New Dermatologist

[computerstation]

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

[nudeyooper]

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.

[Noodfellaz]

Never lie to you doctor or your lawyer

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

[Naked Jones]

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.

[Bob S.]

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.

[computerstation]

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.

[Noodfellaz]

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

[computerstation]

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.

[Noodfellaz]

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!

[Budy]

I've wondered if others who have no tan lines tell their dermatologist/doctor or simply let them figure it out on their own? Reading your replies here gives me a glimpse of what others do in the medical setting.

I called a local dermatologist office and booked an appointment, they had three doctors and a NP on staff but they didn't give me the option to pick a provider. I got the one female doctor on staff. Here nurse assistant called me from the waiting room and I followed her down a very long hallway to the last exam room. We went in, talked a little bit, she welcomed me to the practice. She then told me the doctor prefers to perform a complete skin exam with new patients. I told her I was fine with that. She opened the cabinet and hand me a tiny paper towel sized sheet and told me to disrobe to my boxers and place the paper under my feet, then sit in the chair and wait for the doctor. She then added that male patients only get the sheet while females get a paper vest they have to wear. She then adds most men don't fit in the vest anyway.

Not wearing underwear that day under my jeans I spoke up and asked for another sheet. She asked what for? I briefly looked at the leather chair and then back at her and said for my lap. She gave me a weird look and handed me a second paper sheet. I stripped down to nothing and stood on my square paper then went to sit down, remembering it's polite to place something under your naked bum. So the sheet went in the leather chair. I sat there confused and worried what she would say when she walked in.

About 3 minutes later, no visit yet I got up and went into the cabinet to fetch another paper sheet. There were none left! Only yellow bib vests for the ladies. I started to search the room for something. Nothing. I sat back down. Ten minutes later I stood up and walked across the room. The exam table has a roll of paper at the head, but that was way too loud. Abort. The window has the shades closed but had a bunch of pamphlets. Maybe one of those would do the job? No that would be odd.

I went to sit down again and saw my shirt under my jeans. I'll use that to cover my lap. About 20 minutes later the door opens, then there is knocking with a white coat doctor charging in offering apologies for running late. She sees me sitting there and asks me to stay up and leave the shirt on the chair. She turns away from me as I stand up to wash her hands.

She turns back and sees me naked, steps back and says she can offer me a drape. Rummages through the cabinet and finds nothing. I tell her I'm okay and want the full body scan. She shrugs it off and goes through my face, neck, arms and back. She takes out a scope to look at a few places. She then grabs the roll of paper on the exam table laying down a fresh sheet on the examination table and asks me to lay down. She goes through my head and does my face again. Then my arm and chest again. She did down to my feet and legs. Then asks me to turn over. She goes through my head again. My back, my arms, my legs. She then spreads my butt cheeks and then looks at a spot on my lower back with her lens. She then said to turn over again. She comes up close to my head and tells me she will now inspect my penis. I nod.

She bends down close to my dick, picks it up and manipulated in every direction. She then moves to my testicles, same thing. She asks me to bring my heels to my butt, then open my knees. She lifts up my scrotum and looks deep in there. Pressing places with her other hand. She lets go and tells me to stretch out my legs. Then grabs my penis again and presses the tip. She taps me in my thigh and tells me to stand up.

I stand in front of her, she sits on her rolling chair and looks up at me telling me of her findings and what I should do when tanning. She stops herself and says she just realized I have no tan lines. I point to my wrist where my watch always is and show the watch band tan line. She says she now understands why I'm so comfortable standing nude in front of her. I go to tell her I've been tanning nude for a few years now but I'm cut off when the door opens and the nurse says she needs the doctor. The nurse looks at me standing there and stays in the door frame. The doctor says her apology and gets up to leave. They stand in the hallway, door still wide open and discuss a phone call that just came in. The doctor walks down the hall very quickly. The nurse starts to walk away then comes back into the room, stares, then says I can get dressed and check out at the front desk.

I think I was in that room naked for close to an hour.

I've been to several other offices over the past few years. My exams are pretty much the same way. I strip everything off, sometimes I'm given a cloth gown that I lay over my lap and sometimes I'm given a prayer sheet that unfolds many times and covers a lot. It's of no use to me. After the doctor comes in, we talk, safe begins her examination the covering gets tossed. I stay nude until she leaves the room.

[computerstation]

So I just had my second appointment with my new dermatologist, Dr G. I moved it up a month because I had an odd shaped mole on my back that I wanted checked asap. Here is how it went.

After being escorted to the exam room and asked the usual medical questions, the doctors assistant asked if I was having a full body exam. I replied, yes, and she instructed me take everything off except the under pants. Here's a gown. As she walks to the door she states the doctor will be in shortly. I just get down to my boxers and there is a knock and the door opens. It's the assistant and she says. "Oh sorry to walk in while you are undressed, but I have to review you prescriptions." I stand there in my boxers and answer her question, then she leaves again.

So I put the gown on and sit on the exam table and begin to wonder if I'll have to, once again, tell Dr G that I am a nudist so she will include buttocks and genitals like last time. My mind goes round and round. There is a knock and in comes Dr G. We exchange the normal pleasantries and she say, "Full body exam like last time. Right?" I say yes and she begins to check my back so I removed the gown as I did last time. She checks arms, chest, front of the legs and feet. Then she sits on a stool, an asks me to stand so she can check the back of the legs and buttocks. I ask if I should just remove my boxers.(The last time she lowered my boxers,checked then lifted them up. Then had me turn and face her once again lowered my boxers, checked then asked me to pull them up.) She said, "If your comfortable it's OK with me." I removed the boxers. She checked the back of my legs and buttocks. Then asked me to face her while she put on gloves and then checked my genitals. "OK, you can cover up now and sit on the exam table so I can check you face and head." I put my boxers on and sat down.

She suggested the mole on my back be removed, just in case it is a basil cell. Dr G said her assistant will be in with the set up for mole removal. Then left promising to return in a minute. The assistant entered the room with items on a tray and said, "Good to see you again." I laughed while sitting there in my boxers and said she has seen almost as much of me as the doctor. Oh, I'm very sorry for coming in while you were undressing. I told her no worries, I'm not shy. She laughed and said, "If you want a good exam, you should not be shy." Dr G removed the mole and said enjoy summer, I'll see you in six months.

[igor]

the last time i went to the dermatologist, the assistant brought me to the exam room and told me to take off all my clothes except my underwear. she handed me a gown and walked out. since i wasn't wearing and UW, i took off everything and puttee gown on. then i debated what to say to the examiner (a nurse practitioner, not an MD) when she came in. when she came in, i told her that the assistant told me to take off everything except my underwear, but i said i wanted to give this person a heads uptimes hat i wasn't wearing any. the examiner said, no problem. it would not mae any difference to her either way. i had my very thorough exam. she asked if i used sunscreen to which i answered yes. she removed a mole by my eye and that was that.

[Tanazz]

I go every six months and usually have something minor removed. I've also had 4 MOHS surgeries. It just seems rather humorous to me that I have to get dressed to go and get undressed to put on a paper gown to then get naked for the full body exam because I told him on the first visit I was a nudist. After the exam, I stand there nude, discussing how I should use more sunscreen as he and the young girl assistant leave the room. if they have to cut, I put on my shorts.

Just got back fro the Dr. He cut out a melanoma. It was small and he caught it early. Said he got it all. Hope so.