She Did Not Know

Lymphoma could live in his skin like a creature crawling in sacred places, she thought it should be forbidden she searches online “types of lymphoma” pictures appear resembling dark mountains she asks him each morning how are you? he keeps saying he is “fine.” she’s awake until 4 am— she comes up with a plan 1. how to nurse him back to health, 2. how to save his skin. Bio: Palmer Smith is a current MFA student at Columbia University and an MA student at Middlebury College in Vermont. Her writing has been featured in Harness Magazine, Literary Yard and Thought Catalog. As a Scottish girl,  she wears 55 SPF. … Continue reading

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Implicit Bias in Medicine: Case Report and Literature Review

by Kory M. Johnson, Emma Fixen, David J. Elpern, Douglas W. Johnson Mount Sinai Health System, New York, NY John A. Burns School of Medicine, PGY1, Honolulu, HI David Elpern MD: The Skin Clinic, Williamstown, MA University of Hawaii School of Medicine, Honolulu, HI Keywords: implicit bias, explicit bias, immigrant, indigent, psoriasis, lymphoma, healthcare A 46-year-old Micronesian woman with history of severe disabling psoriasis and psoriatic arthritis had been our patient for many years (Figures 1 and 2). Her psoriasis started as an adolescent and had been treated with numerous therapies including topical steroids, phototherapy (sunlight exposure in Micronesia), methotrexate, cyclosporine, acitretin, apremilast, etanercept, infliximab, ustekinumab, secukinumab, ixekizumab, IL-23 blocker, … Continue reading

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