Basic Elements of Effective Skincare

For the past two years, I have really taken a serious approach towards researching and understanding the primary factors relating to effective skincare.  What works and why it works is my main focus.  So, within the next few blogs, I want to address some critical points to help you understand and hopefully, establish an effective pathway towards creating and maintaining your beautiful complexion, including your neck and declotte.

Let's Start With Some Basics

To quote Dr. Ben Johnson, "Circulation has everything to do with your skin's health and it is substantially overlooked by the skincare community.  All the skin's food, immune support, antioxidant and remodeling efforts come from the blood supply.  Every time you are stressed, you drink coffee or go outside in cold weather, your skin suffers a little because all of theses things restrict bloodflow to the dermis.  Vitamin K, horse chestnut and caffeine in skincare products are all designed to reduce bloodflow.  There is no skin condition (Rosacea, Dark Circles, etc) that is better off with less bloodflow.  That is why the utilization of Retinaldehyde, Niacinamide, Camphor, and other circulation enhancing ingredients make such a big difference in the quality and health of the skin.  Bags under the eyes are the result of vasoconstriction (reduced bloodflow and the correlation between loss of blood supply and thinning of the dermis with are are more than a coincidence.)  remember, it is a thinning dermis that is the primary cause of visible capillaries.  The reason capillaries return after treatment is because the skin wants adequate blood supply in the area.  The best way to reduce this is to build back the collagen/elastin (in the dermis) that covers these vessels.

So, for this week's blog, I want you to think about the products you are using and if they address this 

critical factor in skincare.  Email me if you are interested in finally turning around your approach to beautiful skin once and for all.  My new line of products are all designed to work in harmony with the full intent of supplying your dermal tissue with the basics that you were born with!

One of the most effective products I have researched and is providing "real results" for skin conditions, whether wrinkles, tone, hyperpigmentation and puffy eyes is "NeriumAD".   While many of my readers will review the real results photos and believe they are just photo corrected, please believe me when I tell you they are not.  These photos have been sent in by people using "NeriumAD".

Do you see the firming and toning of this woman's neck.  She used NeriumAD for two months to achieve these results.... and with continued use, she will achieve further results!!!  Of course, all results,

and time it takes to achieve them, vary with each individuals skin conditions and age.  However, just continue to keep the faith and use your NeriumAD every night....just keep up with your regimen and you will realize dramatic results.

Nerium AD Age-Defying Treatment is a true breakthrough in anti-aging skincare.  This high-performance product is the result of an accidental discovery in biotechnology research by the scientists at MD Anderson Cancer Center.  The serum was used on cancer patients and what was discovered was that faces were achieving dramatic changes.....wrinkles were disappearing, skin tone was tighter and much more resilient, hyperpigmentation was disappearing....  With its patent-pending NAE-8 extract, Nerium AD delivers unprecedented results in multiple areas of concern.  Third-party clinical trials show that NeriumAD Age-Defying Treatment dramatically reduces the appearance of:

Fine lines and wrinkles

Hyperpigmentation

Uneven skin texture

Enlarged pores

Aging or sun-damaged skin

Lifting of sagging necklines

etc.

What is so wonderful with NeriumAD is the fact that you only use it when you are ready to go to bed for the night.  No other lotions or creams are necessary.  And then in the morning, all we recommend is that you wash your face and apply a light moisturizer and your sunscreen.  Wow!  Think of the savings in skin care products while you are achieving results that have been documented quite scientifically by ST&T Research, a prominent third-party firm using one of the most advanced facial-scanning equipment available to actually document results.

Of course, your monthly facials are still very important and for September, I will be hydrating your summer skin to make it soft and well hydrated to bring you into the Fall and Winter months with beautiful skin!!  You can schedule your appointments at:  www.schedulicity.com.   Just put in CKW Clinical Skin Care at the top and my appointment calendar will pop up.  

Thanks and now just sit back and relax!  The kids are back in school and a nice, soothing facial must be in your thoughts!  

All my best,

Carol Wieser

P.S.  To review all about Nerium AD, please go to my website:  www.ckwclinicalskincare.nerium.com

Sunscreens Exposed

Summer is almost here and in Texas, the sun is beating down upon us as I write this little blog.  In the interest of your health, here is the scoop on Sunscreens.  We do know that most prevent sunburns, but beyond that simple fact many of us do not realize the safety and efficacy of these ubiquitous creams and sprays.

Here are some surprising facts about sunscreens:

·        There is evidence that some sunscreens might increase the risk of the deadliest form of skin cancer for some people.   One factor that scientists feel may be causing this reaction is the fact that some of the chemicals break down in sunlight and may play a role in creating cancer causing free radicals on the skin.  Furthermore, there are some products that have dominated the sunscreen market that have poor UVA protection that may have also led to this surprising outcome!  Inferior sunscreens with poor UVA protection may give the consumer the impression that they may stay out in the sun longer but they end up absorbing more of the UVA rays which are the most harmful type of sun exposure.

·         Another concern is that some sunscreens may contain Vitamin A that could speed the development of cancer.  Recently, available data from an FDA study indicate that a form of vitamin A, retinyl palmitate, when applied to the skin in the presence of sunlight, may speed the development of skin tumors and lesions.  This evidence is troubling because the sunscreen industry adds vitamin A to 30% of all sunscreens.

·      

     The Environmental Working Group (EWG) has determined that mineral sunscreens have the best safety profile of today’s choices.  They are stable in sunlight and do not appear to penetrate the skin as do chemical sunscreens.  They offer uva/uvb protection, which is sorely lacking in most of today’s sunscreen products.

     

     Chemical Warning - Presently, scientists have called for parents to avoid using oxybenzone on children due to penetration and toxicity concerns. Of course, with that stated, we should all avoid oxybenzone.

Adding to the confusion:  Too little sun might be harmful, reducing the body’s vitamin D levels.

It is a known fact that sunshine serves a critical function in the body that sunscreen appears to inhibit – production of vitamin D.  The main source of vitamin D in the body is sunshine, which is enormously important to health – it strengthens bones and the immune system, reduces the risk of various cancers (including breast, colon, kidney and ovarian cancers) and regulates at least 1,000 different genes governing virtually every tissue in the body (Mead 2008).  According to scientists, vitamin D levels have been steadily decreasing within the U.S. population creating a “growing epidemic of vitamin D insufficiency (Glinde2009a).  Seven of every 10 U.S. children now have low levels.

Good News for CKW Clinical Skin Care Clients !!

I have researched various sunscreen products on the market the past two years and have recently made the decision to endorse and now carry two approaches to safely protecting you and your family.  

1.  Solar Protection Formula

The Worlds Best Solar Protection Protection Skin-Care Products

Fallene has worked extra hard to develop nothing short of the worlds FINEST line of skincare products for the protection from the fullest spectrum of solar radiation. Our different formulas are each carefully engineered to balance specific needs and conditions and offer you unparalleled defense against the relentless effects of the sun.

If you are going to be in the sun, you NEED the best Solar Protection Formula you can get. You need Fallene Solar Protection Formulas.

• Mineral Based
• Free of chemical sunscreen filters
• Engineered to better balance specific needs

and/or

2.  Osmosis Skin care UV protection. 


This Harmonized Water is a wonderful addition to your sun protection.
You would just drink a couple droppers of this 30 minutes prior to going out into the sun.  I also add it to my bottled water and drink while out.

"Achieve UV 30 protection with our innovative new technology that isolates out the precise frequencies needed to protect you from UV rays. Our new Harmonized Water with UV Protection offers UV 30 protection with increased tanning response and is chemical free. Check out these great success stories!  Just put a couple droppers full in your water or drink a capful prior to going into the sun!

"I was thrilled to hear about the UV water and tested it on my son who had a sport camp every day for a week. The temperature that week was ranging from 98 to 102 degrees. When he came home and his skin was neither red nor burnt. My son told me: “the water really works!” No need to apply sunscreen."

-Caroline

"Harmonized UV Water is a fantastic answer to sun protection living in New Zealand. Kiwi’s are under constant attack from harsh sun because of the depleted O-Zone layer affecting New Zealand.

Determined to put this water to the test I drank a cap full 1-hour before venturing out. The first thing I noticed was that I never experienced feeling the sting and bite from the sun that I would normally feel. After 3 hours there was a very slight demarcation line from where skin had been exposed, which was not red or pink but to my delight a slight tan did exist.

Harmonized Water is like a second skin of protection, which is healthy and natural. I love it!

- Kay, New Zealand

Disclaimer: This is not a replacement for medical treatments and we are not claiming any medical benefits from Harmonized Water.

Conditions: Sun Protection

Results:

•   Neutralizes UV radiation •   Allows for increased sun exposure (30x more than normal) •   Enhances tanning effect from the sun

Effective Anti-aging Strategies for Your Skin

Finally, a few minutes to sit down to write my little blog to stay in touch and also to educate you on some vital information concerning our skin.  Today, we are so fortunate to live in an age of great scientific discovery and research into why our skin ages and what to do to slow down this process.
Why does our skin age?
Unraveling the mystery of the human aging process has been one of the biggest research topics in skin care the past few years.  Research has discovered that one of the biggest reasons for our continual aging process, both within our bodies and the visible effects of aging skin are free radicals.  Free radicals come from our diets, stress, sun and environmental pollutants which all cause cellular death and aging.  As our skin increases its free radical load, the more damage to our skin is visible.

Having a deeper understanding of the instigators and processes by which skin develops challenging conditions or degrades with visible aging will continue to fuel research and the discovery of topical agents to address this.  Also, effective skin care regimens that are consistent with the findings of pro-active skin care focus on the improvement of barrier functions (antioxidants), promotion of normal desquamation, exfoliation (skin turnover) and UV protection.
What Can We Do To Slow The Aging Process?
Let's start with an effective Antioxidant.  As stated earlier, I have researched many products and believe that Osmosis Skin Care's "Replenish" is one of the best solutions yet.  If you can grab a couple minutes, please click on the following short video by Dr. Ben Johnson (yes...he looks so young, but he is actually in his late 40's....I actually refer to Dr. Johnson as the "Steve Jobs" of skincare.  He is brilliant and is constantly researching methods to keep our skin and bodies beautiful.  Replenish is but one of his fantastic products....and the best news is that I represent Osmosis products within my skincare clinic.

Please contact me now to schedule a wonderful facial and analysis of just what your skin needs to stay beautiful, including Replenish to get you on the right track!!
Or,
email me:  ckwieser2000@yahoo.com, to place your order for this wonderful product.  A nice step you can take in helping you to fight the ongoing battle with aging skin.

Happy February!!  I look forward to hearing from you soon :)

Rosacea - Sensitive Skin

Today, I would like to discuss Rosacea with you.  Generally, Rosacea is a condition in which your

cheeks and nose area become red and inflammed and often pitted with pimples and broken capillaries.  Left alone, this condition could result in scarring within your dermal tissue even to the point of advanced Rhinophyma which is what happened to
W.C. Fields and his bulbous nose.

We are presented with clear evidence that "something" is causing the skin to be inflamed and it is the strong research findings of Dr. Ben Johnson that most triggers are related to digestion/foods.  Some clinicians argue that exercise and environmental changes are triggers; however, these factors could cause further excitation of the existing inflamed state of the skin but are not the sole problem.

Rosacea causes the skin to thin much faster than the normal aging process which then exposes capillaries and visible signs of Telangetasia are present.

Let's Consider Calming and Repairing Compromised Rosacea Skin

Individuals that suffer with Rosacea generally have red and inflammed cheeks and often their nose is also involved.  Most of the redness we see is a normal repair response of our body to correct the damage...that is a good thing.   According to Dr. Johnson, "many treating physicians and skin care professionals place the blame on the vascular system and thus collapse these healing vessels with lasers."  Initially, one may think that would be a good thing.  However, when you think about our body and the gift of our vascular system, it's purpose is to feed the tissue with antioxidants, enzmes, proteins and lips to maintain a beautiful complexion.  So, if we destroy the capillaries that are feeding our tissue, we seem to be defeating the purpose of healing the Rosacea in the long run.

CALM is a product Osmosis Skin Care has developed to address Rosacea.  One of the important aspects of calming the tissue is through antioxidants that are found naturally in the skin and that is why CALM provides such an effective anti-inflammatory.  In addition, another ingredient, Willow Herb is highly effective at calming the skin.  The overall goal is to minimize the degradation of the skin and redirect the skin's immune capabilities to rebuilding (instead of repair) efforts.

Skin Rebuilding Effects 

As discussed above, the prevailing treatments within the past few years has been to collapse the capillaries.  At Osmosis, Dr. Johnson has chosen to rebuild the collagen lost and blanket these nutrient vessels with more dermis so that they are less visible.  He has also found a way to regulate the vascular activity.  Both of these actions are achieved with Retinaldehyde.  Studies show that .05% Retinaldehyde improves Rosacea without irritating the skin.  Studies also show that Retinaldehyde regulates VEGF, a key to its ability to normalize the redness often seen in Rosacea.  This product also assists with exfoliation, is antibacterial, collagen stimulating and sebum-regulating.

The end result is that we calm inflammation and reduce the ongoing thinning effects of the condition while rebuilding it to its healthy, non-vascular, redness-free state.

Please contact me at 214-918-6278 if you would like to order CALM to start your healing process.
Initially, when treating Rosacea, we would begin with CALM and then after gaining control of the inflammation, start a program of using Catalyst and Stem Factor.  All products are very affordable and will achieve the results you are seeking.

Best regards,
Carol Wieser

Treating Abnormal Pigmentation

Are You Speckled Like a Brown Spotted Egg?

Hyperpigmentation, an umbrella term for sun spots,melasma, age and brown/liver spots, is a major skin woe for women.  In lay terms, hyperpigmentation is an over-production of melanin, usually from cumulative over-exposure to the sun.  If you spit-roasted in your twenties, sun spots - as we'll call them all - are almost a given.  Melasma is another type of hyperpigmentation usually triggered by pregnancy, the use of oral contraceptives, or in some women by hormone replacement.

Whatever the cause------ we don't like them!!

Since beginning my skin care practice, I have tried many products and procedures that are proclaimed to help rid us of these unwanted spots on our face, neck, declotte and arms.  Lasers will take away the spots - they actually flake off.  However, given any sun exposure....they're back, haunting us again.  Abnormal pigment can be one of the most stubborn and frustrating skin disorders to not only treat, but to live with as well - trust me - I know this from very personal experience and have watched these little spots grow as my years progress.

(The photo to the right is of a very pretty young woman with freckles...it was the closest I could find to illustrate brown spots on the skin.... most of us over the age of 45 or so don't have such pretty spots!)

Camouflage make-up has been used, if you don't mind heavy makeup.  Safer lightening creams with ingredients such as fruit acids (AHAs and BHAs) may help to reduce the sun spots, exfoliating the top skin layers while a bleaching agent, such as hydroquinone,, lightens the newly forming cells.  The hydroquinone that has been most effective has been in high-dose creams available only through dermatologists.  However, it can take two or three months of daily application for color to fade (only fade....what does that tell you??? Of course, sun exposure and it's back!)  Hydroquinone has downsides, too.    It actually kills the skin cells!

So....read on dear family and friends... I have good news about:

Exciting Developments Within DNA/Stem Cell Research

In October, I will be offering a Medi-facial for Hyperpigmentation and Melasma.  Your skin will be treated with nourishing serums that will begin stimulation within your dermis and nourshing your skin from the inside out.  We will restore your barrier function and calm the inflammation.  Next, I will begin a series of facial infusions for hyperpigmented skin to begin this corrective process and will incorporate products specifically for lightening your sun spots.  My new product line will not only lighten your pigment safely, but will re-load your skin with antioxidants and Vitamin A.  In addition, there are two at home products that you will need to once and for all, repair the melanocytes at the dermal level and stop the production of the melanin causing the sun spots.

Now the exciting news!!!  80% of your results will be rendered from what you do for your skin at home on a regular basis.  You can assist me by following a very simple daily process that will repair your damaged DNA, so contact me by email to purchase the following two products.

Catalyst with SRGF-7 - (a revolutionary product from Osmosis Skincare Products).

Catalyst could prove to be the single greatest invention in the history of skin care.  Skin Repair Growth Factor (SRGF-7) appears to be active in the following ways:  it rejuvenates DNA/RNA by promoting the repair of damaged strands; it reduces scar tissue builup by improving protein production; it stimulates collagen production and, more importantly, improves the strength and elasticity of the collagen structure; it regulates pigment production so that it functions maximally (for protection) while normalizing melanin output which results in the dramatic improvement of melasma, and age spots.  It corrects DNA damage related to UV exposure thereby healing pre-cancerous lesions and many skin cancers and it repair many facial capillaries including poikiloderma!

Additionally, I would recommend the following product as a compliment to the Catalyst:

Stem Factor

Osmosis Stem Factor utilizes over 150 different skin growth factors with Human Stromal Cell Conditioned Media.  This magical serum improves all aspects of aging and skin damage.  It gently restores the repair process and stimulates new cells to build collagen and elastin, heal hyperpigmentation and reverse aging!


Using the above two products alone will:

• Rebuild Collagen - Catalyst provides the building blocks needed for perfect collagen formation which then replaces the damaged strands to rejuvenate the skin.
• Sun Protection - Never before has DNA repair been so effective that is actually prevents sun damage better than any sunscreen.
• Pigment Control - By repairing the DNA responsible for hyperpigmented cells, Catalyst restores normal pigmentation, even for melasma.
• Heals Capillaries - Some "brokeb" capillaries can be "fixed" through zinc finger restoration of the damaged triggers involved.
• Restores Cells - Once Catalyst has been working for several months, it has the ability to fully rejuvenate skin cells and activate new stem cell formation.
• Heals the Skin - You will find a wide variety of imperfections on your skin disappear with repeated applications of Catalyst with SRGF-7.

It is hard to imagine that a couple of products can do all of that.  Please watch the following two videos and find out how zinc finger technology plays a role in healing the DNA that directs all skin activity. (Click on the links below.  After reviewing each one, hit the back button on your computer so that you will return to this screen.)

Catalyst  with SRGF-7

<iframe width="560" height="345" src="http://www.youtube.com/embed/wGl5IFiiX2w" frameborder="0" allowfullscreen></iframe>

STEM Cell Serum

<iframe width="560" height="345" src="http://www.youtube.com/embed/LaZX2vsl6kc" frameborder="0" allowfullscreen></iframe>

Please email me at: c.wieser@yahoo.com if you are interested in setting an appointment for a wonderful facial or to purchase the above products.


I am excited about the efficacy of Osmosis Skin Care Products!


Fall is approaching, let's all enjoy the splendor of cool, crisp mornings and pleasant evenings enjoying a lovely glass of wine with friends or a special loved one. Hopefully here in Texas, we will find relief from the brutal heat so that we may enjoy our new journey towards beautiful, radiant skin.


All my best regards,

Carol Wieser

Is The Person Working On You a Trained Technician???

We can thank our lucky stars  we were born in the 20th Century.  Once upon a time, wrinkles were an inevitable fact of life.  Don't get me wrong: some lines we love.  The only way not to get laugh lines is to never laugh...But today, we can all beam about the fact that skincare is up there with rocket science, searching for ways to keep time at bay and even turn back the clock!!

As I write my blog every couple weeks, I will try to focus upon the newest and latest skin care products, procedures and facts to help you in your quest for beautiful skin.
While I could go on for pages in regard to how beautiful your skin will look after a couple Fraxel treatments, or how nice it would be to have the hair on your legs removed by laser or your unslightly brown spots eliminated....that is not my focus today.

Are the Providers You Use for Laser Procedures Thoroughly Trained?
I broach this subject because it concerns me that many "med spa's" are using untrained Estheticians and/or medical professionals to perform Laser/IPL skin care procedures.  The spa may say that "they have trained their Estheticians to perform laser services".....  Oh, is that so?  They may have been trained by the saleman that sold the spa their laser, for a couple hours.  Not enough to ensure your safety and the ultimate outcome of your procedure!!  What type of training did the Dr. have .... was he also trained by the salesman for a couple hours?  If you are considering laser procedures, be sure to do you due diligence and make sure the individual that owns  and operates the clinic is either a Plastic Surgeon or Dermatologist. These docs understand the nature of the largest organ in our body (our skin).  They are highly quaified on lasers, understand the physiology of the skin and also understand the importance of hiring certified laser technicians to either assist them or perform the laser procedures.

As most of you know, I attended the National Laser Institute to learn the physics as well as the techniques for using lasers to perform procedures like Laser Hair Removal, Fraxels and IPL treatments.  While in school, there was a tremendous amount of of emphasis placed upon us to learn the physics of the lasers, understanding the Fitzpatrick of our clients as well as hereditary influences, whether the client had a suntan or sunburn and any medications they may be taking that would influence the outcome of the procedure.   There are many factors that we must consider before placing that laser on our clients body.  We were trained to understand the critical nature of the starting fluence and the pulse durations...all critical factors that must be taken into consideration.  There is no guessing game here when it comes to your safety and beautiful face.  Laser safety hazards to the skin can include burns which can in turn cause hypopigmentation and hyperpigmentation and painful and severe skin damage. 

Before you make the decision to have any type of laser service, please make sure you find out exactly what type of training the Technicians have received.  If they have not attended at least two solid weeks or more of school like the National Laser Institute and are "Certified Laser Safety Officers," I would say to pass on that facility.  It is just not worth the risk!!  I don't care if the clinic says they have performed lots of these procedures, you must consider this as your due diligence and the risks are just not worth the outcome with less than trained technicians.

In the past month alone, I have heard from clients that have experienced terrible outcomes from laser procedures. The clients went in for simple hair removal procedures and the untrained technicians actually fired the laser over a tattoo resulting in deep burns on the clients leg that required antibiotics and weeks of healing and an ugly scar on their leg.  Another technician fired the laser at very high fluence settings and burned holes in the clients face.   A tennis instructor went in for a fraxel ...he had a suntan as well as a sunburn on top of that, but the technician went ahead and fired the laser on the advice of the Dr. and the client received third degree burns which ultimately resulted in hypopigmentation (loss of skin color that will never again have melanin or color).  This is just an example of the stories I have heard and the damaged skin that I have seen as a result of untrained technicians.

The photo on the left is of a patient receiving a Fraxel treatment.  The laser actually makes hundreds of pinpoint holes on the face.  The procedure is somewhat painful, however, your doctor or technician will generally numb your face with a topical cream prior to starting.  Your face will be very red and may feel like a bad sunburn for about a week.  It is critical that you receive pre and post Fraxel consultation and care.  This is a very general description of what you may expect, however, the results are outstanding.  After a few weeks you will see dramatic changes in your skin and face.

As you can see from the photo on the right, this is
a laser procedure that has gone bad.  The technician
fired the laser at too high fluence and the pulse duration was probably too fast for her skin Fitzpatrick.  She will have these red mark tracks for some time and then they will probably cause some hyperpigmentation on her skin.  Of course, this is mild in comparison to some mistakes made with lasers.  She at least does not have severe burns or holes that will result in scars.




The photo on the left may actually give you
a better understanding of just what can happen if you are treated by an untrained technician... This woman has burns and track marks on her legs that will be rather painful and will more than likely cause brown spots on her legs which may fade with time...maybe.
This was really sloppy work.  The power used was much to high, the entry speed to fast and the power much too high for her skin type and and there was no care in the proper overlapping of the laser beam so you know the technician was not properly trained.  Ouch!!


Your skin is the largest organ of your body!!  If you are considering Laser procedures, tread with caution and investigate the facility and anyone that is scheduled to perform your procedure. 

If you have questions, call me. 

It's Time For School - Are Your Teens Ready?

If your teens are going through these early adolescent years with slight blemishes that tend to make them feel less than confident, why not help them achieve clear, healthy skin this school year.  This can be done through a series of express treatments specifically geared for teens along with a very simple home care regimen.

In My Treatment Room

The Teen Express is always a favorite among harried adolescents.  It's a quick, yet effective 30-minute treatment that provides a deep cleanse, a mild exfoliation with healing and calming properties for more glowing skin.  This quick and basic treatment will help to soften the cells, reduce redness, swelling and help to exfoliate dead skin cells from the inside and out to reduce surface bacteria. 

Home Care for Teens 

According to the American Dermatologist Association, nearly 85% of teens battle acne.  So, for those clients with acne or acne-prone skin, I recommend a regimen including salicylic acid (unless you are allergic to aspirin.)  including following basic products for home care. 

• Beta Green Tea Cleanser
• Beta Green Tea Lotion
• Blemish Serum
• All Purpose Cleansing Pads (especially good for teens that are active in sports - these can be used after their sports activities to help reduce surface bacteria)

For teens with normal skin without frequent breakouts,  I like to start them on a regimen with the following products.

• Citrus Gel Cleanser
• Purifying Lotion
• Clarifying Beads

The above products recommended are from my skin care line by Rhonda Allison.  These products are organic in nature and are highly effective in my treatment room.  Further, the price points are very competitive.



Together, we can create beautiful skin through proactive care. 

Call me:  Carol - 214-618-2481 or 214-918-2481 (cell).  I hope to see you soon!