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 ...

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, ...

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 ...

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 ...

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, ...

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 ...

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 ...

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 ...

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 ...