In My Book: Health
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Primary CarePatients are responsible for obtaining referrals from the primary care physician prior to the appointment. If the patient arrives for the appointment and we do not have the referral, he/she may have to reschedule the appointment.
Emergency CareAfter hours, call the office phone number and a phone number will direct you to the 24 hour on call physician. If this is an emergency and you are unable to reach the physician on call in the time period needed, please go to the emergency room. Otherwise, leave a message with the on call physician and they will return your call.
Radiation TherapyRadiation therapy: When appropriate, this would involve seeing a radiation oncologist who directs multiple radiation treatments to a skin cancer. This is generally reserved for patients who cannot have surgery for other medical reasons or for those with such extensive cancer that surgery would be too disfiguring. It is also occasionally used as an adjunct to surgery for more aggressive skin cancers.
Glaucoma® (bimatoprost ophthalmic solution) 0.03% is the first and only prescription treatment approved by the FDA for inadequate eyelashes. The bimatoprost prolongs the growth phase of the eyelash hairs allowing them to grow in longer, fuller, and darker. Patients with glaucoma or other eye diseases should consult an ophthalmologist before using LATISSE.
Wound CareThese wound care instructions are directed by the procedure peformed by the physician for the applicable post surgery care or liquid nitrogen procedures. If you have any further questions or wound concerns, please call the office for further instructions.
Mohs SurgeryMoh's surgery: This is a dermatological surgical technique of excising skin cancer. Generally when a dermatologist or plastic surgeon perform excisions they remove a margin of normal skin of approximately 3-4 mm with the tumor to ensure complete excision. The tumor is then fixed in formalin and sent to a pathology lab to check the margins to ensure that the cancer is completely removed. A Moh's surgeon takes out the tumor and then takes out a very narrow margin of skin around the tumor. The tissue is then processed right there and the surgeon evaluates the tissue to see if any tumor remains while the patient is there. If tumor is still present the surgeon takes out another narrow rim of tissue. The process is repeated until the entire cancer is removed with a minimal amount of normal skin removed. Then the defect is repaired either by the Moh's surgeon or a plastic surgeon depending on the size of the tumor defect. This procedure is often recommended for tumors in cosmetically sensitive areas such as the nose or ears, or for tumors that have recurred after previous treatment.
Cosmetic DermatologyOffers a wide range of medical, surgical, and cosmetic dermatology options to each patient. Our board certified dermatologists take an individualized approach to evaluating the needs of patients and creating treatments to help patients.
Skin CancerThis section explains the different ways skin cancers can be removed. Once a skin cancer is diagnosed the doctors will sit down and discuss these options with you.
DermatologyBay Area Dermatology offers a variety of cosmetic services as outlined below. A consultation is required prior to all procedures to assess appropriateness, risks, and benefits of any procedure.
LesionsD = Diameter greater than a pencil eraser. Lesions wider than 6 millimeters (a #2 pencil eraser for those of us in the United States!) are suspicious.
Chemical PeelsCHEMICAL PEELS are done to improve lines and skin discoloration. We are using superficial (glycolic) and medium depth (TCA) peels.
PsoriasisPsoriasis is a chronic, medical autoimmune disease that appears on the skin. It occurs when the immune system sends out faulty signals that speed up the growth cycle of skin cells. The body does not shed these excess skin cells so they pile up on the surface of the skin and lesions form. Plaque psoriasis causes patches of thick, scaly skin that may be white, silvery, or red. Called plaques (plax), these patches can develop anywhere on the skin. The most common areas to find plaques are the elbows, knees, lower back, scalp or nails. In studying the immune system, scientists discovered that when a person has psoriasis, the T cells (a type of white blood cell that fights unwanted invaders such as bacteria and viruses) mistakenly trigger a reaction in the skin cells. Psoriasis is not contagious. There are five different types of psoriasis: plaque, guttate, inverse, pustular and erythrodermic. There are many treatment options specific to type of psoriasis and our dermatologists will prescribe the most appropriate treatment plan for each condition. Treatments include cortisones and other types of creams, systemic medications such as Mexthotrexate and Acitretin, biologic injectibles and the XTRAC Eximer laser.
Internal MedicineDr. Williams completed his four year undergraduate degree at Ohio State University in three years in 1965 receiving a Bachelor of Arts degree (Phi Beta Kappa). He attended Ohio State University College of Medicine and received his Doctor of Medicine degree in 1969. He was elected to the medical research honorary, The Landacre Society and he graduated with high honors and was elected into the Alpha Omega Alpha Scholastic Honorary. He then completed his Internal Medicine Internship at Ohio State in 1969-70 and began an Internal Medicine residency at University of Florida 1970-71 when his advanced medical training was interrupted for two years to serve as a medical officer (Lt. Commander) in the United States Navy practicing internal medicine at the Naval Air Station in Memphis, Tennessee.
Botox® Cosmetic is a prescription medicine, approved by the FDA, which is injected into muscles and used to improve the look of moderate to severe frown lines between the eyebrows in adults. One short treatment relaxes the muscles that cause wrinkle lines and keeps them relaxed up to 4 months. Most people return to work or normal activity following treatment.
Plastic SurgeryPlastic surgery: Plastic surgeons use the technique of excision and then closure with sutures. Plastic surgery is recommended for skin cancers that are large and may need rearrangement of the skin to close the wound. We may also recommend plastic surgery for tumors on the face where optimal scarring is desirable. Plastic surgeons do many procedures in the office under local anesthesia, but may recommend operating at a hospital or day surgery facility for more extensive tumors. Occasionally plastic surgeons will have a specimen checked rapidly by a pathologist during the procedure to ensure all tumor is removed before closing the wound. This is generally reserved when a complex closure is anticipated.
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