News and Notes

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As everyone knows, you get what you pay for: 
Every now and again, I receive a solicitation to buy products like Botox® and Restylane® from an outside vendor (not the manufacturer). I find it shocking because, clearly,  somebody must be doing business with these people or they wouldn't exist. Lord knows where these products come from, or what these products reallyare.  Rest assured, it will never be us. We obtain all of our aesthetic products directly from the manufacturer ... always. Feel free to ask to see the identifiers on the packaging when you're receiving treatment in our office. Outlet or discount sources for these products are suspect of being, expired, pirated, fake, or otherwise, fraudulent. It's your face and your health. Don't be fooled.  Here's an actual solicitation that landed on my desk.

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I think it is always interesting to read what "Consumer Reports" has to say. To be honest, I have a sunscreen "wardrobe". I choose daily from among six or seven products. Different locales and activities call for varying types of protection. My personal concerns about chemical sunscreens are limited to environmental ones. We now know they are toxic to coral reefs. Fortunately, I am a person and not a coral -- and, anyway, coral isn't so much an issue here in the mid-Atlantic region. So, I do use chemical sunscreens from time-to-time. Just the same, when swimming in the ocean I reach for UPF rash guards and leggings. My advice: just use sun protection consistently and choose whatever you find to be effective and, with which, you are psychologically comfortable. When in doubt, follow my lead and opt for sun protective clothing (UPF 50 or higher). These are widely available online. Also, don't forget the hat and sunglasses. You'll be fine and so will the coral.

Last Friday, Jason Saul, PA-C and I spent the day talking to staff at Longwood Gardens about how best to care for skin that is exposed to the elements all day every day.  Of course, not everyone who works at Longwood works out of doors, but even they had questions and concerns we were happy to be able to address. 

Overall, we were pleased to note how much many staffers already knew.  It has generally been our experience that people who work out of doors are under the impression that they have built up some immunity to sun radiation and no longer need to worry about it.  Of course, nothing could be further from the truth and, fortunately, the Longwood folks were already cued into that and were just wanting to know how to go the extra mile to protect themselves.  Wind and water exposure also pose problems and we talked about that, too.  

Thank you to Madelyn Underwood, Director of Human Resources at Longwood, for inviting and taking such good care of this while we were there.  It was so successful, we may make this an annual event.  

I must apologize for not taking any pictures.  (At Longwood that's almost a sin.) I got so involved in a conversation with folks that I didn't have the chance.  But since a visit is worth a thousand pictures, I suggest you visit and plan a time to go and see for yourself.  Don't forget to bring a hat, lip balm and, naturally, sunscreen. 

I actually got a call the other day from someone wanting to sell me pirated Botox®.  Now, I knew someone had to be doing business with those people, but I also knew it was never going to be us.  I said, "No, thank you.", of course.    

Pirated Botox® and other injectables is a bigger problem than you might imagine.  Not long ago Allergan, the makers of Botox®, took more steps to protect healthcare providers and their patients from product that might not be authentic, or may have lost potency.  Here is their communication regarding those steps.    

Many patients will not require an entire 100 unit vial of Botox® so, the carton containing the vial we are drawing from may be unsealed, but we are still happy to let you see the markings on the carton and the label.  Don't be shy about asking.  We want you to know that we would never allow you to receive anything other than the real deal.    

Something else you should know: Allergan's Brilliant Distinctions Rewards Program is another layer of protection for you.  Brilliant Distinctions is only available in offices buying product directly from Allergan. In addition, your rewards points cannot be awarded without identifying the lot # on the vial from which your dose was drawn.  If you are getting rewards points, you know its OK.



Lisa Van Horn MMSc PA-C

After six amazing years with us, Lisa has moved on to a new life at Christiana Hospital in the surgery department.  The change will afford her more time with her new family.  Of course, we are very sorry to see her go but wish her well.  No doubt we will see her around town.  So, we are saying, farewell and not goodbye.  All the best, Lisa!