Monthly Archives: June 2018

Dr. Edmund Ing—Expertise and Community Service in Hawaii

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Presented by his son, Malcolm Ing, M.D. Hot Spots in Dermatology, August 17 – 19, 2018 Dr.Edmund Ing succeeded despite the odds and challenges he had to face while  obtaining a medical degree and establish a practice  and expertise in urology in Hawaii. Poverty –Despite being born to an impoverished family,  Dr.Ing  was able to obtain excellent training in medicine and surgery and in his specialty—Urology. He was the first residency–trained Urologist in Hawaii after obtaining a Master of Medical Science at the University of Pennsylvania, which required a thesis to graduate from the program. There were no student loan programs, Medicare or Medicaid in those days. Prejudice- Being of  … Continue reading →

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Illness Narrative – Long Form

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My Illness Narrative: the Autopathography Project (If you want this in a printable form, please email D.J. Elpern djelpern@gmail.com) You may have a complex health problem that doctors have not solved. When you enter the new doctor’s office, a perky young person asks who referred you and then requests your insurance cards. Next, there are numerous forms to fill out. Then, you are seen by an assistant who records your weight, blood pressure, pulse, and even the oxygen saturation from a fingertip. Finally, the physician or his “extender” sees you for 10 – 15 minutes, at least half of which time he is focused on your electronic medical record. After … Continue reading →

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Darkness Visible: A Life of Chaos

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a chaos of hard clay. Byron, Darkness Darkness Visible: A Life in Chaos It takes almost a decade to train a physician: at least seven years for a family practitioner and up to ten for cardiac- and neurosurgeons. We become technically proficient in treating diseases, but are not as adept at treating the illnesses that people present with. How often do we get, or make, the time to really get to know our patients? Physicians are comfortable with disorders that are clear-cut: diabetes, skin cancer, hypertension, and on and on. Yet, there is a subset of humanity with medically unexplained symptoms (MUS). Thirty to 50% of people seen by primary … Continue reading →

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The Church Spire Sign in Dermatopathology

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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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An Astute Observer

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Priscilla Ly, BS Keywords:William Osler, smallpox, tuberculosis verrucosa cutis, hereditary telangiectasia, Osler nodes, Osler-Weber-Rendu William Osler was the best known physician of his time with an insatiable interest in all fields of medicine. He was not only a pathologist and an internist, but he was also a multispecialist who contributed greatly to the field of dermatology. As an astute observer, William Osler naturally reported many of his cutaneous observations. He was meticulous in his attention to detail and authored nearly 100 publications describing cutaneous conditions. He brought clinical teaching to the bedside of patients and taught his students the power of observation. If the light were not good, he was … Continue reading →

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