Clinical

As more time and experience accumulate since the peak of the COVID-19 pandemic and the inevitable claims over therapies purported to be useful come and go, the idea that ivermectin could be curative has persisted on social media, in the blogosphere, and among popular podcasters. New data published by the Journal of the American Medical Association provide further evidence that there is no advantage to employing even high-dose ivermectin for patients with COVID-19, however. Researchers …

As much of the country starts warming up to Spring temperatures and people head outside to enjoy nature, you can expect a return of patients concerned that they could have contracted an illness from tick bites. Not just a return, actually, but an increase as the Centers for Disease Control and Prevention warns that while incidence of tick-borne illness in general has risen 25% since 2011, the increase is especially acute in Connecticut, Maine, Massachusetts, …

We talk about the shortage of healthcare providers in appropriately urgent, though somewhat vague, terms. The fact is that some specialties are having a harder time than others right now, though—one of them being obstetrics and gynecology.  According to a report published by Becker’s Hospital Review, 2023 applications for Ob/Gyn residencies are down from 2022. It goes on to note that numerous hospitals in the United States are closing or have already stopped offering obstetrics …

The end of February brings us one step closer to the close of flu season, but that doesn’t mean we’re going to get a break from mass numbers of patients presenting to emergency rooms and urgent care with signs of viral infection. This time it’s norovirus, however. According to an article published by Becker’s Hospital Review, there have been 25 outbreaks this year, compared with just 14 during the same period a year ago. In …

With healthcare and mainstream media devoting so much energy to raising awareness of long COVID, it could be easy to write off some of the telltale signs—cognitive difficulties, headaches, pain, dizziness, fatigue, and others—as exactly that and look no further into alternative diagnoses. That could be a costly mistake for a patient’s wellbeing, though, as a new article published by the European Journal of Neurology reveals that some patients with those characteristic symptoms could actually …

While the national rates of COVID-19 cases, hospitalizations, and deaths remain well below the levels we experienced at the height of the pandemic, data tracked by The New York Times indicate that the coming weeks could bring an uptick in new cases nationally. The latest report shows that several states are already seeing an upswing in confirmed cases, hospitalizations, and deaths. Cases in Idaho soared 106% over the past 2 weeks, though deaths were down …

By most accounts—and lots of data—infection rates, hospitalizations, and deaths related to SARS-CoV-2 have declined sufficiently to consider the pandemic over. Zoom in on that big picture, however, and you may find that the older segment of the U.S. population is still struggling with the virus on a grand scale. According to an article published by The New York Times, approximately 90% of January 2023 COVID-related deaths in the United States occurred among patients between …

Counseling is more important than routine screening of patients perceived to be at high risk for genital herpes, at least in the absence of symptoms, according to an updated guidance from the U.S. Preventive Services Task Force published by the Journal of the American Medical Association. One caveat is that patients known to have genital herpes but who are between outbreaks are not considered to be asymptomatic. The recommendation also does not apply to patients …

The potentially lifesaving necessity of maintaining proper hand hygiene was drilled into us ad nauseum over the course of the COVID-19 pandemic. Like all good things, however, overdoing it carries its own hazards. According to new guidance published in Infection Control & Hospital Epidemiology, excessive handwashing and even the length of a worker’s fingernails can increase risk for infection in that individual and those they come in contact with. Providers and other patient-facing team members, …

There’s a movement afoot in urgent care for providers to practice to the upper limits of their clinical expertise—in other words, to not “degrade” the acuity of care by referring or transferring patients out of convenience or expediency when they really could be treated in the urgent care setting. Even the often-ominous chest pain should be considered a “maybe” rather than an automatic referral, based on the findings of a study conducted in Australia and …