Tag Archives: dr michael

Linda Kozlowski Plastic Surgery

Crocodile Dundee actress Linda Kozlowski doesn’t look like her old self these days and it’s not just the natural effects of aging. she looks to have a case of too much of a good thing, in this case, plastic surgery.

54-year old actress Linda Kozlowski met her husband Paul Hogan on the set of their film Crocodile Dundee. since then, Linda hasn’t had much professional success, but she still looks very Hollywood, thanks to an overload of plastic surgery that has effectively transformed her from her days as another pretty face.

Miami plastic surgeon Dr. Michael Salzhauer says, “Actress Linda Kozlowski does look very different and appears to have had several cosmetic procedures including a nose job or Rhinoplasty, eyelid and brow lifts, dermal fillers to her cheeks and lips and Botox to her forehead.  she has a youthful look, but doesn’t really look like herself anymore.”

Linda looks to have given up acting and possibly trading it in for a new hobby: plastic surgery. however, Paul seems to be aging naturally and gracefully.

Linda Kozlowski Plastic Surgery

Reader Mail: Dr. Schnoz Is a Gifted Surgeon

Nose Job Notoriety

Morals don’t matter: As shown by your profile of Dr. Michael Salzhauer, the plastic surgeon who’s courted infamy with web videos like “Jewcan Sam” (“Boob Tube,” Michael E. Miller, June 21), we should not care if doctors like him are one of the soulless bastards from Nip/Tuck, with their mega money, fast cars, and loose morals, as long as they are good, talented plastic surgeons. The problem actually is that people expect other people to be perfect, and he is not. He has the gift of being a good doctor, but he does not have the gift of common sense. That should not matter, as long as his surgery is good. I would much rather get plastic surgery from him than from a sensitive, soft-spoken, mediocre doctor.

Giselle Garcia

Hurting Homeowners

Money talks: of course the government will protect lenders and financial institutions, as you prove with your story about a questionable foreclosure firm getting sheltered by connected Florida officials while the investigators checking them out got fired (“Foreclosure Fraud,” Stefan Kamph, June 21). those firms have the money to bankroll and finance the government, while average citizens do not have that kind of clout, just a vote, which means nothing if there is no money. It’s always been like this, it will be like this for another 100 years, and there is nothing we can do. The one who has the money is the one who controls everyone.

Citizen

Get what we deserve: we live here. we elect our public officials. we allow them to continue to serve. we get the government we deserve. Florida institutionalizes low expectations. You can see it everywhere. Underachievement is the order of the day in education, public services, commercial services, and political office. By expecting too little from ourselves, we expect very little from others. The corruption of low expectations also infects Florida’s judicial system. it will change only if we change ourselves.

Youreminenece

Kill the status quo: it is time for all Floridians to stop arguing over Democrat or Republican, since they are two sides of the same coin. Neither party is looking out for our best interests. The only answer is to stop electing anyone who is connected with those parties, and stop re-electing people. when we show politicians that money will not work to buy our votes, we will get the government and the governmental services we deserve.

PJP

Animal Instincts

Adoption fiasco: The debate over whether to make the new Miami-Dade animal shelter a no-kill facility (“Animal Instincts,” Francisco Alvarado, June 21) just highlights what a poorly run place it is. My friend came down to adopt a dog, and they didn’t want to let her because she lives in Wellington. we had to fight them to get the dog out of there. it had an infected eye, a chest infection, and other health issues. My friend even offered to let them pick a vet and drive it over and she would pay all the bills. Finally, after three visits and the dog suffering there for a week and a half, she got the dog. it needed to have its eye removed. now the dog lives happily on a nice horse farm and is truly loved. they will adopt to anyone in Miami-Dade who won’t necessarily take care of the animal, but not to someone outside the county who wants to give it a good home!

Lcat29

Loosen the adoption standards: if you want to adopt one of these pets, you probably have to pay an adoption fee on top of registration or license fees. instead of killing the animals, the shelter should at least give them away for free to people who are willing to care for them. come on, these aren’t human babies whose potential parents’ backgrounds need to be thoroughly checked. I mean, I understand the animals might end up in worse conditions or potentially end up back at the shelter, but why not give people the benefit of the doubt? sure, not every pet would be adopted, but it might help. sometimes every problem is not just black-and-white. You can find solutions in the gray area.

Albert McKenna

Bleeding hearts: who exactly is going to pay for the caring and feeding of these animals at no-kill shelters? I love liberals and their feel-good policies. it is so easy to make these plans when it isn’t their money at stake.

Anthonyvop

Cleanin’ Up

Competing against daily newspapers from around Florida, Miami New Times won several honors at last weekend’s Sunshine State Awards. Staff writer Michael E. Miller placed first in feature writing and in religion reporting, managing editor Tim Elfrink earned second place in sportswriting, and senior writer Gus Garcia-Roberts took third place in investigative writing and public service.

Reader Mail: Dr. Schnoz Is a Gifted Surgeon

Implants make it easier to stick your chin out

TAMPA (FOX 13) –

Linda Grisham says it was time to change her look.

“I didn't like the way that this was all saggy and felt like my neck was sagging,” she said. “And I felt like I was too young to be looking like that.”

Dr. Michael Jasin specializes in facial plastic surgery.  in addition to a facelift, he recommended another enhancement.

“The enhancement was a chin implant and immediately in the computer imaging, you look at the difference,” he said.

And that means more people are comfortable getting the implants, according to Dr. Jasin.  He's seen a huge spike at his Tampa office.

“I happen to have a chin implant myself,” said the doctor.

Chin augmentation is the fastest growing plastic surgery trend in the country, according to the American Society of Plastic Surgeons.  it went up 71 percent last year, and the numbers are even higher among men.

“People are now seeing their facial images more frequently than they normally do,” he explained.

Most of the patients are baby boomers. they can thank technology for pointing out their “not so pointy” chins. Experts say social media, video chatting, Skyping, and camera phones have shown us a side of our face that we don't necessarily like.

“A chin that recedes will make a nose look bigger.  it will make a neck look less defined and it will make a jaw line look less defined,” said Dr. Jasin.

So getting a chin implant can actually make your nose look smaller.

“It's done with a local anesthetic.  it takes about 30 or 40 minutes to do the procedure.  There's minimal down time and it can produce a very, very natural yet enhanced look on your face,” he said.

“I had no discomfort, it doesn't move, it doesn't hurt, it's just like a part of me,” Linda said.

There are some risks, though.

“Implants can come out or migrate,” Dr. Jasin explained. “But it's very rare.”

“The difference was just a more youthful look, more prominent, I didn't realize that when you age you lose your chin,  I don't know, I didn't think about it,” Linda said.

Even her stepkids were impressed

“They said, dad's a lucky man.”

Linda said the implants are making her feel more youthful.

“Sometimes I feel like I'm 15. I have a lot of energy,” she added. “I'm so glad I did it.  I wish I had done it sooner.”

Implants make it easier to stick your chin out

Mob Wives Renee Graziano’s Terrifying Plastic Surgery Nightmare (Photos)

When we wrote the title ‘Mob Wives Renee Graziano’s Terrifying Plastic Surgery Nightmare’ we were not referring to her experience with cosmetic procedures but to their results and her subsequent appearance!

The daughter of convicted mobster Anthony ‘TG’ Graziano is prone to panic attacks and plastic surgery. whatever Renee looked like before her plastic surgery Odyssey, it could not have been worse and more frightening than how she looks right now.  Yet this insult and embarrassment to the Italian-American community flaunts her ugly butt and butt-ugly face around as if she were a raving beauty.  what an ego!

RadarOnline exclusively reveals Renee has just gone under the knife again and emerged victorious – at least in her own mind.  Renee croaks ‘It was a total success!’ referring to her most recent bout of cosmetic coercion – ‘I finally got my ass fine, and I am very happy!’

This latest attempt to make Renee appear human was undertaken by Dr. Michael Fiorillo to correct ‘a botched full body lift that she got from another doctor.’   Renee explains: ‘There was a huge hole in my back so he grafted part of my stomach and then with all the fat left over he filled my rear end and I no longer have a tiny heinie,’ adding, ‘I have always been top heavy, I had E cup breasts and no butt whatsoever.’

Renee goes on: “the recovery was great. I was out in two days, whereas my first surgery took me four months to recover from. I am so happy with the results! I have the cutest little tush. I keep telling everyone to touch it.”

Dr Fiorillo explores some of the procedure in his interview with Radar: ‘… I did a Brazilian butt lift involving liposuction out of her mid-section – stomach, flanks, back and thighs and took out about two liters of fat. we washed it then injected it into her behind to give her a nice bubble butt.“

Renee blames her ex-husband, Hector “Junior” Pagan, who both rated out her father, and is doing his own prison time, for her obsession with plastic surgery: ‘My ex-husband, that creep, gave me the worst complex in the world. I had surgery because he told me I wasn’t pretty enough.‘

Renee has decided that enough is enough and says: ‘I’m done chopping my body, I will still maintain my face but that can be filled with my own body fat now too so it’s nothing foreign.’

Tell me – how did such a creature become a celebrity, the star of a reality TV show?   the monstrous looking and talentless daughter of a brutal parasitic mobster is now a big star.  are you a fan of Renee and Mob Wives?  would like to be her? Let us know in the comments below.

Just think – with the right docs and enough $$ you can look like this too!

Credit: Paul J. Froggatt/FAMEFLYNET PICTURES

RELATED POSTS

Mob Wives Renee Graziano’s Terrifying Plastic Surgery Nightmare (Photos)

Plastic Surgeon Cautions Against Smoking Before Surgery at Electronic Cigarette Company

Brookline, Massachusetts (PRWEB) February 05, 2012

Concerned about studies that indicate a link between smoking and complications during and after breast augmentation, Boston, MA area plastic surgeon Dr. Michael Tantillo is urging women to kick their cigarette habits prior to surgical procedures. He’s so concerned, in fact, that he’s using Facebook to spread the word about the connection between smoking and surgical complications.

“Despite so many studies showing the risks of smoking, it’s still a widespread habit, Dr. Tantillo says. Many people do not even know about the potential affect it can have on surgery. to help spread the word on the risks of smoking when it comes to surgical procedures, I decided to use my Facebook Page (http://www.facebook.com/MichaelTantilloMD?v=wall) to call attention to an ABC News report on the correlation between cigarettes and surgical complications.

“the ABC report (http://abcnews.go.com/blogs/health/2011/12/07/smoking-could-make-you-lose-your-nipples/) cited an actual case in which a breast-surgery patient who smoked experienced severe complications.”

Before Dr. Tantillo’s patients undergo procedures such as breast implants at his Boston area practice, he emphasizes the importance of halting their nicotine habit.

“If they’ve considered giving up cigarette smoking and want any type of surgery, reading the report that I publicized on my Facebook Page will, I hope, motivate them to kick that habit,” he says.

In addition to discussing the ABC report, Dr. Tantillo tells his Boston area plastic surgery patients who smoke that the American Society of Plastic Surgeons has issued a recommendation that they stop well in advance of their procedures.

“I emphasize to them that there are numerous studies showing the risks if they persist in smoking and have surgery of any kind,” Dr. Tantillo says. “for example, a 2009 report to the American College of Surgeons indicated that smoking could complicate the use of anesthetic during surgery and also affect the recovery process. for that reason, I also urge them to refrain from cigarettes after their procedure in order to promote healing.”

In addition to breast enhancement, Dr. Tantillo performs facial procedures, such as face lifts and rhinoplasty; body procedures, such as liposuction and tummy tucks; and post-weight-loss procedures, such as body lifts and arm lifts. Dr. Tantillo’s practice also offers non-surgical treatments, including BOTOX

Plastic Surgeon Cautions Against Smoking Before Surgery at Electronic Cigarette Company

MAE Plastic Surgery Offers Cellulite and Body Contouring Treatments with Viora’s Reaction™, a Leading Radio Frequency-Based Medical Aesthetics Device

Chicago, IL (PRWEB) June 26, 2012

MAE Plastic Surgery is proud to announce the installation of Viora’s Reaction™, a leading medical aesthetics device. this clinically proven, FDA-cleared device addresses the most requested and popular medical aesthetic body shaping procedures.

MAE Plastic Surgery’s patients will benefit from the most advanced solution available for both face and body contouring and cellulite reduction. The CORE™ technology in the Reaction™ device ensures client safety, comfort and efficiency, as well as faster treatment times, all of which clients greatly appreciate. With Reaction, MAE Plastic Surgery can now also offer ReFit, an ideal non-invasive solution to the appearance of sagging skin following weight loss, whether by diet, exercise, surgery or childbirth.

MAE Plastic Surgery is holding an open house on Tuesday, June 26 to introduce Reaction™ to the public.

“As the demand grows for non-surgical solutions, we wanted to offer our patients a clinically-proven solution. we are enjoying the flexibility that Reaction™ provides for contouring and cellulite reduction,” said Dr. Michael A. Epstein, founder, co-owner and board-certified plastic surgeon. “Our clients are pleased with the painless, visible results.”

“I was surprised during my treatment – after a day of stress, it was just about the least painful thing I did!” said R.L., Reaction patient.

“We are excited to have MAE Plastic Surgery join the Viora family – we appreciate their commitment to their customers and their belief in Reaction as a proven solution to be offered to their clients ,” said Eliran Almog, CEO of Viora Inc. “This ensures that patients in the Greater Chicago and North Shore area now have access to Reaction™’s advanced Radio Frequency treatments for contouring and cellulite reduction, and can receive safe, pain-free, clinically proven treatments.”

About MAE Plastic Surgery Led by Dr. Michael A. Epstein and Dr. Karol A. Gutowski , with over 40 years of combined surgical experience, MAE Plastic Surgery is committed to your positive aesthetic experience. Recipients of the prestigious Castle Connolly “Top Doctor” award for Excellence in Plastic Surgery and recently named top doctors by US News & World report, both are greatly respected by their peers and colleagues. With a strong patient-centric philosophy, MAE Plastic Surgery clients receive the highest standard of care, ensuring that the experience is as safe and comfortable as possible. for more information, call 847-205-1680 or contact info(at)transcendmedspa(dot)com. Visit their website at maeplasticsurgery.com.

About Viora Viora is a market leader in the development of technologically advanced medical aesthetic systems for physicians and aesthetic clinicians worldwide. Dedicated to the research and development of safe and effective devices, Viora provides the highest standard of professional grade solutions while keeping aesthetic businesses in mind.

Read the full story at http://www.prweb.com/releases/2012/6/prweb9641450.htm

MAE Plastic Surgery Offers Cellulite and Body Contouring Treatments with Viora’s Reaction™, a Leading Radio Frequency-Based Medical Aesthetics Device

Research Shows That Plastic Surgery is Continually on the Rise

The last decade has given birth to a new era of cosmetic surgery. the staggering advances in science and medicine have made it possible for folks to cosmetically alter any (and every) part of their body. once considered to be a high risk practice, cosmetic surgery is now just about as safe and commonplace as a trip to the dentist.

Orange County plastic surgery expert, Dr. Michael Niccole, says that he has seen an ever increasing number of people going under the cosmetic knife over the last 9 years. Dr. Niccole’s observations are heavily substantiated by statistical data collected by the American Society for Aesthetic Plastic Surgery (ASAPS).

Lets Talk Numbers

Spanning from 1997 to 2007, there has been a 457% increase in the total number of cosmetic alterations (Surgical & Non-Surgical).

According to ASAPS, in 2001 the total number of surgical and non-surgical cosmetic alterations was estimated at just below 8.5 million. in 2007, this number jumped to just above 11.7 million. That’s an increase of 3.2 million cosmetic alterations per year in only 6 years time.

In a May 2009 interview with Orange County plastic surgery practitioner, Dr. Michael Niccole, I gained a little insight as to how these stats correspond to his business.

When I first became a Plastic Surgeon, business was slow and most people were skeptical of cosmetic surgery. the industry was still in its infancy. however, since 2000, my practice has become extremely prosperous. Over the last 9 years, people have seen the high success rates of cosmetic surgery, resulting in an increased level of interest, trust, and participation.

Top 5 Non-Surgical Procedures

According to ASAPS Statistics, 9,622,000 non-surgical cosmetic procedures were performed in the United States in 2007. the top 5 non-surgical procedures for men and women are listed below:

Hyaluronic Acid1,448,716

Laser Hair Removal1,412,657

Microdermabrasion829,658

Laser Skin Resurfacing647,707

Top 5 Surgical Procedures

Each year, the number of surgical procedures performed increases; however, the total number of annual surgical procedures is always substantially less than the number of non-surgical. according to ASAPS Statistics, 2,079,032 surgical procedures were performed in 2007. the 2007 top 5 surgical procedures for men and women are listed below:

Breast Augmentation399,440

Eyelid Surgery240,763

Abdominoplasty185,335

Female Breast Reduction153,087

In analyzing the available statistical data, there is no doubt in my mind that the cosmetic surgery industry will continue to grow exponentially.

Plastic surgery has become an interwoven part of American society, says Orange County plastic surgery expert, Dr. Niccole. he expects to see a continual increase in patients. even with the economy in its current condition, the majority of plastic surgeons have not seen a dramatic decrease in business. in fact, most have continued to see an increase in referrals and new business.

Research Shows That Plastic Surgery is Continually on the Rise

Cosmetic Work Becoming Popular Father’s Day Gift, Reports New York Plastic Surgeon, Dr. Michael Fiorillo

Our number-one goal is to achieve a fresh, rejuvenated look, without sacrificing a man’s natural, masculine appearance.

New York, NY (PRWEB) June 18, 2012

at his thriving plastic surgery practice in New York and New Jersey, Dr. Michael Fiorillo is seeing a growing number of male patients walking through his door. The recent interest seems to be attributed to a fascinating new trend in the world of cosmetic medicine: Dads exploring plastic surgery around Father’s Day.

“Years ago, certain cosmetic procedures were associated only with female patients,” reports Dr. Fiorillo. “Today, that’s simply no longer the case.” This confirms recent data published by the American Society of Plastic Surgeons (ASPS). According to their 2011 statistics, the number of overall male cosmetic procedures is up a full 16% from the 2000 numbers.

“What’s even more interesting,” explains Dr. Fiorillo, “is that we’re seeing this boom in interest right around Father’s Day.” Seemingly a national trend, this uptick is confirmed in a social media review recently published by aesthetic medicine resource, The Patient’s Guide®. an organizational press release indicates that, “In the last 30 days leading up to Father’s Day, a review of Facebook and Twitter posts indicates that 40% of all social media references to BOTOX® … were now made by men.”

Dr. Fiorillo speculated on what may be driving this new trend. “In today’s difficult job market, a lot of men are definitely turning to cosmetic treatment to stay competitive,” explains Dr. Fiorillo. “Men’s attitudes are also shifting. It’s no longer taboo for a male patient to come in for a plastic surgery consultation.” Dr. Fiorillo is also the doctor behind SoHo’s wildly successful Luminique MedSpa. there, he offers traditional spa services, along with some of the most requested minimally-invasive procedures to date: BOTOX, soft tissue fillers, etc.

Asked about special male considerations, Dr. Fiorillo concluded succinctly: “Men have unique medical needs and cosmetic concerns. Our number-one goal is to achieve a fresh, rejuvenated look, without sacrificing a man’s natural, masculine appearance.”

Luminique is located at 350 Hudson Street in Manhattan and is taking new clients starting immediately. those interested can visit Dr. Fiorillo’s new website at http://www.luminiquemedspa.com/ or call (212) 647-0007 to schedule an appointment.

Dr. Fiorillo, a board-certified plastic surgeon in New Jersey and New York City, is highly respected and well-known. He frequently appears in the national media as an expert opinion in this popular field, including appearing as a breast specialist on “The Real Housewives of New Jersey.”

Board-certified in Plastic and Reconstructive Surgery, Dr. Fiorillo graduated with his medical degree at the top of his class at Chicago Medical School and completed residency training in general surgery at State Island University Hospital. He also completed a fellowship in plastic surgery at the University of Medicine and Dentistry of New Jersey.

In 2004, Dr. Fiorillo opened an outpatient surgical facility where he performs most of his plastic surgery procedures, providing comfort and convenience for his patients. Dr. Fiorillo has offices in New York and New Jersey and can be reached at (866) 537-0954 or http://www.drfiorillo.com/.

Cosmetic Work Becoming Popular Father’s Day Gift, Reports New York Plastic Surgeon, Dr. Michael Fiorillo

Dr. Michael Fiorillo’s Luminique MedSpa Featured on VH1’s Mob Wives

Think of it as everything you love about a day spa, along with some of the most popular minimally-invasive cosmetic procedures around.

New York, NY (PRWEB) may 14, 2012

Luminique, Dr. Michael Fiorillo’s SoHo MedSpa, was recently featured on the hit VH1 reality show, “Mob Wives.” For the first time, the doctor opened his doors to cameras as well as Karen Gravano, bestselling author and one of the stars of the show.

“I’m so proud that viewers caught a glimpse into what Luminique has to offer,” says Dr. Fiorillo. “It has quickly become one of the best spas in new York City, hands down.” Luminique is located in the heart of new York’s SoHo district, a neighborhood known for its restaurants, art galleries and boutiques. And, as Dr. Fiorillo puts it, “What better place to open such a beautiful luxurious spa?”

Luminique is not a traditional spa, however. It’s what is called a medical spa or MedSpa. “A lot of folks have never heard of a MedSpa before,” explains Dr. Fiorillo. “Think of it as everything you love about a day spa, along with some of the most popular minimally-invasive cosmetic procedures around.” Beyond traditional services like Swedish massage, body scrubs and facials, Luminique offers powerful cosmetic treatments like BOTOX® injections, laser skin resurfacing and hair removal.

Moreover, if new Yorkers follow national trends, Dr. Fiorillo may have a lot of business on his hands. according to the most recent data from the American Society of Plastic Surgeons, there were over 12 million minimally-invasive procedures performed in the US in 2011 alone. That’s up a full 6% from the 2010 numbers.

And, when asked about his recent television appearance, Dr. Fiorillo concluded simply: “Mob Wives featured Luminique in its early stages. if fans thought that was impressive, wait until they see it now.”

Luminique is located at 350 Hudson Street in Manhattan, and is taking new clients starting immediately. those interested can visit his new website at http://www.luminiquemedspa.com/ or call (212) 647-0007 to schedule an appointment.

About Dr. Fiorillo Dr. Fiorillo, a board-certified plastic surgeon in new Jersey and new York City, is highly respected and well-known. he frequently appears in the national media as an expert opinion in this popular field, including appearing as a breast specialist on “The Real Housewives of new Jersey.”

Board-certified in Plastic and Reconstructive Surgery, Dr. Fiorillo graduated with his medical degree at the top of his class at Chicago Medical School and completed residency training in general surgery at State Island University Hospital. he also completed a fellowship in plastic surgery at the University of Medicine and Dentistry of new Jersey. In 2004, Dr. Fiorillo opened an outpatient surgical facility where he performs most of his plastic surgery procedures, providing comfort and convenience for his patients. Dr. Fiorillo has offices in new York and new Jersey and can be reached at (866) 537-0954 or http://www.drfiorillo.com/. ###

Dr. Michael Fiorillo’s Luminique MedSpa Featured on VH1’s Mob Wives

Doctor’s Diary: Eating before an operation

It might seem a small matter, but the recent recommendation, reported in this paper last week, that patients should be permitted to eat and drink up to two hours before an operation must rank among the most significant and welcome advances in surgical practice of the past 100 years.

To clarify. The rationale for the customary edict of “nil by mouth for 12 hours before an operation” – to minimise the hazards of anaesthesia-induced vomiting and aspiration – seems eminently plausible. The situation has been even worse for those undergoing bowel surgery, as the “nil by mouth” edict is extended until normal functions are resumed – which can take up to a week.

Intuitively, it seems a bad idea that the trauma of an operation should be compounded by a state of semi-starvation, but it never occurred to anyone to challenge it. around 15 years ago, an American surgeon, Dr Michael Pearl, demonstrated that not only could patients undergoing bowel surgery tolerate modest amounts of food and drink almost immediately after the operation, but that it accelerated their recovery.

This prompted a re-examination of the 12-hour pre-op rule, with a similar outcome. The results have been dramatic, with a sharp fall in infection rates and wound complications. Patients are better nourished and go home sooner – with no rise in readmission rates. A most welcome advance indeed.

The plight of the gentleman with soreness of the legs “like sunburn” has elicited similar experiences. “I cannot be comfortable with anything touching the area or when leaning back on a chair,” writes one lady, whose sunburn sensation extends over her upper back. her symptoms suggest allodynia, an acute sensitivity of the skin to light touch that was mentioned in this column last week.

While the reader has found that massaging the affected area with Johnson’s Baby Lotion brings short-term relief, she says applying a layer of clingfilm or local anaesthetic spray over the “sunburnt” area will almost certainly increase the respite.

This week’s conundrum is courtesy of mrs H A from Lancashire, currently enduring an episode of excruciating pain beneath the shoulderblade that has occurred at five-yearly intervals over 20 years. It begins slowly, building to a crescendo with bursts every few seconds. “I can’t begin to convey how painful it is,” she writes.

During an attack she can neither sit or lie down, “sleep is out of the question, and it is difficult to do anything other than pace the floor”. this persists for around five days before disappearing – until the next time. Has anyone experienced anything similar, she wonders.

Finally, my thanks to David Thacker from Northampton for passing on his favourable experience with the unusual-sounding Kuznetsov’s Applicator, so named after its Russian inventor, Ivan Kuznetsov. this consists of a length of cloth into which are sewn hundreds of plastic discs from which protrude half a dozen upward-facing spikes.

Since a rugby injury several years ago, Mr Thacker had been troubled by neck problems that are particularly tiresome at night. When a Latvian friend recommended the applicator, he thought it “a daft piece of Eastern European quackery”. but when he discovered he could order it on the internet for around £10, he decided to give it a go.

The device uses a principle at work in a bed of nails, the circus contraption also favoured by devotees of the Vedic tradition of early Hinduism and Chinese acupuncture: the downward pressure of the body on the sharp spikes stimulates meridian pressure points, encouraging the production of endorphins, the body’s natural painkillers.

After a half-hour session it feels a bit sore initially, with a general sensation of warmth. but a fortnight later, Mr Thacker reports, “I have re-established a healthy sleeping pattern and now wake up pain-free.” Fascinating.

Doctor’s Diary: Eating before an operation