Skin Infections in Wrestlers by Kory Johnson

Mr. Johnson is a third year undergraduate at Johns Hopkins University.  During his  student days at Punahou School on Oahu and JHU he has been a scholar and a wrestler.  He has first hand experience of the manifold skin infections wrestlers are subject to.  This presentation covers the common disorders he has encountered. Pdf of Kory’s Talk:  Korys wrestling talk Presented at Hot Spots in Dermatology, August 21, 2015

Retirement Comes: A Poem by Shay Bintliff, M.D.

Retirement comes, bringing destinations indeterminate. New fields New hills New roads, Leading I know not where. But go I must. Strange new sensations lurk in my heart. Change is upon me! This fiery feeling, a relentless flame, To move on To discover anew To touch the worlds I’ve never known. Is it even too late? In my gut there is a deep emptiness, Not for nourishment, But for the life I so loved and cherished. There is a heavy wave of Loneliness Bewilderment Sweeping over me, consuming me. Where now is my sense of purpose? For some reason, we can not get alignment right on this site.  See Pdf for … Continue reading

Melanoma’s Many Changing Faces

Presented at Hot Spots in Dermatology, Turtle Bay, Kahuku, Hawaii August 22, 2015 Shane Y Morita and Svetomir N Markovic Molecular targets in melanoma: time for ‘ethnic personalization’ Expert Rev. Anticancer Ther. 12(5), 601–608 (2012) Abstract: Worldwide, the incidence of melanoma continues to rise. Although not the most common cutaneous malignancy, it is the most lethal. Until recently, while other oncologic patients benefited from the nuances of targeted therapy, those afflicted with melanoma lacked that option. In 2011, the US FDA approved an oral agent that targets the BRAF oncogene. As this information is promising, it is essential that other populations (in addition to Caucasians) are examined, in order to … Continue reading

Dermatology on Mars

PDF of presentation:  Dermatology_on_Mars “If any man could arrive at the exterior limit [deepest space],… he would see a world beyond; and if the nature of man could sustain the sight, he would acknowledge that this other world was the place of true heaven and the true light and the true earth.”                                                                                                                          Socrates, 400 B.C. “I believe the time has arrived for medical investigation of the problems of manned rocket flight, for it will not be the engineering problems but rather the limits of the human frame that will make the final decision as to whether manned space flight will eventually become a reality”         … Continue reading

What Every Physician Should Know About Macular Degeneration

by Malcolm Ing The speaker will present facts concerning the challenge of treating macular degeneration. He will discuss the diagnosis of the two main types, dry and wet. Current treatment will be described. The causes and risk factors will be outlined. Strategies to minimize risk factors for this potentially devastating eye disease will be presented. PDF:  What the General MD Should Know About Macular Degeneration

Herpes Okolealis

Everybody needs some sweet okole. Keola and Kopono Beamer Abstract: Recurrent herpes simplex of the sacrum and buttocks is commonly seen by dermatologists but rarely described in the literature. These patients can be helped by timely administration of acyclovir (famcyclovir or valcyclovir). Since recurrent sacral and buttock herpes simplex virus (HSV) infections can be associated with neurologic symptoms (sciatica, urinary retention, low back pain) it is important to recognize for primary care physicians, orthopedists, physical therapists and urologists. Case Report: The patient is a 77-year-old woman who presented for evaluation of a recurrent localized blistering eruption on the right buttock. This has occurred off and on for two to three … Continue reading

Medicine’s Drift From Patient Care

by George Reizner, M.D. Introduction After 30 years in dermatology, I have the luxury of looking back on the arc of my career and to reflect on the changes witnessed. The following are a few transformative areas that now shape my experience and some random thoughts. This is not meant to be complete and certainly is not authoritative. Rather, these are ramblings that may reinforce or trigger your own thinking about where we’ve been and where were going. It is periodically healthy to take inventory when the topic is so complex and multilayered. Good luck as you wonder through my notes. PDF: Hot Spots thoughts Reizner

AMA – Industry Link

We have observed an exciting new trend.  Professional journals have started arriving with adverts glued to their covers.  First, the Academy of Dermatology’s flagship journal, the JAAD, recently touted Topicort Spray.  Now, the July 2015 issue of the the AMA’s journal JAMA Dermatology has its table of contents obscured by a cover ad for Cosentyx, a new biologic for psoriasis.  At ~ $44,000 per year per patient, if prescribed by one busy dermatologist, that might come close to the revenue the AMA gets for prominent placement  of this annoying drug promotion.  All one cay say is WTF!  We can’s wait to see the Direct To Consumer Advertisements on TV!! Cover … Continue reading

The Care of Patients

More humanism and less science, that’s what medicine needs. But, humanism is hard work,and a lot of science is just Tinkertoy. Robertson Davies, The Cunning Man David J. Elpern, MD Journal of the American Academy of Dermatology 2002;47:317-8. Author’s note (July 2015): I wrote this report based on an office study I did in 2000. Originally, it had a number of tables, but the editors truncated the paper, thus confirming the saying, “A camel is a horse designed by a committee.” Still, I often reminisce on the research’s findings: that almost all of our patients need our specialized knowledge and our comfort and caring, while only some require our technical … Continue reading

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