Joel L. Cohen

Leonel Hernandez Aya, MD News that “Margaritaville” singer Jimmy Buffett died from Merkel cell carcinoma is shining a spotlight on this rare and aggressive form of skin cancer. Leonel Hernandez Aya, MD, a medical oncologist specializing in skin cancers at the Sylvester Comprehensive Cancer Center at the University of Miami Miller School of Medicine, shares updates on the diagnosis and treatment of Merkel cell carcinoma including the growing use of immunotherapy.

3.7.2 Acne and injectables The use of neurotoxins may be used in patients with mild or moderate acne but should be avoided in areas of cystic acne. In these cases, the acne should be treated first. Caution should be taken when botulinum toxin is used in the presence of inflammation at the proposed injection site(s) or when the targeted muscle shows excessive weakness or atrophy.93 The use of toxins may actually be beneficial for the acne patient.

Full Disclosure, and importantly here: In my third year of college I took a course called "American Intellectual History." At midterm we were given a paper topic to write. After grading the papers, the professor physically handed them out to the class. I received a poor grade with a notation saying "see me after class." Never a good sign. He had found that I directly lifted two whole paragraphs from different books I used to research the paper.