Asymptomatic Hypertension ACEP Clinical Guidelines Updates
“My dermatologist sent me to the ER for my blood pressure, and they told me I’m going to have a stroke.”
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The Subtle Art of Eating Lunch
We are all guilty of it, and for most of us, it probably happened during our last shift. A protein bar while answering emails, a quick donut from the nurses' lounge in between patients. Eating your salad from the cafeteria while catching up on notes during lunch. The first sip of your breakfast meal replacement (aka energy drink/coffee).
Practical Tips for GLP 1 Prescribing in Primary Care
If you work in primary care, chances are you’re talking about GLP-1 prescriptions for weight loss multiple times a day. Maybe you're explaining why Wegovy isn’t covered, managing labs and titration schedules, or helping a patient understand why they regained weight after stopping. It's a challenging landscape, and we’re all trying to keep up.
CGMs Are No Longer Just for “The Sickest” Diabetics. Here’s What Changed.
There was a time when prescribing continuous glucose monitors (CGMs) felt like an impossible ask unless your patient had type 1 diabetes or was on multiple daily insulin injections. Between the mountains of prior authorization paperwork and rigid insurance requirements, most of our patients with type 2 diabetes didn’t qualify — even if they were desperate for better data or a clearer picture of their blood sugar trends.
Labeling Changes for Menopausal Hormone Therapy: What’s New
On November 10, 2025, the FDA announced a request to change to the labeling for menopausal hormone therapy (MHT). This was big news, and it has major ramifications for our patients.
IDSA Complicated UTI Update: Shorter Courses, Smarter Treatment
It’s been more than a decade, but the Infectious Diseases Society of America (IDSA) has finally released updated guidelinesfor complicated urinary tract infections (cUTIs) — and there’s a lot for clinicians to digest.
Labial Adhesions in Young Girls: When to Treat & How
If you’ve spent any time examining toddlers with urinary complaints, chances are you’ve encountered pediatric labial adhesions — maybe without realizing it at first. It’s one of the more common yet under-discussed vulvar conditions in children, and the good news is that most of the time, management is simple, gentle, and completely in your wheelhouse.
Food Allergy or Intolerance in Children? A Practical Evaluation Guide
How to confidently identify true pediatric food allergies, avoid unnecessary testing, and support families with evidence-based care.
Managing Opioid Overdose: A Practical Guide for Clinicians
Opioid overdoses have become an unavoidable part of our daily shifts in the ED. It is a tragic commonality that transcends social and economic lines. It would be a safe bet that if you are reading this, you likely have a friend, family member, or colleague whose life has been disrupted by opioid abuse.
Still Talking About the mRNA COVID Vaccine? Us Too—and Here’s Why
We first started talking about the COVID-19 vaccine five years ago. And somehow, here we are—still talking about it. Still answering patient questions, still sorting through the latest data, and still trying to find the right words when the topic comes up in the exam room.
In Their Prime: The Geriatrics Audio Course Every Clinician Needs
The population is aging fast, and clinicians are feeling the impact. By 2030, 1 in 5 Americans will be over 65, and older adults already represent the highest healthcare utilization of any age group. Yet fewer than 45% of medical schools have a required geriatrics rotation, leaving most of us to piece together our knowledge on the fly.
Happy Nurse Practitioner Week!
Origin Story
The nurse practitioner (NP) profession can trace its roots back to a pediatric clinic in Colorado. In 1965, the first NP program was founded by Dr. Loretta Ford, a public health nurse, and Dr. Henry Silver, a pediatrician. This was in response to an expansion of Medicare and Medicaid that left many at-risk populations without adequate access to primary care, particularly in the pediatric population. Two years later, Boston...