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  • Heart-Wrenching Heart Patient

    I had my first jaw dropping patient last week. You know, working in cardiology, you see a lot of the same thing. Acute coronary syndrome, atrial fib, heart failure...Turn 'em and burn 'em, that's my motto. Thursday, I had my first patient that I was completely side-bombed over. That day, an 86-year-old female presented to the ED for ...
    Posted to First Year NP (Weblog) on April 25, 2013
  • Treating Acne Aftermath

    Whether you currently have acne or have suffered from acne in the past, one thing we know for sure is that acne changes our skin. This includes dark spots, red spots and indentations that remain well after acne lesions have cleared. Exactly how this is treated is a common concern of patients. Whether you work in internal ...
    Posted to Aesthetics Practice Today (Weblog) on March 12, 2013
  • Spring Breakers Beware

    As the universities and secondary schools are preparing for spring break, it is important that we are educated and educate our young patients on the dangers of ultraviolet exposure. I am going to focus this blog more specifically towards the use of tanning beds. As a dermatology specialist and a parent, I find it unconscionable that ...
    Posted to Dermatology Practice Today (Weblog) on March 11, 2013
  • A Rapid Case of Metastatic Melanoma

    Above, a 75-year-old patient with stage 4 metastatic melanoma. He came to us after a staged excision and graft. The black dots are new satellite nodal mets. Above, metastatic satellite lesions on the scalp of the same patient. He had the original scalp lesion treated numerous times with LN2. The lesion continued to be treated with LN2 ...
    Posted to Dermatology Practice Today (Weblog) on March 1, 2013
  • A Case of the Creeping Crud

    If you have been around medicine long enough and seen enough patients with rashes then you have probably heard the term ''creeping crud.'' It is often used by older patients to describe a rash that appears to be spreading or moving to other areas of the body. In most cases, these rashes are not actually creeping or moving. They are one of the ...
    Posted to Dermatology Practice Today (Weblog) on February 21, 2013
  • Hyperpigmentation and Fresh, Glowing Skin

    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 ...
    Posted to Aesthetics Practice Today (Weblog) on February 12, 2013
  • Scar Treatment 101

    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 ...
    Posted to Aesthetics Practice Today (Weblog) on January 29, 2013
  • Answering Patients' Questions

    Lately it seems a rash (no pun intended) of patients have asked me how it was that they contracted their Staph infections. Some had MRSA, others MSSA. Some suffered from bacteremia, others osteomyelitis, and others still were challenged by skin/soft tissue infections in the form of painful and unsightly abscesses. Some had recently undergone ...
    Posted to New Grad NP (Weblog) on September 20, 2012
  • The Weight of the Nation

    I don't know how many of my fellow NPs and PAs have seen and or heard about HBO's four-part documentary on obesity in America, The Weight of the Nation, but I can't recommend it enough: it is an awesome and totally relevant examination of health in the States. So many of the individuals profiled in this series were reminiscent of ...
    Posted to New Grad NP (Weblog) on August 30, 2012
  • The Importance of Examination

    A dear friend of mine recently informed me that her doctor confirmed she has melanoma. ''I have always been a ‘moley' person,'' she explained, and proceeded to tell me that her doctor had removed six to seven ''spots'' from various places on her body. The one on her right arm was where they discovered the melanoma. My heart sank; what do you ...
    Posted to Dermatology Practice Today (Weblog) on August 30, 2012
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