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 ...

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 ...

My nurses were in an uproar one day over patients who are trying to schedule post-hospital follow-ups with me whom we'd never seen before, with complex conditions such as post CABGs and even a renal transplant. It turns out that Medicaid is randomly assigning patients to primary care providers in the area, whether there is a former ...

I have only anecdotal evidence, but it seems that there are a lot of new NP practices opening out there. In the past few weeks, I've received four Practice Snapshot surveys from NPs who've been in business just since the end of 2007 — two of whom I convinced to help me launch a private practice blog on this site, so stay tuned. I've also already ...