Dermatology Mondays: On a Global Scale

“Find a job you enjoy doing, and you will never have to work a day in your life.” ― Mark Twain  Dermatology Mondays: On a Global Scale Omid Zargari, M.D.1, David J. Elpern, M.D.2, Gregor Jemec, M.D.3 Dana Clinic, Rasht, Iran, E-mail: ozargari@gmail.com The Skin Clinic, Williamstown, Massachusetts, USA Roskilde Hospital, University of Copenhagen, Denmark Key Words: Epidemiology, skin cancer, psoriasis, acne Funding source: None That’s when I first learned that it wasn’t enough to just do your job, you had to have an interest in it, even a passion for it. ― Charles Bukowski Each Monday, as physicians, we start our “work week.” If one happens to live in Iran, … Continue reading

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Notes from Cushing’s Life of Osler

Some years ago, a friend gave me a copy of Harvey Cushing’s The Life of Sir William Osler. He knew I admired Osler but had read little of his work. My colleague had sought the tome out in a used bookstore, for it has been out of print for many years. Somewhat reluctantly, because of its forbidding length, I waded into the volume and was swept away by the elegance of both Cushing and Osler’s writings. You may be interested in perusing the For the document, go to From Cushing’s Osler

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​​​​​A Sense of Melancholy

by Rosanne Trost At times in my life, I have had a vague feeling of being vulnerable and lonely. It comes and goes. I can best describe it as a sense of unrest. Fortunately, the episodes are infrequent, usually brief. Still I wonder what they mean, if anything. Is there a message I am missing? In my childhood, when these uneasy feelings would occur, I never shared them. I do not know why. Probably because I would have been misunderstood. The pensive thoughts would not have been validated. As a little girl I remember feeling guilty for these sad times. I should be more grateful. During my junior year in … Continue reading

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Skin and Him

Deep multicolored hues emanating from its surface in all directions Voracious and cruel like a black hole, ripping the borders of lighter brown nearby Seeding and spreading through the crimson water Eventually arriving at the home of thought, pleasure, and personality Shutting it down like an ember drowned by the morning rain Pronounced dead shortly, his lifeless body calling my name Despite his protective pigment If only he had known If only he was told If only he wore the protective white paste He could have been saved from the black hole by Ajay Kailas, a third year medical student at University of Central Florida who is interested in dermatology, … Continue reading

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What it feels like to be an interesting teaching opportunity

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!

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After Great Pain

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

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Hopkins Humanity and Medicine Conference

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

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Free Money in Finland

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.

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