Physician, treat thyself

As a neurologist whose subspecialty is movement disorders, one of us (ECHL) regularly administers injections of botulinum toxin (botox) to treat patients for spasticity, dystonia, hemifacial spasms, and hyperhidrosis. While injecting the palms of a patient with hyperhidrosis, I casually remarked how much I admired her stoicism, adding that I couldn't imagine going through the procedure myself. I had earlier mentioned to her that I, too, had palmar hyperhidrosis. We had laughed at how people surreptitiously find various methods to “casually” wipe their hands on a convenient strip of fabric soon after shaking hands with us, acknowledging that it usually made us burn with embarrassment. “Why don't you get it done?” she asked, adding …