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Since the dawn of modern technology, people have discovered so many solutions to every existent problem there is. These past few decades, one of the industries that have benefited from the wonders of medical science is the beauty industry.
Evident in the emergence of various ways of beauty enhancement, more and more people today find ways of enhancing their physical beauty through the wonders of cosmetic surgeries or procedures.
MODERN-DAY MIRACLES
Statistics show that in 2004, 11.9 million Americans have undergone various cosmetic procedures to enhance their personality. Defined as a surgery designed to improve cosmetics or a person’s appearance, cosmetic surgery continues to gain popularity in different parts of the globe.
If you are one of those who are planning to undergo any cosmetic surgery, make sure that you familiarize yourself first what are the different aesthetic or cosmetic procedures available today.
One of the most common cosmetic producers being today is the abdominoplasty or the “tummy tuck.” The procedure involves reshaping and firming of the abdomen by removing the excess skin and fat. Usually, the navel is relocated while various incisions are made to minimize visible scarring. Aside from numbness and uncomfortable tightness, complications may lead infection and formation of fluid pockets.
Women who would want to tighten their enlarged vaginal tunnel caused by giving birth usually prefer vaginoplasty, which is usually performed by urological surgeons.
Blepharoplasty or “eyelid/eyelift surgery,” on the other hand, involves the reshaping of the eyelids or the application of permanent eyeliner. Here, the eyelids are cut along their full length while excess skin and fat are removed. Aside from being swollen and bruised, patients may also experience side effects such as blurred vision, overproduction of tears and drastic change in the shape of the eyes.
“Boob job” or “breast enlargement” is also one of the most popular aesthetic procedures out there. Technically known as “augmentation mammaplasty,” this procedure involves saline or silicone gel implants through incision under armpits or the breast. Bruising, swelling, formation of hard scar tissue, deflation of the implant, and dislocated implants are the possible side effects of this procedure.
Another boob job available is the breast reduction or reduction mammaplasty. Here, excess skin and fat are removed from the each breast through incisions. Aside from permanent scars, the patient can experience reduced nipple sensation.
Buttock augmentation or “butt implants” has the same concept as breast augmentation only it is done in the buttocks. The use of silicone implants or fat grafting is used in this procedure.
If you want to minimize the appearance of acne acne, pock, wrinkles, and other scars, you can undergo a chemical peel. Here, surface layers of skin are being while treated with chemicals such as phenol, trichloroacetic acid, glycolic acid, or salicylic acid. Although it is proven to be an effective way of washing out skin imperfections, it can also increase the risk of complications like scarring and infection.
Other cosmetic surgeries and procedures include mastopexy or “breast lift” that aims to raise sagging breasts, labiaplasty or the surgical reduction and reshaping of the labia, rhinoplasty or “nose job” that reshapes the nose, otoplasty or “ear surgery” that reshapes ear, rhytidectomy or “face lift” that removes wrinkles and signs of aging from the face, liposuction that removes fat from the body, chin augmentation using silicone, cheek augmentation that uses collagen, fat, and other tissue filler injections, and mesotherapy which is a popular alternative to liposuction.
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There have been, perhaps, six critical conversations I’ve had that have shaped my professional consulting career. One of them was with an operations manager at a division of Federal Express.
I had just completed a successful, nationwide training program for the field sales force, so my credibility and confidence were soaring. Then, I heard a simple, but challenging question.
“We know how to measure sales productivity,” he said. “But is there something you can develop that will measure customer service productivity?”
Reflexively, I thought, “Why bother? Even if we can do it, reps will hate it.” But I held my tongue, sensing that this was a rare opportunity to revisit some of my assumptions.
My gut reaction was informed by years of doing seminars across the country in which I brought together sales and service people into the same sessions. Evaluations told me that they felt they were adversaries with mutually exclusive value systems.
Sales types tend to see themselves as swashbucklers, rogues, high-wire types, who crave adventure and embrace risks. They thrive on contingent pay, on the prospect of receiving hefty commissions and bonuses when they make big sales.
Service folks tend to be more risk averse. Often, they have a clerical mentality, which commends accuracy while penalizing mistakes. I sensed, to my core, that if we suggested to them that their pay should be even partly variable, based on achievement, they’d rebel.
This was more than supposition on my part. I had introduced cross-selling programs for years into service departments, experience that informed my best-selling book, Selling Skills For The Non-Salesperson. I found I could design a great sales program for service people, yet many would balk, even after they had achieved success and financial rewards through it.
They explained to me, in a very straightforward way, that they simply didn’t want to be salespeople, and that was that. Noting resistance from the rank and file, senior management, in those days, refused to push for implementation, despite the fact that big profits were being left on the table.
What, if anything, has changed since I was asked this question?
Four crucial things:
(1) We know much more about measuring customer service achievement.
(2) Job enlargement, downsizing, CRM, and the rise of professionalism in companies have all contributed to an expectation of broadened CSR responsibilities and heightened performance.
(3) Global competition, especially from knowledge workers in countries such as India, China, and elsewhere, is beginning to exert pressure on domestic workers to find ways to increase their contributions, if only to keep jobs onshore.
(4) Management is more cost and profit conscious than ever before.
Customer Service Achievement
If there have been three unwritten commandments in the past for being a capable CSR they have boiled down to: (1) Sound nice; (2) Defuse angry customers; and (3) Don’t make mistakes entering or retrieving data or reciting company policies.
Now, associates are being discouraged from focusing primarily on themselves, on customer service, or the motions they go through as they work. They’re being required to focus on outcomes: on customer satisfaction and on customer loyalty.
They’re being shown, through new training and unobtrusive, real-time performance measures, how to evaluate the impacts they’re having on transactional satisfaction and a customer’s decision to buy again from their organizations.
To borrow a phrase from Peter F. Drucker, suddenly the customer handling process is being managed for results.
If we can objectively monitor, measure, manage, and systematically replicate customer results, there’s no reason to deny better pay to the people that can produce them.
Future articles will explore some of the other crucial changes that have occurred, as well as discuss the pragmatics of introducing a pay-for-performance plan into the customer service context.
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The following is from the beginning of a short story by the same title. Read “Author Bio” to learn more.
****
I was recently doing a search in Google to find a website that would confirm my suspicions about a Tele-huckster—a pet peeve of mine to which I am hopelessly addicted. One thing led to another and, yada yada yada, before I knew it, my flat screen monitor began flashing a string of sexually explicit pictures in brilliant pulsating color. It was an X-rated pop-up extravaganza; one I was unable to keep up with. I clicked frantically trying to close one close-up invasion after another. The bombardment continued on until it ran its course, eventually reaching some kind of worldwide web adult abyss that even the internet could not crawl below.
As I cleaned up the dirty debris I so innocently spilled—well maybe not that innocently—I was struck by my good fortune. Thankfully, the internet came along decades after my early teen years. Had this stuff been around in the Sixties, I might still be squirreled away in my attic room to this day, trimming the hair on my palms while mumbling incoherently to my seeing-eye dog.
On the other hand, learning the whereabouts, general appearance and overall purpose of female parts would have been a heck of a lot easier, not to mention more timely. Instead, my sex education was really the collective result of a hit or miss operation. At the time it was torture, but I don’t know, there was something funny about it too. And it all started at my local summer recreation center, Carteret Park ...
****
“What did Roy Rogers say to Dale Evans in the bedroom when the lights went out?” Mud Finnegan asked a rapt group of adolescent boys sitting around a long wooden table at our local summer hangout, Carteret Park. He was about twelve years old, a year older than I and several years older than most of the kids sitting on the benches—that was age-wise but he seemed a generation older than all us in every other way.
Mud looked around, working the table like a seasoned Catskill comedian. No one dared answered his question because it really wasn’t a question at all. It was an obvious lead-in to the punch line of another classic dirty joke; besides, no one had a clue as to the possible answer—no one that is except Moon Muller.
“I know!” Moon yelped in a lame attempt to impress the guys, as if he was really in the know.
“Shut up! You don’t know crap!” Fitzy snapped back, warning that one of his patented headlocks might be coming Moon’s way if he didn’t keep his big trap shut.
“Do too!” Moon fired back in a surprising show of bravado.
“Are you two f’in jerk-offs through?” Mud, as only Mud could do, used the “F” word with a certain artistic flair. He painted masterpieces with four letter words no differently than Monet did with colors from a pallet. Having regained the attention of his fickle audience, he continued to close the deal.
“Do you f'in dick heads wanna hear the f’in joke or doncha?” His eyes got wide and kind of crazy looking, one eyebrow climbing higher than the other. Of course, we wanted to hear. Everyone settled down. He waited a moment, knowing timing was everything; then, delivered the goods.
“I’ll turn on my flashlight if you turn on your headlights.”
A flash of universal vacant thought swept across the sea of open jawed faces, like the eerie stillness before a tornado strikes, as our feeble brains scrambled to “get it”. Then, as if prompted by an audience monitor, an explosion of rip-roaring, doubled-over laughter swept around the table. Ah … Mud sure could bring it home. Making it all the more incredulous was that most of us struggled to understand the punch-line. But we knew enough to laugh because that always bought us time to figure it out.
Mud proudly acknowledged his success with a wide grin, while he waited for us to wipe the tears from our eyes, boogers from our noses and drool from our chins. He was on top of his game. Being the veteran performer he was, he launched into an encore with another doozey about some lost traveler asking some guy who is with a woman how far is “The Old Log Inn”; you can guess the answer. Another eruption of roaring, clueless laughter followed. Another tidbit of carnal information revealed.
That was my introductory class to sex education in the Sixties. We weren’t taught concepts like “private parts”, and never heard of or cared much for formal words like “penis” or “breast” or “vagina”. Our language was narrow and practical; “logs” or “rods” and “headlights” or “cams” were all we knew or needed know to communicate with each other. Regarding “vagina”, only a few guys with older sisters had even the slightest notion of what that might be; most of us were under the delusion that girls had simply broken their logs off at birth; possibly by accident or through carelessness.
So all we had were Mud’s dirty jokes, and embellished stories of older sisters spied on or caught in some state of undress. It was all a forewarning of things to come. I mean we understood the direct symbolism of certain words to body parts and innately found the sophomoric humor in using such imagery in the context of a joke. But underneath it all we started to sense that there was more to this than met the eye, something sinister.
As we’d soon come to discover, there sure was!
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On April 14th of 1945, I was five years old. I came in from playing and was met by my mother who was sobbing. "Your other mother is dead," she said. I felt very sad, but for my adoptive mother. I never knew who my birth-mother was and never even considered the fact that I had another mother somewhere. I later found out that all the records associated with my adoption were supposed to have been sealed. So how could Mom have known that?
I had a little bit of information about my birth. One such fact was that I suffered from hypopladia, "a condition I inherited from my father." It turns out that means that the opening of my penis was at the bottom rather than at the end. Of all the things to inherit! I also knew that I was born at General Hospital in Minneapolis, and that Mom and Dad were listed as the parents.
That was all I knew for more than forty years. Mom died in 1985 and Dad in 1987. I was named executor of his estate. When I went through the papers I found a baptismal record for Richard Allen Hemmingsen, born on my birthday! Three names were listed as witnesses. After fighting with myself for a week I looked one name up in the phone book and called. A woman answered and I asked if Lloyd was there. The woman said he wasn't, but she would have him call me. I never heard from him and in the meantime, my ardor to find my birth family had subsided.
Evie's father died a day after my mother on Christmas Day in 1985. When her mother died in 1987 she decided that she wanted to find out about her birth mother. She didn't have any feelings of betrayal. Nor did I. The laws that sealed the records in the early 1940s had been changed, and it was now possible to contact birth relatives, if both parties agreed to the contact. She wrote a long letter explaining all the things that had happened to her in her life and her views about politics and religion. To her delight, she got a response! Her mother was now living in Michigan and wanted to meet her. They did at the Minneapolis airport. An aunt was with her. In a long conversation, Evie learned that she had two half-sisters, a half-brother, and several aunts and uncles who were all very anxious to meet her. One aunt looked exactly like her. Her siblings were thrilled, and so was the man her birth-mother had married. He was a retired minister and had known about Evie for as long as they were married. We have had a warm relationship with the whole family for nearly twenty years. Unfortunately it has been shrinking because of deaths, but Evie still meets with a favorite aunt at least once a month. Her experiences finding her birth-family became a feature article in the Minneapolis Sunday paper.
My path was a bit different. After Evie connected with her family, I again decided to try to find mine. Lloyd was still unavailable, but there were two other names on the baptismal certificate. I found one of the names in the Minnneapolis phone book. When I called him, he said, "You must be one of Hilma's twins."
I told him that I was born in 1940. No, my uncle said. "The twins were born in 1944."
You can imagine how excited I was to hear that! He said that she had died of internal bleeding one day after giving birth to twin boys. Ironically, my half-sibs were born on the same day as my adoptive sister, but a year later. I found out where Hilma was living when the twins were born and immediately placed a personals ad in the local newspaper asking whether anyone had information about the whereabouts of twin boys born in April of 1944.
No one responded.
In the meantime my new uncle arranged for me to meet with the rest of the family. It was huge; Hilma had had 10 siblings. An aunt threw a potluck lunch and the thirty some relatives all showed up. One was the other signer of the baptismal certificate. I asked her about my twin brothers. "They aren't brothers," she said. "They were a boy and a girl. Everyone called them Jack and Jill."
From that point, everything came together. We were able to locate the adoption agency and they located the adoptive mother. She said that both children were alive and well. Later that night I got a call from my brother, and a few days later, my sister. Bro looks like me, but a bit heavier. We met my sister in Montana and visited Yellowstone Park together. We were both delighted. I have kept in contact with my Minnesota family. I have yet to visit my brother but I get regular letters from my sister.
One of my aunts gave me a photo album of my mother. One, showing her on a bicycle with a friend, looked so much like me that we showed it to one of Evie's buddies. "That's John in a dress," Evie said, smiling. "Oh," said our friend. "Who's that with him?"
My last words are advice for others who may be in our situation. Things don't always work out as well as they did for Evie and me, but if they do, it's like stepping into a different world, the alternative universe you always wondered about.
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It is estimated that more than 19 million Americans suffer from varying degrees of incontinence. We have traditionally and incorrectly assumed incontinence to be a normal side effect of childbirth or that it is something to be expected as we grow older. Doctors now know that incontinence can be a sign of an underlying medical condition. A physician should examine all cases of incontinence. Some may treat the underlying disorder, while others may choose to prescribe a medicinal treatment.
Although we have always assumed that getting older was the cause of incontinence, we now understand that there are many causes for the disorder. It is estimated that nearly 86% of those suffering can seek medical treatment and expect to see results. Results may vary from a much lesser degree of incontinence to fully regaining bladder control. While some cases of incontinence are caused by aging, most cases are signals of underlying medical issues, such as enlargement of the prostate in men and loss of estrogen in post-menopausal women. These examples highlight the importance of seeking guidance, evaluation and treatment from your physician.
You can also look into the various other methods that can help to treat incontinence. Kegal exercises, which help to strengthen the pelvic muscles, are often an effective method of controlling incontinence. More serious cases may require medication, or even surgery. It all depends on the severity and your level of discomfort. Adult incontinence diapers are a good way to ease the discomfort from loss of bladder control.
While you are in the process of seeking treatment, whether it is medication, exercise or surgery, you will need to decide what kind of adult diaper to choose. Your doctor can assist you in finding the best brand of adult incontinence diapers for you. Fortunately, for most suffers of this disorder, many products are available to make their lives more comfortable."
