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

Academy-PhRMA Liason

This flier came attached to the July issue of The Journal of the American Academy of Dermatology.  Topicort Spray is hardly a unique product and it will run a patient ~ $600 for what appears to be a 60 ml bottle.  The business of PhRMA is business.  The business of a professional society should be knowledge and service. Sir Thomas Browne famously wrote:  No one should enter the Temple of Science with the soul of a money changer. The leaders of our professional societies should follow that precept. Also see AMA-Dermatology July 2015 cover. July 29, 2015:  Late Breaking! The Topicort rhino was seen today on two new publications. 1. … Continue reading

Meet Mr. Marsh

To talk of disease is an Arabian nights experience. Osler David Elpern’s Book Review with Excerpts of: Do Not Harm by Henry Marsh You are invited to spend some time with Mr. Marsh, an eloquent neurosurgeon who escorts us into his operating theatre, his parent’s home as his mother lies dying, interminable maddening administrative meetings in his NHS hospital and to accompany him to Ukraine where he has volunteered as a surgeon for over 20 years. You’ll share his triumphs and suffer the sadness and humiliation of his mistakes and failures. His war stories are captivating; as are his anecdotes about his family, his education and his jousting with the … Continue reading

My Narrow Road Through Cyber-Medicine

by David J. Elpern This essay is the basis of a talk delivered at the Jag Bhawan, M.D. Research Symposium held on July 6, 2015 at the Boston University School of Medicine. Abstract: Herein, I chronicle  a 25-year medical odyssey through the universe of personal and professional cyberspace. These explorations continue, but the author does not know the next ports-of-call;  He can only “hope the voyage is a long one,/full of adventure, full of discovery.” Keywords: cybermedicine, blogs, pathography, Cell 2 Soul, MedFlix, Pathography Blog, VGRD Word File:  My-Narrow-Road-Final PDF: The Narrow Road Through Cyber Medicine 7.15 PowerPoint: The Narrow Road – Jag Talk (this may take ~ 20 seconds … Continue reading

A Fish Named Heather: Another casualty in the drug wars

We have had a crazy drug policy in the U.S. since 1914, and we dictate it to most of the world. The War on Drugs is masterfully covered in Johann Hari’s important new book, “Chasing the Scream.” The small players in the drug wars are easily entrapped. Witness the sad case of Heather Alfonso, a Connecticut nurse practitioner who has been indicted for getting kickbacks from Insys Therapeutics, the maker of the powerful pain medication, Subsys. Ms. Alfonso is being pilloried while thousands of physicians give worthless CME lectures on medications every day in the U.S. She was a dupe to her handler (a PhARMA product manager) in the company’s … Continue reading

Akamai Skin Works

Announcement: Coming Soon to Havi Welcome to The Akamai Skin Works (ASW). Our new suite, in the penthouse of the Third Millennium Medical Building, houses the vanguard of 21st Century dermatologic care. It is a model endorsed by the Global Academy of Skin Physicians and Minimally-Effective Physician Extenders (GASP-MEPE). We are at the cutting edge of efficient, rapid and profit-driven dermatology and minimally-effective, but maximally lucrative, medical care. Akamai’s founder, Dr. Liam Ganifski, and his team of associate dermatologists, physician extenders, medical assistants, front desk greeters, billing specialists, scribes, cosmetic consultants, estheticians and lawyers are here to address your every cutaneous need. Just bring a valid insurance card, credit card … Continue reading

My Narrow Road through Deep Cyber-space

This road – no one goes down it – autumn evenings. Basho  PDF for easier reading: The Narrow Road Through Cyber-Medicine Abstract: This essay describes a 25-year medical odyssey through the universe of cyberspace. It chronicles the author’s adventures with teledermatology, the medical humanities and the online medical literature. The explorations continue but the author does not know the next ports-of-call. He can only “hope the voyage is a long one,/full of adventure, full of discovery.”1Keywords: cybermedicine, blogs, pathography Forty years ago, when I decided to make dermatology my life’s work, the specialty was a far cry from what it has become. It was not then what I call and … Continue reading

The Right Stuff: Tiffany Rocks!

Akamai Skin Care Associates of Marin is proud to introduce Dr. Tiffany Martin, our newest associate! Tiffany’s start in life was humble as an illegal alien. The only person in her large family to attend college, she was honored to receive a full scholarship to Stanford, from which she graduated summa cum laude. In her post-graduate year she embarked on a world tour during which she opened free medical clinics for the homeless in 18 countries, an effort funded by Kickstarter. This project was lauded by the H.G. Heinz Foundation with the Ketchup Award and was featured in the Wall Street Journal. President Obama bestowed upon her the citizen’s commendation … Continue reading

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