Cry the Beloved Specialty

by A.R. Pito, FRCP(C) In the Entrepreneurship section of a recent NY Times there was an article with the title “Fat Freezing Helps Doctors Enhance Physiques, and Their Revenue.” Here are some excerpts: “Dermatology clinics and medical spas are increasingly offering a procedure called CoolSculpting to shrink love handles, flabby tummies and jiggly arms. Doctors’ offices are eager to offer the treatment because it represents a way to meet the fast-growing demand for fat-reduction services that don’t require surgery. It is also, they say, a way to get new types of customers in the door, including men.” “The spokeswoman for one dermatology spa in Arkansas was quoted as saying that … Continue reading

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Isotretinoin on a Global Scale

In the end, we are dependent on creatures we have made. Goethe  Isotretinoin and iPledge  on the Global Stage by Ava Atri, B.A. and David J. Elpern, M.D. Keywords: isotretinoin, regulation, iPledge program, teratogen Introduction Isotretinoin has revolutionized the treatment of acne since it was approved by the U.S. Federal Drug Administration in 1982. Because it is teratogenic, some countries rigorously regulate its prescriptions.  In the United States, prescribers and patients must comply with the iPledge Program in order to write or fill isotretinoin prescriptions.1  A chance discussion with a colleague from Iran, where isotretinoin can now be purchased without a prescription, led us to survey a number of other … Continue reading

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