Root Town, Ohio
The patient is a 19 year-old American-born, Chinese college student living in Ohio. Her mother brings her in for an office visit regarding a nevus.. The 2 mm in diameter lesion has been present near the bulb of the nose for years with no worrisome changes.
Discussion: I reassured the patient's mother that this is a benign lesion and can be safely observed. The mother only speaks Cantonese. She and her daughter have a longish conversation in Chinese. The daughter tells me that her mother believes that moles on this part of the nose have bad fung shui. In that case, I acquiesced and agreed to remove the mole which can be done with a 3 mm punch. A shave may leave some residual pigment and that would be unacceptable to them.
The patient and her mother take fung shui seriously and want the lesion removed. This will be scheduled at a propitious time as decided by their astrologer in Chinatown.
PubMed is strangely silent on Feng Shui; however there are many references on Google.