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MEDICAL ANIMATION TRANSCRIPT: Acne is a skin disease consisting of blemishes that can occur on your face, neck, chest, shoulders, and back. Acne is very common during the teen years but it can affect you during adulthood as well. So you keep your hair and skin well lubricated your body depends on sebaceous glands which sit just under your skin. These glands secrete an oily substance called sebum which coats your skin and hair to prevent them from drying out. Sebum travels up hair follicles and out through your pores onto the surface of your skin. Your hair follicles routinely shed dead skin cells which sebum carries out of your body. When your body produces extra sebum and dead skin cells, they can stick together and clog your pores resulting in skin blemishes. Then bacteria that normally exist in small amounts on your skin can flourish in the sebum in the clogged pore leading to inflammation. Depending on where the clog is located and if you have inflammation, acne may appear as whiteheads which are clogged follicles closed off from the air, blackheads which are clogged follicles that turn a darker color when the clog is exposed to air, pustules commonly called pimples which are inflamed follicles clogged with pus, or cysts which are larger, painful, pus-filled lumps going deep under the skin. Hormonal changes, particularly a rise in testosterone, can lead to sebum overproduction which is why acne often occurs during the teen years. However it can occur at any age. Other factors contributing to the development of acne are bacteria, certain medications, and genetics. If you have a mild case of acne your doctor may recommend an over the counter lotion with one of several active ingredients. Benzoyl peroxide kills bacteria, dries excess oil, and removes dead skin cells clogging pores. Salicylic acid slows the loss of skin cells to prevent clogged pores. It may also break down whiteheads and blackheads. Alpha hydroxy acids such as lactic acid help remove dead skin cells, reduce inflammation, and stimulate the growth of new smoother skin. Sulfur removes dead skin cells and dries excess oil. These are strong chemicals that may irritate your skin. Follow the directions for use exactly. If over the counter products are not effective, your dermatologist may prescribe stronger prescription lotions such as vitamin A which reduces the buildup of dead skin cells in your pores, topical antibiotics which kill bacteria on your skin, or a combination of benzoyl peroxide and topical antibiotics. For moderate to severe cases your dermatologist may prescribe an oral medication alone or in combination with a topical treatment. These medications include oral antibiotics which kill bacteria and reduce inflammation and isotretinoin which is used only for the most severe cases. A corticosteroid injection may be given to relieve your pain and help clear up a particularly large lesion. For women birth control pills containing estrogen may be prescribed to minimize the effects of testosterone. Regardless of the treatment your doctor recommends, good skin care is essential. For example wash problem areas twice daily with a mild soap and wash gently without scrubbing. If you have dry or peeling skin use an oil-free water-based moisturizer. When choosing any product to put on your skin look for an oil-free or noncomedogenic label, which means it won't clog your pores. Avoid picking or squeezing blemishes as these actions may lead to infection or scarring. And avoid touching your face with your hands, your hair, or any object such as a cell phone.
"At 3 PM it hit me--I needed exhibits of a tracheostomy, a coronary artery
bypass and a deep vein thrombosis--all in time for a for-trial video
deposition the next day. The Doe Report had each exhibit on line. In
addition, I ran across an exhibit I hadn't even thought of: reduced ejection
fraction after a heart attack. Because this was a video deposition, I could
use the e-mail version of the medical exhibit, print it on my color copier,
and let the camera zoom in. For $400, less than one blow-up by one of The
Doe Report's competitors, I got four first-rate exhibits in less than a day.
The Doe Report saved me time and money."
"I wanted to take some time out to let you know what a wonderful job you did
with the 'collapsed lung/fractured rib' illustrations. They were both
detailed and accurate. My medical expert was comfortable working with them
and he spent at least an hour explaining to the jury the anatomy of the
lungs, the ribs and the injuries depicted in the illustrations. Needless to
say, the jury was riveted to the doctor during his testimony.
The jury returned a verdict for $800,000.00 and I'm sure we would not have
done so well if not for the visualizations we were able to put forth with
your assistance. Lastly, my special thanks to Alice [Senior Medical
Illustrator] who stayed late on Friday night and patiently dealt with my
last minute revisions."
Daniel J. Costello
Proner & Proner
New York, NY
"Medical Legal Art has always performed quality and efficient work. The
doctors that review the exhibits are always amazed at the precise
descriptions and drawings."
Michael Beckman
Viles Law Firm, P.A.
Fort Meyers, FL
"It is my experience that it's much more effective to show a jury what
happened than simply to tell a jury what happened. In this day and age where
people are used to getting information visually, through television and
other visual media, I would be at a disadvantage using only words.
I teach a Litigation Process class at the University of Baltimore Law Schooland use [Medical Legal Art's] animation in my class. Students always saythat they never really understood what happened to [to my client] until theysaw the animation.
Animations are powerful communication tools that should be used wheneverpossible to persuade juries."
Andrew G. Slutkin Snyder Slutkin & Kopec Baltimore, MD
Medical Legal Art creates medical demonstrative evidence (medical
illustrations, drawings, pictures, graphics, charts, medical animations,
anatomical models, and interactive presentations) for use during legal
proceedings, including research, demand letters, client conferences,
depositions, arbitrations, mediations, settlement conferences, mock jury
trials and for use in the courtroom. We do not provide legal or medical
advice. If you have legal questions, you should find a lawyer with whom you
can discuss your case issues. If you have medical questions, you should seek the advice of a healthcare provider.