Shelley WB, Shelley ED
The Shelleys begin their January 1994 entries with a discussion of palliative medicine, indicating that "[p]atients may abandon us and insurance programs may abandon patients, but we must never, never abandon them [patients]." They comment on the use of computer software to alter one's appearance, such as erasing scars, nevi, wrinkles, dust spots, and more. Can we believe what we see? They describe grand rounds at Albert Einstein College of Medicine in Bronx, New York, centering on the residents' ability to make a visual diagnosis without questioning the patient or obtaining laboratory assistance. The Shelleys also highlight some of their most grateful patients who were treated for diseases such as lichen planus, pityriasis rubra pilaris, bullous pemphigoid, and even heartburn with common dermatologic therapies.