Young Doctors are Out of this World

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When I worked as a nurse in a teen clinic, I learned countless things about adolescents.  Most were eye-opening and others…flabbergasting!  Thank heavens for patient protection laws because every day I needed hard-core reasons to keep my mouth shut about the insane things these kids were doing!  However, what surprised me more was the residents (aka newbie doctors) were often as mindless under-prepared for the world as the kids they were treating.

Once in a land, far, far away, I was working with a “green” resident.  Unfortunately, this “extraterrestrial” doc had limited hands-on experience with humans because he had spent the last few eons with his face pressed into books scanning information into his super-human brain.  The sole purpose of residents in general is to work in an educational setting, to be molded by older mindless experienced doctors, ** so the young physicians may osmotically suck out copious amounts of information before being released into the real world.

On this ordinary day, one of the “experienced” doctors instructed a resident to enter a patient’s room, ask some important medical type questions; and before the resident was to leave, he needed to ask the patient to put on a gown so he could later return for a physical exam.  Now the resident had either forgotten how difficult it is to be a teenager, or perhaps was IN medical school during his teen years; therefore, missing “Social Graces 101” because all he told this young girl to do was, “Put on a gown,” after grunting and pointing to a drawer labeled gowns.  Then he eagerly left the room.

As the majority of adults know, when going to various doctor’s offices it usually depends on what part of the body the physician is inspecting to determine which way you wear your gown.  Open in the back, open in front?  This girl had limited experience with the whole gown concept and without a parent or nurse to clear up the nonexistent doctor directions; she did exactly what the he had told her.

Let me preface this as delicately as possible…this was a full-figured young woman who was well above average on the growth curve.  When the young doctor and his mentor later entered the room to perform her exam there was an audible gasp heard down the street hall. Then there was a quick shuffling mimicking the Three Stooges (minus Larry), a murmur of mumbled apologies, and a briskly shut door by a pair of crimson-faced physicians shortly ended the scene.

On this pitiful day the gown drawer was empty of normal adult gowns.  One toddler gown (size 4T to be exact) was accidentally placed in the drawer.  Somehow this plus-sized teen squeezed into it (a bit) tying the strings at her neck so the opening was in the front.  Never could this gown cover her or ANY adult; but with great persistence, she sat there humiliated, as naked as the day she was born, waiting for the young male doctor and his older assistant to return.

As a nurse who came in to rescue the youth, let me tell you…there are not enough words in the English language to erase the scars that occurred from that event.  Hopefully, she will be able to go to another doctor’s office without breaking out in hives or having flashbacks, but thankfully time does heal many wounds in many situations. However, I’m sure the resident learned his lesson STAT and is one of the best educating pediatricians, wherever he is practicing.

So people –I beg of you – if you ever find yourself naked in a doctor’s office, sitting on that cold paper with a Barbie dress tied around your neck? STOP. Get dressed.  And ask yourself, “Does this seem right? Then grab some Reece’s Pieces, your bicycle and E.T. PHONE HOME – ‘cause you probably have a doctor from Uranus in training and YOU deserve better care than that!

**This does not apply to every practicing physician; especially, my father-in-law, who is NOT mindless, or for any of my doctor friends who might be perturbed by the portrayal of “experienced” doctors in this essay.  You obviously are exempt from this gross generalization…except for when you are acting mindlessly.

© 2012, Stacey Hatton. All rights reserved.

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Treating Teen Acne Takes a Multi-Pronged Approach

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Previously published in Lawrence Journal-World: November 15, 2010

Acne is a four letter word for teenagers.

It’s difficult enough being a teenager, and even with mild acne, he or she can see life as unbearable.

Dr. Lee Bittenbender, a dermatologist at Dermatology Center of Lawrence, says, acne is common and a high percentage of the population struggles with it.

In fact 70 million people have acne, the majority of whom are adolescents.

All types of acne — blackheads, whiteheads, pimples and cysts — develop when pores in our skin become clogged, according to the American Academy of Dermatology (AAD).

Sebum, the normal oil in our skin is responsible for acne. Our bodies produce more sebum when hormones flow. That’s why adolescents are more prone to acne flare-ups.

“A blackhead appears when sebum and dead skin cells clog the pore,” adds the AAD. “While the pore is clogged, its surface remains open.”

Whiteheads form when dead skin cells merge with a surplus of oil, leading to clogged pores with the opening blocked.

“Treating acne can prevent additional breakouts and scars,” according to the AAD.

Acne myths

Certified Physician’s Assistant Jim Fackrell with Kansas Medical Clinics-Dermatology in Lawrence treats adolescent patients for acne. He says the most common myths are:

• “You get pimples because you don’t wash your face enough.” Washing your face helps remove dirt and oil, but washing too much can lead to dryness and irritation, causing more breakouts.”

• “Popping pimples makes them go away faster.” Popping pimples actually increases inflammation. Increasing swelling and redness increasing the chances for dark spots or even scarring that can last a lifetime.

• “Eating too much chocolate or drinking too many soft drinks cause pimples.” Studies have shown no specific foods prove to cause acne.

• “Tanning improves acne.” Tanning may temporarily mask the signs of acne, but can actually increase the inflammation and dryness and flare acne.”

• “All makeup causes acne.” The use of non-comedogenic makeup (one that won’t clog your pores) should be safe; however, in moderate to severe acne, you should ask your dermatologist what are the best cosmetics to use.”

Preventing outbreaks

“Acne cannot be prevented,” says Fackrell, “and develops in most people one time or another. Acne is a normal part of maturing, but some people are more prone to develop it.”

The AAD recommends washing your face with a mild cleanser and lukewarm water once or twice daily. Washing more often or too forcefully may inflame acne.

Dr. Bittenbender adds, “It’s important to wash your face gently with your hands, not a washcloth or a scrubbing brush.”

Treatment

For mild acne, Bittenbender feels the Benzoyl Peroxide products work better than salicylic acids or the products you find advertised by celebrities on television.

“Benzoyl peroxide products can be purchased without a prescription and are fairly inexpensive,” says Dr. Bittenbender. “They have antibacterial properties that help remove the acne-forming bacteria.”

He also adds, “If dryness or irritation becomes a problem, you may have to use lower percentage of benzoyl peroxide products.”

Lori Mills, a Baldwin City mother, says, “There are so many products out there that promise beautiful clear skin. After watching my three kids battle for clear skin, I have come to the conclusion that what works for one might not work for the other.”

When to see a dermatologist

“When the usual over-the-counter products fail, or if any scarring develops after the pimple is gone, it is time to visit a specialist,” says Fackrell.

If self-esteem becomes a concern — no matter how minimal — don’t ignore the adolescent’s concerns. “Acne can drastically impact teens’ lives,” Fackrell says.

According to AcneNet, the AAD’s online acne site, “People living with acne can suffer from low self-esteem, anxiety, and depression. Acne can even discourage people from pursuing life’s dreams. When acne is under control, a person’s confidence grows. Anxiety and depression diminish.”

Dr. Bittenbender instructs parents, “Instead of telling teens to change their diet, keep their oily hair off their skin, or that they will grow out of it, teens need good effective treatment for acne.”

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