Actinic-Keratosis-NYC-(212)-644-9494-NYC-Actinic-Keratosis

!±8± Actinic-Keratosis-NYC-(212)-644-9494-NYC-Actinic-Keratosis

www.actinickeratosisnyc.org (212)-644-9494 Actinic keratosis Actinic keratoses (AK) are pink, relatively poorly demarcated, scaly patches and plaques on the sun-exposed skin. When markedly hyperkeratotic, they can be tender when palpated. Actinic keratoses can spontaneously regress and can, without treatment, occasionally evolve into invasive squamous carcinoma. Treatment: Liquid nitrogen cryotherapy is the treatment of choice for the isolated actinic keratosis. Multiple AK's respond to topical 5% 5-fluorouracil cream bid for three weeks, followed by a resolution of the inflammatory reaction and retreatment. Retreatment is important, if recurrences are to be reduced. 10% Masoprocol cream bid for four weeks is an alternative to 5% 5-fluorouracil. Imiquimod cream is shown to be effective Photodynamic therapy is another possible treatment As actinic keratoses are secondary to ultraviolet light damage, the use of broad spectrum sunscreens is recommended.

Actinic-Keratosis-NYC-(212)-644-9494-NYC-Actinic-Keratosis

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Botox NYC - (212)-644-9494 - NYC Botox - New York City - Manhattan

!±8± Botox NYC - (212)-644-9494 - NYC Botox - New York City - Manhattan

www.botoxnyc.org (212)-644-9494 Welcome to New York Dermatology headed by Board Certified Dermatologist Dr. Gary Rothfeld in New York, NY the most advanced Dermatology and skin care center in New York City, Manhattan and the world. We offer the perfect blend of aesthetics and science for all your skin care needs. Our Skin and Laser and Ethnic Skin Specialty Center in NYC headed by Dr. Rothfeld treats a wide range of dermatologic conditions and provides state-of-the-art laser and cosmetic procedures. And at our on-site CosMediSpa, you can pamper yourself with physician-formulated aesthetic treatments. These unique therapies confer long-lasting aesthetic and medical benefits, and far surpass the normal aesthetic techniques. NYC Dermatology is under the medical supervision of Dr. Gary Rothfeld, a Board Certified Dermatologist. To enhance every aspect of your skin care, Dr. Rothfeld has personally created a superb line of cosmetic procedures.. NYC Dermatology by Board Certified Dermatologist Dr. Gary Rothfeld is a board certified NYC Dermatologist with a New York City office in Manhattan, New York providing expert skin care, dermatology, and cosmetic dermatology services. A board certified dermatologist in NYC specializing in dermatology and dermatologic surgery including state-of-the-art cosmetic surgical procedures, Dr. Gary Rothfeld is known for his attention to body symmetry and his dedication to meeting patients' personal goals. His specialties include full body ...

Botox NYC - (212)-644-9494 - NYC Botox - New York City - Manhattan

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Medical Case Management Best Practices

!±8± Medical Case Management Best Practices

It's no secret that today that health plans and managed care organizations are putting tremendous amounts of money into proactively managing the small percentage of their subscriber populations who consume the majority of their health care resources. Case management utilization review, medical management and disease management are some of the generic terms that are used to describe this process. Independent review organizations act as a key support element in the health care decision making process. They help case managers, utilization review and utilization management nurses improve the health care delivery process so that critical care populations are getting properly attended to with the right treatments, each time, every time. Only independent review organizations can provide for this critical decision support to the managed care organization. Managed care organizations, utilization review and utilization management departments attempt to perform these functions internally without using the appropriate specialists with the latest training in active practice run the risk of not being able to distinguish between necessary and unnecessary treatments. Such decision making is the role of an IRO.

Case managers outsource their medical claims decision making to independent review organizations for a simple reason: They don't have the medical expertise and specialist knowledge in all areas of care management to make effective medical decisions concerning care recommendation for some patients. By involving an independent review organization in their decision making, case managers are able to allocate health care resources quickly and cost effectively to the right people with a high degree of confidence that those resources and those treatments were assigned effectively based upon the standard of care, medical necessity and what's in the plan language. Case managers who use independent review organizations are able to improve their service to their clients and to their patients, assuring effective health care delivery. At the same time, IRO help streamline the decision making process and allow for treatments to happen earlier...sometimes with the added benefit of saving lives or improving patient outcomes. Case managers and utilization review managers who actively use IROs for this purpose often comment on how fast and easy it is to get quick determinations that improve medical outcomes for their active cases.

We've seen many examples of case managers using an IRO to speed up treatments and improve patient safety and reduce the cost over the patient care life cycle. Case managers and utilization review nurses who deploy IROs also find that it's a much faster and easier way to make healthcare decisions compared to waiting on internal or allied doctors. Since independent review organizations are in the business of supporting fast and quality patient health care decisions, they're able to make decisions faster, easier and at a lower cost compared to other processes. This is why case management, utilization review and other types of medical management firms are increasingly turning to IROs as a key resource in their healthcare decision making toolkit.

Medical Case Management Best Practices

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Chelsea Dermatology - Chelsea, MI

!±8± Chelsea Dermatology - Chelsea, MI

Chelsea Dermatology 734-475-3221 www.yellowbook.com

Chelsea Dermatology - Chelsea, MI

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Basal Cell Skin Cancer

!±8± Basal Cell Skin Cancer

One of the most common forms of cancer in existence is basal cell carcinoma, which is a form of chance.

skin cancer. It can be an extremely destructive and mildly disfiguring form of skin cancer and the risk of developing this particular form of skin cancer increases greatly for individuals who have a history of the disease in their families. The risk of developing it also increases with increased exposure to sunlight, as sunlight causes exposure to damaging UV light. Carcinogenic chemical exposure such as exposure to arsenic also increases the

Treatment options for Basal cell skin cancer include surgery, mohs surgery, X-ray, cryosurgery, topical chemotherapy and photodynamic therapy. It is very rarely a life threatening form of cancer, but if you do not treat it in time it can become disfiguring. Basal cell skin cancer can also cause bleeding, and can produce destruction on a local level. Local destruction that it can cause includes eye, nose, ear and lip damage, though this damage very rarely spreads further than the origin point of the tumor. However, long standing tumors that are not treated may be able to metastasize into lymph nodes and other surrounding areas, which can cause significant internal damage to bone and nearby tissues in the area where the tumor is growing.

There are numerous different forms of Basal cell skin cancer that are recognized, including Nodular Basal, Cystic Basal, Pigmented Basal, Superficial Basal and finally Sclerosing or Cicatrizing Basal. Nodular forms include flesh colored papules that are known as rodent ulcers when they ulcerate. Cystic forms are rarer and tend to be harder to distinguish in comparison to nodular skin cancers. Pigmented forms are often confused with melanoma cancers. Sclerosis forms present scar like lesions, and superficial forms present with red scaling patches.

Two thirds of all Basal cell skin cancer instances occur on areas of the body that are regularly exposed to the sun. One third of all instances of it on the other hand exist on areas of the body that are not regularly exposed to sunlight, and this fact emphasizes the idea that genetics may also cause it in some patients even if they are not regularly exposing their bodies to the harmful UV light provided by the sun. It tends to present as a firm nodule which clearly grows within the skin that exists above and below it. Basal cell skin cancer does not normally do much growing on the surface of the skin. The colors associated with it vary from normal skin color to black or dark brown, though there is always a pearly or translucent quality to the skin which is a telltale sign that a tumor is forming.

Basal cell skin cancer is not normally a deadly form of skin cancer, though it is still vital that the cancer be treated early to prevent it from becoming disfiguring. When it metastasizes, it can cause quite a bit of damage both above and below the skin, so that even after the cancer is treated, there will still be something left behind even once the it is gone.

Basal Cell Skin Cancer

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Photodynamic Therapy Part II

!±8± Photodynamic Therapy Part II

Photodynamic Therapy Part II

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What is a Cosmetic Physician?

!±8± What is a Cosmetic Physician?

In Australia Cosmetic Physician is a title commonly used to describe a Medical Practitioner that provides one or more non-surgical medical procedures designed to augment or enhance their patient's appearance. Procedures performed include botox, dermal fillers, chemical peels, laser and IPL therapy, cosmetic mole removal, acne treatments, leg and facial vein treatments, microdermabrasion and photodynamic therapy.

It is important to realise that the the title Cosmetic Physician is not a recognised specialist qualification. In Australia no exam or post-graduate study is required to use this title. In fact, any registered Medical Practitioner could refer to himself as a Cosmetic Physician. This is potentially somewhat confusing as the title Physician generally refers to a recognised specialist with post-graduate training and qualifications. It is for this reason that I personally use the term Cosmetic Medicine Doctor.

In Australia there is no government recognised post-graduate Cosmetic Medicine or Cosmetic Surgery qualification. There is no officially recognised training or accreditation in any of the procedures. Training generally is provided by drug companies that produce the products that Cosmetic Doctors use. This is not to say that training is inadequate. In fact, my experience has been that the training and ongoing education provided by these companies is excellent.

There are two groups in Australia that represent doctors paractising non-surgical cosmetic procedures. These are the Australasian Society of Cosmetic Medicine and the Cosmetic Physicians Society of Australasia. No exam needs to be passed to become a Member of either of these Societies. Both these Societies provide educational events and seminars as well as offering more advanced education such as Diplomas and Fellowships. Whilst I am a supporter of ongoing education it is important to realise that none of these qualifications are recognised by the Australian Government as conferring specialist status.

It could be argued that Cosmetic Medicine is a mixture of consumerism and Medical Practice. Sometimes dubious marketing techniques are employed that may exaggerate the qualifications of the Practitioner performing the procedure. As professionals, Medical Practitioners should put the interest of their patients above their own personal interests. Trust and honesty is an integral part of this. Always be prepared to ask a Medical Practitioner what there titles and qualifications really mean.

What is a Cosmetic Physician?

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Facial Redness NYC - (212)-644-9494 - NYC Facial Redness

!±8± Facial Redness NYC - (212)-644-9494 - NYC Facial Redness

dermatologistsnyc.com (212)-644-9494 Welcome to New York Dermatology headed by Board Certified Dermatologist Dr. Gary Rothfeld in New York, NY the most advanced Dermatology and skin care center in New York City, Manhattan and the world. We offer the perfect blend of aesthetics and science for all your skin care needs. Our Skin and Laser and Ethnic Skin Specialty Center in NYC headed by Dr. Rothfeld treats a wide range of dermatologic conditions and provides state-of-the-art laser and cosmetic procedures. And at our on-site CosMediSpa, you can pamper yourself with physician-formulated aesthetic treatments. These unique therapies confer long-lasting aesthetic and medical benefits, and far surpass the normal aesthetic techniques. NYC Dermatology is under the medical supervision of Dr. Gary Rothfeld, a Board Certified Dermatologist. To enhance every aspect of your skin care, Dr. Rothfeld has personally created a superb line of cosmetic procedures.. NYC Dermatology by Board Certified Dermatologist Dr. Gary Rothfeld is a board certified NYC Dermatologist with a New York City office in Manhattan, New York providing expert skin care, dermatology, and cosmetic dermatology services. A board certified dermatologist in NYC specializing in dermatology and dermatologic surgery including state-of-the-art cosmetic surgical procedures, Dr. Gary Rothfeld is known for his attention to body symmetry and his dedication to meeting patients' personal goals. His specialties include full body ...

Facial Redness NYC - (212)-644-9494 - NYC Facial Redness

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Skin Tightening Lebanon - Dr. Dany Touma on MTV allotment 2 of 2

!±8± Skin Tightening Lebanon - Dr. Dany Touma on MTV allotment 2 of 2

Dr. Dany Touma Interviewed on MTV - Subject: Skin Tightening by Radiofrequency - more info: www.drdanytouma.com

Skin Tightening Lebanon - Dr. Dany Touma on MTV allotment 2 of 2

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5 Ways To Remove Those Hairs

!±8± 5 Ways To Remove Those Hairs

Always wanting to remove those unwanted hairs? Well there are quite few methods or treatment that enables us to get rid of those unwanted hairs on the different parts of our bodies; the armpits, chest, abdomen, eyebrows, back, head, pubic areas, legs and face. Also there is a wide variety of hair removing products on the market. Hair Removal Treatments are classified into five classes; Permanent, Temporary, Banned Methods or Experimental, Hair Growth Inhibitors.

Permanent Hair Removal Treatment

There are quite a few methods to permanently remove hairs or the effect of hairlessness lasts longer; Electrolysis, Flash lamp light treatment and Laser hair removal. This method uses various chemicals and types of energy or the combination of both to work on targeted areas and stop the growth of hair. During the course of the treatment, care must be a top priority to avoid damage of the surrounding tissues.

Temporary Hair Removal Method

There are 2 types of Temporary Hair Removal Method. Epilation treatment removes the hair along with its root. This type of hair removal treatment can be in various ways.

-Waxing

A layer of hot or cold wax is dubbed on the hairs and a cotton cloth is placed over on the wax and the strips are out together with the hairs.

-Plucking

The Hairs are removed by plucking them out using a pair of tweezers.

-Threading

This method of hair removal is usually used in shaping and removing eyebrows and facial hairs. The hairs are plucked with the help of twisted threads.

-Ingrown Hair Treatments

Ingrown hairs are usually formed by waxing, plucking, threading and epilation. This type of hair starts growing inside the skin when the hairs are broken off beneath the skin. These cause small red swellings on the skin and causes skin irritation and rashes. A hydroxybenzoic acid or salicylic acid solution is used to act as an exfoliant and treat ingrown follicles, while a small sterilized needle is used to takeout the hairs.

-Sugaring

It is very much similar to waxing. A sticky paste is used to substitute the wax and the process of removing the hair is just the same.

-Epilators

These are mechanical tweezers fixed in a row and it grabs the hairs and pulls them out rapidly. It is like a high-tech version of plucking.

-Depilation

It is the removal of the hair by trimming using electric shavers or manual shavers, and by shaving. Shaving creams or powders are used as another way of depilation. It chemically dissolves the hair and leaves a smooth skin.

Hair Growth Inhibitor Treatment

A doctor prescribes medicines for facial and oral use; an enzyme drug known as Epiladerm-Complex is prescribed. This drug inhibits or halts the growth of new hair cells, slowly reducing its growth and finally stops it. Another known enzyme drug is the Vaniga; the active ingredient is Eflornithine hydrochloride, which also inhibits an enzyme called Ornithine decarboxylase, which also stops the new hair cells from growing.

Laser Hair Removal Treatment

This treatment targets the hair follicles and destroys them and avoids damaging the skin. It may be an expensive and painful treatment but it is worth it when it is done without flaw by a qualified practitioner. This treatment is very suitable for those who have fair complexion. The laser targets the pigmented hair follicles.

Banned or Experimental Hair Removal Treatment

This type of method is very hazardous or dangerous to your health which causes health problems, skin blemishes or even death. Photodynamic therapy and X-ray are two of examples. It is a medical use initially used to treat cancers but now it is being used as a hair removal technique.

5 Ways To Remove Those Hairs

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Types Of Hair Removal Treatments

!±8± Types Of Hair Removal Treatments

Hair removal treatments are the methods that are used to remove hair from different parts of human body, these parts commonly include abdomen, armpits, back, chest, eyebrows, face, legs, head and pubic area. A wide range of hair removing products and hair removing treatments are available in the market. Hair Removal treatments can be divided into six major classes Temporary, Permanent, Hair Growth Inhibitors, Experimental or Banned Treatments, Doubtful Methods.

Temporary Hair Removal Treatments
Temporary hair removal treatments include both depilation and epilation treatments of hair removal. Depilation is the removal of hair by shaving or trimming with manual or electric shavers. Creams or shaving powders are also used as depilatory methods; they chemically dissolve the hair leaving the skin smooth. Friction with rough surfaces is another temporary method to removes away hair. While epilating treatment provide more lasting results. In epilation treatment entire hair is removed from the root. Epilation treatment can be done in different ways. Some of them are as follows

Plucking
Hair are plucked away with tweezers.

Waxing
Layers of hot or cold wax are applied over the hairs that are to be removed and then removed with the cotton cloth strip.

Sugaring
It is very similar to waxing. A sticky paste is used in place of wax and it is also removed in the same way as wax is removed.

Threading
It is also the plucking of hair with the help of twisted threads. This method is normally used for shaping eyebrows and removing facial hairs.

Epilators
Epilators are the mechanical tweezers that are fixed in row. This device grabs the hairs and pulls them out very rapidly.

Ingrown hair treatments
Ingrown hair are usually formed due to epilation, waxing, threading and plucking. Ingrown hairs grow when the hair is broken off beneath the skin, and start growing inside the skin. They appear as small red swelling on the skin and cause irritation and rash. Small sterile needles are used to takeout hairs and salicylic acid solutions are also used as treatment to solve this problem. Salicylic acid solutions act as exfoliant to treat these ingrown follicles.

Permanent Hair Removal Treatments
Permanent hair removal treatments provide long lasting results. Permanent hair removal includes various options to remove hairs. These options utilize different chemicals and various types of energy or the combination of these two to work on target areas and inhibit hair growth. During the treatment care must be taken to avoid damage of surrounding tissues. These treatments include Laser hair removal, Electrolysis and Flash lamp light treatment.

Laser Hair Removal Treatment
It is the permanent hair removal process. Laser target the hair follicles and destroy them without damaging the skin. It is considered as safe treatment if it is done by qualified practitioner. It is useful for large areas such as back and legs. This treatment is most suitable for the people with fair complexion having dark hair, laser targets pigmented hair follicles. It may be painful and expensive treatment.

Hair Growth Inhibitor Treatments
Hair growth inhibitor treatment is the process in which doctors prescribe medicines for oral and super facial use. An enzyme drug Epiladerm-Complex is prescribed. It inhibits the new hair cell growth. Hair growth reduces and finally stops. This drug is suggested to use till hair growth completely stops. Another enzyme based drug is available to inhibit hair growth is Vaniga; its active component is Eflornithine hydrochloride (inhibitor of enzyme ornithine decarboxylase)

Experimental or Banned Hair Removal Treatments
These treatments include the procedures that are injurious for health. They can cause health problems, leaver the skin blemished and even cause death. X-ray hair removal is one of such like hair removal treatment. Photodynamic therapy is also one of the dangerous hair removal treatments. Basically it is the medical technology that was initially used to treat cancers and now it is being used as a hair removal treatment. Its key components are photo sensitizer, light and tissue oxygen.

Doubtful Treatment
Doubtful treatments are the ones that have been in practice but are not clinically proven for efficiency and effectiveness. Such methods include:

o Electric tweezers
o Transdermal electrolysis
o Transcutaneous hair removal
o Photoepilators
o Microwaves
o Foods and dietary supplements
o Nonprescription topical preparations (hair growth inhibitors)

Types Of Hair Removal Treatments

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Foods That Help During Skin Cancer Treatment

!±8± Foods That Help During Skin Cancer Treatment

When undergoing skin cancer treatment, it is important to take special care of diet you take. However, in most cases, it becomes very difficult to focus on eating the right type of foods when undergoing cancer treatments. It becomes more difficult when you undergo radiation treatment or chemotherapy.

This therapy may dramatically affect your appetite. You need for counseling so that you can get proper nutritional supplements to make you feel stronger and feel faster during the treatment of skin cancer.

Here are certain foods and supplements to help you eat properly during skin cancer treatment:

a) Vitamin C

You should focus on eating foods rich in Vitamin C. Eat a lot of broccoli, spinach as well as citrus fruits. You should also consult your doctor about the fact whether taking a good amount of vitamin C will help. Experts believe that vitamin C speeds up the healing
process soon after biopsy or an excision.

b) Vitamin A and D supplements

Eating foods rich in vitamin A and D will help a lot in your skin cancer treatment. Since people undergoing skin cancer are forbidden to go under direct sunlight, supplements for vitamin D become an important addition to the diet.

c) Fruits and Vegetables
You should eat a lot of fresh organic fruits and vegetables. Also drink a lot of water. Any amount of dehydration in the body can prove harmful, if you are undergoing chemotherapy or radiation treatments. This can eventually result in serious side effects such as dry itchy skin, acne, rashes and peeling.

d) Raw food

Experts feel that eating raw food helps in treating a lot of disease. It also helps in enhancing the effects of skin cancer treatment. Raw foods are expert in killing cancer cells. When food is cooked, about 100% of all enzymes in a food are killed. This is because most foods contain necessary enzymes required to digest the food. Cooking food burdens body and disrupts many items reaching the body. Cooking food actually damage, the overall value of the food in several ways. Hence, it is important to eat vegetables in raw forms.

e) Juice Vegetables and Fruits

There are several benefits of juicing vegetables and fruits. First and foremost, juicing allows the nutrients more digestible and removes obstructing fibers. Another main advantage is that when you juice fruits and vegetables, you tend to have a lot more vegetables and fruits than normally. Juices play vital role in treating skin cancer.

f) Specific Vegetable Juices

Certain vegetable juices are very healthy and helpful in treating skin cancer. You may also go for vegetable juice by mixing carrot juice, beetroot juice, broccoli, cabbage and cauliflower.

Foods That Help During Skin Cancer Treatment

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Dr. Maria Tsoukas on Skin Cancer Treatment

!±8± Dr. Maria Tsoukas on Skin Cancer Treatment

Maria Tsoukas, MD, assistant professor of medicine at theUniversity of Chicago Medical Center, talks about how doctors diagnose skin cancer and how it is treated with methods such as drug creams, photodynamic therapy and surgery. For more information: sciencelife.uchospitals.edu This video is part of a recurring feature on the ScienceLife blog where a University of Chicago Medical Center expert will address - in a series of short Q&A-style videos - frequently asked questions about a popular medical topic. These videos accompany stories posted on the blog, and are meant to offer clear, accurate information about common diseases and the accepted medical treatments currently available.

Dr. Maria Tsoukas on Skin Cancer Treatment

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Fluorescence Diagnosis and Photodynamic Therapy of Skin Diseases

!±8±Fluorescence Diagnosis and Photodynamic Therapy of Skin Diseases

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This book is the most up-to-date publication on fluorescence diagnostic (FDAP) and photodynamic therapy (PDT) methods used in dermatology. Both techniques are presently world wide introduced as standards for the delineation and the treatment of cutaneous precancerous stages and tumors, which show steadily increasing numbers due to e.g. more frequent sun exposure. Summarizing experiences on more than 5.000 treated patients, it offers a comprehensive information on every aspect of skin tumor detection and treatment. The main part of the book focuses on the clinical aspects giving detailed descriptions on skin tumor detection as well as photodynamic treatment of selected diseases (solar keratoses, basal cell carcinomas, squamous cell carcinomas, Bowen's disease, psoriasis lesions, etc.). The clinically oriented chapters are supplemented by practical guidelines for PDT and FDAP. The included atlas is comprised of 270 high quality color figures allowing daily use as a handbook.

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