The Future of Dermatology
Join Dr. Faranak Kamangar, MD, every week as she chats with various guests about the future of dermatology. Each week, Dr. Kamangar and her guests cover topics from psoriasis, to eczema, to skin care, to AI, and more. Whether you’re a doctor or a patient, these episodes provide valuable information about your skin and how to navigate the world of dermatology.
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Episodes
3 days ago
3 days ago
Summary
Dr. Mary Alice Mina, a Harvard-trained dermatologist, discusses her transition from clinical medicine to providing education on social media and hosting The Skin Real, a podcast on skin health. She emphasizes the importance of providing accurate and reliable information in the skincare industry, which is often filled with misinformation and gimmicks. Dr. Mina also highlights the shift towards a more holistic and proactive approach to skincare, focusing on preventative measures and overall health. She discusses the advancements in regenerative medicine, such as exosomes and stem cell therapy, and the potential they hold for the future of dermatology. Additionally, she emphasizes the importance of sun protection and the need to educate people about the different types of skin cancers and their potential risks.
Takeaways
Transitioning from clinical medicine to teaching on social media and hosting a podcast allows dermatologists to provide accurate and reliable information to a wider audience.
A holistic and proactive approach to skincare, focusing on preventative measures and overall health, is becoming more popular.
Advancements in regenerative medicine, such as exosomes and stem cell therapy, show promise for the future of dermatology.
Educating people about the importance of sun protection and the different types of skin cancers is crucial in preventing and treating these conditions.
Chapters00:00 - Introduction and Background of Dr. Mary Alice Mina
02:24 - Transitioning from Clinical Medicine to Teaching on Social Media
05:15 - Embracing a Pro-Aging and Holistic Approach to Skincare
15:45 - Exploring Emerging Technologies in Dermatology
19:28 - The Importance of Sun Protection in Preventing Skin Cancers
24:57 - Educating People about Different Types of Skin Cancers
31:47 - Advice for Residents and the Future of Dermatology
Tuesday Sep 03, 2024
Tuesday Sep 03, 2024
Summary
Shawn Thomas shares his journey as a psoriasis patient and co-founder of Solay. He describes his initial symptoms and the progression of his psoriasis, leading to his diagnosis in 2018. Shawn discusses the emotional impact of being diagnosed with an incurable disease and the challenges of managing psoriasis on a daily basis. He emphasizes the importance of sharing his diagnosis and finding support from others who also have psoriasis. Shawn explores various treatment options he tried, including topical corticosteroids and natural remedies, before discovering the Goeckerman therapy. He shares his experience of self-administering the therapy using over-the-counter coal tar and UVB light.
Learn more about Solay at: https://solayhealth.com/
Takeaways
Psoriasis is an incurable disease that can have a significant emotional impact on patients.
Sharing the diagnosis and finding support from others with psoriasis can help patients feel less alone.
Exploring different treatment options, including natural remedies and innovative therapies like Goeckerman therapy, can be beneficial.
Self-administering treatments like coal tar and UVB light may be an alternative for patients who cannot access specialized clinics. Goeckerman therapy can be an effective and safe treatment for psoriasis, but it is often inaccessible due to limited availability and barriers such as time and cost.
Soleil, a telemedicine platform co-founded by Shawn Thomas, aims to make Goeckerman therapy more accessible by providing patients with the necessary equipment and physician oversight.
Innovations in healthcare access and delivery, such as value-based care models and telehealth, are needed to ensure that effective treatments are affordable and available to all patients.
Building trust and strong patient-provider relationships are crucial in improving treatment adherence and outcomes.
The future of dermatology and healthcare should focus on both treatment innovations and innovations in access to care.
Chapters
00:00 - Introduction and Guest Introduction
02:19 - Diagnosis and Challenges of Psoriasis
12:18 - Discovering Goeckerman Therapy
19:06 - Personal Experience with Goeckerman Therapy
27:24 - Innovations in Access to Dermatological Care
35:03 -The Future of Dermatology and Healthcare
40:16 - Conclusion and Closing Remarks
Tuesday Aug 27, 2024
Tuesday Aug 27, 2024
Summary
Dr. Arianne Shadi Kourosh, Director of Community Health Department of Dermatology at Massachusetts General Hospital, discusses her work on dermatologic resources for the intervention and prevention of human trafficking. She shares how she first became aware of the issue through her pro bono tattoo removal program for young people leaving gangs. Dr. Kourosh explains the three major categories of skin signs of trafficking: infection/infestations, injury/scarring, and imagery/tattoos. She emphasizes the importance of trauma-informed care and building trust with patients. Dr. Kourosh also highlights the resources available, including the AAD's online toolkit, an online registry of skin signs of trafficking, and the upcoming smartphone app called SSTEAR.
Helpful links:
AAD trafficking toolkit: https://www.aad.org/member/clinical-quality/clinical-care/human-trafficking
Registry of the Skin Signs of Trafficking: Redcap.link/trafficking
Volunteer - contact shadi@mail.harvard.edu
https://humantraffickinghotline.org/en
Takeaways
Human trafficking is a prevalent issue that can affect individuals in our own communities.
Dermatologists can play a crucial role in identifying and assisting trafficking survivors through the recognition of skin signs.
The three major categories of skin signs of trafficking are infection/infestations, injury/scarring, and imagery/tattoos.
Trauma-informed care and building trust with patients are essential in providing effective care.
Resources such as the AAD's online toolkit, an online registry of skin signs of trafficking, and the upcoming smartphone app called STEER are available to healthcare providers.
Chapters
00:00 - Introduction and Background
01:30 - Discovering the Issue of Human Trafficking
03:54 - Skin Signs of Trafficking
09:56 - Recognizing the Prevalence in Our Communities
12:48 - The Three I's: Infection, Injury, and Imagery
19:15 - Trauma-Informed Care and Building Rapport
22:04 - Resources for Healthcare Providers
26:14 - Collaboration and Partnerships
Tuesday Aug 20, 2024
Tuesday Aug 20, 2024
Summary
In this episode, Dr. Fara Kamangar and personal trainer Danny Estrella discuss the importance of building muscle for functional longevity and overall health. They debunk myths about weightlifting making women bulky and emphasize the need for proper nutrition and strength training to optimize body composition. They also highlight the connection between muscle mass and basal metabolic rate, emphasizing the importance of maintaining muscle as we age. The conversation concludes with a discussion about the future of fitness and the potential for collaboration between health professionals and personal trainers.
Takeaways
Building muscle is important for functional longevity and overall health.
Proper nutrition and strength training are essential for optimizing body composition.
Maintaining muscle mass is crucial for a higher basal metabolic rate and efficient calorie burning.
The fear of getting bulky from weightlifting is a misconception; it takes time and dedication to build significant muscle mass.
Collaboration between health professionals and personal trainers can lead to better overall health outcomes.
Chapters
00:00 - Introduction and Importance of Building Muscle
05:03 - Debunking Myths About Weightlifting
10:11 - The Role of Nutrition and Stimuli
14:57 - Addressing the Fear of Getting Bulky
20:09 - The Impact of Body Composition and Muscle Mass
25:12 - Bridging the Gap Between Health Professionals and Personal Trainers
Tuesday Aug 13, 2024
Tuesday Aug 13, 2024
Summary
Dr. Andrew Weinstein, MD, MPH, and board-certified dermatologist, discusses the challenges of physician reimbursements in the healthcare industry. He highlights the unsustainable environment that physicians face, with increasing costs and decreasing reimbursements. Dr. Weinstein explains the physician fee schedule and how it has led to a decline in payments for medical services. He emphasizes the need for physicians to unite and advocate for appropriate reimbursement to ensure the future of medicine. Dr. Weinstein proposes the formation of a single-issue alliance and the importance of messaging and lobbying to bring about change.
Contact Dr. Weinstein at derm@bellsouth.net
or American Academy of Dermatology Association at president@aad.org
Takeaways
Physicians face an unsustainable environment with increasing costs and decreasing reimbursements.
The physician fee schedule, established in 1992, determines reimbursement based on the resources utilized in delivering medical services.
Physicians need to unite and advocate for appropriate reimbursement to ensure the future of medicine.
A single-issue alliance can be formed to address the challenges of physician reimbursements and amplify the message to Congress.
Messaging and lobbying efforts are crucial in bringing about change and securing an inflation-based adjustment to the reimbursement system.
Chapters
00:00 - Introduction to the Future of Dermatology podcast
01:15 - Dr. Andrew Weinstein's background and expertise
02:07 - The challenge of physician reimbursements in the healthcare industry
08:36 - The need for physicians to unite and advocate for appropriate reimbursement
19:30 - The power of a single issue alliance in addressing physician reimbursements
23:45 - The importance of changing the path and uniting all specialties
29:24 - Excitement for the future of dermatology and the role of AI
39:56 - Conclusion and call to action
Tuesday Aug 06, 2024
Tuesday Aug 06, 2024
Summary
In this episode, Dr. Faranak Kamangar answers questions from medical students about various dermatology topics. The students ask about red light therapy, preventative Botox, collagen supplements, homemade sunscreen, and the use of antimicrobial products for acne. Dr. Kamangar provides insights and advice on each topic, discussing the efficacy and safety of these practices. They also various topics related to dermatology, including the microbiome, summer-related rashes, skincare regimens, and burn care tips. Dr. Kamangar emphasizes the importance of maintaining a healthy skin barrier and using non-comedogenic products. She also provides tips for managing eczema and rosacea during the summer months. She advises on preventing arthropod bites and treating superficial burns.
Takeaways
Red light therapy has proven efficacy for its anti-inflammatory and antimicrobial effects.
Preventative Botox can be effective in delaying the formation of wrinkles, but it should be done in conjunction with maintaining collagen through a healthy lifestyle.
Collagen supplements can be beneficial for collagen production, but they should be seen as a supplement to a healthy lifestyle rather than a magic solution.
Homemade sunscreen is not recommended as it is difficult to replicate the accuracy and effectiveness of commercially available sunscreens.
Antimicrobial products like Hibiclens can be useful for treating acne and other skin conditions, but their impact on the skin microbiome should be considered.
It is important to strike a balance between using antimicrobial products and preserving a healthy skin microbiome. Maintaining a healthy skin barrier is crucial for overall skin health.
Using non-comedogenic products can help prevent acne and other skin issues.
During the summer, it's important to protect the skin from the sun and heat.
Vigilance is key in preventing arthropod bites, such as ticks and leeches.
For superficial burns, cooling the skin and using barrier creams can aid in healing.
Chapters
00:00 - Introduction of New Medical Students
07:23 - Exploring the Benefits and Limitations of Red Light Therapy
11:01 - The Role of Preventative Botox in Delaying the Signs of Aging
14:08 - Collagen Supplements: A Supplement to a Healthy Lifestyle
18:06 - The Risks of Homemade Sunscreen
21:06 - Harnessing the Power of the Microbiome for Treating Body Acne
22:23 - Antimicrobial Products and the Skin Microbiome
25:38 - Common Summer-Related Skin Issues
29:33 - Managing Skin Conditions in the Summer
31:48 - Tips for a Summer Skincare Regimen
38:24 - Preventing Arthropod Bites
41:00 - Home Burn Care
Tuesday Jul 30, 2024
Tuesday Jul 30, 2024
Summary
Dr. Forum Patel, a board-certified dermatologist, discusses various cosmetic procedures and treatments, including the use of Ozempic and other GLP-1 drugs for weight loss. She explains the phenomenon known as 'Ozempic face,' which refers to the specific facial changes that occur with rapid weight loss. Dr. Patel also highlights the importance of collagen rebuilding and volume restoration in addressing these changes. She mentions the use of Sculptra, a filler that stimulates collagen production, and discusses the role of lasers and skin tightening devices in enhancing collagen and elastic tissue. The conversation emphasizes the need for individualized treatment and the importance of starting preventative measures early. In this conversation, Dr. Forum Patel and Dr. Faranak Kamangar discuss the importance of a longitudinal relationship between patients and dermatologists for achieving the best cosmetic outcomes. They emphasize the need for a personalized approach and gradual progress in cosmetic treatments. They also discuss the usage of Sculptra, a collagen-building treatment, and the importance of maintenance and a well-balanced diet for optimal results. They touch on the future of dermatology, including the potential impact of AI technology in streamlining consultations and providing customized recommendations.
Takeaways
Ozempic and other GLP-1 drugs can cause rapid weight loss, leading to specific facial changes known as 'Ozempic face.'
Collagen rebuilding and volume restoration are important in addressing the facial changes associated with rapid weight loss.
Sculptra, a filler that stimulates collagen production, can be used to restore volume in the face.
Lasers and skin tightening devices can enhance collagen and elastic tissue, improving the overall appearance of the skin.
Individualized treatment is crucial in achieving natural and aesthetically pleasing results.
Starting preventative measures, such as collagen rebuilding, early can help maintain a youthful appearance. A longitudinal relationship between patients and dermatologists is crucial for achieving the best cosmetic outcomes.
Cosmetic treatments should be approached gradually and with a personalized plan.
Sculptra is a collagen-building treatment that can address areas of fat loss in the face.
Maintenance and regular follow-ups are necessary to maintain the results of cosmetic treatments.
A well-balanced diet is important for collagen synthesis and optimal skin health.
The future of dermatology may involve the use of AI technology to streamline consultations and provide customized recommendations.
Tuesday Jul 23, 2024
Tuesday Jul 23, 2024
Summary
Dr. Reed Berger, MD, PNS, an obesity medicine physician, discusses the use of GLP agonists and bariatric surgery in treating obesity. She explains the different types of GLP agonists and their approved uses for obesity and weight loss. Dr. Berger also discusses the efficacy and side effects of these medications, as well as the importance of protein in the diet for weight loss. She emphasizes the need for patients to receive proper nutrition and exercise guidance, and highlights the role of vitamins and supplements in supporting weight loss. In this conversation, Dr. Reed Berger discusses the use of GLP agonists in weight loss and the management of obesity. He explains that GLP agonists can be used after bariatric surgery to help patients maintain weight loss. The timing of starting GLP agonists after surgery depends on the individual patient. Dr. Berger also discusses the phenomenon of 'Ozempic face' and the potential causes behind it. He mentions that weight loss medications like phentermine and combination medications like Contrave can still be used in conjunction with GLP agonists. He also highlights the challenges of prior authorizations and medication shortages in the field of obesity medicine.
Takeaways
GLP agonists, such as Ozempic and Wegovy, are approved for weight loss and can help patients feel full and think about food less.
Protein is important for weight loss as it is thermogenic and helps maintain lean body mass.
Exercise is crucial for maintaining weight loss and increasing basal metabolic rate.
Vitamins and supplements, such as multivitamins, vitamin D, and vitamin B12, may be recommended to support weight loss.
Proper nutrition and exercise guidance are essential for patients starting GLP agonists or undergoing bariatric surgery.
GLP agonists can be used after bariatric surgery to help patients maintain weight loss.
The timing of starting GLP agonists after surgery depends on the individual patient.
Weight loss medications like phentermine and combination medications like Contrave can still be used in conjunction with GLP agonists.
Prior authorizations and medication shortages are challenges in the field of obesity medicine.
Chapters
00:00 - Introduction and Overview
02:15 - Dr. Berger's Clinic and Focus
04:29 - Benefits of Telemedicine for Weight Management
05:22 - Different GLP Agonists and Their Uses
09:08 - Efficacy and Mechanisms of GLP Agonists
10:18 - Effects on Hunger Sensation and Gastric Emptying
13:01 - Nutrition Recommendations for GLP Agonist Patients
15:14 - Incorporating Exercise into Weight Management
18:29 - Supplementation and Vitamins for Weight Loss Patients
19:53 - Using GLP Agonists After Bariatric Surgery
21:17 - The 'Ozempic Face' and Potential Mechanisms
24:26 - Treatment of the 'Ozempic Face'
26:50 - Challenges of Prior Authorizations and Medication Shortages
29:26 - Other Medications in Weight Management
35:26 - The Future of Obesity Medicine