Saw my derm the other day...but before seeing the doc, as usual you have to see the nurse first. She's an older lady too and at-least 30+ years as a RN....so well experienced at that.
And i'm probably the cleanest guy around.....so conversation goes well between us... my weight is fine...blood pressure is fine...blood work is fine... then she see's my psoriasis....and she goes - " wow, you're a mess".
Little things, that I don't think some nurse's realize that they say....until after they think about what they've just said.
Of course I didn't say anything about it at the moment...kinda shocked more or less. but it did stick with me when returning home.....not cool.
nurse's should know better by now.