We connect patients with severe or chronic eczema with Dr. John Van Wagoner, a leading authority on atopic eczema treatment in the U.S. Dr. Van Wagoner reviews every case personally and prepares a custom treatment plan for each patient, all without a single clinical visit. This service is offered for a simple, low flat fee. No insurance required.
Dr. Van Wagoner is trained and thoroughly experienced in The Aron Regimen for treating severe atopic dermatitis and eczema.
Here’s how to get your consultation started today:
New Patients/First-Time Consultation
Follow Up Consultations
Dr. Van Wagoner may recommend a follow up consultation to assess treatment progress and adjust your treatment plan as needed. This will typically be between 2-4 weeks from the start of treatment. Here’s how to initiate a follow-up consultation request:
This FAQ includes our process and services as well as common questions about The Aron Regimen.
We are the only online practice in the United States specifically dedicated to treat adult and pediatric patients with difficult to control eczema. Our services are available to residents of states/countries where teledermatology is approved. We are able to consult on any patient from any state in the United States and from any country around the world. We are able to send valid medication prescriptions to any state in the United States, regardless of what state you live in. For those patients that live outside the United States, Dr. Van Wagoner is only able to make recommendations regarding your care. Dr. Van Wagoner is not able to send medical prescriptions for patients that live outside the United States. For patients who reside in the state of Texas, Dr. Van Wagoner is able to personally manage your care and prescribe the necessary medications that you will need. For patients who do not reside in the State of Texas, Dr. Van Wagoner is only able to make general recommendations about your care – these general recommendations will include a treatment plan and, if needed, prescription medications. But please note, Dr. Van Wagoner is still able to send valid medication prescriptions to patients that live outside the state of Texas. Dr. John Van Wagoner is licensed to practice medicine in the State of Texas. For those patients that live outside the state of Texas, these general recommendations and the requested prescription medications provided by Dr. Van Wagoner must be thoroughly discussed with your own personal physician before you take any action and or rely upon our recommendations.
Dr. Van Wagoner is able to provide valid prescriptions to any resident of any State in the United States. If you live outside the United States, you may be able to find the recommended medications at your local pharmacy without a prescription. In those countries outside of the United State that require a valid prescription, you will need to discuss our recommendations with your local physician and obtain your medication prescriptions from them.
Pregnant or nursing mothers, or those who are trying to become pregnant, are not permitted to conduct an online doctor visit and instead are directed to visit their local physician for assistance with their eczema.
Yes, but the patient will need a parent or legal guardian to provide consent, oversee the online visit and handle payment details.
We welcome helping those patients who are not capable of caring for themselves or are perhaps uncomfortable using technology. We can only provide these services through a guardian or surrogate contact who is legally authorized to act on behalf of a patient. All that is required is the surrogate’s relationship to the patient, the surrogate’s contact information, the patient’s name and the surrogate’s electronic signature to attest that the surrogate is legally authorized to act on the patient’s behalf.
Yes! For eczema specialists, looking at digital photos uploaded by online patients mimics what they’ve already experienced during their education and training to become a dermatologist or allergist. We are very familiar with analyzing and diagnosing many conditions based on just images and a written history – which makes an online eczema practice such a natural extension of their practice.
At this time, Dr. John Van Wagoner is the sole consulting physician. Dr. Van Wagoner has been hand-picked by Dr. Richard Aron to bring this revolutionary eczema treatment to the U.S. If you desire that Dr. Richard Aron manage and treat your eczema, please use his online website at www.draron.com.
An online visit with Dr. Van Wagoner will ask for much of the same information needed for an in-office visit. You will be asked about your current condition (including photos of it), your medical history, your current primary care doctor, pharmacy preferences and payment information.
Seeing your skin condition from different angles and distances helps our eczema specialists make more accurate diagnostic and treatment decisions. For best results, make sure the photos are also taken where there is good light and that they are in focus. Do not alter the photos in any way (i.e. no filters or effects). Parental consent is needed for photos of underage patients.
If Dr. Van Wagoner determines that you would benefit from The Aron Regimen of treatment, he will also send you specific instructions on how to mix the required medications in the convenience of your home. This process is simple and very straightforward. Typically, it will take about 20 minutes to complete this mixing process. You are always welcome and encouraged to ask your local compounding pharmacy to mix these medications for you if you are not comfortable mixing the medications. Typically there is a fee charged by the pharmacy for that process. This fee is not part of the fee paid to this website.
Sometimes Dr. Van Wagoner may determine that it would be best to provide for an online video call to complete the new patient and or follow up consultations. Our system will let you know if this is required and will provide you with instructions on how to do the video call in order to complete your online visit.
We adhere to the national patient information security standards found in both HIPAA and HITECH regulations. Your photos, personal and medical information, video chat, or diagnosis will never be made public.
On average, you will receive a response from Dr. Van Wagoner within 3 business days.
You can begin the process of finding freedom from your eczema anytime. We are available 24/7/365. You can send your information and pictures from anywhere at any time and get an accurate diagnosis and complete treatment plan in 3 business days, usually less.
Dr. John Van Wagoner will review your case and then provide you with a diagnosis and personalized treatment plan. You will be notified by email and/or text message when this plan is available for you to review. Your complete diagnosis and treatment plan will be sent to you in a secure email. From that email, you may then print, email or fax a copy of this information for your records and or for your primary care physician to review. A copy of this record will be securely stored in your Eczema Specialist account to access at a later date.
Your visit with the eczema specialist covers only the online visit. Depending on your case, Dr. Van Wagoner may determine that an in-office diagnostic or therapeutic procedure is needed to best address your condition. That in-office visit would be outside of the visit completed online through this service, and payment for those services would be separate.
Your treatment plan will be very thorough and should provide you with all the information you need. A very useful Eczema Guide of common recommendations will be sent with your treatment plan and should be reviewed thoroughly by all patients. This guide answers most questions patients may have about their eczema and its treatment. However, if you have an additional question for your doctor, you may ask for a follow up online consultation for an additional fee through our online platform.
The cost for conducting an initial new patient online consultation visit with Dr. Van Wagoner is $200.00, and we accept all major credit cards and PayPal. Costs of any prescriptions and any follow-up appointments are not covered by this new patient online consultation visit fee. The cost for conducting any subsequent online follow up visits is $50 each. This fee does not include the cost of any prescriptions, compounding of medications and or any further follow up appointments.
You can use your desktop computer, tablet computer, or smartphone to access our destination website at www.eczemaspecialist.com to start your request for consultation. A mobile app is not required.
Each visit covers the thorough review, diagnosis and treatment recommendations for only 1 condition.
We always strive to give our patients the best possible medical advice from the information we are provided. You will receive an answer; however, our doctors may be less certain if the information provided was bad, blurry, vague, inadequate or hard to interpret.
No. Dr. Van Wagoner does not have access to any medical record you may have established with Dr. Richard Aron. Former and or current patients of Dr. Richard Aron that need a medication refill must contact his website directly at www.draron.com. Alternatively, you always have the option of requesting a New Patient Consultation with me- There is a one-time $200 fee associated with a New Patient Consultation, a $50 fee for any Follow-up Consultation thereafter
Dr. Van Wagoner is able to refill any medications he has previously prescribed for you, as long as you have had a recent New Patient consultation or Follow-up Patient consultation done within the previous 6 months. Unfortunately, if your last consult with Dr. Van Wagoner was more than 6 months ago, you will need to request a Follow-up consultation. A Follow-Up consultation carries a $50 fee and Dr. Van Wagoner will be able to review your case and refill or change the medications if necessary.
Yes- Dr. Van Wagoner currently holds a valid DEA license that allows him to prescribe all necessary medications you may need to any State in the United States. This is one of the best things about the service that Dr. Van Wagoner brings to those patients that live in the United States. No longer, do patients that request the Aron Regimen of medications need a local prescribing physician to “convert” the needed Aron Regimen medication prescriptions.
No, unfortunately Dr. Van Wagoner and Dr. Aron do not share patient information. As such, Dr. Van Wagoner is unable to “convert” Dr. Aron prescriptions. But you always have the option of becoming a New Patient with Dr. Van Wagoner, who is able to write valid prescriptions for any US patient. But you will need to go through the New Patient Consultation section of our website and pay the $200 fee. Dr. Van Wagoner is unable to honor and or apply any money already paid to Dr. Ricard Aron.
It typically takes no longer than 3 BUSINESS days from the time YOU RECEIVE THE COMPLETED CONSULTATIVE REPORT from Dr. Van Wagoner. Please note, the 3 BUSINESS DAYS DOES NOT begin once you complete/submit your forms but when you receive the New Patient Consultative Report or your Follow up Patient Consultative report via an email notification from our service. These reports will note the diagnosis and recommended treatment plan and medications, if needed.
Unfortunately, we are not able to provide any refunds. As is the case with all medical treatments, 100% success can not be guaranteed.
Dr. Van Wagoner and Dr. Richard Aron do work very closely with one another but are not partners in a formal way. Dr. Van Wagoner is an authorized medical provider for the Aron Regimen. Dr. Van Wagoner’s intent is to replicate the Aron Regimen as best he can with regards to the same medications prescribed and the amounts of each used in the Aron Regimen.
Not typically because most cases of Seborrhea Dermatitis are a localized inflammatory response to an infection on the skin with a yeast called Malassezia that responds better to an antifungal medication that is not found in the Aron Regimen. But there are some cases of difficult to treat Seborrhea Dermatitis that may benefit from the addition of the Aron Regimen of medications if it does not initially respond to topical antifungal therapy.
While most cases of moderate to severe atopic eczema do respond to the Aron Regimen of medicines we may prescribe, there are definitely cases that may need additional and or alternative therapies. We recommend that you complete the recommend Follow-Up Consultation Request and describe the issue and or issues that you are still having. Dr. Van Wagoner will review all previous therapies, your updated photos of the difficult areas and will make appropriate adjustments that hopefully will provide the freedom you are looking for. Please note that Atopic Dermatitis found on the face, hands, and or ankles can be uniquely challenging and may need stronger therapy that Dr. Van Wagoner can recommend.
In most cases, the steroid in the Aron Regimen will not cause clinically significant thinning of the skin because it is significantly diluted by the addition of the moisturizer cream and the antibiotic ointment. Frequent follow up with our service is required so that we may monitor your skin and look for any side effects and/or complications that may result from using the Aron Regimen. When the eczema is controlled, the frequency of applications may be reduced and even the strength of the steroid may be reduced. Dr. Van Wagoner will notify you when those changes can take place.
This depends on how long the patient has had AE and its severity. Most of the patients I treat are in the severe category so a minimum period of 6 months is likely.
Bacteria can and do become resistant to the antibiotic ointment but the use of the mupirocin ointment in the mixture produces such an incredibly rapid degree of relief from the itch and burn and redness that any such risk is typically worth taking. When control is achieved the antibiotic element in the mixture may be removed.
Most patients with eczema, perhaps as high as 90%, are infected or colonized with bacteria (staphylococcus aureus) and the use of additional moisturizers in the bath or directly on the skin, far from helping, may make matters worse.
Usually with the same cream as for other areas. Dove Cream Bar Sensitive lather may also be used as a shampoo.
I do recommend the use of an OTC antiseptic product called CLn® BodyWash. CLn® BodyWash is proven to reduce the appearance of skin redness, drying, & flakiness seen with eczema to promote healthy skin. Efficacy has been proven in two clinical studies conducted by leading dermatologists. This hypoallergenic antiseptic can be effective in reducing and preventing most types of infections that can complicate atopic eczema. This product can be purchased through an independent website at: www.clnwash.com. Daily use of this product is recommended until remission is achieved. Use of this product should allow us to reduce and or eliminate the antibiotic component currently used in the Aron Regimen. Typically I do not recommend the use of the CLn® BodyWash until the eczema is improved- this typically takes place within 2 weeks of starting the Aron Regimen of medications.
It is important to eliminate all colorings, preservatives and processed foods from the diet. In addition, avoid foodstuffs that allergy testing has indicated you are clinically allergic to. This may include dairy, wheat, eggs etc. We may advise allergy testing to help us determine what you may be sensitive to.
Bleach baths are not typically recommended.
All physical activity including any sporting activities which produce sweat and friction are not recommended until a significant improvement in your skin is achieved. Swimming should also be stopped.
Most patients tolerate CLn® BodyWash or Dove Cream Bar Sensitive, my preferred product.