8131 University Blvd.
Des Moines, IA 50325

515.225.8180
 
 
 
Copyright 2005
Steve Harlan, M.D.
 
All Rights Reserved.
 

 






DDSC Policies for Coordination
of Care by Nurse Practitioners


Overview of how the Nurse Practitioners work with Dr. Harlan


Every one of our patients has an annual exam with Dr. Harlan.

Each year, the patient’s skin cancer risk and mole risks will be re-evaluated at this time. If healthy skin maintenance and control of skin problems require prescription products, refillable prescriptions will be renewed yearly.

Patients are taught to be aware of their moles and watch for changes. For example, change in a flat irregular mole that is larger than a freckle, or for a “pimple” that doesn’t heal. Patients read carefully our self exam information, updates on sunscreen protection, and are repeatedly told that sunburns cause cancer.

Our Dermatology Nurse Practitioners are Elaine Smith, ARNP and Linda Schilling, ARNP. Licensed to diagnose and treat, they help patients to get clear and stay improved with pre-cancerous areas of sun damage, acne, psoriasis, eczema, unstable skin, itching, nail problems, and staying free of nuisance skin tags.

Acne is a disease that scars, physically and emotionally. Our patients with active acne return every two months to six months, and may receive changes in their prescriptions, and/or physical treatments with dry ice slush/pressing out of comedones, light sal-acid peels, Vitalize peels, microdermabrasion, intense pulse light, and photodynamic therapy with Blue-U Light, and Vbeam laser. Accutane patients are seen monthly. Once acne and unstable skin is under good control, patients may be seen yearly until prescription products are no longer needed.

Our Dermatology Nurse Practitioners, Elaine Smith and Linda Schilling are expert at teaching patients to successfully use and take advantage of non-prescription therapies for oily skin, mild acne, dry skin and itching, and for psoriasis.

For patients concerned with holding off the “aging process”, Linda and Elaine have extensive experience with teaching a wide range of skin care products that work best when individually tailored to the patient. They provide freshening peels with Obagi Blue Peel, Intense Pulse Light rejuvenation, and Vbeam laser rejuvenation.

Linda Schilling is certified by Collagen Corporation to provide collagen touchups to acne scars and wrinkles.

Elaine Smith, specializes in diode laser and sclerotherapy for spider veins.

Dr. Harlan performs all ablative laser work.

All elective cosmetic services are performed in the Dermatology DDSC clinic under the direct supervision of Dr. Harlan.


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