Need a Derm? There’s an App for That.

No matter where you live, the task of getting in to see a dermatologist can be a real headache—there’s the hassle of scheduling the appointment, the six-week wait for the day to finally arrive, then the actual schlep to the office.

“I was practicing in New Mexico, and I would have patients who drove across the state just to come see me—I thought it was crazy to go through all of that trouble when a lot of their skin issues could have easily been diagnosed over the phone,” says dermatologist and San Diego native David Lortscher, who has since moved back to San Diego and set up shop in Coronado. “It made me realize that for a lot of places in this country, there is very little access to specialists like a dermatologist.” This plight sparked his idea for PocketDerm, a new service that diagnoses and treats acne in patients through a website or mobile app.

Patients pay a monthly membership fee of $30, then answer an in-depth survey about their skin before uploading photos of their blemishes from their phones. Once Lortscher, an alum of Torrey Pines High School and UC San Diego,  or his partner, dermatologist Nancy Satur, has analyzed the profile, the doctors create a custom-blended prescription cream and ship it to the patient’s doorstep.

Some beauty companies have used phone apps and website quizzes as thinly veiled marketing gimmicks to sell their product lines, while others have employed the mail-order system, but with a limited number of products.

Lortscher says his program is different. “We’re trying to provide the quality of care you would receive if you came to see us in the office,” he says. “And we only give you one product, that has a personalized combination of ingredients in order to treat your specific acne and skin—we don’t want our users to feel like they need to do a bunch of steps.” Because the creams are prescription-strength treatments, Lortscher says they don’t have plans to create a cosmetic line of skincare to sell outside of the system. “We chose the membership model in order to establish an ongoing relationship with the patient, knowing they’d need regular follow-up and adjustments just like we do in the office,” he says.

Patients can also message their doctor with questions directly, set up a follow-up assessment to tweak their treatments, and end the service at any time.

The concept of telemedicine is nothing new—doctors have been using the telephone to help patients in remote areas since, well, the invention of the telephone—but there are some modern-day laws that have put Lortscher and Satur in a unique situation. Every state is different, but in general, a doctor needs to be licensed in both his state of residence and the patient’s home state in order to treat them remotely, which means the pair have been busy building quite the collection of licenses (combined, they are currently able to treat patients in 35 states; as the business expands they hope to be able to reach all 50). In addition to their accessibility, Lortscher says that after the initial launch phase of the acne program, they plan to grow the business in a different way: with anti-aging treatment. Lortscher says, “It’s a huge market to which we definitely think we could apply this type of service.”

Other things you can do with a smartphone

Pay rent

Rancho Peñasquitos-based realty co. SEPHTA Homes will accept cash or the virtual currency bitcoin, payable via smartphone.

Record your favorite show

AT&T U-Verse customers can use their phones as TV remotes, and set the DVR from anywhere.

Find a husband (or a hookup)

Tinder matches you with Facebook friends of friends. If you both “like,” it’s a match! An intro will follow.

Captain Keno’s No. 8 special—pancakes, sausage, toast, home fries, and eggs for $2.99—was the fuel that powered Benji Weatherley for surf competitions as a teenage pro. A couple decades later, tears were shed when the Coast Highway dive-slash-eatery called it a day after 54 years. Usually, the guts of a shuttered restaurant go to liquidation auctions or straight to the dump to decompose along with its legend. Instead, Weatherley took in Keno’s spare parts—plus other relics from Encinitas’ past—and used them to build the newest community hangout.

Every single piece in the place is from somewhere in this town,” Weatherley says about Breakers Cafe Bar & Grill. “I’m not going to settle for anything less.”

Breakers is a Hawaiian hideout in an uncool part of the coastal surf town, but it’s got the set design of an Encinitas superfan. The plates, silverware, and coffee mugs are from Keno’s. So are the tables and booths. There’s a bench made from the last table preserved in The Derby House (a building that, for over a century, was a hotel, then became a hospital, a religious retreat, and a private home). Weatherley’s not performing CPR on old upholstery because he’s a fan of antique furniture. It’s a method to bring people together.

“Representing nostalgia in this town is the only way to grasp a hold of the community,” Weatherley says. “Everyone wants to touch and feel something different from what they’re experiencing on their phones.”

Every week, locals bring him photos, artifacts, and bits of paraphernalia from Encinitas’ past and ask Weatherley to give them a new home. “I’ve had ladies who were there when [Captain Keno’s] opened cry in my arms and say, ‘This table is where I had my second birthday with my grandma,’” he says. “They tell me these stories, and I tell them I have all the same stories about my mom.” (Weatherley’s mom first brought him to Keno’s and helped raise the young surfers from the Momentum Generation documentary—Weatherley, Taylor Steele, Rob Machado, Kelly Slater, etc.—as they surfed some of the world’s most dangerous waves at Pipeline in Hawaii. Back then, she owned Breakers Restaurant & Bar in Haleiwa. Name sound familiar?)

Weatherley has always been the funniest man in the room. He calls Breakers “the Chuck E. Cheese of Encinitas.” The restaurant hosts hula dancing classes, open-mic comedy nights, and evenings bartended by longtime Captain Keno’s barkeep Vaka Kaufusi. Cult-loved reggae band Steel Pulse hit the Breakers stage recently to perform a new song that Weatherley also helped write. His longtime friend Jack Johnson has dropped by to sing a few, too.

Despite not having a fancy location along the 101, people are catching on. Fire stations and hospitals have held staff parties there. Weatherley also currently sponsors four sports teams.

“Last night, I had a girl say, ‘I want my birthday party at Breakers,’” he says. “That, to me, is community in a nutshell.”

The inland North County community of Rancho Santa Fe is often associated with wealth. It’s one of San Diego’s most expensive residential markets and is consistently ranked one of the highest-income zip codes in California and the U.S. Rancho Santa Fe is known for its large equestrian community including riding facilities and horse trails, as well as its country club lifestyle and associated golf courses.

At the center of this luxury master-planned community is a small, walkable downtown area referred to as the “village,” with The Inn at Rancho Santa Fe acting as both a landmark and social hub. Much of the community, including the historic Inn, was designed by acclaimed architect Lilian Rice, one of California’s earliest female architects. The Spanish Colonial-style architecture she brought to the village is still one of its defining characteristics today.  

Whether you’re coming to Rancho Santa Fe for golf, horseback riding, or pampering at a resort spa, be sure to start with a short walk around the village to take in the neighborhood’s charm. Plan your next visit here with our neighborhood guide to the area’s best restaurants, things to do, and shopping.

Jump To: Restaurants | Things to Do | Shopping

Rancho Santa Fe Restaurants, Bars, and Coffee Shops

The Pony Room

Families congregate at The Pony Room for elevated California ranch-style cuisine. Lamb lollipops, carne asada tacos, burgers, and weekly dinner specials are offered here, alongside an extensive collection of wine and spirits (especially tequila) and sizeable kids menus. As the signature restaurant of Rancho Valencia Resort & Spa, this all-day eatery is a lively centerpiece of the local social scene.

5921 Valencia Circle

Mille Fleurs

The piano bar at Mille Fleurs is the buzziest spot to be on Friday and Saturday nights in Rancho Santa Fe. French classics like escargot, lobster bisque, duck confit, and steak frites are the main dinner attractions at this local institution that has been around for more than 40 years. Spring for the four-course prix fixe menu before nabbing a coveted bar seat near the piano entertainer.

6009 Paseo Delicias

Nick & G’s Restaurant

Nick & G’s is one of the most prominent restaurants in the village, with an outdoor patio that overlooks the main thoroughfare. Enjoy modern Italian food, steaks, and seafood dishes here, including homemade pasta, pizza, wagyu beef, and oysters. Be sure to check their live music schedule and events calendar for the latest happenings.

6106 Paseo Delicias

Lilian’s

Named after renowned architect and planner Lilian Rice, Lilian’s is The Inn at Rancho Santa Fe’s flagship restaurant. Their upscale menus feature sustainable seafood, grass-fed meats, local produce, and even sushi rolls during dinner. Outdoor seating provides a bird’s-eye view of the village and an elegant backdrop for weekend brunch. Stop by Bing’s Bar (a nod to Bing Crosby) for craft cocktails, beer, wine, and light bites in a refined setting.

5951 Linea Del Cielo

Thyme in the Ranch

Quaint cafe and bakery Thyme in the Ranch serves a small selection of breakfast and lunch items (don’t miss the tarragon chicken salad), but is perhaps best known for its pastries and baked goods. Cakes, pies, muffins, scones, and cookies fly off the shelves here, where locals come for special occasions, parties, and group catering orders.  

16905 Avenida De Acacias

Paseo RSF

Located inside a historic building once home to Rancho Santa Fe’s original schoolhouse, Paseo RSF is one of the village’s newest dining options. The charming American bistro has pasta, salads, burgers, meat and seafood entrees, plus a thoughtfully selected California wine list and new sushi and omakase program. Kids and dogs are both welcome here.

6024 Paseo Delicias, Suite C

Rancho Roasters

Grab a quick coffee to go from this walk-up window in the same shopping center as the post office. Cinnamon roll lattes, cold brew, spiced chai, smoothies, protein bowls, and more can be found at Rancho Roasters, where they brew beans from Dark Horse Coffee.

16950 Via De Santa Fe

Goli Pizza

Casual pizzeria and martini bar Goli is a popular spot for catching the latest sports games. Order one of their unique specialty pizzas like the Casbah with hummus and veggies, build your own pizza or burger, or go with one of their hearty wraps that’s made with an extra thin version of pizza dough.

18021 Calle Ambiente, Suite 403

Cocina del Rancho

Find generous portions of Mexican food at Cocina del Rancho, run by the same owners as Carlsbad’s Cicciotti’s Trattoria Italiana and Village Kabob. Get classic dishes like burritos, tacos, and enchiladas, plus their specialty items including pulpo, carne asada, and fajitas with lobster tail. Don’t skip the margaritas.

16089 San Dieguito Road

Chino Farm Stand

Growing up in Carlsbad, I never quite understood why people vacationed there. What, so you want to check out the field where I have soccer practice? Pay my orthodontist a visit? Carlsbad just felt like a town by the beach, no better or worse than any other in the country. It took going to college out of state for me to actually understand just how rare a place like Carlsbad is.

Thanksgiving break my freshman year, my first time coming home after three months in the Midwest, my shoulders dropped. I rolled down the windows and drove to lifeguard tower 37—the hangout magnet for Carlsbad’s youths (and, in the summer, tourists)—and the smells of the ocean woke me right up like smelling salts do. I finally got it.

Carlsbad isn’t just a stopover town on your way to something better. It is the destination. Travel + Leisure named Carlsbad one of the top 50 places around the world to travel in 2026. From the whole globe, the travel magazine picked my home. Sure, we’ve got the Flower Fields and Legoland—but now it’s the smaller ships and indier dreams that are giving it street-level character.

It’s not just Carlsbad, either. People have talked about the “North County bubble” for decades—a force field that prevents its residents from traveling south of the 56. It’s often used derogatorily, and it’s a fairly accurate burn.

For decades, living up in North County meant giving up on culture, or at least culture within close proximity. But now, the main expansion of San Diego culture is happening up north. Central San Diego restaurants have started taking notice and are expanding into the area—spurred no doubt by Oceanside’s food boom and the Jeune et Jolie–Campfire–Wildland–Lilo constellation in Carlsbad. City Heights burger joint Key & Cleaver opened a new spot in Oceanside; the owners of Parc Bistro-Brasserie in Bankers Hill opened Parc Lounge in Rancho Santa Fe. Possibly the strongest market indicator is that Sam Fox—one of the most successful restaurateurs west of the Rockies—has started focusing on North County for his concepts. In 2025, he opened both The Henry in Carlsbad and Culinary Dropout in Del Mar.

For the ultimate insider guide, we found a handful of inspiring people who live and create and truly know six North County neighborhoods—San Marcos, Escondido, Oceanside, Leucadia, Rancho Santa Fe, and Vista—and asked them how they’d spend a dream day out and about in their town.

San Marcos

San Marcos is in full renaissance mode. The biggest story is that the grand North City vision is starting to peek through the scaffolding. It’s essentially the North County Downtown that’s been written in the tea leaves and discussed whenever someone gets stuck in traffic at the 5/805 merge: a 200-acre, pedestrian-friendly, mixed-use face-changer that’s slated for 2,600 homes, 350,000 square feet of retail and restaurants, 250 hotel rooms, and about a million square feet of offices and labs. Its most recent manifestation is 222 North City—a 12-story residential tower with over 450 residences, rooftop garden, pool cabanas, art installations, and almost 20,000 square feet of ground-floor retail (Necessity Coffee, Buona Forchetta, Draft Republic, Milonga Empanadas, and a grocery store anchor on its way).

Which means Restaurant Row is no longer burdened with being the primary caregiver for the hungry or the socially inclined. Patricia Prado-Olmos has watched the city morph during her nearly three-decade tenure at CSUSM, having spent the past six years as the school’s chief community engagement officer. She also just announced her forthcoming retirement at the end of the 2026–2027 school year, so she’ll have even more time to haunt local haunts.

Meet the Local: Patricia Prado-Olmos

Those in the know call the university “Cal State StairMaster” from the Sisyphean amount of stairs on the hillside campus. So, any day at or around CSUSM should start with a homestyle carbo-load (biscuits and gravy) from Mama Kat’s.

Rull, a Michelin-trained pastry chef who’s done stints on Netflix (Bake Squad) and Food Network (Super Mega Cakes, Halloween Wars), opened his patisserie last fall. The hype hasn’t cooled off yet: Get there early because the crowds do.

Walking into a room full of strangers isn’t high on the fun index for most. It’s inherently awkward: Everyone’s standing in closed-loop clusters, deep in conversation, and, depending on your social aptitude, the feeling is somewhere between light apprehension and burning alive from the inside out. The pull to retreat or reflexively look busy on your phone is stronger than the drink you now deeply crave. Having friends is nice, but making friends can be brutal.

There’s plenty of commentary on the loneliness epidemic. Last year, the American Psychiatric Association reported that one in three adults feel lonely at least once a week; those aged 18 to 34 are more likely to feel isolated and even more likely to turn to social media as a result. Dr. Vivek Murthy’s “My Parting Prescription for America” cautioned that “being socially disconnected increases our risk of heart disease, dementia, depression, anxiety, and premature death.” So it’s not just an emotional need; it’s nearly nutritional—chit-chat and the occasional wine-fueled, emotional deep-dive are just as important as Pilates and a reasonable amount of kale.

Finding social connections in any city is hard, but San Diego has very specific challenges. This is largely a transient population that acts as a temporary hotspot for many and a permanent home for few. Pick your reason: high rent, surreal gas prices, housing shortage, meh job opportunities (ranked 71st in the country in 2025), or the fact that active military is a sizable chunk of us (110,000-ish)—stationed here for a stretch, then gone. This constant flow of departees sucks out the potential for deeply established families and friend groups, leaving a good share of nomads, searchers, and plenty of people feeling socially awkward.

“There’s an underlying loneliness in all of us,” says Ramel Wallace, the host of monthly meetup CreativeMornings. “There are not a lot of San Diegans who are born and raised here, so [even those] San Diegans end up being just as lonely as the person who just got here.”

Every month, in local libraries, breweries, and small businesses, there are ambitious social architects who have made a career out of undoing social sads. Extroverted champions of the awkward and searching, they’ve struck gold on in-person connection.

The first moments in a social situation are crucial. Sets the tone and cools the nerves.

At Pitch-A-Friend, singles recruit their close friends to present a slideshow of their dating green flags. The entry points for connection at Pitch-A-Friend are simple, old tech: stickers. Each colored sticker indicates if the wearer is single or taken, queer or straight, or practicing ethical non-monogamy (in a partnership but open to others under a mutual understanding).

At the helm of each showcase is Arielle Fuller, aka Chief Wingwoman, who is making dating hopeful again. As Fuller explains, this takes some of the fear of rejection out of a first interaction. “Putting a sticker on immediately means, ‘I wanted to leave my house and talk to someone, and I am a safe space to come and speak to me,’” she says.

Of course, not all of San Diego’s events designed to make connections are romantic. On the last Friday of every month, hundreds gather at San Diego Central Library for the local chapter of CreativeMornings—an org formed to unite creatives in various cities across the world (designers, artists, writers, producers, performers, architects, etc.).

These aren’t your standard business card swaps, though. Coming from a hip-hop background, host Wallace uses call-and-response to break the fourth wall. “This is not my stage at all, this is our stage,” he says.

In your standard lecture-based meetup, the crowd silently faces the host and acknowledges nobody except those they came with. At CreativeMornings, everyone is encouraged to look around, pay attention to the strangers in the audience—not just the host. Wallace will pull volunteers to read the CM manifesto aloud, and he passes the mic to creatives, who make 30-second pitches to the community about projects they’re working on—and there’s always an invitation to connect and collaborate with the presenters whose ideas struck a chord.

The U.S. Chamber of Connection (yes it exists) says people experience life transitions nearly every year, and in these stretches are more open to forming new habits, relationships, and communities. In a revolving-door city like ours, the transition often comes when someone moves away. In 2023, the Census Bureau reported San Diego had the ninth-highest rates of domestic out-migration in the US.

This poses an issue for friendships that IRL SD addresses in monthly friend-making events called 619 Night.

“San Diego isn’t a place a lot of people stay forever,” says Alex Hunter, the creator of IRL SD. “They leave, and people [who stay] lose that community, so they’re hungry for community again.”

Their website describes the vibe as “backyard party meets college fair meets networking event meets happy hour.” Each follows a theme—wellness, sports, refresh and reset, etc.—with related community groups joining as well.

“The people I encounter are trying to get a fresh start in some capacity, so they’re more open, receptive, and ready to meet new friends,” Hunter says. “They need the circle.”

Another way adults can break out of this disconnection is to revert in unison, says artist Elisa Summiel-Bey. The 2015-ish adult coloring book moment in the US was based on some real science, with multiple studies finding coloring has a noticeable meditative and stress-release effect by taking the brain away from anxieties and mental inventories, and focusing it on a simple, easy art. Summiel-Bey’s company Illustrated Melanin throws “Color & Chill” events, turning that trend into a group exercise, along with live DJ sets, wellness experts doing sound baths, and food and drink from BIPOC-owned local businesses. “I tend to think of coloring as your way to tap back into your childlike play,” she says. “As adults, I think we’re almost scared to let loose and have that unabashed joy.”

All of these social meetups attract crowds of likeminded connection-seekers, but high attendance is not the only thing that matters. Metrics nuts can track RSVPs, but spreadsheets can’t capture intangible wins: friendships made, innovative ideas sparked, collaborations kicked off. At CreativeMornings, Wallace redefines ROI as Return On Imagination. Resounding success means thoughtful inquiries over coffee, curiosity about the monthly meeting themes, and requests to take the microphone.

A simple, observable ROI is an increased number of window shoppers to the experience—on the periphery, watching from afar, looking for the right way in. Hunter from IRL SD sees the anxiety in her DMs. “The scariest part for you right now is not meeting new friends: It’s the unknown,” she says. “It’s the gap between ‘I’m here’ and ‘That’s where I need to be.’ If I can help you understand, or get a little bit of a shape around that unknown, it’s much more approachable.”

Being able to bridge that gap, however, depends on your ability to step out of your own mind. “It’s not a connection crisis; it’s a courage and confidence crisis,” says Fuller. The first hello could be as easy as, “Hey, cool shirt.” These are the types of things she includes in her confidence lab reels on Instagram and weekly newsletters.

Ever left a social event and shot straight into a spiral? Was I being weird? Why did I tell that story? I hope that person moves to another state very soon.

The experts say that post-event self-interrogation is a standard-issue part of being alive.

“I love awkward people, and I love being awkward myself,” says Wallace. “It’s humbling to experience: ‘I’m not alone. Finally someone is not put together.’ So give yourself that grace.”