Friday, June 29, 2018

Skin Lesions, Treatment and Dermatology at Ocala Family Medical Center



A skin lesion is a nonspecific term that refers to any change in the skin surface; it may be benign, malignant or premalignant. Skin lesions may have color (pigment), be raised, flat, large, small, fluid filled or exhibit other characteristics. Common examples of benign skin lesions may include moles (nevi), sebaceous cysts, seborrheic keratoses, skin tags (acrochordon), callouses, corns or warts.

Your doctor may suspect the growth to be cancerous, if so they will send it to a laboratory for testing. After the testing process is complete they will contact you with the test results when they are available.In the meantime, they will likely ask you to keep the excision site dry for 24 hours, and they will provide you with instructions about when to remove or change the bandage. While the site is healing, you should keep the site covered when you are in bright sunlight, as a sunburn can permanently darken the wound, making the scar more noticeable.




A simple procedure that your doctor can use to remove growths, such as moles, lesions, and tumors from your skin is a shave excision. A sharp razor is the primary tool used in this procedure. A doctor may use also use an electrode to feather the edges of the excision site to make the scar less noticeable.Once they’ve removed the growth, your doctor may send it to a laboratory for analysis. This can help them learn whether or not it cancerous.

The treatment of benign skin lesions consists of destruction or removal by any of a wide variety of techniques. A skin lesion removal can range from a simple biopsy, scraping or shaving of the lesion, to a radical excision that may heal on its' own. A removal may be closed with sutures or perhaps require reconstructive techniques involving skin grafts or flaps. Liquid nitrogen, laser, or cautery may also be used to remove benign skin lesions. In cases where it is uncertain as to whether or not a lesion is cancerous, excision and laboratory (microscopic) examination is usually necessary.



Healing time and the amount of aftercare will vary, depending on the skin lesion removal technique.The patient is told to keep the wound clean and dry for biopsy, curettage, cryosurgery, and electrosurgery procedures. Healing will take at least several weeks, and may take longer, depending on the size of the wound and other factors. A patient's healing time will also vary with excisions and with Mohs' micrographic surgery. This is especially true if a skin graft or skin flap is needed to repair the resulting wound. It is possible that laser surgery may produce changes in skin coloration that often resolve in time. Pain is usually minimal following most outpatient procedures, so pain medicines are not routinely prescribed. Various parts of the body such as the scalp and fingers can be more painful than others. In such cases a pain medicine may be required.





Phone: 352-237-4133
Fax:      352-873-4581

Sunday, June 3, 2018

Immigration Physical Services At Ocala Family Medical Center



A medical examination to verify good health and admissibility to the U.S. is known as an Immigration Physical. This doctor's exam is used to identify potential medical conditions that would require follow-up medical care after emigration to the U.S. In other cases this might call for an Adjustment of Status to permanent residence.

Unlike a regular physical exam or check-up in which you bring up health issues that you are experiencing, then get a range of medical advice it is more of a screening exam. This examination is to determine whether it is safe to allow you into the United States. Perfect health is of course not required but you must not have any serious or communicable diseases, drug problems or mental disorders that would make you inadmissible to the U.S. and therefore ineligible for a visa or green card.



The process of citizenship requires this immigration physical. There are specially designated doctors who provide this examination and complete Form I-693. Your complete vaccine history will be recorded on “Supplemental Form to I-693”. Afterward both of these forms are placed in a sealed envelope and given to you for your interview with INS. It is an INS requirement that you be current with all the vaccines for your given age group. 


There are established guidelines as to what elements are needed to complete the forms. Emphasis will be on detecting communicable diseases when you are examined and blood tests for syphilis will be taken. You will be tested for TB (tuberculosis). This skin test for tuberculosis will be applied to the skin of your arm and read at the clinic in 2 – 3 days. If your skin test is positive a chest x-ray may be needed. AS noted earlier your written vaccine history will be reviewed and necessary updates will be given. Normally it takes 3 to 5 business days to complete the tests, forms and examination.




You as the applicant must produce valid, government issued ID such as a passport, state driver’s license, and medical or immunization records. You must also provide any mental health records and your pre-completed I-693 immigration physical form. Be sure to check if the form is up to date. Individuals seeking green cards or applying for citizenship are required to take their physicals conducted by the designated civil surgeon.



Phone: 352-237-4133
Fax:      352-873-4581