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 …
Read MoreWhy 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 …
Read MoreNew 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 …
Read MoreStaffing 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 …
Read MoreAsymptomatic 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 …
Read MoreApproach to the Transgender Adolescent and Specific Health Considerations
Urgent message: It is common for transgender patients to have a history of poor experiences with healthcare providers. As such, they may be less likely to have an ongoing clinical relationship with a primary care provider, making urgent care a likely destination when a need arises. Familiarity with issues facing adolescent transgender patients, in particular, can benefit both the provider and the patient. Timothy McGinnis and Emily Montgomery, MD THE CASE A 15-year-old transgender male …
Read MoreNew 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 …
Read MoreSick or Not, More Patients Are Heading for Urgent Care. Are You Ready?
With the Omicron variant now the most common form of COVID-19 in the United States—and with the best way to reduce risk being fully vaccinated and boosted against the virus, as JUCM News has reported—urgent care centers can expect to see more patients seeking that third shot (if they’re not turning up already). That’s only one reason you’re likely to see volumes rise, however, as the Omicron virus has many symptomatic and nonsymptomatic people panicking …
Read MoreWhat Urgent Care Providers Should Know About the Omicron Variant—First, You’ll Be Seeing a Lot of It
Just 3 weeks after the first Omicron-related diagnosis of COVID-19 in the United States, the Centers for Disease Control and Prevention reports that this latest variant of the virus has become the dominant one in this country, accounting for 73% of new cases here as of this writing. Bear in mind that’s the national figure; Omicron is even more dominant in New York, New Jersey, and parts of the Midwest, South, and Pacific Northwest. The …
Read MoreBuckle Up—At Least One Forecasting Model Says We’re in for an Even Rougher Patch with COVID-19
With increasing spread of the Omicron COVID-19 variant, some states have already upgraded their pandemic status (New Jersey, for example, just went from yellow [moderate] to orange [high]). That doesn’t bode well for the future, given predictions from the PolicyLab at Children’s Hospital of Philadelphia that the entire country will see a dramatic jump in new cases over the next 4 weeks. A ripple effect that began with travel and gatherings over Thanksgiving weekend is …
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