If you’ve been outside in the past six months (or anywhere on social media), you’ve probably seen someone power-walking in a weighted vest. Weighted vests are no longer just for elite athletes or military fitness tests. These days, they're showing...
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Feel like you don’t know what you’re doing? Good.
“I feel like I suck, and I don’t know what I’m doing.”
Lower Back Pain: Pearls, Pitfalls, and Practical Tips
Whether you are working in primary care, urgent care, or the emergency department, chances are you see a patient complaining of lower back pain during every shift. It’s one of the most common reasons patients seek care, but also a chief complaint that leads to over-testing, over-treating, and is one of the driving factors behind the opioid epidemic.
Pediatric Vomiting and Dehydration: When to Hydrate and When to Transfer
Pediatric vomiting is one of those classic urgent care visits that can look completely harmless or quietly concerning. The moment you walk into the room, you are already calculating hydration status, the likelihood of tolerating oral fluids, and whether this is a “treat here” situation or a “transfer now” one. Fortunately, most kids do extremely well with oral rehydration...
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Legionnaires’ Disease and the Cluster Outbreak in NYC: Guidance for Clinicians
You're midway through a busy day when a patient walks in with “just another pneumonia” — fever, cough, perhaps shortness of breath. They mention recent travel to NYC. That should immediately raise the question: Could this be Legionnaires' disease?
Pediatric Coding Tips: How to Maximize Payment for Everyday Visits
I love that being a pediatrician means I’m always learning — about medicine, child development, new medications. But I have to admit, learning about coding doesn’t give me the same thrill as reading about the latest treatment for RSV.
Vasectomy in the Post-Roe Era: Vas Deferens or Vas Defiance?
In the wake of the Supreme Court's decision to overturn Roe v. Wade, the landscape of reproductive healthcare in the United States has shifted dramatically. One unexpected consequence? A surge in interest in vasectomy—a safe, effective, and underutilized form of male contraception.
Revolutionizing Opioid Use Disorder Treatment: Long-Acting Injectables
The opioid crisis continues to strain healthcare systems nationwide, with millions struggling with opioid use disorder (OUD) each year. As the epidemic evolves, so do the tools available to combat it. One of the most promising advancements? Long-acting injectables (LAIs). These medications are changing the game—providing consistent dosing, minimizing diversion risk, and...
Demystifying the Peds PE
Whether you’re in primary care, urgent care, or the ED, the pediatric physical exam can be challenging. Adult vitals make sense. Adults generally cooperate. But kids? They squirm, scream, and sometimes can’t even tell you where it hurts. The pediatric exam isn’t just smaller, it’s a different beast altogether.
What NP Education is Getting Right
January was for reflection and honesty about the current state of Nurse Practitioner education; a plea to steer the ship in a different direction. Now, let's talk about what NP education is getting right. From community medicine collaborations with EMS to post-graduate fellowships, clinicians and institutions across the country are working to move our profession forward...
IV Lidocaine for Renal Colic
Early in my career, I encountered a patient with severe renal colic who also had a history of opioid use disorder, now with several years of sobriety. Our initial treatment options with the usual non-narcotic medications and IV fluids had offered some initial relief, but his pain had returned with a vengeance. His battle with opioids had been hard fought, and he was...
IM Epi, Meet Your Match: Why Intranasal Epinephrine Might Be a Game Changer
It’s every clinician’s nightmare: a pediatric patient in full-blown anaphylaxis, your team scrambling to find the epinephrine vial, draw it up, calculate the pediatric dose, triple-check the concentration — oh, and do it all in a resource-limited setting.
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