The Future of Dermatology

Episode 47 - The Unsustainable Environment of Physician Reimbursements | The Future of Dermatology Podcast

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
 

Episode 46 - Ask Me Anything - Part 3 | The Future of Dermatology Podcast

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

Episode 45 - Maintenance is Key in Cosmetic Treatments | The Future of Dermatology Podcast

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.

Episode 44 - Understanding the Phenomenon of 'Ozempic Face' | The Future of Dermatology Podcast

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

Episode 43 - Dermatology and Global Health | The Future of Dermatology Podcast

Summary
The conversation revolves around the experiences of three medical students, Chandler Johnson, Payton Smith, and Kathryn Haran, who traveled to Kenya to collaborate with UCSF Dermatology and MTRH Dermatology. They discuss their role in sharing knowledge, establishing partnerships, and enhancing dermatology care and research. The discussion also touches on the future of global health, mentorship, and the impact of the trip on their careers.
Takeaways
Collaborative efforts in global health involve sharing knowledge and resources to enhance dermatology care and research.
Global health initiatives don't necessarily require international travel and can have a profound impact locally.
Mentorship and cultural humility play a significant role in global health endeavors and future career aspirations.
The use of social media and technology can be leveraged to promote dermatology care and education in resource-limited communities.
The impact of mentorship and the multiplier effect of training mentees in global health initiatives are essential for sustainable advancement in skin health.
Visit Living Room International at https://linktr.ee/livingroominternational and on Instagram at @livingroominternationalVisit Glo Derm at: gloderm.org
 
Chapters
00:00 - Introduction and Overview of the Trip
01:15 - Collaboration between UCSF Dermatology and MTRH
02:21 - Activities and Focus Areas in Kenya
04:10 - Partnership with Living Room Hospital
05:36 - Continuing Collaboration and Access to Care
08:57 - Personal Motivations for Global Health Work
09:54 - Getting Involved in Global Health
14:47 - Balancing Work and Exploration
28:21 - Excitement for the Future of Global Health

Episode 42 - The Association of Skin Conditions with Various Characters in Movies and Art | The Future of Dermatology Podcast

Summary
Dr. Vail Reese, a dermatologist, discusses the intersection of dermatology and media, particularly movies. He categorizes skin conditions in films into three main groups: skin conditions associated with evil characters, skin conditions that actors actually have, and skin conditions of heroic or sympathetic characters. Dr. Reese explores the reasons behind the association of skin conditions with evil characters and the impact of these portrayals on societal perceptions of skin conditions. He also highlights the importance of using examples of celebrities with skin conditions to reassure patients and normalize these conditions. Dr. Reese emphasizes the need for empathy and understanding when treating patients with skin conditions.
Visit Dr. Reese's website, Skinema, at https://www.skinema.com/
 
Takeaways
Skin conditions in movies are often associated with evil characters, creating a stigma around these conditions.
Celebrities who openly discuss their skin conditions can help normalize and reassure patients.
The portrayal of skin conditions in media can impact societal perceptions and contribute to bullying and harassment.
Dermatologists should prioritize empathy and understanding when treating patients with skin conditions.
 
Chapters
00:00 - Introduction and Background
02:47 - Skin Conditions and Evil Characters in Movies
09:23 - Celebrities as Role Models
15:02 - Exciting Breakthroughs in Dermatology

Episode 41 - AI Applications in Pathology and Mohs Surgery | The Future of Dermatology Podcast

Summary
Dr. Nahid Vidal discusses the innovative work being done in the field of dermatology, specifically in the areas of AI and digital health. She highlights the use of AI in diagnosing tumor, basal cell carcinoma, and the potential for AI to assist in identifying high-risk features during Mohs surgery. Dr. Vidal also discusses the advancements in skin imaging devices and the use of microscopy in dermatology. She emphasizes the importance of collaboration between physicians and engineers in developing these technologies and the need for improved communication and efficiency in medical practice.
 
Takeaways
AI can be used to diagnose tumor, basal cell carcinoma, with high accuracy
AI can assist in identifying high-risk features during Mohs surgery
Advancements in skin imaging devices and microscopy have the potential to revolutionize dermatology
Collaboration between physicians and engineers is crucial in developing AI and digital health solutions - Improved communication and efficiency in medical practice can be achieved through technology
Chapters
00:00 - Introduction and Overview
02:13 - AI Models for Tumor Diagnosis
06:05 - Identifying High-Risk Features in Mohs Surgery
15:10 - The Potential of Skin Imaging Devices
16:38 - Revolutionizing Dermatology with Microscopy

Episode 40 - The Power of Patient Networking Groups | The Future of Dermatology Podcast

Summary
Todd Bello, founder of the Facebook group, Overcoming Psoriasis, shares his journey as a psoriasis patient and the impact it had on his life. He discusses the challenges he faced, including the lack of information and treatment options available at the time of his diagnosis. Todd emphasizes the importance of finding a board-certified dermatologist and joining support groups like the National Psoriasis Foundation. He also highlights the advancements in psoriasis treatment over the past 30 years, particularly the development of biologics. Todd mentions the potential for genetic testing and personalized medicine in the future. He concludes by discussing the role of his patient networking group in providing support and accurate information to psoriasis patients worldwide.
 
Takeaways
Finding a board-certified dermatologist and joining support groups like the National Psoriasis Foundation are crucial for psoriasis patients.
Advancements in psoriasis treatment, particularly the development of biologics, have significantly improved outcomes for patients.
Genetic testing and personalized medicine hold promise for the future of psoriasis treatment.
Patient networking groups play a vital role in providing support and accurate information to psoriasis patients worldwide.
 
If you suffer from psoriasis:
Help Us Understand More About Sleep and Psoriasis
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Please consider taking our paid online survey.
Recruiting both individuals with and without psoriasis. https://redcap.ucsf.edu/surveys/?s=RLFR379LNL4RFTTF
 
Help Us Understand About Menopause and Psoriasis
Are you interested in helping researchers understand how psoriasis and menopause are related?
Please consider taking our paid online survey.
Recruiting post-menopausal women with psoriasis. https://redcap.ucsf.edu/surveys/?s=JYTNX3XKDC84J3DX
 
Chapters
00:00 - Introduction and Overview
05:17 - The Impact of Psoriasis on a Patient's Life and Career
11:22 - Advancements in Psoriasis Treatment: The Role of Biologics
25:00 - Addressing Hesitancy Towards Biologics
26:20 - The Future of Psoriasis Research and Treatment