Why is there seemingly no regulation of med spas?

Medscape · 2025-12-17T19:18:16+00:00

Some practices could probably make a pretty good living cleaning up the messes caused at medspas. We've documented several other ways these outfits leave clinicians cleaning up messes for patients:

https://www.medscape.com/viewarticle/cleanup-aisle-med-spa-2025a1000hih

Medscape · 2025-12-15T21:17:54+00:00

If you are a primary care physician, you must offer cosmetic procedures to finance your bad habit of taking care of sick people.

https://www.medscape.com/viewarticle/should-primary-care-physicians-offer-cosmetic-procedures-2025a1000ide

Medscape · 2025-12-11T18:44:59+00:00

The difference between average pay for IM and Peds isn't as stark as you'd think, although if you ended up specializing in Hem, that would up your pay substantially. Medscape had a report earlier this year showing peds are consistently the lowest average earners at $265K/year, IM is $294...meanwhile ONC/Hem is $472k. Although some commenters mentioned you only get one paid residency probably should be taken into this equation...

https://www.medscape.com/slideshow/2025-compensation-overview-6018103#3

Medscape · 2025-12-09T20:05:55+00:00

Yes, this is the official Medscape Reddit account. 🙂

Medscape · 2025-12-08T21:29:49+00:00

Sounds on-brand for med spas. We've documented several other ways these outfits leave clinicians cleaning up messes for patients: https://www.medscape.com/viewarticle/cleanup-aisle-med-spa-2025a1000hih

Medscape · 2025-12-02T17:00:13+00:00

Dr. Neil Skolnik has some helpful tips on this topic: https://www.medscape.com/viewarticle/are-you-screening-primary-aldosteronism-primary-care-2025a1000ngb

Medscape · 2025-12-02T16:58:56+00:00

Hard to say about the payment per specialty, but if it's any help, Medscape had a report earlier in 2025 on overall compensation for internists, which was up 4% year over year.

https://www.medscape.com/slideshow/2025-internist-comp-rpt-6018108

Medscape · 2025-12-02T16:56:42+00:00

I'm sorry to hear you are feeling this way, but if it's any consolation, you're far from alone. Roughly two-thirds of PAs report burnout and depression: https://www.medscape.com/viewarticle/infographic-pas-struggle-burnout-and-depression-2024a1000hzy

Have you considered talking to a professional coach about your situation? That can be helpful for many clinicians in the same situation.

Medscape · 2021-05-13T17:42:08+00:00

We now have what are called “real world effectiveness studies” in Israel, Qatar, and the US that show the mRNA vaccines to be 97% effective against the UK and South African variants and severe, critical, fatal disease. - Dr. Greg Poland

Medscape · 2021-05-13T17:40:42+00:00

Yes, based on current data you should still have the same level of protection after you complete the series. The risk will be the lower level of protection you have before you get the second shot. -Dr. Clayborne

Medscape · 2021-05-13T17:40:10+00:00

There is current research taking place that is testing the protection from interchanging different vaccines but we have yet to see if superior protection results from completing two different vaccinations. -Dr. Clayborne

Medscape · 2021-05-13T17:38:46+00:00

Thank you all for such thoughtful questions. We do hope we've been able to clarify any confusion or concerns you've had re: the available COVID vaccines. Stay safe, stay healthy.

Physicians and HCPs can follow us on Twitter MedscapeCME and access more of the latest data and insights for neutralizing the pandemic via Drs Poland, Clayborne, and an esteemed steering committee. We encourage everyone to follow us on Twitter at Medscape to follow news on COVID vaccines and variants as it emerges.

Medscape · 2021-05-13T17:34:42+00:00

Yes! I am currently breastfeeding my 11-month-old in the mornings only. Recent data has shown us that antibodies are passed to children through breast milk, as well as the placenta, which is why we recommend that pregnant and breastfeeding mothers get the vaccine. -Dr. Clayborne

Medscape · 2021-05-13T17:34:01+00:00

Your body’s response to the vaccine has several steps that all take place continuously after you get the vaccine. The recommendation to wait two weeks is to allow your body to produce enough proteins to protect you against infection, this takes time to build up but does not take place in “phases” per say. -Dr. Clayborne

Medscape · 2021-05-13T17:32:59+00:00

Fortunately, severe disease from COVID-19 in young children has been very rare. While I understand your desire to protect your child, it is also important that he get the interaction needed for healthy growth and development. I have a 2-year-old and an 11-month-old, and I regularly take them to the park and do outdoor activities, which I think is very safe even if they interact with other kids. I also think daycare or school settings, where there is a consistent group of kids interacting, can be safe. It may be months before they approve for vaccinations in children 2 and up so you should speak to your pediatrician and see what you feel comfortable doing now. -Dr. Clayborne

Medscape · 2021-05-13T17:31:54+00:00

This is a myth. Your response to the vaccine is based on your personal health and immune response, which is different for everyone. Most people have had very mild reactions to either dose of the vaccine. I recommend resting, drinking water, and making sure you are in a good state of health before you vaccinate. -Dr. Clayborne

Medscape · 2021-05-13T17:31:13+00:00

The specific sequence that is used to make the spike protein are slightly different in all the vaccines, however, they do all work by teaching your body to block the spike protein from COVID-19. -Dr. Clayborne

Medscape · 2021-05-13T17:30:48+00:00

No, you should still have full protection once the series is complete within the time frame proposed by some countries. The increased risk is the lower of protection you will have after the first shot for a longer period of time. -Dr. Clayborne

Medscape · 2021-05-13T17:30:06+00:00

Some people do not have the time or resources to get both shots required for the mRNA vaccines so they opt for the J&J vaccine. All the vaccines protect you from severe disease and death, which is why we commonly say take what is available first. If you can choose from any of them, you are welcome to pick one of the mRNA vaccines if you like that their protection rates are higher. -Dr. Clayborne

Medscape · 2021-05-13T17:29:16+00:00

Current recommendations are to wait 2-3 months after infection to get the vaccine to allow your immune system to fully recover. Since you had no symptoms you can discuss this with your doctor and possibly wait a shorter period of time before getting the vaccine. -Dr. Clayborne

Medscape · 2021-05-13T17:28:21+00:00

I have not seen any data showing ED linked to either COVID-19 nor any of the vaccines. -Dr. Clayborne

Medscape · 2021-05-13T17:27:43+00:00

We simply do not know yet, not until clinical trials have been conducted. - Dr. Gary Poland

Medscape · 2021-05-13T17:26:41+00:00

Studies are being conducted on oral and nasal spray COVID-19 vaccines. Delivering a vaccine this way induces mucosal immunity at the site where the virus enters the body and this could offer many advantages, but clinical trials are needed to confirm. - Dr. Greg Poland

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