I saw a Scarguard product on sale at a drugstore locally. The claims on the packaging were over the top as usual:
1. “Guards against new scars forming” – Difficult to prove.
2. “Flattens and shrinks old scars” – Not really.
3. “Scarguard is the #1 choice of plastic surgeons” – Really? Nobody asked me.
Scar treatment is pretty simple. Avoid wounding if you can. If you have plastic surgery, seek a skilled surgeon who will spend the time to do the best. After surgery avoid sunlight and smoking, and consider scar massage as directed by your surgeon. This “Scarguard” product is not going to make a bad scar much better unless it is applied early, and even then the results are debatable.
Not all skin cancers are from sun exposure. Viruses such as human papilloma virus (HPV), the virus that causes genital warts, also cause skin cancer. Skin cancer from HPV develops on genital skin in both men and women. It’s rarely talked about, but it’s important and can be deadly.
Did you know that half of all deaths from skin cancer other than melanoma are from genital skin cancer? You probably also didn’t know that women are more likely to die from genital skin cancer as they are from skin cancer that developed from sun exposure (again, excluding melanoma).
We dermatologists are inexhaustible when it comes to warning people about the dangers of sun exposure, but we should also be warning people about the dangers of genital warts. HPV protection, which includes HPV vaccines, is as important as sun protection in preventing death from non-melanoma skin cancer.
Genital warts can lead to deadly skin cancer. If your dermatologist has not checked your genital skin, be sure your primary care physician or gynecologist does. This is especially important, because unlike other sexually-transmitted diseases (STDs) which often have symptoms, HPV or genital warts often don’t. It may be embarrassing, but it could save your life.
The puppeteer skit features the interaction between a young man with a rash and his older physician. The patient is an informed kind of guy: He’s checked his own medical record on the doctor’s website, read up on rashes in the Boston Globe, checked pix on WebMD, seen an episode of “Gray’s Anatomy” about a rash and, most inventively, checked iDiagnose, a hypothetical app (I hope) that led him to the conclusion that he might have epidermal necrosis.
“Not to worry,” the patient informs Dr. Matthews, who meanwhile has been trying to examine him (“Say aaahhh” and more): He’s eligible for an experimental protocol. After some back-and-forth in which the doctor — who’s been quite courteous until this point, calling the patient “Mr. Horcher,” for example, and not admonishing the patient who’s got so many ideas of his own — the doctor says that the patient may be exacerbating the condition by scratching it, and questions the wisdom of taking an experimental treatment for a rash. Read more »
*This blog post was originally published at Medical Lessons*
Trying to keep up with what’s hot in skincare is like trying to keep up with the Kardashians. It’s impossible (not that I’ve tried with the Kardashians, that is.)
Then how are you to know what are the latest and greatest ingredients? Well, you could read The Derm Blog (when I get around to posting on it), or you could just listen to your grandmother.
Some of the newest discoveries in skin care aren’t new at all: Olive oil may be seem hot now, but countless Mediterranean grandmothers, including mine, have sworn by its skin-care benefits for centuries (millenia?) Were they right?
Olive oil contains caffeic acid, oleic acid, and oleuropein — all of which are potent antioxidants. Unlike berries or teas, these antioxidants are already in oil, allowing them to be directly applied to the skin. Topically applied olive oil helps dry skin, rosacea, psoriasis, seborrhea, burns, atopic dermatitis, contact dermatitis, diaper dermatitis, hand dermatitis, and eczema. Read more »
When using dressings to speed up the healing process of an open wound, it is necessary to periodically remove the dressing to check for infection. However, removing this protective covering creates an opportunity for bacteria to enter the wound site.
To remedy this problem, researchers at the Fraunhofer Research Institution for Modular Solid State Technologies EMFT have developed dressings which change color if the wound becomes infected. Early tests have shown promise, and the scientists now plan to test their invention in the field at the University of Regensburg’s dermatology clinic. Read more »
*This blog post was originally published at Medgadget*
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…
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…
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…
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…
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…
When using dressings to speed up the healing process of an open wound, it is necessary to periodically remove the dressing to check for infection. However, removing this protective covering creates an opportunity for bacteria to enter the wound site.
