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Britney pays K-Fed's Legal fees. Simon Cowell gives big on Oprah. DMX ignorant of Barack. Amy Winehouse's impetigo. Will Smith joins Scientology? Brooke Hogan publicly forgives father. Author: somagirls Keywords: Britney Spears Simon Cowell Will Smith Brooke Hogan Amy Winehouse DMX Barack Obama impetigo scientology Added: March 18, 2008

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Author: YoungTurksShow Added: Tue, 04 Mar 2008 16:46:19 -0800 Duration: 128Watch more of this stuff at http://www.theyoungturks.com

Amy Winehouse diagnosed with a skin disease.

The dying man's wish was to sterilize his retarded daughter. The old farmer was terminally ill and his dying wish was to have his mentally retarded 18-year-old daughter sterilized. His wife, the mother, strongly agreed and both met with me regarding this delicate topic. Their daughter was to eventually become a guardian of the state of California. The parents feared that their daughter might get raped in an institution or somehow become pregnant with a child she could never care for. The grandchild would end up under the care of social services or foster care. The old farmer and his wife were asking me to do the impossible. Though I understood their dilemma, I told them that public laws made the requested tubal ligation impossible. I suspect, however, that the financially well off arrange for such procedure through private surgical clinics in places like Beverly Hills. The old farmer and his wife did not have this option. There are many ethical dilemmas in medicine that must be decided by the immediate family and the physicians involved. In this video, the twins are mentally retarded and the mother is in constant fear that they may be sexually abused. If the little girls have any vaginal itch or discharge, both common, the mother cannot be appeased until I examine them for any sexual abuse. The mother works two jobs and refuses to ask for social security on behalf of her twins, though they qualify. These twins will never function independently. Were she to die, the mother worries deeply as to what will become of her daughters. The father is detached and uninvolved with his kids. Doctors must lobby society in order to restore a more ethical approach on behalf of similar parents. Up to three percent of children born in the United States are mentally retarded. We need some public policy that will guide desperate parents and physicians in regard to those that are severely retarded and profoundly impaired. The role of religion or society at large in these private matters may only complicate the issue and may impose guilt upon desperate parents. In the video you will see a lady with a big bulge over the epigastric area, just below the breasts. This lady had umbilical hernia surgery 5 years prior to presentation. The bulge began to grow after giving vaginal birth to her second child two years ago. This lady is being evaluated at our county hospital and an update is to follow. External otitis is commonly associated with anxiety and/or depression. Before I approach the topic of anxiety or depression with such patients, I first gently clean the ear and reduce the associated pain with topical drops. I first make human contact. I may then say to the patient that an itchy ear may be compounded by stress. That's when I began my psychotherapy. Another case in the video is of a very toxic child who was febrile and sleepy at first. These can be ominous signs. His neck was supple (a reliable sign after 18 months of age) and bacterial meningitis seemed unlikely. He had allergy related disease that included sinusitis, otitis media and bronchial asthma. His lack of oral intake made him feel sicker because of depleted glycogen stores and ketone production. Two hours after initiating treatment that included Ceftriaxone 500 mg IM, Dexamethasone Phosphate 4 mg IM and oral fluids, he was much better. He recovered to his usual active self. The patient with the sunken chest (pectus excavatum) did not require the surgery that had been recommended. The leg hemangioma (Strawberry nevus) resolved with time. No surgery was needed. The child with seborrheic dermatitis that affected his scalp and skin (behind the ears) was treated with Selsun Blue Shampoo, three times per week, hydrocortisone cream 1% and Cephalexin for his secondary bacterial infection (impetigous). Selsun Blue and hydrocortisone cream are available over the counter. I did not use an anti-fungal cream, i.e. Clotrimazole. The 15-year-old boy with a mass over his jaw was due to an abscess that originated over his left lower molars. I initiated treatment and referred him to a dentist. The venous stasis ulcer may take up to two months to heal with the proper care. Clinicians must avoid closing an infected wound. Facial wounds, however, may be an exception to certain wound closure rules. I have seen serious complications when dog bites are sutured (closed). I have not used Betadine for wound care or soaks for over 15 years since it may be toxic to the normal tissue that is needed to heal the wound. Wound debridement and irrigation with copious amounts of saline water can be very useful. Clinicians must never forget to update patients for Tetanus/Diphtheria (Td) when appropriate. The tetanus vaccine should be given, whenever possible, within 24 hours from injury. Luis Lomeli MD/Beta

The French statement su pays des aveugles les borgnes sont rois is true in healthcare. That is, in the land of the blind, the one-eyed are kings. It is my intent to teach Medicine to consumers so that they can get the best care possible at minimal time and cost. Herein, I cover topics that include Eczema (Atopic Dermatitis), Pytiriasis alba, Diaper dermatitis, Poison ivy/oak/sumac dermatitis, Impetigo, Tinea Cruris (Jock Itch), Tinea corporis (ringworm), Scabies, Psoriasis and Chemical ("Alley") dermatitis. For skin care and various kinds of dermatitides, students of medicine can choose to learn many different brands but the task of memorizing such products becomes overwhelming and relatively impossible. For the benefit of the student and patient, only a few products need to be known (all generics) to care for patients with most types of skin conditions. I only prescribe the following topical corticosteroids. Hydrocortisone 1% cream, ointment or lotion and it is not fluorinated and can be used on the face. Hydrocortisone is a low potency corticosteroid and is available over the counter. Triamcinolone cream 0.1% is relatively potent corticosteroids that I use on patients with Psoriasis. Clinicians must avoid specific areas of the body so as to avoid the development of striae. Triamcinolone is a fluorinated corticosteroid and should never be used on the face. If properly used, corticosteroids infrequently cause skin atrophy or suppression of the hypothalamic-pituitary-adrenal axis. At times, if the skin dermatitis is severe as in Poison Ivy/Oak, I may prescribe a short course of an inexpensive generic corticosteroid like Prednisone, which I taper over l3 days so as to avoid a rebound of the Poison Ivy/Oak dermatitis. Clinicians must avoid prescribing TACROLIMUS (Protopic/Astellas) and PIMECROLIMUS (Elidel/Novartis) since they are expensive and associated with serious side effects that include cancer (e.g., lymphoma). We have better options. Some children are born with a triad of Eczema, Allergy Rhinitis (Hay Fever) and Bronchial Asthma. Parents of such children often become exasperated and want a rapid but perilous rapid cure. With time, these conditions resolve on their own as our bodies mount specific immune-mediated (adaptive) responses. For Atopic Dermatitis (Eczema), skin testing and immunotherapy is not useful, and it is expensive. For skin fungal infection, Tinea, Jock Itch, I exclusively prescribe Clotrimazole cream 1% which is readily available over the counter. This anti-fungal covers vaginal yeast, athlete's feet, jock itch, and ringworm. I usually mix the cream with hydrocortisone .5% or 1% if there is a lot of inflammation. Hydrocortisone by itself will exacerbate topical fungal infections. For Tinea Capitis, patients usually require a four to six week course of oral Griseofulvin. For oral thrush, Nystatin is the drug of choice and should, by now, be inexpensive. Vaseline ointment can also be useful for dry skin, especially in the winter, mixed with hydrocortisone cream. For itching, I usually prescribe oral Diphenhydramine (Benadryl) or prescription Hydroxyzine. An itchy skin can be a challenging cognitive clinical case as is it often is with Lichen Simplex Chronicus (LSC). Recently, I saw a man with an itchy area over the outer part of the right leg. Over the last seven years, he had made bad financial investments, and he was about to declare bankruptcy. This man required over an hour of my time in order to help him resolve his personal crisis. The skin itching was the least of his problems. My data will help insure that the consumers are no longer blind and the one-eyed king is put out of business. Luis Lomeli MD The information is for properly licensed physicians. It is not to be used to self-diagnose.

Skin disease special as guest presenter Neale treats his impetigo live on air. The duo discuss whether people in medieval times were a bit thick and celebrate Matts birthday using song, much to his obvious joy.Want to find out if you're turning into your dad? You will be disturbed by Neale's give away signs.