The pupil and the teacher, one just a little ahead of the other. William Osler Don’t Get Caught Listening to Your Patient! D. Micah Milgraum, MS4, Philadelphia, Pennsylvania Abstract: A fourth year medical student blunders while learning not to take everything a patient says at face value. Keywords: pityriasis rosea, medical student, tinea, listening, medical lingo, pimping, embarrassed, ringworm, patient presentation, lesson learned, herpes, dyshidrotic eczema During the fourth day of my first dermatology rotation, I enter one of the clinic’s patient exam rooms to meet a 42 year old man sitting on the examination table holding his palms out towards me. “What brings you into clinic today?” I ask. … Continue reading
Monthly Archives: September 2016
The Relativity of Time in Dermatology
By Leonard J. Hoenig, MD Abstract: Rarely, human aging can dramatically speed up or slow down, resulting in devastating clinical consequences for patients. Two case histories are presented to illustrate this “relativity” of the human aging process. One patient suffered from progeria and aged rapidly, dying prematurely at 17 years-old. The second patient suffered from syndrome X and seemed not to age at all, remaining a toddler till her death at age 20. Despite their many handicaps, both patients lived inspiring lives that brought much love to their families and friends. To read a PDF of Len Hoenig’s inspiring article go to THIS LINK and click on Download. Key Words: … Continue reading
Air Care: Thoughts about Health Care from 39,000 Feet
If the rich could hire the poor to die for them, the poor would make a very nice living. Yiddish Proverb Air Care: Thoughts on Health Care from 39,000 Feet. by David J. Elpern I’m sitting in Economy traveling from the City of Angels the Big Apple. Just in front of me is the First Class (FC) section. The cabins are separated by a curtain and I watch a stylish stewardess hovering over a passenger there. The FC passengers get the best attention money can buy. Food, drinks, a table cloth for their meals! Solicitous smiles from the stews. We, in coach, get a small packet of pretzels, soda, juice … Continue reading