Summary

In this episode of The Future of Dermatology Podcast, Dr. Faranak Kamangar engages in a deep conversation with Dr. Kathy Fields about the evolving landscape of dermatology, the psychological impact of skin conditions, and the importance of mental health awareness. They reflect on the recent TEDx event, discuss the challenges posed by social media, and emphasize the need for female leadership in medicine. The conversation also touches on the future of dermatology with the rise of AI and the importance of building strong relationships with patients.

Watch Dr. Field's full TEDx presentation: https://youtu.be/SbSa81utzJE?si=Ur4J-oRFVxdENMo5

Catch more TEDx presentations!

Dr. Faranak Kamangar: https://youtu.be/XAcCahWkKiQ?si=KOw8eo9X-VmbrBC4

Dr. Julie Letsinger: https://youtu.be/BKpRZHp1u44?si=C1IybJtRiJFoZL-P

Nora Engstrom: https://youtu.be/ZP64ZhULyBI?si=ewmVSApitKs7mURn

Dr. Leah Millheiser: https://youtu.be/hvkHeb7_Q6w?si=LrCevtnksLrMhOg5

Melissa Bowdoin: https://youtu.be/SbSa81utzJE?si=Ur4J-oRFVxdENMo5

 

Takeaways

• The psychological impact of skin conditions is significant and often overlooked.
• Social media exacerbates mental health issues related to skin appearance.
• Female leadership in medicine is crucial for fostering inclusivity and support.
• AI is transforming diagnostics but cannot replace the human touch in patient care.
• Dermatology has evolved significantly over the past decades, offering more than just treatment for skin issues.
• Building relationships with patients is essential for effective care.
• Imposter syndrome is a common challenge for both men and women in medicine.
• Advocacy for mental health awareness is vital in dermatology.
• The importance of mentorship and finding advocates in your professional journey.
• The future of dermatology is bright, with opportunities for growth and innovation.

 

Chapters

00:00 - Introduction to the Future of Dermatology Podcast

00:58 - Reflections on the TEDx Event

05:06 - The Impact of Social Media on Mental Health

07:03 - The Psychological Aspects of Dermatology

11:47 - Female Leadership in Medicine

16:06 - The Future of Dermatology and AI

20:01 - Building Relationships in Patient Care

Summary

Dr. Faranak Kamangar and Sam Kamangar chat about the TEDx Sandhill Road Women event, highlighting the importance of storytelling, mentorship, and community support in empowering women. They discuss their experiences and insights on engaging the younger generation, the role of men in supporting women's empowerment, the significance of language in professional settings, and the challenges women face in health and legal access. This discussion emphasizes the need for continuous growth, collaboration, and the sharing of ideas to foster a supportive environment for future generations.

Do you know someone who has a story to share? Let's connect! thefutureofdermatology@gmail.com

They could be a guest on our next podcast or at our next TEDx event.

 

Watch the full TEDx presentations!

Dr. Faranak Kamangar: https://youtu.be/XAcCahWkKiQ?si=KOw8eo9X-VmbrBC4

Dr. Julie Letsinger: https://youtu.be/BKpRZHp1u44?si=C1IybJtRiJFoZL-P

Nora Engstrom: https://youtu.be/ZP64ZhULyBI?si=ewmVSApitKs7mURn

Dr. Leah Millheiser: https://youtu.be/hvkHeb7_Q6w?si=LrCevtnksLrMhOg5

Melissa Bowdoin: https://youtu.be/SbSa81utzJE?si=Ur4J-oRFVxdENMo5

Dr. Kathy Fields: https://youtu.be/SbSa81utzJE?si=Ur4J-oRFVxdENMo5

 

Takeaways

• The TEDx format is an effective way for professionals to share ideas.
• Storytelling plays a crucial role in shaping the next generation. - Engaging young people in discussions is essential for their development.
• Men's support is vital in women's empowerment initiatives.
• Language proficiency can significantly impact professional success.
• Access to legal resources is critical for personal and professional growth.
• Empowering young female leaders is essential for future progress.
• Navigating change requires personal growth and stepping out of comfort zones.
• Menopause should be openly discussed to educate and empower women.
• Collaboration and sharing ideas can lead to greater success.

 

Chapters

00:00 - Introduction to the Future of Dermatology Podcast

00:52 - The Importance of Executive Presence

03:38 - Role Models and Storytelling in Women's Lives

05:30 - Engaging the Younger Generation

07:17 - The Power of Diverse Communities

09:10 - Men Supporting Women in Professional Spaces

11:05 - Breaking Taboos in Women's Health Discussions

12:21 - Recap of TEDx Talks

12:40 - AI and Language in Dermatology

16:09 - Dr Kathy Fields: A Dermatology Pioneer

19:12 - Nora Engstrom: Access to Law for Women

21:23 - Melissa Bowdoin: Empowering Future Leaders

25:16 - Dr. Julie Letsinger: Navigating Change

26:35 - Dr. Leah Millheiser: Menopause and Women's Health

29:22 - The Impact of Education and Experience

32:11 - The Importance of Teamwork and Support

34:29 - Encouraging the Next Generation

37:10 - Looking Ahead: Future TEDx Events

Summary

In this episode, medical students Chandler Johnson and Payton Smith share their experiences navigating the residency application process in dermatology. They discuss the challenges of applying for away rotations, the importance of preparation and research, and strategies for making a positive impression during rotations. The conversation emphasizes the significance of building relationships within the medical team, active participation in procedures, and the necessity of self-care and authenticity throughout the demanding journey of medical education.

 

Takeaways

• The residency application process is highly competitive, especially in dermatology.
• Away rotations are crucial for gaining exposure and making connections. - Researching programs and reaching out to past students can ease anxiety.
• Preparation for rotations includes studying relevant material beforehand.
• Building relationships with all team members is essential for success.
• Active participation in procedures can help you stand out.
• Self-care is vital to avoid burnout during medical training.
• Authenticity is key; be yourself during rotations.
• Networking is important; introduce yourself to everyone.
• The timeline for interviews and applications can be overwhelming, focus on one step at a time.

 

Chapters

00:00 - Introduction to the Journey of Dermatology Residency

03:03 - Navigating the ERAS Application Process

05:52 - Choosing and Preparing for Away Rotations

09:05 - Tips for Success During Away Rotations

11:56 - Building Relationships and Networking

15:08 - Active Participation in Procedures

18:12 - The Future: Interviews and Match Day Preparation

21:09 - Self-Care and Maintaining Authenticity

Summary

Dr. Paradi Mirmirani shares insights on hair loss, particularly alopecia areata, and discusses the importance of miniaturization in hair disorders. This exclusive session from SF Derm 2024 delves into the role of environmental factors in scarring alopecia and offers practical tips for dermatologists to improve patient outcomes. Want to learn more? You'll have to join us for next year's SF Derm Society Conference in June of 2025!

 

Takeaways

• Hair loss updates are crucial for effective patient care.
• Miniaturization is a key factor in diagnosing hair loss.
• Low dose oral minoxidil is effective for various hair disorders.
• Environmental factors may contribute to scarring alopecia.
• Avoiding fragrances can significantly improve scalp health.
• Monitoring for side effects of minoxidil is essential.
• Collaboration among experts can enhance treatment protocols.
• Understanding patient history is vital for effective treatment.
• Education on hair disorders is important for dermatology practitioners.

 

Chapters

00:00 - Introduction to the Future of Dermatology Podcast

01:54 - Hair Loss Updates and Practical Tips

04:36 - Understanding Miniaturization in Hair Loss

10:55 - Exploring Scarring Alopecia and Environmental Factors

Summary

In this episode of the Future of Dermatology Podcast, Dr. Faranak Kamangar discusses the complexities of acne treatment, focusing on the psychological impact of acne on patients and the importance of effective topical therapies. The conversation covers the latest guidelines for acne treatment, the efficacy of various topical agents including benzoyl peroxide and retinoids, and explores advanced treatment options such as isotretinoin and laser therapy. The episode emphasizes the need for patient compliance and the role of alternative treatments in managing acne effectively.

Takeaways

• Acne topicals are important for improving patients' quality of life.
• The AED guidelines recommend benzoyl peroxide, topical retinoids, and topical antibiotics as preferred treatments.
• Combining multiple topical therapies and limiting systemic antibiotic use are good practice statements.
• Topical therapies are not highly effective, but their efficacy improves when combined.
• Other treatments like Clascoterone cream and isotretinoin target sebum reduction and sebaceous gland apoptosis.
• The 1726 nanometer laser shows promise as a treatment option.
• Azelaic acid, salicylic acid, and other topicals are effective and popular among patients.
• Compliance is crucial in acne treatment.

Chapters

00:00 - Introduction to Acne and Its Impact

03:06 - Topical Therapies for Acne Treatment

06:07 - Understanding Benzoyl Peroxide and Its Efficacy

08:47 - Exploring Advanced Treatments and Mechanisms

12:01 - Alternative Topical Treatments and Patient Compliance

Summary

Dr. Mary Alice Mina, a Harvard-trained dermatologist, discusses her transition from clinical medicine to providing education on social media and hosting The Skin Real, a podcast on skin health. She emphasizes the importance of providing accurate and reliable information in the skincare industry, which is often filled with misinformation and gimmicks. Dr. Mina also highlights the shift towards a more holistic and proactive approach to skincare, focusing on preventative measures and overall health. She discusses the advancements in regenerative medicine, such as exosomes and stem cell therapy, and the potential they hold for the future of dermatology. Additionally, she emphasizes the importance of sun protection and the need to educate people about the different types of skin cancers and their potential risks.

 

Takeaways

• Transitioning from clinical medicine to teaching on social media and hosting a podcast allows dermatologists to provide accurate and reliable information to a wider audience.
• A holistic and proactive approach to skincare, focusing on preventative measures and overall health, is becoming more popular.
• Advancements in regenerative medicine, such as exosomes and stem cell therapy, show promise for the future of dermatology.
• Educating people about the importance of sun protection and the different types of skin cancers is crucial in preventing and treating these conditions.

 

Chapters 00:00 - Introduction and Background of Dr. Mary Alice Mina

02:24 - Transitioning from Clinical Medicine to Teaching on Social Media

05:15 - Embracing a Pro-Aging and Holistic Approach to Skincare

15:45 - Exploring Emerging Technologies in Dermatology

19:28 - The Importance of Sun Protection in Preventing Skin Cancers

24:57 - Educating People about Different Types of Skin Cancers

31:47 - Advice for Residents and the Future of Dermatology

Summary

Shawn Thomas shares his journey as a psoriasis patient and co-founder of Solay. He describes his initial symptoms and the progression of his psoriasis, leading to his diagnosis in 2018. Shawn discusses the emotional impact of being diagnosed with an incurable disease and the challenges of managing psoriasis on a daily basis. He emphasizes the importance of sharing his diagnosis and finding support from others who also have psoriasis. Shawn explores various treatment options he tried, including topical corticosteroids and natural remedies, before discovering the Goeckerman therapy. He shares his experience of self-administering the therapy using over-the-counter coal tar and UVB light.

Learn more about Solay at: https://solayhealth.com/

 

Takeaways

• Psoriasis is an incurable disease that can have a significant emotional impact on patients.
• Sharing the diagnosis and finding support from others with psoriasis can help patients feel less alone.
• Exploring different treatment options, including natural remedies and innovative therapies like Goeckerman therapy, can be beneficial.
• Self-administering treatments like coal tar and UVB light may be an alternative for patients who cannot access specialized clinics. Goeckerman therapy can be an effective and safe treatment for psoriasis, but it is often inaccessible due to limited availability and barriers such as time and cost.
• Soleil, a telemedicine platform co-founded by Shawn Thomas, aims to make Goeckerman therapy more accessible by providing patients with the necessary equipment and physician oversight.
• Innovations in healthcare access and delivery, such as value-based care models and telehealth, are needed to ensure that effective treatments are affordable and available to all patients.
• Building trust and strong patient-provider relationships are crucial in improving treatment adherence and outcomes.
• The future of dermatology and healthcare should focus on both treatment innovations and innovations in access to care.

 

Chapters

00:00 - Introduction and Guest Introduction

02:19 - Diagnosis and Challenges of Psoriasis

12:18 - Discovering Goeckerman Therapy

19:06 - Personal Experience with Goeckerman Therapy

27:24 - Innovations in Access to Dermatological Care

35:03 -The Future of Dermatology and Healthcare

40:16 - Conclusion and Closing Remarks

Summary

Dr. Arianne Shadi Kourosh, Director of Community Health Department of Dermatology at Massachusetts General Hospital, discusses her work on dermatologic resources for the intervention and prevention of human trafficking. She shares how she first became aware of the issue through her pro bono tattoo removal program for young people leaving gangs. Dr. Kourosh explains the three major categories of skin signs of trafficking: infection/infestations, injury/scarring, and imagery/tattoos. She emphasizes the importance of trauma-informed care and building trust with patients. Dr. Kourosh also highlights the resources available, including the AAD's online toolkit, an online registry of skin signs of trafficking, and the upcoming smartphone app called SSTEAR.

 

Helpful links:

• AAD trafficking toolkit: https://www.aad.org/member/clinical-quality/clinical-care/human-trafficking
• Registry of the Skin Signs of Trafficking: Redcap.link/trafficking
• Volunteer - contact shadi@mail.harvard.edu
• https://humantraffickinghotline.org/en

 

Takeaways

• Human trafficking is a prevalent issue that can affect individuals in our own communities.
• Dermatologists can play a crucial role in identifying and assisting trafficking survivors through the recognition of skin signs.
• The three major categories of skin signs of trafficking are infection/infestations, injury/scarring, and imagery/tattoos.
• Trauma-informed care and building trust with patients are essential in providing effective care.
• Resources such as the AAD's online toolkit, an online registry of skin signs of trafficking, and the upcoming smartphone app called STEER are available to healthcare providers.

 

Chapters

00:00 - Introduction and Background

01:30 - Discovering the Issue of Human Trafficking

03:54 - Skin Signs of Trafficking

09:56 - Recognizing the Prevalence in Our Communities

12:48 - The Three I's: Infection, Injury, and Imagery

19:15 - Trauma-Informed Care and Building Rapport

22:04 - Resources for Healthcare Providers

26:14 - Collaboration and Partnerships

Summary

In this episode, Dr. Fara Kamangar and personal trainer Danny Estrella discuss the importance of building muscle for functional longevity and overall health. They debunk myths about weightlifting making women bulky and emphasize the need for proper nutrition and strength training to optimize body composition. They also highlight the connection between muscle mass and basal metabolic rate, emphasizing the importance of maintaining muscle as we age. The conversation concludes with a discussion about the future of fitness and the potential for collaboration between health professionals and personal trainers.

 

Takeaways

• Building muscle is important for functional longevity and overall health.
• Proper nutrition and strength training are essential for optimizing body composition.
• Maintaining muscle mass is crucial for a higher basal metabolic rate and efficient calorie burning.
• The fear of getting bulky from weightlifting is a misconception; it takes time and dedication to build significant muscle mass.
• Collaboration between health professionals and personal trainers can lead to better overall health outcomes.

 

Chapters

00:00 - Introduction and Importance of Building Muscle

05:03 - Debunking Myths About Weightlifting

10:11 - The Role of Nutrition and Stimuli

14:57 - Addressing the Fear of Getting Bulky

20:09 - The Impact of Body Composition and Muscle Mass

25:12 - Bridging the Gap Between Health Professionals and Personal Trainers

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

 

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

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.

Summary

In this episode of the Future of Dermatology podcast, Dr. Faranak Kamangar discusses the intersection of artificial intelligence and dermatology with Pedram Abrari, a leading expert in AI and technology. They explore the complexities of integrating AI into medical practice, the potential benefits and challenges of large language models, and the importance of building trust between physicians and technology. The conversation highlights practical applications of AI in diagnostics, patient care, and administrative tasks, while addressing the historical mistrust of technology in medicine. The episode concludes with insights on the future of AI in healthcare and the necessity for physicians to adapt to these advancements.

Pedram Abrari, CTO of Pramata, is a proven technology leader specialized in highly scalable cloud platforms. Entrepreneur who excels at assessing the strengths and weaknesses of technology, competitive analysis, tracking market trends and strategic technology planning. Experienced at building world-class engineering teams and fostering high productivity. Believes quality begins with the inception of the idea, sound design, and proper architecture. Works tirelessly to pave the way for engineering teams to overachieve.

 

Takeaways

• AI is a game-changing technology that can enhance medical practice.
• The relationship between physicians and technology has historically been complicated.
• Large language models have the potential to mimic human intelligence.
• AI can help connect the dots in diagnosing rare diseases.
• Trust in AI will grow as its capabilities are proven over time.
• AI can significantly reduce administrative burdens in healthcare.
• The adoption of AI can improve patient care and outcomes.
• Physicians need to understand AI's strengths and weaknesses.
• AI will not replace doctors but will serve as an assistant.
• The future of healthcare will involve a collaborative approach between AI and medical professionals.

 

Chapters

00:00 - Introduction to AI in Dermatology

02:52 - Understanding Large Language Models

06:13 - The Relationship Between Physicians and Technology

09:03 - AI's Role in Medical Diagnostics

11:52 - The Future of AI in Healthcare

15:07 - Technology Adoption and Trust Issues

17:58 - Practical Applications of AI in Dermatology

21:05 - Overcoming Challenges in Prior Authorization

23:49 - Conclusion and Future Perspectives

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

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 @livingroominternational Visit 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

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

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

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:

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Help Us Understand About Menopause and Psoriasis

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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

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

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

Summary

In this episode, Dr. Faranak Kamangar and Katie Haran, UCSF med student, explores the relationship between vitiligo and retinal detachment, the implications for treatment, and the potential risks associated with certain medications. It also delves into the similarities between the eyes and skin, the impact of melanin on ocular health, and the need for extensive health monitoring for individuals with vitiligo. The discussion raises questions about the future of dermatology and the importance of understanding the mechanisms of vitiligo and its associated ocular pathologies.

Takeaways:

• The relationship between vitiligo and retinal detachment raises questions about the need for more aggressive treatment and extensive health monitoring for individuals with vitiligo.
• The use of Afamelanotide for genetic diseases, weight loss, and skin tanning is not recommended due to potential risks and lack of regulation. - The conversation highlights the similarities between the eyes and skin, particularly in relation to melanin and its impact on ocular health.
• The discussion prompts consideration of the future of dermatology, the need for a deeper understanding of vitiligo mechanisms, and the implications for ocular pathologies associated with melanin-related conditions.

 

Chapters:

00:00 - Introduction to the Future of Dermatology Podcast

01:22 - The Link Between Vitiligo and Retinal Detachment

05:25 - Understanding Vitiligo and Oculocutaneous Albinism

09:05 - The Mechanisms of Vitiligo and Ocular Pathologies

25:45 - Melanin: Uncovering the Similarities Between Eyes and Skin

26:22 - The Future of Dermatology: Understanding Vitiligo Mechanisms and Ocular Pathologies

Summary

In this episode, Dr. Farah Kamangar is joined by Payton Smith, a third-year medical student, and Dr. Mitch Davis, who recently matched into a dermatology residency program. The conversation delves into the dermatology application process, the challenges, and the experiences of medical students and residents. It also explores the importance of mentorship, the impact of failure, and the future of dermatology in terms of targeted therapies and AI. The guests share their personal journeys, challenges, and the value of perseverance in pursuing a career in dermatology.

Takeaways

• The dermatology application process is challenging and requires perseverance and dedication.
• Mentorship and networking play a crucial role in navigating the application process and building a successful career in dermatology.
• The impact of failure and the importance of not fearing it, but rather using it as a learning experience and a stepping stone to success.
• The future of dermatology holds promise with the development of targeted therapies and the potential role of AI in diagnosis and treatment.
• Personal experiences and challenges shared by medical students and residents highlight the value of resilience and determination in pursuing a career in dermatology.

Summary:

Dr. Clark Otley discusses the importance of physician involvement in the development of devices and technology in dermatology. He shares his experiences in innovation and business development at Mayo Clinic, highlighting the process of bringing ideas from ideation to market. Dr. Otley also introduces the Mayo Clinic Platform, a digital innovation platform that aims to assist entrepreneurs and innovators in the field of digital healthcare technology. He emphasizes the potential of AI in dermatology and the importance of physicians being at the forefront of technological advancements.

Takeaways:

• Physicians should be actively involved in the development of devices and technology in dermatology to ensure they meet the needs of clinicians and patients.
• The process of bringing an idea from ideation to market involves ideation, prototyping, testing, FDA approval, and developing a business model.
• The Mayo Clinic Platform is a digital innovation platform that connects innovators and entrepreneurs in digital healthcare technology with the tools, data, and expertise they need.
• AI has the potential to revolutionize dermatology by improving diagnostics, prognostics, and therapeutics, and optimizing practice management.
• Physicians can prevent burnout and find fulfillment by engaging in innovation and staying at the forefront of technological advancements in dermatology.

Chapters

00:00 - Introduction and Background of Dr. Clark Otley

04:15 - The Process of Bringing Ideas from Ideation to Market

09:54 - The Mayo Clinic Platform for Digital Healthcare Innovation

13:45 - The Potential of AI in Dermatology

Summary

From the 2024 SF Derm Society Annual Meeting, dermatologist, Dr. David Fiorentino discuss the significance of auto-antibodies in diagnosing dermatomyositis. He explores various phenotypes associated with the disease, emphasizing the importance of recognizing specific symptoms and patient presentations to improve diagnostic accuracy and patient outcomes. The conversation highlights the need for dermatologists to be aware of the complexities of dermatomyositis and the potential for severe complications if not diagnosed and treated promptly.

 

Takeaways

• The six groups of DM specific antibodies are crucial for diagnosis.
• Understanding phenotypes can enhance diagnostic capabilities.
• NDA5 antibodies are linked to severe interstitial lung disease.
• Dermatomyositis can present without typical skin symptoms.
• Early intervention is critical for patients with NXP2 antibodies.
• Patients may present with atypical symptoms that require careful assessment.
• Auto-antibodies can guide treatment decisions in dermatology.
• Recognizing the signs of dermatomyositis can prevent severe outcomes.
• Collaboration among dermatologists is essential for patient care.
• Continuous education in dermatology is vital for improving patient outcomes.

 

Chapters

00:00 - Introduction to the Future of Dermatology Podcast

00:58 - Understanding Auto-Antibodies in Dermatomyositis

03:13 - Diagnostic Approaches in Dermatomyositis

05:48 - Identifying Phenotypes in Dermatomyositis Patients

08:57 - Conclusion and Future Directions

Summary

Dr. Raja Sivamani, MD, MS (Bioengineering), AP, discusses his transition from academia to private practice and the importance of integrative medicine in dermatology. He shares his experience in running a clinical trials unit and the benefits of seeing Medi-Cal patients. Dr. Raja Sivamani also talks about Learn Skin, an online platform for dermatology education, and the future of dermatology, including the role of AI and the need for an open mind.

 

Takeaways

• Transitioning from academia to private practice can provide more freedom and opportunities for innovation.
• Integrative medicine, including nutrition and lifestyle approaches, is an important aspect of dermatology.
• Running a clinical trials unit can be efficient and impactful, especially when combined with a successful practice. Learn Skin is an online platform that offers dermatology education with an integrative spin.
• The future of dermatology involves embracing AI and collaborating with other healthcare professionals.
• Continuing education and keeping an open mind are essential for staying up-to-date in the field.

Chapters

00:00 - Introduction and Background

03:19 - Transitioning from Academia to Private Practice

06:08 - The Benefits of Private Practice

09:23 - Considerations for Starting a Private Practice

13:38 - Running a Clinical Trials Unit

21:56 -  The Future of Dermatology

Summary

Janelle Ball, the CEO and founder of BC Educators, discusses the importance of having a dedicated biologic coordinator in dermatology offices to streamline the prior authorization process for specialty medications. She emphasizes the need for proper documentation and education to ensure patients have access to the medications they need. BC Educators offers virtual coordinators and training to support offices in this role. Janelle also highlights the challenges of navigating insurance requirements and the importance of collaboration and networking among coordinators. She sees the future of dermatology involving more biologics and specialty medications, making the role of the biologic coordinator even more crucial.

 

Takeaways:

Having a dedicated biologic coordinator in dermatology offices can streamline the prior authorization process for specialty medications. Proper documentation and education are essential for ensuring patients have access to the medications they need. BC Educators offers virtual coordinators and training to support offices in the role of the biologic coordinator. Collaboration and networking among coordinators can help navigate insurance requirements and share best practices. The future of dermatology will likely involve more biologics and specialty medications, making the role of the biologic coordinator even more crucial.

 

Chapters

00:00 Introduction and Background

06:45 Streamlining Workflow in Dermatology Offices

12:47 The Role of the Biologic Coordinator

23:20 The Future of Dermatology

Summary

Dr. Farah Kamangar interviews Dr. Whitney Tolpinrud, the Medical Director at Curology, a personalized skincare service. They discuss the journey that led Dr. Tolpinrud to her current position and the inefficiencies of traditional clinical practice. They also explore the founding of Curology and its mission to provide accessible and personalized dermatological care through telemedicine. Dr. Tolpinrud shares her experience as the Medical Director and the various aspects of her role, including product development, marketing, and clinical research. They discuss the future of dermatology, emphasizing the importance of personalized medicine and the integration of technology, such as AI, into medical practice.

Takeaways

• Traditional clinical practice can be inefficient and limit the number of patients that can be seen.
• Telemedicine offers a more scalable and accessible solution.
• Curology is a personalized skincare service that provides telemedicine consultations and customized prescription treatments.
• The company was founded by a dermatologist and focuses on treating conditions like acne through a telemedicine platform.
• Dr. Tolpinrud serves as the Medical Director at Curology and is involved in product development, marketing, clinical research, and maintaining high medical standards.
• The future of dermatology involves personalized medicine, utilizing individual bio data and genetics, as well as the integration of technology, such as AI, into medical practice.

Chapters

00:00 - Introduction and Background

05:07 - Curology: Personalized Skincare through Telemedicine

11:35 - The Future of Dermatology: Personalized Medicine and Technology

Summary

Dr. Tina Bhutani shares her journey to becoming a dermatologist and the challenges she faced along the way. She emphasizes the importance of being proactive in interviews and marketing oneself effectively. Dr. Bhutani also discusses the rewards and challenges of working in an academic setting, including the bureaucracy and administrative burdens. She highlights the significance of clinical trials and her interest in studying lifestyle modifications and their impact on skin disease. However, she acknowledges the difficulty of getting funding for these types of studies. In this conversation, she discusses her busy life as a dermatologist and the importance of patient-centered research and accessible clinical trials. Dr. Bhutani and Dr. Fara also talk about Dr. Bhutani's book that she co-authored on the use of biologics in psoriasis treatment. The conversation covers various chapters of the book, including laboratory monitoring, TNF-alpha inhibitors, IL-17 class of biologics, combination therapies, biologic agents for pediatric psoriasis, special site psoriasis, comparing biologic agents, long-term registry data, biologic agents in special populations, and adherence to biologic therapy. Dr. Fara and Dr. Bhutani emphasize the importance of individualizing treatment and having open conversations with patients about their preferences and needs.

 

Takeaways

• Be proactive in interviews and market yourself effectively
• Working in an academic setting has rewards and challenges
• Clinical trials are important for providing access to treatments
• Studying lifestyle modifications and their impact on skin disease is valuable
• Obtaining funding for non-traditional studies can be challenging
• Patient-centered research and accessible clinical trials are important for improving dermatology treatments
• Dr. Bhutani's book on the use of biologics in psoriasis treatment provides practical guidance and evidence-based recommendations
• TNF-alpha inhibitors are still valuable in psoriatic arthritis treatment
• IL-17 class of biologics work quickly and are effective for tough-to-treat areas
• Combination therapies can be beneficial for patients who have already tried monotherapy
• Treating special site psoriasis is important for improving quality of life and preventing comorbidities
• Comparing biologic agents is challenging due to individual patient factors and access issues
• Long-term registry data provides reassurance about the safety and efficacy of biologic agents
• Special populations, such as pregnant women and the elderly, require careful consideration in biologic therapy
• Adherence to biologic therapy is crucial, and treatment should be tailored to individual patient preferences and needs

Chapters

00:00 Introduction and Background

08:39 Navigating the Challenges of an Academic Setting

29:27 The Value of TNF-alpha Inhibitors in Psoriatic Arthritis

36:04 Comparing Biologic Agents: Challenges and Considerations

Summary

In this episode, Dr. Farah Kamangar and Dr. Tina Bhutani discuss the challenges of accessing newer dermatology medications and the importance of proper documentation for prior authorization. They also touch on the use of patient coupons and the requirements set by insurance companies. The conversation highlights the need for clear and thorough notes, including previous treatments and failed therapies. The hosts emphasize the importance of advocating for patients and using all available resources to navigate the access process. They also discuss the potential role of AI in streamlining the prior authorization process.

This episode is sponsored by an educational grant from the company Dermavant.

 

Takeaways

• Accessing newer dermatology medications can be challenging due to the paperwork and prior authorization process.
• Patient coupons are available for some medications, but the reasons behind their existence are not always clear. Insurance companies often require documentation of previous treatments and failed therapies before approving newer medications.
• Thorough and clear notes are essential for successful prior authorization, including details of previous treatments and justifications for prescribing specific medications.
• Advocacy for patients and utilizing available resources can help navigate the access process.
• AI has the potential to streamline the prior authorization process and reduce the burden on healthcare providers.

Summary

In this episode, Dr. Farah Kamangar and Dr. Tina Bhutani discuss the efficacy and safety of Tapinarof, a non-steroidal topical therapy for psoriasis and atopic dermatitis. They highlight the impressive results of clinical trials, with 35-40% of psoriasis patients achieving clear or almost clear skin after 12 weeks of treatment. They also discuss the potential benefits of Tupinarof for atopic dermatitis patients. The side effects of folliculitis and headaches are mentioned, but overall, patients tolerate the medication well. The episode concludes with a discussion on the future of Tapinarof, including potential pediatric indications.

This episode is sponsored by an educational grant from the company Dermavant.

 

Takeaways

• Tapinarof is a non-steroidal topical therapy that has shown impressive efficacy in treating psoriasis, with 35-40% of patients achieving clear or almost clear skin after 12 weeks of treatment.
• The medication is also being studied for its effectiveness in treating atopic dermatitis, with early data showing promising results.
• Common side effects of Tapinarof include folliculitis and headaches, but overall, patients tolerate the medication well.
• The future of Tapinarof may include pediatric indications, which would be beneficial for parents looking for non-steroidal treatment options for their children.
• Gentle skincare techniques and moisturization may also play a role in managing psoriasis and improving skin barrier function.

Summary

In this episode of the Future of Dermatology podcast, Dr. Farah Kamangar and Dr. Tina Bhutani discuss the mechanism of action of aryl hydrocarbon receptors (AHR) and its potential in dermatology. They explore the history of AHR and its connection to coal tar, as well as its role in inflammation, antioxidant activity, and metabolism. They also touch on the importance of considering the impact of circadian rhythms and sleep on skin health. The conversation highlights the potential of AHR-targeted therapies in achieving longer remissions and the need to view psoriasis patients as a whole, addressing comorbidities and environmental factors. The episode concludes with a discussion on the future of dermatology, including the possibility of directly targeting resident memory T cells and the further exploration of AHR mechanisms.

This episode is sponsored by an educational grant from the company Dermavant.

Takeaways

• Aryl hydrocarbon receptors (AHR) have a complex mechanism of action and can have anti-inflammatory, antioxidant, and metabolic effects.
• AHR-targeted therapies, such as tofacitinib, have shown promise in achieving longer remissions in psoriasis patients.
• Considering the impact of circadian rhythms and sleep on skin health is important, as sleep loss can increase inflammation and affect skin diseases.
• Psoriasis patients should be viewed as a whole, addressing comorbidities and environmental factors.
• The future of dermatology may involve directly targeting resident memory T cells and further exploring the mechanisms of AHR.
• AHR-targeted therapies may offer new possibilities for treating inflammatory skin diseases and achieving longer remissions.

Chapters

• 00:00 Introduction
• 02:24 Understanding the Mechanism of Action of Aryl Hydrocarbon Receptors
• 09:07 The Impact of Circadian Rhythms and Sleep on Skin Health
• 12:43 Viewing Psoriasis Patients as a Whole
• 16:39 The Potential of AHR-Targeted Therapies in Achieving Longer Remissions
• 22:35 Exploring the Mechanisms of Aryl Hydrocarbon Receptors

Summary

In this follow up episode, Dr. Wilson Liao shares insights on the benefits of a research year for medical students and offers advice on transitioning back to medical school. He and SFDS Med Student, Chandler Johnson, also discuss the future of dermatology and the role of team science in advancing research.

Takeaways

• A research year provides medical students with valuable skills and insights into the field of dermatology.
• Transitioning back to medical school requires a clinical refresher and practicing essential clinical skills.
• Team science and collaboration are key to advancing dermatology research and finding better treatments for patients.

Summary

In this episode, Dr. Wilson Liao discusses the genetics and environmental triggers of psoriasis. He highlights the significant progress made in identifying psoriasis genes and how they relate to the different types and severity of psoriasis. Dr. Liao also explores the connection between psoriasis genes and therapeutic response, as well as the potential for precision medicine in psoriasis treatment. The conversation delves into the evolutionary persistence of psoriasis and its survival advantage in fighting off viruses. The role of environmental triggers, such as obesity, diet, and smoking, is also examined. Additionally, Dr. Liao and Chandler Johnson discuss their current research studies, including the Skin Tracker Project and capillary blood testing. In this conversation, Dr. Wilson Liao and Chandler Johnson discuss various research projects and clinical trials in dermatology. They explore the use of RNA and proteins in research, the importance of studying multiple aspects of autoimmune disease, and ongoing psoriasis survey studies. They also delve into the impact of menopause on psoriasis and the relationship between sleep and psoriasis.

 

Takeaways

• Significant progress has been made in identifying over 100 psoriasis genes, which has led to a better understanding of the different types and severity of psoriasis.
• Genetic testing can help predict therapeutic response and guide treatment decisions, with the potential for precision medicine in psoriasis.
• Psoriasis genes may have persisted evolutionarily due to their role in fighting off viruses, as seen in the similarities between psoriasis patients and HIV non-progressors.
• Environmental triggers, such as obesity, diet, and smoking, can contribute to the development and severity of psoriasis.
• Current research studies, including the Skin Tracker Project and capillary blood testing, aim to improve accessibility to clinical trials and provide insights into the molecular mechanisms of psoriasis. Research in dermatology involves studying RNA, proteins, and multiple aspects of autoimmune disease.
• Psoriasis survey studies are being conducted to explore the impact of menopause and sleep on psoriasis.

Help us understand how psoriasis affects you

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

 

Summary:

Dr. Keira Barr, MD, shares her non-traditional journey in dermatology and her focus on the mind-body connection in skin health. She discusses the harmful phrase "anti-aging" and the need to shift the conversation to a more positive and empowering approach. Dr. Barr also highlights the challenges and complexities of cosmetic dermatology consultations and the importance of addressing the psychological aspects of these procedures. She emphasizes the connection between mental health and skin health, particularly in relation to stress and trauma. Dr. Barr advocates for a more holistic and personalized approach to dermatology, incorporating mind-body techniques and personalized medicine. In this conversation, Dr. Keira Barr discusses the importance of skin health and provides insights into common skin conditions, prevention and treatment methods, and the role of skin care products. She also emphasizes the importance of skin cancer awareness and highlights the connection between skin health and overall well-being.

Takeaways:

• The phrase 'anti-aging' is harmful and should be replaced with a more positive and empowering approach to aging.
• Cosmetic dermatology consultations require addressing the psychological aspects of the procedures and understanding the motivations behind them.
• The mind-body connection is crucial in dermatology, as stress and trauma can impact skin health.
• Physicians need to prioritize building a connection with their patients and addressing their mental and emotional well-being.
• The future of dermatology lies in a more holistic and personalized approach, incorporating mind-body techniques and personalized medicine. Maintaining healthy skin is essential for overall well-being.
• Common skin conditions can be effectively prevented and treated with proper care. Choosing the right skin care products is crucial for maintaining skin health.
• Regular skin cancer screenings and awareness are important for early detection and treatment.
• Skin health is interconnected with overall physical and mental well-being.

Learn more from Dr. Barr at:

Website: drkeirabarr.com

Skincare Quiz: yourskincarequiz.com

Podcast: The Skinny Dipping Rx: https://podcasts.apple.com/us/podcast/the-skinny-dipping-rx/id1635601527

Instagram: @drkeirabarr

Summary

In this episode of the Future of Dermatology podcast, Dr. Farah Kamangar interviews Dr. Paradi Mirmirani, MD, a leading expert in hair disorders. They discuss the latest advancements in treating hair loss, particularly focusing on frontal fibrosing alopecia and scarring alopecia. Dr. Mirmirani shares her treatment algorithms, emphasizing the importance of removing triggers and using innovative therapies like oral minoxidil and JAK inhibitors. The conversation highlights the evolving landscape of dermatology and the exciting future of hair loss treatments.

Dr. Mirmirani's paper that is spoken about in this podcast will be published on November 20th, 2024.

 

Takeaways

• Dr. Mirmirani is a leading expert in hair disorders.
• Frontal fibrosing alopecia is increasingly common.
• Removing environmental triggers can significantly improve patient outcomes.
• Dutasteride is preferred over finasteride for treating FFA.
• Oral minoxidil is an effective treatment for hair loss.
• Dermatoscopy is essential for assessing hair loss conditions.
• New treatments for alopecia areata are now FDA-approved.
• Patient education is crucial for effective treatment.
• The landscape of hair loss treatments is rapidly evolving.
• Future research will focus on personalized treatment options for hair disorders.

 

Chapters

00:00 - Introduction to Dermatology and Dr. Mirmirani's Expertise

02:09 - Frontal Fibrosing Alopecia: Treatment Approaches

10:24 - Innovative Therapies for Scarring Alopecia

18:46 - Future of Hair Loss Treatments and Research

Summary

In this episode, Dr. Farah Kamangar discusses the effects of alcohol on the skin. She highlights the importance of considering alcohol consumption as a potential factor in dermatological conditions such as rosacea, eczema, and psoriasis. Dr. Kamangar also explains the guidelines for alcohol consumption and emphasizes the need to follow them to maintain skin health. Additionally, she explores the impact of alcohol on the immune system and its contribution to skin aging.

Takeaways

• Alcohol consumption can lead to various skin conditions, including rosacea, eczema, and psoriasis.
• It is important to understand the guidelines for alcohol consumption and follow them to maintain skin health.
• Excessive alcohol intake can weaken the immune system and increase the risk of skin cancers.
• Alcohol can contribute to premature aging of the skin.

Chapters

00:00

Introduction

00:32

Alcohol and its effects on the skin

03:14

Guidelines for alcohol consumption

04:10

Effects of alcohol on the skin

05:02

Alcohol and rosacea

06:28

Alcohol and other skin conditions

08:23

Alcohol and immune system

09:19

Alcohol and aging

09:49

Conclusion

Summary

In this episode of the Future of Dermatology Podcast, Dr. Faranak Kamangar discusses the shift from anti-aging to longevity in the field of dermatology. She explores the changing beauty standards and the desire to look more youthful and functionally enhanced. Dr. Kamangar also delves into the causes of aging, such as the fibroblast collapse theory, and the importance of behavioral changes and topical treatments for anti-aging. She highlights the role of retinoids in collagen production and introduces emerging therapies for anti-aging, including mTOR inhibitors and senolytics. The episode concludes with a discussion on the controversies surrounding the diagnosis of aging.

 

Takeaways

• The focus in dermatology has shifted from anti-aging to longevity and health span.
• Behavioral changes, such as sun protection and stress reduction, are important for anti-aging.
• Topical treatments like retinoids can stimulate collagen production and improve skin health.
• Emerging therapies, including mTOR inhibitors and senolytics, show promise in anti-aging research.

This podcast kicks off our anti-aging segment starting with Dr. Azadeh Shirazi, MD, FAAD, from More Than a Pretty Face Podcast, as she discusses her background, journey, and current practice in dermatology. Dr. Shirazi emphasizes the importance of social media and online education in connecting with patients and providing valuable information. She also shares her experience transitioning from a large corporate practice to opening her own private practice. She highlights the benefits of having a personalized, boutique practice and the challenges she has faced. Additionally, Dr. Shirazi talks about the creation of her skincare line and the comprehensive approach she takes in formulating her products.

 

Learn more at: https://azimdskincare.com/ Listen to Dr. Azi's podcast, More Than a Pretty Face, at https://morethanaprettyface.libsyn.com/

In our second Ask Me Anything, host Payton Smith asks Dr. Faranak Kamangar questions around patch testing for contact allergies, the difference between patch testing done by dermatologists and allergists, the use of oral minoxidil for hair loss, treatment options for chronic itch, the difference between emollients and lotions, the effectiveness of argireline and tretinoin for wrinkle reduction, the frequency and safety of micro-needling, and the treatment of scars.

Check out our shorts for the quick answers then come back to this podcast to learn more! https://www.youtube.com/@TheFutureofDermatology/shorts

Dr. Kamangar and Dr. Sarah Arron disucss non-invasive skin imaging which allows dermatologists to see beneath the surface of the skin without the need for biopsies. They also chat about the VIO system, the first of its kind technology.

To learn more, check out these articles and websites:

Enspectra Health Announces US FDA Clearance of VIO‎™ System, First of Its Kind Technology to Visualize Skin Cellular Structures in Real-Time 

Enspectra Health Website

Research Techniques Made Simple: Emerging Imaging Technologies for Noninvasive Optical Biopsy of Human Skin

UCSF Rosenman Institute

Fogarty Innovation

In this episode, Dr. Kamangar and Dr. Maria Buethe discuss the importance of providing childcare at educational conferences for young physicians. They reflect on their experience organizing a kids club at SF Derm 100 year Symposium in 2023, and the positive impact it had on attendees. They highlight the need for inclusive and high-quality childcare options to support physicians in attending conferences and advancing their careers. They also discuss the cost and sustainability of implementing such initiatives and the potential for sponsorship. The episode concludes with a discussion on the future of dermatology and the excitement around targeted therapies.

Summary

Dr. Mehdi Rashighi, MD, discusses groundbreaking research in dermatology focusing on autoimmune skin diseases. The conversation delves into multiomics research, the role of interferons in skin diseases, and the impact of UV exposure on conditions like cutaneous lupus and dermatomyositis. The episode highlights the importance of understanding cytokine signatures and the potential for new treatments targeting specific immune cells.

 

Takeaways

• The SFDerm 2024 meeting showcased significant advancements in dermatology.
• Multiomics research is crucial for understanding autoimmune skin diseases.
• Type one interferon plays a key role in cutaneous lupus and dermatomyositis.
• Cytokine signatures can help identify new treatment targets.
• Plasmacytoid dendritic cells are important in the pathogenesis of lupus.
• UV exposure can exacerbate skin diseases like lupus and dermatomyositis.
• Clinical trials are exploring monoclonal antibodies against interferons.
• Understanding photosensitivity is vital for managing lupus patients.
• Research is ongoing to better understand the immune response in skin diseases.

 

Chapters

00:00 - Introduction to the Future of Dermatology Podcast

00:56 - Exploring Multiomics in Dermatology Research

02:53 - Understanding Interferon Signatures in Skin Diseases

05:58 - Photosensitivity in Cutaneous Lupus and Dermatomyositis

Summary

In this episode of The Future of Dermatology Podcast, Dr. Faranak Kamangar discusses hyperhidrosis, a common condition characterized by excessive sweating. The conversation covers the causes, prevalence, and various treatment options available, including topical treatments, botulinum toxin injections, oral medications, and advanced technologies like ionophoresis and miradry. Dr. Kamangar emphasizes the importance of patient education and setting realistic expectations for treatment outcomes.

 

Takeaways

• Hyperhidrosis is often diagnosed by patients before seeing a doctor.
• The condition can be debilitating and affects various aspects of life.
• Most cases of hyperhidrosis are primary, with few secondary causes.
• Topical antiperspirants are the first line of treatment.
• Setting expectations is crucial for patient satisfaction with treatments.
• Botulinum toxin is effective but can be painful for patients.
• Oral medications can be used but have contraindications.
• Ionophoresis is a viable option for some patients.
• Emerging technologies like microneedling for botulinum toxin show promise.
• Patient education is key to managing hyperhidrosis effectively.

 

Chapters

00:00 - Introduction to Hyperhidrosis

02:45 - Understanding Hyperhidrosis: Causes and Prevalence

06:00 - First-Line Treatments for Hyperhidrosis

09:13 - Advanced Treatment Options: Botulinum Toxin and Microneedling

11:51 - Oral Medications and Ionophoresis

15:06 - Injectable Treatments and Patient Management

17:47 - Emerging Technologies and Future Directions in Treatment

Summary

From the 2024 Annual SF Dermatology Society sessions, Dr. Iltefat Hamzavi shares insights on vitiligo, its psychosocial impacts, and the pathophysiology behind the condition. The session emphasizes the need for effective treatment strategies and the importance of patient well-being in managing skin conditions.

 

Takeaways

• Dermatology is a community-focused specialty.
• The VASI score is crucial for assessing vitiligo severity.
• Vitiligo has a significant psychosocial impact on patients.
• Younger patients with vitiligo show higher rates of depression.
• Effective treatment of vitiligo requires time and patience.
• Counseling patients is essential for successful treatment outcomes.
• The face is the most responsive area for vitiligo treatment.
• Oxidative stress plays a key role in vitiligo pathophysiology.
• A multi-faceted approach is necessary for treating vitiligo.
• Future dermatology meetings will continue to address these important topics.

 

Chapters

00:00 - Introduction to the Dermatology Podcast

01:58 - The Importance of Community in Dermatology

03:25 - Understanding the Impact of Vitiligo

06:45 - Pathophysiology and Treatment of Vitiligo

10:09 - Conclusion and Future Directions in Dermatology

Summary

This The Future of Dermatology Podcast focuses on recent advancements in the treatment of vitiligo, particularly highlighting the role of Afamelanotide in clinical trials. Dr. Kamangar includes insights from the SF Derm 2024 Annual Meeting, the mechanisms of vitiligo, and the potential of Afamelanotide to aid in repigmentation without affecting the immune system. Clinical trial results and patient outcomes are also discussed, emphasizing the importance of this treatment for patients with darker skin types.

 

Takeaways

• Vitiligo treatments have traditionally focused on the immune system.
• Afamelanotide aims to boost repigmentation without immune suppression.
• The study is a phase three trial comparing Afamelanotide with narrowband UVB.
• Initial results show promise for Fitzpatrick skin types four to six.
• The treatment is suitable for adolescents and adults aged 12 and up.
• Photos from trials indicate significant repigmentation in patients. - Afamelanotide has a good safety profile based on previous treatments.
• The drug is being studied for its broader dermatological applications. - There are concerns about unregulated versions of Afamelanotide in the market.
• Awareness of Afamelanotide is crucial for dermatologists.

 

Chapters

00:00 - Introduction to the Future of Dermatology Podcast

01:20 - Exploring Vitiligo Treatments and Research

03:10 - Afamelanotide: A New Hope for Repigmentation

05:37 - Clinical Results and Implications of Afamelanotide

Summary

From the 2024 Annual SF Dermatology Society sessions, Dr. Amit Pandya discusses the complexities of vitiligo, a common skin disorder affecting millions worldwide. He explores the importance of understanding patient perspectives, the pathogenesis of vitiligo, and the latest treatment approaches. This talk emphasizes the need for personalized patient care and the significance of early intervention for better outcomes. The session concludes with a call for increased awareness and education in dermatology.

 

Takeaways

• Vitiligo affects about 1% of Americans and 70 million people worldwide.
• Patients with vitiligo often feel abandoned due to a lack of specialized care.
• The peak age of onset for vitiligo is during young adulthood, which can be particularly stressful.
• Understanding the pathogenesis of vitiligo is crucial for effective treatment.
• The treatment of vitiligo requires patience and realistic expectations from patients.
• Photographs are essential for monitoring treatment progress in vitiligo patients.
• Public education is needed to encourage early treatment for vitiligo.
• Dermascopy can help assess the prognosis of vitiligo patients.
• Shared decision-making is vital in managing treatment options for patients.
• Every patient's experience with vitiligo is unique and should be approached individually.

 

Chapters

00:00 - Introduction to the Future of Dermatology Podcast

00:58 - The Importance of Vitiligo Awareness

02:53 - Understanding Vitiligo: Patient Perspectives

06:07 - Pathogenesis of Vitiligo

08:55 - Treatment Approaches for Vitiligo

11:50 - Prognosis and Patient Management

15:10 - Conclusion and Future Directions

Summary

In this truncated replay from the 2025 SF Derm Annual Conference, Dr. David Cotter discusses the implications of latent tuberculosis in dermatology, particularly in psoriasis treatment. He highlights the prevalence of latent TB, risk factors, and the importance of targeted screening. This session also addresses the mental health challenges faced by psoriasis patients and evaluates the safety of new treatments, emphasizing the need for careful monitoring and patient support.

Takeaways

- The prevalence of latent TB infection in the U.S. is 5%. - Healthcare workers have a higher risk of latent TB. - Patients on TNF inhibitors are significantly more likely to develop active TB. - Screening for latent TB should be targeted to high-risk patients. - Annual TB screening is not necessary for most psoriasis patients on IL-17 and IL-23 inhibitors. - The cost of screening for latent TB can be substantial. - Patients with psoriasis have higher rates of suicidal ideation and behavior. - Effective psoriasis treatment can improve mental health outcomes. - The event rate for suicide in clinical trials is very low. - Monitoring for mental health issues is crucial in psoriasis treatment.

Chapters

00:00 - Understanding Latent Tuberculosis in Dermatology 08:40 - Mental Health and Psoriasis: A Critical Connection

Summary

This podcast episode features a comprehensive discussion with Dr. Ekama Carlson and Dr. Faranak Kamangar on the latest advancements in acne treatment, particularly focusing on energy-based devices and the innovative AvaClear laser. The speakers delve into the pathogenesis of acne, the effectiveness of various treatments, and the importance of patient selection for laser therapy. They also share insights from clinical trials and patient experiences, highlighting the transformative impact of these treatments on individuals suffering from acne.

Takeaways

- Acne affects 10% of the world's population, making it a significant dermatological issue. - Energy-based devices are becoming increasingly popular for managing acne. - Selecting the right patient for laser therapy is crucial for successful outcomes. - The Acne Laser Series protocol involves multiple treatments for optimal results. - AvaClear laser technology specifically targets sebaceous glands for effective acne treatment. - Clinical trials show promising results for the AvaClear laser in reducing inflammatory lesions. - Patient education about treatment expectations is essential for satisfaction. - Long-term outcomes of laser treatments can lead to significant improvements in skin health. - Innovations in dermatology are changing the landscape of acne treatment. - Combining treatments can enhance efficacy and patient satisfaction.

Chapters

00:00 - Introduction to the Future of Dermatology Podcast 00:40 - Understanding Acne Pathogenesis and Treatments 01:52-  Energy-Based Devices for Acne Management 05:22 - Selecting Patients for Laser Therapy 06:40 - Acne Laser Series Protocol and Results 11:35 - Comparative Effectiveness of Treatments 15:05 - Innovations in Acne Treatment: The AvaClear Laser 19:18 - Clinical Trials and Efficacy of AvaClear 24:42 - Patient Experience and Long-Term Outcomes

Summary

In this truncated replay, Dr. Shyam Joshi explores the intersection between allergy and dermatology—focusing on how chronic spontaneous urticaria (CSU), atopic dermatitis, and food allergies often overlap. Learn how emerging biologics like omalizumab and dupilumab are reshaping treatment decisions, why comorbidities matter, and how collaboration between allergists and dermatologists creates better outcomes for patients with complex allergic and dermatologic conditions.

This episode dives into real-world case studies, FDA updates on antihistamines, and the multidisciplinary approach to managing eczema and CSU in pediatric and adult populations.

Takeaways

- FDA Advisory on Antihistamines: Long-term use of cetirizine or levocetirizine can lead to rebound pruritus upon discontinuation—but gradual tapering minimizes symptoms. - Biologic Selection Depends on Comorbidities: - Omalizumab is effective for IgE-mediated food allergies and chronic urticaria. - Dupilumab is preferred for patients with eosinophilic esophagitis (EoE) or moderate-to-severe atopic dermatitis. - CSU Is Systemic: Symptoms may extend beyond hives—impacting joints, sleep, and energy levels. - Comorbid Conditions Are Common: Up to 20 % of CSU patients have asthma, allergic rhinitis, or food allergies; identifying these helps guide treatment and patient education. - Unified Messaging Builds Trust: Consistent communication from both dermatologists and allergists reduces unnecessary testing and supports adherence to treatment plans.

Chapters

00:00 - Introduction: Bridging Allergy and Dermatology 00:45 - Case Study: An 18-Year-Old with Chronic Urticaria 02:00 - FDA Warning: Antihistamine Withdrawal Itch 03:45 - Selecting the Right Biologic: Food Allergy Considerations 04:45 - Eosinophilic Esophagitis and CSU         05:35 - The Systemic Nature of CSU 06:40 - Comorbidities in CSU and Atopic Patients 07:30 - Multidisciplinary Collaboration in Practice 08:00 - Closing Thoughts & Educational Disclaimer

Summary

In this truncated replay, Dr. Jason Hawkes discusses the complexities of urticaria, a skin condition often overlooked in dermatology. He highlights the importance of understanding urticaria's symptoms, diagnosis, and management, particularly in chronic cases. The conversation also touches on the relationship between urticaria and autoimmune diseases, the necessity of testing, and the overall approach to treatment.

Takeaways

- Dermatology has historically overlooked urticaria management. - Urticaria is characterized by transient lesions lasting hours. - Chronic urticaria can persist for years without clear triggers. - Women are more likely to experience chronic urticaria due to autoimmune factors. - Extensive testing for urticaria is often unnecessary and unhelpful. - Understanding the nature of angioedema is crucial in diagnosis. - Patients may experience both hives and angioedema simultaneously. - Management strategies should focus on improving patient quality of life. - Autoimmunity plays a significant role in urticaria cases. - Education and awareness are key in dermatology practices regarding urticaria.

Chapters

00:00 - Introduction to Urticaria in Dermatology 02:44 - Understanding Urticaria: Symptoms and Diagnosis 06:03 - Chronic Urticaria: Nature and Management 08:58 - Autoimmunity and Urticaria: Exploring Connections 11:48 - Testing and Treatment Approaches for Urticaria