American Mohs: A Critical Review

Authors: Brett M. Will1, David J. Elpern2 MD; Roy Grekin3, MD; Douglas W. Johnson4, MD Affiliations: 1 Medical Student, Georgetown University School of Medicine, Washington, DC; 2Practicing Clinical Dermatologist, Williamstown, Massachusetts; 3Department of Dermatology, Clinical Professor, University of California San Francisco School of Medicine, San Francisco, California; 4Department of Dermatology, The Queen’s Medical Center, Honolulu, HI Keywords: Mohs Surgery, Health Care Costs, History of Medicine, Practice Guidelines as a Topic, Skin Neoplasms Abstract Over 80 years ago, a medical student conceived of a novel approach to remove difficult-to-treat nonmelanoma skin cancers. The procedure, called Mohs Micrographic Surgery (MMS), has been refined over the ensuing years and now large numbers of … Continue reading

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American Mohs: A Critical Review

Over 80 years ago, Fred Mohs, then a medical student, conceived of a novel approach to remove difficult-to-treat nonmelanoma skin cancers. The procedure, called Mohs Micrographic Surgery (MMS), has been refined over the ensuing years and now large numbers of practitioners provide the service. As the indications have continued to evolve and enlarge, the appropriate use of MMS needs to be addressed. We look at the history of MMS since its inception and present questions that clinical dermatologists are asking. Most importantly, is MMS overused and should precautions be taken to temper its overuse? Full Article Pdf: Full Article Word: Mohs 5.26

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Music and Medicine: Bach Partitas on the Covid Ward

by David Elpern For almost a decade, I have used music when performing biopsies and excisions in my office. I got the idea from my friend Tim Lee, an ophthalmologist on Kauai. That led to a study published in 2014.1 Music is a simple, inexpensive aid that we use every day in my office. So, I read the article, Bedside Concerts Comforting Virus Patients by Benjamin Weiser in the May 4th, 2020 New York Times with particular interest. It features Rachel Easterwood, whose idea it was to stage concerts for Covid 19 ICU patients. Easterwood is a professionally trained musician-turned-ER physician from Columbia P&S (the same medical school that my … Continue reading

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Ditching the Razor: Armpit Hair is Back!

Tayler D. Parker, BA1; Ashley E. Brown, MD1 McGovern Medical School, UTHealth Science Center at Houston, Houston, TX Corresponding author: Tayler D. Parker, BA, 6431 Fannin St, Houston, TX 77030, email Tayler.D.Parker@uth.tmc.edu, phone: 806-445-4949 Tags: beauty, behavior, shaving, medical sociology, health anxiety “Keep your man faithful and ensure home security- Shave your underarms!”. This slogan may sound comical, but it is an actual message found in underarm shaving advertisements for women as early as 1915.1 Whether shaving was driven by the emergence of sleeveless tops or by a male-driven culture, most women in the United States were shaving their armpits consistently by the 1950s for both social normativity and perceived … Continue reading

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