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  • Who Will be My First?

    Throughout life we build our own individual skill sets. Often times we are our own guinea pig and learn from our own mistakes. Often times however, if we build skill sets based on our careers these trial and errors often affect others. During nursing school I remember being overwhelmed by the amount of new procedures that I was being ...
    Posted to First Year NP (Weblog) on December 5, 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
  • 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
  • The Power of Pill Boxes

    I was before, but now I am an even greater advocate of the pill box. Every patient with a lackluster memory, or taking multiple medications, or time sensitive medications should own one. There is nothing better than a physical reminder to keep a body on track. I was recently confronted with an HIV positive patient on a cocktail of ...
    Posted to New Grad NP (Weblog) on October 11, 2012
  • Answering Patients' Questions

    Lately it seems a rash (no pun intended) of patients have asked me how it was that they contracted their Staph infections. Some had MRSA, others MSSA. Some suffered from bacteremia, others osteomyelitis, and others still were challenged by skin/soft tissue infections in the form of painful and unsightly abscesses. Some had recently undergone ...
    Posted to New Grad NP (Weblog) on September 20, 2012
  • Pain Patients

    My contact with pain patients was extensive during my residency in Aurora, North Carolina, a coastal town of about 400, with a patient population compromising of retirees, commercial fisherman and above-ground miners from a phosphate mine. I knew from that experience that even if I never found a job as an NP, I would not choose to do pain ...
    Posted to New Grad NP (Weblog) on September 6, 2012
  • The Weight of the Nation

    I don't know how many of my fellow NPs and PAs have seen and or heard about HBO's four-part documentary on obesity in America, The Weight of the Nation, but I can't recommend it enough: it is an awesome and totally relevant examination of health in the States. So many of the individuals profiled in this series were reminiscent of ...
    Posted to New Grad NP (Weblog) on August 30, 2012
  • Differing Diagnoses

    In the last month and a half I have met and treated two women, both newly diagnosed with HIV and previously unaware and unsuspecting of their corresponding diagnoses. In both cases the women contracted it from their former husbands. I say former because one of the men died approximately one month before his wife, patient #1, learned of her ...
    Posted to New Grad NP (Weblog) on August 9, 2012
  • HIV Treatment

    I attended at cozy talk about HIV prevention and treatment earlier this year at the suggestion of my mentor. The expert presiding over the talk was a local expert in HIV management, thus it was an opportunity I did not care to miss. During the discussion he started to reference recent study data suggesting the use of antiretroviral ...
    Posted to New Grad NP (Weblog) on June 28, 2012
  • Old and Alone? That depends.

    In discussion with a colleague, we came to an impasse. Both of our viewpoints were opinion based; neither of us was willing to sway. She ended our exchange by saying, ''This is why you are going to die old and alone.'' I know this to be a joke of affection, but also a reference to one of the things we, as a culture, fear most. What brings this ...
    Posted to NP & PA Student Blog (Weblog) on June 25, 2012
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