Clinical

Mainstream media coverage of the international 2019 novel coronavirus (2019-nCoV) outbreak continues at a breakneck pace, even though there have been very few confirmed cases in the U.S. at this point. It seems to be weighing on every patient locked into a winter cold, but the fact is that many more patients are dying of influenza than are likely to even be exposed to 2019-nCoV. While clinicians should be vigilant for symptoms of 2019-nCoV and …

Seeing opioid prescriptions increase by some 300% over a 25-year period in the United States—and their home state of Maryland land in the top five states for opioid-related deaths in 2017—decision makers at Anne Arundel Health System determined to find a way to reduce their rate of opioid prescribing without hindering efforts to reduce patients’ suffering. As it turns out, they didn’t have to look too hard. First, they recognized that physicians were writing for …

Literally every day international health officials, the Centers for Disease Control and Prevention, and state health departments issue new statements about suspected or confirmed cases of 2019 Novel Coronavirus (2019-nCoV), possible routes of transmission, and the precautions thought to be helpful in stemming its spread. The CDC updates its dedicated 2019-nCoV webpage as needed and should be considered the most reliable source of solid information on the virus itself, but the Urgent Care Association has …

Recognizing both an increase in incidence of sexually transmitted disease and patient preference for where they seek treatment for STDs, the Centers for Disease Control and Prevention has issued a new set of guidelines on the subject. While previous guidelines, such as those put forth by the CDC in 2015, still reflect current thinking on treatment, the new set, dubbed Recommendations for Providing Quality Sexually Transmitted Diseases Clinical Services, 2020, address a general approach to …

A new Gallup poll reveals that fewer Americans are convinced parents should get their children vaccinated as time goes on, and it appears that lack of education could be a key factor. According to the new study, 84% of 1,025 randomly sampled adults believe it is “extremely or very important” for parents to ensure their children receive recommended vaccinations. In 2001, the last time such data were collected, 94% thought so. One clue as why …

The good news is that prescribers in emergency rooms seem to be getting the message that opioid medications have been overprescribed for too long, contributing to widespread addiction and increasing deaths by overdose and suicide. According to data just released by the Centers for Disease Control and Prevention, opioid prescriptions originating in the ED dropped by nearly one third between 2006–2007 and 2016–2017—reversing a 5-year upward trend. Decreases were highest among visits by younger adults …

Many patients diagnosed with mild traumatic brain injury would benefit from getting back to their normal activities sooner than has been advised previously, according to a new review article published in the Journal of the American Medical Association. Introducing noncontact, aerobic exercise can even help improve symptoms and shorten time to recovery. However, other patients—those whose “normal activities” could put them at risk for repeat mTBI or who have persistent symptoms—should slow down even further …

Campaigns to reduce prescriptions for opioid medications have been recognized as a good step forward, but we’re still a long way from bringing prescribing rates down to an appropriate level according to data newly released by the National Academies of Sciences, Engineering, and Medicine. One problem recognized in the report is a shortage of relevant, specific guidelines. This is especially true when it comes to prescribing pain medications for patients who have undergone certain procedures …