I've been hanging out at the Dermatology Clinic lately, not that I like dermatology that much but what to do, I have to learn these things. It wasn't much fun there cos dermatology is considered one of the coldest branches of medicine. Dermatologist are believed to be the luckiest doctors because as they say the majority of their patients never heal or die (لا يبرا لا يموت).
I want to share some of the interesting things I have learned, don't worry I wont bore you with all the complicated stuff. These are some things that are nice to know.
- The average number of hairs in an adult is 100.000, yea I know not that much, we all think it's millions :S
- The average hair loss per day is 100 hairs , yea too much , but this is still normal so don't you worry girls if you wake up finding couple of hairs on your pillow .
- The average growth of hair per day is 0.35 mm , this means almost 13 cm a year, now go stand in front of the mirror and check out where your hair will reach next year.
Now most cases that come to dermatology for hair problems are the Alopecia Areata patients which is what we call in Libya الثعلبة , what is so upsetting with alopecia areata is the psychological effect it has on the patient because other than that it's not dangerous to the patient and not infectious. In short, it's simply the body immune system attacking the hair follicles and making the hair fall , it can affect a local area making it a patchy loss of hair or even worse affecting the whole body hair, I can't tell you how upsetting it would be if you wake up one day finding a 5X5 bald patch on your head , and you go from doctor to doctor with no improvement even when the hair is back it disappears again with no reason, this is the problem with dermatology most of the diseases can't be explained why and how they happen, remember the patient never heals or dies.
- The Skin is the biggest organ in the body, yes it's an organ because it has functions to do like every other organ in the body.
- The Skin weighs about 15 % of the total body weight, so if you are helpless and wanna loose some weigh go on and cut your skin off .
- The thickness of skin varies from 0.05 mm in the eyelid to 3 mm in thickest area in palms and soles, but still quite thin don't you think?
- Total body skin covers an area of 2 square meter in adult , this makes a great coat so instead of killing twenty foxes to make one coat, one human is enough I think :P
there are hundreds of skin diseases and in just few hours at the clinic you can see all the kinds of skin diseases , but what attracted my attention the most is the Psoriasis patients ( الصدفية ) , this is again a very psychologically upsetting non curable annoying skin disease, and what makes these patients problem worse here is that the doctors usually don't tell the truth to the patient because this is what most of the patient wants , we all think the doctor is cruel when he tell us this is incurable disease and you have to live with it all your life, I have even seen doctors and families hiding the fact that this patient has a cancer because it will make the patient's condition worse when he knows the truth , so these patients with psoriasis live quite difficult life because no treatment is effective for long time although there are a lot of ways and methods of treatment but I am sure everyone with long time Psoriasis already tried everything , what we need to do is a simple discussion with the patient this can make him accept the fact of his disease , simply telling him that what you have is like having diabetes or hypertension it needs treatment everyday and life long , taking good care of it will make it go well and you can live a normal life , don't wait for it to disappear , stress will make it worse so just take your medication live normal and by time you will see that you are no different than any other healthy person .
because of lack of honesty with the patients what I saw is that everyone wants a magical cream that you put it on the skin to turn it normal in no time , so people basically drop their treatment and so many come frustrated and out of this frustration they come after using traditional mixed herbs and other gross things like for example some people use Camel's urine , first I thought they drink it but they just apply it on the affected skin , so many things they have tried and every time it returns back , I believe that healing is in god's hands whatever you did for it using medications or using camel's urine or some kind of weeds but it's too risky to use traditional medicine because it's something not understood scientifically so better to avoid it because humans aren't experimental animals to try things on them , I've seen a lot of people coming with a very worse rash after using a mix of some old lady (3zooz) that heals people with herbs and strange stuff .
But this doesn't mean that all the traditional ways are wrong because there are explanation for some of them even the people who use it don't know why but it still works , like for example in Alpecia areata some of people rub garlic on the site of the hair loss and hair starts to grow after a while , this is no magic because one of the drugs used to alopecia areata do the same thing as garlic , so what garlic does is irritating the skin of the hairless patch and this cause the immune system to alert the immune cells which are already attacking the hair follicle as I explained in the nature of Alpoecia areata , so teh cells leave the hair follicle alone and go to the top of the skin where the irritant is and then the hair becomes free so the hair can grow again but as you can see once the irritation is gone the hair unfortunately will be lost again .
note: this post can't be used as a source of medical information but only a personal opinion