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.


Sexual Health in Patients With Rheumatic Disease: How to Ask Sensitive Questions in a Clinical Setting

Sexual Health in Patients With Rheumatic Disease: How to Ask Sensitive Questions in a Clinical Setting

It is not easy to ask our patients about sexual health and functioning. The European Alliance of Associations for Rheumatology (EULAR) 2022 meeting held in early June had an interesting abstract on using the Changes in Sexual Functioning Questionnaire (CSFQ)-14. This questionnaire was used as a means to assess sexual functioning in patients with rheumatoid arthritis (RA) and psoriatic arthritis (PsA).

Researchers interviewed 188 patients (RA, PsA, and healthy controls) and measured... Continue Reading

Filed under: Miscellaneous, Rheumatology

Novel Medication Sequencing for Treatment of Osteoporosis

Novel Medication Sequencing for Treatment of Osteoporosis

For the remainder of 2022, there are no new medications for osteoporosis expected to become available in the US. With more than 10 million Americans older th... Continue Reading

Filed under: Orthopedics, Rheumatology

Honest and Confident Patient-Provider Relationships

Honest and Confident Patient-Provider Relationships

Continuing Adelaide's case example from post 1 and... Continue Reading

Filed under: NPs & PAs, Practice Management/Career

Addressing Goals of Care in Primary Care Practice

Addressing Goals of Care in Primary Care Practice

In this post, I want to continue discussing Adelaide's case and how she can teach us about practicing primary palliative care. If you recall from my Continue Reading

Filed under: NPs & PAs

JAK Inhibitors for the Management of Atopic Dermatitis

JAK Inhibitors for the Management of Atopic Dermatitis

Atopic dermatitis (AD) is a chronic, relapsing, inflammatory skin disease estimated to affect up to 20% of children and 7% of adults. It is classically chara... Continue Reading

Filed under: Allergy/Immunology, Dermatology

Dupilumab Now Approved for Eosinophilic Esophagitis

Dupilumab Now Approved for Eosinophilic Esophagitis

Eosinophilic esophagitis (EoE) is a gastrointestinal disorder characterized by eosinophilic inflammation of the esophagus. Symptoms of EoE present broadly; t... Continue Reading

Filed under: Gastroenterology, Preventive Medicine

Dietary Sodium Restriction in Patients With Heart Failure

Dietary Sodium Restriction in Patients With Heart Failure

There are about 6.2 million adults in the United States living with heart failure (HF), according to the Centers for Disease Control and Prevention. It is we... Continue Reading

Filed under: Cardiometabolic, Pulmonary Medicine

Bleeding Risk with Apixaban and Systemic Fluconazole Use

Bleeding Risk with Apixaban and Systemic Fluconazole Use

We, as healthcare professionals, are aware that we must check for drug interactions in our patients taking multiple medications. In the specific setting of a... Continue Reading

Filed under: Cardiometabolic, Pulmonary Medicine

Monkeypox: Clinical Recognition

Monkeypox: Clinical Recognition

As healthcare providers, we have been alerted by local public healthcare agencies, healthcare institutions, the internet, and news sources to be vigilant for... Continue Reading

Filed under: Infectious Diseases, Public Health

Monkeypox: What Is This Latest Infectious Disease?

Monkeypox: What Is This Latest Infectious Disease?

Monkeypox is a rare viral disease caused by a pox virus in the Orthopoxvirus genus in the family Poxviridae; vaccinia, cowpox, and variola... Continue Reading

Filed under: Infectious Diseases, Public Health

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