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Showing page 2 of 86 (859 total posts)
  • 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
  • Visual Dermatology Clinic: Nevus Sebaceous

    This 41-year-old navy pilot patient presented to our clinic stating his wife says a mole on his nose is changing. The lesion appeared in the man's mid 20's along with some ''uneven skin'' on his forehead. The patient denies pain or discharge but does report the nose lesion enlarging when he is in the sun.  A punch biopsy was performed in two ...
    Posted to Dermatology Practice Today (Weblog) on October 16, 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
  • Visual Dermatology Clinic: Nation's Largest Free Health Clinic Pt. II

    Two weeks ago, dermatologist and PA Amy Gouley participated in her fourth CareHarborLA event. The CareHarbor free clinic is held annually in the fall at the Los Angeles Sports Arena. This four day event is offered to the uninsured, underinsured and at risk populations in need of medical care. Medical consultations and exams, specialty care, ...
    Posted to Dermatology Practice Today (Weblog) on October 3, 2014
  • Visual Dermatology Clinic: Nation's Largest Free Health Clinic

    Last week I was fortunate enough to participate in my fourth CareHarborLA event. The CareHarbor free clinic is held annually in the fall at the Los Angeles Sports Arena. This four day event is offered to the uninsured, underinsured and at risk populations in need of medical care. Medical consultations and exams, specialty care, mammograms, ...
    Posted to Dermatology Practice Today (Weblog) on September 19, 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
  • Visual Dermatology Clinic: Trichotillomania

    This 57 year old patient presented for a total body skin examine. She was wearing a hat and when asked to remove it the photos below show my findings of Trichotillomania. The patient reports having the condition since she was 14 years old and has tried every medication possible, including several antidepressant drugs.  At this stage we ...
    Posted to Dermatology Practice Today (Weblog) on August 21, 2014
  • Visual Dermatology Clinic: Majocchis Granuloma

    88 year-old male presented with a poor healing wound on his right anterior lower leg which had been ongoing for four months. The lesion presented as a group of pustules that were well circumscribed, annular, and boggy, resembling a small carbuncle. The lesion was biopsied and determined to be Majocchis Granuloma, a perifollicular granulomatous ...
    Posted to Dermatology Practice Today (Weblog) on August 7, 2014
  • Dealing with Discouraged Patients

    You're scanning the EMR and you see four office visits in the past month with the same chief complaint. You walk in the room knowing it's not going to be an average cut-and-dry visit. The patient is frustrated about their bowel, their bladder or their other non-emergent complaint that keeps driving them back to the office, and you have to address ...
    Posted to First Year PA (Weblog) on August 4, 2014
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