Nailing Down a Diagnosis

Onychomadesis is the spontaneous, complete shedding of the nail from its proximal side, without pain or inflammation, following nail matrix arrest. Brian Maurer, a pediatric practitioner, recently saw a 5-year-old boy with a two-week history of nail shedding.  The child had antecedent Hand, Foot and Mouth disease.  Nail shedding has been described as a sequela to HFM Disease. To access … Continue reading

ODEAR: Most-Favored Specialties

Hi, Dr. Elpern, I am contacting you in hopes that you may be able to assist me in attaining my goal of gaining acceptance to a Dermatology residency, and also to see if you had any advice on how to shine during my dermatology rotations, or any contacts at my away school who may assist me in research opportunities such as … Continue reading

Brooding Over the Changes to Come in Dermatology

Keywords:  Adrienne Rich, dermatology, ICD-10, solo practice, death, middle age, Maya, provision of medical care, Obamacare, doctor patient relationship Adrienne Cecile Rich (May 16, 1929 – March 27, 2012), an American poet, essayist and feminist, was one of the most widely read and influential poets of the second half of the 20th century. She was put on the map by … Continue reading

Stations of the Heart: Book Review

“Stations of the Heart: Parting with a son” by Robert Lischer is a moving and important book by the father of a 33 yo man with metastatic melanoma.  It chronicles the last three months of Adam Lischer’s life.  The book describes the medical, spiritual and philosophical aspects of Adam’s death.  It’s a valuable resource.  I have typed out a few … Continue reading

Zen and Dermatology Practice

Zen Buddhism has a lot to teach us as physicians, as dermatologists. Consider these two quotes from respected roshi: The practice is the teacher. Your practice is your teacher. Maurine Stuart. Teaching is not difficult, Listening is not difficult either. What is truly difficult is to become conscious of what you have in yourself and be able to use it … Continue reading

Loss and Found

Reflections on Skin Cancer and Solar Aging Band-Aid Generation I am one in the army of older people to wear a Band-Aid on my face. One skin cancer survivor who joyfully, happily, obliviously chose a chaise-sitting, oil-basting, body-rotating, reflector-using, get-a-tan- at-any-cost younger life. So now I’m a dues-paying member of a community I didn’t ask to join.   The Reckoning … Continue reading

Music as Complement to Surgery

Dermatologists perform office surgery almost daily. Our awareness of the growing interest in, and literature on, music as an adjunct in the perioperative period led us to survey the use of music during 100 consecutive office procedures in a dermatology practice.  We found that the effects of music were salutary for patients and the investigators.  Music is a simple, inexpensive, … Continue reading

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