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

PAP SMEARS AND SCREENING TESTS FOR WOMEN

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: What is a Pap smear?
A: A Pap smear is a microscopic examination of cells scraped from the opening of the cervix.

Q: How is the Pap smear done?
A: A cotton-tipped applicator is rubbed along the sides and floor of the cervix in order to obtain samples of the continually shedding cells, which are then placed on a slide and examined under a microscope.

Q: What is the cervix?
A: The cervix is at the end of the vaginal canal as it leads into the lower part of the uterus or womb. The cervix is the area that transitions the vagina into the uterus and has been referred to as the entryway to the uterus.

Q: What does it mean when a woman has an abnormal Pap smear?
A: There are a number of HPV strains that cause abnormal changes in the cells on a women’s cervix. The Pap test refers to the test that is done with the swab that the health care provider rubs around the cervix in order to obtain a sample of the cells which shed from this area on a continual l basis. An abnormal Pap smear indicates that the cells being shed fro the cervix may become problematic.

Q: Why are Pap smears so helpful?
A: The Pap smear has been an invaluable screening program which allows for early diagnosis and treatment of cervical cancer and precancers. The Pap smear is cheap, which allows physicians and other health care providers to make it widely and affordably available to every woman who wants to do a screening test.

Q: How accurate is the Pap smear?
A: The Pap smear is not a very accurate test. The Pap smear only detects an abnormality 70% of the time. If a woman responsibly shows up and gets her Pap smear screenings on the regular prescribed by her doctor, any abnormality that may be present will be detected over time before it has the chance to progress.

Q: Why is it a good test if it is not an accurate one?
A: The Pap test is cheap and widely available so all women can receive regular screening. Repeat Pap smears are frequently performed in order to verify an initially positive Pap smear. Cervical cancers grow slowly and can take over twenty years to grow from the time of the initial infection with the high risk HPV DNA strains, so repeated Pap smears will reliably eventually detect any abnormalities.

Q: What does it mean if the Pap smear is negative?
A: A negative Pap smear indicates that no abnormalities were detected at the point in time when the specimen was collected. In the case that there may be an abnormality present but the Pap smear did not pick it up the first time, the abnormality will most likely be detected on subsequent tests. It is extremely important for a women to show up and get her follow up Pap tests on a regular basis as prescribed by her physician.

Q: What happens when a woman has a persistently positive Pap smear?
A: Persistently positive Pap smears will require a more thorough diagnostic and possibly therapeutic workup by a woman’s health care provider.

Q: Do most positive Pap smear need further workup?
A: Most Pap smears are normal on follow up. 70% of positive Pap smears resolve on their own and become negative in the year. 90% of positive Pap smears resolve on their own without treatment within 2 years.

Q: Why did most abnormal Pap smears become normal on follow up?
A: Most HPV infections are caused by the low risk HPV DNA strains. The abnormalities that these low risk strains cause are transient. Low risk HPV strains have zero percent chance of progressing into a cervical cancer.

Q: Do all abnormal Pap smears caused by high risk strains go into cervical cancer?
A: Many infections caused by high risk strains resolve on their own without treatment. The Pap smears that require the most concern are those that are persistently abnormal after repeat testing.

Q: When is more testing needed?
A: Further testing and evaluation would be needed if a woman has a persistently positive Pap smear after more than one screening.

Q: Can you have HPV but not warts?
A: You can have HPV but not have warts. Genital warts refer to growths that occur outside the body. Abnormal Pap smears in women are caused by an HPV infection on the mucous membranes of the cervix. A woman can have an abnormal Pap smear on her cervix but not have external genital warts, and vice versa.

Q: What other screening methods are available for cervical cancer other than a Pap smear?
A: HPV DNA tests are considerably more reliable than the traditional Pap smear, and are accurate 90% of the time.

Q: What is the preferred method of cervical cancer screening at different ages?
A: Pap smears are the preferred method of screening for women who are under 30 years old. Pap smears are an inexpensive test, and most cervical HPV infections in younger women resolve on heir own. When a woman is over 30 years old and/or has a persistently positive Pap smear, the HPV DNA test should then be considered.

Q: If a woman had the full course of three HPV vaccinations before her first sexual contact, does that mean that she does not need to get screened for cervical cancer?
A: Women need to continue to get screened for cervical cancer regardless of whether or not they received the HPV vaccine. The high risk HPV 16 and 18 strains in the vaccine represent 70% of all of the strains that cause cervical cancer. A women is still susceptible to getting an infection with one of the other high risk strains that cause cervical cancer in 30% of the cases.

Q: What should a woman tell her partner if she finds out that she has an HPV infection?
A: The woman who has an HPV infections needs to let her partner know so that he can go to his doctor to be evaluated as to whether he has an infection.

Q: What kind of a doctor should he go to?
A: Dermatologists and urologists have the greatest amount of experience in his field. He can also ask his family doctor for guidance.

Q: How do I find that type of doctor?
A: You can ask your family doctor or GP (general practitioner) or internist. A woman who is diagnosed with an HPV infection can ask her gynecologist for the name of a doctor who has experience in evaluating the male partner.

Q: What kind of doctor should the woman go to?
A: Women should see their gynecologists for their regular Pap smears. If there a growth on the outside (vulva, groin, thighs, abdomen) the women may choose to have this treated by either a gynecologist or a dermatologist.

Q: What will my doctor talk to me about?
A: Your doctor will explain to you many of the things tha t you want and need to know about this infection. Having an HPV infection can be an emotionally-charged issue. You would most likely feel more comfortable with a doctor who is knowledgeable in this field who can answer your questions thoroughly.