21.5.07

Dermatology


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 Hair
  • 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
  • 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 .


Alopecia Areata


Psoriasis


note: this post can't be used as a source of medical information but only a personal opinion

50 comments:

piccolina said...

oh yeah i didn't leave a comment coz simply mine is " TAXI'S are much better !!!!" plz plz plz
kidding!!!
that was good to know
GOD be with u inshallah

ph said...

hmmm.... interesting topic thanks for sharing :P, and i know I still owe you a comment on the previous post just been very busy will get ot it soon insha allah.

salaam

Lebeeya said...

Interesting stuff!

Since Hair is considered Dermatology! is there a cure for mshafshaf hair??

MaySoon said...

Interesting post, thanks Libyano..

I have a friend who had th3laba and she was using garlic and as you said every time she stops using it the hair is lost again.. after that she kept taking her medicine and her hair got back to normal...alhamdolilah

However dishonesty is what I hate about most doctors here in Libya, they should tell the truth and there should be assassinations or groups for the ill people to help them deal with their diseases.. it should be a professional psychological help

yalla insh'aAllah kahir..

Libyano said...

Piccolina
No more Taxi's for you
tao inwreek ,you have been cursed you hair will start falling now :P

ph
thanks for passing by :)
I am still waiting so isnahllah kheer it seems like you re writing a long comment

Lebeeya
I think Britney spears has the soloution to your problem Lebeeya , shave it all and there will be no more worries

Maysoon
I am happy cos your friend is ok now , and mish I wish our doctors be honest and talk to the patients only but yareet at least they be honest and talk to us the students.

The is no any kind of support groups for any disease , everyone suffers alone , I hope one day we get to make support groups so people can join each other and this will make their problem easier .

mad at uk said...

well done libyano and keep going

Anglo-Libyan said...

very interesting ya libyano

my 6 year old son has been suffering from Eczema since he was about 2, his condition varies from quite severe to only a little rash, he is seen by a skin specialist & an allergy specialist every 6 months. inshaAllah khair.

lovelytripoli said...

hello libyan and everybody else;
i remember when i had sleeping on alkhdrah and i saw all the girls whom was sick on skin like
Alsdafiah.and things i never saw befor,looking to that photes rmind me how hurts my skin sick was and i am sorry for that people.
and you know i remember when that is happind around 1997 i got so angry when i saw new docters taking some photes to me without asking me ..they asking me to show them the hiding (7ab) and i was wearing my Hijabd and they dont` respect that.
so,please when you meet any girl at the hospetl ask her befor trying to take Photes to her New Intersting skin Sick..Also if u have to do that becoues you need to learn.

piccolina said...

OMGGGGGGGGGGGGGG no libyano plz not my hair loool...ppl r countin on it for the tesri7a !! loooooool
b3ed el sao 3laia !! shin hada ya libyano !! com on we should be gooood friends !! you know " OLD SHOES .............................. INTERNATIONAL PHONE CALLS .................... BAD SCHOOL TEACHERS( even though in this u r talking about my 2 uncles the ben and the krik lool shhhh don't tell any one "..yalla take your magic off me and leave my hair alone
salamz

Libyano said...

Anglo_libyan
inshallah la bas 3le your son rabi yishfeeh inshallah , take good care of him and becareful to not let him touch the things that irritates his skin .

lovely tripoli
glad to see you back :)
sorry for what happened from some of stupid people who call themselves doctors ,I can never take a picture of any patient without asking permission and always try to avoid showing the face , patients are humans and we should be thankful they are giving us the chance to learn from them .

Piccolina
You are forgiven ,only because you have men's shoes like mine :p and your raseed always 3'air kafi li igra2 hadihi al mokalma like me :(.

but wouldn't it be nice if you were bald, cos if you fight with another girl what she gonna do ha , girls pull hair when they fight so her hands will ITZALF6 on your bald head and you get to pull all her hair and you will always win :D

mani said...

MUAHAHAHAHAHAHA @ITZALF6 LOLOLOL

libyano ya khoi.. i read quickly teh first paragraph of the post, skimmed even quicker over the gross images of disease.. and read the comments slowly until I got to the ITZALF6.. and I exploded lolololol.. so the gross poss was definately worth it.. from my end here.. 10/10 :D

Rabbe yo7fdek lena bas :)

Keepsmile5 said...
This comment has been removed by the author.
Keepsmile5 said...

Assalamo Aliekoum
Well done khoi Libyano. I also skimmed over ur post quite quickly, as khonna MANI did, but the point that my attention pulled to is the point you've mentioned about backhome doctors-patients relationship. You were right when you said "physicians don't tell the truth to the patients in must of cases.Fair enough, the majority of our colleagues -but not all of them- don't tell all the truth for the patient, some give vague explantion or speak in a language which many patients can't understand or more worse if got missunderstood. The big problem is that many of physicians backhome don't know " or maybe don't want to know and don't as me why!" that our duty is to relieve the suffering of patient NOT to cure his/her disease (Cure comes from Allah)...
I am quite sure if they just ingrave this fact in the backs of their brains and "pe eden Allah" they're gonna be fine
I will try to post more about this issue on my blog,
Again thanks Libyano, keep up and in front of ur patients please just keepsmilin

mani said...

Salam Again.. Credit is given where credit is due.. Keepsmile.. you have blew my mind with two piercing observations, mashallah ya khoi.. what an eye you have for priming on the causes of a problem! :) :)..

Aaaaaaaaah I am so proud of you guys!! :)

Salam

Libyano said...

khoi Mani sheni the post was that boring but am glad you managed to get a laugh in the end

keepsmile
thank you for the truthful comment , if we keep god in our hearts and minds and think that whatever happens is in god's hands then we will fear nothing and we will regret nothing .
and what pisses me off so much that most doctors treat their patients as ignorants, not telling him anythign cos they think he wont understand and even worse when they lie to him , but I should always say that we have great doctors as well that if they had better circumstances they would be one of the best doctors in the world .

salamat

mani said...

Salam khoi Libyano la walahe sama7nee, makansh gasdee it was very interesting I just came really early in the morning as my eyes were dropping :).. but you still maanage as ever to bring a huge smile to my face and make me laugh.. so bless ya ya khoi :)

piccolina said...

OMG libyano u r soo mean lol my shoes r not men's shoes wallahi , u make me feel like i'll go make my dad calls u and explains how he got it for me !!!!
and no thanks i don't need to be ga3a you know i'm wearin hijab :D lool
salamz

a_akak said...

You need better pictures bro? Even I have seen much much much horrific photo's :P

PS: My fathers a doctor and when we were young we use to have a look at those LARGE textbooks

Good Luck, and nice info :)

PS: Have i posted my comment in the right place?

Fe Aman Allah

Libyano said...

MAni
3adi el mara hadi sama7 :P, bless you too inshallah

Picco
I didn't tell you this but my shoes were a gift as well from my sister so may be mine are girl's shoes wala sheni but I don't think they have size 46 for girls :P
as for gar3a bealive there are so many nice thigns about it lakin ma nibooshi yazi3l 3ad fa li hada rabi ykhaleelik sha3rik ;)

a-akak
nice to see you again bro , if you want disgusting horrific pictures I have a lot lakin I didn't want any one to throw up on the screen :P

piccolina said...

mmmm yeah wallahi let us be friends and keep the hair thing away you know some ppl looovveeee the hair looool " kidding " and yes we don't want one to get upset !!:S
thanks for being nice though
bless you inshallah
salamat

Steve said...

Interesting stuff... on skin and its care. I could learn many things now... find some related matter like more dangerous skin diseases on visit to
Psoriasis Treatment

ibeebarbie said...

Salam Libyano,

Thank you for the informative post. Moreover, thank you for explaining it in terms anyone can understand.

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