Welcome to The Cloud Clinic

 by A.R. Pito and D.J. Elpern Sugata Mitra hit upon the idea of unsupervised learning by computers in an iconic study of slum children in India. This evolved into Self-Organised Learning Environments (SOLEs) where children search for answers to ‘big’ questions. Why not apply this idea to the medical environment? We envision a Consultative Cloud Clinic. The primary aim of Cloud Clinic is to enhance diagnosis and therapy in the interest of patient care and autonomy. Mitra’s School in the Cloud project enables small groups, to competently search for answers to ‘big questions’, drawing rational, logical conclusions. The concept can be usefully applied to ‘health questions.” Mitra and his colleagues … Continue reading


A Guide for the Akamai Browser

 A 54-year-old carpenter presented to the dermatology clinic for evaluation of a lesion on his right forehead that turned out to be benign.  He also mentioned that his barber brought to his attention some thick furrows he has in his scalp.  These had developed slowly over the past decade or so. Examination of his scalp shows deep furrows consistent with a diagnosis of cutis verticis gyrata .  The patient, after searching the Web, had arrived at the same diagnosis. Since cutis verticis gyrata (CVG) can be associated with acromegaly, I asked the patient about changing hat size, hand size, etc.  He says that over the past 10 or 15 years, … Continue reading


Same-old, Same-old Grand Rounds

“The student begins with the patient, continues with the patient, and ends his studies with the patient, using books and lectures as tools, as means to an end.” — Sir William Osler, Aequanimitas, 1905 Keywords:  grand rounds, incontenentia pigmenti, VGRD, academic medicine, continuing medical education, CME I recently attended a regional Dermatology Grand Rounds held at an academic medical center.  The first such meeting I attended was over 45 years ago.  The recent program featured live patient viewing of around 20 people with a variety of unusual skin disorders.  Around 150 – 200 dermatologists were present.  It started with a 1.5-hour patient-viewing during which we all trooped around the clinic … Continue reading

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