It’s been of hodgepodge week with a few residents sick or on vacation, so I’ve sort of been all over clinic-wise. And though it’s been busy, it’s been an incredible week and a nice reminder of why I chose Dermatology in the first place. .
Contrary to what you see in the media with Dermatology being all Botox and pimples - we manage SO much more than that. .
This week alone I was doing Mohs surgery (a method of cutting out skin cancers in stages to ensure complete removal of the tumor), normal excisions, diagnosed eosinophilic folliculitis in a patient who turned out to be HIV positive, diagnosed GVHD (graft-versus-host-disease) in a patient after stem cell transplant, cleared up some melasma, biopsied a few likely melanomas, diagnosed a psoriasiform drug eruption secondary to a patient’s antiretroviral treatment, saw erythrodermic PRP, helped a new mom with her baby’s cradle cap, talked a lot of parents through the natural history of infantile hemangiomas, and saw possibly the worst keloids I’ve ever seen in my life (almost full body), still searching through the literature to see if there are any other treatment options we can try for her. And a little bit of Botox and pimples for good measure. Dermatology is the best. Photo’d is my typical biopsy tray if I’m doing a punch (our 2 main types of biopsies are punch biopsies, where we take a core of skin, almost like a cookie cutter, and shave biopsies, where we use a scalpel or dermablade to take a more superficial sample. We decide which type based on where we think the pathology lies). And I can’t lie our new pink tray covers are giving me life.