Harris Fleming, Author at Journal of Urgent Care Medicine

Urgent Care Will Have to Get Creative to Solve Staffing and Pandemic Crises. Are You Up to It?

With the last days of 2021 winding down, some parts of the country are as deeply embedded in the COVID-19 pandemic as they’ve ever been. In New York City, urgent care centers are seeing up to five times their normal volume while at the same time grappling with staffing shortages (which are at least partially due to the virus to begin with). Patients need care for all the “normal” urgent care complaints while locations are …

Pandemic Challenges Can Be Met—and Overcome. Here’s the Evidence

We’re all aware that it can be difficult for some regions of the United States to attract enough top-tier providers to meet the needs of smaller communities. JUCM has been covering this issue for years, in fact (see Rural and Tertiary Markets: The Next Urgent Care Frontier). And that’s during “normal” times. Lack of access, sometimes poor healthcare literacy, and the politicization of COVID-19 has put an inordinate amount of additional stress on rural health …

That Vaccine Mandate for Private Businesses That Was Called Off? It’s on Again—and the Clock Is Ticking

The Occupational Health and Safety Administration’s plan to require employers with 100 or more workers to institute a COVID-19 vaccine mandate will go forward after all, thanks to a decision by the U.S. Court of Appeals for the Sixth District to reverse a lower-court ruling that blocked the Emergency Temporary Standard. The deadline for implementation is January 10, 2022, leaving urgent care operators who offer occupational medicine services precious little time to help their clients …

Lawyers Aren’t Keeping People from Getting Vaccinated—but They May Not Be Helping, Either

A consistent rationalization for vaccine-hesitant Americans is an irrational fear that the approved COVID-19 vaccines are not safe. That belief is unfounded, of course, given the wealth of evidence that risk for side effects is minimal while the protection offered by the vaccines is great but that doesn’t stop people from espousing it online and discouraging the undecided crowd from getting the shots. Now the legal profession may be adding to the manufactured controversy. “Vaccine …

Finally, an Approved Treatment Specifically for COVID-19; the Question Is, Can You Prescribe It?

Nearly 2 years after COVID-19 became a significant threat in the United States, we suddenly have not one but two oral drugs available to treat infected patients. Just last week the Food and Drug Administration granted Emergency Use Authorization (EUA) to oral antiviral medications from Pfizer and Merck, both of which have been shown to reduce risk for patients with mild to moderate disease who are at risk for severe illness. That doesn’t necessarily mean …

Why More People Than Ever Are Sick with COVID-19—but Fewer May Soon Be Calling in Sick

With caseloads climbing to levels that exceed previous “worst days” of the COVID-19 pandemic, the potential for significant damage to an already fraught supply chain and worker shortage across multiple industries is high. That includes urgent care centers, of course, as patients seeking refuge from the emergency room or a last-minute COVID test flock to understaffed locations across the country. A new recommendation from the Centers for Disease Control and Prevention offers hope, however. Instead …

New Questions About Acute Treatment for Patients with TIA or Minor Ischemic Stroke

With emergency rooms packed with patients who could have COVID-19, patients experiencing minor symptoms of stroke may be more likely than ever to visit an urgent care center instead of the ED. As such, it would behoove you to be aware of newly published research comparing ticagrelor plus aspirin or clopidogrel plus aspirin vs aspirin alone in patients with minor ischemic stroke and transient ischemic attack. The article, published online by JAMA Network, drew data …

Staffing Shortages Collide with Increased Demand—Do You Have a Plan?

Whether your operation is having staffing issues or not, certainly you’re aware that many urgent care centers (as well as practices in other settings) are short on workers. Given that the United States is also suffering another surge in COVID-19 cases, this time driven by the highly contagious Omicron variant, that staffing “issue” is on the verge of becoming a crisis. Most recently, CityMD announced it has temporarily closed 19 locations in the metropolitan New …

Asymptomatic COVID-19 Cases Are Higher Than Previously Known. We Need to Test More

At the outset of the COVID-19 pandemic, the presumed telltale signs of infection were obvious: fever, respiratory distress, chills. Then more subtle symptoms like diminished senses of loss and smell became more apparent. Eventually, we understood that some people developed few (or even no) symptoms—but that they could still infect others and be “sick” for months themselves. Unfortunately, the learning curve continues as an article just published by JAMA Network reveals that the proportion of …

New Data May Reveal Who Really Has Optimal Protection Against COVID-19

You know that complete vaccination, including a full two-dose regimen plus a booster shot, offers excellent protection against COVID-19 infection. You’re also aware that recovering from the virus leaves patients with protection from natural antibodies. Now there’s research suggesting that vaccinated patients who experience and recover from breakthrough cases may have the best protection man and nature can provide. The authors of a Research Letter published by the Journal of the American Medical Association wrote …