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Steve
L. Harlan, M.D.
Practically
all dermatologists are talented people gifted with special
skills. Some rise through sheer breadth of experience and
depth of innovative successful practice to the level of a
master dermatologist, and are emulated by other dermatologists.
After twenty two years of practice, Steve Harlan, M.D., has
become widely known in the central United States as Dr. H
and is still producing innovations to advance his field.
Growing in Des Moines, he first began thinking about the mechanics
of a dermatology practice in 1968, at age 14. His mentor,
Robert R. Schulze, M.D., was showing young Steve how his private
practice functioned, and how much fun dermatology was. Dr.
Schulze was a family friend, Mayo Clinic trained dermatologist,
and widely known in Des Moines as a superb clinical dermatologist.
Schulze was exceptionally brilliant at creating a compounded
dermatology lotion that would dramatically help a patient
with a difficult problem. Dr. Schulze had trained at Mayo
under giants in dermatology like Louis Brunsting, Hamilton
Montgomery , Bob Kierland, and two young staff at Mayo named
Harold Perry and Richard Winklemann. Dr. Schulze’s father
was a pharmacist who made up many compounds with the old fashioned
mortar and pestel. With the knowledge of compounding from
the traditions of the dermatology department at Mayo /clinic,
and his father’influence, young Dr. Schulze became a
master compounder of dermatology preparations. This also would
later influence Steve.
At Drake University in pre-med, Steve distinguished himself
with some unique academic performances in Microbiology. In
Medical school he was the first to achieve a perfect score
on the comprehensive laboratory final for Microbiology and
was the 1977 recipient of the Walter Bierring Award for Microbiology
as number one in his class at University of Iowa College of
Medicine.
From 1980-1983, Dr Harlan was at Mayo Clinic Department of
Dermatology, training under giants in dermatology like Nick
Rogers, Arnold Schroeter, and the now very seasoned teachers
Harold Perry and Richard Winklemann. Mayo continued to have
a strong culture for compounding and formulating lotions and
preparations specifically tailored to the patient. At Mayo
Clinic, Dr H distinguished himself as exceptionally capable
in clinical dermatology and dermatopathology, and took this
to his practice.
In the early 1980s, Dr. H studied Mohs surgery in both Wisconsin
and Louisiana. Yearly he performed over 500 cases of Mohs
surgeries, with one or less recurrence per year for primary
cancers, and qualified to sit for the Mohs surgery board exams
in 1992.
Board certified since 1992, Dr. H participates in yearly proficiency
testing and peer review with the American Society for Mohs
Surgery.
In the late 1980s, Dr. H saw the coming explosion of demand
for cosmetic services from dermatologists. He trained a family
practice Physician Assistant to help free him from some of
the routine follow-up needs for psoriasis, acne, and wart
patients. He spent the late 1980s visiting and studying with
giants in cosmetic surgery like John Yarborough, Sam Stegman,
Bill Coleman, Gary Fenno, and Pierre Fornier, and attending
some of the first meetings bringing dermatologists into cosmetic
surgery. After performing over 500 liposuction and blepharoplasty
cases, Dr. H qualified to sit for the 1998 Board exams in
Dallas for fellowship status in the American Academy of Cosmetic
Surgery.
In 1995 Dr H became the first surgeon of any specialty in
Iowa, performing CO2 laser facial resurfacing, and transconjunctival
laser blepharoplasty. By 1998 he was combining and teaching
Autologous Fat Transplantation with these procedures to obtain
amazing results with facelift alternative rejuvenation. Dr
H built the website in 1998 called faceliftlaternative.com.
In the 2000s, Dr. H began developing skin products that would
maintain results of his surgical rejuvenations, and then developing
products that would directly augment and contribute to facial
rejuvenation.
One of the most important innovations of his practice began
in the very beginning in 1983, drawing upon his Mayo clinic
compounding experience. Dr H observed that very many of his
acne and rosacea patients had barrier problems and sensitive
skin problems. These people tended to have sensitive “combination
skin.” They frequently get red around the corners of
the nose and mouth. Dr. H developed the Skin Stabilizer lotion
to help them tolerate the strong prescription products they
needed for the dermatology problems. Over the next twenty
years, tens of thousands of people with sensitive and “combination”
skin were helped with the Skin Stabilizer concept. It was
proven to be very effective and completely safe and free from
side effects.
Dr H then proceeded to find a sunscreen and skin rejuvenation
product system that was superior and would complete the Dr
H Products.
In 2004, Steve Harlan trademarked the name and concept of
Hybrid Transitional Pharmaceutical, HTPs. This is becoming
a new class of important products for people with dermatology
problems and a separate problem of sensitive skin.
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| Nurse
Practitioners |
| The
Dermatology and Dermatologic Surgery Center (DDSC) staff
includes two Nurse Practitioners. Please review the DDSC
Policies for coordination of care by nurse practitioners. |
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| Elaine
Smith, ARNP |
Advanced
Nurse Practitioner, former critical care nurse manager,
ACLS certified, licensed by the State Board of Nursing
and the Iowa Legislature to diagnose and treat. Provides
care within scope of training and protocols.
Elaine supervises the R.N.s and CMAs at DDSC. She obtained
her RN nursing degree in 1978 and rose to nurse manager
of a critical care unit at Iowa Methodist Medical Center.
In 1992, she was approved by the Iowa Board of Nursing
and established her sclerotherapy practice at Dermatology
& Dermatologic Surgery Center with Dr. Harlan. Through
Drake University in 2000, she completed her Master’s
degree training and was certified as an Advanced Nurse
Practitioner and then went on to specialize as a Dermatology
Nurse Practitioner. She has three years training in Dermatology
with Dr. Harlan as well as extensive training in dermatology
from courses and seminars around the USA. |
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| Linda
Schilling, ARNP |
Advanced
Nurse Practitioner, former critical care nurse, ACLS certified,
licensed by State Board of Nursing and the Iowa Legislature
to diagnose and treat. Provides care within the scope
of training and protocols.
Linda supervises R.N.s and CMAs at DDSC. She obtained
her RN nursing degree in 1984 and rose to nurse manager
of a neurological care unit at Iowa Methodist Medical
Center. Through Drake University, in 1998 she completed
her Master’s degree training. Linda worked for a
year in special Neurology Care Units at UCLA and University
of California-Davis. In 2000 she was certified as an Advanced
Nurse Practitioner. Linda worked for one year in Rheumatology
and then came to specialize as a Dermatology Nurse Practitioner
in 2001. She has three years training in Dermatology with
Dr. Harlan as well as extensive training in dermatology
from courses and seminars around the country. |
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| Elaine
Smith, ARNP, and Linda Schilling, ARNP, are trained to
provide, under the protocols of the Dermatology Center,
the management of acne, psoriasis, eczema, difficult warts,
fungal infections of the skin, acute dermatitis, and first
and second degree burns. For patients with itching and/or
rash, they have extensive specialty training to diagnose
and rule out fungal infections, scabies infections, and
viral infections with microscope scrapings. They are highly
capable and trained to rule out and recognize drug rashes,
contact dermatitis, and sun allergies. |
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