The Exchange

Commentary and Observations from
the Medical Frontlines

 
<a href='/the-exchange/what-is-the-best-treatment-for-painful-osteoporotic-compression-fractures-of-the-spine-'>What is the Best Treatment for Painful Osteoporotic Compression Fractures of the Spine?</a>

What is the Best Treatment for Painful Osteoporotic Compression Fractures of the Spine?

Pop quiz: What is the best method of treatment for osteoporotic compression fractures of the spine?

  • Nonsurgical treatment (NST)
  • Balloon kyphoplasty (BK)
  • Percutaneous vertebroplasty (PVP)
  • more >

    Found in: Rheumatology

<a href='/the-exchange/a-view-of-rheumatology-from-31-years-and-30-000-feet'>A View of Rheumatology From 31 Years And 30,000 Feet</a>

A View of Rheumatology From 31 Years And 30,000 Feet

The last 31 years of my PA career has been in the subspecialty of rheumatology. As I reflect on the changes in the field, I have become aware of the incredible more >

<a href='/the-exchange/was-the-apple-heart-study-virtually-useless-'>Was the Apple Heart Study Virtually Useless?</a>

Was the Apple Heart Study Virtually Useless?

When Apple included in the Apple Watch the capability of providing public health apps in detecting things such as falls and irregular pulses, many began to more >

<a href='/the-exchange/universal-influenza-vaccine-begins-phase-i-clinical-trials'>Universal Influenza Vaccine Begins Phase I Clinical Trials </a>

Universal Influenza Vaccine Begins Phase I Clinical Trials

The National Institutes of Health have begun the first clinical trial of an innovative universal influenza vaccine candidate. A Phase I trial will examine the more >

<a href='/the-exchange/fluoroquinolone-use-and-the-potential-risk-for-aortic-aneurysm-or-dissection'>Fluoroquinolone Use and the Potential Risk for Aortic Aneurysm or Dissection</a>

Fluoroquinolone Use and the Potential Risk for Aortic Aneurysm or Dissection

Fluoroquinolones have long been a popular class of antibiotics for use in a myriad of infections. There are even newer fluoroquinolones that have been more >

<a href='/the-exchange/aspirin-use-for-ascvd-prevention'>Aspirin Use for ASCVD Prevention</a>

Aspirin Use for ASCVD Prevention

For decades aspirin has been a staple of primary prevention of atherosclerotic cardiovascular disease (ASCVD) in at-risk populations, based on recommendations more >

<a href='/the-exchange/use-of-simulation-in-np-and-pa-programs'>Use of Simulation in NP and PA Programs</a>

Use of Simulation in NP and PA Programs

In the last several years, both NPs and PAs have sent out surveys on the use of simulation in their programs, and articles have been published with the more >

<a href='/the-exchange/the-history-of-simulation'>The History of Simulation</a>

The History of Simulation

As director of a simulation center at an academic institution, it has been exciting to see the remarkable advances made in this field over more >

<a href='/the-exchange/expanding-jak-inhibitor-market-for-ra-on-the-horizon-in-2019--which-one-is-the-best-'>Expanding JAK Inhibitor Market for RA on the Horizon in 2019: “Which One Is the Best?”</a>

Expanding JAK Inhibitor Market for RA on the Horizon in 2019: “Which One Is the Best?”

Rheumatoid arthritis (RA) treatments continue to improve outcomes in the latest clinical trials. At the 2018 American College of Rheumatology (ACR) meeting more >

<a href='/the-exchange/cares-study-prompts-fda-boxed-warning-on-febuxostat'>CARES Study Prompts FDA Boxed Warning on Febuxostat</a>

CARES Study Prompts FDA Boxed Warning on Febuxostat

On February 21, 2019, the US Food and Drug Administration (FDA) issued a boxed warning on febuxostat. This was a result of the CARES study published in the more >

<a href='/the-exchange/caution-population-is-having-more-heart-attacks-at-a-younger-age'>Caution: Population Is Having More Heart Attacks at a Younger Age</a>

Caution: Population Is Having More Heart Attacks at a Younger Age

This March, the American College of Cardiology will meet in New Orleans for their annual scientific assembly, and one major discussion will be the growing more >

<a href='/the-exchange/patient-autonomy-keeping-our-patients-self-determination-preserved'>Patient Autonomy: Keeping Our Patients’ Self-Determination Preserved</a>

Patient Autonomy: Keeping Our Patients’ Self-Determination Preserved

If you’ve practiced in medicine for at least 20 years, you may remember the case of Terri Schiavo, a woman in her 20s who was in a coma for more than a more >

<a href='/the-exchange/who-should-be-responsible-social-media-and-accurate-vaccine-information'>Who Should Be Responsible? Social Media and Accurate Vaccine Information</a>

Who Should Be Responsible? Social Media and Accurate Vaccine Information

The World Health Organization recently listed what they call “vaccine hesitancy”—the reluctance or refusal to be vaccinated despite the availability of more >

<a href='/the-exchange/how-much-revenue-do-you-and-your-practice-generate-for-your-hospital-'>How Much Revenue Do You—and Your Practice—Generate for Your Hospital?</a>

How Much Revenue Do You—and Your Practice—Generate for Your Hospital?

Merritt Hawkins, a large search firm specializing in physicians and advanced practice providers (APPs), has published their periodic survey report detailing more >

<a href='/the-exchange/vaping-what-parents-need-to-know'>Vaping: What Parents Need to Know</a>

Vaping: What Parents Need to Know

So what is vaping? Vaping is the inhaling and exhaling of an aerosol produced by using a vaping device. Vaping is illegal for anyone under the age of 18, and more >

<a href='/the-exchange/substance-use-disorders-in-youth'>Substance Use Disorders in Youth</a>

Substance Use Disorders in Youth

In the United States, about 5% of youth aged 12 to 17 will develop a substance use disorder (SUD) each year, but fewer than 10% of the 1.3 million youth who more >

<a href='/the-exchange/how-do-you-make-a-diagnosis-of-gout-without-seeing-msu-crystals-under-a-microscope-'>How Do You Make a Diagnosis of Gout Without Seeing MSU Crystals Under a Microscope?</a>

How Do You Make a Diagnosis of Gout Without Seeing MSU Crystals Under a Microscope?

Primary care/urgent care/emergency rooms are all settings where acute monoarthritis is seen. The differential diagnosis includes acute crystal arthritis (gout, more >

<a href='/the-exchange/is-long-term-survival-associated-with-the-use-of-nitrogen-containing-bisphosphonates-'>Is Long-term Survival Associated With the Use of Nitrogen-containing Bisphosphonates?</a>

Is Long-term Survival Associated With the Use of Nitrogen-containing Bisphosphonates?

In the January issue of Osteoporosis International, there was an article entitled, “Mortality Risk Reduction Differs According to Bisphosphonate more >

<a href='/the-exchange/treating-the-hypertensive-patient-with-chronic-kidney-disease'>Treating the Hypertensive Patient With Chronic Kidney Disease</a>

Treating the Hypertensive Patient With Chronic Kidney Disease

Hypertension (HTN) is present in approximately 80% to 85% of patients with chronic kidney disease. Uncontrolled HTN is the second leading cause of kidney more >

<a href='/the-exchange/anticoagulants-and-recurrent-thrombosis'>Anticoagulants and Recurrent Thrombosis </a>

Anticoagulants and Recurrent Thrombosis

The other day a student asked me, “If a patient is taking a blood thinner for a previous venous thromboembolism (VTE), is it still possible for them to get a more >

<a href='/the-exchange/transcatheter-aortic-valve-replacement-what-s-in-it-for-your-patient-'>Transcatheter Aortic Valve Replacement: What's In It for Your Patient?</a>

Transcatheter Aortic Valve Replacement: What's In It for Your Patient?

Over the last few years more and more development and technology has been devoted to transcatheter aortic valve replacement, or TAVR. This procedure, developed more >

<a href='/the-exchange/states-involvement-with-medicaid-expansion'>States' Involvement With Medicaid Expansion</a>

States' Involvement With Medicaid Expansion

For a little over 50 years, Medicaid has provided health care as a stop gap to millions of people. With the passage of the Affordable Care Act (ACA), few more >

<a href='/the-exchange/super-bowl-and-food-recovery'>Super Bowl and Food Recovery</a>

Super Bowl and Food Recovery

Super Bowl Sunday is reportedly one of the biggest eating days of the year, behind Thanksgiving. There were lots of parties and celebrations this week, which more >

<a href='/the-exchange/here-we-go-again-measles-in-seattle-this-time'>Here We Go Again: Measles in Seattle This Time</a>

Here We Go Again: Measles in Seattle This Time

As of January 31, 2019, there were 42 confirmed cases of measles in the Pacific Northwest. This includes 41 cases in Clark County, the epicenter for the more >

<a href='/the-exchange/leading-the-charge-toward-maintenance-of-certification-changes'>Leading the Charge Toward Maintenance of Certification Changes</a>

Leading the Charge Toward Maintenance of Certification Changes

The rationale and justification behind certification examinations has always been explained to me as it must be guaranteed to patients that anyone practicing more >

<a href='/the-exchange/who-should-step-up-to-help-in-an-in-flight-medical-emergency-'>Who Should Step Up to Help in an In-flight Medical Emergency?</a>

Who Should Step Up to Help in an In-flight Medical Emergency?

Recently I got an email from Medscape that detailed three articles, and one piqued my curiosity: “Who Should Step Up to Help in an In-flight Medical more >

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