When it comes to electronic health record (EHR) implementation, dermatology isn’t at the beginning — the naive stage — or at the end — where the technology is doing what it’s supposed to do. Dermatology is in what one might call the teenage years, an awkward, frustrating, but hopeful, time.
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To address a medical mistake or unsatisfactory outcome, Neil S. Prose, M.D., has a unique suggestion: “Imagine yourself on the opposite side of the table from the patient, with the problem in the middle. Then imagine what it would take to get on the same side of the table, working together.”
The 65-and-older population grew at a faster rate than the total population between 2000 and 2010, according to the U.S. Census. And if they haven’t already started, nearly all of these patients will be flooding dermatologists’ offices soon, says Wendy Roberts, M.D., who is in private practice, Rancho Mirage, Calif.
Although the clinical symptoms and overall management of early- and late-onset psoriasis are similar, late-onset psoriasis can offer very different challenges ranging from disease severity to the heightened caution required when choosing systemic therapies.
Nervousness over the potential of falling off the oft-publicized “fiscal cliff” was averted when the American Taxpayer Relief Act of 2012 (ATRA) was approved by the House and Senate and signed into law by President Obama. The legislation addressed and resolved most of the tax uncertainty that made year-end tax planning for 2012 so difficult for many people. Unfortunately, however, the final resolution of issues related to spending cuts and the debt ceiling was delayed.
The treatment and management of skin cancers in organ transplant recipients (OTR) is challenging. Recent breakthrough medications and combination treatment approaches have resulted in more effective therapeutic options for this patient population.
Multiple changes in the skin and underlying tissues contribute to the appearance of periocular aging, and several options rejuvenate the eyes without performing incisional surgery. Often, the best outcome depends on a combination approach, but the plan should be individualized based on findings from the physical exam and factoring in any budget limitations the patient may have, says Rhoda S. Narins, M.D.
Knowing the specific characteristics of a filler and the potential complications that can arise, and how to deal with those problems, is crucial in performing effective and safe filler procedures, says Joseph E. Hkeik, M.B.B.S., F.R.A.C.G.P., F.F.M.A.C.C.S., D.P.D.
Home-use aesthetic devices are proliferating and improving, according to an expert. Joel Schlessinger, M.D., says that, increasingly, patients want to know if home-use dermatologic devices work. Many such devices probably provide some benefit, he says, though they are generally geared toward cosmetic rather than medical indications.
Consumers’ enthusiasm for stem cell-based cosmeceuticals should not overshadow the reality that these products remain unsupported by rigorous research, says an expert who spoke at the Cosmetic Surgery Forum.