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...
Recent blog posts
Rethinking the Spinal Tap: The Paramedian Approach for Lumbar Puncture
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...
Can AI Really Help Clinicians with Note-Writing? Let's Talk About It.
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: Debunking Myths and Clarifying Treatments
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.
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Alpha-Gal Allergy Is on the Rise: A Practical Guide for Clinicians
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...
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.”
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...
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.
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