All blog posts
By topic:
Short courses of oral steroids are part of our clinical toolkit, whether it's for COPD, asthma, back pain, or a rash that just won't quit. But even a quick burst can pack a punch. If your patient comes back with high blood sugars or mood changes after a Medrol Dosepak, you’re not alone.
Bedside ultrasound has become a common tool in many EDs. Potentially one of the most important uses of ultrasound is during resuscitation. When a patient is crashing and every moment counts, having the ability to quickly assess the clinical situation and make critical decisions is paramount.
If you’re walking into 2026 feeling a bit overstretched, over-messaged, and maybe even a little under-caffeinated, you’re in good company. Clinical work has never been more complicated. Information is noisier, time feels tighter, and tough conversations seem to show up in nearly every shift.
Last year, my healthcare system was struck by a cyberattack. Overnight, our electronic systems were down and we lost access to all of our usual digital tools—no electronic health record (EHR) access, no online prescribing, no ability to order lab tests or diagnostic imaging studies electronically. Meanwhile, our waiting room was full and our schedules were packed with back-to-back appointments. The ransomware downtime lasted five weeks and...
It’s 2 a.m., and you’ve got a 28‑year‑old with signs of meningitis: fever, neck stiffness, altered mentation. You prep for the usual midline lumbar puncture, but the patient is obese, and you can’t clearly palpate the landmarks. The first stick goes bone‑deep, and there’s no CSF. Your frustration builds. The patient shifts; you adjust, but there is still no flow! What are you going to do next?
Imagine this: you’ve just finished seeing a full panel of patients, your inbox is overflowing, and you still have six notes to finish before you can even think about heading home. Sound familiar? Chances are you’ve daydreamed about a world where charting doesn’t steal your evenings or your sanity. Enter: AI note-writing assistants.
Warts aren't dangerous or life-threatening, but they can be incredibly frustrating for our patients. In primary and urgent care settings, clinicians frequently see patients who've tried every home remedy under the sun — from banana peels to apple cider vinegar — before coming in. Let's clear up the confusion and look at what really works.
It sounds like something out of a science fiction movie: a person gets bitten by a tick and then, months later, develops a mysterious allergy to red meat. Short of Peter Parker’s fateful spider bite and the superpowers it conferred on him, how can an insect bite — which may go completely unnoticed at the time — cause such a change in a person’s health? And how can clinicians diagnose and manage this unusual condition in everyday practice?
“My dermatologist sent me to the ER for my blood pressure, and they told me I’m going to have a stroke.”
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).
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.
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.