#dermJC Transcript
Healthcare social media transcript of the #dermJC hashtag.
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See #dermJC Influencers/Analytics.
| Profile | Tweet |
|---|---|
 | Dermatology Journal Club @DermatologyJC If you've never done a twitter chat or journal club before, the easiest way to follow along is to click on the "#dermjc" and then click the "latest" tab. https://t.co/2hzX1lBp80 |
 | Ade Adamson, MD MPP @AdeAdamson I'm a dermatologist at UNC Chapel Hill hoping to connect with folks interested in dermatology and evidence based medicine. #dermjc |
 | Roxana Daneshjou MD/PhD @RoxanaDaneshjou RT @DermatologyJC: If you've never done a twitter chat or journal club before, the easiest way to follow along is to click on the "#dermjc" and then click the "latest" tab. https://t.co/2hzX1lBp80 |
| Dermatology Journal Club @DermatologyJC RT @AdeAdamson: I'm a dermatologist at UNC Chapel Hill hoping to connect with folks interested in dermatology and evidence based medicine. #dermjc |
 | David Harker, MD, FAAD @HarkerDavid @DermatologyJC I'm David, a derm resident at UTSW. Excited this is happening! #DermJC |
| Dermatology Journal Club @DermatologyJC RT @HarkerDavid: @DermatologyJC I'm David, a derm resident at UTSW. Excited this is happening! #DermJC |
| Roxana Daneshjou MD/PhD @RoxanaDaneshjou @gooserrrrr @StanfordMed Great! Welcome! Make sure you use #dermjc so everyone can see your tweets! |
| Dermatology Journal Club @DermatologyJC #dermjc https://t.co/A7BLy5I6am |
| Roxana Daneshjou MD/PhD @RoxanaDaneshjou How often do you use chemoprophylaxis in your clinical practice, and if you do, what do you like to use? #dermjc |
| Dermatology Journal Club @DermatologyJC RT @RoxanaDaneshjou: How often do you use chemoprophylaxis in your clinical practice, and if you do, what do you like to use? #dermjc |
 | Allison Larson, MD @AllisonLarsonMD @RoxanaDaneshjou I suggest my patients at high risk for #melanoma take #vitD. I’ve mentioned nicotinamide to some, but am now thinking of discussing this more regularly for patients with a history of multiple nonmelanoma #skincancers. #DermJC |
| Roxana Daneshjou MD/PhD @RoxanaDaneshjou @HarkerDavid I agree that patients on many medications usually don't want to add another. I also have patients who are actually wearing sunscreen and want to know what more they can do. Nicotinamide appears to have a good side effect profile and it's over the counter. #dermjc |
| Allison Larson, MD @AllisonLarsonMD @HarkerDavid @RoxanaDaneshjou And the issue with both of these is that the benefit goes away when patients stop taking them, so essentially it’s treatment for life, which many are less inclined to do #DermJC |
| Dermatology Journal Club @DermatologyJC RT @AllisonLarsonMD: @HarkerDavid @RoxanaDaneshjou And the issue with both of these is that the benefit goes away when patients stop taking them, so essentially it’s treatment for life, which many are less inclined to do #DermJC |
| Ade Adamson, MD MPP @AdeAdamson This is one of the central reasons why I'm hesitant in many elderly patients, particularly those with only a limited skin cancer history. They already take a fist full of pills. #dermJC https://t.co/f8Q6d8Nmh9 |
| Ade Adamson, MD MPP @AdeAdamson RT @AllisonLarsonMD: @HarkerDavid @RoxanaDaneshjou And the issue with both of these is that the benefit goes away when patients stop taking them, so essentially it’s treatment for life, which many are less inclined to do #DermJC |
| Ade Adamson, MD MPP @AdeAdamson RT @RoxanaDaneshjou: @HarkerDavid I agree that patients on many medications usually don't want to add another. I also have patients who are actually wearing sunscreen and want to know what more they can do. Nicotinamide appears to have a good side effect profile and it's over the counter. #dermjc |
| Roxana Daneshjou MD/PhD @RoxanaDaneshjou Here's a question - do you believe the results? #dermjc |
| Dermatology Journal Club @DermatologyJC RT @AdeAdamson: This is one of the central reasons why I'm hesitant in many elderly patients, particularly those with only a limited skin cancer history. They already take a fist full of pills. #dermJC https://t.co/f8Q6d8Nmh9 |
| Dermatology Journal Club @DermatologyJC RT @AllisonLarsonMD: @RoxanaDaneshjou I suggest my patients at high risk for #melanoma take #vitD. I’ve mentioned nicotinamide to some, but am now thinking of discussing this more regularly for patients with a history of multiple nonmelanoma #skincancers. #DermJC |
| Allison Larson, MD @AllisonLarsonMD @RoxanaDaneshjou I do. The results are consistent across BCCs, SCCs, and AKs. The study looked well-constructed to me and they cite basic science articles that posit a possible mechanism #DermJC |
 | Paul Sufka, MD @psufka RT @DermatologyJC: 15 minutes until the very first #dermjc! Get excited! #dermatology #dermtwitter #dermatologia #IID2018 Here's the link to the paper again: https://t.co/CxksFCVT8G |
| Roxana Daneshjou MD/PhD @RoxanaDaneshjou @AllisonLarsonMD The one benefit of nicotinamide to me is if the patient is willing to take it, it has a low side effect profile and is to get over the counter. So it's worth the possible benefits, which appear to be real. #dermjc |
| Dermatology Journal Club @DermatologyJC RT @AllisonLarsonMD: @RoxanaDaneshjou I do. The results are consistent across BCCs, SCCs, and AKs. The study looked well-constructed to me and they cite basic science articles that posit a possible mechanism #DermJC |
| Roxana Daneshjou MD/PhD @RoxanaDaneshjou @gooserrrrr @HarkerDavid I've seen the flushing issue more with niacin, but not nicotinamide 500 mg BID. Has anyone had issues with flushing with that dose? #dermjc |
| Ade Adamson, MD MPP @AdeAdamson I don't have a strong reason not to, but the typical patient I see also doesn't have an average of 8 skin cancers in the previous 5 years either. #dermJC https://t.co/AkctxGqRfK |
| Ade Adamson, MD MPP @AdeAdamson RT @RoxanaDaneshjou: Here's a question - do you believe the results? #dermjc |
| Roxana Daneshjou MD/PhD @RoxanaDaneshjou @AdeAdamson I love learning about the different populations that people see. Because I have, on several occasions, biopsied 3+ lesions in one visit - all came back as NMSC. My current biopsy record was 7 lesions (and he had more that we didn't biopsy), all which came back as NMSC! #dermjc |
 | Laura J Gardner, MD, MS @ljgardn RT @DermatologyJC: If you've never done a twitter chat or journal club before, the easiest way to follow along is to click on the "#dermjc" and then click the "latest" tab. https://t.co/2hzX1lBp80 |
| Dermatology Journal Club @DermatologyJC RT @AdeAdamson: I don't have a strong reason not to, but the typical patient I see also doesn't have an average of 8 skin cancers in the previous 5 years either. #dermJC https://t.co/AkctxGqRfK |
| Roxana Daneshjou MD/PhD @RoxanaDaneshjou Do you use nicotinamide in any other way in your dermatology practice? We also use it in our bullous disease clinic (in addition to other traditional therapies). #dermjc |
| Ade Adamson, MD MPP @AdeAdamson So would you all recommend drinkable sunscreen everyday as prophylaxis, it has niacinamide in it? #dermjc https://t.co/JrNkXWRVg7 |
| Roxana Daneshjou MD/PhD @RoxanaDaneshjou I'm trying to see if we're just West Coast nicotinamide-lovers here. ;) #dermjc |
| Ade Adamson, MD MPP @AdeAdamson RT @gooserrrrr: |
| Ade Adamson, MD MPP @AdeAdamson Cali thing!!! #dermJC https://t.co/oWKQGebcnW |
| Allison Larson, MD @AllisonLarsonMD @RoxanaDaneshjou @AdeAdamson I have a subset of patients who develop #skincancers regularly, like the light-skinned folks who had 20 years of PUVA for their psoriasis. Based on this paper, I’m going to think more about suggesting nicotinamide to repeat SBCC formers #DermJC |
| Dermatology Journal Club @DermatologyJC RT @AdeAdamson: So would you all recommend drinkable sunscreen everyday as prophylaxis, it has niacinamide in it? #dermjc https://t.co/JrNkXWRVg7 |
| Roxana Daneshjou MD/PhD @RoxanaDaneshjou @AdeAdamson I've actually never heard of this... what is it? #dermjc |
| Dermatology Journal Club @DermatologyJC RT @AllisonLarsonMD: @RoxanaDaneshjou @AdeAdamson I have a subset of patients who develop #skincancers regularly, like the light-skinned folks who had 20 years of PUVA for their psoriasis. Based on this paper, I’m going to think more about suggesting nicotinamide to repeat SBCC formers #DermJC |
| Laura J Gardner, MD, MS @ljgardn @RoxanaDaneshjou I’ve never seen any of the derms recommend nicotinamide to their patients here in Salt Lake City. #dermjc |
| Ade Adamson, MD MPP @AdeAdamson RT @AllisonLarsonMD: @RoxanaDaneshjou @AdeAdamson I have a subset of patients who develop #skincancers regularly, like the light-skinned folks who had 20 years of PUVA for their psoriasis. Based on this paper, I’m going to think more about suggesting nicotinamide to repeat SBCC formers #DermJC |
| Roxana Daneshjou MD/PhD @RoxanaDaneshjou @ljgardn Oh man, this may be a very California thing. #dermjc |
| Ade Adamson, MD MPP @AdeAdamson RT @ljgardn: @RoxanaDaneshjou I’ve never seen any of the derms recommend nicotinamide to their patients here in Salt Lake City. #dermjc |
| Dermatology Journal Club @DermatologyJC RT @ljgardn: @RoxanaDaneshjou I’ve never seen any of the derms recommend nicotinamide to their patients here in Salt Lake City. #dermjc |
| Roxana Daneshjou MD/PhD @RoxanaDaneshjou @AdeAdamson ... But niacinamide isn't a sunscreen; it's chemoprophylaxis. I'm missing the sunscreen part. #dermjc |
| Ade Adamson, MD MPP @AdeAdamson I'm very wary of recommending vitamins for most things because history has shown they fail in so many clinical trials #dermjc |
| Allison Larson, MD @AllisonLarsonMD @AdeAdamson Nope. I can’t tell what’s in this, I don’t think it could possibly protect the skin as effectively as sunscreen, and I suspect adherence will be better with sunscreen than a drink. Plus I’m not a fan of sugared beverages #DermJC |
| Roxana Daneshjou MD/PhD @RoxanaDaneshjou @AdeAdamson I feel like calling it "sun protection" is false advertising! What if people start using this and then decide to forgo sunscreen? Also, seems like it would be expensive! #dermjc |
| Laura J Gardner, MD, MS @ljgardn @AdeAdamson Definitely not if it tastes like sunscreen... #dermjc |
| Ade Adamson, MD MPP @AdeAdamson @RoxanaDaneshjou I think UVO is bogus as a "sunscreen/" I was just saying you could drink UVO as your niacinamide supplement every day. #dermJC |
| Ade Adamson, MD MPP @AdeAdamson RT @AllisonLarsonMD: @AdeAdamson Nope. I can’t tell what’s in this, I don’t think it could possibly protect the skin as effectively as sunscreen, and I suspect adherence will be better with sunscreen than a drink. Plus I’m not a fan of sugared beverages #DermJC |
| Roxana Daneshjou MD/PhD @RoxanaDaneshjou @AdeAdamson This is the problem in dermatology - people creating really expensive products when there are cheap alternatives on the market that are more clinically effective. I imagine OTC niacinamide pills are much cheaper than this "hyped" drink. #dermjc |
| Ade Adamson, MD MPP @AdeAdamson @RoxanaDaneshjou Its easier to drink a tasty drink than to apply sunscreen correctly! #dermJC |
| Dermatology Journal Club @DermatologyJC RT @AllisonLarsonMD: @AdeAdamson Nope. I can’t tell what’s in this, I don’t think it could possibly protect the skin as effectively as sunscreen, and I suspect adherence will be better with sunscreen than a drink. Plus I’m not a fan of sugared beverages #DermJC |
| Ade Adamson, MD MPP @AdeAdamson RT @RoxanaDaneshjou: @AdeAdamson This is the problem in dermatology - people creating really expensive products when there are cheap alternatives on the market that are more clinically effective. I imagine OTC niacinamide pills are much cheaper than this "hyped" drink. #dermjc |
| Roxana Daneshjou MD/PhD @RoxanaDaneshjou @AdeAdamson I mean, I'm not gonna go recommending this because it sounds expensive. But if someone wants to use it, I'll let them. As long as they understand that it's not replacing sunscreen. #dermjc |
| Dermatology Journal Club @DermatologyJC RT @RoxanaDaneshjou: @AdeAdamson This is the problem in dermatology - people creating really expensive products when there are cheap alternatives on the market that are more clinically effective. I imagine OTC niacinamide pills are much cheaper than this "hyped" drink. #dermjc |
| Roxana Daneshjou MD/PhD @RoxanaDaneshjou @AdeAdamson I'm glad you shared this though, because someday, someone is going to ask me about it, and I'll have an answer ready. Seems like something people would definitely use in California. ;) #dermjc |
 | ROWE @rowedocs RT @DermatologyJC: #DermJc Ground Rules! #dermtwitter #dermatology #MedEd #medtwitter #FOAMED https://t.co/IM0D8b9xvu |
| Ade Adamson, MD MPP @AdeAdamson @RoxanaDaneshjou The creator is from San Diego, so probably! #dermJC |
| Roxana Daneshjou MD/PhD @RoxanaDaneshjou @AdeAdamson Wow, I walked right into that one. Why am I note surprised? #DermJC |
| Roxana Daneshjou MD/PhD @RoxanaDaneshjou I'm not saying nicotinamide pills should replace sunscreen, but do you think getting them to take a pill might be an easier first step for those who just don't want to use sun protection? #dermjc |
| Allison Larson, MD @AllisonLarsonMD Is anyone in the #derm community using polypodium leucotomos extract in patients to try and prevent sun damage? #dermjc |
| Ade Adamson, MD MPP @AdeAdamson No experience with heliocare. I'd put it in the same category with UVO. I don't believe it. #dermJC https://t.co/MrDgXIKCp4 |
| Dermatology Journal Club @DermatologyJC Of note, #dermJC does NOT ENDORSE any particular products. Retweet does not mean endorsement, but just to share the conversation that is happening. |
| Allison Larson, MD @AllisonLarsonMD @gooserrrrr @AdeAdamson @RoxanaDaneshjou Sorry for my redundant question! It took me 3 minutes to get the spelling of PLE right #dermjc |
| Roxana Daneshjou MD/PhD @RoxanaDaneshjou @ShervinSays @AdeAdamson Unfortunately important to bear in mind as well that all OTC supplements are not regulated by the FDA, so can't even be 100% certain that the nicotinamide pills your patients get have the proper amount of vitamin. #dermjc |
| Ade Adamson, MD MPP @AdeAdamson The issue is target population. I think the benefits of pills would be marginal at best for most patients with average risk. Pills likely better than nothing, and low side effects as you mentioned. #dermJC https://t.co/yJkXX2xvyc |
| Ade Adamson, MD MPP @AdeAdamson RT @DermatologyJC: Of note, #dermJC does NOT ENDORSE any particular products. Retweet does not mean endorsement, but just to share the conversation that is happening. |
| Dermatology Journal Club @DermatologyJC RT @RoxanaDaneshjou: @ShervinSays @AdeAdamson Unfortunately important to bear in mind as well that all OTC supplements are not regulated by the FDA, so can't even be 100% certain that the nicotinamide pills your patients get have the proper amount of vitamin. #dermjc |
| Ade Adamson, MD MPP @AdeAdamson RT @RoxanaDaneshjou: @ShervinSays @AdeAdamson Unfortunately important to bear in mind as well that all OTC supplements are not regulated by the FDA, so can't even be 100% certain that the nicotinamide pills your patients get have the proper amount of vitamin. #dermjc |
| Roxana Daneshjou MD/PhD @RoxanaDaneshjou @AllisonLarsonMD I'm not familiar with that... but interested to hear others' thoughts! #dermjc |
| Dermatology Journal Club @DermatologyJC RT @AllisonLarsonMD: Is anyone in the #derm community using polypodium leucotomos extract in patients to try and prevent sun damage? #dermjc |
| Allison Larson, MD @AllisonLarsonMD @RoxanaDaneshjou It’s the ingredient in Heliocare #dermjc |
| Roxana Daneshjou MD/PhD @RoxanaDaneshjou @ShervinSays Haha, I always couple sunscreen to brushing teeth. "Putting on sunscreen is like brushing your teeth. You have to do it every day." #dermjc |
| Roxana Daneshjou MD/PhD @RoxanaDaneshjou @DrSepah Do you think sunscreen use has the same psychological effect? #dermjc |
| Ade Adamson, MD MPP @AdeAdamson I believe @gooserrrrr brought this up with heliocare. I think its bogus. The purported mechanism involves believing that ingesting an extract that a plant uses for photo protection somehow does the same for human skin. Really? #dermJC https://t.co/qNfXwX0NIw |
| Dermatology Journal Club @DermatologyJC RT @AdeAdamson: I believe @gooserrrrr brought this up with heliocare. I think its bogus. The purported mechanism involves believing that ingesting an extract that a plant uses for photo protection somehow does the same for human skin. Really? #dermJC https://t.co/qNfXwX0NIw |
| Laura J Gardner, MD, MS @ljgardn @RoxanaDaneshjou Hmmm. I’ve noticed some people love the idea of vitamins- I could see it possibly being easier for certain high risk patients who aren’t great at sunscreen but already take vitamins #dermjc |
| Roxana Daneshjou MD/PhD @RoxanaDaneshjou @AdeAdamson @gooserrrrr This is the beauty of evidence-based medicine to me. I feel like dermatology in particular is prone to many OTC "magic bullets" (many expensive), and I hope we can use #dermjc to discuss what's evidence based and what's not (and learn from one another!). |
| Allison Larson, MD @AllisonLarsonMD @AdeAdamson @gooserrrrr I suspect the same. I’ve had patients ask about it. I don’t know of any #dermatologists that recommend it at this point #dermjc |
| Ade Adamson, MD MPP @AdeAdamson The evidence that sunscreen reduces risk of skin cancer is a mixed bag by the way. That is likely a discussion for another day. #dermjc |
| Dermatology Journal Club @DermatologyJC Woah, it's 7 PM already guys! What a great conversation for our first #dermjc. Feel free to continue commenting, but this is the end officially! |
| Allison Larson, MD @AllisonLarsonMD @DermatologyJC Thank you for making #DermJC a reality! It was a fun discussion |
| Ade Adamson, MD MPP @AdeAdamson Thanks for hosting. Looking forward to the next installment!!! #dermJC https://t.co/axTomcDKLz |
| Dermatology Journal Club @DermatologyJC As always, please feel free to private message either @DermatologyJC or @RoxanaDaneshjou with article suggestions! We would also be happy to host guest moderators. #dermjc |
| Dermatology Journal Club @DermatologyJC RT @AdeAdamson: Thanks for hosting. Looking forward to the next installment!!! #dermJC https://t.co/axTomcDKLz |
| Dermatology Journal Club @DermatologyJC RT @RoxanaDaneshjou: @AdeAdamson @gooserrrrr This is the beauty of evidence-based medicine to me. I feel like dermatology in particular is prone to many OTC "magic bullets" (many expensive), and I hope we can use #dermjc to discuss what's evidence based and what's not (and learn from one another!). |
#dermJC content from Twitter.