[NP-Clinical] help from derm experts

Fri May 11 10:49:17 PDT 2007

H if you are interested in inexpensive home remedies, these come from Joe Graedon of the people's pharmacy, Paula:

  There are lots of home remedies, including dilute vinegar soaks, tea tree oil and vitamin E used topically. The most popular, however is Vicks VapoRub. 
  One reader reported, "I decided to try Vicks on my two big toes, which were so ugly and discolored I wouldn't even wear sandals. What wonderful results! My right toe has almost completely cleared up and my left (which was worse) is clearing up also.
  "My mother rubbed Vicks on my chest when I had colds as a child, but I never heard of any other benefits. Has anyone ever written a pamphlet on the 'cures' of Vicks Vaporub? I'd certainly like one."
  We wrote a pamphlet on Unique Uses for Vicks and collected home remedies for fungus in our Guide to Nail Care. Anyone who would like copies, please send $3 in check or money order with a long (no. 10) stamped (60 cents), self-addressed envelope: Graedons' People's Pharmacy, No. HV-376, P. O. Box 52027, Durham, NC 27717-2027.
  Not everyone with nail fungus benefits from Vicks. But even expensive prescription anti-fungal drugs don't work in every case

Andy Craig <aec-618 at carolina.rr.com> wrote:      v\:* {   BEHAVIOR: url(#default#VML)  }  o\:* {   BEHAVIOR: url(#default#VML)  }  w\:* {   BEHAVIOR: url(#default#VML)  }  .shape {   BEHAVIOR: url(#default#VML)  }      st1\:* {   BEHAVIOR: url(#default#ieooui)  }      @font-face {   font-family: Tahoma;  }  @page Section1 {size: 8.5in 11.0in; margin: 1.0in 1.25in 1.0in 1.25in; }  P.MsoNormal {   FONT-SIZE: 12pt; MARGIN: 0in 0in 0pt; FONT-FAMILY: "Times New Roman"  }  LI.MsoNormal {   FONT-SIZE: 12pt; MARGIN: 0in 0in 0pt; FONT-FAMILY: "Times New Roman"  }  DIV.MsoNormal {   FONT-SIZE: 12pt; MARGIN: 0in 0in 0pt; FONT-FAMILY: "Times New Roman"  }  A:link {   COLOR: blue; TEXT-DECORATION: underline  }  SPAN.MsoHyperlink {   COLOR: blue; TEXT-DECORATION: underline  }  A:visited {   COLOR: blue; TEXT-DECORATION: underline  }  SPAN.MsoHyperlinkFollowed {   COLOR: blue; TEXT-DECORATION: underline  }  P {   FONT-SIZE: 12pt; MARGIN-LEFT: 0in; MARGIN-RIGHT: 0in; FONT-FAMILY: "Times
 New Roman"; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto  }  SPAN.EmailStyle18 {   COLOR: navy; FONT-FAMILY: Arial; mso-style-type: personal  }  SPAN.EmailStyle19 {   COLOR: navy; FONT-FAMILY: Arial; mso-style-type: personal  }  SPAN.EmailStyle20 {   COLOR: navy; FONT-FAMILY: Arial; mso-style-type: personal-reply  }  DIV.Section1 {   page: Section1  }      "Me too"!  that sounds like a Powerpoint I'd like to see!

  And while we're tapping your brain, what do you think about this: I have a couple of patients who have minimal onchomycotic-appearing changes in 1 toenail only. I'm leery about rx oral antifungals for just one nail, especially if they are older or on lots of other meds.  I hear that the topical (Penlac) doesn't work well, though I haven't seen it being used long enough on enough patients to form an opinion of my own yet. So--what do you think about surgical removal of the one affected toenail, with or without a short burst (2-4 weeks?) of oral ketoconazole?  I typically use 200 to 400 mg daily.  It's what we have here at our pharmacy and it's cheap.  Your thoughts?

    Andy Craig, NP
Charlotte, NC

  -----Original Message-----
From: np-clinical-bounces at nurse.net [mailto:np-clinical-bounces at nurse.net] On Behalf Of Theodore Scott
Sent: Friday, May 11, 2007 1:48 AM
To: 'NP Clinical'
Subject: RE: [NP-Clinical] help from derm experts

  Well the easiest way to think of the most common pathogens we see is to classify them into three groups based on shape when you do the KOH prep.
  Hyphae, the long thin branching forms, are usually dermatophytes, typically seen in Tinea pedis, cruris, or corporis. Budding yeast forms are usually Candida and this can be found in thrush, vaginitis, intertrigo etc
  When you have Hyphae and spores “Spaghetti and Meatballs”, you are looking at Pityrosporum ovale aka Malassezia furfur which causes Tinea versicolor and probably seborrheic dermatitis.  If you have a large inbox I can sen you a POWERPoint I presented to our NP/PA group on the subject (about 4 MB).  

  Ted Scott NP-C

  <snip>
_______________________________________________
NP-Clinical mailing list
NP-Clinical at nurse.net
http://lists.nurse.net/mailman/listinfo/np-clinical

Paula J. Sumner RN, MSN, HTP, CHt
Healing Touch, Hypnotherapy, Emotional Freedom Technique, Reiki-2
3500 Westgate Dr., Suite 504-G
Durham, NC 27707  (now Carborro too.)
919-490-4656, 8#

http://paulajsumner.byregion.net  Referral ID#10102918

http://www.justanswer.com/home.asp?r=HolisticNurse&bn=2

http://www.letstalkcounseling.com/sites/paulasumner

---------------------------------
Sucker-punch spam with award-winning protection.
 Try the free Yahoo! Mail Beta.
-------------- next part --------------
An HTML attachment was scrubbed...
URL: http://lists.nurse.net/pipermail/np-clinical/attachments/20070511/6e1e3d77/attachment.html