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.


Screening for Unhealthy Drug Use

Screening for Unhealthy Drug Use

Despite all the knowledge and technology that we have these days, we still see a vast amount of patients who engage in unhealthy substance use (eg, alcohol, illicit drugs, tobacco) and think that there will be no health consequences. Even if the patient frequently presents to primary care, unhealthy alcohol and other drug use often goes unrecognized. Approaches to alleviate substance use problems include screening, brief interventions, and when appropriate, referral to an addiction treatment... Continue Reading

Filed under: Public Health, Substance Abuse

Alcoholic Cardiomyopathy

Alcoholic Cardiomyopathy

I had a patient the other day who came in intoxicated and tried to "school" me on the benefits of alcohol. Yes, there are some potential heart-healthy benefi... Continue Reading

Filed under: Cardiometabolic, Substance Abuse

Climate Change and Health: Let’s Take a Stand to Save Lives!

Climate Change and Health: Let’s Take a Stand to Save Lives!

Both the World Health Organization (WHO) and the Centers for Disease Control and Prevention (CDC) agree that climate change has a significant negative effect... Continue Reading

Filed under: Miscellaneous, Public Health

Protecting Patients From Unsafe Air Quality

Protecting Patients From Unsafe Air Quality

With all of the fires raging in California, many other areas far from them are experiencing poor air quality too. Poor air quality can have both long- and sh... Continue Reading

Filed under: Public Health, Pulmonary Medicine

The Basics of Diuretic Resistance in Heart Failure

The Basics of Diuretic Resistance in Heart Failure

Increasing severity of congestion is the main reason patients with heart failure (HF) seek medical care. Extracellular fluid volume expansion is central to t... Continue Reading

Filed under: Cardiometabolic

Heart Failure With Preserved Ejection Fraction: An Overview

Heart Failure With Preserved Ejection Fraction: An Overview

Heart failure (HF) is a complex, disabling, and prevalent disease. According to the American Heart Assocation (AHA) Heart Disease and Stroke Statistics 2020... Continue Reading

Filed under: Cardiometabolic

Frontal Fibrosing Alopecia: Making the Diagnosis

Frontal Fibrosing Alopecia: Making the Diagnosis

For many providers, seeing "hair loss" as the chief complaint on a patient's chart can induce dread. Imagine how the patient feels if their clinician lacks... Continue Reading

Filed under: Dermatology

Pyoderma Gangrenosum

Pyoderma Gangrenosum

A patient presents to your clinic with a painful, rapidly expanding ulcer on a lower extremity. If pyoderma gangrenosum (PG) isn't on your differential, it s... Continue Reading

Filed under: Dermatology

Voting in the Midst of a Pandemic: What Are Some Options to Get People Registered to Vote?

Voting in the Midst of a Pandemic: What Are Some Options to Get People Registered to Vote?

Prior to the COVID-19 pandemic, US citizens who wanted to obtain a voter registration application could walk into any public library, post office, or Departm... Continue Reading

Filed under: Health Policy and Trends, Public Health

Recommending Isolation and Quarantine Timeframes for Coronavirus: Why Is There So Much Confusion?

Recommending Isolation and Quarantine Timeframes for Coronavirus: Why Is There So Much Confusion?

I have been working in a drive-through coronavirus testing site since March; part of this entails calling patients with positive COVID-19 test results to dis... Continue Reading

Filed under: Health Policy and Trends, Infectious Diseases, Public Health

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