Meet the newest edition to our Dermatology Family!

Josh Holowinski, NP

Josh has joined the DermacenterMD dermatology family as a Nurse Practitioner. He is from Nashville, TN and holds a bachelor’s degree in Nutrition and Food Science from Middle Tennessee State University, a master’s degree in Clinical Nutrition from the University of Memphis and a master’s degree in Nursing from Boston College. Before he obtained his education, he served in the Marine Corps as an infantry squad leader during deployments to the Middle East, Japan and the Philippines.

In 2009, Josh secured a position at Massachusetts General Hospital in Boston where he helped to carry out research studies on numerous conditions including gluten intolerance, bipolar disorder, schizophrenia, PCOS and ALS. Josh brings with him a wealth of knowledge and education to DermacenterMD, and he aspires to incorporate his background in dietetics with his training in dermatology in order to take patient care to a new level. In the next few months, Josh will work closely with Dr. Moore in the management of dermatologic conditions. His training at DermacenterMD includes the Dermwise training program developed by Dr. Moore. He will be shadowing Dr. Moore and learning all there is to know about being a team member at DermacenterMD.

Welcome to our dermatology family, Josh!

If you suffer from mild to severe rosacea there are certain lifestyle changes that can be implemented to help decrease flare ups and keep symptoms to a minimum. These aggravating factors may or may not affect your flare ups, but if you find that they do, it may be a good idea to avoid or reduce these activities in the future.  

1. Sun exposure-

It is important to protect your skin from the sun using daily sunscreen and wearing a hat to shield your skin. Even a small amount of sun exposure can cause rosacea to flare. 

2. Hot liquids-

Many people with rosacea report having flare ups when they ingest hot liquids such as coffee or teas. Try your coffee or tea iced for a period of time and see if your symptoms improve or subside.

3. Spicy Foods-

Avoiding spicy foods may also improve symptoms of rosacea. Often times, the spike in body temperature induced by spicy foods is thought to cause flare ups.

4. Emotional Upset-

Feelings of stress, anger or embarrassment are thought to make rosacea symptoms worse.

5. Seasonal Changes-

Changes in the weather can also affect flare ups. According to a new National Rosacea Society (NRS) patient survey, nearly 90% of 852 survey respondents said their rosacea is affected by the change in seasons.

6. Alcohol-

Having a glass of wine at the end of a stressful day sounds relaxing, but if you suffer from rosacea it may cause flushing to become worse. The reason for this is unknown, however, alcohol does not cause rosacea despite pervious popular belief.

7. Temperature Extremes-

Extreme hot and cold can cause flare ups of rosacea to be more frequent. If you must be exposed to extreme temperatures, try to stay covered up or stay cool to keep your body temperature as regular as possible.

8. Strenuous exercise-

Exercise has been reported to increase flare ups and cause flushing. Taking it easy can be beneficial to thwart symptoms.

9. Hot baths or saunas-

Once again, avoiding extremes in temperatures such as hot showers or baths can help reduce flushing. Maintaining a regular body temperature can help reduce flare ups.

10. Drugs that dilate blood vessels, including some blood pressure medications-

Rosacea affects the blood vessels of the face and any drug that dilates blood vessels can increase irritation and flushing.

Making simple lifestyle changes like avoiding certain aggravating factors, such as the ones listed above, can help to reduce your symptoms and flare ups. However, going in to see your dermatologist can be the best choice. Your dermatologist can evaluate your skin and determine the best course of action for treatment. Many perscription topicals can provide significant improvement .

If you or someone you care about suspects rosacea, give our office a call today for a full skin evaluation. 

574.522.0265

No referral neceassary. 

So, what exactly is a Physician Assistant (PA) and what can they do for you? Find out what a PA is and the benefits of seeing a highly trained PA at DermacetnerMD.

Physician Assistants are also termed Mid-Level Providers. They are health care providers who are trained to administer medical care in coordination with a ‘Supervising Physician.’ They are trained to deliver a wide range of medical services through an advanced training program accredited by the American Academy of Physician Assistants.   Similar to a Nurse Practitioner, they have a master’s degree and are certified and licensed to see patients, perform procedures and write prescriptions. Their work is directly supervised by the head medical doctor of the practice, which at DermacenterMD, is Dr. Roger Moore, a board certified dermatologist.   

Dr. Moore’s physician assistants maintain good standing and are members of the Society of Dermatology Physician Assistants. They are required to be certified and licensed as physician assistants (PA-C) and are medical providers formally trained in primary care and graduating from an accredited academic training program in the U.S. The average PA student is age 33, has over 4 years of health-care experience and a college degree before entering a PA program.  Typical backgrounds of PA students include nursing, EMT, paramedic or other medical backgrounds. Most Physician Assistant Programs last 24-27 continuous months and use the medical school model. To remain nationally certified, PAs must complete 100 hours of Continuing Medical Education (CME) every 2 years and pass a national re-certification exam every 6 years. While over half of all PAs remain in primary care, the rest can be found in every medical and surgical specialty, including dermatology.

Dr. Moore has chosen, like many dermatology providers, to have PAs because it allows his valued patients to have more rapid access to highly trained dermatology providers. DermacenterMD’s PAs are required to train under Dr. Moore years before they are able to function in a more independent manner. In addition, Dr. Moore has them participate in his rigorous training program that requires reading, lectures and examinations. In fact, Dr. Moore’s work with PAs has been integral in spurning Dr. Moore to develop an advanced online training program for mid-level providers across the nation. The new training program is termed Dermwise and has already been used by the former president of Chicago Dermatologic Society, with rave reviews. 

The benefit for our patients is having access to PAs who are focused individuals, competent and able to treat them in an efficient and professional manner. Our PAs have dedicated themselves to the field of dermatology and are surpassing the time devoted to dermatology by any other specialties. 

Learn more about Dr. Roger Moore and his PAs at our website www.DermacenterMD.com.  If you would like to schedule an appointment with Dr. Moore or his PAs please call us at 574-522-0265.  

 “What is a dermatologist and should I see one?”

Dermatologists are medical doctors who complete a 4 year residency training in skin, hair and nail diseases. Dermatologists are also experts in skin cancer and surgery of the skin. No other area of medicine is as highly trained in the area of skin and skin cancer.The training required for a dermatologist involves advanced education in greater detail than any other area of medicine in the skin, skin diseases, skin cancer diagnosis and management as well as cosmetic dermatology.  

Many patients seek dermatologic evaluations for routine skin cancer screening examinations as this is the highest trained specialty for this.   In addition dermatologist are experts in other skin growths, skin cancer, rosacea, eczema, psoriasis, acne and warts so many people see dermatologist for these common skin problems.    

Since skin cancer is the number one cancer diagnosed in America today (affecting up to 1 in 3 people), most people go to see a dermatologist annually for a skin cancer screening examination.  

Dr. Roger Moore treats patients with basal cell carcinoma and squamous cell carcinoma from Elkhart, South Bend, Goshen and all of Michiana. The renowned removal technique of Mohs Micrographic surgery is performed routinely by Dr. Moore as well. He is the first to offer this technique in Elkhart County.

If you or someone you know has a skin concern or problem call Dr. Roger Moore and his team at DermacenterMD today at (574)522-0265.  No referral is necessary and don’t forget, no other area of medicine is as highly trained in the skin.