We are Open Again

We are open again, as the first phase of businesses reopening after the COVID-19 crisis.

I am happy to announce that KDA is open again and ready to meet your dermatology needs. I have been concerned about being temporarily closed and not being able to do our routine screening for melanoma and non-melanoma skin cancers. We diagnosed nine (9) melanomas in January and February. Since closed mid March, we have not diagnosed a single one. If you haven't been seen in over a year, and you are ready to leave your home, please call us at 503-445-2200 to schedule your appointment. It is vital to catch melanomas and treat them while they are still in an early phase.

Regarding COVID-19, this is what we are doing:

* Every employee is wearing a mask when with patients.
* We have fewer patients than normal in office (<50%).
* We are spacing employees 6 feet or more apart from each other.
* We have fewer employees than normal at work.
* No one is allowed to come to work if they or anyone at their home has been sick in the last 2 weeks.
* We wash our hands with soap and hot water frequently.
* The assistants are disinfecting the rooms and doorknobs in between every patient.
* We are offering TELEHEALTH appointments with our nurse practitioner Jamie Barbara whenever possible. (Full skin exams require a live visit with either Lisa Peters NP or Marla Klein MD)
* Any immune-compromised employee is staying home.
* We are postponing the following types of appointments: Hydrafacials, microdermabrasion, microneedling, IPL, chemical peels and lip fillers.

Here is what we are asking of patients:
* Come alone to appointments if you are over 18 years old.
* Wear a mask.
* When you arrive for your appointment, call from the parking lot before entering building. We are trying to avoid having more than one person in the waiting room at a time.
* Wash your hands frequently.
* Remember to do your best not to touch your nose, eyes, or mouth.
* In addition to a mask, when you cough or sneeze, use your elbow.

Please reschedule your appointment:
* if anyone in your home has been sick in the last 2 weeks
* if you have had a fever, cough, or shortness of breath in the last 2 weeks
* if you or anyone in your family has been diagnosed with COVID-19 in the last 3 weeks.

Regarding our hours: 

We are open Monday - Friday. Our hours right now are a mystery to me. We will start every business day out as normal, ready to see patients. If there aren't many patients we will go home early that day. For the next week or so our hours will be 8:00 am - 4:00 pm. We would like to see our hours go back to normal which were 8 am -5 pm. We will adapt, and we will be here for you. If you see a treatment you want, and don't see it mentioned above, please call us.

If you know someone who isn't on our newsletter list, please forward this to them.   www.kda-derm.com

Good job everyone at staying home and keeping Oregon safe,
Marla Klein, MD

True story:   I used to tell my two sons that staying inside and playing video games the entire day was simply not healthy. They have now proven me wrong.

© 2020 Klein Dermatology & Associates - Marla Klein MD | 5200 Meadows Rd. Ste 250, Lake Oswego OR 97035


First Botox Bonanza Day at Klein Dermatology May 20, 2016

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Klein Dermatology & Associates will be hosting a BOTOX BONANZA DAY on MAY 20, 2016.  

Botox will be $10/unit for ONE DAY ONLY.   Xeomin will also be available at $10/unit.  In addition, to offering big savings on the botox treatments, information will be available about Kybella (treats the double-chin), Voluma (lifts the face), Juvederm, and other treatments we offer.  

Injectors for this special day will be Dr. Marla Klein, Alicia Wayland RN, Jamie Kersenbrock FNP, and Tasha Gouin FNP.   Schedule early, call now 503-445-2200, these appointments will fill up fast.  This is an excellent opportunity for first timers: for either relaxing and smoothing lines on the face and for people who suffer from migraines to try Botox with an expert at a low price.

real-self-botox


Dermatology Milestones

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What are dermatology milestones?  This refers to the way our skin changes as we age and that there are certain things a person might want to know about ahead of time, especially if there is a solution.

I've decided to start with the age of 18, but I'll cover all the "biggies" in the near future, so be sure to check back.

My view of youth today tells me that things don't really change that much with the generations, just the technology does.  I would expect that the average 18 year old thinks mostly about their sports, music, activities, friends and dating.  If their parents are lucky, they are thinking about either going to college or getting a full-time job.

They don't tend to spend too much time thinking about how they will age or how long they will live.  Seeing a dermatologist isn't too high up on their priority list and, "who cares about sunscreen, I think I look better tan."  Acne and warts are going to be the top reasons for an 18 year old to see a dermatologist.

Did you know that in the USA, the current life expectancy is 79 years old?  I checked on the statistics and I was surprised to learn that the USA ranks only #37 in the world for longevity.  Japan ranks #1 with a life expectancy on average of 83 years old.  Switzerland is #2, and Italy is #4.  I frequently see patients in their 80's, 90's and a couple over 100, so I think it is fair to say I know a lot about what the skin is going to do with time.

I don't think most 18 year old's think about how long their lives will be.  They are invincible right?  However, now they are officially adults, and certain things are expected of adults, so this milestone represents a big game-changer for our youth.

Here is my advice: hygiene matters.  Wash your face twice a day, brush your teeth twice a day, shower daily, use soap and shampoo, use deodorant and probably anti-perspirant. Dry completely off, especially between the toes.  Wear flip flops in public showers.  If you get athlete's foot then treat it to try to avoid ending up with nail fungus in your toenails.  If you have acne, treat it, don't let yourself get acne scars since they are so expensive to try to treat later.  Even excessive armpit sweating is a treatable condition.  See a dermatologist if you need help.

You might think you won't care what you look like at 60 years old, but you actually will.  Use sunscreen.  Never go in a tanning bed, and remember that a tan isn't beautiful, tan skin = damaged skin and faster appearance of aging.  Think about your habits, if you enjoy outdoor activities, protect your skin from the radiation of the sun by wearing SPF clothing, a hat and sunscreen. Getting a sunburn is painful and has long term consequences, avoid getting burned! EltaMD is an excellent zinc sunscreen that comes in clear, tinted, spray and even a sport version that doesn't sting the eyes.  You are never too young to protect your skin from the sun.

If you have a family history of melanoma, it is time for annual full skin monitoring to be done by your dermatologist. OK, yeah, its a little embarrassing, but you better get used to it, because you will have a lot of doctors in your future.  Suck it up, you're an adult now.

Melanoma is a skin cancer that can kill you if it isn't found early.  At 18 years old, it is possible that you could already have a melanoma somewhere on your body.  You are 10 times more likely to get a melanoma if a first-degree family member has had one.

The American Cancer Society predicts that in 2016 there will be 76,380 new melanomas diagnosed in the USA, and there will be 10,130 deaths from melanoma.  Your lifetime risk is 1:40 now for ending up with a melanoma.  How big was your graduating high school class?   My son's class was about 300 people, which means 8 of those teens will be diagnosed with a melanoma at some point in their lifetime.  Hopefully they won't die because of melanoma.  Statistically, women get checked younger than men do and women's melanomas are detected sooner than men's, which leads to the statistics that men are more likely to die of a melanoma than women are.

I'll save sexually transmitted diseases for another blog.  Happy birthday 18 year old!     :)