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Amanda Marsh Caldwell Derm

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United States
Warrensburg, MO
Amanda Marsh Caldwell Derm

Dermatology Nurse Practitioner
General + Botox + SkinPen
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01/23/2026

Let’s talk estrogen + lichen sclerosus 🤍

Many patients are hesitant to bring up symptoms let alone allow a ge***al exam. Here is one of many reasons why it’s important…

Lichen sclerosus is a chronic inflammatory skin condition that often shows up, or worsens after menopause. That timing isn’t random.

As estrogen declines, vulvar skin becomes thinner, drier, and more fragile. For women with LS, this can mean:
• More burning and irritation
• Fissures or tearing
• Pain with intimacy
• Urinary discomfort

Here’s the nuance 👇
💊 Topical steroids treat the disease
🌸 Topical estrogen treats the tissue

Estrogen does not cure lichen sclerosus and does not replace steroids, but in perimenopausal and postmenopausal women, it can:
✔️ Improve vulvar tissue health
✔️ Reduce atrophy-related symptoms
✔️ Support comfort and healing

This is why LS care is rarely one-size-fits-all…especially in midlife women. When menopause and inflammatory skin disease overlap, addressing hormones matters.

This is part of the bigger conversation around perimenopause, postmenopause, and dermatologic care for women and one we need to be having more openly.

Save this. Share it. Ask better questions at your next visit.

And don’t be afraid to prescribe it! 🖊️

12/31/2025

RN ≠ LPN ≠ CNA, and that distinction matters in nursing homes. Or any healthcare organization!

In healthcare, training and scope matter. Especially in long-term care.

Decades of evidence show that RN staffing hours not CNA or LPN hours are the strongest predictor of nursing home outcomes, including mortality, hospitalizations, infection control, and medication safety.

When facilities operate without an RN on site particularly overnight early clinical decline is missed, escalation is delayed, and emergencies rely on phone calls instead of bedside judgment.

This isn’t about hierarchy. It’s about independent assessment, early recognition of deterioration, and real-time decision-making skills RNs are trained and licensed to provide.

As someone who works in rural medicine, I’m concerned whenever “access challenges” are used to justify lower safety standards. Access should never mean less expertise for vulnerable patients.

This is patient safety. Not politics.

Hashtags:

12/12/2025

This one is personal. 🤍

My article, “A Personal Journey With Chronic Spontaneous Urticaria,” was printed and published in Dermatology Times and it tells the story from two sides: as a dermatology nurse practitioner and as a mom.

We talk a lot about CSU as “just hives.”
But living with it looks like sleepless nights, unpredictable swelling, missed school days, frustration, fear, and a long road to the right treatment.

I wrote this because the lived experience matters.
Because access matters.
Because behind every guideline and prior authorization is a family trying to get their life back.

Grateful to Dermatology Times for amplifying clinician voices and patient-centered stories and hopeful this helps spark better understanding and better care.

🤍

11/29/2025

Hot take: The “just a little tan” look isn’t worth the lifetime of damage it leaves behind.
Yes, I will argue with teens and twenty-somethings about sunscreen for the rest of my career because I see the consequences every single day.

☀️ Tanning beds = carcinogen. Not “kind of bad,” not “just once for an event.” Proven to increase melanoma risk by up to 75% when started before age 35.

👩🏻‍⚕️ I’ve diagnosed skin cancer in people younger than most of you think. I was 23 when mine was found. And trust me nothing about biopsies, stitches, or field therapy is glamorous.

🧴 Self-tanner is your friend. Wrinkles and sunspots are not. UV rays break down collagen, accelerate aging, and cause uneven texture long before your first wrinkle cream can save you.

💡 If you want glow, I’ve got you. If you want “just a base tan,” absolutely not. A tan is your skin saying it’s injured.

💗 Wear your SPF 30+, reapply, avoid tanning beds, and protect the skin you’ll still be living in decades from now.
Future you will thank you and so will your dermatologist.

11/27/2025

Firefighters face some of the highest occupational cancer risks and skin cancer is one of the most common diagnoses among them.

Research shows:
• 21% higher incidence of melanoma in firefighters compared with the general population.
• Chronic exposure to carcinogens, diesel exhaust, and UV radiation creates a lifetime of cumulative skin damage.
• Many departments, especially volunteer ones, lack access to routine dermatology screenings, despite elevated risk.

Last week, I had the opportunity to volunteer and complete 22 full-body skin checks for firefighters. Early detection matters for everyone but for this group, it’s critical.

I’m grateful for the chance to support a population that puts their lives on the line for ours. If your department or community organization ever needs educational support or skin cancer screenings, I’m always happy to help.

10/26/2025

✨ Refueled and Inspired at Fall Clinical & IDS! ✨

There’s something so energizing about being surrounded by people who get it: clinicians, educators, and innovators all dedicated to advancing dermatology and improving patient outcomes.

Attending Fall Clinical and the Inflammatory Disease Summit reminded me why I love this field so much. The collaboration, the science, the shared passion for helping our patients live better, healthier lives.

It’s not just about new data or therapies (though the updates were incredible!) it’s about connection. The conversations in hallways (the restaurants and bars), the exchange of ideas, and the collective drive to elevate patient care left me feeling recharged and motivated for what’s ahead.

💡 Here’s to continual learning, collaboration, and community in dermatology.

10/21/2025

When you’re almost out of Glow Peel Pads 😱

The Glow Peel Pads are a legitimate “stronger step” exfoliating option. If you have textured skin, visible rough patches (like keratosis pilaris, bumpy chest/back), post-breakout texture, or you’re used to active skincare and want a “one-pad” solution… start 2-3 times a week. I am using them nightly on arms and legs to reverse ☀️ damage

10/14/2025

Great for fading, smoothing and exfoliating!

I treat my face and body with toning and polishing pads…nightly

09/19/2025

Real results!
My results with Polishing Pads!

Goodbye rough n’ bumpy 🌵
Goodbye redness 🛑

Just after 4 nightly applications!!! 🌙
Yes! The lightening is the same!!! 💡

I only recommend what I believe in! 👩🏼‍⚕️
Nightly to body, 1-2 times a week for face.

09/08/2025

Time to repair…

Swipe. Glow. Repeat. ✨
✔️ Smooths texture
✔️ Unclogs pores
✔️ Brightens dullness
✔️ Fades dark spots
✔️ Boosts radiance”

https://community.barefaced.com/a/amanda

08/26/2025

🚚 🚙 “Driver Face” is real — and it’s all about UV damage.
Drivers spend hours with the same side of their face facing the window, soaking up UVA rays that pass right through the glass.

Here’s what happens over time:
• Premature wrinkles 😩
• Uneven tone or age spots 🌞
• Rough skin texture
• Loss of elasticity

And about that “97% effective” sunscreen stat?
• SPF 30 blocks ~97% of UVB rays (burning rays)
• SPF 50 = ~98%, SPF 100 = ~99%
But — that’s only if you:
☑️ Apply enough (a teaspoon for face/neck)
☑️ Reapply every 2 hours or after sweating/driving long distances
☑️ Choose broad-spectrum so UVA (aging/cancer-causing) rays are covered too.

💡 NP Tip: Daily sunscreen is non-negotiable — even in the car, even on cloudy days. Your skin will thank you later.

08/20/2025

I am excited to announce I will be speaking at the Inflammatory Disease Summit for PAs and NPs powered by @‌dermsquared!

October 25th, at Wynn Las Vegas, NV

Join me for a full day of expert-led discussions, small-group breakouts, and real-world case reviews designed to help PAs and NPs advance their expertise in managing complex inflammatory skin conditions.

Earn up to 6.25 CME credits and get free access to the SOLD-OUT Fall Clinical Dermatology Conference 2025.

Register now at: https://cvent.me/Xze9be

Address

609 E Young Avenue
Warrensburg, MO

Opening Hours

Monday	8:30am - 4pm
Tuesday	8:30am - 4pm
Wednesday	8:30am - 4pm
Thursday	8:30am - 4pm

Telephone

+16608640511

Website

https://www.usdermatologypartners.com/locations/missouri/warrensburg/609-e-young-ave-ste-a-2/

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