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Considering A “Medi-Spa?” 5 Questions To Ask

True or false:

1. Botox and laser treatments are easy and can be done by an aesthtician or spa staff.

2. A physician must be present at all times in a spa that performs procedures.

3. Chemical or facial peels are safe and can be done in a beauty salon.

(Answer to questions 1-3: False.)

The term “spa” is derived from a town in Belgium where healing waters have been used to promote health since Roman times. “Spa” is now loosely used to describe any relaxing environment or beauty salon where rest, health and beauty are promoted.

At one time it was easy to distinguish among a beauty salon, barber shop and a doctor’s office. Not anymore. As cosmetics has become more medical and medicine has become more cosmetic, the two have met in the ubiquitous Medi-Spa. An establishment labelled a medical spa or medi-spa is generally one where medical procedures are performed or medicines are administered in the pursuit of beauty. Read more »

*This blog post was originally published at The Dermatology Blog*

Itchy Bottom? Pre-Moistened Wipes Can Cause A Rash

Itchy bottomItchy behinds are part of my everyday. It shouldn’t be part of yours.

Itching on your bottom is usually a minor annoyance, but it can be debilitating. A patient of mine was unable to work because his derrière itching was so intense. A common cause of itching bottom, called pruritus ani, is allergic contact dermatitis.

Places where your skin transitions from outside to inside, such as the lips or the anus, are susceptible to dermatitis because your skin’s barrier is limited in these locations. Without a thick layer of keratin, irritants on the outside easily get into your skin. Moist toilet tissues, such as baby wipes or towelettes, might seem to get you cleaner than old-fashioned toilet paper, but chemicals in the wipes cause a rash in some people. Read more »

*This blog post was originally published at The Dermatology Blog*

A Dermatology Visit: 10 Tips To Get The Most Out Of It

Having a high-quality doctor’s visit takes effort on your doctor’s and yours. Here are 10 tips to get the most out of your next visit with a dermatologist:

1. Write down all the questions you have and things you want to discuss with me. Be sure to list any spots you’d like me to check or any moles that have changed. Have a loved one lightly mark spots on your skin they are concerned about.

2. Know your family history: Has anyone in your family had skin cancer? What type? Patients often have no idea if their parents have had melanoma. It matters. If possible, ask before seeing me.

3. Know your history well: Have you had skin cancer? What type? If you have had melanoma, then bring the detailed information about your cancer. Your prognosis depends on how serious the melanoma was, that is its stage, 1-4. You need to know how it was treated, if it had spread, and how deep it was. The answers to these questions determines the risk of your melanoma returning. Read more »

*This blog post was originally published at The Dermatology Blog*

Organic Beauty Products: 5 Things You Should Know

“All natural. Certified organic. Made from natural ingredients. Pure botanicals. Chemical free.”

You might guess I’m standing in the farmers market. Nope. I’m in the “Health and Beauty” aisle at Target. The ubiquitous all-things-natural trend has overtaken the cosmetic industry. How do you know what’s real and what’s marketing hype? Here are five things you should know about organic beauty product labels:

1. Labels that say “natural ingredients” or “botanicals” are not certified organic. These statements are not regulated. Most natural ingredients used in beauty products are actually modified in a lab. Truly botanical ingredients, like you’d pick in your garden, are usually unstable and would spoil like food.

2. Natural doesn’t always mean better. Would you buy: Poison Ivy Eye-Cream? Stinging Nettles Anti-Itch Gel? The most toxic and allergy-inducing ingredients are naturally occurring substances, not manufactured ones. Read more »

*This blog post was originally published at The Dermatology Blog*

Jock Itch: How To Get Rid Of It

I’ve been seeing a lot of jocks lately. The anatomical area, not the athletes. Summertime means heat and humidity, sports, and itchy groins. Jock itch is a general term for an itchy rash in the groin. Heat, sweat, and skin rubbing on skin can leave the area looking like you slid into second base, groin first.

There are three main causes of an itchy groin. Classic jock itch is caused by a fungus, the same fungus that causes athlete’s foot. This fungus often causes a red scaly rash on the inner thighs. It tends to be dry and can have bumps or pimples. The fungus is often spread from your feet or from contaminated sports equipment, towels, etc. It can be treated with topical terbinafine cream 1% twice a day for 2-4 weeks. Severe cases can require oral anti-fungal medications, especially if the fungus has spread to other areas on your body. Read more »

*This blog post was originally published at The Dermatology Blog*

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

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How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

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Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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