The reason for this blog post is to bring awareness to a common scenario we see on a daily basis, long term proton pump inhibitor use. I see multiple new patients come in the office who list either Prilosec or Nexium as a daily medication. When I go over their medications and ask about these PPI’s the patient typically tells me they have been taking them for “awhile” and buy them over the counter so they won’t get heartburn. When I ask them how long “awhile” is, I generally hear anywhere from six months to a few years.[Read more…] about GERD Management and Patient Education
As health care providers we wear many different hats, we have such an awesome responsibility of caring for our patients. A few of our responsibilities include diagnosing, treating, educating, encouraging and the list goes on. One of my favorite roles in caring for patients is focusing on the prevention of disease. I think as providers one of the best feelings in the world is seeing our patients move away from the illness end of the spectrum to the wellness end of the spectrum. In this blog post I’m going to focus on encouraging and educating our patients on nutrition and physical activity.[Read more…] about Prevention is Key
The ketogenic diet is literally everywhere we look these days. Originally this diet was designed to treat epilepsy, but has recently become popular among the weight loss community. It’s on the cover of most of “those” magazines at the checkout stand, claiming to be the “magic pill” diet, if you will, saying that there will be weight just melting off by restricting carbohydrate intake, and increasing fat intake, while maintaining moderate protein. There is no doubt that this diet has worked wonders for people as far as weight loss, as there have been many anecdotal stories regarding it. But is this diet for everyone?[Read more…] about Why Keto May Not Be for Everyone
Medical Assessment Tips
In school and clinicals we all learn how to take a thorough history and perform a physical assessment. Collecting this information is the foundation for our diagnosis and plan of care for our patients. As we get into practice we continue to develop and fine tune our history taking and physical assessment skills. I’m going to share a few pearls that I have learned along the way working as a nurse practitioner in the outpatient setting.[Read more…] about Examination Pearls
One of the most common chief complaints in primary care, urgent care, and emergency room settings is that of low back pain. It is, in fact, according to a presentation by Roger Chou, MD, per Providers Clinical Support System, the 5th most common reason for office visits in the United States. That equates to about 5% of primary care office visits. The prevalence of this chief complaint is rising, which is resulting in more prescriptions of opioids for treatment of this pain. Opioids are, in fact, the most commonly prescribed medication for low back pain. However, given that we are in the midst of an opioid crisis, the last thing we, as providers, want to do is to contribute to this problem, if at all possible. So, what exactly can we do to treat our patients effectively, while minimizing harm to the patient, and potentially to others?[Read more…] about Management of low back pain amidst an opioid crisis
Have you ever had your tooth knocked out?
If you answered yes, you are not alone and probably know what to do. But if you have not, you will be someone’s hero in knowing how to manage a knocked out tooth.[Read more…] about How to Manage a Knocked-Out Tooth