Clinical

As kids are wrapping up the school year and Americans are making plans for summer getaways and attending festivals and other large gatherings, rates of COVID-19 infection are once again creeping up in various parts of the country. In fact, data from the Centers for Disease Control and Prevention seem to indicate that the rate of infection may be almost twice as high in boosted individuals than in those who have been vaccinated but not …

After a few weeks of feeling like we’re moving in the right direction in winning the fight against COVID-19, it appears that the United States is instead sinking back into familiar, if unfortunate, territory. As noted by experts from Johns Hopkins, Duke, and Harvard universities quoted in a report from USA Today, however, indications are that we will fare far better than in summers past. For one thing, hospitalizations are lower than in previous waves, …

The Centers for Disease Control and Prevention just increased the alert level for monkeypox to 2, indicating that the risk of infection is high enough to warrant wearing a mask while traveling. The virus has been confirmed in this country after previously being reported in Europe, South America, Africa, Asia, and Australia. While it has been reported that infection has occurred more frequently among men who have sex with men compared with other groups, spread …

Patients are unlikely to seek ongoing care for high blood pressure at their closest urgent care center. That doesn’t mean it won’t be first identified there, though. And depending on the patient’s age and life expectancy, your ability to flag which patient’s hypertension needs attention and who wouldn’t benefit from treatment could mean a significant difference in the outcome. According to an article just published by JAMA Internal Medicine, intensive treatment for hypertension “may be …

Recognizing that SARS-CoV-2 is a virus, there’s no way well-informed physicians would write prescriptions for antibiotics to help patients fight COVID-19—right? Wrong. According to a Research Letter published by JAMA Network, between April 2020 and April 2021, nearly 30% of COVID-19 outpatient visits in a Medicare population resulted in a prescription for an antibiotic agent. Prescriptions were highest in the emergency room (33.9%) followed by telehealth (28.4%), urgent care (25.8%), and traditional office practices (23.9%). …

One of the more persistent baseless “warnings” about vaccination against the COVID-19 virus has been that getting the shot increases risk for (or even causes) myocarditis and other cardiological issues. JUCM Readers know that while early studies tended to contradict each other, ultimately the myocarditis myth has been busted. Now a new paper published by Morbidity and Mortality Weekly Report reveals that patients are more likely to develop cardiac complications in general after SARS-CoV-2 than …

As the world continues cautious steps toward normalcy and recovery from the COVID-19 pandemic, a new virus is capturing its attention. In this country, national newspapers and television news programs have breathlessly relayed mounting cases of monkeypox, likely eliciting concerns that may be out of proportion to actual danger among patients—at least for now. What’s known is that new cases have been reported in 16 countries, including the United States. In response, the Centers for …

As noted in an article just published by JAMA Network, unchecked spread has put prediabetes and diabetes at “epidemic levels” in the United States. With the U.S. Preventive Services Task Force having lowered the age at which it’s advisable to start screening patients to 35, this begs the question as to whether it’s time for urgent care centers to become more proactive in assessing patients for diabetes. While too-high blood sugar is often an incidental …

Even patients who accept that vaccination and boosters are effective in reducing risk for COVID-19 infection may be getting complacent, whether they’ve dodged infection so far or not. However, data published by the New England Journal of Medicine based on the cases of 1.25 million people 60 years of age and older in Israel confirm that a fourth dose of vaccine really does confer more protection against the virus than three doses. The results amplify …

The latest update to the data tracker maintained by the Centers for Disease Control and Prevention shows a steady increase in new COVID-19 infections and related hospitalizations since April. While there hasn’t been a corresponding increase in deaths from COVID, to date, a new concern is that upwards of 60% of current transmission may be from individuals who are asymptomatic or presymptomatic, according to an article just published by MedPage Today. As with other setbacks …