Opinion Article

When Surgery Requires a Physician Assistant

When Surgery Requires a Physician Assistant | Opinion Article

In collaboration with 15 specialty surgical organizations, the American College of Surgeons (ACS) has published and released its seventh edition of Physicians as Assistants at Surgery. The report is meant to provide guidance to CMS and third-party payors on how often an operation might require the use of a physician as an assistant.…

Arrival Times & STEMI Outcomes

Arrival Times & STEMI Outcomes | Opinion Article

For patients that are presenting with ST elevation myocardial infarction (STEMI), national guidelines recommend that the door-to-balloon time be less than 90 minutes. “The problem is that when patients present to the hospital with a STEMI in the middle of the night, there may be delays in care,” explains Jorge F.…

Detecting Acute HIV in the ED

Detecting Acute HIV in the ED | Opinion Article

Detecting HIV in the acute stage is important because patients are highly infectious at that time and may spread the infection unknowingly. “Diagnosing HIV at the acute stage can also lead to earlier treatment, which in turn can improve patient health and decrease risks for further transmission,” says Michael S.…

Teens With HIV: A Look at Treatment Trends

Teens With HIV: A Look at Treatment Trends | Opinion Article

In recent years, the incidence of HIV infection has decreased for most age groups. Study results have shown that presenting to care earlier in the disease course can limit immune deterioration and HIV transmission. The CDC recommends that all people aged 13 and older be tested for HIV, a recommendation that appears to have made an impact on testing rates.…

Assessing Asthma Control

Assessing Asthma Control | Opinion Article

The Asthma Control Test (ACT) has long been used as a quick survey to assess how well asthma symptoms are controlled among patients aged 12 and older, while the Childhood ACT (CACT) is used for such testing in younger children. More recently, the Asthma APGAR system has emerged as an alternative to ACT/CACT because of an implied ability to assess asthma control and reasons for inadequate control.…

MVC-Related Eye Injuries in EDs

MVC-Related Eye Injuries in EDs | Opinion Article

National studies have shown that motor vehicle crashes (MVCs) are among the leading causes of injuries in the United States. “Victims of MVCs usually present at EDs for care to manage injuries,” says Grayson W. Armstrong. “Many of these patients come to EDs with unique eye injuries that result from crashes, but few studies have characterized these injuries when they present to EDs.…

Depression, Clinical Inertia, & Uncontrolled Hypertension

Depression, Clinical Inertia, & Uncontrolled Hypertension | Opinion Article

Depression has been identified as a risk factor for a poor prognosis among patients with cardiovascular disease. Few studies, however, have investigated the association between depression and clinical inertia, which has been defined as the lack of intensifying treatment for those who are not meeting evidence-based goals for care.…

Predicting Home Discharge After Surgery

Predicting Home Discharge After Surgery | Opinion Article

Most surgical patients want to know whether or not they will need to prepare for care at a rehabilitation facility. “If prolonged postoperative care will be required, it’s helpful for patients to anticipate this so they can make arrangements in advance for their needs after surgery,” says Joseph A.…

Exploring Outpatient Antibiotic Programs

Exploring Outpatient Antibiotic Programs | Opinion Article

Several years ago, New York Hospital Queens (NYHQ) opened an Outpatient Parenteral Anti­biotic Therapy (OPAT) Unit as an alternative treatment option for patients who are healthy enough to be discharged from the hospital but still need once-daily intravenous (IV) antibiotics. “Our OPAT unit gives patients a chance to avoid spending days or weeks at the hospital for IV treatments,” explains Sorana Segal-Maurer, MD, who directs the OPAT unit at NYHQ.…

The Sensitive Subject of HIV Treatment Side Effects

The Sensitive Subject of HIV Treatment Side Effects | Opinion Article

Antiretroviral therapy (ART) is essential to keeping HIV from replicating and further infecting CD4 lymphocytes. When taken as prescribed, these medications have significantly increased life expectancy over the past 25 years. HIV has shifted from being an infection with dire consequences to one that is considered a manageable, chronic condition when treated with ART.…

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