Tag Archives: skin cancer

Guarding the Rays: Use of an Educational Training to Enhance Sun Safety Practices Among Lifeguards

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Madelyn Schmidt, BS1, Nina Martins, BS1, Diana Bonilla, BS1, Melissa Marchan, BS1, Sylvia Jimenez, BS1, Richard F. Wagner Jr., MD2 1John Sealy School of Medicine, Galveston, Texas 2University of Texas Medical Branch, Department of Dermatology, Galveston, Texas 1John Sealy School of Medicine, Galveston, Texas 2University of Texas Medical Branch, Department of Dermatology, Galveston, Texas Corresponding author: Madelyn Schmidt BS Email: mlschmid@utmb.edu Conflicts of interest disclosures: None Key words: Medical Education, Sun Safety, Sun Protection, Skin Cancer, Dermatology. Abstract: Madelyn Schmidt and her colleagues at the University of Texas Medical Branch’s Dermatology Interest Group (DID) with their mentor, Dr. Richard Wagner, worked with the Galveston Island Beach Patrol to educate lifeguards … Continue reading →

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Travels with Myself (and another)

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Brian T. Maurer Abstract: After four decades of medical practice, a primary care clinician finds himself cast in the role of a patient in need of dermatological surgery for skin cancer from a former colleague he had never met face to face until the day of the surgical encounter. The night before the surgery I plowed through the Delia Owens novel “Where the Crawdads Sing.”  I hadn’t anticipated the ending and fitfully drifted in and out of sleep for a couple of hours, finally succumbing to exhaustion and the warmth of the bed.  Nonetheless, my eyes opened at 5:00 AM.  I got up to do my morning exercise routine, showered, … Continue reading →

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American Mohs

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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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Cry the Beloved Specialty

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by David J. Elpern, M.D. presented in shorter form at the Lown Institute Conference, Washington, D.C. April 9. 2018 Every peddler praises his needles. Portuguese proverb In November 2017, the NY Times published an expose about the current state of dermatology.1 It documented bizarre instances of over-diagnosis and over-treatment that are driven by ignorance and greed. Over the past 40 years, I have witnessed these changes in my specialty and am dismayed by the reluctance of my colleagues to address them. This trend began in the early 1980s when the Academy of Dermatology (AAD) assessed its members over 2 million dollars to hire a prominent New York advertising agency to … Continue reading →

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Dermatology Mondays: On a Global Scale

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“Find a job you enjoy doing, and you will never have to work a day in your life.” ― Mark Twain  Dermatology Mondays: On a Global Scale Omid Zargari, M.D.1, David J. Elpern, M.D.2, Gregor Jemec, M.D.3 Dana Clinic, Rasht, Iran, E-mail: ozargari@gmail.com The Skin Clinic, Williamstown, Massachusetts, USA Roskilde Hospital, University of Copenhagen, Denmark Key Words: Epidemiology, skin cancer, psoriasis, acne Funding source: None That’s when I first learned that it wasn’t enough to just do your job, you had to have an interest in it, even a passion for it. ― Charles Bukowski Each Monday, as physicians, we start our “work week.” If one happens to live in Iran, … Continue reading →

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Loss and Found

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Reflections on Skin Cancer and Solar Aging Band-Aid Generation I am one in the army of older people to wear a Band-Aid on my face. One skin cancer survivor who joyfully, happily, obliviously chose a chaise-sitting, oil-basting, body-rotating, reflector-using, get-a-tan- at-any-cost younger life. So now I’m a dues-paying member of a community I didn’t ask to join.   The Reckoning I’m sitting on a park bench looking down at my hands, the backs shockingly old in the afternoon sun. The skin crinkles outward like a spider web or pieces of broken eggshells. On examination, the left hand appears more lined than the right. I wonder if the left one was … Continue reading →

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