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.
Episodes
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
Tuesday Jul 16, 2024
Episode 43 - Dermatology and Global Health | The Future of Dermatology Podcast
Tuesday Jul 16, 2024
Tuesday Jul 16, 2024
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
Tuesday Jul 09, 2024
Tuesday Jul 09, 2024
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
Tuesday Jul 02, 2024
Tuesday Jul 02, 2024
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
Tuesday Jun 25, 2024
Tuesday Jun 25, 2024
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
Are you interested in helping researchers understand how psoriasis and sleep are related?
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
Tuesday Jun 18, 2024
Tuesday Jun 18, 2024
Summary
Dr. Serena Elmariah, an expert in the nervous system, immune system, and skin, discusses the forefront of research on itch and neurosensory disorders. The research is focused on understanding the sensory aspects of the skin, as well as the neuroimmune and neuroepithelial connections. Aging skin and its association with itch is also explored, with factors such as epithelial dysfunction, immunosenescence, polypharmacy, and the aging nervous system contributing to itch. The importance of neuroprotection and overall health in maintaining skin health is emphasized. The conversation also touches on cryolipolysis and the potential benefits of cold exposure for the skin.
Takeaways
Research is focused on understanding the sensory aspects of the skin and the neuroimmune and neuroepithelial connections.
Aging skin is associated with itch, with factors such as epithelial dysfunction, immunosenescence, polypharmacy, and the aging nervous system contributing to itch.
Neuroprotection and overall health play a role in maintaining skin health. Cold exposure may have potential benefits for the skin.
Chapters
00:00 - Introduction and Background of Dr. Serena Elmariah
01:16 - Research on Itch and the Nervous System
06:07 - The Potential of Neuroprotective Measures
12:49 - Exploring Cryolipolysis and Cold Exposure
26:48 - Exciting Advancements in Dermatology Research
Tuesday Jun 11, 2024
Tuesday Jun 11, 2024
Summary:
Dr. Daniel Butler, a board-certified dermatologist and assistant dean of student affairs at the University of Arizona College of Medicine, discusses his research on aging skin and inflammatory diseases. He explores how aging independently becomes a risk factor for certain skin diseases and how age can affect access to medications. Dr. Butler emphasizes the need to understand the unique challenges and presentations of skin diseases in older adults. He also discusses the importance of dermatologists having a presence on social media to engage with patients and provide credible information.
Takeaways:
Aging independently becomes a risk factor for certain skin diseases and can affect how these diseases manifest in older adults.
Access to medications can be more challenging for older adults, and age can be a modifiable risk factor in healthcare delivery.
Dermatologists need to understand the unique challenges and presentations of skin diseases in older adults and avoid making assumptions based on age.
Having a presence on social media allows dermatologists to engage with patients, provide credible information, and bridge the gap between academic knowledge and what is available on social media.
The future of dermatology includes targeted therapies for various skin diseases and equipping the next generation of dermatologists with the skills to change lives.
Chapters:
00:00 - Introduction and Background of Dr. Daniel Butler
02:01 - Research on Aging Skin and Inflammatory Diseases
06:16 - Understanding the Mechanisms of Aging Skin
10:54 - The Role of Dermatologists on Social Media
15:23 - Should Academic Physicians be on Social Media?
29:15 - The Future of Dermatology: Targeted Therapies and Next Generation Dermatologists