The Exchange

Commentary and Observations from
the Medical Front Lines

Latest Curbside Consultations Articles on PCE's The Exchange

Pesticide Poisoning: What APPs Should Know

Pesticide Poisoning: What APPs Should Know

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

Glomerular Filtration Rate and Race

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

Hyperuricemia and Renal Disease

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

Yes, You Really Can Be “Allergic” to the Cold

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

Facilitating Behavior Changes

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

Vitamin D, Fish Oil, and Autoimmune Disease

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

Arterial Occlusion, Part 1

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

How to Withdraw Life Support

This is a follow-up to my previous blog... Continue Reading

Filed under: Curbside Consultations, Miscellaneous

Palliative Care Starts Sooner Than You Think!

Palliative Care Starts Sooner Than You Think!

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

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