Physician's profile: 'Lucky' dermatologist shares tales of professional joy

Douglas Naversen, M.D., runs in a marathon in Eugene, Ore. Photo: Douglas N. Naversen, M.D. Douglas N. Naversen, M.D., taught his daughter Laurel Naversen Geraghty that, more than a scientific endeavor, medicine was a human experience, rich with relationships.

Ms. Geraghty writes on the back cover of Dr. Naversen's book, The Derminator or Tales of a Lucky Dermatologist, that her father's ability to touch patient's lives so inspired her that she left a successful career as editor of Glamour and Allure women's magazines to enroll at New York University School of Medicine, in hopes of becoming a dermatologist.

Dr. Naversen's career is rich with life-touching, eye-rolling, belly-laughing, tear-jerking and gut-wrenching experiences — many of which he recounts in the self-published book.


Douglas Naversen, M.D., runs in a marathon in Eugene, Ore. Photo: Douglas N. Naversen, M.D.

A remarkable patient

Board-certified in dermatology, dermatopathology and laser medicine and surgery, Dr. Naversen says one of his most memorable patients was John Malkow, whose startling "before" and "after" pictures are shown on the cover of the book.

"John was a 20-year-old army nurse, working in a hospital lab, when he mixed some chemicals together, causing an accidental explosion. The blast blew out both his eyes and disfigured his face with a bizarre, spackled appearance," Dr. Naversen says.

"He lived blind and hideously disfigured for three decades. An eye doctor in Oregon gave him a corneal transplant 30 years after the injury, and he had the miracle of sight.

"But he always imagined that he was a lad at 20, and he looked in the mirror and there was an old guy who looked like his dad — covered in black soot — and he wanted to commit suicide," Dr. Naversen says.

Luckily, John sought Dr. Naversen's help first. After a biopsy showed that the pigment was superficial — only 1 mm from the stratum corneum, Dr. Naversen did a laser test firing with a Q-switched laser, which revealed beautiful, flesh-colored skin.

"I said, 'John, I think we can help you,'" Dr. Naversen says.

Thirty-five treatments later (with the VersaPulse C [Lumenis] and the MedLite C6 [HOYA ConBio] Q-switched Nd:YAG lasers), Mr. Malkow — who had lived with the disfigurement for a good part of his life — emerged a handsome, happy man, Dr. Naversen says.

Tattoo removal

Dr. Naversen, assistant clinical professor, department of family practice, Oregon Health Sciences University, continues to use the power of laser light to give people back their lives. His extensive laser practice in Medford, Ore., is a referral center from around the state and beyond for people with all kinds of difficult-to-remove tattoos.

Dr. Naversen says there is a story attached to every one of those tattoos.

"I just started on the gang tattoo program for a four-county area. The kids and adults that have gang tattoos on visible locations, such as their faces, arms, hands or necks, or swear words or Nazi insignias — they are unemployable until they have them removed."

Dr. Naversen removes the tattoos for free, but gang members that are in the program are required to volunteer their time at local nonprofit organizations in order to earn the tattoo removal.

"They do 32 hours of community service before we ever see them, and we charge them 10 hours of community service per laser session. It has been a win-win. If you give it to them for nothing, they do not appreciate it," Dr. Naversen says.

One woman, Dr. Naversen remembers, had the "f-word" tattooed on the top of her right hand when she was 16. Ten years later, she wanted to get a job and to get off welfare. After graduating from the tattoo removal program, the woman is now gainfully employed.

Dr. Naversen also tells the story of a young man who came shackled, straight from the detention center, to have his gang tattoos removed.

The man had made attempts to turn his life around in prison, but could only move forward so far with the constant reminder of his gang affiliation.

"When he gets out of jail, he will no longer have the gang tattoos," Dr. Naversen says.

One bad apple

Not all of Dr. Naversen's stories are heart-warming. One patient, in particular, caused Dr. Naversen to fear for his life.

"Smokey" Bob, as Dr. Naversen called him — because his anger seemed to make smoke come from his ears — visited Dr. Naversen while he was chief of dermatology at Elmendorf Air Force Base in Anchorage, Alaska.

Smokey was convinced he had skin damage from Agent Orange, but Dr. Naversen diagnosed him with psoriasis. Smokey would not accept that diagnosis. As a result, Dr. Naversen said Smokey could go and get a second opinion.

"Problem was, I was the only board-certified dermatologist in the whole state of Alaska at that time," Dr. Naversen says.

Enraged, Smokey was said to have put Dr. Naversen at the top of his "hit," or hate, list.

Dr. Naversen took the news as a real threat, and with good cause. Soon after, Smokey killed an Air Force tech sergeant because of an argument.

Luckily, police captured the volatile patient and imprisoned him before he could eliminate any others on his list, according to Dr. Naversen.

Good stories, a good life

Dr. Naversen's wife, Jane, says her husband loves his work so much that he would do it for free.

Dr. Naversen says that writing the book, sharing his many trials and tribulations, was much less trying than preparing the approximately 12 peer-reviewed journal articles he has authored. The book was a joyful trip down memory lane, he says.

Any proceeds from the book will go to skin cancer and dermatology research, Dr. Naversen says.

In addition to a healthy mind and outlook, Dr. Naversen, age 59, seems to have a healthy body as well.

A runner, Dr. Naversen has run more than 100 10-kilometer races in less than 40 minutes, and has run about a dozen marathons, posting an impressive personal best time of 2:55.

Dr. Naversen runs daily. In fact, he ran every day for six years — a streak interrupted by knee surgery. Now, he is back up to one year of running, without missing a day.


Douglas N. Naversen, M.D.
Dr. Naversen vows to continue having fun in his personal and professional lives — accumulating more stories as he goes.

Douglas N. Naversen, M.D.
Dermatologist

 

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