Happy first week of residency to those of you who have recently transitioned from the short white coat to the long. As a dermatologist I fortunately only work during the day. However, I still remember back during intern year, the dreadful long night shifts. When I start residency, the 16-hour work restriction was just implemented. Although I lucked out of 24 hour shifts, the night floats did equal damage to my sleep schedule and skin. For residents, nurses, respiratory therapists or other healthcare providers that routinely work long over night shifts in the hospital, I have some easy and quick tips to salvage or maintain your skin.
Most entrepreneurs aren’t physicians, and most physicians don’t realize that they can start companies. It’s beautiful thing, though, to see more doctors and doctors-in-training becoming interested in healthcare innovation, digital health and the entire healthcare ecosystem outside of traditional clinical medicine. As an adjunct professor at Stanford School of Medicine, when I spend time with first and second year medical students, they are most often curious about what opportunities are available to them outside of clinical practice in an academic setting or private group setting. It turns out that you no longer have to choose between being clinical and doing something more innovative and entrepreneurial. You can have your cake and eat it too, actually. You just have to know what is out there and how to carve our opportunities for yourself.
Hyaluronic acid (HA) is a carbohydrate molecule is that vital for skin health. It resides in the deeper part of the skin, and its water drawing properties (humectant) allows the skin to stay hydrated and plump. HA also stimulates collagen production in the skin. Hyaluronic acid has a short life cycle with 30-50% degradation every 24 hours. Accompanying the decrease in production, which sadly starts in our 20s, further contributes to the aging face. Our body makes enzymes, called hyaluronidase, that is responsible for HA destruction. Consequently, two steps should be taken to help reverse signs of aging: increase hyaluronic acid production, which indirectly increases collagen production, and decrease hyaluronidase activity.
For medical students who truly love 2 different specialties and vacillate between the two, there are accredited combination programs in the country that allows for residents to be board-certified in 2 different specialties. Combined Internal medicine-dermatology (Med-Derm) is a much sought-after program; other ones include internal medicine-pediatrics and internal medicine-emergency medicine, just to name a few.
Night is the best time for our body and skin to repair itself. Besides getting adequate sleep, feeding your skin the right nutrition is crucial. There are four items that every one should use: a serum (usually catering to your skin concerns), topical retinoids, eye cream, and moisturizer.