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The Waiting Room When Opioid Prescribing Guidelines Become Rules

When Opioid Prescribing Guidelines Become Rules

Understanding the current opioid prescribing rules is necessary for clinicians to safely and effectively treat patients with chronic pain conditions.

The Waiting Room Is Bed Rest Necessary in Pregnancy?

Is Bed Rest Necessary in Pregnancy?

Although bed rest was once frequently advised in pregnancy, clinicians today routinely warn against bed rest for most pregnant patients due to potential negative effects.

The Waiting Room Patient Management During the Holiday Season: What Clinicians Should Know

Patient Management During the Holiday Season: What Clinicians Should Know

Although the holiday season may be joyous for some, others may feel the sting of depression; therefore, it is important to monitor patients during this time of year.

The Waiting Room Obesity Medicine: Time for a Paradigm Shift?

Obesity Medicine: Time for a Paradigm Shift?

Overweight patients often experience bias from the medical community, which may prevent them from seeking medical attention, even when it's necessary.

The Waiting Room Symptom Management for Restless Leg Syndrome

Symptom Management for Restless Leg Syndrome

Restless leg syndrome is one of the most difficult sleep disorders to manage.

The Waiting Room Mistaking Legal Recourse for Evidence-Based Medical Practices in Surrogacy

Mistaking Legal Recourse for Evidence-Based Medical Practices in Surrogacy

Paying a surrogate to carry a fetus shoehorns a fourth, and fifth, party into the already tight therapeutic triangle formed by the biological mom, fetus, and physician.

The Waiting Room REM Sleep Behavior Disorder: A Clinical Challenge

REM Sleep Behavior Disorder: A Clinical Challenge

REM sleep behavior disorder is commonly seen in older men, and symptoms include violent muscle movements or fighting during the night.

The Waiting Room Assessing the Risks of Using Alcohol as a Sleep Aid

Assessing the Risks of Using Alcohol as a Sleep Aid

Discussing alcohol use with patients is important as alcohol consumption before bedtime is shown to negatively affect patient sleeping patterns.

The Waiting Room Might Coffee Be Causing Your Poor Sleep?

Might Coffee Be Causing Your Poor Sleep?

Although the beneficial effects of drinking coffee include increased mental alertness, stamina, muscle recovery, and wakefulness, unwanted effects can include restlessness, palpitations, hypertension, insomnia, tremors, and increased urine output.

The Waiting Room Food Talk is Good Medicine

Food Talk is Good Medicine

Some of the most memorable moments in medical practice are the times when a patient and clinician can chit-chat like friends.

The Waiting Room When Prejudice Influences Patient Care

When Prejudice Influences Patient Care

Although clinicians must treat every patient, regardless of their illness or their past, circumstances may influence the emotional connection a care provider establishes.

The Waiting Room Will a New Cooling Device Benefit Patients With Insomnia?

Will a New Cooling Device Benefit Patients With Insomnia?

Therapeutics to cool the brain may someday be a safer alternative to hypnotics.

The Waiting Room Discrepancy of Sleep in Patients with Paradoxical Insomnia

Discrepancy of Sleep in Patients with Paradoxical Insomnia

In patients with paradoxical insomnia, also called sleep state misperception, there is a significant discrepancy between objective sleep quality and subjective perception of sleep.

The Waiting Room Frightening parasomnias of childhood sleep

Frightening parasomnias of childhood sleep

Parasomnias usually occur in healthy children, but the differential can include neurologic, psychiatric, and mental disorders, so careful observation and a good history and physical are important.

The Waiting Room Navigating the Waters of Independently Practicing Physician Assistants

Navigating the Waters of Independently Practicing Physician Assistants

An organization representing the effort to move toward autonomy has made big inroads into the AAPA, resulting in a push toward unhitching physician assistants from MD colleagues.

The Waiting Room Sleep wake regulation in progressive supranuclear palsy

Sleep wake regulation in progressive supranuclear palsy

Patients with progressive supranuclear palsy may have difficulty with sleep/wake regulation that can lead to profound sleep deprivation.

The Waiting Room The CVS/Aetna merger and the future of primary care

The CVS/Aetna merger and the future of primary care

Both CVS and Aetna care deeply about the prices of pharmaceuticals, but they are hoping to maximize company profits, not consumer savings.

The Waiting Room Examining the effects of wearable fitness trackers

Examining the effects of wearable fitness trackers

The utility and effectiveness of wearable fitness devices are discussed in a clinician's opinion piece.

The Waiting Room You Tell Me, You're the PA!

You Tell Me, You're the PA!

PAs should always keep in mind the sacred responsibility of the job: the knowledge to know what to do for our patients, and when and how to do it.

The Waiting Room It's going to be a bad day: How to care for a non-compliant patient

It's going to be a bad day: How to care for a non-compliant patient

NP's take the time to listen and understand what the patient wants or is thinking, even if that means performing multimodal therapy.

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