Physicians (Including Female Physicians) Are People Too

I am posting a compelling article written by Nina Shapiro which calls attention to an article which went viral, then was retracted due to uproar and outrage.
The original post can be found here.

Viral #MedBikini Response To Controversial Manuscript Leads Editor To Retract Article

Remember that time you saw your teacher at the grocery store? Maybe you’re still recovering from the trauma. Even though nine-year-old you knew that your teacher was, well, human, the idea that he or she engaged in human behaviors similar to those of your own family was a tough pill to swallow. Spotting a teacher on vacation? Perish the thought. What about your doctor? Your surgeon? They don’t actually eat food, do errands, or (gasp) go to the beach like the rest of us, do they? Well if they do, just hope you don’t have to witness it, right? With social media, oftentimes a click of a button will save you a trip out in public to peek at the private lives of those who care for you or your children. One group based in Boston sought to take their own peek into the lives of young surgeons via fabricated social media accounts. And they wrote about it in a highly respected academic journal.

In the August 2020 issue of the Journal of Vascular Surgery, a manuscript entitled “Prevalence of Unprofessional Social Media Content Among Young Vascular Surgeons,” was retracted by the journal’s editorial board yesterday. The article sought to identify what the authors consider to be “inappropriate” and “unprofessional” behavior on various social media platforms by young vascular surgeons, in efforts to recognize and, in turn, discourage, any such behavior which could have a negative impact on patient respect for physicians. While some of the issues addressed are clearly critical for patient care, including patient privacy violations, slander of colleagues, and illegal drug use, many of the other issues addressed can be construed as privacy violations into the lives of young physicians. Particularly female physicians. The investigators focused on recent vascular surgery residency and fellowship graduates, putting the average age of the study subjects (who did not give permission to be studied) at around 30-35 years old. They created “neutral” (translation: fake) Facebook, Instagram, and Twitter accounts to search the social media feeds of young surgeons.

  • The three fake accounts to search for unprofessional behavior were created by male students and fellows, ages 28-37 years old. Included in what they considered to be unprofessional behavior were photographs of “provocative” Halloween costumes and poses in bikinis. In addition, any reference to politically or socially-charged issues such as abortion and gun control were included as unprofessional behavior. The real social media world got word of this publication, and responded loud and clear. The notion that the focus was targeting young female surgeons on how they dress during their non-work time was met with disgust and uproar. The hashtag #MedBikini went viral on Twitter and Instagram, bringing countless women (and men) to proudly post pictures of themselves in bikinis or other casual attire, along with the #MedBikini hashtag, in mutual support of so-called “unprofessional” behavior outside of the operating room.

While the authors did address issues of patient privacy and uncollegial behavior, the focus on female surgeons wearing bikinis, especially tracked by male students and fellows under fake social media accounts, raised the “creep” factor to higher and higher levels as the issue came to the public. Hearkening back to the #ILookLikeASurgeon hashtag, which began in 2016, pointing out that, yes, even bikini-clad, all-shapes-and-sizes, all-genders-regardless-of-identity can be and are surgeons, #MedBikini is a trend to humanize, not de-professionalize, women in a traditionally male profession.

Dr. Mudit Chowdhary, a Chief Resident in Radiation Oncology at Rush University, shared his concerns with the study and on social media. When asked why he felt so strongly about the manuscript, he stated, “I have issues with the definition of unprofessional behavior…it is inappropriate to label social issues as unprofessional. We are humans first before physicians. Plus, the issues they label as controversial (gun control, abortion) are healthcare issues. Physicians are taught to be community leaders in medical school and we need to speak up in order to help our communities.” When asked about whether or not physicians should be held to higher standards, even on social media, he responded, “I do believe physicians should have some higher standards. For example, disclosing HIPAA information is something nobody else has to deal with. However, much of the issue is that the medical field is highly conservative and misogynistic.”

In response to such widely disseminated disgust with this publication, one of the lead authors, Dr. Jeffrey Siracuse, issued a public apology on Twitter:

And soon after, the editors of the journal issued a public statement with plans to retract the article from the journal. In their statement, they reveal that there were errors in the review process, including the issue of conscious and unconscious bias on the part of the investigators, as well as failure to obtain permission from national program directors to use the database in searching private and public social media accounts of recent graduates of training programs. Their retraction statement concluded as follows:

“Finally, we offer an apology to every person who has communicated the sadness, anger, and disappointment caused by this article. We have received an outpouring of constructive commentary on this matter, and we intend to take each point seriously and take resolute steps to improve our review process and increase diversity of our editorial boards.” (Peter Gloviczki, MD and Peter F. Lawrence, MD, Editors, Journal of Vascular Surgery).

There was some favorable response to this statement and retraction, yet many continue to feel that an assessment of professionalism was carried out in an extremely unprofessional manner, underscoring the irony of such an endeavor. Not to mention the lack of diversity in the editorial board, comprised of two male surgeons who happen to share the same first name.

While the issue of professionalism on the part of physicians should remain paramount, and does, indeed, require further exploration, monitoring, and careful attention, especially when it comes to patient privacy, social issues outside of the medical sphere should, perhaps, remain just social. But if you do see your surgeon out at the grocery store, or even at the beach, all that should matter right now is that they (and you) are wearing a mask.

The journal’s editor, Dr. Peter Gloviczki, commented that the paper had gone through the journal’s standard editorial review process, with three reviewers accepting the manuscript after major revisions. While the board is racially diverse, Dr. Gloviczki acknowledges that it lacks gender diversity. Soon after the concerns for the paper were made public, the editorial board “immediately reviewed the data collection, methodology, gender bias, results, and conclusions. It was obvious within our board that we found issues, including the fact that the list of doctors obtained from the Association of Program Directors in Vascular Surgery is designed for internal society use, not for clinical data collection.” In addition, Dr. Gloviczki noted the journal’s failure “to identify definitions of unprofessional behavior and we missed the issue of subjectivity and bias in the review process.” He emphatically apologized for the errors, stating “We learned from this. We will be changing our review process, initiating a series of changes, including expanding the editorial board to include more women.”

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Yes I AM a Doctor!

doctor-bag2It appears to be a lifelong curse for me to have to deal with people who never seem to take the fact that I am a bona fide medical doctor seriously. Most recently, I was challenged by a hater who didn’t bother to check facts and find out WHY I had “board-certified physician” on my main Instagram profile. All she saw was B.A. in Exercise Science and stupidly assumed that I had no other credentials. I purposely left out all my medical certifications and titles because I had to include my fitness background, writing and modeling descriptions in a limited number of characters.

She attacked me by posting a challenging comment on MY Instagram post, so I wrote to her clarifying my background and then blocked her because her comment was rather scathing. She returned through a different IG profile and BLASTED me, hurling profanity at me via another public comment. So I threw all her filthy words back to her and blocked her again. I REFUSE to be bullied by haters, especially those who don’t bother to do some research before hurling false accusations and insults against people they don’t even know.

Even those who know me through social circles will exclaim, “Oh wow, you mean you’re a DOCTOR doctor? That’s amazing!”, as if my medical training and career are somehow not supposed to be taken seriously by those near and dear to me. I want to yell, “YES, I am a doctor! Why didn’t you believe me the first time I told you? Why do I have to somehow prove it to you?” What irks me is that I don’t see these people doubting the abilities of their friends who work in any other industry, be it certified public accounting, law enforcement, or any other respected profession. I honestly resent the insinuation that my credentials somehow don’t count because I don’t wear a white coat all the time (by the way, I can’t STAND wearing those polyester nightmares) or flaunt my professional title like a badge.

For those of you who question what my credentials are, I will be very clear. Several years after I obtained my Bachelor’s degree, I completed four years of medical school which culminated in a medical diploma. After that, I completed my internship year (which was also my first year of family practice residency training) and became licensed as a physician. Two more years of residency training in family practice followed, then I sat for my specialty boards and became board-certified in family practice. Eight years later I had to sit for board recertification, and that process will repeat itself every eight years until I retire from medicine.

I am not a nurse or a physician’s assistant (though those professions are highly respectable, and attract some of the smartest and most compassionate people on the planet). What I AM is:

Physician…ahem, a.k.a. Medical Doctor.

I may not be conservative or conventional, but I expect the same amount of respect as a physician who chooses to fit the mold and wear conservative attire and a white coat. My patients refer to me as Dr. Naito, not as Dr. Stacey or Stacey. I have worked VERY hard to become a physician, and I also recognize how hard my colleagues work as well. That is why when I am around other physicians, I err on the side of caution and refer to them as DOCTOR and not by their first names unless they specifically ask me to refer to them on a first name basis.

Hot Female Doctors


Over the past few years, several male physicians, including Dr. Travis Stork of The Doctors and Dr. Mike (aka doctor.mike on Instagram), have enjoyed some media attention as a result of their good looks. Never mind that these docs have endured years of medical training (in Dr. Mike’s case, he’s still going through it as a resident). Their followers are more interested in celebrating how hot they are. However, I want to know where all the hot lady doctors are?

As a fully credentialed, board certified physician who also happens to be deeply involved in fitness, bodybuilding and modeling, I know that I stand out a bit in a sea of medical professionals, and to be honest, I am proud of it. Yes, I get plenty of criticism for modeling in bikinis, but I don’t see why I should feel a drop of shame for doing so. Women all over the world wear bikinis, and go sans suits in some locales. It’s not a crime or a scandal to wear a bikini, or to show my legs or midsection. I have modeled my entire life, and I have no plans to stop at all, especially if I have a physique which is bikini-worthy. Because of this, I have become known as a “hot doctor”.

You would think that societal influences have relaxed enough to allow a female physician to flaunt her femininity without getting dinged for it, but I continue to see resistance all over social media. In fact, it recently came to my attention that there aren’t too many female docs who are confident enough to push the envelope and post images which may be considered more alluring. It is still considered “proper” and customary for a female doctor to remain covered up in social media posts. I’m not talking about jeans and a t-shirt. I’m talking about professional business attire and a white coat, or scrubs. So does that mean that women who are physicians aren’t allowed to reveal who they are outside of the clinical setting? That’s ridiculous.

My life is so varied, full and exciting that I can easily escape the dry and often depressing climate of medicine and enjoy something that has twists and turns. None of my other pursuits diminish what I bring to the table as a healer. If anything, they add a humanness and relatability which I think my patients appreciate. I have said before and will say again that I have never been, nor will I ever be, a “typical” physician (whatever that means). I don’t talk about medical cases and read medical tomes when I am away from the office. Many of my colleagues are so unbalanced that they will eat, breathe and live medicine constantly, but that is not my style at all. Some of them are also social misfits and cannot talk about a non-medical topic without stumbling and bumbling. The social awkwardness of some physicians is so painful to witness that I find myself cringing and looking for a quick exit when social hour begins at a conference or medical dinner.

In response to some criticism I received about posting professional swimsuit images on my main Instagram account, I established a medical Instagram profile to appease the haters somewhat, as well as legitimize my medical practice. However, I still post what I WANT to post on my main account, and if my posting habits continue to solidify the “hot doctor” label I have been given, then SO BE IT!

What Color IS THAT Dress? The Tumblr Dress That Created A Stir

Who would have thought that a global debate would ensue over the colors of a dress posted on Tumblr? Nevertheless, that is precisely what occurred last week. Whether you are in the white and gold camp (70% of people are), or in the blue and black camp, you are subject to variables such as the distribution of rods and cones in your eyes, the lighting in the room, and the screen you are viewing the dress from.

Some scientists have surmised that people who see the dress as white and gold are more light sensitive and have diminished vision in dimly lit rooms, while the blue and black group have more active cones in the retina. This may be true but hasn’t been completely proven. Lighting also plays a factor, and since darker eyes have more melanin pigment than lighter colored irises, less light enters the eye.

I first viewed THE DRESS after sitting in my living room for four hours, near my sliding glass door, staring at a computer screen. The environment I was in, combined with ocular fatigue, altered my perception of the dress, and I could only see it as white and gold. I kept reading about how others could make the colors flip from one combination to the other, but I wasn’t able to do it. Hell, I didn’t pick up anything more than a bluish hue to the white which I saw in the dress.

Then I encountered the image again a day later, after giving my eyes a break from staring at computer and phone screens, and lo and behold, the dress was blue and black. Just like that. I looked at it several more times over the course of an hour to be sure. Yes, it was still blue and black. The following morning, my brain switched over and saw the dress as white and gold. What the hell?

The bluish tint in the photo can be interpreted by some people as shadows, which the brain then compensates for by interpreting the blue of the dress as a bluish-tinged white and the black as gold. One way to correct this is to view the photo of the dress under artificial yellow-tinted lighting. What it all boils down to, though, is that it is all about perception, and that perception is always relative. Two people can look at the same thing and interpret it completely differently. Does it mean that one person is wrong and the other person is right?

One thing that is certain is that the manufacturer of the dress will make a fortune selling this particular design now that a global internet buzz has been created. I am willing to bet that a few people will actually wear Halloween costumes spoofing the color debate as well. Ah, if only I had stock in that company!

I enjoyed reading this description of color constancy which explains why most people see the dress as white and gold:

The Dress

Our brains filter and compensate constantly to process an endless influx of sensory stimuli. Perhaps the world is more aware of that fact now that a dress has challenged our perceptions!

Different Modeling Categories According To

I am posting this so that people can see the requirements for different types of models. This was copied from

Modeling Categories
High Fashion Model
Usually 5’8” – 6’0” (175 cm) tall, a size 0 – 6, age thirteen to twenty-two, and measurements:
Bust: 32” – 34”, cup A, B, or C
Waist: 22” – 26”
Hips: 32” – 35”

Fashion Editorial Model
FEMALE: Usually 5’8” – 6’0” (175 cm) in height. Tall, thin build, narrow hips, smaller bust, and usually young. Ages start at fourteen up to early twenties.
Weight: 113 – 128 lbs.
Bust: 32” – 34”, cup A, B, sometimes C
Waist: 26” maximum
Hips: 35 1/2” maximum
MALE: 5’11” – 6’2” (180-188 cm)
in height. Tall, lean, well built, usually young. Ages fourteen to thirty-five.
Weight: 145 – 165 lbs.
Suit: 40 Regular (U.S. size)
Shirt: 15” – 15.5” x 34 – 35”
Waist: 32” – 34”
Inseam: 32” – 34”
Chest: 38” – 40”

Runway Model
FEMALE: 5’9” (180 cm) and up in height, very thin, narrow hips, small bust. Usually young: can be as young as fourteen to the early twenties.
Weight: 110 – 125 lbs.
Bust: 32” – 34”, cup A or B
Waist: 22” – 25”
Hip: 33”- 35”

MALE: 6’0” – 6’2” (183 – 188 cm) in height. Tall, lean build, usually young. Ages: fourteen to thirty-five.
Weight: 140 – 165 lbs.
Suit: 40 Regular
Shirt: 15” – 15.5” x 34” – 35”
Waist: 32” – 34”
Inseam: 32” – 34”
Chest: 34” – 40”

The “Commercial Print” Model
He or she will be featured in the ads you see everyday. Ads for cookware, pain relievers, hairspray, car insurance, floor cleaner; the list goes on. As a commercial model you may be portraying a character, like a “mom” or “bus driver” or “attorney”. Commercial models are also featured on the covers of magazines like Parenting, Golf Digest, and Travel and Leisure, or they can be seen in sales ads for companies like Target or Sears.
Catalogue Model
FEMALE: Usually 5’9” (175 cm) and up. Tall, lean build, measurements 34” – 24” – 34” (86 cm – 61 cm – 86 cm) and attractive.

MALE: 6’0” – 6’2” (183 – 188 cm), tall. Lean build, suit size 39 – 42 (U.S.) and attractive.

The “Fit” Model
A company hires a fit model to use as a real live mannequin to “fit” their clothes to. Many companies have used the same fit model for years and this can be a very steady and good paying job. This has only one size requirement. As a fit model, you must maintain a consistent size, and that size is whatever the client wants. This means you can’t lose or gain weight and your measurements must remain the same Fit models are both men and women, young and old, and could be a size 4 to a 14.

The “Showroom” Model
A showroom model will work either in a high-end department store or in a designer’s showroom. They wear or display the sample clothes and merchandise for the buyers or customers to see. Usually this is similar to a very informal runway show. There are some showroom models that make well over one hundred thousand dollars per year and they only work for one designer. This kind of work can be somewhat seasonal.

Showroom Model: They are typically taller, but there is quite a bit of flexibility in this category. No strict requirements, sizes vary from designer to designer.

Plus Model
She is usually 5’9” (175 cm) and up in height, starting at a standard U.S. size 8, up to a size 22. Plus models should have proportionate measurements based on their size,
between 34” – 25” – 37” and 40” – 31” – 42”. The waist should be at least 9” smaller than the hips and bust.

Petite Model
She is usually between 5’1” and 5’5”, and a dress size 2P or 4P. Her age is usually eighteen to twenty-five years old, and hips should be 34” or smaller.

The “Glamour” Model
She is all about sex appeal. She would be seen in car magazines (as the girl in a bikini lying across the hood) or hired for a bikini calendar, and she may be in a photo layout for a men’s magazine like Maxim, FHM, or even nude modeling for Playboy or other publications of that nature.
She is very good-looking, attractive to men, proportionate figure with a fuller bust. The desired age is eighteen to mid twenties.

Lingerie and Swimwear Model
Female, generally over the age of eighteen, tight, toned body, no cellulite or excessive muscles, thin waist, narrow hips, fuller bust. Flawless skin, not much body hair, very few moles, scars, or freckles. Models with naturally darker skin or a light tan color (not overly tan, and certainly no tan lines) are preferred.

The “Parts” Model
Sometimes a client may only need a hand for a shoot, perhaps to display a ring or a watch. Or, they might be doing a shampoo ad and just need a beautiful head of hair. When a model is booked for a specific feature (not including the face) it’s called “parts” modeling. So if a model has a specific “part” that looks good (like hands, hair, lips, teeth, legs, back, feet), they might get a “parts” booking.

The “Sophisticate” Model
Also can be called the 40 Plus division. He or she is forty years of age or older, looks great and is in great shape. The forty and older model can be booked in a variety of different categories: fashion, commercial, runway, catalogue, and more. They have a specific look (over forty) so many of these models stay very busy. Height is a plus, but this category has more flexibility.

The “Maternity” Model
This is becoming a very big category. Beautiful mothers-to-be are being seen on magazine covers, in print, on T.V. and in catalogues. The “baby bump” showing, it should be obvious that she is pregnant. Having good skin and being healthy is also a must.

The “Fitness” Model
He or she is featured on the cover of fitness magazines, in ads for energy drinks, protein bars, body building equipment, and health clubs A dedicated fitness regime, and a body in peak condition with very defined muscle tone.

The “Child” Model
These kids are seen in ads, commercials, on billboards, and catalogues. Children up to age eighteen with outgoing personalities and a parent to take them to auditions and jobs. Most child modeling work is cast with children twelve and younger.

The “Promotional & Trade Show” Model
He or she could be doing a variety of different jobs. Promotional jobs are usually short-term bookings anywhere from a few hours to a couple of days. Trade show models will work for a client during a trade show or convention by assisting the exhibitor or client in the promotion of their products or services. You just need to have an outgoing personality and a great attitude. Eighteen and older preferred.

The “Spokesmodel, Presenter, & Narrator
This is a little-known market that is extremely financially rewarding. Many trade show models will see professional spokespersons (both male and female) in various trade show booths delivering the company presentation several times per day. Models do not realize that they too can make that leap from trade show model to trade show presenter. Trade
show Spokesmodel/Presenter fees usually average one thousand dollars per day! To learn how to break into this little-known niche market, make a ton of money and potentially be enormously successful, go to to launch your Spokesmodel/ Presenter career right now.

There are really no requirements or restrictions for this type of work although the presenters are typically older than eighteen and can continue working into their fifties. Almost anyone can start here!

Celebrity Model
They just need to be their fabulous, famous selves. They do want to keep out of trouble. Since celebrities are in the public eye and the paparazzi are always following them around they need to behave. If they get caught doing something wrong the endorsement deal might get canceled, and some of those endorsement deals are worth millions of dollars.

The “Supermodel
What do Gisele Bundchen, Adriana Lima, Heidi Klum, and Kate Moss have in common? They are all women at the top of the modeling game. To get to that status you have to really stand out, work hard, and remember: this is a business. If you are ready to kick it up notch, you may consider coaching with a professional. There are only a handful of supermodels. These models are seen everywhere: in all the fashion shows, on the covers of Vogue, W, and other fashion magazines; they get huge ad campaigns for companies like Burberry, Louis Vuitton, Revlon, and Victoria’s Secret. Supermodels use their fame to branch out starting their own clothing, jewelry, and make- up lines. Some have successfully switched over to an acting career.

Supermodel: She is one in a million, but remember you don’t have to be a supermodel to be a successful model.

Excerpted from “The Ultimate Beginner’s Guide To Modeling System” by Jennifer Autry

The Funhouse Mirror Effect Part 2: The Women’s Mirror


It almost seems to be an inherent part of a woman’s nature to be self-effacing, so much so that women often downplay or neglect their beauty and talents. In fact, I am willing to bet that if you placed an average looking man and an average looking woman in front of a mirror and asked them to assess their physical appearance, the man would concentrate on his assets, while the woman would immediately zone in on her imperfections and problem areas. Though the natural human tendency is to practice self-enhancement, in which we rank our abilities or physical attractiveness as higher than it actually is, women are exposed to physical ideals which bust their confidence and often plant a seed of self-loathing. How can an average woman feel good about herself when she sees rail thin models in fashion magazines who are excessively Photoshopped? Consider this: the average high fashion model has these body statistics:

Fashion Editorial Model
FEMALE: Usually 5’8” – 6’0” (175 cm) in height. Tall, thin build, narrow hips, smaller bust, and usually young. Ages start at fourteen up to early twenties.
Weight: 113 – 128 lbs.
Bust: 32” – 34”, cup A, B, sometimes C
Waist: 26” maximum
Hips: 35 1/2” maximum

Thank goodness the tide is turning in favor of a healthy, realistic view of women’s bodies. Women are beginning to understand that fashion magazines depict a view of the female form which is so far removed from reality that it isn’t reasonable to compare themselves to it. I love this passage from an article I read on this subject:

Perhaps we’re finally starting to realize that so much of what we see on TV, in the movies and in magazines is actually fake. A few women’s blogs — particularly Jezebel — have become sort of watchdogs for Photoshop fakery in women’s magazines. Most recently, the blog attained an untouched photo of Jennifer Aniston, posting the untouched picture next to the airbrushed photo of the actress that appeared in an Australian magazine.
“I think those are great because they really remind people that what they’re seeing in the magazines isn’t reality,” says David Frederick, a psychology researcher at the University of California, Los Angeles, who co-authored the survey along with researcher Kim Elsesser and professor Janet Lever of California State University, Los Angeles. “You’re taking someone who’s already considered really attractive, and then you’re saying, ‘She’s not enough; we have to do more to her.’ So you’re literally creating an impossible ideal. Even the perfect women aren’t perfect.”

I think it will take a while before we women are completely healed from the skewed perception of ideal female beauty which countless magazines, Barbie dolls, and fashion billboard ads have imprinted on us. It is that skewed view which contributes to the flaw-finding gaze which many women adopt when regarding themselves in the mirror and which makes that reflective surface act more like a funhouse fat mirror.

The Funhouse Mirror Effect Part 1: The Men’s Mirror


Have you ever seen the cartoon in which a man is looking at himself in a mirror, and instead of seeing his beer belly, balding head and weak jaw, his reflection is that of an Adonis, with a chiseled jaw, washboard abs and a full head of glorious hair? I have encountered quite a few men (especially at the gym) who seem to have a reverse dysmorphia which has them thoroughly convinced that they are America’s Next Top Male Model. While I am all for a certain level of self-confidence no matter how closely a man resembles Golem from Lord of the Rings, I will never understand the boastful behavior and posturing that some less evolved representatives of the male human foolishly choose to display.

I am not suggesting that men don’t have insecurities, because I know they harbor doubts and feelings of inadequacy just like women do. But there is a stark difference between the male tendency to puff out his chest and confidently display his feathers (even if the display looks more like the Charlie Brown Christmas Tree), and the female tendency to amplify any imperfection. Lately I have seen far too many men walking or jogging on the sidewalk who clearly have no business being out in public sans shirt, but they seem completely oblivious to the negative effect their gelatinous bellies and hairy shoulders and back have on passerby. Part of me says bravo on the lack of concern over other people’s opinions, but the rest of me is desperately trying to keep my last meal down.

It appears that men’s inflated self-perception is more honest and congruent with what psychologists refer to as “self-enhancement”, in which people essentially give themselves the benefit of the doubt, exaggerating more desirable personality traits and skills, and considering themselves more physically attractive than they actually are. Of course we would all love to be above average, and thus nudge or enhance our views of ourselves. Believe it, and you can achieve it, I suppose, but it actually works. Most women will be more drawn to an average looking man who exudes confidence over a handsome fella who is self-effacing. Not that I have ever seen a great looking guy who lacked self-confidence, mind you, but confidence is very attractive for both genders.

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