The following
program presents principles
00:00:01.98\00:00:03.32
designed to
promote good health and
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is not intended
to take the place of
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personalized professional care.
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The opinions and
ideas expressed are those
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of the speaker.
Viewers are encouraged
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to draw their
own conclusions about
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the information presented.
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Hello and welcome to
Health for a Lifetime.
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I'm your host Don Mackintosh,
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and today we're
gonna be talking with
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Dr. John Chung. He
is a Dermatologist from
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Dalton, Georgia.
He's practiced dermatology
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for about 10 years
there and we're glad you
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with us today
doctor. Now a dermatologist
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is a what? What's that mean?
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A doctor of the
derm, of the dermis, skin.
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Okay the dermis,
which means skin.
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And what are the
functions of the skin?
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Well there are many functions.
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As you know it's
the largest organ
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of the body, okay. And
it maintains homeostasis,
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helps, which means the
balance, balance, alright.
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Exactly. It helps
temperature regulation
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with through sweating
mechanisms and stuff like
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that. And also it
helps function as a barrier,
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that is helps you
from losing water and also
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retards the entrance of
potentially toxic chemicals
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and microorganisms
and also it has a way
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to protect you from
harmful ultraviolet rays.
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And as your sense of
touch to anything that's
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related with that
tactile sense. Yes.
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Intimacy all those
different things. Exactly.
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So, I mean to ask a
dermatologist what does
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the skin do, I mean
you could probably go on
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for years. Right.
But those are the general
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type things, that's
correct. What are some of
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the more common
problems that you see in your
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practice? Well I
see a lot of problems,
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but you know before I
go on with that I would
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like to just tell you,
when I was in residency
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I saw a patient without
skin, what happened was,
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no skin? No
skin, the reason why,
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he had skin when he
was born but he took
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a medication and his
entire skin slipped off.
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And he looked like a
raw meat. And he died from
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dehydration and
sepsis, which is an infection.
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Right exactly. So skin is very,
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very important organ.
So you can actually do
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something that would,
man I never heard that
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before though all
your skin fell off,
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that guy's skinless,
right. So, a medication
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from taking one pill.
Oh man. You wouldn't mind
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sharing with us what
that pill was, would you?
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No. Okay, so it was something.
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Well I don't want to
take it that's why I asked. So
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let's talk about some of
the common skin disorders
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that you see you
know day and day out.
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Well you can divide
into children and adults.
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Alright talk about
the children's then.
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In children you have
a, like Atopic dermatitis.
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Okay what is that,
what's Atopic dermatitis?
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Well Atopic dermatitis
is inflammatory condition
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of the skin that
occurs in, it usually
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occurs in children
starts before age two months.
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Okay. And most of them
get it before age 5 up to,
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about 60 percent or
so and by well actually
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60 percent by age
one. Okay. And by age 5 you
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have about 90 percent.
Alright. And so how many
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kids get it in America?
You know how many of the
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population will get it.
I mean it's significant.
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There are probably
about maybe 2 or 3 percent,
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2 or 3 percent, so
that's a lot of kids.
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Is it inherited, is it
genetic, is it some kind
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of familiar thing
that goes with. Yes. Aha.
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About I would say about
60 percent of the children
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will have Atopic
dermatitis if one of the parent
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has it, but if both of
the parents have it then
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about 80 percent.
Okay. So maybe you people
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are dating they should
find out they have this.
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Maybe sad, it can be
treated right? Right,
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absolutely. Okay so
we'll talk about in a minute.
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What are some of
the things that can make
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it worse, exacerbated
as you would say? Right,
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well certain foods.
Okay. For example like eggs,
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dairy products, peanuts
there's some like soy beans
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some people are
allergic to, and also wheat
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and fish, okay. So
when they come to you,
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just have to do a
checklist of all the stuff
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they eat? Yeah that,
you know sometimes you know
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the parents would tell
me every time he drinks milk
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he breaks out, you
know, you know that.
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Actually that
doesn't cause it but it's a
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exacerbating factor.
Okay, because this is
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more of a genetic condition.
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Now there are other
things it can be caused
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by is like dust
mites inhalation. Okay.
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And also with
microorganisms like
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Exotoxin from
Staphylococcus Aureus.
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So from an infection.
Infection, a toxin from
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infection. Yeah. And
also dehydration like frequent
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washing and winter
time, you know when there,
00:06:09.42\00:06:13.80
your skin is dry,
exactly. And stress can play
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a significant role as
well. So think kids go through
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stress, one
parent divorces another,
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something like that
you've seen them come
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in with things like
this. Right. So what other
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problems is it associated with,
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if you get this
Atopic dermatitis,
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can it cause other problems?
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Well it can be
associated with other problems.
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Okay. Asthma, hay
fever and there's something
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called Pityriasis
Alba, what that is,
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is a condition that
you see in darker skin
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in individuals. Asians
and Afro-Americans were,
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they have kind of
whitish areas on the skin,
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especially on the
face, torso and the arms,
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and that's, it comes
out of Atopic dermatitis.
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Some people call it as a
Burn Top Atopic Dermatitis.
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But you can have
that and also you have
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something called
Keratosis Pilaris which
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is a bumpy like a
goose bump type of rash
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that occurs on the
upper lateral arms,
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thighs, cheeks,
sometimes it could be much
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more extensive on the
trunk. And also it can be
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associated with
something called Ichthyosis
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Vulgaris which is
just a fancy term for very,
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very dry skin. And it
can be associated with
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something called
Molluscum Contagiosum
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which we maybe
talking by later on.
00:07:44.44\00:07:47.14
And that is a virus, a
special wart virus that
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occurs in the area
lot of times and the area
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of the damaged skin.
Okay. And also common
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warts and there is
a, and a lot of people
00:08:04.14\00:08:08.87
have like fever
blister, we call that Herpes
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and they can also
be exacerbated by the,
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when you have the
condition of Atopic
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dermatitis. So what
do you do when someone
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comes in, you
diagnose them, they have Atopic
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dermatitis and how
long is it gonna last?
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Do they have a long
life? Is it gonna be forever?
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Is it gonna be
throughout their life?
00:08:31.41\00:08:32.95
And what do you for
it? Well usually they
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improve with time.
Okay. But some people
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maintain that for
the rest of their life.
00:08:38.38\00:08:39.86
Is that right, and
you can't really tell when
00:08:39.87\00:08:42.87
they come in? Yeah.
Right. You know more severe
00:08:42.88\00:08:45.28
it is initially,
probably it will last longer.
00:08:45.29\00:08:48.03
So what do you do
to treat it? Main thing
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is hydration of the
skin. Hydration, hydration,
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hydration. So
fluids, liquids and you can,
00:08:55.84\00:08:58.76
will you display yourself?
No. actually let's start
00:08:58.77\00:09:02.70
with bathing. Bathing
is much more moisturizing
00:09:02.71\00:09:09.53
than shower. Okay so
don't just spray yourself,
00:09:09.54\00:09:12.69
in other words
get in the tub. Right,
00:09:12.70\00:09:15.27
get in the tub short
and make sure it's not
00:09:15.28\00:09:18.22
too hot, you come out
and you can use a soap
00:09:18.23\00:09:22.39
if you want. The
type of soap that I like
00:09:22.40\00:09:24.67
to use is a
hydrating type of soap without
00:09:24.68\00:09:27.59
any fragrance. So
look for the type that has
00:09:27.60\00:09:29.86
kind of some
moisturizers in it and no scent.
00:09:29.87\00:09:32.73
Right, Moisturizing
soap. Okay. And then we,
00:09:33.79\00:09:35.96
after that use to
get moisturizer and lot
00:09:36.54\00:09:41.34
of times, you probably,
you could probably give,
00:09:41.35\00:09:42.91
prescribe some of
these things or you get them
00:09:43.76\00:09:45.14
over the counter.
You can get most of these
00:09:45.15\00:09:46.87
over the counter. Okay.
So when you do that a lot
00:09:46.88\00:09:49.50
of times you can avoid
going to the physician.
00:09:49.51\00:09:51.83
But once you
come to the Physician
00:09:52.95\00:09:54.30
you'll be
prescribed some medications,
00:09:55.14\00:09:57.55
for example a topical
steroid and also there
00:09:58.10\00:10:03.64
is something out there
that is Steroid-sparing
00:10:03.65\00:10:07.66
agents, which act
like steroids without much
00:10:07.67\00:10:11.32
side effects. What
about plant steroids,
00:10:12.06\00:10:13.82
you know lots of
people have these now and
00:10:13.83\00:10:15.46
get them in a
health food stores,
00:10:15.47\00:10:16.80
is that's
something is good for this?
00:10:16.81\00:10:17.83
Well I wouldn't recommend that.
00:10:18.58\00:10:20.51
Because it's not
really something you don't
00:10:21.01\00:10:22.92
know how much you
are getting from it?
00:10:22.93\00:10:23.90
Right, exactly. And
so it's better if you are
00:10:23.91\00:10:25.80
gonna take something
like that have a physician
00:10:25.81\00:10:27.37
involved. Yes,
because the type of steroids
00:10:27.38\00:10:29.75
we give it has
exact concentration,
00:10:29.76\00:10:31.47
you will know what
side effects it may give.
00:10:31.48\00:10:33.54
Well let's switch
gears for a minute,
00:10:33.98\00:10:34.97
what about Acne, I mean
lot's of people probably
00:10:34.98\00:10:37.38
there are kids come
and talking about Acne,
00:10:37.39\00:10:38.94
that's maybe your
number one seller.
00:10:38.95\00:10:40.60
Yes. Acne is very, very common.
00:10:41.18\00:10:42.86
And it's the
inflammation of the something
00:10:43.85\00:10:47.00
called Pilosebaceous
unit, that is Pilosebaceous
00:10:47.01\00:10:50.88
unit, yes. What
that is, is a hair and
00:10:51.22\00:10:54.08
oil gland unit. Every
time you've hair usually
00:10:54.51\00:10:59.63
have oil gland
associated or attached to it.
00:10:59.64\00:11:02.19
Okay. Now the
common places that you have
00:11:02.84\00:11:05.58
this is on the face and trunk.
00:11:07.82\00:11:09.84
Now you may not
see much hair but,
00:11:10.74\00:11:13.17
we call that
Vellus hair or peach fuzz
00:11:14.06\00:11:15.72
type of hair. That
is, that is where usually
00:11:15.73\00:11:18.74
the Acne is
involved. So that somehow gets
00:11:20.38\00:11:25.68
inflamed, somehow, what happens?
00:11:25.69\00:11:27.58
Well it occurs after
puberty. It tend to occur
00:11:28.02\00:11:32.55
earlier and more
severely in men, in males.
00:11:32.56\00:11:36.62
And it's
multi-factorial and there,
00:11:37.38\00:11:39.35
it is pretty
complicated. And it has several
00:11:39.36\00:11:44.48
factors we have to
consider. Number one
00:11:44.49\00:11:47.02
is hormones which
mainly the male hormones
00:11:47.03\00:11:50.67
called androgens.
Okay. And the other is
00:11:50.68\00:11:54.64
bacteria, there
is something called
00:11:54.65\00:11:57.27
Propionibacterium, Acnes. Okay.
00:11:58.04\00:12:03.89
And also abnormal
characterization of the
00:12:03.90\00:12:07.34
hair follicle and
there also has to be
00:12:10.18\00:12:12.70
a genetic predisposition.
Let's say those again
00:12:12.71\00:12:15.50
real quick we have,
we have what is it again
00:12:15.51\00:12:19.27
that we have there?
The hormones, bacteria,
00:12:19.28\00:12:21.52
abnormal
characterization and genetics.
00:12:22.62\00:12:25.89
So what's abnormal
characterization? Okay.
00:12:26.38\00:12:28.00
Let me try to explain
this, what happens is after
00:12:28.55\00:12:31.76
puberty your, the
androgens, the hormones,
00:12:31.77\00:12:35.90
your hormones kick in,
start stimulating your,
00:12:35.91\00:12:38.69
stimulating the
production of the sebum or
00:12:40.01\00:12:43.29
the oil gland. Okay.
So lots of, lot more oil
00:12:43.90\00:12:47.51
is produced. Which
in turn causes excess
00:12:47.52\00:12:53.45
amount of sebum
and bacteria that live
00:12:54.05\00:12:56.64
in there loves to eat
that and it breaks down
00:12:56.65\00:13:00.24
the lipids into fatty
acids because the bacteria
00:13:00.25\00:13:04.40
contains
something called Lipase.
00:13:04.41\00:13:05.76
And these sebum and
fatty acids combination
00:13:06.81\00:13:10.33
it causes, there's something
called characterization
00:13:11.71\00:13:19.26
that occurs within
the hair follicle unit.
00:13:19.27\00:13:22.13
Okay. That is hair
follicle itself produce
00:13:22.75\00:13:25.50
kind of like,
something like skin and it sheds
00:13:27.75\00:13:30.62
normally. I see.
But influence of this,
00:13:30.63\00:13:33.39
these acids and
bacteria, it causes these cells
00:13:35.34\00:13:43.29
instead of being
extruded it gets sticky and
00:13:43.30\00:13:46.69
gets stuck. And then
everything builds up under.
00:13:46.70\00:13:49.38
Right, exactly. And
then oil keeps on producing
00:13:49.76\00:13:52.64
and then
eventually it's kind of pops
00:13:53.15\00:13:55.25
to the dermis. And
your body comes and tries to
00:13:55.26\00:13:58.27
get rid of it and
forming pus and inflammatory
00:13:58.28\00:14:02.83
nodules. We're
talking with Dr. John Chung,
00:14:02.84\00:14:05.37
we are talking
right now about Acne,
00:14:05.38\00:14:07.06
I'm sure you are
going to want to find out
00:14:07.62\00:14:09.15
how to take care of it so
join us when we come back.
00:14:09.16\00:14:11.11
Are you confused
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Just log on to 3abn.org
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Welcome back we're
talking with Dr. John Chung,
00:15:13.41\00:15:15.24
we're talking about dermatology,
00:15:15.25\00:15:16.53
the study of the
skin. We're talking about
00:15:16.54\00:15:18.37
on this program
some common problems with
00:15:19.10\00:15:21.66
the skin that
children have. Right now
00:15:21.67\00:15:23.92
we're talking about
Acne, when we left on
00:15:23.93\00:15:25.90
the break we were
talking about what it was,
00:15:25.91\00:15:28.10
how it happened,
how it came about.
00:15:28.11\00:15:29.78
And now we're
gonna ask Dr. Chung how
00:15:30.51\00:15:32.40
to treat it. Let's
say I come in with 15 year
00:15:32.41\00:15:35.08
old Donald, my son,
and I bring him and he
00:15:35.09\00:15:38.64
is just embarrassed,
he's got Acne all over and
00:15:38.65\00:15:41.76
I'm saying you know
we got a problem here and
00:15:42.76\00:15:45.95
then you're talking to
him. Talk to me like you
00:15:45.96\00:15:47.68
talk to him. What
would you say to him and
00:15:47.69\00:15:49.30
explain it to us?
Well first of all you know
00:15:50.03\00:15:51.59
we talked about the fact
that it's due to hormonal
00:15:52.48\00:15:56.03
control. That you
would talk to him about the
00:15:56.04\00:15:58.26
hormones? Right
hormones and the fact
00:15:58.27\00:16:00.51
that you know, you
really can't control that.
00:16:00.52\00:16:01.90
It's natural, usually
it's, it's, everybody goes
00:16:02.44\00:16:09.25
through it, it's
normal levels. Right.
00:16:09.26\00:16:11.02
But the thing is there's
some study show that milk,
00:16:11.03\00:16:13.92
because it
contains hormones, okay
00:16:14.40\00:16:15.37
and stress and
people you know not in
00:16:15.38\00:16:19.69
in son's case but in
females around their periods
00:16:19.70\00:16:22.12
okay, their androgen
levels tend to go up and during
00:16:22.13\00:16:26.62
those times there is a
exacerbation of the Acne.
00:16:26.63\00:16:29.05
So you probably say
hey you know if you're
00:16:29.75\00:16:31.77
hitting the dairy or
the milk you might wanna
00:16:31.78\00:16:33.90
knock that off and.
Well instead go home and
00:16:33.91\00:16:37.21
scrub his face, get out
a Brillo pad or something
00:16:37.22\00:16:39.24
and try and get it
off. Absolutely not,
00:16:39.25\00:16:40.62
because it doesn't, it
doesn't work, not matter
00:16:40.63\00:16:42.64
how much you scrub
that is gonna happen.
00:16:42.65\00:16:45.19
It may actually make
it worse, it leads to more
00:16:45.70\00:16:47.87
scaring, but you
know I always tell them
00:16:47.88\00:16:51.42
something you know
that is you have to
00:16:51.43\00:16:53.43
give them hope, you
know what I mean, right.
00:16:53.44\00:16:55.05
Because you don't,
first of all you don't see
00:16:55.06\00:16:57.49
a Acne in 5 year olds
or 95 year olds because
00:16:57.50\00:17:02.14
the hormone levels
are low at that time.
00:17:03.15\00:17:04.47
Okay, so when
they become 95 you know
00:17:05.07\00:17:06.71
you can tell them that
their Acne will go away
00:17:07.19\00:17:08.95
absolutely. I'm sure
that will be comforting,
00:17:08.96\00:17:11.42
that's almost
like 80 years away. So,
00:17:11.94\00:17:13.69
are there certain
kind of soaps or different
00:17:16.61\00:17:18.83
things they should
use or is it just what,
00:17:18.84\00:17:21.58
do they take the
dairy and the milk away and
00:17:22.25\00:17:24.09
then just wait? Well,
there are some medications
00:17:24.32\00:17:27.84
but before we talk
about the medications,
00:17:27.85\00:17:29.73
we need to talk about
some other things that
00:17:30.94\00:17:34.13
maybe associated with
different types of Acne.
00:17:34.14\00:17:37.26
Okay. Can we do
that? Yeah, sure, go ahead.
00:17:37.93\00:17:39.16
What could be some
different types of Acne?
00:17:39.17\00:17:41.73
Well, you know there
is Acne that occurs in
00:17:41.74\00:17:44.84
females. Okay. That
is associated with male
00:17:45.61\00:17:49.55
pattern hair growth
called Hirsutism, okay.
00:17:49.56\00:17:53.56
That they may or may
not have irregular menses
00:17:53.94\00:17:56.49
and sometimes
they have weight gain,
00:17:57.56\00:17:59.94
we call that
Polycystic Ovary Syndrome.
00:18:02.04\00:18:05.28
Okay. So if you have
that, people like that they
00:18:05.92\00:18:08.68
need to see an
endocrinologist or their
00:18:08.69\00:18:10.81
OB GYN to have it
worked out. And also there's
00:18:10.82\00:18:14.75
something
called Acne Conglobata,
00:18:14.76\00:18:15.96
which is a very
severe form of Acne occurs
00:18:15.97\00:18:19.23
more commonly
on the trunk, okay.
00:18:19.24\00:18:21.48
And there is
another form of Acne called
00:18:22.09\00:18:24.28
Acne Fulminans, now
this is a very severe form
00:18:24.57\00:18:28.84
of Acne, this is the
most severe form of Acne.
00:18:28.85\00:18:30.87
Fulminans like
Fulminats it goes all over the
00:18:30.88\00:18:33.02
place rapidly?
Absolutely, very, very,
00:18:33.03\00:18:34.81
it's usually occurs
in young males between
00:18:34.82\00:18:39.68
about 13 and 17.
Acute onset, very severe
00:18:39.69\00:18:43.93
cystic acne, with
pus formation and there
00:18:43.94\00:18:47.24
is ulceration
involved. And there is malaise,
00:18:47.25\00:18:50.95
fever, joint pains,
and elevated white count
00:18:50.96\00:18:54.57
and many times they
need to get hospitalized
00:18:55.85\00:18:57.38
you know. Can
you imagine, because
00:18:57.39\00:18:58.38
of all that infection
that get into the blood stream
00:18:58.39\00:19:00.52
and really make it a
problem. People actually
00:19:01.60\00:19:03.57
can die from this.
and can you imagine
00:19:03.83\00:19:06.21
you know you come
out of the hospital they
00:19:06.22\00:19:07.70
go did you have
heart attack or stroke,
00:19:07.71\00:19:10.08
what do you have?
No, I was in for Acne.
00:19:10.09\00:19:12.78
So Acne can be severe
you know it's not just.
00:19:14.92\00:19:17.23
Right. So you have to
explain if the severe type
00:19:18.32\00:19:22.96
of fulminating type
and then everyone will
00:19:22.97\00:19:24.80
get quiet, right?
Right. And we can talk about
00:19:24.81\00:19:28.31
treatment now.
Yes so what do we do
00:19:29.14\00:19:30.71
to treat it? We said we
do not try and scrub it off,
00:19:30.72\00:19:34.05
that doesn't
work? Right absolutely.
00:19:34.06\00:19:35.81
We've already said get
rid of the dairy products,
00:19:35.82\00:19:37.58
try that, those
different things but what else
00:19:37.59\00:19:40.35
can we do? Okay.
You can get rid of your
00:19:40.36\00:19:44.22
parents you know
genetic predisposition,
00:19:44.23\00:19:46.26
but that doesn't gonna work.
00:19:46.27\00:19:47.73
That's not gonna
work 'cause you're already
00:19:47.74\00:19:49.25
there, okay. Now, you
have three major types,
00:19:49.26\00:19:54.37
they actually four,
four. One is a antibiotics,
00:19:56.03\00:19:59.82
topical or oral,
okay, the other is something
00:20:00.51\00:20:03.59
called Benzoyl
peroxide, topical, the other
00:20:03.60\00:20:06.71
is retinoids,
retinoids. Now these things in
00:20:06.72\00:20:12.39
combination will get
best not just by itself.
00:20:12.40\00:20:16.58
So taking antibiotic,
they used to give when
00:20:17.34\00:20:19.24
I was a kid, tetracycline,
do they still do that?
00:20:19.25\00:20:21.20
Yes, tetracycline is
a common thing and also,
00:20:21.53\00:20:23.72
any dangers with
that? You always can have
00:20:24.46\00:20:29.00
side effects. But this
is probably fairly safe,
00:20:29.01\00:20:32.70
but you have to
take on an empty stomach
00:20:33.52\00:20:34.79
and most dangerous
part about this is not
00:20:35.72\00:20:37.51
becoming pregnant.
I emphasis that even
00:20:38.22\00:20:40.59
to males not becoming pregnant,
00:20:40.60\00:20:43.38
because they can
always share with the female.
00:20:43.39\00:20:46.38
Okay. They need to
know the fact. Alright.
00:20:46.98\00:20:48.96
And also
there's something called
00:20:48.97\00:20:50.18
Minocycline, that you
can take that a couple
00:20:50.19\00:20:54.96
of times a day or
once a day because of this
00:20:54.97\00:20:56.72
severity and with
that you can have sometimes
00:20:56.73\00:21:00.48
dizziness associated with
it. So all of these things,
00:21:01.14\00:21:05.51
the antibiotic serves
upsides and downsides,
00:21:05.52\00:21:08.93
right, potential
downside. So what I am trying
00:21:08.94\00:21:11.90
to do is give
them, if they need to,
00:21:11.91\00:21:16.37
oral antibiotics but I
try to pick them off the oral
00:21:16.84\00:21:20.26
antibiotics as fast as possible.
00:21:20.27\00:21:21.83
But I try to use
them, seven or ten days.
00:21:22.64\00:21:24.95
Oh no, no, no. Two
months three months.
00:21:26.01\00:21:27.66
Few months, depends
on how they respond.
00:21:27.67\00:21:29.46
Okay. But my main state
is a topical medication.
00:21:29.96\00:21:32.82
So you get some kind
of creams or something
00:21:33.73\00:21:35.64
you give them. Right,
right. Topical medication,
00:21:35.65\00:21:37.57
Benzoyl peroxide
product and retinoic product
00:21:37.58\00:21:41.00
like Retin A and so. If
the Acne is really you know
00:21:41.01\00:21:45.78
open sores and stuff,
you probably don't use
00:21:45.79\00:21:47.56
the topical, yes or
no? Yeah, you can, you can.
00:21:47.57\00:21:50.89
But you really need
unless it's very mild I usually
00:21:51.52\00:21:55.22
like to use some type
of oral antibiotics and
00:21:55.73\00:22:00.21
females you can use
estrogen products, okay,
00:22:01.79\00:22:04.78
birth control pills
with high estrogen content.
00:22:04.79\00:22:06.94
Now there are patients who are,
00:22:08.03\00:22:09.07
we concentrate to
conventional therapy and
00:22:10.01\00:22:16.32
very severe Acne and I
go straight to something
00:22:16.33\00:22:20.46
called Accutane or
Isotretinoin and that is
00:22:20.47\00:22:27.77
probably the best and
a revolutionary way of
00:22:27.78\00:22:31.77
treating Acne. It's
been around for sometime but,
00:22:31.78\00:22:35.42
and it's not an
antibiotic it's not a cream but
00:22:36.19\00:22:38.59
it is something else.
You say a form of Vitamin A.
00:22:38.60\00:22:40.72
form of Vitamin and
would most dermatologists
00:22:41.33\00:22:43.55
know about that or you
special in that regard.
00:22:43.56\00:22:46.78
Well most, almost,
most physicians know about
00:22:47.25\00:22:50.11
that but you know that
is very, very effective
00:22:50.64\00:22:53.29
but it has some
side effects, okay.
00:22:54.06\00:22:56.25
Vitamin A therapy
has some side effects.
00:22:56.93\00:22:58.97
Well Accutane, not
Vitamin A. Because Vitamin A
00:22:59.49\00:23:02.32
and Accutane, Accutane
is slightly different from
00:23:02.33\00:23:04.75
Vitamin A, okay. Now
number one is dryness,
00:23:04.76\00:23:07.65
every single person
who has gone through
00:23:07.66\00:23:11.39
Accutane they will
tell you one of the worst
00:23:11.40\00:23:14.04
side effects is
dryness. Because what it does
00:23:14.05\00:23:16.53
is it dries up the oil
gland, that's what it causes.
00:23:16.54\00:23:18.65
Right. And also it can
increase your triglyceride
00:23:18.66\00:23:22.40
level. So you got
to be careful. Yeah,
00:23:22.41\00:23:25.27
since we monitor their
blood levels and you have,
00:23:25.40\00:23:30.31
only goes up to over 800 or so,
00:23:31.56\00:23:33.50
you have to worry
about Pancreatitis.
00:23:34.40\00:23:35.86
So it's although, that's
why you would use it last,
00:23:37.23\00:23:39.76
you use other
things because these are
00:23:39.77\00:23:41.11
some very risky
side effects then, right.
00:23:41.12\00:23:42.94
And one of the and
absolutely not to do while
00:23:42.95\00:23:47.80
on Accutane is
pregnancy. It can cause very
00:23:49.23\00:23:54.05
severe birth defects. I
see, you got to be very,
00:23:54.06\00:23:57.26
very careful about that.
So these are the treatments
00:23:57.27\00:23:59.92
for Acne, anything
else? That's pretty much okay.
00:23:59.93\00:24:03.20
Let's go on and
talk about common warts.
00:24:03.53\00:24:05.88
And we got about
three minutes left in the
00:24:06.89\00:24:08.48
program so let's talk
as much as we can here
00:24:08.49\00:24:10.89
about warts.
Well. What about that,
00:24:10.90\00:24:14.22
how do you get
that? People think they're
00:24:14.23\00:24:17.12
from frogs
actually. I'm just kidding.
00:24:17.13\00:24:19.23
That's what
sometimes people say.
00:24:19.44\00:24:20.44
That's an old wives
tale yeah. but it's you know
00:24:20.45\00:24:23.34
it's a virus that you
get it from other people,
00:24:24.79\00:24:27.29
other kids. And so you
give antiviral medication,
00:24:28.34\00:24:31.87
you got creams,
what you do for them?
00:24:31.88\00:24:33.35
Well there are several
ways one is freezing them,
00:24:34.31\00:24:38.43
the other is
actually burning them off and
00:24:39.80\00:24:43.87
the other is cutting
it off, but I would not
00:24:43.88\00:24:47.03
recommend that but
one of the best treatment
00:24:47.04\00:24:50.44
at this point is
something called Candida antigen
00:24:50.45\00:24:52.64
injection right into the
wart and about 70 percent
00:24:52.65\00:24:56.14
of the people
respond. So you would try and
00:24:56.15\00:24:58.63
take your own warts
off at home. Yes we can.
00:24:58.64\00:25:01.07
And you know wart
is a very funny thing
00:25:01.79\00:25:03.51
because a lot of times
they respond even without
00:25:03.52\00:25:06.20
any treatment. And
so you know if you don't
00:25:06.21\00:25:10.88
have to treat
it, don't treat it.
00:25:10.89\00:25:12.08
the reason why you
treat wart is because
00:25:12.67\00:25:14.89
it's unsightly and if
it's on the bottom of the
00:25:15.75\00:25:17.82
foot it's very
painful. Now the other thing
00:25:17.83\00:25:21.33
is if you're a
criminal you know you're gonna
00:25:21.34\00:25:23.68
have a hard time with
your thumb prints you know,
00:25:23.69\00:25:25.68
when you give your,
if it's on the thumb
00:25:25.69\00:25:30.07
I mean so you got to
get that out. Get that out.
00:25:30.59\00:25:33.37
Well I think there
are another ways to track
00:25:34.64\00:25:36.33
criminals now besides
warts probably DNA and
00:25:36.34\00:25:39.47
what not but that's interesting.
00:25:39.48\00:25:41.39
Okay so that gives us
kind of an overview of
00:25:41.93\00:25:43.75
warts you know you
see a lot of patients
00:25:43.76\00:25:45.51
I don't know hundreds
of patients come through
00:25:46.15\00:25:48.37
your clinic every day,
you're in the room only
00:25:48.38\00:25:50.72
for a brief moment
many times just to say
00:25:50.73\00:25:52.86
a word and look over
this or that, how do you
00:25:54.11\00:25:56.73
as a Christian
physician you're part of the
00:25:57.24\00:25:58.28
Adventist Medical
Evangelism Network,
00:25:58.29\00:26:00.23
how do you as a
Christian physician gives
00:26:01.04\00:26:02.48
that caring touch of
Christ to the patients you
00:26:03.08\00:26:06.67
see just briefly
maybe they're just coming
00:26:06.68\00:26:08.19
in to get checked.
Well being kind and also
00:26:08.20\00:26:12.00
touching them. I like
to touch all my patients,
00:26:13.01\00:26:15.42
even though they
have a skin problem you
00:26:16.12\00:26:18.27
touch them,
right. Very important.
00:26:18.28\00:26:20.72
Just don't touch the
warts, you know, right,
00:26:20.73\00:26:23.72
but touch them and
sometimes I pray with them,
00:26:24.39\00:26:26.65
depends on their need,
I don't pray with all the
00:26:27.72\00:26:29.72
patients but when the
Spirit leads, that's when.
00:26:29.73\00:26:35.11
And as a result of
working especially with kids,
00:26:35.83\00:26:40.97
what's the hardest? Is
it most difficult to talk
00:26:42.04\00:26:44.60
to the children
or to their parents?
00:26:44.61\00:26:45.90
Well probably
parents, but you know treatment
00:26:48.28\00:26:53.17
when you actually
treat, you know the children
00:26:53.18\00:26:56.30
are very, very
scared and they cry and,
00:26:56.31\00:26:59.12
but at the same time
the parents want to know
00:27:00.32\00:27:03.49
what's going on and
try to explain and dealing
00:27:03.50\00:27:06.43
with all that, you
know. So this is a, you know,
00:27:06.44\00:27:10.53
it sometimes some
other things we talk about
00:27:10.54\00:27:12.71
sometimes are seemingly
a little funny but they're
00:27:12.72\00:27:16.55
really not if it's
happening to you, right,
00:27:16.56\00:27:18.54
it's kind of like you
know this is happening to me
00:27:18.55\00:27:21.20
and so I'm sure you
know I used to work in an
00:27:21.21\00:27:23.86
emergency room and
we'd see a lots of different
00:27:23.87\00:27:25.65
people come through
with different things and try
00:27:25.66\00:27:28.87
and be as helpful
and direct as possible,
00:27:28.88\00:27:31.02
but you know let them
know they're appreciated.
00:27:31.03\00:27:33.79
I can tell you're
that type of doctor.
00:27:34.32\00:27:35.34
Thank you so much
for talking with us today
00:27:36.08\00:27:37.89
about some of the
common skin problems with
00:27:37.90\00:27:39.96
children, we
didn't cover them all,
00:27:39.97\00:27:40.96
but we'll maybe
talk about some more in
00:27:41.68\00:27:43.63
a future program. And
thank you for joined us
00:27:43.64\00:27:45.32
today on Health For
a Lifetime. Some really
00:27:45.33\00:27:47.88
practical things today
and it's good to know that
00:27:47.89\00:27:51.34
we have
dermatologists and frontline,
00:27:51.35\00:27:53.97
that can go pass
the frontline defenses,
00:27:53.98\00:27:55.95
we hope that
today's program will give
00:27:56.50\00:27:57.68
you skin health that
lasts for a lifetime.
00:27:57.69\00:28:00.03