I have a history of basal/squamous skin cancers. I had 8 removed when I saw Dr. Mermilliod. I was particularly concerned about a spot under my eye. It had been there several years and was changing. Given my history, I think it would have been appropriate to obtain a tissue sample and send to a pathologist. She did not and was very dismissive. It was as if the appointment was a bother, and I was being silly for worrying. Another MD took a sample about a year later, and it was skin cancer. My poor rating of Dr. Mermilliod is mostly due to her attitude and demeanor, not her clinical skills. While I do think a biopsy would be appropriate given the history of skin cancer, length of time since lesion appeared, and changes occurring, it is possible other dermatologists also might have proceeded as Dr. Mermilliod and not performed a biopsy. She was unbelievably rude and truly made me feel stupid for even getting the spot checked.