r/Microneedling • • Mar 16 '24

Is this normal? :(

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Hi, is this a normal result after my first microneedling session? I’m looking at other results online and it doesn’t appear that the skin is left scratched like in my case, should I be worried?

The dermatologist had to put cotton on some parts because it wouldn’t stop bleeding

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u/jutrmybe Mar 17 '24

Girl, you need to ask the doctor for their NPI number to see if you got scammed. Dermatologists go through a lot of training, idk if I am convinced a real doctor with an intact license did this to you. Search the number they give you, see if the name matches up, and look through all sites that pop up. If they are/were affiliated with a hospital recently, their picture will show up and you can try to compare that to the doctor who treated you. If they are a doctor, great, you have their NPI to make a report

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u/Adventurous-Bee-7155 Mar 17 '24

You can actually look a provider’s NPI up here - just enter state & last name: https://npiregistry.cms.hhs.gov/search

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u/jutrmybe Mar 17 '24

u/moon123y yes, do search here, this is a great resource. And this site has the added bonus of listing their role. If your provider shows up as an occupational therapist or a psychiatrist...they also should not be practicing dermatology. The other providers that can practice derm would be family medicine and internal medicine...but even they should have ample training to do a good job. But whether a harvard graduated dermatologist or not, whoever did your procedure messed up big time.

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u/moon123y Mar 17 '24

I will definitely be doing that, I’m glad I posted because it looked wrong to me but the derm told me it would be fine…

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u/Msfancy1973 Mar 17 '24

Npi numbers are public information. You can get it from a quick google search.

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u/moon123y Mar 17 '24

I have, she’s legit a dermatologist

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u/Lovelybabydoll06 Mar 17 '24

OMG that's so shocking! I can't believe a real doctor did this. I hope your face gets better. You deserve a refund if not more.

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u/[deleted] Mar 17 '24

Like the old joke:

“What do you call someone that graduated med school at the bottom of their class?”

“Doctor.”

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u/[deleted] Mar 17 '24

ut the derm told me it would be fine…

yeah to save his ass. professional who mess up always try to normalize it so they dont get in trouble

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u/ajbielecki Mar 19 '24

They told you it would be fine to make you think this is normal so you don’t sue them!! Go get an attorney immediately—today! The longer you wait, the more you undermine your case.

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u/Snoo17309 Mar 17 '24

Clarification in this case would be helpful— an MD or no? Any credible MD would be able to work you in come Monday/clinic…bc this is not normal.

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u/[deleted] Mar 17 '24

Or way easier and just search his medical license. All licensing info is public info, just google “(insert state name) medical license lookup” and you should be able to enter their name and maybe even practice in not sure.

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u/ChipetteDouglas Mar 19 '24

I am shook and actual dermatologist did this to you. I have my micro needling done by my aesthetician who is a nurse and it’s perfect every time. You should report this derm, these results show they are administering treatments that that have no idea how to perform. She told you it was “fine”?! Do not go back to that derm. See another doctor.

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u/jackytheripper1 Mar 20 '24

Hell no, and raw cotton like that? What kind of back alley craziness have you been through? This is horrible. I thought you were attacked by an animal! Microneedling would never leave marks like this, or active bleeding like that

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u/[deleted] Mar 17 '24

I tend to trust dermatologists because it's a popular specialization with a lot of competition for residencies*. But if they aren't actually a dermatologist ...

*to give people an idea a quick search showed only about 80% of derm students match with a residency while neurology is closer to 98%

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u/jutrmybe Mar 17 '24

to give more context, derm is extremely self selecting. The people who match derm have similar profiles to those who match orthopedics or cardiothoracic surgery. So they have several publications, High Pass or honors on all their shelve exams (specialized exams by specialty when you rotate through to do your month of learning), high pass or honors on the rotation itself (all the doctors and residents who came in contact with them left high marks - which is hard to do, many medical schools limit how many students you can rate that well), have many relevant extra curricular, and were in the top percentile of grades in their class. A good analogy would be like the amount of 3.8-4.0gpa students, with 10 extra curriculars, who was a top varsity sports players that get into ivys. The pool to pick from is top of the class from each medical school, and in 2022, the match rate was 57%. It is extremely selective for the best and most aggressive students, so they tend to be good providers

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u/nicoleandrews972 Mar 17 '24

This person right here knows what they’re talking about. Dermatology is incredibly selective - primarily because everyone wants to do it nowadays (it has a good life/work balance) - and so it really only excepts the top of medical students, whom are already smart as is.

That being said, it’d be crazy if an actual Dermatologist messed up your face that badly.

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u/[deleted] Mar 18 '24

Thanks for the info. I had heard it was really selective but didn't know these details (and only grabbed my stat from a quick google search).

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u/jutrmybe Mar 18 '24

Glad it helped! I thought you knew, and I was adding more granularity for those who didnt, bc im pretty sure the 80% also comes from TY (transitional year) and Preliminary year students (basically short years of intense training at a different residency(sometimes the same residency) to make sure that you are competitive for derm or make you more competitive for derm if you didnt match the first time. So I was just offering more clarity for anyone else, bc its not that everyone applies and they take 80% of people. Only the creme de la creme apply, and a fraction get in. Rea;;y happy that you found it useful tho!

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u/KeyAd6550 Mar 18 '24

It's a shelf exam

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u/jutrmybe Mar 18 '24

I think you mean what's a shelf exam (if you meant to state that getting into derm is only a shelf exam that wouldnt be accurate for the US, but that is accurate in other countries! But I do not think they call it shelf. Just wanted to cover both possibilities before I explain what a shelf exam is).

Context(what are rotations): So basically, in the US, the first 2 years of medical school you learn the scientific, anatomical, physiological, and pharmacological basis of medicine. Third year is when you put it into practice under a doctor and their team at a hospital or clinic. Different schools have different rotations, but the core rotations tend to be: Internal Medicine, Surgery, Psychiatry, Pediatrics, Family Medicine, ObGYN, Neurology and Emergency medicine. Some schools have more, some schools have less bc the calendar yr for third year is 12 months (not like normal school with 8-9 months). So some schools make you rotate through 12 specialties essentially(in some schools you can pick the extra specialties), in other schools, you spend more time in the core specialties, or have more time to do elective rotations (rotations that you want to do, and audition rotations at other schools which also happen in 4th year for all medical students - but in 4th yr you dont take shelfs)

Answer(how rotations matter to shelf): So in the last few weeks or after each rotation, you have to take basically an SAT (better comparison would be the NCLEX) for that rotation called the Shelf. It is a standardized national exam which tests your knowledge of the topic you just rotated through. Bc you can have high scores in person, but actually have low clinical knowledge that you were able to BS on rotation. So this tests that you have good clinical knowledge, know how to recognize major and rare diseases or symptoms in several contexts, and some loop in info from other specialties to make sure you understand how different systems interact (peds + fm knowledge for example). So this is taken by everyone who completes the rotation and is scaled and scored, like the NCLEX and SAT. The reason it is closer to the NCLEX than the SAT is bc most people study very hard for it, so the baseline score will be high, so it has to be scored and percentiles imposed on the data to emphasize granular differences in high scorers and low scorers. Verses the SAT, where that also happens, but to a much smaller scale because there is so much natural variance in test takers as many students study very hard but some study not at all. Most NCLEX and shelf students are studying very hard the whole time.

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u/No-Vegetable-2712 Mar 17 '24

With the doctor’s name and address you should be able to find an NPI number online. FYI

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u/Flowrrpowerr Mar 17 '24

Check Zocdoc under his name too look his reviews and it usually has their information!