By Any Other Name: One of my patients called today requesting a referral to a dermatologist to have her wrinkles ironed out. She wanted me to "phrase the diagnosis in a medical way" so her insurance would cover it. I demurred and told her that we doctors call "wrinkles" by the same name as everyone else. Later, I remembered Dr. Alice and her paean to the diagnosis code book. So, I took down the book and looked up "wrinkles." Sure enough, there's a fancy medical term for it - cutis laxa senilis. Loosely translated, that's old, loose, skin. Gotta love that ICD-9 book.