Guest guest Posted April 11, 2002 Report Share Posted April 11, 2002 > Even more > unfortunately, the U of R referral went down the toilet. I called the derm > department at Strong Memorial Hospital and they cant see me until late July. > Also, the rather rude lady who answered the phone said I wouldn't be able to > see a resident or anything, and made me feel like a retard for even asking, > according to her there are 5 doctors there to see, thats it, and they're all > booked until mid-summer Adam, when I recommended Strong Memorial to you, I assumed you were unconflicted about finding the best medical facility in your area to help you manage your skin problem. ly, the age of the doctor, the social skills of the receptionist, or needing to wait a few months to help manage a lifelong condition are side issues. I wouldn't have expected you to bring them to the forefront. > Plewig, G. " cea: epidemiology and pathogenesis " J Cutan Med Surg 2 Suppl > 4: S4-10, 1998. > Donshik, P.C., " Inflammatory and papulosquamous disorders of the skin and > eye " Dermatol Clin 10: 533-547, 1992. > Shear, N.H. " Needs Survey of Canadian cea Patients " J Cutan Med Surg 3: > 178-181, 1999. > National cea Society " cea Review " Summer 1997. Drake, L. > Wiemer, D.R. " Rhinophyma. " Clin Plast Surg 14: 357-365, 1987. > Brinnel, H. " cea: disturbed defense against brain overheating. " Arch > Dermatol Res 281: 66-72, 1989. (<-- Interesting title, I'm surprised > something with this name was published in 1989!!) > Klaber, R " The Pathogenesis of cea: a review with special reference to > emotional factors " . Br J Dermatol Syp 51: 5011939 Thanks for this. Are these references at the back of the chapter? If so, they're references he found valuable and/or those he recommends to others for further information, not references that support a specific assertion. After making an unusual statement like his " Misconception #3 " , I would expect Dr. Nase would provide specific data supporting what he's saying. Maybe it's some place else in the book? Marjorie Marjorie Lazoff, MD Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 11, 2002 Report Share Posted April 11, 2002 I dont mind the age of the person I see (I'd prefer someone younger, cuz I have better experiences with younger doctors), I just sorta wanted to get in sooner. My current derm is supposedly one of the best in the business. He's in his 60s (and seems to be just coasting 'til retirement) and he only gets me in once every 3 months. Based on my experience on the phone the other day I had no reason to believe Strong would be any better than him (3 months to see a really well-respected, but busy and unable to take enough time to listen type doctor who might see part of the problem but not understand the whole thing and then put me on medicines that will help some aspect of my condition while hurting another that he didn't consider to be as much of a problem, meanwhile leaving most of it unexplained to me, allowing me to research it all on my own some more, leaving me to continually chase my own tail etc.. ) And the derm I have been seeing who I just haven't come away satisfied from seriously does come just as highly recommended as those folks.. so I don't know quite what to do.. I don't wanna spend 3 months to take another step sideways Basically, my one pre-requisite that I need to be happy with my derm is know that he will take the time to listen to me. Thats it. Dr. Nase does also talk about the matter a little more in a different chapter. Those sources that I listed are all from the back of the chapter, and are sited in the paragraph I quoted. So they should all talk about it directly. In this other chapter he talks about it more indepth, and he does not seem to make as large of a distinction between pre-rosacea and rosacea.. most of the cases he's talking about in teenagers do seem to be pre-rosacea or mild rosacea (flushing and erythema), but he considers that being on the road to developing more of the symptoms later in life. He says " the exaggerated flush response is the first clinical sign of cea, and that it can be present much earlier in life than general physicians think. " Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 11, 2002 Report Share Posted April 11, 2002 I dont mind the age of the person I see (I'd prefer someone younger, cuz I have better experiences with younger doctors), I just sorta wanted to get in sooner. My current derm is supposedly one of the best in the business. He's in his 60s (and seems to be just coasting 'til retirement) and he only gets me in once every 3 months. Based on my experience on the phone the other day I had no reason to believe Strong would be any better than him (3 months to see a really well-respected, but busy and unable to take enough time to listen type doctor who might see part of the problem but not understand the whole thing and then put me on medicines that will help some aspect of my condition while hurting another that he didn't consider to be as much of a problem, meanwhile leaving most of it unexplained to me, allowing me to research it all on my own some more, leaving me to continually chase my own tail etc.. ) And the derm I have been seeing who I just haven't come away satisfied from seriously does come just as highly recommended as those folks.. so I don't know quite what to do.. I don't wanna spend 3 months to take another step sideways Basically, my one pre-requisite that I need to be happy with my derm is know that he will take the time to listen to me. Thats it. Dr. Nase does also talk about the matter a little more in a different chapter. Those sources that I listed are all from the back of the chapter, and are sited in the paragraph I quoted. So they should all talk about it directly. In this other chapter he talks about it more indepth, and he does not seem to make as large of a distinction between pre-rosacea and rosacea.. most of the cases he's talking about in teenagers do seem to be pre-rosacea or mild rosacea (flushing and erythema), but he considers that being on the road to developing more of the symptoms later in life. He says " the exaggerated flush response is the first clinical sign of cea, and that it can be present much earlier in life than general physicians think. " Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 11, 2002 Report Share Posted April 11, 2002 I dont mind the age of the person I see (I'd prefer someone younger, cuz I have better experiences with younger doctors), I just sorta wanted to get in sooner. My current derm is supposedly one of the best in the business. He's in his 60s (and seems to be just coasting 'til retirement) and he only gets me in once every 3 months. Based on my experience on the phone the other day I had no reason to believe Strong would be any better than him (3 months to see a really well-respected, but busy and unable to take enough time to listen type doctor who might see part of the problem but not understand the whole thing and then put me on medicines that will help some aspect of my condition while hurting another that he didn't consider to be as much of a problem, meanwhile leaving most of it unexplained to me, allowing me to research it all on my own some more, leaving me to continually chase my own tail etc.. ) And the derm I have been seeing who I just haven't come away satisfied from seriously does come just as highly recommended as those folks.. so I don't know quite what to do.. I don't wanna spend 3 months to take another step sideways Basically, my one pre-requisite that I need to be happy with my derm is know that he will take the time to listen to me. Thats it. Dr. Nase does also talk about the matter a little more in a different chapter. Those sources that I listed are all from the back of the chapter, and are sited in the paragraph I quoted. So they should all talk about it directly. In this other chapter he talks about it more indepth, and he does not seem to make as large of a distinction between pre-rosacea and rosacea.. most of the cases he's talking about in teenagers do seem to be pre-rosacea or mild rosacea (flushing and erythema), but he considers that being on the road to developing more of the symptoms later in life. He says " the exaggerated flush response is the first clinical sign of cea, and that it can be present much earlier in life than general physicians think. " Quote Link to comment Share on other sites More sharing options...
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