Category: Laser Skin Rejuvenation
Eyes: Windows To Your….Age
No one really wants to reveal his or her age. But there are places on our bodies that can give secrets away, namely, the eyes.
The skin surrounding your eyes is extremely delicate, making it susceptible to cosmetic problems that make you look older than you are. Also, because it moves so much during facial expression, lines and wrinkles form over time. Crow’s feet emerge on the outside of the eye and creases appear underneath the lash line, for instance. Add dark circles, hollowing, drooping lids and puffiness, and you will appear tired and worn. Perhaps you’ve tried creams that claim to tighten skin or cold tea bags and cucumbers that temporarily reduce fluid retention, but you are still not happy when you look into the mirror.
We offer a range of nonsurgical treatments that will help return a well-rested look to your eyes and ultimately, your face. Depending on your individual needs, we can craft a personal plan that will help you look refreshed and more youthful, with minimal downtime and recuperation.
Here are a few of our most popular eye treatments:
- Thermage CPT
- Botox
- Dysport
- Dermal fillers (Belotero, Juvederm, Restylane, Restylane Lyft)
- Fraxel Repair Laser
- Fraxel DUAL Laser
- Laser Wrinkle Reduction
- Clear & Brilliant
- Microdermabrasion
Come talk with us about how we can help. Call our office today to schedule your complimentary consultation. And meantime, keep applying that sunscreen.
See you soon.
When Freckles Are No Longer Adorable
Despite your efforts to avoid the sun, freckles may be having a field day on your face right about now. While you may have a few here and there throughout the year, and while they may be cute, these tiny brown spots tend to flourish after repeated exposure to sunlight, particularly if your complexion is fair.
Caused by an increase in the amount of dark pigment, or melanin, freckles can have a range of colors, from red, yellow, tan, light brown, brown or black. In one person, they are generally the same tone. The two basic types of freckles–simple and sunburn–look a bit different. Simple freckles are usually tan, round and small. Sunburn freckles are darker, larger and may have irregular borders. They usually appear on the upper back and shoulders where severe sunburns often occur.
To reduce the appearance of these dark spots, we offer a variety of treatments:
Diolite: This laser generates an intense beam of light that destroys unwanted cells in the affected area, leaving only healthy cells behind. Diolite is gentle, precise and controlled. With the Diolite laser, we can direct the light to the treatment area only, which leaves the surrounding tissue intact.
IPL (Intense Pulsed Light ) Treatment: This photo-rejuvenation procedure quickly, effectively and non-invasively treats skin damage. IPL is a versatile treatment that corrects all kinds of facial skin imperfections and signs of aging, such as freckles and sun spots, as well as rosacea (facial inflammation), vascular lesions and acne scarring. It can safely treat areas including the face, neck, chest, hands and legs. Photo-rejuvenation offers long-term results without any downtime, recovery time or chemicals.
LED Photomodulation: A non-thermal, low intensity light-emitting diode treatment, LED Photomodulation uses a carefully timed sequence of emissions to activate the skin’s natural rejuvenation process. Unlike laser treatments that can cause a snapping sensation, LED Photomodulation treatments are entirely painless. Youth-restoring results are gradual, and patients report noticeable changes after 5 to 7 weekly treatments.
Fraxel: A trio of laser treatments, Fraxel offers the most advanced technology for improving your skin’s radiance and youthfulness. Depending on the intensity of the treatment you need, you can choose Fraxel Repair, Fraxel DUAL or Clear & Brilliant. Each is a state-of-the-art device with its own advantages.
Call our office today to learn about your easy options for reducing the appearance of freckles and brown spots. Our consultations are complimentary. Meantime, apply that sunscreen.
See you soon.
Recharge Those Eyes
When you really want to know how someone feels, you look into his eyes. They can often hold the answers to many mysteries. Unfortunately, they can be a lot more obvious about your age.
The skin surrounding your eyes, because it is so delicate, is at risk for a multitude of cosmetic problems that make you look older than you are. And, because this area is involved in facial expression, the natural movement of the skin causes lines and wrinkles to form over time. Crow’s feet, additional lines and wrinkles underneath the lower lashes, dark circles, hollowing, drooping lids and puffiness all contribute to a tired appearance. Perhaps you’ve tried creams that claim to tighten skin or cold tea bags and cucumbers that temporarily reduce fluid retention, but the concerns remain.
We offer a range of nonsurgical treatments that will help return a well-rested look to your eyes and therefore, your face. Depending on your individual needs, we can craft a personal plan that will help you look refreshed and more youthful, with minimal downtime and recuperation.
Take a look at some of our most popular eye treatments:
- Thermage CPT
- Botox
- Dysport
- Dermal fillers (Belotero, Juvederm, Restylane, Restylane Lyft)
- Fraxel Repair Laser
- Fraxel DUAL Laser
- Laser Wrinkle Reduction
- Clear & Brilliant
- Microdermabrasion
- LED Photomodulation
Come talk with us about how we can help. Call our office today to schedule your complimentary consultation.
See you soon.
Laser Away Those Little Red Lines
At some point, you may notice tiny red spider veins criss-crossing certain areas of your face. These small broken veins generally appear on your nose and cheeks, giving you a ruddy and haggard look. They are fairly common, and they often return.
We have two treatments that show terrific results in reducing the presence of these veins. Both Intense Pulsed Light (IPL) and the Diolite laser enhance and rejuvenate skin, lessen the lines and redness and leave you looking more youthful, without any peeling or sloughing.
Here is how they can help you look your best:
IPL: If your facial skin has lost its youthful glow, Intense Pulsed Light rejuvenation can help to restore a healthy-looking and vibrant appearance. The procedure delivers broadband light through the skin, helping to decrease redness, pigmentation, lines and pore size, and improve the overall texture and tone of your skin. In addition to your face, IPL can be used on your neck, chest, hands and legs.
Also known as a “photofacial,” the noninvasive treatment will not damage the surface of your skin. The light is directed to the deeper parts of the skin (dermis), while the outside layer (epidermis) is left untouched.
IPL photorejuvenation works beautifully on facial spider veins and also improves imperfections including rosacea, fine wrinkles, sun and age spots.
Diolite: This gentle laser pinpoints the skin’s target area with extreme precision, helping to erase vascular and pigmented imperfections while leaving surrounding tissue untouched. Unlike older lasers that could cause pain, blistering, oozing and crusting, Diolite produces the same results without the uncomfortable side effects. Your skin will emerge healthy-looking and refreshed.
Diolite is an extremely effective treatment for eliminating superficial facial spider veins. It can also help to minimize cherry angiomas (raised red mole-like lesions) and small brown spots such as freckles, sun spots and pigmented keratoses found anywhere on the body.
Please call my office to schedule a complimentary consultation. I look forward to tailoring a treatment plan just for you.
See you soon.
Eyes: Windows To Your….Age
No one really wants to reveal his or her age. But there are places on our bodies that can give secrets away, namely, the eyes.
The skin surrounding your eyes is extremely delicate, making it susceptible to cosmetic problems that make you look older than you are. Also, because it moves so much during facial expression, lines and wrinkles form over time. Crow’s feet emerge on the outside of the eye and creases appear underneath the lash line, for instance. Add dark circles, hollowing, drooping lids and puffiness, and you will appear tired and worn. Perhaps you’ve tried creams that claim to tighten skin or cold tea bags and cucumbers that temporarily reduce fluid retention, but you are still not happy when you look into the mirror.
We offer a range of nonsurgical treatments that will help return a well-rested look to your eyes and ultimately, your face. Depending on your individual needs, we can craft a personal plan that will help you look refreshed and more youthful, with minimal downtime and recuperation.
Here are a few of our most popular eye treatments:
- Thermage CPT
- Botox
- Dysport
- Dermal fillers (Belotero, Juvederm, Restylane, Restylane Lyft)
- Fraxel Repair Laser
- Fraxel DUAL Laser
- Laser Wrinkle Reduction
- Clear & Brilliant
- Microdermabrasion
- GentleWaves Photomodulation
Come talk with us about how we can help. Call our office today to schedule your complimentary consultation. And meantime, keep applying that sunscreen.
See you soon.
Treat Yourself Now: Schedule a Mommy Makeover
If it’s been about six months since you’ve had your baby, you may be feeling more like yourself. You may have lost most of your pregnancy weight and stopped nursing, you may be sleeping more, you may be back at work. But there may be a few cosmetic issues that have lingered, and really bother you. Most new moms aren’t prepared for some of the changes that their bodies will endure, but many of them are reversible.
Pregnancy and breastfeeding can take a toll on the skin and body, specifically the face and stomach. It is not uncommon for you to experience an array of conditions, including acne, acne scarring, melasma (darkened facial skin), cellulite, unwanted fat, unwanted hair growth, prominent facial blood vessels, loose skin, brown spots and stretch marks.
You may be feeling that you don’t have the time or the energy to address these issues right now, but your self-esteem and general well-being are important. A few simple cosmetic treatments can boost your overall mood more than you may imagine. Now, with a few holiday weeks coming up, you may find that you have some extra time to invest in yourself.
Here’s how I can help:
- For acne: pulsed dye laser, DermaFrac, microdermabrasion
- For melasma: Fraxel DUAL laser
- For cellulite: Cellulaze, Exilis Elite
- For unwanted fat: SmartLipo TriPlex, Exilis Elite
- For unwanted hair growth: Laser Hair Removal, IPL Hair Removal
- For facial blood vessels: Diolite (KTP532) laser, IPL (intense pulsed light), GentleWaves
- For loose skin: INFINI™, Thermage CPT, Exilis Elite, Fraxel lasers, laser wrinkle reduction
- For brown spots: Fraxel DUAL laser, IPL (intense pulsed light), Diolite (KTP532) laser, GentleWaves
- For stretch marks: Fraxel lasers, Infini
- For acne scarring: INFINI™, Fraxel lasers, pulsed dye laser, dermal fillers
Also, mark your calendars for our Two Days of Holiday Merriment on December 13 and 14. Check your email and our website for discounts and details.
Meantime, call our office to schedule a complimentary consultation. I’ll tailor a post-baby treatment plan just for you.
See you soon.
Back to School Means Back to You
The school bells are ringing again and for moms, the sound means one thing–extra time. With kids back in the classroom, why not devote a little attention to yourself this fall?
Whether you are a new mother enduring the lingering effects of pregnancy and breastfeeding or a seasoned mom who forgets to put herself first sometimes, you could be a candidate for our Mommy Makeover, a collection of treatments that will help you feel and look as terrific as you can.
It is not uncommon for young mothers to experience such conditions as acne, acne scarring, melasma (darkened facial skin), cellulite, unwanted fat, unwanted hair growth, prominent facial blood vessels, loose skin, brown spots and stretch marks. Experienced moms may feel that they look tired and worn.
Wherever you are in life, I will customize a specific plan that will address all of your post-baby or super-parent beauty concerns in a way that is easy to accomplish, convenient and stress-free.
Here are a few possible conditions and treatments for all mommies, new and not-so-new:
- For acne: pulsed dye laser, DermaFrac, microdermabrasion
- For melasma: Fraxel DUAL laser
- For cellulite: Cellulaze, Exilis Elite
- For unwanted fat: SmartLipo TriPlex, Exilis Elite
- For unwanted hair growth: Laser Hair Removal, IPL Hair Removal
- For facial blood vessels: Diolite (KTP532) laser, IPL (intense pulsed light), GentleWaves
- For loose skin: Thermage CPT, Exilis Elite, Fraxel lasers, laser wrinkle reduction, SmartLipo TriPlex
- For brown spots: Fraxel DUAL laser, IPL (intense pulsed light), Diolite (KTP532) laser, chemical peels, GentleWaves
- For stretch marks: Fraxel lasers
- For acne scarring: Fraxel lasers, pulsed dye laser, dermal fillers
Please call our office for a complimentary consultation. New seasons are a time for positive change, and we are ready to help you transform, physically and emotionally.
See you soon.
Out, Spot!
Some blemishes can make you feel as bad as Lady Macbeth did, but fortunately, some spots can be banished.
Dark spots and blotchy patches, whether brown, red or pink, large or small, are all classified as hyperpigmentation. Meaning, simply, extra pigment, dark skin discoloration can appear anywhere on your body. Typically, sun exposure and aging are to blame.
Various types of hyperpigmentation can emerge, due to different triggers, and we have treatments for all of them. Take a look below at which type you may have…
Melasma: Look for light to medium brown discoloration, usually on the cheeks, sides of your face, upper nose, forehead and lips. You may see splotchy patches in irregular sizes and shapes. Often, melasma appears when you are pregnant or have just gone through childbirth (it’s sometimes called “The Mask of Pregnancy”). A hormone surge during these times can cause the changes in your skin. Combined with excessive sun exposure, the effects may be pronounced.
Our treatment: Fraxel Dual Laser
Sunspots, Age/Liver Spots: These are light to dark brown in color, and appear on the face, chest and hands. Usually, they are small and flat and caused by sun exposure.
Our treatment: Fraxel Dual Laser, IPL (Intense Pulsed Light), Diolite
PIH: Look for flat pink, red or brown spots on the face. If you’ve had inflammatory acne, you may be prone to this sort of hyperpigmentation.
Our treatment: Light salicylic acid chemical peels
Freckles: You may notice small brown, red or black spots on your face, chest or arms. Sometimes, they appear quickly, after a long day in the sun, even with sunscreen.
Our treatment: Fraxel Dual Laser, IPL, Diolite
Facial Blood Vessels: Vascular lesions, commonly called “spider veins” are extra blood vessels that are superficially located in the skin. Often, the skin of cheeks, chin and forehead appear red.
Our treatment: Diolite, IPL
Our best advice for minimizing spots, of course, is to stay clear of the sun and wear sunscreen–and more sunscreen–every time that you go out, even when it’s cloudy.
For a specialized treatment plan crafted just for you, call our office for a complimentary consultation.
See you soon.
GLOWING SKIN for the HOLIDAYS
Glowing Skin for the Holidays
Snow has already started to fall in some areas and with the colder temperatures of the fall and winter season, comes a variety of skin concerns. In addition to dryness, one of the top concerns I hear about is dull, rough skin. When skin has lost its radiance, it looks older.
Where Did the Glow Go?
The natural glow from skin mainly comes from a high cellular turnover that reveals fresh new skin. As we age cellular turnover slows down and dead skin builds up to cause rough texture and lackluster skin.
Getting the Glow Back
There are a variety of ways you can go about getting your glow back.
DIET… Being conscious of your eating habits during the holidays will not only help you keep off the weight, but it’ll help your skin too. Sugar and processed foods aren’t good for the body and also reflect poorly on the skin. Staying hydrated and even eating foods with high water content can help. Foods with healthy fats, such as avocados, as well as other vegetables and fruits that are high in beta carotene and vitamin A empower radiant skin.
LIFESTYLE… Alcohol, soda, and caffeine drinks like coffee have a dehydrating effect on the skin. Smoking deprives the skin of vital nutrients and oxygen. Minimizing these vices can give your skin a better chance for healthy cellular production that’ll reflect externally. Getting good rest is important for rejuvenating your whole body and allows skin to restore its natural balance. Getting your “beauty sleep” isn’t just an old wives’ tale.
LASERS… These treatments offer a non surgical option for effective skin rejuvenation. Powerful targeted treatments beam tiny columns of light into the deeper layers of skin of a specific area. Lasers are available in different strengths and types to solve a variety of problems and reverse the signs of aging:
- Resurface the skin to restore glow
- Reduce deep lines and scars
- Firm up skin
- Reduce or eliminate skin pigmentation
- Smooth out the skins’ surface and texture
Laser Options
Laser treatments offer flexibility tailored to your specific skin rejuvenation needs. If you’ve just recently noticed an increasing dull complexion or it’s been years since you’ve wanted to do something about it, there is a laser for you. We offer laser treatments from gentle to intense, all the while delivering visible results.
Fraxel Repair
- more aggressive approach for significant levels of concern
- carbon dioxide laser beams
- removes old damaged tissue to stimulate collagen production
- Fractional Deep Dermal Ablative (FDAA)
- moderate recovery, yet is insignificant compared to surgery
Fraxel DUAL
- middle strength for moderate levels of concern
- erbium and thulium laser
- safe for all skin types
- very commonly used for pigmentation and texture
- optimal results typically achieved in a series of treatments
- may experience mild redness for a day or two, but no downtime
Clear + Brilliant
- most gentle laser ideal for beginners wanting to “ease in to lasers”
- done in a series of treatments with no downtime
- visibly illuminates your skin tone
- optimal results typically achieved in a series of treatments
- no downtime
Let’s talk about the best laser options for you to restore your skin’s radiance and get back that glow for the holidays! Visit www.DrCovey.com to learn more.
Sincerely,
Dr. Covey
Refresh Your Face for Fall Holidays with Fraxel
One of the best options to rejuvenate your skin for Fall is with a FRAXEL laser treatment. You’ll love your smooth, clear complexion that radiates a youthful glow. Available in three different strengths, FRAXEL lasers offer a versatile, effective treatment option that provides the best non surgical results:
- CLEAR + BRILLIANT is a great option if you are new to laser treatments. It is the most gentle of the 3 lasers and is still effective at the early signs of aging.
- FRAXEL DUAL effectively addresses more moderate aging concerns. You can experience a remarkably more youthful appearance without any downtime.
- FRAXEL REPAIR penetrates deeper into the dermis to stimulate the rebuilding of collagen. It is the most intense of the 3 lasers, but requires fewer treatments to see rejuvenating results more quickly. Results are amazing and recovery is more of a “social downtime;” it is minimal, especially compared to the stronger chemical peels and surgical alternatives.
What is on your Fall beauty wish list? I’m sure some of these issues that can be treated with FRAXEL lasers are on there:
- Age & Sun Spots pop up with exposure to the sun’s harmful ultraviolet rays. These brown patches plague the face and body with an aged look. FRAXEL lasers can lighten this pigmentation to restore clear, bright, and even toned skin.
- Skin Resurfacing restores the smooth texture, tightness, color, and brightness that diminishes over the years. While most treatments only address the externally affected skin, FRAXEL lasers resurface your skin from the inside out. They can reverse skin damage created by exposure to the sun, air pollution, stress, and fatigue. Harmful lifestyle factors can also cause the skin to lose its radiance, such as smoking, poor diet, and dehydration.
- Wrinkles and lines that age the face can creep in as early as mid 2os, but usually are more noticeable starting in the 30s. They only get deeper with years of expression and muscle movement, reduced cellular turnover and increased moisture loss. Amazingly, FRAXEL lasers actually stimulate collagen rebuild and therefore the skin acts younger and tighter, reducing wrinkles.
- Acne and Surgical Scars can mature the face years beyond natural age by causing an uneven, rough texture to the surface. In addition to being bumpy or pitted, the skin can be discolored.
- Actinic Keratosis is a medical condition caused by pre-cancerous skin cells. More professionals are turning to FRAXEL lasers to help treat these scaly or crusty growths, and to provide relief for thousands of people.
- Melasma presents as dark blotches caused by the hormonal changes in women’s bodies throughout the stages of life. Melasma is commonly associated with pregnancy and breastfeeding, oral contraceptives, or hormone replacement therapy. These dark brown spots are different than sun damage. FRAXEL can lighten melasma anywhere, but it most commonly appears on the forehead, lower cheeks, nose, and upper lip.
Refresh your face with FRAXEL and be ready for the social holiday season coming soon! Visit www.DrCovey.com to learn more and schedule a consultation to see which FRAXEL laser is best for you.
Sincerely,
Dr. Covey
Farewell Freckles, Hello Clear Skin
Unless you’ve been very careful to avoid sunlight or always wear cover ups, hats, sunglasses, and sunscreen, you’re probably noticing you’ve picked up at least a few more freckles by this point in the summer. These brown sun spots occur as a result of exposure to ultraviolet radiation from the sun. This pigmentation is a major cause of visible aging. Blotchy, uneven skin tone makes the skin have a weathered appearance when contrasted with the clear, even toned complexion of youth.
We use the most advanced treatments for all different kinds of pigmentation and skin types. Here are some of my top picks:
Diolite
Lasers generate an intense beam of light that destroys the unwanted cells in the affected area, leaving only healthy cells behind. If you or someone you know has had a laser treatment for pigmentation in the past, don’t worry, Diolite is NOT like the older lasers that were painful and left behind blistered and crusty skin. Revolutionary Diolite is gentle, precise and controlled. With the Diolite laser, we can direct the light to the treatment area only, which leaves the surrounding tissue intact.
IPL (Intense Pulsed Light ) Treatment
IPL is a breakthrough, age defying photorejuvenation procedure that quickly, effectively, and non-invasively treats skin damage. Pulsed-light systems treat pigmentation very similarly to lasers. IPL is a versatile treatment to correct all kinds of facial skin imperfections and signs of aging, such as rosacea (facial inflammation), sun spots, vascular lesions, and acne scarring. It can safely treat any area (face, neck, chest, hands, legs, etc.) except the delicate thin skin around the eyes. Photorejuvenation offers long-term results without any downtime, recovery time or chemicals, and IPL is the “The Gold Standard” for photorejuvenation.
GentleWaves
GentleWaves is a non-thermal, low intensity light-emitting diode treatment that uses a carefully timed sequence of emissions to activate the skin’s natural rejuvenation process. Unlike laser treatments that can cause a snapping sensation, GentleWaves treatments are entirely painless. Youth restoring results are more gradual with patients reporting noticeable changes as early as after 5 to 7 treatments, which can be done on a weekly basis.
Fraxel
Fraxel laser treatments offer the most advanced technology for improving skin’s radiance and youthfulness. Depending on the intensity of the treatment you need, you can choose from Fraxel re:pair, Fraxel DUAL or Clear & Brilliant. All the Fraxel lasers are state of the art devices, each with their own advantages. You can check out this month’s newsletter for more information about Fraxel laser treatments.
With so many options, there’s no reason you can’t say farewell to your freckles and skin discoloration, and say hello to that youthful glow. Visit www.DrCovey.com or call to find out which treatment is best for your skin.
Sincerely,
Dr. Covey
Clear + Brilliant Laser Skin Treatment is Clearly Effective!
PROVEN LASER POWER – PRECISE and GENTLE AGE DEFYING TREATMENTS
If you’ve tried all the creams, lotions, soaps and scrubs and you’re looking for a simple yet effective treatment to restore natural glow and youthfulness to your skin…Clear + Brilliant Laser Skin treatments may be right for you.
CLEAR + BRILLIANT has become the perfect, powerful complement to beauty regimens of scores of patients everywhere.
My patients know that adding Clear + Brilliant Laser Skin treatments to their regular skin care regimen can be effective at any age. Gen Xer’s are leading the charge with today’s “In and Out” procedures to address the early signs of aging. In fact, most start anti aging treatments during their 30’s as part of their regular healthcare program. They know, as we do, that “Celebrities” start early with age defying treatments, they maintain them and they always look several years younger. Many of them are adding Clear + Brilliant laser treatments to their Armamentarium.
WHY CHOOSE CLEAR + BRILLIANT?
Here are just a few reasons:
1) Prevents and treats the signs of aging
2) Unique technology addresses existing and prevents future signs of aging
3) Illuminates your skin tone
4) Corrects photo damage, sun damage, fine lines/wrinkles, uneven skin tone, rough skin texture and large pores
5) Newest, gentlest laser for skin treatments
6) Also treats face, neck, chest, arms, hands, legs and back
7) Enhances the effectiveness of your regular skin care regimen
8) Recovers the glow, luminosity and smoothness for the healthy, glowing skin you deserve!
9) Treatments require about 30 minutes, are comfortable and get real results!
Advanced, precision smart-tip technology delivers unparalleled results at the hands of an expert laser user. Dr. Covey and select staff are trained, experienced, certified and trustworthy laser experts. KNOW BEFORE YOU GO…WHO’S SHOOTING YOUR LASER.
IS CLEAR + BRILLIANT RIGHT FOR YOU?
Well, I get asked this question many times every week. My answer is this: If you are seeking dramatic correction for skin problems, then no, it probably is not for you. I would recommend Fraxel® or Thermage®. But, if you like the way your skin looks; don’t require much correction, and want to “boost” your existing program…with little added time involved, this treatment could help you keep a fresh, youthful appearance for years. See my website for complete info: www.drcovey.com/new york.
A FEW TIPS FOR HEALTHY SKIN:
· Don’t smoke
· Eat nutritious living foods
· Drink plenty of pure water
· Minimize alcohol consumption
· Wash your skin gently
· Moisturize skin regularly
· Use sun protection
· Get enough sleep…regularly
Today’s lasers have taken skin care to a new level. It is one of today’s most popular non invasive treatments because advanced technology is comfortable, safe and effective unlike older laser technology. Questions? Contact me and let’s chat.
My goal for my blogs is to update and educate you about today’s non invasive (non surgical) anti aging beauty options. At East End Laser we are proud of being able to offer our patients the newest, most advanced and safest yet most effective options.
Best Wishes for a Beautiful, Healthy 2014 to You and Yours,
Alexander Covey M.D.