 [ Symptoms ] how safe is botox cosmetic  a few months ago i had botox cosmetic injected into some facial lines about 10 days after i experienced hives or red welts on my torso it went away with benadryl but recurred every night for about a week each time it went away with benadryl after that i did not have any other problems have i now built up immunity towards the botox or is it possible to have a worse reaction in the future if i have further treatments [ Disease ] that is a good question fees are negotiable now not every practice buys into that but i think that the practices that are very customer oriented consumer oriented they see value and let me tell you what this fee negotiation is it is not like begging for a lower fee there is a reason that would serve both the patient and the practice to have a lower fee example the concept of stand by airfare in the good old days of air travel airlines would sell you a cheap seat relatively cheap seat and you came to the airline and waited around and oh yeah we got an empty seat somebody did not show up and bingo they will give you half off that is how we as students traveled a lot student stand by it does not quite exist in the airline industry they have overcome that with their computers they have no empty seats but if a patient says you know can i save some money then a reasonable answer from our practice would be well are you flexible on when you could come in and have your nose job or have your eyelids in other words you have the kind of job you have the kind of life that allows that because occasionally somebody is on the schedule and they call up a week before and they say you know what i have a cold or my kid is sick or i have got to go out of town or my job says i can not take the time off so now there is a vacancy created on a schedule that is been set for months ahead so the surgery center has a seat open just like the airline has a seat open the anesthesiologist he is there he is ready to work the surgery center is ready to work and we have committed that time i have not scheduled a golf game that afternoon so the answer is you bet we will give you a discount if you can slide in and take the space nothing wrong with it it is perfectly legitimate for the patient to have a monetary advantage for being flexible enough to give us efficiency of our operation 50 i mean accounts and business people think that is just the best way to run it and we agree so that is one way the other is let is say you want to have something done and your sister is got the nose that she does not like and your cousin has one if all three of the ladies come in together consult together and agree to have the procedures they are eligible for what we call a family and friends discount because we are going to be spending less time teaching on an individual basis because if we are all sitting in a room and discussing the same procedures it is a lot more efficient for us and so basically we can