Runaway Patient, Doctor Bashing & 1100cc Implant Intervention

Sabrina Sajan  0:00  

Ever wonder what motivates people to get plastic surgery? 

Dr. Javad Sajan  0:02  

Did they regret it? 

Sabrina Sajan  0:03  

What can we learn from the weird and wild stuff that happened that are plastic surgery clinic? We're going to tell some stories, get some laughs and learn on. 

Dr. Javad Sajan  0:11  

Clinic talk with Sabrina Sajan. 

Sabrina Sajan  0:13  

On the plastic surgeon podcast.

Dr. Javad Sajan  0:32  

Hello, my friends. I'm Dr. Jawad Sajan. And of course, I'm here with my lovely wife and CEO of Allure Esthetic Sabrina Sajan.

Sabrina Sajan  0:39  

Welcome back. And thanks for listening. Please rate and review us on Apple podcast to support the channel. On clinic talk, we tell real stories of fun, strange, hopeful and educational things that happen at our clinics from day to day.

Dr. Javad Sajan  0:53  

We get a lot of weird and hilarious happenings in the clinic.

Sabrina Sajan  0:56  

You can find the clinic at allureesthetic.com for more information. So Janu what clinic stories are we going to talk about today?

Dr. Javad Sajan  1:04  

So Jan, I was talking to the team and they said you had a runaway patient? 

Sabrina Sajan  1:08  

Oh my god, yes.

Dr. Javad Sajan  1:10  

And it was with our new aesthetic physician, Dr. Amstadter, right? What happened?

Sabrina Sajan  1:14  

Yeah. So we were at our Kirkland location. And there was a patient there was an existing patient, she, you know, comes often for Botox and Dysport. And, you know, she's used to just being in and out, you know, usually takes 10, 15 minutes, you know, to do her treatment, usually. So that's what she was expecting, but this time she was coming for filler. So she wanted lip filler and she wanted Botox. Is it great, you know, so she got scheduled. She came in, and then unfortunately, the patient before her was late. So two patients arrived at the same time she was early, the patient before her was late. The patient before her had her pet dog with her- 

Dr. Javad Sajan  2:03  

Is that service dog? 

Sabrina Sajan  2:04  

No, it was not a service dog. 

Dr. Javad Sajan  2:06  

It was pet. 

Sabrina Sajan  2:06  

Yeah, it was a pet. 

Dr. Javad Sajan  2:07  

Do you ever pets allowed sign at the office? 

Sabrina Sajan  2:10  

No, she thought she could bring her pet for her injectable treatment. 

Dr. Javad Sajan  2:14  

I have a medical facility. 

Sabrina Sajan  2:15  

Yes. So- 

Dr. Javad Sajan  2:18  

That's a typical East Side patient. 

Sabrina Sajan  2:21  

So she brings a little furry little pet with her. We're like, "Hi, ma'am. We're sorry, you weren't able to have your pet in the office with us. Because we have a few employees actually that are allergic to dogs. So we just don't want you want to have a reaction or something bad to start". So we told her unfortunately can't have the dog in here. So now there's a whole situation happening where the filler patient is in the lobby waiting because she's like, when you take me back. I'm early. And then now she's late because she was running behind couldn't find the building. And then now she has a dog. So we're like, Okay, what should we do? So she's like, okay, I'll be right back. So then we're like, Okay, what is she going to do with the dog is really high was this like, thing 80 degrees or 90 degrees that day outside? 

Dr. Javad Sajan  3:05  

Yeah, I can't leave it in the car. 

Sabrina Sajan  3:06  

No.

Dr. Javad Sajan  3:07  

We love dogs. 

Sabrina Sajan  3:08  

And she goes out for like five to six minutes. And then she comes back, right? And we're like, Okay, what are you doing with the dog? We'll see what happens. 

Dr. Javad Sajan  3:18  

Where was the dog? 

Sabrina Sajan  3:19  

And then we look outside. It's tied on the pole outside just hanging out.

Dr. Javad Sajan  3:23  

Oh my god, what if it got away? 

Sabrina Sajan  3:25  

I don't know. What if a car went on. And or the dog ran away to those yellow poles in the parking lot. Yeah.

Dr. Javad Sajan  3:31  

Oh my gosh. 

Sabrina Sajan  3:32  

She tied the dog's leash to the yellow pole in the parking lot. And just came back for her injectable. 

Dr. Javad Sajan  3:39  

That's wild. 

Sabrina Sajan  3:40  

So our doctor then she was like, Oh, I should just take her back first because a dog is like waiting outside by himself. And she didn't want the dog to like run away or anything or get ran over. So even though she was late, we're like, Okay, well, let's get you in. So doctor, took her in to one room and then in the other room. She took the filler patient It was like, hey, the patient before he was running behind like it was a situation because she has a pet with her with the pets hanging out outside. So we're just gonna try to get her in before you know, she's like, Okay, fine. Since she gets her room, she wants lip filler. So she's numbing in the room now. So she has like, topical numbing on her lips. And in one room and she's sitting in there. And the second room Dr. Amstadter] do what you're gonna do the Botox for the dog lady. And Dr. Amstadter checks on the lip filler patient like hey, it's gonna be a few more minutes. Because then they, Dr. Amstadter  usually does Botox for her than she wanted to know what Dysport was dog lady. So then Dr. Amstadter said I explained to her like this is a different thing to spore. This is the difference between botox.

Dr. Javad Sajan  4:49  

So Dysport and Botox are both what are called neuro modulators. Or they're in prescriptions that are injected into the skin and they're based on botulinum toxin and they temporarily Relax the muscle. Now there are different brands, but really same function. So a patient was thinking of switching.

Sabrina Sajan  5:07  

Yeah. So she's always been a Botox user. She wanted to know what the difference was of Dysport because she thought that she could get more Dysport for the same price because of the conversion. 

Dr. Javad Sajan  5:16  

So the way it works is, on average, one unit of Botox equals three units of Dysport. So that's the conversion. We know we believe in most people believe in that. So Dysport, you get more molecules, but the cost is relatively the same, because it takes- 

Sabrina Sajan  5:32  

The same amount of product. 

Dr. Javad Sajan  5:34  

Same on, you get more same volume of products based on reconstitution. But you do get more little molecules.

Sabrina Sajan  5:41  

Okay. So yeah, she was a little confused, because she's like, Oh, so do I get more Dysport for the same price? And then, Dr. Amstadter had to like explain to her the difference and what the pricing is and all of that. So in this conversation started happening with a dog lady and then the filler lady’s waiting, waiting, waiting, then, see what time it is. It's been like 30 minutes now. So she's still waiting.

Dr. Javad Sajan  6:03  

So Dr. Amstadter was talking to dog lady? 

Sabrina Sajan  6:05  

Yes. 

Dr. Javad Sajan  6:05  

And the lady's not worried about her dog? 

Sabrina Sajan  6:07  

No. Then doctor Dr. Amstadter was like, Okay, if you really want like, why don't you try Dysport this time? Like maybe you know, you'll like it. Like she explained the benefits the differences and all that.

Dr. Javad Sajan  6:17  

Did she got to a check on her dog during any of this? 

Sabrina Sajan  6:19  

I don't believe so. We were watching it from the window, just to make sure the dog was okay. But then, again, this conversation about Dysport and Botox and she's almost about to get Dysport that she feels like Oh, she asked Dr. Amstadter Oh, am I gonna break out if I get this like what kind of product it is? Is it like makeup? Like if you switch the brands like you start you know, your skin might not do so well and all these questions start happening and the filler patients getting like anxious and like worried like, she like opens a door for a second like looks outside trying to find Dr. Amstadter just find her thing. 

Dr. Javad Sajan  6:56  

So filler patient left the exam room? 

Sabrina Sajan  6:58  

No, first she just opens the door so we hear the door open. No, she opens the door 

Dr. Javad Sajan  7:01  

She puts her head out. 

Sabrina Sajan  7:02  

Yeah, she puts her head out. Like Hey, Dr. Amstadter is still here. Don't worry. So guys wanted to check again. I don't know why you shouldn't leave yet. She's still here. She's finishing with other patients should be with you shortly. She's like, Okay, then she goes back and you can see she's getting red and nervous. Like oh my god, Dr. Amstadter asked her to come on. Let's go. Let's go. And the dog lady like asking more questions. And then she's like, oh, if I get Dysport, will I die? Dr. Amstadter is like, I don't think you'll die. I wish she was like, Well, I don't if you don't feel comfortable. Let's just do Botox. This time there's no reason to switch like if you're happy with Botox, let's just do Botox.

Dr. Javad Sajan  7:38  

Yeah, literally guys, it's the same thing. Same product. I think this port works a little quicker last longer. Some of the studies show that you know, this nice dog person patient is just freaking out for no reason.

Sabrina Sajan  7:49  

Yeah. So she thinks she's gonna die, if she gets just for them like okay, let's schedule that. Let's just do Botox. 

Dr. Javad Sajan  7:55  

It sounds like a DNS patient. 

Sabrina Sajan  7:57  

A lot of questions. So then they're like, okay, now she's like one Dysport right okay, so Dr. Amstadter goes grabs a Dysport for her you know, starts you know getting the vile whatever. And then she goes back to her room and then meanwhile, we like see the filler patient hanging out in the like the hallway running around, looking for Dr. Amstadter with her mask be on her lower lip with her topical numbing all over her face smeared with the right brada in her right hand running around looking for Dr. Amstadter. 

Dr. Javad Sajan  8:36  

That's too much. 

Sabrina Sajan  8:37  

We're like, oh my god.

Dr. Javad Sajan  8:38  

So the patient she had numbing cream on for lip filler? Yeah. So she was like a white moustache of numbing cream. 

Sabrina Sajan  8:44  

Yeah. 

Dr. Javad Sajan  8:45  

And the upper and lower lip and then she's running around with a mask on her chin. 

Sabrina Sajan  8:49  

Yeah. 

Dr. Javad Sajan  8:50  

And the vibration device to decrease pain.

Sabrina Sajan  8:52  

Yes, in her hand. And she's running around like right left,she's looking right, she looking left. She's looking for Dr. Amstadter she here, she's here. She's like, she I hear we hear her because I was near the front desk area then here. Where's the doctor? Where's the doctor? I'm like, Oh my god, the freak patients freaking out guys. So then I like I think run to the to the back lobby and I'm like, Hey, are you okay? And she's like, no, where is the doctor? Where's the doctor? She's like, super anxious. super worried. Like, she was getting very like hyper like she didn't want to say like then I was okay, let's come to the front desk like we'll help you. Then like she came to the front desk and she was explaining how she thought it was going to be a 15 minute appointment. Because she's been here before and I was like yeah, you've been awesome. You came you only got Botox which is a much faster treatment. 

Sabrina Sajan  9:39  

You know, lip filler treatments do take longer because we nom you want to make sure of all that. And it's an hour long appointment compared to her Dysport Botox which is a 20 minute appointment. So to explain that to her she's being super anxious and worried and then she thinks Dr. Amstadter  is not nice anymore because she left her in the room even though she checked on her, like, over and over again. So then eventually we're like, okay, maybe like, you know, I don't know if you're too nervous today, I don't know if it's a good day to for you to get this filler. And then I was like we're happy to like you know not charge you anything like maybe you know, you just need to go home for the day. But then she was like fairly upset because she already waited for 30 minutes. She was like, I just want to get my treatment. I'm already here. Just want to do this. Can you just do it right now? And I'm like, I was like, have a seat in the lobby, then I'll go check and see if another cert a doctor can do it for you. 

Dr. Javad Sajan  10:36  

Yeah, that's when you came. Got me. 

Sabrina Sajan  10:38  

Yeah, that's when I came in. Got you. 

Dr. Javad Sajan  10:39  

Yes, yes. 

Sabrina Sajan  10:41  

So then I went back outside to her. And I was like, hey, Dr. Sajan is available. I mean, I said apologizes, you know,  it was a miss, error in the schedule with a patient before you came late. So we're trying to get her in. But it ended up being a longer appointment that we planned, so I explain everything to her. And then even though like she had yelled at us right before that, and screamed at us, she apologized and she was like, I'm really sorry, I didn't mean to yell at you. You know, I was just getting very anxious and nervous and the time capacity by so then the patient was passed to you.

Dr. Javad Sajan  11:15  

Yeah, I saw her she was nice. I can understand why she was upset from waiting. But just in a very anxious people can get anxious. I did the Botox treatment. And I did the lip filler, reading where you smooth out to definitely more anxious top, you know, 10% of anxiousness for injection wearing gray patients very happy new result was the wild success.

Sabrina Sajan  11:37  

Yeah, she was definitely very happy. She came to the front desk, she go I love it. I love it. Thank you so much. Thank you so much. But like no, sorry about the, you know, the way in everything, she was fine. 

Dr. Javad Sajan  11:47  

And I would wish to take all of our patients and treat them to, you know, some people, you know, if they don't schedule a few months ahead of time, it's a little bit hard to get on the schedule. So that becomes the challenge. And so that's where we have other great providers, everybody who injects for us, I've trained from ground up. So they all do a great job. But certainly some people want to come to me and I love them all. I want them all. But there's only only so many hours that I can push. Today is Saturday, we did a whole day of injections. 

Sabrina Sajan  12:12  

Hmm, 

Dr. Javad Sajan  12:13  

You know, we're so blessed. We have such a high demand, or people want to see me. So what we did was we opened up some special Saturdays and I'm doing select patients who can come in and we take care of them for seven hours. 

Sabrina Sajan  12:25  

Yeah. 

Dr. Javad Sajan  12:25  

Right. So it's just as fun. It's exciting. I love doing it. We have great providers people can see and they can come see me. 

Sabrina Sajan  12:32  

Yep. 

Dr. Javad Sajan  12:33  

So john, I had a very upsetting thing another doctor did.

Sabrina Sajan  12:38  

Oh again. 

Dr. Javad Sajan  12:39  

Yes. So a lot of people know I fixed botched work and whenever I get bad work or other people surgeries I'm fixing it's not necessarily bad patients change their mind, every change of heart, they want something different. I never talked bad about the provider whose work on changing and sometimes not even fixing. It's changing, right? Things to add with time, people change their minds about implant. So I had a really amazing patient. I saw her for consult. So she had a breast augmentation done with a mini lift type thing from another doctor based in Bellevue. And she had the surgery done about five, six years ago. And she thought they looked okay and she wasn't that happy with them. She was dealt with them. But she felt the implants are making us are sick. Now it's not common as she felt she has breast implant illness. She didn't know, since she had the surgery. She felt tired. She felt fatigue. She felt her body was attacking itself. She had GI issues, sinus issues, all nonspecific things. 

Dr. Javad Sajan  13:41  

Now breast implant illness is controversial. Some people believe in it. Some people don't. I probably do more implants in most people in this part of the country. But I also do believe in a very rare population, the implants don't sit well, like anything, right? A million people take the vaccine, I love the vaccine. Some of the people get a bad reaction, doesn't mean you stop the vaccine. 

Sabrina Sajan  14:01  

Of course.

Dr. Javad Sajan  14:02  

You'd have to figure out who would react and treat them appropriately. So this lady felt implants made her sick. So she went she went back to her original doctor and he dismissed her. He told her she you know he basically told her he will she was not saying, very nice. So then she does more research and she comes to me and I have a console with her I told her look you have you know based your you know you're telling me I breast implant illness. I want to let you know it's controversial there's no test I can do for it. You have a constellation of symptoms that may get better if we take off the implant with the whole capsule and everything with a call that imblock surgery. And she thought about it and I said can we get your records so I can review what the other doctor did because when I did my exam, she didn't have a straightforward operation. She had an implant and she had a mini lift and she had some scarring was very thick. the areola was way too enlarged. I felt the lift was inadequate. I didn't tell the patient this, until I did say one bad thing. I understand you had surgery done. I'm happy to help you. When I assessed the surgery, I would say it's not a good surgery. But I didn't say that. 

Dr. Javad Sajan  15:04  

So Nevertheless, the patient sends out, fills out a records release, and we submit it to the doctor's office to get the records. So then we never got the records. So then the patient decides to call us, hey, what's going on? How can we guys never, you guys didn't call me? After you got the records? We said, yeah, we never got them. Nothing was sent to us. We thought maybe you change your mind or something. So then she calls that office and she gets the record sent to us. And she's having second thoughts about the surgery. So she comes back to see me, before she was eager to book, right? But I said, I don't want you to book flight review records so that I read the records, talk to her, but then she will recall having second thoughts. I'm like, Okay, come in, let's talk about. So she comes back and I'm like, what's going on? She's like, I want to tell you something. I'm like, What do you want to tell me? She said, the doctor did my surgery from Bellevue. 

Dr. Javad Sajan  15:55  

He emailed me and said, me, Javad Sajan is basically not a good person, and I shouldn't have you do my surgery. And that basically, he told this doctor told my patient that he felt basically breast implant illness was a hoax. It's not real. He's in many in block type surgeries and has a 0% success rate. And I, you know, with God's grace, have 100% success rate on my end blocks, knock on this fake wood. No one's ever felt there's something better. So if doctor emails her saying, oh, basically, he's no good. He's a phony. There's a word blah, blah, blah, blah. So um, as I talked to the patient, I said, Look, this is a controversial disease. I agree that there's no guarantee that this is going to work. But this is the options if you want to do great, if not all good. And she's like, we know I thought about it, and I want to sign up. And I'm like, Oh, wow. And she I was like, Why? She like one I don't want the implants any more than a fit my life. And number two, I think I'm getting sick because of them. And number three, that I asked her Well, why don't you go back to your original doctor after he emailed you? She said, Well, I hate this doctor sent me an email saying everything I just said. And I felt he was yelling at me. 

Dr. Javad Sajan  17:10  

The original doctor was scolding me, she felt I felt he was scolding me over email because I didn't like implants anymore. And he felt personally attached to the implants. And the doctor emailed her and called her to talk bad about me. She thought that was so unprofessional. And she's like, if he's talking bad about you, there must be something good about you. That's why I'm gonna book, really nice lady, she was very kind, very sweet, you're a normal person like you and all of us, you know, I'm not gonna give her name or anything, but she works in the service industry. She like a housekeeper. Very sweet person. I thought it was just so unprofessional, unethical and horrible of a provider yelling at a patient just because they change their mind. I've done surgeries or you know, I'll do I don't know anybody personally, or there might have been one actually, you know, sometimes I've done surgeries. And the patients in a rarely very rare maybe didn't decide to change their mind didn't like it, and they went to somebody else, because they wanted to change. I never yelled at that patient or the doctor, or released whatever records they wanted. 

Dr. Javad Sajan  18:07  

If they had questions, I'm happy to answer them. Because sometimes it happens. Not every relationship is perfect, right? Or doctor patient relationship exists. So everybody's happy. Sometimes patients change their mind. Sometimes they want to do something different. Sometimes they're embarrassed to go back to the original provider. So they'll go somewhere else, you know, for me, it's not personal. I feel it's our job to serve the patient. If I'm the best one to do the right thing. I'm happy to help if there's somebody else do it. And we're talking badly just made that original Bellevue doctor look unprofessional, patient came to me anyway. And it doesn't help the feel it hurts everybody, makes everybody look low and stupid. Again of the day, we're here to serve, and you got to remember that surgeries will come and go, but you have to live with a service you do for people and that's what really, that's what taking care of patients means to me. 

Sabrina Sajan  18:54  

For sure. 

Dr. Javad Sajan  18:56  

So, uh, talking about that. I had a really interesting, how many minutes?

Sabrina Sajan  19:03  

 19.

Dr. Javad Sajan  19:03  

Okay, so on that note, I had a really interesting case I got from Mexico. So I have this amazing patient who came to me during COVID. Remember, she called the office and she wanted to book so she basically had an implant on and he left in Mexico. And then she was she called panicking saying that my ink lamp popped out during my mammogram. And I went to the hospital they took it out I have drains I need someone to fix my chest. I don't have anything on my right side. So when she said just it was an emergency. So it was during the pandemic so because she needed urgent help. We saw only emergency cases I saw her and she came in I'm like what's going on very nice lady. And she said well, so I had to lift and implant on in Mexico. I came to the US and then my right implant kept draining. And the doctor from Mexico kept sending me antibiotics and he kept draining and it stopped and drained and stopping to drain at the incision point of the lift. 

Dr. Javad Sajan  20:05  

It was draining specifically at the trifurcation where the tea comes together we do our breast lift because it's an anchor incision around the nipple down on the side. So she has this chronic drainage, it goes up and down and the doctors like well, we fine keep taking these antibiotics and he hasn't antibiotics for five months, five months. So then she goes for routine mammogram and she has this intermittent drainage. And when they do the mammogram to squeeze the breasts really hard, and the implant halfway pops out. 

Sabrina Sajan  20:32  

Oh my god, all the incisions 

Dr. Javad Sajan  20:35  

Where she was having the drainage 

Sabrina Sajan  20:36  

Oh my god, 

Dr. Javad Sajan  20:37  

So then they immediately send her to the emergency room in Virginia Mason, the doctor takes out the right implant and puts a tube in. And then she said that doctor there didn't have a lot of expertise in implants and he recommended she follow up with someone to fix that's why she ended up my office. So she what happened is because she had a chronic infection, the skin and muscle broke down. And when they were having when she had pressure from the mammogram and popped out so that I saw her and I told her it was going to be a complicated course. Because what happened is because of the chronic infection and having everything removed and collapsed, the pocket and skin had shrunk. And when the doctor put her back together at Virginia Mason, he removed some of the skin that was very thin. So now there wasn't enough skin. 

Dr. Javad Sajan  20:53  

So I shared with her I can help you do the surgery, but it's a long process. Basically to help fix her. What we had to do was we went to him we went in for surgery, we had to put in a temporary balloon in her right chest. So it was a multistage operation. First we have to put a balloon. After we expanded her then the plan was to put an implant in and see what happened. So what did I do? So the first stage was, it's called a tissue expander to go to surgery. We went in there, we put the balloon, and we sealed it up center home, she lives three hours away. And then she came back every week. And I filled the balloon in clinic with her awake. 

Sabrina Sajan  22:05  

Sailing, right? 

Dr. Javad Sajan  22:06  

Yeah, with sailing. So the way the balloon works is it sits in the chest and it has a special magnet inside. That's inside the chest. You have a magnet finder that when she came to clinic every week, you take the magnet finder, you take it across the chest, and then there's a little pointer that points to where the port is where you fell. So I took the magnet finder, I found the filling port and we slowly expanded because we had to grow new skin, she didn't have enough skin to put a new implant in. 

Sabrina Sajan  22:37  

It took many weeks, right? 

Dr. Javad Sajan  22:38  

Yes, it was we did six weeks of expansion. And after the six weeks of every week, we put in a few 100 CC's. In after the six weeks of expansion when the balloon was big, we let it sit for a few more weeks. And then we went in after that- 

Sabrina Sajan  22:53  

Did you do that the body can get used to it too, the size and everything? 

Dr. Javad Sajan  22:57  

Exactly. So you do it because you don't have enough skin. So by expanding what happens is you grow more skin because it stretches and you make the pocket bigger. So your room for an implant cuz she had 1100 cc implant. 

Sabrina Sajan  23:09  

Oh, wow. 

Dr. Javad Sajan  23:10  

Yeah, we don't makers in America. So after we expanded and poor lady drew for our three, four hours each way, once we got it to the size and we took her back for surgery and the plan was to put in 800 CC's remove the 1100s. And we were going to go with a silicone gel implants, we did that under, not underside that was a leaky look perfect. And then the side that had the issue. I went in, took the balloon out and took out the capsule, or the scar that she had, and I put a brand new implant in. And then when we put it in, she healed well. But one implant fell too low, the new implant because she had no support from the old resection. So now the final stage, we're going to take her back in about three months, we're going to have to use some mesh and we have to reconstruct the bottom half of the inside of the muscle. So there's something to hold the implant so we can make it more symmetric.

Dr. Javad Sajan  24:07  

What is a mesh?

Dr. Javad Sajan  24:08  

So a mesh, what I use is a dissolvable matrix. It looks like a-

Sabrina Sajan  24:13  

A net? 

Dr. Javad Sajan  24:16  

Yeah, then net and you suture it to make a pocket where the implant can sit. So she's going to need that now to finalize and get her symmetric, she has two bras are safe. Just one is a little bit too low. 

Sabrina Sajan  24:28  

Because you had no skin there too. 

Dr. Javad Sajan  24:29  

Exactly. So you know, the moral of the story is, there's nothing wrong with having surgery outside. The biggest challenge is follow up. 50% of surgery is healing, I believe.

Sabrina Sajan  24:42  

I remember her. I remember she told one of our staff members or one of the clinic staff team. She was like I really wish I wouldn't have gone to Mexico. Yeah, you know, I think she feels a little embarrassed to, to talk about it with no she's like, you know, I'm embarrassed to say that I went to Mexico to do this and now look where I have to fix it.

Dr. Javad Sajan  25:00  

She probably spent five times Yep, she paid for Mexico and then the reconstructions have all been out of pocket you know, I helped her and actually the last surgery I'm being for free because I feel bad about the whole situation for her. So um, but it's been a long journey to make her better and we're almost there. Yeah, almost there. She don't want to be part of the podcast who's cuz she was embarrassed that that would have been a unique story, a sweet kind person, you know, normal person like because one of the nicest people I've had the privilege of taking, quote, care. So you know, when you don't have a good follow up, even for local surgeries, it becomes a disaster. And you know, if he would have gone back to Mexico earlier, the cure would have been the implant needed to come out. She needed to heal and put it back. If you would have taken it out early. You wouldn't have needed to remove the skin and do all that extra work. That's why poor lady ended up where she did. 

Sabrina Sajan  25:53  

Yeah. 

Dr. Javad Sajan  25:54  

Thank you for listening to clinic talk on the plastic surgeon podcast. Please rate and review over on Apple podcasts to support the channel.

Sabrina Sajan  26:01  

Tune in next time for more clinic talk. We have more great stories coming your way.

Dr. Javad Sajan  26:06  

from our live surgeries on snap chat, adventures throughout the week, catch us on all social media @realdoctorSeattle. 

Sabrina Sajan  26:12  

See you next time. Bye.

Dr. Javad Sajan  26:15 

Bam, what.