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The Case Of The Accidental Chemo Burn

One of the great things of being in a group practice is meeting and taking care of patients who may not necessarily be on your own personal patient panel. Walking into the room, I hear the patient say, “Doc, you gotta help me.” I see a red right forearm and on the “complaint” section, the nurse wrote “burn.”

So, I ask, “Well how did you burn your arm?” “Well, doc, I got cancer.” Hmm, that’s interesting. I didn’t make the connection until the next sentence. “It was my last treatment with chemotherapy about 2 weeks ago and for some reason, the needle slipped and the stuff went all over my arm. The cancer doc prescribed these pills, but they don’t seem to be helping. I asked the pharmacist about some salves and this is what they said.” He showed me a handful of creams and ointments purchased at the pharmacy.

Since I didn’t know this patient at all, I was leafing through a very thick paper chart to try to catch up. “Yeah, I’ve been coming to see Doc [name] for a long time now. I’m glad you were able to see me today since his schedule was full.” This very pleasant patient then told me about how they diagnosed his cancer – a tear came to his eye – it’s like he was re-living that moment again. Read more »

*This blog post was originally published at Doctor Anonymous*

How To Get Tar Off Your Skin

Even though its really cold outside in much of the U.S., it’s sunny in northern California and with a hooded sweatshirt, every day is a beach day! So, after a couple of nice days in the snowy mountains, I headed for the coast. On my first step onto the sand, I was reminded to write about a phenomenon that was called to my attention by a reader last April:

“Coast Guard Seeks Tar Source
By Janine Zúñiga
Union-Tribune Staff Writer

CORONADO — The Coast Guard is investigating the source of sticky tar balls that washed up on Coronado’s shores over the weekend. Emergency crews…worked amid bathing-suit-clad beach-goers, picking up pieces of tar that a city lifeguard first noticed Saturday afternoon. Read more »

This post, How To Get Tar Off Your Skin, was originally published on Healthine.com by Paul Auerbach, M.D..

A Brazilian Waxing Accident To Remember

I don’t know a thing about bikini line waxing.  But I do know there is a right way to wax your bikini line and a wrong way  wax your bikini line.  I present to you a story about how not  to wax your bikini line.  I do not know the original author, but I’m sure they want to keep it that way.

My night began as any other normal weeknight. Come home, fix dinner, play  with the kids. I then had the thought that would ring painfully in my mind for the next few hours:

‘Maybe I should pull the waxing kit  out of the medicine cabinet.’ Read more »

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

Book Review: FDR’s Deadly Secret (Malignant Melanoma)

Earlier today I wrote a short article which resulted in correspondence with one of the authors of the new book, ‘FDR’s Deadly Secret’ by Steven Lomazow and Eric Fettmann.

Dr. Steven Lomazow sent me a copy of his Archives of Dermatology article with Dr. Bernard Ackerman, this photo, and a pdf of his book which I have spent the afternoon reading.

The article goes through a series of photos of FDR from his younger days to his older ones, showing the progression and changes. From the article: Read more »

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

What Is Hand Rejuvenation?

I took this photo when my mom was in the hospital earlier this year. My hand looks like I wash dishes for a living. Her hand shows many of the spots that come with age and sun exposure: actinic keratosis, liver spots, etc.

There is a decent article that gives an overview of hand rejuvenation in the Sept/October issue of the Aesthetic Surgery Journal.

The epidermis thins as we age. Lentigines, actinic keratoses and seborrheic keratoses, general dyschromia, and textural roughness appear. Capillary fragility may make bruising common. Fat atrophy may make tendons and bony prominences more noticeable and the veins appear to bulge.

The article goes through the available treatments: chemical peels, vein sclerotherapy, fillers, laser therapy, intense pulsed light (IPL) therapy, fractional skin therapy, and Thermage.

It also reminds us that caution must be exercised as hand skin has relatively few adnexal structures and therefore has less capacity to replace the epidermis.

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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