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Cynthia Golomb, MD | Dermatology Boutique

Month: March 2020

Get dermatological care without leaving home

· In the News · No Comments

I can now continue your care during these uncertain times with Telehealth appointments.  You can use your iPhone, iPad or Android device.

You could use your computer if you have a webcam and microphone (with Google Chrome or Mozilla Firefox as the browser), however if you want to show me a rash or lesion that is somewhere other than your face, a phone or tablet would be better.

This is what the Pocket Patient app looks like in the Apple App store.

If you’re going to use your mobile phone or tablet, you’ll need to download an app from my electronic health records system called “Pocket Patient.”  It is in the App store you use on your device.

The app is free.

When using a computer, you will sign into the patient portal.

Below are links to some videos to help you get the app and prepare for your Telehealth visit:

PocketPatient™ for iPhone

 PocketPatient™ for Android

 Telehealth using the Patient Portal on a computer

Make your appointment for a Telehealth visit by calling the office and you will be given a time for our virtual visit.  You will receive an email confirming your appointment with instructions.  The email will be from “Telemedicine Service” with an email address that includes “modernizingmedicine.com.”  If you have not used my patient portal before, the first step will be to activate your access to the portal.

If you have used my patient portal before, use that ID and password to login to the “Pocket Patient” app.  It may ask you to change your password after you log in.  There is a “forgot password” feature if you can’t remember your password.  If you have difficulty resetting your password, call the office and we will help you.

Sign onto the app a few minutes before your appointment.  In the email confirmation you received, the “practice” listed (dermatologyboutique.ema.md) is what you will enter in the top box above your ID and password in the app, if it is not already filled in.

The sign on page of the iPhone app.

It is best to be ready for our e-visit by sitting in one position during our appointment.  This keeps the phone from moving around.

If I need to see a rash or skin lesion, sometimes it helps if a family member can hold the phone over the area.  When using a phone or iPad, the app allows you to switch between the front and rear camera on your device.  When using the rear camera, you can also use the phone’s flashlight to illuminate the area you are trying to show to me.

Remember that when you use the rear camera, it is usually in one corner of the phone.  Be sure the camera is over the area that I need to evaluate.

If you get disconnected during our visit, just log back into the app and re-join the call.

I’m looking forward to helping you with your skin issues during virtual visits.

If you have a more serious condition, such as a large cut that needs stitches or a painful cyst that needs to be drained, I am still doing in-person, office visits.  The idea is to keep you out of an urgent care or an emergency room where you could be exposed to COVID-19 patients seeking treatment.

Your health & safety — our priority

· In the News · No Comments

We’re taking extra measures to keep our office safe for you with enhanced cleaning.

We are diligently wiping frequently touched surfaces with disinfectant in the waiting room and exam rooms.

Pardon us when we don’t shake your hand or hug.

We also ask that you use our hand sanitizer in the waiting room before you are escorted to an exam room.

Not feeling well?  Recently travel to a COVID-19 hot spot?  Please call and postpone your appointment to a later date.

We are open and are ready to attend to your dermatological needs.

Reveal Younger-Looking Skin!

· Lasers · No Comments

Many of you know our friendly nurse, Franny.  She recently had a CO2 CoolPeel treatment that significantly reduced the wrinkles on her face and neck.

The CoolPeel laser helps with stubborn crows feet, lipstick lines, smile lines and pore size.  Most notably, CO2 improves wrinkles that cannot be corrected with fillers.

Franny was also one of the first to receive an Infini treatment, which does a great job of tightening skin.  Genius is the next generation of Infini.  Genius is an improved microneedling treatment with radio frequency.  It addresses sagging, crepey skin, turkey neck, jowls and large pores.  We upgraded to the Genius device last year.

If you have wrinkles along with loose, lax skin, this duo of treatments might do the trick.  Franny has had one CoolPeel and had 2 Infini treatments a couple of years ago.

When you’re in the office, feel free to ask Franny about her treatments and see her results in person!

Key sunscreen ingredient to stop brown spots, melasma

· Sunscreen · No Comments

While the FDA is currently reviewing the ingredients in chemical sunscreen, we now have even more reason to use physical sunblock instead. If melasma or brown spots are an issue for you, research has shown that you have to use an iron oxide product to the block visible light that causes this skin discoloration.

Recent studies have proven that blue light creates changes in the melanocytes in your skin to produce dark, resistant pigmentation.

The two physical blocks that will protect you are:  zinc oxide for ultraviolet light protection and iron oxide to protect from visible light.  These two ingredients are deemed to be safe and effective by the FDA.

I carry several products for your face that will protect from both visible light and ultraviolet light:

  • skinbetter Tone Smart SPF 68 sunscreen compact
  • Avène Mineral High Protection Tinted compact SPF 50
  • Dermatology Boutique BB cream

Skin drops by ISDIN will add visible light protection to your favorite broad spectrum sunscreen and by mixing the two, you can create your own BB cream.

When purchasing sunscreen at the drugstore, look for “broad spectrum.”  This means it blocks both UVB and UVA radiation.  And, as I mentioned above, if you are concerned about brown spots or melasma, look for iron oxide as an active ingredient.

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