(He is trying to cut down from four packs a day, hence the electric cigarette. Flaubert said you had to have a permanent erection.Museum of LondonSurgical Excision: The first step in treatment is the removal of the melanoma, usually by surgical excision (cutting it out). Most surgical excisions.ALONZO: Well, we’re going to talk about how we’re not saying that desire fulfillment has any special kind of value. We’re also going to talk about how to measure and compare desires. Then we’re going to lay down all the propositions of our theory to make it easier for anybody who wants to try to falsify desirism. Then we’re going to go about defending all of those propositions.