The Exchange

Commentary and Observations from
the Medical Front Lines

Susan M. Tiso, DNP, APRN, FNP-BC

Susan M. Tiso, DNP, APRN, FNP-BC

  • Clinical Professor
  • DNP/NP Program Director
  • Sue & Bill Gross School of Nursing
  • University of California, Irvine
  • Irvine, California
Post-COVID Health Conditions

Post-COVID Health Conditions

As we climb out of this pandemic, a new syndrome is emerging: Post-Acute Sequelae of SARS-CoV-2 Infection (PASC), also known as post-COVID conditions or long COVID syndrome. There are a wide range of symptoms reported by survivors of COVID-19, many of whom initially had asymptomatic or mild illness.

In a recently published study by Lambert et al of 5163 subjects reporting symptoms for more than 21 days after COVID-19 infection, symptoms included fatigue (79.0%), headache (55.3%), sho... Continue Reading

Filed under: Infectious Diseases, Public Health

COVID- 19 and Trust in Healthcare in the US: Where Has it Gone?

COVID- 19 and Trust in Healthcare in the US: Where Has it Gone?

We are so fortunate in the United States to have access to not only the COVID- 19 vaccine, but also to options as to which vaccine to receive. Most Americans... Continue Reading

Filed under: Health Policy and Trends, Public Health

The 2020 Pandemic Thanksgiving: Creating a “Safer” Gathering for Family and Friends

The 2020 Pandemic Thanksgiving: Creating a “Safer” Gathering for Family and Friends

What is the best plan for safely gathering with family and/or friends this Thanksgiving, given the ongoing pandemic and rising numbers of hospitalizations an... Continue Reading

Filed under: Infectious Diseases, Public Health

The 2020 Pandemic Thanksgiving: Creating a “Safer” Setting for the Big Meal

The 2020 Pandemic Thanksgiving: Creating a “Safer” Setting for the Big Meal

What are some options for hosting a Thanksgiving meal with family and/or friends, while reducing some of the known risks associated with sharing meals? Infec... Continue Reading

Filed under: Infectious Diseases, Public Health

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

Breastfeeding and Coronavirus: My Experience From the Frontlines With an Infected Mom

Breastfeeding and Coronavirus: My Experience From the Frontlines With an Infected Mom

One of the challenging features of COVID-19 is its ability to sweep through families. In my experience, this is more prevalent in multigenerational family li... Continue Reading

Filed under: Infectious Diseases, Public Health, Women's Health

Coronavirus Transmission and Superspreading Events: Can What We’ve Learned Help Inform Future Guidelines?

Coronavirus Transmission and Superspreading Events: Can What We’ve Learned Help Inform Future Guidelines?

Across the United States, businesses are starting to open under government-guided restrictions. The reopening guidelines vary from state to state and even fr... Continue Reading

Filed under: Infectious Diseases, Public Health

Telehealth Visits During the COVID-19 Pandemic: What are the Benefits?

Telehealth Visits During the COVID-19 Pandemic: What are the Benefits?

Never before has there been such a frenzy of media exposure about an infectious disease as there has been surrounding COVID-19. We are faced with constant up... Continue Reading

Filed under: Health Policy and Trends, NPs & PAs, Practice Management/Career

Game Changer: Telehealth for NPs and PAs in the Age of COVID-19

Game Changer: Telehealth for NPs and PAs in the Age of COVID-19

Having worked as a nurse practitioner for almost 30 years, I have seen so much change and evolution in health care, from practice standards to system changes... Continue Reading

Filed under: Health Policy and Trends, NPs & PAs, Practice Management/Career

Coronavirus Update: Transmission – What Do We Know?

Coronavirus Update: Transmission – What Do We Know?

On January 30, 2020, the first confirmed case of person-to-person 2019 novel coronavirus (2019-nCoV) transmission was reported in the United States. Also on... Continue Reading

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

Coronavirus Update: Thoughts on Its Origin

Coronavirus Update: Thoughts on Its Origin

We've known for years that influenza virus occurs in both humans and animals—including swine and birds—and... Continue Reading

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

Intermittent Fasting

Intermittent Fasting

If you think about how humans have been eating for centuries, it has likely included some "natural" intermittent fasting. For examp... Continue Reading

Filed under: Cardiometabolic, Miscellaneous, Preventive Medicine, Public Health

circadian rhythm clock

Circadian Rhythms and Metabolic Syndrome

As researchers explore the complex relationship of circadian rhythm and metabolic syndrome, they are searching for root causes and best treatment approaches Continue Reading

Filed under: Cardiometabolic, Miscellaneous, Preventive Medicine, Public Health

Beware: The “Ankle-biter” Mosquitoes

Beware: The “Ankle-biter” Mosquitoes

It's the end of summer and the mosquitoes are biting. Two invasive (non-native) mosquito species have been identified in California and other parts of the Un... Continue Reading

Filed under: Infectious Diseases, Public Health

What’s the Best Way to Stay Hydrated?

What’s the Best Way to Stay Hydrated?

I see patients with acute illnesses in urgent care every week, and many have fever and anorexia, and are a bit dehydrated. As part of the management plan, I... Continue Reading

Filed under: Miscellaneous, Public Health

Do Meal Times Affect Weight Control?

Do Meal Times Affect Weight Control?

In 2009, researchers at Northwestern University conducted a study on mice and timed feeding, later publishing their research in Obesity. For 6 weeks... Continue Reading

Filed under: Preventive Medicine, Public Health

Are Chemicals Making Us Fat?

Are Chemicals Making Us Fat?

Holistic health proponents are advocating to get rid of our so-common use of plastics for environmental as well as health reasons. For example, did you ever... Continue Reading

Filed under: Cardiometabolic, Preventive Medicine

It’s a Digital World: Screen Time Recommendations for Children

It’s a Digital World: Screen Time Recommendations for Children

We definitely live in a different day and age than when I was a child… As children, my siblings and I just opened the door and went outside to play all day... Continue Reading

Filed under: Miscellaneous, Preventive Medicine, Public Health

Using Policy to Impact HPV Vaccine Rates

Using Policy to Impact HPV Vaccine Rates

For more than 10 years we have had a safe and effective vaccine that can prevent several types of cancer. I understand the reluctance to accept a vaccine whe... Continue Reading

Filed under: Health Policy and Trends, Infectious Diseases, Preventive Medicine, Women's Health

Super Bowl and Food Recovery

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... Continue Reading

Filed under: Preventive Medicine, Public Health

Here We Go Again: Measles in Seattle This Time

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 outb... Continue Reading

Filed under: Health Policy and Trends, Infectious Diseases, Preventive Medicine

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