Vail Reese, MD Hot Spots 2018 Saturday, August 18th, 2018 Notes: – History of the term “Herpes” from ancient times to present. – Review of the Human Herpesviruses clinical presentations. – Brief review of Herpesviridae presentations in other species. – Discussion of stigma associated with Herpes Simplex Virus. – Justification for changing name of Herpesviridae. – Examples of names changed for other conditions. – Proposed name change: Habitaviridae. – Process for adding/changing viral names. References: Reese V, Croley JA, Wagner RF. Countering Creeping Confusion: A Proposal to Re-Name Herpes Virus TAXONOMY. Online Journal of Community and Person-Centered Dermatology Posted January 14th, 2018. http://ojcpcd.com/reese-v/countering-creeping-confusion-a-proposal-to-re-name-herpes-virus-taxonomy/ Ratzen R. Letter: Thoughts about Countering Creeping … Continue reading
Who Was Michael Balint and Why Should We Care?: Introduction
For a brief biography see: Michael Balint – An outstanding medical life.1 Balint’s son, John, was a distinguished professor of gastroenterologist and medical ethicist at Albany Medical College. I attended a lecture by him, and it was there that I first heard about Michael Balint and became interested in his opus magnum, The Doctor, His Patient and the Illness.2 The Sawyer Library at Williams College has a copy and I checked it out periodically over two decades, but found it hard going. Finally, in 2016, I bought a second-hand copy and decided to wade through it. Early in the book Balint asks: “Why does it happen so often that in … Continue reading
Granulomatous Rosacea
Granulomatous Rosacea H.S. 2018 Case Presentation Presented by David Elpern August 17, 2018 A 34-year-old sociologist presented for evaluation of forehead lesions, which have been present for about 2 years. These began about a year after her daughter’s birth. Before that, she was on oral contraceptives and was fine, but she has not been on any hormonal birth control since then. She saw another dermatologist and was treated with topicals, a SilkPeel, Tretinoin. She also took doxycycline for 2 – 4 weeks. Nothing helped. She is anxious about her appearance. O/E: The examination shows a pleasant, outgoing woman. She has a somewhat pebbly appearance to the forehead with many, mostly … Continue reading
Hot Spots 2018 Faculty Emails
Claypoole, Lauren Claypoole.lauren@gmail.com Dann, Frank zitdoc@hotmail.com Elpern, David djelpern@gmail.com Esaki, Paul paulesaki@gmail.com Glamb, Roman rglamb@straub.net Goo-Frazier, Alana alanagoo@hawaii.edu Ing, Malcolm malcolmingmd@hotmail.com Johnson, Douglas dwj808@gmail.com Kamm, Lindsay lindsay.kamm@gmail.com Karewicz, Marianna marianna.karewicz@gmail.com Kumar, Bhushan kumarbhushan@hotmail.com Rademaker, Marius marius.rademaker@gmail.com Reese, Vail drvcr@earthlink.net Reizner, George greizner@dermatology.wisc.edu Schoenfeld, Michael mjschoenfeld@gmail.com Webster, Michael michaelrwebster@bigpond.com
What Matters To Me Questionnaire
To view the questionnaire we used, click What Matters To Me Questionnaire We are trying to create a tool to help patients communicate with their physicians and other care providers about what really matters to them in their relationships with the health care system. Although one may not always get everything wishes for, this is a chance to share your preferences and values with regards to the healthcare you receive. When answering the questions it may be helpful to think of times you felt that your medical care needs were not met. Please rate choices in the order of importance to you. All information is confidential. No one’s identity will … Continue reading
Marius Rademaker Hot Spots 2018 Very Low-Dose Isotretinoin
Very low-dose isotretinoin in mild to moderate papulopustular rosacea; a retrospective review of 52 patients. ABSTRACT BACKGROUND/OBJECTIVES: Rosacea is a chronic inflammatory disorder that affects up to 10% of the population. Standard treatments include topical azelaic acid and metronidazole or systemic tetracyclines. Isotretinoin has generally been restricted to severe disease, often at a dose of 0.5-1.0 mg/kg/day. METHOD: Retrospective review of open-label isotretinoin (initial dose 20 mg/day, with dose adjustments according to response), in patients with mild to moderate papulopustular rosacea. RESULTS: Altogether 52 patients (33 women), mean age 48 years (range 18-86) were treated with isotretinoin over a 5-year period. All patients were commenced on 20-mg isotretinoin/day which was reduced to 10-20 mg once to five times a week (equivalent to 5 mg/day) … Continue reading
Metastatic Basal Cell Carcinoma
Case Presentation Metastatic BCC 2018 Hot Spots in Dermatology Presenters: Marianna F. Karewicz, NP Roman W. Glamb, MD Straub Medical Center Download Fyll Presentation: Metastatic Basal Cell Abstract Basal Cell Carcinoma (BCC) is deemed as one of the most frequent types of skin cancer. Typically, it is regarded as localized in nature and there is a tendency to view the condition as non-malignant because the tumor rarely metastasizes (Habif, 2016). However, what if the condition became aggressive? If left untreated, BCC has the capability to spread through direct extension, destroying normal tissue and large portions of the body; even penetrating the subcutaneous tissue to bone and/or the brain. This case … Continue reading
Dr. Edmund Ing—Expertise and Community Service in Hawaii
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
Illness Narrative – Long Form
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
Darkness Visible: A Life of Chaos
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
