There’s a lot of interesting things here pre-op that after go and we actually have a graphic, which we’d like to bring up which shows a lot of the very different things here and I wanted to get the doctor to talk about these as well. This is this is all good but this is all part of putting yourself at ease and taking out some of the stress I think people need to understand stress is a killer we know that if you’re gonna undergo surgery be calm it will help you prepare. Correct ? All these things are good. > I think… I think even before you see a plastic surgeon you should be already emotionally prepared, because plastic surgery is not gonna cure your depression. the people who are undergoing a divorce, or undergoing a difficult part of their life, and they go and see a plastic surgeon to change something. “oh now I got divorce I need breast augmentation” “oh I’m getting older I need a face of”… etcetera and the reality is you got to be happy with yourself even before you undergo surgery because now you’re submitting yourself to undergo an elective procedure that potentially is much more stressful. It’s gonna be an additional stress to your life so I think the patient should be preferred out before you undergo any type of elective procedure you should be emotionally prepared before undergoing it and be sure what you’re getting into. > let’s go ahead and look at physically as well there’s some things in here because the emotional side of things we have this it’s about calm it’s about preparing yourself but physically there’s one in there that I want you to explain your prevention of DVT PE before surgery people may not know what that means yeah so DVT and PE refers to developing blood clots in your legs that can potentially then go into your lungs that’s what we call a PE which is a pulmonary embolism and they usually form on your legs and the reality is we have risk there’s if you’re obese you have a risk if you’re in mobile you have a risk and one of those things that you think about is when you’re undergoing surgery you’re gonna be in an operating room for several hours undergoing a surgery you’re gonna potentially be bedridden or immobilized for a few days or your mobility is gonna be restricted so those are things that put you at risk for a clot now and I know that I’m going to talking a little bit moving forward but people who are travelling who do medical tourism or people who come in to have an intervention you’re putting yourself at risk now you’re in an airplane you had you’re coming in to have surgery you might be a few hours in an airplane sitting down and now you’re having surgery you’re going to be a few hours in the operating room now again you’re immobilized and then a few days that you’re gonna have poor mobility and then get on a plane that’s like the perfect setup for forgetting a pulmonary embolism and a blood clot in your legs.