Page 2 - Boca Exposure - September '20
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Page 2, Boca Exposure
      Sunscreen Alternatives To Protect Your Skin




      By Dr. Katherine Chiang, Siperstein Dermatology Group  to check out some of our favorite sun-protective clothing   approximately 20 launderings. So, be sure to keep track of
         We at Siperstein Dermatology Group understand that not   brands in person! Some of our go-to-clothing brands include   your washings! For those hesitant to purchase UV protective
      everyone loves sunscreen as much as we do. Sunscreen is a   Coolibar, Solumbra, UV Skinz, and Cabana Life. Hat brands   clothing, laundry additives are an inexpensive way to
      great tool for protecting your skin for the vast majority of our   include Wallaroo and Buff.        augment your sun protection. You only need one pack of
      patients. However, there are people for whom sunscreen may   I Already Have Clothing That I Love Wearing When   RIT Sun Guard per load of laundry and last we checked on
      be less ideal – children less than six months of age, pregnant   Outdoors. Can I Convert Them To UV Clothing?  Amazon, a six-pack was $25, making each load of laundry
      or breast-feeding women, patients allergic to sunscreen      Yes, you can! A UV detergent is a photo-protective   only $4.16! What a bargain for protecting your skin from
      ingredients, and even people with limited mobility. In these   laundry additive that washes into the clothing and absorbs   skin cancer and aging!
      cases, we recommend seeking out sunscreen alternatives to   broadband UV radiation. The brand we recommend is RIT   Any Other Sun Protective Strategies You Recommend?
      use exclusively or in combination with sunscreen. Read on   Sun Guard. A single treatment of RIT Sun Guard embeds      Don’t forget to grab your sunglasses that offer UVA/UVB
      for some of our favorite alternatives to traditional sunscreen!  clothing with a UPF of 30, meaning only 1/30th (or 3.3   broad-spectrum coverage. Chronic UV exposure can increase
      I Dislike The Creamy Feeling Of Sunscreens, Are There   percent) of the UV rays can penetrate the UPF fabric. Unlike   the risk of cataracts, macular degeneration and many other
      Any Non-Greasy Substitutes?                        our recommended clothing brands above, which typically   eye problems. We’re not the eye experts here but are happy
         Try a brush-on sunscreen! These portable, self-dispensing   maintain the same UPF for hundreds of washes, clothing   to refer you to an ophthalmologist if you have any further
      brushes have become an extremely popular alternative to   treated with RIT Sun Guard will have UPF that only lasts   questions.
      traditional sunscreen. They are mineral-based, go on sheer
      tool for your low ultraviolet (UV) exposure days spent inside  Conversations Overcome Concerns
      and offer broad spectrum UVA-UVB coverage. It’s a great

      the house or office. We do not recommend using it as your
      likely insufficient to protect the skin, especially if you are  And Strengthen Relationships
      primary method of sun protection as the amount applied is
      spending significant time outside. However, it is a great option
      for sun protection while running quick errands or reapplication   Talk To Your Doctor When              The angry patient left our receptionist in tears and our
      over makeup. Drop by our office or visit us online to purchase   You Have Concerns Or                office manager flustered. It takes a great deal to fluster our
      our favorite brand: Brush-on-Block SPF 30!                                                           office manager, given her background. I tried to call the
      My Spouse/Child/Friend Refuses To Wear Sunscreen   Something Is Upsetting You.                       patient, but she did not take the call.
      When Outdoors. What Do You Recommend They Use                                                           Having a personal conversation is the preferred way to
      Instead?                                           By Steven E. Reznick, MD,                         understand and overcome concerns, issues or complaints.
         Our all-time favorite method of sun protection is clothing/  FACP                                 Email is too impersonal and rarely conveys the tone properly
      hats with UPF. The term ultraviolet protection factor (UPF) is      When  I  organized  my           and a handwritten letter is less personal than a face-to-face
      used as a measure of ultraviolet radiation penetration through   medical practice, I tried to        meeting.
      the fabric. For example a UPF of 50 means that 1/50th (2   find individuals with great                  The same applies to those unexpected release of records
      percent) of the UV rays can penetrate the UPF fabric. The   customer service skills plus             forms you receive from patients requesting their records be
      higher the UPF, the better. The UPF of a fabric depends   the medical knowledge to                   sent to another internal medicine or family practice. You
      upon the fiber content, weave, fabric finishing and additives.   work in an internal medicine        never want to learn your patient has left your practice without
      Clothing with UPF 50-plus offers the best protection because   practice. We all do our best          knowing why. How do you fix a problem and prevent it from
      it is constant, full-skin, full-spectrum protection. You do not   to meet the needs of our           happening in the future if you were never made aware of it
      need to reapply. You do not need to worry about what area   patients but sometimes, even             in the first place?
      of the skin you missed. And best yet, this clothing actually   with the best of efforts, we             I encourage my patients to contact me if they are unhappy
      keeps you nice and cool under the sun.             fall short.                                       with me, my staff or the way I provide care so we can address
         But don’t our clothes already protect us from the sun?      For example, a patient requested a large quantity of a   their concerns. Better communication makes for better care
      Sadly, not very well! The average weight cotton T-shirt gives   medication as a refill early one morning. I saw the fax as I   – even if the original message is unpleasant.
      only a UPF of 5, which translates to 20 percent of the UV   walked in the door, picked it up, signed it and returned it to      Give us a chance to hear your point of view and address
      rays reaching your skin. This is inadequate protection when   the pharmacy for the refill. It only took about five minutes   the issue. That is what relationships are all about.
      outdoors.                                          to send it to the pharmacy.                          Although this article is based on my patient experiences, I
         When shopping for your sun-protective clothing and      When the pharmacy received the refill authorization,   encourage everyone to have a conversation with their doctor
      hats, make sure you pay attention to a few things. (1) The   they did not have the quantity of the medication the patient   to share their concerns.
      fabric should be UPF rated 50-plus, not SPF rated. Clothing   requested. When the patient went to pick up the medication,      Board certified in  internal  medicine, with added
      that cites SPF does not offer full-spectrum protection and   they were given a 90-day supply, not the requested 180 days.  qualifications  in  geriatrics,  Steven  E.  Reznick,  M.D.
      (2) Make sure the clothing is durable, meaning that the sun      The pharmacy incorrectly told the patient we only   has  practiced  locally  since  1979.  He  is  recognized  by
      protection the fabric offers will not wash out or wear out over   ordered 90 tablets. Angry, the patient called the office and   physicians as a “Best Doctor” and is a national health care
      time. Drop by the Siperstein office during your next visit   was abrasive – not giving my staff a chance to investigate   blogger. To schedule a complimentary meeting with Dr.
                                                         the matter to see if it could be settled to her expectations.   Reznick to learn about his personalized care, concierge
                                                         Unfortunately, the pharmacy never told the patient their   membership practice, call (561) 368-0191 or visit www.
        Boca Helping Hands from page 1                   supply of that medicine was short.                BocaConciergeDoc.com.

           With an increased focus on client self-sufficiency,
        BHH awards scholarships for qualified candidates
        to attend accredited vocational training classes that
        prepare them for careers in the healthcare, information
        technology, transportation, and hospitality industries.
        BHH also offers free English as a Second Language
        (ESOL) classes and courses in nutrition and other
        life skills. Staff and volunteer mentors counsel the
        unemployed and underemployed in basic workplace
        skills and help them polish resumes and search for
        jobs.
           Charity Navigator named Boca Helping Hands a
        Four-Star Charity for the 14th Consecutive Year. Boca
        Helping Hands is located at 1500 N.W. First Court,
        Boca Raton, FL 33432. For more information, please
                                                                                        Tradition never
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                                                                                        tasted so delicious.
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