- Warts
- ArthritisBig Pharma's price increases are unconscionable. For many patients, I find myself unable to find any affordable treatments. Tetracycline should not cost $900. Biologics, critically important in the treatment of Crohn's disease, rheumatoid arthritis, psoriasis, etc., should not cost over $40,000 per year. In life threatening situations, epinephrine rescue injections should not cost $600. Who can afford these prices? The claim of the pharmaceutical companies that your insurance will cover most of the cost is specious: we all pay for the rate hikes in insurance to cover these increased drug costs and we all pay higher co-payments. Why there is no patient outrage is beyond me.
- RheumatologyHaving only one board certification under my belt (Internal Medicine) I was the junior of our residency group....the other two had advanced certifications in Internal Medicine and Rheumatology; and in Pediatrics, Endocrinology, and Genetics. All told we possessed SIX board certifications before we even started our Dermatology residency! We were undoubtedly the most self confident, mature, iconoclastic, skilled, fresh three-some that Yale Dermatology had ever encountered. That was a heady time in my life. There was no competition among us.... only camaraderie, hard work, and relentless dedication to molding ourselves into compassionate ivy league trained physicians. We accomplished amazing things for our patients, for our students, and for our institution and specialty. There was a saying that went around Yale at the time among the medical residents. It went, if the intern can’t figure it out, ask the Medicine Resident, if the Medicine Resident can't figure it out, ask the Medicine Chief Resident, then the Medicine Attending.... and if no one can figure it out, ask the Dermatology Resident! We were at the vanguard of Dermatology practice, research, and education. Each of us became Chief Residents in Dermatology at Yale. Wow!!
- Pediatric Care
- Primary CareIf you believe your health care has not been influenced by these changes, I respectfully disagree. The American health care system is broken. Many times a day and every single day I see well meaning doctors (with whom I communicate) aligning their practices with the “new” health care mandates. Ours is a bloated, unaffordable, and unproductive system. It leads to burnout for physicians and danger for patients. Despite the hideous record of “health care reform” since 1973, we continue down a path to micromanaged mediocrity. I will not expose you to care that I know is wrong. I have seen too many tragic outcomes. I will not be silent in the face of unreason. Have you explored with your doctor the powerful forces at work in American health care? Truly, how your health care is insured, managed, and micromanaged is ultimately more important to your well being than whether you receive a sustained release pill or an extended release pill! When almost every doctor you see is unhappy with the current system, dismayed by the lack of affordable drugs, angry over even the concept of prior authorizations...shouldn't you be listening? When your doctor is working harder, typing more and spending less quality time with you, don’t you see it? When there is acceleration in the rate of experienced doctors becoming disenfranchised and quitting health care, when most primary care practices are closed to new patients, when does this become a call to action? The emperor has no clothes. At substantial personal risk, I am realigning my practice for you....and for me. To repeat my opening comments: I envision a welcoming office, a respectful and open doctor visit, and results. To the extent humanly possible, I will tolerate no outside interference. I am re-dedicating my career to you and to your family. In my office, we will not worship mediocrity, uniformity, or nonsense repetition of insurance company mandates. I am so pleased to have the opportunity to partner with you.
- Emergency CareHospital systems are more powerful. They buy up virtually every primary adult care practice in sight, urgent care centers, and specialist offices as well. With their ever-present logos, they are concentrating on "branding" so that you will go to their doctors, their labs, their hospitals, their everything. They call independent physicans "leakage". Consolidation of health care systems creates huge monopolies that may increase the cost of care and may reduce the quality. They certainly restrict choice and competition.
- ImmunizationsEvery person in the USA has been offered readily available, free vaccination with their choice of three covid19 vaccines. I continue to recommend vaccination of those who feel it is safe to do so and who otherwise can not mitigate risk of covid19 to themselves and to others. I also support prevention of covid19 in the first place.... with simple though woefully underutilized regimens of diet, exercise, vitamins, antioxidants and asa when proper. There are a host of therapeutics that are available for those who develop covid19. These too are being terribly underused.
- Internal MedicineMark H. Goldgeier, MD is an award winning Dermatologist, Dermatologic Surgeon, and Cosmetics expert. He completed his education at the University of Rochester, Cornell University Medical College, and Yale University. He is fully Board Certified in Dermatology as well as in Internal Medicine, and is a Fellow of the prestigious American College of Physicians. For almost four decades in Rochester he has taken exceptional care of patients and their families.
- Endocrinology
- MRIWhy can't you have an MRI until after you suffer for six weeks with intractable back pain? Why can't you have more than seven precancers treated at a visit? Why do you have to have a "howdy" visit before your full physical? Why you are referred within an ACO ("affordable care organization") when there are world famous doctors in other systems right here in our very own community?
- X-Rays
- Computed TomographyIf you are basically healthy, you may not have experienced the frustrations of being denied adequate evaluation, testing, surgeries and medications to treat your illness. But some of you may have known a friend or family member who was denied the chest X-ray, the CT scan, the biopsy, the appropriate surgery by an insurance company that has never examined you and will bear no responsibility for your failure to heal. Intuitively, you know that the insurance companies are unqualified to be guardians of your health.
- General Surgery
- Cosmetic DermatologyWhatever is on your wish list, let's talk about it. Removal of minor benign lesions, use of peels, spot laser therapies are all available to you. Guided by fairness, I will include these procedures in your one price visit. I want to improve the value of the services we provide to you. I am successful when I improve your health, when I can bring our global expertise to you and to your family, when you are amazed at what a great office this is. I envision the combination of medical dermatology, surgical dermatology, and cosmetic dermatology to enhance your health wellness..... and with the one fee pricing, I am putting my money where my ideas are.
- Skin CancerDr. Goldgeier performs a thorough and comprehensive skin exam, screening for atypical moles, precancer and skin cancer as well as surgery for skin cancer and other types of skin surgery.
- Dermatology(Disclaimer: This is simply a question and answer format of general advise not meant for any particular patient and/or any particular treatment course. This applies to current Clinton Crossings Dermatology Patients and particular treatments offered by Clinton Crossings Dermatology)
- Acne Treatment
- EczemaThere are many conditions that contribute to reduced barrier function. Among the two most common are eczema and ichthyosis. The barrier disruption in eczema is congenital. Studies have shown that hydrating and moisturizing neonatal skin can reduce their lifelong risk of not only eczema, but of asthma as well. The combination of Xeracalm Cleanser® and Xeracalm Cream® are our treatments of choice for many patients with eczema.... including infants, children, and grand children.
- LesionsThere are lots of types of pigmented spots that can appear on the skin. Flat, sharply defined brown skin lesions that appear on mostly sun exposed skin and that are about the size of a pencil eraser are most often lentigines......a fancy word for super freckles. They make their appearance days to decades after too much sun exposure and can occur on all types of skin. In reality, they are not “age spots” because they often occur in teen agers and young adults, although they accumulate more as your numbers of birthdays accumulate. They are not “liver spots” because they have nothing to do with the liver, or with liver disease....except for sharing some of the same color tones. If you already have lentigines please be meticulous in wearing proper sunscreen, sun protective clothing, and sun sense. Lentigines represent sun damage that has left permanent injury to skin cells.
- Chemical PeelsPeels are some of the most important products for your skin. Their benefits extend much deeper than the cosmetic. Peels are an integral part of your long term treatment plan. They are designed to fit your lifestyle and your budget.
- Skin CareDr. Goldgeier, Janine, Lisa, and Sherry have together over a century of experience using the safest and most effective professional medical peels. We integrate the peels into your overall medical and cosmetic skin care. Whether you see the peel or not, you will experience the benefits.
- PsoriasisI am fully vaccinated and I am a psoriasis patient. Do you recommend the booster when I am able to receive it? My PCP tells me I can get it as soon as September 28th.
- Back Pain