Oooh, my favorite! Politics and medical /cosmetic surgery talk. This is good cocktail party stuff.

It is my personal belief as someone with a lot of experience looking at well-kept middle-aged ladies with the resources to do surgical enhancements--and the concurring belief of all the plastic surgeons I know (3 of them)--that Hillary had an upper blepharoplasty (eyelid tuck) and some skilled nose "refining" back before she became first lady of Arkansas, somewhere in the 1976-1978 range. Compare her Arkansas political wife/first lady look to her pictures back when she was just out of Wellesley undergrad and Yale Law, and you can see the differences. She also lost weight, polished her fashion sense, and cut her hair, which helped, too.

Then most of us who enjoy speculating about it these days believe that before she became first lady of the country, she had a complete upper, mid and lower face lift. And I think she may have recently had those tuned up or else possibly just had a brow lift. She's got a sort of wide-open-eyed look that she didn't have until the last couple of years.

This wouldn't be millions of dollars in surgery, but it could easily be around $50,000, even a bit more. She's had very skilled doctors who've known how not to over-do and over-pull her and to work with her original face character so she still looks like herself. Just comparatively more youthful and "well rested" than most other 59-year-olds.

Chelsea has had some refining, too, and had a fairly openly acknowledged procecure as a kid of 11 or 12 to surgically pull her lower jaw chin forward so it was proportional with her face and helped align her teeth. (They came to Dallas from Little Rock to have this done.) That's a fairly common childhood fix.

One person who hasn't had the medical procedures he needs is Rush Limbaugh. He needs frontal, temporal, parietal and occipatal lobotomies. Then he needs the rest of his nasty, pasty body donated to Universtiy of Texas Southwestern Medical School Anatomy I program. I'll take it from there in anatomy lab three times a week. That man ought to be an affront to everyone, but I find him especially insulting to people with Parkinson's Disease like my grandmother and Michael J. Fox. I loathe him on behalf of people with motor neuron diseases, too, because he's one of the heartless political talking heads who'd stand in the way of stem cell advances for those dear folks, too.