From Your Doctor

2010-04-05T12:31:00.000-07:00

Rosacea afflicts 16 million Americans and most of them don’t know it, but the public can now learn more about this chronic skin disorder from their own dermatologist.

Now, as part of Rosacea Awareness Month, leading dermatologists are helping the public learn more about this chronic skin disorder and the availability of safe and effective treatment options.

Vivacare has provided in-depth rosacea education resources to the 3,000 dermatologists that use Vivacare’s “From Your Doctor” patient education service. Vivacare has expanded the patient education content regarding rosacea to include patient handouts about the different subtypes of rosacea and rosacea treatment options, including topical medications (Finacea®, MetroGel®), oral medications (Oracea®), surgical procedures, IPL for rosacea, and a rosacea diary.

Dr. Mark Becker, pediatrician and President of Vivacare said that “by providing dermatologists with in-depth resources about rosacea, we help them inform their communities about this under diagnosed skin condition and the availability of safe and effective treatments.”

Leading Dermatologists Review Basal Cell Skin Cancer Treatment

2010-03-20T11:38:00.000-07:00

Basal cell carcinoma (BCC) is the most common form of skin cancer with more than one million cases diagnosed each year. Basal cell carcinomas are rarely fatal, but can be highly disfiguring. Basal cell carcinoma is diagnosed following a skin biopsy. A person diagnosed with basal cell carcinoma faces a number of treatment options including excision, curettage and electrodessication, cryosurgery, Mohs surgery, photodynamic therapy (PDT), laser surgery, and topical medications, such as Aldara (imiquimod) and 5-FU.

Dermatologist Todd Minars of Minars Dermatology wrote, "There are a few criteria that we use when deciding who is appropriate for Mohs Surgery. This technique is usually used to treat high-risk or difficult basal cell carcinoma or squamous cell carcinoma. A few reasons for referring a patient for Mohs Surgery: location of tumor - if the tumor is in a location that makes it difficult to excise, for example on the nose (where there is very little tissue to work with) or on the face near an important structure like an eye..."

Read more expert opinions about Basal Cell Carcinoma Treatment.

Acne Education by Dermatologists Improved by New Online Resources

2010-01-25T13:52:00.001-08:00

Acne patients can now learn about acne from an expert source, their own dermatologist.

Dermatologists that use Vivacare’s “From Your Doctor” patient education service have access to up-to-date acne handouts that cover a wide range of issues, including mild acne, moderate acne, severe acne, adult acne, acne medications, and acne myths.

The new handouts provide in-depth and practical information to help their patients understand and manage their acne. Dermatologists can select specific handouts for use on their own Websites and customize the content to reflect their own clinical perspective and unique approach to care.

The online delivery of patient education by dermatologists helps to reinforce important information that may be shared during the medical office visit, but later forgotten.

Acne Treatment with Non-Prescription Medications

2010-01-25T13:47:00.001-08:00

When asked about the proper role for over-the-counter, non-prescription acne medications, leading dermatologists offered their opinions.

“OTC acne medications can help many patients - and trying them first can be a great first step in treating acne”, said Dr. Jeffrey Ellis of Belaray Dermatology in Plainview, New York. “If you try out an OTC acne product for 2-4 weeks, and find that your skin is not yet clear - it is time to call a dermatologist.”

According to Dr. Steven Feldman, professor of pathology and dermatology at Wake Forest University Medical Center, "For patients with relatively mild disease, a topical vitamin A medication with a topical antibiotic can be used. Bacteria can become resistant to antibiotics, but combined use with a benzoyl peroxide product helps prevent resistant organisms from developing. This topical approach is the foundation of treatment.”

The clinical judgment provided by dermatologists are published by Vivacare, a patient education company that provides dermatologists with tools to educate their patients and the public about skin conditions and offer skin care advice.

Leading Dermatologists Discuss Stelara for Psoriasis

2010-01-25T13:24:00.001-08:00

Expert dermatologists have published their perspective regarding the use of Stelara™ for Psoriasis via Vivacare, a patient education company that provides dermatologists with tools to educate their patients and the public about skin conditions and offer skin care advice.

According to Steve Feldman, M.D., PhD, Professor of Dermatology at Wake Forest University Medical Center, "Stelara appears to be an excellent new option for moderate-to-severe psoriasis, offering patients who have failed other (psoriasis) treatments new hope, and offering the most convenient options yet for treating severe disease. The primary benefits are high efficacy and, so far, good safety (measured over about 2 years of use).”

Stelara™ is the most recent biologic to become available to people with psoriasis, a chronic, autoimmune disease that appears on the skin. The medication is administered twice in the first month, followed by dosing just four times per year. The relatively long duration of relief between treatments (only 5 doses per year) is perceived has having significant advantages. Stelara™ also has a unique mechanism of action by selectively targeting immune system signals called "cytokines" that are responsible for the inflammation seen with psoriasis, specifically interleukin-12 (IL-12) and interleukin 23 (IL-23). Other biologics regulate different immune system components, such as T-cells or tumor necrosis factor (TNF).

Bleach Bath Instructions Provided by Dermatologists

2010-01-25T13:00:00.000-08:00

Bleach baths have antibacterial properties that decrease the number of staph. bacteria (staphylococcus), such as MRSA, on the skin. This can reduce the number of atopic dermatitis flares and decrease the use of antibiotics to control skin infections.

Bleach bath instructions are now available for dermatologists to deliver to their patients with atopic dermatitis. Dermatologists that use Vivacare’s “From Your Doctor” patient education service can display bleach bath information along with other patient handouts regarding a wide range of skin care issues, including atopic dermatitis, bleach baths, corticosteroids, itching, moisturizers, and general skin care advice.

The use of bleach baths had been shown to provide rapid and significant improvement in the signs and symptoms of bacterial infections associated with atopic dermatitis when used in conjunction with oral antibiotics.

Leading Dermatologists Review Topical Acne Medications

2010-01-25T12:57:00.001-08:00

Topical retinoids, such as Differin™, Epiduo ™, Retin A Micro™, Tazorac ™, and tretinoin, are effective for the treatment of both comedonal acne and inflammatory acne. New York dermatologist, Jeffrey Ellis, M.D., said that "most patients with acne will benefit from a topical retinoid. It is one of the few medications we prescribe topically that helps to prevent new pimples from forming. Retinoids do not help patients overnight, but in the long run they can make acne much better. It is important for patients to continue using the medication -- even if they don't think it is helping.” Furthermore, according to Marta Rendon, M.D., topical retinoids can be used in conjunction with topical or oral antibiotics to treat more serious cases of the disease such as inflammatory acne.

The clinical perspective of these leading dermatologists and other skin care experts are made available through Vivacare’s From Your Doctor patient education service.

2010-01-24T18:27:00.000-08:00

Dr. William Paronish provides his expert opinion about the use of Latisse for eyelash growth.

He reports that, "Across the board our results have been excellent resulting in a very happy group of patients and side effects have been minimal. Mild irritation is very common the first week but quickly resolves spontaneously."

Dr. Paronish added that "The only reason I've had to stop Latisse so far has been because of darkening in the lateral cheek region that resulted from the lid application of the product which resolved quickly with discontinuation of the product."

Dr. William Paronish is in private practice in Northern Cambria, Pennsylvania. He uses Vivacare's "From Your Doctor" patient education service to provide his patients with access to practical health information to improve clinical care and patient satisfaction.

Laser Hair Removal Reviewed by Leading Dermatologists

2010-01-22T12:38:00.000-08:00

Laser hair removal uses laser light to heat the hair follicle deep within the skin and permanently eliminate unwanted hair. 82% of dermatologists prefer lasers to any other technology to achieve permanent hair removal.

People seeking information about this cosmetic procedure can now learn what leading dermatologists say. What should patients expect in terms of removal of unwanted hair? What about new at-home laser options? How do the results from these at-home lasers compare to those achieved from a dermatologist? Vivacare has made available the clinical opinion of skin care experts about laser hair removal.

Dermatologist Jeffrey Ellis, M.D. stated, "Laser hair removal done by a skilled physician in the medical office setting is a reliable, safe and effective procedure."

Dermatologist Jeffrey Dover, M.D. stated, "If you are thinking about purchasing an at-home laser hair removal device, first, be sure you are a good candidate for this treatment. Fair skinned individuals with dark hair do the best while dark skinned individuals are more tricky to treat. The risks of skin discoloration after using one of these home devices for darker skinned individuals and for the most part the devices are not indicated for anybody except those with fair to moderately light skin with dark hair. But if you do have dark hair and light skin, and you don’t have a huge area to treat, it might be worth trying one of these devices."

Leading dermatologists publish their perspective on a variety of skin care topics at the From Your Doctor Website.

New Expert Opinion Page

2009-12-18T13:52:00.001-08:00

Patients with acne can now find the opinion and expert advice of leading dermatologists online.

A recent Los Angeles Times article by Dr. Valerie Ulene covered her experience seeking acne treatment for her teenage daughter and the over reliance on OTC and at-home therapies which are often ineffective.

The article indicated that most dermatologists think that non-prescription topical medications might be advised for the first line treatment of mild acne, but that only benzoyl peroxide has sufficient evidence to support it's use as acne treatment.

Dr. Ulene concluded that in order to combat acne, her daughter needed a dermatologist. Her acne had progressed beyond what over-the-counter products could do to help her with her condition. "When it comes to anything beyond mild acne, doctors hold the cards. The most effective medications all require a prescription."

These expert opinions are a great resource for getting up to the minute advice from practicing dermatologists with specific knowledge of your condition. The clinical judgments provided by dermatologists are published by Vivacare, a patient education company that provides dermatologists with tools to educate their patients and the public about skin conditions and skin care advice.

Latisse Safety and Benefits for Eyelash Growth Reviewed by Leading Dermatologists

2009-12-14T13:35:00.001-08:00

Patients considering Latisse, a popular prescription medication that grows longer and darker eyelashes, can now learn the opinion and experience of skin care experts.

Dermatologists have published their expert opinion about Latisse, providing patients with a reliable source of health information.

Latisse (bimatropost) is applied once a day to the eyelashes with a disposable eyelash brush that dispenses the recommended dose. Results are usually reported after 4 to 6 weeks of use with full results seen after 12 to 16 weeks.

Many patients have been satisfied with the results and the Los Angeles Time recently ran a story that quoted a Latisse patient who said ."It does what it says it's going to do and my lashes look nice and healthy. It gives me a more youthful appearance. Younger gals have gorgeous lashes, and now I don't have to wear false lashes." However, some concerns of side effects remain, including eye redness, itchiness, irritation, infection, darkening of the skin around the application area. A possible change in eye color is also reported, particularly in people who have any amount of brown pigment in their eyes.

Christine Brown, M.D., a Dallas dermatologist in private practice, suggested that the incidence of side effects, such as pigmentation of the eye or surrounding skin is exceptionally rare. The most common side effect is redness, which is a transient problem. Latisse works well, especially under the supervision of a dermatologist."

Amy McMichael, M.D., a dermatologist at Wake Forest University Medical Center, pointed out that "The data for the safety of Latisse is well studied since this medication has been around in eyedrop form for more than 8 years. The post-marketing studies of Lumigan [the active ingredient of Latisse] and the more recent FDA pivotal studies for Latisse underscore the safety of the drug. Anecdotally, many patients who used Lumigan for glaucoma in one eye only have applied the Lumigan to the other eye to even out the lash growth--under the supervision of their ophthalmologist and without unwanted side effects."

The clinical judgments provided by dermatologists are published by Vivacare, a patient education company that provides dermatologists with tools to educate their patients and the public about skin conditions and skin care advice.

The Link Between Diet and Acne Still Unclear

2009-12-11T13:43:00.000-08:00

An acne survey of 461 acne patients, 98.5% of which had an acne breakout in the last 12 months, concluded that people suffering from acne are still uncertain about the relationship between what they eat and the frequency and severity of their acne. 47.7% of the respondents indicated that they think "eating some foods" can make their acne worse, while only 22.8% report noticing their own acne worsening after eating certain foods.
Chocolate and french fries are two foods that are often thought to contribute to acne breakouts. In this survey, each participant was asked to determine whether or not they believe that these foods affect acne outbreaks and, also, whether or not these particular foods affect the participant's own acne. Though 76.3% of the survey participants reported hearing that chocolate can make acne worse, only 25.1% reported that chocolate made their own acne worse. Similarly 69.4% reported that they believe French Fries can make acne worse, but only 16.6% reported that French Fries worsened their own acne.
Vivacare recommends that people suffering from acne seek the help of a board-certified dermatologist. To find one in your area visit Find a Dermatologist. Furthermore, you can find additional information about acne as well as many ways to combat outbreaks and prevent future ones.

Depression Increase Risk of Developing Skin Disease

2009-10-30T10:35:00.000-07:00

A large Australian study regarding the relationship of mental health and skin disease published in the Archives of Dermatology (Arch Dermatol; 145:896-902) has confirmed that stress and depression can be factors in the development of dermatological conditions.

Using data from the Australian Longitudinal Study on Women's Health, researchers tested their hypothesis that psychological factors can precipitate or exacerbate skin disease. Women between the ages of 22 and 27 at baseline in 1996 were surveyed about physical and mental health symptoms then and on three follow-up occasions. As part of these surveys, women were asked how often they had experienced skin problems in the previous year.

In the generalized estimating equation models, depression symptoms and stress (but not anxiety) were significantly associated with skin problems. The findings of this relationship of depression and stress to skin disease may have considerable clinical implications, including the possible benefits of psychological interventions in the management of patients with skin disease.

Previous studies have evaluated the emotional burden of chronic skin disorders, such as psoriasis.

People with chronic skin disorders should seek care from a dermatologist and openly share the emotional aspects of their lives that may be critically important for managing their condition.

Find a Neurologist Directory of Neurology Experts

2009-10-25T15:32:00.000-07:00

Vivacare recently re-launched it's leading Find a Neurologist Directory of leading neurologists, medical specialists who specialize in the treatment of brain and nervous system disorders.

The Find a Neurologist directory now includes a list of neurology experts in various regions, including New York Neurologists, Chicago Neurologists, San Francisco Neurologists and other major metropolitan areas.

The Find a Neurologist directory is designed to help patients, families and caregivers find neurology specialists in their region that can help them to diagnose and manage neurologic conditions.

A neurologist is a medical doctor with specialized training in diagnosing, treating, and managing disorders of the brain, spinal cord, nerves and muscles. Neurological conditions include epilepsy, headache, multiple sclerosis (MS), dementia (Alzheimer's Disease), and movement disorders (Parkinson's Disease), Restless Leg Syndrome (RLS), stroke, and tremor. Neurologists may perform diagnostic tests such as CT scans, MRI, EEG and EMG.

Some neurologists listed appear with the professional suffix “F.A.A.N.” or “FAAN” with their name. This means that they area “Fellow” of the American Academy of Neurology. Being a Fellow means that the neurologist is certified by the American Board of Psychiatry and Neurology or Royal College of Physicians and Surgeons of Canada and has completed an evaluation designed to asses the knowledge, experience and skills necessary to provide high quality neurology care.

Latisse for Eyelash Growth

2009-10-23T13:08:00.000-07:00

Latisse, the FDA-approved eyelash growing medication, is selling well according to statements made by the manufacturer, Allergan.

According to the Los Angeles Times article "Lash Enhancers Now a Growth Business," Latisse "grossed $25.4 million in sales in the first half of this year, and the company says it anticipates doing $60 million in total by year's end."

Latisse is available by prescription only, usually from a dermatologist, ophthalmologist, or plastic surgeon.

For instance, Dr. Gerald Goldberg, a dermatologist in private practice in Tucson Arizona makes Latisse available to his patients and provides educational content regarding its benefits and tips on how to apply Latisse.

The brand has become better known to many from its advertisements showing Brooke Shields and the before and after photographs of her eyelashes following her use of Latisse.

Psoriasis Experts Discuss New Psoriasis Treatments

2009-10-18T17:29:00.000-07:00

The 2009 Fall Clinical Dermatology Conference convened October 15-18 in Las Vegas where psoriasis experts, such as Mark Lebwohl, M.D. and Alice Gottlieb, M.D. provided clinical updates on psoriasis management, including the use of topical medications (corticosteroids, Vectical) and biologics, such as the TNF Inhibitors (Amevive, Enbrel, Humira, Remicade) and a new biologic, Stelara, that blocks IL-12 and IL-23 that are associated with inflammation the the overgrowth of skin cells.

Some of the key points discussed included the importance for dermatologists to inquire about symptoms of psoriatic arthritis. Given the risk that long-term disability that may be caused by psoriatic arthritis, it is critical that any psoriasis therapy for a patient with arthritic symptoms, also help to minimize joint damage.

Botox and Dysport Receive New Generic Names

2009-10-12T23:02:00.000-07:00

The U.S. Food and Drug Administration (FDA) has approved the language of new safety warnings and revised the generic names of a vareity of botulinum toxins used for the treatment of medical conditions.

The FDA also announced it was changing the generic names for different types of botulinum toxins used for medical treatments. (The brand names remain unaffected)

Botox (new generic name is "onabotulinumtoxinA")
Myobloc (new generic name is "rimabotulinumtoxinB")
Dysport (new generic name is "abobotulinumtoxinA")

Botox and Dysport have been FDA approved for the treatment of fine lines and wrinkles. Both are safe and effective non-surgical alternatives to other anti-aging treatments. It is frequently used for the following:

Frown lines between the eyebrows
Horizontal forehead creases
Crow's feet around the eyes
Lines on the upper lip caused by pursing the lips
Downturned corners of the mouth
Neck wrinkles and bands

Your dermatologist will determine where to inject and how much medication to use. Following treatment, you will see start seeing results in a few days, with peak results after a week. Repeat treatments are usually needed after 3-5 months when the Botox slowly wears off.

Psoriasis Patients at Risk for Other Medical Conditions

2009-10-12T22:54:00.000-07:00

"Psoriasis is a very serious condition that impacts the body well beyond the skin," said
Mark Lebwohl, M.D., dermatologist, chairman of the Department of Dermatology at the Mount Sinai School of Medicine and chair of the National Psoriasis Foundation Medical Board.

His comments were in response to a recent survey by the National Psoriasis Foundation of of 5,000 people with psoriasis that showed that people with psoriasis are at risk for developing other serious medical conditions, including heart disease, diabetes and obesity.

According to the patient survey:

Nearly 70 percent of people with psoriasis are overweight or obese.
33 percent have high blood pressure.
28 percent have another chronic, inflammatory disease such as lupus, Crohn's disease or multiple sclerosis.
24 percent have high cholesterol.
11 percent have diabetes.

Additionally, up to 30 percent of people with psoriasis develop psoriatic arthritis, which causes pain, swelling and stiffness around the joints.

Dr. Mark Lebwohl added "Like any patient with a chronic disease, people with psoriasis must see their doctor regularly and adopt a healthy lifestyle to lessen their risk of developing another serious disease."

Stelara, New Biologic for Psoriasis, Offers Efficacy and Convenience

2009-10-12T22:46:00.000-07:00

Stelara (ustekinumab) is a new "biologic" medication that was recently approved by the FDA for the treatment of moderate to severe psoriasis in adults.

Stelara is given twice in the first month, followed by dosing just four times per year. The relatively long duration of relief between treatments (only 5 doses per year) is one of the benefits of Stelara that psoriasis patients will appreciate.

Stelara (ustekinumab) has a unique mechanism of action. It blocks IL-12 and IL-23, immune-system proteins linked to inflammation and rapid skin cell growth which are the precursors to psoriasis lesions. Other biologic medications, such as Humira and Remicade block different components of the immune system, such as tumor necrosis factor (TNF).

Three clinical studies of 2,266 psoriasis patients showed Stelara to be safe and effective for the treatment of moderate to severe psoriasis.

Unlike some biologic medications that may be self-injected at home, Stelara should be administered by a medical professional.

Psoriasis Expert Steve Feldman, M.D. Provides Patient Education Service to Patients.

2009-08-10T14:23:00.000-07:00

Dermatologist, psoriasis expert, and author, Steve Feldman, M.D. understands the importance of physician-patient communication as a key component of patient satisfaction and medication adherence.

By creating a patient education library with Vivacare. Dr. Feldman provides his patients with convenient access to a variety of skin care resources to help them better understand their skin condition and dermatological treatment options.

Because of Dr. Feldman’ expertise in psoriasis, including topical corticosteroids, phototherapy, and new psoriasis medications, including Vectical and “biologics”, he has been highlighted on the "Psoriasis-Doctors" Website, a resource for patients and health consumers seeking advice on psoriasis directly from psoriasis experts.

Dr. Steve Feldman is Professor of Pathology (Anatomic Pathology) and Dermatology at Wake Forest Univeristy Baptist Medical Center. Dr. Feldman also serves as Chief Medical Editor of Skin & Aging magazine, a professional publication for dermatologists, and is the founder of DrScore. He is also the author of “Compartments”, a book that explores the unseen world of healthcare.

Chicago Dermatologists Enroll for Vivacare

2009-08-08T00:01:00.000-07:00

Chicago dermatologist, Ashish Bhatia, M.D. enrolls for Vivacare's patient education services to provide his patients access to trusted health information. His education resource includes information about common skin conditions (acne, eczema, psoriasis, rosacea and skin cancer) as well as treatments (Aldara, Botox, lasers, and aesthetic procedures)

Dr. Bhatia joins other Chicago area dermatologists (http://fromyourdoctor.com/document/chicago-dermatologists.html), such as Sharon Horton, M.D. who use the "From Your Doctor" patient education service from Vivacare Inc. that enables them to create a customized educational resource that reflects their unique approach to care.

Because of Dr. Bhatia's's expertise in skin treatments for acne, he has been highlighted on "Acne-Doctors" (http://www.acne-doctors.com/), a resource for patients and health consumers seeking advice on acne directly from skin care experts.

A board certified dermatologist, Dr. Bhatia brings extensive experience in dermatology and aesthetic surgery for both adults and children. His expertise includes face and body aesthetic surgery, skin cancer therapy, Mohs micrographic surgery, laser surgery, and skin resurfacing procedures, as well as the treatment of acne, rosacea, age spots, vitiligo and other skin conditions. He also brings to the group advanced techniques in liposuction, fat transfer, sclerotherapy, Botox, collagen, Restylane, Juvederm, and Radiesse. His practice includes lasers for hair reduction, small blood vessels, birthmarks, acne, tattoos, fine lines and wrinkles as well as many other applications.

Psoriasis Doctors Honors Psoriasis Awareness Month

2009-08-07T23:56:00.000-07:00

The Psoriasis Doctors Website has published new, robust psoriasis resources from dermatologists in honor of Psoriasis Awareness Month. Psoriasis Doctors covers a wide range of psoriasis and skin care topics, including plaque psoriasis, corticosteroids, Vectical, PUVA, and new biologics, such as Remicade and Humira.

The Psoriasis Doctors Website is part of the "From Your Doctor" service from Vivacare Inc. The From Your Doctor service enables leading dermatologists to easily create their own customizable education resource for their patients, including a Patient Education Library with patient handouts and a Patient Newsletter that delivers skin care updates via email. Dermatologists who have authored particularly useful content regarding psoriasis management are highlighted on the Psoriasis Doctors Website.

Sponsored by the National Psoriasis Foundation every August, Psoriasis Awareness Month is dedicated to raising awareness, educating the public and dispelling myths about psoriasis. The National Psoriasis Foundation works year-round to improve the lives of people with psoriasis and psoriatic arthritis.

Medication Savings Available with Rebate Coupons on Vivacare Service

2009-08-02T08:53:00.000-07:00

Patient education service provider Vivacare has made medication rebate coupons available as part of its online service for medical practices to improve clinical care and patient satisfaction. Patients that refer to their own doctor's Website can now access rebate coupons for medication savings if they are available online from the manufacturer.

For example, Hilary Baldwin, M.D., a dermatologist in New York and Past President of the American Acne and Rosacea Society (AARS) has made medication rebate coupons available for a variety of dermatologic medications for skin conditions.

In addition, Vivacare has populated the Patient Education Library with medication handouts that offer patients with details about the drugs they have been prescribed, including possible side effects. For instance, Eliot Mostow, M.D., a dermatologist in Akron, Ohio, includes the "Acne Medicine Tips" handout on his Patient Education Library to help his acne patients understand how to apply acne medicines and manage the irritation that often results from the use of acne medicines.

Read the full story about medication rebates.

Time and Money Savings with Vivacare Patient Education Service

2009-08-02T08:45:00.000-07:00

Vivacare's patient education service helps medical practices to save time and money. By helping physicians and their office staff to efficiently deliver practice health information following office visits, the use of Vivacare leads to reduced practice costs, improved practice workflow and increased patient satisfaction.

"Vivacare is an excellent patient education resource tool," says Kate Othus, MHA Administrator of Portland Dermatology Clinic, LLP.. "Our Internet savvy patients are directed to our website and if they want more information about their disease - it's all right there. The service saves us hundreds of dollars per month in handout copying and brochure costs while also supporting our efforts to 'go green". Patients have the option to then print any of our handouts themselves, or simply review online."

Vivacare Inc. provides medical practices with the "From Your Doctor" patient education service. Enrolled practices receive a variety of Web-based patient education tools at no cost, including a Patient Education Library and Patient eNewsletter function.

Recent upgrades to the Patient Education Library enable physicians with no programming skills to personalize the content to reflect their unique approach to care. Patient handouts appear online with the practice's name at the top and can be printed conveniently by the patient at home. By using vivacare, medical practices can fulfill their patients' desire for online health education with minimal effort by simply telling them "go to our Website".

The Patient eNewsletter function provides medical practices with a paperless means to announce new services, staff hires, awards, or community events. vivacare recently began enhancing the Patient eNewsletter with specialty-specific medical news stories to provide patients with practical and up-to-date health information.

Dr. Ron Reece, a dermatologist in Redding, California shared how offering patient education resources online helped his practice reach new patients. "I find that having an informative website is important to attracting potential patients and for educating patients that I already have. To that end "Vivacare" has enhanced my website," said Dr. Reece.

Read the full story about time and cost savings for medical practices.

"Psoriasis Doctors" Provides Psoriasis Information from Skin Care Experts

2009-07-06T19:01:00.000-07:00

"Psoriasis Doctors", launched July 1, 2009, provides dermatologist-authored health education content to help people with psoriasis to understand their treatment option and manage their skin condition.

The Psoriasis Doctors Website is part of the "From Your Doctor"service from Vivacare Inc. that highlights Dermatologists who have authored particularly useful content regarding psoriasis management. For instance, Helen Torok, M.D. with Trillium Creek Dermatology of Medina, Ohio, published information about phototherapy services offered by her practice that appears on Psoriasis Doctors.

The content covers a wide range of psoriasis topics, including psoriasis basics, psoriasis types, psoriasis severity, topical medications (clobetasol, Vectical), phototherapy (PUVA, UVB), and new "biologics" (Amevive, Enbrel, Humira, Remicade, and Stelara).

Vivacare expands Patient Education Service to Improve Allergy Care

2009-06-18T17:01:00.002-07:00

Allergists can now use Vivacare to create a customizable health information resource for their patients that includes practical information about allergies, asthma, atopic dermatitis, and anaphylaxis to improve allergy care and patient satisfaction.

Vivacare enables allergists to create their own online patient education resource. Patients with asthma, and other allergic or immunologic conditions that are looking for health information online, can now receive that information from the source they trust most… their own allergist.

By enrolling for a Vivacare account, allergists receive a practice-branded Online Patient Education Library pre-loaded with patient handouts covering a wide variety of allergic conditions (i.e. allergic rhinitis, asthma, atopic dermatitis), and treatments (i.e. corticosteroids, antihistamines and immunotherapy.) Allergists can further customize the content to better reflect their professional opinion.

Acne Doctors Updated for National Acne Awareness Month

2009-06-09T08:07:00.000-07:00

The “Acne Doctors” Website, an in-depth dermatologist-authored resource regarding acne care, has been updated in honor of National Acne Awareness month.

The Acne Awareness month has been established by the the American Acne and Rosacea Society (AARS) to increase awareness of the prevalence of acne, its impact of acne on people’s lives and the many treatment options that are available. Acne is the most common skin disorder and most people will experience acne during their lifetime. Although common in teenagers, acne can persist in people into their 30's, particularly in women. This is the first year that Acne Awareness month has been recognized.

The Acne Doctors Website now includes practical tips on acne care, including medical reviews regarding on topical retinoids, new light treatments for acne, and medication rebate coupons for commonly used acne medications.

Find a Dermatologist: New Online Dermatology Directory

2009-06-02T16:15:00.000-07:00

Vivacare Inc. launched its new Find a Dermatologist Directory with an online listing of over 2,000 leading dermatologists who specialize in the diagnosis and treatment of skin conditions, such as acne, psoriasis, skin cancer and aging skin.

People seeking a dermatologist can refer to this directory to find skin care experts in their region.

The find a dermatologist resources is part of the FromYourDoctor service that provides a variety of patient education tools to dermatology practices.

LATISSE® to Enhance Eyelases

2009-05-21T14:09:00.000-07:00

The FDA recently approved Latisse® (bimatoprost ophthalmic solution) 0.03% as a new treatment to increase eyelash length, thickness and darkness. Though the exact mechanism of action is unknown, medical researchers suspect that Latisse increases the percentage of eyelash hairs during the growth phase and increases the duration of the growth phase.

Latisse is a once a day prescription medication that is applied to the base of the upper eyelashes with a disposable applicator. Longer, fuller and darker eyelashes can be seen in less than 8 weeks, with full results in 16 weeks. Continued treatment is required to maintain the effect. Find a dermatologist to who dispenses Latisse®.

Efficacy was tested in a phase 3 multicenter, double-blind, randomized, placebo-controlled clinical trial in which 137 patients received active treatment and 141 received vehicle alone for four months, followed by one month withdrawal. Researchers found that those treated with the active drug had a 25 percent increase in eyelash length compared to those receiving vehicle.

Skin Cancer Doctors Launches in Honor of National Skin Cancer Awareness Month

2009-05-14T16:07:00.000-07:00

In honor of National Skin Cancer Awareness Month, Vivacare launched Skin Cancer Doctors with information about skin cancer prevention and treatment options authored by dermatologists, skin care experts.

The Skin Cancer Doctors Website highlights those dermatologists that use the FromYourDoctor patient education service who have written particularly helpful information for their patients regarding skin cancer.

For instance, Dr. Jeffrey Ellis, M.D., Director of Dermatological Surgery at North Shore/ Long island Jewish Hospital and in private practice at Belaray Dermatology in Plainview, NY uses the FromYourDoctor service as a tool to publish information about actinic keratoses (AKs), a common precancerous skin condition.

People seeking dermatologists in their area who are qualified to diagnose and treat skin cancer may wish to refer to Vivacare's Find a Dermatologist resource.

Skin cancer occurs when skin cells start growing abnormally, causing cancerous growths. The three main types of skin cancer are basal cell carcinoma (BCC), squamous cell carcinoma (SCC), and melanoma. Melanoma is the least common but most dangerous form of skin cancer. Almost all skin cancers start as a small, low-risk lesions, but can grow and become high-risk lesions if left untreated. There is a chance of a complete cure when skin cancer is detected before it has spread to surrounding tissues. Recommended treatment options depend primarily on the type, size and location of the skin cancer, but may include topical medications, such as Aldara and 5-FU, or dermatologic procedures such as cryotherapy or Mohs Surgery.

Botox Black Box Warning: AAD Responds

2009-05-11T12:46:00.000-07:00

The FDA recently announced that a boxed warning ("black box warning") will be added to the labeling of botulinum toxin products (Botox, Dysport) and a medication guide will be distributed to patients receiving these products for any use.

The American Academy of Dermatology (AAD) today issued a statement in response to the U.S. Food and Drug Administration's (FDA) announcement. See the Botulinum Toxin Black Box Review that provides answer to frequently asked questions regarding this new statement by the FDA.

"The health, safety and welfare of our patients being treated with botulinum toxin products are of paramount importance to dermatologists," said dermatologist David M. Pariser, MD, president of the American Academy of Dermatology. "While no serious side effects have been reported from the dermatologic use of botulinum toxin products, the FDA's actions emphasize the importance of selecting a qualified physician to administer these products for medical and cosmetic uses."

Rosacea-Doctors: Rosacea Information from Dermatologists

2009-05-06T13:54:00.000-07:00

Vivacare Inc. announced the launch of the Rosacea-Doctors Website to offer patients with up-to-date, clinically relevant health information from top rosacea experts.

The Rosacea-doctors Website contains dermatologist-authored information about rosacea, including self-care advice, a rosacea diary, medication information (Oracea, MetroGel, Finacea, Plexion), laser and light treatments (including intense pulse light - IPL), and more.

Rosacea-Doctors is part of the FromYourDoctor service from Vivacare Inc. "Vivacare aims to strengthen the online voice of dermatologists", says Mark Becker, M.D., founder of Vivacare. "People are seeking health information online and we want to be sure that they have a clear understanding of their own doctor's clinical perspective before receiving second and third opinions from anonymous online sources".

"It is particularly fulfilling to launch Rosacea-doctors in April in honor of National Rosacea Awareness Month and to support the National Rosacea Society in its effort to increase awareness of this often undiagnosed skin condition", said Dr. Becker.

Rosacea-Doctors highlights those dermatologists who have written particularly helpful information for their patients regarding rosacea. For example, patients and consumers can learn more about their disease from Hilary Baldwin M.D. a dermatologist and past President of the American Acne and Rosacea Society.

Beauty-Doctors: Dermatologist-Authored Skin Care Information from Experts

2009-05-02T14:42:00.000-07:00

The Beauty-Doctors Website is committed to providing people with skin care information from their most trusted source, dermatologists. Its’ practical advice and helpful insights are provided by skin care experts with additional training and professional devotion to cosmetic dermatology. The content is written by experts in skin care, and covers a wide range of dermatology issues.

Beauty-Doctors.com is part of the FromYourDoctor service from Vivacare Inc. The FromYourDoctor service enables physicians to easily create their own customizable patient education resource for their practice, including a Patient Education Library with patient handouts and clinical images, and a Patient eNewsletter. Physicians can use the service to provide their patients with convenient access to helpful health information that reinforces key clinical messages.

Helen Torok M.D., a dermatologist in Medina, Ohio, and specializing in dermal fillers and soft tissue augmentation, wrote a summary on JuveDerm which is posted on Beauty-Doctors.com with a link to her more in depth handout that resides on the Trillium Creeks' practice medical library, Trillium Creek. Learn more from a recent Beauty-Doctors.com Press Release.

Dysport: New Wrinkle Treatment Option

2009-05-01T13:43:00.000-07:00

Dysport (TM), a new type of botulinum toxin type A, received U.S. FDA approval yesterday for the temporary improvement in the appearance of moderate to severe glabellar lines in adults younger than 65 years of age.

An April 2009 article in the Archives of Facial Plastic Surgery, "Long-term Safety and Efficacy of a New Botulinum Toxin Type A in Treating Glabellar Lines", showed that injections with this new botulinum toxin appears to be well tolerated and may help to improve the appearance of moderate to severe forehead lines with no evidence of diminishing treatment response over 13 months.

"The onset of effect was seen as soon as 24 hours and at a median [midpoint] of three days during all cycles," the authors wrote. By day seven of each treatment cycle, 93 percent to 95 percent of patients reported a response to treatment, and between 80 percent and 91 percent had a response by day 30 based on the investigators' assessments

This new botulinum toxin type A has been used to treat neurological disorders outside the United States for more than 15 years and is approved to treat wrinkles in 23 countries. The product will be marketed for cosmetic use in the U.S. by Medicis under the name Dysport(TM).

Acne-Doctors: Dermatologist-Authored Resources for People with Acne

2009-04-20T16:37:00.000-07:00

People seeking information about acne can now turn to the recently launched Acne-Doctors Website to gain information from their most trusted source, dermatologists.

The content is written by experts in skin care, and covers a wide range of practical acne advice. Key portions of the service include "Acne News", "Acne Treatment", "Retinoids for Acne", "Acne Procedures", "Acne Scars" and "Acne Skin Care".

The Acne-Doctors Website is part of the FromYourDoctor service from Vivacare Inc. The FromYourDoctor service enables physicians to easily create their own customizable patient education resource for their practice, including a Patient Education Library with patient handouts and clinical images, and a Patient eNewsletter. Physicians can use the service to provide their patients with convenient access to helpful health information that reinforces key clinical messages.

For instance, Gerald Goldberg, M.D., a dermatologist in Tucson Arizona, uses the FromYourDoctor service to publish his handouts and medical photographs online. His handout on acne provides details regarding his personal approach to acne care.

The Acne-Doctors Website highlights those dermatologists that use the FromYourDoctor service who have written particularly helpful information for their patients regarding acne. For example, Jeffrey Dover, M.D., a dermatologist in Chestnut Hill, MA and author of 'The Youth Equation', wrote a particularly in-depth summary of acne scars that is published on Acne-Doctors.

Learn more from a recent Acne-doctors press release.

2009-04-14T13:18:00.000-07:00

Vectical Offers New Treatment Option for Psoriasis
Vectical (calcitriol) Ointment from Galderma Laboratories, available in Europe for many years, is now approved for use in the U.S. by the FDA for the treatment of psoriasis.
Vectical is a naturally occurring, active form of vitamin D3. It is similar to an established treatment, calcipotriol/calcipotriene, but appears to be better tolerated with less redness (erythema) and stinging/burning, especially when applied to sensitive areas, such as the face, hairline, inner elbow, and groin.

Calcitriol ointment is ideally suited for application to localized psoriasis plaques.

Like calcipotriol, Vectical ointment will likely be used in combination with topical corticosteroids, or as maintenance therapy. Vectical may also play a role as a long-term and safe medication for long-term control.

Learn more about a resurgence in the use of topical therapies for the treatment of psoriasis.

Tips to Market Your Practice

2009-04-14T09:55:00.000-07:00

Dr. Orly Avitzur, a neurologist in private practice, editor-in-chief of the American Academy of Neurology Web site and chair of the AAN Practice Management and Technology Subcommittee wrote in article in Neurology Today covering a variety of Web-based services in support of practice marketing.

Dr. Avitzur highlighted the benefits of Vivacare's FromYourDoctor service, now used by over 1,200 U.S.-based neurologists.

Read this story about the fromyourdoctor service

(http://www.neurotodayonline.com/pt/re/neurotoday/fulltext.00132985-200812180-00013.htm;jsessionid=JjLLX7JRCg23RLJ9l9112qG31fWv6ZzVS1cGpXRygyWQV24v78mt!1553038018!181195628!8091!-1) .