Vaseline, Slugging and TikTok Docs

Videntium cave Vaseline, Slugging and TikTok Docs Makayla Power David J. Elpern Keywords, Vaseline, Aquaphor, CeraVe, social media, TikToc, xerosis, social influencers For 150 years, people been coating their faces and other body surfaces with Vaseline®, the ubiquitous, cheap, commonplace product that was awarded Patent No. 127,568, on June 4, 1872.1  It is such a useful product that,  tongue-in-cheek, we call it Vitamin V. In a parallel universe, great masses of people are hearing about expanded, anecdotal uses for Vaseline®. One, in particular, “slugging,” is being plugged on the video-focused social networking service TikTok.  Launched in 2017, TikTok hosts a variety of short-form user-videos for iOS and Android devices in … Continue reading

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Functional Dermatological Symptoms: Hiding in plain sight

There are more things in heaven and earth, Horatio, Than are dreamt of in your philosophy. – Hamlet (1.5.167-8) By David J. Elpern, M.D.The Skin Clinic 12 Meadow Street, Williamstown, MA 01267djelpern@gmail.com Keywords: medically unexplained symptoms, medically unexplained dermatological symptoms, MUDS, functional symptoms, dermatology All dermatologists see patients with complaints that defy definitive medical diagnosis.  They consult us with hopes for a conclusive diagnosis and treatment, or even just for someone to listen to their symptoms with a supportive ear. Some of our patients have baffling, unexplained symptoms often related to cutaneous pain, pruritus, unexplained skin sensations or excoriations.   These patients frequently have other symptoms: headaches, chest pain, gastrointestinal disorders, … Continue reading

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The world shut down

By Elise Danielle Machrone* The pandemic hit, the world shut downWhat should do stuck in my town?At first we smiled, gave high fivesNott knowing how long we we’d be trapped in our hives One case, two cases, three cases, fourWe wondered how many more?My grandma has Covid, does yours too?We didn’t know what to do People at home cooking new foods In hospitals a national emergency ensued I was cocooned in numbing silenceDoctors tried to understand pandemic science Restaurant dining’s not resumed College lectures only Zoomed Get tested, vaccinated, boosted too What’s all this supposed to do? So now we’re here Still much to fearWill we ever get out? What … Continue reading

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Palliative

by Vivian J. Hua*   Beneath our fingertips, your bruises ripen under lamplight.We offer you small morselsof grief – you takeinside your mouth.You offer usyour wound –Inside, the soul soaks in silence.Your body closes.We, who can offer younothing but facilitationsof pain, sit quietly amongthe whirring machines.Meaningless gods, we thinkof tombs. Vivian Hua is a 5th year medical student at Stanford School of Medicine. She is pursuing a career in dermatology and is passionate about the intersection between dermatology and the medical humanities. Email: vhua@stanford.edu.

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The EMT, the Woman, and her Ankle

By David Williams* Abstract: An aged EMT learns that emergency medicine consists of more than controlling hemorrhage, dispensing nitroglycerin, and splinting bones. Occasionally, he finds that leading an active life yields rewards that cannot readily be measured. A Spartan race, a young woman, an injured ankle, and an aged EMT. Note the adjective: aged. I am not a young man. I am also an EMT. I got into the field really late. I got my EMT license at a time in life when most people in the field have left it decades ago for something better paid and less rigorous. I started my career at a point when most people … Continue reading

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American Mohs

Brett W. Will, David J. Elpern, Roy C. Grekin, Douglas W. JohnsonCorresponding author, BWW Abstract Over 80 years ago, a medical student conceived of a novel approach to remove difficult-to-treat nonmelanoma skin cancers.  The procedure, called Mohs Micrographic Surgery (MMS), has been refined over the ensuing years and now large numbers of practitioners provide the service.  As the indications have continued to evolve and enlarge, the appropriate use of MMS needs to be addressed.  We look at the history of MMS since its inception and present questions that clinical dermatologists are asking. Most importantly, is MMS overused and if it is, should precautions be taken to temper its overuse? Introduction … Continue reading

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AMA Board — 2021

From CMS OpenPayments There are twenty American Medical Association Board members as of September, 2021. Their total reimbursement, as gleaned from the CMS OpenPayments site, is recorded in the Table below. Only one member, an orthopedist, received any significant monies from Industry. Many orthopedists have done research on devices and significant General and Research payments are received by orthopedists, neurosurgeons and some other specialties. It is likely that the AMA has made an effort to keep its board free of members with troubling COI.                        General        Research       Total                          2500 0 2500 SC C FP   450 0 450 CA A Derm   5200 0 5200 TX C … Continue reading

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A Tribute to Dr. Joe

by David Williams* (Written before the Covid crisis.) I have just learned that a friend and co-worker has entered end-stage heart failure. He is an aged cardio-thoracic surgeon who left the facility that I work in a week ago. His name is Dr. Joe M. I knew he was ill and knew that he had a cardiac condition but I did not know how advanced it was and is. He must have known. If you have the chops to do heart transplants (“its mostly plumbing…”) you know how badly off you are. Towards the end of his tenure with us, he arrived early one morning panting and breathing heavily. His … Continue reading

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Carola Eisenberg: A Lucky Life

Carola Eisenberg, M.D. (1917 -2021) Dr. Eisenberg, a psychiatrist, was born with a social conscience. She was descended from Jewish socialist refugees from Czarist Russia and was a native of Argentina, where by her account she was inspired to pursue psychiatry after visiting a mental hospital as a teenager with her father. One of our colleagues, the Mohs miscographic surgeon Dr. Jenny Stone, has warm memories from her student days at Harvard of Carola Eisenberg: “In September 1978, I was a nervous first year student at Harvard Medical School.  In the midst of a flurry of faculty-introductory speeches, one person stood out: Dr. Carola Eisenberg, our new dean of student … Continue reading

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Sanctuaries

    There is nowhere Black people can go to not be inside a carceral gaze or at risk of experiencing police brutality. …And we, in healthcare, have to [start] building that sanctuary for folks as their human right. Rhea Boyd In her recent New England Journal Perspective essay, “Without Sanctuary”1 S. Michelle Ogunwole suggests that our hospitals and offices should be sanctuaries for our patients.  She writes: In quiet moments, I often reflect on how our society decides who deserves punishment and who deserves redemption. I think about grace, and how Black people get so little. I think about trust, and how Black people get so little. I think about … Continue reading

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