Urination, Fallen Nipple and Exposed Implant

Sabrina Sajan 00:00

Ever wonder what motivates people to get plastic surgery.

Dr. Javad Sajan 00:02

Did they regret it?

Sabrina Sajan 00:03

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

Dr. Javad Sajan 00:11

Clinic talk with Sabrina Sajan.

Sabrina Sajan 00:13

On the plastic surgeon podcast.

Dr. Javad Sajan 00:32

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

Sabrina Sajan 00:40

Welcome back. And thanks for listening. Please rate us 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 clinic from day to day,

Dr. Javad Sajan 00:55

We get a lot of weird and hilarious things happening at the clinic every day.

Sabrina Sajan01:00

You can find the clinic @allureesthetic.Com for more information.

Dr. Javad Sajan 01:05

Jan, I love the sweater.

Sabrina Sajan 01:06

I love the yours.

Dr. Javad Sajan 01:08

Guys we are wearing Christmas sweaters. There are so cool. I got the dark Vader one.

Sabrina Sajan 01:13

And mine says, Oh snow. Even though there's no snow in Seattle, you can see it.

Dr. Javad Sajan01:18

Yes. Yeah, right here guys.

Dr. Javad Sajan 01:19

Mine says Merry Christmas.

Sabrina Sajan 01:22

I have a snow man.

Dr. Javad Sajan 01:23

I know yours is 3d.

Sabrina Sajan 01:25

You have a snowman skiing.

Dr. Javad Sajan 01:28

That's cool and the tie pops out. I didn't even see that.

Sabrina Sajan 01:30

Yeah. That's a little tie.

Dr. Javad Sajan 01:33

You all can see our sweaters live on YouTube at @realdrseattle, the YouTube episode is always published one week after the podcast.

Sabrina Sajan 01:41

So Janu, what clinic stories are we talking about today?

Dr. Javad Sajan 01:45

Oh my God, Jan, we didn't sleep all night a few weeks ago.

Sabrina Sajan 01:51

Yes, I remember that. It was just a few weeks ago and we were literally probably up for 48 hours.

Dr. Javad Sajan 01:56

It was one of the worst nights of my life. I didn't sleep for 36 hours guys.

Sabrina Sajan 02:04

Yeah. It was very, very crazy and stressful. And I hope that never happens again.

Dr. Javad Sajan 02:10

So guys. I had an amazing VIP patient who came to us for a tummy tuck. So, you know, she came for the consult she has no medical problems, no difficulty urinating. She's a little bit past her fifth decade of life. So-

Sabrina Sajan 02:29

I have a question. Can you tell the listeners why you ask tummy tuck procedure patients about the urination?

Dr. Javad Sajan 02:35

Absolutely. So here's the deal guys. A lot of women would have had a lot of pregnancy and this patient had multiple pregnancies. A lot of women, they don't have strong tone or an ability to push your out of their bladder for many reasons bladder stretching, they get weakened pelvic muscles, their abs get separated. So they're not able to generate a lot of pressure to urinate. Then what happens is right when, after you do a tummy tuck, because you're sewing the muscles together, you're using numbing medicine for a lot of those women who are relying on their abs or their stomach muscles to help them pee because of the weakness they had from pregnancy. They, if you don't identify that before time, they will not be able to pee after surgery. So what happens is their bladder isn't strong enough to help them pee on their own.

Dr. Javad Sajan 03:25

So they're using accessory, abdominal muscles to pee. Then when you do a tummy tuck, you are stitching those muscles together. You're putting numbing medicine around those muscles. So they're not able to use them right away after surgery to pee. The reason I need to know this is because if you have trouble peeing before a tummy tuck, or you've had trouble peeing before other surgeries, then we'll leave a catheter in there for a few days to help you pee. So you can pee.

Sabrina Sajan 03:51

Yes and why is it important to pee.

Dr. Javad Sajan03:53

If you don't pee your kidneys going failure and you can die. Right? So going back now to the consult, patient comes for consult multiple pregnancies, more than four. I don't want to say how many healthy, late fifth, decade of life, which means I'm more cognizant of medical problems, right? So we go through everything. Everything's good. We get a doctor's clearance, comes back normal, blood work, EKG. Everything is great. We do the tummy tuck a few weeks ago. I can't say the date. So basically we do the surgery and then the patient goes home and, you know, we advise them to stay local. They live a few hours away in farm country. From their house the nearest hospital is about three and a half hours away. So which we didn't know. Well, I'll tell you how we found out. So basically, so she goes home after a surgery, you know, during the surgery, very normal, amazing time. We took amazing results. Flat as a board. Wasn't flat before. She goes home.

Dr. Javad Sajan 04:48

Then I get our call at around 9:00 PM. Right Jan? And she's like this poor lady screaming. "I Have to pee. I can't pee. I have to pee. I can't pee". I'm like, "Okay, no problem. Come to the clinic now I'll see you we'll get a catheter put in. We'll help you out". And at this point I asked her history again, cause I'm like, something's going on, a woman with no history of difficulty. Urinating should be able to urinate. And she's like, "Oh, I didn't tell you. I forgot". Quote, unquote, that after every other surgery I've had in the past, I put a catheter for two weeks. And I have trouble peeing. So I'm like, "Oh my God, this leaner". Because during the tummy tuck, we give them a lot of IV fluids. And so she hasn't peed at all. She has all these fluids and she's having strong urgency right there, the feeling of peeing. So I'm like, "Okay, come to the clinic". And she's like, "No, I can't make it. I feel like I'm going to die. I have to pee right now". I'm calling 911, hangs up the phone.

Dr. Javad Sajan 05:46

And then I'm like, okay, I know what's going on. So I tried calling her back, no answer. Eventually I called her husband and he tells me that she called 911 and she's on her way to a hospital. And there they live in the boonies. All right, guys, the garlands were saying in our language and she was taken to the local hospital there. So the doctor calls me, he's like, so I find the hospital based on where they live, which is how we found out, Sabrina found the hospital. Right? Cause we got her address, we looked it up on a map. We looked at where the hospitals to the hospital. And so the doctor calls me from the hospital. "Hey", No, I called the hospital first. I'm like, "Hey, my patients coming to you via ambulance". And, and we were able to do this.

Dr. Javad Sajan 06:29

Cause the ambulance is like an hour and a half drive from her house to the hospital. And so I'm like, "Hey, I'm calling you. I'm letting you know, shadow tummy tuck. She's going to look a little bit rough. Cause she just had a tummy tuck". You know, "And I'm like, Oh, I'm happy to come see there. I don't have privileges at this hospital because it's far away. I have privileges at the local hospital" and I'm like, you know, she need a catheter likely and all this kind of stuff. And it's going to look different. We haven't seen this before. He's never seen a tummy tuck the CR doctor, nice guy from the Midwest. So then he's like, "Okay, no problem. We'll put a catheter in and you know, we'll, we'll see what to do from here". So then the patient gets there.

Dr. Javad Sajan 07:08

And he calls me, he's like, "Yeah, we put catheter in and we got out 1200 CCS of urine. That's over a letter, Jan.

Sabrina Sajan 07:18

Wow. Wow.

Dr. Javad Sajan 07:20

And then he's like, "Oh everything looks good, but I want to get a CT scan", you know? Cause she's having a lot of pain in her abdomen and I'm like, of course she's gonna have pain in her abdomen. She's had a tummy tuck, come on. Now he's sort of like running on these tangents. He's like, "Oh yeah, I'm going to check this. I'm going to check that". I'm like all these tests, you're talking a million dollar worker for someone at a cosmetic procedure.

Sabrina Sajan 07:47

Yeah.

Dr. Javad Sajan 07:47

So I'm telling this nice guys, he is gentlemen, good guy, I got the cell phone. Call him, I'm like, "Hey", so now we're looking at around two in the morning.

Sabrina Sajan 07:56

Yes.

Dr. Javad Sajan 07:56

So I'm like, "Hey look but, this test you're getting and I'm not there. I want to be there. I can't come because of COVID. However, I don't think it's going to change anything. And if we do a CT scan, because during the tummy tuck I fixed her hernia, there's going to be some free air around her, inside her abdomen around the intestines. And why is that a big deal? So it's a big deal because if you see free air or air around the intestines, it normally means the intestine has a hole and patients going to die or need the urgent laparotomy, going to cut their stomach, find the hole and seal it. But I tell this nice doc, I'm like, "Hey bud. You know, the CT scan is going to be very problematic one because all the labs are normal. Everything looks good. She's feeling fine. She's having pain. That's normal. You don't need a CT scan. There's no value that I see in it". And this doctor is insisting on getting a CT scan. I'm like "The other issue is she's flex 90 degrees. If you get a CT scan, you are going to rip mine's stew sutures". So then what happens is this nice doctor-

Sabrina Sajan 08:59

Just so you guys know after a tummy tuck, you know, all of your patients because you they're so flat, they have to be bent over at 90 degree angle for almost week to two weeks, depending on how expensive their tummy tuck was. So the patients are told, do not lay straight on your back. And you have to be basically at a 90 degree angle you know, throughout their recovery in the beginning.

Dr. Javad Sajan 09:24

Exactly. So he so then in my patients know this and he goes to the pee and right now, you know, when you do a surgery on somebody, you know how to maintain control situation. Now he's going to the family and telling them more. I think we should get a CT scan. And he sort of, you know, making the situation very murky now because I'm not eager to get a CT scan. He wants a scan. He's there. He's not giving me any justification to get a CT scan aside that the fact that his hospital has a CT scanner, right? Last time I checked having equipment doesn't mean you gotta use it. Right? and he's like, "Oh, stomach is very swollen". And the reason I was trying to get a reason from him, why do you want a CT scan?

Dr. Javad Sajan 10:00

He's like, "Oh, the top of the vagina is very swollen. And the stomach feels very soft. I think there could be blood in the stomach". I'm like but or labs are normal. Come on man. And what you're trying to do now, now we're reaching around 3:30 in the morning. Okay. And then so long story short, he convinced the family to get a CT scan and I'm not fighting. I'm not going to tell the family something different. They call me, I'm like, "Look guys, you know, he wants, when he's there, he's a medical professional, you know, he is the right to his opinion". You know, if you go a flat, there is a risk that you could rip some of the sutures or some of the incision. I can't that's fixable. I don't see any indication at the moment, but I respect your decision.

Dr. Javad Sajan 10:45

I'm take care of you no matter what, if the doctor really wants one, you should consider that. So then long story short, they get the scan and the scan is normal. It shows a little bit of fluid where I did the surgery, where I did the liposuction, because I put my tummy tucks and guess what I showed for a year. So now we're reaching 4:00 in the morning and the guy calls me back. Nice guy. Right? He's like, "Oh my God. I was right. There is blood in the area. You did surgery". I'm like, yes. I'm like no blank, Charlotte. I'm like, I did liposuction. I put fluid to Lightboard. Absolutely there's going to be fluid in that area. Why wouldn't there be fluid? She has drains and there is no excessive bleeding coming from the drains. This is not a hematoma in the free air is expected to go into a hernia repair at the same time.

Dr. Javad Sajan 11:35

He's like what should we, he's like, okay we feel, I talked to the general surgeon here. We feel the patient needs a helicopter transfer to a major hospital where they can manage this. We don't want to manage it. So he's basically saying we're a small hospital. We don't want to deal with this. I want to wash my hands of it. I got this unnecessary test and now we're going to give it to somebody else. And I'm like, I'm asking, what are you thinking? Now 5:00 in the morning. I mean, I'm already going back. And I'm like, well, what are you thinking here? Did this patient stay? If she's stable, why doesn't normal. Send her home. She's fine. You can send her to me. I will take care of her.

Dr. Javad Sajan 12:16

There's no indication do what you're doing. This is unnecessary excitement here, calm down. You know? So basically long story short, lots of back and forth. He agreed to not get the helicopter and to get an ambulance transport to a major hospital in Seattle. So then my patient, I called the families. They're happy with me. They're like, whatever. It's cool. We're going to, you know, lets us, obviously they're worried. They're scared of somebody they're telling her. She has this major issue. So she gets transferred to a major hospital in Seattle. I'll leave it on name. She goes to this major center, the plastics people, they are calling me and they're like, "Hey, your patient's here. You know, I called them first, gave them a heads up and they didn't want even accept the transfer. It was pushed on them. They ended up taking it. And then the doctors are calling me and I called them and we talk about it. Then we go back and forth and they see her, they do more testing. They're like, yeah, everything looks like what we should expect. We're going to watch her here because she knows. So she was just transferred and then we'll probably discharge her. And then she ended up getting discharged and went home.

Sabrina Sajan 13:32

Then he saw her the same day just to make sure everything was good.

Dr. Javad Sajan 13:35

Yes absolutely. She got discharged from there. She drove to my house, drove to our clinic and then drove to her house or what a wild experience. And you know, it's so challenging. You know, it really, when patients have surgeon to live far away, I was request, please stay close by for a couple of days. But that wasn't the main issue. Jan, I feel the main issue was this nice lady didn't tell us, why would you hide that? You know, I still can't figure out why people just don't tell me everything. Why? What do you think?

Sabrina Sajan 14:01

Yeah, I feel the same thing. I think there's been many times where patients will try to hide things about their medical history. They'll quote, you know, quote, unquote, say they forgot, or they just didn't want to tell us because they feel like it would cancel their surgery and so forth. But these things are so, so, so important, especially for an elective procedure. You know, we don't want to, you know, send you to the hospital. We don't want you to go to the hospital. You know, we want you to stay safe. And with you disclosing all your medical history, we can help the situation. Like if we had known that she had a urine problem, we could have left the, you know, fully inside and everything would have been normal.

Dr. Javad Sajan 14:38

Exactly. A Foley is a catheter would have just left it for a week or two, then taking it out and avoided all of this. Now this poor lady has hundreds of thousands of dollars in bills that insurance is unlikely to cover, right? We're not going to cover it, right? Wasn't a complication. Everything was fine. All of this could have been avoided. If you just would have told us the truth. And we would have known that you have difficulty to pee you could have left the catheter and you wouldn't have had that issue and would have avoided so much pain. I really feel that the reason people don't tell us sometimes is because I need people know, I don't take risks with my surgeries. They think I would have canceled it or wouldn't have done it. And that's not true.

Dr. Javad Sajan 15:17

Small problem like work around now. Is it true that I don't take on very high risk cases? Yeah.

Sabrina Sajan15:22

It's elective procedures,

Dr. Javad Sajan 15:23

It's elective. I'm not, I don't want someone's life in my hands. I mean, they're in my hands when I'm doing surgery, but unnecessary risks. I don't take it. It's not worth it. Nobody wins. I have never, ever regretted it, to this date, canceling a surgery ever, when we cancel a surgery, it's sad or upset, but you know what? We all go to PF Chang's pre COVID and we celebrate. Cause we just avoid a complication.

Sabrina Sajan 15:43

Yeah. And it's safe for the patient too, you know, it's the best for everyone. And I think a lot of times patients get upset. You know, when we canceled the procedure you've dealt with that people have yelled at you, cursed at you, curse at our staff, got really upset, demanded to get surgery. We've seen it all, but you know, I really feel that they should look at it from the provider standpoint. You know, the provider doesn't want to take this extra risk. They want you to be alive and they don't want complications for your life, you know, or extra bills for unnecessary bills.

Dr. Javad Sajan 16:16

I had one patient who I canceled, threatened to leave me negative reviews unless I did the surgery. And, you know, I came out of character for a moment. I looked as patient, nice person to the eye, I love nice people. I said, "Hey, bud. If you're going to do this to me now, you're threatening me out. What the blink are you going to"? I didn't say that anytime like that. I said, what are you going to do to me after surgery? I mean, what do you think this is? Do you want to leave me a review for canceling your surgery? I'll love that review. You put it everywhere. I'll give you the websites. Yelp, Google, Healthgrades, read MD, real saw, five. You can leave that review all day and I'll be happy to respond to it.

Sabrina Sajan 16:58

Yeah. What are they going to say? You canceled my surgery to keep me safe.

Dr. Javad Sajan 17:01

Yeah, In the words of Dr. John Offs, favorite politician, come on, man. It's an inside joke. We'll tell you guys one day, right Alex? So Jan, that was wild. So this is, so guys, I was this was a few months ago. Sabrina comes to me telling me this one really, really interesting call. We got, so what did the patient call with.

Sabrina Sajan 17:30

Those patient calls you did a chest surgery for this patient. And I think it was probably like a week or something after something like that. And the patient calls like panicking on the phone with the front desk, the one of our front desk staff answers the phone. And I was like, "Sabrina, the patients had their nipple fell off. What should they do"? Their nipple fell off. And then the front desk staff asks the patient "Where is the nipple right now? And then she said "It's on the floor in front of me". Then the front desk asked, "Then pick it up and grab it". I was like, Oh my God, I can't believe this is happening right now. So then they're like, "What should we do"? They said, Oh, should we put it in a Ziploc and keep it? And I'm like, I'm sure their nipple didn't fall off, but okay. Tell them to just calm down. Everything should be fine. Just send us some pictures. Like, no, the nipple is falling off. Should we take the nipple and the Ziploc back to the ER so they can put it back on.

Dr. Javad Sajan 18:30

Oh my God that is so wild.

Sabrina Sajan 18:30

That's a don't do anything like that. Just take the pictures,

Dr. Javad Sajan 18:35

At least they didn’t put it in milk, like your suppose to put teeth right?

Sabrina Sajan 18:37

They just take the pictures, send it to us. And will show you guys. Then I come to you and I, you know, I remember you were just getting out of surgery and I was like, I need you to see these pictures right away. Their patients saying that nipple fell off.

Dr. Javad Sajan 18:48

Oh, I was like, no way. I was like for the patient had a free nipple graft. What that means is I remove the nipple off the body and I reattached it. So when you do a free nipple graft and we tell all the patients as, but sometimes people forget and that's okay. Then the new nipple, I mean, the nipple that you've created heals in, but there's a scab that forms on the outside and that old scab will fall off. And it looks like the nipple, but it's not the nipple. It's a scab.

Sabrina Sajan 19:11

Yeah. And it's like shaped like a nipple. It looks like into color and everything. So I think they got super worried and they had to put it in their Ziploc. And when they send us pictures, of course it was the scab that had fallen off. And you know, we explained to the patient that it's a scab that was, that's perfectly normal and it's supposed to fall off and the nipple is still intact. And they, you know, every, all the healing and everything is looking good. Is it so funny sometimes patients call with these things, you know, panicking over. So it was just perfect. You know, we're happy to answer the phones and to, you know, answer their questions and we were happy that they call us and-

Dr. Javad Sajan 19:48

Exactly. Yeah. And one of the most, I think unique things with our practices, right? For you and for our injectables and non-surgical stuff is we always have a doctor on call 24/7. So all the patients we do surgery on, they get their provider cell phone number. And we have many doctors that work for us now, you know, thank God we've been so blessed and they have our clinic number and now for our clinic, we have a 24/7 answering service. Like, you know, sometimes we'll get a call like a patient and appealed on by one of our ASTO isn't there like warm really peeling or going to reaction. So we address those right away. Right. It's not like, you know, going to nothing wrong with this. I love medical spas, but sometimes going to one of those places where they have nobody available.

Sabrina Sajan 20:26

Yeah, you have to wait till Monday.

Dr. Javad Sajan 20:27

Yeah. And we know, and sometimes critical things happen. So even for some plastic surgery practices, cosmetic surgery practices, you know, that someone's not available 24/7.

Sabrina Sajan 20:39

Yes. It did happen. There was a patient that called us after hours. And like a lot of, you know, many of, you know, we are open Monday through Friday from 8:00 AM to 9:00 PM. A person at our office as they are answering phone calls and addressing everyone's questions and concerns for bookings. So this, you know, patient calls us to think about 8:00 o'clock or something, and I'm still at the office and the patient is really freaking out on the phone. She's super worried. She tells the front desk staff, you know, the person who answered the phone, that her implant came out.

Dr. Javad Sajan 21:14

What?

Sabrina Sajan 21:15

Yes, yes. She literally said my incisions were, she hit her body or the door hit her or something like that when she was walking and someone was opening the door and it mistakenly hit her chest. And she said her incisions open and her implant was in her hand.

Dr. Javad Sajan 21:33

I don't believe that.

Sabrina Sajan 21:34

I could not believe it.

Dr. Javad Sajan 21:35

Was she fresh out of surgery or we don't know.

Sabrina Sajan 21:37

We're unsure what she was, but we said, you know, have we did your surgery? You know, we asked her she's a patient of ours. She was not a patient of ours. And she said that she was unable to get ahold of the doctor that did her surgery and unable to get ahold of the practice that get her surgery because she left him multiple voicemail. She emailed them. She's just freaking out. Cause she doesn't know what to do. She called us because we were open. So you know, we were like, you know, we have to reach out to the doctor that did your surgery. It's really important that they, you know manage this. But unfortunately she said that they weren't answering that she was going to head to the ER.

Dr. Javad Sajan 22:14

And that's sad, you know, you gotta be available for your patients. Surgery isn't a one and done. And I think a lot, we see that often, you know, especially when I fix botchedthough in [Inaudible 00:22:21] work, you know, a lot of complications that I fix from other people. I think God, not many from me, but I get a few here and there like everybody are things that could have been avoided, had the right treatment been done, right? It's like, this lady I guarantee I'm telling you right now, the door hitting her. Wasn't the main issue when someone's incision dehisces or opens up like that. It's usually because they got it. They had an infection, they had a fluid collection, they had a blood collection. They had something that was applying stress to the incision and the incision was getting beat up and it was getting thinner and thinner and thinner.

Sabrina Sajan 23:01

And the open up.

Dr. Javad Sajan 23:02

And then exactly when they get pressure with some kind of event that popped out, like we had that one patient. I remember I repaired her. She was from out of the country. She had a breast augmentation. This was during COVID actually, she had a breast augmentation and out of the country with the lift. And then she had chronic drainage. Couldn't find a doctor in Mexico in that other country. And then she went to get a mammogram and during the mammogram, the implant popped out.

Sabrina Sajan 23:32

Wow.

Dr. Javad Sajan 23:32

And it wasn't the pressure from the mammogram. It's totally safe to get mammograms after your implantation surgery. So you should get them to the recommended. Typically they'll do nine views, but she had a chronic infection that treated properly, their chronic infection beat up the tissues. They got very thin and it's like that game thin ever seen that game back in the day. Right. But it gets worn out and eventually an event happens, something that's going to happen no matter what. And it pops out. And I remember that doctor blamed the patient. He told her she never got a mammogram. I'm like, come on. You know, you can't, the surgery. I really believe this. Your surgery has to be a part of your life. Your life can not become the surgery. What that means is when we do an operation on a patient and I do an operation on a patient, I always do my best to make sure that what I do will be congruent with their life. You can't change your life on operation. It doesn't work that way. Now that doesn't mean you let loose and gain and lose weight and you got to live normal. You don't be healthy.

Sabrina Sajan 24:31

Another thing, you know, I think we talked about this a few days ago, how it's really important to make sure you're taking your medications. You know, when doctors, after surgery prescribes you antibiotic, or, you know, whatever else it's really important for you to take it, you know, I understand it's hard to take the medications as many to take. You got to plan it out. You got to put a timer on your phone, take every four hours, eight hours or whatever the doctor has told you to do. But I think that's so important because we had a situation where a patient was not taking her antibiotic and medications at all. And her caregiver even said that, that she would not take it. And because of that, she, you know, came in and she had an infection.

Dr. Javad Sajan25:09

Yeah. And it wasn't one of my patients. This is an outside patient. So it's just out of control sometimes. And the thing is, don't let things get out of control. It's in your control when you're healing, when you get a complication, that's when everybody loses control. Jan, this is our last episode of 2020.

Sabrina Sajan 25:26

Wow. What a crazy year?

Dr. Javad Sajan25:29

What a crazy year we've been blessed with. We've done so much, so many surgeries, so many new things. It's got the podcast, TV series going. We built such a bigger team.

Sabrina Sajan 25:41

And it was so thankful for, you know, all our fans, all our patients. I mean, everyone that's listening. Thanks so much. We know 2020 has been very difficult for many of you. It's, you know, brought a lot of patients in everyone's lives. It's brought everyone closer to their families, which is always a good thing but we're really thankful for our fans, our patients, all of our staff, our family members for supporting us in everything that we do you know, that's the growth of the practice or the media part of our world. But we're really thankful for everyone. And, you know, we hope that, you know, everyone has a better next year.

Dr. Javad Sajan 26:20

Yeah. There's no way we would be who we were. We would be going where we are. And we would have such a bright future without the amazing people in our life. And of course, Jan without you, I know there's no way I would have been as blessed as I am. We're so thankful to God and our amazing family, our friends, and certainly our staff, you know, our staff are some of the most valuable people in our life. They help us do what we do. And without them, we couldn't be who we are. And I hope they know. And we tell them everyday how much we appreciate them.

Sabrina Sajan 26:54

Yeah. Our staff are like our Seattle family. And, you know, because we don't have, you know, as many of you know, our, both of our families are your family is in the Midwest and mine is from the East coast. So this, you know, family that we have in Seattle is our staff and, you know, we spend so much time with them. So we really appreciate each one of you guys.

Dr. Javad Sajan 27:16

Thanks for all you do. Thank you for listening to clinic. Talk on the plastic surgeon podcast, please rate and review us on Apple podcasts to support the channel

Sabrina Sajan 27:25

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

Dr. Javad Sajan 27:29

For my live surgeries on Snapchat and adventurous throughout the week, catch us on all social media at @realdoctorseattle

Sabrina Sajan 27:36

Happy holidays, and a happy new year to everyone. See you next time in 2021,

Dr. Javad Sajan 27:41

We'll see you for our new episode in 2021.