All
Dermatology Times, Digital Edition, November 2012
November 1st 2012The Casualties of Cutting : Both government & private-payer reimbursements continue to decline. Will the care that dermatologists provide suffer? All about Apps Clinical Dermatology : Practical dosing tips provide strategies for optimizing psoriasis control with biologics Cosmetic Dermatology : ‘Sensitive skin’ remains a marketing term with no medical definition Cutaneous Oncology : New topical, systemic therapies may improve survival of patients with CTCL Practice Management : Don’t hurry through the EHR selection and purchasing process
As reimbursements decline, will care that dermatologists provide suffer?
November 1st 2012With the presidential election behind us and myriad changes about to hit healthcare, dermatologists need to anticipate cuts in reimbursement by not only government, but also private, insurers. And if dermatologists are to combat the impact these declining reimbursements may have on their practices, they need to start implementing more aggressive patient education and retention efforts now.
Clarifying meaningful use stage 2 now that CMS has announced its final rule
November 1st 2012Dermatologists and other eligible professionals (EPs), eligible hospitals and critical access hospitals (CAHs) can now review the upcoming meaningful use stage 2 requirements, now that the Centers for Medicaid and Medicare Services has announced its "final rule" for attestation of meaningful use (MU) stage 2.
What is the correct way to terminate a patient-physician relationship?
November 1st 2012A patient with complaints about Dr. Derm's medical assistant demanded a refund on his co-pay, then threatened to destroy the doctor's reputation online. The patient returned a week later with worsening cellulitis, Dr. Derm refused to see him. The patient later became septic and he filed a medical malpractice lawsuit. What did Dr. Derm do wrong?
Belotero Balance appears to rival leading dermal fillers
November 1st 2012Belotero Balance (Merz), one of the newer hyaluronic acid (HA) fillers, appears to rival other longer-standing dermal fillers in efficacy and safety, offering physicians and their patients a new treatment option for the Aesthetic correction of moderate-to-severe facial wrinkles and folds, says Derek H. Jones, M.D.
New therapies offer promise for cutaneous T-cell lymphoma
November 1st 2012Some of the continuing challenges central to the management of cutaneous T-cell lymphoma (CTCL) include improving the survival and prognosis of patients, as well as helping to make proposed treatments more affordable and accessible, says Elise A. Olsen, M.D.
Infections, skin cancer can result from practices at nail salons
November 1st 2012The use of ultraviolet (UV) rays to dry nail polish can spell potential danger for patrons of nail salons, according to Joel Schlessinger, M.D., F.A.A.D., F.A.A.C.S., a board-certified dermatologist and cosmetic surgeon in Omaha, Neb.
Consider patients' concerns when treating autoimmune blistering disorders
November 1st 2012If dermatologists considered the management of autoimmune blistering disorders from the patient's perspective, they might do many things differently. So says John Zone, M.D., co-director of the immunopathology lab at the University of Utah, where he is also chairman of dermatology.
Newer chemotherapeutic agents bring concerns in patient care
November 1st 2012The use of newer and more targeted chemotherapeutic agents can lead to atypical side effects affecting the skin, hair and nails of oncology patients, and these side effects can be different from those typically seen with longer-standing agents, says Beth N. McLellan, M.D., Ronald O. Perelman Department of Dermatology, New York University, New York.
New York dermatologist dedicates time, energy to help specialty thrive
November 1st 2012Daniel M. Siegel, M.D., is best known in dermatology as president of the American Academy of Dermatology. But this practicing dermatologist and faculty member at State University of New York Health Sciences Center at Brooklyn says he thinks of himself as a "techie guy."
Nonsurgical alternatives for treating lentigo maligna require caution
November 1st 2012With a dearth of data regarding nonsurgical treatments for lentigo maligna (LM) and lentigo maligna melanoma (LMM), current American Academy of Dermatology guidelines advise caution regarding these therapies, said James M. Grichnik, M.D., Ph.D., at the academy's 70th annual meeting.
Customization is key when planning laser rejuvenation treatment plan
November 1st 2012The evolution of laser resurfacing has culminated in the ability to truly customize treatments, and the number and frequency of peels, the depth of dermal penetration, and the downtime each patient can dedicate to recovery should all be dialed into the treatment plan, say Jason N. Pozner, M.D., co-owner of Sanctuary Medical Aesthetics Center in Boca Raton, Fla., and Lawrence Bass, M.D., the head of Bass Plastic Surgery in New York.
Don't rush the electronic health record selection process
November 1st 2012If you're shopping for an electronic health record (EHR) system, tread carefully during the selection process, especially when it comes to signing the purchase contract. After all the sweat and stress involved with finding the "right" EHR solution, it's easy to let down one's guard as the selection process reaches conclusion.
Dose optimization augments benefits of biologics for psoriasis
November 1st 2012Dose optimization, including appropriate use of a loading dose regimen, weight-based dosing and adherence to routine maintenance treatment, will maximize the benefits of biologic therapy for chronic plaque psoriasis. But if disease improvement seems less than optimal despite proper dosing, dermatologists should not to give up too soon.
Apps for dermatology demand attention as electronic devices get smarter
November 1st 2012Increased use of mobile technologies such as smartphones is spurring growing acceptance of - and reliance on - dermatology apps. Currently available applications for dermatologists provide reference tools (i.e. textbooks), and a few provide decision support based on information that a dermatologist enters into the application.
Phototherapy remains viable option for treating psoriasis
November 1st 2012In certain cases, phototherapy may be the treatment of choice for patients with psoriasis, surpassing the benefits of even biologics, says Herbert Hoenigsmann, M.D., professor of dermatology, emeritus chairman, department of dermatology, Medical University of Vienna.
Nonablative fractional lasers afford results, minimize downtime
November 1st 2012Laser resurfacing revolutionized the management of cutaneous photodamage ever since its introduction in the early 1980s. Initially, options were limited to fully ablative carbon dioxide (CO2) devices. Although results were impressive, the lengthy post-procedure downtime and substantial risks for infection, scarring and depigmentation drove the development of alternatives.
Botulinum toxin with unique makeup compares to market leader
November 1st 2012As the popularity of botulinum toxins for both cosmetic and therapeutic applications continues to grow, so too does development of new techniques and formulations. IncobotulinumtoxinA (Xeomin, Merz), the newest of the toxin formulations, is a promising product that according to clinical studies exhibits similar efficacy to onabotulinumtoxinA (Botox, Allergan), despite having a distinctly different biological makeup.
ASDS announces new officers, board members
October 31st 2012The American Society for Dermatologic Surgery has elected new officers and members of its board of directors, the organization has announced. Those elected also will hold the same positions for the American Society for Dermatologic Surgery Association.
Investigative therapy for melanoma promising
October 24th 2012An investigative combination therapy combining chemotherapy and immunotherapy of adoptive cell transfer with tumor infiltrating lymphocytes, followed by interleukin-2, is labor-intensive but a feasible therapy with a high response rate in treated patients, according to researchers.