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As healthcare providers and patient advocates, we are often faced with convincing our charges that a change is needed. Human nature is to resist change. Most of us settle into familiar routines in our lives and jobs and, no matter how inefficient or unhealthy our routines may be, we are very reluctant to disrupt the flow of our conventions. It is ...
You're scanning the EMR and you see four office visits in the past month with the same chief complaint. You walk in the room knowing it's not going to be an average cut-and-dry visit. The patient is frustrated about their bowel, their bladder or their other non-emergent complaint that keeps driving them back to the office, and you have to address ...
There are not many things that frustrate me in my clinical practice. Most patients are open, receptive and leave shaking their heads in agreement to your plan of care. What happens once they leave your office is often unknown. You hope that they venture directly to the pharmacy, take their medications as prescribed and their health improves. ...
I just returned from Uganda 5 days
ago -- a harrowing 43 hour journey with a more than a few moments of thinking
we might not ever get home, but I did. And I wanted to recount a day with a
problem we as NP/PA students don't face much in the U.S.: malnutrition.
Bugabero is in the Manafwa
District, a sort of rural suburb of the city we ...
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 ...
Students: You'll learn there are good preceptors,
bad preceptors and then there are physicians who inspire, often because of a
single incident. Last weekend I was inspired.
I am on inpatient pediatrics and late Saturday
afternoon we learned about a little baby whose white blood cell count was high
and the pediatrician had sent this baby ...
Quality skincare does not have to come at a steep price. If you splurge in some important areas
(that benefit you the most) you may need to skimp a little in other departments
and that is okay. Let's call this
skincare on a budget, if you will.
Face Wash: Don't get me wrong. I
love high end, fancy foaming, ...
Botulinum Toxin A is a protein and neurotoxin produced by
the bacterium Clostridium botulinum. Botulium toxin can cause botulism, a
serious, life-threatening illness in humans and animals. More patients are open
to considering treatment with the toxin due to increased knowledge of benefits
of its use. Botulinum toxin has been used for many ...
I was recently speaking with a group of students who will be
graduating this year about their current clinical rotations and how things are
going. Many of the students had been at at least one of their clinical sites
since beginning their programs and were now feeling quite comfortable. Some students
even stated that a nurse or two had asked ...
It was a sunny, warm afternoon. A great day to spend outdoors with the family. But Dad had not come home ... again. Then, the phone rang. Maybe it was him? But the voice was not his. ''I'm afraid that he has died,'' the voice whispered across the phone. They found him in a ditch, motionless, dirty ... and gone. ''I am sorry. He died from alcohol ...