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Latest Posts

Product Used For Poison Ivy Skin Reaction Undergoes Price Increases

I recently received a note mailed to health care providers from Steve Sisler, Vice President of Sales Development for Zanfel Laboratories, Inc. Zanfel is a product used to decrease the skin reaction attributable to poison ivy and similar plants (e.g., poison oak and sumac). Here is an edited part of the note that I received:

While attending the recent American Academy of Family Physicians trade show, numerous health care professionals stopped by the Zanfel Laboratories booth to ask questions and gain additional knowledge regarding the Zanfel product and the overall disease state of urushiol-induced allergic contact dermatitis. Additionally, a great many prescribers voiced concern over the recent price increases of Zanfel Poison Ivy Wash. The conversations were very specific in that the retail price for Zanfel had increased to $42.99, $44.99 and even as high as $48.99 plus tax. These prescribers are aware of the retail price increases because their patients are calling them back after visiting CVS and Walgreens pharmacies. Their patients are aware that Zanfel had previously been sold for approximately $39.99 plus tax. These patients are upset because they believe that Zanfel Laboratories has initiated a retail price increase.

Zanfel Poison Ivy Wash has not had a cost increase in over Read more »

This post, Product Used For Poison Ivy Skin Reaction Undergoes Price Increases, was originally published on Healthine.com by Paul Auerbach, M.D..

Is A Compressed Spinal Nerve Causing Itchy Arms?

Medical science is getting closer to understanding one of the most common causes of chronically itchy arms called brachioradial pruritus.

This means we’re also getting closer to helping people who suffer from this extremely frustrating condition!

A new study exploring the cause of brachioradial pruritus was just reported in the October issue of the Journal of the American Academy of Dermatology.  The authors used MRI imaging to look at the cervical spine of 41 patients suffering from chronic itching of what was otherwise normal appearing skin on the outer surface of their forearms arms (called brachioradial pruritus).  MRI imaging showed a very strong correlation between the itch and nerve compression in the patient’s neck. In fact, the exact site of the itch on the skin correlated precisely with the spinal location in the neck where the nerve resides that supplies that part of the arm skin (we call this a dermatome*).

What’s so interesting is that Read more »

*This blog post was originally published at Dr. Bailey's Skin Care Blog*

Could Your Swimming Pool Give You A Rash?

Allergic to Swimming? We’re in the dog days of August and summer continues to hold on. What better way is there to relax than in your nice, cool pool? Unless you’re allergic to it, of course.

I had a patient this summer who developed an itchy rash all over. He thought it might be due to his pool, but insisted that he kept it immaculately clean. Ironically, that might have been the trouble.

Some people are allergic to Read more »

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

How To Soothe That Itchy Sunburn

Have you ever had a sunburn? First it hurts. Then it itches. And itches. And itches.

Why is that?

Sunburn is caused by ultraviolet (UV) radiation damage to your skin. Too much UV damages your skin cell’s DNA, and your immune system responds by killing off the bad cells. Because UV radiation doesn’t penetrate (unlike X-rays for example), it damages only the surface layer of your skin. This outermost layer happens to be loaded with special nerve fibers called C-fibers which are responsible for itch.

Itch is a mechanism to Read more »

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

Pregnant And Itchy? It Could Be A Dangerous Liver Problem

If a pregnant woman finds herself scratching and itching during the third trimester, these symptoms should not be ignored. Each year, approximately 0.1 to 15% of pregnant women are affected by a liver disorder called Intrahepatic Cholestasis of Pregnancy or (ICP). ICP patients tend to develop symptoms of itchiness of their hands and feet that becomes progressively worse and then spreads all over their body. The itchiness usually worsens at night and if untreated can cause jaundice and several life-threatening complications to the unborn fetus. When a pregnant woman complaints of itchiness (pruritus) all over her body, the first order of business is to determine whether a rash is present. If a rash is absent, ICP should be suspected.

The liver is the largest gland in the body and in addition to filtering harmful substances such as alcohol it is also responsible for processing fats, carbohydrates and proteins. To process fat, the liver makes bile salts. In ICP, bile salts are increased which contributes to the symptoms of itchiness. Affected women will not only be plagued by pruritus but their unborn babies are at risk for stillbirth, preterm labor, fetal distress and abnormal heart rates. South American women and especially those from Chile have a greater risk of developing ICD as do women from South Asia and Sweden. Read more »

*This blog post was originally published at Dr. Linda Burke-Galloway*

Latest Interviews

Caring For Winter Olympians In Sochi: An Interview With Team USA’s Chief Medical Officer Dr. Gloria Beim

I am a huge fan of the winter Olympics partly because I grew up in Canada where most kids can ski and skate before they can run and partly because I used to participate in Downhill ski racing. Now that I m a rehab physician with a reconstructed knee I…

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How Do Hospital Executives Feel About Locum Tenens Agencies And Traveling Physicians?

I recently wrote about my experiences as a traveling physician and how to navigate locum tenens work. Today I want to talk about the client in this case hospital side of the equation. I ve had the chance to speak with several executives some were physicians themselves about the overall…

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Latest Book Reviews

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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Unaccountable: A Book About The Underbelly Of Hospital Care

I met Dr. Marty Makary over lunch at Founding Farmers restaurant in DC about three years ago. We had an animated conversation about hospital safety the potential contribution of checklists to reducing medical errors and his upcoming book about the need for more transparency in the healthcare system. Marty was…

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