My Struggle

By Lee Thompson  Abstract:  This is the first-person narrative of a young woman’s pursuit of beauty and how it went awry.  Illness narratives come in three types: restitution, quest, and chaos.  Although she is still on a quest, there are aspects of chaos in this woman’s story.  Shame and humiliation are subtexts in patients’ stories, but physicians rarely hear them.  These emotions are not generally inquired about during the truncated medical encounter. All I wanted to have perfect teeth. In America, if you want to be beautiful, you have to have perfect white teeth. As I blindly pursued my goal, no one ever informed me that whitening my teeth could … Continue reading

Share

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

Share

Skin: A Biography by Sharad Paul (2013)

reviewed by Robert Norman, D.O. Dr. Sharad Paul’s book Skin: A Biography is a wonderful tale of the integument and its contents, fueled by Dr. Paul’s innate curiosity and appetite for life.  He shifts his literary focus from Einstein to Sir Edmund Hillary, Darwin to Mendel, and to many others, each time capturing a unique aspect of what we all have in common – skin.  His journeys take us with him around the world, including Iceland, where he lectures and investigates evolutionary skin biology while being offered whale and puffin cuisine by the locals. In one of my favorite chapters, Touching God, he focuses on touch, the first human sensation … Continue reading

Share

Sunscreen Application: A Contact Sport

The Sunday NY Times (June 30, 2013) has a fine photo essay on sunscreen application to kids in New York City.  It’s a fun collection that OJCPCD readers may appreciate: Adults wear sunscreen to reduce the threat of sun damage, skin cancer, uneven tan lines and wrinkles. Children wear [sunscreen] because they have to. Inspired by seeing his niece resist his brother’s attempts to apply sunscreen, the photographer Nolan Conway visited parks in New York City in late April and early May, looking for parents and children who were engaged in similar battles. Genevieve Chamorro, who was at Brooklyn Bridge Park with her sons, Oliver and Sebastian, says her sons … Continue reading

Share

Perioral Dermatitis: A Personal Odyssey

Attack of the POD People … EEEK ! (Don’t worry – the title is scary, but there’s a happy ending…) Abstract:  This is one woman’s narrative of her experiences with perioral dermatitis (POD).  In his film, Crimes And Misdemeanors, Woody Allen declares that comedy is tragedy plus time.  While POD was not exactly a tragedy for me; it did, however, negatively affect me physically and emotionally six months of the year.  In reading my attempts to ease the situation, feel free to laugh (or cry) both with me and at me! Keywords:  perioral dermatitis, self-care, self-diagnosis, illness narrative, stress, grief, doxycycline, POD Note:  This essay is better read in the … Continue reading

Share

Grand Rounds Circa 1990

Mens sana in corpore sano —Juvenal My Road to Ground Rounds—and the Results! By H. J. W. Abstract:  These are the recollections of an 84 year-old man who was presented at Grand Rounds 22 years ago.  He had dermatomyositis at time.  His observations are important as they reflect on the academic activity and also the evolution of one man’s experience with dermatomyositis. Keywords:  dermatomyositis, grand rounds, illness narrative, academic medicine, pruritus, Massachusetts General Hospital Twenty years ago when my glass shower door came off its track, I had a hard time lifting it back into place. “Am I getting weaker?” I thought. My upper body itched. I had no pep, … Continue reading

Share

The Rudolph Sign

The Rudolph Sign: Red Nose as a Sign of Nasal Infection [Dahle and Sontheimer reported a case of what they dubbed “nasal vestibular folliculitis” (NVF) in the Dermatology Online Journal1 in March of 2012.  We saw a similar patient in November 20122.  Our patient has provided his history here, to add to the literature on NVF.  With each new case, we will learn more about this emerging disorder.] “I’m an 81 years old man, and if I remember correctly, I initially noticed tiny growth(s) in my nostrils. They were annoying more than painful.  After a few days, my nose and face became swollen and painful (7 on the pain scale3).  That … Continue reading

Share

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

Share

Micrographic Surgery: A Patient’s Experience

My Mohs Experience Abstract: This is the personal account of a 70 year old man who underwent micrographic surgery for an ill-defined basal cell skin cancer on his temple.  It is intended to inform patients and physicians about the personal experiences and perceptions of Mohs patients.  A micrographic surgeon has added a coda. Keywords:  micrographic surgery, Mohs surgery, Mohs micrographic surgery, MMS, nonmelanoma skincancer, basal cell carcinoma, squamous cell carcinoma, illness narrative Who knows/ whose nose/ needs Mohs?  E. Dorinda Shelley Introduction:  Dermatologists see patients with nonmelanoma skin cancer on a daily basis.  Certain tumors, especially those around the nose, ears, and eyes are best handled with micrographic surgery (aka, … Continue reading

Related Posts Plugin for WordPress, Blogger...
Share