The Trouble with Dermatologists UPDATED

Modeps

Lifer
Oct 24, 2000
17,254
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I?m beginning to understand why people hate dermatoloigists. For the past few months, I?ve been going to one for a ?rash? of sorts under my left eye and on the left side of my forehead. I had no clue what it was, but it just was there? didnt do much except sometimes get redder than other days. I was told it was ?Seborrhic Dermatitis?. Supposedly it cant be cured, but can be controlled with stuff. No problem, gimme some ointment and control the sh!t.

The stuff they gave me first is called Elidel and typically used for treating eczema, which I dont have? to be used morning and night. They also gave me Plexion for cleaning my face (and to make my skin smell like sulpher) to be put on in the morning. This treatment didnt help? but combined cost for these two tubes was close to $300. If I didnt have insurance, I?d be pissed. Ok, so I go back and they say it?s working but its not strong enough. So they give me a shampoo to use twice a week on my face (which name has escaped me) and another tube of creme called Cultivate to put on at night. Total cost of those two without insurance, $120.

So here my insurance company is, stuck with a bill for $420, me with a bill of $46 (co-pays) and my face has actually gotten worse. My forehead broke out pimply and itchy, and the stuff that was under my left eye has decided to walk on over to my right side. GREAT I?M SO HAPPY. I?m going back to them on Wednesday and I really hope they have answers for me or decide it?s not what they thought it was.

Oh and before anyone says "wash your face you pimply teenager" I'm 26 and shower daily ;) I've never had acne or anything other than a few zits growing up as a teenager

UPDATE: Went back to the doc last night... She told me to discontinue the use of Cultivate as well as the Shampoo (Loprox). Gave me an oral pill, doxycycline and a two new creams, one is the ointment version of the Loprox shampoo. So now, in the morning I wash with Plexion, morning and night, I put the new creme on first, on top of that I put the Loprox ointment, on top of that I put the Elidel.... plus I take doxycycline 2x a day and I have to go back in 2 weeks instead of a month.:(
 

Eli

Super Moderator | Elite Member
Oct 9, 1999
50,419
8
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Originally posted by: Modeps
I?m beginning to understand why people hate dermotoligists.
Yeah. Ok. ;)

And it's Derma. :p
 

Modeps

Lifer
Oct 24, 2000
17,254
44
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Originally posted by: Elitebull
Moisturize.

I have the same kinda thing... it helps for me.

Before going to the dermAtologist, I tried that.. used different creams and lotions and nothing helped :(

 

rh71

No Lifer
Aug 28, 2001
52,844
1,049
126
Just gotta find the right one. My fiancee had alopecia (some hair loss due to stress) and 2 derms couldn't diagnose it correctly but one around here did.. and right away. Biopsy confirmed it. She gave her some cortisone shots and she was cured within a couple months. This derm took the time to explain everything also... unlike the others... who even resorted to prescribing special shampoos...
 

StageLeft

No Lifer
Sep 29, 2000
70,150
5
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Just because ONE doctor hasn't solved this SINGLE case doesn't mean that you can suddenly conclude about the "trouble with demotoligists" ;)

Chronic Masturbation can also cause this problem, I've read.
 

PunDogg

Diamond Member
Jan 15, 2002
4,529
1
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try a second option, try seeing another doc, he could see something else that the first didn;t

Dogg
 

BigSmooth

Lifer
Aug 18, 2000
10,484
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I've seen several dermatologists and like most specialists, some are far more skilled/knowledgeable than others.
 

Modeps

Lifer
Oct 24, 2000
17,254
44
91
Originally posted by: cipher00
Yup - find a new doc.

It kinda stinks though, these people are supposed to be specialists arent they? Are there any good websites that perhaps have good recomendations on who's the best?
 

slydecix

Golden Member
Jul 16, 2001
1,898
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btw, dermatologists aren't con artists... the infomercial people are. Proactiv... Gimme a break. All it is is a combination benzoyl peroxide treatment. Same ingredients you find in skin-care products at the store. There's no "special formula." The only reason it works so well is b/c you have someone telling you what to use.

---
Elitebull's "Proactiv is a waste of money" Acne Treatment:

Step 1: Wash with Neutrogena Clear Pore Cleanser Mask
Step 2: Apply Revitalizing Toner
Step 3: Apply Neutrogena On-the-Spot Acne Treatment to breakout areas (not sure if this is the exact one, it's the neutrogena one with 2.5% benzoyl peroxide)
---

It's worked just as well as Proactiv (if not better) for me. And it costs a helluva lot less.
 

StageLeft

No Lifer
Sep 29, 2000
70,150
5
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Originally posted by: Modeps
Originally posted by: cipher00
Yup - find a new doc.

It kinda stinks though, these people are supposed to be specialists arent they? Are there any good websites that perhaps have good recomendations on who's the best?
So, because they're a specialist they automatically can cure everything immediately? Get real. What do you do for a living? Do you do your job 100% perfectly each time? Exactly.

 

Jzero

Lifer
Oct 10, 1999
18,834
1
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"You're nothing but a glorified pimple popper! It's not like you actually save lives!"
 

Modeps

Lifer
Oct 24, 2000
17,254
44
91
Originally posted by: Skoorb
Originally posted by: Modeps
Originally posted by: cipher00
Yup - find a new doc.

It kinda stinks though, these people are supposed to be specialists arent they? Are there any good websites that perhaps have good recomendations on who's the best?
So, because they're a specialist they automatically can cure everything immediately? Get real. What do you do for a living? Do you do your job 100% perfectly each time? Exactly.

So what do you suggest Mr. Smartypants? there are so many dermatologists on my insurance's website, I just dont know who to choose. It's just a crapshoot?
 

NetGuySC

Golden Member
Nov 19, 1999
1,643
4
81
Does the cultivate has any steroids in it? Seems like my wife took a medicine that sounded very similar to that for her psoriasis..

Is psoriasis is what you actually have (did they do a skin biopsy?), If no biopsy, I would be suspicious of their diagnosis.

My wife has the pustular psoriasis and she quit taking the steroid creams and now only take Biolanyn, her skin look almost normal now.
 

StageLeft

No Lifer
Sep 29, 2000
70,150
5
0
Originally posted by: Modeps
Originally posted by: Skoorb
Originally posted by: Modeps
Originally posted by: cipher00
Yup - find a new doc.

It kinda stinks though, these people are supposed to be specialists arent they? Are there any good websites that perhaps have good recomendations on who's the best?
So, because they're a specialist they automatically can cure everything immediately? Get real. What do you do for a living? Do you do your job 100% perfectly each time? Exactly.

So what do you suggest Mr. Smartypants? there are so many dermatologists on my insurance's website, I just dont know who to choose. It's just a crapshoot?
Mr. Smartypants says not to bother with any other demotologists. Obviously since this one can't cure you, then none of them can. In fact, all demotologists are the same, similar to how all mechanics are the same, and all software developers are the same. If one can't solve your problem, none of them can. Ever had a pizza from one pizza place taste different than another? Of course you haven't, because they're all the same. In both cases specialists working making a pizza.

 

Modeps

Lifer
Oct 24, 2000
17,254
44
91
Originally posted by: Skoorb
So what do you suggest Mr. Smartypants? there are so many dermatologists on my insurance's website, I just dont know who to choose. It's just a crapshoot?
Mr. Smartypants says not to bother with any other demotologists. Obviously since this one can't cure you, then none of them can. In fact, all demotologists are the same, similar to how all mechanics are the same, and all software developers are the same. If one can't solve your problem, none of them can. Ever had a pizza from one pizza place taste different than another? Of course you haven't, because they're all the same. In both cases specialists working making a pizza.[/quote]

Wow, this new forum style put you in a bad mood didnt it?

Originally posted by: NetGuySC
Does the cultivate has any steroids in it? Seems like my wife took a medicine that sounded very similar to that for her psoriasis..

Is psoriasis is what you actually have (did they do a skin biopsy?), If no biopsy, I would be suspicious of their diagnosis.

My wife has the pustular psoriasis and she quit taking the steroid creams and now only take Biolanyn, her skin look almost normal now.
As far as I know, yes Cultivate is a steroid cream. They diagnosed me with "Seborrhic Dermatitis" not psoriasis and no they didnt take any biopsy at all, they looked at it and said it was seborrhic... maybe I'll voice my concern to them this wednesday at my next appointment.

I called some other derma's in the area, and they arent taking new patients till JUNE. :p
 

StageLeft

No Lifer
Sep 29, 2000
70,150
5
0
Wow, this new forum style put you in a bad mood didnt it?
No...I just think it's pretty silly to refer to dermatologists as possible con artists because a single one can't cure your rash. You must think that's pretty silly too.
 

Modeps

Lifer
Oct 24, 2000
17,254
44
91
Originally posted by: Skoorb
Wow, this new forum style put you in a bad mood didnt it?
No...I just think it's pretty silly to refer to dermatologists as possible con artists because a single one can't cure your rash. You must think that's pretty silly too.

Perhaps I should have expounded upon it a bit more. Several people I know have had similar experiences with Dermatologists. My wife came down with a severe case of acne in college and they could never do anything about it except perscribe high priced creams that didnt do anything. Another friend actually has Seborrhic Dermatitis and controlled it with over the counter products (after using their perscribed methods for a while). Even Elitebull here says that Proactiv is basically a scam. There just seems to be a trend.
 

DrNoobie

Banned
Mar 3, 2004
774
0
0
Originally posted by: Skoorb
Wow, this new forum style put you in a bad mood didnt it?
No...I just think it's pretty silly to refer to dermatologists as possible con artists because a single one can't cure your rash. You must think that's pretty silly too.

Don't you know? Most other doctors correctly diagnose and treat patients 100% of the time. Dermatologists are quacks, as are oncologists and cardiologists, because they can't cure a patient every time.
 

Looney

Lifer
Jun 13, 2000
21,938
5
0
Originally posted by: Modeps
Originally posted by: Skoorb
Wow, this new forum style put you in a bad mood didnt it?
No...I just think it's pretty silly to refer to dermatologists as possible con artists because a single one can't cure your rash. You must think that's pretty silly too.

Perhaps I should have expounded upon it a bit more. Several people I know have had similar experiences with Dermatologists. My wife came down with a severe case of acne in college and they could never do anything about it except perscribe high priced creams that didnt do anything. Another friend actually has Seborrhic Dermatitis and controlled it with over the counter products (after using their perscribed methods for a while). Even Elitebull here says that Proactiv is basically a scam. There just seems to be a trend.

A few anecdotal stories doesn't mean anything. If you're so disillusioned with them, then stop going to them and treat it yourself, lets see how successful you are then. Sometimes the only way to treat something is to try various treatments. If one doesn't work, you move onto the next, and so on until you find one that does work. Sometimes you get lucky on the first treatment, sometimes you don't. Acne is a good example, typically you start off with very mild treatments, creams and face wash, and then move onto antibiotics. And if that doesn't work, then Retin-A cream, which is a bit stronger, and if all else fails, they'll put you on Accutane, a very serious but effective treatment. But even then, Accutane doesn't have a 100% treatment rate, and some people just dont' respond to anything. Is that the fault of the dermatologist? I would think you should be more pissed at the genes you inherit, so perhaps you should slit your wrist.
 

ShOcKwAvE827

Senior member
Jul 28, 2001
950
0
0
Funny why derm is one of the hardest residencies to get. b/c you get the license to steal while working great hours.