Amanda Silverio
Dermatologist swimmer on why she doesn’t believe in sunscreen.

Holstein Park pool
Taking a dip? I’m training for the triathlon. I’m doing the marathon again, too. I’ve lost five toenails because of the marathon. I don’t know what’s wrong with me! [Laughs] But everybody has an addiction.
How often do you practice in the pool? Four to five times a week, once in the morning before work and once after work. I finally got good at swimming last year in this pool. It’s all about technique.
What do you do? I’m a skin doctor, but I’ve given up on sunscreen because it either doesn’t last that long or it dissolves in the water. Besides, people don’t use the right amount. You have to really paste it on for it to work at the SPF level advertised.
What’s the alternative? Clothes. Just don’t go in the water in, like, a T-shirt and expect it to protect you. Light goes right through when the shirt gets wet.
As a dermatologist, do you pop a lot of pimples? Everyone thinks it’s just acne…and warts. [Laughs]
Is it? Every day, I’ll see acne and warts, but there are some crazy things that go on with the skin and we just have to scratch our heads.
The last head-scratcher? Today, a homeless man who let the fluid in his legs build up for years came in. His skin was like elephant skin. He had elephantiasis verrucosa nostra, which is due to neglect. All we could tell him to do is to soak his feet in bleach.





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