Practice Management
A 16-year-old girl presents to urgent care with complaints of fever, chills, and a diffuse sunburn-like rash that developed over the past day. The patient underwent septoplasty 2 days prior for a deviated septum, and nasal packing was utilized to manage her postoperative bleeding. On examination in urgent care, she was febrile to 104°F (40°C), tachycardic, and hypotensive. Widespread erythematous blanching macules and patches were seen. View the image below and consider what your …
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In a prior editorial, I described the case of Thomas, a young man among the “worried-well,” who presented to urgent care (UC) with anxiety related to an alarm that sounded as a result of a malfunction of a continuous glucose monitor (CGM), which was prescribed despite his lack of a diagnosis of diabetes, out of concern for abnormal blood glucose levels.[1] The underlying issue prompting his visit was not hypoglycemia but what I refer to …
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Phyllis Dobberstein, CPC, CPMA, CPCO, CEMC, CCC The American Medical Association (AMA) added a Telemedicine Services category to the Evaluation and Management (E/M) section of the Current Procedural Terminology (CPT) code set. Codes are divided up by the technology used and the patient type (ie, new vs. established). These codes are for synchronous, real-time interactive encounters between the provider and the patient. Codes are leveled by medical decision making (MDM) or time, which is similar …
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One Medical, under the Amazon umbrella since February 2023, is now facing a lawsuit related to the death of a patient who was treated virtually by a One Medical provider. The 45-year-old patient complained of shortness of breath, coughing up blood, and feet turning blue, according to reporting in the Washington Post. He was prescribed an inhaler during the virtual appointment and later died waiting to be seen at a local hospital emergency department in …
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Researchers found that more than 68% of patients in primary care settings with negative chest x-rays were prescribed antibiotics for community-acquired pneumonia (CAP). Two-hundred fifty-nine adults in France with clinically suspected CAP received chest radiography (CR) as part of their evaluations, and 144 (55.6%) had a positive result, according to the study presented in the Annals of Family Medicine. Patients with positive CR had more severe and longer-lasting symptoms—including higher body temperature, faster heart rate, …
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The percentage of emergency department (ED) visits that included influenza testing increased from 2.5% in 2013 to 10.9% in 2022, according to a new data brief from the Centers for Disease Control and Prevention. ED visits for children ages 0–5 years had the highest percentage of tests ordered both in 2013 data (8.6%) and 2022 data (23.1%). Among ED visits by adults, the percentage with an influenza test increased from 1.9% to 9.1% for patients …
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Michigan’s state health department reported more than 1,500 pertussis infections as of December 8, 2024—the highest number of cases in 10 years, according to Mlive. By comparison, the state saw a 596-case average from 2017 through 2019. And Michigan isn’t alone. The Massachusetts department of public health also reported a 5-fold increase in the number of confirmed cases of pertussis with 754 cases on the books through the end of November, compared to 115 in …
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It’s the healthcare disruption that seems to remain top of mind. Nebraska’s Attorney General has now filed a lawsuit against Change Healthcare, alleging the company violated state consumer protection and data security laws, making Change vulnerable to the massive ransomware attack in February that brought wide channels of the US healthcare system to halt. Poor security and other systemic failures allowed cybercriminals to steal personal and health data while also freezing Change systems that process …
Read MoreIn spite of current thinking, it turns out that vitamin D and calcium actually don’t reduce the risk of falls or fractures in healthy older adults, according to a new draft recommendation from the US Preventive Services Task Force (USPSTF). About 14 million adults aged 65 years or older (27.6%) reported falling at least once in the previous year, making falls the leading cause of unintentional injury among older adults. However, the task force recommends …
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Antibiotic use in pregnant moms may be associated with negative long-term health outcomes in their children, according to a new analysis in the Journal of Infection. By studying nearly 22 million children from industrialized countries, researchers found that exposure to antibiotics any time during pregnancy was associated with increased risk of immunologic, metabolic, and neurobehavioral adverse health outcomes in children. Among the 23 outcomes investigated, they found antibiotic exposure was associated with, for example, cancer …
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