Record tick season - Listen up!

Calling all East Enders!  We are having a record tick season on the East End of Long Island this summer.  Chances are that you know someone who has recently removed a tick or has been diagnosed with Lyme’s disease.  There is so much confusion regarding this topic and as a consequence, so much anxiety.  Here are some tips and resources to help you stay safe this summer out East!

 Prevention:

  • Check for ticks daily, especially under the arms, in and around the ears, inside the belly button, behind the knees, between the legs and in the buttocks, around the waist, and on the hairline and scalp.  Children should be checked every night at bath time as part of your spring/summer routine if you live in a tick endemic area.
  • If you have spent time in a wooded or grassy area remove, wash and dry all clothing on high heat and shower as soon as possible.
  • Permethrin based insect repellant can be very effective for tick prevention.  The product should be sprayed on clothing or shoes and NOT directly on skin.  Several brands such as Repel are available on-line.
  • Create a “tick-safe” yard by mowing the lawn frequently, keeping leaves raked, and having children play away from tall grasses.  Consider having your property sprayed (East End Tick Control is an experienced company on Eastern Long Island).
  • Treat your dogs and cats as recommended by your veterinarian.  Do not allow them into your bed or on your furniture, as they are a possible vector for carrying ticks.

How to safely remove an attached tick:

  • Fine tipped tweezers are best
  • Place tweezers as close to the skin as possible.  Try to grab at the base of the tick (the tick’s head).  Pull upward with a slow and steady motion.  Do not be alarmed if part of the tick remains embedded, as disease transmission is not possible without the whole tick.  Try to remove the remaining segments.
  • Wash the area with soap and water
  • Put the tick in a sealed baggie ie. a ziplock™ and label the bag with the date the tick was removed and location.  Dr. Stern can have the tick analyzed to identify the type of tick as well as whether that particular tick has the organisms within it that cause disease.  This information can be very helpful in guiding therapy. 

Important tick facts: 

  • In general ticks need to be attached for 36-48 hours before they can transmit Lyme disease bacteria
  • If you find a tick that has likely been attached to your skin for less than 72 hours and you are >8 years old, an important study has shown that taking one dose of Doxycycline can dramatically reduce your chance of getting Lyme’s Disease.  (87% effective) Call our office to discuss the best approach for you.
  • Not all ticks carry Lyme’s disease.  There are several different types of ticks (Ixodes, Lone Star, Dog Tick etc), and each tick has different stages of growth when they may or may not carry disease.  This is why identifying the tick can be very helpful.
  • Most humans are infected through bites of immature ticks called nymphs.  Nymphs are tiny (less than 2mm) and difficult to see without a magnifier; they feed during spring and summer months.
  • Ticks can be carried by deer, rabbits, birds, squirrels, mice, dogs and cats and therefore all of these animals are potential vectors for the spread of tick-born illness.
  • Ticks can carry several diseases including Lyme’s disease, Ehrlichiosis, Babesiosis, Tularemia, Anaplasmosis and others.

Please call my office to schedule an appointment if you would like to come in to have a tick tested or if you have any tick related questions or symptoms. 

631.287.7307   We are located at 325 Meetinghouse Lane, Southampton  www.drdanastern.com (for directions to our office)

Tick Resources:  

Tick Hotline for East End of Long Island 631.726-TICK

Eastendtickresources.org

Tickencounter.org

Your Anti-Aging Skincare Routine Decoded & Simplified

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I had so much fun filming a segment for CBS this week.  The topic – Decoding skincare ingredients in the quest for the best anti-aging skincare products.   There are over 10,000 ingredients in personal care products and if you are confused you are definitely not alone!!

My quest is to break it all down for you by recommending a simple regimen with effective and affordable products.  When choosing your skincare regimen, the key is keeping it simple.  You don’t need to spend your entire paycheck on the latest miracle cream and you also don’t need to be using a million products.  So where to begin?

1) A mild cleanser 

I have always loved Purpose Gentle Cleansing Wash and I am not alone.  This very affordable Johnson & Johnson cleanser is dermatologist recommended and is an Allure Best of beauty product.  I have been using this product faithfully since high school.

If you tend to be acne prone, then consider using a cleanser with salicylic acid (a beta-hydroxy acid).  Neutrogena makes several very elegant products in this category called Neutrogena Oil-Free Acne Wash.  If you tend to get dry, then use the foam or cream version of the wash.

2) A chemical exfoliant

Chemical exfoliators remove the superficial layer of dead skin cells and can help to improve fine lines, a dull complexion, and uneven skin tone.  They also give you an amazing “post-peel” glow so that your skin looks healthy and vibrant.  These exfoliators fall into (2) categories:

Alpha Hydroxy Acids (AHAs) – Glycolic Acid, Citric Acid etc.

or

Beta Hydroxy Acids – Salicylic acid is the classic

Glycolic acid is the best AHA and although you can get much stronger peels at your dermatologist’s office, one of my personal favorite at-home products is Avon’s Anew Clinical Advanced Retexturizing Peel.  Use it two or three times a week and you will never turn back.  I recently ran out of my supply and had them rush shipped!  Always use broad protection sunscreen when using chemical exfoliants.

3) A prescription for tretinoin or other retina-A like cream.  This is the one category where a prescription is absolutely necessary.  Don’t be fooled by over-the-counter variants with ingredients that sound the same (Retinol or Retinyl Palmitate) but are in reality inactive forms of the prescription variant.  These creams are true skincare miracle creams that improve wrinkles, dark spots, and even acne.  Not safe if pregnant or nursing.

4) A good moisturizer with at least SPF 30 and  broad spectrum protection (Zinc oxide or Titanium dioxide)

Sun protection is the most important aspect of your anti-aging strategy and it needs to be daily, 365 days per year.  For this one you are going to have to look at that long list of ingredients and look under the Active Ingredients.  You want to see one of two ingredients listed under active ingredients:Titanium Dioxide or Zinc Oxide.  These ingredients are physical blockers and are capable of blocking both UV-B as well as UV-A radiation, thus they are broad-spectrum.  Two recommendations, Cetaphil Daily Facial Moisturizer with sunscreen SPF 50+ or Neutrogena Healthy Defense Daily Moisturizer with sunscreen Broad-Spectrum SPF 50 – Sensitive Skin

5) Prevention!  These are the products you use at night and often the most confusing category.  We talked about how prescription retinoids are a must but what about all of these other supposed miracle products that we are always hearing about?  I want to mention three of my favorite ingredients along with some specific product recommendations.

Peptides - These are small proteins that can stimulate the production of collagen.  Collagen production and replacement is a key anti-aging strategy because we lose collagen as we age. There are a lot of great products that are incorporating peptide technology now, Olay Regnerist and Strivectin-SD to name a couple.

Anti-oxidants.  Vitamin C is the most effective topical antioxidant in skincare at the moment.  Anti-oxidants absorb high-energy particles called free-radicals before they are able to damage our cellular DNA.  Thus, they prevent inflammation and once again that dreaded collagen loss.  Look for one of two specific Vitamin C molecules under the product’s active ingredients because these two are more readily absorbed into the skin:  Tetrahexadecyl ascorbate or Methyl Silanol Ascorbate

Happy hunting!  I’m always available to answer any questions that you may have on facebook.com/danasternmd

Five tips to get your nails healthy, beautiful, and back to work!

After Labor Day, as we get back to work , we begin to focus on our appearances.  Like a great new haircut or a terrific glow from a new skincare regimen, healthy, well-manicured nails are an integral part of a neat, well kept and put together appearance.

Here are 5 helpful tips to get your nails healthy, beautiful, and back to work!

  1. Don’t cut your cuticles.  Your cuticle is your nail’s natural protective seal.  Like the grout in your shower, the cuticle protects the entire nail from yeast, bacteria, and fungus.  Instead of cutting, the cuticle can be gently pushed back with a wash cloth after a warm shower or soak.
  2. Care for your cuticles.  Not only is the cuticle a protective seal, it also happens to live right above the most important nail structure, the matrix.  Any trauma to the cuticle area (cutting, biting, picking) can affect the matrix and ultimately will be seen as depressions, ridges and discoloration in the nail.  Apply a cuticle cream, moisturizer or cuticle oil to keep the cuticle hydrated and intact.
  3. Hangnails happen.  Resist the urge to tear at them, this can cause an infection called a paronychia.  Using a sterilized cuticle scissor or nail nipper, cut the hangnail at the root, then apply an over-the-counter antibiotic ointment twice a day for a couple of days.  Good cuticle care will help to minimize hangnails.
  4. Consider a nail polish holiday.  If your nails are dry, peeling, and cracking and nothing seems to be helping, it may be secondary to too much nail polish remover.  Polish removers can be drying to the nails, and sometimes just taking a short nail cosmetic holiday and going au natural for a while can be just the thing that your nails need in order to rejuvenate and refresh.
  5. If you notice something unusual on your nail, do not try to cover the defect with polish or an artificial nail as there may be something medically serious going on.  For example, melanoma, a potentially deadly form of cancer, can appear as a brown or black stripe on the nail.  If you don’t know what something is, seek the care of a dermatologist.