Doctors Sharing Information About ACell

Hi Dr.,

I applaud your participation in the ACell study. I do wish to quickly ask why you have not contacted either Dr. Cooley or Dr. Hitzig about the specifics of ACell? Dr. Hitzig is adamant upon the fact that if Dr’s do not contact him about how to use this, then each Dr.’s study will most assuredly fail. As a result, Dr’s will prematurely claim the study a failure and disregard it as a major achievement in the fight against hair loss. I am pleading with you to contact either of the Dr’s to understand the specifics of this study. Please don’t let this opportunity pass you by.

Please check this thread out where Dr. Hitzig specifically talks about this: BaldTruth.com

All my best

We had extensive discussions with Dr. Cooley. I like sharing, and doctors who share information are ethical doctors. I do not mean to ignore Dr. Hitzig, but Dr. Cooley answered our questions to our satisfaction.


2011-01-21 09:42:46Doctors Sharing Information About ACell

Doctors Said I’m Balding, But Now I Think My Hairline Is Just Maturing

Doctor,
Your website has helped me discover a lot about balding, so much so that it has led me to believe that my previous diagnosis of having MPB may be inaccurate. I am a 16 year old male who was told by two dermatologists to begin taking Rogaine Foam to stop my hairline from receding, and my hair on top from thinning. I’ve been taking it twice a day, every day. But my hairline has now evened out (i.e., the corners which had receded now match the middle length) and the hair on the top of my head, which still feels thinner than my other hair, does not seem to be anything more than normal. Could this be because of two months of Rogaine, or because I only had a maturing hairline and was misdiagnosed?

And if that is the case, is it safe for me to stop using the Rogaine?

Thank you

If you are 16 years old and seeking the advice of dermatologist for hair loss, the doctor is likely to find that you have the development of a maturing hairline. After just 2 months of treatment with minoxidil, I would doubt that it had a major impact on you, but without the results of a microscopic examination of your hair to determine the degree or pattern of miniaturization, I cannot tell you if you are balding. I doubt stopping minoxidil will have a drastic impact on your hair loss at this time.

Some Doctors Recommend More Grafts Than You Need To Make Money

It is common to have a patient visit me after seeing other doctors in the LA area. I like it when patients shop around because then they can judge the way the doctor practices his art. Many times the patients were told to get more grafts than they needed. For example, I might recommend 1500 grafts, other doctors might recommend 2500 grafts or 3000 grafts. Clearly the doctor makes more money the more grafts he places.

The real problem here is not only a financial one, it is a damage issue if the doctor transplants hair into a healthy recipient area just to unload the extra-grafts he took out. Now add to that every graft that is wasted, is lost from the donor supply for the rest of the life of the patient so such dishonest doctors are not just crooks, but they actually damage both your recipient area and your donor area, and at the same time take more money from you then he should.

Don’t get me wrong, Many times I will recommend 2000 or 3000 grafts in a bald person when THEY NEED IT. So, shop around and come see us if you are in Los Angeles or take advantage of our telephone consultation process where you can get a second opinion free of charge.

 

Doctors Rassman and Pak Were Just Issued A New US Patent

The US patent office just issued Dr. Rassman and Pak a new US Patent called “Apparatus and Method for Mapped Hair Metric” Publication number US20120148127 A1

We continue to innovate in the field of hair restoration and this device is another diagnostic tool that may come to market in the near future.

patent Dr. Pak, Dr. Rassman

SUMMARY OF THE INVENTION
Prior art systems are available for obtaining measurements of hair to determine the degree of hair loss in areas measured. U.S. Pat. Nos. 5,331,472 and 6,253,771 and 4,807,163 and 7,098,910 and 7,006,657 and 6,993,851 are examples of such systems. Commercial software packages are currently available (TrichoScan by a Germany company Tricholog, and Folliscope by a Korean company Hairscience) for such purpose. But in order to provide a reliable metric by which to evaluate hair loss and even the effect of treatment, the status of hair loss has to be determined at different times over the same geographic area.

The prior art systems, even those employing imaging systems, determine the status of hair loss that is difficult to compare at different time intervals because the area of interrogation is not well defined geographically. Generally the areas under interrogation are in the order of 10 to 50 square millimeters. Since the total area of scalp is 50,000 square millimeters, the need for accurately accounting for the geographical location of individual measurements that only covers 10 to 50 square millimeters is paramount.

The prior art incorporates relatively small static images over a relatively large area for analysis. The present invention is based on the recognition that a streaming video analysis can also be incorporated to provide more data points in the algorithm.

The present invention is based on the recognition that a metric for hair loss can be produced by imaging areas of any hair bearing skin which are sufficiently large (i.e. 50,000 square millimeters of the human scalp) that the focal areas can be later revisited reliable where any offset in positioning would introduce only acceptably small errors. A map of the hair bearing skin or scalp can be generated by a compilation of the images to provide a reliable metric of hair loss status for comparison with the metrics previously generated. The invention provides a method and apparatus for geographically mapping user defined locations of hair bearing skin area with a bulk metric output. The metric values may be used to compare different user defined locations to quantify relative differences by location. The metric values may also be used to compare user defined locations at different time intervals to quantify relative differences over a period of time. The mapping and the metrics can be achieved more specifically by automated means by the analysis of multiple static pictures or the analysis of a live video covering a larger area than a single, static field of view. It also provides a method and apparatus for sorting and characterizing the relative diameter of a hair shaft by automated means in which the total cross sectional area of all the hair shafts in the interrogated field can be calculated. The automated method of obtaining this metric can be effectively used to acquire the bulk of hair over user defined locations and time intervals.

Hair on the scalp that is susceptible to androgenic influence may exhibit a relative decrease in shaft diameter and number. This phenomenon is sometimes described as miniaturization of hair as is described above. Miniaturization of hair may also be due to various disease states as well as the natural life cycle of hairs. The present invention incorporates a device to interrogate an area of hair bearing scalp. The image(s) are digitized and processed by a pre-programmed algorithm to differentiate the hairs against its background. This differentiation is quantified by automated means to express a value of number of hairs per area and Density (D). Furthermore, the aforementioned image is processed by another pre-programmed algorithm to differentiate the differences in hair shaft diameter (or its thickness) within the image field(s). This differentiation is also quantified by automated means to express a value of Miniaturization (M).

For the purpose of simplicity in demonstrating aforementioned concept, the Density (D) may be expressed as a relative number that is the sum of the area that all the hair (?H) occupies in an image divided by the total area (A) of the image field (D=?H/A). The Miniaturization (M) may be expressed as a relative number that is the sum of the areas occupied by hairs with a smaller diameter (?h) divided by the sum of the area that all the hair (H) occupies in an image (M=?h/?H)

In effect, this automation produces metrics for Density (D) and Miniaturization (M). It also provides metrics for the bulk (B) of hair that is expressed as the total cross sectional area occupied by hair divided by the area under interrogation. This provides a quantifiable value in assessing the state of hair density, miniaturization, and bulk for the purpose of diagnosis. The variation of (M), (D), and (B) over different location and at different times will provide valuable information to the end user for the diagnosis and progression of hair loss or hair gain. The pattern of hair loss can also be determined with the aforementioned metrics. It is this ability to map out a metric based system for the status of hair loss at multiple locations sufficiently large to be accurately revisited and in a relatively short time window (seconds or minutes) that is the essence of this invention. When longer time intervals are used (weeks. months and years) an assessment of change in hair bulk can be measured. This method and apparatus would be particularly useful for documentation of hair loss or gain progression over time and/or hair gains in bulk after treatment regimens have had time to work. Drugs like finasteride (Propecia) are but one example of such a treatment regimen.

Another embodiment of the invention consists of a hand held device which a user moves from front to back along the scalp to establish a path of sufficient size to permit accurate measurements. The end user points the sensor end to the location of interest to obtain readings as the sensor is moved. The bulk of hair may be expressed in many ways depending on the aforementioned metrics and may incorporate the cross sectional area the hair shafts occupy in a field of interrogation. In this particular embodiment, a relative ‘hair bulk’ number may be expressed so that the end user can compare the value to the value at other locations or compare the value to other references on the individuals anatomy over time. This embodiment would conveniently have a recording and analysis function to keep track of the different data and reference points with dimensional locations mapped out. It could represent various static images or a ‘video like’ device that enables a person to sweep the hair bearing area along a series of tracks in a pattern that will, in effect, produce a more detailed map of hair bulk in the scalp, by area. In practice the device may be adapted to keep track of the velocity of movement and reference of a user defined location and record the time of data acquisition.

Another embodiment of the device utilized the same instrument without cutting the hairs to a small length. By using a combing device. The hair can be separated (parted) such that the scalp is exposed with hair on both sides, visualizing only the point where the hair exits the scalp before it is combed aside by the separating comb-like element. Standardization of the combing process is necessary in any one person and this can be accomplished by mechanical (comb) or pneumatic (air blowing) means.

Another embodiment of the device incorporates a miniaturized probe, like a ball point pen, which can be advanced over a section of scalp, separating the hairs as the probe moves through the ‘forest’ of hair shafts by mechanical or pneumatic (air blowing) means.

Doctors Promising Unattainable Hair Transplant Results

Norwood 7We just spoke with a patient who had a full Norwood class 7 balding pattern with an approximate 2 1/2 inch height to the posterior rim. His donor density was very low from the pictures he sent prior to our phone consultation.

He had been making rounds with various doctors showing his picture and wanting a full head of hair. One doctor he spoke with quoted a certain dollar figure and told him that he could get a full head of hair from transplantation. I think he wanted to believe what he was told by this other doctor, and he was basically price checking with us. We told him that what he wanted was impossible, though. His goal was unrealistic and another doctor was about to take advantage of him.

Again and again, I hear of promises about bringing back hair from a hair transplant with goals that are not possible to attain. The promises from doctors who need the income seem to never stop. So as we always say — “Let the Buyer Beware”.

Doctors like you push finasteride on unknowing patients like me

In my material, I give to EVERY patient who gets a prescription, material that contains all of the risks of finasteride, from mental illness claims to sexual side effect claims. I NEVER push finasteride on patients. I do not own Merck stock. I always do what is best for the patient in conjunction with a consultation understanding their goals and when I make recommendations, whatever they be, I always have a consultation with the patient and NEVER prescribe finasteride over the internet not understanding the people I consult with. I am not sure why you are angry, but if you experienced side effects and did not educate yourself, then you are to blame if you had problems with the drug. If you look on Baldingblog.com and search finasteride, you will see article and information galore on both the benefit and the liabilities of this drug.


2020-08-14 09:56:17Doctors like you push finasteride on unknowing patients like me

Doctors Discouraged 19 Year Old From Using Propecia

Im a 19 year old male,and for the past year and especially the past 3 months my hair has thinned and receded almost an inch. Ive always been told i just have a large forhead so i shrugged it off, now im scared because i am afraid to go out without my hat on and i dont like this. Ive started rogaine but i feel like its gonna be pointless cause of how much ive already lost, im not ready to suck it up and shave my head yet. Both my docter and dermotoligist told me its just bad genes and i got male pattern baldness and discouraged propecia and vitamins. Ive died it 5 times in the last year, and i plan on dieing it again, because the darker color makes it seem as though i hav e more hair, both docters told me this doesnt affect it. Ive always had long hair and im not ready to lose it, am i to young for a hair transplant.

If you have genetic hair loss, you should be on Propecia, so I disagree with your doctors. Without a doctor / patient relationship, I can not make a diagnosis, but 19 is not too young for Propecia treatment in genetic male patterned balding. You need to have your hair mapped out for miniaturization to determine the diagnosis. You are clearly too young to think about hair transplants, particular without getting some doctor first to take care of your hair loss with appropriate medications.


2006-11-17 10:26:46Doctors Discouraged 19 Year Old From Using Propecia

Doctors, Crooks, or Con Men — How Do You Tell the Difference?

I just met a patient who, while doing comparative shopping, came to me as the fifth doctor on his shopping list. He was 46 years old and had some thinning in his crown. He lost the first inch of his hairline, but his hairline did not bother him and therefore was not his focus. He was fine with where the frontal hairline was. He was able to see through the crown for the first time in years. Below, is the spirit of what he told me his experiences were, I simulated quotes of a conversation to demonstrate what he described to me —

Doctor #1:
“You are going bald in the crown”, he was told. He was quoted a surgery cost of $12,000 for 1400 grafts.
“Will I lose any hair from the transplant?”, he asked.
“It happens sometimes,” the doctor answered, “but if it does happen, it will grow back”

Doctor #2:
“I can fix it with 800 grafts for $3,000 and if you do that now, I will throw in another 100 free grafts”.

Doctor #3:
The man had researched this doctor and found that there were reputation problems evident through industry-specific bulletin boards and in internet reference sites. He felt that the visit to this doctor reeked of sleaziness.

Doctor #4:
On the visit, he met a patient in the crowded lobby. The patient (who already had surgery) warned him to stay away for his own good. When he visited the doctor, he was told that for $12,000, he could get 2000 grafts into the crown and it would make his crown appear full.

Dr. Rassman (Doctor #5):
I mapped out his scalp for miniaturization and found that less than 50% of the crown hair was miniaturized (no other doctor did this). The frontal area had 80% miniaturization just behind the balding area, suggesting that his hair loss will continue in the frontal area. I told him that with only 50% miniaturization in the crown, a drug treatment would be the best approach, not surgery. When the hair is 50% miniaturized, there is usually reasonably good cover and surgery runs the risk of causing irreversible hair loss (which usually does not grow back in men). If this happened, it could make his crown more see through than it was now. I recommended against any surgery.

I was personally frustrated with my colleagues in the hair transplant field, particularly for what appeared to be a lack of moral fiber in managing this man’s problem. I have always believed that doctors should put their own welfare behind the patient’s welfare. What the above cases clearly showed me was that the first four doctors were behaving like used car salesmen, selling this man the car driven by that little old school teacher who never abused it. I have no difficulty condemning the opinions of these other doctors and their behavior. Every one of the four wanted to take this man’s money and preyed upon his vanity.

Of interest, when he first started talking with me, he was at first baffled by the wide discrepancies between the recommendations and the pricing, but after receiving my explanation of the miniaturization assessment (something that none of the other doctors did on his examination), his confusion cleared up. His initial question to me was why was there such a wide descrepency between the estimates of work and price. That was not his focus after the consultation with me. In his case, good comparative shopping saved him from being victimized by doctors who behave like crooks and con men. They are still out there.

Again and again, I warn people, ‘Let the Buyer Beware!’


2006-09-05 20:31:06Doctors, Crooks, or Con Men — How Do You Tell the Difference?

Doctors confuse dosing of finasteride

I am a 21 year old male from India and I have been using the generic Finasteride 1mg for the last 1 year. I have had good results and almost no thinning in the past year. I have been to 3 dermatologists and they want me to discontinue Finasteride even though I have zero side effects. Upon asking the need to discontinue the drug, one said Finasteride should not be taken long term. Another doctor said once hair grows back on should stop taking it. Another doctor said, Fin has to be used 6 months ON and OFF. I am really worried about this sort of treatment protocol. They say side effects occur later if not now. How many doctors can I visit? Will it not be considered doctor shopping? It will be rude to ask a doctor to prescribe certain medication. On the other hand I definitely want to continue taking this medication since I am too afraid of losing my hair after such good results. Help me! Should I switch doctor?

Finasteride, when taken, should be taken every day and an on and off routine makes no sense to me. I think you are correct and if you feel it is working without side effects, stay on it.


2020-04-28 16:35:38Doctors confuse dosing of finasteride

Doctors can be ignorant about balding and its treatment

My uncles and father are doctors. Every one tells me that taking Finasteride is idiotic. They believe this because the drug ‘messes’ with hormones without very good reason. They believe that the only doctors that seem to think it’s “safe” are the doctors that stand to gain from prescribing it. What do I do?

Love to hear this. If you are old enough to make your own decisions, than do what your research tells you. Ignorance can’t be excused by education so even doctors don’t really understand the pain of balding and the value of both the drug and surgery treatments for balding.