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

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In Poor Taste: Terbinafine-induced dysgeusia in a 58-year-old man

Abstract:  This is a case report of dysgeusia and glossodynia in a 58-year-old man, which he developed during a 12-week course of oral Lamisil (terbinafine) prescribed as treatment for presumed onychomycosis.  Although these side effects are documented in the medical literature, many clinicians are either unaware of them or neglect to mention them to patients prior to prescribing the drug. The literature suggests that dysgeusia is more likely to develop in the older patient who has a low BMI.  There is no known treatment for the disorder, which may resolve on its own or become permanent. Keywords:  terbinafine, Lamisil, dysgeusia, ageusia, hypogeusia, altered sense of taste, medication side effects, onychomycosis, … Continue reading

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Acne: Worst Case Scenario

Excerpt from “72 Scars”  Evergreen Review. Technically speaking, Scar #1 began in 1971 and lasted well into the 1980s. Like many teenagers, I had acne, but unlike many teenagers, I had the worst case any doctor had ever seen. The only thing to compare it to is Charles Bukowski’s description in Ham on Rye. It started out innocently enough. My dad would drive me to Dr. Fried in Englewood, NJ every Saturday of my freshman year. The treatment would begin with a 30 second x-ray radiation treatment of the afflicted areas and then Dr. Fried would take out a dermatological instrument and go to work squeezing the pimples on my … Continue reading

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Chronic Telogen Effluvium?

Chronic Telogen Effluvium Hope never dies.  Having lived with chronic telogen effluvium for 14 years, I still find myself hopeful that  the current shedding that I am experiencing will be my last, that the new ¼ inch hairs that are now sprouting on my scalp will be the real thing – that they will live out the normal cycle of hair growth and shedding.  Yet, I know realistically that this is not what will happen.  I continually shed and grow hair, but the cycle is such that by the time new ¼-inch hairs reach a length of two inches, the old two inch hairs shed.  Consequently, my hair is always … Continue reading

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