Category: Health Services

Health Services

Worst case of head lice we have ever seen.

Advice on lice has been removing head lice for over 10 years. We have seen some pretty bad cases in the past. Last week we had the worse case ever with an elderly client. The woman entered our office and we could see live lice crawling on the outside of her hat(beret).  We worked on her for over three hours and there were dead bugs everywhere. She had hundreds and hundreds of bugs and thousands of nits. As she has no one to help her we contacted her Dr and had them prescribe Sklice. Today she came in with the Sklice and as it was applied we still found around 20 live lice. We can only assume she does not have the capability of de-lousing her house.  She will return again next week for we hope is one last comb out. It is so sad to see a woman of her age so helpless, with no one to help her comb her hair out.  We have made it our goal to get her 100% lice and nit free as we realize she has nobody else.


Lice Treatments: Airalle lice treatment verses prescription Sklice

Lice Clinics of America uses the Airalle process which blows warm air throughout the hair and is supposed to kill the eggs. This process does not remove the eggs but according to their studies they should kill the eggs. Our opinion differs. If a client is looking to avoid removing the nits they can save time and money by have their doctor prescribe Sklice. Coupons are available on line so that the product can cost as little as $10.00.  When Sklice is applied the  nits are mutated so when they hatch they are unable to feed and die.

At our opinion and goal is to remove all the nits(eggs) from the head.  We would feel very uncomfortable if a client left knowing there were non viable nits still on the hair.

So our advice is whether you use the Airalle process or Skilce daily combing is a must to ensure lice never return. Nothing is a guarantee except a 100% clean head of both lice and nits.

Allan Franco

Super Lice. Is it real or just hype?

The recent study by the University of Illinois has created quite a bit of controversy. As a person who has had at least 18 years of experience dealing with head lice, I do not think the findings are particularly surprising or new. The study confirmed something I realized a long time ago. The synthetic pyrethroid products are ineffective. The product Nix and the prescription strength 5% topical product do not work to kill head lice or their eggs. The product Rid contains the true pyrethrum extract from chrysanthemums, and is still effective in most cases, but not in the “10 minutes no longer” that is cautioned in the instructions.
The “super lice” may be a true mutation that means some infestations will be less responsive to some treatments, but not every infestation is in fact “super lice“. There is so much unreliable and harmful information that is being included in the articles that are circulating about the super lice. In one article, a supposed expert is recommending people sleep in the OTC products with a shower cap. I guess she has not heard of the 2 year old who suffocated because the shower cap slid over her face in the night. And another expert actually suggested that nit picking and combing is ineffective.
I have learned over the years that proper application of any product, and an additional 20 minutes of wait time, greatly improves the efficacy of any treatment. And I have found that the nit removal process is the only way to be sure that complete eradication is achieved.
Finally, I find it most disturbing that the country is alarmed to hear that the parasite has mutated and become harder to deal with, and the American Academy of Pediatrics has created new guidelines which promote children attending school with active infestations. Head lice may not lead to any other serious health issues, but there are many families and individuals who are struggling with issues which make an infestation of head lice a problem of astounding proportions. I have personally assisted mothers who are paraplegics, fathers in stage 4 lung cancer, teenagers with severe autism, and children with various problems from down syndrome to aspergers to cerebral palsy. These families have the right to send there children to school without the threat of being infected with a “nuisance parasite”.

Professional Nitpickers and Head Lice Removal Services

As a professional head lice technician in The Washington DC area for over 10 years the question remains, “how much are we responsible for” . There have been two recent cases where clients have been to see us in early Dec 2015 and come back at then end of Feb 2016 with lice again. So the question is always in the back of our minds, “Is this the same case from 2 1/2 months ago or a new case?”
There is no clear cut answer. To avoid any recurring head lice infestation there has to a be a clear partnership between the client and the head lice removal service.
From the clients viewpoint:
1)The client needs to know that the method the service is using has proven effective. This can be accomplished either through ratings found online or through referrals.
3)The client needs to know the technician has the proven ability and years of experience.
3) The client needs to be assured that the technician is working to the Best of Their Proven Ability in the removal process.
From the technicians viewpoint:
1) The technician needs to provide a quick tutorial and education on the method for follow up comb outs at home.
2) The technician need to make it clear to the client that follow up daily comb outs are necessary to ensure there are no recurrences.
3) The technician needs to make it clear that there are no guarantees that every last nit(egg) has been removed. Although I can usually guarantee that there are no live bugs left in the hair once I have done a treat and comb I would never mislead a client in believing they could go home and forget about lice.
So, in conclusion there must be a clear understanding between the client and technician that not only has the technician worked to the best of their ability, but the client understands there is a follow up procedure that needs to be done to completely eradicate head lice.
Allan Franco
Advice on Lice Inc
Kensington, Maryland
Servicing: Maryland, Washington, DC. and Northern Va.

Head Lice Treatments: Which one works!

At Advice on Lice,  we have heard from our clients so many methods they have read about online to treat and remove head Lice and nits.

There is so much misinformation many become frustrated and just don’t know which is best. With this in mind there is a Head Lice Treatment used by Professional nitpickers. Known as the Lice Buster, the method used seems questionable. The Lice Buster is a machine, which blows air at a certain heated temperature and certain speed and is supposed to kill the live Head Lice as well as the nits. In our opinion there is some validity that heat will kill nits on the hair. We always recommend to Mom’s that using a Flat Iron or Hair blower many times will cause the nits to abort.

After speaking with a representative for the Lice Buster we reached a decision that this was not a head lice treatment plan our clients or we would be pleased with.

When using the Lice Buster professional nitpickers will blow the hair for an hour or so and then they will assure the client that the nits are no longer viable.

What about the nits? What parent wants to leave our facility knowing that there are nits still stuck on the hair. How will the camps react when your child returns the next day with a head full of nits that you explain are no longer a threat. Our feeling is a thorough Head Lice treatment requires not only a Lice Killing Shampoo but also requires a thorough removal process of all the nits to ensure the problem is completely eradicated. Unfortunately there are no short cuts to Head Lice and nit removal.

Advice on Lice, is the oldest and most thorough Head Lice Treatment in Maryland, DC, and Virginia  and assures our clients that with our experience assistance Head Lice can and will be completely eradicated.

Visit Advice on Lice for Head lice treatment

Allan Franco

Head Lice and Summer Camps

As the second session of summer camp begins, new campers arrive and many go home. Advice on Lice continues to offer pre-camp and post camp screens at $20.00 a head. Our clients are so thrilled that many of them come straight from camp to our office to make sure they don’t come home with lice. Others bring their children in before camp so tyhey know when they arrive at camp they will be Lice free

For some time we have been using a great product “Lice MD” which is non-pesticide and has been very effective in killing the lice.

Advice on Lice in Kensington, Maryland services Head Lice Treatment for Washington, DC, Maryland and Northern Virginia.
Help is just a phone call away at 240-242-4267
Allan & Karen Franco
Advice on Lice

Sklice Lice Killing Treatment Pros and Cons

With over 12 years experience in the Lice removal business at we have now seen the results of a new prescription lice killing treatment Sklice. This treatment claims to kill active live lice and their nits (eggs).
We have found through our experience with our clients and actually applying it for our clients to be a successful way in killing the Lice and a very high percentage of the nits.
The issue we are starting to see is that parents who are using this product are not aware of the importance in combing out the nits regardless whether they are viable or not.
In the school system and especially with summer camp beginning if a child is found to have nits on their hair , be prepared to get the call. Although you may think the nits are dead and old the persons in charge will think otherwise.
This week we had a client bring her daughter in who had been at a 1-week sleep away camp. The camp called the mom and said her daughter had lice. The camp treated her with the over the counter Nix product and notified parents of fellow campers that there was a case of lice in the camp.
The mother brought her daughter into our salon for lice and nit removal. As our technician worked on the daughter he realized that the nits seemed old, empty, or non-viable.
The mom finally let us know that her daughter had lice 3 months ago and had used Sklice but had only combed once or twice. When the technician was finished he had found over 150 nits and all appeared to be old non-threatening.
What followed were distress parents of fellow campers who insisted they bring their children in for lice checks because of this one daughter who had the nits in the camp.
Our strong recommendation is as follows. If your using the prescription Sklice please make sure you comb out the nits to avoid a misdiagnosis at school or at sleep away camps.

To Get rid of head lice visit Advice on Lice
Team Advice on Lice

Lice Lady of Maryland.

Lice Lady of Maryland.

Who is the original Lice Lady in Maryland?

I suppose it was time for someone to speak up as so called professional nitpickers who call themselves The Lice Lady have sprung up throughout the metropolitan area.

Karen Franco of Advice on Lice Inc  began her journey over 15 years ago in exploring ways to treat head lice and lice nits before the internet even existed. She actually used the services of the old fashion library to educate herself on the life cycle of lice and the most common treatments then.

It was a personal mission for Karen Franco in the years when her children were in elementary school, and she volunteered in any programs the children attended to help screen for head lice in order to prevent outbreaks. As she became increasingly familiar with the condition, she found that many people would seek her out to assist them with their own infestations.

It was these people who began labeling her “the lice lady.” It was not something she chose.

Through the years, Karen has established a knowledge of the condition and how best to treat it to accomplish eradication.

What began as volunteer work evolved into a money making hobby and finally to a full time business.

Today,  8 yrs after opening her salon/office in Kensington Maryland, Advice on Lice has a reputation as the best full service LiceTreatmentCenter in Maryland.  Adding to the services she never forgot how she started and is always available to answer questions, offer guidance at no charge for distressed parents dealing with head lice for the first time.

So who is the real Lice Lady of Maryland?

Montgomery County Head Lice Policy

Montgomery County Head Lice Policy

As Advice on Lice is located in Montgomery County Maryland we are constantly asked by our clients why is it that head lice is so prevalent in the county school system.

Well, there is a simple answer. The MontgomeryCounty schools have become increasingly lax concerning head lice.

Below I have noted the policy implemented by the school system.

1-”If all observed nits are located 1/2 inch or more from the scalp, no further action is necessary”

This means a child with nits all over the head will not be sent home unless they are 1/2 inch from the scalp. The assumption is the nits further than 1/2 inch are old , non viable, and will not hatch. From our experience in our office this is a very risky assumption. Simply said we have found that any nits in a child’s head can be a problem and action needs to be taken.

Time and time I have worked on a child’s head noting in my removal that they seem to be old and non-viable, only to find a living baby louse (nymph) resting on the scalp.

Our opinion is,  if you see nits on your child and take no action you are surely going to be dealing with an active case of head lice in at least 14 days,

So our advice is take action whether the school does or not and don’t let an early detection turn into an all out infestation.

Allan Franco

Head Lice peaks for Back to School

Back to school is one of the busiest times for the head lice treatment and removal in Maryland. It is the result of families returning from vacations, and children who spent the summer in various summer camps. It can be frustrating for us because everyone wants our help, but it has to fit in to their family schedule. Summer is over, and it is back to the real world of work and school. As a result, we can be in the office from 10 in the morning until 8 or 9 at night. And we are also trying to accommodate those who want house calls.

Lately we have bee a bit mystified by the unusual occurrence of all family members seeming to be at the same level of infestation. It seems unlikely that all of the members of the family would have been infected at the same time, yet we are seeing siblings and parents within a family who all seem to have similar degrees of infestation. It is more common for there to be a progression within a family. One child gets it from a friend, and brings it home and gives it to mom or sister or brother, and then it spreads through the others.  We can usually identify one family member as “patient 0” because that person has the most severe case of head lice. But for the last few weeks, we have been seeing families in which everyone seems to have the same number of nits and bugs. Oh well, just when we think we understand the life cycle of head lice we get stumped again.

At Advice on lice ,whether its a early infestation or a full blown infestation we take each case seriously and make the same effort to completely eradicate head lice and nits from pur valued clients.

Advice on Lice

Allan & Karen Franco