A Patient Who Cried

One routine Monday morning, I came in to Examination Room 5 to perform a full skin exam on Bob, the father of a young former patient I treated a decade ago for Morphea – a skin hardening condition. Prior to beginning, Bob thanked me for diagnosing his daughter’s condition, and I expressed my appreciation for his gratitude.

During the exam, we discovered a few suspicious moles, but thankfully, no skin cancers were detected. Nevertheless, he did request removal of a fatty ...

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Selfies help

As physicians, we hear it time and time again – “By the time I came in to see you, my rash disappeared!” Well, no longer. More and more patients come into our clinic, showing us photos of their skin ailment on their mobile devices taken over a few days or even weeks at a time. This activity is extremely helpful in making a more precise diagnosis.

A recent example of how your photos can assist us is in the case of ...

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The Patient Without the Earpiece

Prior to every surgery in our clinic, we conduct a final examination consisting of a patient assessment, an infusion of local anesthetic and a marking of the surgical area.

It was during a recent examination of this type that I encountered a young man who was to have a scalp cyst removed. Normally, while waiting for the anesthetic to fully take effect, I engage our patients in small conversation to help make them feel more comfortable.  But, this young man was ...

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Never Wait

Recently, a 77-year-old gentleman (accompanied by his ex-wife) came into our clinic seeking treatment for a growth on his right ear. He had been seen at the CHI Franciscan Urgent Care Clinic in Burien, and they referred him to us for urgent treatment. Within 48 hours, he was undergoing treatment in our clinic.

Even though the patient’s growth had been on the top of his right ear for six months, he thought it would eventually go away on its own. However, ...

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Being Thorough and Curious

tickLast week, a young man came into the clinic for his annual routine, full skin examination. He’s vigilant about getting examined because his family has a history of skin cancer. Both his parents are patients of ours, and his father has actually had multiple basal cell skin cancer’s removed, including Mohs surgery on his nose and several with straight excisions on his ...

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How to Clear Cystic Acne

Cystic acne is devastating. Fortunately, isotretinoin is literally a life-saver. I realized this more acutely when my own son kept getting multiple disfiguring facial cysts. They did not respond to topical or oral antibiotics. Intralesional corticosteroids were of temporary benefit, but not always available when we were away visiting family in New York, New Jersey or Florida.

I made him an appointment with my PA-C Jonathan Cyphers. Jonathan has a special touch with kids. We began at a low dose, considering ...

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How to look younger with JUVÉDERM®

Lately, when you look into a mirror, have you noticed subtle changes in your facial appearance? Do you see less fullness in your cheeks, thinning in your lips and deepening lines around your nose and mouth? These changes may occur due to environmental factors, genetics or a part of the normal aging process.  Juvederm Product Overview

Fortunately, our office carries the JUVÉDERM® Collection of ...

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Suspicious Mole Removed from Mother of Four

A young mother of four from Ketchikan, Alaska visited our clinic today to see Heather Haberman, my Physician Assistant. She was concerned about a mole that had been on her right cheek since she was a child. Over time, the mole had noticeably grown and changed in color, causing her and her family to be concerned.

Our inspection determined that the mole was 6 milometers in diameter, raised, smooth and fairly uniform in color with tan and beige in certain areas.

When ...

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Hard-Working Dad Experiences Quick Turn Around After Eyelid Surgery in Our State of the Art Ambulatory Surgery Center

A Spanish-speaking, hard-working father of two little children came to visit our clinic last week and saw one of my physician assistants. He had a swollen, painful walnut-sized bump on his right eyelid under his eyebrow that was obstructing his vision and disrupting his work. He wanted this disfiguring bump removed, but had no insurance. So, our office reviewed his case in order to treat him with as little out-of-pocket cost as possible.

I wanted to get him back to work ...

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