Ruth Tapp, a patient in the U.K., describes what it feels like for the patient to be the subject of bedside teaching. Here is the BMJ article: bmj.i6190.full This was a useful (and short) essay that will be of help to physicians, students, patients and their families. Some things have changed since 1920 — but not all!
After great pain a formal feeling comes — The Nerves sit ceremonious, like Tombs — The stiff Heart questions was it, He, that bore, And Yesterday–or Centuries before? The Feet, mechanical, go round — Of Ground, or Air, or Ought — A Wooden way Regardless grown, A Quartz contentment, like a stone — This is the Hour of Lead — Remembered, if outlived, As Freezing persons, recollect the Snow — First — Chill — then Stupor — then the letting go — There are times when pain is the artist’s teacher. Emily Dickinson expresses that in her great poem, After Great Pain. Keats, having studied medicine for seven years at … Continue reading
Humanity and Medicine Conference Johns Hopkins School of Medicine December 10, 2016 submitted by DJ Elpern The Turner Auditorium. I haven’t been in this room for 37 years… Not much appears to have changed. It is an imposing amphitheater that suits the Oslerian tradition of Hopkins. What follows are some random notes I took. There was much more that I missed. It was a day of rich pickings and I wish I could have gorged on more that was offered. The following photo could be a key theme of this day at the Turner Auditorium. The physician (observing) not doing something to the patient. The meeting began with a stressing … Continue reading
In his book, The Health Gap, Michael Marmot discusses the effect income inequality has on well-being and longevity. He discusses how the income gap is less in Scandinavia than almost anywhere else and shows how this translates into a narrower health gab between the upper and lower income brackets. Finland is now starting “an experiment in the form of social welfare: universal basic income.” This holds promise to further narrow the health gap. The December 18th NY Times article about this does not mention “the social determinants of health” but some of what the article covers is straight out of Marmot’s book. See: Free Money for the Jobless.
Over a 16 month period from late June 2015 through late October 2016, I received 20 solicitations to submit articles to, or join the editorial board of, the following new journals. I will keep adding to this list. D.J. Elpern Austin Journal of Dermatology Dermatology Research and Practice International Journal of Clinical and Experimental Dermatology Journal of Dermatology and Pigmentation Research! International Journal of Women’s Dermatology (IJWD) Jacobs Journal of Experimental Dermatology Journal of Clinical Dermatology & Therapy The Journal of Cosmetic & Laser Therapy Journal of Cosmetology & Trichology Journal of Dermatology and Pigmentation Research Journal of Dermatology Research Journal of Dermatology Research and Therapy Journal of Dermatological Research … Continue reading
Hot Spots in Dermatology August 18 – 20, 2017 Turtle Bay Resort, Kahuku, Oahu, Hawaii ‘A’ohe pau ka’ike i ka halau ho’okahi One can learn from many sources The Road to Turtle Bay and Hot Spots! HOT SPOTS HAWAII is a unique continuing medical education program that blends clinical and therapeutic updates while allowing time for reflection and introspection. The program will be held at the Turtle Bay Resort on Oahu’s North Shore. Doug Johnson has negotiated a favorable room rate. Hot Spots is designed to allow attendees to consider aspects of our personal and professional lives not typically included in traditional continuing education. Leave your cell phones, pagers and … Continue reading
If the rich could hire the poor to die for them, the poor would make a very nice living. Yiddish Proverb Air Care: Thoughts on Health Care from 39,000 Feet. by David J. Elpern I’m sitting in Economy traveling from the City of Angels the Big Apple. Just in front of me is the First Class (FC) section. The cabins are separated by a curtain and I watch a stylish stewardess hovering over a passenger there. The FC passengers get the best attention money can buy. Food, drinks, a table cloth for their meals! Solicitous smiles from the stews. We, in coach, get a small packet of pretzels, soda, juice … Continue reading
Table 1. Demographic Data Age 0 – 9 5 10 – 14 8 15 — 19 20 20 – 29 41 30 – 39 10 40 – 49 23 50 – 59 28 60 – 69 39 70 – 79 39 80 – 84 12 85 – 89 14 > 90 2 Male = 97 Female = 115 Trans = 1 (87 yo woman with confusion) New Patient 34 Returning Patient 188 Table 2. HA Questions Are you worried a lot about a particular health problem? Y N Do you tend to worry about your health in general? Y N Have you ever … Continue reading
Abstract: Health Anxiety is a common affliction of patients seeking medical attention, yet many physicians are unaware of it. We surveyed 222 consecutive patients in a dermatology practice in Massachusetts and found that upwards of 49% self-reported some level of health anxiety, suggersting that it appears to be pandemic in the dermatology population of patients. Keywords: health anxiety, dermatology, Massachusetts, actinic keratoses, cryotherapy, survey,, Tyrer Introduction Patients see doctors with varying degrees of concern regarding their health. Some, require tests or treatments. A subset of patients have severe health anxiety (HA) and cannot be reassured by tests, procedures or pharmaceuticals but may be helped (at least temporarily) by a sympathetic … Continue reading
by David J. Elpern and Mariah L. Ferrara Abstract: We have documented the access to dermatology care in the Berkshire County, Massachusetts. Of the six dermatologists practicing in the area only two accept Medicaid patients and for one of these, the wait for an appointment was over six months. Our data show unequal access to dermatologic care in Western Massachusetts Keywords: dermatology, access to care, Medicaid, dermatologist, medical insurance. Berkshires, Massachusetts, cryotherapy, liquid nitrogen Introduction: It is clear to Medicaid recipients nationwide that they have difficulty in obtaining health care from large numbers of private practitioners There are many reasons for this, but chief among them is that physicians are … Continue reading