I saw Larissa, one of the NP's a few months back. She was great! Put me on adapalene and an antibiotic to help with some skin issues. Scheduled my follow up with Jennifer, another NP weeks later and expressed concern over adapalene causing some neck irritation but I still wanted to treat it. She prescribed dapsone gel and told me to use it on my neck, arms, etc. I followed instructions to start off slow, but after a few applications I had a full blown rash on my neck. Scaly, itchy, red. Called the office, a secretary said "you should call your pcp". I questioned this because A) this is a dermatology office, and B) JENNIFER PRESCRIBED THE GEL! Nevertheless, saw my pcp. He put me on triamcinolone. It helped some, but never fully cleared. He also said it looked like a classic reaction to topical dapsone. Finished the course, but it still had a persistent spot. My pcp recommended returning to Dermatology Associates.
This time I was scheduled with Dr Tu. Boy was that a mistake. First off, he walked in saying "so this is your first time with us?" Red flag. I've been a patient for years, and two seconds looking at my chart would show that I was returning. Then he asked "Who told you to put dapsone on your neck?" And I said Jennifer specifically told me to (it was the reason for the rx!). Then he asked "well how do you know dapsone caused this?" Well, maybe because it happened after using the gel? He looked at my neck, said "it doesn't look that bad", despite being obviously dry, red and irritated. I said "uh, I have makeup on?" BUT IT WAS STILL VERY OBVIOUS! He acted shocked. Second red flag. Then he said, "usually we put you on something called triamcinolone." At that point, the nurse chimed in that I already used it. FINAL. RED. FLAG. It was abundantly clear he hadn't looked at my chart, history, anything. I also had an allergic reaction to a non-rx cleanser on my chest/arms which he wrote off as keratosis pilaris. I have had very small marks on my arms for ages, however THE BUMPS DIDN'T APPEAR UNTIL AFTER USING THE CLEANSER!
Dr Tu cared more about hearing his own voice than anything I had to say. He seemed in a rush, despite being his first patient after lunch. Dr Tu prescribed tacrolimus which has possible links to lymphoma, skin cancer and other cancers (rare, but listed). He could've just given me a steroid or antibiotic to clear, but he didn't. Dr Tu also said that if this medication doesn't clear the rash I'll need a skin biopsy. Nah, I'm good. I'm not getting sliced because this office refuses to hold themselves accountable and choose to make poor treatment decisions. I picked up the medication in case I decide to use it, but am working on finding ANY other dermatologist because this practice cares more about money than actually helping patients. read more