American Academy of Dermatology

And then what drives me wild is they're like, "All of those influencers on social media are the problem.

It's not us." We just had a-- Michelle and I had a really s- straining back and forth with the vice president of the American Academy of Dermatology as we were trying to...

So he had taught a bunch of early career professionals through a brand that had come there.

The information portrayed was that, uh, not a dermatology topic, but I mean, they're young professionals, so they wouldn't know that mineral sunscreens reflect, chemical sunscreens absorb.

There is definitely a small genetic predisposition to keratosis pilaris, but that's not the root cause.

The vast majority of cases of kp are caused by a metabolic condition that i'll talk about later in this video but if you go to some of the preeminent websites for dermatology around the world you find that doctors don't really know much about keratosis pilaris they also don't care much about it either unless it involves them making lots of money so i went to the american academy of dermatology's website and they have a page dedicated to kp And they don't even have a question in the FAQ question about what causes keratosis pilaris.

They don't even address that at all.

The root cause seems important.

They say if each dryness and the appearance of your skin bothers you, then treatment can help that.

And indeed, there are some treatments that can help the appearance of keratosis pilaris, can help the dryness or the mild itch that some people have with it.

But I think it's telling when you look at the list of works cited on the American Academy of Dermatology's website that every single treatment that they want to talk about involves using an expensive laser treatment in the dermatologist's office.

that they can then bill insurance or bill you for and make a huge percentage profit.

that.

Really? Who are you calling? The American Academy of Dermatology.

American Academy of

Dermatology.

American Academy of Dermatology.

Really?

I don't believe that.

This could not be further from the truth.

The National Institutes of Health, the American Academy of Dermatology, and other medical organizations have explicitly stated that vitiligo is a real disease that requires treatment.

Every day we allow this outdated perception to persist is another day patients are denied the treatments they need and deserve.

New York State must recognize vitiligo for what it truly is, a serious autoimmune disease with real and lasting consequences for patients and communities across our state.

And then baricitinib is an oral JAK inhibitor approved in Europe for atopic dermatitis, but not officially approved for AD here in the United States.

We have new guidelines from the American Academy of Dermatology that detail all of these options and give strong support to our biologics and our oral JAK inhibitors for the treatment of atopic dermatitis in moderate to severe patients.

The guidelines also specifically give a selective recommendation to our oral immunosuppressants.

which we used a lot in the past because basically we didn't have very many other options.

And now that we have such better choices, these have definitely taken a backseat.

The other thing that's worth mentioning is that our American Academy of Dermatology guidelines specifically caution against the use of systemic corticosteroids to control We know that they breed rebound flares.

We know that even short courses of systemic corticosteroids can be dangerous and can have side effects for our patients.

And so the AAD said, you know, with all of these options available, we really shouldn't be leaning on these systemic corticosteroids anymore.

So there was a lot of guilt when I switched over.

And what's interesting was that I was at an American Academy of Dermatology meeting, and this was kind of a life-changing moment for me.

A friend of mine was like, "Hey, let's go take this, um, this seminar." It was get to know your personality.

And I said, "Okay, fine." I went along with her, and there was a test you had to take.

I'm so pleased to introduce today's guest, Dr. Natasha Cook, to the show.

Dr. Natasha is a pioneering board-certified dermatologist and a member of both the Australasian College of Dermatology and the American Academy of Dermatology.

She operates two specialist skin clinics in Sydney, her skin, laser, and longevity dermatology and health span clinic, as well as an aesthetic laser clinic, The Face Bar by Dr. NC.

Dr. Natasha's influence extends beyond patient care.

That is my understanding based on what I've read.

If you want more information on that, you can check out the American Academy of Dermatology Association.

What I'm really getting at is even if we do know what birthmarks are, as in we know they're blood vessels or overgrowth or whatever, does that mean that they're not also connected to reincarnation? And it is worth making an important distinction here, because explaining how a birthmark forms biologically isn't necessarily explaining why this particular mark formed on this particular person in this particular location.

Mainstream medicine does not attribute birthmarks to reincarnation, of course, but, like, wouldn't that be fucking cool? Like, imagine living...

So, yeah, it's much easier to just become a doctor and a dermatologist alone than that.

Wait, did you ever meet Dr. Sandy at AAD a few years ago? I mean, Dr.

Sandy, Captain Sandy.

Yeah, Elta MD brought her to San Diego.