In the past 5 years, approximately 350 RSS patients from all corners of the USA and from around the world: Europe, Asia, and South America have sought consultation with me. These patients have either flown in to Los Angeles or I have aided their local physicians in caring for them.

Two weeks ago, an RSS patient from Australia sought my advice after many years of inappropriate medical care by dermatologists continually giving corticosteroids. Ironically, the specialist (dermatologist) mismanaged the medical care, but the patient’s generalist (GP) gave him printouts from the Australian and New Zealand GP Associations discussing the ramifications of topical steroid addiction and withdrawal!

This experience trumps any advice given by GPs or dermatologists here in America! Are they ahead of us on this front?