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Baby Boomers And Skin Cancer

Baby boomers may have a new reputation. According to new cancer research, they are five times more likely to be diagnosed with malignant melanoma — the type of skin cancer that kills the most people.

The incidence rates of melanoma have risen from 7 cases per 100,000 people in the 1970’s to 36 cases per 100,000 today. The rising rate corresponds to the increase in tanning during the 1970’s, when baby boomers were young adults.

Parents and grandparents of teens should be checked by dermatologists as part of their preventive healthcare. I can only hope that teens today will be responsible for the stopping of this increase as they’ve grown up with the message that sunscreen is important and should be a daily part of their lives.

Photo credit: tata_aka_T

This post, Baby Boomers And Skin Cancer, was originally published on Healthine.com by Nancy Brown, Ph.D..

A Link Between Depression and Female Baldness

Female-Hair-LossA reader sent me this really sad story that got me thinking about hair restoration for women:

Happy, I wanted to share with you this picture of a woman who’s lost all hope. I saw her a few years back during my psychiatry rotation. As you can see, it looks like she’s going bald, but in fact, during her fits of rage and depression she’s actually pulling out her own hair. How sad is that? Just another example of what we docs take care of on a daily basis. 

Man, that’s unbelievable. I don’t know much about classic female pattern baldness. From what I’ve read it’s usually a diffuse loss of hair everywhere or  a central expansion of hair loss but rarely does it encompass the entire scalp. It’s usually caused by hormones, aging and genes. In advanced age, I’ve seen more than my fair share of elderly women who have more hair on their chin then they do on their head. Read more »

*This blog post was originally published at The Happy Hospitalist*

Topical Medications And Bathing: A Source Of Water Pollution

I have written two posts in the past on proper disposal of unused medications, and I have always been mindful of the medicines as a source of environmental water pollution. This past week the American Chemical Society reminded (head-slapped me) that topical medications are a source of environmental water pollution from their active pharmaceutical ingredients (APIs). Yes, the simple act of bathing washes hormones, antibiotics, and other pharmaceuticals down the drain into the water supply.

Ilene Ruhoy, M.D., Ph.D. and colleague Christian Daughton, Ph.D. looked at potential alternative routes for the entry into the environment by way of bathing, showering, and laundering. These routes may be important for certain APIs found in medications that are applied topically to the skin — creams, lotions, ointments, gels, and skin patches. These APIs include steroids (such as cortisone and testosterone), acne medicine, antimicrobials, narcotics, and other substances. Read more »

*This blog post was originally published at Suture for a Living*

How Your Skin Tells Your Story: A Poem

In the March 3, 2010 issue of JAMA, there is a poem by Sarah Wells called “Hymn of Skin.”  While I enjoyed the whole poem, my favorite part is:

Plastic surgeon of the heavens, how I delight
in a furrowed brow, crow’s feet, age spots—
wrinkle me up a dozen times to show I lived
hard, good, funny—after all beauty, being what it is,

is only skin deep—may my soul seep through
dry scales of later hands, resting tranquil in my lap.
O omniscient dermatologist, what ingenuity,
past hurts evident in scrapes and scars—

a clumsy stumble down uneven concrete stairs,
knees and ankle raw and dripping; pockmarked cheeks
from teenage zits—all healed, in the end, but not forgotten.
How often we need reminders of where we’ve been.

*This blog post was originally published at Suture for a Living*

Optimal Laser Variables Required To Remove Tattoos

In the January issue of the Archives of Dermatology, there is a short article (full reference below) in which the authors have attempted to use in vitro lab techniques to improve in vivo techniques for tattoo removal.

Fragmentation of the tattoo particles by the laser leads to small pigment particles, unknown decomposition products, and newly generated chemical compounds that may then be removed from the skin by means of the lymphatic system, leading to  a noticeable lightening of a colored tattoo. Read more »

*This blog post was originally published at Suture for a Living*

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

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How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

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Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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