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  • Respect for Social Downtime with Facial Injectables

    As we get into the holiday spirit, we find this time of year to be a bit busy in the clinic and challenging with the patient that we see. Media and advertising many times underplay social downtime. Although some patients don't mind letting others know what they had done, others prefer not to have to answer questions or make excuses for redness, ...
    Posted to Aesthetics Practice Today (Weblog) on December 2, 2014
  • Happy Thanksgiving

    Preparing for this week's Thanksgiving feast and the arrival of numerous family members has consumed my every thought for the past week. Finally, everyone is napping and I have a free moment to reflect on things that I am thankful for. How many people are thankful for their career as a NP/PA? I absolutely love my job and feel enormous gratitude ...
    Posted to Dermatology Practice Today (Weblog) on November 28, 2014
  • The GRASS Regimen

    I couldn't help but notice that a PA colleague of mine had a beautiful display on her medical suite counter.  No frilly flowers or fancy vases.  This was a simple, yet chic, display of a vibrantly modern grass.  Yes, you read correctly. Grass. Not only did this look pretty, it was pure genius. I soon learned from her that ...
    Posted to Aesthetics Practice Today (Weblog) on November 26, 2014
  • Q& A with Dr. Debra: More on Rashes

    When starting in dermatology, most people look for the dermatology books with pictures and treatment. However, some skip the step of understanding what is happening in the skin and the reason for the morphology seen. Once again, I will recommend the Principles of Dermatology by Lookingbill and Marks. It is helpful to get the principles of ...
    Posted to Dermatology Practice Today (Weblog) on November 6, 2014
  • Q & A with Dr. Debra: Now You Are Speaking My Language

    I always compare the ''language'' of dermatology to visiting a foreign country: if you don't speak the same language, you stand out to people as an outsider. It's the same with using the correct terms when practicing dermatology. Describing lesions and rashes has its own terminology. It is imperative to learn the language of dermatology if you ...
    Posted to Dermatology Practice Today (Weblog) on October 23, 2014
  • I'll Have What My Friend Had

    Just like one pair of jeans may fit someone perfectly, the chances of that same pair being right for the next person that walks through the door are, well, pretty much zero.  One of the most important factors in considering an aesthetic treatment is what it will do for your skin. The same treatment that helped a friend may or may not be the ...
    Posted to Aesthetics Practice Today (Weblog) on October 14, 2014
  • Gaining Independence

    For the past couple weeks, I have been catching myself in the middle of an encounter and realizing, ''Wow, I know what I'm going to do for this patient.'' I tell them their diagnosis, call in their scripts and make a solid follow-up plan. I walk out of the exam room and wonder, ''So is this what being a PA feels like?'' Maybe, but then ten ...
    Posted to First Year PA (Weblog) on September 15, 2014
  • Coordinating Care

    During your first few months as a PA, you really are trying to take it all in: sponge away as much knowledge as you can, form good habits (like never getting sloppy on the physical exam) and develop a style that will carry you through forty years down the road. It's daunting. Primary care is a crunch and though the PAs are programmed to ‘spend ...
    Posted to First Year PA (Weblog) on September 2, 2014
  • How to Avoid Absolute Frustration

    Primary care is so imperfect. Each day I could probably find as many things to complain about as complaints my patients come in with, and I am beginning to see why burnout can occur. That is, if you don't have the right perspective. As I forge ahead on this year-one journey, I am creating tenets to avoid burnout. I'm honestly not a huge ...
    Posted to First Year PA (Weblog) on July 21, 2014
  • Visual Dermatology Clinic: Sea the Skin

    This is a photo of a 56 year old male who arrived to our office for a total body skin exam. Patient was born and raised in Washington with a negative history of skin cancer, both himself and family. Patient enjoys sailing and boating and has spent numerous years outdoors. The patient has a Fitzpatrick type 2 and admits to several ''blistering ...
    Posted to Dermatology Practice Today (Weblog) on July 10, 2014
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