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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 ...
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. ...
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 ...
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 ...
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
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 ...
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 ...
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 ...
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 ...
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 ...