Pearls 2019 Charles E. Crutchfield III, MD Clinical Professor of Dermatology University of Minnesota Medical School Thank You I am sorry

n Family n Patients/Funny Clinical Stories Camp Discovery

Case of the Month [email protected]

Goal: Take Home 3 Pearls to Use in your Practice Starting Next Week! Informal and Relaxed Fun Success Stories with Practice Management Pearls

Patient Management Pearls Proper Framing Like a pilot flying from NY to LA Don’t Let Perfection be the Enemy of Very Good The treatment could make a that will make it look worse! For better patient compliance and overall success, don’t forget to congratulate your patiens on a job well done! Need a Diagnosis and Plan

Eclipse with the Family

Tinea Capitis Pearls Tinea Capitis 8 Week Therapy Under 20kg ¼ tablet 20-40 kg ½ tablet 40+ kg full tablet Warn about potential kerion For the entire family for 2 months 5 day quarantine Treatment Pearls Proper Framing Pile of Medicines for Acne Acne Scarring Saline Injections

TheraClear

I don’t need a radio Atopic Eczema Pearls Atopic Eczema Atopic Eczema is Asthma of the Skin Acknowledge Atopic Eczema is a Family Condition Dupilumab Il-4, Il-13 Phototherapy Calcineurin inhibitors PDE4 Inhibitors PDE4 inhibitors are promising new agents in the treatment of inflammatory skin diseases including eczema and atopic eczema. The precise mechanism is still being elucidated. PDE4 inhibitors affect cellular cAMP levels which, in turn, reduces the inflammatory response. Their human cutaneous anti- inflammatory effects are not quite as strong as corticosteroids, but they do work. Their effectiveness seems to be about the same strength as the calcineurin inhibitors. I use them to control mild to moderate eczema, and to maintain improvement in moderate to severe cases of eczema after initially calming down with topical or systemic corticosteroids. Because pharmaceutical preparations of PDE4 inhibitors relatively new, there is always a concern about their cost, availability, and insurance coverage. Side effects tend to be few if any. They definitely have a place in the toolbox of eczema treatments. Steroid Pulse Therapy Bleach Bath Pearl Don’t forger bed linens! Don’t forget PJs!

Siri, is Santa Real?? Anesthesia Pearls Zimmer Chiller ProNox

Has anyone seen my shoes? Pearl Rosacea Pearl !!! Mix 1 bottle of Afrin($6) with 1 bottle of CeraVe pm ($12). Shake. Put on in the morning. Works great for rosacea patients and way cheaper than Mirvaso ($500). Can be layered with Metro Cream! Treatment Pearls

Skin of Color MetorDoctors, Spring 2019

Melanocytes and Melanin

Platelet Rich Plasma Pearls Platelet Rich Plasma

Hair Loss Pearls NutraFol

Actinic Damage Pearls Neutrogena Hydroboost Sunscreen 2 week Combination Treatment for AK’s

ISDIN Corrective Sunscreen Itching Pearls

Vitiligo Pearls Narrow Band UVB Xeljanz

Botox Pearls Additional Uses

Hyperhidrosis Migraine Headaches TMJ Facial Slimming

Mom………… Practice Management Pearls Get Dr. Johnson’s Doorbell Online Reviews Manage Your Online Reputation Dr. Sheridan and Doctors.com Check on your access What did you go to medical school for? Recognize your staff Get an Office Concierge Can You help me get my skin ready for my wedding? Anything Questions or other Challenging Cases? Emergency Appointments Telephone ‘Curb Side’ Consults 651.209.3617 Sleep on it... Case of the Month [email protected] for anything you may need

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