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  • The Quarterly Check-Up: Part 3

    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 ...
    Posted to First Year PA (Weblog) on October 3, 2013
  • Making the Most of Cosmeceuticals in 2013

    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 ...
    Posted to Aesthetics Practice Today (Weblog) on January 15, 2013
  • Challenging Patients in the Correctional Facility

    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 ...
    Posted to New Grad NP (Weblog) on November 15, 2012
  • My Four Favorite Derm Cases

      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 ...
    Posted to Dermatology Practice Today (Weblog) on November 15, 2012
  • The Cost of Providing Care

    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 ...
    Posted to New Grad NP (Weblog) on November 1, 2012
  • Accomodating Multiple Physicians

    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. Six ...
    Posted to New Grad NP (Weblog) on July 19, 2012
  • An NP Student Reflects on Healthcare Reform

    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 ...
    Posted to NP & PA Student Blog (Weblog) on July 9, 2012
  • Treatment of Stretch Marks with Retinoids

    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, ...
    Posted to Aesthetics Practice Today (Weblog) on January 24, 2012
  • The Art of Time Management

    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 ...
    Posted to Aesthetics Practice Today (Weblog) on December 27, 2011
  • Convenient Care... for Chronic Illness

    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 ...
    Posted to Real Life in Retail Health (Weblog) on March 22, 2010
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