Commentary and Observations from
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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
Posted By: 
Richard S. Pope, PA-C, MPAS
August 05, 2022
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
Posted By: Richard S. Pope, PA-C, MPAS
August 02, 2022
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
Posted By: 
Tracey M. Piparo, PA-C
July 26, 2022
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
Posted By: Tracey M. Piparo, PA-C
July 22, 2022
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
Posted By: 
Amanda Michaud, MMS, PA-C
July 19, 2022
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
Posted By: Amanda Michaud, MMS, PA-C
July 12, 2022
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
Posted By: 
Ben Taylor, PA-C, PhD, DFAAPA
July 08, 2022
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
Posted By: Ben Taylor, PA-C, PhD, DFAAPA
July 06, 2022
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
Posted By: 
Susan Tiso, DNP, FNP-BC
July 01, 2022
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?
Posted By: Susan Tiso, DNP, FNP-BC
June 29, 2022
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