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Billy Mays versus the Shamwow guy.

Posted By: Just me on 2009-01-06
In Reply to:

Is it just me or how many others out their would like to throttle Billy Mays.  I am soooooo sick of him.  He's loud, obnoxious, and I'm getting tired of him thrusting his arms out in front every other second.  And please someone tell him to stop using the grecian formula.  It looks very unnatural.  I will never ever buy a product he advertises.


The shamwow guy though.  Now he's very enjoyable to watch and I will probably buy anything he advertises.  Just a nice switch from watching that obnoxious a$$ BM (gee his initials match what I want to have every time I see him).


Just wondered if anyone out there is as irked as me at Mr. Billy Mays.




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Slow-Mohs versus regular Mohs
I am a patient, not a doctor, but my understanding is this:

A regular Mohs procedure takes many hours but is finished the same day you start the procedure. The doctor cuts out the visible tumor, then makes either vertical or horizontal slices from what she has removed. Those slices are made into frozen slides (not literally frozen) and analyzed by the doctor while the patient waits in the office. This allows the doctor to "map" the tumor. If a part of a slide doesn't show a clear (tumor-free) margin, the patient is called back in to a little more tissue removed. Again, that tissue is made into frozen slides and the doctor looks for clear margins. The patient will keep being called back in to have more removed until all the slides show clear margins. This can take many hours, but once the margins are clear, the wound is closed and that is the end of it.

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Also, sometimes after doing regular Mohs with frozen slides, the doctor will take a final slice for paraffin-embedded slides to be analyzed just in case. This final paraffin-embedded slide isn't the same as Slow-Mohs. In the rare instance that the final slide comes back with a positive margin, the patient will be brought back in for another Mohs procedure, but usually regular Mohs is a one-day affair.

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Here is a good (technical) article about Mohs and DFSP that describes the different types of Mohs:
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Dermatofibrosarcoma Protuberans: Analysis of 22 Patients" http://www.annalssurgicaloncology.org/cgi/reprint/11/4/438