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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.

The Waiting Room Managing pain in primary care

Managing pain in primary care

A FNP reflects on his experiences working with pain management patients prescribed opioids.

The Waiting Room Nurse practitioner treatment of hepatitis C in primary care

Nurse practitioner treatment of hepatitis C in primary care

Hepatitis C treatment improves outcomes and experiences for patient and provider.

The Waiting Room Where's the databank of biased providers?

Where's the databank of biased providers?

A national databank is necessary and would include names of medical providers who have publicly expressed opinions indicating biases about certain populations.

The Waiting Room AAPA: Stemming the rise in obesity through effective care delivery

AAPA: Stemming the rise in obesity through effective care delivery

Obesity is a chronic, progressive disease, and continued communication on prevention and treatment is paramount to reversing the status quo.

The Waiting Room Dermographism: Writing on the skin

Dermographism: Writing on the skin

The cause of dermographic urticaria is unknown, but appears to be related to a mast cell abnormality and is probably autoimmune in nature.

The Waiting Room Are your colleagues continuing to perform unnecessary arthroscopies?

Are your colleagues continuing to perform unnecessary arthroscopies?

Unknown knowns are ideas that we're aware of on some level but, for whatever reason, choose not to admit to ourselves.

The Waiting Room When patients need services that don't exist

When patients need services that don't exist

It can be difficult to care for complex patients when they need services that do not exist.

The Waiting Room Binge watching TV and its effects on sleep

Binge watching TV and its effects on sleep

Recent evidence has shown that binge watching television could lead to poor sleep.

The Waiting Room Please stop filming me: Smartphones in the emergency department

Please stop filming me: Smartphones in the emergency department

A hospital policy to prevent video recording in the emergency department helps to prevent patients from recording clinicians without their permission.

The Waiting Room Treating patients with a fracture: Engage an expert

Treating patients with a fracture: Engage an expert

It is essential for healthcare professionals to collaborate with other experts from all specialty areas.

The Waiting Room The role of prescription habits in the opioid epidemic

The role of prescription habits in the opioid epidemic

Current surgical and prescribing practices may have a hand in exacerbating the nation's burgeoning opioid epidemic.

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