Former NASA mathematician Mark Lupin balances family life, concert tours and dermatology practice

Grania Litwin, Times Colonist Monday April 20, 2009

Mark Lupin has five violins, five degrees, 10 lasers, one wife and a crazy-busy schedule.

But luckily the Victoria dermatologist - who has worked as a mathematician for NASA’s space program, has a second specialty in neurology and is a concert violinist - also has energy to burn when it comes to fuelling his passions for math, music and medicine.

The mania for music started first, when his parents placed a toy violin in his hands at age five.

“I fell in love with it and a month later they gave me a real violin - 1/8th size,” recalled Lupin, who was born in Oxford, England, and moved to Nova Scotia at four.

At first he kept dropping the violin, so his parents tied it to a string around his neck until his arms got stronger.  Now the only catch is carving out enough time to play and perform.

On a typical day the dermatologist, who founded Cosmedica Laser Centre here in 1998, is in the gym by 6 and the office by 8 a.m.  He aims to be home with his family by 5:30 p.m. and when the little ones go to bed at 7:30 he plays his violin till 9:30.

The dedication pays off.

Not only does he have a successful practice, but the 48-year-old specialist also just returned from a concert tour of London and Monaco, following a rare gig in Cleveland with a group of 80 musicians from around the world - all doctors.  But the story of this physician musician started long before that.

Lupin debuted on television at seven, played with Edmonton Symphony from age 10 to 17, was concert master of the Canadian Youth Orchestra at 15, won many Canadian national awards, and at 17 joined the musicians’ union in England.  He and his grandfather (a professional violinist) played side-by-side in the National Philharmonic there, for artists such as tenor Luciano Pavarotti.

But before that, he majored in music and mathematics at Indiana University and won a scholarship to study in California with the renowned Jascha Heifetz.  Lupin and one other student went to Heifetz’s house in Beverly Hills twice a week for lessons, “and on non-teaching days, practised from 7 a.m. to midnight - for two years.  Heifetz was a very demanding teacher… there was enormous pressure and high expectations.”

Lupin finished his math degree by correspondence - taking double honours degrees in music and math - then moved to London, and became co-leader of the BBC symphony orchestra.  He was 20.

But one day he developed a touch of tendinitis.  “I couldn’t play for three months and realized I couldn’t depend on music for a living.”  So it was back to Dalhousie, in Halifax, for a master’s in math while continuing to study and perform “in the background.”

In his spare time he did mathematical modelling for Canada’s double-hulled entry in the America’s Cup, and contract work for NASA’s space program, doing modelling for Canadarm.

About this time he decided to become a physician, and now that his arm was better, put himself through University of Toronto medical school by working for NASA and playing with the Canadian Opera Company Orchestra.  “I’d take my texts to concerts and study in intermission.”

After doing a residency in Vancouver, he decided to specialize in neurology, but three years later, having finished those studies, switched to dermatology.  Three more years passed.

By now he had married a University of British Columbia cardiology nurse called Catherine - “Dating wasn’t one of my skills, so I was very blessed to find my life partner” - and they had a son.

“We wanted our kids to grow up in a smaller city,” recalled Catherine, who also had to put her foot down when her husband began talking about a master’s degree in statistics.

“I told him - no more degrees.  He’d already been at university for 17 years.”  (He still does math on the side for fun, and is working on two inventions for energy-efficient propellers.”

She became his full-time medical office manager and admits their life was brim-full.

“We have to be very organized,” she said with a chuckle.  “Our kids come first and we maximize family time.  We don’t watch TV.  We cycle, go tenting together; our kids have a strong work ethic.  They’re all book worms.  Family dinner at 5:30 is a priority.  It sets the tone of the evening and they all fall asleep listening to Mark practise.  It makes our house sing.”

The parents have a date night every week, “we go out for dinner, a long walk, to the opera,” and a goal-setting session every week, too.

“Mark is an incredible, remarkable person with a lot of motivation.  He gives his heart and soul to his kids and patients, and we’re a very close couple.  I always admire people who master the art of balance and I think the secret is: You thrive when you’re happy.”

Lupin said his wife is “totally supportive” of his playing, and an amazing partner.

So when the late Walter Mony, former head of strings at the Victoria Conservatory, suggested he apply for the new World Doctors Orchestra in Cleveland, he lept at the idea.  Lupin was asked to be concert master after organizers heard him play.

Lupin was the sole physician from Canada.

After two days of rehearsals in early February they had a pre-concert at Cleveland Institute of Medicine.  “In the atrium where patients were in wheelchairs with IV poles… it was very emotional.  But this is what I love, bringing music and healing together.”

Next day it was off to Severance Hall, home of Cleveland Orchestra, and an audience of about 2,000.

“The concert was a great success and raised about $50,000 for health care and education in the Third World.  It was a rare and great pleasure to indulge my passion for music, because there are only so many hours in a day and my biggest thrill now is family time.

I have been so lucky to do all these things.”

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glitwin@tc.canwest.com

In Style Magazine, April 2009

82. BEST NIGHT CREAM for Normal Skin - Revaléskin.

Infused with coffeeberry extract (an antioxidant that Virginia dermatologist David McDaniel likens to “turbocharged green tea”), this silky formula tackles fine lines and age spots.  We love that it sinks in twice as fast as most other night creams. 

108. BEST NIGHT CREAM for Sensitive Skin - Revaléskin.

Squashing free radicals isn’t the only claim to fame of this antioxidant-rich formula: The grapefruit-scented lotion also soothes redness, softens wrinkles and brightens skin.  And it’s safe to use around the eyes, says N.Y.C. dermatologist Doris Day.

Times Colonist Healthy Living Editorial - February 22, 2009 

What

Let’s begin by looking at the word “cosmetic,” from the Greek word “cosmos” (kosmos) which does not mean beauty.  Instead, it means “order.”  Of course, we are most familiar with this word in terms of the universe being called the cosmos.  The Greeks saw the universe as standing for order - the creation of order (kosmos) out of chaos (Kaos).

We use the word “cosmetic” to apply to anything that serves to enhance or protect our appearance.  In this sense, we are looking for “order.”  Balance, symmetry and harmony are fundamental to this sense of order and in restoring order we tend toward beauty. 

  

Why

Sometimes our skin does not match how we feel within.  We may feel that we look tired, worried or sad when we truly do not feel that way inside - so there is a mismatch.  In part, we are restoring order when we entertain to undergo a cosmetic procedure.  And being not mutually exclusive, looking great can also allow us to feel great - a cliché - but true.

  

When

How to choose from the myriad and sometimes confusing treatment options: It is up to your specialist to ensure you are fully informed of your treatment options.  If you are not sure what to do, you are not ready.  Take a breath and revisit at a later time.  If you are timid, start with baby steps.  Why not start with softening a frowned look, or removing that little red or brown spot or that unsightly mole that has always bothered you but you weren’t sure if it could be treated.

  

Who

Would you call a plumber to fix your toaster?  It makes sense to choose the type of specialist that fits with the type of treatment required.  For example, a facelift is the province of the plastic surgeon; the facial skin is the province of the dermatologist.  “Dermatology” means the study of the skin.  By definition, only dermatologists are trained to fully understand the skin - this is why all other physicians, including plastic surgeons, refer to dermatologists when they have a patient with a skin concern that needs this level of expertise.

How do you know if you are seeing a dermatologist and not just a “cosmetic specialist” or someone trained by a laser company?  Visit the website of the Royal College of Physicians & Surgeons of Canada: www.royalcollege.ca.  Search for Fellows under the Dermatology specialty.

  

Where

An artist needs a full palette to realize his/her inspiration.  Similarly, a cosmetic clinic needs to have a full array of tools, such as lasers, to comprehensively address the aging face.  Your specialist needs to have a blend of artistry and technical ability.  Ask to see before-and-after photos - not just stock pictures - to ensure you agree with his/her sensibilities.  For example, there is a tendency to fill lips to the point of looking like a fish.  Look only for the natural face.  Experience matters.

  

Questions to ask:

What type of specialist am I seeing?

Have I checked www.royalcollege.ca to ensure proper qualifications?

Is the clinic accredited by the College of Physicians & Surgeons to ensure high safety and accountability standards?

Who is performing my treatment - the doctor or a designate?

Experience: Has the doctor just started doing these treatment?

Sensibility: Have I checked before-and-after photos?

Accessibility: What are the doctor’s hours in case I have a concern?

Care: If I have a concern after the treatment, who will be looking after me?

Complications: What type can occur?

Alternative treatment options: Do I have a good understanding of all my options?

Do I feel comfortable with my decision or am I on the fence?  If the latter, I’m not ready and either need more information or should hold off on treating.

Realistic expectations: Am I doing this for the right reasons?  Do I have minimal expectations or do I expect “permanent” or “complete” eradication of my cosmetic concerns?  High expectations are prone to unsatisfactory outcomes.  Keep expectations “real.”

What you need to know.  By Jennifer Blyth, Black Press - Beautiful You Edition

As we climb out of the depths of winter, the lure of the sun’s warmth can be wonderfully tempting.

And indeed, a little - as a vehicle for vitamin D to make its way into our bodies - is good for us.  But too much can cause premature aging and raise the concern of skin cancer.

“While some sun is good, too much can be harmful,” explains Dr. Mark Lupin, of Oak Bay’s Cosmedica.  “Beyond sunburns, excessive sun or tanning leads to premature aging of the skin - a wrinkled appearance and skin sagginess.  Brown age spots can be triggered by the sun as well as light-sensitive conditions such as melasma, a brown discolouration on the face.  Blood vessels may appear in part due to damage to the collagen.  And there is a significantly increased risk of developing precancerous spots called actinic keratoses and skin cancers.”

So, how do you walk the line between enough and too much?

“Like most things, balance is key.  It is important to use a broad-spectrum sunscreen - meaning one that protects against the tanning UVA rays as well as the burning UVB rays,” Lupin explains, advising people to choose a sunscreen with at least SPF 15 and to reapply every two to four hours, as most sunscreens do not last longer than this. 

After the fact, medical grade anti-oxidant creams, such as Revaléskin, are available to help reverse some sun-damage that may have happened during the day.  “Such creams are often best used in the evenings and can also help hydrate the skin,” Lupin says.

In addition, lasers such as the Revlite can be used to treat individual brown spots while lasers such as the Gemini can safely treat unwanted blood vessels, both red and blue.  For a comprehensive approach, the Fraxel laser treats many elements of sun-damaged skin, including premature wrinkles, brown spots and precancerous lesions.  Photodynamic therapy is an office procedure that is useful to treat precancerous spots and with less downtime than prescription creams, Lupin says.

While prevention is the best medicine, diligent monitoring is also recommended.

“Regular monitoring of your skin both at home once a month and by your physician at your regular physical is important to help detect any early evidence of skin cancer.”

So, what’s new in skin care?

While “there have been wonderful advancements in technology to help reverse damages caused by the sun,” in Canada there is no regulation as to who can operate many of these technologies, Lupin says, advising that “because safety is of obvious importance, check with your family physician or a dermatologist before embarking on any elective aesthetic procedure.”

Finally, “while a lot has been written on vitamin D and the beneficial aspects of the sun, we have to keep in mind that there is an increased incidence of skin cancers, of which many are preventable by judicious sun protection,” Lupin says.

“Sunscreens screen - they do not block the sun.  We only need about 10 minutes of sun two to three times per week on an area such as the face or hands to maximize our vitamin D from the sun - more is not better,” Lupin concludes.

“Enjoy the sun but do it with care.”

Clear Skin Guaranteed

July 2008

THE PROBLEM: OIL  You’re constantly fighting shine, your skin is greasy to the touch and your makeup never lasts past noon.

QUICK FIX: Avoid heavy, oil-based makeup, says Joanna Schlip, a celebrity makeup artist for Physicians Formula who has worked with Jessica Simpson and Ellen Pompeo. Instead, choose a light-to-the-touch foundation -we like Vichy Laboratories Normateint Anti-Imperfection Foundation, $25, a skin-friendly formula made for oily skin. After spreading foundation evenly over your face with a synthetic brush, dab on pressed powder using a sponge or puff to help absorb excess oil. Rather skip powders and foundations? Try powder-free blotting papers such as M.A.C Blot Film, $15, a beauty-editor favorite.

LONG-TERM ACTION PLAN: “Cut down on the number of steps in your skin-care routine or risk aggravating oil production,” says Dr. Mark Lupin, a Victoria-based cosmetic dermatologist. Adding too many lotions or washing your face more than twice daily can leave you with an even bigger oil slick. Instead, cleanse morning and night with an over-the-counter glycolic-or salicylic-acid wash such as Kiehl’s Blue Herbal Gel Cleanser, $31, or Dr. Lupin’s pick, NeoStrata Gel Cleanser, $25. “It dissolves the keratin, which is what’s plugging up your oil glands,” he says. Follow morning and night with a light, oil-free moisturizer. FLARE’s pick: Dermalogica Active Moist, $46.

AT THE DERM’S OFFICE: “The best way to impact oil,” says Dr. Lupin, “is to slow down its production.” He recommends prescription vitamin A creams and gels, such as Retin-A and Tazorac. One tube costs about $30-$60 and last 2-3 months (apply once a day 2-3 times a week). Photodynamic therapy, or Blu-U light treatment, is another way to reduce the activity inside oil glands. “Most patients see results after 6-8 treatments (one every three weeks at $275 per session).” But the favorite fix with Hollywood starlets is the SilkPeel, $475/pkg of 3 treatments. “This microdermabrasion treatment is particle-free and uses diamond heads to gently remove the dead-skin surface layer,” says Dr. Lupin. “It’s especially effective in combating oil when combined with a salicylic-acid infusion.” Dr. Lupin recommends one treatment every two weeks.

SKIN TIP: Avoid a high-sugar diet, which is believed to increase oiliness and encourage acne flare-ups.

 

See Dr. Lupin’s appearance on CTV National News featuring the innovative UltraShape™ procedure for painless fat reduction.Visit www.ctv.ca
keyword search: ultrashape

In this issue:

  • Cosmedica’s Bold New Look
  • Rejuvenates aging and sun damaged skin without surgery or downtime
  • Lifting without surgery
  • Thermage: For body, tummy and eyes
  • Silk Peel: Microdermabrasion with Infusions
  • Introducing Ultrashape
  • Download Newsletter

You and a friend are invited to join Dr. Mark Lupin for a presentation about Non-invasive cosmetic treatments to restore youthfulness on Tuesday, November 6, 2007.

View the Event Invite

FOR IMMEDIATE RELEASE
September 25, 2007
Cosmedica introduces UltraShape™ - a non-invasive treatment for reducing excess body fat

VICTORIA, BC Cosmedica today launched an innovative, clinically proven treatment for reducing excess body fat and improving body contour called UltraShape™. The treatment is approved by Health Canada to reduce fat on the tummy, thighs and hips. Ultrashape™ is the first and only non-invasive technology specifically designed to remove fat cells. “UltraShape™ is best suited to patients who have a healthy lifestyle, eat properly and get regular exercise but who retain excess fat in a few areas,” says Dr. Mark Lupin, medical director of Cosmedica and the first physician to introduce this technology to Canada.

The UltraShape™ treatment uses computer guided focused ultrasound to break down unwanted fat by selectively targeting fat cells and disrupting them without harming surrounding tissues. The fat is gradually removed through the body’s natural mechanisms. Results may be seen within weeks and improve over a number of treatments. There is generally no discomfort and no downtime for patients.
The UltraShape™ treatment is designed to help average to overweight patients improve their body contour.

For more information about Ultrashape™, contact Cosmedica at 250.598.3300 or toll free 1.877.598.3380.

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