Chantelle Brown-Young Causes Reflection on the Concepts of Impairment While Changing the Face of Beauty

If you’ve got it, flaunt it. By Boluwaji Ogunyemi, M.D. Dermatology Resident, University of British Columbia Vancouver, British Columbia Email: Conflicts of Interest: None declared Keywords: vitiligo, beauty, disability, pigment disorders, models, impairment Abstract: The ever-increasing availability (and arguably, acceptability) of aesthetic medicine procedures corresponds with the medicalization of the aging process. In this post, Bolu Ogunyemi speaks about the career of a model with vitiligo who accepts, and even embraces her disease. In contrast, many individuals, in regions such as Korea and Brazil, go to great lengths to alter their appearance. This essay also delineates the related concepts of disease, impairment, and disability and how and by whom … Continue reading

Litt’s “Hunk o’ Skin”

By Jerome Z. Litt Reprinted from the Archives of Dermatology May, 1961, Vol. 83, pp. 844-845 Jerry Litt writes: Back in 1961, I wrote an article — a poem — and submitted it to the Archives of Dermatology. The Editor at the time was so taken with it that he published it in the May, 1961 issue.” [ Ed. note: Many of us were just kids then, or not even born!  It’s a hard piece to find — so here it is…] Hunk o’ Skin (The meter is from Kipling’s “Gunga Din) You may talk of lungs and liver, Of the twins you did deliver And the kidney stones that … Continue reading

Phil Ochs: Hooray for the A.M.A.

Phil Ochs’ “Hooray for the A.M.A.” By Friedrich A. Bahmer Listen to A.M.A. Song (you will need to skip the ad) The fear of U.S. doctors over socialized medicine as a consequence of major reforms in health care put forward by President Obama is not new. With John F. Kennedy’s inauguration as president in 1960, doctors grew anxious about impending governmental regulations on the health care system. Half a century ago, in that era, Philip (Phil) Ochs (1940 – 1976) released a recording “Hooray for the A.M.A.”, in which he criticized both greedy doctors and the American Medical Association.1 In the last verse of his song, Ochs expressed the fears … Continue reading

Little Green Pill

by Madelyn Kamen He was there every day, Looking at her from the other side of the window, Smiling at her as she handed over his little green pill. He wasn’t that old and she wasn’t that young; Neither had ever married. She was a psychiatric nurse’s aide who understood the inmates Because she had been abused as a child, pulling into herself To avoid punishment. He was there because he had been bullied as a little boy, Making it a habit of staying away from the big guys who could Beat him up. Now, they were adults, albeit imperfect ones, who Occasionally would sit together on her coffee breaks … Continue reading

The Doctor, the Patient and 21st Century Medicine

by Boluwaji Ogunyemi, M.D. Abstract: The public’s perception of the medical profession in Canada has suffered as a result of well-publicized cases of professional malpractice and large-scale healthcare system fiascos. In addition, there appears to be some tension in the regular interactions between physicians and patients. Specific cases of malpractice and healthcare scandals from the provinces of Newfoundland and Manitoba are described. From early in our clinical training, the adoption of a patient-centered paradigm for interactions between clinicians and patients can help to re-establish patient trust in the healthcare system. Medical school curricula and medical school admission requirements are systematically changing in a directional that places value on the appreciation … Continue reading

My Lyme Disease-Heart Disease Story

Having read the Boston Globe December 13th article on linkage between heart disease and possible death from Lyme Disease, I wanted to share my story. Living in the Berkshire Mountains of Western Massachusetts, I have a regimen of active nature hiking. (1) In an annual check-up in 2011 the nurse found my pulse was very low, so I was given a heart monitor to track my pulse over 24 hours. Upon turning it in, it was reported that my heartbeat was down to 36 beats per minute.   As this is a seriously low rate, I was told to immediately check with a cardiologist. When I visited a local cardiologist, I … Continue reading

The Great Imitator

“Know syphilis in all its manifestations and relations, and all other things clinical will be added unto you.” Sir William Osler Henry Foong, a dermatologist from Malaysia and a good friend, recently wrote me about a patient he’d seen with primary syphilis. The disease we used to call “lues” or notate with the Greek letter ∑ (sigma) is becoming more common in Malaysia, in his experience. This reminded me of a memorable case I saw in the late winter or early spring of 1973. At the time, I was a first year of dermatology residency at New York University. I was not a happy camper. I was tired of New … Continue reading

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 Mr. Maurer’s excellent case report please click “HFM Nails” References: 1. A Clinical Study of Nail Changes Occurring Secondary to Hand-Foot-Mouth Disease: Onychomadesis and Beau’s Lines.  Shin JY, Cho BK, Park HJ.  Ann Dermatol. 2014 Apr;26(2):280-3.  Free Open Access 2. From: Onychomadesis: A common sequalae and concern for patients after … Continue reading

Lament of Hand Dermatitis Patient

I don’t want to write about my hand dermatitis. I don’t like the term. Just be normal. I don’t want to go to the doctor or the pharmacy. I don’t want to take any pills, creams, antibiotics, narcotics or any medicine. I don’t want to be treated like a criminal or a drug addict. I don’t want to sit around and wait for appointments and refills and be questioned over and over. I don’t want to have to show my ID to the same person every time I fill a narcotic prescription. I don’t want to spend my money on co-pays, tape, creams, gloves, and other stupid medically-related items. I … 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 case reports/letters. I receive emails like this with regularity.  In the 1960s when I was in medical school, dermatologists were at, or near, the bottom of the physician feeding chain.  Internists, with their haughty demeanors, were the self-proclaimed real brains of medicine and lorded it over most other practitioners.  Radiologists … Continue reading

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