The following program presents
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principles designed
to promote good health
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and is not intended
to take the place of
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personalized professional care.
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The opinions and ideas expressed
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are those of the speaker.
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Viewers are
encouraged to draw their own
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conclusions about the
information presented.
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Hello and welcome to
Health for a Lifestyle
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and I'm your
host Don Mackintosh.
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We're glad you join us
today, we're gonna talk
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about the skin today
and we have a specialist
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that deals with skin every day.
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He is a dermatologist;
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derm means skin and ologist
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of course the study of the skin
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and Dr. John Chung
comes to us from Dalton,
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Georgia, where he is
practicing dermatology for
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about ten years. You
have a large practices
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that deals not just
with the common problems
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of a, of you know children
and adults skin problems.
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But also more
complicated things like
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skin cancer and
surgery, plastic surgeries
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out there, all these
different kind of things.
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I think some of
that, all that together
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and so you're probably
a pretty busy man there,
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do you have other
physicians that work
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with you there, yes I do, do
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you know Dr.
Philip Mills? I know
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Dr. Philip Mills, yes,
yes he's my best of friend.
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Yes, he's taking,
he's my friend too,
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he's your friend
too good. Well, today
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we're gonna talk about
some common things that
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afflict adults and
their skin. First of all,
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why is the skin important?
I mean, it's, it helps
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homeostasis of your
body, and keeps balance,
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so it keeps your
temperature not too hot,
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not too cold.
That's absolutely right,
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it controls your
temperature and also helps
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pathogens from
coming into your body
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as well as it helps
you from the sun exposure,
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the ultraviolet rays,
if the body has a mechanism
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to deal with harmful rays.
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It also helps you
loose prevention of the loss
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of water from you as a barrier.
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Isn't that well also
helps you get vitamin D
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what you need live?
Absolutely, so the skin
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is really important,
it's also important in all
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our
relationships, we shake hands,
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we give each other a
kiss, we, all those different
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things, that's right.
Without skin that would
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not be fun, that's right.
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Okay, you know some
of these skin problems,
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I don't pronounce
every day as a pastor,
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I don't get up and
preach the sermon on acne,
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although maybe I
should, but we're gonna talk
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about several and
you're gonna have to help me
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with some of these
rosacea, rosacea, rosacea
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is the first
thing then what is that
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perioral dermatitis, psoriasis,
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if we get time
what are some of the
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other ones here we
have down that we might
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talk about? Well,
different like funguses
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and something called
like seborrheic dermatitis.
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Okay, so we get
time but we're gonna
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working down through
this and lets go back to
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that first one, you're gonna
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to say it for me again.
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It's called
rosacea that means, rosacea
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like rose, that
means like rose exactly,
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so it look like a red, red head.
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I mean not
something in your hair
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but right our red
face. Right, okay,
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so like rose that
sort of means, okay so
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what is this, how
does it start, you know
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what causes it
and okay, all that.
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It's a chronic like
acne-like disorders but
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it's not related to
acne. And it has papules,
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pustules and
dilated blood vessels
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and there's
something called rhinophyma
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which is you've
seen WBC fields with
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large lobulated nose.
Okay, all those little,
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right that's
called rhinophyma that's
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a result of rosacea.
Okay, so what causes it?
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You know, we
don't know just happens,
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is it genetic? We
don't know, we don't know
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what causes it at
all, it may or may not
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be genetic because we
don't know what it cause.
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But the onset is
between 30 and 70
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and it's slightly
more common in females
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mostly occurs in Caucasian,
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but the rhinophyma occurs
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almost exclusively in men.
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Thankfully, I mean
the females are alright,
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side released there.
Okay, so 30 to 70 years old
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that's the onset and
you don't know the cause.
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Well, we don't
know the cause but there
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are certain things
that are making worse,
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such as. Like
changing weather, spicy foods,
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hot foods,
temperature hot foods,
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certain medications
and alcohol, alcohol,
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alcohol and also the
Sun. So, a lot of people
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that drink alcohol
you will see they have
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that really red face
and that's what this is,
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right exactly. So,
you said climate change,
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so it's a better to
live in a place where you
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don't have the
four seasons if you have
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this, like Arizona,
or, or else there is too
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much, too much Sun
there, too much Sun
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there. Because the
Sun can exacerbate dosage,
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where would you live North Pole,
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South Pole, what's
the best climate for,
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what is there?
That was the best place,
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it's okay, try and
get away from that but
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there is no
favorable climate above others.
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It's actually is
the change in weather,
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okay you know,
it's not, it's not,
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it's not so much the
season. Exactly, it's
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during the change,
during the change okay.
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So, what's the
treatment for this?
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Well, there are
multiple treatments one is
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topical, I like to
use something called
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matrigel and the
other, other medication
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is sulfa based
medications, so matrigel
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and sulfa topical
preparation, right.
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It's another
that you rub all over,
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exactly and also old
medication that includes
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tetracycline or
minocycline or Doxycycline
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and some times I
use something called
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Z-Pak, zithromax, yes
okay. These medications
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tend to work fairly
well in most of the patients.
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And again all those
that you make sure the
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patient is not
pregnant, if it's a female and
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be very careful with
that. Right, exactly and
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then what about
tetracycline with the
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little kid, this is
not a little kid thing but
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does that mess up
your teeth somehow.
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Yeah, it can, it
can stain your teeth,
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so what age is that.
I would not use you know
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they say 8, age 8
but I don't like to use
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anywhere, anybody below age 12.
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Because they still
have teeth coming and
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what not, but you
know the literature say
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and also I talked to
a dentist who says it's
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okay to give
anybody above age 8.
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Okay, but I will
just wait till they're 12,
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because if your
wisdom teeth are stained
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there in the back
who cares right, right.
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You're still wise,
okay but that's still a good
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role of thumb
someone watching say hey
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look watch before
age 8 for sure as well.
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Is that all we need
to say about this one,
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yes and also
severe rosacea can also
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treated with accutane
just like severe acne?
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Accutane, that's
that thing that dries out
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all the, all of the
glands that have the oil
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there, that are
causing the problem with the
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cap that's not
going off and just kind of
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dries it out
right? Right, okay, good,
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I'm trying to
remember you know from what
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we've learned. Okay,
let's go on to perioral
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dermatitis, right it's
that around your mouth,
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yes, okay. Peri
means around, dermatitis
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means skin, the
inflammation of the skin
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okay, perioral
dermatitis is a, it's like
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Acne-like eruption
is micropapules and
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micropustules around
the mouth and usually
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occurs in young
females. And usually
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spares vermilion
borders right there between
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the lip and, lip
popper and the chin,
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it usually spurs in
that area. So, it doesn't
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get right on the lip
but it just right below it,
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exactly and also
you can have a very end
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of it called
periorbital dermatitis,
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which is around the
eyes. But you treated
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the same way, I
mean imagine these
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things you know
they're easy to talk about
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but I mean someone
gets that, the young
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girl. Man, they
come in and they you know
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they probably feel embarrassed,
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distressed, they
don't wanna go to school,
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they don't wanna do
anything, wearing a hat
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probably or something.
No, I'm serious in the
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emergency room I
have people come in with
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the ski mask on,
they didn't want anybody
00:08:58.13\00:09:00.19
to see it. And you
know, you feel bad for
00:09:00.20\00:09:02.22
them, right, and
so what do you do to,
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or what causes it
first of all, do you know?
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We don't know, you don't know,
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God knows you keep saying that.
00:09:08.69\00:09:10.74
Okay, so what you
do to for at least if
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we don't know
what it, what causes,
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we know the treatment
that's very effective.
00:09:14.23\00:09:15.99
Okay, what's the
treatment, it's topical
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erythromycin, okay
or sometime metrogel
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and or like
tetracycline or minocycline or
00:09:21.90\00:09:26.20
Doxycycline, okay.
They tend to be very
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effective, alright and
how long we have to take
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those kinds of things?
Usually for several weeks
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and then it just
goes away, yes, goes away
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and what I find
interesting about this is
00:09:37.32\00:09:39.80
that when it goes
away, it kind of stays away.
00:09:39.81\00:09:42.34
Interesting, now
look, you know all of these
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different things we
can have with the skin
00:09:45.03\00:09:46.38
is this the
reflection of underlying maybe
00:09:46.77\00:09:49.15
immune system
problem. Perhaps hormonal,
00:09:49.16\00:09:53.20
you just so, do you
ever do test to figure out
00:09:54.04\00:09:56.46
what that is you look
of course with that white
00:09:56.47\00:09:57.88
count and all that
you know the white blood
00:09:57.89\00:09:59.67
cells in their
system when they come in?
00:09:59.68\00:10:01.32
Not, not for this
particular condition,
00:10:01.81\00:10:04.03
no but there are
skin conditions where you
00:10:04.33\00:10:07.75
have to like for
example acne fulminans you
00:10:07.76\00:10:11.20
need to get the
blood work, right.
00:10:11.21\00:10:12.98
So, when there is
that fulminating type of
00:10:12.99\00:10:14.65
acne, right okay,
exactly. Alright, psoriasis,
00:10:14.66\00:10:18.12
right, okay what
is it? What causes it?
00:10:18.30\00:10:22.23
What do we do for it?
00:10:22.24\00:10:23.21
Well, psoriasis
comes from two Latin words
00:10:24.83\00:10:29.01
psor means itchy, okay
riasis means condition,
00:10:29.94\00:10:37.56
okay. It means itchy
condition but you know
00:10:38.27\00:10:42.43
usually people with
psoriasis they don't itch,
00:10:42.58\00:10:45.08
so it doesn't itch
but they called the itchy
00:10:45.51\00:10:47.63
condition,
Right, it's more of a,
00:10:47.64\00:10:49.26
it's a miss number.
Although there are several
00:10:49.35\00:10:51.79
significant number
of patients who do have
00:10:51.99\00:10:54.11
itching, okay, so
they call it psoriasis what
00:10:54.12\00:10:57.56
does it look like is
it? I guess probably what,
00:10:57.57\00:11:01.07
flecked up skin,
right it's, it has salmon
00:11:01.08\00:11:06.24
colored base
with a silvery scale,
00:11:06.25\00:11:09.34
okay the problem with psoriasis.
00:11:09.56\00:11:11.74
First of all it
affects about 2 percent of US
00:11:12.37\00:11:17.39
population, so 5
million bobs, about 5 million
00:11:17.40\00:11:19.97
people. And you
know in normal skin it
00:11:19.98\00:11:24.65
takes about 53 days,
it takes almost exactly
00:11:24.66\00:11:29.31
53 days for your
top layer of the skin to
00:11:29.32\00:11:34.55
go from the base
layer to the top layer.
00:11:34.56\00:11:37.00
So, in other words
it's all, skin is always
00:11:37.35\00:11:39.36
sloughing off as it
moves up, right and that
00:11:39.47\00:11:41.65
usually takes from
the very base line to the
00:11:41.66\00:11:44.11
very top 53 days.
Normally, normally but
00:11:44.12\00:11:46.87
what, how long does
it take in psoriasis.
00:11:46.88\00:11:48.49
But in psoriasis it
only takes seven days,
00:11:48.50\00:11:49.99
seven days so it
turns over eight times
00:11:50.01\00:11:53.68
faster so that's
why skin gets heaped up.
00:11:53.69\00:11:56.05
Is this
dangerous? Not necessarily,
00:11:56.71\00:11:59.56
but there is certain
form of psoriasis that
00:11:59.57\00:12:02.33
can be dangerous,
okay. Now, there are
00:12:02.34\00:12:07.38
several forms of
psoriasis, there are localized,
00:12:07.39\00:12:10.03
there is generalized
and also there is something
00:12:10.41\00:12:13.15
called erruptive or
guttate psoriasis, okay.
00:12:13.16\00:12:17.21
And there is a kind
of an emergency type
00:12:17.22\00:12:20.34
of form alright,
how generalized pustular
00:12:20.35\00:12:23.83
psoriasis of Von
Zumbusch, well I don't
00:12:23.84\00:12:28.27
know if I could say
that, yeah but it's a,
00:12:28.28\00:12:29.95
that you say it's a
pustular type exactly.
00:12:30.40\00:12:32.95
So, there's
pustules with it, it's a life
00:12:32.96\00:12:35.30
threatening condition
and it has abrupt onset,
00:12:35.31\00:12:39.19
it starts with the
burning redness and you
00:12:39.49\00:12:41.95
form lakes of pus
all over the body.
00:12:41.96\00:12:44.37
And this could
just be reasons life
00:12:44.57\00:12:46.84
threatening probably
'cause all the fluids
00:12:46.85\00:12:48.15
leaving, it's kind
a like a burn patient.
00:12:48.16\00:12:49.78
Right, exactly you
treated just like burn
00:12:49.79\00:12:51.55
patient, hospitalized
them, have you ever had
00:12:51.56\00:12:54.07
the patient like
that? No, I haven't,
00:12:54.08\00:12:55.60
probably don't
want to have one yeah,
00:12:56.26\00:12:57.23
the fortunate one
yeah, no, I haven't,
00:12:57.24\00:12:58.47
that's, that's one
of the rare dermatologic
00:12:58.48\00:13:01.29
emergencies. And
there is other form is a
00:13:01.49\00:13:05.08
localized form, a
pustular psoriasis called
00:13:06.33\00:13:09.19
palmo-plantar pustulosis,
okay, that you've pus
00:13:09.20\00:13:12.78
on your palm, on
the palms and soles.
00:13:13.08\00:13:15.16
Yes, and then also
there is another kind of
00:13:16.30\00:13:19.43
a almost a life
threatening it can be
00:13:19.44\00:13:21.94
form called erythrodermic type
00:13:21.95\00:13:23.92
when your entire body
is red, and if you have
00:13:23.93\00:13:28.50
a poor heart you
can have, you can
00:13:28.51\00:13:32.38
develop a heart
failure. So, you have to control
00:13:32.39\00:13:35.51
that, so the blood,
the heart doesn't have
00:13:35.52\00:13:37.75
to work that hard
to supply the redness
00:13:37.76\00:13:40.17
to your skin. Alright
is there any, are there
00:13:40.18\00:13:42.64
any other types
of psoriasis we wanna
00:13:42.65\00:13:44.90
mention here before
we start talking about
00:13:44.91\00:13:46.52
treatment. Yeah,
you know, we didn't,
00:13:46.53\00:13:48.31
we just briefly
mention about eruptive type
00:13:49.30\00:13:51.75
or guttate
psoriasis, okay and it has
00:13:52.47\00:13:54.73
abrupt on-setting,
it's like the rash that
00:13:54.88\00:13:57.21
comes suddenly and
many times it's proceeded
00:13:57.22\00:14:00.43
by struck throat,
okay, and many times
00:14:00.44\00:14:04.75
just resolves on his
own. But some patients
00:14:04.77\00:14:09.07
go on to have
chronic type of psoriasis,
00:14:09.85\00:14:12.47
okay so we've
given our overview of the
00:14:12.84\00:14:14.62
common types of
problem but there also
00:14:14.63\00:14:16.76
talked about some
of the unusual things.
00:14:16.93\00:14:18.76
We're talking
with Dr. John Chung,
00:14:18.96\00:14:21.01
we're talking about
dermatological problems
00:14:21.02\00:14:23.69
and when we come
back we're gonna look at
00:14:23.70\00:14:25.00
some treatments,
join us when we come back.
00:14:25.01\00:14:26.88
Are you confused
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00:15:23.41\00:15:26.33
Welcome back we're
talking with Dr. John
00:15:28.80\00:15:30.37
Chung, we're
talking about psoriasis and
00:15:30.38\00:15:32.61
dermatological
problems and now we're
00:15:32.62\00:15:34.59
gonna talk about
some solutions to
00:15:34.60\00:15:36.37
psoriasis,
alright, very common form of
00:15:36.38\00:15:39.35
dermatological
problem, you said about 2
00:15:40.15\00:15:41.93
percent or 5 million
people in America have
00:15:41.94\00:15:43.73
this and they all
come to your office on
00:15:43.74\00:15:45.60
Wednesday. Maybe not Wednesday,
00:15:45.61\00:15:47.74
maybe they come to
our Bible study after
00:15:47.75\00:15:49.14
that okay, good.
Right, so you know by
00:15:53.47\00:15:54.44
the way speaking
of that, what type of
00:15:54.45\00:15:55.42
problem you think
Naaman had, I guess it
00:15:55.43\00:15:56.54
was leprosy,
right. Have you ever seen
00:15:56.55\00:15:58.48
leprosy? Yes, I
have. In your practice in
00:15:58.49\00:16:01.40
adults. Yes, yes and 2 patients,
00:16:01.41\00:16:03.52
2 patients, interesting,
well that's not we're
00:16:03.78\00:16:05.66
talking about
right. So, let's go back to
00:16:05.67\00:16:07.17
psoriasis, how do
we treat psoriasis?
00:16:07.18\00:16:09.46
Well, there are
many, many ways to treat
00:16:09.84\00:16:11.41
psoriasis and
give me the top ten
00:16:11.42\00:16:14.06
Alright, one of the
best things for psoriasis is
00:16:16.39\00:16:21.19
ultraviolet light that
means Sun really helps.
00:16:21.34\00:16:24.80
That's why a lot of
times you see psoriasis
00:16:25.18\00:16:27.16
in Sun covered
areas, so you don't see
00:16:27.31\00:16:30.14
much on the face.
Okay, because it's always
00:16:30.15\00:16:33.05
exposed to the Sun and
so, and related to that
00:16:33.18\00:16:36.46
you have
something PUVA, PUVA, PUVA
00:16:36.47\00:16:39.44
which is Psoralen
added to ultraviolet A.
00:16:39.45\00:16:42.62
And that is very,
very effective treatment.
00:16:43.45\00:16:46.61
Excuse me, one
more time that is what
00:16:46.80\00:16:48.75
added to ultraviolet
ray? Key part is called
00:16:49.26\00:16:51.34
Psoralen, right
added to ultraviolet ray.
00:16:51.47\00:16:55.00
What you have in
that UVA, that's why PUVA.
00:16:55.01\00:16:57.83
Alright, it's a
specific type of the lamp,
00:16:57.84\00:17:00.64
right exactly, you
take a pill and then you go
00:17:01.46\00:17:04.73
into the light, and
you have this in your
00:17:04.74\00:17:07.01
office. No, we
don't, you don't because we
00:17:07.02\00:17:10.43
have many other
treatments, if it's just
00:17:10.44\00:17:12.82
localized you can
treat with like type of the
00:17:12.83\00:17:15.27
steroids, okay if
it's more extensive.
00:17:15.28\00:17:17.67
I like to use
something a methotrexate,
00:17:18.07\00:17:21.15
methotrexate.
Methotrexate is, it has a little
00:17:21.96\00:17:26.41
bit of, it may have a
problem with the liver
00:17:26.42\00:17:28.50
and also it can
cause problem with blood.
00:17:28.92\00:17:32.57
But not usually so
you can use it for a lot
00:17:33.46\00:17:35.54
of people, right, yes
okay. One, one draw back
00:17:35.55\00:17:38.36
with this is that, it
cause you have to do a
00:17:38.45\00:17:41.97
liver biopsy,
when you use that, yes.
00:17:41.98\00:17:45.13
But not, not
everyday, not everyday,
00:17:45.78\00:17:48.17
even once is
enough. But you mean the
00:17:48.91\00:17:50.67
simple treatment is
to go out in the Sun how
00:17:50.68\00:17:52.92
long? Well, we'll
talk about that later okay,
00:17:52.93\00:17:56.85
because the Sun can
have beneficial effects
00:17:56.86\00:18:00.58
but also it has
harmful effects as well.
00:18:00.59\00:18:03.11
Okay, so what are
some other treatments?
00:18:03.49\00:18:05.11
Well, there's
something cyclosporin,
00:18:05.18\00:18:07.91
we use it for
immunoseparation, okay.
00:18:07.92\00:18:10.21
But you have to
worry about developing like
00:18:10.34\00:18:12.47
when you're on the
developing other skin
00:18:12.88\00:18:14.82
cancers and also
Lymphoma. And, you
00:18:14.83\00:18:20.18
mean all your
treatments you're talking me
00:18:20.19\00:18:21.72
out of here, is
there something that I
00:18:21.73\00:18:23.05
gonna want.
Well, there is another
00:18:23.06\00:18:25.44
treatment that which
maybe effective called
00:18:25.76\00:18:28.11
soriatane which is a
retinoid. And what's a
00:18:28.12\00:18:33.93
retinoid again? A
retinoid is, is retinoid is a
00:18:33.94\00:18:38.70
vitamin A derivative,
a vitamin A derivative.
00:18:38.71\00:18:41.37
It works well for
acne, okay but you can
00:18:41.53\00:18:45.27
use for psoriasis,
okay in a, in a oral form.
00:18:45.37\00:18:49.10
Alright, so go ahead
there is a very exciting
00:18:49.68\00:18:54.13
and new breakthroughs
in psoriatic treatment,
00:18:54.14\00:18:56.96
it's called biologics,
biologics that's sounds,
00:18:57.22\00:18:59.84
sounds like
something that John Harvey
00:19:00.14\00:19:01.93
Kellogg would talk
about. Well, it's something
00:19:01.94\00:19:03.46
that your body
produces naturally okay and
00:19:03.47\00:19:06.42
it's mass produced
and usually given by IV
00:19:06.55\00:19:09.43
or subcutaneous
injection. It's very,
00:19:09.44\00:19:13.11
it's painless and
it works very well and
00:19:13.45\00:19:18.18
this is many patients
are going through this
00:19:18.19\00:19:21.27
route. Biologics,
what are they exact,
00:19:21.28\00:19:22.98
so what part of your
biological system are
00:19:22.99\00:19:25.26
they? Well, it's
things found in your blood I
00:19:25.27\00:19:31.32
see that, that can
fight the, the disease of
00:19:31.33\00:19:39.77
psoriasis and so
actually you know mass
00:19:39.78\00:19:44.48
produce that and
inject it to yourself.
00:19:44.49\00:19:46.75
And where would you
inject it, let's say
00:19:47.39\00:19:48.53
I have
psoriasis on my knee caps.
00:19:48.54\00:19:50.19
A lot of times on
the, even if it's on my
00:19:50.20\00:19:52.17
knee caps I put
it in the abdomen.
00:19:52.18\00:19:53.71
Because it's
systemic, systemic, goes around
00:19:53.72\00:19:55.84
the system. Right,
exactly but you have to
00:19:55.85\00:19:57.59
you know makes
sure you get a TB scan
00:19:57.60\00:19:59.29
test before you do
this. Because if you have
00:19:59.30\00:20:01.69
tuberculosis you
don't wanna exacerbate it,
00:20:01.70\00:20:03.51
oh I see, if you
can get a, if you get a
00:20:03.77\00:20:05.71
severe infection
you stop that too.
00:20:05.72\00:20:07.69
And the problem
right now what that is it's
00:20:08.50\00:20:12.96
very, very
expensive, it's several thousand
00:20:13.02\00:20:15.16
dollars a month,
wow! To treat it.
00:20:15.17\00:20:18.22
So, probably does
your, do peoples insurance
00:20:18.51\00:20:21.82
in this country cover
it? Many, many insurances
00:20:21.83\00:20:24.09
do, but that's a very,
but it's promising because
00:20:24.10\00:20:27.60
it's doesn't have
the side effects of the
00:20:27.61\00:20:30.36
others. Exactly, okay
so those are the ways to
00:20:30.37\00:20:33.57
treats psoriasis.
Right, alright are we ready
00:20:33.58\00:20:36.37
to move on to the
next P, yes alright and
00:20:36.38\00:20:39.67
let me see if I say
this right, peterius
00:20:39.68\00:20:42.90
rosacea, peterius
rosacea that's correct,
00:20:43.03\00:20:45.65
okay so that's it's
sounds like it's pitiful.
00:20:45.97\00:20:48.03
What does peterius
mean? Pete is like bran
00:20:49.44\00:20:55.25
like, that's
what it means. Okay,
00:20:55.26\00:20:57.18
looks like a
piece of bran flakes,
00:20:57.19\00:20:59.03
right exactly or
bran cereal right.
00:20:59.04\00:21:01.22
Okay, you don't
want them alright, so
00:21:01.66\00:21:03.54
basically what it
is, is a acute, acute
00:21:03.55\00:21:06.55
eruptive rash occur
mainly on the trunk.
00:21:06.78\00:21:11.95
And it has something
called Christmas tree
00:21:12.31\00:21:14.92
distribution, oh
that's sounds festive,
00:21:14.93\00:21:17.26
yeah look at, look
at somebody's back and
00:21:17.27\00:21:19.23
looks like a
Christmas tree. Yeah, it has a,
00:21:19.32\00:21:21.44
if you use your
imagination it can look
00:21:21.45\00:21:23.62
like Christmas tree.
But it's certainly not a
00:21:23.63\00:21:25.33
present, right,
okay so you know not to
00:21:25.34\00:21:28.92
make a lie of it
all because you know it
00:21:28.93\00:21:30.38
probably very
painful. No, it's not painful,
00:21:30.39\00:21:32.79
it's not painful, it's
almost asymptomatic okay.
00:21:32.80\00:21:35.31
Sometimes it itches
a little bit, alright,
00:21:36.30\00:21:38.11
but it lasts about 6
to 8 weeks and usually
00:21:38.24\00:21:43.03
before one to two
weeks prior to getting this
00:21:43.04\00:21:48.06
eruption you have
something called herald
00:21:48.07\00:21:50.28
patch, usually what
that it is a patch usually
00:21:50.29\00:21:54.86
on the trunk, that
almost looks like a fungus.
00:21:54.87\00:21:57.50
People treat that
for fungus and they come
00:21:57.80\00:21:59.61
in and it's, it's
funny when some, some
00:21:59.62\00:22:03.70
people come in with
just that and you have
00:22:03.71\00:22:06.19
to scrape it, make
sure there is no fungus
00:22:06.20\00:22:07.83
there and a lot of
times you can recognize
00:22:07.84\00:22:10.33
that and you tell
this person in one or two
00:22:10.34\00:22:13.32
weeks, you may get
a lot worse than this,
00:22:13.33\00:22:16.47
you may get another
rash and when it comes
00:22:16.48\00:22:18.74
they're very surprised you know,
00:22:18.75\00:22:20.03
but you know they
know that it only lasts
00:22:20.37\00:22:22.45
about one, six to
eight weeks. So, what
00:22:22.46\00:22:28.10
does it happens, is
that a little spot that just
00:22:28.11\00:22:31.19
kind of multiplies,
is that what's happening.
00:22:31.20\00:22:32.84
I don't know if it's
multiplies but it just kind
00:22:34.25\00:22:36.34
of appears almost
overnight and we don't
00:22:36.35\00:22:41.16
know the cause again
but it maybe associated
00:22:41.17\00:22:44.21
with something
called herpes seven virus,
00:22:44.22\00:22:47.10
herpes seven, yeah
there are many types
00:22:47.41\00:22:49.93
of herpes and we
don't know and the best
00:22:49.94\00:22:53.06
treatment for
this is ultraviolet B,
00:22:53.07\00:22:55.16
ultraviolet B like,
another like a sunlamp thing
00:22:55.88\00:22:58.27
or something. Sunlamp
or sunlight, especially
00:22:58.28\00:23:01.82
if you started
within the first week,
00:23:01.83\00:23:03.46
it helps with the
resolution, quicker also
00:23:04.34\00:23:08.03
helps with the
symptoms. So, maybe it
00:23:08.04\00:23:10.78
sounds like people in
the United States aren't
00:23:10.79\00:23:12.34
getting enough
sunlight. Well, I think they're
00:23:12.35\00:23:14.50
getting too much but
in this case are not.
00:23:14.51\00:23:17.34
So is this all we
about peterius rosacea,
00:23:17.78\00:23:20.29
did I say that
right? Peterius rosacea,
00:23:20.30\00:23:22.56
peterius rosacea,
right, okay well lets move
00:23:22.57\00:23:25.44
unto well I think the
fancy word let you say,
00:23:25.45\00:23:28.52
but to dandruff,
seborrheic dermatitis,
00:23:28.53\00:23:31.57
okay seborrheic
dermatitis let's talk about
00:23:32.06\00:23:33.94
that we got about
four minutes you think
00:23:33.95\00:23:35.61
we can cover it in four minutes?
00:23:35.62\00:23:36.77
Yes, lets do it.
It's very common and what
00:23:36.78\00:23:39.75
it is basically
redness and scaling that occurs
00:23:39.76\00:23:42.82
on the scalp and
center part of the face,
00:23:42.83\00:23:45.13
and presternal area
are right here and also
00:23:45.72\00:23:49.95
the folds okay, and
you've heard of cradle
00:23:49.96\00:23:52.10
cap, cradle cap when
the kids are born with
00:23:52.11\00:23:54.61
that, yes, right. And,
this they think is maybe
00:23:54.62\00:23:59.68
due to a yeast
called pityrosporum ovale,
00:23:59.69\00:24:04.03
pityrosporum ovale
and this you know maybe
00:24:05.12\00:24:09.82
associated with
that and so you treat a
00:24:09.83\00:24:12.44
lot of times with
antifungal and it helps.
00:24:12.45\00:24:15.77
But initial
treatment for this is over the
00:24:16.69\00:24:19.56
corner shampoos that
you can use like T/gel
00:24:19.57\00:24:22.70
or Selsun Blue
type, that type of shampoo
00:24:23.60\00:24:26.91
that can help with this
condition and prescription
00:24:27.18\00:24:30.75
shampoo you have
like Loprox or you know,
00:24:30.76\00:24:35.02
nizoral shampoos and
stuff like that and so you
00:24:35.19\00:24:37.85
just prescribe this,
they take it and how long
00:24:37.86\00:24:40.46
does it take,
what's that, what does the
00:24:40.47\00:24:41.95
prescription do, does
it just like make sure it
00:24:41.96\00:24:43.77
doesn't flack off too
soon or does it treat in
00:24:43.78\00:24:45.66
one one. It slows, it,
I mean you can't really
00:24:45.67\00:24:49.03
treat the underlying
cause because it's causes
00:24:49.10\00:24:51.37
always, we don't
know what the cause,
00:24:51.38\00:24:52.76
I mean we know the
cause that's ovale but it
00:24:53.00\00:24:55.43
doesn't actually,
it keeps on producing
00:24:55.44\00:24:57.69
because a lot of, a
lot of people actually
00:24:57.70\00:25:00.94
carry this on
their skin. And so,
00:25:01.19\00:25:05.16
what you're gonna
do I mean it's there,
00:25:05.57\00:25:06.62
you can get rid of it,
exactly you can't scrub
00:25:06.63\00:25:08.50
it off, something
like that. Right, but you
00:25:08.51\00:25:10.45
know when they come
into the office for a
00:25:10.46\00:25:12.87
very quick
resolution we give them topical
00:25:12.88\00:25:16.59
steroids and as well
as topical antifungal and
00:25:16.60\00:25:22.99
some type of a
sulfur type of a wash.
00:25:23.40\00:25:26.07
So, you can help
rapidly, if someone wants
00:25:27.45\00:25:29.36
to go in and not be
seen. Okay, and the next
00:25:29.37\00:25:31.75
thing we can talk
about, yeah, we can go to
00:25:31.76\00:25:33.54
the next one,
yes, okay let see it.
00:25:33.55\00:25:35.57
Tinea
versicolor, tinea versicolor,
00:25:35.67\00:25:39.36
tinea versicolor,
tinea versicolor is again is
00:25:39.79\00:25:42.09
caused by the same
organism. And what is it
00:25:42.21\00:25:44.15
exactly? Tinea
versicolor, is it like a little
00:25:44.16\00:25:46.48
worm? No, it's a
rash that you get in humid
00:25:46.49\00:25:52.86
climates usually,
okay on the trunk okay and
00:25:52.92\00:25:56.50
on the upper part of
your arms a lot of times
00:25:56.56\00:25:59.06
and its usually white
scales or fawn colored
00:25:59.54\00:26:03.66
scales, fawned
colored, you know like the
00:26:03.67\00:26:05.71
deer fawn like
the spots they have.
00:26:05.72\00:26:07.93
Right, exactly okay
and it may also be due
00:26:08.35\00:26:11.58
to pityrosporum
ovale, same thing is causing
00:26:11.59\00:26:18.23
it but it's now in a
different kind of a part
00:26:18.24\00:26:19.72
of your body, right.
And same kind of treatment
00:26:19.73\00:26:22.20
then? What I like to
use is something called
00:26:22.21\00:26:25.23
Nizoral shampoo you
put on for 5 minutes,
00:26:26.43\00:26:28.90
5 minutes since,
that's it, and then,
00:26:29.20\00:26:30.94
I do that for about three days.
00:26:32.14\00:26:33.58
And people must
come in to you and you
00:26:33.59\00:26:34.62
would say well
that's the problem and then
00:26:34.63\00:26:36.07
they get they say
man, just went in,
00:26:36.08\00:26:37.92
it this took that
long and you feel almost
00:26:37.93\00:26:40.59
guilty. You
helped them so quickly,
00:26:40.60\00:26:42.31
don't did you get a
little tense of guilt?
00:26:42.32\00:26:44.66
That's why I have
to give them Revelation
00:26:45.78\00:26:47.06
seminar during the
same time, okay well
00:26:47.07\00:26:51.21
actually you know,
it sounds kind of funny
00:26:51.22\00:26:53.38
but you do make sort
of a spiritual connection
00:26:53.39\00:26:55.54
with people when
you're helping them.
00:26:55.55\00:26:56.74
Right, and just
that, that little touch
00:26:56.99\00:26:59.93
you know like that
song the touch of the
00:27:00.02\00:27:01.31
master's hand and
then the following in his
00:27:01.32\00:27:03.87
footsteps, you have
mastered a lot of these
00:27:03.88\00:27:06.37
diseases and your
help, it's very helpful for
00:27:06.38\00:27:08.54
people to come see
you. Now, you know the
00:27:08.55\00:27:11.02
other thing I wanna
just point out as I listen
00:27:11.03\00:27:12.78
to you, as I reflect
on it, there's a lot of
00:27:12.79\00:27:15.06
things that we often
just put up with that if
00:27:15.07\00:27:17.29
we just went to get
help they can be taken
00:27:17.30\00:27:19.75
care of rapidly,
very easily. I had one,
00:27:19.76\00:27:23.50
one patient one
time had a fungus wasn't
00:27:23.77\00:27:27.75
treated for, he had
a rash on his back part
00:27:27.76\00:27:31.62
for over ten years, he
was suffering with it and
00:27:32.32\00:27:36.10
within two weeks he
was come completely cured.
00:27:36.11\00:27:38.61
Wow! I mean that's a
spiritual lesson in itself
00:27:38.94\00:27:41.72
isn't it, many
times we just go on and we
00:27:41.73\00:27:44.57
should go to the
healer, the master healer
00:27:44.58\00:27:48.03
and he can just in a
moment deal with things
00:27:48.35\00:27:52.36
that we shouldn't
be struggling with.
00:27:52.37\00:27:54.72
Thank you so much
for being with us,
00:27:55.13\00:27:56.43
and thank you for being with us.
00:27:56.76\00:27:57.99
We hope you have health
that lasts for a lifetime.
00:27:58.00\00:27:59.93