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Save up to $360 with Restylane® or Perlane®Receive $40 each syringe of Restylane® or $50 off each syringe of Perlane® up to $360.Treatment must take place between February 1- March 31st and mail in rebate must be postmarked by April 30th, 2012. _________________________________________________________ Save $50 with Dysport®Save $50 on a Dysport® treatment between February 1st and March 31, 2012.Schedule your free consultation today to discuss the benefits of Dysport®! _________________________________________________________ Colorescience® used to cover up pimples!CLICK HERE to view a video of Maria Menounos' tips on how to cover up your pimples using Colorescience®._________________________________________________________ FDA Announces New Sunscreen Rules'Broad Spectrum' Means UVA Plus UVB ProtectionWebMD Health News June 14, 2011 -- Sunscreen labels will carry a "broad spectrum" label to show they offer some protection against UVA radiation as well as UVB radiation, according to a long-awaited new rule from the FDA. Sunscreen"This is a very significant day for us. The FDA is announcing major changes in how sunscreens are regulated in the U.S.," Janet Woodcock, MD, director of the FDA center for drug evaluation, said at a news conference. "This will allow people to make better decisions and better protect themselves from sun-induced damage." Products currently labeled as "broad spectrum" may or may not protect against UVA. The new rule reserving the "broad spectrum" claim only for products that protect against UVA and UVB will not take effect until the summer of 2012. The old "SPF" designation still will show how well a product protects against UVB rays. But products with the new "broad spectrum" label will have to pass a test showing that they protect against UVA, too. The higher the SPF level on these broad-spectrum sunscreens -- up to SPF 50 -- the better they protect against both UVA and UVB. UVB radiation is responsible for sunburn and plays a major role in causing skin cancer. It affects only the outer layer of the skin. UVA, while less intense than UVB, is 30 to 50 times more prevalent than UVB and penetrates to deeper layers of the skin. UVA is the dominant tanning ray and is closely linked to skin aging. It also damages skin DNA and causes skin cancer. The "broad spectrum" designation carries a lot less specific information about UVA protection than the zero-to-four-star system the FDA originally proposed in 2007. But the FDA finally decided only to insist that UVA protection must increase as the SPF value goes up. New Information on Sunscreen Labels Also new to sunscreen labels will be a clear message stating how long water-resistant sunscreens maintain protection after a person swims or sweats. Labels will specify either 40 or 80 minutes of protection. Those that aren't water resistant will have to carry a warning to that effect. Sunscreen labels now will be able to claim that a product protects against skin cancer if it has an SPF rating of 15 or higher. And the product can claim to protect against sun-related premature skin aging if it has the broad-spectrum designation. However, products will not be allowed to claim they "block" the sun or that they prevent skin cancer or aging. They also can't say they last for more than two hours, unless proof of longer protection is submitted to the FDA. Like other over-the-counter drugs, sunscreens will now carry a "drug facts" box on the back or side of the container. Within the box will be any appropriate safety warnings. For example, sunscreens with an SPF under 15 will have to warn that they do not protect against skin cancer. New Information on Sunscreen Labels continued... These new rules will take effect by the summer of 2012, although Woodcock said some sunscreen makers may change their labels before that deadline. A proposed new rule would prevent products from claiming an SPF factor higher than 50. The highest permitted rating will be "50+," because the FDA says there's no convincing data that SPF levels higher than 50 are meaningful. However, manufacturers will be given time to submit data on special populations that might benefit from sunscreens with SPF factors over 50. The new rules are supposed to make it easier for people to buy and use sunscreens. But they raise a lot of questions. WebMD addresses these questions in an FAQ. Spray Sunscreen Questioned The FDA is asking the manufacturers of spray sunscreen products to prove how well the products work when used by consumers. There's concern that people may use too little of the products, thus failing to get the level of sun protection the label would lead them to expect. Spray sunscreen makers also will have to prove there's no danger from accidentally inhaling the products while applying them to children and adults. Consumer groups wanted a lot more from the FDA, which has been mulling the new sunscreen rules since 1978. "It's now been 33 years since FDA first announced plans to implement safety standards for sunscreens," the Environmental Working Group said in a statement. "When FDA drags its feet for more than three decades to set up some standards for the sunscreen industry, it's clearly not the federal government's finest effort." Consumers Union was more circumspect. "Today's announcement will take a lot of the guesswork out of reading sunscreen labels," Michael Hansen, PhD, Consumers Union senior scientist said in a statement. "The FDA's introduction of a broad-spectrum test and associated labeling will require the sunscreen makers to first prove that their product provides such protection, and further, it will weed out the sunscreens that make broad spectrum claims without any evidence." Many of the concerns over sunscreen involve the safety of their ingredients. Woodcock said the FDA has evaluated the available data. "We are not at this time putting out any alerts or concerns," she said. "We feel some of these issues require further investigation. But at this time, the benefits of using sunscreens far outweigh the potential harms. People should use sunscreens if exposed to the sun." Woodcock promised that if any ingredients are found not to meet FDA safety standards, the agency "will work with the manufacturers to remove the product from market." Sunscreen Alone Isn't Enough Ronald L. Moy, MD, president of the American Academy of Dermatology (AAD), praised the FDA actions. "This is really a remarkable day," Moy said at the news conference. "We thank the FDA for considering information submitted by AAD. Now we are glad there are consistent labeling instructions so the public can make informed decisions about sunscreens." Moy and the AAD differ from the FDA on one point. The FDA recommends broad-spectrum, water-resistant sunscreens with an SPF of 15 or higher. The AAD recommends broad-spectrum, water-resistant sunscreens with an SPF of at least 30. Moy stressed the importance of using plenty of sunscreen -- a golf ball-sized full ounce of sunscreen for a normal size adult body, reapplied every two hours. Sunscreens alone are not enough to prevent skin cancer, Moy said. In addition to sunscreen, he recommends that people who go outdoors wear protective clothing and sunglasses and to seek shade whenever possible. And he strongly warns against the use of tanning beds. _____________________________________________________
The Skin Cancer Foundation applauds the FDA for issuing its Final Sunscreen Monograph. According to the FDA, sunscreen ingredients are safe, and the benefit of regular sunscreen use far outweigh any potential risks. Sun protection is an important public health issue, and sunscreen is an integral part of a comprehensive sun protection regimen that also includes seeking shade and wearing protective clothing, including sunglasses. Although science and technology have advanced over the past several years to dramatically improve the efficacy of sunscreens, there has long been a need to update the governmental regulations associated with them -- particularly in the areas of UVA protection and product labeling. This announcement is a significant advancement for the FDA, which brings awareness to and acknowledges the importance of UVA protection in the prevention of skin cancer. We hope that these new FDA rules, along with the recently updated standards set by The Skin Cancer Foundation's Seal of Recommendation will enable consumers to choose sunscreens wisely. - Steven Wang, MD, Committee Member, The Skin Cancer Foundation's Photobiology Committee; Director of Dermatologic Surgery and Dermatology at Memorial Sloan-Kettering Cancer Center at Basking Ridge, NJ. Here are the main points in the FDA's new sunscreen rules: • Sunscreens may be labeled "broad-spectrum" if they provide protection against ultraviolet A (UVA) and ultraviolet B (UVB) radiation. • Only broad-spectrum sunscreens with a Sun Protection Factor (SPF) of 15 or higher can state that they protect again skin cancer if used as directed with other sun protection measures. • Sunscreens with an SPF of 2-14 will be required to have a warning stating that the product has not been shown to help prevent skin cancer or early skin aging. • The terms "sunblock", "sweatproof" and "waterproof" are no longer allowed on sunscreen labels. • A sunscreen may claim to be "water resistant"; however, the product must specify if it offers 40 minutes or 80 minutes of protection while swimming or sweating, based on standard testing. Sunscreens that are not water resistant must include a direction instructing consumers to use a water resistant sunscreen if swimming or sweating. • Sunscreens cannot claim to provide sun protection for more than two hours without reapplication. • Sunscreen manufacturers will have one year to comply with the FDA ruling; smaller companies will have two years. • The ingredients in sunscreens marketed today have been used for many years and FDA does not have any reason to believe these products are not safe for consumer use. • The FDA reiterated that sunscreen alone is not enough, and should be used in conjunction with a complete sun protection regimen, including seeking shade, wearing long pants, long-sleeved shirts, hats and sunglasses. © 2011 The Skin Cancer Foundation _____________________________________________________ Studies find new drugs boost skin cancer survivalCHICAGO -- Two novel drugs produced unprecedented gains in survival in separate studies of people with melanoma, the deadliest form of skin cancer, doctors reported Sunday.In one study, an experimental drug showed so much benefit so quickly in people with advanced disease that those getting a comparison drug were allowed to switch after just a few months. The drug, vemurafenib, targets a gene mutation found in about half of all melanomas. The drug is being developed by Genentech, part of Swiss-based Roche, and Plexxikon Inc., part of the Daiichi Sankyo Group of Japan. The second study tested Bristol-Myers Squibb Co.'s Yervoy, a just-approved medicine for newly-diagnosed melanoma patients, and found it nearly doubled the number who survived at least three years. "Melanoma has just seen a renaissance of new agents," said Dr. Allen Lichter, chief executive of the American Society of Clinical Oncology. Melanoma (WebMD.com) The new studies were presented Sunday at the oncology group's annual meeting in Chicago and published online by the New England Journal of Medicine. Melanoma is on the rise. There were 68,000 new cases and 8,700 deaths from it in the United States last year, the American Cancer Society estimates. Only two drugs had been approved to treat it, with limited effectiveness, until Yervoy, an immune-system therapy, won approval in March. The experimental drug, vemurafenib, is aimed at a specific gene mutation, making it the first so-called targeted therapy for the disease. The drug got attention when a whopping 70 percent of those with the mutation responded to it in early safety testing. The new study, led by Dr. Paul Chapman of Memorial Sloan-Kettering Cancer Center in New York, was the key test of its safety and effectiveness. It involved 675 patients around the world with inoperable, advanced melanoma and the gene mutation. They received vemurafenib pills twice a day or infusions every three weeks of the chemotherapy drug dacarbazine. After six months, 84 percent of people on vemurafenib were alive versus 64 percent of the others. Less than 10 percent on the drug suffered serious side effects -- mostly skin rashes, joint pain, fatigue, diarrhea and hair loss. About 20 percent to 30 percent of patients developed a less serious form of skin cancer. More than a third needed their dose adjusted because of side effects. The study is continuing, and many remain on the drug, including Brian Frantz, a 50-year-old former firefighter from Springfield, Virginia. Within a week or two of starting on the drug in September, "we noticed an improvement" and shrinkage in his many tumors, he said. "It was just a miracle." Is it skin cancer? 38 photos that could save your life The study is a landmark and the results are "very impressive" in people who historically have not fared very well, said Dr. April Salama, a Duke University melanoma specialist. The study was sponsored by the drug's makers, and many of the researchers consult or work for them. The companies are seeking approval to sell the drug and a companion test for the gene mutation in the U.S. and Europe. A Genentech spokeswoman said the price has not yet been determined. The other new drug, Yervoy, is not a chemotherapy but a treatment to stimulate the immune system to fight cancer. Dr. Jedd Wolchok of Memorial Sloan-Kettering led the first test of it in newly diagnosed melanoma patients. About 502 of them received dacarbazine and half also got Yervoy. After one year, 47 percent of those on Yervoy were alive versus 36 percent of the others. At three years, survival was 21 percent with Yervoy versus 12 percent for chemotherapy alone. Side effects included diarrhea, rash and fatigue. More than half on the new drug had major side effects versus one quarter of those on chemotherapy alone. Bristol-Myers Squibb paid for the study and many researchers consult or work for the company. Treatment with Yervoy includes four infusions over three months and costs $30,000 per infusion. Read more: http://www.cbsnews.com/stories/2011/06/05/health/main20069132.shtml#ixzz1OWDVSdlE _____________________________________________________ Young melanoma patients regret indoor tanningBy Liz SzaboUSA TODAY Published: Wednesday, May 18, 2011 at 9:12 a.m. Samantha Hessel loved a golden tan. She began going to tanning salons before her freshman prom. She returned to the tanning salon before dances and the summer beach season. "I knew about the risk but I was in denial," Hessel says. "I thought, 'That's not going to affect me.'" Then, when Hessel was 19, she learned that the mole above her elbow was melanoma, which kills 8,700 Americans a year. Hessel, now 21, is one of a growing number of young women who have developed melanoma after years at tanning salons. Since 1992, rates of melanoma -- once considered an old person's disease -- have risen 3% a year in white women 15 to 39, the American Cancer Society says. Like Hessel, many young melanoma survivors are now speaking out. "This is what my mission is now," says Hessel, who says she feels lucky that her tumor was caught early enough to cure through surgery. Hessel has talked at her old high school and elementary school about the dangers of tanning, spoken at a Relay for Life race, which raises money to fight cancer, and shared her story on Facebook and online cancer forums. Shonda Schilling, wife of former baseball player Curt Schilling, founded the Shade Foundation after surviving melanoma at age 33. She, too, spent much of her youth tanning, both in the sun and in salons. Although treatment probably cured Schilling's cancer, the five surgeries also left her with 25 scars across her back. "I was so scared I was going to die," she says. Now, at age 44, she says, "my mission is to educate the kids." About 35% of 17-year-old girls use tanning machines, according to the Food and Drug Administration. Urgent need to 'raise the alarm' The link between indoor tanning and cancer is clear, says Tim Turnham of the Melanoma Research Foundation. People who have used tanning beds are 74% more likely than others to develop melanoma, a 2010 study shows. Science shows that the risk of melanoma is directly related to how often people have tanned, says Len Lichtenfeld, deputy chief medical officer for the American Cancer Society. "We really need to raise the alarm and address this more directly," Lichtenfeld says. "The connection is more solid than it has ever been before." Emerging research, from scientists at Harvard Medical School, Wake Forest University and others, even suggests that the ultraviolet radiation used in tanning beds can be addictive. Kimberly Bargielski says that's easy to believe. She had never tried a tanning bed before taking a job at a salon when she was 17. Soon, she was tanning five times a week. "I often thought, while driving to the tanning salon, 'Why am I doing this? I was just there yesterday,'" says Bargielski, now 31, of Erie, Pa. Yet teenagers are especially resistant to hearing about the risks, Hessel says. Although she was only 15 when she went to her first tanning salon, Hessel says no one asked for her ID or permission from her parents. She paid for tanning sessions with her own money, in spite of her mother's disapproval. Hessel's mother, Sheri Kittell, says she never realized how dangerous tanning beds really were. When she heard about her daughter's diagnosis, Kittell says, she was "devastated." She lives in fear that her daughter will develop another tumor. Kittell says parents have a responsibility to keep their kids away from tanning salons, but also to change the image that tans are beautiful. A growing chorus of critics say children should not be allowed to use tanning beds at all, even with a parent's consent. The American Medical Association, American Academy of Pediatrics, American Academy of Dermatology and World Health Organization all have called on states to ban children under 18 from tanning salons. New York state is considering such a ban, the first in the country. The Indoor Tanning Association, an industry group, opposes the ban. "Taking away from teens the option to tan indoors will not stop teens from suntanning; it will only send them outdoors," says executive director John Overstreet. "The decision whether or not a teenager suntans should be left to his or her parents." Starting the conversation Turnham says parents need to take the risks of tanning seriously. "Do you talk to your children about smoking?" Turnham asks. "If you do, then you should also have a conversation with them about UV (ultraviolet) radiation." Hessel says she feels lucky to be left with only a scar. The 4-inch, purplish, diamond-shaped scar on her arm is "very noticeable," Hessel says. "I know it's not beautiful. But maybe people will say, 'I wonder where she got that from?' and then I can tell them." Bargielski, who developed an early melanoma at age 30, says it's often tough to talk people out of tanning. "I try to share my story with people who go tanning," Bargielski says. "But they never want to hear it." _____________________________________________________
Tobacco's Tell-Tale Signs Twin B smoked half a pack a day for 14 years, while her sister never smoked. The loose skin under her eyes is typical for smokers, according to Bahman Guyuron, MD, of Case Western Reserve University. It's one of several visible signs -- shown on the following slides -- that tobacco byproducts inside your body are harming your appearance. Twin B also got more sun, damaging her skin from the outside, too. Poor Skin Tone Smoking chronically deprives the skin of oxygen and nutrients. So some smokers appear pale, while others develop uneven coloring. These changes can begin at a young age, according to dermatologist Jonette Keri, MD, of the University of Miami Miller School of Medicine. "In young nonsmokers, we don't usually see a lot of uneven skin tone," Keri says. "But this develops more quickly in people who smoke." Sagging Skin There are more than 4,000 chemicals in tobacco smoke, and many of them trigger the destruction of collagen and elastin. These are the fibers that give your skin its strength and elasticity. Smoking or even being around secondhand smoke "degrades the building blocks of the skin," Keri says. The consequences include sagging skin and deeper wrinkles. Sagging Arms and Breasts Smoking doesn't only damage the appearance of your face, it can also take a toll on your figure. As skin loses its elasticity, parts that were once firm may begin to droop. This includes the inner arms and breasts. Researchers have identified smoking as a top cause of sagging breasts. Lines Around the Lips Smoking delivers a one-two punch to the area around your mouth. First, you have the smoker's pucker. "Smokers use certain muscles around their lips that cause them to have dynamic wrinkles that nonsmokers do not," Keri says. Second, you have the loss of elasticity. Together, these factors can lead to deep lines around the lips. Age Spots Age spots are blotches of darker skin color that are common on the face and hands. While anyone can develop these spots from spending too much time in the sun, research suggests smokers are more susceptible. Damaged Teeth and Gums Yellow teeth are one of the most notorious effects of long-term smoking, but the dental damage doesn't stop there. People who smoke tend to develop gum disease, persistent bad breath, and other oral hygiene problems. Smokers are twice as likely to lose teeth as nonsmokers. Stained Fingers Think your hand looks sexy with a cigarette perched between your fingers? If you've been smoking for awhile, take a good look at your fingernails and the skin of your hands. Tobacco can actually stain the skin and nails, as well as the teeth. The good news is these stains tend to fade when you quit smoking. Hair Loss Both men and women tend to develop thinner hair as they age, and smoking can accelerate this process. Some studies even suggest people who smoke are more likely to go bald. Researchers in Taiwan have identified smoking as a clear risk factor for male-pattern baldness in Asian men. Cataracts Even the eyes are vulnerable to tobacco's reach. Smoking makes you more likely to develop cataracts as you age. These are cloudy areas on the lens of the eye that keep light from reaching the retina. If they cause serious vision problems, they are treated with surgery. Psoriasis Psoriasis is a chronic condition that most often causes thick, scaly patches on the skin -- usually on the knees, elbows, scalp, hands, feet, or back. The patches may be white, red, or silver. Recent studies suggest smokers have a greater risk of developing psoriasis. Crow's Feet Eye Wrinkles Everyone gets wrinkles on the outside of the eyes eventually, but these wrinkles develop earlier and go deeper among smokers. Heat from burning cigarettes and squinting to keep smoke out of your eyes contribute to visible crow's feet. Meanwhile, chemicals from inhaled tobacco cause internal damage to the skin structures and blood vessels around your eyes. How Quitting Improves Your Looks Quitting smoking can improve your appearance. As blood flow gets better, your skin receives more oxygen and nutrients. This can help you develop a healthier complexion. If you stay tobacco-free, the stains on your fingers and nails will disappear. You may even notice your teeth getting whiter. Combating Skin Damage: Creams When you quit smoking, you make your skin more resistant to premature aging. As for the wrinkles and age spots you already have, all is not lost. Keri, the University of Miami dermatologist, says there are products former smokers can use to make their skin look better. These include topical retinoids and antioxidants, such as vitamins C and E. She also recommends wearing sunscreen every day. Combating Skin Damage: Procedures For more dramatic results, some former smokers choose to have cosmetic procedures. Laser skin resurfacing and chemical peels remove outer layers of skin, where the damage is most visible. "Reward yourself with a couple of skin treatments," Keri suggests. "When you see the benefits of better-looking skin, you may be motivated to stay nicotine-free." Brittle Bones Everyone knows the lungs take a beating from smoking, but research has pinpointed additional, surprising ways that tobacco affects the body, starting with your bones. Smoking raises your risk of developing weakened bones, or osteoporosis. This condition increases your risk for bone fractures including those of the spine, causing it to curve and leaving you hunched over. Heart Disease and ED Smoking affects nearly every organ in the body, including the heart. In people who smoke, the arteries that carry blood to the heart become narrowed over time. Smoking also increases blood pressure and makes it easier for blood to clot. These factors raise the odds of having a heart attack. In men who smoke, reduced blood flow can lead to erectile dysfunction. Reduced Athletic Ability Smoking's impact on the heart and lungs can add up to a significant disadvantage on the track or field. Smokers tend to have a more rapid heart rate, poorer circulation, and more shortness of breath -- not helpful qualities in an athlete. Whatever your favorite sport, one way to enhance your performance is to quit smoking. Reproductive Problems Women who smoke have a tougher time getting pregnant and giving birth to a healthy baby. Cigarettes have been linked to fertility problems. And smoking during pregnancy raises the odds of having a miscarriage, premature birth, or delivering a low-birth-weight infant. Early Menopause It's something all women have in common: menopause, the phase when female hormones decline and the menstrual cycle stops for good. Most women experience this change around age 50. But smokers reach menopause an average of 1 1/2 years earlier than women who don't smoke. The effect is strongest in women who have smoked heavily for many years. Oral Cancer Compared to nonsmokers, smokers are six times more likely to get oral cancer. People who chew tobacco or use other smokeless tobacco products are 50 times more likely to develop this form of cancer. The most common symptoms include a sore patch on the tongue, lips, gums, or other area inside the mouth that doesn't go away and may be painful. Lung Cancer Lung cancer is the top cancer killer of men and women in the U.S. Of those who die from the disease, 9 out of 10 deaths are due to smoking. Cigarettes can also damage the lungs in other ways, making people more vulnerable to breathing problems and dangerous infections like pneumonia. How Quitting Improves Your Health In just 20 minutes, blood pressure and heart rate return to normal. Within 24 hours, your heart attack risk begins falling. In the first weeks after quitting, tiny cilia (seen here) start back to work sweeping irritants out of the lungs. Within a year, your risk of developing heart disease drops to half that of people who still smoke. And after 10 smoke-free years, you're no more likely to die of lung cancer than someone who never smoked. Can You Quit? Experts agree that giving up cigarettes is very difficult. But if you're telling yourself it's impossible, think again. While there are 45 million smokers in the U.S., there are at least 48 million former smokers. If 48 million people could quit, it is doable. Just keep in mind that most people have to try more than once, and only 4%-7% succeed without help. Ask your doctor which smoking-cessation strategies might be right for you. _____________________________________________________________ The Foundation of a Good PA/SP Relationship -- Common Values and RespectBy Jacki Kment, MPAS, PA-C and Margaret Kontras Sutton, MDAccording to Jacki: Taking time to reflect on the qualities that make my relationship with my supervising physician (SP) strong has given me renewed cause to be grateful for what I have. I have been a PA for sixteen years and have been working in dermatology with my current SP, Dr Sutton, for thirteen years. I have been privileged to not only be the first PA in the practice, but also the first dermatology PA in Lincoln, Nebraska and the fourth dermatology PA in the entire state. Dr. Sutton allows autonomy of practice, which I consider to be one of her greatest strengths in working with PAs. We share a mutual trust and respect for one another. She motivates me to strive or excellence, whether in caring for our patients, taking thorough and accurate chart notes, promoting team building amongst staff members, or striving for overall personal wellness. Dr. Sutton encourages me to pursue continued medical education, participate in journal clubs, and learn new skills, all in an effort to provide a wider variety of services to our patients. The secret to a great PA/SP relationship for us has not only been about respecting one another, but also valuing what the other individual has to offer and showing gratitude toward one another. From the beginning, I knew that Dr. Sutton valued family life. This became even more apparent to me after I married and began having children. She allowed me to make schedule changes in order to spend more time with my children and be a mom. According to Dr. Sutton: The PAs in our practice have proven themselves to be extremely valuable members of our team on multiple levels. By augmenting our two dermatologists with PAs, we have been able to effectively serve more patients and cut down our wait time for appointments. The addition of PAs has also increased the amount of information/knowledge that we share at our regular office meetings. Having extra providers has allowed us to perform additional administrative tasks such as composing patient education material and developing protocols. The PA/SP relationship is based on trust and constant communication. In most cases the PA has been trained by the SP, therefore the physician should have a good understanding of the PAs level of competency. Training should not be limited only to those experiences obtained within the practice setting, since there are many situations that are not commonly presented in most clinics. At our practice we expect PAs to spend time outside of the clinic reading, attending conferences and becoming familiar with things that may not be presenting in our clinic. By working side by side with our PAs, we physicians learn about our PA's demeanor, practice habits, personality, and style in dealing with patients and staff. I think that the PA/SP relationship is based on mutual respect. Just as in marriage, the relationship cannot be sustained without respect going both ways. New PAs often ask how to determine what type of SP they would work best with; my advice is to work with a SP who you share common values with and respect. From experience, I have learned that relying on intuition in making such decisions has served me well. I am so grateful to have found a SP with whom I am well matched in terms of personality, morals, beliefs, values, and practice habits. I try to include Jacki and the other PAs in many of the operational decisions in the clinic. I deeply value her opinion and try to be a responsive listener when she has concerns. Jacki Kment, MPAS,PA-C -- graduated from PA school at the University of Osteopathic Medicine and Health Sciences in Des Moines, Iowa in 1994 and later received her Master of Physician Assistant Studies degree specializing in Dermatology from the University of Nebraska Medical Center. She began her career working as a family practice physician assistant for the Omaha Indian Tribe of Nebraska. In 1997 she joined Sutton Ryan Dermatology in Lincoln, Nebraska. Margaret Kontras Sutton, MD -- graduated from the University of Nebraska College of Medicine in 1979. After a year of family practice residency at Lincoln Medical Educational Foundation, she completed her dermatology residency at Creighton University/University of Nebraska Dermatology Program in 1984 and became Board Certified in dermatology in 1985. Dr. Sutton has enjoyed practicing dermatology in Lincoln, Nebraska for over twenty-five years. ______________________________________________________________ Be our Fan on Facebook!Visit our Sutton Ryan Aesthetic Center Fan page on Facebook and be our Fan!Our Facebook page will be full of information, monthly procedures and products, product promo days, specials and upcoming seminars. Once you become a Fan you will receive a code to purchase any product online and receive 10% OFF your order!! Visit www.facebook.com and search for Sutton Ryan Aesthetic Center! ____________________________________________________
LATISSE® is the ONLY FDA approved eyelash product to grow lashes Longer, Fuller and Darker! For more information or a Free consultation please call 484-0908 or visit www.latisse.com Tanning Beds: WHO (World Health Organization) Issues Official WarningIn July, the International Agency for Research on Cancer (IRAC), a working group of the World Health Organization, added ultraviolet (UV) radiation-emitting tanning devices- tanning beds and lamps- to the list of the most dangerous forms of cancer-causing radiation. It joins an assembly of hazardous substances including plutonium and certain types of radium, as well as radiation from the sun.The IRAC report cited research showing that tanning is especially hazardous to young people; those who use sunbeds before age 30 increase their lifetime risk of melanoma, the deadliest form of skin cancer, by 75%. The authors also pointed to studies showing a link between UV radiation from indoor tanning devices and melanomas of the skin and eyes. Melanoma will kill an estimated 8,650 people in the US this year alone. And melanoma isn't the only problem: people who use tanning beds are 2.5 times more likely to develop squamous cell carcinoma and 1.5 times more likely to develop basal cell carcinoma. Squamous cell carcinoma kills an estimated 2,500 Americans a year. The report received widespread publicity from news organizations, and brought attention to the lack of laws and oversight limited minors' access to UV tanning devices. This lack of controls affects millions of teenagers: A 2003 study found that almost 37% of white females and over 11% of white males between 13 and 19 years old in the US have used tanning beds. Some states permit children under 14 to tan if they are simply accompanied by a parent or guardian. In June, Texas drew attention from all over the country when it enacted the strictest tanning law in the nation, banning children under age 16.5 from indoor tanning and requiring in-person parental consent for everyone under 18. In Delaware, a recently passed law prohibits those under 14 from tanning facilities unless they have a doctor's prescription and requires those under 18 to have a parent or guardian sign a consent form in the presence of a tanning facility operator. Bills pending in Georgia, Hawaii, and Kansas would require the written, in-person consent of a parent or guardian for those under 18. And Minnesota is considering a law that would ban those under 16 from using tanning facilities; this is already the law in Wisconsin. Former Miss Ohio, Karissa Martin is teaming up with lawmakers to promote what would be the nation's strictest tanning law. Ohio House Bill 173 would ban anyone under 18 from salon tanning unless they have a doctor's prescription. The bill has bi-partisan sponsorship from state representative Courtney Eric Combs and Lorraine Fende, and Representative Combs said the bill has "a good chance" of being passed. It could be enacted as soon as 2010. Tanning Legislation Goes Global The fight against UV tanning is actually now international: Germany recently banned indoor tanning from those under 18 years old. The Scottish government has also drafted such legislation, and similar efforts are afoot in several other countries across Europe. In Victoria, Australia, the number of tanning salons has dropped from 436 to 240 in the wake of the much-publicized melanoma death of 26-year-old Clare Oliver, a former UV tanner who in her final days warned Australians to avoid indoor tanning. (Source: Skin Cancer Foundation http://www.skincancer.org/Tanning/) _____________________________________________________ Young Tanners at Risk!After exhaustively reviewing decades of worldwide research, the International Agency for Research on Cancer (IARC), a branch of the World Health Organization (WHO), has unequivocally linked sunbed tanning among young people to melanoma, the deadliest form of skin cancer. According to the agency's conclusions, the weight of evidence also points to youthful sunbed use as a cause of squamous cell carcinoma (SCC), the 2nd most common skin cancer, as well as other health problems.The data show a clear increase in melanoma risk associated with sunbed use in one's teens and twenties", said Peter Boyle, MD, Director of the IRAC. "And limited data show a similar increase in risk of squamous cell carcinoma for those who first used sunbed tanning as teenagers". The connection between sunbed tanning and melanoma across all age groups was not statistically significant, though "still not negligible," Dr. Boyle noted. However, the link between youthful sunbed tanning and melanoma was "prominent and consistent"- a 75% increase in risk of melanoma among those who first used sunbed in their twenties or teen years. Along with the increased risk of squamous cell carcinoma indicated by the data, other potential health problems suggested were a decrease in the skin's immune response (which could reduce resistance to skin cancers and other maladies) and an increase in eye melanomas. No positive health effects of sunbed tanning were found, contradicting what salon owners often have insisted as a selling point. (Source: Skin Cancer Foundation http://www.skincancer.org/young-tanners-at-risk.html) ____________________________________________________
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