Latest / Skinquiries / Beneath the Surface: Understanding Stress and Skin

Transcript

Beneath the Surface: Understanding Stress and Skin · Skinquiries

• 0:02
  Speaker 1: I don't think that there are many people in the
• 0:03
  Speaker 1: world who can claim that life isn't at least a
• 0:06
  Speaker 1: little stressful sometimes, and that stress manifests itself in unexpected ways,
• 0:11
  Speaker 1: like on our skin. But when it comes to alleviating
• 0:13
  Speaker 1: our struggles, the relief of feeling seen and acknowledged is immense.
• 0:18
  Speaker 2: He literally looks at me and goes, your poor poor guy,
• 0:21
  Speaker 2: is like, I am so sorry that you have to
• 0:23
  Speaker 2: go through this, and I literally almost cried. I mean,
• 0:26
  Speaker 2: he just really felt and could see the pain and
• 0:30
  Speaker 2: discomfort that I was going through.
• 0:36
  Speaker 3: Hi, guys, and welcome. I'm so glad you're here.
• 0:38
  Speaker 1: I'm Nicole Berry and this is Skin Queries, a show
• 0:42
  Speaker 1: all about our skin and its health as we grow
• 0:44
  Speaker 1: in age. Our skin is really a record of a
• 0:47
  Speaker 1: life well lived, because there isn't one body part that
• 0:49
  Speaker 1: I can think of that reflects our well being as
• 0:52
  Speaker 1: clearly as our skin. So let's go on this journey
• 0:54
  Speaker 1: together to really understand what's going on with our skin.
• 0:58
  Speaker 1: Let's unravel the mysteries happening inside and out. Today we're
• 1:03
  Speaker 1: going to talk about stress and its effect on our skin.
• 1:13
  Speaker 1: I know, for me, when things get to be too
• 1:15
  Speaker 1: much whether it's a stressful day at work or there's
• 1:17
  Speaker 1: a lot going on at home. I can see it
• 1:19
  Speaker 1: on my body. I can wake up feeling inflamed, I
• 1:22
  Speaker 1: break out, and my skin can seem dull and lifeless,
• 1:25
  Speaker 1: and then you know how it goes. Seeing a physical
• 1:28
  Speaker 1: response to stress just causes more stress than it ends
• 1:31
  Speaker 1: up feeling like a vicious cycle. This episode is going
• 1:34
  Speaker 1: to be very personal because I will be bringing in
• 1:36
  Speaker 1: my husband, Nick Moskovich, to share his journey with plaxoriasis.
• 1:40
  Speaker 1: If you don't know what that is, it's a chronic
• 1:42
  Speaker 1: disease that can affect the skin. Your immune system becomes overactive,
• 1:46
  Speaker 1: which causes skin cells to multiply quickly, and that can show.
• 1:50
  Speaker 3: Up all over your body.
• 1:51
  Speaker 1: There can be patches of skin that becomes scay and inflamed,
• 1:55
  Speaker 1: and it's often seen on the scalp, elbows, and knees.
• 1:58
  Speaker 3: Stress is such a big.
• 1:59
  Speaker 1: Factor when it comes to siiasis, so much so that
• 2:02
  Speaker 1: the National Psoriasis Foundation recommends managing stress must be part
• 2:06
  Speaker 1: of your treatment plan. We'll also be talking to Nick's dermatologists,
• 2:09
  Speaker 1: who's going to explain why stress manifests physically on our
• 2:12
  Speaker 1: skin and how to manage it. So let's get into it.
• 2:19
  Speaker 1: So we are back here with the one and only Nick,
• 2:23
  Speaker 1: my husband.
• 2:24
  Speaker 4: A lot of pressure here.
• 2:25
  Speaker 1: Yes, Nick and I have been married for almost ten years.
• 2:30
  Speaker 1: Next year will be our tenth anniversary time. Yes, and
• 2:34
  Speaker 1: we have two little ones. And I remember when right
• 2:37
  Speaker 1: after we had Jude, we were living in New Jersey
• 2:41
  Speaker 1: with my mom and things were just really stressful, and
• 2:45
  Speaker 1: you started to notice something happening with your hands, right,
• 2:49
  Speaker 1: they got really dry and cracked, and we were figuring out, like,
• 2:52
  Speaker 1: what is this, which eventually we came to discover that
• 2:55
  Speaker 1: it was psoriasis, but that took a long time for
• 2:58
  Speaker 1: us to figure out. So do you remember when you
• 3:00
  Speaker 1: first started noticing something going on with your hands?
• 3:03
  Speaker 4: Yeah.
• 3:04
  Speaker 2: So, by the way, you look beautiful, very nice. Nice
• 3:07
  Speaker 2: to see you from this cell.
• 3:11
  Speaker 4: Yeah.
• 3:11
  Speaker 2: We were in New Jersey living with the in laws,
• 3:14
  Speaker 2: and I was helping out actually with relocating some items
• 3:18
  Speaker 2: for your mom from the storage and then working on
• 3:21
  Speaker 2: the house here. And it was a really stressful time
• 3:24
  Speaker 2: because we were dealing with so many different factors of
• 3:27
  Speaker 2: the house not being done, our son being born.
• 3:29
  Speaker 3: Jude was like six months old.
• 3:31
  Speaker 2: Yeah, so all of that started to snowball on me,
• 3:34
  Speaker 2: and I could just tell that it was more and
• 3:36
  Speaker 2: more stressful, and I thought it was just me using
• 3:38
  Speaker 2: my hands a little bit too much, and you know,
• 3:41
  Speaker 2: it was like, oh, I'll just put some lotion on it,
• 3:42
  Speaker 2: just a guy thing.
• 3:43
  Speaker 4: Maybe the soapa musing is not good or something.
• 3:45
  Speaker 2: My hands are just kind of can't keep up with
• 3:47
  Speaker 2: my mind and everything else is going in my life.
• 3:51
  Speaker 2: And yeah, they started to get kind of chapped a
• 3:53
  Speaker 2: little worn in, like almost like a callus's situation. And
• 3:57
  Speaker 2: then the more work I was doing, the more it
• 4:00
  Speaker 2: would just kind of spread and continue to evolve and
• 4:04
  Speaker 2: never really healing fully.
• 4:05
  Speaker 1: I do remember you were complaining about your callous hands,
• 4:08
  Speaker 1: and I noticed that's what I thought it was. It
• 4:09
  Speaker 1: looked like callous dry hands.
• 4:11
  Speaker 3: Were they itchy? Was it painful?
• 4:14
  Speaker 2: So it started with just just kind of annoying. Honestly,
• 4:18
  Speaker 2: it wasn't even like that discomforting. It was just I
• 4:21
  Speaker 2: was like, oh, maybe they'll get better, you know, I'll
• 4:23
  Speaker 2: just keep putting lotion on. I found a couple of
• 4:25
  Speaker 2: brands that seemed to help, but in the end they
• 4:28
  Speaker 2: were doing anything. They were just kind of moisturizing it
• 4:31
  Speaker 2: for that moment, but not continually doing anything for that condition.
• 4:35
  Speaker 2: And that's when I realized it was something more serious
• 4:37
  Speaker 2: because it kind of went from my thumb to my
• 4:40
  Speaker 2: pointing finger, to the finger to the left of it,
• 4:43
  Speaker 2: and then it started to go on the other hand,
• 4:45
  Speaker 2: and it just kept going and going. There was just
• 4:48
  Speaker 2: no kind of relief of any kind. And that's when
• 4:51
  Speaker 2: I started to get kind of start to panic. Is panic, Yeah, yeah,
• 4:56
  Speaker 2: it really. It was really stressful because I was like,
• 4:59
  Speaker 2: I've never experience this. I would literally squeeze my hands
• 5:02
  Speaker 2: just like make a fist, and I could feel those
• 5:05
  Speaker 2: callouses kind of breaking, and it would just become really
• 5:08
  Speaker 2: difficult to grip anything to lift the kids up to walk,
• 5:12
  Speaker 2: and then after that it has to continue.
• 5:15
  Speaker 4: To get worse and flare up more and more.
• 5:18
  Speaker 2: Is it went to my feet on my heel, it
• 5:20
  Speaker 2: was almost felt like somebody just stabbing.
• 5:23
  Speaker 4: My heel all the time. It was really really painful.
• 5:25
  Speaker 2: So uncomfortable, that's awful. It would peel, it would just
• 5:29
  Speaker 2: it was absolute worst.
• 5:31
  Speaker 1: I think when someone is going through something, even if
• 5:34
  Speaker 1: you live with them, even if you are incredibly close,
• 5:37
  Speaker 1: you don't truly understand the struggle that they're going through
• 5:40
  Speaker 1: until it starts to affect your relationship with them. And
• 5:43
  Speaker 1: that's what happened with me and Nick.
• 5:45
  Speaker 2: I'm out and I see a lot of people, and
• 5:47
  Speaker 2: I meet people, and it became pretty uncomfortable for me,
• 5:51
  Speaker 2: just of like somebody wanted to shake my hand or
• 5:53
  Speaker 2: if I, like, you know, wanted to greet somebody, it
• 5:55
  Speaker 2: just didn't feel right.
• 5:56
  Speaker 3: It's self consciousness.
• 5:58
  Speaker 4: Self conscious about the whole essageituation.
• 6:00
  Speaker 2: So in insecurity, that's when I was like, I need
• 6:03
  Speaker 2: to really take care of this and address what's going
• 6:05
  Speaker 2: on here.
• 6:06
  Speaker 1: Honestly, neither of us really knew what exactly was going on,
• 6:10
  Speaker 1: but we knew something had to change.
• 6:13
  Speaker 4: I don't have like the most fantastic diet like you do.
• 6:16
  Speaker 4: You're very good at it.
• 6:17
  Speaker 3: We're working on it. We're working on it.
• 6:19
  Speaker 2: I am, yeah, I'm your lifelong project. But I was
• 6:24
  Speaker 2: drinking like these juices and I thought I found something
• 6:27
  Speaker 2: and had a cleaner sugar in it, but my body
• 6:29
  Speaker 2: was not reacting well to it.
• 6:31
  Speaker 4: I remember I went on like.
• 6:32
  Speaker 2: A two three week like absolutely no sugar thing during
• 6:36
  Speaker 2: that time as well.
• 6:37
  Speaker 4: Might have helped. It might have been too late at
• 6:39
  Speaker 4: that point too, but it didn't hurt, I'll say that.
• 6:42
  Speaker 1: So when you finally decided that you've had enough with
• 6:45
  Speaker 1: you know, home treatment and trying to like use lotions
• 6:48
  Speaker 1: and potions, what was your journey in finding the right doctor?
• 6:53
  Speaker 1: Did you find it right away?
• 6:54
  Speaker 2: I spoke to a few specialists quote unquote, like you say,
• 6:58
  Speaker 2: I could take on just about anything, like I can.
• 7:00
  Speaker 4: Work through most things in my time.
• 7:03
  Speaker 2: Talking to those doctors, I'll be like, oh, it's you know,
• 7:05
  Speaker 2: it's just kind of annoying. It's this and that, but
• 7:07
  Speaker 2: it's really inside, I'm just like screaming about man, this
• 7:10
  Speaker 2: is driving me crazy.
• 7:13
  Speaker 1: After a long time of searching and coming up with
• 7:15
  Speaker 1: a lot of dead ends, a friend recommended we go
• 7:18
  Speaker 1: to doctor Mitchell Klein, a dermatologist based in New York.
• 7:21
  Speaker 1: You'll be hearing from him later. But when Nick walked
• 7:24
  Speaker 1: into his office.
• 7:25
  Speaker 4: He literally looks at me and goes, you're poor, poor guy.
• 7:28
  Speaker 2: He's like, I am so sorry that you have to
• 7:30
  Speaker 2: go through this, and I literally almost cried. I mean,
• 7:33
  Speaker 2: he just really felt and could see the pain and
• 7:37
  Speaker 2: discomfort that I was going through. And I've never had
• 7:40
  Speaker 2: anybody react that way in terms of not only did
• 7:43
  Speaker 2: he care but he understood. We talked, and we talked
• 7:46
  Speaker 2: actually for at length, and he said, you know, I
• 7:48
  Speaker 2: have other clients who have this condition.
• 7:50
  Speaker 4: There's different things we can do.
• 7:52
  Speaker 2: And and you write away that it was ciriasis, what
• 7:55
  Speaker 2: version of csoriasis it was? And he said that, you know,
• 7:58
  Speaker 2: you're obviously in a very strong whole situation. He's like,
• 8:01
  Speaker 2: this does not typically happen with just like a healthy
• 8:03
  Speaker 2: thirty year old. So I told him I have a
• 8:06
  Speaker 2: stressful job, I have two kids, we have run a
• 8:08
  Speaker 2: business together. There was a lot of things going on
• 8:10
  Speaker 2: at the same time, and he said, listen, you got
• 8:12
  Speaker 2: to find time for yourself to let go of some
• 8:14
  Speaker 2: of those things, you know, take some deep breaths and
• 8:16
  Speaker 2: like go for a walk and whatever time you can find.
• 8:19
  Speaker 2: You have to like let go of some of the
• 8:21
  Speaker 2: things that you're doing, that you're carrying, and that will
• 8:23
  Speaker 2: help with your medical issue.
• 8:25
  Speaker 3: Doctor Klein prescribed a treatment for Nick's blacksriasis.
• 8:29
  Speaker 2: And within forty eight hours, I mean, it was it
• 8:31
  Speaker 2: was magic. He said it was going to be like magic,
• 8:34
  Speaker 2: and it was just that what was.
• 8:35
  Speaker 1: The feeling that you had when he said I know
• 8:38
  Speaker 1: what this is and I know how are we going.
• 8:40
  Speaker 4: To fix it?
• 8:40
  Speaker 2: Disbelieve I could not believe him, just because of you know,
• 8:46
  Speaker 2: dealing with the condition for two years plus minus. You
• 8:50
  Speaker 2: just kind of think that there's just that this is it.
• 8:52
  Speaker 2: I'm going to live with this for the rest of
• 8:53
  Speaker 2: my life. And that was really scary to me because
• 8:56
  Speaker 2: I was really uncomfortable and really I'm not happy with
• 8:59
  Speaker 2: what I was faced with. And the more he talked,
• 9:02
  Speaker 2: the more I was like, I'm on board, let's try
• 9:04
  Speaker 2: I'm willing to try anything at this point. And when
• 9:07
  Speaker 2: he told me about some of the options and how
• 9:09
  Speaker 2: he's treated patients before, the more it began to like
• 9:12
  Speaker 2: kind of feel relief and comfort and everything that he
• 9:16
  Speaker 2: was saying. And that was, honestly the first time I
• 9:18
  Speaker 2: had somebody who was like, I got the answer for it.
• 9:21
  Speaker 4: We just got to figure out how do we get.
• 9:22
  Speaker 2: You to continue to improve once I set you on
• 9:25
  Speaker 2: this path of treatments.
• 9:27
  Speaker 1: It's interesting, I've always perceived Nick as our rock. He
• 9:31
  Speaker 1: is the foundation when it comes to our family, our friends,
• 9:35
  Speaker 1: and also at work. So seeing how much he was
• 9:38
  Speaker 1: suffering physically and mentally was extremely painful for us to see.
• 9:42
  Speaker 1: At the time, I really was not realizing how much
• 9:46
  Speaker 1: stress was playing a huge factor in Nick's flare ups,
• 9:49
  Speaker 1: and once I found out that stress can be a
• 9:51
  Speaker 1: major trigger for psoriasis, I actually felt a lot of guilt.
• 9:56
  Speaker 3: I started to think of all.
• 9:57
  Speaker 1: The ways that I personally was adding to the stresses
• 10:00
  Speaker 1: of his life and kind of felt a little shameful
• 10:03
  Speaker 1: and hopeless.
• 10:04
  Speaker 3: Obviously, the feeling of shame.
• 10:06
  Speaker 1: And guilt around Nick's diagnosis were irrational. Of course, it
• 10:10
  Speaker 1: wasn't my fault, and thankfully we found doctor Klein, who
• 10:14
  Speaker 1: was a lifesaver for Nick and myself, not only because
• 10:17
  Speaker 1: we could get to the root of the physical problem,
• 10:19
  Speaker 1: but the compassion and the understanding he met us with
• 10:23
  Speaker 1: was such overlaf and also very essential. After doctor Klein
• 10:27
  Speaker 1: helped Nick reset his system, they worked together to develop
• 10:30
  Speaker 1: better ways for him to manage his stress and his
• 10:33
  Speaker 1: flare ups. We'll get into that later. First, let's talk
• 10:37
  Speaker 1: to the one and only doctor Klin about the relationship
• 10:40
  Speaker 1: between stress and skin and how you can protect yourself
• 10:43
  Speaker 1: from the effects of stressors in your life. Right after
• 10:46
  Speaker 1: this break, welcome back to skin Queries. Let's unravel how
• 10:59
  Speaker 1: stress shows up about our skin and what you can
• 11:01
  Speaker 1: do to manage it. I'd like to introduce doctor Mitchell Klein,
• 11:04
  Speaker 1: Nick's personal dermatologists and an academic with a private practice
• 11:08
  Speaker 1: in New York City.
• 11:09
  Speaker 3: Hi, doctor Klein, how are you hi?
• 11:11
  Speaker 4: Nicole?
• 11:12
  Speaker 5: How's everything great?
• 11:14
  Speaker 1: Thank you for joining us. I kind of feel a
• 11:16
  Speaker 1: little guilty because the person that we met through is
• 11:19
  Speaker 1: my husband, Nick, who's not here to defend himself, but
• 11:23
  Speaker 1: you're Nick's doctor and dermatologist. And then he also recommended
• 11:26
  Speaker 1: our daughter, See who's now five years old. And you know,
• 11:30
  Speaker 1: you really had a profound impact on Nick's life and
• 11:34
  Speaker 1: his quality of skin, as well as our daughter. So
• 11:37
  Speaker 1: I'm so excited for you to join us today.
• 11:39
  Speaker 5: Oh well, thanks, it's my pleasure, my pleasure to be
• 11:42
  Speaker 5: here for all of you.
• 11:43
  Speaker 3: Do you mind telling us a little bit about yourself
• 11:45
  Speaker 3: and your practice?
• 11:46
  Speaker 5: Sure. I'm a clinical assistant professor in dermatology at while
• 11:50
  Speaker 5: in New York Presbyterian. I trained an internal medicine at
• 11:53
  Speaker 5: the University of Pennsylvania after medical school there, and then
• 11:56
  Speaker 5: switched to dermatology at Cornell Memorials On Kettering and Rockfeller
• 12:01
  Speaker 5: started private practice immediately after. And I've been in practice
• 12:04
  Speaker 5: for a long enough time that I don't want to
• 12:06
  Speaker 5: say how long. And I like all aspects of it.
• 12:10
  Speaker 5: Dermatology has general cosmetic medical and so I enjoy engaging people.
• 12:16
  Speaker 5: I do it for the people that I treat.
• 12:18
  Speaker 1: I love that and that really comes through as a
• 12:20
  Speaker 1: patient in your practice. And I'm so interested to hear
• 12:24
  Speaker 1: your take on how things like stress and this is
• 12:27
  Speaker 1: something that I actually learned later in life, that stress
• 12:31
  Speaker 1: can really affect your physicality, specifically your skin. So can
• 12:35
  Speaker 1: you talk a little bit about the relationship between stress,
• 12:38
  Speaker 1: which essentially is a mental thing and it manifesting as
• 12:42
  Speaker 1: a physical thing.
• 12:43
  Speaker 5: Sure, so let's start with a mind body connection. It's
• 12:47
  Speaker 5: the same, right, The brain is an organ, the skin
• 12:50
  Speaker 5: is an organ. It's connected through all of the body.
• 12:53
  Speaker 5: Chemistries that all the other organs are connected with so
• 12:56
  Speaker 5: I don't really distinguish. And I think that you under
• 13:00
  Speaker 5: stand that just as the brain and stress affect the
• 13:02
  Speaker 5: heart and people know that well, it affects the skin.
• 13:05
  Speaker 5: And in so many ways, there's well known science behind
• 13:09
  Speaker 5: all of it. And I think that you know, it
• 13:11
  Speaker 5: was a lack of understanding in the medical community for
• 13:13
  Speaker 5: a long time that there was a brain out there
• 13:16
  Speaker 5: and that there was this body and this skin, and
• 13:19
  Speaker 5: that these two things were not connected, and how could
• 13:22
  Speaker 5: that not be r right.
• 13:23
  Speaker 1: It's so refreshing to hear you say that. As far
• 13:26
  Speaker 1: as dress manifesting itself in the body and on the body,
• 13:30
  Speaker 1: what can that look like? What have you seen in
• 13:32
  Speaker 1: your practice?
• 13:33
  Speaker 5: Well, if you think about the conventional problems that people
• 13:36
  Speaker 5: talk about, like exema, psoriasis, which we'll talk about a
• 13:39
  Speaker 5: little bit today, and all of the dermatosis, all of
• 13:43
  Speaker 5: those things get worse or flair when you're stressed. And
• 13:48
  Speaker 5: that's because people think of the immune system as being
• 13:50
  Speaker 5: strong or weak, but it's very complex, and it's that
• 13:53
  Speaker 5: the immune system changes and it activates all kinds of
• 13:57
  Speaker 5: proteins and chemicals in the body, sometimes through nerves and
• 14:00
  Speaker 5: sometimes actually through circulating chemicals. It can be hormones, cytokindes, interferons,
• 14:05
  Speaker 5: and all of those things have an effect on the
• 14:08
  Speaker 5: immunity of the skin, which causes blood vessels to dilate.
• 14:11
  Speaker 5: It causes the skin to get thicker or thinner. It
• 14:15
  Speaker 5: causes the skin to maybe get spots, to be more
• 14:17
  Speaker 5: susceptible to spots and wrinkles, and also rashes. It changes
• 14:22
  Speaker 5: those rashes very often much, much worse. So we always
• 14:26
  Speaker 5: see this dramatic effect when we see somebody coming from
• 14:29
  Speaker 5: a place of great stress, emotional or physical or both,
• 14:33
  Speaker 5: because physical causes emotional stress, but emotional stress as well.
• 14:37
  Speaker 5: And you see all of these things occur in the skin,
• 14:40
  Speaker 5: and you see these breakouts of all sorts, and then
• 14:44
  Speaker 5: you know it's apparent, and you know somehow that it
• 14:46
  Speaker 5: just doesn't look right.
• 14:51
  Speaker 1: Do you think that there or have you been able
• 14:54
  Speaker 1: to identify certain triggers when it comes to a flare up,
• 14:57
  Speaker 1: whether that is exima or psoriasis or other kind of
• 15:00
  Speaker 1: skin inflammation.
• 15:02
  Speaker 5: So the story usually goes that I didn't have anything,
• 15:06
  Speaker 5: and now I suddenly have spots. That's called guttap'soriasis, and
• 15:09
  Speaker 5: it's often from a strep throat. It can be stress,
• 15:13
  Speaker 5: but also strap and so usually you ask questions about
• 15:15
  Speaker 5: a sore throat because infections, infections that run through the body, viral, bacterial,
• 15:20
  Speaker 5: cause stress and they also can cause a flare of psoriasis. Okay,
• 15:24
  Speaker 5: so that's guttaped psoriasis, and you can go to other
• 15:27
  Speaker 5: forms of psoriasis that affect other parts of the body.
• 15:30
  Speaker 5: And again you see this and you hear from the patient, Well,
• 15:34
  Speaker 5: I've had this chronic condition of my scalp, or I've
• 15:37
  Speaker 5: had this rash on my elbows, or maybe my hands
• 15:39
  Speaker 5: have been uncomfortable, but suddenly it's so much worse. I'm uncomfortable,
• 15:44
  Speaker 5: And that immediately begs the question, well, what have you
• 15:47
  Speaker 5: been through as they've been through a life stress? Has
• 15:50
  Speaker 5: somebody been ill, somebody passed away? Are their family stresses?
• 15:54
  Speaker 5: Do you have job stress or personal stress? And once
• 15:57
  Speaker 5: you sort of elicit that history, it helps you because
• 16:01
  Speaker 5: you're giving somebody insight into the fact that what they're
• 16:04
  Speaker 5: going through is causing some of the problem. And we
• 16:07
  Speaker 5: all know that we don't go through what we go
• 16:09
  Speaker 5: through forever and that you know eventually as the stress
• 16:13
  Speaker 5: kind of settles down, the skin will settle down, and
• 16:17
  Speaker 5: you see this, you know, everything's worse. The skin's redder,
• 16:20
  Speaker 5: the spots are scalier, they're more numerous, they're covering new
• 16:24
  Speaker 5: areas of the body. Sometimes you feel like it's taking
• 16:26
  Speaker 5: over your body because previously it was maybe one or
• 16:29
  Speaker 5: two patches and now it's widespread or on your scalp,
• 16:32
  Speaker 5: which can happen with people with psoriasis, and so you know,
• 16:36
  Speaker 5: all important questions and always important to reassure someone again
• 16:40
  Speaker 5: that you know, this is not going to remain this way,
• 16:43
  Speaker 5: not with the medications and not with the treatments we
• 16:45
  Speaker 5: have these days, and not with the fact that the
• 16:47
  Speaker 5: stress is going to go away.
• 16:49
  Speaker 3: You mentioned treatments, So what are the types of treatments
• 16:53
  Speaker 3: that you treat psoriasis with?
• 16:56
  Speaker 5: So there really are a thousand and so and foremost
• 17:01
  Speaker 5: reassurance and then you move to well, what's easy. Well,
• 17:05
  Speaker 5: they're topical creams. Sometimes they're steroid creams. People are terrified
• 17:09
  Speaker 5: of that, no reason to be. We know how to
• 17:11
  Speaker 5: control how much stereoid goes into your body with the cream,
• 17:15
  Speaker 5: and sometimes we move after that into light therapy, but
• 17:18
  Speaker 5: that's a little more evolved, but it also covers more
• 17:21
  Speaker 5: of the body surface area before we get into systemic drugs,
• 17:25
  Speaker 5: oral drugs or injectable drugs. In each one affects a
• 17:29
  Speaker 5: different arm of the immune system, and all of them
• 17:32
  Speaker 5: work to sort of slow or diminish the inflammation in
• 17:36
  Speaker 5: the body, not just psoriasis, but psoriasis comes with arthritis,
• 17:40
  Speaker 5: ziausis believe or not, comes with heart disease and stroke
• 17:43
  Speaker 5: and all of these things which are risks if you
• 17:46
  Speaker 5: have severe versions are managed and controlled with these biologics,
• 17:51
  Speaker 5: which is why they're so popular.
• 17:52
  Speaker 1: When you do talk to your patients, do you recommend
• 17:55
  Speaker 1: or ask them questions about how to treat their stress
• 17:58
  Speaker 1: in a non medical way.
• 18:00
  Speaker 5: To get into that, because when you have something that's
• 18:02
  Speaker 5: really profound and you're dealing with something that needs something
• 18:07
  Speaker 5: that goes beyond the medicines you're applying, leaving that out
• 18:11
  Speaker 5: of the concoction is a mistake. You know, if you're
• 18:14
  Speaker 5: not talking about addressing depression, which can be addressed with
• 18:18
  Speaker 5: you know, therapy and help and sometimes medication, you're talking about,
• 18:23
  Speaker 5: you know, what are the social circumstances that you're in
• 18:25
  Speaker 5: that are problematic that you might be able to do
• 18:27
  Speaker 5: something about. And then also again very broadly, thinking about
• 18:33
  Speaker 5: how do you get to those blue zones? You know,
• 18:36
  Speaker 5: how do you get a piece of nature where I
• 18:39
  Speaker 5: love meditation and exercise, you know, as a way of
• 18:43
  Speaker 5: burning off that anxiety and stress.
• 18:45
  Speaker 1: Shifting back to specifically storisis or other skin inflammation. I
• 18:50
  Speaker 1: feel that at least for Nick, you know, he and
• 18:52
  Speaker 1: many other people, they're usually run to the drugstore and try,
• 18:55
  Speaker 1: you know, everything on the shelf and become their own
• 18:59
  Speaker 1: kind of treatment mint guru until it comes to a
• 19:02
  Speaker 1: point where he said, you know, I need to see someone.
• 19:05
  Speaker 1: And my perception was that natural is better, but in
• 19:09
  Speaker 1: certain cases it's not. So what would you say to
• 19:12
  Speaker 1: people who are kind of at a loss?
• 19:14
  Speaker 5: Right, So you try things, and I don't think there's
• 19:17
  Speaker 5: anything wrong with that. In general. For skin, things that
• 19:19
  Speaker 5: hydrate and moisturize are always going to help all aspects
• 19:23
  Speaker 5: of the skin. And then you know, if you think
• 19:26
  Speaker 5: about it, and just in a really basic common sense way,
• 19:30
  Speaker 5: it's when you say to yourself, you know, I'm not
• 19:32
  Speaker 5: getting any better, maybe worse, but not getting any better.
• 19:35
  Speaker 5: And who is it out there who has some expertise
• 19:39
  Speaker 5: or training. It might I even not Alie with my
• 19:42
  Speaker 5: way of thinking. You know, maybe I think of only
• 19:44
  Speaker 5: traditional Eastern methods and natural methods. But I need to
• 19:48
  Speaker 5: find somebody who's going to give me something that's going
• 19:50
  Speaker 5: to give me relief and put me in a different
• 19:52
  Speaker 5: direction because I'm uncomfortable, I hurt, I itch, or I
• 19:57
  Speaker 5: just don't feel good about the situation, or I don't
• 19:59
  Speaker 5: feel good about the fact that my child has a
• 20:01
  Speaker 5: rash over their body and it's just not coming under control,
• 20:05
  Speaker 5: and the child is itching and scratching, and all right,
• 20:09
  Speaker 5: it's time. Let's see if we can find somebody professionally
• 20:11
  Speaker 5: who will put us in the direction and not just
• 20:15
  Speaker 5: immediately give us something that conflicts with what we believe in.
• 20:19
  Speaker 5: How about maybe just doesn't dismiss us for how we
• 20:22
  Speaker 5: feel as people.
• 20:23
  Speaker 1: Doctor Klin, thank you so much. This was such an
• 20:27
  Speaker 1: enlightening and great conversation. I really appreciate you taking the time.
• 20:30
  Speaker 5: Oh thanks for bringing me in. And that's why we
• 20:33
  Speaker 5: do what we do.
• 20:34
  Speaker 1: It feels great, honestly having someone who hears you and
• 20:37
  Speaker 1: sees you can be life changing. It made such a
• 20:40
  Speaker 1: difference that doctor Klein was compassionate and present during his
• 20:44
  Speaker 1: appointment with Nick. I think that's essential, especially when you're
• 20:47
  Speaker 1: dealing with something that's not only physical but mental. Let's
• 20:51
  Speaker 1: bring back my husband now to talk about how he's
• 20:53
  Speaker 1: currently dealing with hysteriasis flare ups.
• 20:56
  Speaker 2: I'm still kind of discovering new things about what does
• 21:00
  Speaker 2: help me, what does trigger me, and what does not.
• 21:03
  Speaker 2: I try to space things out that I know will
• 21:05
  Speaker 2: stress me out, you know, and if I'm like, okay,
• 21:07
  Speaker 2: I got address these like three major things that I
• 21:10
  Speaker 2: just I hate working on or I hate facing I'll say, okay,
• 21:13
  Speaker 2: i'll do one today, I'll do one in two days,
• 21:15
  Speaker 2: I'll do another one later down the line. In the
• 21:17
  Speaker 2: past that would have done all of them at one time. Yeah,
• 21:19
  Speaker 2: one day, one hour. I also tried to make time
• 21:22
  Speaker 2: for myself with like grabbing a sandwich or a coffee
• 21:26
  Speaker 2: and just sitting in the park and just staring at
• 21:28
  Speaker 2: a tree. Just finding time to do that, continue to
• 21:31
  Speaker 2: take just those small moments for myself really made a
• 21:35
  Speaker 2: huge difference. And being able to do that and just
• 21:37
  Speaker 2: creating time for myself in that way has really helped out.
• 21:40
  Speaker 2: If you're dealing with this, you're not alone. There are
• 21:42
  Speaker 2: people out there that understand your condition and keep at it.
• 21:46
  Speaker 2: There's people that will help you and you'll get through it.
• 21:49
  Speaker 3: That's so important. Thanks, babe, I love you, Love you too.
• 21:55
  Speaker 1: For me, this is such a healing episode because we
• 21:58
  Speaker 1: really got to ask Nick about how he's feeling, which
• 22:01
  Speaker 1: is not something we often talk about. I think Nick
• 22:04
  Speaker 1: is actually really quiet when it comes to his own emotions.
• 22:07
  Speaker 1: He's really strong and really good at getting things done,
• 22:09
  Speaker 1: but here he was so honest and vulnerable and I
• 22:12
  Speaker 1: just want to honor him for that. It also really
• 22:15
  Speaker 1: helped having someone like doctor Klein who was very patient
• 22:18
  Speaker 1: and open minded when it came to my own approach
• 22:21
  Speaker 1: to alternative healing. When it comes to my own philosophy,
• 22:24
  Speaker 1: I don't discount mainstream medicine, but I also don't solely
• 22:28
  Speaker 1: rely on holistic medicine either. I really want to see
• 22:31
  Speaker 1: what's going to work for someone with a specific situation,
• 22:34
  Speaker 1: but I think it's really important to find a doctor
• 22:36
  Speaker 1: who understands you and sees you and has the compassion
• 22:40
  Speaker 1: in patience so that they.
• 22:42
  Speaker 3: Can meet you wherever you are.
• 22:45
  Speaker 1: Another big thank you to our guests Nick Moskovich and
• 22:48
  Speaker 1: doctor Mitchell Klein for sharing their experiences. Skin Queries is
• 22:52
  Speaker 1: hosted by myself Nicole Berry, an executive produced by Evon Sheehan.
• 22:57
  Speaker 1: Our senior producer is Tory Weldon. Our juniors are Reem
• 23:01
  Speaker 1: Alma Grabi and Jenny Cunningham. The show is mixed and
• 23:04
  Speaker 1: features original music by Sam Sagan. If you enjoy the show,
• 23:07
  Speaker 1: share it with your friends. You can also listen and
• 23:10
  Speaker 1: follow on the iHeartRadio app, Apple Podcasts, or wherever you
• 23:13
  Speaker 1: get your podcasts. We'd love to know what you think,
• 23:16
  Speaker 1: so make sure you leave a review until next time.