Strategies for Hope Conference

Strategies for Hope: Addressing the opioid crisis in rural communities. May 17, 2019 Berkshire Community College, Pittsfield, Massachusetts Random notes from a compulsive note taker I attended this important conference and am a compulsive note taker. Most people, when the lecturer says, “Good morning,” will mumble back “Good Morning.” But, if one is a pre-med, when the professor says, “Good morning,” you write it down as it may appear as a question on an exam. I never unlearned that habit. These note may be of some value to others.Erik Garcia, M.D.: Homeless Outreach and Advocacy Program, Worc3ester, Massachusetts. Stigma and shame play a big role in epidemics. HIV, opioid. It … Continue reading


Red Face Syndrome

Rhoda, a 41 year-old professional woman, has had a facial eruption off and on for a number of years.  It began with perioral dermatitis but evolved over time to the “red face syndrome.” What follows is her story and her dermatologist’s office notes. I had been diagnosed with perioral dermatitus many moons ago and was prescribed some wonderful topical steriod ointment to treat the red, ugly, pimply like eruptions. My dermatologist clearly warned me….”do not keep using this medicine, it will rebound and makes things even worse.” At the time I took it seriously; used the ointment for a few days and things cleared up nicely. Then the monster returned!!!!!  … Continue reading

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