exfoliate skin. Removal of

International Rosacea Foundation - Chemical peels and retinoids, Beta and Alpha Hydroxy Acids Symptoms of Rosacea Acne Factor Dermatitis Factor Lifestyle Recommendations Oral & Topical Antibiotics Non-Prescription Treatments Prescription Treatments Topical Steroids Chemical Peels & Retinoids Laser Treatments Glossary Citations Summary Clinical Trials Resource Center Return to International Rosacea Foundation Home Page CHEMICAL PEELS AND RETINOIDS Chemical peels and retinoid products are used for the purpose of skin exfoliation. The objective is to help your body get rid of dead skin cells and to make your body build new skin quicker. Various products available today such as Retin-A, Alpha Hydroxy Acid (AHA), Beta Hydroxy Acid (BHA), and glycolic acid are all designed to burn dead skin cells off. The active agent in all these products is fruit acids. The problem with using fruit acids such as AHA and BHA is that either you get acids that are very weak that do not remove many dead skin cells and therefore you see little results, or they increase the strength of the acid, and once the acid has burned through the dead cells, it continues on and begins to attack your living skin. If this happens you may experience one or more of the following; burning, redness, irritation and light sensitivity. Another problem with using acids is that the dead cells do not come off immediately; your skin gets white, flaky, and tight as the dead cells fall off over the course of a few days. Using acids is not only uncomfortable; but it can at times do more damage than good. Alpha hydroxy acids and beta hydroxy acids are simple organic fruit acids found in nature or synthesized in the laboratory. Beta Hydroxy acids are somewhat different from alpha hydroxy acids in their structure and mode of action. Salicylic acid, a common beta hydroxy acid, has been used for treating acne for decades. In fact, acne treatment remains the primary use for beta hydroxy acids. There are no studies showing that beta hydroxy acids are superior or even equal to alpha hydroxy acids in skin exfoliation or reducing fine wrinkles however for acne, beta hydroxy acids are clearly superior to alpha hydroxy acids. Over the last decade, alpha hydroxy acids (AHAs) have increasingly appeared as ingredients in cosmetics intended to reduce the signs of aging in the skin. More recently, beta hydroxy acids (BHAs), or a combination of AHAs and BHAs, have appeared as ingredients in these skin care products. While both AHAs and BHAs act as exfoliants, it has been claimed that BHAs are effective in reducing the appearance of fine lines and wrinkles, and improving overall skin texture, without the occasional irritation associated with the use of AHAs. BETA HYDROXY ACIDS Beta Hydroxy Acid or BHA is a derivative of aspirin and is often used in skin care products to accelerate skin cell turnover and help clear pores. It can penetrate more deeply than Alpha Hydroxy Acid and is gentler. Beta Hydroxy Acid is salicylic acid. This occurs in nature in sweet birch and in wintergreen leaves. Its effect on the epidermis and upper dermis are similar to those of Retin-A, but with less irritation. It is soluble in oil and can exfoliate oily skin areas, even within oil-rich pores. Therefore, it has a beneficial effect on acne, pigmentary disturbances, and sun damaged skin. Because it does exfoliate, use of sun protection is needed. BHA ingredients may be listed on packaging inserts as: Salicylic acid Salicylate Sodium salicylate Willow extract Beta hydroxybutanoic acid Tropic acid Trethocanic acid Currently, the most commonly used BHA in cosmetics is salicylic acid. On rare occasions, citric acid is also listed as a BHA in cosmetic formulations; although, citric acid is more commonly considered to be an AHA. The long-term safety of salicylic acid in cosmetics is being evaluated in studies initiated by FDA and sponsored by the National Toxicology Program. These U.S. government-sponsored studies are examining the long-term effects of both glycolic acid (an AHA) and salicylic acid on the skin's response to ultraviolet (UV) light. These studies have determined that applying glycolic acid to the skin can make people more susceptible to the damaging effects of the sun, including sunburn. Until these safety assessments are completed, FDA advises that similar precautions be taken for the use of cosmetics containing AHAs and BHAs. These precautions are: Test any product that contains a BHA on a small area of skin before applying it to a large area. If you use cosmetics with BHAs and experience skin irritation or prolonged stinging, stop using the product and consult your physician. Follow the use instructions on the label. Do not exceed the recommended applications. Avoid using BHA-containing products on infants and children. Use sun protection if you use a BHA product. ALPHA HYDROXY ACIDS Alpha-Hydroxy Acids or AHA is a compound found naturally in many common fruits and other foods. The principal AHA is glycolic acid which is found in sugar cane and sugar beets. Other AHAs include lactic acid from dairy products and malic acid from fruit. Glycolic acid is the most skin-active AHA; and its primary action is to accelerate shedding of abnormal cells in the topmost layers of the skin by decreasing their cohesiveness. Continued use of glycolic-acid-based products may result in a normalized, more compact top layer of the epidermis. This makes the skin smoother. Additionally, it helps to remove comedones (blackheads); and, like retinol, it helps to restore the barrier function of the skin, thereby helping naturally to increase its own moisture content. It also leads to increased collagen production in the upper dermis, resulting in reduction of fine lines. Glycolic acid also has an anti-inflammatory effect and is able to enhance the effects of other topical agents, such as hydroquinone and salicylic acid. It is well-tolerated by many people, but it can cause irritation and stinging in some. It can make the skin more sensitive to the effects of the sun’s UV rays; therefore use of effective sunscreen is essential. The main benefits of alpha hydroxy acids come from its ability to exfoliate skin. Removal of the outermost layer of the skin stimulates the cells in lower layers to grow and divide, causing the skin to thicken and thus diminishing visible signs of aging. The more you exfoliate, the more cell divisions you have occurring in the lower skin layers. There is one problem though. Normal human cells cannot divide indefinitely. Fibroblasts (a key type of cells in the skin) will divide about fifty times and then enter a so-called stage of senescence. This is a state in which cell division becomes sluggish, inefficient and unresponsive to various signals from the body and unable to divide. This is similar to how a plant will slow its leaf and bloom production at the end of its growth cycle. Skin with many senescent cells is usually fragile, blotchy and easily wrinkled. This limit of about fifty cell divisions is called the Hayflick limit (after its discoverer, Dr. Leonard Hayflick). Exfoliation remains a valuable cosmetic tool but if you overuse it, your skin may "hit the Hayflick limit" earlier than it should. In recent years, researchers have discovered the molecular mechanism of the Hayflick limit. (It has to do with the areas at the tips of chromosomes called telomeres). Medical technologies to eliminate the Hayflick limit may appear at a point in the future, although these advances in technology are likely to work only for those cells whose Hayflick limit has not yet been reached. The most important precaution to take when using alpha hydroxy acids is to know the percent and pH level of the product. The ideal pH is 3.0-3.5, any lower and the product may be too acidic; any higher and the product's exfoliating benefits may be nullified. Even at lower levels, though, some alpha hydroxy acids can be irritating, depending on how sensitive your skin is. Mandelic acid is the recommended AHA for those with sensitive skin since it is the most non-irritating. Also, darker skin types should avoid most alpha hydroxy acids due to the risk of hyperpigmentation. Hyperpigmentation will occur in darker skin if it becomes irritated or inflamed. Those with a skin type which tans easily or rarely burns through skin types which always tan or never burn, should be especially careful and avoid possibly irritating products. Because alpha hydroxy acids peel away the tough outer layers of the skin, the newer and younger skin is more susceptible to the suns UV rays. CHEMICAL PEELS Having acid applied to your face probably doesn’t sound like something you’d want done, but it is the foundation of a very popular cosmetic procedure known as the chemical peel. Chemical peels can give your skin a healthy, “just refreshed” look, or can be aggressive, taking years off of your appearance. Just like other cosmetic procedures, there is a wide range of varying chemicals used and techniques that can be overwhelming if you have to decide which is best for you. Fortunately, this is one area where the physician will often guide the patient to the chemical peel most appropriate for their condition as well as the patient’s skin type. Listed below are some of the realistic vs. unrealistic goals of chemical peels. This may be helpful if you are trying to decide if this procedure is right for you. Realistic Goals of Chemical Peels: Chemical peels can correct (sun) damage. They can reduce mild scarring. You can experience a reduction or eradication of your wrinkles. Improvement of dark skin discoloration is possible. Chemical peels can remove excessive or stubborn blackheads. The peel may temporarily reduce excessive skin oils. Unrealistic Goals of Chemical Peels: It cannot remove or reduce the appearance of blood vessels on the skin. It is impossible to truly change pore diameter. However, by removing blackheads, the pores may actually appear less pronounced after treatment. This is not a procedure to get rid of keloidal types of scars Chemical peels are not a facelift. This is typically not appropriate for improving dark skin discoloration in people of color (Asians, African Americans, Caucasians of Mediterranean extraction, Hispanics, etc.) There are a variety of different chemicals used for the purpose of rejuvenating the skin in what are called “chemical peels”. If the skin condition is predominantly superficial, then a milder, less caustic ingredient is selected. If deeply placed conditions exist, then far stronger products with matching levels of potential complications may be necessary. Chemical peeling agents that perform mild or moderate peels typically provide a safer peel that has less associated long-term side effects. These peels work on the epidermis and possibly the most superficial portion of the dermis (known as the papillary dermis). Deeper peels go midway into the dermal layer (into the reticular dermis), almost invariably leaving a permanently lighter skin tone. Instead of being able to tan as in the past, this lighter skin often freckles instead. These deeper peels should not be undertaken lightly, and you need to make sure in advance that the peel technique will be feathered into the scalp line and performed down the neck, possibly even the décolletage, or you may find that you have a highly noticeable line marking the difference in your original skin tone and the new one that is on the face. The glycolic acid peels (ranging from 70%-99% glycolic acid compound) and the beta-hydroxy acid (salicylic acid) peels (ranging from 20%-30% salicylic acid in a microsponge delivery system) are among the most effective chemical peels. Glycolic acid peels work by diminishing the cohesion of the skin cells (corneocytes) at the innermost levels of the surface layer of the skin (stratum corneum), by stimulating this layer of skin in its renewal process, increasing skin thickness, and promoting the formation of new epidermis and new dermal collagen. This process will result in skin shrinkage, reduction of wrinkling and "crepe-paper-like" skin, softening of "crow’s feet," and often helping to lighten hyperpigmentation. The salicylic acid peels or Beta-Lift peels are effective in lifting the topmost layer of skin by dissolving the "glue" (desmosomes) which binds it to the underlying epidermis, triggering a "burst" of cell division which accelerates skin cell production and shedding. Its developer, Douglas Kligman, M.D., Ph.D.(who is the son of Albert Kligman, M.D., Ph.D., the founder of Retin-A), developed it for the cosmetic treatment of sun-damaged skin, hyperpigmentation (including melasma, "liver" or "age" spots, and freckles), superficial lines, and "weathered" or rough skin. The salicylic acid peels are often more intense than the glycolic acid peels. If you are currently taking or have taken Accutane within the past six months, you are not a candidate for chemical peels. Patients with healing wounds from recent surgery, patients with active herpes simplex (fever blisters or cold sores) on their face, patients who have had radiation therapy to their face (or to the area which they wish to have peeled), or patients who have had cryotherapy in the past month should not have a chemical peel. A tendency toward hypertrophic or keloidal scarring may also make you not a good candidate for a peel. It is essential that you use very effective photoprotection after a peel; thus, if you are unwilling or unable to do so, you should not consider having a chemical peel. Page 1 2 3 We continually update this site to keep you informed of the latest scientific findings about rosacea. This page last updated: January 26, 2006 The IRF provides general rosacea information as well as medications and treatments used for rosacea, acne rosacea, adult acne, eczema, lupus, dermatitis, psoriasis and various other complicating factors. Dermatologists continue to be baffled by this misunderstood disorder due to a lack of history of lifestyles as well as the personal patient prescription and non-prescription medication treatment history as patients often migrated from a rosacea specialist to a rosacea expert. Often the treatment of acne and seborrheic dermatitis irritates or worsens the rosacea facial condition. Patient's understanding of commonly used terms for rosacea symptoms, medications, products, and treatments is most helpful. Click below to access another page within the INTERNATIONAL ROSACEA FOUNDATION site, or a related website. [ Symptoms of Rosacea ] [ Acne Factor ] [ Dermatitis Factor ] [ Lifestyle Recommendations ] [ Oral & Topical Antibiotics ] [ Non-Prescription Treatments ] [ Prescription Treatments ] [ Topical Steroids ] [ Chemical Peels & Retinoids ] [ Laser Treatments ] [ Glossary ] [ Summary ] [ Research ] [ International Rosacea Foundation Home ] [ Clinical Trials Resource Center ]

Foot Scrub Email this

Essie Exfoliating Foot Scrub and Skin Care Products at BizRate Log in to your account Bookmark this page! Home Home & Garden Computers Clothes Toys Electronics Kids Jewelry Health & Beauty Supplies All Departments I'm shopping for in All Departments Health & Beauty Supplies Skin Care Products ---------------------- Special Offers Store Ratings Welcome to BizRate.com's free comparison shopping site! We help you find the best deals on the biggest selection of products from all of the top-rated stores. Compare products, read reviews, and compare prices to make sure you quickly find the right product at the right price every time! Shop smarter at BizRate. Home > Health & Beauty Supplies > Skin Care Products > Essie Exfoliating Foot Scrub Email this page Enlarge Image Essie Exfoliating Foot Scrub Product Rating: Be the first to review this product! Price: $80.00 Buy it from: CosmeticMall.com Store Rating: See all Skin Care Products from CosmeticMall.com Buy it Product Details Write a review Product Details: Specially formulated to remove dry and flaking skin effectively. Softens and conditions while stimulating circulation. Found at 1 store = Outstanding = Good = Satisfactory = Poor Store Name Would Shop Again On Time Delivery Customer Support Prod. Met Expect. Customer Certified Additional Info Price CosmeticMall.com Customer Certified In Stock $80.00 Go! Read 5,000+ reviews Calculate Taxes & Shipping costs for your area – Enter your ZIP code: Related Searches in Skin Care Products Neutrogena , Shiseido , Microdermabrasion , Serious Skin Care , Skin Care Kit , La Mer , Aveda , Kiehls , Collagen , Eye Cream , Skinceuticals , Skin Care , Clarins , Hydroquinone , La Prairie , Jason Natural Cosmetics , Lotions , Olay , Bath Body Works , Crabtree Evelyn , Biomedic , More Stores Selling Skin Care Products (Sponsored Links) Murad Skin Care Murad: Clinically Proven Solutions. Free Shipping, Gifts, & Samples. www.murad.com Overall Rating: Not Yet Rated Buy SkinCeuticals Online Order SkinCeuticals products & give the gift of healthy skin! www.kelsey-seybold.com Overall Rating: Not Yet Rated Bobbi Brown Skincare Cleanse, Hydrate and Special Care. Skincare Solutions for Your Skin. www.bobbibrown.com Overall Rating: Not Yet Rated Acne - 24 Hour Results DermaStyle Light - No Chemicals Clinically Proven Technology www.lumiport.com Overall Rating: Not Yet Rated After Holiday Sale Save up to 70% with Clearance Sale On large selections of merchandise www.shopathometv.com Overall Rating: Beauty Products Shop 265+ beauty brands, get Free Shipping over $75 & Free Samples! www.sephora.com Overall Rating: Skin Care Products Huge Selection of Anti Aging Skin Care Products . www.medi-spastore.com Overall Rating: Not Yet Rated I'm shopping for in All Departments Health & Beauty Supplies Skin Care Products ---------------------- Special Offers Store Ratings See the 2005 Circle of Excellence Winners! Stores are responsible for providing BizRate with correct and current prices. Sales taxes and shipping costs are estimates; please check store for exact amounts. Product specifications are obtained from merchants or third parties. Although we make every effort to present accurate information, BizRate is not responsible for inaccuracies. We encourage you to notify us of any discrepancies by clicking here . Store ratings and product reviews are submitted by online shoppers; they do not reflect our opinions and we have no responsibility for their content. Home | Your account | Help | About BizRate.com | Privacy Policy | User Agreement | Jobs Merchant Login | Merchant Listings and Advertising | Ratings and Research | Affiliates BizRate International - BizRate UK | BizRate France | BizRate Germany Check out our new site, Shopzilla.com - Take a Tour | Online Shopping Shopzilla International - United Kingdom , France , Germany Thank you for shopping online at BizRate © 2006 Shopzilla, Inc.

Facial Mask Simple Deep

Simple Deep Down Facial Mask : Read reviews and compare prices at Ciao.co.uk Join Ciao - Login - Help Appliances Books Cameras Cars Computers Electronics DVDs Music Phones Travel More Enter your search term in All categories -------------------- Cameras Cars Ciao Caf Computers DVDs Education & Careers Electronics Entertainment Family Finance Food & Wine Games Health & Beauty House & Garden Household Appliances Internet Music Office Equipment Shopping Software Sports & Outdoors Telecommunications Travel Home > Health & Beauty > Beauty > Face > Face masks > Simple Deep Down Facial Mask Simple Deep Down Facial Mask Overall user rating: Rated by 3 Ciao members [...] Simple products are meant to be “100% perfume and colour free with no unnecessary additives to care for the needs of sensitive skin”.I am unable to use peel-off face masks and others that contain harsh chemicals. But, this product does [...] Go shopping Read 3 reviews Free Mail Order Catalogues Free Mobile Ringtone from Jamster! Make money Write a review Paid surveys on Face masks Overview Compare Prices Auctions Reviews Resources Compare prices for Simple Deep Down Facial Mask sort by Shop sort by Shop rating Product description Link to Shop — Discover the fragrances and benefits of flowers, plants and fruits. SANOFLORE, FLORAME, LAVERA, LOGONA Organic cosmetics: Skin and Body Care, Essential Oils and Aromatherapy, Herbal Medicine. Visit Shop > Majestic Prov... — Win4now is one of the UKs leading free to enter competition websites offering registered users the chance to win over 100,000 of prizes including holidays, cash, gadgets and a brand new car. Join now - FREE Visit Shop > win4now — Sleeping Solutions is the online brand for Sussex Beds, a successful chain of bed superstores based in the south of England, with over 25 years retailing experience. Free delivery and we guarantee a 14 working day delivery time Visit Shop > Sleeping solu... Auctions and Classifieds for Simple Deep Down Facial Mask Trader Rating Product description Link > Show all offers 509 Ratings Simple Deep Down Facial Mask at eBay Buy Simple Deep Down Facial Mask at eBay, the world's largest personal online trading community. Marketplace > eBay Reviews of Simple Deep Down Facial Mask Reviews Product rating Date Sucks It Out AND Keeps It Smooth Review of Simple Deep Down Facial Mask by Ulysses Advantages: Easy to use, Inexpensive, Not messy Disadvantages: Can't think of any ...really well. It’s quick, simple and easy to use. I use it every other day during the week as a quick fix in the morning. This facial mask only takes 3 minutes to work and ... Read review Rating: 16.09.2001 Soft and smooth Review of Simple Deep Down Facial Mask by MagicKitten Advantages: Gentle, leaves your skin feeling nice Disadvantages: Can be a bit messy! ...smells lovely. As with all Simple products, it isn't perfumed bit it has a faint smell, which is plea ... Read review Rating: 26.03.2001 (02.04.2001) softie Review of Simple Deep Down Facial Mask by lipgloss Advantages: Very fast acting Disadvantages: cost I bought a small sachet of this mask to give it a try, and although I applied a thick layer of it, the sachet still lasted 3 uses! I think that if you buy the tube it will last a while. The reason for this is that the consistency is very moisture rich. It ... Read review Rating: 05.03.2001 Compare similar products to Simple Deep Down Facial Mask Chantelle Avocado Oil and Walnut Exfoliating Face Mask Gatineau Laser Energizing Mask Eve Lom Rescue Mask Benefit Hi Neighbor! Avon Pore Reducer Beauty Treatment Mask Boots Revital eyes Clarins Moisture Quenching Hydra Balance Mask Queen Helene Mint Julep Face Mask Mudd Mask & Exfoliator St Ives Swiss Formula Firming Masque Montagne Jeunesse Hot Masque Montagne Jeunesse 5-Minute Face Masque Montagne Jeunesse Strawberry Anti-Stress Mud Pac Sachet Biore Self-Heating Mask Natural Collection Tea Tree Peel-Off Face Mask Similar products and search queries by other users Simple Mask , Simple Deep Mask , Simple Down Mask , Simple Facial Mask , Simple Deep Down Mask , Simple Deep Facial Mask , Simple Down Facial Mask , Simple Deep Down Facial Mask Are you the manufacturer / provider of Simple Deep Down Facial Mask? Click here About Us - Advertise with Us- Become a Partner- Our Shopping Partners - Ciao Quality Seal - Ciao Surveys Ciao Deutschland - Ciao France - Ciao Italia - Ciao España - Ciao Nederland Site Index - Product Index - Ciao Charts - Top searches in Health & Beauty © 2006 Ciao GmbH

Skin Care and Beauty

Professional Skin Care Tips | Beauty Skin Care You are here: PageWise Home » Topics » Skin Care Professional Skin Care and Beauty Skin Care Tips Skin Types Combination skin Rough dry skin Tips for oily skin Dry skin Cold weather dry skin Shaving and sensitive skin Controlling oily skin Baby skin care Make-Up Lighting a make-up mirror Make-up to go musts Shading and highlighting Color choices Match your nails and lips Essential applicator brushes Special night on the town Hide a black eye Going goth Make-up for African Americans Tips for cancer patients Are you addicted? 5 ways to change your look Acne Kombucha tea Acne rosacea Accutane Facials Chemical peels and microdermabrasion Facial masks Herbal beauty wraps Facial masks for oily and dry skin Spa services Products Fragrance free soap Liquid glycerine soap Body scrubs Bath sacks Eye make-up remover Tanning Tanning healthy Tan thru swim suits Get an even tan Safety of tanning salons Featured Articles Rough dry skin can be avoided Dehydration, cold weather, irritating fabric, or a lack of vitamins can cause skin to flare up. Take regular vitamins and be sure to get plenty of dark green leafy and deep orange vegetables. These typically contain Vitamin C and other nutrients that keep your skin healthy and clear. Read more about this item. Sculpt your face with shading and highlighting Any artist will say that shading and highlighting are what creates the illusion of depth, distance, and even form and shape in a picture. A subtle shadow or highlight can completely change the way the eye perceives something, much like an optical illusion. Apply shading and highlighting techniques to make up application to help sculpt a face. Read more about this item. Using Kombucha tea as a remedy for acne Kombucha can work as an astringent, pulling toxins out of the body, and there are many recipes for creating face creams or applying the tea directly to acne, eczema and other damaged areas. Read more about this item. Herbal spa beauty wraps No matter how rich or poor they are, most women love beautiful skin, beauty treatments, and being pampered. To get the royal treatment, without the royal bankroll, give yourself an herbal spa beauty wrap at home. Work the mixture into thighs, hips and buttocks, then wrap plastic wrap around the oiled areas. Read more about this item. Homemade body scrubs that will keep your skin soft Exfoliated skin retains moisture more effectively. This means that it is less prone to recurring dry skin problems. Also, scrubbed skin can more efficiently absorb nutrients and minerals applied to the skin. In short, regular exfoliation is an important part of keeping the largest organ of the body in peak shape. Read more about this item. Tan thru swim suits Tan lines don't have to ruin the look of strapless tops and dresses, even without a nudist colony or privacy fenced tanning area. Don't worry about tanning nude in a tanning center, either; tan thru swimsuits let sun come through the cloth, preventing unsightly tan lines around the suit. Swim trunks for men are also available. Read more about this item. Survey How often do you pamper yourself? 1+ weeks 1+ months 1-6 months 1+ years Never—I need a little TLC You're the Expert Tell us your beautiful skin battles and triumphs: The products you love Your battle with acne Skin horror stories Beauty Facts Learn more about the basics of skin care at our sister site, the encyclopedia Factopia.com: Massage Skin Spa Soap Lavender Terms of Use & Medical/Legal Disclaimer | Privacy Policy | © 2005 by PageWise, Inc.

Skin rash, vesiculobullous eruptions

FIRSTConsult - sdfdsf FIRSTConsult - Clinical Information for Quality Care "Absolutely essential for modern, fast-paced practice where the primary care physician is required to manage more and refer less..."" more testimonials Welcome to FIRSTConsult! Your search for Skin rash, vesiculobullous eruptions has been successful within FIRSTConsult, your source of evidence-based, continually updated guidance on the latest in patient evaluation, diagnosis, treatment, disease prevention, and much more. You can quickly and easily access the information you need from this revolutionary clinical information and diagnostic tool by registering for a FREE 30-day trial . Sign-up and access all FIRSTConsult content free of charge for 30 days! You can also sample a selection of live content immediately from our homepage www.firstconsult.com Subscriber Login * Username Password Go to Skin rash, vesiculobullous eruptions * If you normally access FIRSTConsult without a username and password, please logon to FIRSTConsult in a new browser window and then click here FIRSTConsult is brought to you by Elsevier, the world's leading publisher of scientific, technical and medical information. Supports clinical judgment The following is a real case: Joe Hartley, MD * is a busy practicing physician and Residency Program Director. Recently a 76-year-old member of his family was complaining of abdominal pain and was subsequently hospitalised. All tests appeared to lead to ischemic bowel syndrome, and the patient was about to be sent home. However, Dr. Hartley was allowed to check the CT scan, which failed to show any kind of abnormal mass. Unconvinced by the hospitals original diagnosis, Dr. Hartley used FIRSTConsult to make an alternative diagnosis of colon cancer, which was proved to be the correct diagnosis. The family member is now undergoing chemotherapy treatment * Name has been changed to protect privacy. This is a true story.