Do you treat basal cell any differently in younger adults and older adults?

It's a great question, my favorite question, um, because this, this is what the, the question that got me into geriatric dermatology, and it started with w- I, I r- I still remember this patient so clearly.

I was at the VA in Palo Alto as a resident, and I was learning dermatology, and it was a, a frail elderly veteran who was being wheeled in by his daughter, and he had a basal cell on his, on his ear right here on the helix.

And you know, I was so proud that I diagnosed it, and I biopsied it, and then we used to look at the slides in pathology under the microscope, and I called the patient, and I brought him in for Mohs surgery to remove it, and then he had a three-month follow-up, and then I found another one nearby and biopsied that, same process.

And this happened.

He was in and out probably every couple of months between the follow-ups and the Mohs.

And when I called him to give him the update on the third time I biopsied him, I called, and he had, he had passed away of unrelated causes.

How does AI fit into all of this?