Ashley Blachford, Author at Journal of Urgent Care Medicine

Banner UC Tracks Valley Fever to Speed Diagnosis

Banner Urgent Care facilities have launched a new dashboard system aimed at enhancing disease tracking capabilities across the region for coccidioidomycosis (“San Joaquin Valley fever” or “valley fever”), according to the University of Arizona website. The dashboard aggregates real-time data from all Banner locations to determine the percentage of positive cases, report patients’ symptoms, and track the timing of infections. Banner aims to pinpoint high-risk areas where the disease is more prevalent to help speed …

Walmart Gives Up on Health Clinics and Virtual Care

In a somewhat surprising move, Walmart announced this week that it will close all 51 of its health centers as well as its telehealth business after a 5 year go at the market. The Walmart Health arm of the retail giant’s strategy was on track to expand beyond its initial 5 states (Arkansas, Florida, Georgia, Illinois, and Texas) but has abandoned the model because of a “challenging reimbursement environment,” the company said in a press …

Influence of Clinical Setting on Antibiotic Prescribing Practices for Acute Otitis Media in Children at an Urban Academic Medical Center

Urgent Message: This retrospective chart review study found that the odds of children receiving an antibiotic prescription for acute otitis media in urgent care and the emergency department were significantly higher compared to a primary care setting. Further research is needed to better understand factors contributing to higher antibiotic prescribing rates in acute care settings. Angelica M. Mangahas, BS; Heather M. Weinreich, MD, MPH; Johanna Wickemeyer, MD; Margaret Schmit MD; Rakhi Thambi, MD, MBA Citation: …

48-Year-Old With Foot Pain After Hiking

A 48-year-old man presents to urgent care complaining of pain in his right foot after hiking last weekend on a rough trail. He denies any trauma or specific injury. Review the images below and consider what your diagnosis and next steps would be. Resolution of the case is described on the following page.

42-Year-Old With Stinging Sensation

A 42-year-old woman presented to urgent care early in the morning saying that she felt a stinging sensation on her arm while she was cleaning her basement the previous day. She thinks it might be a bite but didn’t see anything. She had subsequent marked pain at the site and over the past few hours developed nausea and muscle aches. On physical examination, the patient had a temperature of 101.3°F (38.5°C). There were reddish-brown reticulate …

New Antibiotic Approved for UTIs

The Food and Drug Administration (FDA) announced the approval of the oral antibiotic pivmecillinam for treating uncomplicated urinary tract infections (UTIs) in women over age 18. Marketed as Pivya, pivmecillinam has a unique mechanism of action to treat UTIs caused by susceptible isolates of Escherichia coli, Proteus mirabilis and Staphylococcus saprophyticus. It’s been in use outside of the United States for decades, but it’s the first antibiotic for UTIs approved by FDA in 20 years. …

Optum Set to Close Down Virtual Care

On a recent conference call, Optum notified some employees that its virtual care division will cease operations in July, according to Becker’s Health IT. Optum Virtual Care launched in 2021 and covers all 50 states. At UnitedHealth’s investor conference in November, Optum’s CEO implied that virtual care is a crowded market, and more recently, employees on social media have reported a significant workforce reduction at Optum, ranging from nurse case managers to senior director and …

Nurses Protest Use of Artificial Intelligence

Hundreds of nurses in San Francisco voiced their objections to the use of artificial intelligence (AI) in healthcare during a recent protest, according to Becker’s Hospital Review. For example, some criticized an AI feature within the Epic EHR that determines nurse staffing based on real-time charting. They argued that this method may not accurately or fairly account for their work. Additionally, some nurses raised objections to AI chatbots that interact with patients, which could create …

Challenges Predicted For FTC Noncompete Ban

Last week, the Federal Trade Commission (FTC) issued a final rule that would ban nearly all noncompete agreements among for-profit employers and a small subset of nonprofits as well. In healthcare, it represents a significant shift in employment and contractual agreements, allowing clinicians to switch jobs and work for rival providers without limitations. Rules are set to take effect in 4 months. The American Medical Association estimates as many as 45% of physicians work under …

57-Year-Old With Progressive Dyspnea

A 57-year-old man presents to urgent care with progressive dyspnea for 1 month. The patient has a history of unmanaged hypertension. View the ECG captured above and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.