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Chicago — Running a successful private practice demands that dermatologists give their patients the best of everything, from pre- and postoperative care to drug samples and waiting-room d?cor, says Haines Ely, M.D., a Grass Valley, Calif.-based private practitioner and clinical professor of dermatology, University of California, Davis. Dr. Ely's office logs at least 50 patient visits daily.

Despite your best efforts in managing your schedule, patient waits and delays are inevitable in your dermatology practice. Because you are a service business, patient no-shows, delayed arrivals and your need to maximize revenue based on filling your time, create this predictable situation. You can simply expect patients to wait in an uncomfortable chair, staring at a portrait of you from 1986, with only a tattered magazine to read — or you can dazzle them.

In case you missed it, I want to tell you about a startling piece of news that I came across recently in a scientific study done by Brightwork Partners and published in USA Today. It was determined that rich retirees are happier than retirees who are not rich. Huh?

Medina, Ohio — In a market saturated with competitors, those who offer dermatologic and cosmetic services may wonder how they can stand out in a crowd that is becoming more sophisticated each day.

Chicago — As physicians increasingly use injectable fillers and botulinum toxin as complementary treatments for facial rejuvenation, success depends on educating patients thoroughly and injecting products cautiously, says Seth L. Matarasso, M.D., clinical professor of dermatology at the University of California, San Francisco, School of Medicine.

Chicago — Patients seeking safe and effective fat removal procedures presently must stick to dermatologist-performed tumescent liposuction, according to an expert.

National report — Results achieved in a series of studies comprising an extensive phase 3 clinical research program support the conclusion that a self-occlusive lidocaine 7 percent/tetracaine 7 percent peel (LT peel) provides safe, rapid and effective anesthesia for a broad spectrum of cutaneous procedures.

Chicago — Patients seeking upper-face rejuvenation have never before enjoyed as many safe, effective alternatives as are now available, says Kenneth Beer, M.D., director, Palm Beach Esthetic Institute, and clinical instructor of dermatology, University of Miami.

National report — Researchers at Dana-Farber Cancer Institute in Boston and Yale University Medical Center have pinpointed a specific amplified gene and protein overproduction in melanoma that they think cause malignant melanoma to be aggressive.

Chicago — As the Latino population continues to be the fastest growing minority group in America, dermatologists should be prepared to treat an increasing number of patients of Hispanic origin and for the unique situations they may pose regarding evaluation and management, said Miguel R. Sanchez, M.D., at the American Academy of Dermatology's Academy '05, here.

New Orleans — Mesenchymal stem cells (MSCs), which originate in bone marrow, show promise as candidates for transplantation into diseased organs to repair damaged tissue, according to Darwin J. Prockop, M.D., director of the Tulane Center for Gene Therapy here.

National report — Treating wounds is a delicate mixture of new tools and tried-and-true wound healing basics, according to Mark D.P. Davis, M.D., associate professor of dermatology at the Mayo Clinic in Rochester, Minn.

Chicago — CollaGenex Pharmaceuticals, Inc. announced results from two, phase 3 clinical trials with Oracea, its drug for the treatment of rosacea, at the American Academy of Dermatology's Academy '05, here.

Tokyo — There is the possibility that sex hormones and sex hormone-binding globulin (SHBG) may regulate melanogenesis, a recent finding that may change the way in which pigmentation is viewed, according to Taketsugu Tadokoro, M.D., Ph.D., director, department of dermatology, Osaka National Hospital, Osaka-shi, Japan.

Hepatitis C patients receiving treatment with interferon have a tendency to develop lesions consistent with sarcoidosis, both on the skin and internally.

The latest research concerning pemphigus, a life-threatening blistering disorder of the skin and mucous membranes, may help lead to a better understanding of the immunopathogenesis of disease and to more specifically targeted therapeutic approaches, according to Aimee Payne, M.D., Ph.D., of the department of dermatology, University of Pennsylvania, Philadelphia.

Our department had a terrific shindig late in June as we celebrated the kickoff of our 50th anniversary celebration in 2006 as well as a new chairperson and five new faculty members, all of whom have joined us within the past 12 months. But mainly we celebrated Dermatology in Miami, a great past, a vibrant present and an unlimited future.

National report — Dermatologists should be more diligent in asking psoriasis patients about symptoms of psoriatic arthritis, says Kenneth Gordon, M.D., associate professor of medicine, Loyola University, Chicago.