Learning about Eczema, misconceptions and more

Given the following information, which of these people do you think is more likely to contract Eczema, a skin disease affecting primarily children, featuring rashes of dry, itchy, and scaly skin?

Child A:
Chad lives in a developed country (the United States) in the swanky section of a bustling city (Park Slope, Brooklyn, New York) His parents are wealthy and upper class, and his mother was 35 years old when she gave birth ...

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A Sad Story

There is an Australian instrument called a Digory do. It is about a 5 inch wide, very long tube made out of wood and usually some sort of wax or plastic, covering up the top for a mouthpiece. It is played by breathing in and out almost simultaneously.

An Australian patient of mine, who married an American woman and settled close to the clinic, developed skin cancer two years ago on his left ear. It was squamous cell carcinoma. He adamantly ...

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Thinking out of the box – a rare tumor

A nice internal medicine physician, originally Canadian, refers patients to me often from afar. I am very honored and humbled at the same time. Recently, he referred a patient in his early 60s. This patient had seen two dermatologists prior, in addition to his internal medicine physician, one who prescribed a corticosteroid and the other blew him off.

He complained about redness in his forehead, ...

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Mohs Surgery and the Lady With an Irregular Heartbeat

It was a typical Tuesday afternoon and we started our second set of Mohs surgery patients. Emma had a squamous cell carcinoma on her left temple. After the initial excision, she already had a dime-sized hole in her head! Fortunately, her lesion cleared after two stages of surgery.

We took her back to our amatory surgery center, where we listen to her heart and lungs measure her ...

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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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