The Exchange

Commentary and Observations from
the Medical Front Lines

 

Welcome to PCE's The Exchange—Stay Current on Issues That Matter Most to You and Your NP/PA Colleagues

PCE is excited to announce the launch of The Exchange, a collection of short commentaries from your NP/PA colleagues on a broad range of topics relevant to your practice. The Exchange will bring you reflections on trends in medicine, observations about new treatments and guidelines, and advice related to career decisions and practicing in today's changing healthcare environment.


Impact of Prenatal and Early-life Pollution Exposure on Development of Asthma in Children

Impact of Prenatal and Early-life Pollution Exposure on Development of Asthma in Children

Research suggests an association of early-life pollution exposure and the development of asthma in childhood. Perinatal exposure to a variety of pollutants such as nitric oxide, ozone, and particulate matter has been reported to increase the likelihood of developing allergic disease and asthma.

A recent cohort study by Zhang et al shows that prenatal and early-life exposure to particulate matter less than 10 μm in diameter was associated with increased risk of development of asthm... Continue Reading

Filed under: Allergy/Immunology, Public Health

Prenatal Vitamin D Supplementation and the Development of Allergic Disease

Prenatal Vitamin D Supplementation and the Development of Allergic Disease

It is suggested that the increasing prevalence of vitamin D insufficiency worldwide could be a factor in the rising rates of allergic rhinitis, atopic diseas... Continue Reading

Filed under: Allergy/Immunology, Women's Health

Attitude: Reframing a Bad Diagnosis

Attitude: Reframing a Bad Diagnosis

As medical practitioners it can be our job to inform patients of serious illness. Any diagnosis that is new to the patient and implies changing one's li... Continue Reading

Filed under: Miscellaneous

Scary Words in Rheumatology

Scary Words in Rheumatology

There are many rheumatology words that are difficult to pronounce, poorly understood, and that can generate fear in both practitioners and patients. As such,... Continue Reading

Filed under: Rheumatology

New and First Ever Chest Pain Guidelines Released

New and First Ever Chest Pain Guidelines Released

There's exciting news in the world of cardiovascular medicine! A multi-joint medical society (2021 AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR) has published the "Guide... Continue Reading

Filed under: Cardiometabolic

Wearable Technology Is Helpful, But Not Perfect

Wearable Technology Is Helpful, But Not Perfect

We have all seen this scenario before: A patient comes in and tells you that they've seen a concerning reading on their smartphone or smartwatch regarding so... Continue Reading

Filed under: Miscellaneous

A Veteran, A Legacy

A Veteran, A Legacy

Loretta C. Ford, EdD, RN, PNP, NP-C, CRNP, FAAN, FAANP—an icon in the nurse practitioner (NP) world—turned 100 on December 28, 2020. Loretta, who is know... Continue Reading

Filed under: NPs & PAs

Happy Nurse Practitioner Week

Happy Nurse Practitioner Week

National Nurse Practitioner (NP) Week is celebrated this year from November 7-13. The theme for 2021 is "NPs going the extra mile." The American Association... Continue Reading

Filed under: NPs & PAs

Non-radiographic Axial Spondyloarthropathy—Often Not Recognized and Commonly Misdiagnosed

Non-radiographic Axial Spondyloarthropathy—Often Not Recognized and Commonly Misdiagnosed

Non-radiographic axial spondyloarthropathy (nr-axSpA) is an autoimmune, inflammatory disease affecting the spine, sacroiliac joints, and hips. Unlike its mor... Continue Reading

Filed under: Rheumatology

IV Tocilizumab Shortage for Rheumatology Patients: A Result of the COVID-19 Pandemic

IV Tocilizumab Shortage for Rheumatology Patients: A Result of the COVID-19 Pandemic

The COVID-19 pandemic has brought many challenges to our daily rheumatology practices: From the initial switch to mostly telemedicine appointments in early 2... Continue Reading

Filed under: Miscellaneous, Rheumatology

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