Author Kimberly Williams, R.E., Dean, Boston Electrolysis®, Scientific Writer©

My Dear Colleagues,

This is my contribution to my chosen profession the Boston School of Electrolysis™ America’s First and Only Online Classroom For Ongoing Electrolysis Education© It is of my professional opinion that State Licensed and Registered Electrologists interests are deliberately being ignored by other electrolysis associations and guilds. It is absurdly unfair that State Licensed and Registered Electrologist are required to pay up a third more than the non-licensed electrologist who happen to be in control of these groups. In addition to that we state licensed and registered electrologists are forced to pay abnormally high Certified Educational Upgrades. Additionally, our time is so valuable and at present The International Guild and I laugh The Society for Clinical Medical Grade Electrolysis have turned their backs on profession they swore to uphold and have gone laser. This does not leave the state licensed and registered electrologists who really care about this profession much of a choice; well, that’s what some think.

Therefore, Boston Electrolysis™ the online course, How to Do A Thorough Case History is offering Classes 1,2,3,4, and five are free of charge and are to be used to advance your professional abilities. In my professional opinion the educational quality and content of this course exceeds any known Certified Education Upgrade presently required by other groups and state boards of electrologists.

If you intend to use this course as a Certified Educational Upgrade for your state board license renewal after completion you can submit an essay that I will grade. You are more than welcome to read and inspect this particular course and decide for yourself if you would like to be tested by essay. If you wish to use this as Certified Educational Upgrade a certificate of successful completion will cost $15.OO and as an added bonus you will receive the official copyrighted Five Star Electrologists Diagnostic Case History Card© numbered template that is 8 1/2 “ X 11’’ double sided so you make as many cards as you need for own personal use only. There is more, this also includes the Five Electrologists Diagnostic Case History Booklet in a PDF format for your own personal use.

There is even still more, essays of distinction have the option of being published listing the name of you practice, phone number and a brief biography for three months for an additional $10.00. I like to quote for the record where can you find a Certified Educational Upgrade with a numbered certificate, a lifetime supply of case history cards, instruction booklet and having your essay posted for three months on the largest privately electrolysis website for $25.00. You will not get a better deal anywhere. Please feel free to tour The Boston School of Electrolysis™ has other branches and the newest being The Five Star Electrologists Guild™ for the state licensed and registered electrologist only. Please visit that link on this site and click on the Five Star Electrologists Guild™. Take your time to brows this new revolutionary educational system that praise and promotes you the state licensed and registered electrologists the backbone of chosen profession.

Looking forward to hearing from you,

Kimberly Williams, R.E., Dean

Boston Electrolysis™

President of The Five Star Electrologists Guild™

PART ONE

Information

Hereditary and Medical

When a patient walks into my office my first goal is to provide you with the evaluation and diagnosis possible, Diagnosis is not a skill reserved solely for physicians; it is for the professionally trained licensed and registered electrologist, as well. Diagnosis is not merely a word to the professional electrologist, but one of our most valuable skills. Proper diagnosis requires training, education, patience, and practical expertise and means the difference between an average electrologist and a professional.

Documenting a patient’s overall appearance and skin condition is a prerequisite foundation to evaluate your patient’s health before you start treatment. Today’s electrologist must learn new ideas, methods, and techniques in our profession, which will ultimately benefit the patient, the profession and your professional pride and reputation.

When you complete a thorough case history, you do not limit yourself and your patient’s progress. For Electrologists to neglect patients’ case history is unprofessional and jeopardizes your patient’s health and welfare and limits your ability to best treat your patient. A thorough case history card documents medications in use and medical conditions which, left unrecorded, could leave you unaware of medical conditions that might result in unforeseen complications. As you go along through this case history everything that you need to be aware of in your patient’s condition will present itself.

After completing a typical case history with data such as name, address, telephone, proceed with your patient’s history from date of birth, marital status, which referred to your patient, and what advertising caught his or her eye.

Name________________________________________________

Street________________________________________________

City_______________State____________Zip________________

Telephone

Home____________________Work________________________

Best time to call________________________________________

Birth date____________________

Bank guarantee card#_____________________________

Referred by__________________________________________

Publication______________________________________

Note ** Diagnostic Case History Cards Are Held In The Strictest Confidentiality.

These aspects of the case are most important. You will find several patients with an unwanted fall into this category of disorder. You have much to gain from this knowledge.

Heredity and medical histories play a very large role in unwanted hair. The fact that some hair problems are hereditary and endocrine-induced conditions present some problems, which can be prevented with The Electrologists 5 Star Diagnostic Case History. For example, your client may have a sickness or seizure disorder or epilepsy. Knowing this, you are alerted to the possibility of a seizure. Further, Dilantin is one of the standard medications taken by epileptics. Dilantin can cause excessive body and facial hair growth in women and men. Yet it is very safe to treat epileptic patients as long as they are taking anticonvulsant medications. You, the electrologist, must make the epileptic patient aware that this medication can cause significant unwanted facial and body hair in the woman.

Presently there are other and so many medications prescribed for epileptic patients that do not cause unwanted hair problems. By informing your patient of other options, you may be able to eliminate the cause of the hair problem, by having the patient contact their neurologist to change to another medication that does not stimulate new hair growth like Dilantin. This act alone eliminates the root cause of the unwanted hair growth while expediting their electrolysis treatments, which in turn results in the patient clearing up much more rapidly to achieve permanent hair removal. Possessing knowledge of medications that cause unwanted hair problems is essential to attain the best possible outcome.

The 5 Star Electrologists diagnostic case history and evaluation offer you more than protection from contagion, it also allows you to better understand your patient’s medical condition and needs. This improves your professional image and stands in the eyes of your patient.

Electrolysis treatments, methods and techniques practically applied will eliminate unwanted excessive hair growth and with exceptions, control the more severe endocrine and genetic hair problems. These techniques improve your professional credibility. They might seem new to you, and they are probably different and more comprehensive than what you were taught in your original training. The result is better protection for you and your patient, and soon it should not take you more than fifteen or twenty minutes to complete a thorough history.

Professional expertise and knowledge open the doors to success and protect you and your patient’s health and improve the possibility of clearing up sooner. As we proceed, we shall see how these many aspects are intertwined through the accumulation of facts and hands-on knowledge to benefit your patient.

1. Diabetic patients should be treated only with their doctor’s permission. Never treat a diabetic patient without a treating physician’s written permission. To do so risks the health of your patient and leaves you unprotected in a lawsuit. Your patient’s case history and medical condition must be updated every six to eight weeks depending on their type of diabetes. Diabetic patients are extremely prone to infection and inflammation of the tissue.

2. Hodgkin’s disease. A patient with Hodgkin’s disease, the most common of the lymphatic system cancers, has a challenged immune system. Cortisone is one of the medications prescribed for this disease, which also causes moderate to severe unwanted growth and leaves the tissue exposed to bruising at the slightest touch. Request a letter from their physician stating that electrolysis treatments are appropriate and safe to perform.

3. Hepatitis A, B and C. Hepatitis is a potentially deadly disease which can result in necrosis and cirrhosis of the liver or liver cancer. Avoiding the spread of hepatitis is one of the major reasons for using disposable needles. A hepatitis patientcan only be treated with a physician’s letter of approval, stating that the patient’s hepatitis is not in a contagious stage. If you contract hepatitis not only can you infect your patients, you will be unable to work.

There is a vaccine for Hepatitis B of which I have been immunized and electrologists should consider immunization. The vaccine is synthetically made with recombinant RNA/DNA, using no human blood products; therefore you run no risk of contracting AIDS. I strongly suggest immunization against hepatitis B.

4. Carcinoma. Unless undergoing chemotherapy, cancer patients can be treated immediately. However, those with cancer sometimes display unusually prolific hair on the face and body. If you have ruled out endocrine and genetic complications, stress, and pharmaceutically induced hair growth, think about cancer. Recommend that your patient have a medical evaluation to evaluate excessive hair problems. Never mention cancer because you put your patient’s emotional well being at risk. You are not a physician; so remember to use common sense in your approach.

5. Rheumatic fever. This complication requires a mandatory letter from the physician because of the risk of a cardiac infection. Some patients that have had rheumatic fever require prophylactic antibiotics before any medical or dental procedure because of their susceptibility to cardiac infection. Rheumatic fever patients who are anticipating electrolysis treatments should consult their physician for medications or permission from their doctor for electrolysis treatments. Some patients who have mild rheumatic fever require no medication. There is not doubt here cardiac infections kill, a physician’s prescription for treatment is also mandatory.

6. Herpes simplex, or herpes cold sores. Naturally, you do not work in an area with an active outbreak of herpes. Doing so only inflames the tissue and is painful for the patient. Work around the area, being careful not to pull or touch the inflamed tissue. Only after the patient has fully recovered from the outbreak (there is no scab left from the previous outbreak) can you treat the area. Both oral and genital herpes are contagious when it is in the “prodrome,” active or inflamed stages. To better protect yourself legally, obtain a letter from your patient’s physician stating herpes is not contagious when in the dormant stage.

7. Hemophilia. Do not treat patients with hemophilia. They are too risky, even with the new medications, which attempt to control blood-clotting capabilities.

8. Allergies. It is very important to remember that a patient might have an allergic reaction to topical ointments used for pre- and post-treatment care.

DISCLAIMER

The Five Star Diagnostic Case History© is not 100 percent infallible. This history provides general guidelines for the practicing licensed and registered electrologist. All recommendations are precautionary in nature and each electrologist should tailor these recommendations to fit his or her own practice and seek legal and medical advice when in doubt. We assume no liability for errors or omissions on the part of electrologists utilizing this booklet and case history card.

Any electronic or printed reproduction, duplication or distribution of The Five Star Electrologists Diagnostic Case History© 1,2,3,4, and any other article that is authored by Kimberly Williams, Massachusetts Licensed and Registered Electrologists, in total in whole or in part without the expressed written Consent of Kimberly Williams, R.E., Dean of Boston School of Electrolysis™©, Publisher and author of The Five Star Electrologist™©, The Spotlight On Slime© and The Five Star Electrologists Guild™© are in violation of the U.S. Copyright Statute Laws and will result in prosecution thereof. A reward is offered for information leading to the prosecution and conviction of individuals or entities involved in copyright infringement violations as they pertain to Copyrights and other above mentioned division of The Boston School of Electrolysis™© and bostonschoolofelelectrolysis.com without proper written permission or consent. The names of the sources of said information will be held in the strictest confidence and the reward will be in the amount of ten percent of the litigation settlement amount. All images, designs and intellectual material are the property of Kimberly Williams, R.E., Dean Boston School of Electrolysis™© and bostonschoolofelectrloysis.com. Address 10255 N. Scottsdale Road Suite 4, Scottsdale, AZ 85253. All rights reserved Boston School of Electrolysis™©.

BOSTON ELECTROLYSIS ™

Diagnostic Case History ©

How To Do A Thorough Case History

By: Kimberly Williams, R.E., Dean

PRESIDENT OF THE FIVE STAR ELECTROLOGISTS GUILD™

PHOTO

PART 2

Endocrine Disorders

High Normal Endocrine Results

The endocrine system is most susceptible to stress, nervous disorder, dietary, and hereditary conditions. They all go together, but most important of all are medications, which can often be the direct cause of an unwanted hair problem. If a patient has an illness he or she is prescribed a medication; for instance, cortisone, used to relieve arthritis and inflammation of the joints and muscles. Granted, the patient has relief, but the end result is more unwanted hair.

More conservative therapies could be considered, such as physical therapy, myotherapy, massage therapy, or diet and relaxation. In some cases, medication is the only alternative. There are certain medications, which can control the endocrine disorder, but then all medications have side effects and although some people tolerate them well, they can develop other medical problems from them. For instance, blood irregularities; menstruation problems, spot bleeding and fluid retention may occur, which require other medications to compensate for them. Before you know it, the patient is on three or four different types of medications and the body’s delicate system is compromised, and that leads to more complications. Therefore, they may eventually have poor diet, stress, and anxiety, weight gain or loss, fluid retention and unwanted hair problems.

1. Menopause. The menopausal patient status should always be recorded. The menopausal condition is often the precursor to unwanted facial hair problems.

2. Post menopause. When a woman is past menopause, the ovaries’ function decreases. With decreased estrogen, the androgen or male hormones in the body do not increase although they can become predominant. This results in male secondary-sex characteristics; unwanted facial and body hair; certain post-menopausal conditions such as bone loss through calcium depletion; and drying and wrinkling of the skin. Estrogen-replacement therapy can relieve and improve symptoms. This therapy will not make the hair go away, but it will make the treatments more effective than for the patient that does not take replacement therapy.

3. Birth control pills. If so, how long? Birth control is just not prescribed to avoid birth, it is also prescribed to regulate menstrual periods. Irregular periods often are the underlying cause of an unwanted hair problem

4. Regular periods. Regular periods do not tell the electrologist that no endocrine disorders exist however they indicate it is unlikely. Irregular periods warrant more questioning. For example, women with irregular periods have a predisposition to polycystic ovaries, a condition that thwarts or decreases the estrogen absorption in the body. When this happens, the androgens in the body become predominant. With this comes unwanted facial and body hair, acne, and thickening and coarseness of the skin. There are certain medications and treatments, including surgery, which can alleviate this condition. A seasoned and skilled electrologist will be aware of this condition and see it quite frequently in her practice. I again stress the importance of knowing your patient’s health, both for your safety and for that of your patient’s.

5. Do you have an endocrine disorder? Detecting endocrine disorders is relatively simple if you consider that when a woman has endocrine disorder you can be sure she has an unwanted hair problem. In men, endocrine disorders cause excessively heavy beards with thick, heavy body hair.

If so, what type of disorder? If your patient answers “yes,” to the question, refer to the Merck manual under “symptoms.” Usually you will find unwanted facial and body hair a part of that medical condition.

6. Hysterectomy patient. If a patient has had a hysterectomy or partial hysterectomy, she falls into the category of a pseudo-menopausal endocrine disorder. This is identical to a postmenopausal patient unless estrogen replacement therapy is prescribed after surgery an unwanted hair problem will result.

7. Have you completed a full-term pregnancy?

When a woman undergoes a full-term pregnancy the female reproductive anatomy undergoes one last change, which can affect unwanted facial and body hair.

8. Do you have a borderline endocrine disorder?

(Read “high normal endocrine” below).

High Normal Endocrine Results

This is your borderline patient in reference to an endocrine problem. These patients’ lab tests represent that spectrum of below normal, normal, and most important, high normal. High normal results of a test can reveal that your patient has a borderline condition.

After I surveyed a number of patients, I found that if they have an endocrine disorder, they answer, “I had testing because I was concerned about my hair problem, but my doctor said my tests were in the normal range.”

I then questioned the patient, “Did the physician say that your test revealed a high-normal range?” Ninety percent of those questioned answered affirmatively. This means that even though your patient had a normal test, the high-normal testing is the cause of their hair problem.

Very few physicians prescribe medications for the patient because they feel the medication would not improve their condition, and many do not follow-up on these types of tests when the results are in the normal range.

DISCLAIMER

Any electronic or printed reproduction, duplication or distribution of The Five Star Electrologists Diagnostic Case History© 1,2,3,4, and any other article that is authored by Kimberly Williams, Massachusetts Licensed and Registered Electrologists, in total in whole or in part without the expressed written Consent of Kimberly Williams, R.E., Dean of Boston School of Electrolysis™©, Publisher and author of The Five Star Electrologist™©, The Spotlight On Slime© and The Five Star Electrologists Guild™© are in violation of the U.S. Copyright Statute Laws and will result in prosecution thereof. A reward is offered for information leading to the prosecution and conviction of individuals or entities involved in copyright infringement violations as they pertain to Copyrights and other above mentioned division of The Boston School of Electrolysis™© and bostonschoolofelelectrolysis.com without proper written permission or consent. The names of the sources of said information will be held in the strictest confidence, and the reward will be in the amount of ten percent of the litigation settlement amount. All images, designs and intellectual material are the property of Kimberly Williams, R.E., Dean Boston School of Electrolysis™© and bostonschoolofelectrloysis.com. Address 10255 N. Scottsdale Road Suite 4, Scottsdale, AZ 85253. All rights reserved Boston School of Electrolysis™©.

Boston Electrolysis®: How To Do a Thorough Case History©

PART ONE

BOSTON ELECTROLYSIS ™

How To Do A Thorough Case History

PART 2

Endocrine Disorders