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  • The Quarterly Check-Up: Part 3

    We have carved deep into the second half of my first year as a professional physician assistant. This is the perfect time for a Quarterly Check-Up to examine some of the biggest lessons over the last three months We learned that our patient's beliefs can trump the strongest medicine and that our acceptance of those beliefs makes us better ...
    Posted to First Year PA (Weblog) on October 3, 2013
  • My Four Favorite Derm Cases

      1. A patient presents with a new spot on the nose for 3 months. No history of skin cancer. I believe it's a BCC and path proves it's a SCC, WOW! 2. Ceruloderma, a drug-induced pigmentation secondary to Lupus medication.   3. ''Show and Tell:'' I love a zip lock bag attached to the chart on the door. This patient was proud of the ...
    Posted to Dermatology Practice Today (Weblog) on November 15, 2012
  • Informed Consent in Aesthetics

    Don't take another step - before you have your patient read and sign all consent forms! A patient's written consent and acknowledgement of the treatment and risks is simply not optional anymore. Sure, there was a time when a provider's word was gold. There was little written in a chart about the discussion of risks and side effects. Nowadays, ...
    Posted to Aesthetics Practice Today (Weblog) on April 24, 2012
  • Healthy, Youthful Skin on the Skinny

    What do our patients want? To look better, look more youthful Look better without down time Look better right away Look better without pain Look better without surgery Look better without costing too much So how do we help them accomplish all of this? First, we have to understand what comprises a youthful appearance. Young, youthful skin ...
    Posted to Aesthetics Practice Today (Weblog) on March 13, 2012
  • A New Option to Volumize and Tighten the Face

    ePrime is a minimally invasive aesthetic device that delivers measured radio frequency directly into the skin using microneedles. In theory, this procedure creates a controlled wound healing process. The process is similar to that provided by fractionated lasers, however with ePrime there is no thermal impact to the epidermis. This makes the ...
    Posted to Aesthetics Practice Today (Weblog) on February 21, 2012
  • Treatment of Stretch Marks with Retinoids

    No matter our age or gender, stretch marks (or striae) can affect us all. Contrary to popular belief, stretch marks may even affect thin people. We commonly associate them with pregnancy, but striae also frequently occur in young patients after rapid height or muscle mass increase. Typical areas of involvement include the abdomen, breasts, arms, ...
    Posted to Aesthetics Practice Today (Weblog) on January 24, 2012
  • Who Can and Should Be Allowed to Inject?

    Who should be allowed to inject botulinum toxins and dermal fillers? I live and own a clinic in Louisiana, and the state's Board of Nursing recently issued a statement about this. The board stated that certain nurse practitioner specialties are allowed to inject both botulinum toxins and dermal fillers, if they have been trained to do so and if ...
    Posted to Aesthetics Practice Today (Weblog) on January 17, 2012
  • Collagen Induction Therapy

    Collagen induction therapy (CIT) is a procedure that triggers the body's natural healing process to create firmer, plumper, more youthful skin with a healthy glow. It does this by creating ''microwounds'' using a microneedling device. The procedure triggers a diffuse wound healing process. In CIT, microneedles puncture the skin and activate stem ...
    Posted to Aesthetics Practice Today (Weblog) on December 20, 2011
  • Are You Looking, Laid Off or Happy Where You Are?

    At the start of 2011, we published an article describing the job outlook for NPs and PAs this year. Based on our research and interviews with workforce experts, we crafted a headline for that article using the term ''changing landscape,'' and our cover image depicted an NP or PA partially protected by an umbrella. The expectation was that 2011 ...
    Posted to ADVANCE for NPs & PAs Blog (Weblog) on October 21, 2011
  • Physician Shortage Isn't the Only One Looming

    Health system analysts and assorted other parties have been forecasting a primary care physician shortage for quite some time. An article published recently in the Journal of the American College of Surgeons predicts two additional shortfalls that could affect patient access to care: nurse practitioners and physician ...
    Posted to ADVANCE for NPs & PAs Blog (Weblog) on July 28, 2011