Clinical

One of the knocks against using nirmatrelvir-ritonavir (Paxlovid) to treat patients with SARS-CoV-2 has been that it could send patients running to the emergency room, and possibly face hospitalization, for rebound COVID-19. It’s enough to discourage some people from taking it, even if they’re high risk for poor outcomes with COVID. According to a report from the Centers for Disease Control and Prevention, however, those patients should be more concerned about the consequences of not …

Some metropolitan public health officials across the country have complained about poor distribution of tests for monkeypox since the slow and steady uptick of cases in the United States began in May. Most recently, New York City declared a state of emergency in order to expand access to resources to fight outbreaks there. And with nearly 3,500 U.S. cases confirmed according to the Centers for Disease Control and Prevention, the Department of Health and Human …

JUCM News first alerted readers to rising cases of monkeypox in May. At the time, the news from around the world was more of an oddity than a cause for concern. The novelty has now worn off, however, as the World Health Organization just upgraded the status of monkeypox to an official global health emergency. As noted in The New York Times, the global caseload now exceeds 16,000 in 75 countries. This is a rare …

For the first time in almost a decade, someone has been diagnosed with polio in the United States. Per a report from CNN, it’s suspected that the virus identified in the Rockland County, New York man originated in another country. While he himself had not traveled internationally recently, it’s believed that he was infected by an individual who was vaccinated with the oral vaccine still used in some areas of the world. (The U.S. stopped …

A quick look at the Centers for Disease Control and Prevention’s COVID-19 tracker reveals that new cases have been rising slowly for more than a month, with hospitalization rates rising even more steadily. Some cities, such as Chicago, are raising their official warning levels to “high.” Los Angeles is looking at reinstituting a mask mandate for indoor spaces. What’s missing is the widespread sense of crisis, or even panic, that has gripped previous surges in …

It’s high season for tick bites and related diseases. As an article just published by Patient Care reminds us, there’s far too much misinformation leading the public (and probably some clinicians) to fail to recognize the signs and dangers of Lyme disease. For example, patients ultimately diagnosed with Lyme disease do not always have the telltale “bullseye” rash. Further, in spite of its Connecticut-based moniker, its spread is not limited to the East Coast. And …

It’s not uncommon for patients with nonemergent eye complaints to present to urgent care. What might not be top of mind for male patients with ocular symptoms, however, is whether use of erectile dysfunction medications could be the root of the problem. An article recently published by JAMA Network might move you to consider it, though. “Regular use of phosphodiesterase type 5 inhibitors for [ED] was associated with increased risks of serous retinal detachment (SRD), …

As an urgent care provider you may not treat cancer, but you certainly can expect to treat cancer patients. And when you do, you have the opportunity to alter the course of the patient’s care and quality of life in any number of ways. Take the case of an elderly patient who presented to a new primary care physician with severe numbness and tingling in his fingers and toes, as relayed in an article published …

If you have a minute—literally—you might be able to learn something that could help you with the next patient walking through the door. Ana Echenique, MD, DABR, clinical director, quality management for Experity Teleradiology and an occasional JUCM contributor, has created a Twitter account dedicated to presenting interesting x-ray cases that include quick explanations and pearls that provide potentially valuable insights. Dr. Echenique plans to post an anonymized case every day for educational purposes. You …

For all intents and purposes, life seems to have returned to normal more than any other time since March 2020. Masks are scarce, restaurants are crowded, and movie theaters are putting up blockbuster numbers. It can be easy to forget that the pandemic is not, in fact, over quite yet and that the threat of widespread reinfection may be more real than we’re comfortable acknowledging. California, for one, is struggling with a new wave of …