Vivatia is an advanced skin care system offering patients undeniable results. This system is a new take on anti-aging skin care, focusing on safe and effective delivery of key ingredients such as anti-oxidants and hydroquinone. Vivatia consists of 3 steps: Gentle Cream Cleanser - A non-foaming cream cleanser that is hydrating while ...

As this is my first attempt at blogging I will start by introducing myself. My name is Raymond Shulstad, DNP, ARNP-C, BC, DCNP. I have been practicing dermatology for the past 11 years in the Tampa Bay area. I completed my DNP in December of 2009 at the University of South Florida, after finishing my dermatology residency. As with all areas of ...

The best care for scars starts immediately. Knowing the proper care and treatment for potential scarring is important to know before the damage is done. Among my favorite initial scar treatments is the topical use of Biocorneum. This silicone based gel acts as an anti-inflammatory, improves redness of scars and helps ...

  This patient had perfectly symmetrical basal cell carcinomas on both forearms. The patient even remembers getting horribly sun burned on both arms twenty years ago!   This 72 year old patient presented for a total body exam. The patient reported a pencil stabbing by a classmate at age 10. Had the patient not remembered a ...

Teens and adults suffer from acne due to hormone fluctuations and stress. Some feel diet may play a role. These factors stimulate sebaceous glands that causes the oil production that the P. acne live on. Most patients have tried a variety of over-the-counter acne remedies before they get to our clinic.  Acne can range from mild ...

''Mr. Lee'' is a 35-year old Asian male with HTN, HLP and DMII who had s/p stent placement in his LAD two years ago. He has stopped taking simvastatin, lisinopril, Metformin and aspirin, does not exercise, continues to smoke, and does not check his blood glucose at home. Despite adequate amounts of patient education (and a psych evaluation), ...

I wrote a blog much earlier this year discussing the importance of abstaining from treating asymptomatic UTIs while making a feeble attempt to include a Harry Potter reference. This past week, a favorite patient of mine, an older woman who has been hospitalized repeatedly for an ESBL UTI and bacteremia called our office in a panic. She was ...

I recently attended an aesthetics conference in south Florida. There were many great speakers- seasoned cosmetic surgeons and dermatologists, successful CEOs, and highly-acclaimed skin care specialists. Aside from learning about new and improved aesthetic technologies and techniques, a specific speaker enlightened me before he ...

Over the past month I have had some very challenging patients. I will often question, why and how did someone end up here at the correctional facility? I believe it is better I do not know. Actually, it is none of my business; it keeps the care unbiased and pure and it does not impact how I treat them. If one of the inmates upsets the ...

There have been times in my nursing career when I have put the pieces of a clinical picture together only to see something entirely different than the treating physician. The picture I would see was not based only on the lab work, or clinical manifestations of an illness, but was guided by the narrative of the ...