#492 Hair and Nails with Helena Pasieka MD MS

The Curbsiders Internal Medicine Podcast

Health & Fitness, Medicine, Science, Higher Education, Education

4.8 • 3.1K Ratings

🗓️ 21 July 2025

⏱️ 89 minutes

🔗️ Recording | iTunes | RSS

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Summary

Combing through common dermatologic complaints in Primary Care

Hone your framework for assessing generalized and patchy hair loss and learn how to counsel patients about the hair loss advice they hear on social media. We discuss useful tests and treatments, psychosocial factors in relation to hair loss, variations in hair types and mention relevant nail conditions.

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Show Segments

Intro
Examination of hair and nails, ethnic hair types and cultural hair styles and practices.
Lab tests- clinically useful tests, and those to avoid
Telogen Effluvium
Scaly itchy scalp, seborrheic dermatosis, psoriasis
Androgenic alopecia and age-related hair loss
Topical and oral treatments
Examining the nails, conditions related to nail polishes and prosthetics
Patchy hair loss, alopecia areata, Discoid Lupus Erythematosis
Dr Pasieka’s take home points
Outro

Credits

Written & Produced by: Kate Grant MBChB, MRCGP
Show Notes, Infographic & Cover Art : Kate Grant MBChB, MRCGP
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Reviewer: Leah Witt MD
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Helena Pasieka MD MS

Disclosures

Dr. Pasieka reports no relevant financial disclosures. Dr. Pasieka’s views are her own and do not represent those of her employer or the department of defense.

The Curbsiders report no relevant financial disclosures.

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Transcript

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0:00.0	Hey, before we get to the show, I wanted to remind you to check out our Patreon at patreon.com
0:05.8	slash curbsiders.
0:07.0	If you haven't signed up yet, sign up now to get ad-free episodes, twice-monthly bonus episodes,
0:12.2	and a whole bunch of other cool stuff at patreon.com slash curbsiders.
0:19.1	Kate, did you have something you wanted to say?
0:21.9	Yeah, I was thinking we were going to have a hilarious episode today.
0:26.8	I think Paul's got some puns for us.
0:29.2	Are you going to let your hair down and tell us all about what's combing through your mind right now, Paul?
0:35.4	I don't think coming through your mind is a phrase.
0:55.3	I don't even think that's English, Kate. Okay. It is in the middle of the night. The Curbsiders podcast is for entertainment, education, and information purposes only, and the topics discussed should not be used solely to diagnose, treat, cure, or prevent any diseases or conditions. For the more of the views and statements expressed on this podcast are solely the host and should not be interpreted to reflect official policy or position of any entity, aside from possibly,
0:58.2	cash like more honest, and affiliate outreach programs. If indeed, there are any. In fact, there are none. Pretty much, we aren't responsible if you screw up. You should always do your own homework and let us know when we're wrong. Welcome back to the curbsiders.
0:58.8	I'm Dr. Matthew Frank Guado here with my great friend
1:15.4	and America's primary care physician, Dr. Paul Nelson Williams. Hey, Paul. Hey, Matt. How are you?
1:22.9	I'm good. You tell the hat story on this one again. It's stuck with me for some reason.
1:28.8	Yeah.
1:29.3	Well, Paul, we have a great guest, returning guest, our chief of dermatology at Cashlack,
1:36.6	Dr. Helena Pashika.
1:38.2	But Paul, before we introduce her and before you introduce our wonderful co-host, can you tell me what is it that we do on curbsiders? Sure, Matt. As a reminder, we are the internal medicine podcast. We use expert interviews to bring your clinical pearls and practice changing knowledge. As you mentioned, we're joined by Dr. Boshika to talk about hair and nail stuff, but we're also joined by super producer and special co-host Dr. Kate Grant.
2:01.5	Dr. Grant, how are you? I'm good. Thank you, Paul, and Matt. It's lovely to see you again. It's been a while. It has, Kate. It's been such a while. Please tell us about our guest. Okay, so we have a fantastic conversation with our guest today, Dr. Helen Pashika, MDMS, and she is a dual board certified internist
2:19.6	and dermatologist specialising in complex meditial and consultative dermatology. As our skin
2:26.2	ternist at Cashlack, she serves as the chief of dermatology. When she's not geeking out over morphology
2:32.3	and distribution of lesions, she's promoting dermatology in the House of Medicine and is passionate about medical education and multidisciplinary teamwork.
	...

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