Dr. John Van Wagoner Eczema Specialist

FAQs


FAQs: Eczema and The Aron Regimen

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Eczema using the Aron Regimen!

Frequently Asked Questions?

This FAQ includes our process and services as well as common questions about The Aron Regimen.

    • Questions Regarding Who may use our Services

 

Do I qualify to use this service where I live?

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 patients throughout the entire United States.
Dr. Van Wagoner is able to directly manage your skin condition if you live in the State of Texas, New York, New Jersey, California, Florida, Ohio, Oklahoma, Pennsylvania, Illinois, Washington, Virginia or Michigan, USA.   He is able to send you valid medication prescriptions to your pharmacy of choice given that he is licensed to practice medicine in the above states.
For patients that live in the other states of the United States, he is only able to make general recommendations about your care – these general recommendations will include a treatment plan and, if needed, a recommendation regarding the needed prescription medications that will help your condition. In these situation,  you will need to discuss this entire treatment plan with your primary care provider. You will also need to have your primary care provider provide the recommended medication prescriptions that we recommend for you since we are unable to provide valid medication prescriptions to our internet based clients. Please do not sign up with our service if you do not believe that your primary care provider will be able to sign off on the treatment plan and more importantly approve and provide the recommended medication prescriptions that you will need. No refunds are provided if you are unable to get the medication prescriptions converted by your own local primary care provider.

Are there any other restrictions on who can use this service?

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.

Can patients under 18 years of age use the service?

Yes, but the patient will need a parent or legal guardian to provide consent, oversee the online visit and handle payment details.

What if the patient is an older family member who needs assistance?

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.

 

    • Questions Regarding How our Services Work

 

Does this online service really work?

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.

Can I pick the eczema specialist that I want to see?

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.

What information do I need to provide when using this service?

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, include photos of your skin condition and provide a brief medical history.

Do I need to do a video call with Dr. Van Wagoner?

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.

How long does it take to receive a response after I submit my case?

On average, you will receive a response from Dr. Van Wagoner within 4 business days.

It’s a weekend. Can I still use Dr. John Van Wagoner, Eczema Specialist? When will I get results?

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 4 business days, usually less.

What will I get from the eczema specialist?

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.

What if the doctor wants me to come in for an in-office visit (i.e. biopsy or diagnostic procedure)?

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.

What if I have questions for the doctor?

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.

Can I treat more than one condition per visit?

Each visit covers the thorough review, diagnosis and treatment recommendations for only 1 condition.

What are some helpful tips for taking photos of the condition?

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.

Is my information secure?

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.

What devices do you support? Do I need to download a mobile app?

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.

What happens if the picture I send in is of poor quality?

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.

 

    • Questions Regarding Medications

 

Can Dr. Van Wagoner provide valid medication prescriptions for the Aron Regimen to me through this online service?

Dr. Van Wagoner is only able to provide valid medication prescriptions for patients that live in the States of Texas, New York, New Jersey, California, Florida, Ohio, Oklahoma, Pennsylvania, Illinois, Washington, Virginia or Michigan. If you live outside the States of Texas, New York, New Jersey, California, Florida, Ohio, Oklahoma, Pennsylvania, Illinois, Washington, Virginia or Michigan, he will not able to provide the recommended medication prescriptions for you. You will need to discuss what medications you need with your own local primary care provider. Dr. Van Wagoner is only able to provide general recommendations about your condition. All recommended medication prescriptions will need to originate from your own local primary care provider. Dr. Van Wagoner will be able to suggest what those medications should be but is unable to provide the valid prescriptions for you. Only your own local primary care provider can provide those valid prescriptions for you.

I have not had a consult with Dr. Van Wagoner in over a year but need a refill of my medications, can he help me?

Dr. Van Wagoner is only able to refill any medications he has previously prescribed for you, as long as you were a New Patient with his online service prior to November 1, 2017. If you were a New Patient any time after that date, Dr. Van Wagoner will not be able to refill any medications for you through this online service but instead you will be directed to follow up with your primary care provider to obtain all necessary medication prescriptions you may need. If you are need in additional advice regarding how to manage your eczema, Dr. Van Wagoner requires a follow up consult through our website and the payment of a $50 fee in order to provide any general medical advice regarding your skin condition.

How do I mix together the medications needed for The Aron Regimen of treatment?

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.

Can Dr. Van Wagoner refill my medications if I am a current or former patient of Dr. Richard Aron?

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 $250 fee associated with a New Patient Consultation, a $50 fee for any Follow-up Consultation thereafter

Can Dr. Van Wagoner send valid medication prescriptions to any State in the United States?

Dr. Van Wagoner is only able to send valid medication prescriptions for patients that live in the States of Texas, New York, New Jersey, California, Florida, Ohio, Oklahoma, Pennsylvania, Illinois, Washington, Virginia or Michigan. Unfortunately, Dr. Van Wagoner is not able to provide the recommended medication prescriptions for you if you live in any other location. You will need to discuss what medications you need with your own local primary care provider. Dr. Van Wagoner is only able to provide general recommendations about your condition. All necessary medication prescriptions will need to originate from your own local primary care provider. Dr. Van Wagoner will be able to suggest what those medications should be but is unable to provide the valid prescriptions for you. Only your own local primary care provider can provide those valid prescriptions for you.

My local provider will not fill the medication prescriptions that Dr. Aron wrote for me, will Dr. Van Wagoner be able to help me?

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. Dr. Van Wagoner is also unable to honor and or apply any money already paid to Dr. Ricard Aron.

Does the Aron Regimen of medications work for Seborrhea Dermatitis?

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.

What happens if the Aron Regimen of medications does not work for me or my child- what are the next steps I should take?

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 recommended 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.

Can the steroid in The Aron Regimen cause thinning of the skin?

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.

Will using the antibiotic cause bacterial resistance?

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.

 

    • Questions Regarding Payment for our Services

 

Can I get my money back if I can not find a local provider to convert or write the necessary medication prescriptions that Dr. Van Wagoner suggests?

No- Unfortunately, our service is not able to refund your money if you are unable to find a provider to write for the necessary medications that our service recommends. That is why we strongly encourage you to find out before hand if your local provider would be willing to perform that service for you before you sign up with us. Please feel free to make/print a copy and discuss the following document with your primary care provider before signing up with our service- this document would serve as an invitation for both of you to decide if using the Aron Regimen would be a good alternative for you: “Letter of Invitation to Your Primary Care Provider Regarding the Aron Regimen”.

What is the cost, and what are my payment options?

The cost for conducting an initial new patient online consultation visit with Dr. Van Wagoner is $250.00, 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.

What if something goes wrong when I am making my payment?

You may click on either of the buttons below to make the appropriate payment.
New Patient Payment Follow Up Payment

How do I make a payment- I have already completed the consultation questionnaire?

You may click on either of the buttons below to make the appropriate payment when you are ready.
New Patient Payment Follow Up Payment

Can I get my money back if the recommended treatment does not work for me or my child?

Unfortunately, we are not able to provide any refunds. As is the case with all medical treatments, 100% success can not be guaranteed.

Do you accept Insurance payments for this service?

No. Unfortunately, we do not accept payments from third party insurance companies for this services we offer. We only accept payment directly from the patient. We accept Visa, Mastercard, Discover Card and American Express credit cards and debit cards. Checks and cash are not accepted.

Do you accept payment in the form of cash or a personal check for this service?

No. Unfortunately, we do not accept payment in the form of cash or a personal check. We only accept Visa, Mastercard, Discover Card and American Express credit cards and debit cards.

Can Dr. Van Wagoner provide a receipt, EOB or Explanation of Benefits for the service he provides to me through this online service- I want to submit this in order to get credit for the medical service he provided through my insurance company?

No- unfortunately because Dr. Van Wagoner does not provide specific medical advice and a confidential patient- physician relationship is not established through this online service, Dr. Van Wagoner is not able to provide you with a valid EOB regarding the money you payed for this online medical service. You may use the receipt you obtain through PayPal as evidence of your payment for this general consultative service but Dr. Van Wagoner can not and will not guarantee that this receipt will be accepted by your insurance company or Health savings account.

 

    • Questions Regarding The Aron Regimen Treatment Program

     

    Does Dr. Van Wagoner follow Dr. Richard Aron’s methods when prescribing the Aron Regimen?

    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.

    How long must I continue with the treatment?

    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.

    Are the use of additional moisturizers helpful?

    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.

    How do I treat my child’s scalp?

    Usually with the same cream as for other areas. Dove Cream Bar Sensitive lather may also be used as a shampoo.

    What things should we avoid in the diet?

    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.

    What about bleach baths?

    Bleach baths are not typically recommended.

    Can physical activity make my eczema worse?

    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.

    Which Bath products are recommended?

    Most patients tolerate Dove Cream Bar Sensitive, my preferred product.

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