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Learning about my new Computer to help our Plastic Surgery Practice in Modesto, California

I just got a new PC desktop, small form factor from HP

It has a 1 terabyte boot-up hard drive.

Right out of the box 5/30/14 with very little newly installed software, it has a boot up time of 41 seconds and a shut down time of 11 seconds.


  • 41 seconds to boot up
  • 11 seconds to shut down

I’ll be posting more information soon as I learn more about my new computer

  • Model: HP EliteDesk 800 G1 SFF
  • Windows Experience Index: 5.1 (1-7.9)
  • Processor:  Intel Core i7-4770 CPU @3.4 GHz 3.4GHz
  • RAM: 32 GB
  • 64 bit operating system
  • Intel HD graphics 4600
  • 4 cores, 3.4GHz, 8 MB cache

Windows Experience Index

  • Processor: 7.7
  • Ram: 7.8
  • Graphics: 6.7
  • Gaming graphics: 6.7
  • Primary hard disk: 7.9


HP Promo EliteDesk 800 SFF, Core i7-4770 Quad Core3.40 GHz, 500 GB 7200 RPM, 4 GB (1×4 GB) DDR31600 MHz, Windows 7 Professional 664 with Windows8.1 Pro License, 3-3-3. 3763085

SAMSUNG 840 EVO 2.5" 1TB SATA III TLC InternalSolid State Drive (SSD)

HP Z24i 24in IPS display, AC power cord, DVI cable,USB cable,  DisplayPort cable, CD (includes user guide,warranty, drivers) 3618140

HP 14-in-1 USB2/3 3.5 Media Card Reader


Vegan Options at Thai House in Modesto, CA

Vegan choices at Thai House in Modesto, CA

When ordering we should specify that we want the VEGAN version of the dishes (see below).  Sometimes we order dishes for lunch at Surgical Artistry – sometimes for presentations from Modesto plastic surgery vendors: Botox, breast implants, Restylane, Juvederm, Belotero, Radiesse, Dysport, Xeomin, Artefill, Liposuction devices, Lasers, etc.




Address for Thai House in Modesto, CA

3430 Tully Road, Suite 2, Modesto, CA

Telephone number for Thai House in Modesto, CA

  • (209) 544-0974 (telephone)
  • Fax: (209) 544-0975



  • Satay Fried Tofu – Vegan
  • Fresh Spring Roll – Vegan


  • Som Tom (Papaya, spicy)
  • Salad Khack, request no eggs (vegan).
  • Pla Goong, Vegan (lemongrass, chili, onions, tomatoes, carrots, ginger, cilantro, spicy lime dressing)
  • Yum Talay, Vegan (similar to Pla Goong when made Vegan?)
  • Yum Woon Sen, Vegan (mungbean noodles, lemon juice)


  • Tom Yum Goong, vegan (hot and sour soup)
  • Kang Jerd Woon Sen, vegan (glass noodle soup)
  • Tofu Soup
  • Combination Ball Soup, vegan

Noodle Soups

  • None

Fried Noodles

  • Pad Thai Vegan
  • Pad Ke Mow Noodle, vegan (no big noodles for Dr. Wu – because of gluten sensitivity).
  • Rad Na, vegan
  • Pad Se-Ew, vegan with pad thai noodles (non gluten)
  • Grapao Noodle, vegan

Fried Rice

  • Kao Pad, vegan – Thai style fried rice, available with pineapple
  • Kao Pad Grapao
  • Thai House Kao Pad vegan

Stir Frys

  • Pad Grapao vegan
  • Pad Prid Khing vegan
  • Pad Ma Kuer vegan
  • Pad Ke Mow vegan
  • Pad King vegan
  • Pad Priew Warn vegan
  • Pad Hima Parn Vegan
  • Pad Kao Poad vegan
  • Pad Kratiam vegan
  • Praram Long srong vegan


  • Entire section on the menu
  • Pad Tao Hoo Grapao
  • Ruam Mitt
  • Pad Tao Hoo
  • Tao Hoo Priew Warn
  • Pad Ma Kuer
  • Tao Hoo Prig Khing
  • Praram Pk
  • Tao Hoo Pad Khing
  • Puk Pad Grapao
  • Puk Pad Ped


  • Keang Panag Vegan


  • Goong Opp Woon Sen vegan
  • Goong Pad Broccoli vegan


  • Sweet sticky rice with Mango
  • Sweet sticky rice

My first surgery

Back in the days of Surgery Residency

My first ever surgery: about 16 years ago (from 11/17/13), this (brachial basilic arterio-venous fistula) was my very first surgery I’ve ever done in my life. It was a strange way to start because the technical aspects of this surgery is high – I still consider it difficult. But I was a lowly surgical intern in Cleveland, and highly respected transplant surgeon, Dr. James Schulak, was doing the surgery. I was just retracting (Surgical Interns didn’t operate, they just held things), but during the case, Dr. Schulak was time-pressed and accidentally I got showered in the face with blood – blood dripping down my face, luckily it didn’t hit me in the eye (I love wearing glasses). He told me to get out, clean up. When I leisurely (I took my time getting all the blood off) made it back to the surgery after wiping off my face and changing. I saw that he was just waiting for me without having made any progress in the surgery. He was just sitting there without moving – bizarre. He said he had a policy: if he splashed a resident with blood, the resident gets to do the entire case. So, that’s how I did my first surgery. It took about 2 more hours, and I didn’t even know how to hold the specialized vascular instruments (given that I hadn’t even done any surgeries at all), but he guided me expertly through it, I managed to do it, and the patient had a great result. In Modesto, the operation would have taken me about 30 minutes – but we all had to start somewhere.

One stage vs. two staged surgical procedure

I sorta miss these cases (and my crazy method I personally innovated for laparoscopic peritoneal dialysis catheters). Now, with a cosmetic surgery practice, I’m focused on my Modesto Botox Patients, Veins and Acupuncture.  When I used to make these brachiobasilic AV fistulas, I did them in one stage which included a pretty long incision from axilla to antecubital fossa, my theory was that I would spare the patients two trips to the operating room. There’s a theory out there that separating the operation into 2 stage approach is better in case the fistula doesn’t mature. Stage One: make the anastamosis (connection between vein and artery), and Stage Two: mobilize the basilic vein to the surface (because it is deep and not easily accessible from a dialysis standpoint). Dr. Fung of Modesto very kindly helped me improve my technique for these vascular procedures – he is the master.

brachial basilic


2 Degrees of separation from Mr. Quinton, inventor leading up to these surgeries:

My nurse practitioner friend Jaimee wrote on 11/17/13:

I was on a small-ship cruise a few years ago, and my family became friendly with this older couple. The woman asked what I did for work, and I told her I was an NP. She said her husband had created some medical devices – his name was Wayne Quinton. He also invented the first dialysis machine. He’s up in his 90s now and still tinkers with inventions.

My thoughts on buying a plastic surgery practice

Below is something I shared with a person who wrote me regarding finding a plastic surgeon to buy a practice.  I thought I’d just share what I wrote in this blog – not sure if it’s helpful for others or may give others some ideas – or perhaps you can contact that person for plastic surgery recruitment purposes.  In my attempt to help and share, here’s the text of my email:



Thanks for making contact.  I’ve been in the plastic surgery “business” with my wife for about 7+ years at this point.  I’m not sure this makes me any sort of expert, but I’m willing to try to answer your question and help.

I know a plastic surgeon who was thinking about selling his cosmetic plastic surgery practice in Walnut Creek. He had sent us a letter with his intent to sell his practice. But it looks like you’re looking for a surgeon who wants to buy a practice. We just mailed just about all the plastic surgeons in California because we’re trying to get them to consider a Medical Malpractice Company:

My thoughts on places:

1. Kaiser – plastic surgeons who might want to see what’s “out there”
2. Sutter Plastic Surgeons – who also might want to explore new avenues.
3. Beverly Hills plastic surgeons – so competitive there – they might want to buy another practice.
4. Plastic Surgeons graduating from residency (ie. Stanford Univ.) – they might have rich relatives?

The reason plastic surgeons would want to buy another practice is to get a foothold on Cosmetic surgeries. There’s a life cycle / phases of a plastic surgeon’s life. It usually starts with reconstructive surgery then moves on to cosmetic surgeries. So by buying another person’s practice, one would get a better footing (faster too) into cosmetic surgery.

With insurances getting stranger and stranger these days – I think more plastic surgeons would want to move over to a cosmetic focused practice. However, that being said, I know a bunch of plastic surgeons who love reconstructive surgery and dislike cosmetics.

Buying a cosmetic/plastic surgery practice, in my mind, is beneficial for buying the building, location, equipment, furniture, instruments, and perhaps reputation and possibly repeat patients if the new surgeon is introduced.

Also from what I’ve seen, most plastic surgeons like to slowly grow their own practices; thus the era of buying medical practices is slowly going away. But I still definitely see the value of a seasoned surgeon mentoring a younger surgeon and introducing that person into the environment.

When I was about to leave my previous general surgery practice in Modesto, CA, I was given an opportunity to join a well established general surgeon in Orange County, California. And with reimbursement arrangements, it would be similar to “buying” a practice.
Good luck to you! Let me know how it goes.

– Calvin Lee


—–Original Message—–
From: Lois Shanks []
Sent: Fri 11/15/2013 12:02 PM
To: Calvin Lee
Subject: MD Recruitment

Dr. Lee,

I just now read your blog and was facinated by the content. I think it is wonderful that you took the time to impart this information to others.

I am a medical Practice Administrator and Physician Recruiter. I love what I do and I live in Medford, Oregon. I recently left my position as the Administrator of a three site Retina practice and am doing strictly MD recruitment. Could you give me a few pointers on the best places to look for a Plastic Surgeon seeking to buy a well established practice? I am on a mission because I need to fill this position by July 2014.

Any assistance or guidance you could share would be greatly appreciated.

Thank you very much!

Lois Shanks
MD Recruiter<><>

My uses for Hypertonic Saline

Normal Saline was invented in 1896 by Mr. Hartog Hamburger in Holland. Yes, this was at one point called Hamburger’s solution. Normal saline is a close approximation to the osmolarity of blood – thus there are tons of uses for normal saline. So how about HYPERTONIC Saline? What are the uses of something that has a higher osmolarity of blood? There are multiple uses but in my career it has been used for reducing brain swelling in trauma patients (more specifically to lower intracranial pressure, where maintenance of cerebral perfusion is key as it relies on blood pressure being high enough above intracranial pressure.)

The other use of HYPERTONIC Saline is in the COSMETIC treatment of spider veins. Now it’s less popular for this indication because POLIDOCANOL has been shown to be a superior product for spider vein treatment (and more expensive), but safety and superiority trumps cost for the most part. We use Polidocanol at Surgical Artistry, in Modesto, CA.