Environmental Myth-Busting: What Clinicians Really Need to Know
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You Want to Start a Pediatric Private Practice? Here's What to Know
So, you're a general pediatrician dreaming of building your own private practice. No bureaucracy, full creative control, and the joy of shaping a practice that reflects your values. Sounds exciting, right? But then reality sets in: where do you even begin?
Atraumatic Spinal Compression Fractures
Identifying an atraumatic T12 or L1 compression fracture requires a high index of suspicion, as these injuries often present without a clear mechanism of injury. We frequently see postmenopausal women presenting with sudden midline back pain after something as simple as bending over.
The thoracolumbar junction is the most frequent site for these injuries. A T12 compression fracture occurs at the transition point between the more rigid...
The Febrile Toddler: Diagnosis and Management of Fever in Ages 3 to 36 Months
Few chief complaints in pediatrics are as common—or deceptively simple—as fever in children. Especially when that fever shows up in toddlers without a clear source.
Biologics 101: What Clinicians Need to Know
Biologic medications have transformed the treatment landscape for autoimmune and chronic inflammatory diseases. While initiation often comes from specialists like rheumatologists, dermatologists, and allergists, clinicians are increasingly likely to encounter patients who are taking or being considered for biologic therapy. Understanding how these medications work, what conditions they treat, and the safety implications is essential for...
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Snake Bites and Antivenom: Tales from the Pit and What You Need to Know
I grew up on a military base near a small border town in New Mexico. As a child of the 90s, the ideas of what were considered reasonable and safe childhood activities differed greatly from today's standards. A shining example of this was at Moore's Trading Post, a local pawn shop and military surplus store just a few miles from the city limits. They were most famous for their rattlesnake pit near the entrance to the shop.
Managing Financial Toxicity with Prescription Drug Costs
Let’s be honest: most of us in healthcare didn’t learn about how much medications actually cost our patients when we trained. The system is opaque, the rules are ever-changing, and even the language is confusing.
Pyloric Stenosis: Don’t Miss This Classic Diagnosis
Imagine this: a 4-week-old infant is brought to your urgent care with persistent vomiting. The parents are anxious, the baby looks a bit dry, and your differential is wide. Does pyloric stenosis come to mind?
Mental Health Training for Primary Care and Urgent Care
Mental health might not be what we trained for, but in primary care and urgent care, it’s become a core part of the job. Managing anxiety, depression, and ADHD can be a daily challenge, especially when psychiatric support is limited.
Is This Long COVID? A Clinician’s Guide to the Puzzling Symptoms in Kids
When a school-age child comes into clinic with fatigue, brain fog, or vague chest discomfort that just won’t quit, you might hear that little voice in your head: Could this be long COVID?
Spot the Scammers: How to Protect Yourself from Medical Scams
Let’s set the scene: You’re finishing up clinic, maybe finally stealing a minute for lunch, when your phone rings. It’s the medical board—or so it seems. The caller knows your license number, your full name, and insists your credentials have been used in a drug trafficking scheme in another state. They sound serious. You’re a responsible provider and a little spooked, so you listen.
