Expressions of Emotion in Dermatology

by Valencia Long, MBBS and Leonard J. Hoenig, M.D. The whole gamut of human emotion has found its way into the dermatologic lexicon. A rash looks “angry” when it is inflamed. Other times, a dermatitis that oozes and exudes fluid is described as “weeping. Cosmetic dermatology often deals with “frown lines” that are furrows that form over one’s brow as the skin ages and which remind us of scowling, a facial expression of displeasure. “Laugh lines”, also called “smile lines”, occur along the nasolabial folds and with aging can grow in length and depth. Perhaps the most common emotion that is expressed in dermatology concerns love. Pain, and the most … Continue reading

Psoriasis: A Poem

Psoriasis by Mara Feingold-Link PDF: Feingold Psoriasis The bronze plaque on Lake Champlain’s bridge is missing a nail. The empty pit in the top left corner is the only indication that it has seen countless cycles of pouring rain and flaring sun. On this dry afternoon it sits proudly above a school of mooneye fish swimming upstream toward clearer, cooler waters in early April. In their haste they scrape their flattened bellies along rock-lined riverbanks. To swim so fast is rash; beneath those silvery scales lie hundreds of miniscule eggs, pinpoints of new blood waiting to be born. The mooneye head toward a quiet inlet where patches of watermilfoil float … Continue reading

Welcome to The Cloud Clinic

 by A.R. Pito and D.J. Elpern Sugata Mitra hit upon the idea of unsupervised learning by computers in an iconic study of slum children in India. This evolved into Self-Organised Learning Environments (SOLEs) where children search for answers to ‘big’ questions. Why not apply this idea to the medical environment? We envision a Consultative Cloud Clinic. The primary aim of Cloud Clinic is to enhance diagnosis and therapy in the interest of patient care and autonomy. Mitra’s School in the Cloud project enables small groups, to competently search for answers to ‘big questions’, drawing rational, logical conclusions. The concept can be usefully applied to ‘health questions.” Mitra and his colleagues … Continue reading

Robotic Accutane Prescribing

Welcome to the Akamai Skin Clinic’s Robotic Accutane Centre. We recognize that many dermatologists do not want the hassle or liability of prescribing Accutane (a.k.a. isotretinoin) and so, we have developed a novel prescription system. Our certified realistic humanoid isotretinoin robotic paraprofessionals will make your office visit pleasant, entertaining and efficient. These Accu-Bots (ABs) have been programmed to care for people with severe acne since the clinician-patient interaction for this indication is structured and predictable. Our ABs have high-resolution scanners to grade your acne and compare your progress with previous visits. They also have the entire PUBMed database of isotretinoin articles in their memory to enhance patient care. Here is … Continue reading

My Summer on Kauai

by James Foong In the summer of my third year as a medical student from Malaysia, I had the opportunity to shadow Dr Paul Esaki, a primary care physician who practices in Kapaa, Kauai, Hawaii. I arrived in Kauai late at night tired after a few hours of flying (but many hours of waiting after a last minute flight change). Dr Esaki picked me up in a weathered 4×4 truck (I was expecting a conservative sedan for some reason). Right off the bat, there was warm hospitality and he gave me a lively talking commentary of the island while on route to the beach house where I was to stay. … Continue reading

My Goals in Medicine

by James W. Foong I was asked to present this topic to a group of physicians and researchers at a medical conference in West Vancouver, British Columbia. What can I offer them that they do not already know? I felt that my talk could seem very self-centered, arrogant even. Such were my insecurities but out of sheer necessity, I began organizing my thoughts in an orderly manner for the presentation. What I realized was that the very reason we’re in this field gets lost amidst our hectic lives and the daily struggles that make us lose sight of our goals. Every once in a while, we may need a reminder … Continue reading

Skin Wars

by Mr. B. In 2014, I won an insidious lottery: contracting Pityriasis Rubra Pilaris (PRP), a rare skin disease that one in 400,000 people get. After accepting this horrific verdict, I discovered I had a major choice. Do I take high-risk drugs in hope for a cure, after assuming a drug had initially caused my PRP? During the challenge of being alone in my struggle, I fortuitously discovered a special dermatologist. Dr. K respected my concerns about a conventional physician-patient relationship, and he followed my lead in selecting my treatment. The communication and trust we developed led to a slow, minimal treatment that after one year resulted in remission without … Continue reading

The Dao of the Red Man

by Dr. K. In September of 2014, I saw Mr. B., a 68 years old man, with a wide-spread dermatitis that turned out to be pityriasis rubra pilaris (PRP).  He was miserable with generalized red skin, scaling and painfully thickened palms and soles.  My essay, “The Dao of the Red Man” describes our long and complicated therapeutic journey.  Mr. B. relates his personal PRP struggle  in “Skin Wars.”  The interested reader will learn much from reading and comparing  both Mr. B. and my narratives.  They speak to PRP, the physician-patient dyad, and shared-decision making. The Dao of the Red Man Skin Wars – Mr. B Also see: Skin Wars by … Continue reading

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

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