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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?
Read moreAm I allowed to say that figuring out atraumatic back pain is a pain in the behind? While the differential diagnosis is wide and we can’t forget all of the life-threatening causes of back pain, atraumatic spinal compression fractures remain among the differential. These fractures can present subtly, without any clear injury, which means urgent care clinicians need a high index of suspicion.
Read moreFew 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.
Read moreBiologic 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...
Read moreI 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.
Read moreLet’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.
Read moreImagine 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?
Read moreMental 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.
Read moreWhen 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?
Read moreLet’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.
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