Dermatologist since 1976. Worked in Russia Leningrad (St. Petersburg). Since January 1994, the practice in Israel with Maccabi, Meuhedet, Leumit health funds.
Medical diagnosis is an entity created by physicians with the purpose of classification and better identification of various pathological conditions with similar manifestations. The same diagnosis may include several diseases with various causes and pathological origin, and therefore each condition may require different medical treatments and approaches. Many acceptable and recommended medical treatments in Dermatology are based on empirical experience. Many treatment guidelines are currently widely used in dermatology, mostly based on a few experiences and theoretical studies and are not always rational and successful. Even when the treatment recommendations are builded on logical conclusions, they are not always effective. These treatment recommendations are repeatedly copied and published in medical articles. Inexperienced doctors may use them again and again until they realize their an ineffectiveness. Additional reason for topical dermatological medications to be ineffective is inability to individualize and optimize multiple ingredients of each medication to each individual patient. Many of the medications are created by pharmacists, who are disconnected from real patients and real practice of medicine in the field.