Our History
Dr. Ha
rry Pariser grew up and was educated in Philadelphia. After completing
his training in the relatively new medical specialty of dermatology, he worked
and taught in the Department of Dermatology at the University of Pennsylvania
for 5 years. After which time, he enlisted and served in the Public Health
Service.
At this time, the specialty of dermatology was actually known as “dermatology
and syphilology” because of the historical importance of syphilis. In the era
before accurate laboratory diagnosis was available, the interpretation of
clinical signs, many of which involved the skin,
were the only way to diagnose
this important sexually transmitted disease. As a result, dermatologists became
experts in syphilis, and, by extension, in all sexually transmitted diseases.
Norfolk was therefore an attractive city for two reasons: there was only one
dermatologist and there was considerable need for control of sexually
transmitted diseases.
In 1946, Dr. Harry opened his practice. After a rocky start Dr. Pariser’s
downtown Norfolk practice became an established feature of the medical
community. Generally, he treated patients in his office, but also consulted at
most of the area's hospitals. When the Medical Tower opened in 1960, Dr. Pariser
was among the original group of physicians and dentists who inaugurated this
medical facility. The main office of Pariser Dermatology Specialists remains in
this building.
A series of significant changes transformed the practice in the mid 1970’s. In
1974, a second office location was established in the Kempsville area. In 1976,
Dr. Pariser’s older son, David, joined the practice and introduced the element
of dermatologic surgery. Two years later his younger brother, Robert, joined the
practice, bringing in skills of dermatopathology. As time passed, additional
physicians joined
the practice, and more office locations were opened. Drs.
Robert Baer, Linda Serwatka, Lawrence Chang, Molly Smith, Alan Rolfe, Cyndi
Torosky, Kaija Hanneman and Kelly DeHart joined the practice later. Certified
Physician Assistants Larissa Franchuk, Amanda Wagoner and Melissa Alcox also joined the practice to enhance the quality of care for our
patients.
More striking than the changes in locations and personnel are the changes in the
practice of medicine in general, and dermatology in particular, during the span
of the practice. When Dr. Harry Pariser started his practice he had to deal with
the full range of disorders of the skin, hair, and nails and with the complex
area of sexually transmitted diseases without benefit of antibiotics (except
sulfa drugs) or cortisone-related medications. A variety of topical applications
were available then, with ingredients such as coal tar, salicylic acid, and
ammoniated mercury. X-ray treatments were given for skin cancers and for chronic
skin rashes. Mildly effective topical antifungal treatments were available; but
more deeply-rooted fungal infections, such as scalp infections in children, were
treated by X-ray therapy to induce transient loss of scalp hair. Patients with
syphilis received medications containing heavy metals such as bismuth and
arsenic. Skin diseases were diagnosed mostly by the skilled eye of the
dermatologist. Biopsy
diagnosis of skin lesions was in its infancy. There was no
such thing as medical insurance.
How things have changed! Dermatologic diagnosis today is infinitely more precise
and is often based on specific findings in the laboratory or under the
microscope to back up the skilled eye of the dermatologist. We have molecular
diagnosis and are on the verge of understanding the genetic basis of many
diseases. We are blessed with a large range of topical and systemic medications
and sophisticated
methods of light therapy. Many conditions can be cured, most
can be controlled, and a few defy the best modern medicine can currently offer.
Highly specific bioengineered medications are in use or under study. The fields
of dermatopathology, immunodermatology, dermatologic surgery and pediatric
dermatology are well established. We have over 100 employees. And, for better or
worse, we have medical insurance.
The practice of medicine in general, and dermatology in particular, is much more
complex and challenging than it was in 1946. Advances unimaginable at that time
are taken for granted today, but the complexity a
nd frustrations of a medical
practice have also increased. Despite the advances and the annoyances, the
basics remain the same. The physicians and staff of Pariser Dermatology
Specialists strive to employ the science of dermatologic medicine and surgery in
the finer art of helping people deal with and prevent the disorders that afflict
the skin, hair, and nails.