Articles matching the ‘Patient Care’ Category

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May 11th, 2017

Leaving Against Medical Advice (AMA): A Clinician’s Dilemma

“You’ll have to sign out against medical advice (AMA) . Your blood pressure is high.” The ER physician stood in the doorway of my room. “What difference would it make now?” I asked. The doctor fiddled with the cuffs of his white coat, then glanced at his cell phone. I picked up my car keys. “High blood pressure is dangerous,” […]


May 5th, 2017

Deep Brain Stimulation Targeting in Neurosurgery, Part III of III

This is the final part of a three-part series on deep brain stimulation (DBS) targeting designed for providers who lack an intimate level of knowledge and/or experience with this subject matter. In Part I, I discussed the ventralis intermedius (Vim) target as well as an overview of DBS, equipment, and programming, and Part II covered the […]


April 27th, 2017

Getting Worked Up Over Kids’ Fevers

Few things worry a mother more than a baby with a fever. With my own girls, I am naturally uneasy and do not like when they have fevers, even though as a health care provider I know that fevers are natural. But it wasn’t until my three-year-old started having chronic fevers that I realized how […]


April 21st, 2017

Brainstorm: Are Subarachnoid Hemorrhages Affected by the Weather?

When I walked into the ICU and stared at the roster of current patients, my jaw hit the floor. “Ho-lee cow,” I said as I scanned the list of diagnoses. The entire unit was full of patients with hemorrhages in their skulls. “Yeah, man.” The physician finishing the previous night’s shift leaned back in his chair. “Didn’t […]


April 14th, 2017

Is There an NP on Board?

It was a moment I’d anticipated for nearly 7 years — not with excitement, but with dread. Two weeks ago, I boarded a plane, having won the lottery known as the standby list. Due to heavy wind, all flights were departing from a single runway and because of delays, the airline had thrown in a […]


April 10th, 2017

Pulmonary Embolus: Evaluating the Five Ps of PE

Years ago, my physician father said to me; “If something does not make sense, if you struggle to determine the pathology, consider pulmonary embolus (PE).” More recently, an ER physician colleague offered me the following advice: “If you think about PE, test for it.” Of course, an astute clinician places both pieces of wisdom into context. I am not going to look […]


April 4th, 2017

Of Little Hearts and Little Teeth

Recently, I had to cancel a child’s heart surgery because she had multiple cavities. I recall spending close to an hour explaining the surgical process and obtaining a complete history and physical only to then discover obvious caries on multiple teeth during an oral exam. Turning to the parents, I asked when their daughter had last […]


March 29th, 2017

Deep Brain Stimulation Targeting in Neurosurgery, Part II of III

This is Part II of a three-part series on deep brain stimulation (DBS) targeting designed for providers who lack an intimate level of knowledge and/or experience with this subject matter. In Part I, the ventralis intermedius (VIM) target as well as an overview of DBS, equipment, and programming were discussed. Globus Pallidus Internus (GPi) Where is […]


March 23rd, 2017

When Medicine Is Hard

My posts are usually lighthearted and (hopefully) informative observations on the differences between my experiences in medicine here in the U.K. versus the U.S. But today I am writing about something that’s both personal and cross-cultural —  something that has at times been a struggle for me and likely has been a struggle for health […]


March 8th, 2017

Planning for End-of-Life Care: Patients and Providers Working Together

I was sitting alone in a parking lot last Tuesday, waiting to meet one of my undergraduate students and her nursing preceptor for a hospice home visit. Little did I know, sitting there in my car, that I would not make it to that visit; instead I was redirected by a phone call to the […]


NP/PA Bloggers

NP/PA Bloggers

Bianca Belcher, MPH, PA‑C
Elizabeth Donahue, RN, MSN, NP‑C
Alexandra Godfrey, BSc PT, MS PA‑C
Emily F. Moore, RN, MSN, CPNP‑PC, CCRN
Harrison Reed, PA‑C

Advanced practice clinicians treating patients in a variety of settings and specialties

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