September 8th, 2010 by Jeffrey Benabio, M.D. in Better Health Network, Health Tips, Opinion, Quackery Exposed
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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*
September 3rd, 2010 by Jeffrey Benabio, M.D. in Better Health Network, Health Tips, True Stories
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Itchy 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*
August 31st, 2010 by Jeffrey Benabio, M.D. in Better Health Network, Health Tips
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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*
August 24th, 2010 by Jeffrey Benabio, M.D. in Better Health Network, Health Tips
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“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*
August 13th, 2010 by DavedeBronkart in Better Health Network, Health Policy, Opinion, True Stories
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Next in our series on my experience with OpenNotes, a project sponsored by the Robert Wood Johnson Foundation’s Pioneer Portfolio.
This item has nothing to do with OpenNotes itself –- it’s what I’m seeing now that I’ve started accessing my doctor’s notes. In short, I see the clinical impact of not viewing my record as a shared working document.
Here’s the story.
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In OpenNotes, patient participants can see the visit notes their primary physicians entered. Note “primary,” not specialists. I imagine they needed to keep the study design simple.
So here I am in the study, going through life. Five weeks ago I wrote my first realization: After the visit I’d forgotten something, so I logged in. Read more »
*This blog post was originally published at e-Patients.net*