在Covid期间，在Derm办公室感到安全的6个理由
牛皮癣不是你想要延迟治疗的条件，而且缩放约会并不总是那么好。
在过去year, maybe you’ve skipped so many hair color appointments your roots are reaching new ground or let so much time go by without a teeth cleaning that it took a crown casualty to get you back into the dentist’s chair (guilty on both counts over here). We’re all having feelings about seeing the doctor or maintaining regular appointments for fear of COVID. But, if you’re one of the six in 10 Americans living with a chronic condition, including psoriasis, seeing your derm, especially when you’re having a flareup, can be crucial to care.
In the short-term, if you don’t seek treatment when you first see a flareup, it will require more aggressive treatment when you eventually do consult with a doctor, says Dr. Orit Markowitz, M.D., a board-certified dermatologist and founder of OptiSkin in NYC. “The longer you go without treatment the more likely you will need systemic drug therapy, which could be avoided when you seek treatment right away,” she says. Then of course, there are the visible symptoms of psoriasis, which can be both psychosocially and symptomatically debilitating, says dermatologist Rachel Maiman, M.D., of Marmur Medical in New York.
“The skin can often be considered a mirror that reflects what’s happening in the body internally," Dr. Maiman says. “With inflammatory skin conditions such as psoriasis, a flare of the classic pink scaly plaques signals that there is likely concomitant widespread internal inflammation stressing the organ systems that can be affected by the condition.”
“当牛皮癣未经处理时，它可以导致其他炎症性关节炎等炎症性关节炎，这有可能变得不可逆转，”Markowitz博士说。“另外，存在可能导致心脏病发作的严重牛皮癣和心血管问题的链接。”
这并不意味着吓唬你愚蠢，但它应该是你需要进入定期护理的推动 - 特别是当你经历耀斑时。值得庆幸的是，您有一个理由在您的Derm办公室感到完全安全。那是因为皮肤科医生正在采取更多的预防措施，以保持他们的办公室消毒和安全。如果您对捕获Covid的担忧让您无法寻求待遇，请致电您的Derm办公室，了解他们所看到的所有步骤，以便看到这种体验正在放心。与此同时，这是一些顶级DERMS正在做的是保护他们的患者。
人们限制在办公室
繁忙的候诊室都是一个过去的时代。“办公室限制了一次允许的患者的数量，并且在迈凯博士说，也有可以安全地等待的患者的数量限制。”“另外，大多数办事处都要求在治疗室中独奏地看到患者，除了用父母或监护人看到的儿科患者。”
文书工作很小
而不是必须坐在候诊室并填写冗长的文书工作页面，而且许多皮肤都有患者填写并事先提交一切。“为了消除接待处的行，许多患者被要求在线完成预约预约文书工作，”Maiman博士说。这不仅最大限度地减少了候诊室本身所花费的时间，而是减少与其他患者的任何接触。
候诊室看起来很苗条
While some offices are eliminating the waiting room altogether by having patients wait outside or in the car and texting when they arrive, if the waiting room is open, you’ll notice some big changes like the usual magazines, pens, and coffee stations are gone. Many offices are also curtailing the number of patients they see each day to allow for social distancing. And scattered seating keeps anyone else at an arm’s length (actually, more like three arm’s lengths) away.
进入之前筛选
If there’s any chance you’ve been exposed or are experiencing suspicious symptoms, your derm’s office won’t let you in. “Most offices will call patients to review answers to screening questionnaires, which specifically ask about symptoms and possible exposures to COVID-19, to minimize risk,” Dr. Maiman says. Twenty-four hours before your appointment, you’ll likely get a second screening call. It may seem like overkill, but it’s for your safety and everyone you come into contact with.
空气？它被净化了
除了将标准的预防程序和协议付诸实践之外，一些办事处通过帮助您轻松呼吸，一些办事处正在陷入困境。“AT，Optiskin，我们正在使用所有开放空间和每个考试室的IQAir HealthPro系列Hyperha过滤器，”Markowitz博士说。“这是一种空气过滤系统，已经过测试和认证，以过滤99.5％的有害空气颗粒。”
空间是超级消毒
显然，保持候诊室和考试室的无菌和考试室，患者之间的消毒比以往任何时候都更重要，而且皮肤都非常重视。梅先生博士说：“在患者访问的患者访问，以及医生到前台的工作人员之间存在勤奋的致力致力于努力。”Markowitz博士正在使用高功率的EMIST静电消毒剂喷雾器，其在穿过喷嘴时向液体消毒剂施加正电荷。由于带负电的表面吸引力，该装置允许更有效地清洁硬孔表面。“这是机场在飞机上使用的同一个设备，”Markowitz博士说。
任何这些保证你不会收缩covid吗？在这个超预防措施的时代，大多数办事处都不会出来这么说。但是让我们这样说。如果您的DERM的办公室采取这些预防措施，这是三倍，非常超级，您将与病毒接触。然而，您将在爆发之前享受您的牛皮癣，从耀斑带来佣金之前。
牛皮癣和科迪德护理：美国皮肤科学院学报。（2020）。“国家牛皮癣基金会Covid-19大流行期间银屑病疾病管理的工作队指导：版本1.”jaad.org/article/s0190-9622（201）32544-5/pdf.
牛皮癣药物和Covid影响：过敏与临床免疫学杂志。（2021）。“与基于全球注册表的研究患者患者患者患者患者的不良Covid-19相关的因素。”JacionLine.org/Article/S0091-6749（2011-6749（201313-5/abstract.
