I found myself in the trenches of the war on obesity in 2000 when I began working as a general pediatrician at a local community clinic in Southern California. I immediately became aware of the day-to-day barriers that my patients were facing and I began to take on the responsibility of making sure that the children I was seeing would not only survive, but also thrive.
Immunosuppressed patients have a greater risk for developing high-risk non-melanoma skin cancer, which can typically be more aggressive in this patient population. As such, a multidisciplinary approach is required when contemplating appropriate treatment and management of this patient population.
Up to 90% of young victims present with cutaneous findings; however, only 8% of the 90% of skin abnormalities due to child abuse are pathognomonic. The diagnosis of child abuse should be evaluated by a multidisciplinary team of expert specialists. Learn what to look for.
Clinicians agree that multi-disciplinary teams are the optimal approach to managing advanced melanoma, for they aim for consistent messaging to patients about treatment and require that physicians who are members of the team support their therapeutic choices with evidence. However, obstacles include geographical challenges in community care, treatment sequencing and bias, and physician communication.
Recently, a colleague wrote me to express his concern about a primary care physician (PCP) in his community acquiring digital retinal photographs of his diabetes patients. One of those patients presented to the optometrist’s office with the impression that “all he needed was a refraction” since the PCP had “already checked him for diabetic retinopathy.”