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Beat Physician BurnoutDike Drummond MD is an expert in stress management and burnout prevention for physicians. He is a high energy speaker, trainer, and consultant on how to create physician engagement, healthy life balance and a physician friendly workplace. He is CEO of TheHappyMD.com where his newsletter reaches doctors in 63 countries around the world. Dr. Drummond is the creator of the Burnout Prevention Video Training Series and the 1 Minute Mindfulness Program for Physicians.

Allergic Rhinitis

Physical clues to allergic rhinitis include the allergic crease on the dorsum of the nose and allergic "shiners" or periorbital ecchymosis.

Consultant Archives

The site offers guidance on key topics encountered in clinical practice, as well as short, quick-reading features that emphasize diagnostic quizzes, fast solutions, and color photography. Among the most popular features are "Dermclinic," "What's Your Diagnosis?" "Photoclinic," "What's the 'Take Home'?" and "Photo Quiz."

• Introduction • Limitations of Current Therapies • Safety and Effectiveness of Modern Insulin Therapy: The Value of Insulin Analogs • Addressing Barriers to Timely Intensification of Diabetes Care: The Relationship Between Clinical Inertia and Patient Behavior • Insulin Intensification: A Patient-Centered Approach

For the past 7 years, a 32-year-old African-American man had multiple nonpruritic scalp abscesses. He also reported intermittent fever and joint pain. The abscesses had been drained on many occasions, and he had received several antibiotics, although no organisms had been isolated. Collagen vascular disease, SAPHO syndrome (synovitis, acne, pustulosis, hyperostosis, osteitis), discoid lupus, and cutaneous sarcoid had been ruled out. During the past 7 years, he had been treated with prednisone, methotrexate, and hydroxychloroquine without any response.

Advise runners to write the date they start wearing a pair of running shoes on the underside of the tongue, with a permanent marker.