EP 56: Derm Confessions — Close Calls, Missed Diagnoses and What Changed How We Practice — Part 2

Skinfluence with Dr. Dustin Portela · Sep 17, 2026 · 29m

Part one was the absurd and the unexpected. Part two is the stuff that keeps clinicians up at night.

Dr. Dustin Portela and Austin Lee go somewhere more vulnerable in this episode, sharing the near misses, the misdiagnoses, and the moments that quietly but permanently changed how they practice. The cases are real. The self-reflection is genuine. And the honesty about what it actually feels like to carry those moments forward is something you won't often hear from medical professionals willing to say it out loud.

Austin walks through a case that should be familiar to anyone who has ever been…