Podcasts about hidradenitis

historia viviendo pacientes sintonice hidradenitis

Play Episode Listen Later Aug 2, 2021 23:34

#PacientesMSP I Conozca la historia de la principal organización de apoyo a pacientes con Hidradenitis Supurativa -HS Golondrinos- y el testimonio de personas productivas que viven con la condición. ¡Sintonice! #MSP: Lo más relevante para médicos, pacientes y profesionales de la salud. #Pioneros #15Aniversario

Hidradenitis Supurativa Con La Dra. Alma Luz

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Play Episode Listen Later Jul 26, 2021 29:50

#Ahora I ¿Quién es el 'médico de los pacientes de hidradenitis Supurativa en Puerto Rico' que por fin es así reconocida? Por más de una década MSP ha dado cobertura de manera consistente y desinteresada a una especialista que ha dedicado su vida y profesión para ayudar y atender a los pacientes más vulnerables y angustiados con su condición. En el Día Mundial de la Hidradenitis Supurativa honramos la trayectoria de la Dra. Alma cruz, entrevistándola en torno a los avances clínicos en esta enfermedad y sobre todo en el diagnóstico certero. ¡Sintonice! En MSP nos mueve la ética, el compromiso y la pasión por la salud de nuestra gente. Nos mueve Puerto Rico.

Dra. María Maymi - Hidradenitis Supurativa

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Play Episode Listen Later Jul 15, 2021 28:36

#AHORA I Conéctese con la Dra. María Maymi, presidenta de la Sociedad Dermatológica de Puerto Rico, quién nos hablará sobre la afección cutánea conocida como Hidradenitis Supurativa. ¡Sintonice!

Black Women + Auto-Immune Diseases with Jada

Living Within Stigma

Play Episode Listen Later May 24, 2021 33:31

Welcome to Living Within Stigma! Our mission is to cultivate a vulnerable conversation surrounding mental health for people of color. We vow to you and ourselves to be present and authentic. Together we will create a space of hope. This Week's Episode We have a special guest Jada, an NCA&T colleague who shares her knowledge and experience with an autoimmune disease. There is definitely not enough information and support around this topic considering such high percentages that are affecting black women which is why this conversation with Jada is so necessary. We both are so inspired by her mission! During this episode we talk more about her non-profit, how she became more confident, authentic, and managed anxiety while being diagnosed with Hidradenitis suppurativa. Stay Connected with Us Jada's Socials: @blendedbyjada Follow @livingwithinstigma on Instagram Sierra's Socials: @sierratamirin & @sacredodybeads Sydnie's Socials: @uselessimagination_ Our Lifelines Sydnie's Recommended Resources: Headspace App: Guided meditations We're Not Really Strangers: Self Reflection Questions Sierra's Recommended Resources: Willow Weep for Me by Meri NaNa-Ama Danquah, Therapy For Black Girls: https://providers.therapyforblackgirls.com , Until Next Time We hope you stick along for much more to come. Together, we will create a space of hope. Love, Sierra and Sydnie Feel free to email us at livingwithinthestigma@gmail.com with any questions + concerns + suggestions + collabs The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health providers with any questions you may have regarding a medical condition.

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All About The Pits: Armpit Health and the Natural vs Conventional Deodorant Debate

The Sweat Fearlessly Podcast

Play Episode Listen Later May 20, 2021 35:43

In this episode, I interview Dr. Dina Strachan, a board-certified dermatologist. Dr. Strachan shares her thoughts on armpit health, deodorant versus antiperspirant, common armpit issues she encounters in her practice, and when to know it's time to visit the doctor. Show Notes: Dr. Strachan's Website: http://drdinamd.com/ Dr. Strachan's Practice: Aglow Dermatology (http://www.aglowdermatology.com/) Dr. Strachan's Best-Selling Book, Moxie Mindset: https://amzn.to/3tNMPnK (Note: Affiliate Link) No-No Device: https://amzn.to/3otg66f (Note: Affiliate Link) Health Conditions Mentioned: Hyperhidrosis (https://www.mayoclinic.org/diseases-conditions/hyperhidrosis/symptoms-causes/syc-20367152) Acanthosis nigricans (https://www.mayoclinic.org/diseases-conditions/acanthosis-nigricans/symptoms-causes/syc-20368983) Hidradenitis suppurativa (https://www.mayoclinic.org/diseases-conditions/hidradenitis-suppurativa/symptoms-causes/syc-20352306) Intertrigo (https://www.mayoclinic.org/skin-rash/sls-20077087?s=6) You should consult a physician if you are experiencing any of these issues. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/sweatfearlessly/message Support this podcast: https://anchor.fm/sweatfearlessly/support

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Episode 41: A Functional Medicine Approach to Treating Autoimmune Diseases with Dr. Kylie Burton

Light After Trauma

Play Episode Listen Later May 11, 2021 39:14

We know that trauma, if left untreated, can lead to a host of physical ailments, including autoimmune diseases (www.acestoohigh.com). In this week's episode, Alyssa shares about her own battle with being recently diagnosed with an autoimmune disease. She and her guest, Dr. Kylie, discuss a functional medicine approach to diagnosing and treating many physical ailments including chronic fatigue, sleep difficulties, autoimmune diseases, thyroid issues, and much more. Support the Podcast Dr. Kylie's website: www.drkylieburton.com Transcript: Alyssa Scolari: [00:00:23] Hey, welcome back for another episode of the Light After Trauma podcast, a podcast for trauma survivors, by trauma survivors. I am your host, Alyssa Scolari and I am so excited about today's guest. We have Dr. Kylie Burtonwith us. Dr. Kylie is a functional medicine specialist who turns normal labs into answers, healing, and hope. And I am very happy to have you here with us. Thank you so much. How are you? Kylie Burton: [00:01:17] Thanks for having me, Alyssa. I'm doing great. It's a sunny, bright Tuesday in a cold Utah atmosphere right now, but we got the sunshine, so it's good. Alyssa Scolari: [00:01:29] Yeah, it's cold. over here in Jersey today too. I'm like, it was so nice. And now it's a little cold, but spring is coming, so it's like hard to be in a funk because spring is coming, the pandemic is hopefully ending. Yes. So I am so excited to have you on today because I, as many of the listeners know, I am a big fan of functional medicine. And over the last, I want to say like three to four months. Functional medicine has truly changed my quality of life after being told by doctor after doctor, that they have no clue why I feel the way that I feel. Yes, we don't know what's wrong with you. So I was like, as soon as I started to really go on my journey and realize like the mind body connection and how much of my trauma was playing a role in my symptoms and et cetera, I was like, I need to have somebody on to talk about this. So I am really excited to dive into this today. And I guess my first question for you would be. I guess first you can elaborate a little bit more on kind of like who you are and what you do in the field. And what is functional medicine? Kylie Burton: [00:02:52] Yeah. So I specialize in helping people like you who have been tossed from doctor to doctor, to doctor, to specialist, to specialist. Nobody can figure out what's wrong with them. They have all these normal labs yet, they feel like crap. Sometimes they have great days. Sometimes they have terrible days. We'll get into that. But the biggest key for me was I had to create a mindset shift for myself. I was an assistant for a chiropractor. What now? Maybe 10 years, eight years ago, maybe 10 years. And there was, when I got hired on, I had no idea what chiropractic was. I had no idea what functional medicine was and he just dabbled in it, but it was enough to introduce me to the concept of the why. Functional medicine is personalized medicine. It's all about finding the why to how you feel, whether you have a diagnosis or you don't, and then resolving that why. So you can feel like a million bucks again, you can be the mom you want to be. The grandma you want to be. The dad, the uncle, the aunt, or better yet you can even get pregnant without paying 20,000, $40,000 for some IVF treatment. So it's really cool stuff, but my mindset shift had to change when I was in school, I had this patient come in from the community, and I was saying a lot of people compared to my colleagues, but she'd come in. She was a mess, terrible, terrible, terrible migraines for days on end. She had one at the time. So we had to find a black blanket to cover the window, just to make sure we can remove as much light as possible. She had MRI scans, CT scans, blood work, every lab test under the sun, you name it and it all would come back normal and we'll get into this normal labs concept because, but for her, it was like, okay, if I look at her the same way, everybody else looks at her, I'm going to get the same results. And that wasn't okay with me. So I said to myself, how can I take these documents that we have all of these blood work, all of the lab tests, all of the imaging, I mean thousands and thousands and thousands of dollars sitting right here in our hands that were normal. They weren't providing any answers and here she was barely functioning. Been that way for years. So I figured out a way to train myself and I learned all of this post med school, which is what happens in life. You know, your real toolkit that you need happens outside of the school, the classroom. So that's how it went for me. And it's been really fun. I went from a brick and mortar practice to a completely virtual practice. I was using Zoom before Zoom was cool and it was really helpful because now boundaries are no limit. Like I've got patients all over the world. So if you're like "I have normal labs and yet I don't feel like myself." We're going to get into that. And we're going to get into specifically auto immune diseases and those people who have good days and bad days, even though they might not have a diagnosis. So that's my background. That's why I love functional medicine and any patient in the world...I've heard a thousand stories and every time I'm like, "Oh my gosh, how are you even alive? Like, how are you even functioning?" And it's just, you all have their own unique story and nothing scares me anymore. Alyssa Scolari: [00:06:12] Yeah. I just love the concept because, and one of the things that I love that you had said, you didn't say on the podcast, but you said this and yeah. I can't remember if it was on your website or something that you had written, you said, "okay, well, let's get one thing straight here. One of the things I'm not trying to do is bash Western medicine, which is obviously not the goal, but I do think it's fair to acknowledge that Western medicine has its limitations." And I think that what you're doing. Sounds like what functional medicine does is it's, we're going to stop putting a band aid on this and we are going to rip out the core and figure out what is the actual issue. Kylie Burton: [00:06:58] Yeah. Yeah. Let's talk about two things you mentioned: the first, functional medicine is powerful when it's done right. And there are a lot of individuals in the healthcare industry who are coaches, naturopathic doctors, like the whole gamut who will call themselves functional medicine and functional medicine requires more than one weekend seminar. And that's what we're finding a lot is that people are, "Oh yeah, I practice functional medicine. Well, I just attended, you know, one IFM conference or one XYZ conference." Functional medicine, it's tough. It gets very detailed and it's time consuming. It's literally taking the science, the biochemistry, the physiology, the biology, it's literally taking the science and applying it to our bodies. I always joke around and say, you know, if I would've known, I was talking about the Krebs cycle from high school biology every single day in my career. I might've paid a little bit more attention in high school biology, but that's literally what it is. It's not easy and it's not a one size fits all process. So just be careful, someone says a practice functional medicine, make sure you still do your due diligence and take a look into what they're doing, because I've seen most of the people that I see have already tried functional medicine from somewhere else. So just be careful with that too. Alyssa Scolari: [00:08:18] That's a very important point. Kylie Burton: [00:08:21] It can be, you know, pretty, pretty pricey too. Alyssa Scolari: [00:08:25] Oh yeah. Kylie Burton: [00:08:27] So that's functional medicine. People we're not perfect. And the profession isn't perfect. Same with Western medicine. Now, I like to say it as a toolkit, right? All of us, medical practitioners, doctors, coaches, whatever it is, we all want to go into this business to help people that's the goal is to help people. The problem is we get into medical school and our toolkit is very limited. They teach us that unless, you have multiple symptoms that fit underneath an umbrella. AKA a diagnosis. I don't know what to do with you, because unless I can give you a diagnosis, now I can reach into my toolkit of pharmaceuticals and tell you what pill to take or what injection to receive, or like Humira for RA or Lyrica for fibromyalgia or, yeah, I mean, you name it Metformin for diabetes, like whatever it is inside their toolkit, that's what they were given during medical school. Now, the thing is. It's not your doctor's fault. It's not your doctor's fault. It's not the listener's doctor's fault. It's not whoever's out there trying to blame their doctor. It's not their fault. It's the fault of the schooling. The schooling is what has failed us. The system is what has failed us because the toolkit is so limited unless they go out and they learn all this additional stuff on their own to expand their toolkit. Now it's like, You go into your doctor and instead of them saying to you, okay, you have diabetes, go see a dietician. Now they can help coach you in the right ways versus going off to see another doctor or another aspect to look at it is, we have all these specialists, right? Endometriosis specialist, GI specialists, ENT specialists. When in reality, our body is one incredible machine with multiple systems working together as one. So you fine tuning and saying, Oh, it's my hormones. It might be your hormones, but all of your other systems are playing a role on your hormones too. It's not just your thyroid. Your thyroid is just one gland in a system that's being affected by all the other systems in your body. Makes sense? Alyssa Scolari: [00:10:42] Right. It makes perfect sense. What doesn't make sense to me is the way in which we do have so many specialists, because we're almost taking away from the body as one whole organism, where it's like you affect one part of the system, the other part is affected and I agree. It's not necessarily the fault of the doctors because that's the toolkit that they were given. Like I went to, I was recently diagnosed with an auto-immune disease called HS. I'm not sure have you heard of it? Hidradenitis suppurativa. Kylie Burton: [00:11:13] No, Alyssa Scolari: [00:11:14] So it's like, Oh, it's excruciatingly painful. It's an auto-immune disease that results in cysts on your body. Kylie Burton: [00:11:23] Like on the external or the internal part. Alyssa Scolari: [00:11:26] External and internal. It can be in your armpits. It can be in your groin, on your buttocks, even on your like outer/inner Labia, scrotum. And it's an auto-immune disease and they have no idea what causes it. Like there's not a whole lot known about it. And I went to a dermatologist who was supposed to specialize in this autoimmune disease. And her response was like, okay, we're going to put you on Humira. And I was like, hell no, we're not putting me on Kylie Burton: [00:11:57] Take this injection for the rest of your life and we'll quote, manage your symptoms. Alyssa Scolari: [00:12:03] Right. And then I went to the functional medicine specialist and it was like, Oh, okay. Kylie Burton: [00:12:09] I get it now. Alyssa Scolari: [00:12:11] Yeah, yeah. Kylie Burton: [00:12:13] So when it comes to autoimmune disease, any autoimmune disease, I mean, what we're learning more and more is depending on the resource that you can go to, there's eighty to a hundred different diagnoses that are auto-immune right now. The insurance codes, the amount of diagnoses that you can bill insurances continues to grow. And the reason why it continues to grow is because we have more people showing more weird symptoms that we haven't found an umbrella to clump all those symptoms underneath yet. So now we have to create new umbrellas to clump all the stuff underneath, and the coding is just getting more and more. The amounts of diagnoses they're just getting more and more. And this is specifically with auto-immune diseases. For example, like in five or ten years, I would imagine that endometriosis or even PCOS, common hormonal issues are going to be on the autoimmune spectrum because of the more we learn about them, the more they fall under this component this umbrella. So when it comes to autoimmune, whether you have a diagnosis or you're one of those people that you have great days and you have bad days, that would be these auto-immune or think about MS. Multiple Sclerosis people have MS flares, right? There is a commercial that teaches us that if you have an MS flare, you can go in and get this injection. Well what's happening during these flares, what causes these flares? So let's dive into my three step process to stopping auto-immune disease in its tracks. Now, I want to preface that and say, we're not curing immune disease. We're going to put, Alyssa, what you're experiencing, in your history. If I've got a 39 year old mom who has MS, which is the truth. We're about halfway through her process right now. And she's feeling like a million bucks and I'm real excited for it because in the summertime, when it's the heat and she can't go outside, she couldn't go outside. If it was above 72 degrees have caused this and flare for her this summer is going to be a different story. She's going to be able to go enjoy the summer activities with her teenage kids. And it would be the first time in awhile that she's been able to do that because we figured out the process of her auto immune. We kicked it to the curb and now it's going to be in her history in just a few more months, and anybody can do this. So you just have to know how to do it and what's causing your auto-immune cases. So my first step that I like to take a look at what I encourage people to take a look at is the first step is you have to identify the trigger. What triggered the onset of the autoimmune disease? What triggered the Hashimoto's, the Rheumatoid Arthritis, the Psoriasis, whatever it is out there. Alyssa Scolari: [00:15:03] Right now, potentially the PCOS, the endometriosis. Kylie Burton: [00:15:08] Yeah. The list goes on and on and on, auto-immune period. Right? Identify the trigger. Now there are multiple types of triggers. And one of the triggers that everybody likes to blame on is food. Is it organic, is it GMO, is it clean, like whatever they want to call healthy eating food can be a trigger. So eliminating the food sensitivity culprits, that's a great place to start. It's not a great place to end. I don't know about you Alyssa, but I like food and part of me enjoying food and enjoying life is to be able to eat things on holidays and birthdays and not being so strict throughout my day, that I can't enjoy the social interactions that we associate with food. Alyssa Scolari: [00:15:53] Yes. And it can't be an end point, especially for all of those who are in recovery from an eating disorder and are trying to establish some sense of intuitive eating in their lives. Kylie Burton: [00:16:05] Yeah. And functional medicine. I just did a podcast on this. It's coming out in a few weeks on my podcast, but I literally, we had an honest discussion about food because so many times I have people coming in, they're trying to lose weight and they're eating like 1200 calories a day and they're exhausted and they can't get to the gym. Well, no freaking duh. You're not feeding your body anything. Alyssa Scolari: [00:16:29] Your metabolism shut down. Your body's storing fat and you're not going to lose a pound. Kylie Burton: [00:16:35] But their personal trainer put them on this. And I could just go on a rant about all of this though. Alyssa Scolari: [00:16:41] You and me both. Kylie Burton: [00:16:43] So then we've got the eliminators, the elimination diets, right? Huge, big deal in functional medicine. In fact, I would say functional medicine is probably the culprit to this food madness that we've been having. Right. Because we teach, you know, you can't have dairy, gluten, soy, peanut butter, eggs. Like what the heck are you supposed to eat? Then if you're eliminating all this stuff, I've had people eliminate fruits and vegetables from the gardens because their food sensitivity test came back positive for regular vegetables and our gut needs variety. So yes, food can be a trigger, but don't just say I can't eat XYZ for the rest of my life. Remove them. Put your body through some work and I'll teach you what that work needs to be. So you can enjoy food again, because food is supposed to be enjoyed. It's part of life, life isn't to just survive it's to enjoy life, right? So there's a trigger, there's a culprit, but more often than not, what I find, especially in auto-immune cases is some type of hidden infection. And this infection is low grade. So it's not going to come up positive on a test. So if you were to go to your doctor's and if you were to get an Epstein-Barr virus test model, the number one trigger for Hashimoto's, it will probably come back negative. You want it to be negative because if it's positive, you literally can't walk up five stairs. That's how exhausted you are. I have a 17 year old boy who just got diagnosed with Epstein-Barr virus and it came back positive and they, you know, if you've ever heard or you've gotten that diagnosis, do you know that? They say, okay, now go home and sleep for three months. Good luck kicking it. We got nothing for you, right? Alyssa Scolari: [00:18:25] It's awful. Yeah. Kylie Burton: [00:18:28] Yeah. So that's this viral infection is really, really big. It's not active enough to be positive, but it's still there to the point that your body's fighting it. And if your body's constantly fighting something, you're not going to thrive. Whether it's losing weight, getting pregnant, combating auto-immune disease, or even just feeling like yourself again, 90% of the time, it's this hidden infection that's causing you to be yourself. And that triggered the immune disease. Right. Alyssa Scolari: [00:19:02] How do you find the infection? Kylie Burton: [00:19:05] I'll tell you that too. So along with the viral infection, we got bacterial infections, we have fungal infections like candida overgrowth, and then we have parasitic infections. So there's multiple types of infections. Now you can identify if you have a low grade hidden infection based off of the labs you already have in your possession. This lab, it's called a CBC with differential, right? The CBC is like the regular standard blood test that every doctor takes as just a precursor. Let's just figure out what's going on, you know, but just make sure that if your doctor is taking a CBC, they check the box that says with differential. Cause I really get peeved when I'm requesting medical records, when there's no differential. Cause those puzzle pieces included in that lab portion are so crucial. So crucial and your insurance will pay for it. Just make sure they check the right box. So the CBC, if you have it, go grab it. If it's on your patient portal, look it up that number one marker. The very top marker it's called white blood cell count, WBC, that white blood cell count is going to tell you if you have a low grade hidden infection, but I can guarantee you it's normal. You want it to be normal. If it's not normal, that means your labs are, you know, you have a disease, they have some disease, they can pass next to your name and give you a pill to manage it for the rest of your life. So you want normal labs. They might be normal, but they're not ideal. They're not optimal. Okay. So what I'm going to tell you is the range for the white blood cell count, WBC, the optimal range. If you fall less than five or greater than eight, you have a low grade hidden infection. Makes sense. So white blood cell count needs to be between five and eight. If it's less than five or greater than eight, we're dealing with this low grade hidden and infection, don't go running to your doctors to tell them that you have an infection, cause they're going to laugh in your face. They're not trained to look at labs like this. So I'm teaching you how to do it. So you have the power in your own hands. Once you see that you have say your white blood cell count is 4.9 or 4.1 or 16 or nine, whatever it is now, you know that your body's fighting something. What is that something then you've got to jump below a couple of several markers. And we're going to, get to this, we're going, I'm going to keep it very, very basic and simple. We're going to keep it to neutrophils, which is this marker that neutrophils are responsible for fighting bacteria. So if your neutrophil percentage is greater than 60%, you're fighting a bacterial infection. Then the marker right below that, it's going to say lymphocytes. Lymphocytes, fight viruses. That's what they do. So if your lymphocytes are greater than 30%, your body's fighting a virus and you can look back over last 10 years of your labs, which is what I love to do. I love to just pull medical records and trace patterns because you can see, you know, as sometimes my blood work I got taken, it tells me that I haven't a bacterial infection. Other times my blood work says I have a viral infection, which is very common to have them both. And then at other times, my blood work has this pattern and I want to teach you the pattern because it's auto immune pattern. Now, neutrophils, you want them to be 60%, right. Or less. That's the ideal. Now lymphocytes, you want to have them to be 30% or less. That's the ideal. So if we're thinking 60, 30, that's a two to one ratio. Correct? Alyssa Scolari: [00:22:53] Yep. Kylie Burton: [00:22:54] Okay. Now, what if your neutrophils are like 44% and your lymphocytes are like 42%? That's a one-to-one ratio, right? Auto immune. So if you see a one-to-one ratio between the neutrophils and the lymphocytes, you're dealing with an auto-immune flare, when that blood work was taken, your body was in fighting mode. Your immune system was fighting something. And typically the lymphocytes are the elevated ones. And that viral component is the trigger. When you hear about these flares or these good days or bad days, it's really a viral component. In most cases, the virus is more active at some times, and then less active at other times when it's more active your day suck, you have the MS flare, the Crohn's flare, the Hashimoto's brain fog, flare, whatever it may be, but when it's less dormant, less active, now you feel more like yourself. Does that make sense? Alyssa Scolari: [00:23:57] Yeah, absolutely. Kylie Burton: [00:23:59] All within regular blood work that you have in your possession, that you were told as normal? That's how cool labs are. That's why I love the numbers. Alyssa Scolari: [00:24:09] And it's so empowering to be able to, I don't know, that anybody can kind of look at it and now go through it and be like, Oh, this is what's happening. Kylie Burton: [00:24:17] Yeah, totally makes sense. So, along with the infection, that's a big component of the trigger. We got multiple other triggers, triggers like toxins and metals and mold, even mold in our house Mole in our environment. I live in a four season area. Springtime is mold season. I've had kids, teenagers, specifically who would come in and his knuckles would swell up, but only during the spring and they'd go into the rheumatologists and they'd get the blood work and his ANAs would come back normal. It would all come back normal, but the rheumatologists wanted to diagnose him with rheumatoid arthritis anyways, cause it looks like it, feels like it, his joints hurt, but they only happened in the spring time. And it didn't clue into me until I went to a seminar. I was talking to another practitioner about this. And,and he, he said to me, do you live in a four season environment? I said, yeah, but it's a desert. It's Utah, we're desert. And he said, well, what about the spring time when everything is frozen now on thaws? I was like, Whoa, I never thought about that. Yeah, right. And then we'd chopped down our tree as a couple, I guess it would be last summer. Now, last, last summer, a couple of the trees in our backyard, just mold infested. And my husband's a roofer and he says a lot of times they'll get on the roof to reroof. They will tear off the shingles, tear off the sheet rock underneath, then tear off the wood. And then underneath the wood, they find black mold. Alyssa Scolari: [00:25:47] Ooooo. Kylie Burton: [00:25:48] So don't just rule it out. Like mold is another trigger and it needs to be dealt with, and sometimes people have to move because that's just the bottom line of it. Alyssa Scolari: [00:25:57] RIght. Kylie Burton: [00:25:58] So there's your triggers for starting or instigating an autoimmune culprit, autoimmune disease. Okay. Now that's step number one. Once you figure the triggers, got to get rid of them. Number two. Calming the immune system down. Once you pull the triggers away. Now it's the immune system who was the whole culprit to begin with. It's not the thyroid, it's not your small and large intestine. It's not your nervous system. It's not wherever the disease is happening. What's happening in all autoimmune disease is it's the immune system attacking a specific point in your body and wherever it's attacking. Well, that's what your genes are there for. So, if you have Hashimoto's running in your family, well your genes told your immune system to attack your thyroid. My family has Parkinson's. Our genes tell us to attack the, tell the immune system to attack the nervous system. Right? So that's how it all works. We're all about what's wrong with the immune system. Why is it just given up and started to attack whatever it feels like attacking. And then once you can figure out the triggers of it. Now you're going to call the immune system down and there's a couple of ingredients that you can use really easily to calm that immune system down. And one of my favorites, my all-time favorite is a vitamin D. Vitamin D is like the best supplement in the world. If you're going to just say you have to take something, you got to take vitamin D. Alyssa Scolari: [00:27:27] Yes. Kylie Burton: [00:27:28] don't just take it at the wimpy 2000 to 5,000 IUs per day level. That's wimpy. You're not going to get anything from it. More than what you would without taking it. But what I've seen in the research literally, research with vitamin D and auto immune, it's huge. And I'm going to tell you my vitamin D protocol. This is what I would do, what I do with patients. And when I blast all over podcasts and social media, and because it's that powerful, but I have had people tell me, they have found my email, strangers have reached out and said, you're telling people these high levels of vitamin D they're going to become toxic. You're right. They'll become toxic. If you stay on them for five, six, seven years. I'm talking three months. So a short time period, I'm going to say, we're going to jack that vitamin D up. It's going to calm your immune system down and just by this one vitamin AKA hormone. You're going to feel way different. Now, if you were to say, cause I'm a numbers girl, right? The vitamin D normal lab range is from a 30 to a hundred. It's kind of big range. I guarantee you're going to feel a lot better with your vitamin D is at closer to a hundred than it is in the thirties. Depression, you can kick it to the curb with vitamin D. Anxiety, same thing. Auto-immune same thing. Vitamin D is that powerful when you take it at the right dosage and your number. My ideal number for vitamin D is around 80. So if you have a vitamin D status, go look at it in your labs. And if you're less than say 70 or 60, take some vitamin D take a higher dose than normal, but,from all of the labs I've seen and I've seen thousands of peoples have labs, I have only seen a handful who are even above 50. Everybody is so depleted in vitamin D and then the prescription is 50,000 IUs of vitamin D per week. It's better than nothing, but it's not going to change the way you feel. It is not going to change your labs either. It will bump them up a little bit, maybe 10, 20 points, but it's not going to take you from 30 to 80 in three months. Alyssa Scolari: [00:29:50] Yeah. Kylie Burton: [00:29:52] 25,000 IUs of vitamin D per day for a month will. Alyssa Scolari: [00:30:01] 25,000. Kylie Burton: [00:30:04] 25,000 IUs of vitamin D per day for a month. And then month two, back down to 20,000 and then month three, back down to 15,000 and then maintain more at a 10,000 dosage. Not going to get toxic off of this, I promise. Alyssa Scolari: [00:30:20] I mean, yeah, vitamin D and its short. Kylie Burton: [00:30:23] Its a short time period And the research I found there was a doctor who did, he was working with auto-immune specifically. He used a bit of LIGO psoriasis. I can't Oh, MS was the other one. Yeah. So that was big three. And he was like, you know what? I want to see what vitamin D does specifically on these three instances. So his dosage was 35,000 IUs of vitamin D for three months. That's what he used. Alyssa Scolari: [00:30:51] Wow. Kylie Burton: [00:30:52] VItamin D was enough to put more than half of the patients in the study, their auto-immune symptoms into remission. Alyssa Scolari: [00:31:01] Wow. Kylie Burton: [00:31:02] The power of vitamin D easiest thing to take. It's like the only thing I will always take, and I'm... Alyssa Scolari: [00:31:09] it really is the easiest thing to take. I know. Kylie Burton: [00:31:13] So vitamin D is a big one. Then we have essential fatty acids, things like Omega three, Omega six, those good healthy fats will also calm down the immune system. And then this also comes on the immune system or probiotics. I always want to put an asterisk next to the probiotics because so many people think, well, I just need to take a probiotic and it's going to solve my gut issues. And I'm going to take the same probiotic for the rest of my life. And it's going to be going to be fine, right. Wrong. So probiotics are great. Just don't take them because you can, and don't take the same one forever, which leads us into step number three. Step number three, once we identify the trigger and removes it, then we calm the immune system down. Now our immune system is literally our gut, so we got to rehab our gut. Don't just take a probiotic forever. Your gut needs variety. Taking the same probiotic for over like three months. I always say is not doing much because it's the same strains, the same quantity, switch it up. Now, the gut is also going to get harped on by many many people, because the more we learn about it, the more we realize that our gut is our second brain, it's pretty powerful. So you gotta make sure you do the gut right. And your gut is like your fingerprint. It's unique to you. So make sure whatever you're doing is personalized to you. So there's your three step kick auto immune diseases to the curb kind of thing. Alyssa Scolari: [00:32:43] It's amazing. And it makes so much sense. And I, I can't help but wonder like, vitamin D really is. It's magical. We're talking about triggers. Is it also possible that like chronic toxicity and chronic stress can trigger, these...can be triggers or does it have to be some type of like low grade virus or infection? Kylie Burton: [00:33:14] No. When we think about triggers, think about multiple. There's usually multiple triggers. And the reason why, as we all have these cups, we're born with our cup, quarter full or half full or whatever. And the more we have experienced life, the fuller our cup gets. And then finally, at some point, something is the trigger that makes the cup overflow. That's the onset of the disease. Alyssa Scolari: [00:33:37] Okay. Kylie Burton: [00:33:38] It's a multitude, multiplicity of triggers. But the big thing is when I look back in the labs, there is that viral component. You're going to have pregnancy trigger. A lot of moms will say, you know, I was fine for baby number one and two. And then number three, my body just gone to crap. And I don't know what's wrong. Metabolic instances like PCOS and endometriosis, they can trigger it. Trauma is a big one. Trauma can trigger or be a trigger along that process. So there's a whole lot of triggers that are possible even stress. Now I want to caveat that stress because I don't know if you're like me, Alyssa, but you said you work a nine to five and then you do the podcast and, you know, life is life. Life is stressful. Alyssa Scolari: [00:34:23] Life is stressful. Kylie Burton: [00:34:25] And if you were to say to me, no, Dr. Kylie, your life is too stressful. You have to find something to eliminate, to make it less stressful. I wouldn't laugh at you. And I'm going to say hi, you're funny. No, I'm a doctor, a mom, an entrepreneur, and I work with the difficult patients right. Alyssa Scolari: [00:34:41] Right. Okay. Kylie Burton: [00:34:43] So I'm not changing that. And I'm not gonna change that. So I don't expect my patients or people who I work with or who are even listening to podcasts I'm on to change that . What you can do is you can instigate things like five minutes of meditation. But for me, I'm lucky to get five minutes by myself in the shower, so you can instigate those things. But what I do want to say as far as stress is concerned, if we can find an internal stressor. And eliminate what's causing stress on the inside of our bodies. Now it can handle the external stressors a lot. Okay. Alyssa Scolari: [00:35:21] That makes a lot of sense. Kylie Burton: [00:35:23] Now it takes the pressures off of moms with three kids, or grandma's like my mom's a grandma and she's about to have five kids and they're five living with her, between my two brothers. So life is stressful and you're not going to just eliminate it, but if we can help our bodies from the inside out. Feel and conquer the external stressors, then life will be a lot better. Alyssa Scolari: [00:35:44] Right, right. Because there's no such thing as getting rid of stress. There's just no such thing. Not in the world that we live in. There will always be stress. Kylie Burton: [00:35:52] Yeah, there's too many outside influences. Alyssa Scolari: [00:35:54] Right. We have much more control over healing, the inside of ourselves than we do over kind of like what comes our way in terms of external stress. Kylie Burton: [00:36:06] Yeah, beautifully said. Alyssa Scolari: [00:36:09] Yeah, no, that makes a lot of sense. And thank you for that. The auto-immune disease world is just one that I feel is so misunderstood, but I think you did a phenomenal job of kind of summarizing just three steps to kind of like beating it because I really think it's finding the trigger. It's not just throwing pills for this symptom and that symptom. It's finding the trigger. Kylie Burton: [00:36:36] Yeah. Once you can do that, once you can find the trigger, calm the immune system down and then rebuild the immune system, which is your gut, you're ready to rock and roll. And I've seen that time and time and time again. So if you're listening to this and you don't have a diagnosis, or you do, just know that you don't have to survive life. You don't have to survive, managing whatever it is, you can thrive and you can enjoy life. Alyssa Scolari: [00:37:02] It's not a death sentence. And I truly, before discovering functional medicine, I truly felt that my HS and my auto immune disease was like a death sentence. So certainly doesn't have to be, so thank you so much for coming on today. That was really helpful. Love talking about this topic. And so you see people from all over the world. So if people want to find you do they just go directly to your website. Kylie Burton: [00:37:31] They can go to my website, but the best place to learn more is the podcasts. And the podcast is called Beyond the Diagnosis with me, Dr. Kylie. So that's the first place to go is go check that out, learn more, dive in there. Several episodes on auto immune diseases and a whole lot more. And then the other place is you can look up and find anything you want on the website, https://drkylieburton.com. I'm also on Facebook, Dr. Kylie Burton on Facebook. Those are the podcasts and Facebook are where I'm most active. And then of course, if you want to join anything, any of the boot camps, the programs, and membership, go find them all on the website, https://drkylieburton.com. Alyssa Scolari: [00:38:11] And I will link all of that information in the show notes. Thank you very much for coming on today. I appreciate you making the time to, educate all of us and I appreciate the work that you do. Kylie Burton: [00:38:22] Thanks Alyssa. Thanks for listening everyone. For more information, please head over to lightaftertrauma.com or you can also follow us on social media. On Instagram. We are at @lightaftertrauma and on Twitter. It is @lightafterpod. And if you're on Facebook, please be sure to join our Facebook group. It is a private community where trauma survivors are able to connect and chat with one another. That Facebook group is called light after traumas. So just look us up on Facebook and be sure to join. Lastly, please head over to patreon.com/lightaftertrauma to support our show, we are asking for $5 a month, which is the equivalent to a cup of coffee at Starbucks. So please head on over again. That's patreon.com/lightaftertrauma. Thank you. And we appreciate your support.

Dr John 2020 #32

The Dr John Podcast - The Rock

Play Episode Listen Later Mar 23, 2021 22:58

After a break Doctor John is back from his knee replacement surgery, what's it like for Doctor John to become a patient in the medical world and how his surgery went, Phoenix has Hidradenitis suppurativa and needs some advice, diabetic neuropathy, diabetes awareness, Different coloured urine and what it can mean, can you get Viagra from the pharmacy and plenty more! See omnystudio.com/listener for privacy information.

viagra hidradenitis

72. Vågar inte visa Fiffi

HJÄLP MIG!

Play Episode Listen Later Mar 23, 2021 49:57

Lisette har börjat med KBT och fått en uppgift att göra när hon åker tunnelbana. Albin filar på en showreel och söker skådespelarjobb. Och så gör han påskmusik. Vi har fått ett svarsmejl om mamman som vägrar släppa taget, och så har vi fått ett nytt mejl från en tjej som lider av Hidradenitis suppurativa (HS). Hon får bölder på olika ställen på kroppen, och undrar hur hon ska berätta det för eventuella sexpartners utan att skrämma bort dem. 00:00 - Gôtt snack 17:05 - Svarsmejl om mamman som vägrar släppa taget (från avsnitt 71) 20:46 - Nytt mejl 35:50 - Snabbfrågor 49:09 - Bloopers Mejla in ditt eget problem, så detaljerat du kan, till hjalpmigpodden@gmail.com. Fler bloopers finns på vår Patreon. (Disclaimer: Varken Lisette eller Albin är utbildade psykologer, livscoacher, problemlösare, läkare, ingenjörer eller reseledare).

visa inte hs nytt fler albin kbt fiffi hidradenitis

Hidradenitis Supurativa

patolog derma hidradenitis

Play Episode Listen Later Aug 17, 2020 2:47

#HidradenitisSupurativa|Un diestro equipo de expertos en salud pública de #MSP preparó un micro documental donde se presenta en imágenes #3D la formación de pequeñas y dolorosas protuberancias debajo de la piel principalmente las áreas como axilas, ingle, glúteos y senos. El trabajo educativo fue preparado por el equipo médico y de comunicadores de #MSP. http://ow.ly/Bt6450B0pp8 #ExclusivoMSP #Ética #LosPacientesPrimero #DerechoALaSaludPR - - - Ver esta entrevista en Youtube: https://youtu.be/f9h134qncCc - - - Visite nuestro sitio especializado: bit.ly/2Qbn67F - - - Visite nuestro portal de noticias: medicinaysaludpublica.com/ - - - Síguenos en Facebook: www.facebook.com/revistamsp/

3d msp hidradenitis

Derma #4 - Foliculitis, Furunculosis, Hidradenitis, Ectima gangrenoso

GALENOS

Play Episode Listen Later Aug 8, 2020 12:35

¡Más de dermatología! Patologías cortas que nunca debemos de ignorar

Foro dermatológico, [Hidradenitis Supurativa]

Play Episode Listen Later Jul 17, 2020 32:49

#ForoDermatológicoMSP | ¡AHORA! La doctora Alma Cruz, dermatóloga especialista en #HS hablará sobre esta #enfermedad que en algunos casos puede llegar a desarrollar #cáncer en algunos pacientes, además de las causas y los tratamientos para contrarrestarla. ¡No se lo pierda! Más información aquí https://bit.ly/3gQuDE4 #ExclusivoMSP #LosPacientesPrimero - - - Ver esta entrevista en Youtube: https://youtu.be/B7VVU8n8LIQ - - - Visite nuestro sitio especializado: bit.ly/2Qbn67F - - - Visite nuestro portal de noticias: medicinaysaludpublica.com/ - - - Síguenos en Facebook: www.facebook.com/revistamsp/

hs foro hidradenitis

Pacientes con hidradenitis supurativa deben mantenerse en tratamiento

dra vis deben pacientes tratamiento mantenerse hidradenitis

Play Episode Listen Later Mar 25, 2020 15:04

La dermátologa y especialista en hidradenitis supurativa, Dra. Alma Cruz habla sobre los tratamientos para esta condición y su aplicación en el brote causado por el Covid-19 - - - Todo sobre el COVID-19: https://medicinaysaludpublica.com/covid-19/ - - - Visíta nuestro sitio web: www.medicinaysaludpublica.com/ - - - Síguenos en Facebook: www.facebook.com/revistamsp/

093. Through The Easy & Tough, We Bloom with Jackson Gillies

Do A Day with Bryan Falchuk

Play Episode Listen Later Mar 17, 2020 63:17

Jackson Gillies is a musician who has been living with Type 1 diabetes since he was three years old. He has long been an advocate for T1D, as well as for Hidradenitis Suppurativa (HS) — a skin condition he was diagnosed with as a teen. Jackson’s drive to bring his music and HS awareness to a wider audience led him to audition for the 17th season of “American Idol.” He recently talked to BT1 about his experience and the exposure he hopes to bring to the communities surrounding both conditions. Key Points from the Episode with Jackson Gillies: Jackson is a musician and student at a music school in London. His backstory is one of facing chronic auto-immune illness since a very young age, starting with Diabetes, and progressing to more over his life. He also delivered a TEDx Talk at age 17 about his journey with HS (Hidradenitis Suppurativa). Growing up, he did a lot of musical theater, and ended up taking up guitar while being stuck in bed during his early journey with HS. He learned from the internet, decided to enter a contest, which he won, and ended up a contestant on American Idol. Early on, he was on a path to try to get famous and get his name in lights, whereas post-American Idol, he realized he should pull back and really work on his message and focus before he should be trying to get his name in lights. Music and his lyrics are so personal to him, where what he writes about are all about him and his emotions, which he thinks helps his music resonate with others because of the personal connection that comes from what he’s giving of himself in the message. Going back to childhood, early on, Jackson was prone to ear infections and would get sick a lot. At age 3, his mother noticed some strange changes in Jackson’s health. Doctors blew it off, but his mother knew something was wrong, and forced them to test his urine. Sure enough, she was right, and they realized he had Type I Diabetes. When Jackson got his first shot, he just smiled and said, “Thank you.” Type I Diabetes is when the pancreas is attacked by the body itself, and does not make insulin as a result. This is different from Type II Diabetes, which is brought on as a response to lifestyle where the body becomes desensitized to insulin, so it stops working as it should. From age 3 to 4, Jackson got insulin shots, at which point he got a pump implanted. When he was just starting puberty in his early teens, he had a growth at the edge of his hairline on his forehead that no one knew what it was. He had a plastic surgeon remove it eventually, and his family moved to Florida shortly after. Within a few months, he ended up with several other of these growth, abscesses, growing on his legs. They got so bad that he couldn’t walk, but he tried to hide from people as he was embarrassed by it. After finally saying something to his mother, they struggled to get a diagnose, finally getting one from a Naturopathic Doctor. HS is a condition where the body struggles to process toxins internally, and tries to expel them through the skin in abscesses. To be HS, there needs to be more than one abscesses, and people can get abscesses for various reasons, so it takes 7 years on average for people to get a diagnosis. The Naturopath recommended cutting out many different foods that were basically all the typical things a teenager would eat - wheat/gluten, potatoes, etc. Not only was he dealing with the pain of the condition, but also dealing with the restrictions of the diet. He would eat well at home, but not at school, so the progress of the condition continued. Jackson’s future step-father, Jeff, was trying to help by working on different recipes that he could eat and would enjoy, but they still had limitations in Florida around access to things Jackson could eat, and the humidity made the condition worse and harder to live with. With some family in California, they decided to move out there to get easier access to healthier food options and a better climate for Jackson. Music had always been an outlet for Jackson, whether listening to it, performing it in theater or starting to play it himself. Jackson’s condition got better as the climate and his diet improved. To show how diet definitely impacts the condition, he slipped up and had a breakfast burrito at school, full of wheat and potatoes, and almost immediately got a new abcess. A little girl asked him what happened to his neck, and he thought of a brilliant, simple way to describe what’s going on inside someone with HS. If you have an allergy, something comes into your body that disagrees with it, and you sneeze as a way to try to get it out. It’s like that’s going on with some things he’s eating, and his body tries to get it out like a sneeze, but through his skin, and it gets stuck, creating the things on his neck she was asking about. Jackson shared a confluence of auto-immune issues in a parent and their kids having things like Diabetes or HS. His mother has autoimmune issues with her thyroid, and he has also had autoimmune and immune-response issues throughout his life. As a result, medical treatment can be tricky as the system is designed for some average person and assumes everyone is and responds the same, but that’s not the case, and creates complications. A dermatologist who is an HS expert back East saw Jackson’s TEDx Talk, and connected with him to try to help. She realized some of what he was taking (prescribed by other doctors), had things in them that aggravated his condition, like yeast. Once his treatment plan was cleaned up similar to what he had done with his diet, things got better. It also lead him to want to pull back from heavily depending on doctors for guidance, and focused on his food and what his body seemed to need. Starting then, around 2 years ago, things have been improving. Many of his abscesses have cleared up, leaving only scars behind. He’s been able to re-introduce some foods, and knows the cues from his body to understand if he’s overdoing it in any area, and how to adjust back. You have to listen to your gut, figuratively and literally. It’s connected to your brain, and it knows. I asked about Jackson’s work to raise awareness of HS, which went back to his early experience with Diabetes. He had been in campaigns from JDRF, the Juvenile Diabetes Research Foundation, including doing photoshoots with Mary Tyler Moore. Once he had his diagnosis of HS, he found that there was nothing like that for building awareness. That’s what sparked his desire to spread the word, including doing the TEDx Talk, and how he’s been sharing his story publicly since his diagnosis. He’s hoping to save people time and suffering. With an average diagnosis time of 7 years, he knows how difficult that can be to live through, especially without having answers. There have been some really dark, long, defining moments that have impacted Jackson’s journey so much. But there are also small moments, like getting home late at night, realizing there’s no food in the house and he can’t just get takeout because of what it will do to him, so it can take hours before he has food put together he can eat. But in either the big or small tough moments, he will bloom either way. I asked if he was thankful for his experience with HS. Surprisingly to some, he is. It has lead him down a path to be able to express himself musically, have the maturity he has, or have clarity on what matters to him. In that way, yes, he is thankful and wouldn’t change things. Jackson quoted a song by the Avett Brothers, who are the reason he plays music himself. “Tell the truth to yourself.” To Jackson, this means, be honest with yourself and be aware. Don’t settle on anything too quickly just because it feels easy or good. The world is chaos, how could we make sense of anything. Our minds are too small to make sense of any of what’s going on here on Earth, so just focus on what’s in front of you right now. Links: Website: JacksonSings.com TEDx Talk: "Bringing HS (Hidradenitis Suppurativa) Out Of The Dark" TEDxSantaBarbara Jackson's Music on Spotify See Jackson's audition on American Idol Facebook: @JacksonGillies Instagram: @Jackson.Gillies Twitter: @Jackson_Gillies YouTube Subscribe to The Do a Day Podcast Keep Growing with Do a Day Get Bryan's best-selling first book, Do a Day, which is the inspiration for this show and can help you overcome your greatest challenges and achieve in life. Read Bryan's best-selling second book, The 50 75 100 Solution: Build Better Relationships, to tap into the power we all have to improve our relationships – even the tough ones we feel have no hope of getting better. Get started on your journey to Better with the Big Goal Exercise Work with Bryan as your coach, or hire him to speak at your next event

Hidradenitis Supurativa | Médicos

Dermatologia Hospital Italiano

Play Episode Listen Later Mar 16, 2020 7:17

La HIDRADENITIS SUPURATIVA es una enfermedad inflamatoria crónica que se origina en la oclusión del folículo pilosebáceo. Clínicamente se caracteriza por episodios recurrentes de nódulos dolorosos, abscesos, fístulas y/o cicatrices en los grandes pliegues (axilas, ingles, glúteos, mamas). Típicamente se confunde con procesos infecciosos como forúnculos o abscesos, cuyo pronóstico y tratamiento es completamente distinto. La localización típica en zonas de glándulas apocrinas y la recurrencia, son algunas de las claves para el diagnóstico diferencial. Es fundamental realizar un diagnóstico precoz y un tratamiento oportuno para evitar su progresión. Si querés conocer más sobre esta enfermedad, te invitamos a escuchar nuestro podcast.

hidradenitis

El drama de los pacientes puertorriqueños que sufren de Hidradenitis Supurativa

drama dra pacientes puertorrique hidradenitis

Play Episode Listen Later Mar 9, 2020 54:40

[CONFERENCIA DE PRENSA] El drama de los pacientes puertorriqueños que sufren de #HidradenitisSupurativa. Síntomas y tratamientos con los especialistas, Dra. Alma Cruz, el Dr. Fernando Aponte y Adeline Pagán. ¡No se lo pierda! #MSP #LaCienciaEsNoticia - - - Ver entrevista en Youtube: https://youtu.be/miN_VjCNa70 - - - Visita nuestro sitio web: www.medicinaysaludpublica.com - - - Síguenos en Facebook: www.facebook.com/revistamsp/

Hidradenitis Supurativa | Pacientes

Dermatologia Hospital Italiano

Play Episode Listen Later Mar 9, 2020 11:27

En este episodio conversamos con la Dra. Zimman sobre una enfermedad que es más frecuente de lo que se cree: la HIDRADENITIS SUPURATIVA. Es una enfermedad inflamatoria crónica que se caracteriza por granos con pus o bultos dolorosos a repetición en axilas, ingles, glúteos, mamas. Es fundamental realizar un diagnóstico precoz y un tratamiento oportuno para prevenir daños irreversibles. Si querés conocer más de esta enfermedad, te invitamos a escuchar este episodio.

dra pacientes hidradenitis

#198 PCOS: Polycystic Ovary Syndrome with Katherine Sherif MD

The Curbsiders Internal Medicine Podcast

Play Episode Listen Later Mar 9, 2020 66:56

Polycystic ovary syndrome (PCOS) is more common than we think! Listen as our esteemed guest Dr Katherine Sherif (@katherinesherif) reviews common patient complaints that should trigger PCOS in the differential, its pathophysiology, key physical exam findings, an algorithm for lab evaluation for PCOS diagnosis, and common treatments (OCPs, metformin, spironolactone and more!). Show Notes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com Credits Written and Produced by: Molly Heublein, MD Cover Art and Infographic: Kate Grant MBChB DipGUMed Hosts: Matthew Watto MD, FACP; Molly Heublein, MD Editor: Emi Okamoto MD (written materials); Clair Morgan of Nodderly.com (audio) Guest: Katherine Sherif, MD Sponsors AccessMedicine is the acclaimed online medical resource that features Harrison's Principles of Internal Medicine and more trusted content from the best minds in medicine. Visit AccessMedicine to learn more: http://bit.ly/MHCurbsiders. Primary Care Physician Opportunity in beautiful Ithaca, NY! Join a well established practice in beautiful upstate New York near the finger lakes and wine country! You'll have flexible hours and the ability to take the time you need with patients! Contact Dr. Ann Costello arcostello@gmail.com to find out more about this incredible opportunity to join the team at Primary Care Internal Medicine of Ithaca https://www.primarycareinternalmedicineofithaca.com/. Time Stamps 00:00 Sponsors - AccessMedicine.com (McGraw-Hill) http://bit.ly/MHCurbsiders; Primary Care Internal Medicine of Ithaca https://www.primarycareinternalmedicineofithaca.com/ 00:35 Intro, disclaimer, guest bio 03:00 Guest one-liner, book recommendation; Picks of the Week*: The Beginner’s Guide to the End: Practical Advice for Living Life and Facing Death, by Dr BJ Miller and Shoshana Berger; Overdrive App to download audio books and other media from libraries 07:58 AccessMedicine.com (McGraw-Hill) http://bit.ly/MHCurbsiders; Primary Care Internal Medicine of Ithaca https://www.primarycareinternalmedicineofithaca.com/ 09:30 Case of PCOS; Definition; Common presenting complaints 14:40 Hirsutism and terminal hair growth 17:05 Alopecia 20:25 Acne; Hidradenitis suppurativa 23:05 Irregular menses; Lab workup; Non-classic congenital adrenal hyperplasia 28:38 Hyperandrogenism lab workup (Testosterone, DHEA-S, Anti-Mullerian Hormone, utility of LH and FSH); Quick word on US 37:15 Recap of how to diagnose PCOS 38:15 Insulin resistance, body habitus in PCOS 40:04 Pathophysiology in PCOS (two schools of thought: Hypothalamus vs Insulin) 43:27 Dr. Sherif’s spiel to patients newly diagnosed with PCOS 46:40 Long term risks in PCOS 50:35 Approach to treatment of PCOS (OCPs, metformin, spironolactone, hair removal) 60:35 Treatment of alopecia; Lifestyle factors 63:55 Take home points and Outro *The Curbsiders participates in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising commissions by linking to Amazon. Simply put, if you click on our Amazon.com links and buy something we earn a (very) small commission, yet you don’t pay any extra. Goal Listeners will explain the basic pathophysiology, diagnosis, and management of PCOS. Learning objectives After listening to this episode listeners will… List the criteria for diagnosis of PCOS. Explain the relationship between PCOS and metabolic risks. Determine first line treatments for PCOS symptoms including oligomenorrhea, hirsutism, acne and alopecia. Counsel patients on long term risks associated with PCOS and how to mitigate these. Disclosures Dr Sherif reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures. Citation Sherif K, Heublein M, Grant K, Okamoto E, Watto MF. “#198 PCOS: Polycystic Ovary Syndrome with Katherine Sherif MD”. The Curbsiders Internal Medicine Podcast. https://thecurbsiders.com/episode-list. March 9, 2020.

USMLE Content Outline Topic: Anorectal Diseases (Hemorrhoids, Fissures, Fistulae, Hidradenitis, Perianal Abscess, Anal SqCC)

The High-Yield Podcast

Play Episode Listen Later Feb 20, 2020 19:52

A high-yield question-based review of anorectal diseases including Hemorrhoids, Fissure, Pilonical disease, Hidradenitis, Perianal abscess, Anal Fistula, and Squamous cell carcinoma of the anus. Rapid Question-Based Review

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Episode 24 Hidradenitis Suppurative ( HS) part 1 & 2

The Health Flo

Play Episode Listen Later Dec 31, 2019 35:31

My guest this week is 18 year old Amir diagnosed with HS about 1 year ago. He and his mother Tracy shared their experience with HS Hidradenitis suppurative is a painful chronic inflammatory skin condition involving the follicular portion of the ffolliculopilosebaceous units. It mostly involves the axillary grain, perianal, perineal and inflammatory regions. . HS can occur as recurrent inflamed nodules and abscesses to draining skin sinus tracts and formation of severe scar. The onset of symptoms is usually between puberty and age 40. HS can be diagnosed by history and physical exam, the typical lesions, the locations and re-ocurences. Reference : Up To Date For more information or questions email: thehealthflo@gmail.com --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/thehealthflo/message

hs hidradenitis

Managing hidradenitis suppurativa; plus certolizumab’s safety; and how atopic dermatitis divides allopathic and naturopathic providers

Play Episode Listen Later Dec 5, 2019 28:41

Hidradenitis suppurativa literature has expanded in the last few years, but there is still a delay in diagnosis for most patients due to a lack of familiarity with the condition. Dr. Vincent DeLeo talks with Dr. Alexandra P. Charrow about treatment recommendations based on disease severity and for patient lifestyle modifications. * * * Help us make this podcast better! Please take our short listener survey: https://www.surveymonkey.com/r/podcastsurveyOct2019 * * * Are you a fan of our podcast? Recommend it to a friend on Twitter by tagging @MDedgeDerm, and we’ll give you a shout-out in our next episode. * * * We bring you the latest in dermatology news and research: Certolizumab safety profile varies widely across indicationsSystemic corticosteroid use and body mass index affect the risk of serious adverse events with certolizumab. Naturopaths emphasize role of diet in atopic dermatitis Allopathic and naturopathic providers diverge in opinions on the role of diet in cause and treatment of AD. * * * Things you will learn in this episode: Many patients with hidradenitis suppurativa present to the ED because they have a severe flare. “We find that patients have a very long lag time from when they come in to all these different specialists and to the emergency department and the time in which they’re given a definitive diagnosis,” according to Dr. Charrow. Monitor for severe infection. “Hidradenitis is a complicated condition because it is a chronic inflammatory condition, and for that reason, patients will often have labs that mimic an infection,” said Dr. Charrow. The Hurley staging system, used in both surgical and clinical settings, can be used for HS and is divided into three disease stages: stage I is isolated nodules or isolated abscesses; stage II is wide areas separated by sinus tracts or scarring; and stage III includes multiple lesions with near-diffuse involvement and formation of sinus tracts and scarring. Recommend lifestyle modifications, such as taking medications for smoking cessation that are not nicotine replacements, as these could aggravate disease; avoiding hair removal strategies that cause regrowth and the possibility of developing ingrown hairs; and avoiding progestin-only and first-generation oral contraceptives. Use a short course of antibiotics to control flares for Hurley stage I disease. A longer course of an antibiotic, such as tetracycline for 3-6 months, can be used to prevent further flaring. Consider a combination of spironolactone and tetracycline for Hurley stage II. Depending on whether these medications work, adalimumab also can be considered for stage II. Medications for Hurley stages I and II can be used for stage III, but if these are ineffective, providing care could be “tough” because the clinician might need to negotiate with insurance companies for other medications such as infliximab. “There’s only one medication that has been FDA approved for hidradenitis and that’s Humira, and only 50% of the patients in the pioneer trial demonstrated significant improvement, which means that there’s half of patients who have no FDA-approved treatment for their disease,” Dr. Charrow noted. “We are reaching for things for which there is no FDA approval but for which there is some pretty good evidence.” Consult a table of treatment considerations for HS based on severity, which is available online. Ensure that patients with HS feel safe and have an emotional outlet during the visit because they can have a high psychiatric and psychological comorbidity profile. “The disease can be exceptionally isolating. Many patients find they can’t work, they can’t live normal lives . . . It’s helpful to be mindful of just how stigmatizing this condition can be,” Dr. Charrow advised. Hosts: Elizabeth Mechcatie, Terry Rudd Guests: Alexandra P. Charrow, MD, MBE (Brigham and Women’s Hospital, Boston) Show notes by: Jason Orszt, Melissa Sears, Elizabeth Mechcatie * * * For more MDedge Podcasts, go to mdedge.com/podcasts Email the show: podcasts@mdedge.com Interact with us on Twitter: @MDedgeDerm

Viviendo con hidradenitis supurativa

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Play Episode Listen Later Dec 2, 2019 9:22

La Revista Medicina y Salud Pública (MSP) habló con Lorna García, una mujer que padece de esta enfermedad y quien le contó a este medio cómo es vivir con hidradenitis supurativa. Lorna habla sobre el impacto físico y psicológico que ha provocado la hidradenitis supurativa en su vida. - - - Ver entrevista en Youtube: https://www.youtube.com/watch?v=EtXhs2RVZ4I - - - Conoce más sobre esta condición: https://medicinaysaludpublica.com/hidradenitis-supurativa/ - - - Visita nuestro sitio web: https://medicinaysaludpublica.com/ - - - Síguenos en Facebook: https://www.facebook.com/revistamsp/

Hidradenitis – Papa’s Basement 612

Papa's Basement

Play Episode Listen Later Oct 18, 2019 61:27

Sonic's patented "Fat American Feeding Stalls" have come to a city near me! Click here to listen to the latest episode of Papa's Basement in your browser or here to open and listen in iTunes (you can also use the embedded player below). And, if you want to see our faces that very clearly are fit for radio, you can watch videos of our episodes on YouTube I tell an embarrassing tale of a chronic disease I suffer from - hidradenitis - causing me to soil a friend's chair. It's a story of my pain and shame, meaning you'll love it. My only wish is that my co-host, Joe Gagliardi, could have shown a shred of compassion as I bared my soul to the world. Sadly, he did not. Follow this episode's cast on Twitter and Instagram! Eva Kriksciun - Twitter - @OrchardEva, Instagram - @OrchardEva Joe Gagliardi - Twitter - @JoeyDaEntataina, Instagram - @TheMightyJoeyG John Papageorgiou - Twitter - @PapasBasement, Instagram - @PapasBasement

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¿Qué es la hidradenitis supurativa?

Play Episode Listen Later Sep 23, 2019 6:18

La Dra. Alma Cruz, quien es dermatóloga, explica todos los detalles necesarios para identificar y tratar la #HidradenitisSupurativa (HS) que es una enfermedad inflamatoria crónica, dolorosa, responsable de la formación de las #lesiones como abscesos, nódulos y tractos drenosos, además de generar una desregulación del #SistemaInmunológico de quienes la padecen. - - - Ver en Youtube: https://www.youtube.com/watch?v=uukzqSSzuMY - - - visita nuestro sitio web: https://medicinaysaludpublica.com - - - ver artículo completo: http://ow.ly/twgS50whVah - - - Síguenos en Facebook para estar actualizados con las noticias más importantes de la Salud: https://www.facebook.com/revistamsp/

salud hidradenitis

Contact allergy to products with methylisothiazolinone; plus, topical options for hyperpigmentation, and thread lifts return

Play Episode Listen Later Sep 12, 2019 26:22

Household and personal care products are common sources of contact allergy in dermatology patients. Dr. Vincent DeLeo talks with Dr. Amber Atwater and Dr. Margo Reeder and about the epidemic of allergic contact dermatitis associated with methylisothiazolinone (MI), a common preservative found in many water-based products. Dr. Reeder and Dr. Atwater discuss the emergence of MI as a contact allergen and highlight some of the common and lesser-known sources of MI exposure. We also bring you the latest in dermatology news and research. 1. Thread lifts making a comeback, but long-term effects remain unclear Patients with moderate skin sagging are better candidates than those with severe skin sagging. 2. New evidence supports immune system involvement in hidradenitis suppurativa Microscopy identifies signs of immune dysregulation in the blood of hidradenitis suppurativa patients. 3. Dr. Andrew Alexis discusses topical treatment options for pigmentary disorders Things you will learn in this episode: Methylisothiazolinone (MI) has been used for decades as a preservative in combination with methylchloroisothiazolinone; however, higher concentrations of MI alone have been used in personal care products beginning in the 2000s: “That’s really when we began to see patients being exposed to MI and subsequently developing contact allergy,” notes Dr. Reeder. Common sources of MI exposure include liquid and water-based products such as dish soaps, shampoos, household cleaners, hair conditioners and dyes, laundry products, and soaps and cleansers. Latex-based paints containing MI can result in airborne contact dermatitis from off-gassing when the paint is curing on the wall. Another common source of MI contact dermatitis is slime, a sticky play substance that children concoct out of household products such as glue or cleaning agents that contain MI. Contact allergy to MI may present in a photodistributed pattern and also has been associated with photoaggravation. Patients also may demonstrate lasting photosensitivity even when avoiding the allergen; therefore, it is important to consider including MI when performing photopatch testing. Two additional potentially allergenic isothiazolinones found in household products and industrial chemicals include benzisothiazolinone and octylisothiazolinone. The T.R.U.E. Test includes MI in a mix with methylchloroisothiazolinone but not on its own, which has been known to miss a considerable number of patients who are allergic to MI; therefore, patch testing to MI alone may be beneficial in patients with allergic contact dermatitis who test negative for MI contact allergy using the T.R.U.E. Test. Many patients are sensitized to MI when it is used in leave-on products. The European Union has banned MI from use in these products, but currently there are no regulations in the United States. Hosts: Elizabeth Mechcatie, Terry Rudd, Vincent A. DeLeo, MD (Keck School of Medicine of the University of Southern California, Los Angeles) Guests: Margo Reeder, MD (University of Wisconsin, Madison); Amber Reck Atwater, MD (Duke University, Durham, North Carolina); Andrew F. Alexis, MD, MPH (Icahn School of Medicine at Mount Sinai, New York. Show notes by Alicia Sonners, Melissa Sears, and Elizabeth Mechcatie. You can find more of our podcasts at http://www.mdedge.com/podcasts Email the show: podcasts@mdedge.com Interact with us on Twitter: @MDedgeDerm

Join us as we talk to Dr. Ashley Biscoe and Dr. Alison Egeland about Hidradenitis Suppurativa and some ways to start healing

trialsitenews's podcast

Play Episode Listen Later Sep 4, 2019 60:42

In this podcast we discuss hidradenitis suppurativa and it's possible link with gut bacteria. The Doctors from Attune Functional Medicine go over how these two can be linked and how to start healing your gut. They go over more than just food and the gut as well, as they know that it isn't ALWAYS the link, some HS patients require different treatments. The Doctors have created an autoimmune cookbook to help make eating easy. For more information on them and their work with HS you can follow their social media pages: Facebook Twitter LinkedIn Youtube The Cookbook and more

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Augmented intelligence: An interview with Dr. Justin Ko

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Play Episode Listen Later Aug 22, 2019 18:13

Dr. Justin Ko speaks with MDedge reporter Ted Bosworth about the use of augmented intelligence in dermatology. Dr. Ko is the coauthor of the American Academy of Dermatology’s position statement on augmented intelligence, which was released in May 2019. Dr. Ko addressed this topic during the plenary session at the AAD’s summer meeting in New York City, in a presentation titled “Augmented intelligence: Fusing technology with human expertise to enhance dermatologic care.” “Augmented intelligence is a term that’s specifically used so that we can move people away from conceptions about artificial intelligence,” Dr. Ko explained in the interview. “When we use that term, the first thing that pops into people’s minds are robots, terminators … other things that seem intimidating … that misconception is one that I really want to draw attention towards.” This week, we also bring you the following news: 1: Hidradenitis suppurativa linked to higher NAFLD risk https://www.mdedge.com/dermatology/article/206828/medical-dermatology/hidradenitis-suppurativa-linked-higher-nafld-risk 2: Nebraska issues SUNucate-based guidance for schools https://www.mdedge.com/dermatology/article/206581/dermatology/nebraska-issues-sunucate-based-guidance-schools Hosts: Elizabeth Mechcatie, Carol Nicotera-Ward, Vincent A. DeLeo, MD, of the Keck School of Medicine at the University of Southern California, Los Angeles Guest: Justin Ko, MD, of the department of dermatology at Stanford (Calif.) University. He is also on the faculty of Stanford’s Center for Artificial Intelligence in Medicine & Imaging. Show notes by Elizabeth Mechcatie You can find more of our podcasts at http://mdedge.com/podcasts Email the show: podcasts@mdedge.com Interact with us on Twitter: @MDedgeDerm

XBiotech Talks With us About Their Upcoming Pipeline for Hidradenitis Suppurativa

trialsitenews's podcast

Play Episode Listen Later Aug 14, 2019 14:20

We had several requests from our Hidradenitis Suppurativa readers to do a follow up on the article "Is XBiotech on the Cusp of a Superior Hidradenitis Suppurativa Treatment?" So we asked XBiotech if they would be willing to sit down and talk with us about their upcoming pipeline for HS. "Our Antibodies are 100% derived from human immune system, and so the safety profile is unprecedented" XBiotech is working towards helping those who have Hidradenitis Suppurativa, Psoriasis, Atopic Dermatitis, and even oncology. You can email clinicaltrials@xbiotech.com to speak with someone about applying to participate in a clinical trial.

TrialSite News Podcast Series Episode 1-Adam Hatten

trialsitenews's podcast

Play Episode Listen Later Jul 10, 2019 31:53

Adam Hatten was diagnosed with stage 3 Hidradenitis Suppurativa, an autoimmune disease. He was able to put his HS into remission through food. In this episode he goes over some of the key items that helped him, and how he sticks to his diet.

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AAD 2019 meeting wrap-up

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Play Episode Listen Later Mar 23, 2019 20:55

Today, we’re bringing you a special episode featuring exclusive coverage from the annual meeting of the American Academy of Dermatology in Washington. In a wide-ranging discussion, Dr. Julie Harper and Dr. Jonette Keri sum up their key insights and take-home messages from the meeting’s acne sessions. We also bring you the latest in dermatology news and research from the meeting: 1. Food allergies and atopic dermatitis: What is the evidence? https://bit.ly/2CayGcp 2. Many common dermatologic drugs can be safely used during pregnancy. https://bit.ly/2HmZLfY 3. 31-GEP test predicts likelihood of metastasis for cutaneous melanoma. https://bit.ly/2NO3dkK 4. Bermekimab reduces lesions, cuts pain in patients with hidradenitis suppurativa. https://bit.ly/2H6NuNe Contact us: podcasts@mdedge.com On Twitter: @MDedgeDerm

How I Treat Hidradenitis in 2018

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Play Episode Listen Later Mar 13, 2019

From the SDPA Annual Summer Dermatology Conference 2018, held June 27 – July 1, 2018 in Seattle, Washington. Topic: How I Treat Hidradenitis in 2018 Faculty: Joslyn Kirby, MD Learning Objectives: 1. Review stage- and guideline-based treatment of HS 2. Review new and established medical therapies for HS 3. Describe office-based [...]

AAD 2019 meeting wrap-up

Daily Medical News

Play Episode Listen Later Mar 9, 2019 11:35

Today, we’re bringing you a special episode featuring exclusive coverage from the annual meeting of the American Academy of Dermatology in Washington. 1. Food allergies and atopic dermatitis: What is the evidence? https://bit.ly/2CayGcp 2. Many common dermatologic drugs can be safely used during pregnancy. https://bit.ly/2HmZLfY 3. 31-GEP test predicts likelihood of metastasis for cutaneous melanoma. https://bit.ly/2NO3dkK 4. Bermekimab reduces lesions, cuts pain in patients with hidradenitis suppurativa. https://bit.ly/2H6NuNe Contact us: podcasts@mdedge.com

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Comorbidities in Hidradenitis: Fact or Fiction?

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Play Episode Listen Later Mar 6, 2019

From the SDPA Annual Summer Dermatology Conference 2018, held June 27 – July 1, 2018 in Seattle, Washington. Topic: Comorbidities in Hidradenitis: Fact or Fiction? Faculty: Joslyn Kirby, MD Learning Objectives: 1. Describe the academic and professional impact of HS on people 2. Discuss the emotional and spiritual impact of HS [...]

Acne and Hidradenitis: What’s New?

Play Episode Listen Later Nov 2, 2018

From the SDPA Annual Summer Dermatology Conference 2017. Topic: Acne and Hidradenitis: What’s New? Faculty: Joslyn Kirby, MD Learning Objectives: 1. Review the findings of acne vulgaris and its variants 2. Review the findings of hidradenitis suppurativa and its variants 3. Describe the treatment options for acne and apply these to cases 4. [...]

acne hidradenitis

SDPA Summer 2017 | Joslyn Kirby, M.D., Discusses Acne Hidradenitis