Эпизоды
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Dr. Michael Payette discusses innovative approaches to treating hidradenitis suppurativa (HS), with special focus on how GLP-1s are revolutionizing treatment by targeting inflammation. The conversation explores comprehensive management strategies for this challenging inflammatory skin condition that has historically been difficult to treat effectively.
• Board-certified dermatologist Dr. Michael Payette specializes in hidradenitis suppurativa treatment
• HS is a challenging inflammatory skin condition often misdiagnosed for years
• GLP-1 inhibitors (like Ozempic, Wegovy) reduce inflammation by decreasing metabolically active fat cells that produce inflammatory cytokines
• Treatment approach includes four components: topical antibacterials, oral medications, injectable biologics, and GLP-1 inhibitors
• Insurance coverage for GLP-1s remains challenging but workarounds exist
• Mental health benefits include both direct improvement from disease control and potential anti-inflammatory effects in the brain
• Patient resources include HS Foundation website, online support groups, and specialized clinics
• Multiple new treatments are in clinical trials, offering hope for better options in the near future
If you're dealing with painful, recurring boils or nodules, especially in the armpits, groin, or under breasts, don't be afraid to ask your dermatologist about HS. Visit the HS Foundation website to find specialized providers in your area. -
Dr. Diego Ruiz da Silva returns to dive deep into effective treatments for chronic itching, explaining why antihistamines often fall short and highlighting more successful approaches. His expertise from running a dedicated itching clinic offers practical solutions for one of dermatology's most frustrating and persistent problems.
• Antihistamines only effectively treat specific types of itch like hives, despite being widely recommended
• Moisturizing is crucial for all itching conditions as it repairs the skin barrier that protects against irritants
• Thick, bland moisturizers applied right after bathing are most effective for locking in moisture
• Natural supplements like omega-3 fatty acids and oral ceramides can help manage itch from within
• Off-label neurological medications like gabapentin can interrupt the itch-anxiety cycle
• Phototherapy using narrow-band UVB light effectively reduces inflammation
• Home phototherapy units are becoming more accessible and may be covered by insurance
• Neuropathic itching may respond to medications borrowed from pain management
Subscribe, leave a review, and share this podcast with anyone who needs a little skincare sanity. -
Пропущенные эпизоды?
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Dr. Shannon Trotter and Dr. Elizabeth Muennich dive into the sensitive topic of vaginal skincare to separate fact from fiction and offer practical advice for women. They discuss the differences between external and internal vaginal skin, proper care techniques, and treatment options for common concerns.
• Vaginal skin consists of two types: regular skin on the outside and more sensitive mucosal tissue on the inside
• The vagina is self-cleaning and requires minimal intervention - aggressive cleaning disrupts natural bacteria balance
• "Vagacials" and specialized vaginal products are generally unnecessary and can potentially cause irritation
• Simple moisturizers like petroleum jelly work best for external dryness, while internal dryness may indicate a medical condition
• Breathable cotton underwear and fragrance-free laundry products help prevent irritation
• Quality lubrication from reputable brands is important for preventing friction during sexual activity
• Non-surgical options like radiofrequency treatments can address vaginal atrophy, laxity, and stress incontinence
Visit dermittrotter.com for more skincare information. -
Medicare is nearing a breaking point that threatens healthcare access for everyone—not just seniors. In this eye-opening conversation with dermatologists Dr. Andrew Weinstein and Dr. Brad Glick, we uncover how decades of Medicare cuts have created an unsustainable situation for medical practices across America.
"Medicare reimbursement is lower now than it was in 1998," Dr. Weinstein reveals, highlighting a troubling reality that most patients don't realize. While inflation continues to drive up the cost of running a medical practice—from staff wages to supplies—Medicare payments have been steadily declining. This isn't just about physician compensation; it's about the ability to keep practices open and accessible to patients who need care.
We explore the structural differences between Medicare and Medicaid, break down Medicare's alphabet soup (Parts A, B, C, and D), and discuss why the current physician fee schedule is fundamentally flawed. Most critically, we examine why this matters to everyone—not just current Medicare beneficiaries. Dr. Glick explains, "If a doctor decides not to take Medicare, those doors are closed to patients needing specialized care.
The conversation takes an urgent turn as we discuss potential solutions and what patients can do to help preserve Medicare for current and future generations. Physicians aren't asking for excessive profits; they're fighting to maintain a system where they can afford to keep serving their communities without sacrificing the quality of care.
Whether you're currently on Medicare, paying into it through your paycheck, or simply concerned about healthcare access in America, this discussion offers essential insights into a crisis that demands immediate attention. Subscribe now to join our ongoing exploration of healthcare challenges and solutions that affect us all. -
Join Dr. Trotter and Dr. Iris Rubin this week to dive further into the world of hair! But it's not hair loss this week, it's hair care. Listen to learn how our skin and hair are connected, and how to care for them both!
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In this episode, we go across the pond to Ireland to hear from Dermatologist Caitroina Ryan, from the Institute of Dermatologists in Dublin. Ever wonder if those over-the-counter skin and hair supplements in your cabinet are truly safe? Dr. Ryan challenges common assumptions about their efficacy and risk. Learn why blindly trusting marketing claims can be hazardous to your skin health and how her team uses social media to inspire informed consumer choices. This conversation intends to equip you with the knowledge you need to navigate the booming world of nutraceuticals confidently.
Topics touch on:
• Discussion on the rapid growth of the supplements market
• Evaluation of the actual safety and efficacy of over-the-counter supplements
• Insights on collagen and its impact on skin elasticity and hydration
• Importance of omega-3s for overall well-being and skin health
• Role of antioxidants in preventing skin aging and enhancing skin quality
• Discussion of vital vitamins and minerals necessary for healthy skin
• Importance of maintaining a balanced diet alongside supplement use
• Closing thoughts on prudent supplementation paired with professional guidance
You'll find actionable insights here whether you're grappling with aging or perimenopause. -
Unlock the secrets to combating hair loss. Discover why topical and oral minoxidil remain a cornerstone in hair loss treatment. Dermatologist Dr. Ronda Farah discusses the importance of accurate diagnosis from a credited dermatologist, empowering you to make informed decisions about your hair health journey.
Topics covered:
• Social Media and false claims that could be dangerous if followed;
• Oral minoxidil's emerging role in hair growth treatment;
• Exploring the benefits and timeframes for low-level laser therapy;
• Introduction to platelet-rich plasma (PRP) and its uses;
• The importance of assessing your diet and what supplements you already get before adding other supplements.
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The episode focuses on the vital role collagen plays in skin health and various methods for preserving it as we age. Listeners learn about collagen banking, dietary influences, environmental factors affecting collagen levels, the importance of using retinoids, peptides, and in-office treatments to maintain skin vitality.
• Importance of collagen for skin structure and hydration
• Factors that accelerate collagen breakdown
• The concept of collagen banking for long-term preservation
• Recommended skincare products and routines for collagen support
• Role of peptides in stimulating collagen production
• Holistic approaches to skincare and internal health
• Practical tips to integrate into daily routines for healthier skin -
Dr. John Barbieri, a leading expert from Harvard Medical School, joins us to unravel the complexities of acne treatment with a focus on practical and preventive strategies. Ever wondered how something as simple as a hydrocolloid patch can help combat inflamed pimples and deter that irresistible urge to pick? Discover the benefits and limitations of these patches, along with critical insights into hormonal acne management for adult women. We promise you’ll gain a deeper understanding of why prevention is key, and how thoughtful skincare decisions can lead to clearer skin.
Topics Include
• Understanding effectiveness of hydrocolloid acne patches
• Role of hormones in triggering acne flare-ups
• Treatment options including birth control and spironolactone
• Risks associated with long-term antibiotic use
• Potential of light therapy as an adjunct to traditional treatments
• Common misconceptions about acne management
• Importance of a proactive approach to skincare
Tune in for a comprehensive guide on navigating the often overwhelming terrain of acne treatments, and equip yourself with strategies that could transform your skincare routine. -
Unlock the secrets of your skin with expert insights from Dr. Peter Lio, board certified dermatologist and Clinical Assistant Professor of Dermatology & Pediatrics at Northwestern University. Did you know billions of microorganisms live on your skin and that they could be the key to healthier, happier skin? We promise you'll gain a fresh perspective as we explore how these tiny life forms impact conditions like eczema and atopic dermatitis and learn about the latest breakthroughs in probiotic treatments that could revolutionize your skincare routine.
Topics include:
• Defining the skin microbiome and its components
• Individual uniqueness of each person's microbiome
• Consequences of microbiome imbalance and its role in skin conditions
• Information for maintaining a healthy microbiome
• How environmental factors affect the skin microbiome
• The relationship between diet, skin health, and the microbiome
• Understanding prebiotics and probiotics and their significance
For more information, check out the www.dermittrotter.com. -
Join us for an enlightening conversation with Dr. Todd Schlesinger, a board certified dermatologist, as we explore the transformative power of topical retinoids. Discover how these vitamin A derivatives work at the cellular level to address skin issues such as acne and wrinkles. We promise to simplify the complexities surrounding retinoid formulations and discuss the variety of available options, both over-the-counter and prescription-based.
Topics discussed:
• Overview of what retinoids are and how they function
• Discussion of the various types of retinoids available
• Differences between prescription and over-the-counter options
• Explanation of the advantages of modern retinoid formulations
• Addressing misconceptions about side effects
• Emphasis on the importance of individualized skincare regimens
• Exploration of natural alternatives versus scientifically-backed retinoids
• Information for integrating retinoids into a daily routine
Visit our website, www.dermittrotter.com, for more valuable information and skincare tips. -
Discover how stress can take a toll on your skin with insights from our esteemed guest, Dr. Matt Zirwas, who has spent over two decades unraveling the mysteries of eczema. You’ll gain a new understanding of the powerful connection between stress and atopic dermatitis and why managing stress is crucial for skin health.
We also learn that the foods we eat can impact eczema by altering our gut microbiome. This episode challenges conventional wisdom, suggesting that the key might not be avoiding certain foods but rather nurturing a healthy gut with probiotics. From dietary considerations to cutting-edge treatment strategies you'll hear several ways eczema may be managed. -
In this episode of Derm-it Trotter! Don't Swear About Skincare Dr. Shannon C. Trotter is joined by Dr. Adam Friedman to discuss Sensitive Skin Syndrom. Sensitive Skin Syndrome is a legitimate condition affecting many individuals, characterized by heightened sensitivity to various stimuli without visible skin disorders. Our conversation with Dr. Adam Friedman emphasizes the importance of validating these experiences, understanding underlying causes, and exploring effective treatments.
• Definition and recognition of sensitive skin syndrome
• Prevalence statistics highlighting affected populations
• Major triggers, including environmental conditions and lifestyle factors
• Importance of cautious product testing and selection
• Recommendations for effective skincare management, including sunscreens and moisturizers
• Be wary of unregulated marketing claims in sensitive skin products
Please reach out to your board-certified dermatologist to get more information. -
Whether you're skeptical or a skincare enthusiast, this episode promises to debunk myths and reveal which trends are worth your time. Dr. Shannon C. Trotter, explores the most buzzworthy skincare trends of 2024. Curious about the quest for "glass skin"? Learn why this multi-step regimen earns a "Trot" for its remarkable hydration benefits and a "Not" for pressuring people with the promise of perfection. We'll also uncover the potential of "collagen banking" as a promising method for preserving youthful skin, and so many more trends to listen and learn about. Join us for an engaging discussion that makes skincare accessible and enjoyable, regardless of age or lifestyle.
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Unlock the secrets of discerning truth from fiction in the world of online dermatology with Dr. Shannon C. Trotter and our esteemed guest, Dr. Lawrence J. Green, a board-certified dermatologist and clinical professor. As misinformation runs rampant across social media platforms like TikTok, Instagram, Facebook, and , we promise you'll leave this episode equipped with insightful knowledge on how to identify credible skincare advice amidst the chaos. Dr. Green shares his expert insights on the unique challenges dermatologists face in combating bizarre trends and highlights the importance of turning to certified professionals for skincare advice to avoid harmful consequences.
Dr. Green shares stories of colleagues who have harnessed the power of social media to provide accurate information, underscoring the dedication required to combat falsehoods and promote healthy skin practices. With so much at stake, it's crucial to seek expertise from board certified dermatologists to ensure your skincare routine is both safe and effective. -
Unlock the secrets to effective acne treatment with isotretinoin and safeguard your skin's future. On this episode of Derm-It Trotter! Don't Swear About Skincare, Dr. Shannon C. Trotter is joined by Dr. Francisca Kartono, a board-certified dermatologist with a focus on cutaneous T-cell lymphoma, as we unveil the mysteries behind isotretinoin, commonly known as Accutane. Discover how this powerful medication has revolutionized the approach to tackling moderate to severe acne and why early intervention can be a game-changer in preventing scarring.
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Dr. Shannon C. Trotter and guest Dr. Fabrizio Galimberti together tackle the misconceptions surrounding hidradenitis suppurativa (HS), often mistaken for poor hygiene, by clarifying its true nature as an inflammatory disorder. Dr. Galimberti shares the early signs and symptoms that can steer you toward a timely diagnosis, potentially transforming a person affected by HS. This episode promises to equip you with the knowledge to identify HS, understand its genetic factors, and dispel the stigma associated with it.
With a focus on the impact of HS on quality of life, this episode champions a comprehensive approach to care, advocating for patient empowerment through support groups and resources. Tune in for some Skin Sanity. -
If you are a parent, you know that if your child isn't sleeping, neither are you. Don't Swear About your child's skin health. In this episode of Derm-It Trotter! Don't Swear About Skincare, Dr. Shannon C. Trotter talks with Dr. Lisa Swanson, a pediatric dermatologist, about things parents should know and look out for, such as Eczema or atopic dermatitis.
The good news is pharma is making great strides with drug treatments that are safe for young children. Learn how some common skin conditions manifest in children of all ages so you know when to ask an expert for help.
Dr. Swanson Denumks several myths: one she hears all too often is a parent saying oh its just diaper rash it will go away on its own. Her tip is "NO" do not explain skin irritations away, see a professional and get that child some relief as soon as possible.
She also shares her list of favorite products to use with your children, from laundry detergent to moisturizing lotions to hand sanitizers. This is a great episode for parents and guardians to learn how common skin irritations manifest themselves differently depending on the child's age. Plus, hear what questions you should be asking your dermatologist about your child's skin health. -
Unlock the secrets behind accessing specialty medications with expert insights from Janelle Ball, CEO and founder of BC Educators. We promise to guide you through the intricate maze of obtaining biologics, highlighting the crucial role of pharmacy benefit managers (PBMs) and the essential steps for prior authorizations.
From understanding prior authorization processes to leveraging platforms like Cover My Meds, we provide a comprehensive roadmap to improve patient outcomes and streamline medication access. -
Wondering about the practicalities of joining a clinical trial? We’ve got you covered. Dr. Serrao, a leading dermatologist in clinical trials, and host Dr. Shannon C. Trotter discuss the importance of informed consent, safety measures used during trials, patient autonomy, and the supportive role of healthcare providers in decision-making. They offer tips on assessing trial risks and benefits and highlight helpful resources like trialstoday.org for anyone interested in exploring trial opportunities. From understanding placebos to navigating access to post-trial treatments, this episode is your go-to guide for becoming an informed participant in a clinical trial helping to advance skincare.
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