Follicular Unit Hair Transplantation came together at the Shapiro Medical Group clinic in Minnesota to exchange ideas and techniques. During the live surgery, performed by Dr. Ron Shapiro, they discussed technical issues such as how to: "??Remove a safe size donor strip, while keeping the transaction of follicles to an absolute minimum. (Dr. Robert Haber's new "donor spreader", which virtually eliminates transaction in the donor area was demonstrated.) "??Close and suture the donor area under minimal tension to minimize scarring of the donor area. "??Create an overlapping ledge along the suture to make the donor scar virtually undetectable. "??Use high powered magnification during the creation of graft incisions to avoid transecting existing hair follicles (even tiny velous hairs) in the recipient area. "??Use ultra tiny instruments that create minimally invasive incisions as small as 0.6 mm. "??Create incisions that are orientated (laterally and or sagitally) to achieve perfectly angled and directed hair that grows in completely natural directions. "??Carefully place microscopically trimmed follicular unit grafts into ultra tiny incisions in tight patterns, while assuring optimal grow rates. The level of discussion and demonstration was cutting edge and gave top physicians a chance to compare notes and ideas with others at their level. Attendees later attended a dinner in downtown Minneapolis where the discussion and exchange of ideas could be continued. To see photos of this event. The October 8th weekend surgical workshop was sponsored by the Coalition of Independent Hair Restoration Physicians and hosted by the Shapiro Medical Group. The Coalition is at the vanguard of perfecting and providing the new minimally invasive ultra refined follicular unit grafting. This newest evolution in follicular unit grafting, while much more demanding for the clinic, is optimal for the patient and enables them to achieve rapid healing, cosmetic density in a given area after only one surgical session and completely natural hair direction. Coalition surgeons are also committed to using only the most advanced and proven methods for safely removing the donor follicles. All members of the Coalition have demonstrated mastery at performing the new Ultra Refined Follicular Unit Hair Transplantation with excellent results. This free event was limited to ten attendees to maintain an intimate scale. Attendees included: Dr. Ronald Shapiro of Minneapolis ??“ Coalition Member and event host Dr. Ray Konior of Chicago ??“ Coalition Member Dr. Jerry Cooley of Charlotte, N.C. ??“ Coalition Member Dr. Joseph Williams of Las Vegas ??“ Coalition Member Dr. Robert Dorin of New York City ??“ Coalition Member Dr. John Gillespie ??“ Sponsor of the Hair Transplant Network Dr. Vito Quatela ??“ Sponsor of the Hair Transplant Network Dr. Don Shepps ??“ Invited Guest Dr. Paul Shapiro ??“ Invited Guest The next Coalition Weekend Live Surgery Workshop will be hosted by Dr. Glenn Charles in Boca Raton during early February.
  9. I'm now 11 months post op in my hairline restoration and feel I've got a good feel for how this thing is going to turn out. Pat asked me to let it mature before posting more on my results. I think I'm now ready History: I'm 42 years old and had 1620 grafts placed in the frontal 1/3rd (47 cm2) on November 18 2004 by Dr. DeYarman in San Diego. I was a NW3a before and am now kind of a thin NW2. Also had a small HT of 309 micrografts in 1994 by John Lenhart in FL and by all accounts it was done pretty good. My skin is average caucasian brown and hair is thin, straight, and dark brown. I have tight skin. Not just on my head but over my whole body. I was concerned about donor laxity, but DeYarman checked me over well and felt it was not a problem. So what are my results? Mixed; on a good day I give it a C-. I've had fair general growth of the recipient hair. That is the good news. The bad news has been the donor area, certain aspects of the hairline, and a somewhat thin and weak appearance of the general recipient area. Immediately after surgery I had a lot of pain, swelling, and numbness of the center left of the back of head around and above the suture line. It was a specific area only. As the weeks progressed I had a friend take pictures of the donor area. I had a scar that ranges between 2 and 2.5mm in width along it's length with significant shock loss around the suture line. Most of this shock loss was temporary. But the real problem is the two mysterious 0.7 cm diameter shock loss areas in the numb center left region above the suture line. At 10 months none of this hair has come back. Dr. Deyarman has been concerned about this from the start, but has no definitive explanation for it. I believe they are suture hole areas that caused pain, swelling, and permanent shock loss. Ultimately they will require some grafts to fill in. I keep my hair at least 3/4" long so it can only be seen if my hair is wet. Sorry, no good pics. The other item that I feel is of mixed result is my recipient hair. It was planted at about 30 grafts/cm2 in the front line and 30 to 40 elsewhere. At this point the transplants do not match or blend in well with the surrounding hair of the sides and mid scalp. The entire recipient hair has a weird texture and curliness to it. It starts out straight but as it gets near the ends it abruptly curls toward the back. It just plain looks funny. Because of this I must keep my hair less than 1 inch to minimize the effect. It's noticeable when viewed from the top. I totally avoid situations where I might bend my head down or people might view me from up high. Pics enclosed. Lastly, the grafts on the left side in and near the left temple did not grow. As you come forward along the hairline, about 2 cm out of the apex, that's when the transplants start growing. It creates a asymmetry that really bothers me. Why did it happen? Did the techs damage this group of grafts? Did I sleep on them hard under the influence of heavy pain killers? Another mystery neither of us can explain. Pics enclosed. Over the last 10 months I've been back to Dr. DeYarman several times to discuss my results. He has tried to offer some explanations, but for the most part can't explain any of it. I believe he is an honest, ethical, and caring doctor. However, I believe he gets mixed results with his patients. I know another person who went to him and got similar number of grafts in the same areas. He is very happy with his results. Moving forward I'm scheduled to do refinement work an FUE doctor in Atlanta in December. I'm targeting 1800 FUE. I won't do strip again! Way too painful for me and I believe my donor laxity won't allow it. Will concentrate on the left temple area, hairline in general, and improve density in the front 1/2 (extending about 2cm farther back than last time). May put a few into my two donor shock loss areas too.
  10. Those who are regulars on this discussion forum know that the True and Dorin Medical Group have a well known reputation for providing outstanding surgical results. This reputation truly precedes my visit to their clinic. One need only use the "Find" feature on this forum to search their name to find dozens of positive reviews by their patients. My visit really only confirmed that their reputation for high levels of artistry and cutting edge technique is very well deserved. Dr. Robert True has been performing hair transplantation exclusively since 1992 and his artistic judgment and technique is masterful. He has also presented at many major international hair restoration meetings and his writings have been widely published. In 2002 Dr. True brought Dr. Robert Dorin into his practice to mentor him and give him the full benefit of his many years of experience. Dr. True found that Dr. Dorin had a rare and natural aesthetic sensitivity for doing hair restoration surgery. After extensive hands on training, Dr. Dorin mastered both the aesthetics and technical aspects of performing ultra refined follicular unit hair transplantation and was made a managing partner in the practice. Like his mentor, Dr. Dorin has a reputation for being very upfront with his patients and under promising and over delivering. Together with their large and experienced staff of technicians they are capable of providing patients with large sessions of densely packed ultra refined follicular unit grafts when appropriate for the patient. There office has over ten graft cutting work stations equipped with microscopes to trim numerous follicular grafts at any one time. They have also invested heavily in special equipment that enables them to provide state of the art follicular unit extraction (FUE) when appropriate for a patient. They are supported by two very knowledgeable patient educators, John and Peter, who are both hair transplant patients of Dr. True and Dorin. They provide potential patients with initial information about all treatment options. The consultations and recommendations for treatment are then made by Dr. True and Dr. Dorin. During my visit I was impressed by their entire quality process from A to Z. I'm honored to have both Dr. True and Dr. Dorin as outstanding members of the Coalition of Independent Hair Restoration Physicians.
  11. The next area that I will be visiting is the DC and Maryland area. Does anyone have any opinions or suggestions regarding physicians in the DC area? I know from this forum and private emails that there are at least a couple of surgeons in the DC area have gotten very poor reviews from their patients. So I will not be visiting their clinics. However, does anyone have experiences or opinions regarding Dr. Gene Conti, Dr. Jamal Yousefi, Dr. Franklin Weinstein, Dr. John Kiely or Dr. William Lindsey in the DC area? Thanks in advance for your input.
  12. where'smyhair... you belong to the NRA don't you? You think everyone should be allowed to own an automatic and take it to school/work. I sympothize and understand that our individual rights are and should be front and center. I am a huge advocate for personal freedoms and liberty. But... HIV and Hep are serious diseases. Why should a non-emergency doc/nurse risk infection. In an emergency, these test would be consider unacceptable. By no means is a doc violating your rights, their oath or the law by asking you to get a simple blood test. He is not requiring you to get an HT. You are requesting one! It's kinda like, it is a priveledge to operate a vehicle in most US states (NY included.) Yes, a priveledge not a right. If you want to take advantage of that priveledge, legally you must where a seat belt or pay a fine. Bottom line my friend, seat belts save lives and so do HIV test! I suggest you read "On Liberty" by John Stuart Mills (1869.) Although it is pretty heavy reading, the book should shed some light on your dilemma. This guy is totally against government control but he understands that the government has the responsibility to protect the individuals that are not smart enough to protect themselves. Kind of where this discussion falls, wouldn't you agree. To be a responsible citizen means that one must minimize the potential risks to other humans. Yes, even the bright ones that decide to go swimming with the killer shark fish in Florida must have a pre-certification. Because an individual has a right to go bare back in the heat of passion, or pump who knows what up their viens from a needle... should not be the doctors problem. He/she has rights also! I'm glad to hear you don't have HIV and so is your dr. In the U.S. over a million people have HIV now and half of them walk and play around and don't even know it. I took the test and found out I wasn't among them. And, I'm very pleased to know that!
  13. This is my first post on any hair loss forum. I have been doing research on hair loss for about one year. I have religiously followed a couple of forums, including this one, for the last six months. After a great deal of consideration, I have decided to have a hair transplant in August with Dr. Keene in Tucson. I am posting for the first time to thank all of you for the information you have made available to me. I would like to especially thank Pat and Robert for the valuable service they provide. I would also like to say thank you to John Se and Bonzo for providing useful information on Dr. Keene. I am 35 years old and my hairline has been receding for about 10 years. I am about a 2.5 on the Norwood scale. I started Proscar in March, 1.5mg per day. In my limited knowledge of finasteride, I suspect that I am one of the lucky ones that respond extremely well to the medication. In as little as three months on Proscar, my hair is now stronger and looks fuller. Hair has started to grow where there was none, along the hairline. I have not experience any negative symptoms. My procedure will be for 2100 FU grafts. My goal is to slightly lower the hairline, and to fill in and close the temples. I have asked for 40 FU's per sq/cm. Dr. Keene told me that I have about 80 FU's per sq/cm in the donor area. I plan to post pictures from before and after my procedure. Once again, thank you all for taking the time to post in this forum.
  14. This is my first post on any hair loss forum. I have been doing research on hair loss for about one year. I have religiously followed a couple of forums, including this one, for the last six months. After a great deal of consideration, I have decided to have a hair transplant in August with Dr. Keene in Tucson. I am posting for the first time to thank all of you for the information you have made available to me. I would like to especially thank Pat and Robert for the valuable service they provide. I would also like to say thank you to John Se and Bonzo for providing useful information on Dr. Keene. I am 35 years old and my hairline has been receding for about 10 years. I am about a 2.5 on the Norwood scale. I started Proscar in March, 1.5mg per day. In my limited knowledge of finasteride, I suspect that I am one of the lucky ones that respond extremely well to the medication. In as little as three months on Proscar, my hair is now stronger and looks fuller. Hair has started to grow where there was none, along the hairline. I have not experience any negative symptoms. My procedure will be for 2100 FU grafts. My goal is to slightly lower the hairline, and to fill in and close the temples. I have asked for 40 FU's per sq/cm. Dr. Keene told me that I have about 80 FU's per sq/cm in the donor area. I plan to post pictures from before and after my procedure. Once again, thank you all for taking the time to post in this forum.
  15. John Se - I am about 21 weeks from my HT with Dr. Keene to cover crown. Hair is coming in nicely now. I have better coverage than what I had started with 5 months ago, but not completely satisfied. But it's been only 5 months, I am expecting lot more growth in next 3-4 months. I have mentioned this in different message, some of my grafts never fell after the HT and they're still there today. They're neither falling nor growing. Did you have similar experience? Also do you think you can share your pictures? Thanks for all your replies guys. KG
  16. I just wanted to chime in on this thread a little about my own experience with True and Dorin Medical Group. I had the fortunate opportunity to fly up to New York to witness them both in action performing a hair restoration procedure on Northern as detailed here. When I visited True and Dorin Medical Group I was pleased to meet and talk "hair" with two fine physicians that truly put the patient first in their practice. This was not only evident in their care of Northern, but was reitterated over and over by the patients that I met that were coming in for follow-up appointments. I got to see up-close Dr. True and Dr. Dorin's meticulous surgery procedures first-hand as well as their highly-skilled staff laboring away from early in the morning until very late into the day. John, their patient educator, was extremely knowledgeable and competent. I exchanged dialogue with him throughout the day and there was never a question in my mind that the patient's well-being and satisfaction were ever compromised. NYC Guy, you most certainly have the right to your opinion and to share your thoughts, however I am very glad that Dr. True posted his reply. I believe that it showcases his true empathy for the hair loss sufferer. I also encourage you to revisit True and Dorin Medical Group. This is in no way to detract from Dr. Bernstein as he is also a great physician in the NY area. In my personal opinion, there really is no "losing" situation in regards to choosing from one clinic or the other. You will not be dissappointed going either way. Wallywonka, thank you for posting your sentiments and I hope to hear more about your progress. -Robert
  17. Dr. True: I am so pleased to hear your beautiful response to NYC Guys lopsided view of his visit with you. I believe that your perspective of the visit is substantiated by the way you have handled my HT as well as the many others that I researched before I decided for your office to handle my case. I can only speak for myself as to the professional, highly skilled staff, including John who gave the best of care to me. I would like to add for the benefit of NYC Guy, that actually I spent very little , hardly any time with you or Dr Dorin before surgery. My consultation was with John in your Pougkeepsie satelite office and I only met you on the day of surgery. I felt no further need to consult with you on that occasion as John had already answered all of my questions professionally and satisfactorily. I thought his hair looked very good. He also had another HT patient stop by to show me his results after 2 HTs. Perhaps NYC guy had not done his homework before consultation and expected more than what was reasonable for that day. NYC Guy is the first discontent [about you]that I've read on this forum. For my part...I can't wait to show you the results so early on. I'm 6 weeks out and have new growth and 40% of HT is still growing and has not fallen out. This..I believe attests to the exceptional skill used by your trained staff of technicians, in my case, that has resulted in some very unussually quick results. No scar problems; no shock loss; no pimples, redness..nothing but hair! Thankyou Dr True. Wallywonka
  18. Mr Marc, I consulted with the people at Medical Hair Restoration in Westchester. I was only initially consulting and was not thoroughly convinced to do this yet...so I didn't take the ball and run with it , so to speak. However, a year later and after reading this web page and others, I sorted out who I thought were the best choices in the area. Having never read anything bad about Drs. True and Dorin, I decided to have a consultation. I was thoroughly convinced by this time and just needed to hear somebody talk to me like they cared about my procedure and not try to sell me something. John is their lead consultation man and he was very professional in the discussion. I felt very confortable and decided to go ahead. I only met Dr. True on the day of the procedure in Manhatten. But It was better than I had anticipated. I could not say enough good about the whole thing. Thanks for the inquiry. I'll add info as I start getting regrowth worth talking about. WW
  19. Hussain, Welcome to this forum and hope you are finding it a helpful site. One would think that Wash DC would have several great if not good HT doctors especially with the demographics it has. But that is clearly not the case. There are two doctors that come to my mind that I would highly recommend however neither of them are in the immediate DC metropolitan area, but both are "drivable" The first is Dr. Ed Epstein and he is the only doctor recommended in Virginia. He has two clinics, one located in Richmond and the main clinic in Virginia Beach. The other is Dr. James Vogel in Baltimore, MD and also be advised that he is a plastic surgeon and affiliated with John Hopkins Institute. So he does not do HTs full-time however since I live in the DC area myself, I have seen a fair amount of his work which looked pretty good and can say that I have never seen any bad work by him, never heard a patient complain about him either. One more thing. There is an up and coming FUE surgeon based out of Gaithersburg, MD by the name of Dr. Christian Bisanga who does his cases over-seas. He is completing his resindency at John Hopkins so soon he will be doing both strip and FUE out of Maryland. Both Dr.s Epstein and Vogel are recommended on this site as well. Stay away from the "chains" including HRG in northern Virginia. Best wishes to you!
  20. sd-dreamer, I second John Se, go talk to the "hair Mills", then e-mail Dr. Keene. I'm 2.5 weeks after surgery with her and I have no regrets. Search the sites, you will not find a better surgeon; honest, perfessional, reasonable. If you have any other questions, send me a private message, and I'll respond in kind-Bonzo
  21. John Se, I'm extremely pleased to hear about that your procedure went so well. In two months, all of the graphs are already in growing, that's wonderful! You must be a very fast healer. So the phase that pays is to tell Dr. Keene, " plant all that you can get". I'll certainly remember this slogan in March. Are you planning to post any photo's? I can understand both sides of this issue and decision whether to post or not. I'm planning on posting photos, after all I have nothing to lose since I've lived with plugs for so long now; I won't know how to react with a natural looking hairline again, the first thing that's going in the trash is my collection of hats. And trust me on this one, I'm going to show this new master piece of art off as often as possible to everyone who looks at me! Telephone Man, Thank you, the consultation went very well, I've read about the procedure to remove the original graphs, then break them down and re- transplant them, ( I think it was a posting from Arfy?). But in my case, the plugs are less noticeable and more natural( if you will), then the older round ones were. Dr. Keene said that she will focus on a new hairline in front of the original plugs, then camouflage the old ones with 2-4. I'm entrusting my last procedure that my donor area will allow on a one shot operation, Believe me, your last statement "good luck" means alot to me-Bonzo
  22. Online drugs: Why cheaper isn't always better 10:41 PM PST on Monday, March 1, 2004 By ELISA HAHN / KING 5 News We are a nation ready to pop a better pill, lining up at pharmacies around the corner, across the border and along the information highway. The Food and Drug Administration estimates three to four million Americans are buying lower-cost foreign drugs, because to many, better means cheaper. But at what price to your health? In some cases, unscrupulous businesses are only too happy to sell you something that just looks like the drug you need, but contains little or none of the actual drug. We purchased popular drugs online from some Mexican and Canadian pharmacies. Weeks later, the first to arrive was Viagra in a hand-addressed envelope, clearly postmarked from India. Inside was a little cardboard, a few sheets of paper, the bill from our Mexican on-line pharmacy, a plastic bag and four unmarked pills. But the pill had absolutely none of the active ingredient. While it wouldn't hurt you physically, it could take a psychological toll. "His dreams would be deflated to say the least," said forensic toxicologist Dr. Ernest Lykissa. "I don't know how else to put it." And how does India figure into all this? Experts warn these days fancy Web sites need only a basic computer. Our pharmacist found a supplier in India, probably through the Internet. Was our finding just a fluke? Not according to the FDA, which is in the middle of testing 1600 drugs purchased outside the United States, including birth control medicines. ??It's a fake knockoff of that contraceptive patch you see on television," the FDA's Dr. Richard Hubbard said. There was no active ingredient. Hubbard also showed us seizure and prostate medications an elderly man bought, which were supposedly made in Canada. "In fact he was getting these fake knockoffs from India," Dr. Hubbard said. "We have seen other examples of Indian companies selling drugs through Canada, or directly over the Internet," Dr. Hubbard said. We bought the top five U.S. prescribed drugs online from two Mexican pharmacies. The first batch was purchased from Safemeds.com. The Premarin, Synthroid and Zoloft equivalents were relatively pure and potent, but the Norvasc had up to ten times the acceptable level of certain heavy metals, and its potency was a borderline acceptable 92 percent. Poor manufacturing processes also tainted the Lipitor samples with similar problems, one was just under 79 percent potent. "That means you're only getting about three-quarters of what you're supposed to be getting," forensic toxicologist Dr. Ernest Lykissa said. The second group we bought from myrxforless.com. Contamination was worse. The Zoloft had nearly 20 times the acceptable level of certain metals, including an elevated level of arsenic. There were similar troubles with the Norvasc and Premarin, and the Synthroid had elevated mercury. The worst was the Lipitor which had 20 milligrams of contaminants, and just 80 percent potency. "I would definitely categorize it as a dangerous drug," Dr. Lykissa said. Heavy metals threaten kidneys and could cause bladder cancer. Also, weakened drugs could devastate weakened patients. "Is it potentially fatal?" Dr. Lykissa was asked. "It could be, depending on the individual," he said. The FDA's response after reviewing our results.? "These are contaminants that the FDA would never allow to be in a U.S. produced drug," the administration's Dr. Richard Hubbard said. So who's behind the fancy Web sites? We tracked Safemeds to an office in Mexico City, where they explained why foreign drugs are cheaper. "The regulation system is much stricter in the United States than here in Mexico," Arturo Silva with Safemeds said. The only address for Rx for Less is a post office in the Mexican border town of Agua Prieta. But we tracked box number 65, to a corner drug store called Maxi Farmacia. Owner Ricardo Luevano says his Mexican supplier gets the medication from many countries. Then he said he didn't sell the drugs we tested. He insisted quality was fine until we showed him our test results. "You don't recognize any of those drugs?" we asked. "No," Luevano said. "You don't? We asked again. "No," he said once more. But then, the very drug he wanted to show us as a quality product, Lipitor, was among the worst of the medicines we've tested. "Our medicine is bad?" Luevano asked. The problem is it's hard for even a farmacia to know where its drugs are coming from. "You may be dealing with an individual who on Saturday is making illegal illicit drugs, and on Sunday says, ??let's make Viagra,' " Dr. Lykissa said. Or something that looks just like it We shared our test results with the head of global security for Pfizer, who calls the products counterfeits. "The counterfeiters have become so sophisticated these days in packaging and presenting counterfeit products that visual authentication of the product is almost impossible," said R. John Theriault, Pfizer's Vice President for global security.
  23. From the Intercytex website: "INTERCYTEX ANNOUNCES TRICHOCYTE DISTRIBUTION OPTION WITH BOSLEY May 6th, 2004: Intercytex today announced it has entered into an agreement with Bosley Medical providing them with an option to negotiate distribution of its hair induction product - TrichoCyte. Bosley currently have 75 hair transplant clinics and consultation centres throughout the US, and have the potential to distribute TrichoCyte not only within their established clinics, but also to the hair transplant community in general. Dr Paul Kemp, CEO and CSO of Intercytex said; ??We are very pleased to be working with Bosley in this way - they undoubtedly have performed more surgical hair transplants than anyone else in the world, and their experience of the market will be extremely important as we further develop TrichoCyte'. Commenting further on behalf of Bosley, President and CEO John R. Ohanesian said; ??We are excited to have the opportunity to work with this leader in cellular biology and tissue engineering'. Based on emerging positive results from its phase I study, Intercytex also announced it is planning to initiate phase II US and UK multi-centre clinical trials of TrichoCyte later this year. Principle Investigator for the forthcoming trials will be Dr. Jerry Cooley (Head of the Carolina Dermatology Hair Center), who said; ??Having spent the last three years working closely with Intercytex on clinical development of follicular cell implantation, it is extremely rewarding to see that TrichoCyte is progressing towards the next key stage of its product development'. Several individuals have so far been treated with TrichoCyte as part of a UK- based safety study conducted under the guidance of Dr. Bessam Farjo of the Farjo Clinic - none of the volunteers treated exhibited any evidence of adverse responses. Dr Farjo commented; ??I am delighted that TrichoCyte has proven safe in all volunteers enrolled into the trial, as this approach to new hair induction will represent a step-change in the way male pattern baldness is treated in the future'. TrichoCyte comprises highly specialised inductive dermal papillae cells capable of mediating hair growth by formation of new follicular structures. The product will be indicated for treatment of male pattern baldness which currently affects over 40 million individuals in the US. About Intercytex: Advances in cell biology, molecular biology and tissue engineering have shown that living cells can be successfully used as therapeutic agents. This knowledge led to a first generation of cell-based therapies which overcame unique technological and regulatory hurdles to enter the market. In recent years there has also been an explosion in the fundamental understanding of how tissues and organs grow as the human body undergoes the remarkable transition from a collection of undifferentiated cells to adulthood. Intercytex commenced operations in 2000 and currently employs 48 staff including R&D, clinical production and regulatory teams. Its main labs and offices are located in Manchester, UK, with an additional research facility near Boston, Massachusetts. Intercytex facilities include several GMP production suites for manufacturing products for clinical trials. Investors in Intercytex include Johnson & Johnson Development Capital, 3i, Merlin Biosciences, Avlar Bioventures, Cambridge Gateway Partnership, NIF Ventures, Temesek Holdings and Scottish Equity Partners. About Bosley: Bosley enters its 30th year in surgical hair transplantation with more than 180,000 procedures performed on men and women from sixty different nations since 1974. Bosley advanced many of the artistic techniques used worldwide today to achieve natural results under the leadership of hair restoration pioneer and company founder L. Lee Bosley, M.D.. Under the direction of Bosley's Medical Director, Ken Washenik, M.D., PhD., Bosley practices state-of-the-art follicular unit hair transplantation." -Robert
  24. WVHair, This is from a previous post. Hopefully it will help you to make an informed decision before you decide that saving a few pennies is a wise choice: Online drugs: Why cheaper isn't always better 10:41 PM PST on Monday, March 1, 2004 By ELISA HAHN / KING 5 News We are a nation ready to pop a better pill, lining up at pharmacies around the corner, across the border and along the information highway. The Food and Drug Administration estimates three to four million Americans are buying lower-cost foreign drugs, because to many, better means cheaper. But at what price to your health? In some cases, unscrupulous businesses are only too happy to sell you something that just looks like the drug you need, but contains little or none of the actual drug. We purchased popular drugs online from some Mexican and Canadian pharmacies. Weeks later, the first to arrive was Viagra in a hand-addressed envelope, clearly postmarked from India. Inside was a little cardboard, a few sheets of paper, the bill from our Mexican on-line pharmacy, a plastic bag and four unmarked pills. But the pill had absolutely none of the active ingredient. While it wouldn't hurt you physically, it could take a psychological toll. "His dreams would be deflated to say the least," said forensic toxicologist Dr. Ernest Lykissa. "I don't know how else to put it." And how does India figure into all this? Experts warn these days fancy Web sites need only a basic computer. Our pharmacist found a supplier in India, probably through the Internet. Was our finding just a fluke? Not according to the FDA, which is in the middle of testing 1600 drugs purchased outside the United States, including birth control medicines. ??It's a fake knockoff of that contraceptive patch you see on television," the FDA's Dr. Richard Hubbard said. There was no active ingredient. Hubbard also showed us seizure and prostate medications an elderly man bought, which were supposedly made in Canada. "In fact he was getting these fake knockoffs from India," Dr. Hubbard said. "We have seen other examples of Indian companies selling drugs through Canada, or directly over the Internet," Dr. Hubbard said. We bought the top five U.S. prescribed drugs online from two Mexican pharmacies. The first batch was purchased from Safemeds.com. The Premarin, Synthroid and Zoloft equivalents were relatively pure and potent, but the Norvasc had up to ten times the acceptable level of certain heavy metals, and its potency was a borderline acceptable 92 percent. Poor manufacturing processes also tainted the Lipitor samples with similar problems, one was just under 79 percent potent. "That means you're only getting about three-quarters of what you're supposed to be getting," forensic toxicologist Dr. Ernest Lykissa said. The second group we bought from myrxforless.com. Contamination was worse. The Zoloft had nearly 20 times the acceptable level of certain metals, including an elevated level of arsenic. There were similar troubles with the Norvasc and Premarin, and the Synthroid had elevated mercury. The worst was the Lipitor which had 20 milligrams of contaminants, and just 80 percent potency. "I would definitely categorize it as a dangerous drug," Dr. Lykissa said. Heavy metals threaten kidneys and could cause bladder cancer. Also, weakened drugs could devastate weakened patients. "Is it potentially fatal?" Dr. Lykissa was asked. "It could be, depending on the individual," he said. The FDA's response after reviewing our results.? "These are contaminants that the FDA would never allow to be in a U.S. produced drug," the administration's Dr. Richard Hubbard said. So who's behind the fancy Web sites? We tracked Safemeds to an office in Mexico City, where they explained why foreign drugs are cheaper. "The regulation system is much stricter in the United States than here in Mexico," Arturo Silva with Safemeds said. The only address for Rx for Less is a post office in the Mexican border town of Agua Prieta. But we tracked box number 65, to a corner drug store called Maxi Farmacia. Owner Ricardo Luevano says his Mexican supplier gets the medication from many countries. Then he said he didn't sell the drugs we tested. He insisted quality was fine until we showed him our test results. "You don't recognize any of those drugs?" we asked. "No," Luevano said. "You don't? We asked again. "No," he said once more. But then, the very drug he wanted to show us as a quality product, Lipitor, was among the worst of the medicines we've tested. "Our medicine is bad?" Luevano asked. The problem is it's hard for even a farmacia to know where its drugs are coming from. "You may be dealing with an individual who on Saturday is making illegal illicit drugs, and on Sunday says, ??let's make Viagra,' " Dr. Lykissa said. Or something that looks just like it We shared our test results with the head of global security for Pfizer, who calls the products counterfeits. "The counterfeiters have become so sophisticated these days in packaging and presenting counterfeit products that visual authentication of the product is almost impossible," said R. John Theriault, Pfizer's Vice President for global security. -Robert
  25. OK, that was one of two articles. Here's the other: With New Science, Hair Restoration Improves By DAN HURLEY Published: June 15, 2004 "How you doing, Tom?" asked Dr. Anthony DiBiase, a Manhattan surgeon, in the midst of jabbing a lancet 1,130 times into the balding head of Tom Raybek. "You O.K.?" "Yep," said Mr. Raybek, as mellow and relaxed on a mild tranquilizer and topical anesthetic as if he were getting a haircut, which was pretty much the opposite of what he was getting. At the age of 58, Mr. Raybek, a ski lodge owner from Killington, Vt., had agreed to undergo hair transplantation at no charge in exchange for allowing his image to be used by Dr. DiBiase's employer, Bosley Inc., in "before" and "after" photographs. This, however, was "during," and it was not pretty. Tiny beads of blood welled up as Dr. DiBiase's hand jabbed up and down as rhythmically as a sewing machine, making three or four minuscule punctures every second. Two medical assistants standing nearby counted off every puncture, so that they would add up precisely to the number of follicles that had already been "harvested" from the back of Mr. Raybek's head earlier in the morning. In the afternoon, the medical assistants would spend nearly three hours using tweezers to plant the individual follicles into the holes. "Pretty amazing, isn't it?" Dr. DiBiase said, standing back to admire his handiwork, like a farmer gazing out on a newly planted field of wheat. With little fanfare, the science of hair restoration has in the last few years undergone vast changes. Hair plugs, infamous for their artificial appearance, are becoming a thing of the past, as scientists refine techniques of transplanting individual hair follicles rather than circular scoops of skin, giving the hair a more natural look. At least one new hair-growth drug is in the pipeline. The cloning of individual hair cells is only a decade away, experts say - an advance that, by providing an unlimited source of replacement hair, could give even the baldest head a luxuriant thatch, while at the same time making hair transplantation surgery safer. The market for such developments is sizeable. The Food and Drug Administration estimates that some 40 million men and 20 million women experience hair loss. Sales of Propecia, one of the most popular hair-growth potions, totaled $111 million in the United States in 2003 alone, up 13 percent from 2002. Close to 32,000 hair transplants, 88 percent of them in men, were performed in this country last year, according to the American Society of Plastic Surgeons, up from 29,000 in 2002. With the typical transplant running upward of $10 per follicle, and the average procedure involving about 1,000 follicles, that translates into nearly a third of a billion dollars. The field's advances have not done away with bad hair jokes: A running gag in the recent film "Hellboy" revolved around the doll's hair look of a character's hair plugs. "The big problem we've had to overcome is 30 years of plugs," conceded Dr. Bobby Limmer, a dermatologist in San Antonio and the developer of individual follicle transplants. "You mention hair transplantation to the guy on the street, and the first image that's going to come to him is the plug." But the evolving medical science has come a long way since 1981, when a Boston lawyer named John Kerry, not yet a political figure, represented 16 men whose heads had been surgically implanted with carpet fibers. "They were badly, badly infected, and in most cases large parts of their scalps had to be excised," recalled Roanne Sragow, then Mr. Kerry's law partner and now the first justice of the Cambridge District Court. "It was pretty gruesome." Hair transplantation has been possible since 1952, when Norman Orentreich, a dermatologist at New York University, figured out how to transplant circular scoops of follicle-rich skin stolen from the back of the head. The result was tiny tufts rising up like so many islands of hair amidst a barren sea of baldness. This effect was especially unfortunate at the hairline, where the hair plugs were plainly visible. Even five years ago, experts say, plugs remained the hair replacement technique of choice; they are still used by some, particularly on the crown, where the doll's hair effect is not as visible.
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