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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
  • Healthy Tan? No Such Thing

    Working in medicine, specifically dermatology, we know there is no such thing as a ''healthy tan.'' When it comes to educating younger generations, I wish the effects of sun were immediate. I wish when a young girl stepped out of the tanning bed she saw dark spots, wrinkles and skin cancers forming on the body. Only then might ...
    Posted to Aesthetics Practice Today (Weblog) on April 9, 2013
  • Addressing Patient Psychosocial Issues

    My first encounter with homelessness was while living in Ecuador. Homelessness there is pervasive and hard to miss. It is present on most street corners and does not discriminate, affecting both old and young; it is quite merciless and ruthless. I remember seeing kids as young as 3 years old with plastic cups begging on the streets. They had a ...
    Posted to NP & PA Student Blog (Weblog) on April 8, 2013
  • The Use of Dermatoscopes

    I had a student ask me recently if I had a dermatoscope and if I could show her how to use it. The answer was simple enough. No, I don't need one. This of course led to the logical question...Why? This blog post was inspired by this exchange. The simplest answer to this question is that if I see something that looks abnormal, I biopsy it. ...
    Posted to Dermatology Practice Today (Weblog) on March 28, 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
  • My Best Beauty Tips

    Five Common Beauty ProblemsAcne/Acne Scars - Systemic medication such as Accutane with potential serious side effects may be avoided with the use of topical anti-acne and antibiotics combined with Cooltouch and Spectra Laser treatments that help to reduce over-productive sebaceous glands without downtime. Also, these lasers ...
    Posted to Aesthetics Practice Today (Weblog) on March 5, 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
  • 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
  • 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
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