Health Anxiety

seen every day in medical offices Health Anxiety: lurking in plain sight All practitioners will learn useful information from this article. Excerpts “Many patients, despite how much they would like to, cannot do what we would like them to do: ‘stop worrying.’” As physicians, we see a few such people every day. Health Anxiety seems to be epidemic (perhaps, endemic) in our communities, yet it is poorly recognized. “People with health anxiety do not ask relief from somatic symptom, but rather only desire freedom from worry about disease. A key component of health anxiety is rumination, so that patients cannot stop thinking about a disease once the thought has come … Continue reading

Person-to-Person Exchanges in El Salvador

by Cailtin Stiglmeier, M.D. encuentros breves crean amistades duranderas  Cuban proverb Abstract: Every year, seventy-five high school students from Central New York State alight in rural el Salvador for a week-long adventure involving international aid, manual labor, no plumbing, and no Facebook.  As a pediatrician, I’ve had the privilege of joining this group three years in a row. What ensues during this week is nothing short of chaotic and miraculous. Keywords: global health, travel, el salvador, young life. The third year for myself. The first time for many. The tenth year of partnership with this rural community in Rancho Grande, El Salvador. Every year another adventure, a week of … Continue reading

What’s in a name? That which we call a rose.

rose-moles all in stipple on trout that swim… G.M. Hopkins, Pied Beauty By Jorge Roman B.S. The vast array of plant life that inhabit this earth has proven to be a great muse for humanity. People have used the ample pool of imagery provided by plants to create gorgeous works of art and what is dermatology if not a visual art? The countless colors, textures, shapes, and sizes displayed by plants have been used by dermatologists as a source of inspiration for describing the skin and its pathology. Arborization is a ubiquitous term used to describe everything from the vessels of a basal cell carcinoma to the dendrites of melanocytes. … Continue reading

Medical Mergers, Hospital Takeovers and the Changing Face of Medicine: Does Solo and Small Dermatology Practice Have a Future?

by Noah Scheinfeld, M.D., J.D. Full Article: Medical Mergers, Hospital Takeovers and the Changing Face of Medicine Abstract and Introduction: The trend toward business consolidation, which has affected industries as diverse as car manufacture, advertising, and banks, has been accelerating among entities that provide medical care.  That is, there are fewer and fewer entities that provide medical care, although the ranks of these larger medical entities have swollen.   The Great Recession of 2008, and the “The Patient Protection and Affordable Care Act” (PPACA of 2010 (commonly called the “Affordable Care Act” (ACA) or, colloquially, “ObamaCare”) have hastened this consolidation.  More and more residents (including dermatology residents) completing their training after … Continue reading

Code Black at the Brigham

by Gerrick Gu, Williams College ‘17 As an undergraduate intern, I spent the month of January, 2015, in Boston, shadowing cardiac surgeons at the Brigham and Women’s Hospital. Through long days I had the opportunity to observe complicated procedures performed by some of the most famous heart surgeons in the world. One of them was Dr. Michael Davidson,, a titan in the field of aortic aneurysm surgery. Although repairing large blood vessels involves a team approach, only one fearless cardiac specialist does the actual fixing. On a good day with no complications this surgical process can take up to 14 or 15 hours. Dr. Davidson was the acknowledged expert, shouldering … Continue reading

Can Doctors and Patients be Partners in Healthcare?

By James Channing Shaw, M.D. Trust in doctors. It used to be absolute. If our sick patients improved, we were celebrated. When we failed, families praised us for trying. This arrangement was not right, but no doctor went to any great lengths to change the perception. About three decades ago, the pendulum swung. Now doctoring is frequently viewed as market share, self-promotion, unnecessary procedures and testing. It would seem that professionalism has become obsolete. Patients, too, have changed with the times. Many patients would like to have every test, expect their health problems to be cured, fixed painlessly, no disruption to social calendars, easy parking, and why can’t this cancer be … Continue reading

Coleman Jacobson: An Untold Story about Another Shot Heard Round The World

Yusuf Anwar, Michelle Xu and Daniel Mark Siegel MD, MS (Management and Policy) Mr. Anwar and Ms. Xu are fourth year medical students at the SUNY Downstate College of Medicine in Brooklyn, NY. Dr. Siegel is a Clinical Professor of Dermatology. Coleman Jacobson: An Untold Story about Another Shot Heard Round The World Abstract Coleman Jacobson MD, a larger than life figure in twentieth century dermatology, played a role in one of the most memorable and tragic periods in world history. While details have been accessible on the web for over a decade, new findings regarding the Warren Commission are now finally being presented to the dermatology community from Dr. … Continue reading

The French Connection

For S, to whom this article is dedicated by Valencia Long, MBBS Dermatology is graced by many French terms that resonate in everyday practice.  Here are some examples, presented as a tribute to the great French teachers and pioneers of dermatology.  May this note also serve as an expression of solidarity with the people of France in the aftermath of the recent terrorist attack in Paris, November 13, 2015. The term ‘plaque’ is an elevated, circumscribed lesion used to describe conditions such as  psoriasis and sarcoidosis. It is also used in “parapsoriasis en plaque”, which may be considered related to patch stage mycosis fungoides. “Collarette” means small French collar and … Continue reading

Specialists in the Skins of the Rich and Famous

top doctors make a difference  Castle Connolly – Top Doctors by Dr. A.R. Pito, FRCP Castle Connolly often buys a full-page ad in the New York Times listing preferred physicians (16 per page). “The mission of Castle Connolly Medical Ltd. is to help consumers find the best healthcare. The top doctors who are listed in our books and on this website’s directory were nominated by their peers in an extensive survey process of thousands of American doctors each year. Those doctors who are among the very best in their specialties and in their communities are selected for inclusion. Doctors do not and cannot pay to be included in any Castle … Continue reading

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

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