Are you having back pain with any of the following?
We understand that you are experiencing one or more of the health issues that might be impacting your back pain.
We recommend that you discuss these health issues with your doctor before proceeding with this program.
Once you are cleared by your doctor to do this program, we hope it helps you find relief from your back pain.
Welcome to My Doctor Online, a web site that my colleagues and I developed to make it easier for you to take care of your healthcare needs. On this site you will find answers to many of your questions about my clinical practice. Also included are several online features that will allow you to e-mail me, check your laboratory results and refill prescriptions. I hope you find its content informative and useful.
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The most common types of non-melanoma skin cancers are basal cell and squamous cell carcinoma (cancer). These 2 conditions usually do not become more serious, but it is important to be able to recognize these cancers. Call us for an appointment to have suspicious lesions evaluated.
You can minimize the risk of developing non-melanoma skin cancers by wearing protective clothing, applying sunscreen, and avoiding excessive sun exposure.
The primary cause of both basal cell and squamous cell carcinoma is unprotected sun exposure over many years – especially for light-skinned blond or redheaded people. However, other causes and risk factors for these types of cancers include:
Symptoms for all skin cancers are similar, with slight variations. Be sure to inspect your skin regularly using a mirror for the places you cannot easily see. Call us for an appointment if you see any of the following symptoms:
The 2 main non-melanoma skin cancers are:
Basal cell carcinoma
Squamous cell carcinoma
Although we can often tell what type of skin problem you have by examining the growth, we often confirm our diagnosis of both of these skin conditions with a skin biopsy. We remove a sample of the growth and send it to our laboratory for analysis.
As soon as we get the results, we will discuss them with you. We will, of course, make an appointment to see you for further testing or to remove the growth if the result of the biopsy shows skin cancer.
There are several ways to remove and treat both basal cell and squamous cell carcinomas. The treatment we choose will depend on many factors, including the size of the skin cancer, location of the cancer, the condition of the skin around the cancer, your age, and your overall health. Types of treatment include:
Since non-melanoma skin cancers are caused by prolonged sun exposure over many years, the most important thing you can do to prevent them is to protect yourself from the sun.
Use sunscreen. Make sure that you use sunscreen prior to being in the sun. Use sunscreen with a 30 or above sun protection factor (SPF) that provides broad-spectrum coverage against both UVA and UVB light. Be sure to put sunscreen on your lips, ears, and the top of your scalp, particularly if you are losing your hair, as well as on your upper body if you are not wearing protective clothing. Remember to reapply sunscreen every 2 hours while outdoors.
Limit your time in the sun and avoid deliberate tanning. Be especially careful at the beach where the chance of burning is intensified by the reflection of the water and sand. Avoid tanning salons where you are exposed to intense UV light. Try to avoid the sun between 10 a.m. and 4 p.m. when light is most intense. Use an umbrella or parasol and find a shady place to sit. Sunless tanning creams or bronzing lotions can give you a tan without the risk of damaging your skin.
Wear hats and protective clothing. If you know you are going to be in the sun, wear a broad-trimmed hat and protective clothing with a tight weave, along with sunscreen, to minimize burning and exposure to the sun.
Check your skin regularly. Ask a relative or friend to check your skin or use a mirror to check your body for any unusual spots or growths. Make an appointment to see us if you think something looks suspicious.
You can connect with me in a variety of ways, depending on the situation and what is most convenient for you at the time. I am available online, by telephone, or in person.
For non-urgent questions or concerns, you can e-mail me using this site. You can also book an appointment online to see me in person.
If your concerns are immediate, or you simply prefer to use the telephone, please call our Appointment and Advice line which is available 24 hours a day, 7 days a week. Our advice nurses can give you immediate advice, and our telephone staff can send me a message or book an appointment for you.
If you are experiencing a serious problem or an emergency, call 911 or go to the nearest Emergency Room when the clinic is not open.
Having all of our Kaiser Permanente departments located together or nearby, including pharmacy, laboratory, radiology, and health education, makes getting your care easier for you.
Another major benefit is our comprehensive electronic medical record system, which allows all of the doctors and clinicians involved in your care to stay connected on your health status and collaborate with each other as appropriate.
When every member of the health care team is aware of all aspects of your condition, care is safer and more effective.
We will work together to monitor and assess how your medications are working and make adjustments over time. Prescriptions can be filled at any Kaiser Permanente pharmacy. Just let me know which pharmacy works best for you, and I will send the prescription electronically in advance of your arrival at the pharmacy.If refills are needed in the future, you can:
For lab tests, I will use our electronic medical record system to send the requisition to the Kaiser Permanente laboratory of your choice. For imaging procedures, we will schedule an appointment with the Radiology department. When the results are ready, I will contact you with your results by letter, secure e-mail message, or phone. In addition, you can view most of your laboratory results online, along with any comments that I have attached to explain them.
If we decide together that your condition would also benefit from the care of other types of specialists, our staff will help arrange the appointment(s) with one or more of my specialty colleagues.
As your specialist, I have a goal to provide high-quality care and to offer you choices that make your health care convenient. I recommend that you become familiar with the many resources we offer so that you can choose the services that work best for you.
My Doctor Online is available at any time that is most convenient for you. From my home page you can:
If you have an emergency medical condition, call 911 or go to the nearest hospital. An emergency medical condition is any of the following: (1) a medical condition that manifests itself by acute symptoms of sufficient severity (including severe pain) such that you could reasonably expect the absence of immediate medical attention to result in serious jeopardy to your health or body functions or organs; (2) active labor when there isn't enough time for safe transfer to a Plan hospital (or designated hospital) before delivery, or if transfer poses a threat to your (or your unborn child's) health and safety, or (3) a mental disorder that manifests itself by acute symptoms of sufficient severity such that either you are an immediate danger to yourself or others, or you are not immediately able to provide for, or use, food, shelter, or clothing, due to the mental disorder.
This information is not intended to diagnose health problems or to take the place of specific medical advice or care you receive from your physician or other health care professional. If you have persistent health problems, or if you have additional questions, please consult with your doctor. If you have questions or need more information about your medication, please speak to your pharmacist. Kaiser Permanente does not endorse the medications or products mentioned. Any trade names listed are for easy identification only.