03/01/2021
There are many incidents over the years that stick in my memory and have contributed to make me the skin specialist that I am today. I shall call these incidents:
STICKY SKIN BITS!!!!
As a fourth-year medical student at UTMB Galveston, we were given the latitude to study almost any medical subject in almost any setting that interested us. I chose to spend a month in rural Nigeria with a group of general surgeons and medical students from NYU to study general surgery and fix hernias. I was going to be the next Dr. Red Duke. There was no phone, no lights, no motor cars, not a single lux-u-ry. It was primitive as can be. Each night, just like Abraham Lincoln, we would read by candlelight because the power invariably failed. It was good practice for SNOVID-21. As we would read, large, buzzing, flying insects would crash into the candle flame and tumble to the ground in little fireballs like tiny Kamikazes. One night, one of these bugs (not on fire) made its way inside the mosquito netting covering the bed of my unwitting medical student friend Tom. After rolling around on the creature all night, his skin looked something like this photo. These blisters were the result of cantharidin, secreted by the blister beetle, of the family Meloidae. This is the very substance we use today to treat molluscum contagiosum, except today it’s synthesized and not made by squishing beetles. Dermatology had followed me all the way to remote Africa. It was destiny. Somebody else can fix hernias! Tom was OK in a couple of days.