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Social Media Dermatology: Facts vs. Fiction · Pediatrics Now: Cases Updates and Discussions for the Busy Pediatric Practitioner

0:02
I'm Holly Wayment, and this is Pediatrics Now.
0:06
Here today with me in the podcast studio is Dr. Emily Becker.
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Shall we go over some myths versus facts about acne? Yes. Of course.
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Okay, so number one thing that we always see, and I still see parents talking
0:21
about this, well, they eat so much greasy food and it's their diet that is the
0:29
reason why the acne is so bad.
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If they just stopped eating all those french fries and pizza,
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do you think that's a myth or a fact?
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Well, I thought that it was a fact, but then the way you're saying it makes me think that is a myth.
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It was kind of a trick question because it's kind of true yes and no.
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So a lot of the parents think that food is one of the main contributors,
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you know, second to hygiene.
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The only real food that we have had data showing it does contribute to worsening
1:00
acne is actually milk and milk products. Really?
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Yeah. And interestingly, you know, they did the studies and it's actually the
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skim milks are worse than, for example, the 2% than, for example,
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the whole milk. I wonder why.
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Well, you know, we're not sure if that hormonal aspect, right,
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of things plays a role in however it is the cows or, you know, milk is gotten.
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But in general, dairy and dairy-based products actually can take a stable kid's
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acne doing great and make it exacerbated or flare.
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So that is one thing that you can kind of bug your kids about is,
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all right, chill on the milk. We don't need 10 glasses a day.
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Let's cut it down to two. So I did not say take out all yogurts and dairies and cheeses.
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Dr. Becker, you're the head of our pediatric dermatology program at University
2:00
Health and UT Health San Antonio. That's a big job.
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So yes, and like born and raised Pexin met my husband here in medical school.
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I think we always knew we were going to come back, but nonetheless,
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we traveled to the Northeast to do my pediatrics residency, and he did his internal
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medicine residency and got to hang out in the wonderful, amazing New York City.
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So taking a little Texas girl to New York was a culture shock.
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At Columbia, you were doing your... Yes, at Columbia. I did general pediatrics.
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And then... Did you like it there? Oh, I loved it. I love New York.
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It's amazing, except that the culture shock was, you know, the first time I
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went to a grocery store and I bought all these wonderful things.
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And then I realized I don't even have a car to take them home.
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So I had to make four trips back and forth. Because you're walking everywhere.
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Yes. But nowadays, I guess you could Uber, you know, eats things and all kinds
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of delivery. But that didn't exist. I won't tell you how long ago.
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And then we got to travel to the wonderful West Coast.
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Where I did some clinical dermatology research, specifically in psoriasis.
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We'll do that as another podcast someday.
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Yes. Sounds good. Put that on the books. I love San Francisco.
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And so my husband and I like to say, I love the East Coast. He loved the West
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Coast, but we couldn't compromise.
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I mean, we had to compromise. So we settled in the middle and ended up in Texas again.
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So we ended up back in Texas for my dermatology and pediatric dermatology fellowships
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And of course, Texas is our heart. It's like where we knew we would be.
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And I'm super happy and proud to get to take care of all these wonderful children,
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adolescents, teens in our San Antonio and South Texas community.
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It's such an honor. That's great. And you see patients all throughout South Texas, even in Corpus.
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And you do telemedicine, I understand. Yeah, so we do telemedicine.
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I see patients in South Texas.
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Again, pediatric dermatology is, it's a unique niche. There's not a ton of us.
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We're growing, we're growing, we're going to get there.
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But I always get made fun of for like, what do you actually do as a pediatric
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dermatologist in skincare and acne, right?
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But I don't know why I went into pediatric dermatology, just that I love skin
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and I love taking care of kids.
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But the way I would describe my job as a pediatric dermatologist is sort of
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from diaper rashes to warts to teenage acne.
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Like, I've seen it all.
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And my job as a pediatric dermatologist is to make sure parents worry less.
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That's number one, right? Parents worry less because you parents are my patients too, right?
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And kids feel their best, one rash, one bump, one pimple at a time.
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And it's a huge job. But you love it. I love it.
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I wouldn't rather be doing anything else. I mean, there's nothing else I can see that I enjoy doing.
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And we talked about in our Pediatrics Now for Parents episode,
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we just recorded that you get to take care of the largest organ in our bodies.
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It's challenging at times. You know, sometimes the skin gives you easy answers,
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and then other times it throws tough ones at us.
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And I think as pediatricians, and I am one myself, so been there,
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done that. You're triple board certified?
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Yeah, pediatrics, dermatology, PedsDerm, I've done it all.
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The joke is I could be like a neurosurgeon right now with all my years of training,
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but I wouldn't, again, rather be doing anything else.
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So as pediatricians, we're busy throughout the day.
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We know acne. You know skin care. You know the basics of those conditions,
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but how do we know when we need to reach out for support from our dermatology
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colleagues and when it's something we can handle within our own four clinic walls?
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And so what are the top things that you would say this is something that can
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be treated in the clinic as opposed to being, or when is there a sign when something needs to be sent?
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If I could give my wish list of the perfect pediatrician referral,
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when to refer, all of our acne patients,
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the majority of them should be treated with something before sending to a dermatologist,
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whether it's an adult general dermatologist or a pediatric dermatologist.
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So as pediatricians, let's go ahead and say, these are the things we want you to have done.
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And if these things don't work, then we know we need referral to dermatology.
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So every kid that has acne or teenager needs to have at least done a benzoyl
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peroxide in some form or fashion.
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Remember, we have washes, we have lotions, we have gels, we have creams.
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So some type of benzoyl peroxide, some type of topical antibiotic,
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so aclindamycin and erythromycin, and then some type of retinoid.
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And as you're familiar, I know the over-the-counter adapalene,
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many of our patients have tried, but we really do encourage trying the prescription
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versions as well. Well, my pediatricians love to prescribe the tretinoin.
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A lot of times we'll start out at the 0.025, and then if the patient tolerates
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it, we can work up to the 0.05 or the 0.1.
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Those are almost mandatory to have, please try those on your patients before
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saying, nope, their acne is horrible.
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And then I challenge some of my other pediatricians that are comfortable,
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you guys write antibiotics all the time for me.
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Ear infections, skin infections, please feel comfortable writing things like
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doxycycline, minocycline for our acne patients who have failed the topicals that I just mentioned.
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You know, you don't have to do a forever course. Say, hey, I'm going to give
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you a three months of this doxycycline medication since our topical acne regimen may not have worked.
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And in the meantime, I will send a referral to dermatology in case when I see
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you in three months, that acne is not better.
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So I feel like we should add the oral medications, doxycycline,
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minocycline, to some things that maybe I would love for my pediatricians to
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have tried before they send over some of the more complicated acne patients.
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And what about topical antibiotics? The topical antibiotics,
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the clindamycin and the erythromycin, those do great things.
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So it's sort of like before you've done an oral antibiotic, I want you to have
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tried a topical because obviously topicals are less invasive,
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less problematic, less side effects.
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Now, in our female patients, it would be ideal if we could get some kind of
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hormonal treatment on board.
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If they've already failed our topicals, they may or may not have already tried an oral antibiotic.
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We're still struggling. many of our female
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patients do great with hormonal options and
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many of my pediatrician colleagues are very familiar
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with birth control pills oral contraceptives
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easy to prescribe I understand there's some moral ethical concerns that many
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families may have but that's a short discussion and respecting their beliefs
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and desires understandably but
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at least as a pediatrician offering that to them as a great acne option.
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Because let's be honest, the next step really is Accutane.
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Do you see anything that's often
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missed in the community pediatric setting that you'd want to mention?
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Things that are missed in our pediatric world, I would say one thing we're really
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trying to encourage is atopic dermatitis or eczema, and we could have a whole separate talk,
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I still feel like many of my pediatric colleagues are using the systemic steroids
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and prednisone as a little bit of a crutch as a quick fix for some of these
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kids with severe eczema or atopic dermatitis.
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I'm sure many are familiar with the fact that we have some great alternative
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non-steroidal systemic options that are non-immunosuppressive.
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Yes, many of them are in the injection form, but gone are the days of saying,
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oh, topicals aren't enough.
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Let's put you on a systemic steroid because the risk of the systemic steroids are so significant.
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So I really, that would be maybe a miss that we're trying to work on when I
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educate and give talks to my pediatric colleagues is if topicals aren't enough
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for your atopic dermatitis, infants.
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Children, teens, send them over to dermatology because we can have that discussion
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about maybe internal or systemic medicines that work from the inside out might
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be a good fit for this patient.
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What about spots for skin cancer. Is there anything you want to say there?
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Yeah, skin cancer spots in kids are, you know, pretty rare. I would say we do
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get a lot of referrals for mole checks.
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Now, I don't need to see, I'd be crazy busy. I'd be busy with moles for my entire
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life as a pediatric dermatologist if we saw every child's moles.
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Moles are, you know, normal in kids. But the kids that you might want to send
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for skin checks would definitely be ones where there's family history of melanomas,
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family histories of dysplastic or atypical moles,
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family histories of basal cell, squamous cell, skin cancers.
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Because it's extremely, extremely rare, pediatric melanomas do exist.
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But more importantly, we do have other types of atypical moles,
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spitz nevi, dysplastic nevi, that can show up in kids and may not present the
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same as what we see in our adult population.
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So the spot that may be, for example,
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a melanoma on you may look entirely different as a melanoma in a child.
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So skin checks in those patients and kids that are high risk due to family history, genetic tendency,
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or those patients that are on immunosuppressive treatments or transplant cancer
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patients all need routine skin checks.
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So once a year? Once a year, yeah.
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Is there anything new, Emily, in dermatology that's just kind of just blows
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your mind right now that you want pediatric community practitioners to know about? It blows my mind.
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I feel like the advances in medical treatment for many of our skin conditions
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that were previously seen as cosmetic,
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these advances medically have really changed the way we practice.
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I mentioned earlier, I know atopic dermatitis is not cosmetic,
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but having these injection biologic medications has transformed how we treat
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these kids. It's not a curable disease, but it's a controllable disease,
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and it really affects their quality of life.
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Second would be a condition that many people do consider cosmetic is these advances
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we've had in the alopecia areata world.
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And, you know, I know my pediatrician colleagues, you guys are familiar with
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alopecia areata, varying forms.
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Sometimes the kids will just have one bald spot on their scalp.
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Other times, 90%, 100% of their scalp has no hair.
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And in alopecia universalis, the severe form, they have no hair over all parts
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of their body, not a single hair on their body.
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We have some oral medication options now for those patients or parents that
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are willing to try a systemic medicine when topicals have not worked to regrow that hair.
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And I know it seems like it's just the hair, but it's so much more than that.
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It's the kid's self-esteem.
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It's the kid's confidence. It's who they define themselves as.
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So definitely something to consider. Gone are the days of, eh, it's just hair loss.
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Wear a wig. Not that any of you would say that, but now we can say,
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you know, I know in dermatology they've had some.
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Treatment advances, why don't you go talk to your friendly neighborhood dermatologist,
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pediatric dermatologist, about if you want to consider some options.
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And we've talked a lot about acne. And do you have any advice for it?
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Because a lot of community pediatricians have patients who, you know,
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where the advice is have a more nutritious diet with fruits and vegetables,
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but the family can't afford more fruits and vegetables.
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Or what if the family can't afford to bring their child to a dermatologist and that child has acne.
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Right. So advice for, you know, maybe the patients in between where maybe they
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don't have access to a dermatologist,
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either financially, insurance-wise, or just time-wise, what can we do as pediatricians to help?
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You know, counsel the parents. I always like to say we don't want to draw too
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much attention to the acne.
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We don't want the kids to become more self-conscious because we're talking about
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how horrible the acne scars are, how horrible the patient looks. No, you are beautiful.
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Your skin looks great. We just want to make it the best skin that it can be for you.
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I would encourage, you know, some education of patients and parents via reputable sources.
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So social media, TikTok, influencers are not the most reputable source for skincare,
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especially acne skincare.
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There's many myths. In fact, you can reference, right? They can all listen to our parent podcast.
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Yes. Yes. So we recorded a podcast for parents on Pediatrics Now for Parents
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that's meant to be one less thing you have to say in the exam room.
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That's all about myth versus fact, social media, myths versus fact, hacks.
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Do they work or don't they? So Dr. Becker outlines directly what to say and
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even advice about sunscreen and products that might be doing more harm than good.
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So you can find that in Pediatrics Now for Parents.
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Anywhere you get your podcasts. And you can tell your patients about that if
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you want. And I'll put a link in here.
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But I know for a lot of pediatricians, social media comes up in every visit,
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no matter what the child is coming in for.
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And it just seems like social media is not helping when it comes to our skin.
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Right. Social media is creating more of a hassle sometimes when it comes to
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the skin, and you'll hear me reference less is best.
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So please encourage patients and parents to get their knowledge from reputable sources and.
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More is not always better, and less is sometimes best.
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Anything else you want to say about social media? And I'll put in some of what
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we talked about so they can hear, you know, what we talked about.
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You said a lot of good stuff. Yeah, and just be cautious.
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Just be discerning. I know all of us in today's day and age,
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we're sort of, you know, tracking what sites our kids are visiting,
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you know, what sites our things are popular, not popular.
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So start asking your patients where they're getting their information.
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And it takes a five-second comment of, well, actually, I have a better source
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of information for you to learn about acne.
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Why don't you try this? It's just redirecting them and showing them the example
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of how to, you know, be a responsible learner and take care of yourself in a, you know,
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I guess, proven way, a scientifically proven way, as opposed to the influencer way.
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Mm-hmm. Well, and I know when you saw my daughter...
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She said to me, because you'd mentioned how beautiful her eyes are,
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she said, Dr. Becker said I had beautiful eyes and beautiful skin.
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And to your point, like the power that when you're a doctor in that exam room
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for that self-confidence for a patient, that there's so much to cover in the exam room.
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But those few seconds that you said that, I feel like it made a huge difference.
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Well, and one of my good, esteemed, amazing pediatric dermatology colleagues, Dr.
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Alana But Brie has a program for children with skin conditions.
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And so I can't take credit. I'll give her all the credit.
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But she says really empower the child, the adolescent, even the infant to love
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the skin they're in. Love the skin that you were given.
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Whatever the best form of that skin may be, love the skin you're in.
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And so I think as pediatricians, going back to the basics, sometimes it doesn't
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matter exactly what acne cream we give them, exactly what topical steroid lotion
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we prescribe for that eczema patient.
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What matters is maybe the
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words we say and how we choose to
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say them and if you can get that patient
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who comes to you for a skin condition to love the skin they're in then i really
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truly feel we've done our job i think that's so beautiful do you have anything
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specific example wise you would want to say because with our a lot of our listeners
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they're seeing so much and flu, their vaccines,
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you're talking about measles now and bird flu and everything.
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I think this is not a particular example. It happens all the time.
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I've kind of made it a thing to empower especially some of my younger kid patients.
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So they come in maybe with a birthmark or a mole on their face that,
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you know, they may not like or other friends or kids are teasing them about, I like to say,
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well, that special spot that you were given,
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you know it provides you with superpowers.
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Well, what do you mean superpowers? Yeah, superhero powers.
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What kind of superhero are you going to be? Because you have that special birthmark,
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you know, that special, you know, hemangioma, that special skin lesion.
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What kind of superpowers do you have? and just leave it open-ended question.
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And it's such a fun thing, because even the quiet, more reserved children will
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just come out of their shell.
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And it may not be that visit, but that next visit you see them again,
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they'll be like, I have invincibility.
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Like, what? And I'll forget I even talked about it.
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Oh, because your birthmark mole gave you invincibility. Yeah, look.
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Or I have invisibility power. You're right, I can't see you right now.
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And just normalizing the fact that.
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They're unique and special in their own way, but also acknowledging that that very birthmark spot,
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that very, you know, hemangioma, port wine stain, whatever it may be,
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rash, eczema, makes them special and unique in their own way.
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I think that's really beautiful.
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Emily, for the busy pediatrician, is there anything that you want to say?
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So this is sort of like, you know, is this the bonus segment?
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I switch from pediatric dermatologist to just dermatologist slash doctor mama
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with mature skin that wants to keep my skin looking as young as possible.
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Yeah. OK. This is all the bonus stuff.
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Every one of us that enters our more mature ages, you know, we're no longer
22:18
teenagers anymore or even college kids.
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All of us should be for sure using sunscreen. That's going to prevent some of
22:26
our photo aging, some of our melasma, some of our dark spots or our sunspots. So that's a must.
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We also like to incorporate vitamin C in some form or fashion as antioxidant.
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There's different serums, things.
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That's something that's very easy to find over the counter in various formulations.
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And then we should also all moisturize our skin.
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I'm not talking about the slugging. We can reference the slugging in the parent
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podcast. If you do not know what that is, my fellow pediatricians, go learn all about it.
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But we need to moisturize to really keep our skin as fresh and youthful as it can be.
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And then lastly, I really do feel that as long as you're not actively trying
23:11
to conceive or pregnant, most of us would benefit from a topical retinoid.
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Remember that vitamin A topical retinoid with its exfoliative,
23:23
anti-wrinkle, anti-aging properties, even if it's only two or three times a
23:27
week, is very beneficial.
23:29
We should all have a sunscreen, moisturizer, vitamin C, and if possible,
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remember, not during pregnancy, not during active conceiving, retinoid.
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And then put it all over the face? Yeah, you want to do like the retinoid pea-sized
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amount all over the face nightly because remember it can cause sun sensitivity
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and some dryness and irritation.
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And then we like to put the moisturizer on over.
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After about 10 minutes, wait 10 minutes? No, you don't need to wait.
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Just put it on. Who has time for that with kids and work and life?
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And if we put more than a pea-sized portion, is that really bad?
24:05
It's not really bad. But if you wake up in the morning, like literally elephant
24:09
dry lizard skin cracking, you know you put too much. Okay.
24:14
Oh, and what about a quote? We forgot to say the quote. Do you have a quote
24:17
you want to share with our listeners?
24:20
Is less is best and more is not better. Let's do that. More is not necessarily better.
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So when it comes to the skin, less is best and oftentimes more is not better.
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And a lot of times that more is
24:36
what is the messages people are getting on social media and other places.
24:40
Right. We don't need to overdo things. Take it easy. Relax.
24:45
The skin being the largest organ in the whole body,
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it truly is very complicated but
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when you cut right through it it's very simple very nice okay and real fast
24:56
what do you like to do in your spare times because we like to promote having
24:58
a life outside of medicine do you do it like you have four kids what do you
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like to do in your spare time are you reading anything that you love watching
25:07
anything you love and then we'll wrap.
25:10
Going on a trip anytime soon fun just got back from somewhere fun yeah going
25:16
to the beach and wearing a large hat.
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Oh, yeah. Well, in my spare time, I enjoy being outdoors with family.
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We just celebrated my mom's 70th birthday.
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I have four younger brothers, four kids of my own. So you can imagine it's a big extended family.
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I can't be the doctor that I am today without the help and support of my family,
25:41
my mom, and all those that, you know, keep us going through this crazy time we call life.
25:47
That's beautiful. Dr. Emily Becker, the head of our pediatric dermatology program
25:53
at University Health and UT Health San Antonio, thank you so much for being
25:58
here today on Pediatrics Now. Thank you for having me.
26:01
Here's a clip from Pediatrics Now for Parents and other social media myths.
26:08
So one pediatrician I was talking to, she said no matter what a child comes
26:12
in for, they end up talking at some point about social media.
26:17
Let's talk about some viral acne hacks. So some of these hacks can do more harm than good.
26:23
So most of these viral hacks go with, you know, our thought of sometimes less is best, right?
26:31
Sometimes we're actually doing more harm by putting more and more on our face.
26:35
And then remember, secondly, just because something is expensive doesn't mean
26:40
it's necessarily better.
26:41
So let's take the probably least expensive viral hack is, have you heard of
26:46
the toothpaste on pimples?
26:47
Did your mom tell you to do that? No, but I can imagine it. I have not heard that.
26:52
Yeah, so basically toothpaste has all kinds of ingredients that are meant to
26:56
be in our mouths, not over our epidermis, on our skin, and it can aggravate,
27:02
irritate the skin, and actually make breakouts worse.
27:04
So that's one where instead of doing toothpaste to kind of cover up the pimples,
27:12
a lot of patients I recommend options like some spot treatment.
27:17
And remember going back to benzoyl peroxide, there's very strong strengths of
27:22
benzoyl peroxide in some of those spot treatments.
27:23
And those are great to help, quote unquote, dry up the acne pimple and do it
27:28
in a safe, non-irritating way. So have your teens look for those spot treatment options.
27:35
Don't put toothpaste on. Don't put toothpaste. The other thing is if you have
27:40
the urge to put something on.
27:43
These hydrocolloid bandages, oh my gosh, I wish I would have come up with these.
27:48
Are those those little, like sometimes they're a little heart shape?
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Oh my gosh, they have stars, they have hearts, they have translucent clear ones,
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and they're just little circles or various shapes about the size of an acne
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pimple that have a hydrocolloid center that basically protects the acne pimples,
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but also helps in some of the healing process.
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One of our most favorite things to
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recommend now that you're not going to waste money on it's
28:19
a good use of money is actually to get those
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little acne spot treatment patches to
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cover up any of the active acne pimples but there's no concern there that it
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could be doing yes and no i love them so much because for my purposes it keeps
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the kids from picking the pimples and remember let the body heal it up on its
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own, the body will do a better job than we will.
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So some of my very patients that like to touch the budding dermatologists,
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they want to be Dr. Pimple Poppers.
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I like to recommend the little patches because it keeps their hands away.
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But some of my patients that follow rules too much, we are seeing some kids
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keep the patches on for too long.
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And what do we think is going to be percolating under those patches if we've
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now left it on for three, five, seven days?
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Acne, a pimple. Acne, pimple, and nasty bacteria.
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So I do not want overuse, trapping in that bacteria for too long.
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And now we're dealing with a separate situation, not just the acne,
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but other gunky germs and infection.
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Again, more harm than good. Right. So we do want to just make sure we're changing them.
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If you see that that same bright star has been on for three days,
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that's too long. Take it off.
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So one day probably. Yeah. I think it says like everyone's different,
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but like 12 hour time frame.
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A lot of times we'll have them do it at night, take it off in the morning so
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it does its work at night.
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And then if they want to use some of the translucent ones for the daytime,
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first thing when they wake up and take it off before they go to bed.
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What about lemon juice as a spot treatment? I know. Highly acidic,
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can burn, irritate. Also.
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Bad idea. Bad idea. I used to use lemons to place in my hair and go out of the sun to bleach it.
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We did do that, yes. So what do you think the lemons are going to do to your skin?
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Probably take something off of it that shouldn't be taken off.
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Some of the patients can actually get hyperpigmentation, meaning darker spots
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where the lemon has touched the face.
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So last thing your team wants is let's trade polka dot dark spots for acne pimples
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um no okay don't don't don't know let me use the spot treatment do it yourself
30:30
scrubs with sugar and coffee grounds yeah do it yourself anything is a no-no
30:35
just say no to do it yourself.
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Hydrocoilic coiloid bandages 24 7 right so those are the ones that we talked
30:44
about please don't overuse those little acne pimple patches.
30:48
Those need to just be used on a limited basis.
30:51
Okay, so we covered that. So they're also called hydrocoiline patches,
30:55
but the little stars, they look so cute. They look so cute. Heart stars, everything.
30:59
Okay, so what about raw egg masks? Oh my gosh.
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Raw eggs. I love this trend toward very natural type products,
31:09
but I hate the trends. The answer is no, but yes, eggs are very natural.
31:14
They are not meant to be covered all over our face. If you recall,
31:18
when you were little, your mom would say, don't eat the raw egg yolk because
31:23
of the risk of salmonella.
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And bird flu now too, but still salmonella is the main risk.
31:28
It's the main one, and I know it's probably rare, but just a little bit of that
31:32
raw egg slips into your mouth and you just don't know. So there is no data on
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raw eggs applying it to your face to help with acne.
31:42
What about, do you think that trendy skincare ingredients are being overused?
31:47
We talked about slugging.
31:48
We talked about excessive chemical exfoliation, right?
31:52
What about do-it-yourself apple cider vinegar toner? Right. So do-it-yourself anything.
31:58
It's a no. Everyone's skin is different. We don't want to overstrip the good things from our skin.
32:03
And basically, to convince your teenager, just tell them you're actually weakening
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your skin by using some of these products instead of strengthening.
32:15
More is not always best. And so stay away from apple cider vinegar toner.
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Is that a product or some kids just putting that on their face?
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I can't keep up with all of the creations that the kids have.
32:27
In fact, my patients teach me so many things every day. I'm like,
32:30
oh, I got to add that one to the list.
32:32
Oh, what is the snail mucin is one of the ones that is being talked about a
32:37
lot right now. It's literally like sludge from the snail.
32:41
You know the little goop they leave behind? Yeah, there's formulated versions
32:44
of that that people are putting on their face.
32:46
Not necessarily for acne, more for just facial rejuvenation.
32:49
But again, the concept is, as long as we're moisturizing.
32:54
I'm okay, but we don't need to take it to the extent of some of these very pricey,
33:00
expensive things when we have wonderful moisturization options out there in
33:06
forms that we know work and will not cause problems.
33:10
And that's good. You hear so many things about apple cider vinegar being so
33:14
great for so much, but don't put it on your face. Exactly.
33:18
And so keep in mind that it's important for our pediatric practitioner listeners
33:24
and for parents to know that they already know this, but social media is not a dermatologist.
33:30
But our kids may not know that. And a lot of people may not know that. Right.
33:35
And, you know, social media is not Dr. Google.
33:40
And we have gone as dermatologists through lots of years of training.
33:46
In fact, you as the parent, after listening to this podcast,
33:51
may actually be more qualified to help with your child's acne than social media
33:57
is. so you can have them reference.
34:00
Have your kids listen to our podcast. How about that? What do you think? I love it.
34:09
We hope you've enjoyed this episode of Pediatrics Now. Click on the link for
34:14
free credit if you're a practitioner.
34:16
You can also email us with questions or episode ideas.
34:19
That address is pediatricsnow at uthscsa.edu. We release a new episode every Friday.
34:28
I'm Holly Wayment. I hope you can join us for our next episode.