Fashion in the Middle Ages exhibition begins at the Getty
Updated: 2011-05-30 21:27:00
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Intriguing new directions in anti-aging skincare stem from growing knowledge about the human genome
and the skin's underlying structure. Much of the latest research into the science of skin aging uses genomics, says
Patricia K. Farris, M.D.
Addressing male skincare in an office visit may require the dermatologist to make the first move. Men
can be hesitant to discuss their concerns, and yet they still comprise a growing segment of patients who want to
take good care of their skin, according to Ranella Hirsch, M.D., F.A.A.D.
I am a total proponent of the use of technology. As the owner of two single-specialty billing
services, I know the value of using the latest technology to save time, optimize the use of human resources,
increase efficiency, reduce errors and redundancy and keep the planet "green." But I want providers
to have realistic expectations of what an EMR can offer with respect to billing for services rendered and getting
paid by insurance carriers.
Rhinophyma, a progressive benign condition causing a large, swollen, bulbous nose, can be treated most
effectively if identified early, according to Joseph Bikowski, M.D., director, Bikowski Skin Care Center,
Sewickley, Pa. No one knows the cause of rhinophyma, which rarely occurs in women. The condition was once believed
to be caused by excessive alcohol consumption, but that was unfounded.
Joe Skin was unable to afford a $100 fee to see a local dermatologist, and left a pigmented lesion
untreated until a seizure from metastatic disease ended with him having multiple surgeries at a cost of $350,000 to
taxpayers. Unfortunately, Mr. Skin died anyway from metastatic melanoma. But does his dermatologist have any
liability?
With all of the partisan bickering on Capitol Hill over the federal deficit, next year's federal
budget and what to cut, it appears there may be a consensus building around the idea of finally resolving the
Medicare reimbursement crisis. Unless Congress acts before Jan. 1, Medicare physicians will see a 29.5 percent
reimbursement cut as a result of the sustainable growth rate (SGR) formula that is now used.
The identification of genetic mutations in melanoma has opened the door to targeted treatment of
melanomas. Delivering a presentation at the 5th annual Canadian Melanoma Conference, Boris Bastian, M.D., chairman
of pathology, Memorial-Sloan Kettering Cancer Center, New York, stated the importance of recognizing the existence
of the distinct biological subtypes of melanoma in order to find effective avenues for treatment and
prevention.
Acne vulgaris and its variants have been distressing adolescents for hundreds of years. The
development of therapies such as benzoyl peroxides, topical retinoids and antibiotics has changed the course of
acne for many patients, while others suffer a relentless course.
Charles E. Crutchfield III, M.D., has had a lifelong battle with pseudofolliculitis barbae.
"When I became a dermatologist, it's one of the things I focused on," he says. Razor bumps tend to
haunt men — especially those who shave their beards daily — in the neck
area.
Dermatologists whose practices offer laser therapy for hair removal are finding the procedure is
becoming increasingly popular among men. "I would say that there is more awareness about hair removal as an
option," says Vera Chotzen, M.D., dermatologist and associate director, Laser and Skin Surgery Center of
Northern California, Sacramento, Calif.
Intraoperative fractional CO2 laser treatment of wounds resulting from Mohs micrographic surgery
significantly improves scar cosmesis at two to three months postoperatively, according to the results of a
randomized, split-scar study reported by David Ozog, M.D., at the 2010 joint annual meeting of the American Society
for Dermatologic Surgery and American Society of Cosmetic Dermatology & Aesthetic
Surgery.
The number of men choosing to have cosmetic procedures surpassed 1 million last year, giving a shot in
the arm to the field of cosmetic medicine. Alexander S. Gross, M.D., in Cumming, Ga., has treated male cosmetic
dermatology patients for 15 years, but he says the number has increased from less than 5 percent to at least 10
percent of his cosmetic practice over the past five years.
Before investing in aesthetic devices, physicians need to do their homework and carefully weigh the
pros and cons of each device and attend lectures focused on various aesthetic devices and technologies. This
approach may help them ultimately choose an aesthetic device that is right for them and their
patients.
Patricia K. Farris, M.D., never thought she'd experience a natural disaster that would wipe out her
practice, a city and an entire infrastructure. Then came Hurricane Katrina. "You couldn't call a patient
who had a melanoma. It was so beyond, beyond," says Dr. Farris, who practices in Metairie, La. After the
2005 storm, she says, "I was out of business for seven months."
One benefit of adding cosmetic dermatology to a practice is that procedures are usually performed on a
fee-for-service basis, rather than relying on ever-diminishing insurance reimbursements for medical dermatology. It
all sounds good, but what happens when a patient doesn't plan on paying in the first place?
Maximizing aesthetic treatments from head to toe requires paying attention to contraindications,
treating conservatively and choosing the right cosmeceutical vehicles.
The dramatic increase in the use of hair coloring, permanent waving and hair straightening has led to
the need for haircare products that optimize the appearance of chemically treated hair. One of the new developments
is a new category of shine-protecting haircare products.
Androgenetic alopecia is the most common type of hair loss in men, but there are numerous options for
treating the condition, and more are being developed.
One of the most commonly used and most controversial products recommended by dermatologists is
sunscreen. I would argue that sunscreens are also the most misunderstood and misused skincare
products.
Among the various aesthetic device technologies used to treat skin laxity, cellulite and achieve
circumference reduction, radiofrequency (RF) appears to be one of the most efficacious energy sources currently
available.
The incidence of acne in adult men is not as common as it is in female patients, but, nevertheless,
some men do seek acne treatment from dermatologists, according to Vic A. Narurkar, M.D., F.A.A.D., founder and
director, Bay Area Laser Institute, San Francisco. Adult men usually do not seek treatment for acne as frequently
as they do for other conditions, such as rosacea.
Vera H. Price, M.D., encourages those she mentors to pursue detours and other opportunities whenever
they arise — especially when those opportunities are with people who are respected in their fields.
Some turns in the road might not seem like perfect fits, but they usually can broaden your horizons. Dr. Price is a
renowned hair expert in dermatology because of an opportunity she did not anticipate and was not even certain that
she wanted.
The use of topical imiquimod can be beneficial in the treatment and management of lentigo maligna
(LM), but knowing the scenarios and settings in which to use the topical immunomodulator is key in achieving
successful, safe treatment outcomes.
As patients take on more financial responsibility for their healthcare, dermatologists are finding
themselves in a challenging new role — being a commodity in a marketplace where patients shop for
services. Success in this new environment requires your dermatology practice to retain its current patients, and
attract new ones.
ReCell, a new spray-on skin-regeneration technology that uses the patient's own cells, has the
potential to "alter the way we graft humans forever," a researcher says.
Pulsed dye laser (PDL) treatment for infants with port wine stains (PWS) should be performed early and
often, according to research conducted by dermatologic surgeons from the Laser & Skin Surgery Center of
New York.
Construction has unearthed the remains of a medieval village in Runcorn, England. A cobbled street and pottery dating back to the 13th century have been unearthed, near Lodge Farm, off Highgate Close in Norton. Post holes of timber framed houses were identified by archeologists who have spent three weeks excavating the 700 sq m site, [...]
Above: Honor Making a Chaplet of Roses, ca. 1425–1450. South Netherlandish. Wool warp, wool wefts; 93 x 108 in. (236.2 x 274.3 cm). The Metropolitan Museum of Art, New York, The Cloisters Collection, 1959 (59.85). See the Collection Database to learn more about this work of art.
The theme of this year’s Garden Days at The [...]SHARETHIS.addEntry({ title: "Women and the Medieval Garden", url: "http://blog.metmuseum.org/cloistersgardens/2011/05/26/women-and-the-medieval-garden/" });
Analysis of Nubian mummies from along the Nile suggests that the plague of schistosomiasis may have been spread due to irrigation techniques in place at the time they lived. About 25 percent of mummies in the study dated to about 1,500 years ago were found to have Schistosoma mansoni, a species of schistosomiasis associated with [...]
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