Commentary and Observations from
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Pesticide Poisoning: What APPs Should Know
Posted By: Paola Gonzalez, MPAS, PA-C
May 06, 2022
Pesticides—which can be found in insecticides, herbicides, fungicides, rodenticides, molluscicides, and nematicides—can pose health risks to humans by impairing enzymes such as acetylcholinesterase and cytochrome c reductase, ion channels, and receptors. In animals, many of these pesticides have been linked to elevated rates of liver or kidney cancer.
From the 1940s through the 1960s, prior to extensive research on their adverse effects, organochlorine pesticides (ie, dichlorodi... Continue Reading
Filed under: Curbside Consultations, Miscellaneous

Glomerular Filtration Rate and Race
Posted By: Ben Taylor, PA-C, PhD, DFAAPA
April 05, 2022
In the United States, more than 37 million adults have either acute or chronic kidney disease. Unfortunately, kidney disease disproportionately affects a pop... Continue Reading
Filed under: Curbside Consultations

Hyperuricemia and Renal Disease
Posted By: Shannon Ghizzoni, PA-C
April 01, 2022
Gout and renal disease exist with a bidirectional relationship: gout can cause renal disease and renal disease can cause gout. Numerous studies have found th... Continue Reading
Filed under: Curbside Consultations, Rheumatology

Yes, You Really Can Be “Allergic” to the Cold
Posted By: Amanda Michaud, MMS, PA-C
March 15, 2022
Cold-induced urticaria is a subtype of chronic inducible urticaria that affects approximately 0.05% of the global population. Unlike chronic spontaneous urti... Continue Reading
Filed under: Allergy/Immunology, Curbside Consultations

Facilitating Behavior Changes
Posted By: Mary Knudtson, DNSc, NP, FAAN
February 18, 2022
I recently listened to a very good speaker on helping patients with behavior change. Dr Judson Brewer is an addiction psychiatrist who has researched mindful... Continue Reading
Filed under: Curbside Consultations, Miscellaneous

Vitamin D, Fish Oil, and Autoimmune Disease
Posted By: Mary Knudtson, DNSc, NP, FAAN
February 15, 2022
A recently published ancillary study found that patients 50 years of age and older who took daily vitamin D and fish oil (omega-3 fatty acids) supplements ha... Continue Reading
Filed under: Curbside Consultations, Public Health

Arterial Occlusion, Part 1
Posted By: Ben Taylor, PA-C, PhD, DFAAPA
December 10, 2021
Today we are going to discuss arterial occlusion, as I have seen multiple lawsuits brought against advanced practice providers (APPs) for missed diagnoses of... Continue Reading
Filed under: Cardiometabolic, Curbside Consultations

How to Withdraw Life Support
Posted By: John Hardisty, MS, MSPAS, PA-C
October 05, 2021
This is a follow-up to my previous blog... Continue Reading
Filed under: Curbside Consultations, Miscellaneous

Palliative Care Starts Sooner Than You Think!
Posted By: John Hardisty, MS, MSPAS, PA-C
October 01, 2021
Last year, I transitioned from being an ER PA to a critical care PA, now working in our hospital's ICU. It was not the hardest job change I have ever made: I... Continue Reading
Filed under: Curbside Consultations, Miscellaneous