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  • Acne Scars

    Acne scars may present in a variety of ways. The technical names are boxcar acne scars, ice pick acne scars, rolling acne scars, hypertrophic and keloid scars. Patients can present with a combination of these types of scars.    Treatment of acne scars also varies with the presentation of the scars. The more challenging acne scars to ...
    Posted to Aesthetics Practice Today (Weblog) on July 22, 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
  • What do you like best about people?

    What I ask people who are considering PA school or trying to pick a specialty in medicine is that they decide what they like best about people. Do you like it best when people are passed out on the operating table, nonverbal? Do you like people when they're panicked and have chest pain? Do you like people when they are in their last days of life? ...
    Posted to First Year PA (Weblog) on June 23, 2014
  • Are your patients “pain points” or people?

    Going to work full time for the first time in my life felt surprisingly just like the first day of a rotation, except this time I walk into the office and notice my name on the front door at the bottom of the list of providers in the sort of transparent, white print they write those things in on glass. I’ve noticed the past couple of weeks that ...
    Posted to First Year PA (Weblog) on June 9, 2014
  • Q&A With Dr. Debra

    The National Academy of Dermatology Nurse Practitioners recently received the following correspondence on its website. The questions are answered by Debra Shelby, PhD, DNP, FNP-BC, DNC, president and founder of the organization. ''I'm hoping someone can answer a few questions for me, not only for my own knowledge, but I have an assignment for ...
    Posted to Dermatology Practice Today (Weblog) on June 5, 2014
  • An Effective Option for Melasma

    Frequently, women present to our clinic with melasma. Patches of dark pigmentation that often present symmetrically on the cheeks, upper lip and/or forehead characterize melasma. Excessive melanin production is stimulated by excessive sun exposure, heat or hormonal changes. The onset of melasma is often associated with hormonal shifts such as use ...
    Posted to Aesthetics Practice Today (Weblog) on June 4, 2014
  • Financing That Aesthetic Procedure

    Are financial reasons keeping some of your patients from proceeding with an aesthetic procedure? Many patients may be unaware of great options that are out there that could aid in obtaining the aesthetic treatments they desire. CareCredit CareCredit is a financing option for health, beauty and wellness expenses. CareCredit is a great option for ...
    Posted to Aesthetics Practice Today (Weblog) on May 29, 2014
  • Which Diseases Deserve 'Awareness'?

    May is Cystic Fibrosis Awareness Month, and for my family it is also a month of loss. My family is broken by awareness of this disease and the memory of the wonderful guy we lost last week -- my cousin -- who never once complained about cystic fibrosis and the lifelong struggle he waged against it. I was supposed to start my new job yesterday ...
    Posted to First Year PA (Weblog) on May 22, 2014
  • Treatment of Complications Associated With Intense Pulsed Light

    Intense pulsed light (IPL), broadband light (BBL), photorejuvenation and fotofacial are all terms that refer to a technology that has been available for several years to rejuvenate the skin. Most laser companies have their own version of this technology incorporating a broad band of non-coherent light waves that range from 560 nm to 1200 nm. ...
    Posted to Aesthetics Practice Today (Weblog) on May 13, 2014
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