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  • A Sample Dermatology Protocol

      Many nurse practitioners have asked me about dermatology protocols. They are no different from other protocols and should be an outline of your practice agreement with your supervising or collaborating physician. These protocols should remain broad and general, but list important and specific aspects of your practice like prescribing ...
    Posted to Dermatology Practice Today (Weblog) on April 14, 2014
  • Platelet-Rich Plasma for Treating Hair Loss

    Hair loss can be devastating to both men and women. Various genetic and environmental factors can cause hair loss. Environmental factors may include chemotherapy, diet, nutrition, stress, hormonal shifts, autoimmune disorders and various illnesses due to imbalances Treatment options for hair loss include magical topical lotions and potions, ...
    Posted to Aesthetics Practice Today (Weblog) on March 5, 2014
  • The Don’ts of Cryosurgery

    Cryosurgery is a process where liquid nitrogen is applied to a lesion to induce cell death. It is a procedure done every day in dermatology offices and is now done routinely in primary care offices as well. It is a relatively low-risk procedure, causes minimal scarring and can be used for a multitude of conditions, including actinic ...
    Posted to Dermatology Practice Today (Weblog) on August 9, 2013
  • Treating Acne: The Basics

    As the summer comes to a close and students and parents begin to plan for the next school year, inevitably there is a mad dash to the dermatology office to treat acne. Freshmen want to be clear to start high school, seniors want to be pimple-free for senior pictures. The problem is that they like to wait until 2 weeks before the start of school to ...
    Posted to Dermatology Practice Today (Weblog) on July 12, 2013
  • Heart-Wrenching Heart Patient

    I had my first jaw dropping patient last week. You know, working in cardiology, you see a lot of the same thing. Acute coronary syndrome, atrial fib, heart failure...Turn 'em and burn 'em, that's my motto. Thursday, I had my first patient that I was completely side-bombed over. That day, an 86-year-old female presented to the ED for ...
    Posted to First Year NP (Weblog) on April 25, 2013
  • NAPNAP Conference 2013 Day 1

    Here at the National Association of Pediatric Nurse Practitioners (NAPNAP) 2013 conference in Orlando, leagues of NPs are gathered for 3 days of educational sessions, CE credits and networking.  At today's opening session, hundreds of NPs were welcomed to the Hilton Orlando's Orange Ballroom to launch the week's events. NAPNAP president ...
    Posted to ADVANCE for NPs & PAs Blog (Weblog) on April 17, 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
  • 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
  • Treatment of Ochronosis

    A patient presents with discrete patches of hyperpigmentation on the face, particularly involving the cheeks and upper lip. She denies recent sun exposure or use of oral contraception pills. She was diagnosed a year ago with melasma and given hydroquinone, which she used as directed in the evening for three months. She now ...
    Posted to Aesthetics Practice Today (Weblog) on October 23, 2012
  • When to Trust Patients in a Correctional Facility

    There was a disturbing incident that occurred a few weeks ago. I also look at this experience as an eye-opener for me. I have long come to this realization, but it was never more evident than when the incident happened. First, let me start off by stating, prior to my opportunity to work in corrections, I was judgmental and biased and I ...
    Posted to New Grad NP (Weblog) on October 18, 2012
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