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Dermatology Practice Today

Visual Dermatology Clinic: Nation's Largest Free Health Clinic Pt. II
October 3, 2014 1:08 PM by Amy Gouley
Two weeks ago, dermatologist and PA Amy Gouley participated in her fourth CareHarborLA event . The CareHarbor free clinic is held annually in the fall at the Los Angeles Sports Arena. This four day event is offered to the uninsured, underinsured and at Read More...
Visual Dermatology Clinic: Nation's Largest Free Health Clinic
September 19, 2014 3:05 PM by Amy Gouley
Last week I was fortunate enough to participate in my fourth CareHarborLA event. The CareHarbor free clinic is held annually in the fall at the Los Angeles Sports Arena. This four day event is offered to the uninsured, underinsured and at risk populations Read More...
Q&A with Dr. Debra: Tinea Corporis
July 31, 2014 2:26 PM by Debra Shelby
In dermatology, we discuss the importance of identifying and understanding morphology and changes in a rash. Here is a case of a rash with a sudden change in morphology after prescribing medication for her dermatosis. This geriatric patient was being Read More...
Visual Dermatology Clinic: Squamous Cell Carcinoma
July 24, 2014 9:43 AM by Amy Gouley
These photos belong to an 80-year-old female who presented to our clinic for a total body skin screening. She has a history of Basal Cell Carcinoma on her forehead that was treated with MOHS in 2011. All of these photos shown are positive for Squamous Read More...
Q&A with Dr. Debra: Super Bugs, Super Scary
July 16, 2014 10:39 AM by Debra Shelby
In our programs, we learned about antibiotic abuse and "super bugs." Years of prescribing these antibiotics have come to a point where treating skin infections have become very difficult. The incidence with MRSA has increased and years of treating this Read More...
A Sample Dermatology Protocol
April 14, 2014 9:44 AM by Debra Shelby
Many nurse practitioners have asked me about dermatology protocols. They are no different from other protocols and should be an outline of your practice agreement with your supervising or collaborating physician. These protocols should remain broad and Read More...
When a Rash is Not a Rash
November 15, 2013 8:36 AM by Raymond Shulstad
Every day thousands of people go to their practitioner's offices, walk-in clinics and emergency rooms complaining of a "rash". Some of them itch, some of them don't. Some have been present for a few days, some for many years. Some come and go sporadically Read More...
Third World Derm Creams
October 25, 2013 10:47 AM by Amy Gouley
I just returned from a Culinary Tour in Morocco and one afternoon we ventured to the spice market in Marrakech. After several days of cooking lessons, I had formulated my list of spices I would be purchasing and bringing back home to create decadent meals Read More...
Dust Mites
October 21, 2013 12:44 PM by Raymond Shulstad
It is fall again. If the temperatures haven't started to drop yet where you live, they likely will soon. It is time to break out the sweaters, jackets, coats, sweatshirts and warmer sheets, blankets and comforters. It is also prime time for dust mites. Read More...
Skin Cancer Webinars
September 19, 2013 4:18 PM by Raymond Shulstad
I'd like to thank everyone who tuned into the webinars on common skin cancers and their pathogenesis last night and on August 14. Having completed the second one in the series on squamous cell carcinoma and melanoma, I found myself wanting to offer so Read More...
The Don’ts of Cryosurgery
August 9, 2013 12:51 PM by Raymond Shulstad
Cryosurgery is a process where liquid nitrogen is applied to a lesion to induce cell death. It is a procedure done every day in dermatology offices and is now done routinely in primary care offices as well. It is a relatively low-risk procedure, causes Read More...
Alopecia Areata
August 1, 2013 2:14 PM by Amy Gouley
A 54-year-old male presents for a total body mole check and reports hair loss for 6 months. The patient says, "I don't care about the hair loss, I am here to have my moles checked for cancer. I'm going to buzz my hair anyway." After completing the total Read More...
Bullous Impetigo
July 26, 2013 8:32 AM by Raymond Shulstad
Having practiced in dermatology for close to 12 years now, it is rare that I see something in the clinic that I have not treated or diagnosed before. This past month I had such an experience. A fourteen year old boy presented to the office with multiple Read More...
Treating Acne: The Basics
July 12, 2013 9:06 AM by Raymond Shulstad
As the summer comes to a close and students and parents begin to plan for the next school year, inevitably there is a mad dash to the dermatology office to treat acne. Freshmen want to be clear to start high school, seniors want to be pimple-free for Read More...
Top 5 Summertime Dermatoses
June 28, 2013 11:11 AM by Raymond Shulstad
As the temperatures rise and people begin to venture outdoors to enjoy all the activities that come with beautifully sunny days, providers will see an influx of patients presenting with a variety of dermatoses. Over the last 12 years in practice, this Read More...


About this Blog

    Occupation: Physician assistant and nurse practitioners
    Setting: Various dermatology settings
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