Why Skin Care Is a Healthcare Issue!


Welcome to the Smazy Academy show with Tonia Ryan and...

Christopher Khorsandi, MD, otherwise known as Doc Vegas on Instagram.

This show is dedicated to giving you the best tools and tips when it comes to skincare. Combined, the doc and I have over 30 years of experience in the skincare and medical fields and we can't wait to share our best practices with you after seeing thousands of our clients' skin transformed. So whether you're a skincare newbie or a skincare connoisseur, this show is for you.

All right, Tonia. What do we got today on the agenda?

Well, it's another hashtag skincare news, but this isn't about a celebrity. This is actually something that's pretty important that I thought we needed to talk about. Popdust is talking about are skincare issues actually healthcare issues? I thought that was so interesting because when you think about it, skincare issues could be because of things going on with our health.

I mean, look, I would say without even getting too far into this, of course.

Of course, they are.

Our skin is our largest organ. I mean, it envelops our body, it's our protection from the outside world. It is an organ, it is a part of our life survival. So any issues with our skin, whether it be diseases, issues of healing or cosmetic issues, are part of our health care routine. Cosmetics feeds into the psychosocial axis of our life. When we feel good about ourselves psychologically, that's a health care issue. When we don't feel good about the way we look it can affect us. It can cause depression, it can cause anxiety, it can cause real psychological problems. It's all connected. Just because we're talking about keeping yourself looking younger, preventing sunburn damage, hyperpigmentation, it's all tied together into our wellbeing.

You know what, that was a really good point. I didn't even think of that because when we're talking about mental issues, I mean, that totally changes even when we're talking about our health issues. Then how our skin, how everything reacts in our body.

Well, it's not just aesthetics. There's a whole reason why this is such a big field and it just continues to grow. It's because when we take control of the way we look and the way we feel about the way we look, we take control of our lives.

Yeah. Popdust was talking about specifically, which we spoke about this once before, there's a certain Reddit forum. There's over a million different people that joined the forum and they-

Members of the forum.

Yeah, members of the forum and they're on the forum. A lot of them are having medical issues, skincare issues, and they're turning to the forum instead of turning to physicians.

Well, look, this is a natural outreach or a natural part of our evolution, I should say. I mean, everything is instantaneous.

I know.

It almost becomes foggy when you try to think back before there was a time when you can go on Amazon, click a button, something shows up behind your door. We've become so accustomed to that. Think of Netflix. I mean, I used to love going to Blockbuster Video to pick out a movie on a Friday and then getting there and there was nothing in the new releases thing because it was all cleared out.

Everything was taken.

Now, all I do is turn on Amazon Prime, Netflix, Hulu, Disney+, [crosstalk 00:03:27] and click a button and the movie's right there. We did not live like this 10 years ago.

Not even close.

So when people need advice, their instinct is to turn to the internet.

But the problem is if you're on a Reddit forum and let's say you do have some sort of valid skin issue and someone tells you, you should do this or that, who is that person?

Well, I'm going to be honest with you. I don't know a lot of physicians that spend a lot of time on the Reddit forum hanging out. I mean, [crosstalk 00:03:56] we're too busy. I mean, so chances are you're getting advice from somebody else who's going to give you advice about their own problems.

Well, a big problem too, if we're talking about just a skin issue, there's only about 20,000 dermatologists in the United States. They're saying some people are trying to get appointments, appointments are booked. So they're trying to go online to figure something out.

This is part of the reason why we're doing this show, this whole series is that we're trying to create good information that's out there and lead you to the right places to find that information. Talk about ingredients, do things like that. But dermatologists are limited in the number of candidacies every year, there's only so many residency spots.

Oh, I didn't even know that.

Yeah. You just can't say, "I want to be a dermatologist." You have to apply out of medical school and to a limited number of spots. I think each year they graduate probably about 300 dermatologists, maybe more now. I mean, it changes every year, but it's a limitation.

That's unbelievable.

The pressures of society to have access to information at their fingertips, leads them to places like Reddit, to forums, to Dr. Google, which has tons of information, but it's not directed, it's not specific and it's not always helpful.

The moderators were saying, of this form, that it's becoming a big problem because they said it's basically triage and we are moderators. We're not trained to do any of this. We don't have medical backgrounds.

Right, and at least they're giving that disclaimer, which I appreciate because there may be information there that's dangerous.

Well, that's the thing. I've seen certain things on the internet that have to do with skincare and some that don't and-

It's almost like... I'm sorry.

No, it's okay.

It's almost like, would you go up to a stranger and say, "Hey, what do you do for your skin?" They give you something and you just try it.

Well, that's what I'm saying. You don't know who you're talking to because somebody could say like, for example, eczema, here's a great example. I have eczema. We've talked about that numerous times. One of the things I read about was that fluoride can cause it because I get it around my chin and around my lips. They said fluoride is one of the things-

Exacerbate it, yes.

It's one of the things I thought, "Well, let me try a non-fluoride toothpaste." Huge mistake.


After a couple of months, my teeth literally started aching from the inside out. I went to the dentist, he did full x-rays. He said, "Everything's fine." I said, "Well, I stopped using fluoride," and he about fell on the floor.

Well, fluoride's been well established to protect enamel of the teeth, but there are other forums that talk about fluoride causing other issues.

They do say that. Some people don't like fluoride and that's why I thought, "Well, maybe I should remove it," but for me it didn't work. All I did was take someone else's advice. And although I tried it-

It's interesting that you did that. That you went on a forum and that you tried something that somebody recommended.

It was more news. I was Googling, I think it was from Healthline, so it was a pretty good... But I listened to it and I tried it and I don't think anyone except a dentist or a doctor should tell you to use fluoride or not.

Well, this is why I think that the future of medicine is going to move into artificial intelligence. I mean, there's just too much demand for knowledge and the problem with AI in medicine and this is something I'm very passionate about, is that the cornerstone of medicine is compassion, okay? It's what gets us up in the middle of the night to go see a patient in the hospital. It's what makes us wake up early, spend an extra hour at the bedside. Computer doesn't have compassion. Anybody working in the AI forums, AI communities, my belief is that AI needs to be compassionate if we're going to introduce it into medicine.

Well, of course. There's so many different things with AI, but it's never the same as having the human touch, or the human thought, or the human feel.

Right. These forums are collective knowledge basis. They help in some ways to inform, but they should never substitute medical care.

Of course not.

And if it takes a while to get in to see your dermatologist, there are other options. There's telemedicine [crosstalk 00:08:00] options that are available at a moment's notice. You can get a consultation through your phone, through the camera. It doesn't substitute hands-on care for traumatic issues. And if you're having an emergency, my God, call 911 and go to the emergency room. Don't rely on Google to get you there.

Well, some people are saying, and this was the last point, was that the fact of the matter is a lot of those that would like to see a dermatologist can't always afford it. And that's sad to hear.

Well, I understand and that's a problem that speaks to a societal issue.

Advice we could give, if that is the case, is you want to make sure that whoever you are listening to, that it is someone that's a trained medical professional.

Yeah, family practice doctors have become a lot better at this as they become more broad in their scope. Dermatologists, obviously difficult to get into. There's limited number of them. There's a restriction of access to care, but there's no substitute for a professional evaluation.

Sure, I wouldn't go to Reddit if it's something that's extreme.

I mean, it's entertainment. I would look at it like entertainment.

It is, yes. You're exactly right. It's a great way to look at it.

Right. And there's nothing wrong with being entertained, especially if you have an interest. I mean, it just tells you people are very interested in skincare.

Of course. Well, it's a huge thing. It's one-

It's a lifestyle. It's everything.

Skin's largest organ on our body covering everything.

I mean, it's the whole floor of most department stores, is the skincare.

Oh, yes as soon as you walk in. Now the department store now online has became [crosstalk 00:09:27].

Well, listen, there are places to find information. You have to be very careful how you apply it. And if you're not certain, contact a medical professional, talk to your family practice doctor, try to get an appointment to see a dermatologist or look into some of the telemedicine options that are out there today.

Absolutely. And I'm going to put below some different options for you of different skincare that you can try that's all natural, naturally derived. Certain things that will help minimize any irritation that you may get. And you can also join us at Smazy Academy where you can learn so much more about skincare.

Yeah, we aim to give you a in-depth knowledge base. It doesn't substitute medical care, but it augments your knowledge of yourself.

Yeah, absolutely.

Well, I'm glad you guys joined us today. We hope you join us again. Like and subscribe below, get more updates about what we're posting. Then download our podcasts so you can listen to this in your car, in the gym, in the shower, wherever your hands are not free and you're not sitting. I love podcasts because you put them on whenever I'm doing anything that requires-

Passes the time.

Yeah, exactly. And then if you like it, write a review on Apple Podcast and then email it to [email protected], S-M-A-Z-Y-Z-A-C-A-D-E-M-Y dot com. Email us that review and we'll enter you into a monthly $200 drawing for free skincare products.

So awesome, $200 of free skincare. [crosstalk 00:10:47] That's great.

I like it. Well, listen, thank you guys for joining us. We'll see you again soon. Take care of yourself.

Thanks for watching. Bye-bye.