StuWilli, Author at Journal of Urgent Care Medicine

EKG taken of 57-year-old woman with chest pain

This electrocardiogram (EKG) was taken on a 57-year-old woman with chest pain. View the image taken (Figure 1) and consider what your diagnosis would be.

17-year-old female with an incidental finding in her right ankle

This x-ray, taken on a 17-year-old female, represents an incidental finding in her right ankle. View the image taken (Figure 1) and consider what your diagnosis would be.

Protecting Your Urgent Care Center Against Robbery

Author: Alan A. Ayers, MBA, MAcc, Experity Content Advisor, Urgent Care Association of America Associate Editor, Journal of Urgent Care Medicine Your urgent care center, although focused on providing medical treatment, is still essentially a retail business. Your patients are your customers, and they come and go; financial transactions (cash, credit card, insurance) take place; and employees deliver clinical care and customer service simultaneously. Hence, urgent care centers, like other retail establishments, face the very …

2013 Urgent Care Buyer's Guide

An Urgent Care Approach to Complications and Conditions of Pregnancy

Urgent message: From pregnancy confirmation to the evaluation of bleeding, urgent care centers are often the initial location for management of obstetric issues. Careful use of evidence-based guidelines is the key to successful outcomes. DAVID N. JACKSON, MD, FACOG Introduction Although close to 160 million visits are made to urgent care providers each year in the United States, there are currently no prospective studies describing how pregnancy may initiate or complicate an urgent care consultation. …

Creating Value By Adding Physical Therapy to Urgent Care – PART II: Tactical Considerations

Urgent message: Part 1 of this article, in the June issue, looked at initial considerations for enhancing urgent care profitability by providing physical therapy services. In Part 2, the authors address tactical considerations, from revenue to staffing models. LAUREL STOIMENOFF, PT and HILARY HELLMAN, SLP Babe Ruth said, “Yesterday’s home runs don’t win today’s games.” Consumers have gravitated to ondemand medical services and the market has responded. Urgent care centers now face competition, not only …

Dissecting Cellulitis of the Scalp

Urgent message: Prompt recognition of dissecting cellulitis is important to help patients receive appropriate treatment and avoid long-term conse – quences such as alopecia. MOHAMED A FAYED, MD Introduction Dissecting cellulitis of the scalp is a chronic skin condition for which patients often present to urgent care providers. Prompt recognition of such cases could have significant potential benefit to patients in ensuring successful treatment and preventing complications. Case Presentation A 39-year-old African-American male presented with …

Clinical Challenge: July/August, 2013

The patient, a 41-year-old male, was a construction worker who fell on his right knee. Because of the pain he opted to take a vacation from work for a week and not seek medical attention. Upon his return, he was still having pain and elected to be seek medical attention. View the image taken (Figure 1) and consider what your diagnosis would be. Resolution of the case is described on the next page.

The Game Part 3

JOHN SHUFELDT, MD, JD, MBA, FACEP Lawyer: Now doctor, isn’t it true that when a person dies in his sleep, he doesn’t know about it until the next morning? Lawyer: Doctor, how many autopsies have you performed on dead people? Witness: All my autopsies are performed on dead people. Lawyer: Do you recall the time that you examined the body? Witness: The autopsy started around 8:30 p.m. Lawyer: And Mr. Johnson was dead at the …

2013 Physical Therapy G Codes

DAVID STERN, MD (Practice Velocity) Q. We offer Physical Therapy services to patients in our urgent care center and some patients have Medicare insurance. I understand there are new codes that we must use for Medicare. What are they and how do we use them? A.The Centers for Medicare and Medicaid Services (CMS) was mandated by the Middle Class Tax Relief Act of 2012 to collect information regarding beneficiaries’ function and condition, therapy services furnished, …