The Doctor Gets a Skin Biopsy

by Tabor  Flickenger That’s me burning, that smell A touch of cautery here and here to halt the blood I have wielded the needle and knife Now it’s my turn to receive I wash my hair kneeling In mute supplication Remove the dressing later, as instructed. A little dried blood. Three neat blue sutures. Not so bad. Not so bad. I almost forget with my eyes closed Till my fingers brush the prickly alien patch Worry repressed is not banished But descended, pushed down into the bowels Frayed nerve ending pulse, twist, shudder I work like all is normal. I tell no one. I care for others’ pain and push … Continue reading


The Church Spire Sign in Dermatopathology

Raagini Suresh, B.S. Keywords: church spire sign, dermatology, dermatopathology, pathology, biopsy Abstract: Dermatopathologists often use key phrases to describe histopathological findings. This piece takes a look at the origin of the phrase “church spire sign,” and explains the symbolic meaning behind the addition of spires to church buildings. Dermatology is an extremely visual field. While the physical exam is often a key component of establishing a diagnosis, histopathology can be used to provide a microscopic look at clinical findings. Most dermatologists are well versed in performing biopsies to better characterize their patients’ skin lesions, often sending biopsy specimens to dermatopathologists for interpretation. The language dermatopathologists use in their reports includes … Continue reading

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