Hossa out this season for an aggressive SKIN CONDITION!

6-22-2017 / Ashley Pickering, PA-C


Dermatology isn't just acne and wrinkle treatment. There are devastating diseases associated with the largest organ of the human body. Most recently in the media, NHL Blackhawks star and past Redwing, Marian Hossa has had to take the entire 2017-2018 season off for a skin condition that has become harder and harder to treat. The exact diagnosis can only be speculated at this point, but some think it may be related to an awful bacterial or fungal infection, or some sort of allergic reaction to his gear.  Best of luck to him as he recovers and hopefully joins his team again in the near future.





Super Hero's Teach Sun Protection

6-20-2017 / Dr. Gregory Piro, D.O.



Skin cancer is the most common type of cancer in the United States. Sun exposure during childhood can increase a person's lifetime risk of developing skin cancer. This new education program looks like a great way to teach sun protection at an early age.


Ray and the Sunbeatables



Ger your Meijer groceries from your couch!

6-15-2017 / Ashley Pickering, PA-C


Shipt is a delivery service now being utilized by our local Meijer stores. About 55,000 items are available for order and delivery ranging from your groceries to small household goods. Service is starting on June 22 at our Howell and Brighton Meijer locations. Membership for Shipt is $99 a year or $14 a month. Delivery is free for orders over $35 or there is a $7 delivery fee if under that amount. What a wonderful concept...sit at home and watch Netflix while someone else does the grocery shopping for you!!! Check Shipt out at https://www.shipt.com/





Worst sun burn ever!

6-13-2017 / Dr. Gregory Piro, D.O.


Remembering the passing of Adam West this week.


Sunscreen was not invented in 1966 when this episode of Batman first aired on TV but the dangers of the sun were obvious. Catwoman put the Caped Crusaders under giant magnifying glasses. The dynamic duo always escapes but today they would have SPF sunscreen in their utility belts. Click on the link for the seven minute episode clip.


We will be back with this blog on Thursday,

Same Bat Time,

Same Bat Channel.




Rock the Block, Howell

6-8-2017 / Ashley Pickering, PA-C



Last night celebrated the kickoff of this year’s Rock the Block here in downtown Howell. The summer monthly event celebrates all that is local with the best music and food from our hometown. If you missed last night’s events, there are two more left on the first Wednesday of both July and August. Visit the website for more information on bands and location. http://www.rocktheblockhowell.org/



Food Truck Tuesday

6-6-2017 / Dr. Gregory Piro, D.O.


It was a beautiful day in Howell so we snuck out for lunch at

Food Truck Tuesday in front of the historic courthouse.








Caffenine Boost

6-1-2017 / Dr. Gregory Piro, D.O.


It seems obvious that the morning cup of coffee or occasional energy drink can give us the caffeine boost we require. A New York Times report puts numbers to that assumption. Taken an hour before an exercise caffeine can boost athletic performance by 2-3%. 


If you wish to use caffeine to better your physical performance, researchers say to start with small doses. One cup of coffee an hour before exercise may be enough to improve your workout.



To read the full article click here




Drone drug drop?

5-30-2017 / Dr. Gregory Piro, D.O.


Amazon has already changed the way America shops with it's low prices, great selection, customer reviews and overnight delivery. The next frontier might be prescription drugs. In November Amazon launched a test program for one hour delivery of non prescription drugs in the Seattle area.  CNBC reports that at Amazon's annual meetings, active discussions about entering the prescription drug business have been ongoing and a pharmacy benefits manager has been hired. It won't be long until the drone has dropped off your prescription before you get home from the doctor.





Q Line. Back to the future

5-25-2017 / Dr. Gregory Piro, D.O.

Street cars have been absent from Woodward since 1956. The Q Line is fun and free through June.




AvocadoToast Danger?!?!

5-23-2017 / Dr. Gregory Piro, D.O.


Avocado toast is all the rage, but maybe too dangerous to try at home. The Detroit Free Press reports this morning that ER visits are up for avocado slicing mishaps resulting in "avocado hand".  People are cutting and stabbing their hands while trying to cut  throught the skin and around the pit.

http://www.freep.com/story/life/2017/05/22/avocado-hand-sending-people-er/333537001/

The take home lesson is be carefull slicing avocadoes at home or leave it to the pros like Avalon Bakery which serves an awesome smashed avocado toast sandwich.


Bourdain in the D!

5-16-2017 / Ashley Pickering, PA-C


We have a secret to share!! The incredible Anthony Bourdain has announced a secret project that he will be producing this year in Detroit. It will be a four part series focusing on our city's hard working and prosperous past, back in the years when Detroit was all about Motown and cars. The series will debut in 2018, we can't wait!!! Until then I guess we'll just have to watch Parts Unknown...






Lamborghini or Donkey?

5-16-2017 / Dr. Gregory Piro, P.O.


Kidney disease is becoming more common in the United States and most of us know somebody that is affected. The most recent episode of John Oliver's Last Week Tonight on HBO had a 25 minute segment on kidney dialysis. It focused on the dialysis chain DaVita.  When you have the time, its well worth watching.

Shocking, disturbing and funny.














Not everything you see is true!

5-10-2017 / Ashley Pickering, PA-C


The Bow Wow Challenge! Apparently Bow Wow has been caught fluffing up reality by posting fake instaphotos of his "private jet" and other luxuries. Not everything you see online is real!!! In fact...we took a fieldtrip to Cabo this morning! #its5oclocksomewhere JUST KIDDING. Don't believe everything the internet tells you!


#BowWowChallenge




Pillow Face

5-9-2017 / Dr. Gregory Piro, D.O.


The proven best ways to keep your face looking young is to stay out of the sun, eat a healthy diet, don't smoke and use a well balanced moisturizer.


Recently, Fox 2 Deena Centofanti's Health Works suggested that a cotton pillow may add to wrinkles. The texture of the cotton grips the skin and can lead to pronounced pillow face.These lines may add to your wrinkles.


The suggested solution is to change your pillow case to silk or satin.














May the 4th be with YOU!

5-4-2017 / Ashley Pickering, PA-C

It’s our most favorite day of the year! Star Wars day!!! In lieu of this awesome day, let us bring you and yours a small bit of the force with this satirical article from the GomerBlog. The GomerBlog is a humorous blog for those in the health care field. If you ever need a good chuckle, check it out. This article shows a comparison of careers in health care with their Star Wars counter parts. There doesn’t seem to be a comparison for those in Dermatology, but I’d like to throw Mace Windu out there, just because we are that cool.







Charcoal Mask FAIL

5-2-2017 / Dr. Gregory Piro, D.O.


A recent Facebook and beauty blogger trend has been the take home charcoal mask. Videos showing the mixture of charcoal and glue being peeled off the face can be humorous but shouldn't be tried at home. We haven't come across any facial mask that we recommend.


We recommend skin care at home with a gentle cleanser and a well balanced moisturizer like Cera Ve PM facial lotion. A good place to start for skin rejuvenation is with ROC Retinol deep wrinkle night cream.  Take your skin rejuvenation to the next level with in office peels.









Selfie Science

4-27-2017 / Dr. Gregory Piro, D.O.


Insurance companies are constantly collecting data on their clients. A recent report says that several life insurance companies are testing facial analytic technology to estimate life expectancy. Products like Chronos can scan selfie photos to gain information about you. The technology scans hundreds of points on your face to extract information to help determine body mass index, if you have ever smoked, and how old you look compared to your actual age. They claim it's all right there on your face.




Celebrity Crush

4-25-2017 / Ashley Pickering, PA-C


As if we all didn't love Penny from Big Bang Theory already! Kaley Cuoco is a huge advocate for a horrible childhood dermatologic disease called Epidermolysis Bullosa. It is a devastating skin disease of varying degrees in which the skin separates and sloughs off like a severe burn. We love that she has helped make such great strides for this disease, its treatment and research. If you follow her on instagram, you will see her hanging with these kiddos on the set of Big Bang Theory.





Man Bun Alert!!

4-20-2017 / Dr. Gregory Piro, D.O.


The Dermatology News reports that the hip man bun hairstyle may be causing hair loss. They report that traction alopecia can be seen in men who wear a tight hair bun. While the man bun may be one of the latest trends, loosing hair on the frontal hairline is not hip.




Measles in Livingston County

4-18-2017 / Ashley Pickering PA-C


As we are sure you have heard by now there have been two documented cases of Measles in the state of Michigan recently, the most recent being here in Livingston County. Measles is a scary sickness, and one that has been close to eradicated for years. However, over the past few years we have again seen the rise of Measles and other illnesses that we once thought were on the way out. Why is this? We have immunizations that should be keeping us safe! Due to many myths and fears, children are not being consistently vaccinated as they once were. As this resurgence continues to grow, consider keeping you, your kids and your friends safe by vaccinating! The MMR vaccine can be given as young as 12 months old.  
For those of you who are Livingston County residents, keep an eye on your health over the next few weeks, especially if you were present at St. Joseph Mercy Brighton on April 3rd, or the Dragon Court Restaurant in Hamburg on April 5th.




Happy Easter

4-11-2017 / Dr. Gregory Piro D.O.


Traditionally we look forward to church and dinner on Easter Sunday. This year Tamara has found something new to be excited about. She is taking egg dying to the next level with Spr!tz egg decorating kits she found at Target. Now you can have little Easter egg pirates and gnomes.










Howell Brew


4-6-2017 / Ashley Pickering PA-C


It's April, time to think about sunshine and beer! Our local Eternity Brewing has created a "unique-to-Howell" brew called "For the Love of Howell", an American Pale Ale. It will be on tap beginning in April at 2Fogs Pub, Cleary's Pub, ans Howell Main Street Winery. $1 from each sale will go to benefit Howell Main Street's non-profit organization, keeping our downtown vibrant and beautiful.






March madness winners!!

It's not time to brag, its time for pizza.


4-4-2017 / Dr. Gregory Piro, D.O.


Mehgan and Dr. P are the winners of our office bracketology. Their unanimous choice for carry out lunch is Buddy's Pizza this Thursday.






Get your beauty sleep!


3-30-2017 / Ashley Pickering, PA-C


We've all told people time and time again that we need our beauty sleep, and for once our sayings are correct! Sleep deprivation will reek havoc on your skin. Most noticeable are the swollen, sunken eyes, dark circles, and pale dehydrated skin. Ultimately, sleep deprivation affects the composition and integrity of the skin. Collagen and elastin breakdown is accelerated by sleep loss, and these components are essential to skin integrity. This means that we are speeding up the aging process with every hour of sleep lost! There are many treatments available to reverse the aging process, even some here in this office like Microneedling. It's much easier said than done to fit in a full nights sleep. So if you're like many Americans and need an easy way to reverse some of those fine lines, come on in for a Microneedling or Super GTZ peel!



Drinkable Sunscreen???


3-29-2017 / Dr. Gregory Piro D.O.


Science or shenanigans? Harmonized H2O claims that the frequency of their water will cancel the frequency of the suns ultraviolet rays. Sounds like shenanigans to us.















Looking good...HONEY?


3-23-2017 / Ashley Pickering, PA-C


If you are one of the thousands of Americans struggling with the redness of Rosacea you are not alone. Redness associated with Rosacea is on of the most difficult symptoms to improve. There are many prescriptions out on the market now ranging from prescription topical antibiotics, to the recent Rhofade mentioned in our last blog. But could there be an effective over the counter? There is a product known as Honevo made in New Zealand that claims to be quite effective in reducing the redness associated with Rosacea. The product is a cream made of 90% New Zealand kanuka honey and 10% glycerine, meant to be applied twice daily as a facial mask. Honey is a natural antibacterial and anti-inflammatory product. The primary trials conducted in New Zealand showed very promising results with 34% seeing improvement after two weeks. They claim the study outcomes look at least as good as topical metronidazole or azelaic cream. As interesting as all of this is, we are not ready to promote this product as of yet. We are very excited about future options for Rosacea treatment and will be looking forward to confirmatory studies on this product. Who knew something as sweet as honey could have so many uses!?!







March Madness


3-21-2017 / Dr. Gregory Piro D.O.


B-b-b-b-b-b basketball. With the sweet 16 coming up we are excited to see who will win our office bracket. Winner gets to pick our favorite carry out lunch!









Take the red out!


3-16-2017 / Dr. Gregory Piro D.O.


Over the years we have had a few new medications that help reduce the redness of rosacea. Results have been mediocor at best. We are hopeful that a recent FDA approved medicine will give us better results. Rhofade cream has showed promising results in clinical testing. The active ingredient, oxymetazoline is the same medication used in nasal decongestants like Afrin and Zicam. Rhofade will be available in May.







Bronze and Beautiful


3-14-2017 / Ashley Pickering PA-C


More and more melanomas are popping up amongst our youth and young adults. Some of these scary statistics come from the pressure of trying to get that glow, like you’ve just spent three weeks with Kim Kardashian in Miami. As dermatologists, we are constantly trying to convince our youth that tanning is not the way. Many studies have now been performed and new regulations could soon be upon us regarding those tanning machines. The JAAD found that completely banning indoor tanning could save thousands of lives. Now, we are not just going to be able to ban these boxes from the get go, but as a start the FDA has proposed an age restriction on indoor tanning for those under 18. The CDC estimates that this restriction could prevent over 60,000 melanoma cases and over 6,500 melanoma deaths. Understanding that most of us still want that glow, we’ve come up with a list of some products to try to safely achieve that beachy bronze without all the bad stuff. Give these a try as we prep for summer!

1. Tan Towels

2. Clarins Self Tanning Instant Gel

3. San Tropez Gradual Tan Mousse

4. Bliss A Tan for All Seasons

5. Fake Bake

6. Jergens Natural Glow







Michigan Dermatology Physician Assistants Revamped!


3-7-2017 / Ashley Pickering PA-C


As the Treasurer of the Michigan Dermatology Physician Assistants, I am so proud to announce that our new and improved website is up and running! Check us out at https://midermpa.com/


On our website you will find that our annual conference is April 29, 2017 at the Somerset Inn in Troy, and you can find updates on all of the latest news in the dermatology world.




Celebration!!!


3-2-2017 / Dr. Gregory Piro D.O.


Buddy's Pizza!!!

There is only one way to celebrate Ashley's stellar performance on her Physician Assistant re-certification exam.  Scoring in the top 1% in Dermatology. We are so proud of her and happy she is re-certified for the next 10 years.






Paczki Day!!!


2-28-2017 / Dr. Gregory Piro D.O.


It's a Detroit tradition to get Paczki on Fat Tuesday from the New Palace bakery in Hamtramck.  That tradition was improved upon in 2014 with the paczki bomb from Smalls Bar. In 2017 we may have taken a step backwards with the introduction of the paczki coney. This might be too much of a good thing.








Botox for the perfect selfie???


2-23-2017 /  Dr. Gregory Piro D.O.


Botox is great and we have been using it for the treatment of wrinkles since it was first introduced 25 years ago.

Should 18 year olds be using Botox for wrinkles???


To watch the full clip click here.


















Sunscreen is Sexy


2-21-17 / Ashley Pickering PA-C


Check out this new video of Hugh Jackman. Even Wolverine has had six basal cell carcinomas. His most recent was on his nose. He has now been advocating for skin protection and dermatology visits for years. We should all follow his lead by wearing sunscreen and getting annual mole checks.


Basal cell carcinomas and squamous cell carcinomas are the most common types of skin cancer. Although usually non deadly, many can be prevented with early protection. Most of the sun damage that causes these cancers comes from the UV rays we get as teens.

























Livingston County Goes Red For Women


2-14-17 / Dr. Gregory Piro D.O.


Tamara and Casey are representatives from Dr. Piro's amazing staff that will be attending this years Livingston County Goes Red For Women event.  We are excited to see Lila Lazarus lead a discussion on women's heart health. The event starts at 11:30am Thursday Feburary 16th, at Crystal Gardens.


For more information click on this link







MSU developing a new drug to halt the spread of Melanoma


2-9-17 / Ashley Pickering PA-C
 
Melanoma has made the front page for The Detroit News. MSU has a new drug in the works that has the potential to stop the spread of Malignant Melanoma by 90%. The drug is still years away from production and human trials, but the research has shown promising results thus far. The original drug has proven to be a challenge as compounds were quite toxic. To our surprise MSU and U of M have teamed up for this common cause to make the drug less toxic and prepare the drug for future trials. Melanoma is the most deadly form of skin cancer, and if not caught early can metastasize and spread through the body to places like the lungs and brain. Until recently there have not been many options for these rare cases of melanoma, and although far off from production this is very exciting research in the world of dermatology. What this means for you? Melanoma is more common than you might think. As we are dreaming of summer and tropical vacations here in Michigan, remember the importance of getting a full body mole check once a year. Once the sun returns, don’t forget to put on some broad spectrum sunscreen SPF 30+.


http://detne.ws/2kc1Cpl





Livingston County Skin Cancer Data


2-7-2017 / Dr. Gregory Piro D.O.


In a report on 93.5 FM WHMI only 7% of Livingston County residents had screenings for skin cancer in 2014. This number is suprisingly low and needs to be increased. Most Livingston counting residents live very active lifestyles and they spend lots of time in the sun.


In our Brighton and Howell offices we diagnose and treat new skin cancers everyday. If caught early, skin cancer can be treated in the office and is completely curable.


http://whmi.com/news/article/27682







Weekend Warrior Vs. Workout Queen


2-2-2017 / Ashley Pickering PA-C

My husband insists that he doesn't have time to work out during the week and has decided that playing a game or two of basketball on the weekend will keep him healthy. I disagree and encourage him to exercise 3-4 times a week, just like I force myself to do! Well it looks like I have been proven wrong once again, though I hate to admit it. JAMA has just revealed that those weekend warriors out there are just as healthy as us workout queens. In JAMAs study, the weekend warriors and vigorous exercisers both showed that any exercise is better than no exercise, reducing mortality risk by up to 30%. Ultimately this shows that getting up off the couch even just once or twice a week will help us live longer healthier lives.









Promising findings for the treatment of hair loss.


1-31-2017 / Dr. Gregory Piro D.O.


Hair loss can be due to many different causes such as thyroid disease, medications, major surgeries, illness, stress and heredity. Everyday we are  helping patients that notice their hair thinning, shedding or falling out. After a correct diagnosis, there are many effective medical treatments that can help regrow hair.

There is a new arthritis medication, Xeljanz that is showing some promise in the treatment of a specific type of hair loss called alopecia areta. Xeljanz pills block the immune system attack on the hair follicles seen in this type of hair loss. Early observations show hair growth in patients that have lost some or all of their hair.

Though not approved for the treatment of alopecia areta at this time, we are optimistic that it may be another option in the future.







For all of those Atopic kids

1-26-2017  / Ashley Pickering PA-C

Have you seen the news? A new study has just come out regarding peanut allergies. There is a relationship between children with atopic dermatitis and food allergies. A previous study from 2015 called the LEAP study and a current 2016 follow up study called the LEAP-ON study have revealed ways to help avoid life changing peanut allergies in high risk children. Maybe exposing our young ones to peanut products isn’t so bad after all! Read more about this study and talk to your pediatrician about how you can help your child enjoy peanut products for years to come.









There is a new treatment for Atopic Dermatitis (eczema)

1-24-2017 / Dr. Gregory Piro D.O.


Atopic Dermatitis (eczema) is an inherited sensitivity of the skin that is a common cause of rashes that impact nearly 18 million children and adults. The food and drug administration has just approved the first new prescription for eczema in ten years, a non-steroid ointment called Eucrisa (crisaborole).

 Eucrisa blocks inflammation  that causes the itchy, red rash of eczema. It is approved for patients as young as two years old. We are looking forward to using this prescription as well as our other treatments for atopic dermititis.









We love our four seasons in Michigan including Winter. Here are some of our favorite cold weather skin care tips.


1-17-17 / Dr. Gregory Piro D.O.


During the winter months the cold dry air outside and heating our homes can dry our skin. In our office we are constantly asked about what the best cleansers and moisturizer are. There are countless options but to make things simple there are a few rules to follow.


Any facial wash or moisturizer should be oil - free. If there are any type of oils mentioned in the ingredients portion on the label it's best to avoid these products. Often times products will be called non-comedogenic. This means these products won't clog your pores.


One of our favorite options for a facial cleanser is Alta Gentle Formula Wash. We have it formulated for our patients as an effective mild face wash.


A great facial moisturizer option is Alta Moisturizing Complex. It is oil-free and non-comedogenic.


From the neck down there are two popular products we suggest to keep your skin from getting too dry. One of our longtime favorites has been Dove Sensitive Skin Unscented bar soap. It's made with moisturizing cream and is a great body soap, especially in the winter.


One of the great advances in the last decade was the addition of ceramides to body moisturizers. The best product we found is CeraVe Moisturizing cream. Applying a thin coat to your body, arms, and legs as soon as you dry off from the shower is very effective.


We think that you will find this information useful for avoiding dry itchy winter skin and keeping your skin looking its best.

What's new in Dermatology

Howell

1155 Byron Rd.

Howell, MI 48843

Call Now (517) 545-2300

Dr. Gregory Piro

Dermatology & Cosmetic Surgery

We are starting off 2017 with our new Blog that will focus on the most current news in Dermatology & Skin Care. If there are other things that catch our interest like local events and happenings, we might cover that too.

Brighton

7575 Grand River

Brighton, MI 48114

Call Now (810) 227-8500