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  • New Dermatologist

    Dr. L, the dermatologist I have been going to for the last 8 years retired. The visit with Dr. L was always the same. I would be escorted to the exam room and instructed to strip down to my underpants and put the gown on with the opening in the back. A few minutes later Dr. L would enter and begin the exam. She would start with my face, then pull off the gown, ask me to lay down, and check my chest, legs and feet. Followed by slightly pull down the waist band of my boxers to check my lower abdomen. Then ask me to roll onto my chest so she could check my back and once again pulling down my boxers to check my buttocks. Although my all over tan is obvious, neither Dr. L nor I ever mentioned I was a nudist.

    On my final visit with Dr. L, she found a basil cell which had to be removed by a MOHS surgeon. The procedure went well and everything is fine so I did some reading on basil cells and discovered once you have had basil cell there is a 50-60% chance of getting another on your body. The cells are triggered by sun exposure. I further read other articles about what you should tell your dermatologist. The list included, parental history of basil cells, blistering sunburns and sun exposure. I also read in the Journal of American Dermatology about what are the parameters of a full body skin exam. Basically, once you have had a basil cell, the exam should be more through. Reason is, a basil cell found early and removed causes you no problem.

    So armed with all of my newly acquired information I have an appointment next month with Dr. G, my new dermatologist. So here's the question. When I see Dr. G, should I tell her I'm a nudist and discuss my readings on basil cells? I would very much like your advise and experiences of a nudist going to the dermatologist.

    Computerstation

  • #2
    I've had the same exam but it did not show any problems. As a patient of other specialties, I suggest that you be very open with your medical history and not only ask but demand a full exam since it could be a matter of life or death for you. Doctors, nurses, and other medical personnel are not shocked by naked people, for the most part they are practicing protocal when you are covered. i recently had a surgical proceedure that required shaving my groin. The nurse and I discussed, acutally laughed, about her requirement to step out of the room while I was getting dressed. Also note that there are doctors, nurses, and other medical personnel that are nudists too. Also note that an all over tan does not necessarily indicate that you are a nudist. My step daughter is definitely not a nudist but has sported an all over tan because she used tanning beds. A full exam by her dermatologist finally convinced her that what she was doing was not the wisest thing.
    Last edited by nudeyooper; 10-29-2021, 01:07 PM. Reason: Add another thought

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    • #3
      Never lie to you doctor or your lawyer

      Or as my grandfather used to tell me, only lie to your wife and the cops

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      • #4
        I agree with the others. You should absolutely tell your dermatologist that you have sun exposure all over your body. Their standard exam is based on the assuming that there are places on the body that never get sun exposure - that's not a valid assumption in the case of a nudist. She will probably also be pleased that you were proactive in reading (in legitimate publications) about your health. In my experience, doctors roll their eyes in when you start by saying, "On Google it says...", but are happy to learn that I've taken an interest in learning something from a professional source about my body.

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        • #5
          You probably won't need to tell your new dermatologist about being a nudist. She will already notice your lack of tan lines and come to the conclusion that you either are a nudist or just lay out a lot. The important thing is to let her know how much sun you get, how long you are out in the sun, and how often and you apply sunscreen and how strong the SPF is.

          By the way, for a woman wearing a one-piece, she is only covering 20% of her body. Board shorts cover a similar amount for men. That really isn't much when it comes to sun exposure.

          Bob S.

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          • #6
            Thank you all for the good advise.
            Nudeyooper, stated it best, " I suggest that you be very open with your medical history...". I will first tell my new dermatologist about my readings on basil cells. Then tell her I'm a nudist who likes to be out in the sun as much a possible.
            Noodfellaz, I will not lie to my doctor....or my wife either!
            Naked Jones, I very much appreciate, "She will probably also be pleased that you were proactive in reading (in legitimate publications) about your health", Your comment makes me move comfortable discussing what I read with Dr. G.
            Bob S., Your words, "how often and you apply sunscreen..." is something I am most lax. I need to always apply sunscreen.

            I have my appointment with Dr.G at the end of the week. I will let you all know how it goes. Thanks again.

            Comment


            • #7
              Originally posted by computerstation View Post
              Thank you all for the good advise.
              Noodfellaz, I will not lie to my doctor....or my wife either!
              .
              Probably a good idea. I love my Grandpa but....lil shady sometimes

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              • #8
                As I mentioned in my first post, my old dermatologist, Dr. L, retired and sold her practice. So I had a first visit with my new dermatologist, Dr. G., on Friday. Here's how it went.

                I checked in with reception and was soon escorted to an exam room by a medical assistant. She asked all of the usual questions and took my blood pressure and temperature. I was instructed to removal everything except underpants. Then she handed me a gown and said I could "wear it or not...however you are comfortable" , and left the room. I stripped down to my boxers and debated on wearing the gown or not....then put on the gown, opened in the back, and sat in the exam chair.

                In a minute or two there was a knock on the door and in came Dr. G. She was late 30's, long hair, fit build, dressed in scrubs. With an energetic voice she said, Hi Mr. Computer, I'm Dr. G. She looked like she was smiling, but the dreaded covid mask covered half of her face. She checked the spot where the basil cell was removed and asked how the Mohs surgery went and said it has healed very nicely. Then she asked if I wanted a full body exam. I replied, yes and discussed my reading on once you have had a basil cell there is a 50-60% chance of getting another on your body. Also, how cells are triggered by sun exposure. I further mentioned other articles about what you should tell your dermatologist and then discussed parental history of basil cells, blistering sunburns and sun exposure. I also recapped the Journal of American Dermatology parameters of a more through full body skin exam once you have had a basil cell. Reason is, a basil cell found early and removed causes you no problem.

                Then as my heart rate increased, I told Dr. G. I was a nudist. Told her my wife and I tan nude on our deck and also go to nude beaches. Without hesitation, she asked if I would like her to include the buttocks and genitals in the full body exam. I replied yes. She finished checking my face and neck then began my shoulders. I stated I did not need the gown and she agreed and removed it. She said some patients like to keep "covered up" and agreed the exam is easier for her without the gown. She finished my chest and asked me to lean forward in the exam chair so she could check my back. She then checked my arms, hands, legs and feet. Then Dr. G. asked me to stand with my back toward her and she lowered my boxers and checked my butt. She then said to turn and face her. Once again, Dr. G. lowered my boxers and checked all sides of my scrotum and penis. "You can pull up your boxers and have a seat in the exam chair". Dr. G. said I had a clean skin check. Needless to say, she did not miss a spot. But, good news....no basil cells. She suggested I come back in six months.

                So thanks everyone for the advise and encouragement. Now I encourage you to truly get a FULL body check at your dermatologist. The only precaution Dr. G. did give me was to use sunscreen and reapply every 2-3 hours. I'm not the best at using sunscreen all the time.

                Comment


                • #9
                  Originally posted by computerstation View Post
                  As I mentioned in my first post, my old dermatologist, Dr. L, retired and sold her practice. So I had a first visit with my new dermatologist, Dr. G., on Friday. Here's how it went.

                  I checked in with reception and was soon escorted to an exam room by a medical assistant. She asked all of the usual questions and took my blood pressure and temperature. I was instructed to removal everything except underpants. Then she handed me a gown and said I could "wear it or not...however you are comfortable" , and left the room. I stripped down to my boxers and debated on wearing the gown or not....then put on the gown, opened in the back, and sat in the exam chair.

                  In a minute or two there was a knock on the door and in came Dr. G. She was late 30's, long hair, fit build, dressed in scrubs. With an energetic voice she said, Hi Mr. Computer, I'm Dr. G. She looked like she was smiling, but the dreaded covid mask covered half of her face. She checked the spot where the basil cell was removed and asked how the Mohs surgery went and said it has healed very nicely. Then she asked if I wanted a full body exam. I replied, yes and discussed my reading on once you have had a basil cell there is a 50-60% chance of getting another on your body. Also, how cells are triggered by sun exposure. I further mentioned other articles about what you should tell your dermatologist and then discussed parental history of basil cells, blistering sunburns and sun exposure. I also recapped the Journal of American Dermatology parameters of a more through full body skin exam once you have had a basil cell. Reason is, a basil cell found early and removed causes you no problem.

                  Then as my heart rate increased, I told Dr. G. I was a nudist. Told her my wife and I tan nude on our deck and also go to nude beaches. Without hesitation, she asked if I would like her to include the buttocks and genitals in the full body exam. I replied yes. She finished checking my face and neck then began my shoulders. I stated I did not need the gown and she agreed and removed it. She said some patients like to keep "covered up" and agreed the exam is easier for her without the gown. She finished my chest and asked me to lean forward in the exam chair so she could check my back. She then checked my arms, hands, legs and feet. Then Dr. G. asked me to stand with my back toward her and she lowered my boxers and checked my butt. She then said to turn and face her. Once again, Dr. G. lowered my boxers and checked all sides of my scrotum and penis. "You can pull up your boxers and have a seat in the exam chair". Dr. G. said I had a clean skin check. Needless to say, she did not miss a spot. But, good news....no basil cells. She suggested I come back in six months.

                  So thanks everyone for the advise and encouragement. Now I encourage you to truly get a FULL body check at your dermatologist. The only precaution Dr. G. did give me was to use sunscreen and reapply every 2-3 hours. I'm not the best at using sunscreen all the time.
                  Excellent thread Computerstation!

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