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  • Update on Melanoma Patient

      This post is an update on the patient I reported on in my March 1 post. He is 75 years old and came to our office as follow-up after excision of scalp lesions. He was diagnosed with Stage 4 metastatic melanoma.   The photo shows his scalp involvement 3 months later. These satellite lesions are growing at an exponential rate. The ...
    Posted to Dermatology Practice Today (Weblog) on July 11, 2013
  • Reducing That ‘Puffy' Appearance After Treatment

    We continue to learn about and understand the concept of volume loss in the aging face. We have a wide spectrum of products to use and are learning more advanced techniques to help our patients look more youthful while maintaining a more natural appearance. Patients can now look 10 to 15 years younger with a liquid facelift in just a few minutes. ...
    Posted to Aesthetics Practice Today (Weblog) on June 24, 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
  • Called in for Questioning

    So I go from working part-time as a nurse to not really working and just doing clinicals. My preceptors were pretty good about working with us regarding schedules, which was amazing because I have 2 kids and a crazy husband. This was more beneficial than I EVER realized! Now? I realize... Let's see... In my first three weeks, I've gotten ...
    Posted to First Year NP (Weblog) on February 28, 2013
  • Managing Life's Demands

    Well, as you guys know, I've passed boards and have already accepted a position in an acute care setting. I actually started yesterday and am so excited! So far I've been in orientation and the anticipation of actually rounding and caring for patients is killing me! I start rounding next week and am really looking forward to sharing this ...
    Posted to First Year NP (Weblog) on January 31, 2013
  • 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
  • My One Year Anniversary as an NP

    It's ironic that I wrote my last post on October 15, 2012, the 1-year anniversary of my one and only job as an NP. What a year! Or, rather, what a year and a half! The worst of times, yes (the end of a 30-year marriage in June 2011), but also the very best of times (Duke MSN/FNP in May 2011, certification in September 2011, dream job in ...
    Posted to New Grad NP (Weblog) on October 25, 2012
  • Treating Ptosis After Botox Injections

    Eye ptosis, or drooping of the eyelid or brow, is a potential side effect of Botox treatment. It is among the most common side effects associated with botulinum injections, although it should not occur frequently with proper injection technique. It is beneficial for patients and providers to know the proper antidote. Since Botox is not ...
    Posted to Aesthetics Practice Today (Weblog) on September 25, 2012
  • Catch-Up Time for AK Treatment

    Autumn is my favorite time of year. I love the colors of the leaves, cool brisk evenings, baking with pumpkins and Sunday soup making. Fall also just happens to be a favorite season of mine in the office, too. I call it ''catch-up time'' for a number of reasons. First and foremost, this is an excellent opportunity to discuss with patients the ...
    Posted to Dermatology Practice Today (Weblog) on September 20, 2012
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