The Foundation of a Good PA/SP Relationship -- Common Values and RespectBy Jacki Kment, MPAS, PA-C and Margaret Kontras Sutton, MDAccording to Jacki: Taking time to reflect on the qualities that make my relationship with my supervising physician (SP) strong has given me renewed cause to be grateful for what I have. I have been a PA for sixteen years and have been working in dermatology with my current SP, Dr Sutton, for thirteen years. I have been privileged to not only be the first PA in the practice, but also the first dermatology PA in Lincoln, Nebraska and the fourth dermatology PA in the entire state. Dr. Sutton allows autonomy of practice, which I consider to be one of her greatest strengths in working with PAs. We share a mutual trust and respect for one another. She motivates me to strive or excellence, whether in caring for our patients, taking thorough and accurate chart notes, promoting team building amongst staff members, or striving for overall personal wellness. Dr. Sutton encourages me to pursue continued medical education, participate in journal clubs, and learn new skills, all in an effort to provide a wider variety of services to our patients. The secret to a great PA/SP relationship for us has not only been about respecting one another, but also valuing what the other individual has to offer and showing gratitude toward one another. From the beginning, I knew that Dr. Sutton valued family life. This became even more apparent to me after I married and began having children. She allowed me to make schedule changes in order to spend more time with my children and be a mom. According to Dr. Sutton: The PAs in our practice have proven themselves to be extremely valuable members of our team on multiple levels. By augmenting our two dermatologists with PAs, we have been able to effectively serve more patients and cut down our wait time for appointments. The addition of PAs has also increased the amount of information/knowledge that we share at our regular office meetings. Having extra providers has allowed us to perform additional administrative tasks such as composing patient education material and developing protocols. The PA/SP relationship is based on trust and constant communication. In most cases the PA has been trained by the SP, therefore the physician should have a good understanding of the PAs level of competency. Training should not be limited only to those experiences obtained within the practice setting, since there are many situations that are not commonly presented in most clinics. At our practice we expect PAs to spend time outside of the clinic reading, attending conferences and becoming familiar with things that may not be presenting in our clinic. By working side by side with our PAs, we physicians learn about our PA's demeanor, practice habits, personality, and style in dealing with patients and staff. I think that the PA/SP relationship is based on mutual respect. Just as in marriage, the relationship cannot be sustained without respect going both ways. New PAs often ask how to determine what type of SP they would work best with; my advice is to work with a SP who you share common values with and respect. From experience, I have learned that relying on intuition in making such decisions has served me well. I am so grateful to have found a SP with whom I am well matched in terms of personality, morals, beliefs, values, and practice habits. I try to include Jacki and the other PAs in many of the operational decisions in the clinic. I deeply value her opinion and try to be a responsive listener when she has concerns. Jacki Kment, MPAS,PA-C -- graduated from PA school at the University of Osteopathic Medicine and Health Sciences in Des Moines, Iowa in 1994 and later received her Master of Physician Assistant Studies degree specializing in Dermatology from the University of Nebraska Medical Center. She began her career working as a family practice physician assistant for the Omaha Indian Tribe of Nebraska. In 1997 she joined Sutton Ryan Dermatology in Lincoln, Nebraska. Margaret Kontras Sutton, MD -- graduated from the University of Nebraska College of Medicine in 1979. After a year of family practice residency at Lincoln Medical Educational Foundation, she completed her dermatology residency at Creighton University/University of Nebraska Dermatology Program in 1984 and became Board Certified in dermatology in 1985. Dr. Sutton has enjoyed practicing dermatology in Lincoln, Nebraska for over twenty-five years. ______________________________________________________________
A simple contact to the NDS, discussing the impact of physician extenders and the influence they are having on the care of dermatology patients in Nebraska, opened the door for consideration of a newly appointed board position within the NDS. The current president, Dr. James Shehan, saw the need to consider adding a physician extender board position. "When I started as a dermatology PA thirteen years ago, I would never have seen this as a possibility in our state. I guess times are a changing!" - Jacki Kment, MPAS, PA-C. _______________________________________________________ Take the Dysport™ Challenge and Save $150 on 2 Treatments!!Take the Dysport Challenge and get $150 total savings on two treatments!Everybody's talking about Dysport™ (abobotulinumtoxinA), a prescription injection used to temporarily improve the look of moderate to severe frown lines between the eyebrows (glabellar lines) in adults less than 65 years of age. To find out if Dysport is right for you, please call our office at 402-484-0908 for a Free consultation. Expiration information: Initial treatment valid from March 1 through April 30th follow up treatment by September 30, 2010. _____________________________________________________________________ Be our Fan on Facebook!Visit our Sutton Ryan Aesthetic Center Fan page on Facebook and be our Fan!Our Facebook page will be full of information, monthly procedures and products, product promo days, specials and upcoming seminars. Once you become a Fan you will receive a code to purchase any product online and receive 10% OFF your order!! Visit www.facebook.com and search for Sutton Ryan Aesthetic Center! ____________________________________________________ Five Reasons to give up UV Tanning in 2010!Click here to read article_____________________________________________________
physician assistant studies. She became NCCPA Board Certified in February 2007 and is a member of AAPA (American Academy of Physician Assistants) and NAPA (Nebraska Association of Physician Assistants). She also received her BFA in musical theatre from Sam Houston State University and is still very active in the performing arts including theatre, film and vocal performance. She has a leading role in the upcoming production of "Annie" at the Rose Theatre in Omaha. She is married to Mark Carlson, an OB-GYN in Omaha and they have 3 cats. Leanne is currently accepting patients and appointments! ____________________________________________________ Dysport ® is a FDA-Approved alternative to BOTOX® ______________________________________________________Dysport® can safely and effectively reduce wrinkles caused by muscle movement Call 402.484.0908 to schedule your FREE Dysport® consultation
LATISSE® is the ONLY FDA approved eyelash product to grow lashes Longer, Fuller and Darker! For more information or a Free consultation please call 484-0908 or visit www.latisse.com
Tanning Beds: WHO (World Health Organization) Issues Official WarningIn July, the International Agency for Research on Cancer (IRAC), a working group of the World Health Organization, added ultraviolet (UV) radiation-emitting tanning devices- tanning beds and lamps- to the list of the most dangerous forms of cancer-causing radiation. It joins an assembly of hazardous substances including plutonium and certain types of radium, as well as radiation from the sun.The IRAC report cited research showing that tanning is especially hazardous to young people; those who use sunbeds before age 30 increase their lifetime risk of melanoma, the deadliest form of skin cancer, by 75%. The authors also pointed to studies showing a link between UV radiation from indoor tanning devices and melanomas of the skin and eyes. Melanoma will kill an estimated 8,650 people in the US this year alone. And melanoma isn't the only problem: people who use tanning beds are 2.5 times more likely to develop squamous cell carcinoma and 1.5 times more likely to develop basal cell carcinoma. Squamous cell carcinoma kills an estimated 2,500 Americans a year. The report received widespread publicity from news organizations, and brought attention to the lack of laws and oversight limited minors' access to UV tanning devices. This lack of controls affects millions of teenagers: A 2003 study found that almost 37% of white females and over 11% of white males between 13 and 19 years old in the US have used tanning beds. Some states permit children under 14 to tan if they are simply accompanied by a parent or guardian. In June, Texas drew attention from all over the country when it enacted the strictest tanning law in the nation, banning children under age 16.5 from indoor tanning and requiring in-person parental consent for everyone under 18. In Delaware, a recently passed law prohibits those under 14 from tanning facilities unless they have a doctor's prescription and requires those under 18 to have a parent or guardian sign a consent form in the presence of a tanning facility operator. Bills pending in Georgia, Hawaii, and Kansas would require the written, in-person consent of a parent or guardian for those under 18. And Minnesota is considering a law that would ban those under 16 from using tanning facilities; this is already the law in Wisconsin. Former Miss Ohio, Karissa Martin is teaming up with lawmakers to promote what would be the nation's strictest tanning law. Ohio House Bill 173 would ban anyone under 18 from salon tanning unless they have a doctor's prescription. The bill has bi-partisan sponsorship from state representative Courtney Eric Combs and Lorraine Fende, and Representative Combs said the bill has "a good chance" of being passed. It could be enacted as soon as 2010. Tanning Legislation Goes Global The fight against UV tanning is actually now international: Germany recently banned indoor tanning from those under 18 years old. The Scottish government has also drafted such legislation, and similar efforts are afoot in several other countries across Europe. In Victoria, Australia, the number of tanning salons has dropped from 436 to 240 in the wake of the much-publicized melanoma death of 26-year-old Clare Oliver, a former UV tanner who in her final days warned Australians to avoid indoor tanning. (Source: Skin Cancer Foundation http://www.skincancer.org/Tanning/) _____________________________________________________ Young Tanners at Risk!After exhaustively reviewing decades of worldwide research, the International Agency for Research on Cancer (IARC), a branch of the World Health Organization (WHO), has unequivocally linked sunbed tanning among young people to melanoma, the deadliest form of skin cancer. According to the agency's conclusions, the weight of evidence also points to youthful sunbed use as a cause of squamous cell carcinoma (SCC), the 2nd most common skin cancer, as well as other health problems.The data show a clear increase in melanoma risk associated with sunbed use in one's teens and twenties", said Peter Boyle, MD, Director of the IRAC. "And limited data show a similar increase in risk of squamous cell carcinoma for those who first used sunbed tanning as teenagers". The connection between sunbed tanning and melanoma across all age groups was not statistically significant, though "still not negligible," Dr. Boyle noted. However, the link between youthful sunbed tanning and melanoma was "prominent and consistent"- a 75% increase in risk of melanoma among those who first used sunbed in their twenties or teen years. Along with the increased risk of squamous cell carcinoma indicated by the data, other potential health problems suggested were a decrease in the skin's immune response (which could reduce resistance to skin cancers and other maladies) and an increase in eye melanomas. No positive health effects of sunbed tanning were found, contradicting what salon owners often have insisted as a selling point. (Source: Skin Cancer Foundation http://www.skincancer.org/young-tanners-at-risk.html) ____________________________________________________
In order to address all aspects of the aging process, it is essential to use a combination approach. BOTOX treats wrinkles caused from muscle movement, like frown lines, crow's feet, vertical lip lines, and forehead lines. If injected properly, BOTOX can also raise the brows, otherwise known as a chemical browlift. Filling material treats facial volume loss, whether that be in the cheeks, under the eyes, around the mouth, or in the lip area. By injecting the midface, the entire lower face elevates and the face begins to take on a youthful contour. Now, patients have another option in total facial rejuvenation in an expedient, minimal downtime procedure that takes place in an outpatient setting. ____________________________________________________
A New, Natural Antioxidant in Professional Anti-Aging Skin Care Antioxidants have been shown to help reduce the signs of intrinsic (natural) aging, while restoring skin and protecting from extrinsic (environmental) aging. Although topical anti-aging products are widely available, not all of them provide optimum antioxidant activity. CoffeeBerry® is a new, unique, superpotent antioxidant that comes from the fruit of the coffee plant Coffea Arabica (from which the commonly known coffee bean is derived). When harvested at a sub-ripe growth stage, CoffeeBerry® is at peak antioxidant concentration. Recent lore holds that harvesters of the coffee fruit had remarkably youthful hands. Hence, the idea was born to explore the use of CoffeeBerry® in modern anti-aging skin care. How Does It Measure Up to Other Antioxidants? CoffeeBerry® is more potent than green AND Vitamin C. REVALÉSKIN™ offers a simple, convenient 3-step system: 1. Facial Cleanser 2. Day Cream with SPF 15 3. Night Cream All 3 products in the REVALÉSKIN™ system have been specially formulated to be cosmetically elegant and suitable for everyday use: • No strong fragrances • Mild, pleasant scent from grapefruit extract • Absorbs into skin evenly and quickly • Can be used under makeup and with other skin care products • Does not leave a visible residue REVALÉSKIN™ is exclusively available to patients through Sutton Ryan Aesthetic Center and cannot be purchased from retail establishments. Now it's your turn to try the anti-aging marvel that professional and consumer press have been raving about…experience REVALÉSKIN™ for yourself. Click Here to purchase our REVALÉSKIN™ CoffeeBerry Products! _______________________________________________________ The Hairy Truth: Women with Bad Hair Days Solution: Laser Hair Reduction!In a society so focused on external beauty, a bad hair day can deliver quite a blow to our self-esteem. Imagine if rather than the typical flyaway curls, frizzled ends, or humidity-induced limp scalp hair, a bad hair day meant a five 'o clock shadow in a twenty-five year-old woman. This would qualify as not only a bad hair day, but days on end of continuous plucking, bleaching, or waxing just to maintain femininity. Most women feel totally alone when they develop excess hair growth on the lower face, chest, or abdominal areas. In actuality, 1 in 20 women of reproductive age suffer from a condition of excess hair growth called hirsutism. This is a female medical condition where circulating male hormones produced either in the ovaries or the adrenal glands stimulate androgen-dependent hair follicles, creating hair growth in a male distribution. The good news is that many successful treatment options are now available. When a diagnosis of a hormone imbalance is made, treatment is directed at correcting the underlying cause. Spironolactone, a blood pressure medication that blocks circulating androgens like testosterone and DHEAS, can dramatically reduce hair growth in the hirsute female. Indications of hormone imbalance include excess hair growth in a male pattern in addition to obesity, scalp hair loss, abnormal periods, acne, oily skin, and/or increased sex drive. After treating underlying hormonal issues or ruling out a direct hormonal cause, patients can pursue hair removal strategies. Excellent permanent hair reduction can be achieved with laser hair removal. The ideal candidate is a fair-skinned woman with very dark, coarse hair, but great results can still be achieved with darker skin types and/or lighter hair. At Sutton Ryan Aesthetic Center, we use the Candela Gentle Yag laser, which averages 50-60% permanent reduction in the hirsute female and even higher in other areas unaffected by androgenic hormones, such as the underarms, bikini line, and legs. As an adjunct to laser treatments, clinical studies have shown that VANIQA, a medication that slows the growth rate of hair, improves the effectiveness of laser hair removal. One study with 20 women demonstrated that after 6 months of treatment, complete or almost complete hair removal was achieved in 96% of patients receiving laser plus VANIQA, compared to 68% for patients receiving laser without VANIQA. Approximately 75% of these patients reported a preference for combination therapy over laser treatment alone. Sutton Ryan Dermatology would love to walk you or someone else you know through the diagnosis of hirsutism and share our options for assisting you in a less hairy, more feminine future. Say hello to great hair days! _______________________________________________________ FRAXEL- Results You Can See and Feel!FRAXEL® laser treatment is the premier solution for fractional aesthetic skin resurfacing, delivering remarkable results with minimal downtime.The technology treats microscopic volumes of skin, leaving the surrounding area intact for fast healing. The three FRAXEL® lasers deliver treatments that fit patients' lifestyle -- and solutions that fit your practice's aesthetic business. And the FRAXEL® track record of clinical excellence is simply unparalleled. It's no wonder FRAXEL® treatment, as the original fractional system, is the industry gold standard for skin rejuvenation and skin resurfacing. FRAXEL® treatment delivers the optimal balance of clinical efficacy and patient comfort. The best of both worlds While conventional ablative treatments such as CO2 lasers and Erbium:YAG lasers can be effective, they're often associated with significant side effects and downtime. Typical non-ablative treatments, meanwhile, spare the epidermis to minimize side effects and downtime, but they commonly require numerous treatments to produce only modest results. FRAXEL® laser treatment is a revolutionary solution. Thanks to the unique, fractional pattern of thermal damage, FRAXEL® lasers deliver the best of both worlds: dramatic results and fast recovery. All with advanced technology, safety, ease of use and a great return on investment. For more information Click Here! _____________________________________________________
SRAC introduces the ELASTIderm™ Décolletage System -- A one of a kind therapy that really works to restore healthy, young-looking skin on your delicate chest and neck. These days your skin is aging a lot more quickly. The sun and environmental elements can take their toll, leaving behind hyperpigmentation (discoloration), age spots, freckles, fine lines and wrinkles. And although you may have diligently maintained the skin on your face for years, you may not have paid as much attention to the skin on your chest and neck, also known as your décolletage. The skin on your décolletage is particularly vulnerable to these visible signs of aging, since it tends to be thinner, less moisturized, and often overlooked in the sun protection regimen. The result can be a harsh contrast between the youthful, protected skin on your face and the discolored, damaged skin on your chest. So, take steps today to revitalize your décolletage skin with a regimen specially formulated to reveal a more radiant all-over glow in this highly visible area. How does the ELASTIderm Décolletage System work? The ELASTIderm Décolletage System consists of 2 patent-pending technologies that use Penetrating Therapeutics™ and are clinically proven to work. Used together, this clinically proven therapeutic system diminishes the signs of aging, helping to restore elasticity and contribute to more flawless, youthful-looking skin on your décolletage in as little as 4 weeks. 1) The Skin Lightening Complex • Formulated with 4%, hydroquinone, a treatment well known for reducing hyperpigmentation (discoloration) and age spots on the skin 2) The Wrinkle Reducing Lotion • Formulated with ELASTIderm's Restorative Elasticity Complex • Contains a unique bi-mineral complex to help replenish elasticity and build collagen for increased skin strength and resilience • Includes malonic acid to help stimulate the production of healthy skin cells Two treatments -- Twice a day For best results, the ELASTIderm Décolletage System should be applied twice daily, in the morning and evening as part of your regular skincare routine: 1. Cleanse 2. Use the ELASTIderm Décolletage System 3. Apply moisturizer as needed and/or sunscreen It's a good idea to use a high SPF sunscreen that protects against both UVA and UVB rays daily, as even minimal sun exposure can cause continued or additional skin discoloration. The ELASTIderm Décolletage System: • Provides significant reduction in hyperpigmentation (discoloration), fine lines and wrinkles in as little as 4 weeks • Is ideal for most skin types • Absorbs easily and quickly • Is a generally well-tolerated regimen Call Sutton Ryan Aesthetic Center at 484-0908 for a Free consultation today and ask how the ELASTIderm Décolletage System can help you reveal a more radiant chest and neck. Click Here to purchase the Obagi Decolletage System!
Schedule your FREE Consultation today!Sutton Ryan Aesthetic Center offers FREE consultations on any of our services including: • Fraxel® Laser Resurfacing • SmartLipo™ MPX • Laser Skin Tightening • Laser Hair Removal • Laser facial and leg vessel treatments • IPL skin rejuvenation • Filling Materials • BOTOX® or Dysport® injections • Microdermabrasion • Chemical Peels • Professional grade skin care products Call 484-0908 today! |