top of page
  • Writer's pictureJennifer Goldwasser, MD

Sometimes, it's a subtraction problem

As we start the new year, many of us are asking ourselves what we need to add to our lives to improve our health. But the truth is, for many of us, the more relevant question might be, what do we need to subtract?

Some of the answers to that question should be obvious: smoking/vaping, unnecessary prescription medications, recreational drugs including alcohol and caffeine, excess weight, and processed/sugary foods. While physicians are mostly inclined to approach medical problems by adding something to the equation (usually a prescription product), often the better approach might be to consider what needs to be reduced or eliminated.

I find that to be the case with many skin issues. Here are some clinical scenarios that might better convey this idea:

1. The stressed, sleep-deprived college student, who is eating poorly and drinking excessively and/or smoking, and wondering why her acne is flaring

2. The overweight patient with sleep apnea, on multiple medications for atherosclerotic heart disease and diabetes, whose psoriasis is out of control

3. The rosacea-sufferer who is consuming red wine daily, and who can't seem to understand why facial redness and pimples have been so stubborn

Marie Kondo's book, The Life-changing Magic of Tidying up, encourages us to consider purging ourselves of our excess stuff. If we apply that concept to our health, we might find that less really is more.

Here's to a healthy and happy 2020!

18 views0 comments

Recent Posts

See All

Anatomy of a virtual visit (VV)

Although I started offering virtual visits in January of 2019, when I was "between offices", I did not fully appreciate the utility of them until they became more widely used during the current publi

Your skin during a pandemic

You might be surprised to learn, as I have been, that many of my recent virtual visits have revolved around three problems indirectly related to the current pandemic: 1. Friction blisters: Good for


bottom of page