The Waiting Room - the official blog of The Clinical Advisor

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Posted by Joe Kopcha, Editor - June 15, 2010 - 1:15 a.m. ET
Welcome to the Waiting Room, the new blog from the editors of The Clinical Advisor. Our goal is to use this space to bring your attention to topics that fall outside of the scope of the magazine in a less formal atmosphere. We've enlisted some writers to contribute regularly, but any and all voices are welcome. After all, a blog is only as good as its readers. Contact me if you'd like to contribute.

Nurse anesthetists deserve our support

Posted by Lisa Stern, APRN - Sept. 9, 2010 - 1:40 p.m. ET
More good news for advanced practice nurses and physician assistants, as California becomes the 15th state to liberalize requirements for nurse anesthetists to practice independently.
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This is how it's done

Posted by Joe Kopcha, Editor - Sept. 2, 2010 - 3:15 p.m. ET
Now this case would have made a great Clinical Challenge. It has everything… a mystery illness (suspected insulinoma), scenic setting (coastal New Zealand), husband (psychiatrist) and wife (physiotherapist) who met at a Mensa meeting, and murder (it turns out the brilliant psychiatrist was also a psychopath).
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Whatever gets you through the day

Posted by Lisa Stern, APRN - Sept. 2, 2010 - 11:20 a.m. ET
A small but interesting recent study in BMC Health Services Research evaluates a variety of physicians' self-reported coping strategies for work-related stress, humor among them. While humor was associated with lower frequency of burnout, at-home coping methods like exercise, leaving work at work, and talking through stress with a spouse were more powerful psychological bolsterers.
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Laughter (at a patient's expense) may not be the best medicine

Posted by Lisa Stern, APRN - August 26, 2010 - 9:00 a.m. ET
There is an interesting column in last week's New York Times science section. In the opinion piece, Boston psychiatrist Michael Kahn takes his colleagues to task for badmouthing patients. Through such behavior, he explains, we may unwittingly compromise patient care.
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Have many patients have you tweeted today?

Posted by Lisa Stern, APRN - August 12, 2010 - 2:00 p.m. ET
How have social networking tools like Facebook and Twitter changed the clinician/patient relationship?
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I read the news today. Oh boy!

Posted by Lisa Stern, APRN - July 28, 2010 - 12:00 p.m. ET
f you are at all like me, you rely on e-mail digests, Web sites, newspaper articles, professional newsletters, and blogs (hey, here you are, after all!) to stay current with research in the field. Sure, we'd all like to sit down and actually read the latest journals, but there are patients to see, calls to return, vacations to plan, and lawns to mow.
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Mentioning the unmentionable

Posted by Lisa Stern, APRN - July 21, 2010 - 4:40 p.m. ET
Many of the questions we ask patients in our clinical practice are fairly routine things, topics of conversation that wouldn't be all that unusual in a social setting. Intimate partner violence (IPV), on the other hand, is never an easy thing to bring up: “Is anyone hurting you?” “Have you ever been forced to have sex when you didn't want to?”
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Why are hospital patients still dying from infection?

Posted by Joe Kopcha, Editor - July 13, 2010 - 12:15 p.m. ET
How many patients die every year from catheter-related bloodstream infections (CRBIs)? Would you believe 30,000? As shocking as this number is (to me, at least), even more remarkable is the fact that these deaths are largely preventable by following five basic steps.
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Hospitalizations and the elderly

Posted by Mary Clohesy-Pizzingrillo, ANP-BC - July 6, 2010 - 4:30 p.m. ET
Older adults have a much greater chance of being admitted to the hospital than any other age group in the United States. People aged 65 years and older make up 13% of the U.S. population but account for 36% of hospital admissions for acute care and nearly half of hospital spending for adult care.
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Don't let my mom read this

Posted by Joe Kopcha, Editor - July 6, 2010 - 2:25 p.m. ET
I played tackle football every year between the ages of 8 and 21. I was lucky to avoid serious injury, but this article kind of scares me.
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By the time I get back from Phoenix

Posted by Joe Kopcha, Editor - July 1, 2010 - 9:35 a.m. ET
I spent the past weekend in Phoenix at the 25th annual AANP conference. While trying not to melt in the desert heat, I spent most of my time rounding up authors for future feature articles. I even logged a few hours manning the Clinical Advisor booth in the exhibit hall.
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The importance of breast density

Posted by Lisa Stern, APRN - June 23, 2010 - 3:20 p.m. ET
Just as I explained (warned? lamented?) in my May article about mammography, evidence and advice about breast cancer screening continues to emerge at a dizzying rate. The recent findings on breast density presented at the American Association for Cancer Research (AACR) April meeting is still diffusing into the media.
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Breaking down barriers to care

Posted by Lisa Stern, APRN - June 16, 2010 - 5:10 p.m. ET
We all have things like the shingles vaccine in our own clinical settings – services we ought to provide to patients but can't or don't for various practical reasons. In the reproductive health world, this is often long-acting reversible contraceptive (LARC) methods like the IUD and Implanon. Despite the enormous potential of LARC methods to reduce rates of unintended pregnancy and improve women's health, training barriers, expense, and persistent myths limit their use.
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Bedpans 101

Posted by Jenny Chung, PharmD - June 16, 2010 - 3:45 p.m. ET
Well, I survived the first week of classes! Now I know what they meant by an "accelerated" nursing school program. Over the past four days, I've had eight three to four hour classes. I'm sure all 160 students felt a little bit overwhelmed at one point in the week. Hopefully, we will all make it through this "boot camp" summer.
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First Day of Classes at Columbia University School of Nursing

Posted by Jenny Chung, PharmD - June 10, 2010 - 11:15 a.m. ET
My alarm went off this morning at 5 A.M. It was the first day of classes, and I wanted to make sure was on time. I was definitely nervous getting ready. It's been awhile since I've attended a lecture. I wasn't sure if I even remembered how to take notes. Pharmacy school was pretty tough, but did I have it in me to survive an accelerated nursing program? The Columbia University School of Nursing provides a combination degree program, which offers graduates a BSN/MS on graduation. The first year will definitely be a trying one.
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How much is your egg worth?

Posted by Lisa Stern, APRN - June 10, 2010 - 9:00 a.m. ET
Would you take $10,000 for a few hours of your time and some mild abdominal discomfort? How could you possibly say no? We're in a recession, after all, and you'll be doing a good deed too.

Welcome to the largely unregulated world of oocyte (egg) donation. While numerous groups have already commented on the scant oversight of the fertility world in general, a new and stinging report from the Hastings Center lays out the tactics used to recruit and incentivize egg donors through college newspapers.
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