Dr. Alan Kling MD. – Kling Dermatology Dr. Alan Kling M.D. - Dermatologist Upper East Side & Brooklyn – Best Dermatologist NYC
1000 Park Avenue New York, NY 10028
Manhattan , 1000 Park Avenue New York, NY 10028 10028 Manhattan
Dr. Alan Kling MD. – Kling Dermatology
Dr. Alan Kling M.D. - Dermatologist Upper East Side & Brooklyn – Best Dermatologist NYC I was referred to Dr. Kling’s office because of a recurrent problem I’ve had for awhile. I had already seen two other dermatologists and I kept having a problem and it seemed like this thing would keep going on forever. I asked my internist for a referral and he said that Dr. Kling was the absolute only guy I should go to for this problem. I was already I little fed up with doctors but I decided to go anyway for a consult. Boy, am I glad that I did! Dr. Kling explained what was going on and gave me reading material so I would understand what was going on. I followed his advice and I finally have this condition under control. I finally feel normal again. He really did a lot for me.. I was referred by my family doctor and think that Dr. Kling is an excellent physician. I initially came in with along list of questions about my condition and he read the list and answered all of my questions. The doctor I went to before couldn?t be bothered and he took one look at my list and essentially walked out of the office. I changed jobs and the location of my new job was not that convenient to Dr. Kling’s office but I would switch around my schedule to go to see him because he is very nice and very smart and very personable and that is not an easy combination to find. Dr. Kling put me on a medication that I have to take on a regular basis, and whenever I come into the office he checks in his laboratory to see if there are any samples. He once had his secretary track down the drug representative so that he could get free samples so that he could give them to me. How good is that? Dr. Kling has been treating me for psoriasis for a long time. Dr. Kling placed me on many different medications over time until he found a regimen that worked best for me. I was most impressed by the fact that whenever there was a new medication or treatment he would research it and explain it to me thoroughly beforehand, so I knew what to expect. He also once stayed late in order to remove a large cyst on my back that had started to drain. He rescheduled something else he had going on in order to get this done because he knew that I would not have been able to go into work the next day if it wasn’t first removed. He really went out of his way to help. I am aware that dermatology seems to appeal to the vanity in all of us. We go to a Doctor and expect miracles even if we’ve had problems for a lifetime. What I feel I have to say and what is probably the most important is that Dr Kling takes the right approach. He sits you down and truly formulates a treatment path that makes sense and actually works! I’d had a host of issues and one by one he explained the relationships between all of them. The myth and mystery were stripped away and even though my problems were of a personal nature I was always made to feel comfortable and in the best of hands. I no longer hesitate going for treatment, as Dr Kling has made me at ease and comfortable . It’s nice when you’ve found the “Right Guy”. Doctor Kling really listened to my concerns and talked to me thoroughly before recommending a course of action. He didn’t pressure me and took his time to make sure that all of my questions were answered once he recommended a treatment. He’s very friendly and seems to have a great deal of experience. I’ve seen a few dermatologists in NYC and Dr. Kling is definitely the best so far. Also, his staff is extremely helpful, knowledgeable, and patient (unlike any other office staff I’ve seen). The entire staff was very accommodating and friendly. Dr. King is professional, courteous, and genuinely cares about your well being. Some of the reviews made me hesitant to make my 1st appointment. As yet, my experience was just great and Dr. King engaged for more than thirty minutes explaining and clarifying my questions. I certainly recommend Dr. King to family and friends. I’ve been seeing Dr. Kling for about ten years. My complexion was bad with the stress I was having from work and the medications other doctors were giving me weren’t really working that well. Dr. Kling go me on a regimen that worked and everything is now (finally!) more or less under control. Those injections he gives me make the acne bumps go down in a day or two. They are great when you know an important business meeting is coming up or something social is going on. I was seeing Dr. Kling on a regular basis for several months before my wedding to make sure that I looked good for my big day and it turned out so well that I continued to see him on a regular basis ever since. He also helped me out with this contact allergy I had to the nickel in my wedding ring (can you believe it?), but that’s another story. . What does this man do to keep himself looking young? I have had every imaginable combination of chemical peels, Botox, filler, sclerotherapy and I’m really happy with the results but he says that he doesn’t do any of that stuff for himself. What does this man do to keep himself looking so young? He says that he uses sunscreen. I’ve gone to him for over twenty years and he looks the same age. Whatever he has, I want it!. I was referred by my family doctor and think that Dr. Kling is an excellent physician. I initially came in with along list of questions about my condition and he read the list and answered all of my questions. The doctor I went to before couldn’t be bothered and he took one look at my list and essentially walked out of the office. I changed jobs and the location of my new job was not that convenient to Dr. Kling’s office but I would switch around my schedule to go to see him because he is very nice and very smart and very personable and that is not an easy combination to find. Dr. Kling put me on a medication that I have to take on a regular basis, and whenever I come into the office he checks in his laboratory to see if there are any samples. He once had his secretary track down the drug representative so that he could get free samples so that he could give them to me. How good is that?. I teach at a private school close to Dr. Kling’s office. There are many other teachers there who go to his office and they all think that he does great work. There are also many students who have been referred to him through the years and they have also been very enthusiastic about him. I have seen Dr. Kling on and off for about ten years and he has helped me a lot with my condition. I was referred to Dr. Kling by my internist. I had previously been seeing another physician but the condition I had was not getting better. Dr. Kling was extremely meticulous and thorough. I saw him on a regular basis and eventually it got better. I am now going to graduate school out of town at a place which is several hours away from NYC, but I make the follow up visits back to NYC to see Dr. Kling. I am not switching doctors. It’s not so easy to find somebody who knows what they are doing.. I was originally referred to Dr. Kling by my best friend, who spoke very highly of him and strongly encouraged me to go. I have been going to see Dr. Kling on and off for about 20 years for lots of different stuff that just comes up. I’m amazed that he always gets the diagnosis right. Sometimes the stuff that I had was pretty straightforward. Other times, he would ask question after question and then zoom in on what it was. The most important thing is that I always got better. I have many friends and co-workers who have gone to him both at my old firm and the firm where I am now, and they all had really positive experiences with him. My wife and my daughters have also gone to him and he has also been very helpful with them. I first saw Dr. Kling years ago when I had a bad infection. He gave me a prescription and samples of the medication that he had in the office to make sure that it had a chance to work as soon as possible.. He spent a lot of time explaining my condition to me. I was really scared and I called him with a lot of questions. He was very patient. I still come to the office now for other things. He was very helpful. Both my wife and I have gone to Dr. Kling. I had a pretty perplexing skin condition and I was told by my family doctor that Dr. Kling was the person to see to figure it out. He spent a lot of time talking and explaining things to me. I had seen two other doctors before, and I realized that educating me about what I had was the most important step so that I was motivated to do what I had to do in order to get it under control. I’ve bumped into Dr. Kling at social things over the years and I am always glad to see him. I like talking to him..
Rating: 4 / 5 stars

HIGH AND LOW RISK STRAINS. SITE SPECIFICITY

hpv-kling2ALAN KLING, M.D

Dr. Alan Kling is recognized as one of the foremost specialists in the field of HPV infections. Throughout his years as an HPV specialist, Dr. Kling has contributed to research and lectured at various medical schools, including Columbia, Cornell, Mount Sinai, NYU, and Yale as well as having been a part of a number of national panels on HPV and HPV prevention. His extensive research has allowed him to keep up with the latest HPV treatment protocols and to educate others in the field as well. While HPV is an important field of dermatological study for many physicians, Dr. Kling has clearly separated himself from the pack, making him the top HPV treatment specialist in NYC today.

Dr. Kling's private practice offices are located at his Park Avenue practice on the Upper East Side and in Park Slope, Brooklyn.

Q: I heard that there are lots of different kinds of HPV. What does this mean?
A:
There are over 200 different strains of HPV and they are site (or location) specific. There are certain strains that grow on the hands (hand warts), others that grow on the feet (plantar wart) or on the face (face warts). The strains that grow in the genital area are called genital warts.

Q: What does the term site-specific mean?
A:
The term site specific means that each of the different many strains of HPV grows better in certain areas of the body compared to others.

Q: Can you give an example of different HPV viruses being site specific?
A:
There are over 40 different types of HPV which occur in the genital area. These genital strains will generally not grow well in other parts of the body. The risk of the strains that cause genital warts growing on the hands, which touch the genital area every day, is low. The strains of HPV that cause hand warts, which are very common and are caused by completely different strains than those that cause genital warts, thrive in the environment on the hands but are unlikely to grow in the genital area despite the frequent contact that occurs between the hands and the genital area.

Q: What are the chances that the strains most frequently associated with hand warts may infect the genital area and cause cancer?
A:
Although there is a very small chance that a hand wart can grow in the genital area, the chances of that wart going into a cancer are zero. The strains that most frequently cause hand warts cannot evolve into a cancer.

Q: Can the strains that cause hand warts grow in the genital area?
A:
Yes they can, but this is not common and it is unlikely. The different strains of the virus are site (location) specific, so it would be unusual for an infection from hand or foot warts, for example, to spread to the genital area. The strains of HPV that cause hand warts do not grow well in the genital area.

Q: What are the more serious problems that HPV infections can cause?
A:
HPV infections have been associated with cancers of the cervix, vulva, vagina, penis, anus, rectum, and the oropharyngeal area (tonsils, tongue, roof of the mouth, back of the throat).

Q: How can I tell whether genital warts contain high risk strains?
A:
The only way that you can know for certain what strains are in the genital wart is if a sample is forwarded to the lab for a DNA test.

Q: How can I tell whether my infection contains high or low risk strains?
A:
A biopsy first needs to be obtained and forwarded to a laboratory in order to confirm whether an HPV infection is present. The physician can then request that the laboratory do typing to tell which strains of the infection are present.

Q: Are there any other ways to tell what strains of the virus that I have?
A:
A biopsy is the definitive test in both a man and a woman. Women can get a Pap smear as a screening test and can then get typing done on swabs from the cervix in order to tell whether high or low risk strains are present. Men at risk can get swabs from the rectal area. Blood and urine tests for HPV are not effective.

Q: Can you tell from how the genital warts look whether they are high or low risk?
A:
Genital warts associated with the low risk strains are more likely to be large, more numerous, rapidly spreading and are highly contagious. High risk strains are more likely to present in few numbers and as small, sometimes inconspicuous-appearing growths.. The only accurate way to tell whether they are high or low risk is to do an HPV DNA test.

Q: So the good news is that genital warts are more extensive in size and number, are more contagious, and look more funky but are not dangerous because they contain the low risk strains, and that the bad news is that the smaller warts may be less contagious
A:
Yes.

Q: What are the most common high risk strains?
A:
The most common high-risk strains are 16 and 18 (16/18), which together represent approximately 70% of the high-risk strains which occur in the general population.

Q: What is meant by the terms high risk and low risk strains of HPV ?
A:
Genital HPV infections are referred to as being either high risk or low risk strains. The presence of high risk strains places a person at a higher risk of developing a cancer or precancerous condition. The presence of low risk strains is associated with annoying and highly contagious conditions like genital warts but is not associated with an increased chance of getting cancer.

Q: What kind of conditions are associated with the high risk strains?
A:
The high risk strains of HPV have been associated with cancers or precancers of the cervix, vulva, vagina, anus, rectum, penis and the oropharygeal area.

Q: What kind of conditions are associated with the low risk strains?
A:
The low risk stains are associated with genital warts and do not have any potential to progress into a cancer.

Q: What are “mixed infections”?
A:
Mixed infections are areas or growths that contain both high and low risk strains. Approximately 10% -20% of genital warts are so-called “mixed infections.” The high risk strains in these mixed infections can progress into more aggressive cancerous and precancerous conditions. An HPV infection that is made up of predominantly low risk strains can still contain the potentially more aggressive high risk strains.