Mini Cluster

What are these blisters on my hands?

I have recently been getting tiny little circle like blisters all over the sides of my fingers and palms of my hands. The only way I can describe them are clusters of mini frogspawn like bubbles. They itch and then after a week or 2, begin to crack and my spin becomes very red and dry. Then, the blisters start to come back again!
I do suffer with exma on my legs but it is very different to what I am getting over my hands...does anyone know what this might be and how I might be able to treat it? Thanks in advance x

They could be a number of things but one of the likely options is a type eczema called pompholyx.(Dyshidrotic Eczema.)

http://farm4.static.flickr.com/3367/3578822390_1e14129f61.jpg

It can occur on both hands and feet. Though not a cure,topical steroids are often used to manage it.

There is currently concern about a growing shortage of physicians of all specialties in the US. The bulk of the population in the US is the "baby boom" generation which is now entering retirement age. There are several problems that may develop as a result of this, the number one being that there may be more physicians retiring than there are finishing residency and the second is that this larger older population will need more care than it did when younger. Of course, Pediatrics has a different dynamic that adult medical care, but the choice of specialty caused by greater demand of other specialties and the mini boom in population of children born between 1981 and 1995 is causing a shortage for Pediatric care as well.

SHORTAGE:

Recent studies report a shortage of pediatric surgeons in the United States. American Pediatric Surgical Association survey of members estimates current workforce and demand and to provide data for workforce planning. The shortage of pediatricians trained in specialties such as neurology, gastroenterology, and developmental and behavioral medicine threatens timely access to care for children.

DELAY RETIREMENT

Between the recent stock market and real estate collapse many older physicians are remaining in practice longer than Planned In some specialties this has led to fewer high quality positions available to the oncoming new generation of physicians. According to the APSA, some surgeons plan to delay retirement, because it would leave their group or community shorthanded. However, the shortages are such that this appears not to be the case for pediatricians.

INCREASED DEMAND

The demand for pediatric sub-specialists is continuing to increase for the following reasons:
* More Educated consumers requesting sub-specialists for treatment
* Increased obesity rates among children
* Fellowship programs not meeting the current mini boom in population of children

Many general pediatric residents are pursuing pediatric subspecialty training.
The number of subspecialty training openings has not adequately increased during this last decade.

GROWING INCOMES

Incomes have grown, As a result of this shortage, outpacing other medical specialties. According to the MGMA Physician Compensation and Production Surveys pediatric sub-pecialists are reaping the rewards of heightened demand with an increase in compensation. For one of the first times, pediatric surgeons actually earn more than adult surgeons.

HEALTH CARE REFORM

During the healthcare debate, pediatric groups lobbied to secure more funding for training and higher reimbursement for pediatric sub-specialties, in the hope of encouraging more doctors-in-training to enter the field. Specialization typically requires up to three years of training beyond a general pediatrics residency and can pay salaries less than half the rate of adult specialty medicine.

Thanks to advances in medicine such as better care of premature infants, many children are alive who may have died in the past. but we've created a generation of kids who need ongoing and continuing care for serious issues.

HIGH COST OF EDUCATION

The Senate bill contains a measure that would fund a loan-forgiveness program for pediatric sub-specialists, easing the financial burden of medical-school costs.One problem is that specialists tend to cluster close to large academic medical centers, in areas where there is a population large enough to sustain a practice. American Academy of Pediatrics found that while the greatest shortages are in rural areas, the majority of general pediatricians in all geographic areas considered wait times to be excessive when referring patients to sub-specialists.

To cope with the problem, many hospitals are turning to strategies such as telemedicine—remote
consultations using two-way video systems—and mobile vans that may drive hundreds of miles to set up clinics in under-served areas. Hospitals are also more often turning to adult specialists to treat children, though not all are willing to do so. Surgeons, for example, may refuse to operate on children, because they aren't trained to deal with the differences in their physiology.

Robert Truog founded of Physemp.com in 1994 as one of the first online physician employment sites for all specialties including:Pediatric job and Pediatric Gastroenterology job

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