Autumnal histopathology

Autumnal fruit and fallen leaves bring to mind histopathologic specimens glimpsed under the microscope or in the anatomy lab.

Images (left to right, beginning in top row):

(1) Peripheral blood smear depicting red and white corpuscles
(2) Anemia
(3) Leukemia
(4) Cerebral cortex neurons
(5) Right mainstem bronchus, bronchioles and alveoli
(6) Left lateral inferior wall myocardial infarction
(7) Molecules of oxytocin
(8) Seminoma
(9) Deoxygenated blood; methemoglobinemia
(10) Shistocytosis; crenated red blood cells

The Supplicant

I sit at priestly table
Imbibing an early lunch
Of chicken soup and bread,
A heel now bruised, unleavened,
Remnant of last night’s supper.
On tiny tapping pads
The supplicant approaches,
Stands beside my chair,
Eyes turned toward heaven—
The smell of chicken soup.
The supplicant rises to place
Both paws, crossed, on my thigh,
Penitent eyes pleading
Forgiveness and a crumb.
Reluctantly, I break the bread,
Dip a morsel in the broth
Then hold it out before the nose.
This offering of bread and soup
Is measured in one gulp.
The supplicant drops down
On all four paws again;
Pink tongue licks her muzzle.
Renewed, patiently she waits.
“Only one host per communicant,”
I liturgically intone.
Nonplussed, she trots to
The far end of the table
Seeking sustenance from
Another priest.


Digital medicine: Returning to radical medical practice

The era of digital medicine has largely passed us by, leaving us firmly entrenched in the era of digital medicine.

Yes, I composed that sentence properly; I meant what I wrote.

In the first instance, I used the word digital in reference to its radical or root meaning, “of or pertaining to the digits”—in other words, the phalanges or fingers. In the second instance—well, more about that in a moment. more»

Interested readers can examine my thoughts on this issue in my latest Musings blog post newly published in the Journal of the American Academy of Physician Assistants.