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We have carved deep into the second half of my first year as
a professional physician assistant. This is the perfect time for a Quarterly
Check-Up to examine some of the biggest lessons over the last three months
We learned that our
patient's beliefs can trump the strongest medicine and that our acceptance
of those beliefs makes us better ...
Tired of buying over the counter products that just
don't work? So are patients! One of my passions for what I do is
finding just the fix for someone -- something that will work and improve their
condition. Pharmacy aisles and mall cosmetic counters are now flooded with
an overwhelming quantity of products of varying ...
Over the past month I have had some very challenging
patients. I will often question, why and how did someone end up here at the
correctional facility? I believe it is better I do not know. Actually, it is
none of my business; it keeps the care unbiased and pure and it does not impact
how I treat them. If one of the inmates upsets the ...
1. A patient presents with a new spot on the nose for 3 months. No history of skin cancer. I believe it's a BCC and path proves it's a SCC, WOW!
2. Ceruloderma, a drug-induced pigmentation secondary to Lupus medication.
3. ''Show and Tell:'' I love a zip lock bag attached to the chart on the door. This patient was proud of the ...
I was going to write a blog about neuro-syphilis because I just
recently treated a 29-year-old patient for this condition, however, on
reflection it seems more apt to discuss the enormous financial costs associated
with her care. That being said, neuro-syphilis is a tricky diagnosis; I advise clinicians
to read up on it.
Syphilis is commonly ...
There are six different physicians in my practice and thus,
six different philosophical approaches to disease treatment and management. As
a new NP, this can be somewhat frustrating. Some days I wish medicine and
nursing were a bit more algorithmic. But alas, it ain't like baking a cake, so
here's to finding the silver lining.
I know, I know. You're all probably thinking that if you see another blog about the Patient Protection and Affordable Care Act, you are going to need an emesis basin.
Since the healthcare reform package was upheld by the Supreme Court, healthcare is back in the news and on the minds, lips and keyboards of just about everyone. I will attempt to ...
No matter our age or gender, stretch marks (or striae) can affect us all. Contrary to popular belief, stretch marks may even affect thin people. We commonly associate them with pregnancy, but striae also frequently occur in young patients after rapid height or muscle mass increase. Typical areas of involvement include the abdomen, breasts, arms, ...
We have all been to see a healthcare provider with a checklist of things we wish to accomplish during a visit. Isn't that why we go? Time management skills in medicine are essential. As providers, we have to find a nice balance that gives patients our undivided attention yet maintains efficiency and allows us to be productive.
My goal in time ...
If you read our last post or saw the news yourself, you already know that the American Academy of Family Physicians has changed its stance on convenient care clinics.But ABC News published an article today explaining some operators' plans to expand services into chronic disease management: ''Retail Clinics Branch Into Chronic Disease ...